HomeMy WebLinkAboutBuilding Permit 00-0914
~~
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
jlJ)TE:: Ql::f"E.J.Y:E.Q
~
~mit No.
1. White
2. Pink
3. Yellow
File
ID~a-DO
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign al bottom)
12;;-~R7S~ /J rUn h s; tI / 1.4' Iv f
/
3 rc/
1. DATE
/ V -.3 - "J
JeZ.SD
BUILDI
11. SIZE OF ST
(Height) (
(Depth)
3. LEGAL DESCRIPTION
lOT A BLOCK
ADDITION G'lv /V IAJ t:I 7 t'r
140 OWNER (Name)
15. ARCHITECT (Name)
6. BUILDER (Name)
W(,NJ'1n q/V/V
J..j (}}7\ f'S
12. NO. OF STORIES
:l-5-:Jt 7- 0;;1.- 0
PID
13. TYPE OF CONSTRUCTION
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Tel. No.)
1.Y9J P1;st-=- Dr
{ ~ 'f ~ /V' /ll /l/
VSeptic LI
Addition 0
(Tel. No.)
tS/- yo?- t'~{)J
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
SEAT~
7. TYPE OF WORK Fireplace a
New Construction~ Alterations CI
Chimney 0 Misc.
lB. 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 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 const ction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building offi~can revoke this ;lerm. or just se. Furthermore, I hereby agree that the city official or a design.ee may enter upon the property to perform needed inspections.
X /.Ja....-y .-- ./y.,r /v-J-UtJ
/ /) nature License No. Date
Deck 0
Finish Attic 0
Re.roofing 0 Porch 0
Re.siding 0 Finish Basement 0
16. PROJECT COSTNALUE
17. COMPLETION DATE
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SETBACKS: Required
Actual
v
FOR ADMINISTRATIVE USE
I MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO
SPACES ON PLAN
PERMIT VALUATION , OO.~ .O("'}
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
-~Et!
USE OF BUILDING
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F H t M R S U
Amount Brought Forward .................. $
Park Support Fee ........................... $ AS"f"J .d~
SAC ......................................... $--4l-('J(") . dO-
Collective Street Fee ....................... $
Sewer Tap ................................... $
~" $
Pressure Reducer ........f>................ $ 'Il;,o 0
Meter Horn ... .... .... ........................ $
Water Meter ................................. $
City:
Division 1 2 3 4
Permit Fee ................................... $
A8tr .ls-
5f)~.7l
50.00
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty .......................... ......... .... $
100.00
100.00
05.50
C/o.ao
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
/':l€> rOo
/'~OO.ClO
. I) I1D .ClO
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
............. ...... ~
Water Tap ................................... $
Builder's Deposit ............................ $---4.5"'11 . t1 ~.
Other ......................................... $
Total Due .............................. $ 'lt30r. Lt6
Paid '7 509. t./(, Receipt'}jp. 3e,~/5"
Date i 0 . I ~ . 0 C> By J1f'---'
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proce~s requested. This document when
S~IQ b h ity1la.rnner constitutes a temporary Certificate of zon~ compliance.Pfld allows ~0I1 ruction to com'l'ence. Before.oc~a~ertifiSil~~';st be issued.
."X'///.........--- \'p/'1. 1;D ~O~ '\; L I.~lo<\ (' <-
City Pianner Dale Special Conditions any
ThiS
By' _
Certificate of ~ncy
s Your Building ;:t:"irtr~1r~
Issued
24 hour notice for all inspections (952) 447.9850
---
00 . Oq 14--'
Thf ern'tr 0' Iltl' Lab Counlry
White - Building
Canary "Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT
APPLICATION RECEIVED
/A/0N-S ma../l/ liJ
/0- -=3-00
,
'II () MeS
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/Ss70 By-ao/(s I~Je LaP3
Accepted
/
Accepted With Corrections
Denied
Reviewed By: Grgnf Carf,;NJ
Comments: 111/ walt", rUht?-f'r II.f
r't.{ YI -t()uJt?rd de C:t;t>h&<;j"
Date:
It/h !to
I '
of fiu!
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"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."
$~~
00 'Mi4--
Th~ C~nl..r of lh.. L.kt Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
fA/ (3/).j-S /In ?<-/lI A)
/O~ ~-OO
.
'II t) MeS
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1S"!;70 Brooks Ide Laf-6
Accepted
Accepted With Corrections
~
Denied /"") ($ l
Reviewed B( ~ tlt Ao<l -/' --,
'- y
Date: /(\ ~ ",1,..- ~
Comments:
~oJl aM-~J.. ~J ~ J-~
"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."
~~
00 D~/~
Thf C"ntu of thr Lax" Count!'}'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 1A/2-iUS 11) /1/))
APPLICATION RECEIVED I () - 3 - Q 0
/ fl.) /1/
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I <;;; }O
i
j. .'
- ,!(/:
/.'~
'-
L i:>
_ :" l -' ....j ..J
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
"1 /~
~"
Date:
te/c;/ t9-o
Comments:
~~ ~'~L~ 'iD <{lAP ('~~~ t'''r~
~_ ('_t Ul 0, ~LtlliJ;1 ~
C~-'^~ ~vd AM,1 l< ~
Jk~ ~}LTJ/e ~/j~~ l-J/f"kM LL~
~<J/ W~Yl-{'>~ f-Mpe.Sr ~::rz;..,.J<. 1Jr,7J}lve~~~.o
"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."
CITY OF PRIOR LAKE' ..
182.00 Eagle Creek Av. S.E. Permh No. .t:'J -C; I tf
Prior Lake, UN 55372
~ ~ HEATING APPLlCAnON 1 PERMIT
a: DB1e-lO\IQ \00 PID'~C; -9(dJ-{)O;?.-6
If) SheAddre.. 'c;~.,C - ~It.'-INI" L....l
~ lol d-B1ock ( . Addition CO / iAA J111i~ ~ ~ re!-
o -
z: OwnefsName W~~ ~~!;
Addre.. 1'a~1b 'P\o. ~ \)r- ~ 2.00 e~
Healing Conlreclor JIll>> ~2-~' A'" .lr"""'lo
Address I'll,"", U~ ~ epbtJL~ T""_L.. ~r
Tele,toone' ~\- ~2..o - II '-' ~
FllInece Make I. Model ~""O ~ TYPE OF SYSTEM
~ "2...~ " \..,c.. Warm Air Planle i
Model Size ...2.....- -..l. Gravily
Mechanical
. \ A~ CondJllonlng II 2.'/'2. ~
"4 ~TVenl. Systll/1\
HEAnNG OR POWER PlANT
Sleam
Hal Waler
Radlalion
SpecIal Devlc:ell
Conn. load
~ Fuel~"" Q).~lueSlze
<.D
I ~ Supply Openings 1\
@ Return Op8nIras L\
~ lnput~ cmo OIIlputJal\.ODrl
0<
NEd.,
z:
w
l!) Clm.
OIh.t Davlces
TYPE OF WORK
x
E
0-
(T) Abratlons
~
(T) Repair
Replacemenl New ConstructIon
Eet. Comp. Dale
~ Est. Cost $
~
~ HEATING PERMIT FEE $
O"l
.-<
. STATE SURCHARGE $
>- .
u
o 'UJMLrCnMiI,.r:I:~ "
Building Pennh /I
PAID WITH
.50 BUILDING PERMIT
l1eC4l1f1' "
I
TYPE OF STRUC1'1lfm
I.Pi'"
.2. Ore ;
1. Vd~
Rio
D"
COIIIIIl:""
Single FomIy
Commercial.
\(
lWo-Famlly
Induallial
Mull-Family .
Public Oll1ar
,
Fee Schedule
1 % 01 lob cael ($39.60 minimum)
$99.60 ~-
$64.60 ._--- -~ /... .c.c7iC5. .-\.::
{'.' . ~~ .
$39.50 co' ----J, '
$39.60 tVlM Ii
$39.60 OC1l 9 ~ \. Ii;
v
-~
Remember 10 add the Slale Sureharge on lhe boltom ollhll apI!li:alion;'-'- _'_
'l _ -.---...
Induslllal, Cemmerdal & Mulli-Femily
Resldenftel, Healing I. AC
Reeldenllal, Healing Only
Resldanllel, Gas Flreplece
Aesidanllal, AdtI[tlcns & A.etallons
Residential, AC Onl~
The.prlce 01 youf healing permlllncludes one rough-n 8lld one lInallnspection.
Addlllonell"""ectionl will be billed at $35.00 each.
Hoose HeaUng Tesl Record muat be submllted wlIh bllikino IlIUIIiI.IlYlDIm belate buld-
ing certlllcale of OClCupanc~ wII be laaued.
HfAI CALCULATIONS REOUIRED with number ollUpply end nllurn openings listed per
room with CfM'a per ., ...;..~. New slruclun>s Of adcjlllons send !loor plan wiIh supply
end return lacallons shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILEO TO THE CITY OF PAIOR LAKE, 16200 EAGLE
CREEK AVE. 5.E. PRIOR LAKE, MN 65372.
Citv Hall buslneN hours are 6 a.m.' 4:30 p.....
ALL WORK MUST BE INSPECTED (ROUGtI-lN AND FlNALI- CALL CITY HALL
447....UD
I hereby apply for a mechanical syslems permit and I ecknowledge that the
Inlormallon above la complele and accurate; lhallha work wHl be In conlofmance
w!lh the ordinances and codes ot the cily and wllh Ihe slate bullding/mechenlcal
codes; thallhls Iorm does not become a permll unll1 .Ignad by Ihe BUilDING
OFfiCIAL; Ihat the work will be in accordance wIth the apPfoved plan In !he
case of all work which requlrea review and app.ovel of plsns.
C\..-
.JD I,q t'rll
I Dall
IO/..?O/rf()
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ltute
OCT. 19.2000 3:02PM
GENZ RYAN 6513226147
NO.415
P.2/15
CITY OF PRIOR LAKE
PLUMBING PERMIT
I. a.. ....
:z. CloId CilY
# 3. 7)~iLf
n.. C""'I It' .f It.. 1.1.". c..lIl.,.
Applicant: ~~-~" Phone:~-U'l:~-II~cJ
Addresa: II.hU. f'1'_w lD -r- ""T'oI'l._\- t?d.~'T' t,;,o;;;a&
Signature: ~ ...
lB9al Description; Lot ~ ;:+---... Block I Sub (c1 UA.JtUJ IPJ.- 2> rJ.
Site Address: I ~~ 10 ~Vbel"''' ,.,....,. ~
BUilding Permit if PiD if g 5 3 Co'7 {; Od... 0
NOTE: This permit ~II not be processed witl10ut complete information.
FIXTURE UNITS
, ,
I Qual \lily Type of Fixture Quantity Type of FilrtUre
I fl- \ Bath Tub with or without shower .3 Rough-ins
I \ Dishwasher I Water Heater
I I Floor Drain e.ll Water Softner
I ';L Lavatory (bathroom sink) I Stand Pipe (washing machine)
I \ Laundry Tray <1 or 2 compartment sink) Sewage Ejector
I \ Snower Stall Backflow AsseIT1IlIy (RPZ, Doullle Check, PVB)
\ Sinks Backtlow AssBmbly Test
Bar Sink Lawn Sprinkler
2- Water Closet (toilet) Other
FEE SCHEDULE .
Industrial, Commercial & Multi-Family
(1"1. of job cost. $39.50 minimum)
Residentlal, New One & Two Family
Residential, Additions & Alterations
StatB Surcharge
$99.50
$39.50
$
$
$
$
.50
GRAND TOTAL $
PAID WITH
BUILDING PERMIT
"-- ~
This pormit is S'1lnte<l upon the express condidon thaI said
contmctor1 shall camply in sl1 respccts ~th the ardinana::s
of the State Plumbing Code and <he "",.ndments th.roof.
---=;UCEIPTNO.~/ClO DATE
';!--J&- ATTEST
Call {i all inspections 24 hours in advance.
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~!, OCT I 9 2lXxJ
.il:.
I
16200 ~lc CreekAv. S.E., Prior Lake, Minnesota 55372 {Ph. (612) 447-4230 {FA."{ (612) 447-4245
An Equal OpportUnity Employer
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS j5~?o l$tco~si'~ -e~
NATURE OF WORK ~p,.1
USE OF BUILDING --.S 1=A-
PERMIT NO. ()O. 09/4- DATE ISSUED to -( l-~
CONTRACTOR \.J'QJA<;.l'"'"\Q.\A.,^- +-l0W\e.5 (,,6/- t./,()(p - c.jf./O()
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE
I I(;,b~ In \' k~
I FOUNDATION (Prior to Backfill) l)~\t)r\Qi ilLk- I Ib~A-1-0b f/.II/(-iot>
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
'SEWER/WATERISEPlTIC ~.
FRAMING ~Wt'1 I ~)~V 'E.d
INSULATION !,../Jp.r d~.J 'b-~
ELECTRICAL I \
PLUMBING 1?_ \jMu{
HEATING (if required) ? . ~ ~ '
FIREPLACE I
GAS LINE AIR TEST ~./~, 1/lzJ6/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
I ~n /0.2--"2--- t1 (
I - ~.0lWq Gllop'>/f)!
I \ \
./ 12:, \1fW.<{. r ~'fP"1.. 01lOl
I 1\ -~fWIl 4 f)~/ 01
OCCUpy UNTIL. ABOVE HAS \ BEEN SI~NED
NOT.ICE
INSPECTOR
I FOOTING 'De.:1. 11}t7 jl3L-v
~,
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
ItJ/2-4/JO
~}/()C)O
rlF,J"lol
[ /,O~)b!
1 III 100
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
1Iilfia~,-~. "":.- ,::,;::"'--.~: .<'
\... ~.~.' ,~...:;:; ;.I~ ,'i"....""~I...,,.~i.~~ ;';..1..'
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~: ~,! QLtttifirat! at (0rrnpanry
, '.-
. CITY OF PRIOR LAKE
iDepartment of .utItling Jn~pettion
'J&lFinal Permitted D Conditional C.O. Expires
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 LaU regulaling building construction or use. For the following:
Use CIassificatif' ~
SINGLE FAMILY
VN
Zoning District
Bldg. Permit No
N/A
00-0914
R2SD
Occupancy Type
R3
Type ..._...___.iOD
Fire Zone
Legal Description
L2, Bl, GLYNWATER THIRD ADDN.
Owner of Building
Contractor'sName &Addres' WENSMANN HOMES,
15570 BROOKSIDE LANE
~ite Address
1895 PLAZA DR., EAGAN, MN
DON RYE
Date:
ROBERT D. HUTCHINS
,/,7 ., Budding Offic1" )
.!::> . \Jew.. I "J-11'lA /) I Date:
I ' (POST IN A CONSPICUOUS PLACE
City Planner
CITY OF PRIOR LAKE
INSPECTION NOTICE
. DA.~i .
SCHEDULED ;g ~
/ r:::s;70 6{'DdkS~ ~
TIME
Q'3C>
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
00- Oq t4
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
ft FINAL !t-
O SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FI~
P'ME H FIN ,~,(
o EXiGRAO/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
+rpp
0/
51 f~ &AJelofWIeIA-t-
+e.MA1 LtD.
COMMENTS:
- t ~SlAe.-
/ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORKjCALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ...\lCtA..M Owner/Contr:
gALL 447-9850 FOR 4HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/0- u -v( #-t11
ADDRESS
/500 6/"l'Y">t",'rf" LYI_
PHONE NO.
CONTR. WP1,~"'U."./'
PERMIT NO. -12n JJlLJ
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
;liUtNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~EXI~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
15~ 70
CF, n!..
{55 7/ _ - r9t
" L;
~cr-
.'K'WORK SATISFACTORY, PROCEED
'0 'cORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~ Uwner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
I~
TIME
ADDRESS
15570 BROOKSIDE LANE
PERMIT #00-914
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o JNSULATION
.P' 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 GAS LINE AIR TST
o
COMMENTS:
-r ~sU.e~ (A 0,
(.10&1"_ ~te
)( WORK SATISFACTORY. PROCEED
-O\:ORRECT ACTION AND PROCEED
o CORRECT WOYK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ _\l4J~ Owner/Contr:
\
9ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTJ