HomeMy WebLinkAboutBuilding Permit 03-1328
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ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/54-3q WOOD
D U (Yfc:- TJeA I L-
I. White
2. Pink
3. Yellow
LEGAL DESCRIPTION (office use only)
LOTZ-BLOCK 5" ADDITION me WILDS .souTH
OWNER (\ -n I
(Name) LV/I.') GL\'\r~ Lori . I IIcysln 1'\t1'-
(Address) 13?:h \Jfi")~~ Ln ,-;:JltLkfC'-<:' mN. 6531'1
BUILDER \" ) . _, I I . , <'
(Name) 'I 'JCU'f't nur~:J
(Contact Name) Llo;:,C,-- V-J e.. II vY1CU)
(Address) :)(/;),:1'::> C~CC r.d Cd E ,'LIl/YHYlb mo.n
TYPE OF WORK
o Misc.
)i( New Construction
DLower Level Finish
File
City
Applicant
Date Rec'd
'1.3.03
I PERMIT NO. 03 -/.:3 z,t'
NW
ZONING (office use)
,€/
PID 25.382./2-6.0
(Phone)q,,:), -2):3->, JjT3-7
(Phone) 'f (C~ ?)c~--J..r, q'J s:. ,
(Phone) F!IX 7ft:J- g s(P _ ~-(41J
I'YlN L-;F) ":A S
DDeck
DPorch
ORe. Roofing
DAlteration
ORe-Siding
OUtility Connection
PROJECTCOST/VALUE (exc1udingland) $/7 5} ()GO r DO
o Fireplace
DAdditiou
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 y.~y....) to perform needed inspections.
X lIci,",zdL<lt'i'rr"~ -.-~ dO:;2 '7;>' :.z,'} '<, f-.Q -(J Q.
Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
1 Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
11 17~O()O,OO
$ 1.q/'3,7~
1$ "8,9t.{
1 $ f17, 511
1 $
$
$
$
$
ItJlJ r t9"
Jot). 00
3:5". '5'"0
.tfo. Dc)
This Application Becomes Your Building Permit When Approved
~~
Building Official
'9/;).5'/0'3
Dale
I Park Support Fee
I SAC
I Water Meter Size 5/8"~ "-0
I Pressure Reducer
1 City SAC and WAC
I Water Tower Fee
I Builder's Deposit
1 Other
1 TOTAL DUE
I Paid .%570. {p ~
I Date - / /J .ljC)J
1$
1 $
1$
1 $
1 $
I $
1 $
1 $
1 $ g 590. (//
f) ,
I Receivl~o. 4-:5(/71--
By /I_
t!
#
#
#
#
6'50.00
127,.oc-.
3" 0 , 00
70, c 0
1200.00
700.00 I
, S-Oc> ,00 I
I
I
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
~~ '::;~f- 1~s-/o~ /tu.d)~ ~
Planning Director / Date Special Conditidlls, if any
24 hour uotice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~'<
~;t~ - ~!!~irnr::.
Canary - Engineering
Pink - Planning
The Crnlrr of lhe L.kf Counl."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT
APPLICATION RECEIVED
WAl/rJE HOI1ES
.
q, 3. 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5439 WOOD O{)e-!C TI2AIL-
Accepted
Accepted With Corrections /"
Denied
Reviewed By:
r
~~
/~ ALli' --b-Jl~
Date:
9 iJ-o It) $
Comments:
"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 - I;ngineering
~mK - t',annmcr-,
lhr ('rnlrr of Ihr I.akt ('ounl!'}
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~.Vfl \livE
r/ C / I
(- ,~.-
l- ....-
,
/. '::~. (:;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/!:- "'1-:?7 ! v' {; ( L.J U / 1<' T/c:~1-11 L-
Accepted
Accepted With Corrections
e...--/
Denied
"
Comments:
Reviewed By: ~ -::f~
A.e,~~
~~~,
(j
Date: 9~s-~'$
~ t:M--- A..LcI.
&
"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 ~din9
t ."A~"ry - En9meermiD
Pink - Planning
Thr ("'"lfrof lhr I.,kt("oulun
BUILDING PERMIT APPLICATION DEPARTME;.NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I'. ,fr'. I-/r -
i/\! /-) Lj tv C:,,7 e,l'? E ::~
,.) :::> /'./
( , ' --,.
. . ...j, I.',..)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
h '";' -, I . '7-'/.' L'.' I L
/ f-, 4-:....:'~. tV () (: U Outl< I I~_.,rl ..-
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/YJ9- f?
Date: 9~23-oJ
Comments: -.See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control M~lI~nr"c
"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."
____'_"....__."'...__m.__.,___.______._...._____~_"._....._.,~___..___..___m__ _...________..___.,_. ',. ...__.~..__._ __.______
...A Ie 16 CI"U It AliI" It I 'All"
"""TlI1I' 'III"V"'" w.v".. .nv
HEATING,COOLING & RADIANT
"Creating Custom Comfort"
16411 Aberdeen St. NE. Ham Lake, MN 55304
(763) 434-7747. Fax (763) 434-1699
www.alrmechanicalinc.com
Address
lUt::Jod ucl<
Occupant WIJ..,f"p /./"(}1,,, 5
Heat Loss
Sold By A- f'1 -r::
Electrical Work By
Type of Heat: GA
FAX Steam
GAS DESIGN
Make C f't!'r' (I(
Model ~ f( .n clOd
Serial
Input
100,,000 PTu #
CONTROLS
ThermostaQR70 0 Heat Plug
Valve
Limit
Limit Setting
Fan Setting
HOUSE HEATING TEST RECORD
(Orsatt Test)
Apt._Floor _City
Space Htr
Vent Size
Kind of Liner
Draft Hood
Filters: Size
Suburb
Owner 1../1..1 ~ (" I..fA ,., ,- C'
Date Heating Installed By
Installed By
ftl"1T'
,4-I'Jr
Gas Line By
UnitHtr
Other
CONVERSION
Make of Burner
Model
Max BTU Ratino
Make of Furnace
Model
;:)"
Size
None
Regulator
Number
Chimney Location: Inside
Outside
Pilot Type
Chimney Construction
Pilot Make
Pilot Timing
LW Cut Off
Pressure 2 ' j
Percent C02 7. f
Percent 02 7, 0
Percent co (j 0.
Input CFH
. rtl
Stack Temp. if,
Smoke Bomb
Draft
Door Pressure
Date Tested
Company Testino
Name of Tester
Wirino
TestTag
Lighting Inst
:1'/t-dLf
IJfl1I
--
f11fil? Jrj
JRN-0?--2004 15:24
CITY OF PRIOR LWE
9524474245
P.Bl/11I1
CiTY OF ,1UOR LAKJi',
stWltR ANn W AnR l'l<JRMlT
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l~~
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f=--' 1~3. ,,'DD
D(/e/t!-
L'EGhJ,.D:eS~ .....::\_"'"0..111 - - -
_ LOT.Bl.OCJ( l!ii:.wrnO-N !!t!4.DtIJ oS.1ITH
~F:R.
(Namcl (Pbollel -
<^ddle') _
I
(C1rr} _
w.o C-''L
FLlC'.AN1~/ r-:,~ J~ V -
amc' ' I...Q {AlA ~ClV\ ~ j fl'PhoMJ ..:l_tO "3 - ;( ~ - ;<SC{S-
dd=o) 'd- ~(,.,{ If c.o~ v- d. q.~ /:::!J.<<f{r rlla./I/l S-,)"30_
n ("""0<) (CIa1) (Zip ""01<)
(.;Onfu:ll'crson) lf1;.:r ~ ;TO c.. t{ > "1? _ (1'110"") "( b 'J - a. 8''(., " ;;: s <{ r -
1'Ll~T~IGN1\.TUP~~~ 6....l ~ ~-oi ~-~
(Ada~
.-
n;J, SCIUlDUU
~\ll..lllol......,..d ""'" line _~IUIl $)5.'0 f~. e.....\ &. Multi _ily 1% of job co" ",ilh. $3950 min._
~orCOl\....liouOlllY $11.50 W....tonn<<Si...0Il1y 111.1.
~.lniCostS _ BUild&llgt;tll~e
SIlWERANl.lW/>.Tl!I\.rev.M1TPl'.E $ IWOWITH
llTAl'I>SUfl.CRARGJ!, S ~BlJlU)1t4G"ERMIT
'JOTAL 'PEJ.1Ml'l nit ~
APPLICANT PLEASE COMl'LJi.1'E BELOW
. Si:1eofwatcrsuvicc inch"". - -
Location of any <"upl~s fill'" I;tl'UCtIlre _ feet.
Type; of sewer pipe;. [J ABC [l pVC 0 Call Iron
E<timated Ie~ of~ liDI: _ feet.
C~an oUt (ifteqWtcdl loc"'ed~.....,.- _ fea tmm~lr\lCIUI'" - -
.-
_ .--J
--
....'''IOIlIdol
, .... _ - \R<Ccipt):lO.
~- '~y
..,..
- "'._ _.... ,..:..-,... ('JS1;~..,;;ts~7;:;")
(OlIW ,lie 0....)
I TIUi "PI'I- ...;.;.; li,.r au;Icl~ P....... W!u:.. "ppro"""
..-l
,
roTALP.01
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FlREPLACE PERMIT
Date Rec'd
(Please type or Print and SiOl at bottom)
ADDRESS
; :;,:" ~::y I PERMIT NO~' ~ ...
J.YellowApplicant ~
ZONING (office u,,)
15439 WOODDUCK TRAIL
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name WAYNE HOMES
(Phone)
(Address)
APPLICANT
(Name) ALTJEDFTRESIDE DBA F!RESIDE HEARTH "'HOME
(Address)
2700NORTHFAIRVIEW AVENUE
(Address)
(Phone)
ROSEVILLE
(City)
/\5 I -633-256 I
55II3_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
12/18/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TI0NS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
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 /\OOOTRl-IPI
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.S0
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.S0
$39.50
Estimated Cost $
HEA TlNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAID W\TH
BuiLDING PERMIT
.50
(Office Use Only)
Buildinl! Official
Date
I Paid
I ~C 3 0 2003
I Receipt No.
l;j
This Application Becomes Your Building Permit When Approved
24 hour notice ror all inspections (952) 447-~850, rax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS J'5~ WDtJ ulk.. rJlAIL J/.1tJ,
NATURE OF WORKAJljlA.J 77"-~ .
USE OF BUILDING ~.
PERMIT NO. 03 - /3ze> DATE ISSUED
CONTRACTOR ~~ HD/AtS PHONE .. s:r-"
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 tV G I 1iJ%l
1 /
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~ '/-/c
/1t!C ffl~
~~r -<7'"
/~\
\i'
'::?-~7
-"
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~\')
V}P
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING l),b, \- \.h-?Jt.I~ c9K-
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
l/fe/f;'-{ ~ f#2J
f/l'J I
"i' 11-
6/).
GRADING (Prior to Sodding)
BUILDING{~ tn ~-\-e>if
ELECTRICAL I
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
V15 it~
DATE
I kf~~
,
7~
i-Y'J
5' -(/
,<-l!
BEEN S(GNED
,
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
ADDRESS
6<( 57
DATE TillE
SCHEDULED 7~
~ k1J.1
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
7~ I),Z~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
XFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
g ~~Ir AIR TST
COMMENTS:
25,J cI-'fapLl
or
f)~ ~Q C;~.;L ~.I- \:U
v
i. WORK SATISFACTORY, PROCEED
o CORREC[fION AND PROCEED
o CORREC W 7 CALL FOR REINSPECTION BEFORE COVERING
Inspector: l ) OWner/Contr:
CALL~718' I FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
U<SNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/ !J- i.j 3 'j wl'wl}) I/L k r;. /
OWNER
CONTR.
PHONE NO.
PERMIT NO.
a FOOTING
a FOUNDATION
o FRAMING
B.I!ISULATION
"D-l'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
a MECH FINAL
COMMENTS:
Lf/l/b 13H4- 0 Y
.
{.,rwM .;
of:
DATE TIME
7-~Of
Wt; V." ~ HtJ-t11d
.
63- /3.;(A
)( EXI~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,
,Ai h f,'(}//""
~RK SATISFACTORY, PROCEED
Va ~RECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
-4 ---'
Inspector: qto~...-__ _ _ Owner/Contr:
CALL 447.9850 FOR THE NF.XT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSI<<)T1
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
3-/7-ocf
ADDRESS
J643?
~ b...0 . Du.-\;..
O'r-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~ - {3.-W
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
o PLUMBING FINAL
)(MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
7/"~-as-~-~M
,
tlr<flA--
/(p)~'1S~ {O~7.J
rI WORK SATISFACTORY, PROCEED
h CORRECT ACTION AND PROCEED
o CORRECT W~LL FOR REINSPECTION BEFORE COVERING
Inspector: 1/ / ff Owner/Contr: _
CALti[.,-98~rb. THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE#,/tENEARE FOR YOUR PERSONAL HEALTH & SAFETY!
(I msNOn
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 3-17...flY
ADDRESS 15";~ \..J~ '{)llck
OWNER CONTR.
PHONE NO. PERMIT NO. 3- / 328
o FOOTING o PLUMBING RI o EXlGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL ;tf PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
I. ~~ faJ?(I~....
2 _ Sn-- ,,~ C- ~/.l ( ~
<- (\,. Q~ t:.......- M 1\ ) 447:tt!.crS
4 ~(ol"" W4, fh- "'- - ~
o WORK SATISFACTORY. PROCEED
~E~ATION AND PROCEED
o CORRE,. l~L FOR REINSPECTION BEFORE COVERING
Inspector: 11./ Owner/Contr:
CAL ~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
uaNOn