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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." ~,. ~~.I~-f>\ , 1/ /h \?\ ~ II \\;-~ ", ,c'",,:;:") ,,__.9 'A.PPLICAN'I': ~e\ ~~~, ADOR=:SS: 5iJ;Z ,;b~ ~4<: ~, ."fid~. . ._._..._.___._._.__ -----.......- ~r.".,.)I;,l!. yeu..o'W . "'....,'.tCA~y c;.t')\O . err,. '",..,'" ",' 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{ S'~ -: ':~,:,.y~? '"-:: . 3:'CG. ~'::""~'A'-;"."'T" ~ .. --- -.- - ':' , , 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~~~ ~--- I/~~,:~. '/ . , r ,. --- '-'"'~" ,,, '"'' .., ".!." ."''[) 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