HomeMy WebLinkAboutBuilding 04-0403
5" 0 0 ~ (') ~oooo "tl 0 > -0
I/> 0 Z == 0 z_
"0 0 0 en,,"%,,",,",," 0 0 ~:;!
CD 0 0 5: Z
~ 0 !l 0 =iZ(l)~OO z m ;;0 mo
> 0 ;;0 ;;0 ;;0 !: ~>ci:iS m ::0 m 0."
tl :: ;;0 ;;0 ;ll; (I)
r m m Zr>ZOZ Z ::!"
tt'l r 0 0 (I) m 9 (I)
~ t ~ ~ > z ~ ::!C)~C) 0;;0
tt'l ~ -i m 0 - z-
~ ..... > Cii en o Z 0 zO
S cD 0 ." ~ Z 0;;0
00 ~ > (5 ::!>
~ (It (5 0
0 Z ~ Z ~ O;ll;
"" > 0 mm
~ 0 Z ~ --J
;;0 0
;;j ~ "" " "
~ z 0 ;;0 ;;0
~ m ;;0 0 0
z ;;0 0 0 000000
;j m m m m i:"en~3:"
>< m m
~ % 0 0 mr~>mr
~ en oC: ~oc:
~ ~ z ~ " z3: mzi: " 0 (I)
~ (I) m .,,~;;o;;o;;o~ m 0 0
" ~ " ::l 0 Zzzz-z ;;0 Z ::t
::! III ~
m ::t >C)OO C) i: ~ m
~ 0 () (5 r,,"OO ;;0 =i ?J 0
~ 0 Z -;ll;;ll; - c:
~ (5 ~ lJl zc:c: Z r
Z m ~"" 9 m
Cl N "" 0
~ ".. 0
Z ;;0
m
~ 0 0 y>
c:
;;0 0 ~
en < 000000 yJo
m ,
~ Z ;;0 C)""""om ("
> Z >;u;u0~ '""' --t'~
Ro C G) ~mmi:G) ~
~ < -"""~ ~
> ~>>>c
;;; z
0 >ooz=i;
'""l !" _mm~_
:::: ;;0"';;0 r -i
~-_ r i
enz Z m
~~ C)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
s: 7. ()4--
I. White File I PERMIT NO I
2. Pink City . 0 A, 0 "'-02..
3. Yellow Applicant . q.- 'f" /.
ZONING (office use)
?(/C>
l LI? 5 '1 -r.' ""1 b..- "'-'0 i ~ ;;.<." V w
P,~:<-,,- L,.. Kr iYJlV S S 3 ';:> ~
LEGAL DESCRIPTION (office use only)
LOT ;;>~BLOCK ,
ADDITION
~ \,
-r ~ We",'~A s ,;d -+~V. 1.-<. 5
PID d53~-30;;;)5; <::)
OWNER
(Name) ~?add4/~ VSv..'/.d-(I"-j 'T"nL
(Phone) q~; d' 3.!(<", ' D~Lf",<
(Address) 5' ~-) 35'""
,'1'1 Tl~ fo /'I
BUILDER
(Name)
(Phone) qs<~. '3 45 o~ l-I.3
(Phone) C:;:;"AJ.:s '-Is" (pg-:;> 3
YVlN SS's.'I:S p~ (,tZ... sf,:? 02-17
'vt.J L"~,d.:-.1 C1\ Ie' IS v' I d..< f" ~ r,., <.
,
(Contact Name) L h...e-< G. f'l,/~~,>",j y
,
(Address) Si./3!!: P;; ;+; Rd. 1 /IYl,''''''(+~/1k..(;.... I
TYPE OF WORK
o New Construction
~ower Level Finish
ODeck
o Porch
ORe-Roofing
ORe-Siding
o Fireplace
OAddition
OAlteration
OUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
0>0,000. 00
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
enter upon the property to perform needed inspections.
(~-e~ -/(. ~~-<? c-
Signature '---..
;..? '9 4J 0
x
Contractor's License No,
5 J & / ;;>00 '-(
Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee ~ $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee t!.6,ur; $
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
~
Water Meter Size 5/8"; I";
Pressure Reducer
2,00
~tJ,~o
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
~,oo
TOTAL DUE
This Application Becomes Your Building Permit When Approved
~.~
Building Official
~/7~i
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
issued.
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
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
/::? "-/ 'r, \
BY:~~
..
Date: 0-/7 /t}cf
Building Permit #
Site Address
ILf 75/
B I
Pill: Zoning:
T~ T~. /<.I.r-.) ,
Subdivision: tU~ J ~ cJ~
Le<:7al: L ;;;;;. ~
~
Existing Structure@)- NO
I CONFOR1HS TO ZONING
ORDlliAl'{CE
I
YES
NO
I
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? rJa
Is the property located within the flood plain? Refer to Planning Nt)
Does the alteration include any additional kitchens? I Refer to Planning I
tJO
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? .f\(b
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single ~O
family home (office, group home, day care, etc.)?
Tms CHECKLIST :vruST BE COMPLETED A,'I1) INCLUDED IN THE BeILDING PERl'rfIT FIlE TO
MAlNT.-UN A RECORD OF THE REVIEW.
L:\TE?viPLA.. TE\),.l. TCHCZ.DOC
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please
ADDRESS
~. ~~~: JJiicant I PERMIT N~+,..'1~
14759 TIMBERWOLF TRAIL
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name WOODDALE BUILDERS
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW A VENUE
(Address)
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
5/13/04
xD NEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
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
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO SL-750TR & 6000TR-OAK
APPLICANT PLEASE COMPLETE BELOW
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential. Gas Fireplace
$39,50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
.50
<"ih ,"
:./''0 1'",;;,.
<' ~)~~.
'\:.I).., ~/:-:
", .~".p'.
"II/> (.:-
@ ',,:~"!.\
"'<,,<::~
">.J~ ,;,.
,'\\\ "
.' ,
$39,50
$39.50
(Office lJse Only)
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
Date
'.
This Application Becomes Your Building Permit When Approved
Buildin2 Official
24 hour notice for all inspections (952) 447-9850 1l)L(952) 447-4245
05/13/2004 11:20 7532592299
11/05/02 11m 12:23 FAZ 6124474245
SCHULTIES PLUMBING
CITY OF PRIOR IAKE
PAGE 01/01
@002
Date R6C'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. 51u.e fll<
:1. c"ld Cily
J, Y<II"", A,~io.n1
I PERMITN~-~
ZONING (cf'fiCo use)
LEGAL DESCRIPTION (office \,IS" otlly)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
(phone)
(Address)
(phone)
QU:l.bticy Type of Fixture Quantity Type of Fixture
Bath Tub with or wlthout shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Soflner
/ Lavatory CBa.throom Sink) Stand Pipe (Washing Machin<:)
Laundry Tray (I ar 2 compartment sink Sewage Ejector
/ Shower Stall Backflow AssembTy
Sinks Backflow Assembly Lest
/ Bar Sink La.wn Sprinkler
/ Water Closet (Toilet) I Other CJ~-"!! /J. .... ---Tn p).. A I. j) J
, () I
FEE SCHEDULE:
Industrial. Comm~ciD.l &. Multi.r:l.mity I % of job cost with II $39.50 minimum
RC$identil.lL New One &. Twe>-Pllmily $99.50
Resi<1ential. Additions &. Alterations .$39.50
.50
~~ry r:~"j,
~.[.f~/' 4'.
..:t.(}" ~)J/
.;gJ.~ L,),A
V(j' A 0t.~.
(";.",,, if ,<
'~'.0\~
, t'~
Estimated Cost $
Building Pennit #
PLUMBrNG PERMIT FEE $
STATE SURCHARGE S
TOTAL PERMIT FEE $
(OlTice Use ODI)>)
This Appllc<1.tion Becomes Your BuIlding PerT'l'lit When Approved
Building Orl\ci.l
Dllte
[ '..~ ccipt No.
24 bour notiCl! ror :111 in&pections (~5:Z) 447-9
16200 ElIEle CreekA....e., S.E.. Prlor!.ak
05/14/04 FRI 08:44 FAX 6128902753
STOCKER EXCAVATING
141001
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Please e ClI..E.rint and sim at bOITom) ,.._'-.____..
ADDRESS
I U,"'" File [-'P'" ERMIT NO
2. Velle'" Cll1' .
l (;':'14 AppliO:IIMI _''''.
~
04-0419
ZONING (offiC!:\...,)
-]
3113 Grouse Circle NW
I LEGAL DESCRlPTION ,;ffi;",~ ,oly)
6 5
LOT BLOCK ADDITION
-,- ..,.
U_J
--:=l
=:J
The Wilds South
PID
OWNER
(Name)
Mittlestaedt Brothers
(Phone)
2520 151st Court W., Suite lOa, Rosemount, MN 55068
651-322-4140
(Address)
CAddrcs:~. '..._
C9ty)
(Zip Code)
APPLICANT
(Name) STOCKER EXCAVATING Cm'IPANY, INC.
(Phone) _ 952/890-t.~241
(Address) _
12336
55378
(City)
(Zip Code)
(Contact Person)
(Phone)
DATE
same
5-14-04
APPLICANT SIGNATURE
,. -
APPLICANT PLEASE COMl>LETE BELOW
Size of water service inches.
Location of any couplings from structure _ feel.
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer tine __',_ feet.
Clean out (if required) located at _,_ feet from structure.
Residential sewer and vJater line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job COSt with a $39.50 minimum
$17.50 Water connection only $17 .50
Estimated Cost $
Building Permit II __.
.50
<~>.,
'~'J l~
'~./?2 :f>. /).
~v.!. c/)
~ ,,:).,
~C, 4- (~),
,r ~:}~ ,,\'"
\':.i), (,
""
,;.At
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
(Office u..e Only)
r;;;:pp"e"ion B"'m~Y;;~' Buildin! P"mi, When App,md
Building: Omei.1 D~l.
24 hour notice for all inspections (952) 447.98 ,ax (952) 447...4245
By=
iptNo.
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /4-759 Tint36~oLF 71&0
NATURE OF WORK /-()W5/Z- ~6Ve:v
USE OF BUILDING /Z6s ,4/~
PERMIT NO. 04--. tJ4t)3 I DATE ISSUED 5. 7, tJ-f-
CONTRACTOR WOOOfY1l/6 PHONE (,12-. 3~3. oZ/7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ I
-.:-... I i
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
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