HomeMy WebLinkAboutBuilding Permit 01-0154
I. White
2 Pink
J. Yellow
File
City
Applicant
Date Rec'd
Z&2-I-O/
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tyPe or print and sign at bottom)
ADDRESS
t:::;J"7?' /,/,t;L/_/~f f,u (1_ +- So ~^
LEGAL DESCRIPTION (office use only)
ZONING (off"e use)
~ /.sf)
LOT t BLOCK _~ ADDITION 01 /,/ '" ,_ h/t::'s 5
:\ E (if''''' J4tI'-I PID z..~ 33 Pt"\ 2nn
OWNER
(Name) _Fy.pd
.
//JAEt.."pL
(Phone)
(Address)
BUILDER /
(Name) ,-5 /..I.r11/tf/.dto
,
(Address) I b ? 0 () t.,o 1 H,d &, 1.- L;-1/ <; K
crOlfC,";
(Phone) _ <f 47 ~o 7 7
~/Z. - 25/- 08/3
;::; L ,
TYPE OF WORK
~New Construction
ODeck
OPorch
ORe-Roofmg
ORe-Siding
DLower Level Finish
o Fireplace
DAddition
DAlteration
OUtility Connection
o Misc.
PROJECT COST /V 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 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 upo;zroperty to perform needed inspections.
X _,,~ ;JSi~ature con3,~s~c:f:No 2::2.. !.,; 20 01
c;l.~oOO, (Ji)
I Permit Fee $ 1.l...13.75 I I Park Support Fee # $ ffiJ.OO I
Plan Check Fee $ ':\t'I~ !SAC # $ 1.1 SO.O ()
size~;
State Surcharge $ /I '2. . 50 I Water Meter I"; $ , 9S.0Cl
I Penalty $ I Pressure Reducer $ LIS .On I
I Plumbing Permit Fee $ ID(,) ,(x) I Sewer/Water Connection Fee # $ t I ~c:o. oc) I
I Mechanical Permit Fee $ 1fY>\.oO I Water Tower Fee # $ -f]()!) .00 I
I Sewer & Water Permit Fee $ 3S.5'O I Builder's Deposit $ ( J ~(Y"J.&1 I
I Gas Fireplace Permit Fee $ 4. (!) .00 I Other .96NfFICltIVT 71t6E:5 $ 500.00
~F-'--- I TOTAL DUE $ 9. ZS2.b9
.
_ _ .<-..<3-~( I Paid '12-52... CI 7 I ReCeil1~r
BUilding jSfficial Date I Date 3,-q-OI By.//
I
This is to certifY that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and ay proceed as requested. This document
:;~~~::::n:iM"a"mpo,~c,rtifi";A;;~Plim"and'~'ttu~mm~;:ru~-==~a=:'
- ,;.. (anning Director Date Special Conditions, if any
24 hour uotice for all inspections (952) 447-9850, fax (952) 4474245
~~
White - Building
Canary - Engineering
Pink - Planning
Th~ C~nlt'r of lht' t..kr COun11'}'
aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L :r H{;NNE- N
2- 2. J -() I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5/2Co WELL-l f\IClTDN (,X s,6
Accepted
Accepted With Corrections X
Denied n / Y'J ~
Reviewed BY:~ ~ ~
Comments:
Date: 2 -23 - 200/
l. ~J) ~l( Q~ ~- d)~ -
"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."
,.._.._ -='00
~~
White - Building .
Canary - Engineering
Pink - Planning
Thr Crntrr of thr ukr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L :r H(;NNGN
?- - Z- I - () I
,
,
\
~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at
bl2..~ WELl\ 1\)cSjwN ex s~
X
Accepted
Accepted With Corrections
Denied
Reviewed By:
/II t1 15
Date:
2-2.3-01
Comments: See Reverse Side for Additional Information!
~ee Attacnments: 1) Graomg Plan, .2) Erosion Control Measures
3) Erosion Control Plan
"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."
._~------_..~-_._-_.__..-
~~
.
White - Building
Canary - Engineering
Pink - Planning
Th~ Omler of the L.b Counlry
-
.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L :r HSNNE.I\J
2-2.J-{)j
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
S ILlc \~[Ll \ 1\c:fTDf'~ CT sf:
Accepted
~
Accepted With Corrections
Denied
Reviewed By: //~ ~;/ ~~
(/ -~
Date:
3/~/e{
Comments:
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P{~'1/~ +-~J ttZtO,W \fb (~,
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"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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CITY OF PRIOR LAKE
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I4IZOO..... c:r.kNr. ..... AtIr'--. Y . 5"n' PIa. (.,2) ,,"...no I FAX (612/ ..7-04:45
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MAR. 12.2001 12:18PM
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GENZ RYAN 6513226147
NO. 900
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CITY OF PRIOR LAn: NO. 01- 0/54-
SEWER ANO WATER PERMIT
NOTE: SeWer and Water
contractors must
be registered
with the city.
APPLICANT:.r_V'\~... ~'nl~ u.,.,on.u('~ PHONE:~I-L.j.2."!a-IILW
ADDRESS: ~""""""",,,r c;"~a.lt.DA'I'E: 6\\"2...\0 \
SIGNA'l'URE: BLDG. PERMIT # () I... 6154-
SITE ADORESS:S\'UD . ~~Y.llll".~" c.:r 'S.C PIOi 25- 3~B"'0 2..0- ()
FILL IN THE BLANKS
40'
Estimated lenqth
of ~ater service
"
I
feet.
Size of yater service
inch(es).
Location of any couplings from s~ructure feet.
Type of sewer pipe. ABS PVC X Cast Iron
Esti~ated length of sewer lin~~' feet.
Clean out (if required), located at feet fro~
structure.
_;;;;;&i:~=_.
This application
BY
'-
----==--.----
___--:E:=:==::_
FEES:
$
$
~
35.00
.50
35.50
Sewer and ~ater line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge. --
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the ti~e of issuance
to insure that no duplicate sewer and water permits are
issued. ~
nfl..\O 'J'J~'C.?MS\
DATE PAID AMOUNT PAID eU\~J.'\r., \ .
RECEIPT # REC'D BY
. 4629 Dakota St 5.E.. Prior lake, Minnesota 55372 I Ph. (612) 4474230 I Fax (612) 4474245
AN fQlJAl. oPl'OIlI'UNlTY EI'oIPlO'IEIl
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permil No. 0 1- () !!iL./
Prior Lake, MN 55372 I
HEATING APPLICATION I PERMIT
Dale '-'1- de) .. \ PD' 015 - 3.3~-DJ{J-{)
SIIe Address S \ ~ \., "-J" \\ ~ ~ \-(0""1 '- \-.
- Lot -L Bleck '3 Addllon/tJ U$2t0'JIok' P nda d-"J:J-
Owner's Name U \\~"'V\....-. (l:>"'\\T'
Address \\, \M ~~~~,,~1(N Luk r'f':t>- ""I~
Healing Contraclo~ f\...r\.'V'" f-\-; - \ () L
Address \ \u ~ Xu \..1 <\.. \ [r.,~ AJ I
'15';).- \..\\-\"1- '6\~"\
Pr,::'_ \.L,I~
Telephone/l
FurnaCll Maka & Model ( l.o. ... r,' t---
Mod"ISlze. \'\~t\... \ \)~
Conn. load. \0 '::J ~). \
Fuel (\) ~-\- flue Size (J V c..
Supply Openings . ';). \0
\\
TYPE OF SYST~
Warm Ail Planta~
Gravity
Mechanical )l
Air Condllcnlng ).e'
Vent. System
HEATING OR POWER PLANT
Sleam
Hot Watlll'
Radiation
Spacial Oevas
Return Oponing.
Input _, ~: )~'\.. 0uIput..::1S MID
Edr.
elm.
lC)IQ
OIheLDeVlc;
. ~- l;';~(@.1
TYPE OF WORK
Altelallcn.
x
Replacemenl
New Conslrudlon
Repair Est Camp. Dale
Est. Cost $ \;;l J C)~ ~ Building Perm~' .
HEATING PERMIT FEE $
PAID WITH
BUILDING PERMIT
~-
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
Racelpt /I
Single FemiX,
Corrmeraal
TYPE OF STRUCTURE
1.1'101<
I. an..
3. YcDow
Fib-
a",
"""","",,
3
D
-<
Two'Famiy
Industrial
Mutti-Family
Public Other
....
Fee SclleduIe
Industrial, C_... ...._:al & Mu~I.Family
Residential, Healing &AC
Residential, Heating Only
Residential, Gas Fireplace
Residential Addiions & Alterations
Residenllal, AI; Only
N
51
51
....
1 % '01 job cast 1$39_50 minimum) r:!
$99.50 PLEASE NOTE: ifi
S64.5O Air Conditioner Units Canne ~
S39.5O Encroach Into Required Side
$3lI.5C Yard Setbacks.
$39.5C
Remember to add the Slale Surcharge on the bonom of this application.
3:
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25
D
H
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The price 01 your heeling permit ir1cludes one mugh~n and one linal inspection.
Additional inspections will be billed al $35.00 each.
House Heating Test Record must be submI1Ied with 2IIJl!lIng QmIliI. md!!IIllll belore bLild-
;"g cetliicate of occupancy will be issued.
~ CAl.Cl RATIONS REOlJIRFO with number 01 supply and relt8'n openings listed per
room with CFM's p.... opening. New structures or 8ddlllons send ll00rplan wilhsupply
and return :"...::",,_ shown. HEAT LOSS CALCUl.ATIONS, PAYMENT AND
APPlICATlONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR lAKE, MN 55372. .
CiIy H~ businus hours are 8 am. . 4:30 p.rn.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL).. CAU CITY HALL
447..850 FA/( 1.1-47' *2.~S'
I hereby apply for a mechanical systems permit alld I acknowledge Ihat the
in/ormation aDove is complete and accurate; lhat lhe work will be In conlormance
with !he otdlnances and codes of the cily and with !he slate building/mechanical
codes; Ihat Ihis rorm does nol become a permil unlil signed by lhe BUILDING
OFFICIAL; thallhe work will be in accordance wilh Ihe approved plan in lhe
cue of all work which requires review and approval of plans.
~n~^ \ I~~
APPIi~;ature
BUildin~'S Signature
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l.-r Dole
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Dale
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 51:).{ 0 \..~.lI;"'€3+-a.Y' eLt-
NATURE OF WORK kJ.e.w
USE OF BUILDING ,~F' n
PERMIT NO. 01-0154- DATEISSUED ~.';;l3'~l
CONTRACTOR L.~. [.{el;\II\...c-..-.~. PHONE 4L1I'j-ool'}lf
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, FOOTING I ,.JJ;PEC:TOR I :3/1 ;;TE;
, FOUNDATION (Prior to Backfill) I I3r, 13!,,8,h1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I SEWER I WATER I SEPTIC 1>~~
FRAMING
^
INSULATION ~ 'b;n ("r ZSi IKJ L, t. I
I ELECTRICAL '
I PLUMBING o~ t)'ID/O(
HEATING (if required) ~fg;1 ~} G) o(
FIREPLACE It/ 1 t?t;f~((:; I
GAS LINE AIR TEST . ~.\)~ 6~ A,lt)( ,',~"
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I W, IPI/z./o /1
FINALS I
GRADING (Prior to Sodding) . )1 f5
BUILDING-(.(.oli:.U (o/lslol ~. 'J/Z()h I ~.
\ .
ELECTRICAL
I PLUMBING
I HEATING
DO NOT
vfi~~
t#rk
OCCUpy UNTIL ABOVE IHAS
NOTICE
4 ~ el
(",/11/(J/
ffi, -( 1& I;; ~/tJ (
,. , .1\
fa ,Jr. 0 I
'II {, la 1/
1//1/0,
~I ~!t.1
BEEN SIGNED
"
This card must be posted near an electrical service cabinet prior to rough.in inspections
and maintained until all inspections have belln approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
(_.,lllII1.'.".~iiIIl!1Ii!y....... .~.~ ~
.~.~~ ,'-, '..:y::;..'~' ~d ;"J[*~~~, ,~~j'~':!ii^j~^j:s.;"'.:S.l'I~.."h. ~I'"
:tr ~trtiftcllU - ~ ~tmplIlI!!J
;.' CIT Y OF PRIOR LAKE
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This Certificate issued pursUQJlt to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of isslUlnce this structure was in compliance with the various ordi1llJllces of the
City of Prior Lake regulating building construction or use. For the following:
Use Classification.
SINGLE FAMILY
01-0154
R3
_ mdg. Permit No.
N/ A ZoningDi,trict Rl SD
Occupancy Type
Type Construction VN Fire Zone
Ll, B3, WILDERNESS SECOND ADDITION
Legal Description
Owner of Building
~ite Address
,126 WELLINGTON COURT SE
Contraclor', Name '" Address !,J HENNEN CONSTRUCTI ON .
ROBERT D. HUTCHINS'13-=t- City Planner
~il'iing gfflcilil I
'1//,., It z-.
16700 WINDSOR LN. SE, PRIOR LAKE
DON RYE
Dare:
Dare: _
POST IN A CONSPICUOUS PLACE
/
DATE
~"2.
tJJLU~ ,,~ (l~
J
CONTR.
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
Sldlfl
OWNER
PHONE NO.
PERMIT NO.
o FOOTING @
o FOUNDATION
o FRAMING
o INSULA nON
Ii' FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS.s;' r.
,t!,-LJ
TIME
,4. 11
tJl - /S~
~ORK SATISFACTORY, PROCEED
o CORRECT 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.
1/i$l'iOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~/'),(,
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
P FRAMING
o INSULATION
~INAL
o SITE INSPECTION
DATE TIME
SCHEDULED /()~,
Wtjl,'YlQ-/-o", Cr
C~NTR. L rtl",,,t'.YI
PERMIT NO. C:> 1- / ~ '-I
AIYI
(."II'I~{.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
.xE~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~rJ" &)t.- t:)1(
6,..c(//~ - ~r
XWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector~ .Fc::....... OwnerlContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
tf-19 -0/
);30
ADDRESS
,51.2- fc, (;U UullJ 6 77.:!/J Q,T
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1-/54-
o PLUMBING RI 0 EX/GRAD/FilLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
~EWER HOOKUP 0 FIREPLACE FINAL
PLUMBING FINAL 0 GAS LINE AIR TST
o MECH FINAL 0
CO::,~:S~.-fM;A'-" ' j~ &-
~ .' .;;... L,f..., ~ ~
/?l'\ ~ ~ (.I~~
ey r r
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
~~~.
o WORK SATISFACTORY, PROCEED
'J!1 CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTION BEFORE COVERING
Inspector:
~.
I
Owner/Contr:
CAll 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
.5IZb
SCHEDULED f::J().tJJ
tAl F--/ ) j /1/ G7VtJ
q:cm
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/- /54-
o FOOTING 0 PLUMBING RI
o FOUNDATION@DMECHRI
o FRAMING _ \ 0 WATER HOOKUP
-9-INSULA TION "" 0 SEWER HOOKUP
~FINAL ~PLUMBING FINAL
o SITE INSPECTION ~/,MECH FINAL
COMMENTS:lD K.~ /?r:d...; d<n, J~ ~
~.k~,
~"~~~~
~ a.P~ ~ ~ ~ .~jJA_~.O,
~ ~ ~ -61..-1 ...... ~ ~ 7t> r-~
C9 ~ ~ -/~ c.J fA'" ,II V I -
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
-r: c.. (} .
.
~. p(21~->.~.Ll (~'X.'h~ 1.,/(~7~ .,4,:.,)
o WORK SATISFACTORY, PROCEED
~ CORRECT 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.
COPE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
O/-DIS""
'JobAdd_ S-1,;J.-6 uJt!J!;..<b-
.Heating ConIrocto< METRO AIR
g,; d
.Permit#
*T esterslSign8lur.
Dol.
Ii!!!!
*a.. line
Pressurized
lnopocled
c},.
Pounds
f!!!!!!!!
PERFORMANCE TeST
'Pe,conICe" _t.;' ~ 'p"""""CO D9'd
......0102 b. '{'Yo 'SlaclrTemp. l,,2<; '"
Final ....spection
Date