HomeMy WebLinkAboutBuilding Permit 04-0088
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please '!vpe or orint and sign_at bottom)
A74jtfO
t.. +\ 04-
; ~;~:. ~:;y I PERMIT NO. 0 A. 00 Q,tJ.. I
3. Yellow Applicant ." flU
ZONING (ollk,u.,)
Jel
/
LEGAL DESCRIPTION (office use only) ~
LOT;2...BLOCK f-ADDITION --:!/1L- tu~ ~~ PIDzSA-04-.04-7,0
,- . V
g.~e~R :!dtdJ~~~ (Phon~/2) 328-~!F
(Address) PO. gvx ZifSClf/ ~ Ikjffu; ){4N: 5572-</--
~~~~;:R ~AA f/~-t5~~ (PhOne~/2) 3.20 -.;2/&
(Contact N(me) ~p n /)<< ~/A-!--tby-- (Phone~l 32-J( - 2/)(x
(Address)!?o. iXUS17, ~. /JIll! ?;570/-
_ - - / II /' j')
TYPE OF WORK ~ew Construction V ODeck ~Porch ORe-Roofing ORe-Siding
DLower Level Finish
DMisc.
I.(<.(!. Cbo~
(
'-....-/
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
tAS-S-Ooo.Oel
I a,.P.f.~o I
1 2. 89. 'Z.i
127. ~o
$
$
$
$
$
$
$
$
IOO.DC
fOO,oo
35.5'0
'fb,oC)
This Application Becomes Your Building Permit When Approved
~ ~I- c-l/.;0'~~
Building Official Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"(1";)
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
$ I
$ 135tJ,OO I
$ ~OO.OO I
$ 70,()() I
$ /Zt7tJ ./)6 I
$ 7tJd. ()o I
$ f~"d.t7fJ I
$ I
etrIM'iO 't.z..5.0P $ e. 795. 79, I
I Rec./p;)..ro. ~U t.
BY/'''''' #'
G~
#
#
#
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z. z.~.t1 ~
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
"':O~ ;1~ni~Di~ e>?/.;z~y e.~ ~o'::1~
24 hour notice ror all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
$~~
White - Buildin\!.
~q'lilC' - l;n'l!!'eerll'ltJ:::>
~ - Planning
Tile (rnler or lilt till, Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APP~ICANT
APPLICATION RECEIVED
bUTL-LIC HCU:-:::;i !\JC7
_-, / ('-/1 I
L. ~. '-..) .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I / In ( '.. ".' ". (-. -- I."" 'I /. ilL 1---"
L-r '7) LJ\ L)'~-I t~ c_ L.I '- ~.- c>
Accepted
X'
Accepted With Corrections
Denied
Reviewed By:
If11B
Date:
;2. - J () -()II
Comments: See Reverse Side for AdditionallnforlT':>tirml
~~g I>. ttacbmp.nt~. 1) Grading Plan. 2) Erosion Control Measures
"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."
~t
White - Building
Can~r:y .; Fnaineering
('1'ijn~ ":"'planning-:::>
--
rhr ("~nlrr or lhf l..kr {'<lUnl~'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I I -~. ( ,.--- L.>
~j~j i ~_ t. 1-
H(
,
--. I" -
_. I'"
'-----I
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"-
, .
(I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
14-1
I
l~
r \
i r
, .....-/
1--
t 'I ,i j I...
,__il_\....'--L--
Accepted
'Denied
Accepted With Corrections
/
~
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~
~ ,/lp
/1,(', ~ &-.
~~~,
~
~
Date:
+?y
~
0-...-.......
Reviewed By:
Comments:
~ f-
.,
"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 . Buildiiig:)
Canary - Engineering
Pink - Planning
--
rh~ (-~I'I1~r ,,( lht 1.lkf Coun"....
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
BUTLER- HOUSING
z... 4-. 01\ '
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
l4-tq 0
r
Accepted
BADEJ5f2-- CAeCA,b
/
Accepted With Corrections
Denied
Reviewed By:
~~
e .RA-.-J2
f
~
cu..R
Date: ~sAo/
cLZ..e~ ~
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."
03/08/2004 10:05
3528353334
ALLIED EXCAVATING
PAGE 01
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERM11l'
IP\eucl ~ orDriatlllld .arbom: .01
II~itqo Nq~ev
LEGAL DESCRlPTIONi(omJ.... only)
I. a- ~'Io I PERMIT ~ d
1. y_ p~ N,O.1J6
J. OoId ~.... .,..- .
,
(1 : "\ VJ )", I ZONING ,--...,
VY c..e. ~~ :G.o~ lA u
LOT BLOCK
.i'\D )!TION
PID
I
~'Z:~ ~u\-\e..y~\y,;~ lPhone)
! (Addms) Po l:v'l1x ;l Lj scn Aon\e_ Vd\ev
i~") . 0/ (Cil:Y) i
APPUCANT \ ' I ~ or
(Name} 'f\ \ \ e (, L-- '" CA\/d i M .~ VI ('. (Phone) CiS ~ - '2f1 \[ ~ ~ 0lfcJ
(Address) 'll.l(ll \ l0 I (lll'l-\~~. S'%~~~ (, VY\ IN ~~~?p)
(ContaCtPcnon) :Se~'::\p v.. I' h . ~ne) Cn I::J - q 7 ~- 33lo "}
APPLICANT SIGNA~ "" ~ J!v.TR . 3 - B-o~
-"I .
,\PPLlCANT PLEASE COMPLETE BtLOW
Si~ of water service , inches, --......
Locjltic n of any couplings from structure '_ ~ feet. .
TypeoJ'sewerpipe, OABC 'RI,pvc 0 C8IltIron
Estilnal ed length of sewer line !:dI::L. ~.
Clel\n 0 ~t (if required) located at~ feet from structure.
t"v\v-.J
Sl:; J d. \.f
(Zip C0d.8)
FEE SCHEDULE
Residential sewer and wille\' line :onneenon $35.50 Industrial, Com'l 8< Multi-family I~. of job cost wllb a $39.50 minimum
Sewer eonnection only $17,SO Water connection only S17,50
Estlma\ ad Cost S
Building Penn it /I
~EWER AND WATER PERMIT FEE
: TA1'E SURCHARGE
. :OTAL PERMIT FltI;
$
S
$
.50
(O~1t u..o...,)
This AppUcadon "C1om" Yt ur Buildjul Pel'lllit When APprU'Ved
..il4l.. 011I<1,1
0...
I Paid
\ Oat.
J
I Rece'pt No.
lay
24 ~our n.tl..lor all i..pOdlon. (9!2) oI47.91!(),'n (9!2) 447.A24!
-'---~--"--_._----_.'-" ,
FROM: WELTER & BLAYLOCK
PHONE NO. 612 8828573
Mar. 30 2004 09:53AM Pi
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~. ~,: ~~ I PERMIT NOM.. ~.
J. Ytlll,lW Appli<:l\"l ~"6lIf
(Plea:sc: typ~ or 'Prinr and sim at bQttOm)
ADDRESS
/'1/9Q t3aJqer rv,vode NW
....J
LEGAL DESCRlPTION (office us. only)
LOT
ZONING (officeu,,)
BLOCK
ADDITION
PID
OWNER.t2 I If .
(Name) j:J u r/ e /"" H 0 u..S I f/1 G
'...I
(Address) A I/J tJ J -e t} a. II e<-l
J f I
APPUCANl . \ /7 / I,
(Name) wel +e r' cI- 10/ a. '! {o C f\ (Phone) 9~ - J(g;) - 8'b 8' I
(Address) /S09 E Ifw L/ /3 /3u I"lIsu't/l-o J /0/1/ S-S33 7
(Address) I (Ci(y) (Zip Code)
(Contact Person) J3 / '- L-. 0 f' S -teI,J e.... (Phone) 9..5";;; - 7r g ~ - <j{ b 8')
APPUCANTS1GNATURE (.). ~ ZJ O";"""',Q 1/~ DATE 3 -30-04-
f V ./
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower .3
Dishwasher /
Floor Drain (
Lavatory (Bathroom Sink) I
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
I Bar Sink
I Water Closet (Toilet)
Quantity
c:<
(
i
S-
/
/
)
.::5
Cot"/IJ
.
(Phone) fJS.J-1f3/- Lj 13 .:J..
Type of Fixture
/
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backtlow A,sembly
Backtlow Assembly Test
Lawn Sprinkler
Other eN!.S S-",,,.. .ffl'e~/Qe-eJ
v
FEE SCHEDULE
Industrial. Commercial & MlIlti.ftl'l1ily IO/~ of job cost with Q $39.50 minimum
Residential, New On. & Two-Family $99.50
Residential. Additicns & Alterations S39.50
Estimated Cost S
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $ .
TOTAL PERMUT FEE $
?f:\fc'\ M'f:"'iTl''':
7S9..,,~ ~;':v'; P~~0r~
:..~' ',.Ji.<;'"..',~ ,--!~':;'" ,':1'
(Office tJ,lic,Qnly)
This Application Becomes Your Building Permit When Approved
. Receipt No.
Building Off'ic.i..,1
Datil;
I Paid
I Dat~
APR 0 1 2004
By
24 ho.r notie. [or all inspeetion< (952) 447-9850, [ax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'l
L Pink
2. Green
J. Yellow
File
City
Applicant
I PERMITNO~
ZONING (office use)
(Please tvoe or 'Print and si.w. at bottom)
ADDRESS
14190 BADGER CIRCLE
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name BUTLER HOUSETNG
(Phone)
(Address)
APPLICANT
(Name) ALLIEr) PTl?RSTT)P, DBA. l1'T'RRSTnR HEARTH & HOME
(Phone)
Ii, 1-li33-2,1i 1
(Address)
2700 NORTH F AIRVIEW A VENUF
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
5/5/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
DOravity
D Mechanical
DAir Conditioning
OVent System
HEATING OR POWER PLANT
o Steam
D Hot Water
D Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEATNGLO liOOOTR-OAK
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
(Office Use Only)
Building Permit # p _A.-Il) VV lIll
$
$ .50 BUILDING
$ .
r;;\E.J~ ~ ~-m ~ If:RMlT
This Applieation Becomes Your Bnilding Permit When Approved u~j ljilaM'J Ie, L' !WCO'P' "u.
~ IMAY i ~ LUU4 J By
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Buildine: Official
Date
24 hour notice for all inspections (952) 4..B~.n f.v lP.l' 117 111.
~
CITY OF PRIOR LAKE .
HEATING/AIR CONDlTIONING/FIREPLACE PERMIT
(Please tyDe or Drint and sign at bottom)
ADDRESS rJ /J
1!iL9iJ IfJYJtr!Jt (;/i1e-<~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
Date Ree'd
I. P'.k "" I PERMIT NO~ ODB
2. Green City
3. Yellow Applicant ~
ZONING (office u")
prD
,(lx. t Len..J.Jat, /",,](; Ii. ~ (P"""" 15~. LfJ 1- "/1 J),
(Address) f_ O,~ :J..'f59:j a!f~e J4{t!c-/ .~C;~2
~:;~fANT ~ t3.i1.)J &AE.L.'1Z?t ~ ki',
(Address) ~U/ -S"1 G),{ i ~00 ~LJ. ~,
..... ~A dress)
(Contact Person) . U /)({ _ / / /
APPLICANT SIGNATURE_ ~.t!~
OWNER
(Name)
(Phone) ;:'fl y;, S~ i fb 7 -
J11 fJ<. r. SS- Ljo1
(City). (Zip Code)
(Phone) _lid., pJ. jvhgt,1-
DATE J-jJ ~/JLt
~ ". I'
/' APPLICANT PLEASE COMPLETE BELOW
[gHEW CONS~ION [J.;EPLACEMENT 0 ALTERA nONS J) J /-2
FURNACE MAKE AND MODEL "7rtn J ~ 7 i/Y../ tPiJ 1'J'J FUEL --1J/4!t ~1
FLUE SIZE ']'1 f. ~ t _ . RETURN OPENINGS INPUT /cJt:1@2J OUTPUT CQ P1JU
TYPo/SYSTEM
OE~~AirPlants
0'~anical
~i1J:enditioning
ii:;Prent. System
HEATING OR POWER PLANT
o Steam
o Hol Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
$
$
$
PNO Ml"l'J"" '
""nrrn ~ I7C'DUl!'".
.5tr~'WUWG ~FiiiIT
I Paid
.1 Da,lWR u 11 Luu4
Receipt No.
By
24 hour notice for all inspections (952) 447:9850, fax (952) 447-4245
f._. ,
~.
PRIOR LAKE ~~rt~~~~NJD~~sPECTION
INSPECTION RECORD
SITE ADDRESS 1I/19IJ &bt91!1L ait4LG )I, Id.
NATURE OF WORK AJ.1tJ CIJ~Tbtt:T,..A
USE OF BUILDING ~ r::- o. .
PERMIT NO. 04-.0086 DATE ISSUED ~I.OlfL"
CONTRACTOR ~ru-IL H~~/. /,.A. PHONE-'lZ.- 3Za - ZJaa
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING th,.4.
HEATING (if required) It?
I FIREPLACE ff oS-/1I
I GAS LINE AIR TEST ~ ~ 1, p, h tflJtl!o1
.
COVER NO WORK UNTIL ABOVEAAS BEEN SIGNED
J,LArH ~ /~1I(7lI~ S7b/JT' ft: /2J t;;/A> -J l
r FINALS _ \ /5",);,,-..J L9~~
GRADING (Prior to Sodding) /(/ f.:'
BUILDlNG~ ~ .-f-o ~ r 0"1 (1J
ELECTRICAL 1
PLUMBING
HEATING
DO NOT OCCUPY UNT~L ABOVE HAS
NOTICE
I I 1NSmR
, FOUNDATION (Prior to Backfill) 1~,tP ~ -~ l
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
/"/5 MI'//
IfrJ
/~:5I-?a
DATE
I FOOTING
I :J.-')(P -Or
?j -2 /
-
if/t 11" '!
'/ "7 f
() - <-I
..~
P1~
1/
~ -<,0
4x:-
IPz
(Q.... -z. ~
/~7.2->
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
,.",'"
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
1"11 9t:?
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o JNSULA TION
JiI' FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
DATE TIME
;.~~~
~0.~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FtNAL
o MECH FINAL
I (
15 IL -\-.JI c \.. cr/...Q
A
4-0081;
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
Ie (\.-r
~\)~
Ii' WORK SATISFACTORY, PROCEED
/0 CORRECT ACTION AND PROCEED
o CORR~RK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: . Owner/Contr:
CAL 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn
(r 2.y~cIf
~&r Gin
CONTR. ,
71-88
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
)Y/Cfo
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
$FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
)It. PLUMBING FINAL
o MECH FINAL
):OMMENTS:
,/ J. r~r-" (v",,-~r ~
""2. G.L"... ('(~, _ ~*
DATE TIME
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~. F'\M>l G".....-J.... .. '^" "..-/.,.-....
.
(I. ~".J.. ~T"'J__ .
~. ~ ",-t::;::; ~__ C0 / r
~. ~""\..~- "V:-"-"... ~~
7. fl-J. S("~~. n.."v-I!
J??. J4~f2~ I /
<J~- ~ ~-I-oV
t r J /
~)-~~.~~
.~ Q,.ol 131~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ORRECT W K, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
CALL
lNSIIOTJ
MENTS ARE FOR YOUR PERSONAL HEALTH ,{ SAFETY!
DATE nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
PHONE NO.
1'1190 &d~/ C,'rcJ(
1 f3 '
CONTR. v+lt:f !-t,1.I!;/I1.,
PERMIT NO. ~ cy-!J1.8
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~LLING,
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
hr",L <7 t.
( or/I::, 6uf- /J If
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL 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!
lNSNOn