HomeMy WebLinkAboutBldg Permit 04-0817
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
See Main File~ ~~e ~:;y
3 Yellow Applicant
,-fQ-Y
I PERMIT NO. 0+. 0811
,
(Please me or print and silUt at bottom)
ADDRESS
JY9'
f{ as~ te rr y'
, ,
NtJ
f{;d ,,,
V
1<01
LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK I ADDITION Jt r ~ fr.J
S6~TJ...
PIDJ.f-..J'f~ On-O
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name) G Q r V
(Address) /F7S'
hJ t' N S hJ" /V /v Po 1'1' f .f
JOANJ6/V
/'ft-2 Go. /) r
ZONING (office use)
K.f
(Phone) &..J/- .Jj,t ,.yYfJlJ
(Phone) /'1.2- -1' f' 7{,/;J-
/JJ/V f Sf,;}.. ;)-
F IA ,q #
~
TYPE OF WORK ~Construction DDeck o Porch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition DAlteration OUtility Connection 0 Misc.
CODE: DI.R.C. DI.B.c.
Type of Constroction:
Occupancy Group: A B
Division:
B
S U
PROJECT COST IV ALUE
(excluding land)
I
E
II
F
1
III IV V
HIM
234
A
R
5
00
$/~pl)l)
,/
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-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 ~vo e this permit for J4~rebY agree that the city official or a desig; y ~;;:-n the property to perform need7:~:~o .y
/ ~i~ature Contractor's License No. Date
1/
Permit Valuation I ~ C>f:JO · dl(S I Park Support Fee
Permit Fee $ . ; I SAC
J. ~3 . s:z:;,
I Plan Check Fee $ -18A..~ I Water Meter Size 5/8"; I";
I State Surcharge $ ,,~ .~-o I Pressure Reducer
I Penalty $ I Sewer/Water Connection Fee
I Plumbing Permit Fee $ k>o .,0.0 I WaterTowerFee
I Mechanical Permit Fee $ L 00 .t)0 I Builder's Deposit
I Sewer & Water Permit Fee $ "5~ · s;-o I Other
I Gas Fireplace Permit Fee $ /J.12..1Jt) I TOTAL DUE
#
#
#
#
$
$ ~O.Q:2
$ 2"\0 .P6>-
$ qt:;;;( dc;>
$ I f 2 (!)t). ~ 6
$ 7 oo.M
: \
$ 6; ~G,0_ 7~
nc,w I
I
"" /)
I Paid S-~ ~ ., l' Rec<Aut No.
7-2.2.-0 V I Date 8:..J>. dJ BxA" ·
dill!! Icml Date ' /,
ThIS IS to certIfy that the request m the above application and accompanymg documents IS m accordance WIth the CIty Zoni C ~ ~. "ste~- d u ent
when signed by the CIty Planner constItutes a temporary Certificate of Zonmg compliance and allows construction to com::D" ~WCCl 'Q.l.c.t<;ff 0 u be
Issued
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
See Main File
<",.\"'''~ - Buildi~
Canary - Engineering
Pink - Planning
The ('entf'r of Ihe take t'ountr.,"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
~~~
7- 19-6f/
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constructa, a;10'hich iSlJ:::~ !( f 'eke. I2cJ
f?'--r 0 U
Accepted
Accepted With Corrections X
Denied /)/J ~ f
Reviewed By: {4/~~
Comments:
I. ~ .. (~
Date: 'l-~~ '0 Y
[2..r ~.Q.Jv-_ A fa....
"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."
NAME OF APPLICANT
See Main File
BUILDING PERMIT APPLICATION DJ;PARTMt;NT CHe.CKLlST
! /' ,
f.. ,::: 1_f't"t-,tC.lZ4,,-j'
. y' '-...
Whife - Ruildina
~arv - Enaineering)
Pink - Planning
l"hr ("'.Ir' .f Ihr hkr ('OO.fry
APPLICATION RECEIVED
If/tYZ-t<.1Al.f ("Z?~"}!:.~1,-L/1
i ",.., A'I J
"7-- I if --1.) Y
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is p~oposed at: "~.
.;3 (~:cl ~J l~'"';ii~j D LiJ:?I,'1Jf ri"< I _S:P 12Jd.
,., "
Accepted
x
Accepted With Corrections "
Denied
Reviewed By:
IYYfB
~~ (' C- /J1c" ~
Date: ,
~ '3-01/
Comments:
(;'11' .
"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."
""",, ..,
r-
.... -it.
....-
t.
See Main File
White - Building
Canary - ~~9ineering
Q'mK - t".r:mmna.:::>
The ('("nerr of the take ('ountr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT If ){).rU/2A1I/12,/'l(1.~ IV6t/t<-r2"~
7- /9-6C/
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which isp{oposed at:
~~ /"; (, ." . .
" "~cl L) ! /) /;( /1,1 t\
; ...
Si 12 cL
Accepted Y-
Accepted With Corrections
DeM"d /) /J
Reviewed BkjL.~ (JJu
Comments:
.~.ea- ~, Mo-,\\I\. bLe
Date:
7 - :t:2-0 f/
"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."
~--'
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.......' ..,.~
---- ' .'
--.
C!~y or PRIOR ~.~~
S'E:H'SP, ~_ND W]\TEP ?::?lnT
NO. Q![Qeo
SeWQ~ and l,1a r..et'
contractors must
be r!!::!g is tered.
\ with th~ City.
APPLICANT: Wt~e.\ M~~. _ PHONF.:rJSH:9--/c;6S'
tA.DDP.E:.SS :_3%.'tb~ ~\> \~~~3~~.'"" .DAT~:.. ._~"?jQf.
co '-:":~""""-;:;':" .. /#. 110M
... - ~. .. - .., ~. ,.R VI~ ~"~.
HOT F. :
'3:::r::.
:?S?:'c:- ~
-:'7 T.T
" .__-.J
IN TT.::- 3L:l..J."i!\:S
30
4==0.,-00
----'-.
1.
2 .
~s~i~a~e= l~ng~~
of wa~er se~,ice
Size 0: water se~vice
/
inc::::. (es). .. t\A
from s~~~c~u=e ~/V\
PVC b( c~st Iron
line .3D
feet.
:) .
Loca~ior. of any co~?linss
" .
~voe o~ s~w~r pice.
- - -
10.35
6.
Clean
cut
(if
l:'ec::u i rec:.) ,
loca':.e''::
f;~~: JIlL
a~ ~fe'et
f=~m
5.
~S~~~2~ecl leng~h
of
se',;e2:'"
S~::"'''...lC~I..;:-e .
======~=~=====~==~============~~~======~=~~=====~============~==~~
T~~s ~??lic2~ion becomes ~O~: pe~it w~cn 2?prOv~c.
e':
D.1\ TE: :
=====~====~===~===~======~=~===========~=~=~=====================~
-:'':'-=-<:.
.. ---.
$
S
S
33.00
.50
35.50
Sewer and ~at~~ line connec~ion pe~~it.
Su=cha:-ge
TOT.~ L
+ Fse fc= c:~ne= se~e~ c= ~ate~ i~eividually is 520.00 plus
S .. 50 s~.l:::-c:J.ar;~.
,., S .:'.... e:- a:1c ',.i2. te:- pe:-::l its is SLlec :;:j:- r. e'.... C:::lJ"l S "=.r'.Jc-': i olj. <;1''': S ": b~
~~c~-=:iec. on the bu Llc.i!1C; pe:-mi': C2.:-:i at.p:"'AlD~ot.> ..; :nW;=' ,',=,,=,;.t..~~ce
- \-s.,....~ -'-~- ~o ..J1t-.l'ra"'o so""!...o,.... ~..." . 'I""" _I~l.,~ .:.-;:.
",::;l ...... __c ,~..__.. '-'-:-'___ ~- "'Nt._..... - .~..I:I:=;I ...~-
iss~ec.
. ~ ~... ....-:.. . . ':' . (.
~.:.~ct~i':' l}JJj.LD m G
RMl.---.--.....-
~ [E 1W~' ~ ~ _...l~____
AUG 1-1 2004
.; . .. ..~. ,'. -: ;-
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C'.~:.~::: ?;..: J
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-........-...-- --. ...-..-
~ d 9L8ES0098v 'ON/vO: L 'IS/SO: L VO of '8 (3D1)
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~~~-~~v-~~~ ~Nl~~~ DNl8WD1d 13ZN3M WOB~
l0/2~/Ol W!O 11:2% PAX 61Z4~742~5
r.ITY OF PRIOR LAKE
141001
Date lee' d
CITY OF PRIOR LAKE PLUMBING PEAAul
I lhoc 'ii,
I. Ciok! CilY
I t.I... A""I~"I
I PERMIT NO. 04 . 6~ ft1
(ph:'.!C ~e or print IIDd IQ,I It bonom)
ADDRESS 0 ,\ ~ _\ _, C\ \
3~')~ \f\~~~('~ 'K'~~~l
ZONING (ofIce,*)
,
. LEGAL DESCRIPTION (OffilZ u. only)
~~e~ ,\.\eJf\Sffi~Y\~ ~om~S (phone) 65)-'-10' -WDO
(Addross) ./2>tt5"? C:Z_D.. ~. ~\'k ~t) ~Y'\ Iw..n., ~,,-)~'Z-
~;;~fANT fj~-e\ ~\b~ ~ ~'\-~~. (phone) 69-Lf5;:2-/5bS
(Address) 17/D 'A~~~ \~J. ~ 'i'im. !::6/~1
(Addt:st> (City) (Zip Codej.,
(ContaaPerson) '\T~ \-\~?A~J- I' (Phone) ~~/~s;2-15bS
APPLICANTSIGNATURE ~ DATE 8)~}Otf
~LICANT PLEASE COMPLETE BELOW
T,pe of Fixture QlIalltity
Bath Tub with or without shower
Dishwasher
Floor Drain
LavatQry (Bathroom Sink)
Laundry Tray (I or 2 compartment sink
Shower Stall
Sinks
Bar Sink
W iUer Closet (Toilet)
LOT BLOCK
Quantity
d).
I
I
s
t
~
AOomON
PID
Type of fixture
,
Rough-ans
Water Heater
Water Softner
Stand Pipe (Washing Machine)
S~age Ejector
Backflow Assembly
Blckflow Assembly Test
Lawn Sprinkler
Other
I
FEE SCHEDULE
Industrilll. Commercllll a: Multi.famlly 1% of job co,t with 1 $39.50 minimum ResideoliaJ. New One Ii. Two-Family $99.50
Residenlial, Additions &. Altenllilll'll> $39,SO
Building Penn it jj l':A.llJ tv I III
UJJILDING
p I-tJiMI I'
'" r.: (,:", r"C1 n nF, r? \
Thi' Applic:arion Bel!omes Your Buildine Permit When Approved I~a~ (0 [J; U 'C.J l..!:, . n(ciiclPt No.
D,'. \" \~t~UG r 1 2004 _",J~)'
811ildlllt Omcial .. \ \
d 9L8ES0098~ 'ON/~O:L -~iS/so:1"lo-r-~S--t3-riilCU:'" -r9E~~ico\~9~~lI'r~;i" ~ ;l~lawn1d 13ZN3M WOHd
comel UIC Olllyl
Estimated Cost S
PLUMBING PERMIT FEE $
STATE SURCHARGE S
TOTAL t LI'MIT FEE S
08/23/04 15:09 FAX 6518949955
WENZEL HEATING &: AC
~005
Date Rectd
-' ....
. ....-_.. --- . .
~ t'(2e or~ ad sim IE bollDm'\
ADDRESS {
~,.. ..;q.jol~~~,~ .,q~1M ~
~ e1J
LEGAL DESCRJ.r uON (omcc ... cm1y)
ZONING (ollkeuse)
LOT BLOCK
ADDmON
PID
OWNER J _
(Name) 1j1f)lL.<ffIo !fA
~
(phone) t,51-4th-4~
(Address)
. ,.
APPUCANT / I / /
(Name) t{.~I"/ 7'~ ,~.,.../~
. . /
(Address) 4111 r>k/ ~/~// ~//l ~~"./
(Address) / . ~ty)
tContactPerson) ~AJ ' (pn..:.ne)
,APPUCA~LSIGS.~TURE 2..::?w &6L:-. DAn: ~J~3
APPLICAl''';' PLEASE COMPLETE BELO\VI'
. ~EW CONSTRUCTION 0 REPLACEME~'T 0 ALTERATIONS
FU&'tACE MAKE AND MODEL ~NN/')t ~ $"1 &~ ~ c:;- FUEL ~I-
FLUE SIZE .;:J-::<" RETU'R.:"lOPENINGS .-k DrPUT 75, Cd) OUTPUT f::D sz:v
TYPE OF SYSTEM HEATING OR POWER PLANT
~arm. Air Pllll'\tS 0 Steam
OGnvity 0 Hat Water
4 a Mechanical 0 Radistion
~~ir Conditioning 0 Special Devices
gent. SYStem 0 Other Devices
(phone)
t..,,1-~4~
~~f1.2
(Zip Code)
PLEASE NOTE:
Air Condition~r UnitS
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL ~._'_~__'.
FEE S'-nJ:.DULE
Industrial. Commercial" Multi-family 1% of job cost Residential., Gas Fireplace
$39.50 minimum .
R:sidcntia1. Hc:u:ing" AlC (New ConstrUCtion) $99.50 Residentilll Additions & Alterations
Residential. Heating Only (New ConstrUction) $64.50 Residential, AC Only
539.30
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERl'IDT FEE
s
s
s
.50
539.50
~ _ S39.'sO
,..~~~
~~
.~
Estimated Cost S Building Permit ,
(Office Use OQly) .,.
This Application Bllicom.~ Your BuildinC Permit When Approved
-'r@l~ U 13 ~ ~NO.
.,;.... om." - . . - . ,; :~~~ :.:::;~; :::,~~;-~ ;~) ~~~~ :~~~~l~O.~J~;;; ;; ~;;;;;
CITY OF PRIOR LAKE
ilEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or print and sien at b . . ..'. )
ADDRESS
3896 RASPBERRY RIDGE ROAD
t ;:w Ziicant I PERMIT NCQ!I_ e 1(7
ZONING (office use)
LEGAL DESClUr uON (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name)HEART~Nn l-fQME TEC.HNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone)
2561
651-633-
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
3/30/06
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
o Gravity
o Mechanical
OAir Conditioning
OVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO 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
Industrial, Commercial & Multi-Family
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Buildine Official
Date
24 hour notice for all inspections (952) ~9'8SQ. fax (9~~' .u~,;
Building Permit #
$ MID WITH
: .5~UllDING PERMIT
~. ~a~ ~ 0 [J ~ -::' Receipt No.
-MeR 2 9 2008 J By
...J
(Office Use Only)
This Application Becomes Your Building Permit When Approved
PRIOR LAKE
INSPECTION RECORD
... ':>~ ./~ t\i~ I,
.-
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS '38tl. Q~~hL._ R~~
NATURE OF WORK U9.. J ~
USE OF BUILDING ~Fttt-
PERMIT NO. 04-. 12..8/*'1 DATE ISSUED 7 - :r:l.-a l/
CONTRACTOR ~ . ~ PHONE-'.t!..7(. ?lr(P-7~lL
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (If required) f " 4 I !fJ/Z&/o5
FIREPLACE ~" ~ /1 f ~' .
GA~ LINE AIR TEST .,u'f ~ 1'# 6/e:.v-~1 '
~ COVER NO" WpRK UNTIL ABOVE HAS BEEN SIGNED
~,It J1t1 r7/15/o~ I I
(Jl4blA. ~ FINALS
GRADING (Prior to Sodding) I I'
BUILDING &1h
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
I
FOUNDATION (Prior to Backfill) I r
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I ,lL
\>'c (rIP 8
,
(p/iJ//
- J
"
I I
(,/1 If} it
I I
/'. iIVvO
(in
\...::0
UNTIL ABOVE HAS
NOTICE
~ -y rOlt
BEEN 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 be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
@ttfifitaft of @ttupantl!
CITY OF PRIOR LAKE
~epnrfttteuf of ~uilbiug Jf uspetfiou
~t.inal Permitted
D Conditional e.O. Expires_
This Certificate issued pursuant to the requirements of Section 110 of the D Residential! D 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 04-0817
Use Classification .
Bldg. Permit No.
R3
VN
Zoning District
Rl
Occupancy Type _
Type Construction
L7, Bl, JEFFERS SOUTH
Legal Description _
Owner of Building
WENSMANN HO!p
Contractor's Name & Address ?
I ROBERT D. HUTCHINS {I-:
#1 Building Official v
Date:./ /J Date:
POST IN CONSPICUOUS PLACE
3896 RASPBERRY RIDGE ROAD NW
, Site Address
1895 PLAZA DRIVE, EAGAN, MINNESOTA 55122
JANE KANSIER
City Planner
~',,;,~.i,~ "'1l.:'~;~~':"{l,.:.",,,&,;-~~,,~.,":'j.,;.:,~,>,,;,,::;.L>~; .,-,', '.,.,'';...1. it":, "":"~... .J'.i ~""r>',:"_? I;
-....;,a- -
"iilliliIioi;(
'-
"'...'..... -..i6.c!,;.:...j\,H{ '.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
:lOti c
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
~) (e JIZ10~
DATE nilE
SCHEDULED
~- 3(-&1:.
fL,~fIL~ ,~
CONTR.
PERMIT NO. if -f?n
.J..4~ING"'~' 0 EXIGRADIFILLlNG
~~~ 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKU~ 0 FIREPLACE FINAL
~LUMBING FIN. 0 GASLINE AIR TST
o MECH FINAL 0
r
t7JO f' Gt,,~S
o WORK SATISFACTORY, PROCEED
rORRECT ACTION A~OCEED .
o CORRECT w;rr~ FOR REINSPECTION BEFORE COVERING
Inspector: -L.L 4' Owner/Contr:
CALL 447.985t FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 3 A9L
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
...er1iNAL
o SITE INSPECTION
COMMENTS:
- (
~~
SCHEDUlED ,~~(,
~~f":x ~
nME
PERMIT NO.
4 - 8(7
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-
If) J( _
~t-~'V
~ WORK SATISFACTORY, PROCEED
o CORRE T N AND PROCEED
o CORR CT , CALL FOR REINSPECTION BEFORE COVERING
Inspecto'; Owner/Contr:
CAL -9~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~IREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
INSIIOTl