HomeMy WebLinkAboutBuilding Permit 04-0511
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
4-. Z-O, 04-
I. White
2. Pink
3 Yellow
File
City
Appliclnt
I PERMIT NO. 04-. O!>I/ I
(Please ~ or orint and sim at bottom)
ADDRESS
52QO f1e.oSIWt-JI Cf2.QI ~
ZONING (office u,,)
1</50
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID~ ()(;O. 004-.0
~=RT:A\.WLE. ~.., ltJ2.
. .
(Address) ,
(Phone) q~2-4?F; - !9(n
?9D;' ~ 55liM
BUILDER
(CompanYName)~1=',- .~, J,tJC-.
(Contact Name) ~ \l.tr"it'" .Q.l
(Address)~~~IL "'6In-~ 2QO.
(Phone) .9S'k- 4-V:;-1'1TY)
(Phone) ~ 12.-863~~
LAIL~V1" f> ,tAfJ 5~
TYPE OF WORK QNew Construction DDeck DPorch DRe.Roofing
~ddition DAlteration DUtility Connection ~isc.
ORe-Siding )(Lower Level Finish
o Fireplace
I
E
II
F
I
III IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST/VALUE $
(excluding land)
3,p,~ --
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
/
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tlO n 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
ction will conform to' xisting state and local laws and will proceed in accordance with submitted plans. I am aware that the building
urthermore, I e at the city official or a designee mal ir 7l1e property to perform necded:f~e;~n: 0 V
Conttactor's License No. Date
Permit Valuation I Ji:B. ()O(), 0 D Park Support Fee # $ I
Permit Fee 1$ '967. $"() SAC # $ I
I Plan Check Fee I $ tpZy. r-,vl I Water Meter Size 5/8"; 1 "; $ I
I State Surcharge $ Lit{. Of) I I Pressure Reducer $ I
I Penalty $ I I Sewer/Water Connection Fee # $ I
I Plumbing Permit Fee ~ $ ~tJ,()() I I Water Tower Fee # $ I
I Mechanical Permit Fee ~.. I $ fa. tJo I I Builder's Deposit $ I
I Sewer & Water Permit Fee $ I I Other $ I
I Gas Fireplace Permit Fee~, $ I..1d ' tJ (J I I TOTALDUEwmf:v/.o4- $ /, 1('O.3~ I
This Application Becomes Your Building Permit When Approved Paid /"7(PO. ,'i~1 ReceiPt No.L/ioi"S'1
~tliC~1- S-;:~/bf Dale (,., - q - 0 LJ By J' ~
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 a.~ requested. This document .
when signed by the City Planner co ruteS a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a CtTtificatc of Occupancy must be
issued
r:)'~9' ~ ~1..4)c.J t=icoo
Date
notict for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
rJ..'\~ Orw 1~,.JCfS
Special Conditions, if any
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riil( :vrannlng
Th~ ("'nll.'r of Ihl' I....... ("ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
DAHlS l3tC.-05
4--. ZO, 04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5 z.q 0 FR.oST POI NT L I f:.t.U::
I
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
/Y11-[!)
Date:
LI-?f-oy
Comments: . ~FlFl ReYFlr!:OFl ~idA for Additionallnformationl
See Attachments' I ~ n..",.li'lg...E.1"n. ?) Erosion Control MellSlITf'"
"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."
/""
~~
<Wwte - Bu~
Canary - engineering
Pink - Planning
Th~ ("rnlE" of lhfl' I..kf Counlry
BUILDING PERMIT APPLICATION DEeARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
DAHlE: Beos
4-. 2-0.04-
The Building. Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5 z.q 0 FROST POI NT C I e.c"L-E
,
Accepted
Denied
Accepted With Corrections
/
~p
Comments: ~ . /..,., .v..:J
~ .;.. k ;fr&-:,~~~
~-~~~~.
~.
Reviewed By:
~
Date: sb-c.;: <..J
. {
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"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."
~1
White - Building
Canary - En9ineering
( _Pink _ - Plannln9":>
Thf ('tnler of lht L.kr <-'ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT
APPLICATION RECEIVED
DAHLE" BeoS.
4-.20.04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5 Zq 0 FROST POI NT C.-ICC-L€
,
Accepted X
I
Accepted With Corrections
Denied
Reviewed By: /" r-;;.fY10v7Afl.().,
l-/I T0"" -, 'U \J
Comments:
Date:
1=;. 'd-~" O-p
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UJnI?~
lj>>utp lDJ-.r\ - rn LULT
u.J-.P ~ CV)Q.L
I
"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."
FROM : BRUCKMUELLER PLUMB I 'IG I NC
PHONE NO. 651 688 216e
~ug. 25 2ee4 e1:52PM P2/2
, , . .
CITYOFPRIORLAKEPLlJMBINGPERMIT '
. " , " - ' '. ".
Date Rec'd
.":::=:~~ ,.1 ;l"ERl\'IlT NO'04 0 S II' I
,1":,'~:",::c1~~:~~': -f. -
lflwe type or nriDt and 'sim 'at bOmOml
I ADDRESSS2C10
,'." .
. , .' . . .
'I 1 ZONING(O~~) I
..',
LEGAL DESClUPTION (01&0 use oDly). .
ADbmON
'PID
LOT BLOCK
OWNER
(Name)
(Address)
n~c..
, ~jzpI'
,',,';.
(phol1e)
APPLICAN,f)_ I JL f'( '" ',"
(Name\ ~ 'c.IrlI\.I1,'" 'lr..J .-V IIV\~ l~ (Phpne)
(Address) .11A2- (~~~JLlLk(lA . AtJ-f "" r~
=::::ON.::. ~~TJfJ:41- -'l D^,'
Quantity
2
l
,
y
I
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!~
~{1~/- (d 't~ -t(;?4&
Y[.J' _If"&<
(Zip Code)
~K( -C?K'u -f ~JA.D
~ f25;"Jdl./
I
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture
Bath Tub with or without shower
Dishwasher
I Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
I Bar Sink
I Water Closet (Toilet)
Quantity
'4f
!
Type of Fixture
Rough-ins
Water Heater
Water Softner
I Stand Pipe (Washing Machine)
Sewage Ejector
i Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial 8< Mlllti.family 1% of job cost with a $39.50 minimum Residential. New Ono'" Two-Family $99.50
Rcsidc:ntial, AdditiOf\$ '" Alteretions $39.50
Estimated Cost $ ---11\ <;"~ Building Pennit # ,
. -
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE S
PAID 'WIllI
:m.mnING
(om.. Ua. O.ly)
Thi. Application Becomes Your Buildin!! Permil When Approved
.uilding OttiC.ial
'~' ~'\0 ~I U \~ r!' ']
J j D~p 1 0 2004 ,:;.- By
Date
:l4 hour no'ie. ror all inspection. (952) 44~ -9850. rn (951) 447-4145
By
MAV-28-04 07:06 AM VA~~EV AIRE
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1 "t,\! 1"'''"0''
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y 'I RJeut~rintandlilmltbot'tOm1_ ..~._
1...'1 ADDRESS
f.;
I'.;''':~:~~~:: ~:~: r G,..k < G
LOT BLOCK ADDITION
.. '., ~'
I';::' ~;~~; R~~ r._'
~,~J APPLICANT A
J, '. (Name) Ur.llo4!M t,..-c... I_ L (phone) 1?'to '4~o'
II: ~ (Address) ') lL \ lAJ -l1...~ ~"" ~ I- s.w~.A... 5. <;:..~ 79
f (Mereu) (City) (Zip Codt)
I '. '~ (ContaC1 Person) "^ ,'/L.L A (pllone) _~ l) '{3o,
.~, APPLICANT SIGNATURE /~_ # 4 J- DA TE ~ - 1. 'if ~ <:> .,
:'1:i 7. / . .
~:, j} _ APPLICANT PLEASE COMPLETE BELO\\,
! ).~l (!!fEw CONSTRUCTION 0 REPLACEMENT [!fAl-TERATIONS
UI.FURNACE MAKE AND MODEL tvI)/V6. FUEL
.:<' FLUE SIZE ' RETIJRN OPENINGS INPUT OUTPUT
. I.-":.l
,~ "? ,I
lb') TYPE OF SYSTEM HEATING OR POWER PLANT
I."'N
'1:.1. O~~~ O~
.... (j' OOravity 0 Hot Wiler
i. ,!, ~eehlJ1ical 0 Radiation
....~l ~r CMdilionlng B Special Davl..,
l't i ~ent. System Other Oevle.,
;R'\,~:PIIl.EPLACE MAKE AND MODEL
I
.,
!..~;I"dUSlrial, Commercial'" Mulli.Famlly
i. r:~'!
" '.i ReSidential, Neating '" NC (New Construction)
!., "Ilcs,d,nllal. H,ating Only (New Construction)
f. ,
..::.... ; . Estimated Cost $
~fl
;L,~;:
952 Bge 3351
P.ll31
CITY OF PRIO~ LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
,
Date Recta
I, ... PI!, I PERMIT NOatpJM.
2, er.... City
J. Yellow t....."II""nl '
..- I I ZONiNG (olli"",),
PID
(phone)
~i~~ IqoD
PLEASE NOTE:
Air Conditioner Units
Cannol Encroach Into
Required Side Yard
Setback!
,~,.-.._-
-...-- .".-
FEE SCHEDULE
1% oCjob oosl Residential. 01.9 Fireplace
$39.50 minimum
$99.50
$64.S0
S39,50
!.'
HEA TING PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
Residential, Addilions & Alterations
Resid.ntlal, AC Only
Buildinll Perinit #~<ftl\~
$ f}.)~~
$ .50
$
$39,SO
$39.'0
~:~ ?o:':i (orner \,ltt Only)
~
:' . '.! Thl. Appllclllon Be.om.. Your Bulldlnll Permit Wben Approved
:',
~~
Buiidi;j om,lal
Dlt'
'~ ~~~].,
I
Receipt No,
:.;
24 hour notiee Cor aUlllJpecllom (951) 4. 7~9B50, Cax (952) 447.4245
16200 Eeal. C....k Avenue. Prlor.L~ke,-MlH9'!1:c~-.:;~.:.;,;:..:...
;:,
~i
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
q'1ease tUle or mint and sim at bottoml
ADDRESS .
5290 FROST POINT CIRCLE
~. =, ~:~ I PERMIT NO. 11_ CI,/
3, Yellow Applicant ,.,...:...:;.,1/ ,
ZONING (office use)
LEGAL DESCRIPTION (office use ooly)
LOT BLOCK ADDITION
PID
OWNER
(Name DARLF. RROT.Hl'RS
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOMR
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
(Contact Person)
RlffiNDA HUSTON
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
APPLICANT SIGNATURE
BRENDA HUS.TQf\/
DATE
8/17/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
REA TN GLO SL-750TR-D
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 & NC (New Construction)
Residential, Heating Only (]o.Ieo/.Cllnstruction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
''fOTAL PERMIT FEE
Building Permit #
$
$
$
.50
PAro Vffl"N
~.
.~...r'.
(Office Use Only)
t
,
This Application Becomes Your Building Permit When Approved ':~ I~:r" ~2 4D :oo4nl ::cei~ro.
Bnildin. Official nate Wl {. ~ Ul
24 hour notice for all inspections (952) 4- 7-9850, fax (952) 447-4245
By
PRIOR LAKE DEP.ARTMENTOF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~ f" ~'ST Ibi,.,r- (!;,~e
NATURE OF WORK ~-~ NUi't7~1JII"
USE OF BUILDING _ .., . - s: If:': D. . . _ .
PERMIT NO. CJ!#:.......05{' DATE ISSUED S/a "/tJ~ .
CONTRACTOR I>AtiLe"' ~S'. JI-Jc.. PHON~'!-&fIIe,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOll DATE
I FOOTING 1M ~ I '1- 1l--avI
I FOUNDATION (Prior to Backfill) I tv.V '/ I . {; !{;("'(}Il
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
. ,
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST jI\/('./ f{r" J-7-()J/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ 1 Y'\ I J/l1// I 0- 7/Vl1
FINALS
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,
~..ri:'~'ll'-l\-:',Mi.:{.ii:i-U'I~i- _'y)~
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
i1~
4- J,"-m
lM/
vvV
OCCUpy UNTIL ABOVE HAS
NOTICE
BEEN
I -).~/ ~
'-( "l.<) ~
S I G NE D
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
llA TE TlIIE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
j- U-r;s-
A"'''''I\':ol1IS
s).Jto
r.d8.+ Pr--
OWNER
CONTR.
PHONE NO.
PERMIT NO.
at 4- S-II
D FOOTING
D FOUNDATION
D FRAMING
Q INSULA nON
D FINAL
D SITE INSPECTION
D PLUMBING RI
D MECH RI
Q WATER HOOKUP
Q SEWER HOOKUP
J! PLUMBING FINAL
D MECH FINAL
D ElCIGRADlFIWNG
Q COMPLAINT
D FIREPLACE RI
Q FIREPLACE FINAL
D GASLINE AIR TST
Q
COMMENTS:
f::..RK SATISFACTORY, PROCEED
D CORRECT ACTION AND PROCEED
D CORRECT ~)~ FOR REINSPECTION BEFORE COVERING
Inspector: -Y.J!.f OwnerlContr:
CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .. SAFETY!
-,
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
I/.-(~t%
ADDRESS
.9J(O fYr;/.)1 p-r
COMMENTS:
-------.
/ / ~ -
L .-/ I U>L-"
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
If FINAL
"0 SITE INSPECTION
.~
~
~..
CONTR.
PERMIT NO.
4- 5'11
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH ANAL
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
.~
1 7/ '\
r ~ )
./'
----
--=-------
B"WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND ROCEED
o CORRECT WORK, FOR REINSPECTION BEFORE COVERING
Inspector.
,
CALL 447.9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
Owner/Contr.
CODE REQUIREMENTS ARE FOR YOUR PERSON.4I.. HE.4LTH <I SAFETY/
INSNM'