HomeMy WebLinkAboutBuilding 02-0364
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
MI~,III
I PERMIT NO. 02--03' tf I
l. White File
2 Pink City
3. Yellow Applicant
ZONING (office use)
'06E \ fA I () (l.. JAt<.€ J JY1J
RI
LEGAL DESCRIPTION (office use only)
LOT1~ BLOCK (S ADDITION J I L () S
PID;{ 5-3 ~;.b-
OWNER ~
(Name)/YJI~('~~ {; ~ $.
,J s c..~ 0
(Address) ';;) VI ~ S" ~ s: T
(p(;;)-~2-)?? }
IGIIJ'S. n~
BUILDER ("\..a....I\.-C
(Name) .:YIT~-
(Contact Name) d>o...0 M J ~ (Y't-e-O r-
(Address)
~ 51 - SS 2.- /7 7 /
~~ ) - 5)'2 - 9" ')'2
(Phone)
(Pfftk
ORe-Siding
TYPE OF WORK
ODeck
OPorch
ORe-Roofing
New Construction
OAlteration OUtility Connection
l1d~
o Fireplace
OAddition
o Lower Level Finish
o Misc.
PROJECT COST /V ALUE (excluding land) $
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
tioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
nee e inspections. :JyL{~~ 0"" /O-z, J Ot-
Contractor's License No. Date
$
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ 0.00
Mechanical Permit Fee $ tOO .00
Sewer & Water Permit Fee $ S- . s-o
Gas Fireplace Permit Fee $ 40.00
Water Meter Size 5/8" "
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
I r:;eiPINO."P
I Paidf q (PIt;') -~ 1-
Date 1./ - I f.t,-.()
pp . ation Becomes Your Building Permit When Approved
4-1- tJZ-
Date
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
iSSU~^ ___~/ ti(V;/(JL ~LJ ~~QC~~
y~ ~ Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
/'
~-_....
lht etnlt, or Iht ...kr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT '7n;~/~-erl;l- 13/1.-&:;)/'
APPLICATION RECEIVED LJ - ::; - ::.:k
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity WhiCh. is proposed at: ~
/53~C; ~ O~ f(r <L
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
A/IfB
Date:
L/-/O-a;l
Comments: See Reverse Side for Additional Information!
~ee Attachments: 1) Grading Plan, 2) Erosion Control Measures
.3) Erosion Control Plan
"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."
The Cenler or the I,.kt Counlrl
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~.A"u-.d~d;I- ~.
APPLICATION RECEIVED 4 - 3 - ::::L
The Building, Engineering, and Planning Departments have reviewed the building permit
application for co"/;C~O;:tity ~i:;;:ed ~ . &
Accepted
Accepted With Corrections -><..
Denied
kJ;~
Date:
t( CJ'-O~
Reviewed By:
Comments:
~ a.tl o.\-\uckdL hClMctcnrls
"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 - Building
Canary - Engineering
Pink - Planning
ThE' Cf'nlrr or Ihe L.ke Counu')'
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:
f
.". I
Accepted
v-
Accepted With Corrections
Date: &fa b (02-
"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."
04/22/02 MaN 09:19 FAX 6128902753
STOCKER EXCAVATING
I4J 001
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
I. 0n:crI file I PERMIT NO
2. Yell"w Cily - 02-0364
3. Gold Appli.....'
ZONING (olTice use)
15329 Eagles Ridge
---=
I LEGAL DESCRIPTION (:ffi.::c:: Ilse only)
I LOT 36 BLOCK 2 ADDITION
Wilds South
PID
OWNER
(Name)
Mittelstaedt Construction
(Phone) 651/552-1771
(Address)
2425 96th St. E.
(Address)
Inver Grove Heights. MN 55077
(City)
(Zip Code)
APPLICANT
(Name)
(Address)
8247 W. 17~~h St.
(Address)
Savage. MN
(Phone)
55378
(City)
9')2/890-6.26.1
S~ocker Excavating Co.. Inc.
(Zip Code)
Curt
(Phone)
DATE
same
(Contact Person)
APPLICANT SIGNATURE
4/19/02
APPLICANT PLEASE COMPLETE BELOW
L
,------
Size of water service inches.
Location of any couplings from structure _ feet.
Type of sewer pipe. 0 ABC ~ PVC 0 Cast Iron
Estimated length of sewer line _ feet.
Clean out (if required) located at feet from structure.
Residential sewer and water line cOlU1ectio1'l
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'! & Multi-family 1% of job cost with a $39.50 minimwn
$17.50 Water connection only $17.50
Estimated Cost $ Building Permit # 0 2. - 03 (p .f-
SEWER AND WATER PERMIT FEE $ "'. p~\O V4\\);; I
STATE SURCHARGE $$ ~~~G p~. .
TOTAL PERMIT FEE
(Ollice U$e Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Buildillg Omc:ial
DaltO
Date APR 2 3
24 hQur' notice r...r all inspet:tions (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
; ~::n ~~:y I PERMIT NO. ,:) - 3 G 41
3. Yellow Applicant ,
ZONING (office use)
15329 EAGLE RIDGE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
MITTELSTAEDT BROTHERS
(Phone)
(Address)
APPLICANT
(Name)_ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone) _651-633-2561
ROSEVILLE
(City)
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE _BRENDA HUSTON
5/16/02
(Phone) _651-633-2561
DATE
APPLICANT PLEASE COMPLETE BELOW
X NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NOTE:
DGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEA TN GLO 6000TR-OAK
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
....
.50
l', . /"',
.( ~""',.';, '
, ,
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
Date I~AY 2 02002 By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
. - - ----
.____0 ___
~_o__.__ -
;952 894 0925 # 1/
6124474245;#
5 30-02; 1: 50PM;
4- 9-U~; I::C~AM ;
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
ItS (2Jd e..-
~~ =. E~,_c I PERMIT. NO. 8:/3 1vL/ 1
I ZONING (."",..., I
LEGAL DESCRIPTION (office use oaly)
LOT
BLOCK
ADDITION
PID
OWNER .
(Name) =-rY\It\-t\~tosdJ R{()ft~
(phone) (oSl - 5~;;J.-('11
(Address)
APPLICANT
(Name) ~0( f\~\ \ L CL .~O CL-6 1\ (A cl- (-tit.-
(Address) . \.~4'6\ lL~\()(~ \~\6f\~ Ahe S.
(Address)
, ':". :.:.~.....,~~.:.
(phone) 96 d,.- 'gql/ -()''().~}.\ . . "
~a-0n(~ SS3,'K
(City) (Zip Code)
(Contact Person)
\
V-f c~J
(phone)
DATE
APPLICANT SIGNATURE
5-30-uc:3--f
APPLICANT PLEASE COMPLETE BELOW
BW CONSTRUCTION 0 REPLACEMENT 0 AL TERA110NS
FURNACE MAKE AND MODE.L [ri'lf\o)<: Ca :2(pQ';/y - tOO FUEL /JrJ...;f- (70C
FLUE SIZE (..ll REnJRN OPENINGS f) INPUT /00 ,000 OUTPUT
.
TYPE OF SYSTEM HEATING OR POWER PLANT
, . OWarm Air Plll1ts 0 StellIn
o Gravity 0 Hot Water
o Mechanical . 0 R.Ildialion
OAir Conditioning 0 Special Devices
OVcnt. Systc:m 0 Other Devices
PLEASE NOTE: .
Air Conditioner Units
Cannot Encroach into
Required Side Vard
Setbacks
FIR.EPLACE MAKE AND MODEL
Residential. Hc:ating &. AlC (New Construction)
Residential. Heating Only (New ConSll'\lction)
FEESCBEDULE
1 % of job cost Residential, Gas Fireplace
539.50 minimum . n...... .
$99.50 Residential, Addidons &. Altc:rations
$64.50 Residential. AC Only
S39.50
Industrial, Commercial & Multi-Family
$39.50
539.50
Estimated Cost S ( at;; 0('). Q() Building Permit ##
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
CC r-T\ ,:
$ 12 .~ ~ .
$ .50
S ((Y').OcJ
r' .
(Office Ule Only)
This Application Becomes Your Building Permit When Approved
, ~.:::.,:i:~~
aid
.Receipt No..
Date
Date
BUilding Omcial
.---- ...- --..... ".--~ ,......." ......... .",,,~
Ma~ 29 02 12:37p Emil~ Ogorek
09/19/01 WED 15:46 FAX 6124474245
651-457-1381
CITY OF PKIUK LAAL
f:~
Date Ree'd
CITY OF P1UOR LAKE PLUMBING PERMIT
,. 8.... Pile
1. CiaI4 Cky
J. y.n..... "l'Pi_1
I PERMIT NO. OJ.-03fo4 I
I I ZONING (o~ WK) I
I
PID O~ - 03to'l
. 117~,e ~ J.e.
,r-
LEGAL DESCRlYllON (olfi&le use only)
LOT3" BLOCK 3 ADDITION tiJ. ~cI.5 Sov","
~~:- M, \\-el~t-1!c.J-\- ~ro<),
\
(Address) ~LfJ5 ~ ii sl E.
Lc>V\ 6~'
.J. ,./1.
(Phone) fo5"l- S-'5~ - 111'
f
APPLICANT 13<
(Name) .rcl
(Address) 3'10 -g'
(Contact Person)
.f RIiJ"",-f 1~~'4:.k.
73& 5J. f.
(Address)
L~:\
(phone) <05' - Y S""7-' ~ ~ I
.:L-l. 1/. , M~-
(CitY)
5""50"11,,:,
(Zip Code)
APPLICANT SIGNATURE
L~
(phone) '-t s,- t ~ 8' I
::>L~. DATI! ~/;)1' /0;)..
Quantity Type of Fi:d1lft Quantity Type of Fist.re
'Z. Bath l'ub with or Without shower .., Rough-ins
-/ Dishwasher I W liter HcAter
( Floor Drain -. Water Softner
1./ Lavatqry (Bathroom Sink) / Stand Pipc (Washing Machine)
, T ...-"'..., Tray (l or 2 compartment sink - Sewage Bjector
I Show~ Stall - - Backtlow Assembly
I Sinks - Backflow Assembly.Test
Bar Smk ~ Lawn Sprinkler
3 Water Closet (Toilet) -. Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
IndustriDI. Commercial &. Multi-family 1% of job COSI: with. 539.50 minimum Rcsick:ntial, Ncw One: &. Two-Family $99.50
RcsidmUlll. Additions &. AltcrIltiDns .539.50
Estimated Cost S
Building Permit ##
PU,rMBING PERMIT FEE S
ST JI. TE SURCHARGE $
TO'fA:L PERMIT FEE S
".... -
.50
'"",,,., ,
<,' ""
; I"
(Onin U.c o.ly)
This Applh:ation BeeoDles YOBr BulldiDI J"noit When Approyed
Paid
Ra;e:ipt No.
Bltlldlq ODIciell
By
D._
14 hour DDtice f,Jf .U llaapedleDI (952) 447-9850, rll: (951) 447...145
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUU..DING AND INSPECTION
SITE ADDRESS l'f=;~~~ r~l~ (Q~c&.~
NATUREOFWORK -hlew
USE OF BUILDING ~ F= ~ TI
PERMIT NO. ~E ISSUED - - O?aod....
CONTRACTOR " s ~ PHONE G51-~-11'72-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING 6 0<)..
FOUNDATION (Prior to Backfill) A: )0 ~}
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH.. INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I S6:co ~\-k I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections haye beEn approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850