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HomeMy WebLinkAboutBldg Permit 05-0358 (Please type or print and si2l1 at bottom) ADDRESS CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Main File Date Rec' d 4-,/5. oS- 1_ White 2 Pink J Yellow File City Applicant I PERMIT NO. 05. 035~ I /~3~6 lJecHr-;~ // /VtJ CT LEGAL DESCRIPTION (office use only) -)I,L PID.)~ -r/~~ 0 ?.3-0 LOT/3 BLOCK 9 ADDITION tJtpNfh? 9#/V OWNER (Name) (Address) (Phone) BUILDER (Company Name)-'w f' N.f /n q/V /V .JIlFnJ,o..l (Contact Name) a6'/'l/ JoA/Vf~/V (Address) I tf 9'5" I' /' /t:i' 26- /Jr ZONING (office use) t:4- (Phone) &57- Yt)? - -Y7"tI p (Phone) 6/2- .1"'- ?~/.:L- C tff" ~ q-/" ~N, ,/)5/;;1.2- .J - TYPE OF WORK ~ Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace OAddition OAlteration OUtility Connection 0 Misc. CODE: ~.R.C. DI.B.C. Type of t;;~stnlction: Occupancy Group: A B Division: 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 I E II F 1 III IV VA HIM R 2 3 4 5 B S U o-tJ PROJECT COST/VALUE $ !,;t5; /JU{) (excluding land) I()() ,() 0 /(J(),OO 3S, 5"0 L/O. aO I Park Support Fee I SAC ___ I Water Meter Qize 5/0; I"; I Pressure Reducer I Sewer/Water Connection Fee I Water Tower Fee # 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 ;Icial'/J';;;;:;.rmit for;t cause. Fu hermore, I hereby agree that the Clly official or a deSjy;;upon the property to perform ne~ ;;:n~ S- I' ,/ / Signature Contractor's License No. Date 1/ ,"~ 1/ /3~ 000, tJ () $ 12.11/.50 $ B3Z,Qfl $ fo~,!J" $ $ $ $ $ # # # Builder's Deposit Other TOTAL DUE 4j/z7;b~ , Date I Paid h1o~' q 3'/__ I Date ~- 3-'~ Receipt N~o. L; )( / -33 By 0,' () This Application Becomes Your Building Permit When Approved ~~ Buildilll! Otlicial $ $ $ $ $ $ $ I $ I $~rloil18 /"/50, {)() 25'0. ()O SO, Ot) l5"o(), 0 0 /tJoa,tJo - 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 ducument when signed by the City Planner conslllutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a CertIficate of Occupancy must be iSSU~~ #Z7hS See ~\1ain File 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 ("White - Buildin9:::) Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CtlECKLISI NAME OF APPLICANT APPLICATION RECEIVED W&NJ/'1~N;J 1/O/~6S 4-./5. o~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /434tP W/f~ ~/ ~ ft/N Accepted Accepted With Corrections Denied Reviewed By: ~ . ~ Date: 4/27/oS , 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." " See Main File White . Building Canary . Engineering ~ . Planr1trnt> B..UlJ..DING peRMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED l Vt /,v -;/,//./ ///J 11U! ~ IE...~- . - r-- (/2 !f (., r. J. -""'.-> " The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / 4 _:> 4& ! "/1 /t:) (_/-~'I t L. '/ ,i!/ /' J Accepted / Accepted With Corrections Denied Reviewed By: ~ ~ Date: ~/z7j;s Comments: 1#''11'- SreMain 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." See Main File White . Building <. canarv . t:.n9ineerlnCll ) PinK . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ,- !.'~"i/; ';:-/'v~fi~Jr-Ji',..//v' /f()/wllS-.S .'1 .......... ,/i ;.;:- I, r--- '-r.. f_j. l...~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / d,~' ';: d,-/r; tli/""17-Z::lZ...~?::;'I-L-/._ (" ,; / It/ (1,..,/ i \..-""..,- (....' if r ' (......" - \........~ j Accepted Denied x Accepted With Corrections Reviewed By: A1fI5 Sf-t:.- !JI/e,/v, F/IL- Date: $-;2./--oJ Comments: See Main File "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." raJ 011/013 ?i~!!? Date Rec'd 05/09/2005 MON 16:05 FAX 952 767 1900 GENZ-RYAN CITY OF PRIOR LAKE SEWER AND WATER PERMIT i ~ ~~ PERMIT NO.AP, It. ..:1fI S, Gold AppliaiII ~ . " ~ ~Iease tYPe or J)rint and sWl at bottom.) ADDRESS I Lt:~,LP . LV f}(x-ev,.r oj ZONING (o1ficeuse) t-+ ! \ !l J/A ) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID , OWNER't' 1 'PI^( \ !"\(.... '''II'' \ L, !"\ps (Name). Jl Jf \.:> 'Y ~ AJ \ f I -H)(~' 1L- (Address) i <lQ5 P I OtIO,-.! \)V-, S1(,X() (Address) (phone) f]~Q(\ MN . rf;ity}' ( of) J.. q (J)- ~:n 60 551.)/) (Zip Code) APPLICANT (1_ . (Name) ~ LUl2- 12M a /1] . I I (Address) ~ IDO VV. HW14 / ,~ f /, (Address)' I' -:- (Contact Person) K.l/l'l J~~r)\ / i.: I (-e/. . . _'. !)LICANTSIGNATURE c/Y.~Jt./ ;:;20111(#(, . '- (phone) f/ 02 - 71P7 - (ODD 6Mt/11 S 'LiJle/ MtJ Q;':33l- (City) (zip Code) (phone) t}6-;~--7(j7- /!{hl DATE 6 IC/ /0-) APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure feet. Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron Estimated length of sewer line feet. Clean out (if required) located at _ feet from structure. FEESLl:I.J!,DULE Residential sewer and water line cOlUlection $35.50 Industrial, Com'l & Multi-family 1 % of job cost with a $39.50 minimwn Sewer connection only $17.50 Water connection only $17.50 Estimated Cost $ Building Pennit # :3657) SEWER AND WATER PERMIT FEE $ _ STATE SURCHARGE $ .~ID WITH TOTAL PERMIT FEE $ ~?8OflDING PERMIT (Office Use: Only) I This Application Becomes Your BuJlding Permit When Approved Building OfficiAl Date !01[!a~~ I ~ [I ~I ~ -:'\! Receipt No. I if A\' 1 (), 2005 II By 24 hour notice for all inspections (951) 4- 7-9850, fax (952) 447-4245 By _ 05/09/2005 MON 16:06 FAX 952 767 1900 GENZ-RYAN ~ 012/013 ( li}e Date Ree'd CITY OF PRIOR LAKE PLUMBING PERMIT I. Blue rd. PERMIT NOdS..o35I Z. Gold Cily J. Yello.... AppIicut (Please type or print and sign at botIDm) ADDRESS J 4~4lt UJakJf~/fLl j CJ fULl) ZONING (offic:e use) LEGAL DESCR.u- 1 J.ON (office use only) LOT BLOCK ADDITION PID ~~~R I,UfJ.'f) ~/YVllf)() MrXYi(S (Address) \ xCJ0 PI 0\7>>-, Dv. ~~-t ill; ~~;~ b~1,- P.-ijtU1 (Address) 1-1JJO \N. l-hrv u 1,3 . J. (Address) "' . (Contact Person) kJ 1/1 {~f,tIV/} JL, APPLICANf SIGNATURE / Id:ltt./ k!bti/{iLe., f rfl' (,V'F- ?---7fA (phone) If )1- K J,) .~) L 1 ,Fu C~ n 1'1 P01 N '55 i;)~ j (phone) qC)L~ ,lJ11 ~ (aDO {7)/ilt2J1 c..V ({ If" M f\J ~~~?37 (City) .. (Zip Code) (phone) {l5:.~--7ftf7'-- l11l/ ~/a /. ':V- DATE _./ / ( '/ if)::> f '--_ APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixtnre I Quantity Type of Fixture I Bath Tub with or without shower I 3 Rough-ins f I Dishwasher I J Water Heater ) I Floor Drain l 12/1 Water Softner -3 j Lavatory (Bathroom Sink) I I Stand Pipe (W ashin~ Machine) ! I Laundry Tray (lor 2 compartment sink I I Sewage Ejector . ( I Shower Stall I ~- I Backtlow Assembly I I Sinks I I Backflow Assembly Test I Bar Sink I I Lawn Sprinkler ~ I Water Closet (Toilet) I I Other FEE SCHEDULE Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 Estimated Cost $ //.Ji1J .- Building Official Date Building pennit # qq.~?) PAIDWITH /(l,',~SJ'LO'NG PERMIT . I [-;-\!~ . II' 'i', i 0' I, I ,'PaId .,' '--~ I, teceiPt No. " ~ 1 i) l:OO~ I y L lpmr' - "' PLUMBING PERJ,\1IT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ (Offiee UIlt Only) This Application Becomes Your Building Permit When Approved 24 hour notice for all inspections (952) 447. 18,0. fu (951) W1--411.'l 05/09/2005 MON 16:06 FAX 952 767 1900 GENZ-RYAN ~ 013/013 / tiJ CJL. CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/~lKEPLACE PERMIT Date Rec'd (Please tv.P_e or print and sb;n at bottom) - ADDRESS ILj,.~o U )0-+c11 fA. j _ (~ I }- \ I\/Ii j ;: ~~ S~ I PERMIT NO... 'SSS ZONING (office use) LEGAL DFSCRIPTION (office use only) LOT BLOCK ADDITION PID ~= \ A }c\.,,\S\,j,\ n ,1jl'! \-\O\l~ (Address) I gqrs jC)lmcL- [)v, Sic ?-OO i./-.c:. ""'/ " ..., (phone) U5/- q C,,).. .:5 I U'1 l~:'.M (1[1 kJl t\1 -- .J - . :-:55/ ;?-d (Phone) qF)~-llf7-IOOO bUfnsvillc r:353'-)'7 'jdresS) . (Oty) (Zip Code) (Contact Pe~on) kj iI" r ',\Bill/i I (~ (phone) CfJd --7&-7- I tit! (fllj;{./ i(2e~,lj7f i'~. DATE 5/ Cf/o:) APPLICANt P EASE COMPLETE BELOW ~EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS I FURNACE MAKE AND MODEL Lel1J/lX.. ('-rf I/i LL# - .3(;11- 70 FUEL /"/{i.{;- uti -~ FLUE SIZE RETURN OPENINGS ,--5' INPUT 7(1.1i) OUTPUT 5~ TYPE OF SYSTEM HEATING OR POWER PLANT ~ann Air Plants 0 Steam [JGravity 0 Hot Water ~ Mechanical 0 Radiation - ~ir Conditioning 0 Special Devices Rent. System 0 Other Devices APPLICANT r ') (Name) L:::rerYt~ - kJAfl1'l ) (Address) I') 'ii-(1 U) (7' C7"lA.; v . HUJv113 APPLICANT SIGNATURE PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace S39.50 minimum Residential, Heating & AlC (New Construction) $99.50 Residential, Additions & Alterations Residential, Heating Only (New Construction) $64.50 Residential, AC Only :;t::;::2,/JI r Estimated Cost $ ...... ")~- {J./ HEA TfNG PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $39.50 $39.50 $39.50 This Application Becomes Your Building Permit When Approved Building Pennit # $ clq Sv t"AID WITH : j{j')t:~MLDING PERMIT \J Le leceiPt No. !i~~. Ir)!~dl I I ' DtMY 1 0 2005 lJ V (Office Use Onty) Bulldin! Official Date 24 hour notice for all inspections (952) 44'i~~~~~_(9~E 4~7~Z45 ---l PRIOR LAKE INSPECTION RECORD SITE ADDRESS ~ WA.TntrALL C,lullr IJ.IAJ. NATURE OF WORK NE/AJ ~1U$r~Ai USE OF BUILDIN~~ ~ SF.~. . PERMIT NO. ~'-"'~~ DATE ISSUED ~t V" CONTRACTOR ~sa~'-' ~ PHONE-'l2- St.9-7iLlZ, NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF See \1ain File BUILDING AND INSPECTION INSPECTOR DATE , FOOTING I FOUNDATION (Prior to Backfill) I I J PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS I r 7/ze/tf& , . COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED /.ATH.- ~tNtLAP I I FINALS SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST lVv //1; 1,/~I#1 , I ... LDc.. ffJ 8-9-CJS P f( /j 1"'rJ4 V/r!) GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUpy c.J C jJ II} / . 'f'/2IltJ~ / Y/ I I ~ P A 9/-arhl I rfdY -' UNTIL ABOVE HAS NOTICE . " '1/. 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 , " QIerfifitafe of @trnpautl! CITY OF PRIOR LAKE ~tparfttttnf nf ~uil~ing Jr nspttfinn ~Final Permitted D Conditional C.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: Use Classification SINGLE FAMILY Bldg. PennitNo. 05-0358 Occupancy Type . R3 Type Construction VN Zoning District R4 Legal Description . LOT 13, BLOCK 4, WENSMANN 4TH Owner of Building Site Address 14346 WATERFALL CT Contract()~Name & Address WENSMANN kOBERT D HUTCHINS 0.00 , ( , p;;t" ,?ffici" / I '"" ' HOmES, ; 'f/( ') p , ,,/ 1895 PLAZA DR, EAGAN JANE KANSIER City Planner Date: ,,' <'" ",' -'-,,,,,,,,,,," '.fI" ,', ....... CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 113 4 ~ OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~INAL 6 SITE INSPECTION COMMENTS: -~ F~ .lJJfu.- DATE TIME SCHEDULED ~_~ ~uM- CONTR. PERMIT NO. ~ -?58 o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~Q~ V () ( I () (II l!. \~~ ~ \t/ I o WORK SATISFACTORY, PROCEED )lk:ORRE77iCA N AND PROCEED o CORREC WO CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL ~7/k5_1oR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. - v~ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! lNSNOTI CITY OF PRIOR LAKE INSPECTION NOTICE 1~~ ~-~ nile SCHEDULED ADDRESS ~Co OWNER CONTR. PHONE NO; PERMIT NO. . 5"- 3~ o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP ~ PLUMBING FINAL o MECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COM~ENT$: "- ' . _ J. (ILk:~~ '11/") - '7$"72J 2. ~~_ ~ ()." ..,Q J t o WORK SATISFACTORY, PROCEED X CORRECT ACTION AND PROCEED o CORREyf1~ CALL FOR REINSPECTION BEFORE COVERING ,nspecto/l ! 1/ Owner/Contr: CA ktt.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl