HomeMy WebLinkAboutBldg Permit 05-0221
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE . A/'
AND UTILITY CONNECTION PERMIT ~ r 'l-(A:::J
See Main Fil~i~:' ~:~.
3 Yellow Applicant
Date Rec' d
PERMIT NO. 0 S-. 0 Z Z I
(Please me or I rint and siltll at bottom)
ADDRESS
.fob I l'~f' t-~ ~ LALlE.
ZONING (office use)
E/,{; D
LEGAL DE: ',CRlPTION (office use only)
LOT 5 BlOCK Z.
ADDITION u..ElZJtA<.~
t-- I I
pU:d5-dol5 - 01/-0
OWNER
(Name)
(Phone)
(Address)
BUILDER
(COmpanYNlme)~ l?l;lt_PES1'1l>l<-rs + BUIU7lZfS
(Contact Nafle) 51-E.",!? LE:.lYltl:..
(Address) It,foJl1 Duu.rl-~ f...V <; F-
(Phone) "15'2.. . #1- (}15S
(Phone)
TYPE OF W ORK ~ew Construction prJDeck &'Porch ORe-Roofing ORe-Siding
DAddition DAlteration DUtiliry Connection 0 Misc.
~L~wer Level Finish filJ Fireplace
f'".;b e I
CODE~.E .C. OLB.C.
Type 0 Canst netion: I II III IV V A B
Occupancy Gr )Up: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST/VALUE S
(excludiug land)
I hereby ccrti. ha I have fi.lrnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner OJ" authorized agent for the
abovc-mentl d p "OPt'r~nd that all const,metion w,1l ,onfmm to all ",,'ing state and local laws and will pmmd in accordance with s"bmitt,d plans, I am awa, rc that the building
:"al' ~:: pel :- JR:;.:. Fm'lhetmme. I het,by '..-" th" the "Iy Oftkta~ ~~:~nt" opon th, pmperty to p"folm it:;~t~t;s
~nature Contractor's License No. Date
1r/<;{JtOOO,OO
$ 1'773. 50
$ '157,7?
$ 'i!:'); Of)
$
$
$
$
$
Permit Valuatil m
Park Support Fee
#
$
....
Permit Fee
SAC
#
Sewer & Wate] Permit Fee
100. IJ 0
lOt), 00
3~.bO
'Id, () t1
Water Tower Fee
#
$ FI'SCJ, 00
$ ZS-O. ~1!)
$ s-t:>,00
$ / SaC), lJO
$/000, 00
$
$
Plan Check Fee
-----=--
Water Met"'" Sife 5/8,P. I";
State Surchargt
Pressure Reducer
Penalty
Sewer/Water Connection Fee
#
Plumbing Pem it Fee
Mechanical Pe mit Fee
Builder's Deposit
Other
(a/~L
TOTAL DUE
3. (!,,>,O">
Gas Fireplace] 'el111it Fee
$'1,04-1- 7f)
~:,o~dmgp;=;roved
Buildll!! Otlicial Dhte
Paid
Date
/
'/()f"/ -'Y .
4./<1. (1('
Receipt No. /.' f'tltZ<
By ~
;r
ThIS IS to certify th, t the request in the aboyt' application and accompanying documents is in accordance with the City loning Ordinance and may proceed as requested. This dilcumcnt
~~~;t()~:n"~tt:ot'~C't1ifi,ateOfZ03/;v~;'ws'ons'metionSee BMaili"f'File~ mostb,
Planning Director I Date Special Conditions, if any
24 hour notice for an inspections (952) 447.9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
~x PfHOI)> <'
~ . ~ \~
U . rn
See Main File
White . Building
Canary . Engineering
c:::--....rnK - r~~!lnlJ'iIP
~-
("hI' (-..nl\'r or Ihl' 1,lk.. ('nunlr~"
flUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N.l ME OF APPLICANT
AF PLICATION RECEIVED
i ..-/
'.
I.'
(
,..--
/;.....)
Th 9 Building, Engineering, and Planning Departments have reviewed the building permit
ap Jlication for construction activity which is proposed at:
/ /
'/~)
,I /
T'
i C::
,,/'
<../
Ac :epted
//
Accepted With Corrections
Denied
Re viewed By:
&~
~
Date: 3' /z....z../n.'
Co mments:
See IVlain File
"The issuance or granting of a permit or approval of plans, specifications and
cornputations shall not be construed to be a permit for, or an approval of, any violation of
an:' of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pre suming to give authority to violate or cancel the provisions of this code or other
ore inances of the jurisdiction shall not be valid,"
-l.~~ tRIOI?...
!::: ~'~
U .rr1
See Main File
~ Wh;"~ - BI}il~.!n0
Cana,.y-;1:ngineering
Pink - Planning
---
Th~ Crnlr. <>f thO' I..k.. ("ounl.,.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NJ,ME OF APPLICANT
AF PLICATION RECEIVED
'~7 uJ~ (f/rppfG
, '0 - r;-tJ~
,
Th e Building, Engineering, and Planning Departments have reviewed the building permit
ap plication for construction activity which is proposed at:
41001 fd~~
Ac.cepted
v'
Accepted With Corrections
Denied
~
~~~
Date:
3/2- "L~ 5
Re viewed By:
C< mments:
See MaiuFile
"The issuance or granting of a permit or approval of plans, specifications and
cc mputations shall not be construed to be a permit for, or an approval of, any violation of
ary of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pr esuming to give authority to violate or cancel the provisions of this code or other
or:Jinances of the jurisdiction shall not be valid."
See 1\1 ain File
White - Buildin~
~~ry .. ~nglneerm!l)
Ink - Planning
Thr ("fRlfl "flhr I..b("ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST:
NJ ME OF APPLICANT
AF PLICATION RECEIVED
/.....--..-.1 1....
~.-. '!' .. 1'(
"",~ "/,
I\, .:_A. I ~
) -.
----)
I, r'? ,C' !<~
"c'/
-- .. .'....,
" V,./
Th e Building, Engineering, and Planning Departments have reviewed the building permit
ap :llication for construction activity which is proposed at:
L/l.) (;., /'f-!.fvt-<..1;:; if;"Q ,.<l~/~,..5l-.../
Ac :epted
y
. ....
Accepted With Corrections
DE nied
Rt: viewed By:
~
Date:
3 -I/J...:o:r
.
Cc mments:
5t'~_ IYI~"", h'l,.
Se~ 1\tlain File
"Tile issuance or granting of a permit or approval of plans, specifications and
co nputations shall not be construed to be a permit for, or an approval of, any violation of
an f of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pn lsuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
"
CITY OF PRIOR LAKE
, HEATING/AIR CONDITIONINGfFIREPLACE PERMIT
D.te Ret'l:
.
~ ~ or Drl.D1 ~I' IURD It bolmm)
, ADDRESS
<',/O~ / .4'e"""~d'?"
LEGAL DESeR ,'TlON (ofII", w. only)
LOT .~LOC: : ~ ADDlTION ~V'./Jt.ld/L,...dl.:
t7
~~ ~~~! PERMlTNOS. ZZI.J
I _./ I' ZON1NG I""" "'.J 'I
4~S.e-
PID
OWNER
(Nome) -;;;?nerk C.v~ -:;;;J' /,41"../<: (Phone) 9~~- ~7-o9S.s--
\
(A<1OressJ /.L.J?/7 DulftLr Abb ::i,b. -rhg_~",kL~
. APPLlCA."IT
, (NameL-EA,,--ell-A/M'Jf -:rAi".c.--- (Phone) ~n-7~L-"..).V?/
: (AddIeS').L;2,,7 ("so .AV. -L,d/~ .Ja,~ r~ ~.J'h..s-A'~ -""A.- ,<,~~ /'
. i (Adlln:oo) (City) (ZIp Co,,)
(Ccllt.ctPersonl ~~XJI'6 ;od6C?// (Ph,one) 9S')'-:Yf-~C
APPLICANTSI }NATURE ~~<~? .',_._ DATE ,~~ ,_--- i
. C~EASECOMPLETEBELOW
: RNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERA TrONS
F1;R..<ACEMAII ;: AND MODEL 1.?,^~",j ,5't"b_KU/O-;:?~Qf?-d FUEL /!/;,-I-
, -
FLUE SrZE --E~VC/ RE'liJRN OPENINGS // lNPtIT 5?~ .:J&1C/ . OUTPUT '7J ~t:?'&?
TYPE OF SYSTB:M HEATING OR POWER PLANT
. il!JWorm Air Plants 0 Steam
~~::~iC<lI ~ ~~:
. r CoodItioninj Special De,lees LJ ,'....JJO ld.../
. ont Sy'lenl Other Deviw '
PLESE NOIl;
Air Condlt:Dnor Una,
Cannot EDcr.ach into
Requirod S,de Yard
Setbacl<s
I
I
I FIREPLACE M,' KE AND MODEL
I
I
lod\,atr:al, Comml ciaJ &: Multl~Family
FEE SCHED1.JLE
I % of job ..11 R"I~""tlal. 0.. FiI''P1ac,
539.50 mlnimum
$99.50 Re.sidential. A.ddilion. &. Altera.t:ioOJ'
$64.l0 R,,\deotlal. AC Only
\3950
ResidentJ..!. He&t:1 !l; &. Ale (New Construction)
KeJidcntiaJ, Heat! g Only (New ConnruclJon)
l39)()
\39,50
E.ltimated Cost S
BuildinJ Permil #
Due
$
$
$
-, co
n"
!i)rcg~
!.1
iUI9m
,
PAID WITH
8tJILDING PERMIT
!-lEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PE~ FEE
l{omU lJu Only)
This AppUClI' iOD kom.. Your BnUdlni Permit WIlen Approved
} r
II Ii:
'" I. Kecelpt No
!I! .
. 'By
!
Build! ,0(11,1&1
1 2 Z005
14 nO"r ooti" for 011 iOlp"tion. (9'2) ~18S0. f'1(~~2)~~~2~_
07/07/2e05 11:13
9524925005
GLOWHIG HEARTH r, HOM
PAGE 01
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lOT BLOC:l{.
APDtnoN
PIJ;il
~-=::R R\Jt.~ C~eeKD\.l.i\d.ecs. r'
(Addre!s) IIc,<tJlt'-j. U\.l.\\A~ C\U€' 5t, Pr\oQ...l!:t~e ,f'nlJ
, ~
(phone)
4~~. Oqss
~;~;?mr ~ Imt11f\nJd.e.M+K 4:.. \.-\OffiP (PhOne) qSa.~qa, Qcj"11
(Addre!s) ((')0 E.\o.CbrO-dQ 10r\\r. \\NAC1~, rYll\) \.)S~)Z-
(l\cllilti:l') (City) '-:;r- (Zip Code)
==::~C,3:~~~~e9 ....~~^'~yq~/qa16
,i,41t'l.'!~~(#{~~l1~~i~~tJE~~~J.w~'W
OON"WCO:NS!fR~Iil1!f '.;Q~RE)\r.#(CBim;NtfJ.i~L TERA::PLQN8
FURNACEMAltEAliIDMODSl. t-,aO() 1~c)A'K. ( al F1J~L hO~
,- " ,'~I.... ~ , "
FLUE SIZE. RBTtJRN'G)PIi&NfNl$SINPUT WTPUT
~El::/:r"SYS~ 9F,.tl~(\;'~~POVJ'ER PLAN.1'
8~~d'1~tsB~~(iCr
[J)Mellffillii6!'IQiJill,atli!li:pn
DAMC~Ji\!iliQt!.lngliifJ":;Jl!rii~I,B~;i\i~
,0 Vent, Sjrsffthlli"01h.~aej,;i1;~.
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
ll.equifedcSide Yard
Setbacks
FIREPL ~CE MAKE AND'M0DEL ,_ see. o:bo~
F~~'l>"';tt"'JJel:;E
Industrial, Cornrncrcli.J& Mulri'Hmily l'.%orj'~b.coSI Re~cntial, Gas Fireplaoe
S39,50jffijjjil\Ulll
Re.identi 11, Htating,&AlC (N~wG'01T$lI1l~l!ln)' S99..5.~" Residenli.l. Addilions& Alterat;ons
Residenti d, H..lm~Ollly (New Con'truet;""') $M.50 Re.idential, AC'Only
$39.50
$39,50
$39.50
EstitnattdCostl>
BoildingPerm\t #
Fm~m:G:P,Jj}RMrr13EE
STArn :SUltCHAll.GS,
T(;rI'AL:F;E~"FE'E
$
$
$
,50 PAID WITH
~U'LDING PERMIT
(Omce u. ,Only)
This.,Ap,plitd~itil1;llecOlll"'Y:l>lIr '1Mlall\g 'Perlllit;I\'liett .A:pprovi!d i ['j~c:I,,~, ' i" i
Blllldlrig~lt1tlol Uofe lU D~l 1 2 2005
24JlOorliotl""to.,.WIIlSI'"eflons{(52) 44~ .9850,:fAx (!l51) 447-424'5
l'6ZUQ'EJlgleCruk,Ayeliu.. Prior ~553'ZL__
:; I Receipt No,
li'l
ii By
J
05-06-2005 01:31PM
~~I
z~~
MRTTHEW DRN I ELS , INC.
423 3017
P.02
...-....... ..,It:.,; U
CITY OF PRlOR LAKE PLUMBING PERMIT
(Pleas<< r.roe or miDt OIl ,d siR a.c. bottom)
I ADDRESS
~t./ ~6.~.
Q
LEG. ~L DESCRfTION (olliee use only)
, L01' BLOck ADomON
~ ~I ~:~ I PERMIT NO.A..-. DZ" II
l Ydbw"Pfllk.1ll1 ViiI....
I laNING"",,,,,,,)
PID
om 'ER r-:J
(NaIf 0) ~ zi
I
, (Add ..5) &fJ.1
~ud?J >.A:.JA'~~ (Phone) qr;t}.. #'1- ()i?~
jj,""HJ !i"1I \:1,J. .Q'J"~J>I'lJ.C' ~
. APPI JCANT
(Not Ie) Mil+'/- a""" 'Tlo"lii',t., I~I'..
(Phone) &.51 - 4'll'> -_~...,;v,
f< 1'oA~ ~"'fJ.nt
(Ciry)
(Conl,ct Porson) .1)a.....e.1 ~ ~'l~ (phone) . bs"l. J.j23 - \3'1<Y>
APPJ.ICANTSI(.NATURE 1-,,',nJ~..b... "U~L>"'-- DATE~.L t" ~tJC
I AP'PLlC~ P~EASE CO~ETE BELOW '-I.
j Type of Fixture I QlIantity Type of Fixture
E ath Tub with or without shower 1...3 Rough-ins
,
I'ishwasher I J Water Heater
floor Ora;p I I hL Water Softner
ljavatoty (Bathroom Sink) I Stand Pipe (Washing Machine)
ljaundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
~inks Backflow Assembly Test
Ijar Sink Lawn Sprinkler
Hater Closet (Toilet) (Other
~.......I -W"J
(Address)
~..
(lip COde)
(Add. ess) ---1.:i2 ""
Q' antity
J
I
I
3
I
I
I
~
FEE SCHEDULE
lnd Istrial. Commc 'Cial &. Multi.family 1 % of job cost with a 539.50 minimum
Residential. New One '" Two-Family S99.50
Residet\tial. Additions.t Allet3!ions $39.$0
Estimated CO.t S
Building Permit #
PLUMBING PERMIT FEE
, STATE SlJRCEiARGE
TOTAL PERMIT FEE
s
s
s
qQ,~
.50
filA ~ '-t..tA '
Receipt No.
(OfIic Use Oaty)
Tb, I Applicatio" Becomes Your Building Permit Wbe" Approved
Paid
Dale
By
luildiag ( flicial
Doll:
8uildlDc I )tIida1
14 .... .oCiee tor all i..pedi... (951) 447-91SO, rax (951) 447-4245 PAID WITH
i;\ ri~ -n-"flWING PERMIT
r :;1) 1.~~ ! : '. .j' i! '!i 1:\ .
Do.. L\ 'I MM 1 0 2005 \! W]
\;!:I,
l4laaur ..tic< r.. all iupeetio., (951) tz-' fa. (~)~7~~ .. _~I
TOTRL P.02
PRIOR LAKE
INSPECTION RECORD
. '
SITE ADDRESS ~I tlEJt./TAtStE ~
NAT JRE OF WORK _AJEw ~(_~TIIJ,J l I..L. 6.I!irN)
USE OF BUILDING S:,:;- A. ~
PERMIT NO. 0 J. 0 Z 2-/ DATE ISSUED 3/2' /C)S
COI\ TRACTOR De"- PH6N~2.-CI("~
NOl E: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
INSPECTOR / . rE ,
I FO )TING /i4- . Lt'/2// &>5- I
I FOJNDATION (Prior to Backfill) ,~N.....// ~q:,\/J~ '9'~;..,~ 1
PLACE NO CONCRETEt UNTIL ABOVE HAS BEEN SIGNED
L L RT ROUGH - INS
.
SEWER I WATER I SEPTIC ~,r-. ~s:7J7''''.J~
FRAMING )/t!J.- /_ '. /, .1'5/a. oS;
IN}ULATION JiM -f;'f/(}1
EL .CTRICAL. ~ ',/; 1 /,n.;iJl '7//...:f ::,'
PLUMBING U (5. JtCf ~/;t(/~5" /~r 7/?;oS""/
HEATING (if required) ~ 71/.5/05
FIREPLACE ( ~) y4 ;i/....s/os~
. GAS LINE AIR TEST ~.:. ~/ tC.1J//f ~ ~l'~r
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
ItAtl14" i~fl.sl,.,ttAP I~': % (/~.s- I~#; ~~;~r
, FINALS
-. ,
GR, 'DING (Prior to Sodding)
BUI LDING
ELE :CTRICAL
. PLl1MBING
HEATING
DO NOT
See I,~;~ /-/,/e
/7n ?/.?Jr.s/,
9'/lsK
m/l- f/d/cJS;
~ 9/e...v~
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
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.
FOR ALL INSPECTIONS (952) 447-9850
Qltrfifitah~ of OOttupanty
CITY OF PRIOR LAKE
~rparfturuf of ~uilMug Jluspufiou
final Permitted 0 Conditional e.O. Expires_
This Certificate issued pursuant to the requirements of Section 110 of the I j Residential! 0 International
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:
SINGLE FAMILY 05-0221
Use Classification Bldg. Pennit No._
"
Occupancy Type
VN
Type Construction
L5, B2, HERITAGE LANDING
R3
Zoning District
R1SD
Legal Description
4061 HERITAGE LANE
Owner of Buildine- Site Address
ROCK CREEK, 168L7 DULUTH AVE. S.E., PRIOR LAKE, MN 55372
Contractor's Name & Address ~~
ROBERT D. HUTCHINSh. ,~, JANE KANS1ER
/ /J _ City Planner_
q ...--:; Jl.Ui1d~ ?!-f(icial
Date: // -7J /0 " Date:
I' '
............'
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
t/06r
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
SCHEDULED
/~~7
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL
~:!: TIME
~S-
?...~
~- ,,;2. 2... /
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
,.JiH'IREPLACE FINAL
o GASLlNE AIR TST
o
COMJr'lENTS:, , _ _, J /
cJC/ ~r In ~ ~ / ~;.. ~ r . I ?fl57~S-
~ec~/t,-e d ,5.!Y,)c .."Z.S'vA. 77~ (q~.:t
..
~Cck,
-
r7h-r/
(??/f
dj c;,.~(' --/'~uf r/ ~r h~ /
, &. d ~ "H4.J're><J*t. / @ t;/~7- ??to
, ,
(Z; -j~cI r- r;.u-.s -Y<r- &U /~.;~
(J) :r~r/:'Y;j< ~/t;' SO /JO~ ~5{J~
~ ,\"kj'j ./#~/cL,<s ~e rMr
I .
~.~
,
Ore
c~se~
ECTION BI;.EOaE-<.~. "",NG
N~(/
o WORK SATISFACTORY, PROCEED
~'RECT ACTION AND PROC
o CORRECT WOR~, :~L ~ R
Inspector: ~
Owner/Contr:
~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ol SAFETY!
INSNOTi
DATE nil.
CITY OF PRIOR LAKE ~
INSPECTION NOTICE SCHEDULED
ADDRESS ~f,l H?YJ -i....._ ~io....
"
OWNER CONTR.
PHONE NO. PERMIT NO. t:J<:;, -: -7.21
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL ~UMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
't
. COMME~TS: / ..... /' ./
/PT-r'nr7,h? ~ 72'- ;4:.J- / 61 k
c?lf~// ~~Y-C'~ ('~, 5/</,7-.;?P7Y
, ~.... ~rU /~o4//....r;'p~
12Y A /. _./ /i - / /
)7:'. /~(.hd (! /'/6l/..../ ";';r 7L"Y' &-f~
(d/ r- ,J /' /
C .,log q/l7V~,.( ,<jt:Y --"'7/1 ,tJ- '" P ~.h ~7',
__ r/..r
,,~/'I ~ / ,/ '/ / /
/10 /?#vldc #cc ess n:, -rvh
ILY'I-rtl/ztl J h ~~,.- ~c;..~1'
r
--::1/ / 44 , / /.
{ Zu, /' ~ 4;J 6..,1 /' c.t ~ t;1 /74'~'/
~-zi
o WORK SATISFACTORY, PROCEED (?
~~",;,~:. ACTION AND PROCEED ~
o CORRECT WORK, CALL FO R INSPECTION BEFORE OVERING
,.-,.-
/'
-'
/
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOn