HomeMy WebLinkAboutBuilding Permit 04-0789
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please ~ or 'Orint and sign at bottom)
ADDRESS
1494'1 ~-'+ C":fl,j~_
LEGAL DESCRlPTION (office use only)
LOTR'?BLOCK ( ADDITION ",..~aJ:......
C/
~=e~R Jh ,nf'J ~J ) ~~ <' J ~
(Address) ") c:,O I I fA ~)",- .r;;:":J...., or ") _
BUILDER '}dJC ')
(Name) /11",.,. o-~,
(Contact Name) ::Je .ct:a/l-lso-
(Address)
~ew Construction
~ower Level Finish
TYPE OF WORK
o Misc.
1_ White File
2. Pink City
3_ Yellow Applicant
AI. .u
~ 0;;1 t....
Date Rec' d
1. fl. 04-
I PERMITNO.O'f. ()?~91
ZONING (office use)
Pv()
PIDZS: 307. 083.0
(Phone) 9 s-~~ t,'3~ ?/,o (
_J;.oL (.k1J., 1'1...."...-, '2.--1"
(Phone) ~ ~4:JJ.. . /l.o I
(Phone) (~l':J.. -?t>{...f'O,q9-
~ck
~rch
ORe-Roofing
~eplace DAddition DAlteration
PROJECTCOST/VALUE (excluding land) S .'?91J
- .
ORe-Siding
L:i)~ Connection
$
$
$
$
$
$
$
$
l'io. QlO . C(.J
"'I''l~_~
I. Bid'. 1-6'
.
.",/:. ~o
.-
too.06
'I'Jr'J _ "0
:t.$" .!>-l)
l0 ~ ()tJ
. ding Pem1it When Approved
7-2/ -of
Date I
17-1,_-04
Date
I Park Support Fee
I SAC ~
I Water Meter Si~ ]";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE I'.III1.fQ) '1.1,.1)- 04-
I Paid /0. 97".7.
I Date -7.J'1.'~
$ $!;5i1. aJ
$ ~.~S7:)- Otf
$ .2~:;"Z' _ 00
$ 'It;'. tJt?
$ I. 2M. ,!J?'
-;
$ ?o". Cl:r
$ I. C:;OO. CY
$
$/0,974. '/5
.
-r75l- 1
#
#
#
#
I Rece~tNo_
B'j'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 '-__________. Before occupancy, a Certificate of Occupancy must be
.sued.t g ,
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 r--r"'".-J and that all construction will conform to all existing state and loca11aws 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
;dil!-~:nee~- ;? e ..937(:>
~ture Contractor's License No.
'1/ ~
I Pennirv aluation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fir;place Permit Pee
/1
Planning Director
j
7 / Z !.of 0 <I Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
]6200 Eagle Creek Avenue Prior Lake. MN 55372
~~
White - auildin9
~anarv .. E"aineerin~
Pink - Planning
Th~ ('''ne.., of Ih" I...t' ('o'''Ut)'
BUllOING PERMIT APPLICATION DEPARTMENT CijfCKlIST
NAME OF APPLICANT
APPLICATION RECEIVED
l" I c L) (, {,;--\ L- 0
7 &;.04--
/1 I' ,> ! /"-;0-",\.,
.'.......I,Jj\j ~ I fL..
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I 4 q .1- 7Sr/ {v} (-I n- C/ f k. c. LE: 1\1. tV.
Accepted
Y..
Accepted With Corrections
, -
Denied
Reviewed By: /J11-I; Date:
Comments: SeA RFlvAf!';e Side for Additional Informationl ·
7-;27-oq
.
See Attachments: n 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 [urisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
~1
cIA1h;t.. - BuiJsIiiigJ
'Canary - Engineering
Pink - Planning
Thr('..nlnoflh..I..aIr...Counlry
BUILDING PERMIT APPLICATION DI;fARTMEMT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
M {'"DO NA L-D CAJrJ5T12-.
7. (p. 04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J 4qJ..7 5UMM,/ G/elUE tJ. W.
Accepted
Accepted With Corrections ...x:::
Denied r ~/1
Reviewed By:! ~~ Date:
Comments:
WaJ1 t7~U~
7~21-OY
"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."
Thl' ('I'nll'r of Ihl' l..1l1' <'ounlry
White - Building
Canary - Enginll@ring
c....!'ink . - Plannn,p
BUlLDlNG PERMIT AP.f).ICATION DEPARTMENT CHECKLISt
.' NAME OF APPLICANT
.'I!'r .''It'
APPLICATION RECEIVED
f-'-I r: U C 1\ 1-\ L t) to f\1 ':11<:-. .
7. (r. G4--
~-----
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/404-7
~(jIVII'1 rr t/ ~ C. LE: /0 .l V.
",.Accepted
...
Denied
Accepted With Corrections
x:'
"Reviewed By: af?~(tf!
Comments:
etLd C<.1l flf!<<c~d It.d' "h
Date:
7-2/-0;/
..-
r
"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."
Page 1 of2
Lynda Allen
From: Christa Wegwart [WegwartC@hearthnhome.com)
Sent: Thursday, September 09,20041 :16 PM
To: Lynda Allen
SUbject: PERMIT FOR 14947 SUMMIT CIRCLE NW
G
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE
PERMIT
Date Ree'
Please ttDe or urint and. rim at bottom)
ADDRESS ZONING (officeu..)
14947 SUMMIT CIRCLE NW
I. Pink File I ...vI.. j
;~ ;:""', PERMITNO.vr,0189
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDmON
PID
OWNER
(Name MCDONALD CONSTR.
(phone)
(Address)
APPLICANT
(Name) AIHED l'lRl'$TDE DBA FIRESIDE HEARTH & HOME
256]
(Phone)
65] -633:
(Address) _
2700 NORTH F AIRVIEW AVENUE
(Address)
(Contact Person)
2561
BRENDA HUSTON
ROSEVILLE
(City)
(phone) _651.633-
55113_
(Zip Code)
APPLICANT SIGNATURE
BRFN/)A HUSTON
DATE
Q_Q.M
APPLICANT PLEASE COMPLETE BELOW
X NEW CONSTRUCTION REPLACEMENT AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT
OUTPUT
I
HEATINGORPOWJ:R~ .lA.'1' ... T
Warm Air Plants Steam PLEAs'll: lld'rE:
Gravity Hot Water BTTfT ~erlnits
Mechanical Radiation U .LL ~aftt/()t13hfoach nto
Air Conditioning Special D,:"ices nTIn ~t1......... Side Va d
Vent. System Other DeVIces r LI' .1~efhAclh
FIREPLACE MAKE AND MODEL HEAT N GLO 6000TR-OAK (2 FIREPLACES)~'~ ~ [B~ G W ~ ~i
FEE SCHEDULE ~ - I
Industrial, Commercial & Multi-Family 1 % of job cost Residential, Gas iac~EP 1 (J 2/104 i!!} $39.50
9/9/2004
y-
--.
TYPE OF SYSTEM
Daae ltIc'd
\.11 i OF PRIOR LAKE PLUMBING PERMIT
~""''''._''-.al '
" /Y9Y7 .suYhrni+ Circ,J~ tv. J(I
~ 5. L I PERMIT NO'04-. 07M I
I I ZONJNO ~- !
LBGAL J;)BSC1UPt10N (.11I.. "" 0IIIy)
wP3SLOC% () I ADDIT10N ~+ef')J'nQ S;;C/!-h
"
PID
'&:aJ1vt1ha/d c;fJlJ~:frU(J;oh Jr,c __ (Phone) ~~Y-3~-7~(1)
I~A'..., 2M2J" IY-rfj, Sr. itJj,Afflp,~/!ell M~ __\..r'/d'/ .
~6vp, ~far PJu;"~(~J,'In2:'" ~;~j- Y.J9-.g/~(1
l(AdMctiilo~Y SV.fh~rkd ().f';v€. IJ:fud.PIJ(lY,,!:ib s:..\'@..9
(AddresI) I ' (Cicy) (Zip Coda)
I (C114Utldenoa) .,/)(1. f1-f, ~ ,i).. .~) ~/~ YS"9, J;) rJ1 ~
I APl'LICANTSIONATUlU ~~~(121~>, <;c' C" (,DAoTE>6'- ()..r<t1 Y
c,::?~..,,~:,
,-~,,-_.,......._-
:C:ij4~' -" "'. . -'::~-.:::~:;::::;:;.:~t'H'.'-r' .'~" ~"',"-...' -'-.'. -.~',~," ~"--- "0
.', . -'ArPUCA.~PUASECOMPJl.UE8'ELOW
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ii""''',','"" ':JllI!,"'~'" .',...
"BIlllTU" WI1Ilor-iihOii ~ '
DaifiWULer
KiOr~
~.~ (IIIIlIrOOtft Sink) , '. ".
~~~=t(1 ~~,~Parunlllt Slall ,..
&liib
_Iillk . .
W_tloMt (Toilet)
"'-1
. C/ . .,;, \ Type ofJ'llltVe
rj i...':::;" '~~A_';'"
./ ,. Wi
W.... !lOlaMr
~ ~1IIUlI& MIClliDIl}
:ZwAiiim
C:~<.w Aii"i..~"fI1t
taWi liwuooer. .
'\Oi!.er .
.' I'd SCJllIiVU .- ,
.'.,....-. .' ,', ,,-.
lmIuIlrlaI, COmllleuulA Muhl.llimil)l't,. of job COlt with. ,".50 m\Illm1llll ilaldlmW, New Oar a Two-I'lIIIIll~ I9UO
.. ...,1..,,,, ,1l....cIdlliolll&~- 139.50'
Ealimllad~ S !~~O.OO -"~~,~iI()V- rfJ<rr '
.... ""<PLUMBrN~~~;.$p~"~" .
.... ",'1An$~('~_~'Ll '. .... -i
. , ... rorALPIDU1'~ ..;",~;, '. P...X.JD VVT1'.H
tOlleoUltOalfI "--'''''''_'''''''',.'~' ..~.. ._..._ " ..,. i:''''""",
T"r~~~~!~.:.~~~~itWh.II:A,.,' 'h.,~,i~.!U'.'.
'", r,.y,i' .;::-"I--;r~'~:;" ",;::;;;~; . rf: r~p:":~; " -.;-mj'
1IIlIINIII!I0lII01II ,.... .. L~' .. . "'..J l1~Y :'t':~nr~.
" . , i......... .;..;;;....;iii..., '.,:(iIj)44 i......ic..'-:i;..'"~'"" a... :~.J'
"', , _, ". ....' 8y'" .. " . ,,' "
,- _J......,._,.."..,_ -'.. --
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;':.
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONING/F'Il:mPLACE PERMIT
Date Rec'd
q'lease t"1peort>rint and siJ>:n atb=)
.1 AD/.~~9 ~ /7
"7 '7 s" J J-Y.1n7 / rJ.
0",.
u,w.
~ 5:w So- I PERMIT NO. 04- .0 Jet/I
I ZONING c........) I
LEGAL DESC1UPTION (offil:e "'" only)
.LOT BLOCK
ADDITION
Pro
~=m('~\"lLlQ;O
~'}.~l
(Phone) J./.~ 6J - 7 Con /
(.Md:r~)
APPLICANt--. / r'\
(NaUle1, (.1''1" ';-/'-flJ/...'>...J
(Address) ,jJA)J(") ~,In'!)
(MlmsJ
OJ/"
(phone) #&(') - c;.,t"\ ~ ;:)
It/J~ .
1/-..1
s.sa,;;, .If
(City) (Zip Cod.!)
(Contact Person)
APPLICANT SIGNATUU
./{;d{ -Z~
-{-....--
(phono)
DATE
~ ~ 626 -J' .<./
/ APPLICANT PLEASE COMPLETE BELOW
....0l'EW CONSTRUCTION D lW'LACEMENT 0 At TERA nONS
FURNACEMAKEANDMODEL~Po.,,/~~,., C9M~~/CJrl FUEL A/,q,t-
FLUE SIZE ;~ " ~J (I. RETURN OPENINGS .c:( INPUT ~^I") OUTPUT Q ~ oOC\
TYPE OF SYSTEM HBATINGORPOWERPLANT
DWarm Air Plants 0 Sroam .
OGravity 0 Hot Water
~lumical 0 Radiation
..@lr Conditioning 0 Special Ocviccs
J;3'I'"'cnt syoiem 0 Other Devices
PLEASE NOTE:
Air Condition... Units
Cannel Encroacll into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial'" Multi.Family
Residential. HeaIin& '" NC (Now Construction)
RosidonIial. Heating Only (Now Construction)
FEESClu.uu..E.
j % of job coot Residential. 0.. Fireplace
539,S0 minimum
5!/9's0
564.S0 .
539.S0
1 R.rndcmial. Additions & A1tera.tions
" Reoidcntial, AC .Only
539.S0
539.S0
E5limmd Cost S
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
s
PAID VV llH
.50BUllDING
(om.. U.. QIIly)
This Application Becomes Your Building Permit WhOll APprOVed'~ ~ .'
JW Dale,. 1 '0 2004 I U jiBY
24 boar nol1c. for all b1Spections (952) 44 ,/?O, fa:J: (952) 447-4245 -d
16200 Eagle CrwkAvtllUt, l'rio~-':"', - '" --..",.
BlliIdlllg Olncial
D...
.
DEPARTMENT OF
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS .14" 4.J <;'w-u \M.:l: (\ .' ~
NATURE OF WORK tJ......,
USE OF BUILDING h~ (')
PERMIT NO. . 04. 01f;f( DATE ISSUED ,-2.\- 201'1'-1
CONTRACTOR _Me. D 0\t\",..L( PHONE <tS:;l.. -432 - 7~o I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING (<p~ f..lr I t,J Ii IF2- -0'{ I
I FOUNDATION (Prior to Backfill) I m ~ . ~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE (?)
c,AS LINE AIR TEST y~ Fr
,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
t/.ff
~
(-t1I~
~
_ fb
~f'
,
, L..\-\.-.
GRADING (Prior to Sodding)
BUILDING '1-, lr. 9-\-0'{
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
-
Y W../
g[)
9-2.3 .
~ /.22/o~
q-I
'7-:z r
9-'(~
-.
/2-. e . Oq.--
'I-~
/2. .-c, ~firJ. '
,
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
"'J._~" ".Ii'"" "","~':;';,-,J',. J;;':".;",,~"""
j,'-
,:,~'
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS Il.j 9l.j?
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
Gr".,/e -- AK
SCHEDULED
DATE TIME
l:l-f-b'j
I .
SVMlYlf L c..,r
.. .
CONTR. 1Y'e,DuJ..././
~1I-7n
~~UNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ulb fl..,,~ ~ (IlL
'l!!WORK SATISFACTORY, PROCEED
v6~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:4x~- OwnerlContr:
CALL "7.9850 FOR. THE NF.XT INSPECTION 2. HOURS IN AOVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
"""""
DATE TIllE
CITY OF PRIOR LAKE ~
INSPECTION NOTICE SCHEDULED
ADDRESS /lI.q,.n 'S V~IM.J(.. 0.U"
OWNER CONTR.
PHONE NO. PERMIT NO. " - 018'1
o FOOTING o PLUMBING RI o EltIGRADlFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
)f.FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION ~ECH FINAL 0
COMMENTS:
I. Ru.J ~~_ ; ~~I'<nI.
t"'\l>oo .
C:J
k-f
k !J-/-oY
~ q-tf/Ulf4
Ul~
o WORK SATISFACTORY, PROCEED
)( CORRE~ON AND PROCEED
o CORRE (It CALL FOR RElNSPECTlON BEFORE COVERING
Inspector: '/ / OwnerIContr:
CAllol47.S860 FOR THE NEXT INSPECTION U HOURS IN ADVANCE.
CODE REQUlREMEN'lS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"""'In
DATE TIllE
CITY OF PRIOR LAKE J( ''?(}.vlf
INSPECnON NOTICE SCHEDULED
)
ADDRESS /4 t(q7 )u__o./-C-,-
OWNER CONTR.
PHONE NO. PERMIT NO. L/--?~
o FOOTING
o FOUNDAnON
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
-:!rPLUMBING FINAL
o MECH FINAL
o EltIGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~
lo-"
(OcYuf$
(tJ
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~FOR REINSPECTION BEFORE COVERING
Inspector: -f.JI.! OwnerlContr:
CALL "7-8850 FOR THE NEXT INSPECTION:U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 01 SAFETY!
INSNOTI
--
Job Address flf~/} '~M4'J~
IIIAt _~ 11-' C..)~
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