HomeMy WebLinkAboutBuilding Permit 03-0788
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec' d
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT b~( 3-3
See Main File I.Whik FiI.
2. Pi" Cil, I PERMIT NO. /J '2./ /} (YIP
J. Yellow Applicant ' ) D 'f
(Please ~ or print and sign at bottom)
ADDRESS
3 J' ;;, 0 If Ptu..j
V
LEGAL DESCRIPTION (office use only)
/a.'p..J'
Nt.J
LOT/7 BLOCK I ADDITION i PO~ / C rr;fr
...;
OWNER
(Name)
(Address)
BUILDER, .
(Name) WI'A/J'/719'A//V
(Contact Name) ~a r .....
/
(Address) /R ~~ /k z.~
--<.J" /]o'J ""..J'
/)r
TYPE OF WORK
~w Construction
DLower Level Finish
o Misc.
(Phone)
I I
ZONING (office use)
fl,J
PID..2S-- 35(,-0/7-0
(Phone) ~/ - rO (, - ~f' (J tJ
(PhoneL/./...l- .3~?- 7?/.2..
/II /l/ JS/.2 2.
C.:r '16" IV
V
DDeck
DPorch
DRe.Roofing
o Fireplace
DAddition
DAlteration
PROJECT COST IV ALUE (excluding land) S
I hereby certiry 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 YH"'Y~") 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
exnt7J ;;peny7.O 'erfo~eeded mspectlons
~ /~sr ;:'-/1-02-
/ / Signature Contractor's License No. Date
[/ -
I PermIt ValuatIOn .fI / ~ Z. do a "/J I
I Permit Fee $ /~?15 I
I Plan Check Fee $? f:1 fr, K"2 I
I State Surcharge $ ?(.OO I
I Penalty $ I
I Plumbing Permit Fee $ / at:). D a I
I Mechanical Permit Fee $ /00.00 I
I Sewer & Water Permit Fee $ :3 S. s-o I
I Gas Fireplace Permit Fee $ ~I!J. "0 I
This Application 3 ____.__v Your Building Permit When Approved
~;1~
Building Official
7/zA>z"
Date'"
I Park Support Fee
I SAC __
I WaterMeter(S{ze~I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
../
.t::J 'b'1'f'(Yf
6t r ~ '3 -fJ.::)
ORe-Siding
DUtility Connection
#
$
$
$
$
$
$
$
$ I
. $5; &4--4-. Z 7 I
#
/2--75.00
250. "D
~S.oo
/ZOo.oo
/O<!J. {) ~
#
#
I Receipt No_ '-f<;; :? /'-1
Bv t?
P
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
~~e:e:p_?::;;mpor~certifiC;~;:Plianceandallowsconstru~onSee BMalrt~rIeqmustbe
Planning Director . Date Special Conditions. if any
24 hour uotice for all inspections (952) 447.9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See Main File
White . l:Iuilding
( Canary - t::n"'IOeerlOQ)
....'nK - t'lahning .
Tht C-..nltr llllh..l...... Counl..,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.///
I. 7 <: :*'., ",,-,' /;;;"L~j
""7
.';'>'-
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I.; ,I .
-'4..'''~
Accepted
1\
Accepted With Corrections
Denied
Reviewed By:
12'\",.--- ;{L""
, ~ '1"'"
Date:
'R h ( O~
,
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."
i;~1,
See Main File
C}yrit~ - ~~~~~
Canary ~~ngmeering
Pink - Planning
fht('fl1lnoflhfL.hCounlr,'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
!/)L~/YU/AAAV ~
0- 1~-C3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(~(}:}J) ~(jo.R. jJ~
-- I' /
Accepted
~
Accepted With Corrections
Denied
"..
~. ;2J-tu
Date: 7 j;;- ~3
( It:.
Reviewed By:
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."
~~
See Main File
White - Building
Canary - En ineering
C, .....,,'" - PI~nnlng
Thr Crolnof Ihr l..kf('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
lJ
/' /
,<
. /'J~':' \
" 'I.'
Y
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,
..... .,.J.' "
>0; ,
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~
,
r
~
Date:
7p;la3
c
.
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,"
10/24/01 WED 11:22 FAX 6I24474215
CITY OF PRIOR LAKE
~001
Date Ree'd
CITY OF PRIOR LAKE PLUMBING PERMIT
:= ~:~ I PERMIT NO. 3 -..7881
) y.l..... APP'il:'Wll
(PInK cy;pe: or'Drtrl[ IlDd Jim at bortern)
ADDRESS 3~;2JJ ~~ ~C\.SS ~ W
ZONING tol8ct....)
LEGAL DESCRIPTION (olllcc .Ie cnIy)
LOT 17 BLOCK l ADDITION
~\~t-
~
~~e~R l~\etf6m~~"" \4ome.-s, (Phone) ~)-'iDb-lj1JDO
(Address) I $tS- '?!C\Z-o-. ~. ~\~ ~D ~Y\ i\A.Y\\ ~} ~~
~:;:~Al'IT LJent?cl ~\~~ ~ \\\~~~. (Phone) ~/-Lf5)~/SbS'
(Address) 17/D '1\\~-1.J:\YJ_~ \~J. ~~. ~/;21
(~) .-> (City) (ziP CodeJ--
(Contact Pe~on) \Tea ~~Q (phone) t5"/~i: ~5bS
AFPLICANTSIGNATURE ~ DATB 9/1&;0-::>
QUllatity
.;z.
)
;
~
I
I
I
I
~
Pro
PLICANT PLEASE COMPLETE BELOW
Type or Fatnl
SaUl Tub with or without shower
b ish","sher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (I or 2 compartmentsmk
Shower Still-
Sink5
Bar Sink
Wate, Closet (Toilet)
Q..Dtity
Type of Flxtllru
I
I
ROIIgh-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
SClWlIge Ejettor
Bac:kflow-Assembly --
Baclcflow Assembly Test
lawn Sprinkler
Other
FEESCHtDULE
Industriol. Commercl.1 cl Multi.r.nllly l%ofjob co!! with. $3950 minimum Reslllent..l. 1'1.... One &; Tw..F.,..i11 599.50
Raidential. Additions a: Alter'llions SJ9..50
(omCI Vie Only)
E.timBted Cost S
Bui1dil\& Permit #
8u P)jID
'1I.DI"", lItri7'/-j
, G P!2p
rlMr,.
PLUMBING PERMIT FEE S
STATE SURCHARGE S
TOTAL PERMIT FEE $
.so
~,:~ :.'r:;-~-~-~ ..
Thill Applicalion Becomes tour Buildin& Penlite Whlll Apprond IIU~a1il : i ,,' 'Receipt No.
e.udIIll:OIli,iol Dot. li~lf.tOEP 2 3 Z003 :. By (f-- ,I
:4 ho",' ..'in lor ,n iOJpcctio.. (lI51) ....7~, l~" ,951) "...,....245 j ~
E d \78LES0098\70N/91 \711S/L1 \71 EO ,816 InHl) L -:::5lFf;9:-.0NIIV3H ~ :JNlal'ifild mN3J1\ WOH3
---
.....-..-. '-'--.
~ ?I~!O""'''
~ o/\~>~ ;\
~ \ ~\
~ \ ;;; ..
\" I ~~)
~"'H~~
~I/'."'''''...I!
Y~l.LDW . U1"Ut"'J,IiIT
r..o\.o. C1T1
C!~Y OF P~IOR LAKE
S~~~R AND WATER ~~R~IT
NO. "23 - 7fs8
NOTE:
Sewe= and Water
contractors rnus':
be rec;istered
with the cit.y.
~ -: '"";":~.':'T:""?:::
We,'>e\ ~~~
YoSS~\)
.w;Jl.
PHONE ;(jS/-'-!:9.~J~
DAT:::; i/1'6JD3
APPLICANT:
ADDR::::SS; ~d-D
3:':~.
~':"'':)'<f7'"''
- ---.-...
::LL
'IN'
T~:S '6L~...L'l:-\S
30
fe~'C'.
size 0: wat.e:::- se::::-.r.i.c~
of water service
I
inc::.(es). .. NI
from s~~~cture ~1V\
PVC V. Cast. Iron
fegt..
1.
2.
~s~i~atec lenst~
3 .
Lccat.ior. of any cou~lin~s
4.
~ype 0: sewer pipe.
1>.35
5 .
~5~i~a~ed leng~h
of seT....e= line
3tl
fee~~JlfL
~~ ~fe~t
frem
6 .
C!.~a.n out (i f
st="",l,c-:''J:-e.
re~irec.) ,
loc2':.~-='
------------------------------------------------------------------
------------------------------------------------------------------
..,..}-.~
_.._5
a;:plicat.icn
bec:one5
~ou= pe~.~~ M~en ap~=ovec"
B'::':
DA.'t'E:
------------------------------------------------------------------
------------------------------------------------------------------
=!:~s:
$
5
5
35.00
.50
35.50
Sewer and wa~~~ li~e connection pe=~it.
SU:l::"charg~
TOT.'\L
~ ~ee fc= e~:he~ sewe= C~ wate= i~~ividua~lv is 520.00 plus
$: .50 s",J=c:"~:::-;e.
* S.atl't.~:- a!'lc. f,..;at.e":'" pe::-::l~t~.i.;1.~uec for' ne\.l ccns-:.r'".Jction mu.st: be
=~<::,?=c.e<:: on' 1;1"\...."',,"'u7~din9P.1'\=i'- ca:::-d at .the ti:ne 1If. ,cissui!."c:e
~o l:1~~=e t::-..a~_" t1~ Ccu?l~c,a,~e se~..,.e= ar;Q. ",later ~~, 2.':"e
lssue=. i., SEP ~ ? 2003 "!, v~G ~~
D~~~ FA:J ? " \' ~~OUNT PAID ~~4f~
?~:::Z?":' ; ---, R:=:C'O 3', 4..
-::: '.
': 'r'
.. r'. - ,-
.... .,
,.," ,". <.-
\> d \>8LES0098\>ON/9HllS/Ll\>1 EO ,816 iOHl)
L9EO-t:S\>-IS9 DNll\f3H iI DNI8Y!fl1d mN3,I\ WOB3
12/0,1/03 09 :.03 FAX 6~189~9955
WENZEL HEATING & AC
Ii!I 003
CITY OF PRIOR LAKE Date Rec'd
;..,
REA TINGf AIR CONDITIONlNGfFIREPLACE~PERMIT--' .,: =:-:::::-,=.,",
, '
(please: Me or orint md. ~fIJ1 at bottom' -
AnDRESs
,,-,.~.., ("Z)".' ~ I
,...,",- ",.
. .
I
~ =-E,;:;.! PERi'fiT NO. ,-) -;'8:<is' j
ZON!NG(o_"",j
'&$
:,,~ ;,r,:'./ I".
.
LEGAL DESCRIPTION (offil:e we only)
-
LOT
BLOCK
ADDITION
pro
O\VNER /.
(Name) /A/,t1'~&~~,1A1
~~
(phone)
, (Address)
APPLICANT' / ".,"-L', .
(Name)_U I~ ."'"'''' '!::7'"/M
.. . ,
(Mdt'S5) 41.? I ~kl -r;/~~/ AM
(AddJ:o!,)
(ComactPerson) ..... ; :J>::-/ /Id/je
. APPLICANT SIGNATURE 7 ~"../
(phone) iD~}~4~<e=Fl
~r;JA q:;1?2
.. , (City) (Zip Code)
(phone) ~~q~2
DATE ,g7/4h><;
~ ,
,...1,
APPLICANT PLEASE COMl'LETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL .6$'1 O?:.70 'FUEL J..1a.r
FLUE SIZE c9~3 'i4'C. RE11JRN OPENINGS '( ~ INPUT _~t:l::6 OUTPUT ~t:/i:)
~/e ~/ TYPE OF SYSTEM HEATING OR POWER PLANT
~c1 OWarm Air Plants 0 Starn
,,,,.-vJ D3b OGravity. 0 Hot Water
,~ ~ech311lcal 0 Radiation
ir Conditioning 0 Spc:c.ial Oevices
. OVen!. SYStem 0 OthcrDevices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
[ndustriaJ, Commercial &. Multi-Family
FEE SCHEDULE
1 % of job cost R.esidential, Gas fil"eplace
$39.50 minimum
$99.50 .
$64.50 '
539.50
Residential. H..ting 8< NC (New Constnlction)
Residential. Heating Only (New COnstnlClion)
Residential. Additions 8< Alle~ion;
Residential, AC Only
539.50
$39.50
Estimated CoSt $
Building Penn it #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
s
s o~\1H \i
s . 13\.IIi..o,~G Pe.f\~
(om.. U,e D.ly)
Thi3 Applic2tion Becomes Your Building Permit When Approved I Paid Receipt No. I
M',.~_ U ..., ..;; ';;~~";';;;';;;;';" d;r~; -;;;~"---:: -',' (t=-------'e= L
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I,Pink
2. Green
J. Yellow
~:~ I PERMIT NOOl2 "'-7CI.
Applicant ~
(Please tyDe or 'Print and silW at bottom)
ADDRESS
ZONING (office use)
3920 REGAL PASS
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name WRNSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name) A 1.1 .TED FTRFSTDF DRA FTRFSTDF. HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVIT T P
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
3/8/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
OGravity
D Mechanical
DAir Conditioning
OVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
D Special Devices
o Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT NOLO SL-750TRN-C X 2
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential. Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
$
.~
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildine: Official
Date
I Paid
I Date
Receipt No.
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE DEPARTMENTc&ee Main File
BUILDING AND INSPECTION
.
INSPECTION RECORD
SITE ADDRESS 31,.()- K~-'41 PiA. S$
NATURE OF WORK A/e..w .
USE OF BUILDING SF"
PERMIT NO. 0 ~ - 71" r DATE ISSUED B. (l OJ
CONTRACTOR ~.JVS MA IVA-I PHO. J.1.a" ~- 71, /.,;)-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
OATE
, FOOTING
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH ~tNS
SEWER I WATER I SEPTIC t/PA_ :r~ ;> q.
FRAMING fIJ ~
INSULATION llil
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
J
I
7-1?
'3/J-3frjl{
,
~
'68
~t(,k?-J
I 7-(/
I '1'- //
I 6" rf2. 'I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDINGi........p toS-t-a4 PI)
ELECTRICAL
PLUMBING
HEATING
DO NOT
50.t'!
~\\l
-
t .1"'; \ i
r 'fI X'
v,. V'"
~I\,
-
p- t1' c:S;;?'/
(11)
OCCUPY UNTIL ABOVE HAS
NOTICE
r;,~
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
Ql~rtifiraf~ of @rmpanq!
CITY OF PRIOR LAKE
~rpadmrnf of ~uillring JInsprdinn
~inal Permitted [] Conditional C.O. Expires _
This Certificate issued pursuant to the requirements of Section 307 of the Unifonn 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:
Use Classification
SINGLE FA:'>lILY
Occupancy Type
R3
Type Construction
VN
Fire Zone
Bldg. Permit No.
N/A
_ Zoning District
03-0782
Rl
Legal Description
L17, Bl, REGAL CREST
Owner of Building
Contractor's Name & Address WENSMANR~ME S j
- i /1
ROBERT D. HUTCHINS I!
,
Building Official l/.
Date: '(..,. I. _ (\ i
v
Site Address
3920 REGAL PASS N.W.
1895 PLAZA DRIVE, SUITE 200, EAGAN,
DON RYE
~,
. City Planner_
I,
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
b'--u -c i
G)~.~
TIME
SCHEDULED
ADDRESS "3> '1 7.. ?I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
"5 ~ 789'
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
~LUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: . 0
~~~'J1 ~t:1 11)t-"J 447- "l~
,"0 'JPRK SATISFACTORY, PROCEED
)l(.CORRECT ACTI NO PROCEED
o CORREC- bC LL FOR REINSPECTION BEFORE COVERING
I
Inspector: ). Owner/Contr:
CALL, 47 5 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
v--v-
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4< SAFETY!
INSNOTJ
SCHEDULED S"~
~j- (?~,(
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
?fW
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 9"""MECH FINAL
COMMENTS: /
J. fowJ G.I...L 11.\.OS"
,
'2- s.....{ ~~
~Jr c:: -- 'Dr-:I)...().
L/-V'wv" ~
1
DATE TIME
?- J~~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ I
C5 (
I
".,.- II !)-
~ J ' /l (I J.:n rf--&
~
I '--'1 f\ ~ '__
~..~~.~~~~
o ytORK SATISFACTORY, PROCEED
o CORRECT A NO PROCEED
~ORR WO~K' L FOR REINSPECTION BEFORE COVERING
Inspe Owner/Contr:
o OR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
UiSNOTJ
REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
B- (p..o{/
ADDRESS
?'i2~ ~ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1- 76e
o FOOTING
o FOUNDATION
, 0 FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
17 (< ft:, c (~ AA {::'p
If WORK SATISFACTORY, PROCEED
o CORREC CTION AND PROCEED
o CORRE T , CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
C
7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
"""""