HomeMy WebLinkAboutBuilding Permit 03-1402
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
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White File
Pink City
Yellow Applicant
PERMIT N
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or rint and si at bottom
ADDRESS 14/QO
Cc uk (.ve/(,
ZONING (office ">oj
I
LEGAL DESCRIPTION (office use only)
1/ '-I
LOT BLOCK ADDITION Jd'!d~
PID
OLf-051-
OWNER
(Name)
(Phone)
(Address)
BUILDER , I
(Name) rIlt-bt.v/1I- Hbml5
(Contact Name) /J?id.elk MIi/oo
(Address)
(Phone)
"':>\~ (Phone)
TYPE OF WORK
~ew Construction
DLower Level Finish
DDeck
DPorch
ORe-Roofing
Re-Siding
o Fireplace
DAddition
DAlteration
Utility Connection
o Misc.
PROJECT COST IV ALUE (excluiling land) $
I hereby certity that I have furnished information on this application which is to the best of my knowledge true and correct. I also ce fy that I am the owner or
authn!'i:::cd agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will p aeeed 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 fficial or a designee may
enter upon the property to perform needed inspections.
ljP~ Wd~-:
Signature
.1/)035"'11'1
Contractor's License No.
I. 103
x
Date
Permit Valuation Park Support Fee #
Permit Fee $ SAC # -
Plan Check Fee $ Water Meter Size 5/8"; I"; ,
State Surcharge $ Pressure Reducer
Penalty $ City SAC and WAC #
Plumbing Permit Fee $ Water Tower Fee #
Mechanical Permit Fee $ Builder's Deposit
Sewer & Water Permit Fee $ Other
Gas Fireplace Permit Fee $ TOTAL DUE
Planning Director
---3-t]-o'} -(."J
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
----1- )J-t(J
Date
uest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may procee
er constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a C
/
.~~
ThO' C"tnl...f1f,hrl..k..Counlry
White Buildin
En ineerm
Pink Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APP~ICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the build ng permit
application for construction activit~which is proposed at;
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Accepted
x
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Accepted With Corrections
Denied
Reviewed By:
1)14[)
Date:
ID- (,-03
Comments:
Information!
See Attac
"The issuance or granting of a permit or approval of plans, specifica ions and
computations shall not be construed to be a permit for, or an approval of, any iolation 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 cod or other
ordinances of the jurisdiction shall not be valid."
~~
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Tht CtnlU of tht L.kt <.'ounlry
hite
Can
Pink
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the build ng permit
application for construction activity which is proposed at:
~
~
Accepted
Accepted With Corrections
Denied
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e-.d- I rlvk's
Date:
q-JtJ- ~
Reviewed By:
Comments:
G/-
"The issuance or granting of a permit or approval of plans, specifica ions and
computations shall not be construed to be a permit for, or an approval of, any iolation 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 cod or other
ordinances of the jurisdiction shall not be valid."
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White Building
En ine ing
Plannin
Th~ ("~nl~r nf lh~ l..kt Counll')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
"
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L1he Building, Engineering, and Planning Departments have reviewed the build ng permit
application for construction activity which is proposed at:
j,
, ,
J
,
Accepted
~
Accepted With Corrections
,.f"
.~
Denied
I/d L
, ,
Date:
q -.10. a
Reviewed By:
Comments:
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~
i-/.../<-' t/+
q I( r1() / (" 'j
"The issuance or granting of a permit or approval of plans, specifica ions and
computations shall not be construed to be a permit for, or an approval of, any iolation of
any of the provisions of this code or of any other ordinance of the jurisdictio . Permits
presuming to give authority to violate or cancel the provisions of this cod or other
ordinances of the jurisdiction shall not be valid,"
oa/lS/OZ Ttlli 14:41 t"A.\ 0.1"...,."'....
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Dale;Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
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C.i fc Jrz
~
I..'" PlI.,
lo.N ell}
),Ycl....~
PERMIT NO
I ~;;~n._;~m)~o
,
ZONING ,ftlc..tcJ
LEGAL DJ!SCRIPTION (olll,,.... only)
LOT BLOCIC:
ADDITION
PID
OWNER
(Nomt)
~,/'Yle/'
(PhOIK)
--- i
(Address)
API'UCANT
(No.me)
APPt.lCANT SIGNAnJRI!
Hessian Plumbing Services, Inc.
(A ).
Eagan, MN 5~122-o1. 72
114'.... f...-J"jL
..;L
(Phone)
(Add=,)
(Con~ Pmon)
(CIty)
(PIlo~)
,
(Zip Cod ) I
s /-(p ,fJ-i' ...f' ~ i
,
2 /~o Y :
DATE
~..tity Type or Fixl1lre
ugh-in.
I Water leT
I Water Softner
SImd' ashins Machine)
Sewalle Jec:lor
Ba<:k w Assembly
8"" .,.. Aoocmb est
Lawn 5prin r
er
FEE scmDUU:
Industrial, CO'lllnw;la' &. Multi-family 1% of lob co" "".lh.. $~9.SO tninifttoum. Ruidtnltal, New One A. T"""o.Family 599 SQ
RcidcnU.t Addillons ~ Allenhoft1 139 SO
Eoti_<<l Cos. S
Byildifta Pen,n' .
PLUMBING PERMIT fEE $
STATESUkCHARGE S
TOTALP~FEE S
p"-,,, --'--
'". ""LJ VV,,;;
I~WILDING PERM7
(omtt Uat: O.~y)
This Appllt:otion .......... Y.ar Ball.uag Permit WhcD App'v,.."
ld
~ipl No,
IoMUoc 0IIIci01
0...
~N 2 6 2003
By
24..... aOlicc r... 01110......... tJSZ) ",,'" .... (tSZ) 447~145
16210 ..... C..... A", SoL, -'rfw La.... _ SSJn-17I.
G'd
SOE:BIBSISS
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"IG'1 VO IG U"r
82/18/2884 18:83
9528947939
ANDERsm, AIR I~IC.
PAGE er
CITY OF PRIOR LAKE
HEATING/AIR CONDITION!NGIFIREPLACE PERMIT
Date Rec'd
1.1"1,* PIle
1. (iNlwl Clly
'J, "1'110... Ap"I"'"1
PERMIT
ZONING (ollie....)
(P1e...\ypc '" ~rint """ ~ nt botto..)
I ADDR.ESS
/ I erD ~(){e -l-<2
/
(,/~/e.
LEGAL DESCRlPTION (oIDce u.. only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
9S~
(Phone) 9tJ - 7';?..2...
(Address
APPLICANT
(Name)
(Phone) :F...l - 1'7 '(- ') f
/.41("'JIII/ k
(City)
c;
S)J7
(Zip Code)
(Address)
(Contact Person)
(Phone)
DATE c;l-IO -() t{
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION 0 RE.PLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL /)H.VP#r.( 3,,0r>1l9uotlJ/(JO FUEL
FLUE SIZE plfL RETURN OPENINGS S INPUT ; M; tOo OUTPU
TYPE OF SYSTEM MEA TING OR POWER PLANT
, OWarm Air Plants
OGrnvity
.-E:J1.!eehonieo'
~ir Conditioning
pent. SyslCm
o Ste.m
o llotW.tOT
o Radi.tion
o Speci.IDevle.s
o Other Devlc,",
J<('C>f )
9~!(JD
FIREPLACE MAKE AND MODEL
Industrlll. Commerei.1 &. Mulll-Family
FEE SCHEDULE
J % of Job cost Resldenti.l. 0.. Flropl.e.
539,'0 minimum
$99,'0 Residentiel, Addltions &. Alter.tion.
$6450 Residentlll. AC Only
539.'0
$39.'0
539,'0
Re.identi.l. Heating &. Ale (Now Construction)
Re,idential, Heotlng Only (New Construction)
Estima1ed COil $
Building Permit II
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
.$
.$
S
.50
PAIDWT' :
h
BU"L"j""" ,
; ~. hj'~! .' ~R~\I~Tr
(Ome! tI.. Only)
ThlJ Application lJoeomos Your Building Permit When Approved pa
Bulldl., OIllelll
D~t!
ql!B 1 0 2004
.
24 hour notlt' ror nil 'n.p.ti.., (952) 441-9850, fu (952) 447-4245
____c_._._..~,______~._~._~"_._
-_._---_._.__.,,-_._..~------<"-~_.__._---'-_._-~.._..
02117/04 TIlE 09:23 FAX 6128902753
STOCKER EXCAVATING
Il!J 003
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Cr~ Fil..
Vel",,,, eilr
Gold ^I'P]iCItlI
-1110;;"
Please or rUt[ and si at bottom).,.
ADDRESS
14190 Coyote Circle
~
ZONING (offi<, us,)
._-~---
LEGAL DESCRIPTION (offie< use only)
9 4 The Wilds North
LOT BLOCK ADDITION
PlD
OWNER
(Name) McDevin Homes
(Phone) _?52/890 8722
(Address) 12252 Nicolle!: Ave
(Addrt::1:s)
Burnsville, Ml, 55337
(Cicy)
(Zip Cod'l
APPLICANT
(Name) STOCKER EXCAVATINC COMPANY, INC.
(Phone) 952/890-4241
(Address)
12336 Boone Avenue
~,___w__..___
(Addre:;:.:) .
Curt ~ ~
(Conract Person) _
APPLICANT SIGNA T~c.__ tt i .'
Savage. MN
55378
(Ciry)
(Zip Cooe)
(phone) _.'
DATE
same
2-16-04
APPLICANT PLEASE COMPLETE BELOW
Size 0 f water service inches.
Location of any couplings from structure _ feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cast [ron
Estimated length of sewer line feet.
Clea~~__~~ (if required) localed at __. feet from structure.
Residential sewer and water line:: conn€crion
Sewer connection only
FEE SCHEDULE
$35.50 Indusrrial. Com'l & Multi-family 1% of job cost wit a $39.50 minimum
$17.50 Water eonnection only S 17.50
Estimated Cost $
Building Pennit Ii
SEWER AND WATER PERMlTFEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$_..--...~
$
-- BUI
D WITH .
ING PERMIT
(OUiee Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receip No.
Building Offic:ial
Dal~
DFEB 1 72004
By
24 hour notice for all inspections (952) 447-9850, fat (952) 447-4245
,
V
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
I. Pink File
2. Green City
3, Yellow Applicant
PERMIT N
e or tint and si at bottom
ZONING (office use)
14190 COYOTE CIRCLE
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name MCDEVITT HOMES
(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)
(Conract Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
3/29/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPU
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants
DGmvity
D Mechanical
OAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLE SE NOTE:
Air onditioner Units
Cann t Encroach into
Requ red Side Yard
Setb ks
FIREPLACE MAKE AND MODEL
HEATN GLO SL-750TRX 2
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
L~t'liJfiJ ~:
.~.r~W~C\~,'G\ f(;';~:;::r7
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt o.
Buildioe Official
Date
RflR 0 1 2004
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION '
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. DATE ISSUED
CONTRACTOR PHONE ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIO S BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) VL (..1.0 teG
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SI NED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION v ../
ELECTRICAL
PLUMBING ,'St)
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SI NED
3
t,.. L., No i
GRADING Prior to Soddin
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
FINALS
'P
UNTIL ABOVE HAS BEEN SIGNED
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 entran e.
FOR ALL INSPECTIONS (952) 447-9850
-'. '--
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
!LfftfO
OWNER
SCHEDULED
(a'((J I-r r, IJ.-
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
101' PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
# PLUMBING FINAL
o MECH FINAL
DATE Tille
3--";)-...iJ'--{
~-N02
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-:fF c;- oJy
()II
.
A WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447--9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSIiOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
l~lqo (~1L LV,
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
JtJt!.A TER HOOKUP
~ ~~R HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE T1MI;:
Il/(~!J>3
3-fLjOL
o EXfGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
\
~~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
..
:/-
l
.a- (,~
Inspector:
OWner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
"""""
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ,{ SAFETY/
COMMENTS:
j. RrvJ. ~.....J}Jl ,'",sf' 6~t.L <;,.~ :
2.~..T; f~~ '
3 .-.1.. ~:~.:. .... ::'\/~~'
;b- ~ I /'
~ ro -1-0'1
r~~~
"
o WORK SATISFACTORY, PROCEED
o CORRE A TION AND PROCEED
"COR CT . CALL FOR REINSPECTION BEFORE COVERING
Inspe
Owner/Cantr:
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lREMENTS ARE FOR YOUR PERSONAL HEALTH,{ SAFETY!
UlS1IOTJ
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
;-/1 'Or
ADDRESS / 'II9D CO vole C /,
,
OWNER CONTR. /)1" iJ ev. '1--.,1- H" ~..J
PHONE NO. PERMIT NO. 0.5 - /'IoL
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
ol'UINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~ILLING
o Cc5llliOoJNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
6r~~ - oK
ell 11.0
f?m-f- B I(
/II() ~ rJ.--r
)(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:/?J~ Owner/Contr:
-
CALL 447--9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <I SAFETY!
,.-n
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS JtJl?D 0+ (];,.,
DATE TIME
I~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
jt'FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
'3 - I <{tJe..
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
SJ..}-~ ek-
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE W RK, CALL FOR REINSPECTION BEFORE COVERING
Owner/Conlr.
-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
Inspector
"""""
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
=:...--::: -=---=-~~~-
-~-=--
OPe"n." 0 3 - lyO'Z
oJobAddreoe ILll10 ~n!:CIte...
O_ng ConIroctor ~} _ /J....o j J1L
-Tnletl/Signature @- .
-a. Une
Pressurized
,...-
-Percent C~
OPercent O:!
Final Inspection
Q!l!
I!m!
Pounds
Pressure
07"
q,~
PERFORMANCE TEST
:5%
7/.
-Percent CO
-Slack Temp.
Dele