HomeMy WebLinkAboutBuilding Permit 04-0018
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please ~e or print and sie.n at bottom)
ADDRESS
/49{,.;1 1../:/fs:JL- (l :a.J__
Date Rec'd
/J-- d3-03
; ~;~:' ~:;y I PERMIT NO. 0 A.. 00/0, I
3. Yellow Applicant , V
ZONING (office use)
tJu/
( ,
PUl)
LEGAL DESCRIPTION (office use only)
LOT 17 BLOCK I ADDITION SI'~,~.. t; ~
~'::~R ,///l,.f)@,-,JJ Co~b7 (
(Address)
BUILDERn /) I / n i
(Name) /,1e1bu/V 1-.0>-';: (
(Contact Name) ~ e~ 0.4'-1 Sri '--
(Address) ?'=n( (U<.;''j...... <i; 1- -V~'i>-j.
TYPE OF WORK
o Misc.
Permit Fee
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
PID :J-S- ,'4C;!n -()CY1- )'
(Phone) <;{-;:)- ~ 3' -;z r J Wi
~AiJl., 15- /h.
(Phone) 9<:.,~- qS;;z.- ?bu I
(Phone) 1i2.-'70l . ~{;,q q
~ <;;" /~ l..{
~eck ~porCh ORe-Roofing ORe-Siding
~ireplace DAddition DAlteration -bUtility Connection
PROJECTCOST/YALUE (excluding land) $ W/1 000. 08
. ,
~ew Construction
~ower Level Finish
..--
100.00
100. DO
35'. $'0
'10, ()o
This Application Becomes Your Building Permit When Approved
,~ ie.J/p
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 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
:'di/;ruOnr;r{t~%.fO~ Be. f)~~ ~ /').-#3-03
I __________Signature Contractor's License No. Date
)/" - .1
PermifYaluation 11 :3Z2.., DOtJ.OO I
$ ~,5 tS'5sol
$ 1550,S$'
$ I Co I. 00
$
$
$
$
$
Building Official
/ I rz.kJ'-1
, date
I
I
I 'Water Meter
I
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUE ~ I. a.ad--- $/0.34-2.5J!J
/0 3QC) ':::''C,I Receipt No, ~':J-g'7/
7- /3 - ().., By ?1
, U
Park SUPl2ll!l Fee
SAC
$
$
$
$
$
$
$
$
~.%O.~t.l
13~tJ,oo
;~ao, Do
70,Of)
/2cJa ,Cf)~
700,f)0
I "SO(J.()O
#
#
Size 5/8C':~
' ,
Pressure Reducer
#
#
Paid
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
. ~
~ning~ ~y M4ecilli~~~'4~
24 hour notice for an inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Buildina
~ry - Fngineeriiilr)
Pm - r-,iiifnlng
Thr ern"t of Iht L.kf ('(luntry
BUlI-DING PERMIT APPLICATION D.EPARTMENT CHECKLIST
NAME OF APPLICANT
/fJe 0 (i IJ;-) '-D
j,'j -,? () <:
c>. f-,,J, -'
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4 9 e '1 HI ~ L. ..~. I () [ (! I/Z
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
~f3
Date:
I-b-O~
Comments: ~e Reverse Side for Additional Information!
See Attachment~. I) Grarline; P1:m, 2) Fro~ion 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,"
~~
~ile - Buildi~
Canary - Engineering
Pink - Planning
Thl' ("l'nlt'f nf lh..l..kt' Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/'1~D o 1Jf7 L-J:)
/2-. 2-3.03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4-9 b1 I11VVS I f)tJ ~!Z...
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
~
K~
~ Date: 1// z/o '-/
oJ..f' ~~,
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."
5~~
White - Building
Canarv - Enfl.ineering
~.. - "'Janning)
Th.. (-..nler of Ih.-I.."'.. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/, '
1'/( U(;I/LU
J .;:'. 2' _.~-" , O..:j
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
f /.' I~ Ii L /' - ., I I
i V; ,..,. ! fl. ( i u t ' ' 1<:-
Accepted
Accepted With Corrections /'
Denied
Comments:
Reviewed By: ~ ~-I--"
A.(. ~ (2h->-~
,~,
.J-o ~ ~.
~
Date: l r 1 zJ N.!
~~~
u _
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,
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"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,"
(Please .!,ypC: or orint and sft? at bottom)
ADDRESS l L} ~ if
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Blue File
2. Gold City
3. Yellow Applicant
I PERMIT NO. '-l' If{ I
1i:1. LL----'S :1JJ6
ZONING (office use)
C:rtZ eLf ~ LJ.,
LOT
LEGAL DESCRIPTION (office use only)
PID
OWNER
(Name)
(Address)
BLOCK
ADDITION
fV\ C j) \-...J Jl L 0
r, tn.J ,<) 'j'
(Phone)
43..2 J) t-, {1 1
APPLICANT
(Name) () I ,~ Ir--...J
f4-6D 13)
(Address)
(Address)
~ L v. in B;:t .LA-:)
~' 51 C\
~ U J b ) <? (sg
vAU--t( 55 ) J-Y
(Zip Code)
(Phone)
A pf L-f
(City)
(Contact Person) b<f- IV l: , D L-S (nJ
APPLICANT SIGNATURE ~ ( p.
Quantity
r
\,
~
I
.l..
I
I
'.<
(Phone) 'IJ J 0 j X'! (If
DATE ..J - 1 7 -' ^ Ll
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Qnantity
Type of Fixture
--'
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
,
,
~
FEE SCHEDULE
Industrial. Commercial & MulIi-family 1% of job cost witb a $39,50 minimum Residenlial. New One & Two-Family $99.50
Residential. Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$ .50
$ I" )
11 ~ I~
I Paid 151 p
I Dat~_ //-1
By,')
ft4----
j
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Receipt No,
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (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
1. Pink
2. Green
J. Yellow
~:;y I PERMIT NO.""'-. ,,^,fIrt.
Applicant ~
(Please trDe or print and siJtll at bottom)
ADDRESS
ZONING (office use)
14967 HILLSIDE CIRCLE
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name MCDONAL CONST,
(Phone)
(Address)
APPLICANT
(Name) ATUFD FTRFSTDF DBA FTRFSTDF HFARTH & HOMF
(Phone)
651.633.2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
'i5I13
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651.633,256
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
2/16/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT OUTPUT
HEATING OR POWER Pi:Am-.,
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent System
o Steam
o Hot Water
D Radiation
o Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO 6000TR-OAK X 2
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 Penn it # ~;)''.iU~..'
$ , " t.J '(fI!r'C"
r--,~ ~_ _ L ~ ~ I.
$ , , 1 .l-t'\mI"'G'" (-0
~--....,.,'~~... -"I"":'I"""1T
... ,(; - I '-'~n:t'~~
$
(Office Use Only)
Buildine Official
Date
I Paid
I Da1leEB 1 8 2004
Receipt No,
This Application Becomes Your Building Permit When Approved
By
24 hour notice for all inspeetions (952) 447,9850. fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/Fl;REPLACE PERMIT
Date Rec'd
t'Plm:se !'rc or 'Print and siJalIl bottom}
I ADDRESS
/dq~ 7
l ~~ ~~, [PERMIT NO.AA., ^" r.
). Y~llow ~bnt I - . .,...... - WJII
dd,;/Je
r:/1 r
AI. t/) I
I ZONING(oe;<<_l I
,
LEGAL DESCRIPTION (ollke u>e only)
LOT
BLOCK
ADDITION
PID
~=R ~. ()~^ r:JJ)
Cc,ltjst .
(pbone)
-71-,Q - 7C-.O I
(Address)
~~~~'))/I()//,.,[) ()..-U
(Address),..? / ;::;)/ () P:'o In ^ 1 HiJ e ,
(Addre,,)
(Phone)
/!k-'J '" /d)~~
~~Jj
(Zip Code)
. /-g r ^^ ft/'/f.) ,
o . (City)
(Contact Person) 7 _ J Ii
APPLICANT SIGNATIJRE ,~:c:-h z;:;-~
(Phone)
DATE rJ./7;(}.2!
_ APPLICANT PLEASE COMPLETE BELOW
,EINEW CONSTRUCnOl\' 0 REPLACEMENT 0 At. TERA TrONS
FllRNACEMAKEANDMODEL -/~J\lf? 7iAYn?;c')~ql/3V FUEL Al'A,.L-
FLUE SIZE .3 I' ~/J L RE~UR."I OPENINGS' :< INPUT 9'0000 OUTPUT 7;; CM
;
HEATINGORPOWER~T
o Steam
o Hot Waler
o RadioliQn'
o Special Devices
o Other Devices
TYPE OP SYSTEM
DWarm Air PlantS
DGravilY
~eehaniCal
..81J,ir Conditioning
..0V ent. System
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yord
Setbacks
FIREPLACE MAKE AND MODEL
lndusuial. Commercial &: Multi-Family
FEE SCHEDULE
1% of job co,t Residontial, Gas Fifi:place
$,9.50 minimum .
$99.50 Residonti.l, Additions &. Alterations
$64,~O Rc>identiol, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
IlEA TING PERMIT FEE
STATE SURCHARGE
TOTALPERMlTFEE
$
$
$
~'-,,, .r ", ,
)f1.1) ;"Irlwrc-.....,
.5.Qc ',", .'~"'_
,-: 'f. '"'l'I;'\r' r'li:>>)-' ~~, L
-'---~:-:..-' '''''':'.'~T
(Office Un Only)
This Application Becomes Your Building Permit When Approved
Paid
I Receipt No.
\ By
Building Official
Date
~ ] R 2004
100 IfJ
24 bour D<>rice ror all inspections (952) 441.9850, fax (952) 441-4245
16200 Eagle Creel< A.venue, Prior~MN 55312
liIV a3'110li.LNO) OL;;OOOHSO XV,:! LS: 91 3iU 1'00;;' L 1';;0
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 1L.\t::t1.? H:;L.&...S','OE l'irt.C!.L1! tJ.uL
NATURE OF WORK t.1~ Cb..aTII (.t..~'cN
USE OF BUILDING 'S',F". ().
PERMIT NO. 04.00/8 DATE ISSUED ~..,
CONTRACTOR C 0 IG~ PHONEc.'1.-1(), ~
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
, FOOTING
I FOUNDATION (Prior to Backfill) I r If I-? 7 I
rA _ ,u..YLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
2f~ ROUGH - INS
SEWER I WATER I SEPTIC ~f5 r < :/
FRAMING
INSULATlON f'" IJ .:r - J (#)
ELECTRICAL
PLUMBING fA - 2 -2 (..
HEATING (If required)
FIREPLACE
GAS LINE A!R TEST ~"t'^ -;:-/1,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
'I.A71t.€/ CUi.rN.LI'D S~NG I o//..J- I ~ cV3
. FINALS iJ^b.L::Jr. ~
GRADING (Prior to Sodding) NJ5 "1. J'uy ,
BUILDIN~ ~ R-I-o~ {IT;< ~ - ;44-61
ELECTRICAL' I
PLUMBING "..;~ f/,-;;?7
HEATING
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
QI~rfifitZlf:e of @ttltPZltttl!
CITY OF PRIOR LAKE
~rpnrfmruf of ~uilMug Jlusprdiou
BFinal Permitted D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying
that at the time of issuance this structure was in compliance with the various ordinances of the City of Prior
Lake regulating building construction or use. For the following:
Type Construction
SINGLE FAMILY
VN
Bldg. Permit No.
04-001R
Use Classificati0'"
Occupancy Type
R3
Fire Zone
N/A
Zoning District
PUD
Legal Description L7. B1. STERLING ADDITION
Owner of Buildin,Q Site Address 14967 HILLSTDE C-TRC-LE N_T.AL
Contractor's Name & Address MCDONALD ObNSll'R. . 7601 145TH ST. W. . APPLE VALLEY 55124
ROBERT D. HUTCHINS! ; I! City Planner DON RYE
. BuiJding Official I V
(' /
Date: ? ;: ((~ /r. i Date:
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
$- 't l( -0""
ADDRESS )t(?r.7
~:/( "l.~ c:.n
OWNER
CONTR.
PHONE NO.
PERMIT NO.
q -o:;:J(~
o FOOTING
o FOUNDATION
o FRAMING
~ULATION
~ ~~~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
ok. t:< ('{~~ ~0
(lI(, WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC\IRK. CALL FOR REINSPECTlON BEFORE COYERING
Inspector: ~~ Owner/Contr:
-!7
CALL 447-0850 FOR rl<E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lNSNOTl
DATE TIME
CllY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
PHONE NO.
Ny? 7 f/(!/~/~..--LI',r
CONlR. /ilr [bnqftl
PERMIT NO. (:) Lf -I f
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.:::iHtNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~LLING
o COilPtAiNT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
&r..h -,9 t.
Cv Ib B'I ,,~
'MvoRK SATISFACTORY, PROCEED
--6 'aoRRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COYERING
Inspector-4/~_ _~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
,~n
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
LJ -'2-'\ - c;'f
,
ADDRESS J L1"1/", W;II~I,.Qo 01'1-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
11- oo(/!>
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
l!( PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~~~ l)(f~~
1.. t-. \l t...~ /V\ \\ 1 v 4C/7- ~ y;;.,
o WORK SATISFACTORY, PROCEED
MORRECT ION AND PROCEED
<-6 ct,RREC W: , CALL FOR REINSPECTION BEFORE COYERING
Inspector.
OWner/Contr:
810 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CAL
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
lNSNOTl