HomeMy WebLinkAboutBldg Permit 05-0601
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
520.0S
See Main File
(Please type or print and sign at bottom)
ADDRESS
30 I~ - Lv', Lel.5
A Id j e.
LOT/b' BLOCK I
LEGAL DESCRIPTION (office use only)
~. ~i~~e ~:;y I PERMIT NO. O~. 0' OJ I
3 Yellow Applicant Ie:'
~ c,,~. V"-r-
ZONING (office use)
pun
ADDITION st'er l fnq
'"
OWNER
(N ame)
Wey1~ /hA-n n
18'16"-- (JL/tZ-p,
l40mes
D (I ve
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
n TJ r1h
PID 25. 303.. 0 IS. ~'
(Phone)
b5/- '1D' -~ '-fDl)
E A., f}J1 ,
v '
mJ1
hat'}.. ')..
..--::::: -
f:,G'I-'fDf>,-Lf'l6O
bIJr-3{d:f- 7';{~
We ")II 5 frJl+ n n J-Io;YI eS
1l1ic. k He.IL.rn~n
f ~'1 S'-- ~ LA Z. r4- (J r III e.- I € A- ~ It n
(Phone)
(Phone)
d
L-- ./"
~ Fireplace;"
TYPE OF WORK ~ New Construction MDeck OPorch ORe-Roofing ORe-Siding rjJLower Level Finish
'ljAddition OAlterat~n OUtility Connection 0 Misc.
CODE: l'itU.R.C. ~.
Type of &'"nstruction:
Occupancy Group: A B
Division:
I
E
II
F
I
IIIIVVA
HIM R
2 3 4 5
33 I 8 f) ()
~
B
S U
PROJECT COST /V ALUE $
(excluding land)
~
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 alllhonzcd 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
:cial can revoke is per it for J:st ~erebY agree that the CIty official 0, a:;~~y enter upon the property to perform nSed mspection~ b
J Signature Contractor's License No. LBiate
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
1351 J dOo,at:>
$ ~Lfgq.5o
t s gs Cog
llo~.so
$
$
$
$
$
$
$
'-00,00
I~o,~o
3$",'::)0
tfo,oo
,.
Application Becomes Your Building Permit When Approved
BuildJl1g Ollicial
.:t~ /J S- /3/ !o S-
f Date'
I Park Support Fee # $?~o
I SAC # $/'/50.00
I Water Meter Size 5/8'@ $ ~,Oo
Pressure Reducer $ 7'S,. 0 0
Sewer/Water Connection Fee # $ '$00.00
Water Tower Fee # $ tooo, 00
Builder's Deposit $ (ffJ6I.,; -]
Other $ I
TOTAL DUE $~ tA~1. /llJ
I Paid q r::, ~lf / / is ...-'~-' Receipt No.l..{.f ~(rU
J I
I Date ~ ... ~'1'O5 By I
ThIS tS to certifY that the request in the above applical10n and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. Thts document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued &e Main. File
Special Conditions, if any
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See Main File
White - Bulldin~
r ~anarv - Engineerin.,V
Pink - Planning
BUILDING peRMIT APPLICATION OEPAt1 I nIIENT CHe.CKLlST
,
NAME OF APPLICANT
APPLICATION RECEIVED
1/1/ C 1\ / c: IL} 17 A/ A.,/
i v G- I V-..--J I.
,e:::::-. 7 fj /: l:::-'
--./'. ~~" \....1. (_/ ,--,,'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,,~3 () I Z. ~A/ I L.O S' (2l,O G e- (~/_.I.
Accepted
K
Accepted With Corrections
Denied
Reviewed By:
Date: ~'-I-o.r-
Comments:
~CL /l1~,~ h \(~
"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 . Engineering
r:-t"'lnK ..rlilnlli~19>
B.UU..DING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
l v'l-:-/V r: /, / /J N/\/
~.. 2. . l:-
_-/. .c. (i~1
The Building, Engineering, and Planning Departments have reviewed the building permit
't application for construction activity which is proposed at:
,~,~ (j I 2- l/V I L- {J -5 le:,l U (7 C C'.- I .
.
;/'
Accepted
t/
Accepted With Corrections
Denied
,..
~~
Date:
Sh/hs-
Reviewed By:
Comments:
See Main File
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. II
CITY OF PRIOR LAKE
~OOJ
1. 0/ 21l / 0 1 WED 11: 2 Z FAX a 12 4 4 74 2 4 5
Lrrx OF PRIOR LAKE PLUMBING PEAAtJI
Date Rer'rJ
:. ~~ ~:~ I PERMIT ~ '''OL'
I. Y.,,,,,,, I\ppI'l~1
f.Ple;uc tYJ]C or pmt aod sign .t bottom}
- ADDRESS \
3()\~ ~~\~~ ~~~~~ ~\ \
ZONlNGCo1bll8C') :
. LEGAL DESCRJPTION (offi~ Ille oa1,)
LOT BLOCK
~~R l~ \eIf\.SffiOJ<\ r'\ ~ome9:> . (Phone) ~.5}--'tD' -11j{)O
(Address) .lgcrS-'f>~ZA.. k. ~\-k~'D ~f\ J'-li\t\.. ~J2'2...
- ~:~:~ANTW~el ~~~ ~ \\~~. (phone) ~g;-Lfs2~/sbS
(Address) 17JD 'A~~~ \~. ~ .NW\, ~/;).I.
(A~f .-" (City) (Zip Codc/
(ContoctP=) "Oel.~~ . (Pbolle) ~/.J/.Q-15hS
APPUCANTSIGNATT.1RE ~.. _. _": D~,TB crl;l:1./~
~LICANTPLEASECOMP~l~BELOW
Type of Fixture I Q1IJIDti1y
Bath Tub with or without shower I
Dishw,,*r ,
t. FJOCll'.~ j
I Lavat9ry (Bathroom Sink) I
I laundrY Tray (1. or 2 compartment sink I
I Shower StalJ I
I Sinks I-
I Bar Sink j
I Wat~ Closet (Toilet) j
Quaatity
I
I
J
'1{
I
:l
t
:.~
ADDmON
Pm
Type of FixtUre-
I
Rot gb.-ins
I Wiler f.leater
I Waj In'. ~..cr. ..
I Star d Pipe (Washing Machine)
I S~.':e~
I Bacdlow Assembly
I Bat.lcf1ow Assembly Test
I Lawn Sprinkler
I OOI:r
I
FEE SLucllULE
Indu:lcril,I, Commercial a: Multi.family 1% ot job C03t with ~ $39.50 minimum Resideoli:t;. N~ One: & Two-Family $99.50
Re:3idenlial Additions &. A1t~lions SJ9.S0
Estimated Cost S Building PennjT # PAlo
PLUMBINGPERMlTFEF 'i: Bt.U_OINGWlTHp
~~~~~:E ~J)'~ I~ U \ill,'" ERMIT
,,;,':~!I i S~P2. 8 200~ 4/:
-;1, ..~.: .' "I'.',," ". '~.
1"-1:;' '< ..,., d, "-. ;::I~ ','. )J, ~
'i~,,:!- -''':.~ii!:\'.;:'''<i~.'"'. h>.i,.
Ii It,f'', '." l. :J,J:"~~" IN,
..,{~~~\,t,tr~~?;;!I~:...,:);:>~~r;-t1;~1!f'~;;~~1:
. '.. .L9ED-tS'~-IS9- DNIlV3H ~ DNI8Wn1d 13ZN3M WOH3
Date Rec'd '
LITi OF PRIOR LAKE
SEWER AND WATER PER.MIl
(P1~ type orprinr llIlI1 ~ lItl1ouom)
ADDRESS ' C"'\ ,
30 \;z. w,\~~",,\~~ C:\--.
LEGAL DESCRu:- HON (o1lioe use only)
LOT BWCK
ADDmON
OWNER
(Name),
\D~Y'C\M\'Y\, \\~ me..-<>
1 g~S- ~\~b....~' s.\.\~ \.e.- b(~ D
(Ad.c1re3$)
(Address)
i =.. ~~, PERMIT Nt;\" . ; 0: I
J_ Gold ~11i<:anl \,.J P I--
ZONING (ol!il%ll$e)
p~
, ~o.n.
..,. City)
(Ihone) G51-qtYo-q4~CJ
~.
(Zip Code:)
..~;;~~ ~~~~ ~\~t ~ ~~,
l:'{1\ddieSs~r~~71 D~\~~~~, -
(AddrC:ss)
.'~eoo. it.....~~. ~~. .
APJlliIQA~i;:;' .. .~
-'--'.'. . /
APPLICANT PLEASE COl\iPLETE BE LOW
Size of water service ._J.~:_ inches.
~ocation of any couplings from stru.cture ~ft feet.
Type of sewer pipe. 0 ABC. MpvC D Cast Iron
Estimated length of sewer line 3D f;t. '
Clean out (if required) located at ~ feet from structure.
~ne) lGS}-Lf~-JSbS
~'~~, co/;!I
-(~) I ~Co~
(phone) (b~f; 1-1P -I SIcS;-
.~~~ ~ }ar;4f)~
,
FEE SCHEDULE
ResidentialscwCT and water line connection $35.50' Tndustrial, Com'! &. Multi-family 1% of job cost with a $39.50 mi:o.im\lDl
Sewer connection only S 17.50 Water connection only $17.50-
Estimated Cost $ Building Pennit #
$
$
" $
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Offi,ce Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
.50 PAID WiTH
BlJtLO/NG PERMIT
1036"-..L'"lt.::."~~.~~_',- ~..;.
f~)[E ffij IT: II !~I"';l'~ No.
) ite ~j
SEP 2 8 2005 i I; i
LL
24 hoor notice for all inspections (952) 447-98! ~? (952) 447-1245
~ d 9HES0098t 'ON/6~: 0 1 'IS/OE: 01 SO ,U '6 (fiHl)
L9EO-~St-IS9 DNIIV3H ~ DNI8Wfild 13ZN3M WOBd
CITY OF PRIOR LAKE
HEAll~G/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or print and siJt8 at bottom)
ADDRESS
3012 WILD RIDGE COURT
; ~~n ~:~ PERMIT NO.1:. LA I
3. Yellow Applicant ~. ~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name)}lEARTH 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
BRfNDA HUSTON
DATE
12/15/05
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
INPUT
HEATING OR POWER PLANT
OUTPUT
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Industrial, Commercial & Multi-Family
HEAT N GLO 71001 AND 6000TR-OAK
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
FIREPLACE MAKE AND MODEL
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAID WITH
Fll!JILDING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
D<DEC Z U ZOO5 By
BuildiDl~ Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIO R LAKE DEPARTMENT OF See Main File
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 30l'Z.. W'ILOS e.iJ6E COUItT
NATUREOFWORK ~ ca.M~." WI ~.c.. t:f'N""11DJ..
USE OF BUILDING ~.
PERMIT NO. OS. 0 ~ 0/ DATE ISSUED S' ~ I tit s ---
CONTRACTOR WI"'II'~ .....U PHONE~'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING I
I FOUNDATION (Prior to Backfill) I M I '7 i? /;0
PLACE NO CONCRETE UNTIL ABOVE"HAS BEEN SIGNED
ROUGH - INS f. ' " /
SEWER I WATER I SEPTIC ftPJ- 7/1'? / ~
FRAMING rffJI, 1 A/ ('? I Z /~'r I""
INSULATION VvV 11-~/(,~u\
ELECTRICAL
PLUMBING (!I) ,/ d .J::-
HEATING (If required) l. (Jh (It- 1;(;7/&6
FIREPLACE /1/ /,/V I j,,-( (>05
GAS LINE AIR TEST r.(' 1: I <. ~ f ~
.. l
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
tArHE"/!IlJufG~A" I I 1
FINALS
GRADING (Prior to SoddlnR)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
rlh
ltJe ~II 2;?ft~,
'~"G~ t1f1 ~]..)f.O()'
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.
5eu. ~ ~ 7. k
~ IH 6~
. .
FOR ALL INSPECTIONS (952) 447-9850
dltrfifitaft lIf <IDtrnpautl!
CITY OF PRIOR LAKE
~tpatfmtuf of ~uil~iug Jfuspttfiou
~inal Permitted D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 Intema,JiOnal
Building Code certifying that at the time of issuance this structure was in compliance with the vdfrous
ordinances of the City of Prior Lake regulating building construction or use. For the following:
SINGLE FAMILY 05-0601
Use Classification . Bldg. Permit No. t,
Occupancy Type
R3
. Type Construction
VN
Zoning District
PUD
tr,. " ~
.
Legal Description
LIS, Bl, STERLING NORTH
Owner of Building
WENSMANN HOMES,
Contractor's Name & Address /' 01
ROBERT D. HUTCHINS ((1)
Building Official J
3012 WILDS RIDGE COURT
..,. ,:
1895 PLAZA DRIVE, EAGAN, MN 55122 .
Site Address
City Planner
JANE KANSIER
Date:
/' { -~
Date:
", ,'~.l...:....-. ,-..~..,....,... ,.'"-rL",';';'~ ,.:,.,'.;.: .~..:.. .:.....f.,'.;,,:,;....a; "..',..;;
.... '\^ '"
. .....':
. .........
~
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
Z -}$..()<
ADDRESS
~Lt() fA/i !d,r,,~_ _ c+-
... - ,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL _
111~"l~.4--
COMMENTS:
S-~COI
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
j/ltfiORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~K:. ~OR REINSPECTION BEFORE COVERING
Inspector: V V r " Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/1i$/iOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE / a L /
INSPECTION NOTICE SCHEDULED '-;).~
ADDRESS -3 () \ '" I.JJJ. s ~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
6 ~ I..L()j
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
,....a15[UMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
J , fL.~ ~~I Or:frt
'2. CJJJ)/~.,... tM."T\_1
4l{~-18~
~ORK SATISFACTORY, PROCEED
CORRECT A N AND PROCEED
o C REC . CA FOR REINSPECTION BEFORE COVERING
Inspector: , Owner/Contr:
CA~ ~o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
/NSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ? 6 t ?.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~~:~LATION
o SITE ~NSPECTION
COMMENTS:
~~
Ok
DATE
SCHEDULED 3~ 6(,0
'vI t&.S ~ r'.L
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~.'
~>~
TIME
s-~o~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
10 Clo~_
~ C?~
,
LL 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH d SAFETY!
INSIIOTI