HomeMy WebLinkAboutBldg Permit 04-0736
Date Rec'd
(/ .30,0:1-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I PERMIT NO.O f, 073(P1
I
1. White file
2. Pink City
3, Yellow Applicant
(Please type o~t and sign at b~
I ADDRESS
\ \ LO exxx:Hu:::..k-/{2A I L
ZONING (office use)
It: / SD
LEGAL DESCRIPTION (office use only)
LOT l"1BLOCK
ttt W Lt~
PIDZS: 404-. 0&2. 0
ADDITION
(PhOne)((O(2.-) ~ - Zl'if{
,
55,
OWNER
(Name)
fI/1 N,
(Address)
BUILDER
(Name)
(Contact Name)
(Address)' ,0. 11-0 X
(Phone) ~& (2- ) ~ 2-1 ~
(Phone) ?t l '2~ )..32-1 - ZJ
tV] tJ . 55/2-<{-
DPorch
DAddition
ORe-Roofing
ORe-Siding
TYPE OF WORK
New Construction
o Fireplace
DAlteration
DUtility Connection
.2~
DLower Level Finish
o Misc.
PROJECT COST IV ALUE (excluding land) $
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
enter 0 epropertytoperform insp ns. # /7/5"" 0M/ocf--
Contractor's License No. . nate
Park Support Fee # $ -
SAC # $
Water Meter $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE ~ 1. U.6 $
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Do.DC)
3S: S""o
o . tJt:>
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~ 1<-,'9# j
7(e,Q/D,/
D~te f
Building Official
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
~"c.~::E:tes a tempotary Certifi"te of Zoning oompll""e and allow, ,0nstrUction to oommence. Befo" o,"'p"'<1'. a Cenifi,"e ofO"upan<1' must b,
PI",n;ng Director 7( ~!.reD 'I Special Conditions. ;f any
24 bour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
~1
Tht ("rnl., Qflht L.kt ('ounlry
.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
13u-rGE- R- H()U~ItJ q
~. 30.04-
C,o ((R.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
f 4-/7 0 WOOD ('A-h) C-(L.. (7U:rt L-
A
Accepted
Accepted With Corrections
Denied
Reviewed By:
.1/Jfr8
.
Date:
)- g-cx;
Comments: See' Reverse Side for Additionallnformationl .
See Attachment!!. 1) (;rading 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."
J.
,~4PRiC~x PRI~
,::: 1-:
U [1'1
.
White - Building
Canllr:y - Fngineering
(1Sfnk - PlanninCl::>
Th~ C'rnlr' of lhr I..kr ('ounlr,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
13IJTLEI~ Hcv~' tJq
({.30.04-
tCICP.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4170 HOOD CAfUC1L llZAIL-
.,/
Accepted
Accepted With Corrections
,'. Denied
~~t-
fj1,h end oJ
Date: 7/l.o /0 t(
~~~~ ,
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."
XPR~
-l.~~ (
o ~~
hite - Buildin
Canary - eering
Pink - Planning
Th~ Crnlrr <If lhr L.kr Counl~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I3U1GER- HOU~1 tJq
~" 30.04-
to ru~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i4/70 WOOD CA-/VC1L T1ZfrtL-
Accepted
Accepted With Corrections ~
Denied
~
r;& '-.. . :'1
~
~ o..U ,/~..., {h...~
Date:
7(/ {J /01
, f
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."
08/03/2004 14:48. 9528959394
ALLIED EXCAVATING
PAGE 01
City OF PRIOR LAKE
SEWER AND WATER PERMtT
Date Rec'd
. 11114
III
i. 5'-S.... rPlfRMITNO'Ol/O/6<O J
LEGAL DI!SCR.lPTION (0
LOT n BLOCK
tJj\\ck ~o,,~
dd.
! ~ONING(~_) I
I
PID
(Phone) 99-- LJ ~) -1...1 13;t
10 :)31
ICI
( Code
(Ad<lrcSl)
(ConlaCt P=on) ::Se.
APPLICANT SIGNA!
OAT
PPUCANT PLEASE COMPLETE BELOW
Size 0 wuer service ..l.- inches. ~
Loll8ti n of any couplings from stl\U(t~ feet.
Typeo sewer pipe. OAB~_ '1SPVC 0 Cut Iron
Estim cd lenll1h of sewer line ..:!.Q.. feet.
Clean ut (if requirlld) located at feet from suuctlU'e.
FEESCUEDVLE
Residential _Of ~d ....ler line ~ollllectioa $35.50 Jaduslrial, Com'l '" Multi-family 1 % of job cosl...ith. $39.50 minimum
So..o, eonacOlion only $17.50 WarercOMlclion only 517.50
Eatlm d COIl S
BlIildln8 Pennit 1#
$
S
S
.50
Bulldl.. Olllci.'
Dl"
PAID WITH
TI
(om" UN OolJl
Thi. Applicallon IIeeom..l(~lIr Bulldl.. Permit Wboa Approved
14 _our .oU.. for ,II i.,pottio.. ('51) 447 . In 1m) lU'7..Q4S
By
12/02/2004 00:36
9527585942
WELTER BLAYLOCK
PAGE 01
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
1,&1.... fil.
2, Gold CilY
) Yellow ApplicWlI
I PERMJT NO.~
I
ZONING (officeu"J
Plc:a.se ope Or Prlot and siPJl at bottom)
ADDRESS
Ji./l7u wDCdc.hu u- rrticQ
LEGAL DESCRIPTION (offl., use only)
LOT
BLOCK
ADDITION
PID
~~R fu+~ tlVU~ L~.
(phone) 4)0 43/ L/ I 30-
(Address)
APPLICANT
(Name)
(Address)
L
(phone) 0;5;7 7 c;- g '5 <i 10 {
Welter & Bla loe
(ki . way 13zip Code)
Hurnsvtlle, 55337
(Phone)
J'd ~;;;--o +
DATE
(Contact Person)
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
.?, Bath Tub with or without shower '.J... Rough-ins
I Disbwasher J WatJor Heater
~ FloOf Drain Water Softner
r::::: Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine) -
,:{ Laundry Tray (lor 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler -
.~<( Water Closet (Toilet) Other
FEE SCHEDULE
Industri41. Commercial & Mlllti-famlly 1(1/0 of job 1.:0'51 with ll. $39.50 minimum
Residential. New Ont: & Two-Family S99.S0
Residential. Addltions & Alterations S39.50
Estimated Cosl S
Building Permit # __
PAID WITH
BmlD'NG PERMIT
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office: Use: Only)
This Application Becomes Your Building Permit When Apprnved
y
_-.I
i
l;luiJding Offh:llll
I'Pale
0.., \ . DEe 8 2004
IJ ~o"r no'i.. for.1I inspwlo.. (952) 4'7..t~O, fax (952) 447-42<5
1~200 Eagle Cr..k '""0.. S.E.. Prior La~;~:~'t~53?l,.m~__
~
.€~:
.fNNE S 01.'"
CITY OF PRIOR LAKE .
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
Please e or rint and si at bottom
ADDRESS / J
/4170 WooOBJr/utl( 0(/Nt
i~:. E;"", I PERMIT NO'04. 0730 I
ZONING (o_u,,)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(phone) q,;;J.-l-;'J 1- Lf )JJ..
(Address)
APPLICANT
(Name)
(Address)
(Contact Person)
APPLICANT SIGNATURE
DATE
APPLICANT PLEAS OMPLETE BELOW
W CONSTRUCTION 0 REPLACEMENT
FURNACE MAKE AND MODEL <1?2 13 Ax!:
FLUE SIZE ~" t.vf!- RETURN OPENINGS
~.
.
o ALTERATIONS 1.1
FUEL !JJtr~S
INPUT IdIJit?PV OUTPUT /tJJjt$V
, ~
HEATING OR/POWER PLANT
TYP)' OF SYSTEM
. E Air Plants
vity
echanical
~~Conditioning
EIV cot. System
o Steam
o Hot Water
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 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ Building Pennit #
WITH
UllDING
PERMIT
HEATINGPERNUTFEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
C-.'
I Receipt No.
24 hour notice for all inspections (952) 447 , ~,fax (95:1 447-42~.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I,Pink
2. Greet1
3. Yellow
~!~i'~' I PERMIT NOOl/- '13~
Please
or rint and si at bottom
ADDRESS
ZONING (office use)
14170 WOODCHUCK TRAIL
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name BUTLER HOUSING CORP
(Phone)
(Addtess)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
10/11/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION o REPLACEMENT o AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
OAir Conditioning o Special Devices Required Side Yard
OVent System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO 6000TR-OAK
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
i,t:!' ,~r"', -',": . "'.1'
,_ ("~\I~::'.I ";v,J; f"l
" r 'c' 'r., ~.". ^
- .' ,.A'h....; r-',,;.;~~'!rr
, .,~l, ," i
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildine Official
Date
ceipt No.
24 hour notice for all inspections (952) 447-9
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUIL01NG AND INSPECTION
SITE ADDRESS /~/7(J ~r--HP" N ~~
NATURE OF WORK ~ ~
USE OF BUILDING ,J=: .
PERMIT NO. ~(p DATEiISSUED tJ II
CONTRACTOR ~ rMJ'. PHONE1'e- ~&. - ZI~
NOTE: THIS IS NOT A PERMIT FOR NY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING, Cf-2t
FOUNDATION (Prior to Backfill) -+
PL~E NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - IN
SEWER I WAT R I SEPTIC 4
FRAMING 1Jc... IO~ 8'0
INSULATION /tfJ -;
ELECTRICAL
PLUMBING /6. <::;;
HEATING (if re uired)
FIREPLACE
<?AS LINE AIR TEST ..,.....
COVER NO WORK UNTIL ABOVE HA
LATh~ '&tiJ'lt. ~
.
FINALS
Vft"
Iz.lo-~1
GRADING (Prior to Sodding)
BUILDING ~o 8--
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOV
NOTIC
(p Il
K
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
--'~-~-~--'--~--'-"----~---~'~--'-"--' .
I
I
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I
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i
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS I '/l7 0
OWNER
1.~1/ nME
SCHEDULED ~
~~
CONTR.
PERMIT NO.
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULAT~~
j1i..aNAL -~
o SITE INS CTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
t< ~ 73&
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o k-+~ C (-el")j7
~
X WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT OR CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr
CALL
R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 1J.-/O-tJY
ADDRESS /1.//70 WAI9r/C/',;c,/t... 7/1
OWNER CONTR. Pvl-/fr HhV~/v Co,!.
PHONE NO. PERMIT NO. () L/ - 7:5.6
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,Q(fIllAL
'1J SiTE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
bl'e,,,h - OJ(
CUll,
/7,("}}<. - 19 t_
o .
XWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
Inspector.
-
-BwnerIContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
''''''''"
o~),
b~~ <:In.O
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
N170 {.JC)Ot!L O~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
p( FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
D WATER HOOKUP
D SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
5,
DATE nMe
/2jafoi
{f - 73;;
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
, "'-
~
~
8-1~ 05
o WORK SATISFACTORY, PROCEED
o CORREC TION AND PROCEED
X. COR CT K, CALL FOR REINSPECTION BEFORE COVERING
Inspe Owner/Contr:
-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH "- SAFETYI
DATE nYE
CITY OF PRIOR LAKE ~
INSPECTION NOTICE SCHEDULED
ADDRESS J'-l110 \..J~ 0ucIr
OWNER CONTR.
PHONE NO. PERMIT NO. 4- 73y
o FOOTING o PLUMBING RI o EXIGRADlFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL MLUMBING FINAL )( Gt;~:t::IR Tlp
o SITE INSPECTION o MECH FINAL o '" .
~ A
. I-P_ '{e8~ C... f '7
~~v:A IL-tcL. ~.~IA J(
). f'<<e Q...Q\L n~ G",_wTi
o WORK SATISFACTORY, PROCEED
~ORREC TION AND PROCEED
o COR CT RK, CALL FOR REINSPECTION BEFORE COVERING
Inspect r:
Owner!Cont~
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
UlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IJ<$NOT/