HomeMy WebLinkAboutBldg Permit 04-0814
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
~ 1tY? {, ~ C(sP'hf'rt"~
, ~ /
LEGAL DESCRIPTION (office use only)
Main File
((;t/ft'
. ..J
LOT ~ BLOCK J ADDITION ......7 f' .r.F f' r J'
OWNER
(Name)
(Address)
BUILDER ~ ,
(Name) W t'/VJ' /7Jq/l/A/ /'VtJlrJ pJ'
G~ry SoANJ6..A/
I'
~ /q Zc;.. ;) /'
(Contact Name)
(Address)
I d"9 5-
TYPE OF WORK
lB1\Iew Construction
ODeck
I White File
2. Pink City
3, YeHow Applicant
If 01 /V~}
Sou;")..
(Phone)
- /- /y-y
I PERMIT NO. 04- . 09U4-
ZONING (office use)
'121
PID..25' -395'- oW -0
(Phone) (:,.5-/- ..yO t- -,/YtJ 0
(Phone) (,/;;.... - 3~ 7 - '7 t) >-
/7l N S 5/,;l ;;;L.
f v:. f t:; /V
v
o Porch
ORe-Roofing
ORe-Siding
o Misc.
OLower Level Finish
o Fireplace o Addition o Alteration OUtility Connection
era
PROJECT COST IV ALUE (excluding land) $ /,;l~ 0 tJ ()
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
exnter upon th:!f:::. t: p:rform nJlded i7ections.
/~ ~ J~ I~S-o 7-;1.0 .-or
/ Aia6ature 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
Mechanical Permit Fee
Sewer & Water Permit Fee
$
$
$
$
$
$
$
$
l ?~~o.od
l. '10~. ~-o I
7e>7.. ~
~2 .S-p
IOO.C90
loCJ~oo
35 I ~-o
4fJc()()
I Gas Fireplace Permit Fee
r9!T1t 'YO",B""illn7~~:1.oo
~di$, im D," '
I Park Support Fee
I SAC _
I Water Meter Siz@; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
./
Paid 'l3UJ Y, 71'.
Date Ul~ tJ 1./
I
#
#
I
I. ?~().o::L
'. -
~ ~1:) c ~('
4s.oc
$ 1/2.00, .
$ 7()O \ r;)d
$ I, 5(:>0
$ .
$
$
$
$
$
#
#
'"'
RecbiJt No.
(J"
7. 3 (, Ii 7f} I
, ,
i'7&}!J
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
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
~oo~g~ire~ ~J :.:lt1 Sp"i"Coodid,o'.ifooy
o PI: 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Main File
~itp- - S"uilrtinti")
Canary - Engfneering
Pink - Planning
The ('f'nfl?r Hf 'he take Counlr)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1/ M~a/Y/V<J
i--/q-Otj
~oJ
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ,
Gg7~ ~,a~j{J/~~/
. U' 0
Accepted Accepted With Corrections X
Denied
Reviewed BY:C~.L- Date: 11- J..2-o<1
Comments:
~ c&L ~~w.Jl ~
~ d- +~ A.r~ ~~
V I
"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."
Mnin File
White - Building
Canary - Engi~~~~:5
c- PIrlK - t'larl .
---
lhe ('rnfer of tht' Lake ('ounl'1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
.......-
APPLICATION RECEIVED
/
'-. ../
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
to'-
II
/,.
\ ~
"--;---"
Accepted t/
Accepted With Corrections
Denied
Reviewed By:
~
Date:
r-!Zz,/ot.}
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."
Main File
White - eyjldinct.-....
~pnarv - Enaineering:>
Pink ~ - Planning
The ernler or (he t.kt Counrr,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/ J !
.r Jl /./1 /.-'J.//1 ~~f /'I,.f
1....-1 j'4';,//,A.' "/~/ ri''{
"1,'(../'
\1,.,/..."" ,., )
,'-../ t.. /'j~L.>,<.".__;;..__ 4 .'
APPLICATION RECEIVED
'-7 / ,-,.., / j
/'( -- I C/.' -- /)......,..
i . ..... I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~--'f (-;---, / F:; ,- '" A' ,", / ) ., \
\ ~"<;,.:s- / vo ,....c:( )'.,..,::1 /) /.:J. ;//L-"J.~-'r '1"-/;/" /) 2c' ,
,,..-~.'.' " .....- /."'-' .- "~" ! /f I' .",.. -.,/"'C.. .... --.....--...
f /. ,/.~/
\. / ' ,
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
!YJ4}3
Date:
~-J-07'
Comments: . See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan~ 2) Erosion Control Mea~lIrP~
"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."
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink File
2. Green City
3 . Yellow Applicant
PERMIT NOJ!... 81lfJ
,
(Please type or print and siltll at bottom)
ADDRESS
3876 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 F AIRVIEW A VENUE
(Address)
ROSEVILLE
(City)
_55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
6/1/06
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
DGravity
D Mechanical
DAir Conditioning
DVent. System
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
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
$39.50
Industrial, Commercial & Multi-Family
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
,"A/O
aUILDING WItH
Pl:RMli
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
i '\l
:Rd~eipt No.
Date JUN ~ 0 2006 By
Buildin2 Official
Date
I
24 hour notice for all inspections (952) 447-985f,3~x (952) ~4~1=-4:~4~.
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08/23/04 15:10 FAX 6518949955
WENZEL HEATING & AC
141008
CITY OF PRIOR LAKE
l1~A TINGfA1R CONDITIONINGI ~ iKEPIiA'CE::'PERl\,U 1
Date Ree'd
q'lease t'r'EC:. or Print ud si IPJI, aI bottom'
ADDRESS
9~/" -, ~
.-,.:>.0 /~ ";&b' " . ?e(!-f.,;/
~: /
LEGAL DESCR1r uON (ol5c~ use o'Clly)
&1rRJ
~ =.. : ~." .PERMIT NoD _v7~ /-
J, Yolle.. Apptlcw "f - 0 I !
ZONING (ol!ia: u.se)
LOT
BLOCK
ADDITION
PID
OWNER " L., If!.
(Name) ~~(!'f\
(Ad~s)
~
(phone) t. s1-4M-44-~
"
APPUCANT / ~ / /
(Name) ~~/ 7'?Jo/ ~/'/('7
. /
(Address) 41?/ d:/ 4/&// ~/Yl
f\. - (Addr1:SS) / .
(Contact Person) .J '() AJ .
APPUCANTSIGNATURE ~# #6r_
APPLICANT PLEASE COJVJ1>LETE BELO'v'"
(phone) h~/~4-t-t~
~CJ/'/
~hy)
"":l~' L2-
(Zip Co~)
~EW CONSTRUCTION 0 REPLACEMENT 0 AL TIRA TrONS
FURNACE MAKE AND MODEL..bN/V'~Y tf,S;( &~ l c::;- FUEL ~J-
FLUE SIZE ~-::t' RETURN OPENINGS 1-'".> INPUT 7S, CdJ OUTPUT?' 7 9::D
TYPE OF SYSTEM HEATING OR POWER PLANT
~arm AirPlanes 0 Steam
DGravity 0 Hot Water
~~t.:chanica.l 0 RAdiation
~jr Conditioning 0 Special Devices
ja'VenL System 0 Other Devicr:s
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial. Commercial 8:. Multi.Family 1 % of job cost Residential, Gas Fireplace
539.50 minimum '
Residential. H<!ating ok AlC (New ConStrUction) S99.50 Residential. Additions &. Alterations
Residcnri31. Heating Only (New ConStnJction) S64.50 Residential, AC Only
539.50
HEATINGPERNUTFEE
STATE SURCHARGE
TOTAL PEDfiT FEE
$
$
s
.50
539.50
&_ ~ S39.50
~~~b
~,~
~~~~
r<'()
, '..
Estimated Cost $ Building Permit #
(Office Use Dilly)
Th~ Applkatio. Steom", Your Building Pennit Whe. Approved ~~,; I G: \1 \1 i [E , r'\co;pt No.
B,i1d;,. Offici., 'Hun." for :'~~"P,,";u; 1oS,) ~~-;i:~~~~~;~~:~""' :. . JJ; ,. ., /.
10'24/01 WED 11 22 FAX B124~712~5
\.fry OF PH I OR L.\KE
~OOl
rPlme ~~ ornnT1t IlIld l~_~ bortom) _ _ _
ADDRESS3~-'b ~~~~\<.~~~ U,
, r ....J
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'(j
I u.... '.1.
I. Cold ("",
J. f,/krw Ap,ht'V"
PERMIT NO(J4. ~
ZONING rqtflce \J.K)
LOT
LEGAL DESCRIPTION (offie: UJr Mly)
ADDITION
~::e~R L,)€X\Smo..x\\\ ' ~ome-S (phone) bS)-'iOb-tp.;OO
(Address) JS~S-?lQ:z~o...~. ~\~cQi)D '~Y\ ,\Mn\ ~SJ;;Z~
~;~~~ANT ,j~d 'V~~ ~ ~lo.,.~. (Pbone) 6i:1-1fs)-150S'
(AddIess) 171 D 'A~o.ncl~ \~, ~Y'-. tv\n ~ SS-I :2/
- (Ad~,) .-> (City) (Zip Code)
(Concact Pe~on) \1--c:el \-\~~~. -. ,,_ (phone) ts- 1-1.0. - ) 56~
APPLICANT SIGNATURE #~ DATE g)3)OL!
~LICANT PLEASE COMPL.c..! L B~W
I Type of Fixture I Quantity
I Bath Tub with or without shower I
I D ishwllSher I
I Floor Dmin I
Lavatory (Bathroom Sink) I
Laundry Tray (I or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Wilter Closet (Toilet)
Quantity
c?--
!
r
s
:J...
I
I
1-
BLOCK
Pm
Type or Flxton
I
Rough-ins
Water Heater
Water Softner
I Stand Pipe (Washing Machine)
i Sewage ~iector
Backflow' Assembly
Backflow Assembly Test
Lawn Sprinkler
Oth er
FEE SCHEDULE
InduS!;IIlI. Commercllll &. Multi-famil)' I % or Job ::o:rt with a S39.50 minimum Residenti&!. New One &: Two-FarnHy S99.S0
RdldcnliaJ. Additions &. Alterallons $39.50
lorr,c~ \.JIc OIl[Y)
Estimated Cost 5
Building Permit.
PLUMBING PERMIT FEE 5
STATE SURCHARGE $
TOT AL PERMIT FEE $
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PRIOR LAKE
INSPECTION RECORD
Mo..l~ Rl.e..
DEPARTMENT OF
BUILDlNG AND INSPECTION
SITE ADDRESS 39 1(.c, ~l1..rN ~ f?~/
NATURE OF WORK rv~ "0
USE OF BUILDING $FV\
PERMIT NO. ()4~ 06/4- DATE ISSUED 7-'1..t-oLf
CONTRACTOR I/LP.-v-9 \Mb.o1.A ~ PHONE-1P12- '5"~1-7~L2-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
Mailr-File--
SEWER I WATER I SEPTIC
FRAMING
INSULATION /sl .,. ~d
ELECTRICAL
PLUMBING v G. .J.,.....6 . f'A/; iA.O' I
Y UH, (" lA?IP" · vr
HEATING (if required) (. /' 01/? I
FIR.EPLACE HI ~/~.t I
GAS LINE AIR TEST '1:1 r1 ~ p~~. ~ ~I -
. I
^CO~ER NO "OR~ UNTI ABOVE HAS BEEN SIGNED
I ~ /Ilr ///)!d..) I I
v .
FINALS
I /I/f] r;p
INSPECT~j::; ('
V' /.-/ I <F'-2d
I FOUNDATION (Prior to Backfill) Y-(...,~J/ ~ <'I~.?e I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH · INS
6c~~~
il\Y!'
\/Lff
I FOOTING
DATE
J (') . }"//I rU)-
~ IOfkuJ
If) )/ 1..1 C-'J -
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
/- ~B o{
g. ~ :J--(Y-p
'fjtf 0~o;, _
I If/(
RO NOT OCfFl!PY UNTIL ABOVE HAS BEEN SIGNED
\)'^t.~ 1~ 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
<tIertifirate of (IDrrupanrll
CITY OF PRIOR LAKE
~t}lZtrfmtuf of ~uil~iug Jrus}lttftou
/
'!Zi Pinal Permitted D Conditional C.O. Expires_
This Certificate issued pursuant to the requirements of Section lID of the LJ 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 04-0814
Use Classification
Bldg. Permit No.
R3
VN
Occupancy Type _
Legal Description _
Type Construction
La, HI, JEFFERS SOUTH
Zoning District
Rl
31176 RASPHERRY RIDGE ROAD NW
Owner of Building Site Address
\.JENSMANN HOMES, 1895 PLAZA DRIVE, EAGAN, ~IINNESOTA 551:'2.
Contractor's Name & Address
NO BERT D. HUTCHINS
JANE :<:.ANSIER
City Planner
Date:
Building Official
/"'(
. ,)
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
38'71o
OWNER
PHONE NO.
o FOOTING
o FOUNDA nON
o FRAMING
o jNSULA TION
~FINAL
o SITE INSPECTION
COMMENTS:
7"1 J:~7 ~ ~
SCHEDULED ~
~. ~~
CONTR.
TIME
PERMIT NO.
Ll-08l'-!
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
I, StCl.ttoL SVVo-\p (tJ-
Z. 'kt<..- ~ ~
S". ~A-- -1_ (Q~
~
"-
-1-q r
~u
---
o WORK SATISFACTORY, PROCEED
o CORREC A TION AND PROCEED
1.:.0RRE K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE R 'iQUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ~
ADDRESS 3S)h ~9 ~ ''rf- t/-],g-t(,
OWNER CONTR. Wtl1~~"UJ J-h~.J
PHONE NO. PERMIT NO. o'l::=...~/1./
o FOOTING
o FOUNDA nON
o FRAMING
o INSULATION
"1ii FINAL
"0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~LLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
GrrukY O(
Culb 4,~.r (} t
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~~ '_ ~_ner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSliOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ""<'87<.0
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
r
/, f.~RS
DATE
I
SCHEDULED ,\\~ ~
j
R~"ip ~ ~ct~.
CONTR.
TIME
PERMIT NO.
'-I - 8\lj
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
):;!IcPLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~Ll(cln. ~
cr)
~ WORK SATISFACTORY, PROCEED
l' CORREC ION AND PROCEED
o CORR T
Inspector
CA
9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
EQUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
# TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
3<<7(, ~so. r(\~
ADDRESS
"
OWNER CONTR.
PHONE NO. PERMIT NO. ~I ,.. t3r V
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE Rl
~SULATION o SEWER HOOKUP o FIREPLACE FINAL
NAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
" ( ('~) () f
~ \ ~/~ \J 'l{... -\ ,'" LP
- ~
Inspectc.-: Owner/Contr:
Cti.. 4411a50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
V
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl