HomeMy WebLinkAboutBldg Permit 01-0933
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
g-/orV/
I PERMIT NO. ol-0133J
1. White File
2, Pink City
3 , Yellow Applicant
(Please type or print and sign at bottom)
'ADDRESS i>?alJO ~ ~~f.\.el. rU,lO,
fAkA.-J J-;}o.- J Ii} /I) \~~~ 7Q.
LEGAL DESCRIPTION (office use only)
LOT I 7 BLOCK -?.. ADDITION U~~ 1'.57=
OWNER
(Name)
ZONING (office use)
R
PID ;:J.C; ---3-1 ~ - Q;)l~
(Phone) !l58 - ~L;' - '?'-Il..J ~
(Address)
WINDWOul.J HOMES
14311 Ewing Ave. S.. SuitA ?nn
Burnsville, MN 5530C
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
~ew Construction
OLower Level Finish
o Misc.
(Phone)
(Phone)
ODeck
OPorch
ORe-Roofing
ORe-Siding
I
I
l'
o Fireplace OAddition OAlteration OUtility Connection
PROJECT COST/VALUE (exc1udingland) $ ~~OV
$
$
$
$
$
$
$
$
t ~'f 10X>'c9cL
, J 5"8. , ~
,! a;J(". 3cL
'i'1 _ c;-O
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
~ter upon the groperty 0 pe~orm neede inspe '0 .' tJ. I '1 / ~ II D I 0 I
Contractor's License No. Date
$ 8so.co
$ I..!~. C9eL
$ J 2~. e:>O
$ 45'. eo
$ 11 Q.~O ...0::0
$ ~ -<9 C!:>
$ /,,~OO &.~
$ I
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
~
(ThiS
/1)6.00
10(1 . aC)
35""',50
40-60
I Water Meter Sie"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE ~ ~ - z.q.... () !
- . /
I Paid e 4-Cf'l. ~ ReCeij~~ d
I Date )-ltJ~1 Bv t
Park Support Fee
#
$ S, 44Q. ~S-
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
~~.' :i\~ P""- ronstitutes a temporary Certificate of Zoning compliance and allows CO,nstruction to comm, en,ce. Before occupancy, a Certificate of Occupancy must be
issued .
L.e.e~ Jd ~'-f/-81 ~i~t r~~(
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
SAC
#
#
#
Tht ("tntt, nf Iht toke Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT -!L lv1Jdu >>cd
APPLICATION RECEIVED ~- /0 -() ]
~~
,
The Building,'Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/Sd l/D ~2A'4 IJr
Accepted )( Accepted With Corrections
.
Denied.
Reviewed By:
I'
Comments:
NAB
Date:
See Reverse Side for Additional Information!
Dr/V'IW'~ \' Mu,f
he, V' e Co t') Co IJp rtJ ;t_
A II Dir 4- mud h.c.. s-f.o ft.J he.. ~/r,J ('..eMf- .. t; ,'J(W'W
t9r 0{,fu/~Jof+ sl'f~,:z{ s..{"r~J 01"\ 5,'/<... ~"If.nl/ll'
,
MU".{.. h{ ;1l~-k,llfl OI~ ~H a.f ~-I- p,' /~.
6ee Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
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."
Th~ C~nl~r of th~ L.k~ Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT i
APPLICATION RECEIVED
, I )-;J.." j r-. J"" :, 1/ ,fnQ.--o--
/, " __/ ( J...t .
f
,""
10 -(.J J
/-
. \
\....-1-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
j- / J
!J L (-.J (J,j /U{-!,/.( / !
J
r /
c'r "::J
' I
/
.I
Accepted ~
Accepted With Corrections
Denied
~-~
Date: ~()..-'-I / d)1
Reviewed By:
Comments:
~~ ~ /M~'i?~
Jv-u.~~;&~ !A ~, 'We-e ~ ~
l'eO,j-J ~ .
. .. .?-y: A cJ.vrl.~ ~ ~
Jv~~ v-~J rJJ.04w Ct,vL;.
A-~ I P.u0.yo~ .~
l~~. @V\vf~c~ '~h9V' 4.,~ t;)Wd.. torr.
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."
~~ 2.~\ ~/~f--~6~-
~Q
/
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
l -/ -0
I. Green File
2, Yellow City
3. Gold Applicant
PERMIT NO. Of 'oCf'33
(Please type or print and sign at bottom)
ADDRESS
j ( 11/ () ~ A $.L' vJ fl ~ J-I I: ,.( . R. IP .
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame) tV.I N {) t.J () rUJ /.f O.t1l1 I! C.
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLIC~T
(Name) V 12. ~S tLk
(Address) I ~ II R
G XC,
_\ 0 f l ]:..yJ
(Address)
W 11--1
(Phone) 9 s 1
LILUL.
(City)
J>'jJ -, 9Db
S"J644
(Zip Code)
(Contact Person) ~ 1..1.. j c... j..}
APPLICANT SIGNATURE C'_ L~-, tJ~.Q..,._
u
(Phone)
DATE
J I /, J (J J
APPLICANT PLEASE COMPLETE BELOW
Size of water service I inches.
Location of any couplings from structure - feet.
Type of sewer pipe. 0 ABC ~ PVC 0 Cast Iron
Estimated length of sewer line 4 0 feet.
Clean out (if required) located at - feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1 % of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $ Building Permit # 01- q33 ~ Y
SEWERANDWAlERPERMITFEE $ ~1\\D /) _
STATE SURCHARGE $ /' .50 \ ~ UYl t..--'"
TOTAL PERMIT FEE $ /' 'Y
,,/
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid __________
Dfu -0 ,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
10: 47AM
NO. 245
P.l
Dnle Rec'd
I. rink
Z Go....
,. V."...
!'iI, I PERMll' NO
C;ly . -"J-'
Af'II'i<<t"l <:::> \ - ~ 0. . "Lr'
ZONING (officeuJe)
(PJ~II~ tvEc Of print and sl", at boUoln)
AQ.QRESS
, 'S~ ~~ ~Q,.\.... "" ~'I \\ ~~ ,,^t ~
~~
R\
P1D ,;i ~-. 3 7{,- O".l/~
LaOAL nESCRlPTION (ofij,e use only)
lP'f\/BLOCK d ADDITION '-J '"'"' So '(?'\\.o~
~
OWNER
(NjulJc)
.~', ,,~~ rv~~ \\~r~~
{.. ~ ') ,,~ \\ ~ "- ":>
\
,'\ ~ \\
(Phone) '\ ~ )- ~ t\ ~ - ~ "1 \.\ ~
r)\;.~~ \.\), \\t s ~)C III
. (Phone) ~ S ~~. '-1 \\ 1 - ~ \ :),I..(
(' n ~\- l",\~ \"\~ S~ ~'Id.
(Cily) (Zip L'odc)
(Phonc:) C\ ~ ~. \;\ \..\ -,. ~ ,{) _ '-\
DATE \ \)... '1 \ ~ \
c (A\ldress)
--.---. .-- .,---
AIlPJ,.ICA.NI f\ \
(JIla~lel ~'L"~ ,."', r- ~_" ~
(A~d~-e$S) \~~ ~\~ \J ,\ L(J~ (-t V '\...
(Adcl1css)
(Cl,lnlllct Person) N l..\ V'\ L.\I S l.," ~ '- \ \..
AF,P~:ICANTSIONATURE ~~p l,.;~h
AI'I)LICANT IJLEASE COMl'LETE BELOW
.. _cc-)S:(NEW CONSTRUCi'ION
FU~1'iACE MAKE AND MODEL '<""'1,-' f - \ ~
FLVEl SIZE '('\I ( RETURN OPENINGS
TYPE OF SYSTEM
. .'riIWl1r~1 Air Plants
1]oravJlY
jMe(;hBlIlCal
Air Condilioning
Vent. System
o REPL.ACEMENT .
DALTEilA TIONS
fUEL t\)~+-
OUTPUT ~ S. OO{\
\~ INPUT \~<:::\, ~
HEATING OR POWER PLANT
B Steam
HOI Waler
o Itadiation
o Spcc:ial Oevices
o Olher De\li..es
I'LEASE ~O.rlt:
Air Conditic.mel' Units
Cannot ancrQ&lch into
Rccluired Side Yard
Sethacks
FI~EI?LACE MAKE AND MODEL
IndllSllial. Commer~lal ,& Mnlli-I:alllily
FEE SCHEDULE
1% uf job cosl Residential. Gas fireplace
$39.50 ntinimunl
$99.'0 ResicJetlliBI. A<1t1ilions lJL ^Ilcraliuns
$64.50 Rcsidclltial, AC Ouly
$39.50
Rc;~ldc:rtill'. Healing &. AlC (New Conslnlctiun)
Re~jdc.f1tial, Healing Only (New Conslruction)
SJ9.50
.tJY,:50
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL IJERMlT FEE $
,.",...
" A ~-.
t I!JUI! ",'4It) 'A a
....vl~ yv.1J7..!
.50 G P~F:~ ~
i'~t-r
Estimaled <';051 oS Building l"ctmil II
(OII.i(~ list Only)
l'h1i Apl)UtaHon Decollles Your BuildIng Punllt Wbell ApprovecJ
Paid
Rece i.lll.lia.
---
Dulldlni OWe'lIIl
Olfe
DBle/O~3J-o I
BY~
1
14 bour lIO!iee (01' nil hl.pc~lltlns (95'") 447-9850, Inx ('5;2) "47-4Z4S
(Please type or Jl rint anc1 $il?Jl a.t bottQm)
ADDRESS
15~~t) ~tuJ-~~.~,~
u <.J
LEGAL DE: ;CR.I.r 110N (office use only)
LOT 11 B~.OCK ~ ADDITION -*'~ /.d;
OWNER.. ~ . "J~,_
(Name) :=......J~ .JI.(/111 .u..LJ.J ~A) (Phone) ~. fji't$'- ~
(Address) 1~/..sJI l.(J; UJ _ ~.J.J~ - vJ.. ~4.~~ ,-0", ~ S5.!Si3'1
u ' ~
---
APPLICAN"r
(Name) ~r#}'1t)h.) 'J)nDid.e, _ INti-. (Phone) ~. ..J~. \!J'N3t>
(Address) ~W/) f!n"roIlNJ) ~j I R~~IY1()u.nt.. tv1r1 .5S'Q'Y
(Address) (City) (Zip Code)
(Contact Per;on) -:::Danie.l E. ~"-.i?!J!=l\n. (Phone) ~/. ~. \!11:J.()
APPLICANT SIGNATURE ~ p ~~.L/;.u'/j;/lJ DATE II~I
APPLICANT PLEASE COMPLETE BELOW
TypeQ( Fixture - Quantity'
Buth Tub with or withom shower i
Dishwasher I
Floor Draip I ~
Lavatory (Bathroom Sink) .I
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Quantity
I
I
I
S
I
2-
/
I
,,--Sf
12: 22PM
MRTTHEW DRNIELS, INC.
423 3017 P.01
......-.... "'C\;' a
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Blu.,. fii. I PER1~IIT NO
:, OQld City . .. 1/;'2 '-;t
j Y clio.. "p&)hcan, -"'t.f :/......:../
ZONING (ofti.e use)
RI
PIO r?l7-.37~- 0;)-/-0
Type of Fixture
Rough.ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backt10w Assembly
Backflow Assembly Test
Law-I'! Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi"family l % of job cost with a $.39.50 minimum
Residential, Nc- One: & TUfo-Family 599.:;;0
Residential, Additions & Alterations 539.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE
ST A TE SURCHARGE
I TOTAL PERMIT FEE
$ <;'1. $l)
$ .50 (;;/, '/';'-. .
$ /~IJ -I)/) ~^ ~'..? !~/' )..
-, 'GJ;>;"/y
^"
P -... Re . N '. ,
al... 'celpt o. "."'___
'1,""
(OfficI!: Use On y)
This Appltcation Be~oUles Your Building Permit Wbea Approved
Bu ildlng Oltieial
Date
11-/'3-/
By~
U
Date
~ hour notice for all inspectiolUl (951) 441-9SSO. ru (9~2) 447..4245
~ ~
TOTRL P.01
~---------'-'~~"'-~"""""""'-~"+-_"'--"_'___~___~>~"_____M"'__.',_,^___"__'_"'_~"""_"_"__________.,..--.,,_
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS I s:,;z t./ 6 W rlo"rtts M
NATURE OF WORK ~
USE OF BUILDING 3F:h
PERMIT NO. 0/-0'/5:::5 DATE ISSUED I!> -(l.D-rzar,1
CONTRACTOR ~dn~u~ ~~ PHONE$2~ Bt~ ~rt,8
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR {DATE
I FOOTING I 1> ~4"'1 I.(J ~1i)(
FOUNDATION (Prior to Backfill) I ~vllo hO t I ~1t ip
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN IIS{GNED
ROUGH - INS
SEWER I WATER I SEPTlq " \ (~
FRAMING J-L IJUj (/ R,.~,
INSULATION~ ~ l\ J)J.. f 't) ~ 6.NfI
ELECTRICAL I 1
PLUMBING ~ l a f)).. ~ \)rlMAl
HEATING (if required) Lt--' . f<'~,\
FIREPLACE ~ ~~
GAS LINE AIR TEST 1'" -~ ~~ t
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
LA/H'b-'" I P16 '5hr? I
I
FINALS ~IAA{ ..
i> ~(l}IfJ
\1>
OCCUpy UNTIL ABOVE HAS
NOTICE
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
.
If (p O(
1/1z!i1.
1 let C)z...
\ .
L;:),\ ~.,~,
I/lkz.
~//'lAl 07---
)\~~\O~
~. '\ J Dl!: 1, \$\/)~
"0 \f-~\ ij1.J
EN SIGNED
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 I:;e placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
Itrtificuu of ~CCJ4adnry
ell r OF PKlOR LAKE
J)tpartmtnt of J!luilbing In'ptction
o Final Permitted 0 Conditional C.O. Expires_
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various ordinances of the
City of Prior lAke regulating building construction or use. For the following:
SINGLE FAMILY
Bldg. Permit No.
01-0933
Use ClassificatiOJl
Occupancy Type _ R3
Type Construction VN
Fire Zone -11/ A
Zoning District
Rl
Legal Description
L17, B2, WENSMANN FIRST ADDITION
Owner of Building
,Site Address
15240 FAIRWAY HEIGHTS ROAD NW
WINDWOOD HOMF~, 14311 EWING AVE. S., SUITE 200, BURNSVILLE
Contractor's Name &:. Address - 7J
wr
City Planner _
ROBERT D. HUTCHINS
C{ -~tg ~ial
DON RYE
Date:
Date:
POST IN A CONSPICUOUS PLACE
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
11.-;-:
ADDRESS -LSZ4-0 ~/~AV fITS. )::.,0.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
01-93:5
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GAS LINE AIR TST
o MECH FINAL 0
SOO/ma:: fi0l
I 'C/
,/ !.6.irr0'~~~
~'-- ,
(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: vtP q -~. ()7..- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/..::; .;2 ~ d
~
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
1L.~ SEWER HOOKUP
rr~ PLUMBING FINAL
o MECH FINAL
COMMENTS:
-1M OM-OJ Lt-e...+~ 0 \<(
DATE TIME
3/5/ tJ,;L / tJ : CI7J
. /
7ko.
()/- 933
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORtt. CALL FOR REINSPECTION BEFORE COVERING
Inspector: .=g - ..,,~ Owner/Contr:
CALL 447-9850 FOR {HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/1'ISNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
3-Z,'i>...tJ'2- /;~
ADDRESS
/ 5Z-l-t? ~ //2bV/tV I-ffS .e.o
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0/- 0 93.3
o FOOTING
o FOUNDATION
o FRAMING
~ 0 INSULATION
rr' )(' FINAL
/0 SITE INSPECTION
o PLUMBING RI
a. MECH RI
o WATER HOOKUP
o SEWER HOOKUP
^J?;PLUMBING FINAL
rr.l!ll MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~. CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1b.. \)/l,VU Owner/Contr:
CALL 447-9850 FORlTHE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
g--;)f "OZ
ADDRESS
15:J'I(J
1=4,';~" Heifltb M
CON~. 'v,//~vr~
PERMIT NO. ---.0' - 13)
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
<:;:Il'RNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~GRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
+ (~AI)C 4.~ ..yyttH{...)~( Ch/......:E/.1.. tr~s-
l''l(:r( \-l\.A:rC.H: (A<-,,>P~ SLIR.uE~.
~MJf-S ~T(..,J~/~ i..oT 1G> J-- .t...o-r' 1'7
~)f-E:O ~rO e-..r Sff\otrrH ~'b '''JAU- t-0'!.I-L~
f\d-;f.~t.o .
~ L.-..J~.:l-L C,,:-t-? f'<o,-_,:l' S-r'c:of .A..pff.:M..~~ \Q
~ ~A,Il..kI-<' --r l"\A.,0 t..f r 6r;:T- ~ED 'f'"~
~JAL.. ~f-r Ai..L.E.:.1{
500 A~" --r1<.tJ:: ~ -:lk> f&.J\GE
o WORK SATISFACTORY, PROCEED
")8C CORRECT ACTION AND PROCEED
o CORRECT WORK, CALlJOR REINSPECTION BEFORE COVERING
In'POdo" ~ -I{ ~~Owne"con'"
CALL 44~9850 FOR T~ : NEXT-INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!
INSJVOTJ