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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 I I I I I 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! lNSNOrl :;- 0 8~ 0 000000 ." ~ > -0 z_ UI 0 :x C ~~ -0 0 en."Z"''''''' 0 C ~ CD 0 3: :::jzen~OO z ;u 0 Sl m mO g > 0 ::0 ::0 ::0 3: ~>cl:iS m ::0 m 0." , :-! ::0 ::0 ;,c; z'!;zcz z en ::!." hl , m m en m p en ~ 0 o ,. Z ~ ::!Ci)~Ci) O;u t -i -i -i z- hl ~ -t m 0 - zO 10 ~ > - UJ o z 0 I o en r -I z 0::0 S CD -i ." CO ::0 - ,. (5 ::!> ~ (II ?' o 0 0 Z -i Z O;,c; ." 0 > 0 mm ~ 0 > Z ::0 ::0 , C :< , C:;J -I ." ." ." ;.. X 0 ::0 ::0 ~ m ::0 0 0 000000 Z ;:0 0 0 ~ ~ m m m m l:."en~I:'" >< z m m m'~)im' -I C C OC -iOC ~ Z ~ en :x:l: m:x:l: 0 en ;0 Cl ." ." ~ en m .,,!!!::O::O;:o!!! m 0 0 ~ ." :;) 0 zZxx-Z ::0 z X ::! m CD -i >Ci)00 Ci) I: -I m :::t - ~ 0 () 0 {' ,.,,00 ::0 :::j ;u C -I 0 Z -;,c;;,c; - z C (5 Zcc , ~ ~ [ll ~."." 9 m z m c ~ ." N 0 ,.. ~ :x ::0 m ~ 0 0 C 0 ::0 < DDDDD~ G - en m e :xl z ::0 Ci)"''''o~ . c ~ > z tH~ c,." -4 R- Ci) ~ m C cqJqJ ~ ~ iii~~_ ~ z 0 ~mm~ ""'! !'1 -4 ~ ::0"'::0 , i -1-- enz Z m -I~ Ci) 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/