HomeMy WebLinkAboutBuilding Permit 03-0786
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~-/3-3
Main File
I. White File
2. Pink City
3. Yellow Applicant
I PERMIT NO. tJ~..- '76'4
q>lease iYEe or print and sign at bottom)
ADDRESS
39'/t /I (J ",I ~J'J'
V
LEGAL DESCRIPTION (office use only)
..
ZONING (office use)
f?/
NlJ
LOT/.JBLOCK / ADDITION
l<?fr,/ rr~..J'r
- oJ
PID2J-: 3f"olr-~
OWNER
(Name)
_ (Phone)
(Address)
BUILDER
(Name)~.lVJ' m o.A/N
(Contact Name) C Q,., v
/
(Address) / DC / LJ J
/0 / J r /1328..
~/"h1"'J'
(Phone) WI- JylOh- </"ItJC
(Phone)-"I.)..-369-7{d.2..
."S/.;.l
1>,.. r fA If il:Nv nt.N
...;
TYPE OF WORK
~ Construction
DDeck
DPorch
DAddition
ORe-Roofing
ORe-Siding
DLower Level Finish
o Fireplace
DAlteration
/~ DUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
I hereby certify that I have furnished information on this application which is to the best of 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 laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upo:;r;:;the roperty to performJ1eeded~ections.
X. _~ ~1>- /Ystf'" (,-/J-02...
- - {,/gnature Contractor's License No. Date
I Permit Valuation IIi '5 c.. (JOO , 00 I Park Support Fee # I $
I Permit Fee $ /Q67,:fS I SAC # 1$/Z7S-.
I Plan Check Fee I $ 'il'<f~, 78 I Water Meter Size~l"; $ A~o. {)
I State Surcharge I $ 71l, 00 I Pressure Reducer $ J.ls: t!J
I Penalty I $ I City SAC and WAC # $ I z,oa. tl
I Plumbing Permit Fee $ /00,00 I Water Tower Fee # $ 7Od.o
I Mechanical Permit Fee $ 100. t:J () I Builder's Deposit $ /S a (J. 0 {)
I Sewer & Water Permit Fee $ 3~ .0;-0 I Other I $ ) I
I Gas Fireplace PennitFee $ 'fa, 00 I TOTAL DUE 1$'141J1J. t3 I
'piW,~
O-;)~-1J3
1
~
.
-7..ed2/--
~/07
Date
I Paid
I Date
~ ~ /~
ReceivtNo. ~:5'/'7
By C
o
,
This Application Becomes Your Building Permit When Approved
Building Official
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
:~:': Plann;::~:;~,~pomY cmm;;;:i;~omPlian" and aliOJr;rio;;m'nc:;:;=:Zti~' ofOcrupan~ mm' li,
Planning Director I c; Date Special Coniiitions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
"--~-~.._._-"--,--,---,--.._'"''-~.~_._-,-- .-"- - ._.~------ -_._--".~--_._-.._.~~--------
~t
Main File
r White - Buildinv
Canary~gineering
Pink - Planning
Thr ('rolr. of Ih. L.kr <.'ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ! U VXAAn fP /).(~ ~ 0--<)
APPLICATION RECEIVED / _- J?'-,,~
.....- ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
B 9/6 --;?(~ 1/1.1
Accepted
Accepted With Corrections
jO
/'
Denied
Reviewed By:
Comments:
~
1?~t>J2
,
9~ Date: ?/"?--/63
a..U ~~
~
"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."
&~'t
.
Tht'Ct'nlt'for lflt' 1.11tt'COlllltry
Main File
f
,
~ - Buil~in~
- - EnQlneeiilltr-,
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.-
-_...~.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constructi~~ activity Which_is eroposed at:
,
h
,l.'-} /",,-'/ {/
\. "'/(1.1.-.
I
,""'"
L'
! /"
Accepted
'X
Accepted With Corrections
Denied
Reviewed By:
Comments:
~\~~"-- Date: gl1 [0";
See ~everse Side for Additional Information!
~ h~ou.:T 'S,J(< \ \fCj ~UU<.E{) t\(f0Zf 8J.. )A-l G~~~ Tf
(') ~ (,LU:.J f!J!t/.. ,( H LA J'"'(u__ A~ 'T_c.Sufl'1,
See Attachments: 1) Gradina Plan. 2) Erosion Control Measures
3) Erosion Control Plan
"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."
~~
Main File
White - Building
Canary - Engineering
~M _.....~
Thr ('toler of thO' I...... ("ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
;
-._'"
APPLICATION RECEIVED
'~,-...-"
-- The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ b / )//jjf f--j
Accepted
Accepted With Corrections ~
Denied
~- "
Reviewed By: ~ '::;) ~~
'MuJ
--~-~
,J6
Comments:
A.C,
~
Date: ~;0 3
~ ~~6(
/-2.t7~ ~L ~~.
c,--' ,.. ,
d">- d,:tl~~ ~~,
.-......--'
"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,"
-,
12/04/03 09:02 FAX 6518949955
WENZEL HEATING & AC
Ii!I 001
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONlNGIFIREPLACE-PERMIT
Date Rec'd
I.~ ~ \
1. '"'"' Ci~_ I PERMIT NO. a - 7f<; 0
3. Yellow AppIlCUlt _
q:'lc:a.sC:'!yve or Mint and sirn atbor:tom)
ADDRESS
~j~9J~
~-:I
~
&~
ZONING (o/li"",,)
. LEGAL DESCRIPTION (ollice we cnly)
LOT
BLOCK
ADDITION
PID
OWNER . /..
(Name) /A./,t?~&t:?~;fA/
~~
(phOtle)
(Address)
APPLICANT )~. _ I ':"';-/- /
(Namp) U ',.,r~"~/.At":
. ,/'
(Address) 48/ ,l),kl 6/~~/ AM
(Addnis)
-L .>'-./ /14/je
-
APPLICANT SIGNATURE ~ _~d
(ContaCt Person)
(phone) ~t;;)-ft:{4 .q'C"t'(
~H -%172
, (City) (Zip Cod<)
(Phone) ~~4~2
..?O/4h>~
DATE
~EW CONSTRUCTION 0 REPLACEMENT
FURNACE MAKE AND MODEL ~~I a~71':;;
FLUE SIZE dJ--;3'~ RETURN OPENINGS r--=>
/!rE:. ~ TYPE OF SYSTEM
~tf OWarm Air PlantS
J~.L'V,I 030 DGravity.
r~ ~ech'D1ca1
ir Conditioning
- OVenL System
APPLICANT PLEASE COMPLETE BELOW
o AL TEM TrONS
. FUEL -"..let+'-
_?;.t:t:/:; OUTI'UT ~C/":i)
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o lUdi..ion
o Special Devices
o Other Dcviees
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial. Commercial 8< Multi-Family
FEE SCHEDULE
1% of job cost Residential. Gn.s Fireplace
539_50 minimum
$99.50
$64.50'
$39.50
Residentil1l. Heating & Ale (New Consttuction)
ResidentiAl. Hetting Only (New ConstrUction)
Residentinl, Additions: & Alt~t11tions.'
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Official
R,eceipt No.
r.
By !j[
II ?nUJ.-., {,
-~ - - ,-~- ----- '.V'-.. -.
24 hour notice for.11 inspections (952) 447-98S0;"(" (952) 447-4245
DaEt
$
$ .50
1,"t1:3ci ~NI01lna
, rwrA Ot"A
I Dat.
- - - - _.~~~
(omeo Un Only)
This Applicstion Becomes Your Building Permit When Approved
"'./
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or -print and siJOl at bottom)
ADDRESS
~ :~" ~:~, I PERMIT NO-A__ ~IL
3. Yellow Applicant 'W.;iiiI',., V ,..,
.
ZONING (office usel
3916 REGAL PASS
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name) AT .1.1ED FTRESTDE DBA FTRESTDE HEA RTH & HOME
(Phone)
051-033-2501
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
'\5113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRFNf)A HUSTON
DATE
12/18/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO SL-750TRN-C
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Industrial, Commercial & Multi-Family
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
$
$
$
PAID WITH
Bl.lILDING PERMIT
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Duildin!!" Official
Date
IDt:'C 3 0 2003
(f
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE DEPARTMENTOF Main File
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~t!flll Rec,/:C.,I PA.SS
NATURE OF WORK 111 ~ W .
USE OF BUILDING .sp J4
PERMIT NO. 1) a - f'f:. DATE ISSUED g, 1/, oJ .
CONTRACTOR W.L~S MAlVA-- PHONG../~. ab..9- 7""-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~!!ECTOR DATE
I FOOTING -~. ~ rr!?;; -------hPo- ,I,)
I FOUNDATION (Prior to Backfill) l/f~- ~ --;- ~..... 1'., I '
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~
M/
If" Lf " ~'P
SEWER I WATER I SEPTIC
FRAMING wle
INSULATION
ELECTRICAL
PLUMBING lth,..j Vc.i!P
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
t1Jlu~
1-S'-~
~
i/Vf/
1!b
~! {, J&j
1-- 5--(7~/
I~ .>-()'-j
Dr'
. I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding) tf'.- .41 1-:/
BUILDING ~ ch. 8-J-(ff v ~o/ II(D
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY
K:';1. O-or
B-~--oY
t.Jc ~ $-;;Y
/A
UNTIL ABovE HAS
NOTICE
~2.s
BEEN SIGNED
This card must be posted near an electrical 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.
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
-'"<~ Il~ ~ o.r~ i ctxf
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o .,.SULATION
,g'FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
I,
h~'#-.!) (~
II
1JP,'
rI WORK SATISFACTORY, PROCEED
/~ORRECT ACTION AND PROCEED
/O.....CORRECT , CALL FOR REINSPECTION BEFORE COVERING
I
Inspector:
Owner/Contr:
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_
UIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
"""''''
/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
3716 fI~~c, ( P4S.s
v
OWNER
CONTR
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(-Yr..l" - 10 L
( __Ld'-, J~c>;1 '-,- /f) II _
DATE TIME
~ --7-0'1
lv'en5J'W111.. l-Io"'C>
~ ....1 il,
~EXI~LLING
o COIiiri:XiNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
riL WORK SATISFACTORY, PROCEED
V 0 ~RECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
In.pector:~ Owner/Contr:
CALL 447-9850 FO~ THE NEXT INSPECTION 24 HOURS IN ADVANCE
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
,,,,,<<m
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS :s 'f I (p
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE nME
SCHEDULED S
~or' Q- rRcJ6
CONTR.
PERMIT NO.
"3 - 1!3~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
&PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: _
I. ~ -L-.r- l'~. P'
~. (\.1.0 ~ M. '\ U (/ (17 - j e v...
S. ~~ ~ I,.J -
l../, G>Lll\HcL ~........"".-. L
I&.-~--,--\ \",.,.~ c.".IA.k.
('0,'..1{>
~"",-T:i
~ g,..tU"!
o WORK SATISFACTORY, PROCEED
}ill(CORRECT ACTION AND PROCEED
o CORRE WO K, CALL FOR REINSPEcTION BEFORE COVERING
Inspector:
CALL
Owner/Contr:
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
INS1iOTJ