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Home My WebLink AboutBuilding Permit 03-0021 CITY OF PRIOR LAKE BUILDING PE TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 'alAI FiLe , I.White File 2. Pink City 3. Yellow Applicant /o-/f-o;J.- 03-cx)~ I PERMIT NO. .~JJJ I (Please ~ or DIint and sim at bottom) ADDRESS /S:1..7J J(';: Fl'rJ' /:..r...r /IlIA) ZONING (office use) IZ/ LEGAL DESCRIPTION (office use only) LOT / BLOCK / ADDITION I?t',~/ C /,""fJST "V PID ~- 3Rt, -06/-() OWNER (Name) (Phone) (Address) BUILDER / I (Namp) v.../~ (Contact Name) G'e;r.... / (Address) / f 9 S- / Ie; z ,. J.J~ /),.. ta"iflV -...J OPorch (Phone) .G.57 -Yo/'- ~j/ of) (Phone) t./:2 -..71, f - '7 t, /:;2- /71/\/ SS/;J..:L TYPE OF WORK ~nstruction ODeck ORe-Roofing ORe-Siding DLower Level Finish o Fireplace OAddition DAlteration OUtility Connection o Misc. PROJECfCOSTlVALUE (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 ;le"?I:;::Jtope/~ /~~r /0 -/cf- 0::1- r /7' Signature Contractor's License No. Date f/ I Permit Valuation 'If /(, 'SJJ Of:). () () 1 I Park Support Fee # $ I Permit Fee $ /357. 75. 1 SAC # 121J5. (fu _l~ 1 Plan Check Fee $ fV3z...5Y . 1 Water Meter @ize5~.I". $ ,.:1J9J, f) () . , 1 State Surcharge 1$ ~2... '50 I Pressure Reducer $ 'fS-tJO 1 Penalty 1$ 1 City SAC and WAC # $ /2<J O,e 0 I Plumbing Permit Fee 1$ /o~.o () I Water Tower Fee # $ 7tJ(). {Jd 1 Mechanical Permit Fee 1 $ 100.00 Builder's Deposit $ /sa(}~ 1 Sewer & Water Permit Fee I: .3'5.5'0 Other $ I Gas Fireplace Permit Fee 1/0,00 1 TOTAL DUE $ Building Official Jo/.:J'-/!' ~ Date I Paid I Date - 17 bh){ ,'r./. Y f?/ ::J-I- !<:l.~ I ~~ceiPtNg~ This Application Becomes Your Building Pennit When Approved ~~~ 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 when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to h________._. Before occupancy, a Certificate of Occupancy must be U~lann!~; *~~ /1J ail si:i~~ 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake. MN 55372 (, / ~~ Tht'('t'nlt'rof Iht' t,bCounlry White - Building Canary . Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /; )~tVVJU - / b - /fT-()d-- ~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I~JI/ (?116~1/1 fJ~ Accepted Accepted With Corrections /' Denied ~'1~ ~ a-l( ~ Date: Idk~;'~ ~~ I "i 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." , ::f--~ ~~ White - Building Canary - Engineering Pink - Planning Th. ("rnlunflh..l..ak..Counlry BUILDING PI;RMIT APPLICATION Dj;PARTMENT CHEt;KLlST NAME OF APPLICANT /// ""'-"; i ) ~ I /- ~,.. J "'-' -~'J I F7',Fl J.</~ ~ APPLICATION RECEIVED ' -II) - /y. ciA- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / .~, /5:};1 I, :.."c- ~ ' ,,(/:< /":,.; ,/ ; , (j/) (. ,. . .;../ Accepted ~ Accepted With Corrections Denied Reviewed By: Comments: ~ kJJ~ Date: /~~~?/ ~..._(( ~ d.-J-4.r~ -' I I I , "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." '-of',." . . ':{!:~ ",.~' . ~-;. . ~ , .j"l' '.4 ~ 1,,.1 ~ " .~t"I' , ' 'l.r,~~ . r'.,. t . ":;'1>'~ :__1 :r.t\y~;:~.~I\:~:'>l"-~"'~-"''>-~A,'''-'',~, ... . ~:,. ;""'i~'i_~""~~~I'6"..tJl '.lJ':',l;~rtf'<;y~~~~~~~~1'fi.irh",:.~J;>f~f~':i;'~~~'.'~iH-, t~~ White - Building Canary - Engineering Pink - Planning Thf Ct'IUfl' .f Iht I.alit COlin'" BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED. ; //) fJAUWYJ/.M(/?L) .:> ~ -16 - /y--()C)r ciJ(~ , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: . " /5c/1/ Q1f6(l.//J (JCUJ-4/ )( . Accepted With Corrections See Attachments: 1) Grading Plan. 2) Erosion Control Mell~l1rp" "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." . . ,.,.....1 .~., \('~I. ~ ."r. 1 f. I, ...~ .~,.,.,J . , 1'4-;,I,i ~ . .1':.1 ..:~.'..i~.ill. ' 'i:n~V .')\: ..' 10/24/01 WED 11:22 FAX 6124474245 r.ITY OF PRIOR LAKE ~OOl Date llec'd CITY OF PRIOR LAKE PLUMBING PERMIT (Pl.... Mle or onnllDd .ilm .,_m) ADDRESS __\~ ~ 15:;>.1/ ~ V",--,>> I.... ,.... 1. GlI' ti.., J. r..... A.ppI~1IN I PERMIT NO. '3 -;;)-( ZONINO (.......1 LEOAL DESCRIPTION (olli", u.. .nIy) tOT \ BLOCK \ ADDmON ~o\ ~~t- ~~~R l~\eJ1\S,(,{\~J<\Y'\ \-\om~ (phone) &,s)-'iD(,-l/ljo6 (Address) l1borS-'f>bl.~~~' ~\~~t) ~Y\/~f\, ~'::>J;Zz. - , ~;;~~ANT IJ~el '\>\b~ ~ \:\~>~C. (Phone) 6SJ-'fs:)~/SbS (Addtcss) 17/D 'A~b.rJ...~ \<.J.. ~Y\.. 'WM. ::y:::>/:2/ (A~) ...... (City) (Zip Cod;l-- (Contact Person) '\T0el \-\.OfN,Q~ (phone) ts I--1Q - ) 5d:,S ~ DATB rrWS)o3 ~LICANT PLEASE COMPLETE BELOW Type of Fixlure Quality Bath Tub ",jth or without shower D~hwasher Floor Drain Lavatory (Bathroom Sink) Laundry Tray (1 or 2 compartment smk - Shower Stall Sinks Bar Sinlt Water Closet (Toilet) PID APPLICANT SIGNATURE Quaatity ..;;.. I i q i , I , ~ Type of Fatlln I Rough-ins Water Heater Water Softner Sland Pipe (Washing Machine) Sewage EjeCtor Backflow Assembly Bar:kfiow Assembly Test Lawn Sprinkler Other I FEE SCHEDULE Indu>tri.1. Commercl.1 & Multi.Camity W. of j.b .."with. 539.50 minimum R.csidenti.I, New One 81 Two-F....il7 599.50 Residrntial. Addition. & AlleltllOM $39.50 Estimated COSl S llui1dint Permit - PLUMBING PERMIT FEE S STATE SURCHARGE S TOTAL PERMlT FEE S PAID WITH .s~UllO/NG PERMIT (om.. Ule O.lyl Thi. Application Becomu Yon Buildinc Permit When Approved _ ~J U; 119 l.[; U \!J ~ I [elpl No. ..,"~-" "M.."...:~_....",~,...t~:~:~~~,J ,I ~ r . d 08HS0098\10N/tS: L lS/\1s:L to .n8 (3nl) L9t(~Y'-!.-l-:~~ 18l'ffi1d 13ZN3j~ l'/OHj ..--~/ G.~'." .....~ 'tcu.ov . "'''''\Jf:.a.''T c.o"D . CfU .. C!~Y OF PRIOR LAKE SE1-GR AND WATER P:S:u-!IT 3-if\ NO. ADDR:SSS: ~ :'3;;~,-:;.:?:: NOTE: Sewer and Water contractors rnus~ be registered with the City. APPLICANT: PHONE :t!S)-Lj:9.~J ~ OAT:::: g"As-/o3 -;-:"'!",: ~';"'::>-A'':''~ ~ -_..-... .. ...--.-- ~ F!LL !:-l Tf-;E: EL"..1'./i<5 30 inc~(es).. ~ st:;-'.lcture ~/V\- feet. 1. ~s~i~atad lengt~ fe~t:.'. of t,.'ater ser-vice 2. Size of water se~vice I .. :! , Location of any cou?lin<;s from pvcX sewer line ,~C) 4 , ~ype 0: sewe~ pipe. Cast Iron A3S 3 . ~s~i~a~ed length of fee~ ~ IV'.L a.t ~fQet f::-om 6, (' " ~~ rec;u i rec.) .. Clean cut S":.="..lc-:.u:-e. loca~ac. ______v===~=~~;==============~=======;==================~========= Tt:s a;plication bec~mes your pe~~t ~hen a~provec. B'! OA'!''5:: =~-====================~~~~==============~~================G==:~== 'F~~s: 3:;.00 .30 35.50 Sewer and wa~er line connection pe~~it, Surcharge TOT.'l.L $ S S . Fee fer eithe~ sewe:;- 0:;- water i~civid~a~ly is $20.00 plus S .50 s':J:,char;e. Se'..;e~ and wat~~p--d__+-s issuea for neW' c:~n5':t""..lction tilust be =ec:;::-~..u<:...'-:,~r: the b~il:..d~--~.. og pe:-rni t. c~=d et the time of issuance ~~ l.~s".-e- ........~.... ""'0" ..:I;""';ca~e se..e- ar.c.4 "'~~e.:- pe--;"s a-e '--' ., I:""...; '-....~'-~. r...;.''''''. -- \". ~ - . ..,........ H ....\_... .. D;.-=~ i::.~:c:!i'; II \ AUG 1. 7 2003Ji. ~.:10f.j!'i'!" ?';~DUIL~~G ~~A4tt- _J * ?,~:~:?~ ;. ~" -::Li. R:::C'D S'{ n L!) ',.,,' ' , ~. ~: -. .'-' -;:1., , ':' ~ '\' .'.'; , ., /...: .. ,.- .1.",::"'::'" ,.,,.." ~ d 08~ES0098~ .ON/EH "lS/~H EO ,9~.8 (3nl) L9EO-lS~-lS9 DNI1V3H ~ DNISwnld 13ZN3M WOHd CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd i =. ~~y I PERMIT NO. -:::> -~) 3. Yellow Appilcant 0 CJ- (Please type or JIIint IIId sim at bottom) ADDRESS ZONING (office use) 15271 JEFFERS PASS LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Namp W"R"N"SM A l\fN" WOMBS (phone) (Address) APPLICANT (Name)~ T J TFry Jm?14'<:',TryF n~~ l4'T1?F<:',Tnl<' T;m}1;'TJ.l ~ T;iQMf. (Phone) 651-633-2561 (Address) 2700 NORTH FAIRVIEW AVENUE (Address) (Contact Person) RRENDA HUSTON ROSEVILLE (City) (phone) _651-633-256] <;';113_ (Zip Code) APPLICANT SIGNATURE BRFNIJA HUSTON DATE 10/2&/03 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM OWarm Air Plants OGravity o Mechanical OAir Conditioning OVent. System HEATING OR POWER PLANT 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 REA TN GLO PIER-HV Industrial, Commercial & Multi-Family FEE SCHEDULE I % of job cost Resideotial, Gas Fireplace $39.50 minimum $99.50 Resideotial, Additions & Alterations $64.50 Resideotial, AC Only $39.50 $39.50 $39.50 Residential, Heating & NC (New Construction) Residential, Heating Only (New Construction) Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ PAID WITH eUILDING PERMIT .5Q (Orne. Us. Only) This Application Becomes Your Building Permit When Approved BuUdlnl! Official Date I~r~ Ma"OV 0 ~ 2003 !:~ lJ "I'iReceipt No. ,"-- 11i1 llBY ~ U 24 hour notic. for all insp.ctions (952) 447-1~~~f~(9:2)_447~45 -== 10/21/03 09:33 FAX 851894995S ~LNZEL HEATING & AC ~001 OTY OF PRIOR LAKE HEATING/AIR CONDITIONlNGIFIREPL-ACEPERMIT---- Date Rec'd ~ ~ ~~ I PERMIT NO.A" AIA,II J. Ydlow A.,.lcaIu M-i'.".,..,. ZONING (olIia: use) AIM.,) LOT BLOCK ADDmON PID g;:'e~R /A.#P~#N tt6~ (phone) (Address) APPLICANT I ~ ~ (Name) 1/ j,-;.Ja., ,,$ ~71 ~ (Address) 4/?/ "U ~~e/ At"" (Aclwei.i (ContactPersonl ... ;-?,"__/ ~/jp:' APPLICANT SIGNATURE _~.e...~ (phone) tot;; ,-fqtl4,,-r'( ~ $/4i? I (cici) (Zip Code) (phone) ~rt=14~~ DATE . L'Q/.AJ ~ ~~.... --"1 APPLICANT PLEASE COMPLETE BELOW >>EW CONSTRUCTION 0 REPLACEMENT 0 At TERATIONS FURNACE MAKE AND MODEL ~~I a~ .FUEL Na:f- FLUE SIZE .,9-3 '.Ait:. RET1.JlU' OPENINGS ( ~ INPUT .2St:l::b OUTPUT ~CCO /liZ ~I TYPE OF SYSTEM HEATING OR POWER PLANT ~cIo OWann Air Plants 0 Steam J.A/V" 030 OGravity. 0 Hot Water ,~ ~echanl<al 0 Radiation .r Conditioning 0 Speci.l Devices . OVenL System 0 Other Devie"", PLEASE NOTt: Air Conditioner Units CannOt Encroach into Required Side Yard Setbaeks FIREPLACE MAKE AND MODEL Industrial, Commercial'" Multi-Family FEE SCHEDULE 1 % of job COst Residential. Gas Fireplace 539.50 minimwn 599.50 564.50 539,50 R..idential. HClting '" AlC (New COJ\Sll'Uetion) Re.lidenoli. Heating Only (New CollSltUelion) Residenlial. Additions '" Alteration.. Residential. AC Only 539.50 SJ9.50 Estimated Co.!! $ Building Permit # HEATING PERMIT l'EE STATE SURCHARGE TOTAL PERMIT FEE $ . PAID "YlTH $ ~'LD'N~'JiEAMI1" s (OMeeUse Ooly) r-- ,~_.~ This Application Becomes Your Building Permit When Approved ,\ ,J j f fail! I Receipt No. # " ,-<\ BuildiogOmdol 00.. ':1 \! !1ftN 2 6 2003 I By /J 24 hour notice Cor.1I in.p..,tio", (9!52) ~7J_&50' Cax (952)~;~;~ :- oj - -.. O. PRIOR LAKE INSPECTION RECORD rvLA//J Hi::E DEPABTMENT 0 BUILDING AND INSPECTION ~ < , . SITE ADDRESS /5~ '1/ J6I-rt::.l'w Ms-s- JJ, WI NATURE OF WORK NEW Cf)NSrtc.U.-Vr7'o.,.J USE OF BUILDING ,);~ A- PERMIT NO. , 03~ Oq;;LL_ DATE ISSUED 1~?3/6~ CONTRACTOR J.&E7lI5I.!:::.ifAlAl tjatl.E<: PHONE *-(./2 - '3~'- 7C:,1L- NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DATE I FOOTING t1- ).- 05 ~ ~/C13 h-'?J- II-cr..o "> . ?LJ /t>~~} 1J'J1 /o-y - , COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS GRADING (Prior to Sodding) BUILDING T_ ~ 8.,-oY ELECTRICAL . ~ PLUMBING HEATING DO NOT OCCUPY 9f 4J c. te15 J?_) ~ (;If5 - UNTIL ABOVE HAS NOTICE 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. )'2-18" BEEN SIGNED FOR ALL INSPECTIONS (952) 447-9850 ~ @tttifirat~ of <IDrmpanrl! CITY OF PRIOR LAKE ~epadmeut of 1JuilMug Jfuspedlou ~inal Permitted D Conditional e.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 Lake regulating building construction or use. For the following: Use Classification SINGLE FAMILY 02-1500 . Zoning District R 1 _ Bldg. Permit No Occupancy Type _ R3 N/A VN Type Construction Fire Zone Legal Description L1, B1. REGAL CREST Owner of Building Site Address 15271 JEFFERS PASS N.W. Contractor's Name & Address WENSMANN HpI(E;S. 1895 PLAZA DRIVE. EAGAN 55122 ROBERT D. ~UTCHINS r)(\ 1"pi:t::g.offiC>3' vf' Date!IJ90, POST IN CONSPICUOUS PLACE City Planner DON RYE Date: ,':\ , ',~iI" , ,'":.' f.,.,t......''': ~ . .~ , CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 15'27/ OWNER PHONE NO. lJ FOOTING lJ FOUNDATION lJ FRAMING lJ )NSULA TlON D'FINAL lJ SITE INSPECTION DATE nile SCHEDULED /'2.-/8<g /():crJ. . ~"t~ ~ CONTR. PERMIT NO. ~ - 0<'/ lJ PLUMBING RI lJ MECH RI lJ WATER HOOKUP lJ SEWER HOOKUP lJ PLUMBING FINAL lJ MECH FINAL lJ EXlGRADlFILLING lJ COMPLAINT lJ FIREPLACE RI Q, FIREPLACE FINAL )lI-GA~L1NE AIR TST o M.ll\d.....~ ~OMMENTS: ,. FI-1J c,~_ i ~(\ :2 . <:;.."J.L Ir?O g..... ~,.. ~ 0 L, 'to -+-- fP L... "J. ~4'...~"'-- '"1~ .......,......... (J~ '- lJ WORK SATISFACTORY. PROCEED ~ORRE9"""CJlON AND PROCEED 'f\CORRF!cT ~qftK. CALL FOR REINSPECTION BEFORE COVERING Inspecto' ./ . 7 Owner/Contr: cAi./;;.i:?sso FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! IJaIiOTI DATE Tille CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ll-ltJ-oy ADDRESS IS Z, 7( J\~r.5 P..J (., OWNER CONTR. PHONE NO. PERMIT NO. .L23- (S,,.2. { o FOOTING o FOUNDATION o FRAMING o INSULATION .g S~~~NSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ,~RADlFILUNG v 0 CCJMPLAINT o FIREPLACE RI o FIREPLACE FINAL a GASLlNE AIR TST a COMMENTS: {.,r~ - ~K. Lu(6 116M t!;)/L- ~RK SATISFACTORY. PROCEED a CORRECT ACTION AND PROCEED a CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING Inspedor~ Owner/Contr: CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI DATE TIlle CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED J ~-I7-o) IS~11 ~... ?~Cl. C~ / ADDRESS OWNER PHONE NO. PERMIT NO. 3 - '2-{ o FOOTING o FOUNDATION [J FRAMING o INSULATION [J FINAL o SITE INSPECTION o PLUMBING RI o MECH Rl [J WATER HOOKUP o SEWER HOOKUP X PLUMBING FINAL o MECH FINAL CI EXlGRADlFILLING CI COMPLAINT CI FIREPLACE Rl CI FIREPLACE FINAL CI GAS LINE AIR TST CI CO~ENTS: . JJ~ I&~ () 'T' 2.. OlAll b- M f) ........ 4 Cf7-7 f!!J 7'/5 o WORK SATISFACTORY, PROCEED ~RRECT ACTION AND PROCEED [J CORRTl/iC R, CALL FOR REINSPECTION BEFORE COVERING Inspector. Owner/eontr: CA 0 FOR THE NEXT INSPECTION :u HOURS IN ADVANCE. ~UlREMENTSARE FOR YOUR PERSONAL HEALTH" SAFETY! """""