HomeMy WebLinkAboutBldg Permit 04-0533
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main Filei" FiI,
2. Pink City
3. Yellow Applicant
Date Rec'd
3/?rif
PERMIT NO. {):t. 0 5.33
(Please'!vp~ or print and sign at bottom)
ADDRESS
A/tJ
I I
ZONING (office use)
37/.2
1f(7~#hf'/'r>/
If;j t'
J
tfd'
jt<)
LEGAL DESCRIPTION (office use only)
LOT )" BLOCK I
ADDITION :If r;: N.s
Sot( TJ...
PID ..tr - 3'1 S - 04..5~ - ()
OWNER
.(Name)
(Phone)
(Address)
BUILDER JJ
-(Name) bJ I'A/5/11ltA//'V d /YI ff
(Contact Name) G err y 5
(Address) IfYS- /k2~ Or
r &\9ti,l\/
V
/JJN
(Phone)/"'s J - 'I () t .- "f '/ fJ IJ
(Phone)tl..2. - 3i 9- 7(,/.2
5'f /,).)...
TYPE OF WORK
~ew Construction
DDeck
DPorch
ORe-Roofing
ORe-Siding
,
DLower Level Finish
o Fireplace
DAddition
DAlteration
DUtility Connection
o Misc.
PROJECT COST IV ALUE (exduding 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 t'.~t''''''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
;t"'21;;~'} to perfo nee d inspections. I r,. f- .,_ r _ 0 Y"
/ f/ Signature Contractor's License No. Date
I Permit Valuation /1"5', cJtJ () I I Park Support Fee # $---
I Permit Fee $ /3Ra ,Sl) I I SAC _~ # $ 1~:5,{).-
I Plan Check Fee $ J?:Y9'df I I WaterMeter~l,l"; $ dl,')o.tJO
I State Surcharge $ 1J1,,b"{) I I Pressure Reducer $ ~<;;. <10
I Penalty $ I I City SAC and WAC # $ (d-O().-
I Plumbing Permit Fee $ 100, -- I I Water Tower Fee # $ 70[J-
I Mechanical Permit Fee $ '- D1 , -- I I Builder's Deposit $
I Sewer & Water Permit Fee $ l %,. >c I I Other $
I Gas Fireplace Permit Fee $ LfO .'-- I I TOTAL DUE $ (p / eo. 7 6
This Application Becomes Your Building Pemtit When Approved
~ ~ S-/,'!/O<!
Paid
Date
u/ (fjO ,7'!J
!.I'i. O~
I?lNO.
~t? 7~
Building Official
Date
This is to certify that the request in the above application and accompanying documents is in accordance with the~ 1Sfin8r~~H..~~e~...:ld. This document
:-vhen signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows constructio~. IV~cmll""'LrtIeancy must be
S..'V ~ Sjtc;/oif
Planning Director .{;a~ Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Th", C",nl"'T nl ".'" I.i.k", ('ounlry
See Main
Whita _ ~I'ilrling
~narv - Enqineeri;:;g-...,
File Pink -1-'18nning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,
,
,')r'L._";;'~.jl
jC/
,,-.,
l
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is_l?roposed at:
i
'-~\
',' j
l::l/
" -\
''':1 / <:..:?-~.'
,/\.,--
":,.\:,,-
Accepted
eX:.
Accepted With Corrections
Denied
Reviewed By:
/Y14Il,
. -..,;....
Date:
S--ZD-(5J,-/
Comments:
Se~ /J4//t F,fc
"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."
/cfYR/Ofi'
~~
Th~ (-~nl~r "r the t,lIkt ('oun(~'
See Main File
White - Building
Canary - ineering
~ink - Plann,n
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~
( /
I
I
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:
c~
~~).J
Date: ,-s;II~~ t./
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,"
@~x PRiOR,
.l. .
" ~
o 01
See Main File
/\"'h;t,l.-~ 8uildliiq::,
Canary - Engineering
Pink - Planning
1 h~ ('~nl~r or Ih. I.ak. ('ounlrJ
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
a~~~~
.5 ~ 3-()</
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which~roposed at: .
\.~9 J~ M;~~ ~:ej}d
. . I U.... /
Accepted / Accepted With Corrections
Denied
Reviewed By:
~
~
~p
Date:
6/11~"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."
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'A.PPLICAN'I': ~e\ ~~~,
ADOR=:SS: 5iJ;Z ,;b~ ~4<: ~,
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yeu..o'W . "'....,'.tCA~y
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C!'r'Y OF PRIOR ~.KE
SEWER P.ND Wlo.TER ?S:t.~IT
NO.L/.. 533
NOTE:
Sewe:::- and Water
contractors must
be res istered
w'ith the city.
PHONE :65)-'-1:9-~ J~.
OAT:::: sfs-Ib t{
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FIL!..
I~ 'TEE
S L'..1'<:i<S
'30
te~,,;:'.
1.
ES't.i!':\2.t;;d l~ngt.h
of wd~er se~vice
2.
Size of wa~e~ se=vice
/
inc~(es). ~
s~:::-'.lc~ure \\9/\4\
feet.
J.
Lccatior. of any co~?lin~s from
Type 0: se~e~ pipe. ABS PVC ~ Cast Iron
:::5':.i.:<\2':.ad leng~h of sel,.;er lil"le. .3b fae~. -
Clean out (if re~irec), l~ca~:~- at ~i;,JVl- feet
s":.=....lc-:...J.::-e. ~
f:!:"om
4,
5.
6 .
====~=========================~====~====~==~==========~=========~~
Th~s a~9lica~icn becQrnes ~O~= pe~~t ~hen 2p9roveC.
B',
OAT:::::
;~~~=~===~~z~~~===~~~~~=~==========;=================;~===========
F~=:S:
Sewer and wa~er line connec~ion pe=mit.
Surcharge
TOT::>.L
~
5
~
35.00
.50
35.50
* ?~~ fc= eithe~ sewe= c= wate= i~~ividua:ly is 520.00 plus
S .50 s~~c~ar;e. --
Se'.Je:- anc:t.'fn:l i?'I'i~~ssuec. :0:- ne'.J c::>ns':rlction mus-: be
~~~o=de~ ~~~i~' ~ pe~i~ ca~~ a~ ~he time of ~ssua~c~
~....... ;"'5"-e ~,~ no -'u~, a~o $'''e- al"'" .''''...8..... jQ---;~ ",T'"-
i~s~~c~- "JUN 0 7 2004-~ ~- .,. - ..Q W~~,~ ~.'-~$ ~-=
,,___ _,-~ "'.CU'N.'-. ,,_.,-_, D ,:1"':" O~ r
~.:~:::~-: By ;~C' 0 3'! . "U~~~
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L9EO-m-IS9 DNllV3H ~ DNI8Nfi1d mN3,1I WOH3
9
d 88SES0098vOV60: 6 18/01: 6
vO ,SS (031.1)
10/24/01 WED 11'22 FAX 8124474245
CITY OF PRIOR LAKE
I4.J 00 1
Dltt Ree'li
CITY OF PRIOR LAKE PLUMBING PERMIT
:.:: ~~~ LPERMITNOJ~..."":2-<1
I. V.lboo- -",pfU:W --T' \J rJV
rPJca,e r:ype' or 'D1'i:nt &cd .ij,:J ar borwm)
-,i.onR:eSS \.) \____ .\)\ \ ~ \
0~1~ \3\.~'Oe'(~y~~~~'
ZONING (oSee....)
LEGAL DESCRiPTION (ollia:... 0011)
PID zr..JfL~ b
~~R l,,\eJf6'ffio.X\\\ ~\ome>::, . (Phone) bSJ-'-tD(,,-.tjLjDO
(Address) I2,CfS-"Pb.L~ k. 2>>\~~,() ~Y\ .~I'\, SS'):;2Q...
- I
~~~~~ANT LJ~el ~\'D~ ~ \\\~~tw:. . . (Phone) ~/-Ifs)-J5bS
(Ad!4-ess) 17/D 'f\~~\\ct~ ,<.d. ~ tvW\. :::c,lc2/
(A~ - (City) (Zip Code).-
(CantactPer>on) \=i-~ ~?_~_ 1_ (phone) tS-I.-L/.Q.-15bS
AFPLICANTSIGNATVRE ~ _ _ DATE.__ c;J5/0~
..:h'LlCANT PLEASE COMPLETE BELO~ - . -
Type of Fixture I QlIlIntity Type of 1/b;tun
Bath Tub with or without shower I Rough-ins
Dishwasher I f I Water Heat....
Floor Draill Water Softner
Lavatory (Bathroom Sink) I ISland PlpC (Washing Machine)
Laundry Tray (I or 2 compartment sink I Sewage Ejector
Shower StaJl Backflow Assembly
Sinks Baekflow Assembly Test
Bar Sink lawn S,.inkler
Watcr Cloocl (Toilet) Other
LOT
BLOCK
ADOITION
Quantity
r?-.
t
i
5
:J..
I
I
Jj
FEE SCHEDULE
Indu'lriJJ1, CommerClijJ &. MUIIi..family 10/,01 job eosY ...,ith a S39.50 minimum Re.side:n\lld. New One & Two--Fln'lil'y S99.S0
R~,id"",;.1. Addi,ion..t AIt..."O", SJ9.S0
Estimated Cast S
Building Permir ~
PLUMBING PERMIT FEE S
ST A IE SURCHARGE S
TOT At PERMIT FEE $
.~o
'::11 ~.
. rrJJ~ 'fFC) k<
~i<~~
~R'"
""1/4)-
10m" U" Only)
Thi! Application Ik<omes Your Buildin~ Pormit When Approved ~'[Eat& [l! 0 ill [l! nil ReceiprNo.
8.ildlneom,;.1 D'l<. mi' 5tl'N 0 7 ?Ofl4 ~. By 6
:4 hoj,j/ ~r:;tit:jo!w all inJpcctio2t1 (ffiJ Of ~i.;b5..;, ';.liIlt. ,~51) ,,-.,...Jl~:S (/
S d 88SES0098~ON/60:6 18/016 ~O ,SS 103M) lUfI,n-7~H~g DNllV3f< ~ DNISWJnd mN3,I\ WOH3
07/19/04 09:55 FAX 6518949955
WENZEL HEATING & AC
Ii!I 002
CITY OF PRIOR LAKE
IlEA TING/AIR CONDITIONlNGIFIREPLACE'.PERMIT
Date Rec'd
q'lease l\'IlC or orin< 3lllI rim 11 bOllllml
ADDRESS
_ ~~J:,2 '. T~</w~eu
-, )
LEGAL DESCRIPTION (olliee use ODIy)
i ~ .~. I PERMIT NOA&. I\<<~
1, Ylllaw AppIiQIlC ~.. ~
AJr &J
ZONING (ollie,,,,,,)
LOT
BLOCK
ADDITION
PID
OWNER I.
(Name) 1)1tJ}JS/'fbfff\
~
(Phon~) ~'51-4M-44-'2/~
I (Address)
.,
APPLICANT _ / ,/ / 4 ,,~
(Nam~) ~,,^/7/.:>/ ~r7 (phone) l-,<:::;:I-'YCl ~llSIl'\
(Address) 41:]/ dd ~/I??// ~//J ...-9--<"Jrl;/
(Addre,,) / - - ~tyi
(ContaCt Porson) ~ AJ / -; Ad (phon~)
. APPlICANT SIGNATURE d.4?r/ "y,)k _ P,ATI ?,~q
APPLICANT PLEASE COMPLETE BELOW /
jii!!!f<EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FUR.."IACE MAKE AND MODEL bv/\/n'l h 51 ())":2." 'I c:::;- FUEL ~I-
fLUE SIZE o-?-::<" RETURN OPENINGS ---1.a INPUT "?S, fY'r) OUTPUT hi 9:V
TYPE OF SYSTEM HEATING OR POWER PLANT
~:um Air Plants 0 Steam
OOravity 0 Hot Water
~!,lechlllical 0 Radiation
~ir Conditioning 0 Special Dcvices
Went SYStcm 0 Other Devices
............./(.2-
(Zip Code)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
S~tbacks
fIREPLACE MAKE AND MODEL
- - _._-.-
- - - -.
Indl..1Strlal. Commercial & Multi-Family
FtE SCHEDULE
I % of job cOSt Residential, Gas Fireplace
S39.50 minimum
$99.50 Residenti.l. Additions &. Alterations
S64.50 Residential, AC Only
$39.50
R~sidentiaL Heating de IVC (New ConstruCtion)
Resjdential. Heating Only (New COn.stn.lCUoll)
SJ9.50
$39.50
Estimated Cost S
Building Penni! #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
;'-'r ~,..,-\ ~ r.(~'J::".~~
~~V\:L~ \lu'~ L G~
;:;inr'~;' ~":":'o..!"e,!;:""'----~ i ..
.50':;~--!_:_~,..I"'1\'(~':;' ",.- '_,1
(om,e Use 001,)
This Application Becomes Your Building Permit Wben App~oved ~~ lGJ [~ U lilli: ijic~.' ceipt No.
Build;.. Offici., Du'" 111r~UL 2 2 2004 ~ II~Y
14 huur noli.. fur .11 ;n;~.~tiu~. (~~i) ~~. m~:~~ (95ii~7~2~."- -ocr---"---.' ,--.--. -. -- -
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
L Pink
2. Green
3. Yellow
File
City
Applicant
I PERMIT NOt/- S~31
.
(Please tvPe or Print and sim at bottom)
ADDRESS
ZONING (office use)
3912 RASPBERRY RIDGE ROAD
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name) AT.T .TED "FTRESTDR DRA FTRRSTDR HEARTH & HOME
(Phone)
051-033-250]
(Address)
7700 NORTH F AIRVIEW AVENUE
(Address)
(Contact Person)
BRENDA HUSTON
ROSEVILLE
(City)
(Phone) _65]-633-256]
55]13_
(Zip Code)
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
4/12/05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPEN]NGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent System
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Industrial, Commercial & Multi-Family
HEAT N GLO PIER-HV
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
FIREPLACE MAKE AND MODEL
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
!I;
$
~'D WrTH
.50 IU'LO'NG PERMIT
(Office Use Only)
Buildine Official
~ ~~, P D \1;1 l~ '~~
~ I l3ate I By
Date . Dt\- MAY 2 3 2995 ~
24 hour notice for all inspections (952) 44' ~1s\;0. fax (952) 447-4245
Receipt No.
This Application Becomes Your Building Permit When Approved
!If
:J
By _____._=.--~
PRIOR LAKE
INSPECTION RECORD
~4Cj
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING 'P R
PERMIT NO. 1:) 1/. 0 5..3.3 DATE ISSUED
CONTRACTOR S PHONl(~k-3' q.. i,l:J-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, 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
HEATING (if reqUired)
FIREPLACE
-GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~,7U~1fl)6 I
FINALS
/#4 .
na'
(~6 7- -( (~
~
fli' c/-Z7-(J!>
/6/,u, /c;'/'
/0/..2-2/7'
/o/z%-/
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
~ .
{t!; {
.
t.../Cf /0"6'
~ v
t-Jc (l"1J ~/2{,/ d
V
UNTIL ABOVE HAS
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.
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850
i
I.-
.......
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS n l2.
!~~.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDA rlON
o FRAMING
o jDI8tlLATION
I! ~I~~L..
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~() 'h !')J
~~ CHA ~ ~ '''('
~TIME
q - D5"~\
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
./
~RK SATISFACTORY. PROCEED
o CORR TION AND PROCEED
o COR EeT . CALL FOR REINSPECTION BEFORE COVERING
lnspe or: . Owner/Conlr:
LUSO FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
V
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSHOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS -3"'117_
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED ~
~~~~ti t&~
CONTR.
PERMIT NO.
(f - '537,
/'
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
.Ii!f PLUMBING FINAL
o MECH FINAL
COMMENTS: '\.
L(~. r=
2. t(,tL,. ~ ~
J, 2,-,J~J..( ~...U:J:. 0;'"
o WORK SATISF TO Y, PROCEED
~ORRECT A ION NO PROCEED
o CORRECT W? CALL FOR REINSPECTION BEFORE COVERING
Inspector. f':\L I Owner/Contr
CALd L7~~ OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE~IREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
IN31<<Jfl