HomeMy WebLinkAboutBuilding Permit 04-0532
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ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
~ UTiL>>,Y ~O~lJ>N PERMIT
~ee IVlam rIle
_ 3'7 {J ?
If a.r/' }, n r l'
f(:~" Ie! Alt..J
v
Date Rec' d
3/3-1(
I. White File I PERMIT NO
2. p;", C;oy . 0" _ 05.-72-
3. Yellow Applicant v-. V
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK / ADDITION 51' r: FI'/'J'
OWNER
(Name)
(Address)
,
BUILDER / J
(Name) (,JeNS'!>>4'NN ~lImef
(Contact Name) E4(r~ f___
,
(Address) J1f95' fit; 2.6"-- /)r/ i/(
TYPE OF WORK
. o Misc.
----
~ew Construction
OLower Level Finish
o Fireplace
PROJECTCOST/VALUE (exc1udingland) $
StrlA.1 ),
(phone)
I ZO;{Gcoffi<eu~) I
PIDJS-]9)-t)~6 ~O
(Phone) t,S' J- Y ~ & - "17"1) f>
(Phone)f.2.../J -.1'1- ?t/2
/IJ A/ .Ij S /;1. ,+.
C($JlfiN
-.J
,
ORe-Siding
OUtiIity Connection
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and coITeCt. I also certify that I am the owner or
authorized agent for the above-mentioned }'....}'.....J 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
;te/J=toPT~~ J yf r S-- r-O y
/ I / Signature Contractor's License No. Date
V
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
1 Penalty
I Plumbing Permit Fee
1 Mechanical Permit Fee
I Sewer & Water Permit Fee
1 Gas Fireplace Permit Fee
I /s"),O:?lt-1
1 $ 1.~~3. SO I
1$ X-qq,acYl
1 $ J!'1,So 1
1 $ 1
1 $ I/)/), - 1
1 $ If)/) , - 1
1 $ .3s-, S'd 1
I $ t./O,--- 1
This Application Becomes Your Building Pennit When Approved
~~~
Building Official
51r9 ~ if
, Date '
ODeck
OPorch
OAddition
ORe-Roofing
OAlteration
#
#
#
#
1$
1$
1$
1$
1$
1$
1$
I : ~, I gO. 7fJ
1
1357), - 1
~t:J,tJO I
1s,00 1
1..:l1)(),- 1
'700. - 1
1
1
1
-
-
I Reclril>t No. 4-& <; 7 ~
By('
o
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
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Planning Director ' Date Special Conditions, if ~y
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
\
1 Park Support Fee
1 SAC .
I WaterMeter(Siie5/8j,A";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
1 TOTAL DUE
I Paid
I Date
(,,/ft".7e..
c...lii . 04--
~~
See Main File
White . Building
<::;;kiIlIarv . sn,,!neehrltl-,
Pink - Planning
Tht' (""Ol"f of 1M I.-It, COU'UI1'
BUILDING PERMIT APPUCATlON DEPARTMENT CHECJqJSI
NAME OF APPLICANT
APPLICATION RECEIVED
i';)l I /) ~'1 . "",'J.' /, /" ,,-" ; /;.:,*-)-),1 1 ..', ./l
(",V V"-f. J!fr/,' 'L.'~/ f(.,' F'__ ~ ,> .....1;.; ~~--- ~
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: _
,':"; 9 u ? - ,/::~- . .1. "'.' '~, >..,.~(,l,",.?,; A\i)._ /
'-/ . 1:... ..i, ) A,2; . ~ f i- l ~.... C1
~ ~ .1
i
.'
/
x
Accepted With Corrections
Accepted
Denied
Reviewed By:
~
See J'lt,./"h F, It'
Date:
'S-1.fJ-oy
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!lineering
l'1'lnk .- ~Ian",n!l::>
Th~ ('''nIt. nf lht 1-.." ('ounlty
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 1!tJ jJ /i In .';,).;t..-?v /' () ;H_.iL/~
APPLICATION RECEIVED .:: - -::; -()L /
1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: r,
3((/)(:(- /:::';), ;:"'UY /J.f(~;i ld
/ ~ /
/
V'
Accepted With Corrections
..
Accepted
Denied
Reviewed By:
~ ~>~LJ
Date:
5,/ fer /0 c./
'1"
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."
5~~
See Main File
CWhittl - Buildina)
lianary . Engineering
Pink - Planning
Th..('..n'..rollh..I..bCounll')
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1JJ~A1#YJ1~ ~
5- 5-6Lj
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construs 9~~:hi2:~~ R<<ttl-e R d
) {] I
Accepted
V"
Accepted With Corrections
Denied
"
Reviewed By:
~
~
Date:
611'7~';
,
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 8124474245
CITY OF PRIOR LAKl::
~001
Date Aec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I .lv, JiJ.
I, GfkI till
J. Vt_ ""'I(WlI
I PERMIT NOO,- 5~
q>1e..< Me or """' IIld .;." .1 bonum)
ADDRESS 1\ _ ~,\ ~ .
3ltJ08 ~~~> ~\~~~ ~,
ZONING (ole....'
I
I
I
I
IS
I
I
I'
l=L'
wIS. ,.". "'.~
~=R l~\et{\f)mOJY\Y"\ ~ome.-~ (Phone) 6,S)-i.{U-'/Ljoo
(Address) . 12S~ S- ~lC\z.o... ~ . 0>\ 'k cQD'{) ~V\,~ t\, $5;}::lQ..
- I
~;;:~ANTLJ~€l 'V\'t:l~ ~ \\\~~. (phone) {SJ-Lfs:2-/5bS
(MlreS$) 17/D '1\~b.~W" \~, ~ fi^n, 5!5J;;2/
'It-- _ (A~ - (City) (Zip Code)....
(Contact Person) \Ted... ~~~J' (Phone) t.~/~-156S
APPLlCANrSlGNATURE .~ DATB 516'/D'f
~LICANT PLEASE COMPLETE BELOW -
Type of J'ilttare I Quatity I Type ofl'lxtlIn
BOJth Tub with or Without shower I Rough-ins
bishwashcr I f I W8tllr HMler
Floor Draill I Water Softner
LavUory (BathrOOtll Sink) I I Stand Pipe (Wasl1in~ MaclliDe)
I Laundry Tray (I or 2 compartment sink I Sewage 8jector "
I Shower Stall I Backflow A!5S0lYlbly
Sink, I Sackf\ow Assembly Test
Bar Sink Lawn Sprinkler
. Water Clo5Ct (Toilet) I Other
LOT
BLOCK
ADDITION
lEGAL DESCRIPTION (olli... u. only)
Quantity
,;J..
",
j
,~
FEE ~n~ULE
Indu'trial. Commercl.l ~ Multi.fillllly W. of Job CO'I with a S39.50 minimum R.csldenti.l. N<w On< &; Two-FiIllily $99.$0
R..identi.l. Additions.t. Ah...'ions D9.S0
Estimated CO" S
Build.i~ Permit II
(om" VIe 0.1)')
'~ .~~
This Applinlion Beeomes Your B~i1~i.:C~Cr1llit When Approy~ I~):t! ~N ~I!.'!O Z~~ ~l :eipt No. _
8.ndh.& om,I" Due W JU W
E d 88SES0098v 'ON/6o:6:4'1's/o"t~tr"to"l:~".~et~"3MF~"')i~~[s~!feb1'NtiV3H :. DNI8Vffi~P13ZN31A i'lOll~
Pl.,UMBlNG PERMIT FEE $
STATE SURCHARGE S
TOTAL nRMITnE S
.-'
,-
tJ"'}' R ;.-."
:... o'C -----21' '>
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Q.ft~r.)\ . "U.
n:LJ..oW' . ""''''';C''''''T
!;.(I\D _ C1'1
CITY OF PRIOR LAKE
SEIV2R ~.ND WATER ?::::<"~IT
NOag- S~2.
NOTE:
Sewe~ and Water
contractors must
be r~gistered
wit.h the city.
PHONE :tJSJ-ll:9-~J st.5
APPLICANT: W~e.\ ~~,
AODR::SS: 3'D~ ~,~'\?J .
-
DA'I'E:
~:'"::r~.:,'.-;:~: .
'5 ::r; .
:?~?':~~': ~
:!LL IN THE aL~~^S
size of wa~er se~vic~
of ~ater service
I
'30
fe~t..
1-
2.
Es~i~etec leng~h
:; .
~3~i~e~ed length
from
pvcX
sewer line 3C)
inc::.(es) . A
S-:':::".1ct.ure v.j11J\-
feet.
J.
Locat.ion of any couplings
4.
~ype o~ sews~ pipe.
;>.5S
Ca.st Iron
of
6.
Cl~~n
out
(. ..
~.
req1.1ired) ,
locat2c
fee~JIf.L
a.t ~feet
f::-orn
st.=-....:.c':.'..l::'e.
=================~======~=~~~:=:~~===~=:===----=================~=
Tt-..::..s
a;:plication
bec::omp.s
~c:)\tr
'.
per;n:.. '_
'J::~n a:,proved.
BY
DAT=::
=============;~;~~==~~~========================================~==
:-=::::s:
~
S
S
35.00
.50
35.50
Se~er and w~~e~ line connection pe~it.
Surcharge
TOT.~L
* =~e fc= e~~he~ scwe= ~~ wate~ i~civicua~ly is $20.00 p~us
$ .50 su~cha":"ge.
* S~~e~ anc ~ate~ pe~its issucc ~O~ new constr~ction mus~ be
=ec~=~~eo ' buil~ing pe=mit card at the time of issua~ce
r~s~~d~=e . ~mr~ a~?m"l1 ~e sa.er and Nate!: pe~i~s are
c~.-:'! ?:.::J JUN 072004 j ;.:.!cu:;,'!' ?-".7
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L9fO-~Sv-1S9 DNIIV3H ~ DNIBWDld 13ZN3M WOB~
v
d 88SfS0098v 'ON/60:6 '1S/0 H
vO ,SS (G3M)
07/19/04 09:55 FAX 6518949955
WENZEL HEATING " AC
~003
CITY OF PRIOR LAKE
HE-ATlNGfAIR eONDITIONINGIFIREPLACE-PERMlT
Dale Rec'd
/PI..... Mle ar oliDt IIl4 Jim at boIIaml
I~:;S
: ~.i?' --,~.::t?;>~2bj
. LEGAL DESCRlP'I10N (allice... aaIy)
i=" ~. II'ERMlT NO.AI.i ~ ~
L VIIIow AppiIaII ,,-, ..,~~
- .
AJ' pj
. r
I ZONING lallkow<) I
-
LOT BLOCK
ADDITION
Pro
&':e~R. tJ hA {SIfb If A
~
(phone) ~ '5/ -4N-,-44-~
(Address)
"
APPUCANr .._ / . / /
<Name) t.t,.b/'./ 7~ ~,..~
(A~) 4fg/ dd 4t'};t,/i &A1 ~~..../
(Addmo) / - ~'Y)
(ContaCt Porson) ~ ^-l /'., _ (Phone)
APPLICANl SIGNATURE _L..b6/ _ ~6,c.. DATI.' 7J"!eJ
~ --/.... /
APPLICA.1'ff PLEASE COMPLETE BELOW
)i!JREw CONSTRUCTION 0 REPl.ACEMENT 0 Ai TERA TioNS
fUR..'lACE MAKE AND MODEL k.N~Y h Sl &~ .. c:;- FUEL ~J-
FLUE SIZE ..:;J-;<" REnJRN OPENINGS t ~ INPUT is, CD'} OUTPUT b" Sb:.)
TYPE OF SYSTEM HEATING OR POWER PLANT
~lIltll Air Plants 0 Steam
DOra.ity 0 Hal W..er
~~.chaniCal D Radiation
~ir Corulitioning D Special Devices
J;3'VenL SySlCl11 0 Other Devices
(Phone)
l.,",I-~4""'r~
~n...2....
(Zip Code)
, PLEASE NOtE:
Air Conditioner Units
Cannat Encroach into
Required Side Yard
Setbacks
. FIREPLACE MAKE AND MODEL
-., -.--
--- -.-
FEE SCHEDULE
lndusttill. Commercio18c. Multi.Family 1% arjab cast Residential, Gas Fireplace
539.50 minimum .
llesidential. HUling &< AlC (New CllJISlIUctian) 599.50 Re.lidcntial. Addirians '" Alterations
Residential. Heating Only (New Canmuctian) $64.50 RO'Iidenrial, AC Only
$39.'0
539.50
539.50
Estimated Cost S
Building Permit 1/
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
~Ar[) ViM .
.fouum~NG ~~~rv:iT
(Offic. Use Olly)
This Application Becomes Your Building Pormit When Approved
'8l1ildiltC016cial
DOl'
~J~ ~ U \iJ L2 ~ I R.ecetptNa.
~ I D.ftJ.t. 2 2 2004 I U jI By
. ---"'-'"-"'--':"'=-~-~"'='~-_-_- ... - -.... . -, -_ .._....:-. ....'l:.... '_~_".-.' ..
U haur .otice far all i.spectians (952) '" S~850. fIX (952) 44~-4245
DEPARTMENT oSee Main File
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 39/)1 7?4.'p/)U'~
NATURE OF WORK ~
USE OF BUILDING ~F P.
PERMIT NO. ...D" _ 0 532. DATE ISSUED
CONTRACTOR PHO~'~. $1.'1- 74 I~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
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 iYb.._ 7.~
HEATING (If reqUired}7/! ((:/1'/2)1/ / u-'11
FIREPLACE It) -I,;} /
GAS LINE AIR TEST '/? II--t r I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~"LT]I1tRJ. ~ I I
~ llli ~)11lAf#J A L S
GRADING (Prior to Sodding) J ~f?
BUILDING /1,)
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
.
~~
tV c.. I~
(/b
/ t) -'I
,. t:I-.y
,
/ /
/ JI29/e;ei
, I \
~-p>b
~
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.
II -(~
\
FOR ALL INSPECTIONS (952) 447-9850
~inal Permitted
QIttfifirafr of (tuupanr1!
CITY OF PRIOR LAKE
~tpartttttut of ~uil~iug ~ usptdiou
o Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential I 0 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 FAMILY 04-0532
Use Classification Bldg. Permit No.
R3 VN Rt
Owner of Building
Contractor's Name & Address WENSMANN ~.
AOBERT D. HUTCHINS !;'I ,
Date: /llz <1 / l~r'g OIIieial ~ /
I /
Occupancy Type
Legal Description
Type Construction
L6, B1, JEFFERS SOUTH
Zoning District_
3908 RASPBERRY RIDGE ROAD NW
Site Address
1895 PLAZA DRIVE. EAGAN. MINNESOTA
City Planner DON RYE
55122
Date:
'''''',,;'~';'''~'..'';.~ ..it,_.' <'h'. """-" "C'J..-~,..~'~"'i:>"<; L...",.,.., "., '"'' "t
w.Wic.;
~,.
iliIIllioii.
DATE nUE
CITY OF PRIOR LAKE 'W
INSPECTION NOTICE SCHEDULED
ADDRESS ~?n8 ~. ~~.
OWNER CONTR.
PHONE NO. PERMIT NO. If- b~ ~
CJ FOOTING CJ PLUMBING RI CJ EXlGRADlFILUNG
CJ FOUNDATION CJ MECH RI CJ COMPLAINT
CJ FRAMING CJ WATER HOOKUP CJ FIREPLACE RI
CJ INSULATION CJ SEWER HOOKUP CJ FIREPLACE FINAL
~FINAL CJ PLUMBING FINAL CJ GASLlNE AIR TST
C SITE INS...-..:...I I....N ;i MECH FINAL CJ
COMMENTS:
A WORK SATISFACTORY, PROCEED
CJ CORRECT ACTION AND PROCEED
CJ COR RK, CALL FOR RElNSPECTlON BEFORE COVERING
Inspector.
Owner/Contr:
850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &. SAFETYI
"""""
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
\\~
~r~.
PERMIT NO. 4 - 5:!>"2
TUlE
SCHEDULED
ADDRESS J1lA
OWNER
CONTR.
PHONE NO.
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
. PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
;a:.GA~!-INE AIR TJ!
D_~
COMMENTS'
I. ~r MT{) 4(n-98~
'2.. ~ Il-:J::" ~d"S
o WORK~A FA ORY, PROCEED
CORRE AC AND PROCEED
~ORR ilL FOR REINSPECTION BEFORE COVERING
Inspecto ; Owner/Conlr.
CA, ... FOR THE NEXT INSPECTION U HOURS IN ADVANCE.
CO~IREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSN'm
----
"
Date Tested: ~
CFH: 75 Stack Temp. _ I~. 'S'.
%C02 ~r/ BTU Input: ? "' ~
%02: Jr.9
%CO: .J 7f7/I
Manifold Pressure ~:5
~
'--.--I