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HomeMy WebLinkAboutBldg Permit 04-0816 s:'~~ ~~ bLL 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 - ~ }:J7p,y, '/ a -~j.bf~ /) Rec4i.Ft No. RJr1 f r7!#t7V . 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 , '~/ ' , /' .' ),-, / I (,~ ( . .,.t,.i.'~_'l'" .<"; .' j l / .,/ "'4.-' /)'/?,f ,',' ,,//2" / l" <: I (.I,'U/ .,.r;;J..../ I ....,."(,,"'./.,/',,/ l(~~,- _.F'( ~,r(. .,.-i........ "......,' : - ,.... .,-<' .,,' .--,- ~ I,,,,,, /--//-- y 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- c/ (/ 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 / ,J:,.../ ):",~~, ~-)?/.. , ./ r /'(j / 1 ,/:' ,1 J /,._-;, ~ 7-/;' Lj ,~ 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." .0#.-.'... .- ~".!n\ . '''J. "tr:lI.C-' , M'" Ut:..-,,'l' c.o\.t) " crT":'" .""'... ..,..,......,..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:; S _ 5;::: s'J~c~a':'qe. ... S e '.... e :" 2. n d ~.~ t ~:- p e :::-:l its i s sue c. -: 0 ::- n e '..1 c c. it S ~ r.l c t i 0 ~ ~ l~ S :. ~ == ....,.."......_..1;:.,.:. 0"" t~e bl..lil,..l,,.,s ""'e-i- c...---...!- -"AID;""W; ~<"<",,J""Ic" _ .., _ -' .. _ _ _ , ~ _... _ _ _ ;, ~ lo,.I.. 1\\, _ ~ ~ _ - ~..... ;11. , , :} '-"~" ~. - , I ' .. " I . __ l_C""""._Q ..._ -,.., '-'" L..Q Q-'O- r- . r ~-~ ,__, _d'"'' _" '.>or.! _. "c cl.:--l_ci'\,-_ 5,_ ~"" .:',.~ .' . '- {::;:bH ,-.- iss~c~. . ;'_:.~C('~C l}MJ-LDING ~~J~.oft;' ~ ~.~r'- AUG 1'1 2004 .-/ .. ~_l. "'~.':" .,:: ~ -'.' .., . I'" :'" I.... r:}. -.::-::: ? .:.. : :- ;~ :::: ?: : . . \ . l' . ~ _' . .... .... .. " . . 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. r;~ \ I,.. 2 -o~ we, (?f> JI> fgJet> FOR ALL INSPECTIONS (952) 447-9850 ""t(~' ~, , ~".'_'m..J-~.~.~___,___~.,~'.__ . M'~~___~'''~__'''''_''_!Ji."~____ .:':'.~':"Ud..a . ....____'..6,,'.. ,'C" ... 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