HomeMy WebLinkAboutBuilding Permit 00-0720
~E"E:.
~ r~; ; CITY OF PRIOR LAKE
I D L'cojj' BUILDING PERMIT,
I MIt!' 'JIIM ' : PORARY CERTIFICATE OF
- - - ,ZONING COMPLIANCE
A TILlTY CONNECTION PERMIT
I
i
\'l\P" IN p-j L&
1. White
2. Pink
3. Yellow
File
City
Applicant
1. DATE
Permit No.
00-0720
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have furnished information on this application which is to the besl 01 my knowledge true and correct. I also certify that I am the owner or authorized agent for
the above mentioned property and that all construction will conform to all existing state and local Jaws and will proceed in accordance with submitted plans. I am aware that the
building <?!!fial can reVOke. '";t.s p.. ~it for j~ cause. Furthermore, J hereby agree that the city officia~ or a deSign.ee may enter upon the property to perform needed inspections.
X /,J ~ - ~~ /~-S;Y . c:P,,il!~vD
/ (SlgIlature License No. Date
DIRECTIONS
SPACES NUMBERED f ...,..,.. .j :~':,~,:,I ~l:r.LLI:DIN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
/SSS!"
~-/ - 0 u
~'l')f)
/fro t'Jh- ,;,/",
iaN /'
3. LEGAL DESCRIPTION
LOT JP' BLOCK
ADDITION G'/>"V(,Jt(/,r- :3
I
>"CI
pm JJ-.Jt. 7-
qd/
ooF -0
4. OWNER
(Name)
(Address)
(Tel. No.)
5. ARCHITECT
(Name)
(Address)
(Tel. No.)
6. BUILDER (Name)
tJ('N51710.-^"
j-.J 0 '" t' J
7. TYPE OF WORK Fireplace 0
New Construction ~ Alterations CJ
(Address)
/~75' 1'/.,2.<<- J) r;v-r
fa fa"",, /l1/V
S~jC 0 Deck 0
Addition 0 Finish Attic 0
(Tel. No.)
~5/- ~<.J~' <i'Yuv
Re-roofing 0 Porch D
Re-siding 0 Finish Basement 0
BUILDING INl'ORMA TION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SETBACKS: Required
Actual
Fronl
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION $000.01'"'>
USE OF BUILDIN>, _
~FI}
TYPE OF CONSTRUCTION, I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee. .................................. $
SOIL TESTS
o ENERGY DATA
"
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
o COPIES
PLOT PLAN
"
Plan Check Fee ................. ............ $
State Surcharge ............................. $
Penalty ....................................... $
~l~. CD
<" <"t:. . l/()
'17.s0
Amount Brought Forward .................. $
Perk Support Fee ...,...........,.....,..... $ 8sn.oo
SAC ........................,.....,........., $----4-/01?,.,...
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .....1'................ $
Meter Horn ................................... $
Water Meter ................................. $ I ~.OO
Sewer & Water Connection Fee ........... $_' _ ?r.C .e:>>a
WaterTowerFee ,......."........"....... $ . "7arJ ...0
Water Tap ................................... $
Builder's Deposit ............................ $_~ 0
Other ......................................... $ ,
TolalDue ...."......"................ $ Sf.,55.tjV
Peid ID ( Receipt No. ~"'I ~ I "2..:-
Dete 1/( d GO By rU)J,4-
This is to certify tha the request in the above application and accompanying documents is in accordance with the City Zoning brdirlance and may proceed as requested. This document when
si y th ner constitutes a temporary Certificate of Zonin~o~liance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
~.VI9-~
annerV . Date Special Conditions if any
S U
City:
Plumbing Permit Fee ...................".. $
Mechanical Permit Fee ..................... $
II'Y""l . () 0
100 . O~
1 c;-. c;-o
Sewer & Water Permit ...................... $
~~~'~..:~~:I~i~~.~.e:ij'Jj~;~o~:D
~ Dete -:>I"1<'lO
Certificate of Occupancy
Issued
24 hour notice for all inspections (952) 447-9850
--_.._----,.~-_._-----_.._- - "-<--------<------ -- - --,..- .-.------ - -
q<":oo
,
~~
OO'07~O
The Cenln of thO' L.k", Counlry
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
l AJ i \'
I\\tt {\ (\
W-('\\\( .,\
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i-'-
( .
( \...-(. \.- { /"-..(.........
Accepted
Denied
Reviewed By: cA- ~
./
Accepted With Corrections
Date:
~ -'7-610
Comments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
~~
DO-Olza
TI,. C.nl.,r of Ih", Lak", Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
( Do t"\<c.. NVi (\"
.~ - - - . .
(tun lA/;\-- \.
U
~)\{'y\Jl.t\
2;-Ol\{)
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
l "')-",,~c::., -----R 1'7'\(") l,--DIrle . La ~
Accepted
/
Accepted With Corrections
Denied
Reviewed By: GrnJ {la/I ~,,~
Comments: Sf'~ -lite ar/.{~S"~
Date:
$/th -hr
g? hb / t'7O
I I
t1f/~~4Ha/
Ih~,L'#t.
~ a/9t'A/lr"-H.k: Lr#rdl Cr~ JAf~~~ 1h..t:;.",,'#h;'d~...I:!:J PI-
3. brb>,~ anhl H"d.;:"vr,,$' 4" ~$"/-1--t a~/~____
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
6~~
lJb -0 7Z-O
Tht {:rnlrr of Ih. L.kr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
l JJOf\~~t'\ \-kJY""vv l\
~# t, a-oon
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I ~",-"c., ~nv')Ir-b;rle. ua. ~
Accepted >(
Accepted With Corrections
Denied - 1-
Reviewed B/ Jt(J p,.
~
Date:
8 -(S--- ~C)
Comments:
~C;? ~k4 :t.LA. .f;,., (21, ~ ~ ~.
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
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CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E. Permit No. CO-(l'7::<'O
Prlof Lake, MN 55372
HEATING APPLlCAnON / PERMIT
9.. \ ?~\t""-.tJ PID" cQ0 - 3f, 'l~ O(W ' 0
lD sne Add,e.. . t '~:E=F:::j...p ~r#--.lt ~l~ LN
(T) .
~ Lot l Block -L- Add.lon~, . y,-k"" ,z:.,ra ~
OWner'. Neme \ l VI DCbv..-n "': . ~\,.,-.r1f\ 0 "
Address _ \ ~ ~~ \=>\1>, v~ ~ "~?/";f'., '\=-tU'",P>~
Healing Conlraclor ()--{;1If1? - (6. \.? V\
()
AddressWU, s...... ~JoI""'- -rJlLL- f:1::.,.<.r~, ~
I ohl- u..L..~~ \\4U
FurnsC8Make&Model . L~)'k_
Model Size ~?~2..! Q,.-,S-
(L Dale
T elepllone'
C<lnn.load
Fual NA-f r ""'~Iue Size
Supply Openings I ,
'-I
lVPE OF SYSTEM
Warm Air PIMls '{
GravIty
Mechanical
Air C<lndltlonlng 'lC L \ I-z
f.Nr...vrr Venl. Syslem
HEATING OR POWER PLANT
Steem
Hal Waler
Rad iallon
SpecIal Devle""
-n-.. ,
l'-
"
..-<
\!l
N
N
(T)
..-<
'"
\!l
Z
a
>-
no
N Edr.
z
w
l'J Clm.
4"
Relurn Openings
Inpul IS.GOO OUlpul
l!O.cm-tJ
Othar Devices
TVPEOFWORK
E
a
\:;: Aherallons
;g Repair
'I..
. Replacemenl
Nsw Canstruclion
EsI. C<lmp. Date
. Building Permn. -DO - 0 "1 ~~
/ ',"10 WIiH
/ . PI"I PEf',N\1"I
.50 8U\\..D\NG
$/
/
:;g Esl. Cas! $
ISl
"! ~IEATINGPJ:RMITFEE'
'" I
"! STATE SUR.CHARGE $
l'J .
='
a TOTAL PERMIT FEES
Rece!pl .
TVPE OF STRUCTURE;
I. Pint&.
J.Cke-
J. Yl:l1.
File
ClII
Cua.lt_
S Ingle Family
Commarclal
'/...
Mulll.Famlly
Olher \
Two.Family
Induslrlal
. Public
Fee Schedule
Industrial, Commercial & MulII.Family
Resklenlla/. Healing & AC
Resldenlial, Healing Only
Resldenlial, Gas Fireplace
ResrdenUal, Ad<iillons & Aller.tioM
Residential, AC Only
1% 01 Job cosl ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
R"",ember 10 odd Iho Slata Surcharge on the boUom 01 Ihls applicalloll.
The.prles of vour heatfng permlllncfudes one rough.ln and one llnal In'peellon,
Addilloner inspections will be bl1led at $35.00 eech.
House Healing Tesl Record musl be submlUed wilh bI!lIlIinll rmunf1l1l!11l!w belore buIld.
ing cerlilicale 01 occupancy win be Issued.
tJfAI CALCULATIONS REQUIRED wllh num""r 01 supply and relllln openillgs Irsled por
room wllh CfM's per opening. New struclures 01 edditions ,end 11001 plan wilh supply
and relum locallans shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CIlV OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 55372,
,
City Hall buslnass houlS are 6 am. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH.IN AND FINAL)- CALL CiTY HALL
441-4230
I hereby applV lor a mechanicsl syslems permit and I scknowlodge lhallho
Inlormallon above Is complete and accurale; Ihal the work wllf be in conformance
wllh lhs oldinance, and codes 0' tho clly end wUh Ihe slate bullding/mechanlcel
codes; Ihal this 101m daBS nol become a pllrmll unlll signed by the BUILDING
OFFICIA ; Ihel the work wfll be In accordence wllh Ihe apprpved plan in lhe
case of a work which requires review and approval 01 plans.
\A I ~, ~\(S OC)
I j A IIcan 5 e ur; . ( ale .
l~/-O" ~fL.~~ 'k: Id;;;l72-
o Bulldin90llic 's srlure - / Oaf.
AUG. 25. 2000 10:47AM
GENZ RYAN 6513226147
NO. 138
P.12/19
i'i":J''JtW-r.lPIt1.'.,flllellkce./tllf''
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i'UJ
II II Pal 28 aD!
il ~
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CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: (.1-.p 1ClZ, - t2.tr 11
Addr~s: \~.,~c:... '"-, I2nlnf .nT" -rf2_~
SignallJre: 1.I...)...0~ n
Legal DeSCription: Lot ~ Block I Sub-bJ ' , (\ I~JTAJIe r
Site Address: 1~'6.fJ.~ ~.j/ c...U~.. I ,...,,) . <..L~ ~
Building Fermlt# OQ-C\'l ~() PID #.rl.' - ,~.{:.. '7 -ocz-n
NOTE; This permit wjll not be processed without complete information.
FIXTURE UNITS
I, Blue
l. c:lDld
~. YcUlNI'
Yolo
C1",
AppUQIIt
# (j 0 - (1 '1;)n
Phone; L.,;:C)1~L.i'2~-, 14U
Quantity TyPe of Fixture Quantity
I Gt Bath Tub with or without shower 3
I Dishwasher I
\ Floor Drain r<..1 r
2- lavatory (bathroom sink) I
\ Laundry Tray (1 or 2 c;ompartment sink)
\ Shower Stall
\ Sinks
Bar Sink
'2- Water Closet (toilet)
Type of Fixture
Rough-Ins
Water Heater
Water Sollner
Stand Pipe (washing machine)
Sewage Ejector
Backtlow Assembly (APZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of jot;> cost, $39.50 minimum)
Residential, New One & Two Family
Residential, AdditiOns & Alterations
State Surcharge
5199.50
$39.50
(
/
/
$ I .50
$ ~!fa ""'"
P12IiMi.,.
$
$
$
GRAND TOTAL
,
This pennit \. grilnted upon the express condition th.t soid
COntlaCUlr. sban camply in :111 respel;:ts \llith the C1rdinanccs
of 9'- Stiltc Plumbinc: Code d the am dme thereof.
'-J- RE TE
16200 E01g1e Creek Av, S.E., Pnor Lake, Minnesot.l55372 / Ph. (612) 447-4230 / FA,'"{ (612) 447-42~5
All Equal OpportUnity Employer
C I for all inspections 24 hours in advance.
AUG. 8.2000 11:13AM
GENZ RYAN 6513226147
NO. 483
P.4/9
-- -I'LE
ftU.aw. _
-... aN
CITY OF PRIOR LAKE
.... -, - -----...-u---SEWER AND WATER PERMIT
rn@lliJ',g~r
-_._..~---_.~._.~____ I
NO.,nn-rY7ao
NOTE;
Sewer and Water
contractors must
be reqistered
with the City.
6-9.
i
J,
'i
Ii
I'
APPLIr-lP'T' n" . ~ ~tl~'o\~_ ~1'1f'~ PHONE:.../Q51-1.J.2:S-II4LI
AODRESS:IL.l'I./E,Sr. ~iZ.T" -r"", tl~"~~,"'r 'S'".c:iJi!.OATE: ~l'R\r\C)
fA 1~ 0...... BLDG. PERMIT # m -('""\'7. aO
SITE AODRESS:_lrk~" ~SIr.L L..:. 'PIDit as-3{,'l-(Ji'll(-O
SIGNATURE:
l.
2 .
Estimated length
of water service
~ I
I
FILL IN THE BLANKS
40'
feet.
Si~e of water service
_inch (es) .
. 3.
Location of any couplings from s~ructure
feet.
...
4. Type of sewer pipe. ABS pvc X Cast Iron
5. Estimated length of sewer line~r feet.
6. Clean out (if required), located at feet
structure.
from
====---"~--- . -=-~-==='----. --~--;==========i..
=--------
-----. --.;;;I"
omes yo~r pennit wnen approvid. .
.. ~ D~TE: 'R,ll 5t /00
..--. ~ ~~----------~--_._-
~-=---- -- .-----=;;;;;--- ~
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the buildin~ pennit card at the time cf issuance
~o insure that no dupl~cate sewer and water permits are
~ssued. /
DATE PAID - ~~ -.r-l~~~~OONT PAID / .,
RECEIPT # ./ . .t~\~G REC' 0 BY /
/ '()"
, 4629 Dakota St S.E., Prior lake, M"lnnllScta 55372 / Ph. (612) 4474230 I ~ (612) 44742'lS
AN EOUAL OPPnR'T1 YNl'T"V N~f rM:'A
./
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J."'l5~ ~ ~~-d20 ~,
NATURE OF WORK J.")"'.,,J
USE OF BUILDING <;::;FA
PERMIT NO. no. 072-0 DATE ISSUED 8 -/"-~e.
CONTRACTOR kb.w:3~ ~'S. P~E"'I:L. &,c:;(-t.fo~_t/t./oo ,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FOOTING &" I q! / II on .l~
, FOUNDATION (Prior to Backfill)~ I ~, 7'1.;; I/GcJ I Ih. <9/ t5/ ~"&r,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I fl>/:1~/f?G
ROUGH - INS
~f
:t
(~'~t~11\l?O
'i?" . ,/ t'l4 h1
.1 .
1lA~.~~ ~\J ~JOCl
SEWER I WATER f SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
1/;5'(C()
i/o~lol
f f1lfJf
I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
1\~1
~
H\ .uv '6(
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an tllectri~al service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
QLtrfificuu at OOClupdnry
CITY OF PRIOR LAKE
...../... J)epartment of Jiuilbing Jn~pettion
!>(Final Permitted 0 Conditional C.O. Expirer
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various ordinances of the
City of Prior lAke regulating building construction or use. For the following:
SINGLE FAMILY 00-0720
cw__r......) Type
R3
Type Construction ..YN
"Idg, Permit No,
Fir. Zone N / A lolling District . R2 SD
Use Classificatior!'
Legal Ilcscription
L8, B1, GLYNWATER 3RD ADDN
Contractor's Name &t Address
WENSMANN HOMES,
'1N
.Si..Addrcss 15556 BROOKSIDE LANE
1895 PLAZA DR., EAGAN, MN
DON RYE
Owner of Building
ROBERT D~ HUTCHINS
4 iilding Official
0...: 5" 01
. r
rity Planner
0...:
POST IN A CONSPICUOUS PLACE
...
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
_I DATi
I~
TIME
OWNER
15556 BROOKSIDE LANE
PERMIT #00-720
ADDRESS
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
-r<-",.Al"'~ LLJ,
d noSe.. ~;lt9--
)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~1 CALL FOR REINSPECTION BEFORE COVERING
Inspector: 'b ,U ~ Owner/Contr:
\
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1-7..'5"'LooI 3:00
ADDRESS lSS"'l (n
l')t,Jl~'"\kQ..~~ LV\.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
C> ~ 120
D FOOTING
o FOUNDATION
D FRAMING
D INSULA TlON
J!l FINAL A-
D SITE INSPECTION
D PLUMBING RI
o MECH RI
D WATER HOOKUP
D SEWER HOOKUP
~PLUMBING FINAL fir
~MECH FINAL Pr'
D EX/GRAD/FILLING
o COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLlNE AIR TST
D
COMMENTS:
- <O@ft"~i^+- Jr-;ve.....DK.
_ 1$ ~6.e...woJk OlC
-_P4~f~ Ct~)(*(va~-
h6:>,e. ~o
- &od av\cL +r~~ 'fer ~JO?lMfu-Y
--r~r- L.O~ ,~..\-~'i ~?or JOI
~ORK SATISFACTORY, PROCEED
D CORRECT ACTION AND PROCEED
D CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ .\ l~ Owner/Contr:
CALL 447-9860 FOR T.k NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl