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HomeMy WebLinkAboutBuilding Permit 04-0354 Date Rec'd CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT f/ - / !j-{Xj t, White File I PERMIT NO I 2 Piok Ci<, . ~,0354- 3, Yellow Applicant lr-r . (Please typ~ or print and sign at bottom) ADDRESS ~S !,;-.J~:/LlOr;J- c.:11t'/-=.- Alc/ LEGAL DESCRIPTION (office use only) - LOT LjzBLOCK / ADDITION JA) (OJ ) c. r;;r TJ... [,1/)/<; PID ~5-,=3.?:3 - CXl3 -(? ~v::.~~M!Il(J..,,)/ C~ C-/ _ (Address) /~O / / l{ S- J "- <;,1- W.pr;;; J. ZOf;itlJ") (Phone) 1 ,>"j - CrJ.t- .-') bo ( ~. .L~_ ~'... .s~~J?-~1 ~;~~;:~~ ",/1r,. ev! / ~ <; j , (ContaC: Na~e)J- f" ~ jl (' c-I2f ~ i/ ---- (Address)I)C,oI (Lt ~ T-t-. s;:)- Cv PC"" /l,::;;;;I'-C.- (hv~ (Phone\Y(.) -il3't- /t 0 I (Ph~(';}-}O( -~GLtCr ~~ ss-/:!)- C-f - ~eck DPorch ORe-Roofing ORe-Siding ~ireplace DAddition DAlteration ~t~ Connection PROJECT COST IV ALUE (excluding land) $ LI1 C; <] Jf f).. , - / TYPE OF WORK a,New Construction ~ower Level Finish o Misc. 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 =teru1n!Jtp::.::cn~__-- ISt-j}37 b Lj-rs-OY ~I ~ature Contractor's License No. Date '1/11 ! Permit Valuation I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee I Gas Fireplace Permit Fee f'4Bt),oo(J.OO I $ $ $ $ $ $ $ $ 3333.50 I Zlfar.,,7f I d)-'10.6tJ I I /Od.{)() jot). O~ 3'S, 'S'Cl 4(J,0tJ This Application Becomes Your Building Permit When Approved ~~ ~ --.!I/d-~!a1 . Building Official ' Date ' $ $ $ $ $ $ $ $ I (, $ ~,q f35. 7e I I Receip\fio. 4f4(.ff / Bv ,1/. () I Park Support Fee I SAC I Water Meter Size 5/~ 1 Pressure Reducer I City SAC and WAC I Water Tower Fee I Builder's ~eposit I Other \ I TOTAL DU~"t1fM,tO .., 'lA, 14- # # # # I Paid I Date gq Y2~, 7Y F. ~ od..- 8S-o .ea 135'0.00 300,0'0 '70.00 \200,00 700. 0'0 ISOO.Oo 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 ~ing~ -1/~fi-- ~ (Lif ~ Special Conditions. if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 .~ Thf (-..nfn of th.. Lab ('ounlry White - Buildinll ~ry - EnqineerinQ') Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED }, '/ / v / ! j \.,..- /~"--~;;- f --' \' " _j::{,VJ.A;---'Z:{~. . I 'L/ ,/.' L/- / I - C i ! The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /,'. -:;,-~ ----. . ('j ./1 /. __ ,.--- ~ ~ _, ; - "J. . _ )i._ ~;c< J ...;; I ..L/Y'/l !J.-tl/V//)uf::-." C_:...t/<'./U!t-f"- ( Accepted )( Accepted With Corrections Denied Reviewed By: .~ Date: '1- ;?C;-o3 Comments: BpI" Rp\1pr!:p !=:irlp fm Arlrlitinn::lllnfmm::ltinnl See Attachments: l) Gradin!! 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," ~~ White - Building Canary - ![:n!lineering (F<mk - t'lann~ - The Crnln IIf th.l.akt Countr,. BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 'J I 1..'.>". "- 1..1-/1/- <....j The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is Jjlroposed at: .' r ";. ,-- -- - - ;: ) ! / --. . -'-. (-).. . J)' . .'. ,-? j] ..J --' I j/j" 1~,/v1 J v '?j~,Lc' _Accepted Accepted With Corrections v Denied Reviewed By: ~~ !(Ii~ a.R-fJ ~,. (I Date: _ -f-:: .-/ L/P~L( ~ 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 . Buildiilii) Canary -Engineering Pink - Planning lh~ ('por.. of th. t..k. ('ountrl NAME OF APPLICANT BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T Jl)~ &rrnaJ7cP ~ U-IL/- L/ I I APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit appU~t;O" fOC'3c2~"3ctWfty 7:::I::;)}4) ~ Accepted Accepted With Corrections / Denied Reviewed By: ~~ ;(;;~ aU ~, Date: iAF'~ 'I 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." CITY OF PRIOR LAKE HEATING/AIR CONDlTIONING/FIREPLACE PERMIT Date Rec'd (please tvoe or orint and silro at bottom) ADDRESS ~. ~ne:11 ~:~y I PERMIT NO. A.& A '.CA- 3. Yellow Applicanl ~ ZONING (office use) 3253 TIMBERWOLF CIRCLE LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name MCDONALD CONSTRUCTION (Phone) (Address) APPLICANT (Name) ATJ.lEDFIRESIDE DBA FIRESIDE HEARTH & HOME (Phone) 1\51-1\11-251\1 (Address) 2700 NORTH F AIRVIEW AVENUE (Address) ROSEVILLE (City) 55113_ (Zip Code) (Contact Person) BRENDA HUSTON (Phone) _651-633-2561 . APPLICANT SIGNATURE BRENDA HUSTON DATE 5/27/04 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT OWarm Air Plants DGravity D Mechanical DAir Conditioning DVent. System HEATING OR POWER PLANT D Steam D Hot Water D Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks TYPE OF SYSTEM FIREPLACE MAKE AND MODEL HEAT N GLO 6000TR-OAK AND SL-350TRS 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 # $ $ $ p~~ ~LDING p~Mrr (Office Use Only) This Application Becomes Your Building Permit Wheu Approved BuiJdine: Official Date i~~ ~ ~ ~ 1Yi-Kfrl\eceiptNo. I MatJUN 0 2 2004 W 3y -' 24 hour notiee for all inspectinns (952) 447- 1ijO. ra. 19'm 447-4245 .~~~ +'.....NCSO"'tf' CITY OF PRIOR LAKE ffEATING/AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'd L PinJ,: , 0- J,Ytllvw ~~ I PERMITNO~J. A~ AF'Pr~ ~~ ZONING (olEa! ""J q1..llSC: ~ or orint and rid. at bonom) 4DRESS J5~~3 ~~kRr>L0CJ~ I LI GAL DESCRIPTION (office use only) ,,/I , 0/".. ..0. /, J ' 1 )T BLOCK ADDITION PID 0' VNER 0 (N =) /-7::f> 0<">,,, nir: ~)1J~ I. (phone) "Y-~ - 7~ / (A Ld:re:..) 'AB1;'UCANT .;/r\ /i, (hme) r:;..,/lJ~n//e~.) 'rA/t" (Ald:tess),o/..()/() EDftV1) 4ue, (Addr..,) / r~ t::. (phone) fC,l'),. /"?-V ' (City) (phone) __ -- DATE G.I'\-O A 5'~;:l <I (Zip Colle) (C Intact Person) ~/~ 7~~ 5- c:98 -(',..1./ AI PLlCANT SIGNATURE c APPLICANT PLEASE COMPLETE BELOW PEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS . FLlllACEMAKE,~NDMODEL~~h~,. r?9)?7~~/oO _ FUEL A)"IJf: FL IE SIZE .;3 Pu c.. REnJRN OPENINGS . /0 INPUT; i'YJ 01'1 Q OUTPUT q::J. C<1(') , , TYPE OF SYSTEM HEATlNG OR POWER PLANT ~rro Air Plants 0 Steam D~~~ DHMW_ ~eohanical 0 Radi..ion ....!3'\ir Cnnditioning 0 Special Oevi"". .J2V ent Systelll 0 Other Devices PLEASE NOTE: Air Conditioner Units CllIll10t Encroach wto Required Side Yord Setbacks FU El'LACE MAKE AND MODEL lnd ,strial. Cnmmercial & Multi-Family FEE SCHEDULE 1% of job cost Residential, Gas Fireplace $39.50 minimum $99050 Residential, Additions &. Alterations $64.50 Residential, AC Only $39.50 ReI .dcnti.l. Heating &. Ale (New C01lstrl1etion) R,~ .dential. Heating Only (New Construe\ioll) $'39.50 $39.50 Estimated Cost $ Buildingl'ermit # _.~.. ~U~'~ ~~n HEAIDlGPERMITFEE $ .;~~ STATE SURCHARGE $ \?J:.50 TOTAL PERMIT nE $ (Of .0' Use Only) 1 !lis Application Becomes Your SuiIding Permit When Approved ,~ ~I : ~ ~- ~O~ l,,'~',1 By BuildinS Official D.t. I ffi 24 hnur notice for all inspections (952)' 17.9850, fax (J/52) 447-4245 1 16200 Eagle Creek Avenue, Pri .r I;ake,MN.5.5J72 . ",,_.. . . 1IlV ([::!1101llNOJ Receipt No. too Iii 9L~909t1S9 XVd 9t:60 llld tOO~/8~/SO i ~'id ~~ I PERMIT NO. g, ~ , v",", App\llllm ." ~V fl'8"If or DriDt<lD4!!an ,'bollollll.__ __ _ _ __.. I ADDRESS -r I {\ . - L :]J.r'3 IimberlUJ/I Ci.f'ule N Ju --,- -,- .....-..-....-.....- ~ . ~~ .. .. . " Ii "J ~/ Date Ree'd CITY OF PRIOR I,AKE PLUMBING PER.l\1.IT I __---1 I ZONING (olII.....) l LEGAL D5SClW'TION ("ffi~. only) . ----- LOTY.JBLOCKfJ! ADDITION l/JryrxJs cJ.+fhf! /IJ,'/ds Pro '~~~R!1cf)0Y1Jd-MMfili0ii~Y11 I VJr.____ (Phone) t}~t2'Y.Jd- 7hO / (Ad4zws) 10iJJ.JlrfA ~f. 1fI._~/p JlaIleYI & J--n d y.__. =~ &r.E- sfo{l P/umh.i~_fJ;lIr (Phone) t~/~ YS-l~ <fi/ J'o I (Address) '1J P1:_'[J{;Wf!/ AJL€:'._.:s-o.. CoJJrurP OfjJj!'/? Yft) S~/ 6 I' i If) (Address) I i/ (City) / (Zip Code) j<Contaelpmon) l/aiP- '- ( __' . (Phone) b~ri.Y.J-tJ....p/rYO I IAPPUCANTSIGNATURE _ /~ --:il~___ _ DATE /; ~ Y-Or ./ APPLICANT PLEASE COMPLETE BELOW Q1IaDttt)" 'Di I ?L o / / I ./ 'i I ~ o~~"ture 88U1 TUb With or widlout sI!(>wer Dllhwasher Floor Drain ~vasOst ~!3&~room .Sl.~) L~ Trar (lor 2 compartment gmk SbOwer Stat SIW alii \link "'acer C10let (ToHet) Qua.tlt)" I 'Cype or Fixture ROUSh-In. i W_r Heater I Water Softller ~a~ 1.'iP!' ~~uhll1ll Machin.) Sewaa.!ijector 8&.:~OW ~ll8embJr Beckllow A_mbl)' Test LaWn Sprinkler. OtMr / / FEE SCHEDULE Industrial. Commercial" Mulli.family 1% of jot> cost ",ith. SJ9.$0 minimuft! R.aidentlal. New One'" Two-FlUItUy $99 50 Reslclllltial. Additions "AIU:'~V $J9.50 Estimated COlt S l ~ ( .s:oocr):) Building Pennit jj 0 Y - (I ~ -: f-k,) PLUMBING PERMIT FEE $ _ ~-(fr..,~ -u;.zo~t~~ STATE Sv'RCKAROE $ V .SO 'f~t:i~1fI TOTAL PEMMI'f PEE $ !;:'frill" 4fi';r \~~ l0 ~ U ~ \1 ~~ReCeIPtNo. n... .11t~UN 1 5 2004 \ ~il Bli tY 14 hour aot"'- for.1I bo.po<llon. (9S2) ~'-'l ~. ""~ (951) ....,~a.t5 - () BV tlllllc.lJtI O.I~) 1 This Applicatlon BO\1om.. Your BuUd1n1 Permit When Approved _dl.. Ofl\<lal PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS -3Z 53 TI ~8fX ~ ci ert.LE ~."J. NATURE OF WORK J...le:-a,..) , USE OF BUILDING ~lf:':O. - PERMIT NO. 04,0354- - DATE ISSlJED !ll1:B/~e( CONTRACTOR \M.~tI~~..qb) PHON~.,-rc.H NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT _A INSPECTOR DATE <;:- . SEWER / WATER I SEPTIC '?? FRAMING VJ INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE \9J tf2t GAS LINE AIR TEST ""'....'... ~ lJ~ COVER NO WORK UNTIL ABOVE HA~ BEEN SIGNED ~~t:.O,ictt01l~P8 r~ I FINALS . GRADING (Prior to Sodding~ _ Ai f~, ....". ~ ... e7 7 , BUILDINGrLe..p J.nfJ-I-t9t l!) U1P ,2.Iz.!o'( ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE NOTICE , FOOTING ~LL I ~- I FOUNDATION (Prior to Backfill) I /M 0/ I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - It-JS . ./ZJ 4Jp I/~ oS;:> \uc... /-/ 7-'7 ff/ c; -/"':> I/tP )~7 "/:7 we.... f" J5 PJ" g]-~' HA~ 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 OA. TE TillE CITY OF PRIOR LAKE INSPECTION NOTICE PHONE NO, 9-22 7?f 3":<SS T:Mh.e/,l..,/nlf' Crrc,lf CONTR. !i1-l1"q U PERMIT NO_ 64- 3..{,-J/ SCHEDULED ADDRESS OWNER o FOOTING o FOUNDATION o FRAMING o INSULATION ~NAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL os( EXI~ILLING o COMPLAINT o FIREPLACE Rl o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: bred-. - cr; /L ( V;{ h [3,.,)( - oIL *ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING Inspector: ~~ ---. Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! 1"",,"1 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE TIME ~-o4 ADDRESS 3;lS3 '"T":~ I~\:: OWNER CONTR. PHONE NO. PERMIT NO. II - 15'(J e o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o o FOOTING o FOUNDA liON o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP D~R HOOKUP ~MBING FINAL o MECH FINAL COMMENTS: ~~,,,(\u 4Y 7 ~ t S"r1S '2.. Ild"~~.t f' I ' () _ \"t=-~ ~ /' / WORK SATISFACTORY, PROCEED . O(CORRECT ACTION AND PROCEED o CORRE , CALL FOR REINSPECTlON BEFORE COVERING Inspector: Owner/Contr: CALL 7.9850 F THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE~NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! If",<<m DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED <f -/(, -0'" ADDRESS ~,~ ~~ OWNER CONTR. PHONE NO. PERMIT NO. (j - -sS'l o FOOTING o FOUNDATION o FRAMING o INSULATION PiNAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXfGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: . I. R~ b~ iv.sIJ 'l.. '2J.d-T~ ~r s MG.lIA \~I>\ ')~~ t-u;.. V" I -e..-r +c- / t/-J -oy Owner/Contr: ALL 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. "---./ lI} CODE ReQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI """"T> Job Address ~ :J..51T'-' k.l'fL)cl J: Heating Contractor con~rolled Air C; f', Name of Tester Date Percent 02 Percent CO2 Percent CO Stack Temp. .~ ~ /alln,/ ~.~~ ~.~~ 6) /1 ::?D -