HomeMy WebLinkAboutBuilding Permit 04-0321
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
Date Rec'd
A f). r,~ her!, i'
R ;)v(
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3..- 3/-()L./
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ZONING (office use)
12/
(Please tvD~ or orint and sign at bottom)
ADDRESS
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I. White File
2 Pink City
3. Yellow Applicant
PERMIT NO. 09-,63 z. /
LEGAL DESCRIPTION (office use only)
LOT t' BLOCK / ADDITION J e f F I'/' .Y
So "tr 1--
PID.,}{"- ,~'7.5 - o~Y-O
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name) W 1'/v.5hJ9'/V/'v
Ga./'y
I'
(Address) / g 7)' j1 /q 2 tFo.
/./ IJ 1?'7 (>/
(Phone)
(Phone)
t)l~ ~()h - -'(Yo c
to- J69-7~/.2
_5S I,). ;:l-----
(Contact Name)
()r
Fa f&</V
v
/J//V
TYPE OF WORK
I,~,c....,
-
B'New Construction
DDeck
DPorch
o Misc. ,.....1..1'..............
DLower Level Finish
-~"'-:" d.S
o Fireplace
DAddition
ORe-Roofing
DAlteration
PROJECTCOSTIVALUE (excluding land) $
/.;;lSO()i)
ORe-Siding
DUtility Connection
pO
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
enteruPo"2(';;;opetfj ~ / j" 5" rf 3 - 1/- - 0/
X ....., _I t,/'ignarure Contractor's License No. Date
I P tV 1 t I' .e:'". - /\1\ J I P k S rt F # $ ...' .~ l!';I;.-
ermi a ua ion / ~6. -,Oc...u, - ar uppo ee _ ~ .--IS"
I Permit Fee $ 1;3 83- 6- I SAC # $ 1350.-
I Plan Check Fee 1$ >5'19,;;:><a I Water Meter Size 5/8"; 1"; $ 0<50..-
I State Surcharge I $ 77. .5- d I Pressure Reducer $ L/5. -
I Penalty I $ I I City SAC and WAC # $ I ~. ...,...
I Plumbing Permit Fee 1$ 100.'- I I Water Tower Fee # $ 700.-
I Mechanical Permit Fee I $ !fJ/)..-' I I Builder's Deposit $
I Sewer & Water Permit Fee 1$ :::L<;,S01 I Other $
I Gas Fireplace Permit Fee I $ 4/) ,---r I TOTAL DUE $ ~,I eo. 7 fJ
Building Official
~/2- 7../0<(
Date
I Paid
LDate
./
(I) I TO. -e,!'
"'.?h.o 4!-
II
I ~~c1t No. ~r.-r).-
d'
This Application Becomes Your Building Permit 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
~~:'~=~ p~'mpo'ary C'rtifi;;:zo;zm;an" and allows ~ee comm,n". B'fO~' occupancy, a ~'rtifica" of Occupancy must b,
- -- - PlaimingDirector ~ D'ak ~
24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See Main File
Tht ernlt'r "t lht' L.kf Co"nlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
appl;~lio" fo"O"39~SMly~~:; ;;;;:;(kLfJ02 /}ol
.}
'-
Accepted X Accepted With Corrections
Denied
Reviewed By:
~
.5 a /11M',.. r:, 'I<-
Date:
Lj - Z/-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."
~~
See Main File
White - Building
Canary - En(1ineering
~K -Pla~
lh~ ('rolr. of thr I..k. ('ountr~"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/
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:;;;;
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
./. -, "1 ().. -.,
,~.~ / :" Q - ,~/. _ / /1..). . 1/ /
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cl
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~
~~
Date:
Vdd--/C t./
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
....-whjta -"-. ~i1di~
Canary - Engineering
Pink . Planning
Thr C"rntrr or lhr 1.lkr COUn""l
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/I)~~ 1IM7~
~~
3- ~/-{)L/
The Building, Engineering, and Planning Departments have reviewed the building permit
'PPUMI;OOfo"OO39~:f~Yj3:;, 1Mse /2oL
Accepted ~ Accepted With Corrections
Denied
Reviewed By:
~u~
Date:
Wl. 2.-/d 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."
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C!~Y OF PRIOR LAKE
S E\<SR JI.ND Wl>.TER ?S~IT
NOOJj- 3d.J
NOTE:
Sewe::- and Hater
contractors ~ust
b'" r"gi",tered
with the City.
AP9LICl>,NT: We'1~e\ ~~~
:~~~~::;"',~~~'~ ~~:_--
PHONE :tJSJ-LJ 9-~ J S/,.S
OAT::: :1~D4:
-=:..;",,~
.~ --- - .
:?~'7'=~:-~ ::
1.
Es~i~ate= length
~!LL IN THE 8L~~~S
of water ser-J'lce <30
fast'.
2.
3.
size of wa~er se=vic2
I
inc:.(es). .. ~
from s~~~cture ~/Vt
PVC 'K.. Cast t Iron
1. ine 3(:)
feet.
Loca~ic~ of any coupli~~s
4.
~~pe 0: sewe~ pipe.
ASS
5.
~s~i~~ted length
ot
~?.',.;e~
6.
cl.e.an out
st.='..lc~'"l=e.
(if
rcqui::ce:c.) I
loca~ed
feet JlIl..
at ~feoat
f:"'c-=n
=====~;;~=~======~===~======~==========~~~=~~=================~==
Th:s a?plicaticn bec~rnes ~our perrn~t ~~e~ ?pp~ovec.
:e'~
D"'T::::
=====~-~;~=::=:=~;==~~~=;;===-;==;;=====~====::=~=~~=====~=======-
F~'2.S:
s
S
5
35.00
.50
35.50
Sewer and wa~e= line connection pe=mit.
Surcharge
TOT::>';:'
* Fee f~= e:the~ sewe~ C~ w2ter i~cividu2l1y is S20.00 plus
S .50 su=charge.
* S8~,.JB::- and '..;ate":" P'f2._::-=tlts is'Sued :or neT" cons~r..lction t".u.s~ be
:=ec~==ec on the bU:lding pe~i-: c2.:-d at. t~2 ti~e of i~sua!~ce
~o i~s~~e t~at nc cu~licate sa~e~ a~ci ~ate~ pe~i:s a~E
l..5S':.1ec..
MAY 0 5 2004
D~.':::: P.:'.:J
~.!OUN'!' P.~.! D
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R:::C'D S.f
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\1 d 88\1ES0098\1 'ONlLE: 6 IS/8E: 6 \10 ,8l '\1 (Q3j~)
L9EO-lS\1-1S9 DNIIV3H ~ DNI8WD1d 13ZN3M WOH~
10124/01 WED 11'22 FAX 6124414245
CITY OF PRIOR LAKE
". " ~001
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
lBIue 'ii, IP ~ 3 I
I. eold Ci. ~U! '~.....,
,. T'tlIwW '-'~""l ""'...
(PI.... ~ or orine IIlcl ,i211 at bcllDm)
ADDRESS ,,\:'-, ,
()I~ ~~("~~~~~~,
I
ZONING lolII.....,
, LEGAL DESCRIPTION (olfla u.. only)
ADDITION
PID
LOT BLOCK.
~~R \~\eJf\S'('(\~X\~ ~omes (phon.)bS)-'iOG-f/1!DO
(Address) 12>'tS-"f>[o..~ ~..~\~ctlli9 ~~/\Mt\, 0'::>/~2-
~~;:~Al'lT ,j~d "V\'D~ ~ \\\~~. (Phone) ~/-fs)~/5bS
(Address) 17/D ~D-rJ.~ ,~. ~~, $'/::2/
(A~) -- (City) (Zip Code)..-
(ContaaPe"on) ~ecl \-\~~~,,_ (phone) t.S-I-1D-/5bS
AFPUCANTSIGNATURE ~ OATH 4b&/ocf
~LICANf PLEASE COMPLE~ ~ELOW /--'
Type of fixture I QuaDtity Type oU'lxtlln
Bath Tub with or witholJt ,howw Rough-IRS
Dishwasher ( Water Heater
Floor Drain Water Softner
I L.,. ..:.... (Bathroom Sink) I Stand Pipe (washing MlIChine)
LallTldry Tray (I or:Z compll1lmentsjnk I SllWllIe ~ector
Shower Stall I Bacldlow Assembly
Sink, Baelttlow A5sembly Test
Bar Sink Lawn SlJrinkler
Water Closet (Toiler) Other
QUllIItity
.....
!
,
.'1
I
a
I
t4
FEE S"JU,uULE
lndu:ltrilll. Commerchtl &. Multi-family 1-/0 otjob cost with I $39.50 minimum Residenti./. New One &. Two-Famil)' $99.50
Re:tidential. Additions 4. Alterations $39.50
Estimated Co>e S
Buildill& Penn it 1/
PLUMBING PERMIT FEE S
S1 A IE SURCHARGE S
TOT AL PERMIT FEE $
.50
10m" VI' o.ly)
Thill Application Becomes Your Builclinc Permit W11ln Appro.~
lSlIlldl~OITiC'j.1
DttC'
r paid
l Date
rt.AY U a LUU' By
Reeeipt No,
:0 hoc',,'Olice for.n i~'''''CtlOD' C151) ....,.9OS';. t...,~S1) .....,....l.'
E d 88\1ES0098\10N/LH lS/8H \10 ,8~\1 103M) L9EO-~St""r-5fDNIIV3H nNIBWDld 12
FAX 6518949955
WENZEL HEATING & AC
IiJI 002
CITY OF PRIOR LAKE
HEATING/AIR CONDmONlNGfFIREPLACE PERMIT.
Date Rec'd
I.Pillll
, "-
3, Yrdlow
~"'"' I PERMlT NO. '1- '3 ~
l'P1ea.sc ~e Or orint and sit!l11tboa:cm)
ADDRESS
39JJ? -::Z~/Jhp-Pd;....~dp
'Y-' / /.
LEGAL DESCRlPTION (oflice USe ooly)
ZONING (0_=)
LOT
BLOCK
ADDtnON
Pro
OWNER
(Name) #f.L6~LJ?C7./o-/"q
(phone)
(Address)
/".s':f~
4..?a
L/?
APPLICANT /. / /
(Name) u.../?/-/?h /7P'c?hr/c;
(Address) 4/ -?J /:)/d ~/ 4~// /
(Ad<lre"'/
~ ~ct.e
i
~,J
(phone) /;5J-fJ944~F
AacuO..A/ 5S'J22
. ,ti<yj (Zip Codo)
(Contact Person)
(Phone)
.-.__-_-........ DATE ~'74-L-:
APPLICANT PLEASE COMPLETE BELOW
ft'EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL"...d>.-.,.I..<,ILl V .....,.;"<;-)67.6 . FUEL ~ ~
FLUE SIZE ,-J'~:' RETURN OPENINGS S -t.::, INPUT .fi'Y)'Y) OUTPUTU~
TYPE OF SYSTEM HEATING OR POWER PLANT
~ann Air Plants 0 Steam
--DGravit)' 0 Hot Warer
~echanica1 0 Radiotion
;;E:l:(ir Conditioning 0 Speeial Device,
OVen< SYstem 0 Other Device,
APPLICANT SIGNATURE
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yllrd
Setbacks
FIREPLACE MAKE AND MODEL
Industrial. Commercial ok Molti-Family
FEE SCHEDULE
1 % of job coSt Residential, Gas Fireplace
139.50 minimom .
$99.50 Residen,i.1. Additions '" Al'eration,
$64.50 Residential, AC Only
S39.50
Residen,i,1. Healing &. AlC (New Construction)
Residential, Heating Only (New Con:nruction)
S39.50
$39.50
HEATING PERMIT FEE .$
STATE SURCHARGE.$ .50
TOTAL PERMIT FEE oS
A /1;a~
~~ "",...tOt",
"'<<.I1t?-b " t,~,
'Vqfi'r. JJ~'
, l~~>/,
" f (:,..~
.,
Estimated COSt $ Building pennit #
(Ome. U.e Only)
This Application Becomes Your Building Permit Wha Approved ~''Ic I. 1\ .ceip' No. I
' I~~te [In Ie. II \1/ IJ.. [" ~
BUildingOflioi,1 D..e ....I~r t~!I~bC~~~ 2nn4 ,~'.. .----u~v/, '. .....1
24 hour notiee (or ,II inspections (952) 447-98 lO; x (952) 4474245
By
PRIOR LAKE
INSPECTIO
SITE ADDRESS ~,,~ g
NATURE OF WORK N. (!.,U)
USE OF BUILDING S F.D
PERMIT NO. 0/"/" 032/ DATE ISSUED .
CONTRACTOR .U~AJSmAItJA) PHON~'7"'~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT ere ~~ 1\/r gin File
BUtLDING AND ~t~
..
RECORD
~I'~rrtf 7rl'~ ~
INSPECfOR
DATE
, FOOTING
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I SEWER I WATER I SEPTIC
I FRAMING
I INSULATION
ELECTRICAl,;
PLUMBING v....... Q ,~
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
t.)C-
;/f1J
7~1Jr
lVc.-
VI>
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GRADING (Prior to Sodding)/
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
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.
-
fl.h J
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FOR ALL INSPECTIONS (952) 447-9850
~- ~ , .....-
~:erfifitab of <IDtntpantu
CITY OF PRIOR LAKE
/ ~~arfutlmf of ~uil~iug Jluspttfiou
;1Final Permitted D Conditional e.O. Expire~
This Certificate issued pursuant to the requirements of Section 110 of the LJ Residential!::J International
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 F&~ILY 04-0321
Use Classification Bldg. Permit No.
Occupancy Type
Type Construction
L4, Bl, JEFFERS SOUTH
R3
VN
Zoning District
Rl
Legal Descriptior
Owner of Building
Site Address
3928 RASPBERRY RIDGE ROAD NW
Date:
RnRRR'T' n HllTr.HTN~
_ -"j Building Official
I-...L -(:'/
Hn~F.'S.!' jQc; PT '\,ZA n"QTV"'_
f LL City Planner
'J f
R~'N. MT~NESOTA
nQ1LRY'"
';';122
Contractor's Name & Address WFNSMANN
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
~-I~
ADDRESS --3l-~ ~...p.~ /
OWNER CONTR.
SCHEDULED
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
;or FINAL
or 0 SITE INSPECTION
o PLUMBING R/
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~ PLUMBING FINAL
/' MECH FINAL
COMMENTS:
o'f;.~Ii.- (^\ \\:)
2. ~.~~~
~l<:::+-O ~
~
(j-T2J
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
h,~~
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
X CORRE1J}3T K CALL FOR REINSPECT/ON BEFORE COVERING
Inspector: Owner/Contr:
CAL 850 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
C~MENTSARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSJ<<)n
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
9 -mot
ADDRESS 372r 1?rt.r,pk,IY t/jq.l_
I ( ,.
OWNER CONTR. Wei1.Sn1<If1"l rIt,,,,,, d
PHONE NO. PERMIT NO. () '1-3.)/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)(~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~.t- bf~
6 Jl, B~- t9!-
n
f, v-f"X.
~W"
'vWORK SATISFACTORY, PROCEED
.{I ~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector#~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH.t SAFETY!
IN$NOT1