HomeMy WebLinkAboutBldg Permit 05-0919 & 06-0450
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(Please type or print and sign at b , _. _ . ,.)
. ADDRESS
14-4b3
.F;'U'L,q V e
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
fr
AI.W.
LOT 14 BLOCK?
LEGAL DESCRIPTION (office use only)
-
ADDITION A IFFre-A!s
OWNER
(Name)
(Address)
BUILDER
(Company Name) WI3AJ5M,.:NN )./OMI!!E-S
(Contact Name) -r;;;., .:;i'JfElZlDAAI
(Address) I a'~ 5 p~,., z". he 5cJ, p1t>O
Date Rec' d
~~ ~~oS
I PERMIT NO. 05"". 0'1/1 I
I White
2. Pink
3 Yellow
File
City
Applicant
ZONING (office use)
PUS' 0
PcIU b
I~r
/It> /)
PID ~1j -4~7-t)~/- t:>
o Misc.
B
S U
PROJECT COST IV ALUE $
(excluding land)
(Phone)
(Phone) t,~/- ~b~ -f41J~
(Phone) ~6::J ~ ~(, ~ - 7 ~ :s I
-
TYPE OF WORK ~New Construction ODeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: !0f.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
III IV
H I
2 3
A
R
5
IS4_~~o
I hereby certilY that I have f\imished mformation on this application which is to the best of my knowledge true and correct. I also celtilY that I am the owner or authorIzed agent for the
above-mentioned propelty and tha all con uction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official ~ this per for st cau Furthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed mspections.
Id1I1 I .. 145ft ~r~3-o5
x
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Signature
V
M
4
II
F
1
jj 13~.tJ()tJ. tJ~
$ /5/P..r,So
$ /O/b,ZP_
$ 9~,S"o_
$
$
$
$
$
l ()() . ()i) I
I (){) ,UD I
y--~
40"()()
This ~lilti"/omes Your Building Pennit When Approved
----'l'V' I ~ Q-{~dS
Building Otlicial "Date
$
$
$
$
$
$
$
$
f14"-() 12-f.tJS- $ e"772.7~
,
Receipt No.~OrJi/tJ
By ti
0-
Contractor's License No.
I Park Support Fee #
I SAC #
I Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
I Other
I TOTAL DUE
Paid W1~ol .I -r>?
Date Q ~ ;:) ~ - .,
Date
l/fSV.OV
300.00
7f. Oc)
I ,flX). (JrJ
J ~ OIJ().O()
I: - roo- ()()
t thc request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requestcd. This document
Cit Plan stllUtcs a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
,
q-/.r'()~ (It:.aJ 011 II~ oJ-. ~~'\
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
Residential Building Permit Checklist
New Construction for Single or Two.family Dwellings in R.1 orR72 Districts',
Reviewed by; fh ik. 1ZJr.."", Date; . '" -1.>- as-
Building Permit #
Address; ".l'd {.,f '3
Legal: L ./tiL, s-13
PID: .u-"Q37.(j'/-O Zoning: PI/SO
~ "cl'/X.. ~..,- /I/. W.
Subdivision: 3c-th"1 (7lJ.1cl I ~t- ,.ft:k!
. \
Existing. ~tru"'~ture? YES @
Existing Nonconforming Structure? YES I@)
---'~'~-) . .
Co/ NO
CONFORMS TO ZONING
ORDINANCE
Yard Setbacks: NAI FAIL~I ~MPLlE;;
. Front. Yard.(can be 20' if~')
. Side Yards
Standard
25'
10'1
25' if abutting a street
Proposed
).r'
ql ,
81'S-
. Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' in length
I. Rear Yard
I ~
. . Patio Door: provide for minimum 10' deck or sign
statement indicating no deck will be built in the future
. From 100 year flood elevation of wetland/NURP
pond
. From OHW (Prior or Spring Lake)
10' setback +
2"/1' over 50'
25'
10' sidel
25' rear
30'
Sl:V
nfr
Nit '-
75' or setback average of
adjacent structures, but no
less than 50'
/VA-
,,--....)
I Floor Area Ratio: NAI FAILS ItOMPLlES
~
, Yard EncroachmenC --;JAILS {COMPLIES
Eaves and Gutters no than 2 feet in width and no
closer than 5 feet to a lot line (Easements).
Ale and other equipment cannot encroach on interior
side yards.
.30 Maximum
I
.Ii'
Standard
Proposed
I Tree Preservatiorf. ~AILS 1 COMPLIES
. Total caliper inChes
. Permit 25% Removal
. Caliper Inches Removed
I. Caliper Inches Preserved
I. Replacement
Standard
Proposed
~
%:1
L:\TE:rvIPLA TE\BLDGLIST.DOC
I Driveway: NA/FAILS/~
· Maximum width at ~""'ILJ ;1;11:I-
· Required setback
, ,
I. Maximum slope
· All parking ~reas to be paved incluQing R-\( or
spaces adjacent to the garaqe. ;- \ '"
· location to match subdivision gradinq plan
, Building Height: t~MP~~'LS
... ....
Shoreland Distric~hlLS (C~S__)
Minimum lot area (~feet)
I Minimum lot width
Shoreland alterations
Impervious. surface
.
I Bluff in Shorelan(: IClA i)=AILS / COMPLIES
· Setbackfrotn~bluff
I. Bluff impact zone
I. Enqineerir'lq certification submitted/approved
I. Gradinq in bluff or bluff impact zone
, ,
I FloodplainfNA"i F).ILS / COMPLIES
· 1 00 ye~ elevation
'\ \1
· lowest floor elevation
· Proposed lowest floor elevation
· Elevations 15 feet from structure
· Road access must be no more than 2 feet below
Requlatory Flood Protection Elevation
I Accessory Structure( ~AILS / COMPLIES
· Size '-""
I. Not located in front yard (Materials)
I. Side yard and rear yard setbacks
· Maximum heiqht
· Materials compatible with principle structure
L:\TEMPLA TE\BLDGLIST.DOC
,. '~~=r;~'- .:1-'
I
Standard .
· 24', .
5' from side lot line or
JO'from r-o-w on comer lots
. .10% I .
35' Maximum
Standard
7,500 Rip, 7,999 Non-rip
50' Rip, 57.3' Non-lip
30% Maximum
Standard
By planning dept.
20' From Top otBluff
By City Engineer
No importing/exportinq
Standard
908.9' Prior lake
914.4' Spring Lake
909.9' Prior lake 1
915.4' Spring lake
Must be l' above flood
elevation for new and existing
structures. If existing
structure was constructed
9/19/90-11/22/97 then
additional foot is not required.
Must be flood elevation or
. hiQher
907.9' for Prior Lake
913.4' for Spring lake
I Standard
I 832 sq.ft. or 25% rear yard
I
I 10'
I 15'
I
....
Proposed
,,' II'
7 '.
. \
I.." 'i' !.6..t ~
~.1"
Nil-
J.4'
(
I'
Proposed
u~
Proposed
Proposed
Proposed
-._~.jr 'r.
/
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 524-.0(,
AND UTILITY CONNECTION PERMIT . . / .
ria Wj .:# OS: oq IC/
I, White File I P l'
i ~:~I~W ~~;licant ERMI NO.O~, 0450
(Please type or print and sign at bottom)
ADDRESS
J44~3 GNI!!LAIIE
t.-r
LOTI4 BLOCK?
LEGAL DESCRIPTION (office use only)
-
ADDITION rI ~rJ'#e~s
OWNER
(Name)
(Address)
BUILDER
(Company Name) WIfW~IHAIfIJI
(Contact Name) 7'iiM
(Address) lff7s PLA '2-A DR.
J..fDM ~
-5",
ZONING (office use)
PusD
P6A1.6
PID 3-t; -- 437- t:1f1- tJ
(Phone) t41-4tJ(,-44t'JlJ
(Phone) brd - 3" CJ- 7r, 3/
Oe...
(Phone)
/All'
~()O
RtI ZA
o Fireplace
/ '8'. 50 CJ
. 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
II conform to all existing state and local laws and will proceed in accordance with submittcd plans. I am aware that the buildmg
ore, I hereby agree that the city official or a designee may enter upon the property to perform needed mspections.
/4Z;Y ?-;13r()(P
I. TYPE OF WORK 0 New Construction DDeck ~orch ORe-Roofing
OAddition OAlteration OU~ Connection
CODE: 1\ii.R.C. DI.B.C.
Type of ~~struction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
. Division: 1 2 3 4 5
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
.-'
~fJ' tI.
$ 3 L '-/' 2-,S
$ ~/O. 7(,
$ 9 . C::::-o
$
$
$
$
$
Jfd, 00
-
This Application Becomes Your Building Pennit When Approved
~4J;J-;
Building Otlicial
S/~4/o (p
Daie
$
$
$
$
$
$
$
$
$S8!!!-.S/
IJ ../
Rectwt No. 51..5:ry
o
ORe-Siding \cLower Level Finish
o Misc.
PROJECT COST IV ALUE $
(excluding land)
Contractor's License No.
Park Support Fee
SAC
#
#
Date
ThIS IS to certilY that the request in the above applical10n and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signcd by thc City Planner consl1tutcs a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Ccrtificatc of Occupancy must be
~p~: ~,,;.~ Nil ~.100di~~~
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245 . ~ .. ~
16200 Eagle Creek Avenue Prior Lake, MN 55372 tN- ~ '
Water Meter Size 5/8"; I";
I Pressure Reducer
I SewerlWater Connection Fee
I Water Tower Fee
I Builder's Deposit
Other
#
#
TOTAL DUE
I Paid 50"1-,; ~/
I Date ~ . .r..t:J"
MAY-24-06 09:25
"
FROM-Wensmann Homes
6519053678
T-726 P.002/003 F-846
..' May 23,,~006:_
'. City of Pri~r Lake. . . .
~ui1ding-1nspectionIPlanning Department
16200.Eagle' Creek AVEmue .. '
Prior Lake/MN 55372
_' Re:' . Jeff~rs Pond l~'Ad'di~ionLot 14, Block 5
Please 'accept this letter ~ written authorization' that .we are awate the impervious surface '.
area ofthe.above loi ~ll increase due to the'porch addItion weare requestIng on our ..
model home_. .
. We' pave in~luded the revised taple and are still well within t4e limit~ approved With the'
~UD whenthis porch addition is added._ . .
. .
. We' have tried' v.ery h~d to ~3.t<e sure. all p'ossible '~dditio~s' ~e' inclu4ed with the d~ginal ..
building permit. This is still' our intent however; because this was built as.8. model home, .
.the. purch~er .did not have the chance to maket~t d~Cision at time of pennit_ Therefore;
':. ~e .are requesting ~his minor modification at this time.
.' . if you: have any' q~estions regarding this issue, 'please feel free to coI.ltact m~ at our
administrative offices_ .
. Si,ncerely,. _
, . <~1f1ur.41umtJ.L).
. K;ill~urra~. ..' . U
,f\ssistaIit Vice President.
..(~).
~~"a\_~ . .
. RHS .Build,ing, 189S"Plaza Drive, Suite :200. Eagan'; MN ssrn." Phone; 651:406.4400 . .F~ 651.~05:367a. . WWW.wensmann.com
BUILDING PERMIT APPLICATION DeeARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(/V 6//5 j'? /-j/V N /-/0/'-/65
5. Z 4-~ O&,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'" 1C;-~t/;3 6/VCLH v& COU~I
\
Accepted
Denied
~'~"
Accepted With Corrections
~
~ "
.,.~::.~--, '"
..
Reviewed By:
~~('
?11U..H ~' L~ Le:vsI
oJ., ^"'-'-G! Q j:_~~ ~'L'"
~ ~ I~"
Date:
5'ls(J~(.
" ---
rif~~.
Comments:
I ,
/Z YIZ--
ftlo
~-
too
/9
'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."
t'GI7hit,.. - 9ulld~
Canary - t:ngl~;;;rtng
Pink - Planning
BUILDING PERMIT APPLICATION De.eARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WENSI'1/1/11N fI()/"165
5.24-.06
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/H~3 ENC-LIt v& (!..{)UK.;/
Accepted
V'
Accepted With Corrections
Denied
Reviewed By:
Comments:
~
~
Date:
shah"
,
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.1I
,
~~ ~~ n~~~~~::,
~ ~ - Phlfi~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I /l ) 1"1., A, ~.
( ., ,/ .e...'~'''_i ,/ f"./ /"/>1' ."_."~
~-' \,....,1 . "-",,,,- . ~.. '. --c.- - ....^
~-' / J ::3 J I;"
j ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I//t/~~ C;;VC<~~ Ur'
,..;.
Accepted
Denied
Accepted With Corrections
(7)r
~
Reviewed By:
,M /I
rz~ all.. '10 I-c..s
Date:
qrlr"-os-
;,.'
Comments:
~ .A-O ~
,
~lfY' ~ ~
~. 7'Lo ~,(1~
~p
~
c::. t? YI M.t.., J-r
0-- ~~ PliO OJ 7'/,92-
~ ~ ~,L: "D~ ~
T. c/ ..
'1 ~~ ~ &-0
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."
~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
LV
c:;?/ ~ BIb
I I'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
ItllI /P3 & N&!C; /vc--.O r
~
Accepted
Accepted With Corrections
Denied
14
f2e~ c:L
all
Date: q,.../~-O.s-
"'(1 h.J ~ 1-h:-..c:lC)~~
Reviewed By:
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.1I
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(V~-11x.OA~
q/ d 3/~
- ! I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/1/l/~3 &~v!(j u~ CO.1
Accepted
)(
, ----
Accepted With Corrections
Denied
Reviewed By:
.~
Date: {-ZO-O..s--
. ". . ....-..~.,.............' .. !. :(" .-: ~1.f~.
Comment~':. See Reverse Side for Addition~1 InfnrlT1~tionl
f(~Jr./~Ij,.S w.Jl W(!J{K. t:lrtd I'~'" crl r-c..r ~,/ . 1'I1~.}.J. I<<.
{t!)rp/t-leI h,v (XLuftwtr1' ~.,v 6~ A~"llfJ'tW.f,1- b~ '_
G2rfl ~ .,.< c.w J!
fA-
See Attachments: 1) Grading Plan, 2) Erosion f..ontrol Meastire~
.,.~~. ~-:
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
it
~
,~
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o 7\ ~ -....-- -
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'ftu.ow . M'l"U~l/T
Ci01.o . r::tT'1
-
11'1 ~
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1lfoo1liI--'
th.II'~ 1 l6..-
Nr6. ffl
C!~y OF PRIOR LAKE
SE1VER .h..ND WATER P:::~::T
HOTE:
Sewei- and rlater
contractors must
be registered
wi th t..~e City.
AP~LICANT' ~\ t~';?-,. \
ADDRESS: P-lL\ ~ ~ ,~~
s :::~; ~.7!'_-?:: = .
PHON"E :tJs)-'-I9-~ J ~
DAT:::: ~/J'!~
3:'::G.
?~?..:.~!:' :?
1-
Es~i!:\at:ad lemg't!'l
F~~~ IN TE~ BL~~KS
~IO
of vater service -
I
,
f"a2t-.
2.
s i z;e of we. ter se:::-..r ice
3 .
4.
5.
6.
Type of sewer pipe.
Aes
i nc~ ( es). (1 rv)
frotn S~:::-..lctu::e lV(\;\-
PVC.~ Cast Iron
3(:)
feet.
Lo~a~ioM of any cou~ling5
~sti~2ted length of sewer line
Cle2n out
st=-~ct:u=e .
( if
required) ,
loca't.ed
. .....
~ ~.
fee^~J1fL
~_feet
frcm
-------
-------
===============--...=============== :========-===;:::===---=====.:=.
Tt.:.s a~o!icaticn becomes J:'our per::nit ....hen c::>provec..
B~ DATE:
. .
====-=:==~==~=====~=========~===---==--~:=======~====---====~~~~=~
F:;!S:
$
S
S
35.00
.50
35.50
Sewer and w~~e~ line connecti~n pe~it.
Surcharge
TOT _~L
* Fse fc= eithe= sewe= C~ water i~civid~2~ly ~s $20.00 p~U5
$ : 50 su:::-char::;e. -
*
Sa~~~ anc wa~e= pe~its' issuec for new =ons~r~~. must be
rec?~dec on. the buildin~ pe~it car~ at.t~ID~~~rV~suance
t,:) l:1st:.re t:lat no c.u?l.lca~e se....e~ a:,.~ ~a~'v(je~fS. are
issued. . ' C;;:f'11V1'i
fn) fE .' ([gr' . -. - -
.~.. ~ .."...........
~~OUN~ P~ZD '
D;'::~ ?~.: J
R'::~;:Z?'!' ~
~~,..~.~ .r;;\.:.J .e' ..: ,', j.< :O':'...!:;~~~f.,~..:,...{~.7.?'-.~...~.~~._.....€....~'f:~:....
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';,~.'}~~ ";';:~i!~~/',~,;~, ,~~~:~& .~~.'.\>~~i.'~
.c"'" ":;'i'ill~-!t .. '1.. ':t~'a:f~ .' "'>I< '.~~
< ';"'~~~:t' ,ti.~:';' :': ."" ~ ~ ;:~;' :';" --{~~.~/,..;~ ~S ~~~ ;;:~7:7"h : '.
,., f l vS6ES0098v 'oIvto: 1 r 'lS/EO: 11 SO ,OE '8
lOIZTl/Ol WED l1:ZZ FAX 6124414245
CITY OF PRIOR LAKE
@OO,
l;ITY OF PRIOR LAKE PLUMBING PERMIT
Date Ree'd
lPltuc: type or l'I'i:tt 1IDd' ftcD ~t: .::...,,)
ADDRESS \ .
lli4b::, ~~~ t\ \ %\.)
I Blue !'ill
'J. Geld CiI7
,. Ttl""" ""rlClUII
.5- !flf
. ruWIT NO.
ZONING (018= \lie'
J
LEGAL DESCFJPTi~officc \lie onlt)
LOT , ~ B10cx..s APOmON
PID
f
I
I
I
~~ ..~ \~'ffi0tJf\ Y'\ 1ome.9::,. . (phon<) t:.sJ.J.fD(, -l/Jjoo
(Address) 2>~S-~A.~~. ~\~~D ~f'\ l~t\\ ss-}~Z-
-, .
~~~l~d ~~';'.~ \\~~. (Phone) ((;S/-f5)~/Sb.S
(A~e$S)_17JD~Cl~.,,~c. ~ ~W\~ ~/~/.
(A~~ . -" (City) . (Zip Code)
(COQtaClP<rson) '\TeJ,.~?~...~_ (Phone) ,~/~-I5"b~
APPLICANTSIGNATIJRE ..~ D~TB <g/l91~
~LlI~~ PLEASE COMPU.l~ '~EL)W -
11p" "rFixtqte , QUDlity Type of Flxtiin
Bath Tub with or without shoWer . 1 , R.ou~jns
I Dishv'~r I \ J Wat~.~e.attr
., rJoq~p;a", " Vf~~'~*~~ ..:
I Lava't91Y.(~ Sink) j I Stan~..Pipt!~bingMlIChine}.
I ~lfi'yTJ'ay(tor2 compa.~.."..tslnk I I Sew:r~Ei'Xf:
I Shower Stall I j BacHlow ASsembly
I Sinks I . .1 Bac.Ulow Assembly Test
I ~ar SinK . . ~ j LaWTl Sprinkler
:) j W~.C1oset (Toilet) / . , Otbe.- _
Quautify
CJ(.
l
.~
I
I
1
~..-...
. FEE S"-~lo.JJULE
fndustrilJl. Commercial &: Multi-family 1% or job cost with a $39.50 minimum
Estimated CO$t S
Building P~rmiT 71
Rc.sideptjll'. N~ One &: 'T'wl>-f'imil, $99.50
Re::JidentiaJ. A.ddititm &. AltenlliollS 139.50
~ PA/0WRJt".
n i '~DING \p~RM1T
.50 L SEP 2 3 ,",j . j
.' ',... : .... .. Ci:..;;
.:". '''1,.' .'., . I , :':~I'
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L EO~G~V~iS9 ~Niiv3'H ~ DNIHWfl1d 13ZN3M WOBd
PLUMDlNG l'~T t'l:.C S
STATE SURCHARGE S
TOtAl:. p~ FEE $
(omtt V,e: On~)
Date Rec'd
tll
(J)tase tylle or print and si~ at bottotl\l
Ai>DRESS
r/~C/u3 ~ (]j-
I.. Pink
Z. On...
]. v.llow
~:;. \ PERMIT NO.Z- L)ltlI
f,pphClllt ~
· ZONING (office
Uie)
LEGAL DESCRIPTION (office use only)
PID
LOT
BLOCK
ADDmON
OWNER
(Name)~
(Phone) (,51- LlOC4 - '1'100
(Address) /'ffS f.~ ~. #;J.eo
APPLICANT
(Natne(1l ..\-"""'"^'^ h~1 )k-.~A' ~ F=. P . (Phone) ~lo3. 5'1 , - 'dS"dS
(AddressL
g9CO /09J.1, ~J..J #trIO 0J.n/YMfJJ.I~ .rnn 5S3/(p
. (Address) , ~ ~ - (dty) (Zip Code)
(' (Contact pen;on) ~ C\ ~ u..,N''''P''''''..... . (Phone) ~<. - S 'llp- ., ;;lllo
APPLICANT SIGNATURE k!\.l~ lJp~ DATE - -
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER pLANT
OWann Air Plants 0 Steam PLEASE NOTE:
OGravily 0 Hot Watcr Air Conditioner Units
o Mechanical 0 Radiation Cannot Encroach into
OAir Conditioning 0 Special Devices Required Side Yard
DVcnt. Systcm 0 Othcr Dcviccs Setbaeks
FIREPLACE MAKE AND MODEL ~ c,otj'd'3{Q~-_-.-___
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplacc
539.50 mi~imum
Residcntial, Hcating & AlC (Ncw Construction) 599.50 Residential, Additions & Altcrations
Residcntial, Hcating Only (New Construction) S64.50 Residential, AC Only
S39.50
$39,50
S39.50
Estimated Cost $
REA TlNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50.
~
(Omce Use Only)
This Application Becomes Your Building Permit When Approved
Paid
. Receipt No.
Date
By
BuildlnR Omcial
Dltt
L.
14 hour notice for an inspectiolU (951) 447-9850, fax (952) 447-4245
600~
HaaG 3~VHV~ ~I~VWOlilV
666L 9L9 &9L XV~ 66:11 90/60/11
PRIOR LAKE
INSPECTION RECORD
DEPARTMI;NT OF
BUILDING' AND INSPECTION
SITE ADDRESS &4(,3 ~ItLI.w t:".,..- /v. 11/.
NATURE OF WORK tie w ~s + ,.~fJCJI-l
USE OF BUILDING S. t:. o.
PERMIT NO. 05.0'1/9 DATE ISSUED
CONTRACTOR j1/c"s '"4tH" PHONE-"J.. '3' ,... 7' 11
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR .I DATE
I FOOTING f/ID I ~ J
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
I FIREPLACE ~
GAS LINE AIR TEST f--fl(~
-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
/I /f? NO s-,y." I J I
f7U;J ~ !&,~
It I ~ 7/;t
1;41 } 117
OCCUpy UNTIL' AB~VEl. HAS BEEr! SIGNED
NOTICE
-
GRADING (Prior to Sodding)
.-
BU~LDING(!~+~ !-r~
ELECTRICAL
PLUMBING
HEATING
DO NOT
.bli; I I
'f'~ I//I~
,
1/,
!
JlIJ
. I
IIIL//o:)
11/,. 'f
11/1
I .
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 an.d additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
I
f';
@erfifitafe nf ~ttupant1!
CITY OF PRIOR LAKE
~tpatfmtnf of ~uilbing Jfnspttfinn
~ Final Permitted
o 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:
Use Classification SINC:it.C F/7/"'l/t.-L/ . Bldg. Permit No. 65, {;tf/q
.
K.3 Type Construction v' A/ . Zoning District P (/ G 0
L.- /4, "S ..n; F;; cJ!::..:5 Po""; 0 / zr
I
Site Address /44(,3 C:/IICtA Ve c.. r /I/. P<I.
18q5 ~u:lZ.'t OK-. : IIZu(), cAc;,/iN
Occupancy Type
Legal Description
Owner of Building _
\\
Contraitor's Naml & Address we rlSI"lH NAI.
11/ ' I \
! , I" ~ , . I
. I 1") r~ \ ~,
Building Official
_ City Planner
Date:
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 14 L\ {, -'3 Gv\'L( ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~~ULAT~
.16 srr~~N~~~~~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
LL- i(I
-';;0<0
TIME
z::-_ ~I c;
~ ,Ii ,
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE R1
o FIREPLACE FINAL
o GASLINE AIR TST
o
+-- etriA q(T.
I
a
I
Jc:>
/\1 /D {JI'
(_ 't?~~A-r\-I'>o
i WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR7][jEALL FOR REINSPECTION BEFORE COVERING
.
Inspector Owner/Contr:
CAllL 1"7-985 OR THE; NEXT INSPECTION 24 HOURS IN ADVANCE.
COD'JJEQUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNOTl
DATE nile
CITY OF PRIOR LAKE ,#.,-
INSPECTION NOTICE SCHEDULED
ADDRESS Il\LtL.. ) ~\_ 10J...
OWNER CONTR.
PHONE NO. PERMIT NO. 5" -- i/ '7
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL )! PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION DMECH FINAL 0
COMMENTS:
I,~f~-
~, Rtf~td>, ,Arl'Q'S'9 ~y 2~ t.)L, 1rf
s .Ca.J..1 ~r" ~ ---r I ) ~ 1..J7-~ 8T~
~ ~f- ~~
o WORK SATISFACTORY, PROCEED
)?. CORRE2fT N AND PROCEED
o CORRE.. T.Jl K, LL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447- 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS .J 4 ~'$
~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
...er FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~ PLUMBING FINAL
/' '-t MECH FINAL
COMMENTS:
A
I,M~\(.~ ~~. ~
SoJ. 8'~
~_ &n-1~.,~
2.
3,
-)-"""'1' +t?
...
/5-I-f5C?
DATE
{ inI"CA
nilE
!i' -erlf:(
o EXIGRADJFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
X CORREC . CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
-98~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOn
EQUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/