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Home My WebLink AboutBuilding Permit 03-0023 (Please .!VP~ or print and si2l1 at bottom) ADDRESS /5,)75' Se;-!I1AIN fi~ ~ CITY OF PRIOR LAKE BUILDING PERMIT, Date Kec' d TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT /0 -- I; -0 ..~ 03-00d- 3 I PERMITNO~ I S t' F ;:t>r J' t:-fJ' LEGAL DESCRIPTION (office use only) LOT 3 BLOCK / ADDITION I? (' '1 t{. / -..J BUILDER (Name) 'tJfNJ'/}1t:f'N# {';an ., , (Address) / F ~ S //t::i'2..~ OWNER (Name) (Address) (Contact Name) TYPE OF WORK o Misc. I I Permit Fee I Plan Check Fee I State Surcharge Penalty Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee /.J 0 JTll'f J)/J ~. Construction l. White File 2. Pink City 3. Yellow Applicant /Vw ZONING (office use) ~I C r 171' r PID2.S--..J3{,- o(J3-o (Phone) I' IA fj 12 ^-' V (Phone) W'J-Yol, - Y:Y(J v (Phone) &/2- J67'-7t./2. J1'J/tx. .5 r- J;l :J.- '- ODeck OPorch ORe-Roofing ORe-Siding OUtility Connection OLower Level Finish o Fireplace OAddition OAlteration PROJECT COST IV ALUE (excluding l~ (( /~4'; ,,~(). eo I $ /c~57, 75" I $ ~pl, 2.. 5<1 I $ fl2.So I $ I $ 100.0 D I $ loa. 0" I $ 35".5tJ I $ i./tJ. 8(J I This Application Becomes Your Building Permit When Approved . '-. 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 t'......t'......) and that all construction will conform to all existing state and local laws and will proceed in accorctan'ce 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 ;ter7fe propert;to per7:ez= / Y:;- ~ /0 -/ r _ 6 :;L - ~ OSignature Contractor's License No. Date r {/ Permit Valuation -~~ Building Official .;h/~ /f 2-- Date I Park Support Fee I SAC I Water Meter ~; 1"; I Pressure Reducer I Sewer/Water Connection Fee I Water Tower Fee I Builder's Deposit I Other I TOTAL DUE Paid Date (/J(Jft? 'If 6<.q Q- ~J-t)O> $ $ $ $ $ $ $ $ I . $~ jf~- ~ J /AI)~9.,~'i' . I Receipt No. U~'3J-'-I I Bv d-- I # iJ, ~5 .au , ' 8 <:25'0, 00 Ll5, 00 lZoo,oo 7CJ('), CO # # 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 constlUction to commence. Before occupancy, a Certificate of Occupancy must be ~ 4./J~ Planning Director /d~ ~ ~~1c~ Special Conditfons. if any '- 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake. MN 55372 ~~~ White - Building Canary - Engineering Pink - Planning Th.. C'.nlt'r Df Ih.I..... ('ounlry , , BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT (~)~~ ~ APPLICATION RECEIVED //J- /K-u;::)-- /' The Building, Engineering, and Planning Departments have reviewed the building permit appll'aUoo fa< oo"",",Uo. ~Z~-;;V~ {J~ Accepted x Accepted With Corrections Denied Reviewed By: /lIJ4 B Comments: Sct' 1Y1t1l'"" F,' {.(. Date: / 1- /LI_~ ?_ "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." ______.~._._...__.__. n_.__.._"._...,._._____.__".___,_""....,_ . ____._..___.___..._.______..____._..~,,_~__ i;~~ ~~.~ -1'~ Thr('rnl..rnrlh..l..hCoun,r, White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT Itf)~~ ~ APPLICATION RECEIVED //1-/!r-o.J Accepted Accepted With Corrections Denied Reviewed By: ~ ;t'.e-Jzl- xle."-.- ~. " Date: /~~-0oL--' ~ 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." ~~ ~~ I"ht('fnlfrnflhfl..kf('ounlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /.1 , " ;,/ / .' ."'..'..(' / / L..... .' --'7'.'J, /.., I r L..../ / (1::.._ J-/ \ APPLICATION RECEIVED " , <' /' ., -'.- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ,,- '1j I/~' , ...' ',J. ,"--' / Accepted Accepted With Corrections ~ Denied ~ -:f~ Date: /tJp~z- ~ ~tL-:) ~ Reviewed By: 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." lO/2l/01 WED 11:22 FAX 6124474245 CITY OF PRIOR LAKE Ii!J 001 Date Ret'd CITY OF PRIOR LAKE PLUMBING PERMIT :. ~':; ~~~ I PERMIT NO.? - (93 I J r.n.- AppI'~1 V erle.se ~ or tlrVIt aDd.icl at bottom) ADDRESS 15,;( 7S-~e~s. \'<:ts. <> ZONING Colle,..., l.EGAL DESClUPTION (ollice ... ..uy) LOT'3 Bl.OCK \ ADDITION ~ ~ I' PID ~~e~ \~\eJf6'(Y\~X\ ~ \4ome.-S (Phone) bS)-LfDf:. -t/lIOQ (Address) 12>~S-'f'!~~C\. k. ~\'k~{) ~Y\ 1~~\ ~J-;Zz. . ~;~:~ANT LJ~d "V\b~ ~ \\,~~. (Phone) r!:S/-fs:)~/S0S (Address) 171D ~D.YIclw \~J. ~~ tvm, SS-/;;;j ~ (A~) -- (City) (Zip Codl:J-.- (ContactPtrSon) \T~ \--\CI.J'N,QY'\,. _ (phone) ~5'I.-tfD-156S APPLICANTSIGNATUltE ~~ DATE <6/B5JD3 ~LICANT PLEASE COMPLETE BELOW Typo of Fixture I Quality Bath Tub with or without .hower Rough-ins Dishwasher I I Water Heater I Floor Drain I Water Softner I Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine) Lllundry Tray (I or 2 compartment sink Sewage ejector Shower Stall Backflow Assembly Sink~ BaclcfIow Assembly Test Bar Sink Lawn Sprinkler I Water Clo.ct (Toilet) , Other Quantity c?. I I ~ I I I , ~ Type of Flxtan FEE SCHEDULE lnd1J~(riBl. Commerchd & Multi.famlly 1'Y. of job ~c3t with il S39.50 minimum ResIdential, New One & Two--Family $99.$0 Residential, AdditiOT'lI a:. Altef1l(lons $39.50 (om" ~Ie Onlyl E.timated Cost S Building Permit a PAID WITH BUILDING PERMIT PLUMBING PERMlT FEE S STATE SURCHARGE S TOTAL PERMIT FEE $ .~o .,} This Appliellion Beeomes Your Buildinc Pennit When Approyed ~i~ "u ..1 i', ~eeeipt No. _ D." ; fftteAUG Z 7 Z003 I~Y ( h :4 h.... Ilotiao for.1I i..pedio.. (9Sl) ....;.,J,;;;~. c.. (952) "'.-'-4l0S . _.1 lJ S d 08HS0098vO~ ESL lS/vSL EO ,91:8 i3fll) L9~~1 :-j; j;;;~I~N]8Wfl1d 13ZN3j~ ;~OBd BuildlnC Omti..1 --" ~ c.MII:".~ . "1l.r:: 'n:,~w . A"~\.I(''''''n l:Ot.D . en 1 C!~Y OF PRIOR 1>.KE SC:\'ER ;hol!D WATER ?E:L'1IT NO. 3-:;)3 NOTE: Sewe:::- and Water contractors must be regis~€red wi~h the City. ,-- PHONE :rJSI..lf:9.~J ~ DATE: ~1!):sjo3 ~ --:....~.......,.-~"':". -. - - .. . . -' W0,~e\ ~~~ /~7~~~>r \(>as.S .'._H~i1~.U.__._"~~:_.~_.~__ . ::.:';. ?:::?':'!:::7 = APPLIC.W'l' : ADDRESS: ~=LL :;:)1 T""" S L.:"Nl<S '30 f2~t.. 1. ~s~i~~~e= lengt~ of water service 2. Size 0: wa~er se~~ic~ I inch(es) . \0" 'A- feet. J . LOC2~ion of any coupli~ss from S":.::OJ.c-:.ure 4. ~y?e of sewer pipe. A3S PV~ ~ ~5~i~a~ed length of sa~e~ line ,~CJ Cast. Iron 5. 6, C~ean cut (if requirec), loca-:.ad at f2.1jvt- f.e~t: f~om S~:::-'~c~~=e . ===~========~~========~====~=========~=-~============~============ "T'h':~ ....._~ a;plicaticn bec~nes yo~r pe~~t ~hen a~9roved. B', DA.TE: ===__G================~~~========;=;=====;===~===~=~=~=;========== F::::::S: $ S $ "5.00 .50 35.50 Sewer and wa~e~ line connection pe~~it. surcharge TOT."-L * ?~~ fc= e~~he= sewe= c= wate~ i~~ividua~ly is 520.00 ~l~s S .50 s'-l:::-Char:;e. p ::<:::~ ?':' ; Se'.er anq!;~i}~e='Pe:ili'~~] ssuec :0:::- ne'. cons~r..tcticn 1!\c:~t be =~c~=ded. !p...rjI'thC ..bdill'dlf!"(! pe:-mit c;;::-::l at .the ti:>t.e of, ~ssue.:lC~~ ~;s.:~~~r~ iti0r/if7 2]'rrfate se'.er ar.a '.Bate,5AIDP~;:~ ':s ace u ,. UILDIN ' H A:'OUN':C >>.'.::0 __ G Pf:~rr t--- CJy * D;.~:: ?:'..:;:; RZC'D S., '." \ r' . _ .' . ~ _ ~ . . , ......,..-,; ':'.,.,.' ... , '~". ,,, .'..' 9 d 08tfS0098tONiEH 18tH fO ,9l8 (301) L9E0-lSt-IS9 ~NIlV3H ~ ~Nl8wrl1d mN311\ WOHd CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd (Please type or orint and silOl at bottom) ADDRESS ; ~:.:, ~::, I PERMIT NO. ^.. AN7r.1 3,YellowApplicanl ~ ZONING (office use) 15275 JEFFERS PASS LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name WFNSMANNHOMRS (Phone) (Address) . APPLICANT (Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME (Phone) 65 I -633-256 I (Address) nOONORTHFAIRVIEW AVENUE (Address) (Contact Person) BRENDA HUSTON ROSEVILLE (City) (Phone) _651-633-2561 "5113_ (Zip Code) APPLICANT SIGNATURE BRENDA HUSTON DATE 12/29/03 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 HEATING OR POWER PLANT DWarm Air Plants DGravity o Mechanical OAir Conditioning DVent System o Steam o Hot Water o Radiation o Special Devices D Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL HEATN GLO SL-750TRN-C (2ND Firenlace) 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 & Ale (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ R~iD WiTH 8UILDING PERMIl .50 (Office Use Only) This Application BecDmes Your Building Permit When Approved Building Official Date I Paid I 91~c 3 o 200.1 Receipt No. (} 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 10/21'03 09:33 FAX 6518949955 WEN7.EL HEATING & AC ~003 CITY OF PRIOR LAKE REA TING/AIR CONDITIONINGIFIREPLACE-PERMIT . Date Ree'd I?I..... ~ or orint and ,illl1 arbo""aI\ ~r ADDRESS. ~ ~ 1.5t)~ ~-I ~~ /' , . LEGAL DESCRIPTION (ellie. we oaly) ; ~ ~~ 1.r'.M~J.dlT NO~. ()()~ .... ~ YdIow Anliaot ~...., ZONING (ollkc "'0) .A/W LOT BLOCK ADDITION PID OWNER /. (Name) /A/R'P-5'/2t~~M/ ..~ (phone) . (Address) APPLICANT I ~ ? (Name) ~ j,~ ~ ~T ~ (Address) 4/? / /Jk/ tt:/t#C// AtM (Aitmls) (Contact Person) , ~/ A-:t/~e:. APPLICANT SIGNATURE :7 "nd (phone) 1.-..~j-ft(4..cr~ ~A q::;,Z::? - I' (City) (zip Code) (phone) ~~4~2 .._._ DATE ~../(~/ __-_-_--.- APPLICANT PLEASE COMPLETE BELOW ~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FUJU-lACH-IAKEANDMODEL &>1 a~ .FUEL NOt- FLUE SIZE c9-~ 'J4t:. RETURN OPENINGS (0 INPUT 7S~ OUTPUT 1cP.f::f:/:) ~IZ ~I TYPE OF SYSTEM HEATING OR POWER PLANT ~c1 OWannAirPlants OStcam J,Jo..A/'/ 030 DGravity. 0 Hot W.ter (~ ~eChluucal 0 Radiation if Condition.ing 0 Special Device:; . OV.nL SYStCl11 0 Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL - --~--- -,. -" - Residential. HeMing &: AlC (N.w Construction) Residential. Heating Only (New ConSlIUC'lion) FEE SCHEDULE 1% of job cost Resid~n!ia.l, Gas Fireplace $39.50 minimum $99.50 $64.50 $39.50 Industrial. Commercial &. Mu!ti..Family Rr:sider.tiaJ. AdditiOns &. AlterationS' Residential, AC Only $39.50 539.50 Estimated Cost $ Building Pennit # HEATINGPERNfiTFEE STATE SURCHARGE TOTAL PERMIT. FEE $ PAlO...WrrH ~ BUI, DIN(ji~ERMIT (ome< lI,e Ooly) This Applic2tion Becomes Your Building Permit When Approved I Paid ReCeiPtJo D.- I DJA,t:l <I Ii Z003 By I Buildin~ Omcial ,-.0 14 hour notic. for ..11 in,pection, (~2)44;;~~~. f'~' (9;ii'~::;;4~-- - -..- ,.O--.-.~.,-'- '- -.- - . PRIOR LAKE INSPECTION RECORD SITE ADDRESS /c::~t-; 5 O~ ~ N.w. NATURE OF WORK . D N e.I-u' (1fJiJ ~ I /2.L( c Ho;J USE OF BUILDING/ rfJd' - __ Sf:-: A-. PERMIT NO. n?J ~ DATE ISSUED /~ 3',/a~ CONTRACTOR WENs-Il1A,JrJ No~ PHONE J/z - 3k/'T- 7Me- NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT 0arL ~ ~ DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE I FOOTING j , FqUNDATION (Prior to Backfill) I I j PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING I /JI &-- INSULATION ELECTRICAL PLUMBING U, Cr l()f2-lJ;, ""'~ HEATING (if required) FIREPLACE GAS LINE AIR TEST '71'4- ~~ [t--.J-2--'Z, w.\ 1. / ~ JP# J f/lJ' 1/- v ffi4- Zz?rA- L't-l ~blo5 D.---!J--3tD3 GRADING (Prior to Sodding) BUILDING--r~ +.. '8 +0'--/ ELECTRICAL ' I PLUMBING HEATING DO NOT COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS. ~~ ~~{...-'~ frfJ &o'-~ j rf~ aA OCCUPY UNTIL ABOVE NOTICE 9-71 '1-2 ? ~ HAS 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 - . .,>~- . l CITY OF PRIOR LAKE INSPECTION NonCE ADDRESS I~?-~ , OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION jl!CFINAL o SITE INSPECTION DATE TIME SCHEDULED {1.?, ..n ':( .Lkpc;1~ CONTR. PERMIT NO. 3''1l.. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ~ MECH FINAL o EXIGRADlFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: L f;.....t ~~ :,^q,~.~ 0~P~:'.'0{),,1) 2 Mo....J... ~ {\~..P _ .3- <;;;'-J.. ~"Ta.P o.A jU"" d)~ "\"-- A- lr'i-... '"l. ~~ ~)(~.o ~/'~~t:"r)"t\.\ i\A~ ~~ . / 'tr1.-6Y / o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED ~ CORRECiaRK. CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL- 7 985~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. ~REMENTSARE FOR YOUR PERSONAL HEALTH'[ SAFETY! /NSNO" ADDRESS /f)Z 7S- DATE TIME SCHEDULED g--G:> ~O i ~ CITY OF PRIOR LAKE INSPECTION NOTICE OWNER CONTR. PHONE NO. PERMIT NO. ~D~~12G o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o o FOOTING o FOUNDATION o FRAMING o INSULATION J!. FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: ~t..- C' ~~ ~~'I_/7 ~ORK SATISFACTORY, PROCEED /~ ~~RRE A ION AND PROCEED o COR C :1RK, CALL FOR REINSPECTION BEFORE COVERING Inspe or: I iJ Owner/Contr: ALr1Jf.7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. E REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! """"" CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS \ S 21 c; OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: 1, [~ n 1,.<.# l} ..u.. l . C;, ~ ..J;; t- DATE TIMe SCHEDULED Lj - / ., -0 'f ~ jj;) ~\?~ ~~ CONTR. PERMIT NO. "S - Cc.U o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP ..r;f PLUMBING FINAL o MECH FINAL o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o kit ( t TU) ~~ l! </7. 't~ -;" /' hORK SATISFACTORY, PROCEED "~CORRECT TlON AND PROCEED / ~ORREC1i ~K, CALL FOR REINSPECTION BEFORE COVERING Inspector: I OWner/Contr: CALL 7~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. /. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .t SAFETY! """""