HomeMy WebLinkAboutBuilding Permit 05-1179
0 D~D 0 0 0 'V 0 ~ -(')
:x: ~ c z_
0 Ul -"Tl"Tl"Tl 0 C ~~
3r: --Z~Oo z
(') -tZUl co Z m ::0 mO
3r: ~>Cil:Z-t m ::0 m (')"Tl
%r-!;ZCZ Z Ul :::!'V
m Ul
>a Z ~ ::!1i)~1i) 9 0;:0
~ z-
..... m 0 - zO
Ie en (') % 0
S .. -t % 0::0
~ 0 ::I>
% (')"
mm
~
~ -t "Tl
. :x: 0
~ m ::0 000000
Z ::0
. ~ m m iI:'VUl=E:I:'V
>< % mr-~)oimr-
~ -l Ul (')C -t(')c
~ ~ % ~ 'V :1::1: m:l:iI: 'V (') Ul
Ul m "Tl!!!::O::O;:o!!! m 0 (')
~ 'V ::l (") %%:1::1:-% ::0 Z :x:
::! m (1) -t >Ii)OO Ii) i: -l m
:::t 0
ti; (') (") r-!!~~ 2! :::j ~ C
-t 0 % C
0 ~ %cc z r-
~ lJl ~'V'V 9 m
z m C
~ N "Tl
.... 0
~ :x: ::0
m
~ 0 (")
C
::0 ~ 000000
Ul m f
~ Z ::0 1i)"Tl"Tl(")~ ~
%
Ro ~ Ii) >;:0;:00 ~ ii1
c ~mmil:li)
~ ;: _'V'V'V~
~ Z ~!;!;!;c
(') >(')(')z=Ti
~ !T1 _mm-t_ -4
;:O"Tl;:O r-
-t-- r- i
cn% Z m
-t~ Ii)
~ 0 o ~D 0 0 0 'V ~ ~ -(')
z_
0 :x: c ~~
5' 0 Ul -"Tl"Tl"Tl 0 C
In --Z~OO z
"8 0 0 ~ 3r: -tZen CO z m ::0 mo
8 0 0 3r: m>cil:z-t m ::0 m (')"Tl
(') !l ::0 ;:0 ::0 Z Ul :::!'V
~ 0 ::0 ::0 m zr!;-cz Ul
~ " ~ ::!~~Ii) 9 0;:0
r m m Z z-
hl r (') (') en zo
> ..... m 0 -
>a t -t -t (') Z 0
~ ~ > -t en 0;:0
Ie -4 Cii -l Z :::!>
cD (') "Tl 0
S ::0 -t > (')"
co 0 Z
:lI:i 0'1 ?' 0 mm
~ 0 Z -t
"Tl 0 > 0
~ 0 > Z ~
::0 r
r- C .
~ -t "Tl 'V 'V
:x: 0 ;:0 ::0 000000
. m ::0 0 0
~ Z ::0 (') (') 3C'VUl=E:I:'V
m m m m mr~)oimr
~ m m OC -tOC
>< z c c :1::1: m:l:iI: 'V (') Ul
-t
=-:r Z ~ en "Tl!!!::O::O;:o!!! m 0 (')
;:t ~ 'V -Z:I::I:-Z ::0 Z :I:
~ Ul m ~1i)00 Ii) i: -l m
'V ::l 0 C
~ (1) :::j ~
::! m :::t -t r"TlOO ;:0 C
(') 0 -"" - z r
ti; (") zcc
-t 0 Z ~'V'V 9 m
~ 0 a lJl c
Z :: m ~
~ N "Tl
.... 0
~ :x: ::0
m f
~ 0 0
c 0 DDDD~
;:0 < c
Ul m 1i)"Tl"TlO >-
~ z ;:0 1; Iii Iii llt iil
z
Ro ~ Ii) r'V'V'V
C Z!;!;!;
~ ;: moo-
~ z ~mm~ -4
(') ~!!2! r i
~ !T1 enz z m
-t~ Ii)
000000 'V 0 ~ -(')
z_
~~ :x: ~ c ~~
Ul"TlZ"Tl"Tl"Tl 0 Z C
(") (") :::jzen~OO z m ::0 mo
8 000 m>Cil:~~ m ::0 m (')"Tl
::0 ::0 ::0 Z Ul :::!'V
zr!;-cz Ul
;u " en -l~)>-G) 9 0::0
hl m en 'V - -l z-
>a (') )>- m 0 - zO
~ -t (") Z 0 0::0
to Cii -t Z :::!>
S "Tl 0
> % 0"
~ (") mm
-t
(") 0
~ 0 > ~
::0 r
r-
~ -t "Tl 'V o ~D 0 0 0
. :I: 0 ::0
m ::0 0
~ Z ::0 0 3C"'DUl=E:I:'V
m m ~~~~~~
~ m m
>< Z
-t c :1::1: m:l:iI: 'V (') Ul
=-:r Z ~ en "Tl!!!::O::O::o!!! m 0 (')
;:t 'V ::0 :x:
~ m -%:I::I:-Z z
~ Ul ~1i)00 Ii) iI: -t m
'V ::l (') C
::! ~ m (1) -l r"TlOO ::0 ::j ~ c
(') :::t <5 -"" -
ti; (") zcc z r-
-t 0 % ~'V'V 9 m
~ 0 a lJl c
Z :: m
~ N "Tl
"'" 0 V)
F:: :I: ::0 f~
m
~ 0 0
c 0 ~ 000000 I
::0 <
Ul m 1i)"Tl"Tl(')~
~ Z ::0 >;:0;:00
~ z ~mm:l:C)
Ro c C) _'V'V'V~
~ < ~!;!;!;c
~ >(")OZ=T!
~ z _mm-t- -4
(') ::O"Tl::O r i
~ !T1 -t-- r m
en% Z
-t~ Ii)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(PI,,~ !YP'.' ~.t and sign at bottom)
I ADDRESS
/5D3' je Ffer5
~.~g-
I PERMIT NO. OS. 1/111
I
White
Pink
3 Yellow
File
City
Applicant
Pl+55
LEGAL DESCRIPTION (office use only)
LOTJ BLOCK i 4 ADDITION .j e
OWNER
(Name)
(Address)
N,LU,
t
PID
Date Rec' d
ZONING (office use)
PU5D
LtJ - '13) - iqlJ -0
(Phone) fo5 1--40" - 4'1 DO
6-S-lz z..
frl /} n J1
~Dm~s
(Phone)
(Phone)
(g 5/-'16 b-i.flj.W
10 I ;). - 3 b9 ,- 7 j, L '1
(Address)
Je...
€
Y\
TYPE OF WORK [}(New Construction 12Deck OPorch ORe-Roofing ORe-Siding ~ower Level Finish
~Addition OAlteraton DUtility ConnectIOn 7'-
I hereby certify that I have hlfntshed 1Oformation 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
Jbove-mentlOned property and that all construction will conform to all exist10g state and local laws and will proceed in accordance with submitted plans. I am aware that the bulldmg
ofticial can revI e tlus 'mlt for Just cause urthermore, I hereby agree that the City official or a deSignee may enter upon the propelty to perform needed mspectlons
/ 45"~
Contractor's License No
CODE: ~I.R.C. DI.B.c.
Type of &struction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V
HIM
234
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
00.00
00. Do
35. $"'0
~. ()O
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~ ,*~t\
I Blllldll1~ Olliclal
/ diu I as
I Date
A
R
5
o Misc.
B
S U
PROJECT COST /V ALUE $
(excluding land)
Fireplace ~
3601 t)(JO
ajJo/OS-
Date
$ -
."
Park Support Fee
SAC
#
#
$/'f~O.DO
$ 300,00
$ 7 $, 00
$ /500,oCJ
$ /000, 00
$ / S-~~, ~o
$
$
Water Meter Size 5/8' ;
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
~
ThIS IS to certify that tbe request in the above applicatIOn and accompanY1Og documents is 10 accordance with the City Zoning Ordinance and may proceed as requested ThIS document
when signed by tbe City Planner conStltutes a temporary Certificate of Zon1Og compliance and allows constructIon to commence. Before occupancy, a Certificate of Occupancy must be
issued ~'~ /I-,)~-OS- R~ aL( ~
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
White - Building
Canarv - Enaineering
..-Pink - PlannliiQ-)
-
Tht' C'rnlt'r of the Lake Countl)'
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:
.,.
'; ""~.- ."
Accepted
Accepted With Corrections ~
Denied
r
Reviewed By: ~ ~ Date: ICJ/.;)./,/() ~
Comments: ~ ~ ~~
'1 ~ ~. 4~.eL 0-0
,
, "
~~~~
/ , /
i-h ~~.
~~
;P~ ,.
~~
~
,,_"",C ".-,,'/'lc 1\1,"'" 1L..~"..~ 1',
{\U COllQn:.IO][ait~:r rl1H3, uwer .l\Jii,ecJOLiU.UCa::.
11. r . d
Units Cannot Ene-roue lllllo .;.~qmre
f3 .~ ~~f,. <?: ~{{ ::':;'. y~:;;J, 5; t',; tT18:'~ X-;~g
"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."
('""White - Buildin'Q:,
Canary - Engineering
Pink - Planning
Thf ('fn'tr flf tht' I.akt' ('ounll")
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WENst1A NN HOI1ES
/ o. 5. OS"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5034- J6FF6R--S
Accepted With Corrections
Plt9S
/
Accepted
Denied
Reviewed By: ~ ~
Comments: ~ o..L( ~. /td ~
f~/ ~~/~' t4 ~ ~d"4.'L
~~
Date: /t?/2.-1 ~5"
/ .
~
)
7
"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."
~ - Buildina
C nL.- Enaineeriiijp
Pink - Planning
Th. C.nl.. nr th. I..k. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
t/1/ [, NS l-i;-J N IV if DfJE 5
I ( . !:;', ().5
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5C34- JEFFE/c:5 PflSS
Accepted
x,
Accepted With Corrections
Denied
Reviewed By:
MJ(j
Date: / 1-2 ~-oS-
Comments: S~e Reverse Side for Additfnn::11 Infnrm~tiQnl ,
Driveway Must Have A Concrete Approach
See Attachments: 1) Grading Plan, 2) Erosion Control Measure~
_,'.x.~ ";
"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."
01/25/2006 WED 12:24 FAX 952 767 1900 GENZ-RYAN
I4J 0021005
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rcc'd
I (l.)
,.0
/
; ~~:n ~~~, I PERMIT NO. 05. lr1t'J
J. Yelle,'.. Appllcanl . ~7
ZONING (ofJice
u.\e)
fOr ['t:;'
/ -...-;)--
LEGAL DESCRIPTION (office llseonly)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
.J) cl),~'trlarl)1 dJ OrY7t:5 _
~) /1' 0/1. tf-Z(j)
(Phone) (;15l- {7(;6"~ -:37tYl I
h" I
_)5l~;l ~
(Address) J
(Address) 'I 'If i~1
l/'\.(?'l...U
i<y OY"I
1---\-'1 , \l 1 I /l
r \ VJ ,Jj ~)
0'1' 'I '~71 -'7 f i, "'0
(Phone) ~~ -- If) ~ L.l) ..__
APPLICANT r
(Name). l:TCfl1,,-
, l "
\.J\.-I '
\~ \ !1(If\C:V'~ 11'(> ~f)'7;'))-7
,_ lJ\... I,) J_ L, - - ~ v
(Cit~,,' , (Zip Code)
()IAj /7& '7 // Y . ')
(Phone) "I ,.:1/l' /I(}(--- l_CU
/83
APPLICANT SIGNATURE
?~ ) DATE
AI>PLICANT PLEASE COMPLETE BELOW
; NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL 1(~/)~fr//3 UF-- / fluD__:_!32____ FUEL {JLrt4:~J -:-._~
FLUE SIZE RETURN OPENINGS ? INPUT I 35ZW OUTPUT .J)2!L. 2.{~
f .
TYPE OF SYSTEM REA TING OR POWER PLANT
/
C:t~lWarm Air Plants
DGravity
~1eChal1ieal
, il' Conditioning
, enL System
FIREPLACE tAAKE AND MODEL
o Steam
o Hot Water
o Radiation
o Special Devices __
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach inlo
Required Side Yard
Setbacks
Ind\lslrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residcnlial, Gas Fireplace
$39,50 minimum
$99.50 Residential, Additions & AHcratiolls
$64.50 Residential, AC Only
$39.50
Residential, lIeating & A/C (New Constn,etion)
Rcsidential, Healing Only (New ConSllUction)
$39.50
$39,50
Estimated Cost 5;
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
S
,)
,50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No,
j
Date
By
nuildi,,!! Offici"1
Dale
24 hOllr notice f01' all inspections (952) 447-9850, fax (952) 447-4245
01/25/2006 WED 12:25 FAX 952 767 1900 GENZ-RYAN
[4J 003/005
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
1. Blue Fji< I PERMIT NO'(J5:.I77'l.
2. Gold City
J. Yellow ^ppli~.nl
ZONING (office use)
ADDRESS
/5{)34
J) -!l~~<!'
j::Ja S~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
pm
(Address)
(Phone) (in! ()(J5- .:-5/?!J q
.E [(f;' j~) 5S~
OWNER
(Name)
(Contact Person)
(Phone) ctG7--,lf1 ~ IOOe)
r: ~tl~1 . e., \vi IV '553?J
(City) (Zip Code)
(Phone) Of53t-'7b'i-/{J))
,~~j I()&
DATE
APPLICANT (l D
(Name) qe!11.- ~f/jCU1
(Address) 21-00 N. " J G k'3
)ft:.ddress)
Quantity Type of Fixture Quantity Type of Fixture
I Bath Tub with or without shower 6' Rough-ins
If Dishwasher ! Water Heater
I Floor Drain 1 Water Softner
:3 Lavatory (Bathroom Sink) ( Stand Pipe (Washing Machine)
I Laundry Tray (1 or 2 compartment sink I Sewage Ejector
7 Shower Stall Backflow Assem bly
i Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
;;L Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commercial & Multi-family 1 % of job cost with a $39.50 minimum
Residcntial, New One & Two-Family $99,50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERM1T FEE $
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No,
Date
By
I
I
nuilding omc;,,1
Dale
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
01/25/2006 WED 12:25 FAX 952 767 1900 GENZ-RYAN
[4J 004/005
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
e or rin t and sign at bottom
ADDRESS
'~'U31(
L C!'een Fi.le I PERMIT NO()5 1/71J
2, 'iellow CIty
3. Gold Applietnt ·
ZONING (ofli~e use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OVVNER
(Name)
)),f)lSr)1 rli1)rt cl ) /')'It 6
I %15 P /1l?CC) ])(. .# /?{jJ
(Address)
WtJJUI)
- (City)
, --I {J/i?' ?'/,,~
(Phone) (f:w IV :,')- .-) IG'C-j
P)5"/~ ~
_.- (Zip Code) .
(Address)
~:~~~ANT G([~L~ \2i1iltJ
(Address) t 11)(\ VV. i
f /. (Address) .
(Contact PeJson) C'r~ In') ,
. '/
'LICANT SIGNATURE '
DATE
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure _ feet.
Type of sewer pipe. 0 ABC 0 PYC 0 Cast Iron
Estimated length of sewer line _ feet.
Clean out (if required) located at feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $35,50 Industrial, Com'l & Multi-family 1 % of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
.Estimated Cost $
Building Permit #
SEWER AND WATER PER1\1IT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Office Use Only)
I :~';Pt No
I
Building Official
Date
I P,;d
Date
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink
2, Green
3. Yellow
~::y I PERMIT NOOr 'ITfi
Apphcant r;.;J. , j
Please
ADDRESS
15034 JEFFERS PASS
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)
(Phone) _651-633-2561
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
1/27/06
xD NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants D Steam PLEASE NOTE:
DGravity D Hot Water Air Conditioner Units
D Mechanical D Radiation Cannot Encroach into
DAir Conditioning D Special Devices Required Side Yard
DVent. System D Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO 6000TR-OAK X 2
APPLICANT PLEASE COMPLETE BELOW
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & AlC (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
(Office Use Only)
Building Official
Date
I Paid
Date
I ::cei~ No
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /5()3 L( ~ f'11sT ).J,W~
NATURE OF WORK JJEJ,.> CIJ~t!ri/)N (w I L. L, Fiiv/ltl9)
USE OF BUILDING s: 1=: IJ.
PERMIT NO. (J5~ 1179 DATE ISSUED /ttJ/J./ld r
CONTRACTOR ~r~~W\o-t&' PHONEh/Z-31.t'f- ,"Z,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
I FOOTING
~ZOR DATE
__ 112/1/06'
. ,
FOUNDATION (Prior to Backfill) 1/Vlf' , _ /V<
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
IIl/1
SEWER 1 WATER 1 SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING 1G-, WI' '-"-(1,
HEATING (if required)
FIREPLACE
GAS LINE AIR TES
WL..
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I~THe / t(OuStE IV~ I I
FINALS
GRADING (Prior to Sodding)
.
BUILDlNG,\ - -o{,
ELECTRICAL
PLUMBING
HEATING
DO NOT
,
- -C)k
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