HomeMy WebLinkAboutBldg Permit 04-0816
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
See Main File
1/'11-l(
PERMIT NO. lJif, 08/ b
(Please type or print and sign at bottom)
ADDRESS
3f7;2
If o..r:' brrr )'
I<l/91'
- ..;
I?d
LEGAL DESCRIPTION (office use only)
LOT 1 BLOCK / ADDITION Sf F F f'r J
OWNER
(Name)
(Address)
I. White File
2. Pink City
3. Yellow Applicant
/1/w
So uT)...
ZONING (office use)
KI
PID.,15"- 37f -007- ()
(Phone)
~~~~~R tAJe/V.J' m~NN IJom (#J
(Contact Name) Geif" Y .::J oj NS'oN
(Address) /39 S PI", 2 ,... /) r C u f d' JV
.....J
TYPE OF WORK
IB1few Construction
(Phone)
(Phone)
~-/- JflJt- .y7'o 0
SS /;).. ;;2.
ODeck
o Porch
ORe-Roofing
ORe-Siding
o Misc.
OLower Level Finish
o Fireplace DAddition OAlteration OUtility Connection
PROJECTCOST/VALUE (excluding land) S 12.5': (J /) 6 ,t:'J"V
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 property 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
enter upon th;Jjoperty to perform neede 'nspections.
X /-1f2A-.V _4.... J~50 ?,..~() -oY
/ { $[gnature Contractor's License No. Date
V
Permit Valuation
I ;2. t)'" aO(J . 00
II!J.. D?LS-o
.,
1 S.;;l .~
(~-o
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
I Plumbing Permit Fee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
~) /"') ----
rztI!~7~WbmOfvOO
~~~Cia1 Date
lon.Ot?
IOO.DO
3<". ~C>
~o. 00
I Park Support Fee
I SAC
I Water Meter Siz~'; I";
I Pressure Reducer
I City SAC and WAC
Water Tower Fee
#
#
.-
"'-#
#
$
$
$
$
$
$
$
$
$ 6! 0 G, 0_ 7~ I
I
I
13S0.00
~". 00
l.i s-. CJ 6
ll7.P". 0')_
7.00 . O(;L
I Paid
I Date
- ~
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/)
Rec4i.Ft No.
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. This is to certify that the request m the above application and accompanying documents is m accordance with the City Zonmg Ordinance and may proceed as requested. ThiS document
:;:;~ili'Ci~ P1~,croo"'ro~,~""" ~'Of::;:: ~d.n~ ~~ctiSee~ lW"alifPre""" m'.~
Planning Director --2./ Date. . Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, tax (95i) 447-4i45
16200 Eagle Creek Avenue Prior Lake, MN 55372
Builder's Deposit
Other
I TOTAL DUE
See Main File
White - Building
c.tanarv . En9ineermrD
'l4ink - Planning
Th. r.nter nf Ih. Llk. Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J , '~/ ' ,
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l / .,/ "'4.-' /)'/?,f ,',' ,,//2" / l" <: I (.I,'U/ .,.r;;J..../
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:,
"-., ('~. ......, - ./) , /; '. I< ~8'.'cL
" "-P." ,,'y'~- c... ,,./'. ~ _ "~"..r' ;1, . "., .-'~,.. ( ',..,' ,
J \J 1;) ./c--lj~;tJ/~(,~ A: (, ~)e-
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Accepted
Denied
x
Accepted With Corrections
Reviewed By:
IY11B
S (~ f)1c, r '",
Date: '
8 ~ 3~CJ'f
Comments:
h"lt'
'-
liThe 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."
See Main File
( Whit~- - Buildiiig:>
\"'anary . Engineering
Pink . Planning
Tht" Cfntfr or the Like Counlrl
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
Ifl~~ ~
'7-19,- ()Ij
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3 ~'1d-~,~ t0do~ /U
. , 0"'0
Accepted Y. Accepted With Corrections
Denied 01)fV f
ReViewe~ By: {4ffH/""";:/
Comments: _ ......-.
~,~ (Iteu\~ ~~_
Date: 7-~ -CJ Y
"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."
See Main Fi2e
White - Building
~arv - Enaineering
<::.. Pink - Planning)
The Crnff'r of the Like Countr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ I J
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, ./
r
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1 ,/:' ,1 J
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7-/;'
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,.-.::;)' ;) /::~~).-~, /]/5j/c/u Ir:-1- ,/c;.c 12d
, (;/
(~,/
1-,
Accepted Y Accepted With Corrections
Denied /}/,/~ /1
Reviewed By: ( K( / .In t-=-
~ \J v
Date: )-)"). - 6 Y
~.
Comments: _
~~
--
Mu\\lA \(-~
j 8'
"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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.""'... ..,..,......,..I'.aa i;~ 't~",.,,,,.1 ,.1"1 III''''
. , ..,~.. , I.. ".H .1..'", ~ I ,
PRIOR U.KE
wATER ?::::?l~I'!'
NO .11d:~ 0 0/w
NOTE:
Se....c:;- and 'Nate::-
contractors must.
be rec;ist:er~d
,.,-i th the City.
\ . \.:> '') . \ . \ ~ \ ~ \
~.tl?LICA.NT: W ....J'iV!.:~ \J~~~\~\,
".DD~:::SS; 38~9., ~ ~~., ____" ~~e..'~_'
s ~ :: ~.. .':J. -:~:..; "::- : . ~/"_--_.
. . '.~_.~'~' . - _=~.._ __u ..__
/!(-J '-I r-/c-'-
PHONE :(9"':> - 5)"}.::>o.::>
DAT~: ~,WOLt
3:.=r;~
?3:?~~::~
L~J..L IN TE::: 3D...L'i~S
30
f;:!~t.~
1.
:::s~i~a~ed lRngth of water se~/ic~
J.
Lccatior. of ~ny c~~plinc;s
/ i ji c:-: ( e s) . ~1
from s~~~c~u~e~V\
P~iC b( Cast Iron
feet.
2.
Size 0: wat.er ~e~vice
4.
~y~e of sewer pige.
~.3S
5 .
:::st~:na':.sd l~ngt:h
of ~c~cr line .~CJ
6.
C:!.ea.n cut (if
s~=.-tc-:''...l~e .
!.'~qu irec.) ,
loc:a~e-=-
fe~s~.
~ . ~
C!._ . E~~,,-
f::-o:n
========;~==~=~====~==~=~============~:=~~========~========~~;~==~
~r.~3 ~??~ic~~ion bccornc~ ~o~~ pe~~t ~hen Q?~roved.
B'~
DA.T::::
============~~~======~======~~====;=.=========~===========;===~===
F:::::S:
$
S
5
35_00
.50
) 5 . 50--
Sewer and wa~e::- line connection pe~it..
Surch~=ge
TOTAL
oico ?:.:,= :~= ~:.~!t~':':"' ~~~.,,~':* Q;: ~~":e~ i~iC..i."'/i',-:~~;:\::'l'J i!=; s?n.(iO ~~~1.C:;
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iss~c~. .
;'_:.~C('~C l}MJ-LDING
~~J~.oft;' ~ ~.~r'-
AUG 1'1 2004
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V d 9L8f~0098v 'ON/vO: L 'lS/~O: L VO ,f '8 (3Dl)
By
L9fJ-l~v-l~9 DN1IV3H ~ DN18WD1d 13ZN3M WOHd
10/24/01 WED 11'22 FAX 6124474245
r.rTY OF PRIOR LAKE
@OOl
Date Ree' cI
CITY OF PRJOR LAKE PLUMBING PERMIT
I..... ,..,
I. (',aId t:i\)'
I. y.l..... "P"'~"'l
rJ!..MMITNO.Of.OeJI01
Q'll:ue tY'I?e or print I[ld Stl!n at bontm.l) ,_ ,_ __..
ADDRESS 3g~~ ~boc~ ~~~e. ~\
ZONING (vlBee UK')
LOT BLOCK
LEGAL DESCRll" liON (Dtfi~ Vie only)
PTD
ADDITION
~=R \~\etf\Sffi~\\Y\_ ~om~S CPhone)bS}-LfDc:'-'1'!OQ
(A.dd,,,,,) . 1$'1 S- 'f'/c:~:Lo... ~. ~\ 'k ~D ~V"\ I ~ t\,. ~...,)-:l<;L
~~~~~ANT fJ~d \~\b~ ~ \\ \~ ~, (Phone) 6Sj~1;S2- /sbS
17JD 'A\sLib.~~ \~J. ~"--~, 55"/;;2/
..-' (City) (Zip Codc),.--
(phone) tsl-'tD.-156S
DATE Z>}3JOtf
(Address )
(AddtrV
(Conta.ct Person) ~~ \-\'~Q
~
APPLICANT SIGNATURE
Quantity
~
J
,
oS
~
I
I
~
PLICANT PLEASE COMPLETE BELOW
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (1 or 2 compartment sink
Shower Stall
Sink,
Bar Sin.k
Water Closet (Toilet)
QuaDtity
Type or Fixture
{
I
Rough-ins
Water Heater
Water Softncr
Stand Pipe (Washing Machine)
Sewage Ejector
Ba.cktlow Assembly
Baektlow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Indu5trjlj!, Commerclt.1 &. Multi-Camily 10/. of Job C05t with a 139.50 minimum Residential, New One: &. Two-Family S99.S0
R~iden'i.l. Additions ct. Alteration5 SJ9,50
COlTi~c Ute Olll,y)
"Estimlfted Cost S
Building Permit. F A1U VV I III
~ lIDlLDING
$ P~Il'
'iJ~ l0'[~ 0 ID-ts I receiPt ND.
}lteAUG 1'1 .2004 J}Y
PLUMBING PERMIT FEE
ST A IE SURCHARGE
TOTAL r LK.MIT FEE
Thill "pplicarjDn Become, Your Buildinl: Permit Wh.n Apprond
8\1t1dln& Official
1) al~
E d 9L8ES0098t 'ON/tO:L ."'1s'lsf:.t~~-O":E:"'~"~'(3Iil)QC'" "i9E~is't 'ls~9 '~~nY~ll ~ 1j~IaWflld 13ZN3M WOBd
08/23/04 15:10 FAX 6518949955
WENZEL HEATING & AC
f4J 006
CITY OF PRIOR LAKE
HEATING/Am CONnITIONlNGlr1dPt.:XCE.:PERl~iir---'.'
. _p-a.t~J~ec'!!..... .
... 4 ... ,..........~..I If" .
. . ':'" ~--:--,' "'I' _....' .
I.... . 'file. f '.
1 c-.' o,f -
J. "'~1Inr -"tIlcIM
PERMIT NO. ",l/::"'~[(/ f!,
(P1.e::ue ~ or orUu an4Jim It boanm)
ADDRESS
~W...... .....'.L.-.
.,.(,-:n~ '-~~eeu
- 'I /
LEGAL DESCRJ.:o .110N (am.ce u.se otIly)
.fJJr pj
ZONING (alli<<wc)
LOT
BLOCK
ADDmON
PID
OWNER ,. t., /~~.
(Name) ~,ufff\
~
(pb.one) {. '51-4M-4'f~
(Address)
I'
,"
APPLICANT / I / /
(Name) ~~/ /,0/ ~/'f(";
J . /
(Address) 47:.f/ d-/ 4//:k?// ~//1
. (Address) / .
(Comacr Person) ---..fu J\J
APPLICA~TSIG~ATURE L-<W d/hr_ DAU$Z3
, /1
APPLICANT PLEASE COi\-lPLETE BELO\V
~E W CONsnUCTION 0 REPLACEME1'iT 0 AL TERA nONS
FuRNACE MAKE AND MODEL /P/'I/\/.1'>Y 0 s;1 G~ .., ~ FUEL. ".j;f-
FLUE srZE ~- ~/ RETUR."N OPENINGS ~ INPUT 75, CtO OUTPUT '{;;J 5l:D
TYPE OF SYSTEM HJ:.A TING OR POWER PLANT
~arm Air Plants 0 Ste:un
OOr:lvicy 0 Hot W<l.tl!:r
..Ja ~"'lcchanical 0 R.adi~tion
;;;::p.ir Conditioning 0 Special Devices
Went. Sy~ 0 Other De\';c~
(phone) .hS1-'m4..t.1~
~~~/
~icy)
~~rz...2..
(Zip Coc!t:)
(?h..:.r.e)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE ~tA.KE AND MODEL
Residential HQting & AlC (Nc:w ConsttUCtion)
Rcsidenti3.l. He:l.ting Only (New ConstrUction)
FEE SCHEDULE
1% of'job cost Residential. Oas Fireplace
S39.'0 minimum '
S99.'0 Residential, Additions ok Altc:r:itions
$64.50 Residential, AC Only
S39.50
Industrial. Commercial &. Multi-Family
S39.S0
S39..s0
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PE~.rrr FEE
$
S
s
.50
~~/ft,.
~t', ~"t
,
Estimated Cost S
Building Permit #
(Office Use Onty) ..' 1;0([0 r~ ~ W~
Tbl:s Applicatloll Ber:om,~ Your Buildi.ngPermit When Approved \~),I s .~ ~ 1: eiptNo. r-
0''';", om,,", ... . . . . D,k. : '-7'C CC C" _.; -: ,i~; ~~~.~~_ ~ .,-~~~'..~ . ;;; ; ~ ' ; ,-,- ,~
2>1 h~ul' notfce for all Inspllttrons (9~) 441-985~X (952) 447-4~
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or print and sign at bottom)
ADDRESS
3892 RASPBERRY RIDGE
~. ~e:n ~:~y I PERMIT NoA _ OD--l
3. Yellow Apphcant ..., ~". I
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone)
2561
651-633-
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTO/y
DATE
8/30/ 05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
D Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
HEATN GLO PlER-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
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAID WITH
~lDING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
By
Co
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
<:>~ ~ ~ +, Le.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 3~CCL R~C;y{a.ehM/ ~'h...f_
NATUREOFWORK ~,C~I tJ~
USE OF BUILDING ~FA- . .a
PERMIT NO. 04-,OB/(, DATE ISSUED {-27..-at./-
CONTRACTOR PHONE--.lP (z..!...19~ - t~l L
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
, THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING ~. l? I) er ,. 7
INSULATION r/R "? ?-..?
ELECTRICAL
PLUMBING /) c.- I/~ //:c::r
HEATING (if required) _ (fb it,." (
FIR-EPLACE (v(/ t(J-I)~' . flJ 9-7
GAS LINE AIR TEST ql) u jz I~
COVER NO WORK UNTil ABOVE HAS BEEN SIGNED
L4fA ;#/4' ~)~ft5 I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT 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.
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FOR ALL INSPECTIONS (952) 447-9850
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...
DATE TIME
CITY OF PRIOR LAKE '14CD
INSPECTION NOTICE SCHEDULED
ADDRESS SBCf 2- ~I). ~.
.
OWNER CONTR.
PHONE NO. PERMIT NO. t/-~f~
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~SUL.ATION o SEWER HOOKUP o FIREPLACE FINAL
FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
- .
L\l~
I(J
~
~.,
-1-, le
o ~ SATISFACTORY, PROCEED
JA CORRECT ACTION AND PROCEED
o CORRE~ ~LL FOR REINSPECTlON BEFORE COVERING
Inspector: ';/ / Owner/Contr:
CALL: 7-9~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS -:s cr~D
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED J~
~.~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~EWER HOOKUP
~ ~LUMBING FINAL
o MECH FINAL
COM~NTS: rl
\, ~/Q.p fJL( ~ ~c.. -\-~r-
l/L/'7 -,~~
) A 0
tOIJ~. SiJIJ.N./J \\~() ~ ~~(Z,--
^ ' T
'$?U' <L~{,LJ~ Sn~ It'd
~~ C4rL
() - \" - ./
f\:t>\J U J?a.. ':'~"iL- \~~~~ bo tr-~
o v..1+~ ~ (.p\~ <;'tdcKs1 .
\... (J /
2.~ ~~
3.
4\
~,
(p,
M l-lj
LJ 8 I ~
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
o CORRE:t1, CALL FOR REINSPECTION BEFORE COVERING
Inspector: _ Owner/Contr:
-~
CAL~.u7- 50 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUl 'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl