HomeMy WebLinkAboutBuilding Permit 04-0100
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT d -I f:--OY
I. White
2. Pink
), Yellow
File
City
Applicant
I PERMIT NO'04-. 0100
~~a:;~qrin;~atbLlL~ TMIL) ~l0P- WE
I ZON;'i(Officeu,")
LEGAL DESCRIPTION (office use only)
LOT ({ BLOCK ~ ADDITION
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PIDLS~..3fjZ.. OfD5. 0
OWNER
(Name)
~...E..
(Phone)
(Address)
BUlLDE~ . . U ~~" r' ~ '\ ~~ ) d
(Name) JV\,~LS~T >(l.D'I'lC~S' \...4JS1UlAc."t1i~one) "l2'2--).//..,tJ
(Contact Name) -:b. "11' ~df!jtf fe.s:.~ . ~h .~ -~/ - '( 7..2-1'7' I
(Address) "). ~ I I I ~
~ <ii. ~<f" J 7J JtI-t, ~ \ <::;t:;;: tJC~
TYPE OF WORK ~ew Construction DDeck DPorch ORe. Roofing DRe.Siding
DLower Level Finish
D Fireplace DAddition DA~tion DUtility Connection
PROJECTCOST/VALUE (exc1udingland) $ '.:;..o~-, QoO-O
o Misc.
I.~.C.,~,
ve 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
above-mentioned y.vY';"'J and that all construction will conform to all existing state and local laws and will proceed in accordance with
e that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city O~ignee may
ern needed inspections ev:t t( t.f 3 ~)'O> h Lf-
Signature Contractor's License No. I te
I Permit Valuation ~.OOf), 001 I Park Support Fee # $ ~S-a.DO I
I Permit Fee $ ~.:2 ~J.sol I SAC # $ 1350,00 I
I Plan Check Fee $ , t.f '8'-/ .281 I Water Meter Size 5/~'';j $ :-<00("). Do I
I State Surcharge I $ IS? 5!!.. I Pressure Reducer $ 70.00 I
I Penalty I $ I City SAC and WAC # $ rz.OO I D () 1
I Plumbing Permit Fee I $ IO(). DO I Water Tower Fee # $ 700.00
I Mechanical Permit Fee I $ /00.00 I Builder's Deposit $ IS-Oo. DE> I
I Sewer & Water Permit Fee I $ 3S; 0;-0 I Other $ . I
I Gas Fireplace Permit Fee I $ 4oJJO I TOTAL DUE . $/I'J, /(,5. 7~ I
This Application Becomes Your Building Permit When Approved I Paid /t/, /(a.S. '/'6' I Receipt No. Lf0l/W I
~,~ ..g/.,M, Ic, 'I I Date ' .:l,~ i-()LJ By 'J- I
, ( )
Building Official Date
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
B~ingDi~ dld-~(af /~ ~i;;Co"diti~S,ifanY ,
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~
White - Ruildina
~anarv - F.nQineerinQ :>
Pink - Planning
T"~ ("rnlrr of Ihr l.akr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APP~ICANT
APPLICATION RECEIVED
/,A/"/ '/- 7- L. C" -(-J-j r:: /,/--
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2. / b. C 4-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2(705 /:J c: (//:; -;- 7>?::-/7/ L--
I
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
1YJ'f{~
Date:
2- 2"7~r
Comments: ~.... RAVArse Side for Additional Information!
{,U r b 510n W1v S f- Hw<. Ft".1 A-- ( C,V( r"
,
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See AttacnPlp.nts: 1) Crrading Plan, 2) Erosion Control Measl1rp.~
"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."
.~
~~
~While - Builc:!iP?
Canary - t:ngmeering
Pink - Planning
-.
lh~ Crnltr ..f thr L.kr (-ounlr~i
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~/ TTEL,6/ /16OT
z. /13.04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2-905 15013t!AT //c::A/L-
,
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
r
~~
I?~ cUI ~~,
- -
~~~~
().A-A-' ~ d Q.A~ ~
~ ,- <--v- ~ ~ 1~,
Date:
dP~~<I
Comments:
~~
h:rug 1-0 ~
"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~~
-
rh~ ('~nl~r or Ihf I.akf {'ount~.
White - Building
Canary - Epqineering
--- Di........ _ "'!a~~in.p
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
:// /" J ,/ /
/ ;
,/ ,,-
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
./ ,.. -. .-'
" ,
-/'-//1...___-""
Accepted
Denied
Reviewed By: ~ ~ Date: c;J/~~'-I
Comments: ~.e., ~ ~~ ~
./'t..Qq~ <1<.;; ~ ~ ~.
j?-I'~ a././ ~.,r;I. -t;.~
. - 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."
03/01/04 MaN 12:12 FAX 6128902753
STOCKER EXCAVATING
@001
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
I Ctll'tn
1 y'II11....
I. Geld
~~ I PERMIT NO. 04-0100
^pplieMl
(Please: tvne ornrintand rim ill. bonom)
ADDRESS
2905 Bobcat Trail
ZONING (office",")
LEGAL DESCRIPTION (offie, use only)
LOT 11 BLOCK 3 ADDITION
Wilds South
PlU
OWNER
(Name)
Mittelstaedt Brothers
(Phone) ~'i 1 /~22-lo_nn
(Address) _~520 l51et Court W.. Suite lno. Rosemo",,". Ml\T 'i'in~A
(AddrclSj (City)
(Zip Code)
APPUCANT
(Name) STOCKER EXCAVATING COMPANY, INC.
(Phone) 952/890-4241
(Address) 12336 Boone Avenue Savaee. MN 55378
Curt (Add'''.:1 A ~~ftv (CHy) . same
(Contact Pcrson) __..' 'I ~.1 (Phone) ..
APPLICANT SIGNA TURE tu t f!L.,1 A ..;_ DA TE _2=-.1.7-n;~
APPLICANT PLEASE COMPLETE BELOW
(Zip Code)
,A;
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure,
feet.
o
Cast Iron
Residential sewer and water line connecrion
Sewer connection only
FEE SCHEDULE
$35,50 Industrial, Com'l & Multi.family
$17.50 Water connection only
I % or job cost wiU\ a $39.50 minimum
$17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.'9 ~~.... .
"11-" v._tTl/ 1!71 g:,a
\(or !I!J.>."..
..>~'!<"~
t<lt(f'
(Office Use: Only)
This Application Becomes Your Building Permit When Approved
-Paid-
_.Receipt No.
Date
By
;/1~
~O
Buildillg Official
~~ ':t LUUq
24 hour no.i.. ror all in.pe<lions (952) 447-psso, fax (952) 4474245
Date
;952 894 0925
# 2/ :$
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
.
';i
f?lease ~e or I'rint and sim at bottom)
I ADDRESS
c)C\ rlS (2y--!kx 0...:+
;;;,~ ~:~ I PERMfTNOO'~I_ ~ ~
3. Yellow Appho:.nl ..,. ~
(::.
\u"(l. t 0...
---..-.-..----
, ZONING (officeu5Cl
LEGAL DESCRIPTION (office us~ only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
vY\ ,'+\. e IS-lei. (' (~-~ h( (,c., .
.ag,6)() - \S \ ~+ U tA)
Sk
(phone) lee::. \- 3::;i ,:;)-L[JWu
J'~ r-:::.,c, n--v"',( , i\-t
(Address)
I if)
APPLICANT
(Name)
Burnsville Healing & NC, LLC
12481 Rhode lslalln. Au" ~~
Savage, MN:~'i"ll'1122 .
(Phone) gc:; ,:) . xx:; LI.. 0(.0:5
~:!~
.~
~
'"
~
(Address)
(City)
(Zip Code)
(Contact Person)
, APPLICANT SIGNATURE {ai}CL. &CSlla/7U/1
(phone)
DATE' ,/,;3 -()C/
~;'
APPLICANT PLEASE COMPLETE BELOW
~NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL (n ,lnn')( - (~CjIMP- y~(' -Q9{) FUEL rYllCtaLL
v
FLUESlZE RETURNOPENlNGS 9 INPUT C/lJrYn OUTPUT k'~ ~Q()
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent. 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
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Residenti~ Additions & Alterations
Residential, AC Only
'" ^,,~D~~;rJ
_,I: ,."",","1. .
" . "-'~'C1 ,~,~",..
-~ ,.~'i1i~ ~I
Estimated Cost $
Building Permit #
$
$
$ " j
/"-
"BddPJ p~
1:21UJ7iei
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
.50
(om.. Use Only)
This Application Become. Your Building Permit When Approved
~
Paid Receipt No,
Buildin~ Official
Date
-Date APR 1 5 2004 By
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
1. Pink
2. Green
3. Yellow
File
City
Applicant
I PERMIT NOt)4'_tQb
r
(Please tvDe or urint and sim at bottom)
ADDRESS
2905 BOBCAT TRAIL
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name MTTTT.RSTAEDTBROTHRRS
(Phone)
(Address)
APPLICANT
(Name) AT.TJRDFTRFSTDF DRA FIRESTDE HEARTH & HOMF
(Phone)
ti51.ti33-25ti 1
(Address)
2700 NORTH F AIRVIEW A VENUF
(Address)
ROSEVILLE
(City)
';5113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
4121/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TlONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent, System
D Steam
D Hot Water
D Radiation
D Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO tiOOOTR-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 & NC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
. . $395.0
~i"~ .
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r--~' . ~ __(lj.'\"~.:i"
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>;~~fd
,(..,\~:,
(~n::!Y
\;';v
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Buildine: Official
Date
Oat~ HPfI ~ I LUU~ By
L.'
-
U
J
I
. I
24 hour notice for all inspections (952) 447-9851/r:!'''"L952l.#7424-5 _....._..._c.!
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS d9~5 ~T iltJv'/.J
NATURE OF WORK JJEI4J ~IJff(ll~"m~
USE OF BUILDING Sol=; /).
PERMIT NO. 04. 010 () _ lifTE ISSUED ';/~e. /dl/
CONTRACTOR ft\i-rrE~S: ~HON~-~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ ")NSPECTOR
, FOOTING I tf" b. ~ J
I FOUNDATION (Prior to Backfill) I f)J I 5'~2'1'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
IJvtW.~~ 3!'3{ ~ ROUGH. INS
SEWER I WATER I SEPTIC /lrp~:.J>:"..
FRAMING oK ... 1'''~1J1. ~ ~?'"l" 11/h... f
INSULATION /)
ELECTRICAL
.
PLUMBING ~t> 1
HEATING (if required) I
FIREPLACE I
GAS LINE AIR TEST -V
u.~8fJ'AD'COVER NO WORK UNTIL ABOVE HAS~EEN SIGNED
'tATNLfllltrttbl) mAle" I I/LI(/ I ('J.q-C~I
FINALS
1b
l
GRADING (Prior to SOdding)
BUILDING""-.e-(l 1---,., ~~ l. 0 'f
ELECTRICAL ,
PLUMBING
I HEATING
DO NOT
eo(}(J
iO~
DATE
fj-;q
o/-M
I
'-1 - zb
"1-)1/)-011
J) I'll ~~
I I
~-ICp
....:;>
.
OCCUpy 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 entrance.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEOUlEO
ADDRESS 1't~ \3 L_ "i:-:"
OWNER CONTR.
PHONE NO.
PERMIT NO.
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
o MECH FINAL
COMMENTS:
(1 iCJ4 {PAl 1\ 0
~
DATE TIME
)~
'-I - t.I<j(p
o EXIGRADlFllllNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~IRTST
/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORmo K, CAll FOR REINSPECTION BEFORE COVERING
Inspect r: Owner/Contr:
CA ' -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSIiOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
7~J()~
ADDRESS
:2 70s &};JC... -J 1'/(
CONTR. 1J1, j/I-/u; I-~.,,(I-
PERMIT NO. (;(.I-/~t)
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~LLING
VO coaiidiNi-
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: .
~-I''}r.
Gjb P...r ~C)1L
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpedOr:~~'/./ -i-omerlContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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