HomeMy WebLinkAboutBuilding Permit 04-0322
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File Whi" FiI.
2 Pink City
3_ Yellow Applicanl
Date Re.
1/-\( (j l\
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I PERMIT NO. 04-.0:1 z.."Z-j
(Please tvo~ or mint and sign at bottom)
ADDRESS
. 55'f).,
I a.J'f' jrrr y
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tel
A!L.J
ZOkJ (office us,)
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK / ADDITION
::r e FF-,.r J' ~ 0""-11..
PID",{j-,l?f^- ooJ - ()
OWNER
(Name)
(Phone)
(Address)
BUILDER / I
(Name) 1-1./ ('NY In 'T;VfV
(Contact Name) Ga /' ,.,
/
)Jam f'J
(Phone) & 51- YV U ~ 5" YIJ 0
(Phone)~/.2--.3~ 7- 7~/ 2
(Address)
TYPE OF WORK
I ,f2. C!..,
1., 1"'. A
o Misc. ..z..a,....
~ew Construction
DDeck
DPorch
ORe-Roofing
ORe-Siding
DLower Level Finish
:-"3--=7 - /}
o Fireplace
DAddition
OAlteration DUtility Connection
/.:z..5 0 () () 0--<>
/
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 y,vl-'"aJ 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
Xenter upon :::p.e:r to peform ne;jed inspections.
........,... I-~ /Y.5ff 3-i/'oY
"/ (;/ Signarure
Contractor's License No.
Date
I Permit Valuation /65jOCX) - I I Park Support Fee # $ -
I Permit Fee $ 13 \??l.50 I I SAC # $ /:JS(). -
I Plan Check Fee $ '}?c,q, a~ I I Water Meter Size 5/8"; I"; $ r;;)SV.-
I State Surcharge $ '71, 5"0 I Pressure Reducer $ 4.5.-
I Penalty $ I City SAC and WAC # $ ,;}..()() --
I Plumbing Permit Fee $ flY). - I Water Tower Fee # $ 7{;)()~
\ Mechanical Permit Fee $ /00,- I I Builder's Deposit $
I Sewer & Water Permit Fee $ 3S" ..5~O I I Other $
I Gas Fireplace Permit Fee $ J/(J ~- I I TOTAL DUE $ ~/ /136 7~
()'
/
This Application Becomes Your Building Permit When Approved Paid Y f Y()_ '7Y I ~NO "",-, ~
-~~ # 2-,10 'I Date d- U:O~
Building Official Date
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 co truction to commence. Before occupancy, a Certificate of Occupancy must be
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Planning Director
Date Specia
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
@~
See Main File
While . Building
Canary . Enqineering
~ !'lnk . Planning:;,
fhe ('tnlrrof Ihr l.aktCounlr,'
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
application for construction activity, which is proposed at:
Q() :::;)j I ; ,
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Accepted
-------
Accepted With Corrections
Denied
Reviewed By:
~
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~
Date:
#~~~
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
~p. ~Rllilrling~
l;anary - Engineering
Pink - Planning
The C..nlpr or lhr 1.lk.. Countr.,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
//~m~ tI~
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The Building, Engineering, and Planning Departments have reviewed the building permit
application 8q3~iOn ac:e;~X;:d M ~ ed
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Accepted With Corrections
Accepted
Denied
~
~.~
Date:
#e -0'1'
,
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,"
~~
~er
See Main File
White _RI~
....---canary - En9ineenng-...,
Pink - Planning
Th~ ("t'nlpr nf lh..l..h ('ounlry
BUILDING PERMlLAPPLlCATION DEPARTMENT CHEC~
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activi,W, which is proposed at: ,_ . ,
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Accepted
x
Accepted With Corrections
Denied
Reviewed By:
IJ#/S
/')~ e /Jle" ....
Date:
Lj-Il-OL/
Comments:
h;(
"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
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
2_Green
3. Yellow
File
City
Applicant
I PERMIT NO. t{ -3 ~~
(Please tvDe or 'Print and sisro at bottom)
ADDRESS
ZONING (office use)
3932 RASPBERRY RlDGE ROAD
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name) AT J .TED FTRESTDE DRA FTRRSTDR HEARTH &: HOMR
(Phone)
651-633-2561
(Address)
7700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
6/21/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
o Steam
o Hot Water
D Radiation
D Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
REA TN GLO 6000TR-OAK
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
ReSIdential, AddItIons & Alterations $39.50
Residential, AC Only I,"'/!r l0h~ $39.50
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''IS; "', 6,
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{_.'>...~'l,.
,50
(Office Use Only)
This Application Becomes Your Building permitDWatehen Approved II : ~,'~ [~~~ I; ~I ~O~I iJ~iPt No, lii--
BuUdin. Official IIII!I ~('
24 hour notice for all inspections (952) 447-985~B6X (952) 447-4245 - I U
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1"'..0"0.0'11
C!~y OF P~IOR LAKE
SEw~R AND WATER ?S~~IT
NO. ,,1/, i;Q..
NOTE: Sewe~ and Water
contractors !nUS\:
be registered
....ith the City.
PHONE :rtSJ-'-I:9-~J 565
DATE: Jj );51ol{
~ :~":~:'t':-::,-:: ~
-:::-~r:
- -- - .
?::::?..:-!~':' -
:-:::LL
IN THO:
BL'l.N'KS
30
feet'.
Es~i~2ted length
of water service
1,
2,
3 .
siZe of wat2r se=vicg
I
inc,,(es). 41 M
from s~=uc~ure~V\
P'lC ~ Cast Iron
1 ine .3CJ
feet.
Lccatio~ of any couplings
4.
~y~e of sewe~ pipe.
A3S
6.
Clean
out
(if
requirec.) ,
loc.:::.tao
fc>et/vL
~~ ~feat
(:oem
5.
~5~i~a~ed leng~h
of
sew"er
st.="..lC~'..1=-e.
=~========~=====~===~=================;=~=~=;===========~=:=======
Tr.~~ application becomes ~ou~ perm~t ~~en approve~.
B':
O,>.T=:::
~====-==-=========~;;~=~===;=:;==;=====================~=;==~~~~==
s
35.00
.50
35.50
Sewer and wa~~~ line connection pe~mit.
Su:=charge
TOT.:l,.L
:;-=::::S:
s
s
* :ee fc~ e:the~ sewe::- c= wate~ i~civicu~~ly is 520.00 p~us
$ .50 s'..l::-charge.
* S~r,;e-:: a:-.c '......ate::- pe:-::tits issued :0:- ner,.; cons":r-.lction must. be
::-ec~==.ef:-=~oh----~the buildin-g pe':"mi':. c2.::-d c. t. 't.hs ti:ne. 0 r iSSU2:lCe
t'J 1:1St.:.r9 t~~t no c.u~licate se',Je-.:- ar:ci .,Jater pe:-::li~s a':"E:
iss';,lec. '
:"\........- ........-J
~,-.~':" ::'.~.-
rl:AY 0 5 2004
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9 d 88HS0098v'ONlLE 6 'IS/8E: 6 VO ,8~ 'v lOaM)
L9EO-~Sv-1S9 JNI1VaH ~ DNlSNn1d 1aZNaM WOH~
10/24/01 WED 11:22 FAX 6124474~4,
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Dat.Re1;'d
CITY OF PRlOR LAKE PLUMBING PERMIT
1 Bllit Flit
I. G.llf Cilt
J. T.l",", ""popI,o;wq
, PERMIT NO'Oll" ~
erluX'MJe or pnnt I.bd IleD t.t 'bottom)
ADDRESS
39'b~ ~~~~-,~ ~~~ ~ I
ZONING (ofIl......)
LEGAL DESCRIPTION (ol'liCl! U~ ..Iy)
LOT BLOCK
PID
ADDITION
~~f l~\et(\f,m~"'~ ~C),ffies. . (phone) {.,5)-'iD' -t/f!DO
(Address) ./2>'tS""Pb:z.o...~. ~\~~a ~~ J'VA.", 0';:,)~Q.
. ~;;~fANT ~J~d '\>\b~ ~ W\~ ~~. (Phone) GE/-/fs2:L5bS
(Addres.) J1/D 'A~b,\'\ot~ '\~. ~Y\.. t'v'M. SS/:2/
(A~) ~ (City) (Zip CodA:).-
(Contact Person) _~ed.. \-\.~ (Phone) t~/.-L/9.-) 51:,S
IJ ~g/acf
. ,
APPLICANT SIGNA T1.IRE
I Q\laDtity
I ,dl
I !
I I
~
I ~
~.. I
1,1/
DATH
~LlCANT PLEASE COMPLETE BELOW
I Type uf Fixlvre
Bath Tub with or withoUl shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
I Laundry Tray (1 or 2 companmentsink
Shower Stall
Sink,
Bar Sink
Walcr Clo~ (Toilet)
QUDtity
I Type of Flxllln
Rough-IRS
Waier Heater
Water Softner
I SllUld Pipe (Washing Machllle)
I sewap ~jec:toF
I incldtow A558ft1bly
Sacldlow Assembly Test
Lawn Sprinkler
Other
I
f
FEE SCHtDULE
Indu,,,i.I, Commucl.1 &; Multi.r'l!lIly 1'1. of job C051 with" $39,50 minimum Res,dentl.l. New One & Two-Family $99,50
Re3idcntt.l. Additions a. Altentlons: $J9.S0
Estimated Cost S
Building Pormit M
PLUMBING PERMIT FEE $
STATE SURCHARGE S
TOT AI. PERMIT FEE $
,50
(om.. u.. Onlji)
This Applic.'ion Becomes Your BuildinC Permit When AppruvllCl
ReceipT No,
aolldl", omd,l
D_tlt'
r ,.Pald
i.\l;Jat~...v 0 Ii ?nn4
By
:4 hoc, "O,;~ loy ,II ,.'pc.ti... ~ ..7.~o';;, [.~ (~51) ....,....Z.s
S d 88\7ES0098\1 .ON/LH 'lS/8H \10,8[\1 (m\1 L9EO-m-1S9 0NIIV3H ~ 0NI81'!f11d 13ZN3AI 1'!OHd
CITY OF PRIOR LAKE
HEATING! AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
q'lease ~ or orint and sim at bottom)
ADDRESS
;;;:" ~:~ I PERMIT NO. "L . ~ ""
J. Yello..... Apph.;ant ~ .., "-r'-
,
..39~
-.('6s0h?A/- ~dp
f / / /
I ZONING (offic,us,)
LEGAL DESCRIPTION (ollie, use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
~~/J?C7~/d
/89~ A/a
(phone)
(Address)
L/?
APPLICANT /. / /
(Name) U~r/.?~ ~~h.--/9
(Address14/-?/ Z)/d -5'/-6~//
(Addr,ss) /
~ct~
.I~..J
(phone) h5j-~LJf91?
hc;,-v",,/ 95/22
~ity) (Zip Code)
(Contact Person)
~)4
(Phone)
APPLICANT SIGNATURE
DATE 'hAI
/
APPLICANT PLEASE COMPLETE BELOW
~w CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL~.A/.AlL)Y ~C;/D 76 ' FUEL de; I
FLUE SIZE --J/~ RETURN OPENINGS ~ -~ INPUT _77YY/) OUTPUT ~~
TYPE OF SYSTEM HEATING OR POWER PLANT
~ann Air Plants
uGravity
2:[cchanical
~ir Conditioning
OV,nt System
OSleam
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
Industrial. Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential. Gas Fireplace
S39.50 minimum
S99.50 Residential, Additions & Alterations
$64,50 Residential, AC Only
$39,50
Residential. Heating & Ale (New Construction)
Residential. Heating Only (New Construction)
$39.50
$39.50
HEATING PERMIT FEE $
STATE SURCHARGE $ ,50
TOTAL PERMIT FEE $
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Estimated Cost $ Building Permit #
Building Official
@~ ~ ~ ~ :_~ 111 eceiptNo,
1ll>~teJUL ' LlJU'I Y
Date iUlJ '
24 hour notice for all inspectioos (952) 447-9~'f~X '(9~;)-d~'- ~~': - - - -
/'
(Office Use Only)
This Application Becomes Your Building Permit When Approved
0}-
U
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS ~93~ 7?A~_"'''V ~'d.~e. ~
NATURE OF WORK!IJ:
USE OF BUILDING
PERMIT NO. 0#- '322. DATE ISSUED _}
CONTRACTOR ~ PHONE&j.i\. ~.I).
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT ~ee Main File
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING Vl........l Ul!. "..
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
I.)t..
f/J
YK
f()
7-7
7-7
v
7-? ~
I
'tP
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I
FINALS
l
(;j c..aJ () I A ~"1J I&~
GRADING (Prior to SOdding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
--
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
95
,
A
Y//V
tlh .
~-2
$?- /3-a{
9.....2
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 1- '2-d.
.<'73z..~~
ADDRESS
OWNER
CONTR
PHONE NO.
PERMIT NO.
lj
~Z""7-.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
_0- 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
~~L~
COMMENTS:
I I ~, (' I
ol.C. ~ q~ 1t10--\.- V
- \
/
/WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o co12CT ORK. CALL FOR REINSPECTION BEFORE COVERING
Inspe : Owner/Contr:
LJ~FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_
C~~~REMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSf110TI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
1!)i&H1mx
SCHEDULED
JfJL-
~p ftd.,.,~
I
CONTR.
DATE TIME
<fi'-J"l'(/t(
4'" 3l.L...
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND OCEED
o CORRECT WO K FOR REINSPECTION BEFORE COVERING
Inspector:
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
""'LUMBING FINAL
o MECH FINAL
t2rk"C-A~
. ,
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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