HomeMy WebLinkAboutBldg Permit 05-0334
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
(Please !ype or II int and sign at bottom)
ADDRESS
3tf"~
1f'fJ:J'/ jt'rt",r
R,/~ f'
v
LEGAL DE~ CRIPTION (office use only)
LOT /1 BLOCK / ADDITION
~
,J t' FFfrJ
OWNER
(Name)
(Address)
BUILDER
(Company N, me)
(Contact Nan e) a ar-;
/F 9.> /
(Address)
W (' A/ f /11 ~ N N ;.J If J?'I I"J
..JOhNJO/V
/' fir:z.r. ,/) r
Permit Valuaticn
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Perm .t Fee
IOO,(JO
/oa,oP
35"SO
LJo. DO
Mechanical Per nit Fee
Sewer & WaterPermit Fee
Gas Fireplace P ~rmit Fee
This Applicatiol I Becomes Your Building Permit When Approved
~: ~ 3poJ-s
Buildl1 .!? Ollicia! Dale
While
Pink
Yellow
File
City
Applicant
1 PERMIT NO. 05-' 334'1
.<'01
/VW
Date Rec' d
3.230':>
ZONING (office use)
fl.!
S, l( 7J....
PID;2s-J 75-0/1-0
(Phone) ./" ~'I - -'y'tJ t - ,y'Y (J ()
(Phone) !,/.) - .?~ 7' - ?t/.l..
~<;/ ')"l
9( Fireplace
$ /.1s-
,
,-0
(.:; 'InN
-J
TYPE OF W,)RK ~Conslruc'ion ~Deck 'IllPorch DRe.Roofing DRe.Siding
DAdditlon DAlteratlOn DUtility Connection D Misc.
CODE: lXIr.R ,C. OLB.C.
Type of &~st. "ction: I II III IV V A B
OccnpancyG,,>up: A B E F HIM R S U
Division: 1 2 3 4 5
I hereby certifY that I have furnished informacion on this application which is to the best of my knowledge true and correct. I also certify thaI I am the owner or atlthonzcd agent for the
above.mentJoned pI Jperty 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
:ci'~~ ':"m" fOf7'""'" "nhmno,". I h",hy 'g'" thot ,he f"Y offi",1 Of' djj; sf" opon th, prop,rty to p"fo,m n"3 '::;':;' _ 0';;-
- / ~ Signature Contractor's License No. Date
i/ .0'
"'1C,(j.ooo.OO
$ ILl'I'!> ,~O
$ cr[8"~
$ ~O,OO
$
$
$
$
$
(Phone)
m/V.
~Lower Level Finish
PROJECT COST IV ALUE
(exclnding land)
Park Support Fee
#
OJ, ,.
$
$ /~~O, (JO
$ 2<';;0. () ()
$ .5tJ,oo
$ 15aO,O()
$ /CJtJOdJ()
$
$
$
&qj//-'/~
-'
Paid
Date
~\Jl7.F
r:/. J.[.<"
Receipt No. 9"1 fY-
By ~.-
,:/",
ThiS IS to certify tha the request in the above application and accompanying documents is in accordance with the Cicy Zoning Ordinance and may proceed as requcsted This documcnt
;~~e~"gn'd by the :,ty PI,nn" con""o'O' , tempomy Cfn'fi,"" of Zonm, mmpli,n" ood ,llnw, fUn"...."'nn 'See BeM'ilfii'fiFll'e'" m"" be
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-98~O. fax (9~2) 447-424~
16200 Eagle Creek Avenue Prior Lake, MN 55372
SAC
#
Water Meter ~l";
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
See Main File
White - Building
Can~uy f"gin~g
rPink_ - Planning
--
Thr ernr, r of lhr L_kr C"unlfl
'-
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N,~ME OF APPLICANT
APPLICATION RECEIVED
/::/'\ '~J'I. -'/.,,/v !hI/'C::'.
__ '." I I ' L
? ~') :-;> (r-
'-'~ . \ -./
Tt 'e Building, Engineering, and Planning Departments have reviewed the building permit
a~ plication for construction activity which is proposed at:
7;'4-1- I'I-///'/(t//,'/ /<1/'((: /C..U
.
Ac cepted
/
Accepted With Corrections
DE,nied
Z~'Y~
Date:
3/'3CJ/oS- .
. ,
REviewed By:
Cc mments:
See lVIaln Fiie
"Tte 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
an~ of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pr suming to give authority to violate or cancel the provisions of this code or other
or inances of the jurisdiction shall not be valid."
-1.~~' PRIOR (
f::: ~
U t'1
See Main File
--
("he C..nl-r nflhp).lk..Counlf)'
I" While - suildin9:=)
Canary - EngIneering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N Il,ME OF APPLICANT
A :)PLlCATION RECEIVED
W6NSM/lN/V' ffOt16S
3 23.05
Tile Building, Engineering, and Planning Departments have reviewed the building permit
al 'plication for construction activity which is proposed at:
-594-+
12M P tf 02fi.-j ;e-'!.o C-6
12-0
A, :cepted
/
Accepted With Corrections
Dmied
~I!J
Date:
3/30/05:
R wiewed By:
~A~
.-
C'lmments:
See lViain File
"lihe 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
ar y 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."
,
~l
l
/
&~
uer
/
,-------/
Th.. C.llu "r lh.. L.k.. ('OU.III')'
See Main File
White - euilding
(Canarv .. En~ineerlnV
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~IAME OF APPLICANT
I PPLlCATION RECEIVED
t...(,/E'/\/f'/L'/ /1/'l/l\j~ l/-{)/~/E~::::
? -, -? ,"",c::--
L,. '~_~ . t;., ....-'
The Building, Engineering, and Planning Departments have reviewed the building permit
aoplication for construction activity which is proposed at:
.~ :0 4-+ /C'J-f)F/it )c:/t.j jbl LJ C C /<.~O
A :cepted
x
Accepted With Corrections
Denied
R ~viewed By:
/Yl4i;
Date:
3 -J7-t!>~
Comments:
5te.. lYle-I" r,'Il.
Se~ i. IaiB--File
"T 1e issuance or granting of a permit or approval of plans, specifications and
co mputations 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
pn!suming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
.---'
~!..-n:..t:
n.\..I...Cw....,.."...lJ..ftT
(;0\.1:1 . crr~
CITY OF PRIOR LAKE
SEHER AND w".TER P~~'!IT
NS-j3l-/
~.P?LICANT: ~\ ~~
MDR:::SS: 3g4~ {''!~,~ ~\
NOTE: Sewe~ and Wate~
contractors must
be registered
with the city.
PHONE ,($5)-'-I:9--J ~
DATE: s1Ol.Jos-
s :~~,;).~':~.?:::
,
=:'!:G.
'j':'J~A'Tt"'l .::.
- -....-- -
L
~s~i~at=~ l~ng~h
of water S~~iC2
/
:!LL IN THE 6L~~KS
30
feet.,
2.
Size o~ w2ter se~vic~
4,
5.
6.
~s~i~a~ed length
inc:::.(es). 41 ~
from st=~cture ~fVt
PVC b( Cast Iron
sewe~ line 30
feet.
J.
Location of any couplin~s
~ype of sewer pipe.
ABS
of
Clean
out
(if
~e9lirec.) .
locate'::
fee~~JlI:L
at ~fegt
from
st=-'-..:.c~u=e .
==~===~=========~:~~=~=~====~==~~=~==~==============~:====~===~===
Th~s application becomes ~O~= pe~it ~hen approved.
E'!
DATE:
======~===================~=----=========~~=====~~~======~====~===
::::=:s:
$
S
$
35.00
.50
35.:;0
Sewer and w~~er line connection pe=mit.
Surcha!"ge
TOT AL
* :ee fc~ eithe~ se~e~ c= ~ate~ i~civid~ally is $20.00 plus
S .SO surcharge.
*
Sew~= anc ~?~e= pe~its issuec fo~ ne~ cons~r~ction must be
reco':'dec. on the bui1dinS permi~ ca=:::i 2.t the time of iSSLl2:lCe
~~s~~~~re M:~at 2n;005 cupl icate se'..e:- ar:d "liUll.~Ib~~ are
D~.:--_' -.-.".:::CJ A"onN'" "~"'D G t:J.....~
-. y - _..- ?l;l7tif
R:::C'D BY 11-'
;oj:' "''':'7~''T''I ~
---'---- ~ -
":,............ ,::.,,-~. ":'\..~, '-:'~' .'....-._v::r -=,}:<.'c'-- ,~'."'.i::.::'
L d I 6HS0098\70Nn~. 9 lS/\7E. 9 SO ,C:S INOW)
L9~O-C:S\7-1S9 DNIIV3H ~ DNlSWD1d 13ZN3M WOHj
lVI,,/ilU.1 n,b.lJ .11:l.l I"AA. Oli::4I1ttJll,\:>
. qn Ill- YKI\lK LAKE
Ial 00
Date Rec'd
\...1.l i OF PRIOR LAKE PLUMBING PERMIT
(PI..", <Y >e or ~rint IIDd '""" ll_)
IADD~~H~ ~~~\~R-~\
:. ~ ~:~ .1 t !!.AJYtIT NO.....' ~
).'f........""..i~l ""'" ~f/II'
WI'U.rG (_~,
LEGAl DESCRIYnON Colli", ... only)
LOT BLOCIC
AuLJlll0N
PID
I
I
I
I
Is
I
I :J..
I 1
I ,
L!:L. .
(Phone) ~J-'ID'-WDO
~ ,VA.", :s5;r:zz.
. . ~.. - I
~;~~~ANTI.J~d ~\b~ ~ \\~,~. (pIIOfte) ff&-/f5)~/SbS
(Adke~) 171D 'A:~b.~ \<st, ~ Mn,:::6i:l1
~. (~) (City) (Zip CodeJ--
(ContaCl Person) \Tea ~~':>w. -1- (pho1le) ~/..-1fS;l- )5bS
APPLICANrSlGNATURJ; ~ DArB 6/;;l.J~
,ufpLlCANT PLEASE COMFLETE BELOW
I Type ofFixtllre I Q1IlIntity I
Bath Tub with or without ,hower Rough-ins
I Disbwasher I ( I Water Heuer
Floor Drain I Water Softner
Lavat9fY (BIIthroom Sink). I I SlBIld Pipe (Washing Machine)
Laundry Tray (1 or 2 c:ompurtment smk SIJW888 ~ector
Shower Stall I Baeldlo", ASHmbly
Sinks Baeltflow Asso:mbly TetIt
Bar Sink I Lawn Sprinkler
Water Closet (Toilet) Otber
~~~ t~\eJf6'N\~Y'\ ~O~~
(Add=). J2,~S"Pb\z.o-.. k. 2:x,\~cQ.Dt)
QlIlID ~ty
.;!..
I
J
Type oUb11lre
FEE S'-n~u uu:
Industri II, ComrT'erc:{al &. Multi.runily J% of job ~on with I $39,'0 minimum Residential. New Ortc &. Two-Famil'1 $99.50
Residential. Additions &. A "...'iOllS 539,'0
EstimBled Cas, S
Building Pennit if
PLUMBING PERMIT FEE S
STATE SURCHARGE S
TOTAL PERMIT FEE $
PAID 1AIn..
.s08U1tO/NG.p;' ,.,
, ~RMIT
(omU u" 0"1)')
Thie A pplicatioll Becomes YOllr BuildinC Permit When Approved j Paid . Ileceipt No. I.
Do'- I Date MAY 2 2005 By (Y I
BuJl~lnc orne..'" -.-u
%4 boo,' ..Ii" lor an i,"pocti...l'5%I 047.9G3Oi, u.. (9S~) ~~-GO .
8 d 6m0098vON/GE9 ]S/V;:9 SO ,GS (NOW) L9EO-lSHS9 DNIlV3H ~ DN18Wn1d 13ZN3M WO~~
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
; ~~, ~:;y 1 PERMIT NO. OS. A~
3. Yellow Applicant ~
(Please ~ ~ r print and sip at bottom)
ADDRES~
ZONING (office use)
3844 RASPBERRY RIDGE ROAD
LEGAL DESCRIPTION (office 050 only)
LOT ] iLOCK ADDITION
PID
OWNER
(Name wENSMANN HOMES
(Address)
(Phone)
APPLICA "T
(Name)HE 'RTH AND HOME TECHNOLOGIES DRA FTREsmE HEARTH & HOME (Phone)
251\1
1\51.633.
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLF
(City)
55113_
(Zip Code)
(Contact p, 'rson)
BRENDA HUSTON
(Phone) _651.633.2561
APPLICAj -iT SIGNATURE
BRFN/)A HUSTON
DATE
7/201 05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE S1Z1 RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVen\. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Industrial, C Irnmercial & Multi-Family
mAT N GLO 6000TR.OAK
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
$39.50
FIREPLAC E MAKE AND MODEL
Residential, ] ieating & Ale (New Construction)
Residential, ] Ieating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50 PAID WITH
BUILDING PERMIT
(Office Use Oily)
This Ap~ication Becomes Your Building Permit When Approved
,
Br'dine Offidal
~~\~ir-.
I U I Lc
! 61 Date
UlJ .1111 2 1 7nn~
24 hour notice for all inspections (952) 44 '-9850, fax (952) 447.4245
By__
Receipt No.
By
Date
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS -.88~ ~ ((As PB~r<(C ~ fl OGE ~AD .
NATURE OF WORK ("D~$_1"'&&.ta.oA c-. c..~. t:'lHiSH),.,u,
USE OF BUILDING - I. ..... A. "
PERMIT NO. QtxTE ISSUED ~t:)/()S
COt'lTRACTOR ~!~~N~ f't)lIA.a PHONEJpIZ,-:J"''''''2.
NOl E: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OFSee Main File
BUilDING AND INSPECTION
INSPECTOR
DATE
I FO JTING
, FO lJNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SE lIVER I WATER I SEPTIC
FR ~MING
IN!4ULATION
EL ECTRICAL, / .
PL lJMBING t J (;, tJ.~\",j.,. <1' l!> u: f'p."';. ? / (~ ~
HE ATING (if required) /'1i\ 1) tr -; Ii e~. / ~
FlljrEPLACE . ~ , v
GAS LINE AIR TEST (ID f/27PJ
,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
.
'~'TH6 ~flJ)1U.fJ II I I
Jf~ {)J~_1INALS
GRADING (Prior to Sodding) _
BllLDING r ()
El,ECTRICAL
PL ,UMBING
HE :ATING
DO NOT
~~
7-G~-{7J
711!" )'
CJ-27#
,f'ff - '/ ~ 2.:? -cr::--. ____
()//':J 7- a:;G
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
.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
'38 t{ 4
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)!(FINAL
o SITE INSPECTION
COMMENTS:
,
() ~ f-o
SCHEDULED
U24S{'.
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
/'
c!O<:;.t
d\
'"fK1
n6)TIME
~.
o
5'- .'<3'1
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
_9 FIREPLACE FINAL
~ GASLlNE AIR J;SJ:---
o ~_'7.A
t
n
~ .ld
~RK SATISFACTORY, PROCEED
o CORREC T 0 PROCEED
o CORRE K, CA L FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
-9850 FO~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO E REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
DATE TIME
CITY OF PRIOR LAKE 9~
INSPECTION NOTICE SCHEDULED
ADDRESS ~Bf.{~. O}~
OWNER CONTR.
PHONE NO. PERMIT NO. ~ - '<,c:.. <.t
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
\, U.cJi L; t-
2 _ I< J2.-'-< <I..<.-A--'
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
...l&::'PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
M l-U \
.
~
V
..r- CJ'-..P C ~
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRJtjK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CA~ "-98So/0R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE}lff:REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
/ msNO"