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Home My WebLink AboutBuilding Permit 04-0027 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICAIE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (please type or print and si~ at bo~~"......) ADDRESS /S~05 ~M()Nr Date Rec' d 1- !o-6i I. White File PERMIT NO ' 2. Pink City' · ~.., 0/12.71 3. Yellow Applicant (/T" V /fV~. tVN LEGAL DESCRIPTION (office use only) LOT + BLOCK I ADDITION /St../'tA/O VIeW +7H OWNER (Name) (Address) ~~~~t~ ~ckl,~ (Contact Name) ~~ Z:~VIh-'D-J / ./ (Address) II f f) 0 W~ ze+h ~ lei j.. n t'b OF WORK o New Construction ZONING (office use) I</S"D PID Z~ , z.~. 004-. 0 (Phone) (Phone) '1~ - 5/2-- 0"', 0 (Phone) /AA. ;k......~ h>~ /c.c.. ~ &.M,IV 6' ~~ e? ~ OLower Level Finish ODed o Porch ORe-Roofing o Fireplace ~Addition -gAlteration PROJECTCOST/VALUE (excludingland) $ ~~()O{? ~ o Misc. ORf~~ OUtility Connection 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 :rer UPO?J:I:.: r ~ inspections. I 0 1 ~ 1_ ~ _ o7f Signature~ Contractor's License No. Date Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee 63 ~ t)(J", {)(J . $ , 718. t) () $ 607.(Jo $ 5l. s"o $ $ ~(J,oo $ $ $ Sewer & Water Pc..l1uit Fee Gas Fireplace Permit Fee This Application Becomes Your Building Permit When Approved ~ ~ ///S-/<<1'1 Building Official r ' Dctle $ $ $ $ $ $ $ $ $ ~3SB.=>tL Receipt No.Lis& 13 By ~ Park Support Fee SAC # # 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 ~hen signed by the City Planner co~titutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be ~ ~~'-' J/LS/dY" Planning Director ' Date ' Special Conditions, if any 24 hour notice (or all inspections (952) 447-985(), tax (952) 441-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 \; Water Meter Size 5/8"; 1"; Pressure Reducer City SAC and WAC Water Tower Fee Builder's Deposit # # Other ~JRitJ f. lb .04--- TOTAL DUE Paid I:) Cg-.A:::;, (J J Date t- ~D "'0 -, ~ _ - Builnlng .., Canary - Engineering Pink - Planning Tht' Ct'nlt'r of Iht' l.akt Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ? - 0 ."- 0 b L / S I. (p. 04- K:6noD6U tJ0 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: '~Bo~ FfG€MOtVl' A\!b. ~,JJ. Accepted Accepted With Corrections ~ Denied Reviewed By: ~ ~ Date: //IS-/~c/ r . ~ aLf~':)~ II Comments: 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 ,~ Tht ('tnttr 01 tht l..kt Country ~ - Buildi~ C~anary - Engineel1il9:> .- Pink - t"lanmng BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APP~ICANT APPLICATION RECEIVED ::;>.- (' ,- " () l:/ L.) I '~ ;. ~~. 04- e5M oDE L-{ f\J0 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ." f ~ f> 0 ~ :::.{GIC- (v'1 0 t,)-7- A VI c' . ,\J . VV. Accepted >c Accepted With Corrections Denied Reviewed By: ff}4 8 Date: J -I J -() ~ Comments: .-See R~rse Side for Additionallnformationl See Attachments: 1) Grading Plan. 2) Erosion Control Measure$ "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." ~_...~-- ---.--- .--- '\ I 1 White - Building :C~narv . -Enqin"ri'ng c---Pink - PlantunlY;:> . BUilDING PERMIT APPLICATION DEPART~ENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED R{)G L.C"I<; I. (X- C.4- f2~ Yl U DEL..I tJC, The Building} Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ft.=;f 6 ~. Fr2.c 1") or'J-' A Vi E. ~. liV. ., .. .., .* ., I . , Accepted X Accepted With Corrections ""' Date: .LjJ 5/(; i ~ilpJ Comments: " 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." , I CITY OF PRIOR LAKE HEAlll~G/AIR CONDITIONING/FlKEPLACE PERMIT Date Rec'd (Please type or print and sip at bottom) ADDRESS 1. Pink File PERMI 0 M.- 1\117'" ~: ~~::w i~~icant T N .ur.uu", ZONING (office use) 15805 FREMONT AVE NW LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name ROELOFS REMODEL (Phone) (Address) APPLICANT (Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME (Phone) 651-633-2561 (Address) 2700 NORTH F AIRVIEW AVENUE (Address) ROSEVILLE (City) 55113 (Zip Code) (Contact Person) BRENDA HUSTON (Phone) 651-633-2561 APPLICANT SIGNATURE BRENDA HUSTON DATE 2/19/04 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM ~ATING OR POWER PLANT DWarm Air Plants o Gravity o Mechanical DAir Conditioning DVent. System o Steam o Hot Water o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL HEAT N GLO 6000TRI-IPI 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 & Ale (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERl\'lll FEE Building Permit # $ $ $ _ 'PAID ?Iff H UlOli\tGPERMIT (Office Use Only) This Application Becomes Your Building Permit When Approved ~, }!i~ l~ U Buildine Official Date p~ 2 4 2004 By -l 24 hour notice for all inspections (952) 4 ~7-9850, fax (952) 447-4245 By -~~ . ell Y OF PRIOR LAKE . PLUMBING PERMIT PPNo. 04-- oo~,1- APplicant~'r-0~ t>\u~\ ~ Phone:~- C\~-~ Address: ~\ .. ~.I l'\\N'\Cd{~",~ ~~"l-, Signature~~ Legal De~cription: Lot 4- Block / Site Address:~05 ~e..Yl'\.{\",* _ ~ rJ W Building Permit # 04 . 00(05 PIO # 25. z~q" 004- . 0 NOTE: This permit will not be processed without complete information. 1. Blue 2. Gold 3. Yellow File Ciry Applicant TIlt Ctftlfr o( Iht Lakt Counlry Sub IS'L-A#O 1I/6N 1-71f FIXTURE UNITS Quantity Type of Fixture Quantity Type of Fixture ) Bath Tub with or without shower Dishwasher Rough-ins Water Heater Floor Drain Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall Sinks Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other i ~W\ /il'W- J / -s e:- ~ in~ ~l^:\\nr~ . c-\ ; -.4/"\1'c ~ Water ClosM (t;;0~~ r--- - I FEE SCHEDULE GRAND TOTAL Industrial, Commercial & Multi-Family (1 % of job cost, $39.50 minimum) Residential, New One & Two Family +tResidential, Additions & Alterations State Surcharge $99.50 $39.50 This pennit is granted upon the express condition that said contractor, shall comply i"n all respects with the ordinances of the State Plumbing Crl and the amendments thereof. _ , ~_R '~L,~ Z. rz. .04- DATE ~l Ai It:.ST Call for all .' spec~ions 24 hours in advance. \ 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245 An Equal Opportunity Employer 111\ Ii \)\l b II. ~, ," 1"ml --4IIJIIlII'....... .' ..,' ""'. ".' ',"""''0/ ..:.... .:.... ',. .. .." .. .... .." " ".... -.:1JiI"d, .. .. ,.,_L,,_._ . .. 1 PRIOR LAKE INSPECTION RECORD SITE ADDRESS .sB()S ~ AlE, NATURE OF WORK ~T~ DOn, USE OF BUILDING 'S..P\ ~ PERMIT NO. 01/., 00 Z ] DATE ISSUED --/J ,-I {j" CONTRACTOR ~E:C.~B ~oeuiJ~ PHONE~.51& "~J/t:J NOTE: THIS IS NOT A PERMIT FOR ANY OeJrHE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION ~., FOOTING (llf-CfOR bATE J. :;;. :3 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING fp ~"2D INSULATION fib 2r2~ - ELECTRICAL U'~ 51\ ' ~-/~ rn ~-~ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED Fm ~CV" 4- Oifl~ Hn-< I ~/ 3-1-04 - ~ FINALS ( GRADING (Prior to Sodding) BUILDING ELECTRICAL HEATING DO NOT fib 1/ VVf1 iI~ OCCUpy UNTIL ABOVE HAS NOTICE y~(~ - tv~~,-,,"\ L, \-1 i 0 d 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 DATE tillE CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED Lf=:.il. Vt,/ ; ADDRESS I rfQ.r ~...~~ , ,~ OWNER CONTR. PHONE NO. (../ -Lt /" PERMIT NO. 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 ~LUMBING FINAL i(j MECH FINAL o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: / ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT ~A~ FOR REINSPECTION BEFORE COVERING InSpectOr.1J!f' Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI IA..r. I 0I,,j " '- DATE TIME CITY OF PRIOR LAKE I J INSPECTION NOTICE SCHEDULED '1- 2 ~ - ADDRESS l5:A~ ~O > ~ .lJ OWNER CONTR. PHONE NO. PERMIT NO. t/- 00 7-7 o FOOTING o FOUNDATION o FRAMING o INSULATION ~INAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXlGRADIFILUNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASUNE AIR TST o COMMENTS: 'vi WORK SATISFACTORY. PROCEED ~CORRECT ACTION AND PROCEED o CORRECT ~ CALL FOR REINSPECTION BEFORE COVERING Inspector: \ . '-") Owner/Contr: CODE \J 1REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl