HomeMy WebLinkAboutBldg Permit 04-0534
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See ~ \.fain Ffe, ;,~~ ~:~, I PERMIT NO. 0 A , 0 ~-:>4-1
3. Ye!low Applicant ..,.... . '--'.:>
(Please type or print and sign at bottom)
ADDRESS
37/t /iCtr'fberry
I?rJ
/I ,'d, ,
, 'v
LEGAL DESCRIPTION (office use only)
LOT.r BLOCK I ADDITION
OWNER
(Name)
(Address)
,-;-
.:JeFFfrr
/litO
J'OfA. fA
(Phone)
BUILDER
. (Name)ffi pA/ r m'i/V/v ;...Idl71~ f
(Contact Name) G<< r Y' S
,
(Address) / f 'i ~ ! Ia 2 po.. /) r SUI 71' ,;J...p d
-----
TYPE OF WORK trNew Construction ODeck
o Misc.
OLower Level Finish
Date Rec' d
ft /3-~
ZONING (office use)
PI
. ,
PID tJ.S - .39~ ()OS...,)
(Phone) ~J/- Y'{)~ - -Y'Y'IJ I
(Phone).~ 1.2 - :.,7" 9 - 7 C, / ~
('~ ,~# J1l /V S5/~;J..
V
OPorch
ORe-Roofing
ORe-Siding
o Fireplace OAddition OAlteration OUtility Connection
PROJECTCOST/VALUE (excluding land) $ /;l. 5 OPO ~
"
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"
~ter7C::rtytoP7~ns. I </So 5- y- () y
. / n SigUature Contractor's License No. Date
1/
..
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
Is~ot)o
/3 83 ''-~{) I
8QQ,aY I
'71/~-O I
I
I
I
I
I
lOt' . -
---'
/()~.
<.3S,50
u__
-!(j,
This Application Becomes Your Building Permit When Approved
~~
Building Official
Ok9/oV
I Date
I Park Support Fee
I SAC
I Water Meter Qiznl87 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
Co / I eO. 7f!)
Ic . /11- /j ~
,
#
#
#
#
Rece,tiJt No.
Bri:-_
o
$
$
$
$
$
$
$
$
$~./~O.7?J
,
4-~ f7Z-
I g 51),'-
c::9-50,00
ics;. cJO
t;). OC, -
"70t),,-
---
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
~P~~_Ccrtifin;;;4P;mdill~'ro'~~eM'aiirFne=pm~m""b'
Planning Director ' Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (95i) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See Main File
White . Buil~iJlQ
<,",l;anarv - Enaineerirj'g::>
-Pink . - Planning
Th. ('.nl., of Ih. "ok. ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
l:j./j.//./ (?
,,:,,"""--
(::~.....
./' ;'
--( ,\. .I
.........J ".?
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity, which is proposed at:
;:,) /') I,. /"'(
'.} '7 /0"- I" /
l2~.j
.I
.'
Accepted
[)(
. ........
Accepted With Corrections
Denied
Reviewed By:
IhM
S'ce /J%f/l FilL
Date:
'S-: 2/)"-0'1
Comments:
"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 File
White - Building
Canary - En ineering
"nle - Planmn
The Crnlrr of 1he Lakt ('ounll1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1'7
(./
-.,..
, .
~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
, . .
//{-;::-
?",
. I
!
I
f
"
t
Accepted
,/
Accepted With Corrections
Denied
Reviewed By:
~
......
~
Date:
o/i~~cf
, .
Comments:
"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 Fi~e
~l1.ite - 8.yilitina -::>
Canary - Engineering
Pink - Planning
ThE' ("tnltr or the I.ab COOnll")'
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
1tJ.f!At4-n1 CI /WVl. ~
~-- 3-6 Y
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activ~ which is proposed ~
39/b- IJ~~, 1'f/;k Ai--
. / 0--- (/
~
Accepted With Corrections
Accepted
Denied
Reviewed By:
~.
r-.
,~ J)J-;
Date:
5/1 ,~y
Comments:
"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."
;.;""""
--
6'-})-j~ j'~""
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5! \ ~ ,,,,,,,,,.,,.,..,...1,,.(,::,<,. ".'i....""i.' ...;'., (."\..,___L v
\ ~ "") rT~Y OF p,,-rOR LAKE
~ SZ~-ER ~.ND WATER ?~;<)>!n
NOTE:
Qs.1E r... . 1'~J.
Tl:U.D"rt . "'~1Vc......,.
r.ol.o . CIH
lJ'al
Iln.J T '11"
. _...&...
.&...0(
NO.
'I,S3l/
APPLICANT: We,~e \ ~~~
AOORE:.SS:_3"iJb,. . ~,~ v.\~~,
.~ ...~._.. -'-" .
S ewer and Yl2 t~H
contractors must
be regi5tered
with the City.
PHONE :(J5j-iJ9"; ~~-
DAT:::: 6jS/O'{
c::- - -:.....":' ~ ......,,--:;-:- .
. ~ - , . . . . '. ''''. -'
~"":-'r.:
~.. ,.", .... ." .
:?:S:?~-'!.!7 ;
']. .
~s~i~2~ed lengt~
~:LL IN TEE 8~~~S
'30
fe<:t'.
2.
3 .
size of water se~~ice
of wa~er service
/
.
inc~(es). A
from s~~~cture ~/V\
P~iC K Cast Iron
feet.
Lccatio~ of any co~?lings
4 .
~y?e 0: sewer pipe.
ABS
5.
~s~i~a~2d leng~h
of se.....er line
,3()
fee~ ~ fa
a~ ~f2et
from
6 .
Cle=n out (i f
st::-'.J.c-:.~=e .
reczu i r~a.) ,
loc<:~-=c.
-==;=====================~=;~=========:=====~.~-===~;===========~=
T~~s a~91ication bec~rnes ~o~r pe~~t ~r.en ap9rovec.
S';!
OAT:::
~~~=====;========~=-==~~;=========-;;;~~-;=;==============~===-=~=
F~~S:
s
s
s
35.00
.50
J5.50
Sewer and wa~e~ line connection pe~~it.
Surch~:rge
TOTAL
* ~=~ f~= e:~he= sewe= C~ wate~ i~civic~a~ly is $20.00 p~us
S .50 su~char~e.
~ Se~e= and wats= oe~its issued :o~ new constr~ction must be
~eco~~ec on the building pe~it ca== e~ th2 tim~ of issu=~ce
r;s~~r".~~-ffinrIT \'IJ'l,t-J>Kcats se-,e::- arci ".~i.: m
0,~.:'::: ?:l..:J 1 ~._~ ;'.~~O(;:r~ :.;:0 . -'
?~::::~:?~ ~ ,"____ R~C'D S.{ ____,_"._'.' ". ,,_~
By
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. '. '." ---," -, ..tr.. , ,,- ". '.
. ~ . __I. . . .. . ",' _ ,_,.....
. . .
. . . ' - .
8 d 88SES0098t 'ON/60: 6 'is/!!: 6 to IS 'S (a~M)
L9EO-GSt-!S9 8N!lV~H ~ 8N!8WD1d 13ZN3M WOBd
10/24/01 WED 11:22 FAX ~124474l15
ern UI' YH WH L.AKe
141001
Date Rec'd
CITY OF PRJOR LAKE PLUMBING PERMIT
I Bkl< 'iI,
t. Gelid Cil,7
I, '1",,_ Appl'C".
PERMIT No.q,S3 L J
(Plea,,: Mle or print I.Od rip at bonmn)
ADDRESS \:'\. \. _ h \
39/(, ~~."(~~ \~.
. ZONING rolkc IlK)
LOT BLOCK.
LEGAL DESCRiPTION (otJi~ use only)
PID
. ~~~ tk\eJr6ffi~~~ ~~~es (phone) 65j-ifDb-1fOQ
(Address) L2>~ S- 'Plc.ZC>-. k. ~\ -k cO.bo ~V\ 1\[.\ t\, ~ " ) ;:zrz.
~~~~ANTLJ~d '\>~~ ~\\~~. (Phonc) 0S/-1fs:1~/sbS'
(Address) 1'7/D 'Pr~~nd.~ \Zcl. ~ 'iv'M, ~/;;../
~ _ (A~) ..-' (City) (Zip Code)....
(ContaaPerson) \T~ \-\~?A~~.I" (Phone) t5"/~-15bS
APPLlCANTSIGNATVU .~ DATB '-.5"/6JOY
~LICANT PLEASE COMPLETE BELOW
Type of Fixture I Quantity
Bath Tub with or without shower I
Dishwasher I
Floor DnUn
Lavatory (Bathroom Sink)
Laundry Tray (1 or 2 compattment sink
Shower Stall
Sinks
l3ar Sink
WiS~r Closet (Toilet)
Quantity
c?.
,
I
'05
:J...
I
I
~
ADDITION
Type of Fat..",
I
Rougn..ins
Water Heater
Water Softner
Stand Pipe (Washing Maehine)
Sewage Bjector
Backflow Assembly
Backflow Assembly Tm
Lawn Sprinkler
Other
I
FEES\..nt-DULE
Indu3triul, Commercllll &; Multi-family 1% ofJob cart with a SJ9..50 minimum Rc:.sidenti.l, New One &; Two-F1J'TIil)' $99.50
Residential. Additions &: ....lterations SJ9.S0
comec U,e Ollly)
Estimated Cost S
Buj'di~ PermiT n
~({J~~
~~~.
~~~
"..~...
,?<r,.
PLUMBING PERMIT FEE S
STATE SURCHARGE $
TOTALPERMUTFEE $
.50
Thi,AppJicltionBel:ome,YourBuildinePermirWhenApproved Pa t u:; ~ lE U III l~r~:c:iptNo.
BlllldlncOmci., Out '-'-""'- D, t~.~~ 0 7 2004~~. /: .
L d S S,," 009 SvONl6 0 (1's/o'tt';o't~d(a1~r) "L.~ro~ ~~rWgm ~ 9N l.lllO1 d ~N]M WOHl
07/19/04 09:54 FAX 6518949955
WENZEL HEATING & AC
~001
CITY OF PRIOR LAKE
BEA TINGI AIR CONDITIONINGfll J..KEPL-ACE-PERMIT-..
Date Rec'd
(Please t'(l'C Of print and sil!J1 II 'bauam)
ADDRESS
L?J/b . T:;t:h<:;~RLu
-.. /
LEGAL DESCRLr J..10N (aflice use only)
~ ~ .. ~" PERMIT NO. "." ~ ".~--
J, YoilN AppliEDI \l.J. ~
e)qp ~{
I
ZONING (o~e u.sc)
LOT
BLOCK
ADDITION
PID
. ~~R ~Iff\
~
(phone) ,,'51--4N:,-4'f':4..
(Addless)
."
APPLICANT / .I / /
(N'ame) tI~/'/ 7/.:?/ ~,,^r~
i '~
(Address) ~J/dc/ ~/M// ~/J1
- (Address) / .
(Conraa Person) ~ t\J - (phone)
APPLICANT SIGNATURE Z:::?# 4/h.c- DATE 7~q
APPLICAN; PLEASE COMPLETE BELOW/
~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FU&'lACE MAKE AND MODEL ,p,/II/V;"'; ~ $;/ G~ J. c::;- FUEL. AbJ-
,
FLUE SIZE _,.;?- ~' RETURN OPENINGS ~ INPUT '7s..r;nJ OUTPUT b 7 5l:O
TYPE OF SYSTEM HEATING OR POWER. PLANT
~arm Air Plant!! 0 Steam
OGravicy 0 Hot Water
~ a Mechanical 0 Radiation
~ ~ir Conditioning 0 Special Devices
)2r/cnt. System 0 Other Dcvices
(phone) ,t..,<('-1P4..t..,~
~;cJ~./
~ity)
.L, 4.., rz...2-
(Zip Cacl.c)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
.-.- ..---
-. .. --.-
Industrial. Commercial &. Multi-Family
FEE S(....t1J!.DULE
1% of job cost Residential, Gas Fireplace
S39.50 minimum .
$99.50 Residential. Additions & Altcnltions
$64.50 Residential,. AC Only
$39.50
Residential. H~ting &. Ale (New Construction)
Residential. Heating Only (New ConstruCtion)
S39.50
$39.50
Estimated Cost S
Building Permit #
HEATING PERMIT FEE
5T ATE SURCHARGE
TOTAL PER1\fil' FEE
$
$
s
~"r!"":\ ~rr.,......" ^
I"",.".. I. .lli""'
.. ""L-"" VW lJ wI.
;n ..~ r~'c~,~@ ~;-.;~~r~~"
.50.'.~ ".,Ll,.~'{ J..<; m., .,,~ )" ;
(Oflic:e Use Ollly)
This Application Becom.es Your Building Permit When Approved
Building O/lieial
Dart:
D~d~ ~U [] ~ T i ~eceipt No.
D~Jl 2 2 2004 I ( By
. . - . . . . . . . . . . .. :" .-..':" -:' - :-..,;" -- ";' .,- - - -.. - . .~...: ':" .: =' ~ '.- :- :-',; .' ~ : = .: .::.: .
24 hour notice for :111 inspections (9S2) 44~ ~J50, fax (951.) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
I. Pink File
2. Green City
3. Ye!low Applicant
(Please type or print and sign at bottom)
ADDRESS
3916 RASPBERRY RIDGE ROAD
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
OWNER
(Name WENS MANN HOMES
(Phone)
(Address)
APPLICANT
(Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone)
2561
(Address)
2700 NORTHFAIRVIEW AVENUE
(Address)
ROSEVILLF
(City)
(Contact Person) .
BRENDA HUSTON
651-633-2561
(Phone)
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
Date Rec'd
PERMIT NO'l_" ~l(J
ZONING (office use)
PID
651-633-
55113
(Zip Code)
9/8/05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
$39.50
$39.50
PAID WITH
BUu.oING PERMIT
.50
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
DVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
HEAT N GLO 6000TR-OAK
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Industrial, Commercial & Multi-Family
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #_
$
$
$
~-~-',
(O;::su~ep::::~tion Becomes Your Building Permit When Approved :~d~ D \1l \~ \ \\\\
.\"5i~ 1\ s 100~ \\0\
, ----- \
24 hour notice for all inspections (952) 44~--
Building Official
Date
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
\
$39.50
Receipt No.
By
PRIOR LAKE DEPARTMENTOFSee Main Fi~e
BUILDING AND INSPECTION
INSPECTION RECORD
SITEADDRESS ~91,* 1?a.~fJ/)errv 1<;~e 1U
NATURE OF WORK
USE OF BUILDING . II-
PERMIT NO. (!)- 0 534- DATE ISSUED
CONTRACTOR ~IVAJ PHo~.S'''-7&/~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FOOTING
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
. ,,/
fY/..?I/t>t
!()PI/o/'
Cf !z,~
1~/27 /~'7
, I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
':lArNGI/!dl-TUU-QSTaAAr I I
; FINALS Vf~ UlAPIlA/ck)
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
,
->>f1
~ /C~~ ---
.
116 >>
/9A
(flJ
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
(~
~
/e'/~//~'
.
/0 /Z? (C;7
... /
Ip;-(4~c6
)O/27/~
I I
BEEN SIGNED
OCCUpy UNTIL ABOVE HAS
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
,
-- .. .. ~-
-~~.~......-
"'''L'''.''.,.,,_
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ..311 (g ~ aSJP .
OWNER
~~;
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~~ULATION
~~~~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(1 b,",- ~ .c:: \.e
DATE TIME
t~
LI-5~q
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ASLINE AIR TST
o
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRteORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector Owner/Contr:
r
CA L 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS
? 'lIt,
SCHEDULED ILr/~~
(la,p Vlr ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
4--5"3G(
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o ~R HOOKUP
~LUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
~~~-
-?
Y7lJrz<{?7
o WORK SATISFACTORY, PROCEED
jl'CORRECT ACTION AND ROCEED
o CORRECT WORK C FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSltOTl