HomeMy WebLinkAboutBldg Permit 05-0332
.t.
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
(Please tv1Ie or print and si~ at b" ..,...,)
ADDRESS
If Iff. ,,~ 1,. /'/' y
. ~j /
LEGAL DESCRIPTION (office use only)
313D
I. White File
2. Pink City
3 Yellow Applicant
PERMIT NO. 05- ~3~
/L{rt' U AI fA}
LOTj.)...BLOCK I ADDITION Jf f"hrJ
OWNER
(Name)
(Address)
So '" T L
Date Rec' d
3 .23. OS-
ZONING (office use)
IZr
PID~- ..1'..5'- 01;J. -0
(Phone)
B~D~ II
(Company Name) tJt'NJ"h'l'i'NN Nil m ,.r
(Contact Name) Ct:i'r~ :]Qh;Vf6/v
(Address) Itf9s ~/d"2..~ L>/' (~fti'/V
.....J
TYPE OF WORK ~w Construction flDeck OPorch ORe-Roofing ORe-Siding ~Lower Level Finish ~ Fireplace
DAddition DAlterat~ OUtility Connection D Misc.
CODE: ~I.R.C. DI.B.C.
Type of Snstruction:
Occupancy Group: A B
Division:
I
E
II
F
I
mIVVA
HIM R
2 3 4 5
(Phone) 1,,)/ - ~()t- .y.ytJD
(Phone) (, / .2 - 3 ~ , - 7 t /-2..
I1J /V .5.5/ ~ ;)......
B
S U
PROJECT COST/VALUE $ ~ o/}{). 0'"
(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 authonzed agent for the
above-menl1oned 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;;J'=mit for jU7U~y agree that the city official or a ~i;i~fenter upon the property to perform n3~;;ti:n~ S'
/ f flignature Contractor's License No. Date
V
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
'floO DOD .()O
$ ILff3,S(!J
$ liJlf?, 7f>
$ gO,t) ()
$
$
$
$
$
lO(), Da
IOO,()O
.3S-. S-O
tfd , IJ 0
This Application Becomes Your Building Pennit When Approved
~ ~ 1/.J1Jft;s-
Buildilll! Otlicial /)ate
I Park Support Fee
SAC
WaterMeter(~l";
Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
Builder's Deposit
Other
#
#
#
#
$
$ lisa, () 0
$' Z~,eJ tJ
$ so."O
$ 1500, of)
$ /tJtJCJ. 0 ()
$
$
I ${"q'3'l. 'I. fj
r Paid
I Date
/
f-, ti J 7- 1 r
4. 71",<<}
./
Receipt ~9. 4--;14
By 4IU-
/
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
::::"'" by <h. C," ""." -""" , "-.-, CM"~" ,fZoom, rompl.oc. .., ."'.. ~- See ":'MmlifFife m"" '"
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
TOTAL DUE
,,,
.y
See Main File
White - BuildinL .
~anarv- Enain~
Pink - Planning
/
/
Th. C.nl.. of Ih. ...kr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/;v EI'/jl~Jr} AlI\/ /10/"/65'
3- Z.J 05
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I
:3 Pr3 [) 12;:-)J/./ L~>612/cy I'C-l D GE k~,D /i./Mj
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
/Y)(ff1,
)-t! e tfle,,~ r,'/ <_
Date: 3-J5-or
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
Main File
See
White - Building
C~=-ry - EnQineering
<::::::I5i k - Plannii'lb
The Cf'nlt"r of Ihr t.kt ('ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~VE/II j/f/f-I /V/V' /10/'"/[: 5
---;::> Z -:> (,C""
-.....). -.-.-....)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at
32:30 1c:!/--/f/..JiJEloc,?-/ /~I/..)G6 /c;u /VlJ
I
Accepted
V'
Accepted With Corrections
Denied
Reviewed By:
~
,...
~~
Date:
3/~%s-
, ,
Comments:
See Main Eile
"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
~te - Builcmn.--.,
canary - Engineering
Pink - Planning
Thf (',nl.. of thf Lakf Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W6NSIVJ19 NtV f/OH65
3. 23. 05
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3830 R/!JPLJ612/?ij /6IDG6' /2D /1/tJ
/
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~- 1vb
Date: 3/3~j.s
{ I
Comments:
See -
"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."
..--.....
CUtC';IC . I'll.!
YI!.LI.O.., . AM"lJtAMT
IOOUl . r::rr.,
C!'!'''{ OF PRIOR LAKE
SEw'"ER ~.ND WATER ?::::u1IT
No$--
NOTE:
Sewe~ and Water
contractors must
be re~isteren
with the City.
A.PPLICANT:
l\OOR:=:SS: $D
~ : ~~, ~::'~_'?:: ~ h
-- t~
PHONE :(/5)-'-/5)." J sz5
DATZ: .51;iJo:>
, "
~-:""'\I"':
..--.--..-----..----..- ...
":l~';l'tfT"" ~
.. --- --... "':'
-----. .---- ...- '-'.-., ..... ........-..... ........ -....-, ... ....
l.
2.
F.s~i!:\at2d lp-ngth
'E"Ir,L iN THE BL::I..a.'lKS
of w~ter service 30
I
.
feet',
Size of water se~ice
~ype of sewe~ pipe.
ASS
inc~(es). 41 M
from s~~~c~ure ~fV\
PVC b( Cast Iron
3(:)
feet.
:3 ,
Location of any co~plin~s
4,
5 .
6.
~sti~ated leng~h of sewer line
C!.e:n
out
( . .t:!
~.L.
requirec.) ,
locatec
fee ~ ~ In..
at ~feet
from
5~=~ct:ure.
==_==========~====~~=======~====~===_========~=~3~==~========~====
Th~s a~plicaticn becomes ~our permit Nhen approved.
BY
DATE:
=;=======;====~~c~=====~~_==~~==___=====~=~===~~~~~=~====~~C===~_=
=~:::s:
$
S
S
35.00
.50
33.50
Sewer and water line connection pe~mit,
Surcharge
TOTAL
* :ee fc~ either sewer C~ water i~~ivid~ally is $20.00 plus
$ .50 $u::-charge.
*
Sewer end wate~ pe~~~s issuec tor new constr~ction must be
rec~=-deF:-O-R-;:1:~i:~\tr~~~~l'\~ pe::'1tli t ca~c at.. the t irn2 0 f ~!lsuance
~::) l~SUW,e,t,*~tt nb'i a!u~l\).ca~e se'",'e~ a~Q Nater per7.\lts a::-e
lssue~.', ,- ',','1 bAlD 1A1rPt.
' .. " S rJit rr",..,
MAY 2 2005 L; ~1OUN':' ?~.'WLDING ~
R~C'D s; (~
va
O;.':~ ?;.:::>
?,':::~I?;:' #
, ..... -r
- ' ..'" .-
:: -:
"-. ..'
'- -. .... , .~,' ~I
,.~:......~..~..~, :~,..-~. '~::l... .~'~' ~..I,""'-'..::r. I~.~~<"':""'.' '~41.""..':.'~'~
E d 86HS0098v 'ON/~E: 9 'lS/EE: 9 SO,~ 'S (NOW)
L9EO-~Sv-lS9 DNIIV3H ~ DNlawn1d 13ZN3M WOH~
- --,.. "_ ..'._ ...16 "".....,........'V
'. l J. J. vr r,,! VI\ L.i\l\t.
~oo
~
~E
~
\..I! i OF PRIOR LAKE PLUl\iBING PE~1l J.
Date Rec'c
~~or'PrintllGdlip I.tL. "."..l
ADDRESS ~
~3>t> ~b.b~ ~ ~,
,.,... JlI~
z. Gold Cil7
J, y.... "''''iCWOl
PERMIT No,(' ..19
· ~iNG (dcn.)
LEGAL DESeRtr llON Come: DR aniy)
Lor BLOex
~ ~\~m~Y\ ~O~ - . [Phone)~)-'lrx.-tf1/()O
(Address) . I ZttS- "flo.~ h-. ~\'k Jlli'{) ~V\t~ 'I, :--. ':, I '.Z'Z
. ~ W~d ~\b~ ~ \\~~. . (Phone) 6SI-/fs')-ISbS
(Address) 17JD ~l:l~. \~, ~~, .S5l:lI.
~ (A~ ~ (City) (Zip Cod;2-
(ConraaPerson) \T~ ~9 . (Phone) ~/.-LfS:).-J5bS
DATS b I~..J OS
AOomON
PID
APPUCANT SlGNATtJRE
PLICANf PLEASE COMPLIJI ~ BELOW
TYJMl of Fixtare Q1Iautity
iIth Tub with or without ahowa-
Dis washer
OW Drain
I LavatQl')'
Laundry Tray
(ShoWer Stall
I Sink!
Bar Sink
. Water Clolet (Toilet)
ROUgh-ms
ater Heater
Water Soflner
tand Pipe (Washing Machine)
S~ EJ\,..~".,
I Backflow A.-~, ,.bly
~ockfIow Assombly.rool
Lawn Sprinkler
Other
Type ofl'iDin
-;1
I
,
-.!L ..-:-
\
I
I
FEE SC.nw uu:
Industrial, Commeccl.1 a: Multi.family I % of jOb l:oJt with I. S39.S0 minimum R.esidemial. New One: &: Two-Fatftil] $99.50
Raidenlial, Additiona ct. AlteJUions SJ9.S0
Estimated Cost S
Building Permit ~
lomu Vie Oll~)
JIJ YI ~/D W"., .
.5~j'"-I.JING p'''''
~I1Mtr
Thil Appli'cation BeeomClf tour BuildinC Permit W11lft ApprOYId P ,: [:' r~ 11 \.j! I I r ~iPf No.
8ulldlnc ornei.' >>Itr DiJ~'. MAY '2 20051 fY 11-
:4 he"," 1lI0ti<< ~or at, in'fCdhml (!lSr, 4'7.9;S~ i~~ \951) 4ot~...U, V
L 9 E 0 -l~'V=l:5~-~DtHOOH---~~DN I awnl d 13 ZN~M wa H d
PLUMBING r.r.KMIT FEE S
5T A IE SURCHARGE S
TOTAL&~FEE S
~ d 86tES0098~ 'aNilE: 9 IS/EE: 9 SO.l 'S (NOW)
I
.
q'1ease ~ or orint and. si~ at boucml
ADDRESS
3&9~ '.. ._~~'k..ebj
LEGAL OESCltir .L iON (olfice we only)
/1~~fd
.- I
I. rink ,Pile PERMI Nn ~ ,..,~
i ~;Z..;., . T "". :r ~~
ZONrnG (ol!ict~l
-"
LOT
BLOCK
ADDITION
PID
-
OWNER I, J~. rc....,.",.
(Name) ~, I\-J Itr\
~
(pbon~) to s1-4C:h-4~
(Address)
APPLICANT . L / I / /
(Name) 'U~/'/ /'/?/ ~,..(t!"':
, . . /
(Address) 412/ hd 4/&// ~/?'J
; - , ,(Adclress) / .
(ContaaPerson) .-fu^-J "/ ' (Phone)
APPLICANT SIGNATURE 2::::cw $0r:- DATE' -~~q
APPLICA.~; PLEASE COMPLETE BELOw" /, n
. . '~w CUNSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FUR.1'lACE MAKE AND MODEL.bv/llr"t h s-I G~ ., ~ FUEL ~J-
, ' , .
FLUE SIZE r:::;)-:<' RETIJRN OPENINGS '--.f --'? INPUT 75. C!:D . OUTPUT ~"7 5ZV
TYPE OF SI~ ,u:.M . HEATING OR POWER PLANT
~anri Ai%- Plants 0 Steam
OGravity 0 Hot Water
S!-1cchanical 0 Radiation
~ir Conditioning 0 Special Dc;vices
,B'Vent. SYSlem 0 Other Devices
(phone) t..,~/-~4~
~~.;.I
~ilY)
~~,rLZ-
(Zip Cede:)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
! ,
FlREl;'LACE MAKE AND MODEL
Residenti:lL. Heating &. AlC (New ConstrUction)
Residential. Heating Only (New ConSlI\lction)
FEES\...tUoDULE
1 % of job cost Residential, Gas Firepla.r:c
$39.50 minimum '
S99.50 R.esidential. Additions &: Alteration$
S54.50 Residential.. AC Only
539.50
S39.50
S39.50
Ind\l.SU'ial, Commercial at Multi-Family
Estimated Cost $
Building Pennit I(
"'. .
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL pERMIT FEE
$
S
$
PAID WITH
etnLLltJG PERMIT
, ' (Office lIse Only) ..
,\ This Application Becom~ Your Buildi;ng Permit When Approved
Paid
Receipt No.
BuildiDC Official
, . Date, ,By ~-'
Dale' .' , ' .
1.& hour notice fo r all inspections (951) ~;-~8~~~~~: (9S1) '~7..:s;4~ ~.. ~ o' .., .: .. '.- . - . " ;, , ' " : : '~ :
1'00 III
::>v , ~NUV3H 11ZN3M
SS66f6StS9 YVd 6C:tt SO/C6/90
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
L Pink File PERMIT NO ,I 33"
; ~e1':W Z~icant .:,1 A '-
(Please type or print and sip at bottom)
ADDRESS
3830 RASPBERRY RIDGE ROAD
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)
,...r-"'ontact Person)
BRENDA HUSTON
(Phone)
651-633-2561
I APPLICANT SIGNATURE
BRENDA HUSTON
DATE
10120/ 05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices.
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Industrial, Commercial & Multi-Family
REA TN GLO PIER-HV -IPI
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64,50 Residential, AC Only
$39.50
FIREPLACE MAKE AND MODEL
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
~
I
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
,50
,.Jffice Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
By
Duildine: Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DEPARTMENT OFSee Main File
E1iUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS ~!o ~P8cJt~' ~D(iE ,B,AD
NATURE OF WORK ~ ~.j;J GNIIJ...c.. FIN,-sH)jG.
USE OF BUILDING ~ $.t=:~.. ·
PERMIT NO. (J~ - ;J~"" DATE ISSUED 3 30/05
CONTRACTOR ~~S~N H'lIle' PHONE'tz.-'~-'''l2.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING
I FOUNDATION (Prior to Backfill) 1 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH -: INS " /
(Ie.. e .5~
/V!1P ,
. J?o/
I
J
"
SEWER/WATER/SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING v.e. V;wJ
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
l(Arllr I ~'E IAJRA~ .1 I
I'-(;~/ \Jk,l~~ FINALS
GRADING (Prior to Sodding,
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
fJ II' t{ r(JJ
//77/""'-
,
J41l ( (^ t{-d)
~b d~,
~ '~~,
t? 17 ,. tS Itr
fA.JC-
trt
i?tb(~~ /u
,
S/2IFI~
I' ".
We...
o/~
'"
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
H,,} ";\:'.... :1/ < ~.' ':
,':\~,.:~,'...:_\,.'.
",,,,,.,;,$::~,~~' I
dlertifitate nf (0ttupant\!
CITY OF PRIOR LAKE
~tpatfmtuf of ~uil~iug Jluspttfiou
~inal Permitted 0 Conditional C.O, Expires.
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 International
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 05-0332
Use Classification Bldg, Permit No,
R3 VN Ri
Occupancy Type
Type Construction
Li2, Bl, JEFFERS SOUTH
Zoning District
Legal Description
Owner of Building ~~
WENS~ Hd} S. 1895 PLAZA DRIVE, EAGAN, MN 55122
Contractor's Name & Address _ ,/ /. .
R~BERT ~. HUTCHINS / (11-'
r 1 r /Buildinj Official I} f
Date: h:J z...., (I'J( }I \. Date:
... I I - ~OST IN CONSPICUOUS PLACE
Site Address
3830 RASPBERRY RIDGE RD NW
JANE KANSIER
City Planner
. '. '
'~' ~4 i..~:.d"'-;".;iJI.~<-' I. _~,: ).1.......'.'!i.t...,.. .
",., . .;' '-;:"~.ll,
'... ;.~.. ;',.,' "
.,' ...r'o',., .....;...,,,'\0....,...,'..;.
..........
"
CITY OF PRIOR LAKE
INSPECTION NOTICE
'70G ? /?\
ADDRESS J ~
OWNER
PHONE NO.
[J FOOTING
o FOUNDATION
o FRAMING
[J ~SULA TION
dFINAL
[J SITE INSPECTION
COMMENTS:
DATE nilE
/) SCHEDUlED SH~
(&4- ~/
, I
CONTR.
PERMIT NO,
6'~!???.
[J PLUMBING RI
o MECH RI
[J WATER HOOKUP
[J ~R HOOKUP
~LUMBING FINAL
~ MECH FINAL
[J EXIGRADIFILLlNG
[J COMPLAINT
[J FIREPLACE RI
[J FIREPLACE FINAL
o GASLlNE AIR TST
[J
i.~ 11 (j)
Z~ -+uC"
a~ ACCR 5 5'
-'
'1\ If) f)
(_- 6~.~i(-
-
'-f/
,
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED .
[J CORREC{ZK' "j1R REINSPECTION BEFORE COVERING
Inspector: / ) Owner/Contr:
CALL .9 F~E NEXT INSPECTION 24 HOURS IN ADVANCE,
.-/ '
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &I SAFETY/
INSNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
j83)
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
SCHEDULED
)
~p..
~.
d
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
j>1'LUMBING FINAL
o MECH FINAL
DATE
5~
TIlle
.')- 33/
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/
-Y...~ret--~ S/~
'2., i?"v,~ _ Acu-.} -k. -fk1-y
COMMENTS:
I, .Lw:~
o WORK SATISFACTORY, PROCEED
XCORRECT ACTION AND PROCEED
o CORREC~RKI CALL FOR REINSPECTION BEFORE COVERING
Inspector: t I ~ Owner/Contr:
CAL~V~aio FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY/
_11