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Home My WebLink AboutBldg Permit 05-0513 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec'd 1 While Pink J Yellow 'I Z/(J S I PERMIT NO. tJ s - 5/\31 File lily Applicant nt and si n at bottom) 1''1/ s3 LJrl&, ZONING (office use) 6.S T (l"(J ~ LEGAL DESCRIPTION (omee use only) LOT ADDITION PID -() OWNER (Name) '::so ttN Irtl33 I: (LNS .., W'I~-ef1\.cSS 'r-rLc..... (Phone) C)<5:z-44I:J ~ '31 C$: (Address) I BUILDER (Company Na~e) (Contact Namb) ( Address) (Phone) (Phone) 95'c.... -,-/40 - ~ "Sf'S L;{c-";!,4.rzr, M...lV TYPE OF W RK D New Construction DDeck Dporch DRe.Roofmg ORe-Siding DAddition DAlteration DUtility Connection Lower Level Finish 0 Fireplace CODE: fI.R.C. DI.B.c. o Misc. Type of onstriJ.ction: I II III IV V A B PROJECT COST IV ALUE $ Occupancy Grdup: A B E F H I M R S U (excluding land) Division: I 2 3 4 5 I hereby certify thaI il have hlfni.~hed mformation on thi., application which is to the best of my knowledge true and COlTt'ct I also certify that I am the ownn or au/hoHzcd agent for tht' above-mentIOned prppcny and that all construction will conform to all existing stale and local laws and will proceed in accordance with submilled plans. I am aware that the buildmg :fiCi,,] "" "",k, 'ij".::;;rol )11" "" Fm et'm"".] h",by 'glce Ih" 'h, CIty offici,]", ~j""~''i7;'o" j' pwp,rty '0 pet'Olm oce67~7~s- Signature Contractor's License No. Date Permit Valuation 0 00 Permit Fee $ ,Z.S- Plan Check Fee $ ~ State Surcharge $ 2.00 Penalty $ Plumbing Permit Fe $ Mechanical Permit Fee $ Sewer & Water Permit Fee $ Gas Fireplace ~ermit Fec $ V. Park Support Fee # $ SAC # $ Water Meter Size 5/8"; 1 "; $ Pressure Reducer $ Sewer/Water Connection Fee # $ Water Tower Fee # $ Builder's Deposit $ Other $ TOTAL DUE ~ '-. z,. oS- $ 1C?9. zS This Application Becomes Your Building Permit When Approved ~~ BUIld,"" Om""l ~ r~ 05 Paid Date /f~ 2!> . t. e'.f"- I :::':J v.A> ThIS IS to certify that lhc request in the abuve applicatlon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThIS document when .~ignl'd by the City Planncr constItutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certllicate of Occupancy must be issul'd Planning Director Special Conditions, if any Date 24 hour notice for all inspections (952) 447~9850. fax (952) 447-424:'1 16200 Eagle Creek Avenue Prior Lake, MN 55372 Residential Building Permit Checklist Basemert1 Finish or Interior Alti:r:uion to Sin.,.le Family Homes " . BY: ~ f~!-- Dare: c;- C)-s- 13ui1ding Permi1 #3-: 5/3 Si1e Address ///33 Legal: L B Pill: Zoning: ~doe..e~ rr Subdivision: ~~tingScruc~r~rNO CO~"FORJ.yIS TO ZOI'11NG 'Y"ES NO . o RD lliA..:.'i" CE YES NO !s ::his an e:cp2r.5ian or me e7isting footprir:.t or Refe: ~o Plar..-:i:.-:g building height? ~O Is the proper:y [ocard within the f1eod plain? I Rere:- to P1S-1:.r.ing I I ~O I Does the alteration include any additional k:tc:.e::s? I Rete: to Planning I 00 pees the proposed alteration include any ou:side Rere:- to Planning I e:u;ances oth... than patio doors? ~O I [s the orODOSe:d. use of d:e Enishe~ SiJac:: or Rei~ to Pl.:mr:i:lg . . . altention for aI1:rrhing ache-:' :tan l nor:nal single No f:lI:"..ily cm::e (of::c~. g:au-p ao-ce. d2.y cue, ~':c.)'? 'THIS CRECKLIST M1:ST 3E COMl'UTED -".I'll) INCLUDED Il'f THI B8lLDING ?ERlYllT mE TO MA.Jj'(TA1N A RECORD OF T:-:lE REvTEW. CITY OF PRIOR LAKE PLUMBING PERMIT Date Rec'd (P. 1, aD (Please type o~.. ;rinl and sign at bollUm) I ADDRESS i 7) 33 w; Jckrh<~~ , I. Blue File I PERMIT NO I 'Gold c;~ . OS-, OS/" ? 3. Yellow Applicant , . !..J ZONING (office u"j T/" LEGAL D~SCR1PTION (office use only) LOT $LOCK ADDITION PID OWNER (Name) (Phone) (Address) /7\ 3~ vI' \~S$ T.- APPLICA (Name) I 'i/'c:J (Address) _tt>'-t..O '5"" M.,..jk,- III, J w /)(714- (Address) jf- (Phone) (, S-j- Vc.. 17 - 3' y2.. <... ~......-~ ~ / (Cuy) ~ (Z~Code) (Phone) (P5"/~ VCll- 'J>Y22.. DATE ~- 9~ t:9S- (Contact Person) APPLICAI1lT SIGNATURE ( QuantitY Type of Fixture Quantity Type of Fixture I Bath Tub with or without shower Rough-ins I Dishwasher Water Heater Floor Drain Water Softner -, Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) i Laundry Tray (lor 2 compartment sink Sewage Ejector -, Shower Stall Backflow Assembly Sinks Backflow Assembly Test \ -, Bar Sink Lawn Sprinkler .. Water Closet (Toilet) Other APPLICANT PLEASE COMPLETE BELOW FEE SCHEDULE Industrial. q::ommercial & Multi-family 1 % of job cost with a $39.50 minimum Residential. New One & Two-Family $99.50 Residential. Additions & Alterations 539.50 Estimated Cost ;~~~~~~~b~F:;ildii$' -::,;! p ~~t- TOTAL PERMIT FEE _ .\/ ;/ (om<< Use O~ly) Date Recei This Appl,cation Becomes Your Building Permit When Approved Building Omcial By 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714 Page I of2 Lynda Allen From: 'Christa Wegwart [WegwartC@hearthnhome.com] Sent: 'Friday, May 27,200510:19 AM To: Lynda Allen Subject: iNEW PERMIT FOR 17133 WILDERNESS TRAIL , I o CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Ree' Please e 0 lint and si at bottom) L Pink File 2. Green City J. Yellow Applicant $-513 I PERMIT NO. I ADDRES ZONING (office use) 17133 WILDERNESS TRAIL LEGAL D.cESCRIPTION (ollice use ouly) LOT IlLOCK ADDITION PID OWNER. (Name 1'IMBERRIDGE BUIL!2ERS (Phone) _952-412-3476 , Address) APPLIC~T (Name) ALLIED FIRESIDE DI!AFIRESIDE HEARTH & HOME 2561 (Phone) 651-633- (Address) 2700 NORTH F AIRVIEW AVENUE (Address) ROSEVILLE (City) 55113_ (Zip Code) (Contact P~rson) 2561 . BRENDA HUSTON (Phone) _651-633- APPLICANT SIGNATURE BRENDA HUSTON DATE OS/27/2005 APPLICANT PLEASE COMPLETE BELOW X NEW CONSTRUCTION REPLACEMENT AL TERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM Warm Air Plants Gravity Mechanical Air Conditioning Vent. System HEATING OR POWER PLANT Steam Hot Water Radiation Special Devices Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks "IREPLAdE MAKE AND MODEL HEAT N GLO SL-550TR-D Industrial, Commercial & Multi-Family FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $39.50 5/27/2005 PR,IOR LAKE INSPECTION RECORD SITEIADDRESS 17/33 WI')d~v AJeSS Ir NATWRE OF WORK J.,. L. USE OF BUILDING S P PER~IT NO. . s../. DATE ISSUED oG,.;.'- r CONtRACTOR _. . tJj PHONE ",",()-~,13 NOTIE: THIS IS NOT A PERMIT OR ANY OF THE INSPECTIONS BELOW . THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE ~~ uJ'L ABOVE HAS JEN SIGNED ROUGH - INS COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS L__ BUI DING ELE TRICAL PLU BING HEA ING DO NOT OCCUpy UNTIL ABOVE HAS BEEN N01=I'CE This card must be posted near an electrical service cabinet prior to rough-in inspections l!nd 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 DATE TillE SCHEDULED W-:S ./ / ?/53 Lu, /de//t'es:r 'Z/ CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING ~LATION o SITE ~NSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP .,....a-I'C\JMBING FINAL ,I!1fECH FINAL /L~ 1:l7 .~,,~ ,h~/L ~ #<=-.// /' c/11- ~-:.. S<.S o EXlGRADIFILLlNG o COMPLAINT o FIREPLACE RI ..PI"'rlRCI"LACE FINAL o GASLINE AIR TST o ~/ 0; 6r cJlt O;{~ Or? ORKSAllSFACTOR , o RECl ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ e.rher/Contr: ------, CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!