HomeMy WebLinkAboutBuilding Permit 03-0082
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/)-3D-C8--
I PERMIT NO. 03 -(t)PtZ--
(Please type or print and sign at bottom)
ADDRESS
I.White File
2 Pink City
). Yellow Applicant
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LEGAL DESCRIPTION (office use uuly)
LOT/l/BLOCK ~ ADDITION h)VfVlA:,0 f-.h'Jl(
'Z-ND
OWNER
(Name) WeNSMA,.J,.) f-IlYWI~
(Address) liltr PIA'1-A ^ TL -#-206 e A~ At0
ZONING (office use)
f('-/
PID Ol~ -6/0-61 r:. 0
(Phone) c,o-~a~r((CfOO
f\AA\
BUILDER " _
(Name) ,,-~C:r
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
B New Construction
DLower Level Finish
DAlteration
PROJECTCOSTIVALUE (excludiuglaud) $ /03 7%2-
DUtility Connection
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
enter upon the property to perform needed inspections.
X 6--/ ~guature
DDeck
OPorch
ORe-Roofing
o Fireplace
OAddition
DMisc.
/ (!\)l
Contractor's License No.
I Permit Valuation riol( ()OO,()OI I Park Support Fee
I Permit Fee $ It)! (,./s I I SAC
I Plan Check Fee $ /.(,,1), ~1J I I Water Meter Size 5/8"; I";
I State Surcharge $ 52.co I I Pressure Reducer
I Penalty $ I I City SAC aud WAC
I Plumbing Permit Fee $ /CJ(J,O () t I Water Tower Fee
I Mechanical Permit Fee $ loc. 0 D I I Builder's Deposit
I Sewer & Water Permit Fee $ 3S,$"o I I Other
I Gas Fireplace Permit Fee $ ~o.OO I t TOTAL DUE
/
This Application Becomes Your Building Permit When Approved I Paid (/;J::'5C>< ~/~ /'J
~ -7~p ;P~MJ I Date /i-//- f'N:)
Buildiug Official Date
<'I ::2:2
#
#
#
#
DRe-Sidiug
Date
$
$
$
$
$
$
$
$
$'.:124-. IS-
51So. tJ 0
1,}-7s'tJO
';;SO. (11)
.-"s;00
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7tJO,00
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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 consuuction to commence. Before occupancy, a Certificate of Occupancy must be
"~
Planning Director
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Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Aveuue Prior Lake, MN 55372
FILE No.174 05/09 '03 06:41
I D : PLir10UTH PLUr18 I fiG
FAX:7635331121
PAGE 9/ 13
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CITY OF PRIOR LAKE PLUMBING PERMIT
I alII, ;d~ I PERMJT NO 3 '\...;
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ADDlUSS
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ZOND-JG IO!rlCI' lJ,~1
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. LEGAl DESCRll'TJON ,,,me.' US" Onlv\
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0~~ER j /II
(Nan,,:1 \" -P VI ':, I~r, i\n (\ MVV\iVi"-:,
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(PI,onel
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APPLICANT r: (, I .
('-lam,' ~.JI'J'I\I\.(~L"'-\-l'1 V L.1,\'\\.'\i(C, ,(PhOn,) ('],(c:)~)~~"l.i8'57
iAdd,.,,,, i.Ci(lQ '\i.I,,',vd{~~ A,'K l.) jL\i!I(~"k..I"\,/\~),,,..\r r)c.;Lirl'f.~
I "'ddr~"") ICIf~'\,J (Z,)' Code)
ICnnl"cIP<lS011) ~;l\ ~,(h\\li(1i;11'1(Afll.rr (houe) QI[,')} '-1-;>-; - L/ 3~:L.u_
(''''-. ,'J 'I ..- ( 4 " . 1( ? ., - - q .' -
APPLlU.HT SIGN,A. TUU-~ Y t CI'J.;Vvt..Q/'Jil:.l1t, A) J (;J/i1 DATE C; -() ~
IJ I I
. APPLJCANT PLEASE COMPLETE BELOW
QIl""tiTJ'
t
1.
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~
Typ" (>f F,xtu ,."
Bath Tub wllh or v/lthoul sh(\wtr
DISh\.v,I:;i)cr
FI(H)r Drain
I LnvJtorv (B"thro(\111 Sink)
L.cmdry TrJI' II 01': wl11panmtnt slI1k
I Shower Stall
I SI/lks
QIlHntit'~!
T~IJ)l' of Pi.Hun:
j
\
l
I
ROLlgh~Jl""s
Wattr Henrer
III' 4\er Sonner
Stand Pipe I Washing tvJ~chmt)
Sewag; E:j~ctclr
Bacidlo',A' Assembly'
BacUla,," Assembh reSl
1......1 -'I''''
W~Il~I' CI~\."e1 (T(\lletl
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(Jth<r
FEE SC:e:EDULE
If){lu.wl:l1. Clln1ITICfCllll &. h/1Iilll.(:lInd\ 1(\,,, nfJllh ~il~J wiLli il $JtJ.5(1 O"lIl)ll'IUm
I'L 1I1\1BING PERMn I'EE $
STA TE S'JRCHt..RGC ~ :'()
TOTAL PJ::RMlT p~" ~
101"" u" (\,,"" If[I' I_~ @ [[ IJ ill lE ~
Thi, Applic",iIlJl fj'CIII1\"' \,,"rlluilcling r<rmi, WI"n ApI' 'JTl'" ~Ayl. ~"~ 2003
: .);111.
: ..-. l1uildi,,:.:t;ii~.~~-_._'-"- I';HL ,.- I
ki;!iIl.lcnil:11. Ncv.. One &. :wp-l.";,unJly $4~J.5(\
RC:Sldcnll:lJ.ll,d~1illun:; &. i\11CI':Hllll'1,) ~;:w.')o
b[!l'nJlt.:cl (051 ~;~,m
Building Pemlii 'Ii
PAID WITH
BUILDING PERMIT
! R\:c~"lpl I~o
1:'\1____ ___, _~
~.:.l IH\1l1 IllJljl.;t: lor .;.ill jll"I'I:(;lilnl''''i9'::r-.:t~1;\tS~lr;'"':'-;:I~-:,-;:~;---:n;:-~~~~
I {,:~i!rr r,~1 '':11' 11'('1;1\ ,\ \ I' "r t'ri;jJ' I~ali f~. ",1/\' ",:, ";'~. 1"1 J
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CITY OF PRIOR LAKE
REA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(!>lease.!VD~ or orint and siEll at bottom)
I ADDRESS
/077 /7/~ h/~
~ /b??
~. ~ ~:~ I PERMIT NO. 'J -/ 0 ., I
3. Yellow Apphcant ~ I () (7
; J /7~ I ZONING(officeu,,) I
/--#//..:; ~
LEGAL DESCRIPTION (office use ouly)
LOT
BLOCK
ADDITION
PID
OWNER ~ )
(Name) U/~$A4'-"7L
(Address) /?9..;5" ~4. /,4
/
./ LAC.' or:
(phone)
r...e:..~
...; '-
APPLICANT./]. /. /?? _ ~ ....:::: J L.
(Name) ./-?/h4:,d ~ /'~J""~ (phone) otr/- y:!f-?--?77S-
(Address) , ~~7) /&~.A:.I 6~ L" ~. /-: A...AiILA SS/-?-?
(Address) (CityV' (Zip Code)
(Contact Person) ~ -::;?~""0~ (Phone) ~S/- f,I'~ -~7/~-
APPLICANT SIGNATURE DATE S/ /'9/("')"'<..
. ~
/
L:h
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL ""F9 VAAtr ?'<;rvIlAII 02 lJ rA (') FUEL JJft.,- r: 1>..5
~ b
FLUE SIZE Z PVr RETURN OPENINGS 5 INPUT 0 ()(')O OUTPUT -:;;'::;;,",01')
,
TYPE OF SYSTEM HEATIJ'.<G OR POWER PLANT
DWarm Air Plants
DGravity
J9.Mechanical
'V]Air Conditioning
DVent. System
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
Industrial, Commercial & Multi~Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39,50 minimum
$99.50 Residential, Additions & Alter'lions
$64.50 Resideutial, AC Ouly
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$39,50
$39.50
Estimated Cost $
Building Permit #
Building Official
$_e:J/ AJ,."g/<!./
$ . .,./ ,50
$ (Z/
j ,-"-
P~l~') ~ ~~" 'Q I:] l;~' ~+PtNo,
_ \ 0 \ ',\
D ,~\\ MAY'll LUU YJ< c;-
24 hour uotice for all inspectious (952) 447.9850, :~y<~52) 44~~;~'=':= __::...,. j
-."-....'
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Date
eu/I. P-4/D IAh
D/t\tG .,,'l"!t
P~.q"'1]-
I
I
(Office Use Only)
This Application Becomes Your Building Permit When Approved
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or 'Orint and silm at bottom)
ADDRESS
14197 FOUNTAIN HILLS COURT
; ~.:. ~:~ I PERMIT NO. ?,- g ')
J. Yellow AppliciUlt _ ~
ZONING (office use)
LEGAL DESCRIPTION (office use ouly)
LOT
BLOCK
ADDITION
PID
OWNER
(Namel WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name)~T.T .IFf) ",:T"RF.STT)'R DRA FTRFSTDF HEARTH & HOME
(Phone)
051-033-2501
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVIT T P
(City)
.55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
5/10/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TlONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plaut,
DGravity
D Mechauical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
D Steam
D Hot Water
D Radiatiou
D Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
. FIREPLACE MAKE AND MODEL
HEAT N GLO SL750TRS-C
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)
Residential, Additions & Alterations
Resideutial, AC Ouiy
$39,50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
,50
PAID WITH
BUILDING oj::RMIT
(Office Use Only)
Buildine Official
Date
iu' /E'i~ i~ U ill ~~I
I n Date i II By
uL MAY 2 1 7001 2J
Receipt No,
This Application Becomes Your Building Permit When Approved
24 hour uotice for all iuspectious (952) 44 /-9850, fax (952) 447-4245
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Thr ('rnlrr or lhr 1.lkr COunll',.
c""hite - BuildinQ-;.
Canary - Engineermg
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/1 ).ft4vmCi'~
{ 2- 2D c:B-----
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/L//9? %~Z;:;~ ~ Ci I
Accepted
Accepted With Corrections
Denied
Reviewed By:
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,"
~.j-ti.€
ThrCt'nlf'rnflht'I..h{'uunlry
White - Buildi,,!,
C <;anary - Enljineerins)
...lnK - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.f J ,'i ~,I 4' .'
..{"/..e-<It......'(k,,.':?1'/i~:.. ./...,;.(___....,J
I/')-~' )
I .,";;.!.. '__"j(~./
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
...., f
/" .,jL.. ".
,,; j
..' /// c? '~7
/-2:/---1;1 l~;';~,;, :7(.
\,i l
';lr,
/
Accepted
^
Accepted With Corrections
Denied
Reviewed By:
M:J/3
~ee 1!141..... F,k.
Date:
1- t'--o '6
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- P1.f\J,.J hL€
~
&.~
White - Building
Canary - linqineering
C"ink - Planning')
Th~ ("l'nln of lhl' L.kr (.'ountr}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
-'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
j / /
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
~ ';f~
Date: 0~~.3
Comments:
"The issuance OJ 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."
PRIOR LAKE
INSPECTION RECORD
I &.Ilq.., Fb&uJTAif\l ~'LU' cr,
IJ~ aI~Tauc"IO~
USE OF BUILDING ~.F:' ~
PERMIT NO. 03 - 0 ~ B 2- DATE ISSUED J/-I.'1 10 J
CONTRACTOR ~~ "'{A\e.! _ PHONE~60
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ MAl N t-i I.E
DEPARTMENT 0 .:.. _ _.."'.....}oJ
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
INSPECTOR
DATE
I FOOTING
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING r:lY'V..e'-'~,,'
INSULATION w / C-
ELECTRICAL r':t<....
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~
~~
~/ ;;-1 c7.
&/2-1/) 7
~
~
~
1~/~otrP,
.c:-/~ 11'1
.;r/lelo'3
GRADING (Prior to Sodding)
BUILDING
I ELECTRICAL
I PLUMBING
I HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
A
/IJ/Y/
G-30-oy
t/llP' _
M
(,-:>0.03
(; / J() - if;:J
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
CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDULED t~7
ADDRESS / l-( W7 rw.. h.... /Iill!
OWNER CONTR.
PHONE NO. PERMIT NO. 7-6';--
o FOOTING
o FOUNDATION
o FRAMING
o jIlSULA TION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
I:!I PLUMBING FINAL
151 MECH FINAL
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
n) 1/ltA"( &")v-aJe a(lr//()V~I
~) rv"''''-l~-'t-. cJ"'1/'< lAA>-V "
d2 1I~,.1 rho II-, l~
~. ') 11."...;' -ei~jYtu'/ ~v<..)
Gat IrO tU/Y1Il-< fr<A-1-1
- .
11-v..
<;od J.- 1J...r.,.'5
e?\ Cl.-q(;~ ~
OIL
a J- 't' x-/..vr ""-
o WORK SATISFACTORY. PROCEED
D' CORRECT ACTION AND PROCEED
y'cORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: /;1/ C- J.- rot!) Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
U<SNQT,