HomeMy WebLinkAboutBuilding Permit 04-0016
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Please
e or rint and si
at bottom
LEGAL DESCRIPTION (office use only)
LOT \ \ BLOCK ADDITION /A) ,
OWNER
(Name)
(Address)
Date Rec'd
/;:..30.03
I. White
2 Pink
3 Yellow
File
City
Applicant
I PERMIT NO. 04-. OO/~ I
ZONING (officeu,,)
12-1
PID z,5, 4-04-. 0.3 o. 0
(Phone)
BUILD~ ~
(Name) I L.S T tfA 'f7I.St..S
(Contact Name) ~'~L..~Pf
(Address) ~ S' ~ ~ I ~ tJe~ r
s ,{
~ \1~-~4S~/&.46'L
TYPE OF WORK
ODeck
ew Construction
DLower Level Finish
o Fireplace
PROJECTCOSTIVALUE (excluding land) $
o Misc.
DPorch
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
au . ed a t for the ab :ve-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
su p a that building official can revoke this permit for just cause. Furthermore, I hereby agree that the city 0 cia! or designee may
en t ons.
X
Permit Valuation ..3.
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ 100.00
Mechanical Permit Fee $ 00.00
Sewer & Water Permit Fee $ .3~ <;;tl
Gas Fireplace Permit Fee $ .00
This Application Becomes Your Building Permit When Approved
~~ ~(.J
Building Official
I lIZ-La t{
( ate
OAddition
DAlteration
80
~
---NJ1.l/C('t
Contractor's License No.
$
$
$
$
$
$
$
$
$/0
I 50. 00
300.0"
70.00
1'2.-00. cro
00.00
00.00
Park Support Fee
SAC
#
#
'Water Meter Size 5/8'
Pressure Reducer
"
,
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 copstiwtes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
"~~
Planning Director 1/ 1'L'{.~e t.{ /&"j) ~con~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
[Paid
[Date
o ?S, 78
30t--
~\
W'
nary . Engineering
Pm
The- ("pnl..rof thr L.kp Countr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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....:;>
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: "
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
1i14f3
Date:
I-~-o'l
Comments: See ReVerl'lA ~irl", tor AdditiQnallnf-ormation!
See AttHr.hm"nt~. 1) r'Tt'Hning PlHn, 2) Ern~ion rOl)trol M"a~,111res
"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."
~1
Th~ ('rnlrr of Ih. l..kr Country
CWhite . Building:::;.
Canary . t:nglneering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
)?1~0~cl+- SA &-().
/d.- 3() - 3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: A
0J ~ '77 (J ffU~ {[;t;(
Accepted
Accepted With Corrections
---------
Denied
Reviewed By:
& -t~ - ~ '--- Date:
f(;~ rJ It (l _ /vn-fJ ~
f/zlcJ1
(
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."
~~
While - Building
Canary . Engineering
r Pink - Planmn1rl
Th~ ('enl.., of the L_kt ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Accepted With Corrections
~
Denied
(~,-~
~~:
Date: / /; ~ 'f
/
G"":'cre.nJ"t('~~75 "j-{sJ' ,e~,:..J
(A.c:. '-{,v':r:r) ue..:ht.:'....vtj ...JAuJ err)
Reviewed By:
Comments: 0Ub-n. ~ AND
,
o~r OF 12- E)qs~
'~.,
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or anjlpproval 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 Ihis code or other
ordinances of the jurisdiction shall not be valid,"
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONING/FIREPLACE PERMIT
Date Rec'd
e or . t and si at bottom
ADDRESS
i ~:~w ~!~i"" I PERMIT NOQ4- .oOlJw
ZONING (office use)
2677 COUGAR PATH
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name MITTELSTAEDT BRaS
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTHFAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
2/19/04
APPLICANT PLEASE COMPLETE BELOW
xO NEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants o Steam PLEASE NOTE:
DGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
OAir Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO 6000TR-OAK
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 #
$
$
$
~"BW
",,",_~", 'oJl:i
b Stl:" .N'.3.' '':i';C:-::. lIT
'-. "'l.'
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid'
Receipt o.
Buildinf!: Official
By
Date
24 hour uotice for all inspections (952) 447-9t541, fax (952) +~7"'-245_==
2-25-04; ,; 30PM;
;952 894 0925
# U
.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
;;<(0(1
u
IZy
~~
; ~ ~:~ I PERMIT NO. ILt' ~ I
l_Yel1owAppl":lnt, ~
I ZONING (ollie< use)
I
[;'1
-::1
LEGAL DESCRIPTION (ollice use only)
Ii
V
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
fv\ i -i--k I <2r\--1>-~..\-
~fO~
(Phone)
(Address)
APPLICANT
(Name)
(Address)
BklFR5Ville Ileali"9 & NC, LLC
12481 Rhode Island Ave. So.
S8~age, MN ~~~rRrI122
v\M.'C
(Phone)
(Contact Person)
(phone)
APPLICANT SIGNATURE
APPLICA T PLEASE COMPLETE BELOW
NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL (..eA1rJ07<' G5 i I") P <-('is c- 0 ~ 0 . FUEL No.:).. 9K\
FLUE SIZE RETURN OPENINGS Y; INPUT 9 -0 , (:; 0 0 OUTPUT <&:< r "bUD
TYPE OF SYSTEM HEATING OR POWER PLANT
I~"-
~F
.~
if
I,g}
OWarm Air Plants
OOravity
o Mechanical
~ Conditioning
OVen! System
tM1('Je:JA 3L,
I 3 Ij-CLO
~ -~ r'J
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
'"
REA TfNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(I " "':"~"'"
i'/'//::'>,
(//_ 'I "
////
,}" At.
Residenti~t, Additions & Alt .tiUs '4,f> $:3~:50
Residential, AC Only Sy I.?, $39.c5P'
'--'--, '001 /. .
,,--- ! /
Building Penmt # ~
!~~!~~~~
, ..... .':)i r~~
e ptNo,
'$3950
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39,50 minimum
Residential, Heating & AlC (New Construction) $99,50
Residential, Heating Only (New Construction) $64.50
Estimated Cost $ q I CSm ,0b
Industrial, Commercial & Multi-Family
,,~""
(omet Use Only)
Building Official
Date
I.I'AR 6 1 2 ~
. 'JJAN G 1 2004 Y"
This Application Becomes Your Building Permit When Approved
..;\' ..", '..___m___'''--
24 hour notice for all inspections (952) 447-9859, t~447-42i4i'-=::-,
16200 Eagle Creek Avenue. Prior Lake. I'dl'l 5!i372
05/27/04 THU 13:39 FAX 6128902753
STOCKER EXCAVATING
ilII 001
Date Rec'd
CITY OU PIUOn LAIill
SEWER AND WATER PERMIT
I o,~. Fib [pPI?"i?MIT NO
2: Vellll'" Cuy I:J .
J Cold Alllllip/'ll
04-0016
~ll:iI.Se t'Vtle or Print ~ :lien at bottom)
ADDRESS
2677 Cougar Path
_.~
ZONING (ollie< ""I
LEGAL DESCRIPTION (office Ule only)
LOT llBLOCK 2 ADDITION
PID
-I
~WNER
(Name)
(Address)
(Phone)
Rosemounc, MN 55068
(City)
651-322-4140
Mittlestaedt Brothers
2520 151st Court W., Suite 100,
,--~~.~~)
(Zip Code)
APPUCANT
(Name) STOCKER EXCAVATING COMPANY, INC,
(phone) 952/890-4241
(Contact Person)
Savage, MN 55378
(City)
(Phone)
DATE
(Zip Code)
(AddIess) __ 12336 Boone Avenue
(Add",">
Curt
same
5-28-04
APPIJCANT SIGNA T1!~-
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings 'from structure _ feet.
Type of sewer pipe_ 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line __ feet.
C~:~.~_~~t_Si~ required) located at ___, feet from structure_
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17.50 W.terconnection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMlT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$~
~ OO~LDtMG peIMIT
Building Omci"l
D:Ht
Receipt No_
(Office Uu' Only)
This Application Becomes .....our Building Permit When Approved
By
J
24 h()ur notice for all ir'l$pections (9S1)
--_.__._~,_._--._-_._-'--------'--_._-'_._-~---
Ma~ 27 04 10:00a Emil~ Radant
UH.I.LIlI/U.I, TlDU .a.......v ..,:wa. .............. ~---
651~451-4BOS
p.l
Date Ree'"
CITY OF }'If;IOiR LAKE PLUMBING PERMIT
~-
ADDRESS
I,',.' . ./1.
~=- E-I PERMlTNO.~'
I ZONING (_use) I
.
LEGALDBSCRIl"l1ON (alii<< ... ollly)
LOT BLOCK
ADDmON
PID
~=nH-h~_~s~pd+ ~~k1, i~~~~ (Pbonc)~~:-~(YD
AddIaS) 1-5 2J) - IS ( '0 J1J------:~~ _aJJl ud---t--fn fl)_ -'1-f
=~rlut}j6J~1_~~8~V1L. (phone)--WlJ- L\m-\ l ~5
(Add=!) 31J.LQ.ls 1'> Yllir:Ji~nv0 -\ 'a:J.t) :srn 3:S
n (~) ~ . I UCity) (Zip Cade)
(CIJJIIBerPemon) ~t. (Pbcne) .la5...1:- :J" 1 g - 7G 7 S
, DAtl! tJ ) b .
APPLICANT SIGNATURE
Al"1"L1(:AI.1' PLEASE COMPLETE BELOW
i Qaautity Type of FiXtDre
:r I 'H\ RougI>-ins
- I
- I I WIdJor Heab:r
/j Wa..... SaliDer
- Stand PiDe (Washmll - )
t
tmtiinf: () Stlwage Eiectar
aw Assembly
[' BacJdIow Assembly .Test
". I Law" gpr:,,2"~r
I () Other
Bath. lib with ar
Dishwasher
Floor
Lavatqry
Qsntity
ray I or 2 campi.ii:
Shower Stan .--.
inks
Bar Smk
a1cr Closet (TOI etl
PEE SCHEDULE
IndumilL Commcrc:i81" Multl..family I~ afjob .:N;i' ith fl, S39.50 miailllann. Ilaidcntlal, New One ... T"M>FlIlI'Iily S99.50
RcoIda1lIal. Addidcnu &A_DDS ,$39_:10
EslUnmd Cost S
BulldiIIg PamIt #
PAQDYm'H
BUmNGPStMVT
PLUMIi ,NG PERMIT FEE S
STATE:TJRCHAllGE Ii
TOTJU_l'TJIlMITJ'EE $
..die 00i_1
~D.ah
'"",No_
(_U",o.'>)
Db Appticadoa Ih~ -.cs "'oar Bulldinc P"'lrDc: ,::- When Appro".
24 IUnIr _til'J! ta~ .liD iMPIcdtDl (J5Z)
ru (llS2) ..1....Z4.11
By
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 'J ~ i" c.ou Gs~R- p~,..""
NATURE OF WORK h!.EW ('"~~rio~
USE OF BUILDING S.F:l>.
PERMIT NO. 04-,00/0 DATE ISSUED \, ,~J1J~
CONTRACTOR ~ OS'. . p~(-~LI.I,/I~(J
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
FOUNDATION (Prior to Backfill) <:;Y
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~-.h
FOOTING
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if re uired)
FIREPLACE
GAS LINE AIR TEST
:> ~ "Z..
COVER NO WORK U~VE HAS BEEN SIGNED
~(Ctll1UP~ ~ FINAL;-.?~ I Q)~\.~F'M>I~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
;,~1
S' fl.')
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
----_.,~_.__.--'----- - ._.-....-.--_._--~--~-_._--------_.__.-
,
.
.
"~..- .-.-,
" .
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED 0- 17-4'
2~ 77 CO\JcrF (jJ~
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
t{ -(j 6/ f"
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)!I FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
.8'MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
[. F,:,---t ~W'. ~l1- ;-~. ~tu ~e9-
~~ fk~~::/-~ i;;~''-A..- ~~.-tn ,,~
~~ h,^,~ - ~"^{~
o WORK SATISFACTORY. PROCEED
o CORRECT ION AND PROCEED
,x:ORR K. CALL FOR REINSPECTlON BEFORE COVERING
Inspe r: Owner/Cantr:
THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
l/i$/iOn
DA. TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
(,-21"0/
~'77 ~'1r11 p~fA1
CONTR. 1J1/f1~(~-fr,r.'/~
PERMITN~. 64-/(,
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
oIa:.flNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ILLING
"0 COiiPU.INT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
blQ./L,- Olt.
.
Lv/6 {l,/ri- 01..
V WORK SATISFACTORY, PROCEED
~ORRECT 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/
INSNO"
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS 2<.11 ~ ~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
, 9 INSULATION
!l-FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
)f;pLUMBING FINAL
~ECH FINAL
DATE TIME
->-n-ox
.p~. ~o~2-
'/-t:O/(,
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
6l~l. ~or (\A)Ot""n/l t::ii.
oL2, ~,~ ~ ~
~II::-i' ~~~ ~ . . \ v\1...,... <5/'..1 ~. I;~
. I "'1 S ~ ~.('~b.A
6, ~d-~~"~ o~
fD. M.......... ~ ~l:r~ ~ ,.t ~or~ei:
~
Inspector:
Owner/Contr:
NEXT INSPECTION 24 HOURS IN ADVANCE.
"""',,,
CODE REQUIREMENTS A FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS am ~~c;r QJJ...
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o plUNDA TION
,z'FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
D)lEWER HOOKUP
,6 ~UMBING FINAL
~MECH FINAL
COMMENTS:
~~ /5. G'ue. O'l-Dc........ c>u~
of/Ll... r<~D ~_I; CJ..~5'
DATE TIME
5?2fL
p~ '2 .~i--
~-()Olv;
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
Deck: C'~
P'Y~.r;uJ'S l1;J(
o WORK SATISFACTORY, PROCEED
o CORRECT TlON AND PROCEED
XCORR K, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
"""""
MENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!