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Home My WebLink AboutBuilding Permit 03-1559 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT / 1- ~ - 03 I. White File 2_ Pink City 3_ Yellow Applicant I PERMIT NO. 03 . 15511 /R}sGfr'U") I (Please'!vp~ or Print and sign at bottom) ~~SS fJiI!f!!lfI 5//;; !.JJ.o LLt "'f /rhd ((-f- /!L it-LI4JA-~4/ .fJth1d, OWNER / - J) (Name) L-G?:-/CI)"''' ,IJplf'/ i1J~Y1/ (Address) 5'11L;' UJR [1--1/4 .j tJ H/ G- +-- o BUILDER . / /~ _ '"'- (Name) .t!.'. Y /'ft'/f/~./ ~ (Contact Name) Je)l')/' (Address) 9 >>f1/Lf LEGAL DESCRIPTION (office use only) LOT I ( BLOCK Z- ADDITION d- rY PID 2-~- ~ s $?6J9() (Phone) 9s-z-- 447 0077 (Phone) (Phone) <?/41n-R L;. ~MP 4f , TYPE OF WORK ~ New Construction DLower Level Finish DDeck DPorch DRe.Roofing ORe-Siding DUtility Connection o Fireplace DAddition DAlteration o Misc. PROJECT COST IV ALUE (excluding land) S 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 loca11aws 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 upo~~o to pe1rm needed inspections. X _ 7/fl, /ofv,~ ,~t:?7c7 II 04 - O~ - . Signature Contractor's License No. Date .. I Permit Valuation ",?<O/f. tJOO, OQ I I Park Support Fee # $ ~~O, 00 I Permit Fee I $ I S9,t. 55 I I SAC # $ I Z-? s;, Co I Plan Check Fee I $ IIH"'t_ ~ta I- I Water Meter Size 5/8";{:) $ .300, 00 I State Surcharge I $ 10<1.00 I, I Pressure Reducer $ 70,00 I Penalty I $ I I City SAC and WAC # $ J Wo .00 I Plumbing Permit Fee I $ IOt),oO I I Water Tower Fee # $ 700,00 I Mechanical Permit Fee $ 100.00 I I Builder's Deposit S /50Q, Do I Sewer & Water Permit Fee $ 3~. 5 tJ I I Other $ I Gas Fireplace Permit Fee $ J./-d ,tJ 0 I I TOTALDUE ~ 12-.:3.03 $ a, qlZ_./ / This Application Becomes Your Building Permit When Approved I Paid %; '112-.H I Receiplfo. ~(.O90 :kA~ ~t- /J /,'(/a3 I Date I'Z-. 2-7.o? I Bv 'J-. {J 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 constitute,.. temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be ~'~ingD~ 4L'0? /~ ~,co~s/;7~~~ 24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 ~\ White - Building r ~anarv - Enqinee~ Pink - Pla-nning ThO' ("..nt..r of I.... I..... <-'ounll")' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT "-_.- ~.. t ) .'--- APPLICATION RECEIVED J J -. ,/-()d- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed.at: ""'-j / -'-".. .--/<- ,,' .~- ? !.? ".. Io---~<_~ '... _.,.~_~,,, j Accepted x: Accepted With Corrections Denied Reviewed By: m4R Date: I/- /J. - () 3 Comments: Sf!f! R.eYerse Side for Additinn;:!llnformation! s"'''' A.tta~hments' 1) Grading Plan, 2) Erosion C:ontrol MeaSllr"''' "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." s~~ ~te - Building) Canary - Engineering Pink - Planning Thr('rn.l"r nf lhf' I..h Counl.,. BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED L r r;4/~.a~ //-L/-<Jd-. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed,at: ~71S-~ UJ~c5~ (bI- Accepted Accepted With Corrections /' Denied ~~;0 j(}~ a1/ ~ -~ ' tJ~ ~~ ~,,-o~ ~. ~ ~ d~d-~~.~ ~/~~ - Reviewed By: Date: 11/ltf/o3 Comments: J114- .= ~ ~' ~~ "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' White - Building Canary - Engineering <::::,rink - PlannmlD Th~ ('f'nl<r' of IhE' I..kr COun11) BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT '-- APPLICATION RECEIVED 1/ . II - (' ) ..':.... The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed. at: " .' -I- Accepted Accepted With Corrections /' Denied r Reviewed By: ~ 4-~~ Date: I ~II,./o s 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." P 1 VRle Rec'~ tPl.?,ISIl tv,ec or Elri.m a.nd slv.n It bottom) AQrjRESS \ L 5 \\5 ~,,\\,"~\~ C\". S~ : ~'~:" ~::, I PElU\1lT NO. ;J _ U::-C'fitI J. V~lIolY ^ppllun' ...:;) IJ:"" II ZONING CUm,,! \U~) L1~O(\L DESCRIPTION (om" Ole only) LOT BLOCK . ADDITION rID OW!l1ER. \...\. I \ ' (N~nic) '."'S .\ ,~V'\"\..Q... '"' \. \;,>-\J".........C\, I,)Y-, (A~ld(...) '5\\S \J..\\\....'tj7>C\::>~ Qr,'.~ l,,\v. I (Phono) q~~-,,-\I.\"'t. <J~j-::l fYlN 'SS3/~ APl'lrlCANT .- (I'l.~'e) {(\q.:\:(\~ ~ II r- ~_ n t, (A~dl css) \ ~ '\ 'X~"j '-J v... \ L (jJ"\., A V "- (AUd",..) (C~nl"ct I'elsoo) N l,.\ i" (...\/ S t...~" ',..\ \. APPI..ICANT SlONATURE J-f\w..-\ 1 t...lll\.k (Pho".) S S ~),. q '-\ -I.. ~ \ ') l{ (1"CJ-\.l,lt\.. {\I\) S.S~Td, (Chy) (Zip Code) (Phooe) "1~.";l,. \,\ 1..\...,. ~ I fJ,-\ DATE AI'PLICANT l'LEASE COMPLETE BELOW .!:&,NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIOt;!,S \ FUIl.l'jACr. MAKE AND MODEL C,^,..--4 '''' {\X ~ - \ <:I \.\ ruUI. \ V ~ FLj,J1j SIZE <( VG RETURN DI'ENlNOS \ c::J INPUT \ ~ ~. ~ OUTPUT _CW-rs:l:rR._ TYPE or SYSTEM HEATING OR POWER PLANT CWlnrm Air Ph,,"s 0 Steall1 EjOrovity 0 Hul Waler ;:J Mechanl.'1 0 Itaoi.llon r c....I- 'laAir COlJdiliulJing g] Special DeViue."N~r'S1>t,-'<'~~ 1 '-\,....yt -KJVellt, Sy,tcl11 'g] Olher Devices ~ h.1,*,'.~'l>..\..l. FIl\EI'LAt:EMAKEANDMOlJEL 'd-- ~\~~ hDk~\ -~'.\1~ ~~-r.....:....J&~ I'LEASE NOTE: Air Conditioller UIIIIS Canl10t UIICNlnch iulo Required Side Yald SethsckIJ ItesjUepli.l, Hooling &, Ale (New COIJSlflleliulI) Ite~ld~illi.l, f1<aI~lg Only (New !.:onslruetion) FEE SCHEDULE 1 % of Jub COIL Residenlial, Oas fireplace $39.50 minimum $99,50 Re.idCluiol, Addilions & Allcmlions $6UO lte.i<l,,,\i.l, AC Only $J9.50 lnd\ISlli.l, t:olllmcrei.1 & Multi''''llIily $J9.50 SJ9.l0 Estilllated Cosl $ "IS~\::) C1j Building Pel1tlit I! HEATING PERMIT FEE STATE SURCHARGE TOTAL I'ERMIT FEE $ $ $ ,50 '::IA'D . .,.." ~ ;~I; f:; ""'UJ!..D1f14G ~ 'IIO;riMrr (01(1<< 1I" Only) TIIll ApptlcftUOII Decomes Your Bolld/lli )'el'lllll When Approved P.id Receipl No. 1J.lllllng orncl.1 Dille OllIe l3y MAR 1 6 2004 . 14 haUl" noUee for nIlIMpe,Uun. (952) 447.98511, Cn. (952) 441....245 12/30/03 TIlE 09: 28 FAX 6128902753 STOCKER EXCAVATING ~001 Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT : e:::o:. ~I,~ I PERMIT NO. 0-, L5 G ) Gold Ajl~ljWl\ "'> /7- I (PleMe tYPe or Print and sill':n at bottom) ADDRESS 5115 Wellington Ct SE ZONING (offie< ""J LEGAL DESCRIPTION (office use only) LOT I~LOCK 2 ADDITION Wilderness Ponds 2nd Add PID OWNER (Name) Leroy Hennen (Phone) _ .952/440-4602 (Address) 5115 Wel1ins>:ton CT SE (Address) Pri..Ol" T..ake. ~ (City) ~~172 (Zip Code) APPLICANT (Name) STOCKER EXCAVATING COMPANY, INC. (Address) 12336 Boone Avenue (Address) Curl: Savas>:e, MN (Phone) 55378 (City) (phone) DATE 952/890-4241 (ZIp Code) (Contact Person) APPLICANT SIGNATURE I J '--4". / j~~;r~ /J&~ v same IJ. - 30 - 0::, APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any coupllngs from strUcture feet. Type of sewer plpe. 0 ABC 0 PVC 0 Cast Iron Estimated length of sewer line _ feet. Clean out (if required) located at feet from structure. ._- _...'-'. Residential sewer and water line connection Sewer connection only FEE SCHEDULE $35.50 Industrial, Com'] & Multi-falllily 1% o(job CO" with a $39.50 minimum $17.50 Water connecrion only $17.50 Estimated COSl $ Building Permit # SEWER AND WATER PERMIT FEE STA TE SURCl lARGE TOTAl- PERMlT FEE $ $ $ .50 PAID WITH 8UILDING PERMIT . (Offic( Use Only) This Application Becomes Your Building Permit When Approved Building Official I Paid I Date JAN I) 5 iJuj 24 flour notice fo.r all inspections (952) 44i~98S0. ru (9S2) 4474245 - Receipt No. DlIte B~ <.J Rug 11 04 OS:38a Jeff Scherer 952-447-6735 p.l CITY OF PRIOR LAKE PLUMBING PERMIT Date Rec'd (Please~e or Drintand silm at bottom) ADDRESS "S> \ \ 'S "--~\\\(\'1tDr\ QJ:. LOT LEGAL DESCRIPTION (office use only) Au.LJ~~..LON OWNER (Name) (Address) BLOCK GL\\D'-I \-\exJ(\2D APPUCANT c.:; ^h~,'" 0'\ \-.. (Name) ~\:.A \I::..-l( eY \'" U~\')\f\5 (Address) y~co f-4d \' 10.(\ C.J\'"&Q 'Si. (Address) (Contact Person) "-3" e... \'.r 5c. he.vQ.V APPLICANr SIGNATURE ~L~, () .~-...9-, Quantity "t- I I '-I .5 ~. ~~ ~y I PERMIT NO.^~ _ I~ 1. YEllow ApptllOql ~ I I ZONING (offiao ""J PID (phone) (phone) q~- yLtl-<C ,3Y \{-\'Dr Lu~ 55 3 7~ (City) (Zip Code) (Phone) l.D I d ~ JLn. .?Dr ~ DATE DJ'I/OY , U" " APPLICANT PLEASE COMPLETE BELOW Type of Fixture Qu:antity Bath Tub with or without shower t- Dishwasher I Floor Drain Lavatory (Bathroom Sink) I Laundrylfray (lor 2 compartment sink I Shower Stall I Sinks I Bar Sink I Water Closet (Toilet) I 7." Type of Fixture Rough-ins Water Heater ,. Water Softner Stand Pipe (Washing Machine) I Sewage Ejector Backflow Assembly Backflow Assembly Test Lawn Sprinkler Other FEES.....u....ULE IndustriaL Commercial &. M.ulti~family 1'% of job eost with a $39.50 minimum esidential, New One &. Two.Pamily $99.50 Residential, Additions & Alterations $39.50 Estimated Cost S PLUMBING PE STATE SURC TOTAL PE (omCl:. Use Only) This Application Becom.es Your Building Per Building Official Dalt 8tJu.D~vm~ .50 Ps:/M,.,. $ $ $ ~) ~.(~ \~ 0 ~~ [S.~ I Receipt No. I~\ 1MJG 1/ ZUU4 ~ I By 24 ur notiee for all inspections (952) 4< B~O, fax (952) 447-41A~ PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS SI' S WEuJ~,.~~. Q)&A.'" NATURE OF WORK ~~ ~-sr1!l.At;;Tl6 ~ USE OF BUILDING ~. F\ ~ · -. PERMIT NO. 03. /559 DATE ISSUED ~ 'l' CONTRACTOR L."'. ~~ CDN~T'. PH6N~7-DD17 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT , ( -'fIlA INSPECTOR -"" DATE 'FOOTING OcdL '6.;y..;'-\ I t/W" /-/,-/-Ot../ I FOUNDATION (Prior to Backfill) I l/lIf--" I ,- 2:it-. Dc / PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH. INS /"1 SEWER I WATER I SEPTIC , ~J?./ FRAMING ~. L ~ ~/l'.>ful !/14'. " INSULATION j. .1. ~ (; J; f I' fr J//I t' ; ELECTRICAL PLUMBING j.,L, 4ij 6/~~~'I, IM// 5 -J)..-tJVj HEATING (ifrequired) Lf. /I'd tl...s'j.y M ~/-(~--<lCI . . I FIREPLACE Lt L. ~ ~/rS1(?)., ///.#'/ , 4-f3--f/'L1. GAS LINE AIR TEST (.,2) /fIr ~_I' fr-r I/Lj/l1/f ' -:J1;ClVL' ~;C a..u; v",.,..~,l,. /..~ ~.Y COVER NO WORK UNTIL ABOVE HAS BEEN SIG ED' 't,[gNi7J ~, 1J1fI. JIal' 6/~ft( FINALS GRADING (Prior to Sodding) , , AlI5 Iv. r. d 4- ~ ( ~ BUILDING 'i-C--/J (.'0, c:; /l.5ftj / - ~ p/,A.?/cJY ELECTRICAL I ~ ~/y N~ PLUMBING ~ JI/?/o{ HEATING ~ ~p/ ,/0,/ /J J.. ;pO ~OT .AJ~CJdPYj UNTIL ABOVE HAS BEEN SIGNED ~ 1;0 j/to;/ I J g~c.l: ~(j 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, 'A- )-MI 'L./-/:;- --dt / &( . .JO-d/ FOR ALL INSPECTIONS (952) 447-9850 QIedifitate of <IDttupaUtl,! CITY OF PRIOR LAKE ~~padm~nt of ~uil~ing Jlnsp~dion ft{Final 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 Bldg. Permit No. 03-]559 Occupancy Type R3 Type Construction VN _ Fire Zone N / A _ Zoning District R 1 SD Legal Description L 11. B2. WILDERNESS PONDS 2ND i , i I i I I I l Owner of Building Site Addre" 5115 WELLINGTON COURT ContracM'sName&Addres,!,J HENNE CONSTRUCTION. 5115 WELLINGTON CT.. PRIOR LAKE.55372 ROBERT D. HUTCHINS~ . City Planner_ DON RYE Date /-Y..z1/27"al . Date ~, ~ , "..' ,." """ .- "" . 'oIlll.i . DATE (!/~'i ADDRESS --.0><::/ / S We /;: y 4-. c/ OWNER CONTR. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ~MECH FINAL C.Q~MEwrS: I ",. / ,4 ~/-c::'c'7//~ I /1 j., ~~ .AI ~.: _~;' ~ cd L j-;'f~4c~ r;-~/-s ~ !;)(. q Vb/!" ~s (;,J ~/?, Y;;/d' /rkcA; ~~ / Od. (~ ~~d/ /k..~/e.,- ~ M ~h d;r, J~/ ()J ft/e~cI rd?) &/h e&-dt~ 1/ /6""" ~ ~, 4<c.~/h4-...,.r- / ;/ / __ GJ; A'/Y' f'd .s:,d ~ Z;-<.'l!S 4 Tlt'r ~~.. f j?r4 d tL '!"'Prc-v~ / __ - - I( ~~ /.), [: CJCfl/Vf 1; :=)'ORK SATISFACTORY, PROCEEO h--:ORRECT ACTION ANO PROCEEO o CORRECT WO~;~ FOR REINSPECTION BEFORE COVERING Inspector: /~ Owner/Contr: CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~'::~~NSPECTION TIME CJ3-~ o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI ~FIREPLACE FINAL o GASLINE AIR TST o / I . J/9/to/' ..../--/- '///J/Ot/ CALL 0147-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSN<>n CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH '" SAFETY! f; DATE nME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ~ 10 -9-O~ 3:<90 ADDRESS 5/1S" ""d/'~kH\ C l' o FOOTING o FOUNDATION o FRAMING ,..e.~~SULATION ~NAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP D PLUMBING FINAL D MECH FINAL L.r JI~I'//1{Y1 Oi-/C<:"j Jfl{~ILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o OWNER CONTR. PHONE NO. PERMIT NO. COMMENTS: (:"Q,k-l9/(.. PA.'./6 &.F--(l:)Y - .- c..llW ~/(nb/ JI} ()~ ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING ln$pector:d~ - Owner/Contr: CALL 447.9850 FO~. THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! '''''''''' CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME SCHEDULED ;;/f./t{' . 5//r We/i;'y,l,_ c.,L- CONTR. ADDRESS OWNER PHONE NO, PERMIT NO. CJ] - AS,,) 7' o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING Rl o MECH RI o WATER HOOKUP o SEWER HOOKUP _ -'I:UMBING FINAL o MECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: ,,/ / /q.//#tJ~ 7Yr- (3) eJ ~ ed ~o /~s~/!';i" /t'or ~ / /--r/ ~r~:-o___ ~e>'/~ .l?h/S-h~/ ~ ~~ ~~ .!:$!' - / / /)/' / / ~/ ~~, 'C/P... T '/;:4/ /1.p", ~ #~ -/ /'/-'>R'/t' ..-r/t/ G> ~~\, 7/k.. cA- , . - :/:- -'- r-C / _ - / / '7'-""<1 -r 0 ;' C ~Jnrc/~ .L//;4:A o WORK SATISFACTORY, PROCEED (...,....../1 C XCORRECT ACTION AND PROCEED /0 'cORRECT WORK, F REINSPECTION BEFORE COVERING j Inspector: Owner/Contr: OR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! ....."