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Home My WebLink AboutBuilding Permit 04-0017 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please tvD~ or mint and sign at bottom) ADDRESS J 1.; 9/) J-.J i /Ie;. 'rJ c:. (l :-{2 el e LEGAL DESCRIPTION (office use only) LOT h BLOCK I ADDITION S'( ei2) 2> ;h {J [b '-,l-iAJ 0 ~ r:.: -j . (Address) TGJ ( I L-I ~ /? S 't-WJ:l-~ '( . OWNER (Name) Date Rec'd J] 3/c0 \ :1--,0- I PERMIT NO. 04. 60/11 l. White File 2. Pink City 3, Yellow Applicant A/u/ 4r}J " l' : ()~ I I ZONING (oflioeuse) j?vrlJ PID z5: 30'1, OJ 7. 0 (Phone) ~--::J-Ll:r#'7hO I AoL{.JJ......~~,...,~ ,<;:-,-,1}-L.{ j 7 -1/ ~:fa~~R /J?e(L,y~J) Cl y<-J < (Contact Name) ,Ie~j:' (lCLA.l ~(')- (Address) '7 h,) ( (Ct<. - -r-;... ..... f- (V.r> if . jiJ f) 1..( vdl... . ~ TYPE OF WORK ~w Construction ~wer Level Finish ~eck DPorch ORe. Roofing DRe.Siding ~irePJaCe DAddition DAlteration ~~nnection PROJECTCOST/VALUE (exc1udingJand) $ .$5 z'f:;2 110 - o Misc. (Phone)~-ti'.?..;l..- ?f:,U/ ':? (Phone) (or;:;l- 7 c>r .. fb Cf4 ) ff;>,7..., ",,,,-, "- 1/1 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 pI s. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may ;terupo r~:t::neededmSpectiOns /7 e -(is 7G /!1- g,3,- ()"z, Signature Contractor's License No. Date I IT' I Permit~luation I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee Mechanical Permit Fee ~'3'-1oo0.00 $ 'L'457.C;;o $ I 5'17. 3~ $ I CD? ,00 . $ $ $ $ $ I Do. 01() 100,00 ~'5.S0 40.00 Sewer & Water Permit Fee I Gas Fireplace Permit Fee This Application Becomes Your Building Permit When Approved ~~ Building Official / / ;)/aJ f 'Date I Park Support Fee # I SAC # I Water Meter Size 5/8"~ I Pressure Reducer I City SAC and WAC # I WaterTowerFee # I Builder's Deposit I Other I TOTALDUE...~ 1.13 .{)4- ~, 1$ $8So.oo I $ 1~5Q.t)d 1$ 30fl.ClO $ 70.00 $ 12..00.00 $ 70fJ.oo $ IS:Oo.oo $ I I I I I I I I . YO.4t?7. 3[1; I I Paid / () U (D 'I, ~ (j I Date J- I;), -tJLf 11"NO '-/<, ,Vie, 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 ~::.fu2i~p~~"mpO'MYC'rtm;i:/;;oomPlimoemdZtruct~mmej:e::::zccupm~mustb, Planning Director I ' Date Special Conlitions. if any 24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 .. Job Address/7'777/1,//r,;/" Gr Alf../ Heating Contractor Controlled Air Name of Tester ~(./C t' f. Date 7-'- 5 - 0 "/ Percent O2 tf I Percent CO2 ? 7 Percent CO Stack Temp. -&- /",;f . .~ ~~ ""hi: :~II"lina ( CanillV Enllineering-:> "Ink . Planning Ttlt(-tnltf IIf lhl' l..krCoUIIM'l j'3UILDING PERMIT APPLICATION DEfARTMENT CHECKLIST NAME OF APPLICANT i- )-- - /' r,: l/(!;C/ 1/ cO APPLICATION RECEIVED /'7 , / ~- . "':1 ? ? v--, (i \ -' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / .( ;,,:,; -7 -7 1/ i (-/ ~ t I ,Y- " 9''/ /-, Ii- ,) f;/C l/ Ii..--. Accepted x Accepted With Corrections Denied Reviewed By: 1J148 Date: /-~-o~ Comments: See Reverse Side for Additional Information! See Attachments: I) Grading Plan, 2) Erosion rontrol MP.l1S11TPO "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." ~~ CWhite . Bui@iniJ:::. Canary . Engineering Pink - Planning Th.C"rnlrrnflhr I..b('ounl~' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT n vb 0;./ rr~ /2. 2-3. tJ3 APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4-#7 -; l-f/U~JI pE U IL--_ Accepted Accepted With Corrections ~ Denied Reviewed By: Comments: ~ t!}~ r ~ tU..f .~ ~ Date: /~?.,; 17 "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." --I s@: +'NNESO"'" CITY OF PRIOR LAKE PLUMBING PERMIT Date Rec'd t. Blue File I PERMIT NO 1 'Gold C;" . JJ_/ 3 Yellow Applicant f-7 (Please!YEe or print and siJitIl at bottom) ADDRESS I L.J.q /JJ.-J:t. LL S:r P( i,iKr) ( h.l )^! . " LOT LEGAL DESCRIPTION (office use only) BLOCK ADDITION OWNER (Name) (Address) APPLICANT (Name) (Address) (Y\ L J) t5QJ to kn Ct:lV<(\ D ~:s IrJ b 4- C:1'D ..p Lu, (11, -sT..Jh I 3 ) $~ '5\ CT (Address) (Contact Person) re, r. .,}{ () (~<:; ty...J fI1 ,fA_~ APPLICANT SIGNATURE ~~ ~ Quantity d.. ; 4 I d.. I , '< ZONING (office use) PID (Phone) -..!:i. '?.1, I .c, () ! (Phone) II tr>..fU (City) 'lOS?f ,'::;'5' lJA (Zip Code)' rD/J. 70J 1/41 U ('J I bid-If) ) '6)t:;,~ ) / r() 1.). (Phone) DATE .2.-' APPLICANT PLEASE COMPLETE BELOW Estimated Cost $ Type of Fixture Quantity ----- I Rough-ins Water Heater Water Softner Stand Pipe (Washing Machine) Sewage Ejector Backflow Assembly Backflow Assembly Test Lawn Sprinkler Other I Type of Fixture I Bath Tub with or without shower Dishwasher I Floor Drain Lavatory (Bathroom Sink) I Laundry Tray (1 or 2 compartment sink I Shower Stall Sinks Bar Sink Water Closet (Toilet) , FEE SCHEDULE Industrial. Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential. New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 Building Permit # $ $ .50 J $ \v leY I Paid bL1 ~ I DateQ_I7-4 PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE (Office Use Only) This Application Becomes Your Building Permit When Approved Building Official Date Receipt No. ',./ By 1\ .1Jr-..- U 24 hour notice ror an inspections (952) 447-9850, rax (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'd l,Pink 2. Green 3. Yellow File City Applicant I PERMIT N004-.0O[f (Please type or Print and shoo at bottom) ADDRESS ZONING (oflice use) 14977 HILLSIDE CIRCLE LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name MCDONALCONST (Phone) (Address) APPLICANT (Name) AJ.TJED FIRESIDF DRA FIRESIDE HEARTH & HOME (Phone) ti51-!i:J:J-25tiJ (Address) 2700 NORTH F AIRVIEW A VENUE (Address) ROSEVILLE (City) 55113_ (Zip Code) (Contact Person) BRENDA HUSTON (Phone) _651-633-2561 APPLICANT SIGNATURE BRENDA HUSTON DATE 2/19/04 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM DWarm Air Plants DGravity o Mechanical DAir Conditioning DVent. System HEATING OR POWER PLANT o Stearn o Hot Water o Radiation D Special Devices D Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL HEATN GLO 6000TR-OAK X 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 # $ '1'\JD 0!Wrr:: $ ?"~~,~')~17\!::2 r:',~r_~: ;,_ .," 1T $- (Office Use Only) Buildim!: Official Date I Paid I D~B 1 8 2004 Receipt No. This Application Becomes Your Building Permit When Approved By 24 hour notice for all inspections (952) 447-9850, fax (952) 4474245 CITY OF PRIOR T, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECI'ION PERMIT Date Rec'd iE.~, I PERMIT NO.Oaf. oor'( I ZONING (om",_) (!J1l:lUC ~~ 01'ptiat and sip atboUbm) I ADDRESS 1-'1977 ,flA/{Je G/r>.. AI. I:J ' LOT BLOCK . LEGAL DESCBIPTION (ofIitt.... oaIy) AuJ.,lUl0N ~:':~A~~/D u,;.JF:./ (Address) 4 ~~!~ fA9//r. f I , , \. PID (phone) .J./,.'S;;} - 7r;,o! (1ft' (Phone) (phonel, -9'~(j - c.r,;:::;;;< D1l.c-sidiDg Duti1ity Connection I hereby cenU'y that I b.ve fUmisbe<l infonoation OD this application wbic:b is 10 th. best of my knowlecl8e <me and coaec:r. I also c:mili' tb.tt I un the ownc:r or authorized agent for the a:.. .1'.. _,....l:ionell property and. that all c::on...._.:...... will con!orm to all existing state and 10cAl Jaws and. win prooetd. in w::x:ltC11DQ: witb. submitted pJans. I un aWllte that the building olIicW can revOke this permit tor just ca1lSe. furthermore, I hereby agree that the city cdficiaI or a ~ lIlllY cokru~ proF to pc:lfol1l1ne;cIed inspea;m/7 X -/ h.d7 - ~hD'J-f'"d// c.-r SJgnamR: '~~;"! C~>< 9i,..,"/~G (Contact Name) (Address) c9lc;JIO ~ COF WORK 0' ~ewConmuctioa A"6'O r,-' ~ Dlmvc:r Level FiDish "* /f, c-, j Permit Valuation I Permit Fee I Plan Check Fee I Stare Surcharge IPena1ty I P1umbiDg Permit Fee I Mechanical Permit Fee I Sewet& Water Pemrit Fee I Gas Fireplace Permit Fee &0.. ~A.J fllle, rB 11'1, J??N < 5"5'0 c;l. -'I DDeck o Fi<cplaec ORe.RDollnj: DPortb DAddiUOD DAlla.tion PROJECTCOST/VALUE (excludillgland) S CODuactOr'S LiCCO$eNo. I $ $ S $ $ $ $ IS I Park Suppon Pee I SAC I Water M<Ie:r SizeS/So; t"; I Freoswe Reducer I Sewer/Water Connection Fee f WaterTowe:r Fee Build<r's Deposit I Other I TOTALDUE This Application Becomes Your BulldiD; Permit When Approved I Paid I IlawEfl 1 ? 7nn4 BuildiDg 0fIicial Dale d-/I- ~-7" Date # # I I I I I I S I ~~IO Vlm-, I ~NC PERMIT /: # # $ $ S I Receipt No. By 'Ibi>;,1O a:ni1Y rllat d>e _10 <he._ 11'l'_ and a=~ _~" 10 aceordaoee _ d>e O'Y Zoolng 0tdiDa0<< and may ploc..,! ..1tqIlCIwl. 1bIa_ Wh..ll8oefl by tbe City PLuIIIer c:oDSliWtta alallpO<OJy C_ of ZooiDg ~ and aIIo..."""""oionlO all..."",- BeJi>re OecllJllllCY, . C...w- ofOecllpillOY_t be ;""01. PliIDDina Dirottor 1001Pi Date SpeQill Cooditioas. if any 24 bonr .oli.. for.n in..celio., (?52) 447-9S50, fox (952) 447-42~ lIlV a::nl0\l.lNO:l auaoat1sa XV.:! at: SO aa,~ 1'00~/11/~0 PRIOR LAKE DEPARTMENT OF . BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS ~ ~ "L. L. S'" i L} eo cj nt J F ~.I4J. NATURE OF WORK AJEW ~,~~ USE OF BUILDING S ,F:' C> , . PERMIT NO. 04.00/7 DATE ISSUED ~ 0&./ . CONTRACTOR ~ . PHONE tiZ- 70/--B~&fC( NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PEPMIT IS BY SEPARATE DOCUMENT IN~R [fATE I FOOTING I tYrf/ I ,?-j?-, I , FOUNDATION (Prior to Backfill) I ~ II J - .?;> I I j, I~E NO CONCRETE UNTIL AB. OVE HAS BEEN SIGNED ~ ROUGH -JNS SEWEFtfWATER I SEPTIC r/ - /-<'7 FRAMING 1!! ..~ i1-- 0 INSULATION r,f) "'" <I? ELECTRICAL PLUMBING UJr- ale !/.IV '}.- U{-OLI HEATING (if required) n~];- J2:- FIREPLACE 2 vw.J;:r.!7"b 6'- Y7 GAS LINE AIR TEST ~. ~ rfZ>?-~ 1, COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ILJtni~ / tlJ.'rtt.fl.~TlJtJG I ~ I vt/LS , FINALS (J;aAP ,l..-.,l;~ GRADING (Prior to Sodding) PJf5 7. JZ. t~ J BUILDINGII~ 1z9 l'-l-c;if (17 ~ 2.:-1-0'1 ELECTRICAL , I '- - PLUMBING ;Pft 6'-"L.) HEATING VI) - ,g-:..::>i&> DO NOT 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 - DATE TlIIE CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED #.2'f ADDRESS !Y'i 7 7 l-I..f{ 'St'&.-. C (r OWNER CONTR. PHONE NO. PERMIT NO. q. 00 (/ o FOOTING o FOUNDATION o FRAMING o INSULATION Ii FINAL '6 SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRADlFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL [J GASLINE AIR TST [J COMMENTS: IJk I.n C~ d-f:.... LIIJ ~ WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspeclor: III J Owner/Contr. CALW71850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SIIFETYI INSNO" fI"/I<,~h C,'r IYJ, DIM.v ()I/- /7 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS /LfC; 77 OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING [J FOUNDATION [J FRAMING [J INSULATION ~L [J SITE INSPECTION [J PLUMBING RI [J MECH RI o WATER HOOKUP [J SEWER HOOKUP [J PLUMBING FINAL [J MECH FINAL COMMENTS: G~tk ~., Il Lv1b 1Sl">-1'or.." DATE TIME #ff 7- /2. -O'f .~ILLING ii co~ o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o '1i. WORK SATISFACTORY, PROCEED ~\CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspectov?Z-~ - _ "wner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. ,-.,,, CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SIIFETY! DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED '0-'-0'1 ADDRESS ~ l.U~a 0\ OWNER CONTR. PHONE NO. PERMIT NO. t!- 001/ o FOOTING o PLUMBING RI o EXIGRADIFILLlNG o FOUNDATION o MECH RI o COMPLAINT o FRAMING o WATER HOOKUP o FIREPLACE RI o INSULATION o SEWER HOOKUP o FIREPLACE FINAL o FINAL ~PLUMBING FINAL o GASLlNE AIR TST o SITE INSPECTION o MECH FINAL 0 COMMENTS: I. T~~J../ . &A. ~~,..,..J. ~ l4A.J ~ ':l. 0hp (: \.h -.A::1 .( '?" ~ f....S C:..I{""" o WORK SATISFACTORY. PROCEED vf CORRECT ACTION AND PROCEED /D'cORRECtCZK' CALL FOR REINSPECTION BEFORE COVERING Inspeclor: Owner/Contr: CAL~ 1 (9 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. ~ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SIIFETY! lNSNOTJ ~~ White - Building Canary . Engineering .....-pj.j.i\ ~ ....Id....nng..., Th~ ('~nlrr of Ih~ L.kr (-audlr}' I \ BUILDING PERMIT A/~P/L.I.CATION DEPARTMENT CHECKLIST AME OF APPLICANT 1/ /. II ( 1--) " APPLICATION RECEIVED /2 /- (" The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / . ( "j'" "'J" ,,/ i n ( Ii I" t.. ( , ~ ('/1 Ie . Accepted Accepted With Corrections c./ Denied Reviewed By: ~ ~~ Date: i/ ~ f Comments: A.f', ~ ~-f-- ~ ~~ ~.?~ ~.J)~ C/(j '~'r'",.{...I"" " ~ ...,~ r::l.rLJL(~. / - ~o-..J-' ~ 'l~~ ~UP ~. .... ,...!IJ! ~ VI...-If- k. ~. ~ "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."