HomeMy WebLinkAboutBuilding Permit 04-0110
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
e or rint and si at bottom
QT~
Al.u.J
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNER
(Name)
Jr
(Address)
BUILDERM~ ~ /1 (Jc ......
(Name)//"/(o/J?r1<.. ~,' I
(ContactName)~ e ~ p C'~;1.L~
(Address)? 01 (Cf r-1't...
TYPE OF WORK
DDeck
o Misc.
I,re.c....
ew Construction
~ower Level Finish
~ireplace DAddition DAlteration
PROJECT COSTlY ALUE (excluding land) $ 3
Date Rec'd
Z ./f.04-
1. Whi" FiI, I PERMIT NO. ~. 0 II 0
2. Pink City .
3. Yellow Applicant
lA,
ZONING (office u>oJ
/01
PIDZ';-. 4-IZ- 012 ,0
(Phone)c;., ?- 431-- 7 bO /
(Phone)~' L(J:J..-7(,o (
(Phone) (;,1;). -70/ -,.1>" (, c-( 4-
(.vb. ~~{d
":J-
ORe-Siding
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
enter po e p erty to erform needed inspections.
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
t)o. 0 0
(00 Ot)
.3 S; ~O
a,eo
Application Becomes Your Building Permit When Approved
r .~ ~-!S(o{
Building Official Date
I.~ E -f) 3rt I Q
, Contractor's License No.
~-II-OLf
Park Support Fee
SAC
#
#
Date
$
$
$
$
$
$
$
$
-
Water Meter Size 5/8
'".
,
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 Cl~ Planner nstp;Ptes a temporary Certificate of Zonmg compliance and allows constructIOn to commence Before occupancy, a CertIficate of Occupancy must be
"'U Planning Director /P~'I ~speci~s.~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Pressure Reducer
City SAC and WAC
Water Tower Fee
#
#
Builder's Deposit
Other
TOTAL DUE
.:J.z.,tJ+
~~
ue~
-
lhf Crnlfr (If lh.l.lk. ("ounu....
c White . ~~
Canary - n. ring
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
MC/DONAL-D c'ONSTf2...
2./1.04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/53q7 rAZA~6 (.A N .W_
Accepted
Accepted With Corrections
~
Denied
~..~
R~
.
Reviewed By:
~t-.J
a...U' ~ fl ~ .""'i::: .
Date:
~~r~'/
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."
'~
~t
White
Canar
In
---~
Th~ ('rntrr ..( thr l.akt ('onnl,.,.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
tic- 0(('0/\ L-U CCtr:T1<::...
2,11 (4-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
" :';_3 ~/' 7 ' ' A
_ ,Lli I\.t. v
rJ \v .
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
~
~ /,.j] cd. t7
c7/ c;;. '5"/:7 </
,
Comments:
~ Date:
a:-LI~-_':t;
"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."
White - Building
Canary - Engineering
Pink - Planning
Th~('.n'.r of th. t._'" COllnl'1'
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
rJ c., D ON A L-D CO N STf'2_ .
2.11.04--
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 53q 7 (Efl uS 01 ~, vV
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
/J11:.I>
Date:
2-27-01(
Comments: See Reverse Side for Arklition::ll Inform::l!innl
See Attachments' 1) (Jrac1inE; 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,"
.--------------,----_._--_._._~_.._-_._-_._-_._.~--~.--------.
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
e or
; ~::'" ~::, I PERMIT NO. ll_I/^
3. Yellow Applicant ~ V
ADDRESS
ZONING (office use)
15397 CRANE COURT NW
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name MCDONALD CONST
(Address)
(Phone)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
411/04
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 HEATING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NOTE:
DGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning D Special Devices Required Side Yard
DVent. System D Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEATN GLO ST-HV
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
.50
Estimated Cost $
HEA TlNG PERMlT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid.
, R#ceipt No.
,
i
Buildim! Official
Date
By
Date
I
24 hour notice for all iospections (952) 447-985O,iax (9521447-.=c:.~_j
CITY OF PRIOR LAKE
HEATING/AIR CONDITlONINGIFIREPLACE PERMIT
Date Rec'd
C;t.,
,.<J, iAj .
i~:. ~~. I PERMIT NOI'fC7\Tl1\
3. Yellow Apphc:ant ~
I ZONING(olliccu.se) I
(pleas. ~. or print and siJlIl at bottom)
I ADDRESS
:5Sg 7 CnhlAJe
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID I
I &~"r;)"'^JQ;{O
(Address)
GJt)~ )
.
(Phone)
7<~,.;;> - 7c'o I
APPUCANT. / 1/ n
(Name) ~'Jr/'o//e(V 0//1
(Address)o/I";?/o ffih.-,,) Il/Je ,
(Address)
(phone)
-rG;o - c..(')~ ~
.r{~ -I
(Zip Code)
hj"C @,ur
(City)
(Contact Person)
(Phone)
DATE
4-7-0.L./
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
W CONSTRUCTION
FURNACE MAKE AND MODEL r J"lM'~,LP7r.Jt,r
IT I\.
FLUE SIZE,:) r:.1f(' _ RETURN OPENINGS
TYPE OF SYSTEM
DWann Air Plants
DGravity
~echanical
/ErAir Conditioning
.~ent. System
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 Residential. AddItions & Alterations
$64.50 Residential, AC Only
$3950
$3950
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
PJijI!) wm..J
6'JJ.Da~NG PraRMrr
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
(om.. Us. Only)
This Application Becomes Your Building Permit When Approved
P",d
Receipt No.
Building Official
Date
D~PR 0 9 ZDD4
By
24 hour notice for all inspections (952) 441-9850, fax (952) 447.4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
100 IiJ
SHAI~VNHH~lV X~HHNH
LIL909~IS9 XVd 9~:01 OHM ~OOZILO/~O
Dste Ree'd
CITY OF PRIOR LAKE PLUMBING PERMIT
iI. W{
--:;
IJ/;'/ ~ {+t, PID _J
I:i.'::" to),,,/} COtld",d;Oh,'1rtC ",-,'lJJ- ~;)-7()tr! j
I (Addlas) /to/ /YrfA sf V) If/yip IA lIP)! / Mh .. ~-IZd Y
t?~r (' u Ih (Phone) 6^w-Y\19~ rP/~J
ewe! lie, .so., tie h~~/.6
(Address) (CIIY) (Zip Code)
:5H,1 (Phone) {q-yS-Y-=-.\?/\fO
11:~;;dC;:O~:) C1
i~. ~::, [.p. ERMIT N~ 7\JTI/\
J. v.how "PI'liunt ... NI.1IJ1
-I
,
rZON1NO~"Illce"") \
_--.J
I LEGAL DBSCRIPTION (olll<e - only)
Lcn08 BLOCK08 ADDITION
l
(AddJess)
(Contact Person)
APPLICANT SIGNATURE!
DATE
Typt of flxillre
Machmo)
est
FEE SCHEDULE
Industrial. Commercia/A Multi-family 1 % ofjcb cost with a $39,~0 minimum ResilleDtial. New One & Two-Family $99.50
ResllleDlIaJ. Ad<lidon. &. AllerBliono 539.50
EstimatedCost $ /lr-oo,Ori BllildiniPermil# OY-OI/6
PLU~ING PERMIT FEE $ t~JAln-- k.u!~' PPlllO W!it'-{
STATE SURCHARGE $ ~.atr~ PERMrr
TOTAL PERMIT FEE $
(0fIIc< U.. Ollly)
1l11s AJIIllicatlon Beeom.. YOllr Bulldlnll Permit WMa Approved' Paid
Rec;,ipt No.
BUll410ll OIlIcLoI
ate
Datt j' ~jJW-
24 hour notl... for all inspections (952) 44'''UO, fox (952) 447-4245 '
y
--"
~---
9528816976
BOB JECHE
_...-:~..
Q.,O~.._
Ch_
V~II.....
(;014
CITY 01<' PI~I()I~ LAKE
SEWER AND WATER PERMIT
'I"
"
'.,.r:"
"
,~~~:~
\"-;
.gJ-
TYi
pm,
(:Phone)
.____\~!Iy)
(Phone)
DATE
A..PPLICANT PLEASE COMPLETE BELOW
i,'i , :~~\" Size of water service inches,
''(I' '1~/~,tLocation of any couplings from structure U feet.
'~-,~'r'Typeofsewerpipe. DABC_I~ 0 Cast Iron
:~, :,1, ,;,\'Estimated length of Sewer line .K feet.
.', 1_:' Clean out (ifrequired) located at _ feet from structure.
.:,,~::,~~~~:~
4H,"
:_'~,; I. '
" .; ,;.~~
-'i.
:.:,:;;r- ,: _ 'i~ .- '
\1;kesidentlaJ sewer and water line connection
" ScWllr,coNlec:lion only
;t: '
:'.~'
",' :~~:.,-::'~\,".
,,,/,,11, ."#."
. i~?!~:',"',~};I.
$35-50
$17,50
Estimated Cost $ q :; /"
FEE SCHEOULE
Industrial, C~"'.\ & Mul<i-I"amlly
Water connection only
1 % of job co_ with .,$39.50 mlnimUIII
$17,50
Building Permit #
SEWER AND WATER PERMIT 1'1 E
STATE SURCHARGE
TOTAL I'ERMlT nE
$
$
$
PAnS) ~liJr.rJ ." '.,
~'m"~1'5l r",....,:~c._
.' ,,'il.~ "-t:~~;~ ':N/~
m~.-'
;He
.....J!J
-.
,JRIOR LAKE
INSPECTION RECORD
~ s..r
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR "If PH NE &4((
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
,J. /IJ ·
I FOOTING
~fI5CTOR
0'
DATE
I
I FOUNDATION (Prior to Backfill) I r ~ cf" Y/ I
I 1L'J?} N9 CONCRETE UNTIL ABOVE HAS BEEN SIGNED
?h.etJI6fJP ~-8 ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~.
COV~ NO WORK UNTIL ABOVE HAS BEEN SIGNED
MtJI~f ~ntP2J ~~ I
FINALS
GRADING (Prior to Soddin )
BUILDING ~ +-0 -I . 0 '
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
,f<--t1
v.,..~
cr "8
or -(0
4..-c
~
(
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
________^_._~_,.._._."_____.".___""~.__.~_m."__'_.___._.___..__..___,__..______.__.__."._'._._"._._..__.__.'___._.,_~__
, .
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 15 -r, '17
OWNER
DATE TIME
SCHEDULED l-B~
L Q-f--
CONTR.
PHONE NO.
PERMIT NO.
Lf-o lIt?
:RME~TS: ~U:k
, illll~ t{
-fO.r- C,~ {,!r
~"'Mk..'-<A,- ?;.CS' ~ Q(1){.Q
3, ~~t~~,~,.Q. lw;p.
4.~
5'", '.r-
o FOOTING
o FOUNDATION
o FRAMING
.0 ~SULA TION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
)ll.MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
\~ .J-o
I
<.{80
~
U~ iiLJUl of'
~sJJ
~f-lo
'l-l~
~r ~(o:.~
o WORK SATISFACTORY, PROCEED
o CORREC C ION AND PROCEED
~CORRE T W K, CALL FOR REINSPECTION BEFORE COVERING
Inspector
50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
QUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNflTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS I ~'i7 C/trlle C 7'-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~NSULA TION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
bfCt& - l? K..
DATE TtME
1-2. -or
IYk [bYJ/,/ /
('1,-/-//0
p~LL1NG
o coQllLAillT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
c'A /?()/" c9 /<-.
VWORK SATISFACTORY. PROCEED
1.-.cORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COYERING
'nspectod~ - Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'/WiO"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~-c.,-oY
ADDRESS J c; ~ <77
r J"::- c,+
OWNER
CONTR.
PHONE NO,
PERMIT NO.
f.(~IID
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
..8;'"PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~. ~k<."~ a
.. ~Jor tv\ ..~q7-1Bcr8
"/. fi?"'lf,1.;J.., -..'"
O)'!PRK SATISFACTORY, PROCEED
ACORRECT ACTION AND PROCEED
o CORRE ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector
owner/Conlr:
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .t SAFETYI
lNSftI(ff'J