HomeMy WebLinkAboutBuilding Permit 04-0429
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
e or tint and si
at bottom
f. to /L UJ-<.f.
ADDRESS
1t;'.)~S ~tJf ~.er,
LEGAL DESCRIPTION (office use only)
LOT BLOCK? ADDITION
t..P<;
Date Rec' d
4-, '2.{'. of-
I. White File
2 Pink City
3. Yellow Applicant
PERMIT NO.
04-,04-'2-7 I
I
ZONING (office use)
12/
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lp/)iDr-J
pm
4-IZ Oil.
OWNER
(Name)
~ -P,t~
(Phone)
(Address)
BUILDER :J?
(Name)]0 ,~{!;;.~~ I /UJ Tl-f.C/l S
(ContactName)~ /lA, ~C!.,~ (
(Address) ~
~,j?ucrl}i);J (Phone) &S-) -11..1 -I.{ / L/ ()
(Phone) 1=Pr1<:
(p S' 1- 1 '2. 'Z. - 1 1'1 I
1)
DLower Level Finish
DDeck DPorch DRe~oofing~Re-Siding
o Fireplace DAddition D"1-eration DUtility Connection
PROJECT COST IV ALUE (excluding land) $ ~ 11-0 D
TYPE OF WORK
ew Construction
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
au orized agent for above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
su m ed p ware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official 0 a designee may
e er u n perform needed inspections. OO~ '1 ~ ~
Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~~
6/IO;"~
. ,
Building Official
Date
Contractor's License No.
Park Support Fee # $ -
SAC # $ I ~S-O.OO
Water Meter Size 5/8(11':;) $ 300. Do
Pressure Reducer $ 70 . 0 0
City SAC and WAC # $ 12-00. 00
Water Tower Fee # $ IbO.t)O
Builder's Deposit $ I~oc. 00
Other $
TOTAL DUE $/0, 5~.3.. 7;3
I Paid /~ ~h' It.
Date r. .'
1~1: ..,.O~
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 ust be
~ ~"-' S~l?ftr ~ oJU: /
Planning Director bate Special Conditions
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~
Wh~~ - Building
~r!:!l v - EnglneermM .:)
Pink - Planning
Th..Ctnl..tnflh..l..b<:ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT r II TTEL ST).-j [VI
APPLICATION RECEIVED 4. Z (/. 04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/53es
'-I ) J.' . , --
,__ (0/1 1\.1 t;
( CUrci
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/YJIJ13
Date:
s:rtz - Or
Comments: !=;pp Rp\lpr~p Side for Additional Information!
See Attachments- 1) Grading 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."
~
0~?;
--
rh.. ('.."In of lh{' (.ak.. Counlr"
CWhile - Buildj;:;g)
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT f1 J -rrBL5D150T
APPLICATION RECEIVED 4- ' v& ~ 04---
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/53B5
~N6
(!.,oUfC.1
Accepted
Accepted With Corrections
.....----
Denied
'3~, ~(J Date: S/?~y
,.&~ a-d ~r$~<f~ i9f/~
Reviewed By:
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."
~~
White - Building
Can"ry - Fngineering
~;nl< - Plann~
TIl~ ("~n....t nf H... l..k.. Counl~'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT t II TTEL:T). i E LJ I
APPLICATION RECEIVED L{ Z (/ . (.. 4-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1'- .;>
...._.1 ~"
r-
!--/ : i.,- t_-
'_^ I
Accepted
Accepted With Corrections V
Denied
~~ ~7J Date: 6/7~'/ ,
~ a-L( "/7,/~, rb, ~
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Reviewed By:
Comments:
~_ CQf-
/&-....,.>
"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."
OS/27/04 THU 07:49 FAX 6128902753
STOCKER EICAVATI~g
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Please e or rint and noS!.! at bClttOJ?)..__~.
ADDRESS
15385 Crane Court
~~'. ~:',:. I. P.E. RMIT NO. 04-0429
Q,hf A",II~nj ..~__,,__"'.......___
l
-~
20NlNG(offico""J
LEGAL DESCRIPTION (onioe u,e only)
LOT 7 BLOCK 2 ADDITION
PlD
._~
The Wilds 6 th
OWNER Mittlestaedt Brothers
(Name) _...._._
2520
(Address)
(Phone)
151st Court W., Suite 100, Rosemount, MN 55068
(Add,m) (City)
651-322-4140
(Zl Code)
APPLICANT
(Name).....__ STOC~~~_EX~~VATING COMPANY, INC.
(phone) 952/890-4241
(Address)
12336
Boone Avenue
(Add,...)
Curt
. _S~Y~j1;~.._~_.J.:'i2ZL___.__._h__..'
(City)
(Zip Code)
(Contact Person)
(Phone)
DATE
sam.e
APPLICANT SIGNATURE
5-25-04
APPLICANT PLEASE COMPLETE BELOW
'--'.."''',"
Size of water service inches.
Location of any couplings from structure _ feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line _ feet.
Clean out (if required) located at _ feet from structure.
. _',_''','_'''~'''''_.A
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com '1 & MulTi-family 1% of job cost with a $39.50 minimum
Sc'Wcr connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit Ii
-pJOO WIni
SEWER AND WATER PERMIT FEE $ ~.rr
STATE SURCHARGE $ ~11M
TOTAL PERMIT FEE $
.
comel! 'U~C' Ol'lIy)
Buihling Official
Date:
RCoa.pl No.
This Application Becomes Your Building Permit When Appro.cd
By
24 hour noti.. for.1I in.,pection. (951) <l4 -lIssa. fu (952) 4474245
By
;952 894 0925
# 2/ :3
_....LL-.........L- U
-........... -.... ............................-..................
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
:;:;:
!)1;
I. Pink
;1. Gnen
3, YdlDW
~::y , PERMIT NO~
Applll;llll . ...
ZONING (olli" u,,)
~
'?::
Please e or rint and si at bottom
ADDRESS
~
8'
~
C-i
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
Pill
~
I
g.=~R !l7,IkIs-htlril ])/os.
(Address) 5/ .sf I- w -# / (),
(phone) fa ')/- ~;;l- '//1../0
I fJ7f7, ,5' c g
APPLICANT
(Name)
B 8 'iIIe H'il3\i"o A. A/C. LLC
Ulll ..
12481 Rhode Island Ave. So.
S age M~I 55'37R-1122
a v I (Address)
(Phone) Cf);) ~ /SCj(j -Oa:/..J
i5t
~
$.;t
(Address)
(City)
(Zip Code)
(Contact Person)
(phone)
0//7/1, R!1tJ/inMCc/7 DATE
APPLICANT SIGNATURE
7 - 20 -()l/
APPLICANT PLEASE COMPLETE BELOW
I)CNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACEMAKEANDMODEL (P/7tll/J( G51/t1;?L(I/{0'1{/ FUEL J'7t1./ 9C<..4/
FLUE SIZE RETURN OPENINGS /0 INPUT 9 U/ OO{) OUTPUT f? d, NX)
TYPE OF SYSTEM HEATING OR POWER PLANT
~
[:.;:-
(,,),~
'{It
;;0
,..
DWann Air Plants
DGravity
o Mechanical
IXIAir Conditioning
OVent. System
o Sleam .
o Hol Wale.
o Radiation
o Special Devices
o Other Devices
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
$64.50
ResidentI;.l, Additions & Alterations
Residential, AC Only
^ ~ ~ --- '-, -'~
$39.50
$39.50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
\o-'h~-, w,JJ ~,;~
:-'!'J"'qf-'.,';~"'v;~ ,~-
. ~-~~~:!:.L.J~IJ~I.;_~ ~,.., - - -
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
; I
~
.~J&
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved ~
Receipt No.
Building Official
Date
D~t 2 2 2004
By
24 hour notice for alllnspectioos (952) 44 -9850, fax (952) 447-4245
16200 Eagle Creck Avenue, Prio ~., MN 55372
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I Pink
2. Green
J. Yellow
File
City
Applicant
IPERMITNO.~
Please or
ADDRESS
ZONING (office use)
15385.CRANE COURT
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
pm
OWNER
(Name MITTELSTAEDT BROS
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(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
7/19/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATmGORPO~RPLANT
DWarm Air Plants o Steam PLEASE NOTE:
DGravity o Hot Wate. Air Conditioner Units
o Mechanical D Radiation Cannot Encroach into
DAir Conditioning D Special Devices Required Side Yard
OVen!. Syslem D Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLD 6000TR-OAK
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residenlial, AC Only
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
$
$
$
.50 t~:~:~ '~'~,j'j}~
i,~~~lijJD~M!~ ~~~:~~L~~
(Office Use Only)
Date
eceipt No.
This Application Becomes Your Building Permit When Approved
Buildine Official
2 2 2004
y
24 hour notice for all inspections (952) 447-
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS --1 '5'!BS C2AI-JE. r'~~
NATURE OF WORK NEIA) ~~,.~~
USE OF BUILDING S.E-D.
PERMIT NO. 04-.o4-z.C( DATE ISSUED ~~
CONTRACTOR . ~~ONE -32r- "'''f)
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING
FOUNDATION (Prior to Backfill) 41c '~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
Ll fr. ole:: fd 8<zy ROUGH - INS
SEWER I WATER I SEPTIC ~
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE c-.
GAS LINE AIR TEST Ff?
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
ItA'N~ /{Jeli1'uIRJ J VANE! I
FINALS
GRADING Prior to Soddin ;f/,J3 /o.lrtl~
BUILDING
ELECTRICAL
PLUMBING
HEATING ,/'#4-
DO tiOT. JCCJ.lP)'f !J.:NT)'" ABOVE H~ BE9N SHiN.,EDj
~we/~v<! ~cJe lot,,#1 f;>1ti-ktQOTICE 174" cbl/ &,,/c~.d
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspectiDns have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
e9
;>-~
?-2?
/~
'\
FOR ALL INSPECTIONS (952) 447-9850
_._-,-_......._--~_.."..._._-~-,~----------,.---------._,----"-------~. ----
CllY OF PRIOR LAKE
INSPECTION NOTICE
0" TE TIME
/c~A:/
ADDRESS IS-JPs- e..,--~ L~
OWNER
SCHEDULED
CONlR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
.A!H'LUMBING FINAL
~ECH FINAL
COMME~TS: .
./ #c-f;.~", I J':k / rL~
::J:!} cff ~~.
e?"U>. 0<''''- :r O~
~L' hi~~ ~
~t'!t:":-cd ~ f-
/~ '
:/ /;~;~~
4~1 q:
~";',7.JL .
e>r/- r.29'
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
-..e-fIREPLACE FINAL
o GASLlNE AIR TST
o
7~~~
VOc...u
C"4 CAe "
Q
lJ.WORK SATISFACTORY. PROCEED
~RECT ACTION AND PROCEED
:S::~ECTW~ REINS:::/::~:FORE COVERING
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSlWTJ
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
10-/8 t7'f
ADDRESS IS?16 > C;-V1L C I
OWNER CONTR. 1Yl'/-1rfI/ ,S I-~
PHONE NO. PERMIT NO. OL{ - ~I J J
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)l( FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)l!. ~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
6r4t4 - O(
c.. ./1 10 130 y - () K...
6..vr (cpy 10 ~""" IYWIII~/
~Sd-r---
~WORK SATISFACTORY, PROCEED
YO ~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
lnspector:~~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
oo:ro"
BUHNSVILLE
Heating & Air Conditioning, L.L.c.
12481 Rhode Island Ave S, Savage, MN 55378.952-894-0005
I
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Orstat Test Report for Jobl 1oL/11
Address /5385 CRflkli 6...1<1 City rfrloR LM<.
Occupant
Date oflnslall S 20 0'-1
Type of HT. F/A./ HW Space HT Unit HT
Other
Make lL IJW0 '0(
ModeJ G5>}Mf' 'I8C -cliO. 0"2-
Serial 5 "'}0</40 5 83 I
Input 88,[XJv ~1U. /of
Pilot Type
Pressure
Input CFH
Stack Temp
HOT SURFACE IGNITOR
"3 '5 \ l-<~c.. C02
gp 02
J 1& CO
--
&.';:,
(1"-1
lin pfJP1
Date Tested
Company
Technician
(1-28-0<.(
BURNSVILLE HEATING & AIR CONDITIONING
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