HomeMy WebLinkAboutBuilding Permit 04-0090
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please .!VDe or Print and silro at bottom)
ADDRESS
32 q / Wlldwe,,'o
~A:I
LOT 3 BLOCK
LEGAL DESCRIPTION (office use only)
Date Rec'd
z.4-.o4-
White File fPERMIT NO I
Pi,k Ci<y . I'lA, 0 000
Yellow Applicant ~ 7
ADDITION vVOf)J.r 4~ wil&'~
OWNER \J . II _
(Name) e.A- H:lr- ~J
(Address)
a.A. It. r ~.J
(Contact Name) ((IC-/<" ' '141-
(Address) 7G:.'1<1 1l.-8ft. 'ST .".J~> r
.--------.
BUILDER
(Name)
TYPE OF WORK
o Misc.
~c.
crN ew Construction
DLower Level Finish
I I
ZONING (office use)
PUP
PIDZS.363.003.0
(Phone)
(Phone) ~
(Phone) hs-I-t/23 - <:1 3 <-()
55/24-
ikftR VA/~
ODeck
OPorch
ORe-Roofing
ORe-Siding
DUtility 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 a aw th the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;ter upon the prop;o 1t,'iections I s-{)h ~/ ~ y
Signature Contractor's License No. Dare
I Permit Valuation
J Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
\ Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
o Fireplace
OAddition
OAlteration
PROJECTCOSTIVALUE (excluding land) $ 4<'OO() tJ
::t 400, Of) t!) ,0"0
$ ,;}flS:<f.50
$ If! f5L1, 7,$\
$ 2LJD, DO
$
$
$
$
$
100,00
/00.00
JS.S-o
40.00
This Application Becomes Your Building Permit When Approved
~~ia1 ':::/u1J~ i./Zf.,/-JJ!i-
I Park Support Fee
I SAC
I Water Meter Size 5/8'( V';J
I Pressure Reducer
City SAC and WAC
Water Tower Fee
#
#
#
#
$
$
$
$
$
$
$
$
ASQ,oo
I~SO,OO
,3'OD .00
70.00
1 z.oo . 00
700.00
1500.00
I Builder's Deposit
I Other
I TOTALDUE~ t.to4-. 64-
~r/
I Paid //, 10 :5 . / U
I Date' ,") - ,:::;2c;,- - '--I
Receipt No.
Bve
rr-
$/I./53.7fL
. /
tV.s ,>)7':;
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
~~ ~~ 2/U/o'-l ~~_aJ' ~
Planning Director ' bate Special Conditionsllf any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~
White . Buildj(lg
-': f "Slnarv - Enqineerl~
Pink - I-'Ia'lnlng
Thl'(-l'nluoflhrl.ak..CoUnll)
j3UILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
12. l\
t:~_O I
// "' 4
i.t-. C" _..-
":/'
o;..,,__~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3zq / V~ I L[) \Nco.D --T}~l~ I L_._
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
IYJ'tt ~
-- -
Date:
;;J - /(J --C)l./
.
Comments: See Reverse Sjde for Additionallnforrnation!
See Attachments: 1) Gradinl! 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."
-.----,.~----.,--_."_.._----..-_._.'_"..__."..___.____,,_______~._____m'____._.._,,______.,._________._"___.__.______,,_,_____
~1
While
Can
mk
- Building
. eering
- Planning
--
Thr ('{'nIN of lh{' 1.lilt Countf)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
k
f\. C(
L~-
,
/
c.,.---
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
:-: <-</ I iLL,) \, ( 11- r\ I L-
Accepted
"Denied
Reviewed By: ~ i~ Date: c2/n/o.;
Comments: t<j",~ a..ae. ~v.. ..~.
J
No lJ~ d'J ~ 1;""-CJJ<~_O.f) W-' ~
.o~
I
Accepted With Corrections
/
"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
~~
c:. 2'''t'' - Builalnit>
Canary - Engineering
Pink - Planning
--
rhf Cfnlrr of lhf L.kf Counlr~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1C, A. ~o I
2.4-.04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
32.9' WILDWooD / (2A1 L-
Accepted
Accepted With Corrections
-----
Denied
Reviewed By:
~~ f~p Date: d/rq~~
K~ a-U~~
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."
04-06-2004 09:42AM
MATTHEW DANIELS, INC.
423 3017 P.01
Uate Kec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
.
; ~~ ~:~ I PERMIT NO.U~
)'(Glta"'t\oo(ia.nl -, 7" I
CPte:ue type or print and sUm It bottom)
ADDRESBJ Cf I . . - .
~qJ ),\i;'JIIU-iJd) ~
ZONING (offict",,)
LOT
LEGAL DESCRIPTION (olliee use only)
PID
BLOCK
ADDITION
OWNER J_, AI '\
(Name)~(l. -Of-L ~
(Address) 1C,Q4- - 1B.<j(~. *, ~ I. .
APPUCANT.I ~
(NameL_~-rH" V /1,; I Ii" ) . -...&u... . (Phone) ~/. ";J..~. d7.':?'()
(Aclclress) 1'\':!2.~ (I,,), ~ A} I h b'. .J1; I ~ Q.4la1.L'" / I I /r-...::JJ :J ..s:!f"Ob8
(Adclress) ----, '(Cl<Y) (Z,p Code)
(Contact Person) IJA J. ;" Ie \.. ~/ J ~ ') . (phone)' "'!:i/. -k."I.' .~1,;l(J
APPLICANT SIGNATURE Ji-u rt.l:::tJ ~.J1.djj u~ DATE O",,,L'., J G. 6WO../
/I ........., U
APPLICANT PLEASE COMPLETE BELOW
I Type I)f Fixture I Quantity
I Bath Tub with or without shower !....3
I Dishwasher I
I Floor Draip / AJ....
Lavatory (Bathroom Sink) I
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
. Water Closet (Toilet)
Quantity
.,p.
I
,
-"'"
I
!
/
lk.j.
.....<\
(phone) _1,,-"'" ~"'I .
'/" 1/ ~ t! . 'Y-J. T1 _"l." 1..k4-
f)."I~1')
Type I)f Fixture
I
I
J
I
I
j
I kJ..
I
Rough-ins
Water Heater
Water Sonner
Stand Pipe (Washing Machine)
I Sewage Ejector
Backf10w Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
FEE SCHEDULE
Industrial, Commercial &. Multi-family 1 % of jOb cost with 3. S39.50 minim.um P.esidcntial. New One & Two-family S99.50
Residential, Additions &:. Alterations $39.50
Estimated Cost 3) Building Permit #
PLUMBING PERMIT FEE $ qq.$lJ ~
I STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ JO/)JJt')
Building Omoial
Date
11>"i~
I Ate
. PR 0 /Ulli14
(Office: Use Only)
This Application Be<omes Your Building Permit When Approved
24 h.ur n.tice for all i..pecti.... (95'2) ~7-9850, fa. (95'2) 447-4245
- . ,
TOTAL P.'l1
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONING/FIREPLACE PERMIT
Date Ree'd
l,Pink
2. Green
J. Yellow
~::, I PERMITNOI1~1\
Apphcant ""'llV
(Please type or 'Print and sign at bottom)
ADDRESS
ZONING (office use)
3291 WILDWOOD TRAIL NW
LEGAL DESCRIPTION (office use ouly)
LOT BLOCK ADDITION
PID
OWNER
(Name II A ROT HOMES
(Phone)
(Address)
APPLICANT
(Name) AT.TJFTl FIRESTDE DBA FTRPSTDE HEARTH & HOMF
(Phone)
651-/\3.,-2561
(Address) _
2700 NORTH F AIRVIEW AVENUE
(Address)
(Contact Person)
BRENDA HUSTON
ROSEVILLE
(Ciiy)
(Phone) _651-633-2561
55113_
(Zip Code)
APPLICANT SIGNATURE
BRFNDA HUSTON
DATE
411i/ 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 HEATING OR POWER PLANT
OWarm Air Plants
OGravity
D Mechanical
DAir Conditioning
OVeut. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Uuits
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO ST -HV
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 miuimum
$99.50 Residential, Additions & Alterations
$64.50 Resideu!ial, AC Ouly
$39.50
Industrial, Commercial & Multi-Family
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
~~
. R~,;,No ~
By (r I
IJ
(Office lIse Only)
This Application Becomes Your Building Permit When Approved Paid
DAfR II 6 ZUU4
Buildine Official
Date
24 hour notice for all iuspectious (952) 441-9850, fax (952)441"~245
U 7 >';)(j. III
:I1U,\ lJ::l:utj tAl til,..j,...~..~.
Llll ur r"l\J.I.,ll\ l....,'l..lu:..
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'l!
.
~~ lS\~ 1 PERMlTNVII_ tfd>
t'flc.ut..~ortlrint'I' ls.Wnltbol!Om.)
I ADDltESS
i 3~9/ ?t.hld'I.AMP~ I/CL. / /1/, u./
I ZONING '''''"Ill') i
LEGAL DESCR: ~ON (ollie< us< onl)')
LOT BLOC :
ADDITION
PID
OWKBR
(N!..",e)
R. (J j.( C/ f IIcr/lC':;;'
\
/69<;/ /.;<g1lt-- 'E?1"ed /~~sf
(Phone) G<;"/- </,;l3-0g.;<O
XJLlCJ/eV.K1//t'I/ 5'<;"' j,;}.L/
e. /'
: APPLlCA."lT '
" (':hme)~~pl/-A; tZ/';;' . (Phone) 9<;::;>.- ?'7b- s-,;;,oc::l
I (AddIess) /;;I.;;<-"'.s /1/-'&01/",,/ Ave, <:;"o/~_____ 15('///75'uj0 s.s-ss 7
! (A~) (CI!y) (Zip Coo.)
(Contact Person: ('.(2141 t:.. ;()J1f!.,t? /1 (Phone) ".vaYY>..t!./
APPLICANT Si :lNATURE ~~~ _ _ DATE _ 0kr'
APPLICANT PLEASE COMPLETE BELOW
I
i .l8:JNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FUR..lACEMAII ;; AND MODEL ~~'dl",-t ;:]SdMl4uo01CkJ FVEl I1/Kft
I '
i FLUE SIZE .3," P. I/. <-- RETURN OPENINGS / S- INPUT /;;10000' OUTPUT ,; '1000
, TYPE OF S\'S11lM HEATING OR. POWER PLANT
.zjWarm M Plants 0 St.iIll
i~~~i"'l 8 ~~~~~ ~"';;~+~!""10 ~(;vj.1. ",-"
Air CoodItioni.~ 8 Specill Dovlc.. 8Y&"yV?"Zf'
Vent Sy.tem Other Dovi,..
(AdO"",.)
~-- J
PLE.~SE NOn::
Air Condltioner Unit>
ClJll10t Encroach UHO
Require<! Sicle Yard
~d,
FiREPLACE M; KE AND MODEL
I
lnihmm.l, Comml cia!. &. MultlpFiUT\ily
FEE SCHEDULE
I % of job COlt Residentlal, OlU Pire:pla.ce
$39.50 rnini01\lftl
$99.50 Re.idential, Ad<Iitions &: AllOrotiool
S6-I.lO Re,ld<nrlal. AC Only
S39.50
Kujden\llt. Hcu:, ~ &. Ale (New Construction)
Ktsidcn'.iil. Hta.t'1 g Only (New ConstructIon)
SJ950
m.:>o
E.ltimated Cost S
Buildin, Permi! #
HEA TINO PERMIT FEE
STATESURCHAROE
TOr AL PERMIT FEE
$
$
5
_.. ~~;'I M~,
" r"'''~ i.fc) lJ"1!t;jU;,~
~;C,'-C"n.,,... o'i.l
. · \ l:I l-1""'-rJ I'Ir1'oo
\=~ ~~ ~li'J ~I
.50
(Office UU Ooly)
This Applle"; ,on Becomes Your BuUdlng Perlllit When Approved ir.~~"-:"--" --.
;IDat. . ....
Bulldi 101ll,lsl Ds" '~1 ii lUU4
24 hour Doti" ror oil ii.p"tiO.' (952) <l47.9S~, fu (952) >1474146
.R.ecelpt No
, ~ 1 .
aj /i'
,! C/f--
."j l/
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~ I .
NATURE OF WORK we &Q o:.-",,~
USE OF BUILDING S S; b. .
PERMIT NO. 04- /~;o DATE ISSUED ..zj U ~
CONTRACTOR ""A.. HO~es~ PHONE~.O~O
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 INS;;; I 0< _ ~ATE
I FOUNDATION (Prior to Backfill) I ~/5 3" .K
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH -_INS
WG/~
,r /.J S:s
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE ,
GAS LINE AIR TEST~r'P(!
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ao /.ArlIe /Wtf1l/lElJ ~ilJJI€ I
L G......... ., ~"-"'- 0 t FIN A L S
GRADING (Prior to SOddi~ _ ;:1;; N h
BUILDlNGT~ +... 16-1'6'1" (.~t.- 111t..., ·
ELECTRICAL " '"
PLUMBING
HEATING
DO NOT OCCUPY
:?'-t;-
LF<?/
rlf
fYJ)
(II)
r -/ '"
"t./-2;?
027
~ - 'le:>
!l-L/-OY
~_., ..>......
UNTIL ABOVE HAS
NOTICE
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
.,iiIIiIIiiiM.,
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 'Z 2. 't ,
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
II~/ f
SCHEDULED I~
WI'~J
TIME
CONTR.
PERMIT NO.
v- <tD
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ G~L!.~ TST
\
COMMENTS: - /J I! "'--
-' ~~.Q)Qn~'t--f}f~,+)l)' exl~-v>)
QJr"'\'~
-, -
f' (
/j <~0
r\{
L-~
+) () I
; 'll t I If
/
~ORK SATISFACTORY, PROCEED
o CORREC ACTI AND PROCEED
o CORR T WOR C L FOR REINSPECTION BEFORE CO~
Inspector: --.l Owner/Contr. Q.
CAL~;J FOR THE ,.(XT INSPECTION 24 HOURS IN ADVANCE.
CO~ FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
32i( 'WIld VnvI T/I
CONTR.. f!.c.. f{~ f- II
PERMIT NO. t')'-/.JJO
&Y'ej.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
eIlC:1:lNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
Grrtdl- - 0 It.-
(PIt. - SI>''' 1 t.5.)
DATE TIME
~-Z-clf
~~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
rft.,f..,,'/l/'''' \,,/''1l1 I f)[,.h(/~.
. -
rv! WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto .~ 0wner/Contr:
'" ~ '""V /-::- ~ .---....
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
,,,,,,,m
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
l-?..'L-o...(
(
ADDRESS
3?'i { U);(rO j, ~jJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
L( - oc/lt5
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'Q FIliAL
D"sfrE 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
o GASLlNE AIR TST
o
CQIIIJI(IENTS:
J. rb~.\-- Mil.', A~\\A ~,..,c,j:,-< L!nuJ:r,nr{
'2.. +.'~ G~ ; \..t.s rO. /A..o.t.", Sod
~. La~ is ~,,~ r-n... "'.k\-"~f'ar ?/ey:s
Rb-.r ~~ft
. -
~
-/.,.,
tD - L-7.oo U
I
~ ~ -gl k.o p Oct.>-"
~~rc- ~~ - ~~___"l.J~l''''-'~
o WORK SATISFACTORY, PROCEED '- - rv~ rJ+j i l.L c;<<r~
o CORRE CTI N AND PROCEED Kl. V~ r c.....s- I i1.-(
X co ECT Y. K, CALL FOR REINSPECTION BEFO~E COVERING
Inspect r~ OWner/Contr'
CA L lir 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'\J..V
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"'SN(1T,
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 3;1., "'Z I
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
I. ft: o.v. ~r-
-
2. I(~
.}. ~ I.O!S.
DATE TIME
SCHEDULED
7-/ -0'-(
u),-U; L~.J2.
CONTR.
PERMIT NO.
~ - 9'0
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
)l('PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
IJV\.\U
41./7-93crB
fl..,A \-! Cc...as
. ,
rt.. "'H:r
..... t..:..... _ ,L"J_
. ~ ~I -- l{Z2, -(777)
~ORKSATISFACTORy.PROCEED - I - -
~ORR:~ION AND PROCEED
o CORR..,.. T WJ.~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1 ! 7 Owner/Contr:
CAL \,~o FOR THE NEXT INSPFCTION 24 HOUR.::J!i.A.nVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
U<SNOn