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
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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
.~~~
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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
--,- -,- .....-..-....-.....-
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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
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oS;:>
\uc...
/-/
7-'7
ff/ c; -/"':>
I/tP
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"/: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)
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