HomeMy WebLinkAboutBuilding Permit 04-0276
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3. zr.c4-
I ~j~fj;~am~e
l. White File
2. Pink City
). Yellow Applicant
I PERMIT NO. ()4-.0;).7(o I
~
ZONING (ollkeu,,)
1</
LEGAL DESCRIPTION (office use only) tJjj;; J ~ J
LOT q BLOCK :z ADDITION Wl
IZ.. 013. 0
OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact Name) n
(Address) R 0, /5&.
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Misc.
o Fireplace OAddition OAlteration
PROJECTCOSTIVALUE (excluding land) $...!3
OUtility Connection
GO
-
I hereby certifY 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
authoriz~d agent for the above-menti ed property and that all construction will conform to all existing state and loca11aws and will proceed in accordance with
s plans. I am aware that building fficial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
leru 0 theproperty ded ctions. =# /7/!i S/zIP/O 'f-
ature Contractor's License No. D/te
Permit Valuatian Park Support Fee # -
Permit Fee $ SAC # -
Plan Check Fee $ Water Meter Size 5/8" -
State Surcharge $ Pressure Reducer 70.-
Penalty $ City SAC and WAC # /ZCO.-
Plumbing Permit Fee $ Water Tower Fee # ((F/. .-
Mechanical Pennit Fee $ Builder's Deposit /5aJ -
Sewer & Water Permit Fee $ Other
Gas Fireplace Permit Fee $ TOTAL DUE
I ~~~ q;j~~-~y
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
issued.
Planning Director
'v
Date Special Conditions, if any
24 bour notice for all Inspections (952) 447.!ilisf tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~
White - Building
Canary - Engineering
Pink - Planning
Th~ ("fnl... of Ih..I..kf Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT BllTLE:e HOlJSI~ ~rLf.
APPLICATION RECEIVED .3 . z..q _ 04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
15+ 15 Crurf.J e 00 u ra-
Accepted Accepted With Corrections v
Denied ;20/1 ~ ;{i4-
Reviewed By: Date:
..;; ~ r:>~ 5 ,
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."
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u rn
White . Building
Canary . Engineering
Pink - Planning
Tht'(-..nf..roflh..l.ab('ounlry
BUILDING PERMIT APPLlCATIPN OEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f~IJll E Ie. I-lev: I /I, C:, [,Clef.
2, .21. (4-
..The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
154-/5 l)c~f\ Nt: C /,U IJ
, 1\
',,"',
..
Accepted
./
Accepted With Corrections
Denied
J" Reviewed By:
1-()!I
Date:
4~;t4
,'or'"
Comments:
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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."
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Th.. ('.."..., of t11l..I.-k.. ('ou"l".
White - ~tldir
r r~"!l",.. nglneerffilb
PInk - P ann ng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKI,.IST
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:
\ 5'1-1 S Cr~f\ N S C (; U iCl
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
IJ'T}/!;
Date:
L/_ f)- t? 'I
Comments: See Reverse Side for Additionallnformationl
See Attachments: 1) Grading Plan, 2) F.ro~ion 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."
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(please type or print and sign at bollXlm)
I ADDRESS
15415 CRANE CIRCLE
! ~w E5;,=.1 PERMIT NO. D ~I" ~1~ I
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER BUTLER HOUSING (Buyer is Barber)
(Name)
(Address) P. O. BOX 24597 - - Apple Valley, MN.
(phone) 952-431-4132
55124
APPLICANT
(Name) RAY N. WELTER HEATING CO.
(Phone)
612-825-6867
(Address)
4637 Chicago Ave. So.
(Address)
Joe Welter
MPLS., MN.
55407
(Contact Person)
APPLICANT SIGNATUR
(City)
(phone) 612-825-6867
DATE 6-11-04
(Zip Code)
APPLICANT PLE E COMPLETE BELOW
I!lNEW CONSTRUCTION ~ REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL TRANE - - 100 - 100,000 Btu FUEL NAT GAS
FLUE SIZE 3" PVC RETURN OPENINGS 6 INPUT 100,000 OUTPUT 90,000
TYPE OF SYSTEM HEATINGORPO~RPLANT
Q!lWann Air Plants o Steam PLEASE NOTE:
OGravity o Hot Waler Air Conditioner Units
lXI Mechanical o Radiation Cannot Encroach into
[jAir Conditioning Ii1 Special Devices A:ir to Air Required Side Yard
OVent. Syslem o OIher Devices Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Allerations
$64.50 Residential, AC Only
$39.50
Residenlial, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ Building Permit #
.50 ~,I fJaY
t ~\
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Offiee Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Buildiog Official
,
Da
'(5"0l,.,
By
Date
24 hour notice for an inspection. (952) 447-9850, fax (952) 447-424
04/30/2004 09:21
9528959394
ALLIED EXCAVATING
PAGE 01
CITY OF PRIOR LAKE
SEWER AND WATER PERM
i: ;.Is.- rR~~o~ ilo
Date Rec'd
or 'IDd'
ADDRBSS
-Ylj Qv Y\e. e..{--
I ZONING (o/Ikc IIA) I
LEGAL DESCRIPTIO
LOT BLOCK
OWNER.
<NuneJ
! (Address)
PID
(Contact Pmon)
APPLICANT SIGNA
PLlCANT PLEASE COMPLETE LOW
S~ 0 water seMce inches. i
LocIati n of any couplinp from atrIICtuxe..& feet, i
T~ 0 IeWl!r pipe. 0 ABC ~ 0 C4st Iron
eel length of sewer line feet. i
Ct. ut (if required) located at feet from
FEE SCHEDULE .
Residcnriai sewer w1....mrUlnc ~OnnecaOD $35.50 lnduslria~ Com'l&: Multi.famil* \% of job cool wilb a $39.50 minimum
Sewer ~onDaaion only S 17.$0 Wam CClIIIIKtlon only i S 17 .50
P.ati d coil s
Building Permit /I
EWER AND WATER PERMIT FEE
TATE SURCHARGE
OTAL PUMIT FEt
s
s
s
.so
(om.. \Joe 0017)
Tlli. AppJlcadon :&.eo... y qr Bulldllll ,.,..11 When Approved
..1141.. 0\DIttI1
D...
3411.., .._ r., ./Iln.pocti... (lI!]) 44'.9 ,.. (J51) ~7-4245
3y i -----
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04/30/2004 09:21
9528959394
I
ALLIED EXCAVATING
\
CITY OF PRIOR LAKE I
SEWER AND WATER.PE~T
i
,
PAGE
Date.
J. ac. PUI
1,V_ "'"
l, A.. ..........
I ZONINO Collkc_,
or _' acI
ADOR.1!SS
-\..-11 J c.. V Y\ e.. e..-t
LEGAL DESCRlPTXO
LOT BLOCK
PID
)OWNER
(Narmr)
! (AcL:lms)
Code
(Contact PCllon)
APPLICANT SIGNA
!
PLICANT PLEASE COMPLETE BELOW
Siz4: 0 water service inches. ;
Lociati 11 ohllY couplings from strUCluIe~ feet, i
TYJ1e 0 sewer pipe, 0 ABC OOPVC 0 C4st Iron
, eel length of sewer line ~ feat, i
Cl.ut (ifrequired) Io<:atcd at feet from strUalire.
FEE SCHEDULE .
!t.esidenlial..,wcr and wllllt11111c COaaectiOll S35.50 Industrial, Com'l &; Multi-familt 1% of job CClSt with a SJ9.50 minimum
Scw.rcollllllClionOllly SI'.'O Walel'coDDlICIlononly ; S11,50
Eatim cl coSt s
Building Permit II
EWER AND WATER PERMIT FEE
'TAtESUJ,.CHA:RGE
O1'AL PElt.'IIT FJ:F.
s
s
s
WITH
BUILDING
../ldl.. omel.1
0_
%4 bo.' .otk. r.r .1I1..poctio.. l'!'l) .~II!O. f.~ 1'51) ",7..u45
B
(om.. u.. 0.1y)
Tloia Application Becomll\l Y ur Bulldl.. P.....it Wilen Approved
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or print and sign at bottom)
[ ADDRESS
15415 CRANE COURT
; 5:. Z~;""' I PERMIT NO'I(__:;? ~
ZONING (alIke use)
LEGAL DESCRIPTION (offic, w, only)
LOT BLOCK ADDITION
PID
OWNER
(Name BUTLER HOUSING CO
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
6/29/04
xO NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants o St,am PLEASE NOTE:
OGravity o Hot Wat,r Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
OAir Conditioning o Special Devic,s Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO 6000TRXI
APPLICANT PLEASE COMPLETE BELOW
Industrial, Commerciai & Multi-Famiiy
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Residentiai, Heating & NC (New Construction)
Residentiai, Heating Only (New Construction)
.50
~~ ~~,
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"ili.!
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
$
$
$
(Office Use Only)
This Application Becomes Your Building Permit When Approved
BuUdine: Official
Date
P
iptNo.
24 hour notice ror all inspections (952) 447-9850, x (952) 4474245
By_
08/02/2004 10:13
9527585942
WELTER BLAYLOCK
PAGE 02
- ...--""
._~'~''''''' ...~- .. ..-.,. -_. ..-, ._.. ,..-...--
Date Ree'd
crrv OF PRIOR LAKE PLUMBING PERMIT
::'~.-;".
(p...,1J1>C or, . __ .-......)
I ADDRESS
r5L(/5 ~6J
I LEGAL OESCRlFl10N Colllce UK only)
. LOT BLOCK ADDITION
I,..... Fi..
2. (;oM Ciry
J. V'll... AIfl-..:
I PERMIT NOtl-' j1j,
I I ZONlNGCol!i<<UR) 1
PID
1&= r.,~~I~ tl~(kp-
. (A4dress~ _
APPLICANT / /. .
(Name) (iJUf"'-r
(A.ddJ=) (Dcr
(pbon<:)
q5".;I - 1',1/- 1'~<>-1
957 7~ - 5X'b I
.
5S3a
(Zip Code)
0/d-. - ..:J.J-)-b 7S-/
(COntact Person)
APPLICANTSI(}NA TUllE
(City)
(PlIooe)
DATE
Q...tity Type of Fl:J:tare Q.udty Type of Finu re
/ s.d1 Tub widl or widlout r -:::J ROUglt-ins
~ W.. Heater
.... Ploor Drain Wafa' Softner
-: Lavatory (Bathroom Sink) I Stand Pipe (WashIng Machine)
lAundt'y Tray (lor 2 cornputment smk Sewage Ejector
Shower Stall Bacl(tlow A55enlbly
I Sinks Backflow Assembly Test
Bar Sink Lawn SDrinklcr
,J.. Wa_ Closet (Toilet) Other
APPUCANT PLEASE COMPLETE BELOW
FEE SCHEDULE
InduSI,i.l. Commercill &. Multi-ramily \%ofjob eostwith I 539.50 minimum Rcsid...lioJ. New One &. Two-FllJlily S9950
~lclenlioJ_ Addition. &. Altcnlions $39.50
E$tlmlted Cost $
Building Pcrn1illl
"IJU= IruTn..t
" t'ruUI w""'n
f~'WINGRmMrr
PLUMBING PERMlT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEI; $
.50
00..
~eipt No.
(om,. Us< Ooly)
This Appllcatloa Becomes Your Bulldllll Perlllit W~e. Approvocl
8uildlnc om,lal
y
.a
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8-;:'~~li",'~j~;.,_,):t:::-'
l'tJ'R LAKE
INSPECTION RECORD
SITE ADDRESS 1~1-f5'" C~ G~~r
NATURE OF WORK CSi"u_ v H-r ''1 ~A-1:.r>
USE OF BUILDING :5 F70 L .
PERMIT NO. 04-,oZ7f;1 DATE ISSUED +blii/ePlt
CONTRACTOR ~/.J,..c.--v- ~ PHONE itz.-~Z8 -'Zf f!)~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BEL
THE PERMIT IS BY SEPARATE DOCUMENT
DePARTMENT OF
BUILDING AND INSPECTION
I FOOTING
DATE
1((..eO -, (
INSPECTOR
1f1&
I FOUNDATION (Prior to Backfill) I j7~ s/ -z 9 I
.
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH- NS
~
WI\'\'" ~<N'o4'
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING If r
FIREPLACE
GAS LINE AIR TEST ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
L,+TlJf€-
eek:.--
GRADING Prior to Soddln
BUILDING \.. t -1-0
ELECTRICAL
PLUMBING
HEATING
DO NOT
~~
(p-7.,t.
~~
FINALS
S.T. r).J"-
s: $- ~
~
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in Inspectlor
and maintained until all Inspections have been approved. On buildings and addltlol
wh , no service cabinet Is available. card shall be placed near ",,'n entrance.
l
ir'.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS I b 4/5 C~;,~_C r:
OWNER CONTR.
PHONE NO.
PERMIT NO.
lJ FOOTING
lJ FOUNDATION
lJ FRAMING
lJ INSULATION
't1:Ic:a.NAL
lJ SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
Curb &7-0~-
DATE TIllE
6"~-or
00/ - ~7J,
~~ILLING
o COMP INT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
5rf'/
. )(WORK SATISFACTORY, PROCEED
V 0 "hoRRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspecto~ __ Owner/Contr:
CALL 447-8850 FOR THE NEXT INSPECTlON 24 HOURS IN ADVANCE.
_n
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
On, '-"" 0
-
ADDRESS J '5 4 I ')
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
)!(fLUMBING FINAL
o MECH FINAL
fS d
. ~~
t~;
DATE nlll!
8~~
(\~
~ -27~
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
<1'17 -~~
o WORK SATtSFACTORY, PROCEED
~ORREC TION AND PROCEED
o COR T ALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
CAI.:
",."".,
'NTS ARE FOR YOUR PERSONAL REAL11I & SAFETY/
CITY Of PRIOR LAKE
INSPECTION NOTICE
DATE TIllE
SCHEDULED
e-'ZSo{
ADDRESS Ubi.( lC Gr-
OWNER
"l
QJ-
CONTR.
PHONE NO.
PERMIT NO.
q -0'2. 7'"
o FOOTING
o FOUNDATION
o FRAMING
'V!lSULA TION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH RNAL
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
M~~:-:l
~.t. ._
~~
1."
1" /
(-1-0'1'
I
o WORK SATISFACTORY, PROCEED
o CORRE A N AND PROCEED
)( CORR CT LL FOR REINSPECTION BEFORE COVERING
Inspecto
Owner!Contr.
850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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