HomeMy WebLinkAboutBldg Permit 05-0040
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
/2..22.04-
I. White
2. Pink
), Yellow
File
City
Applicant
I PERMIT NO. Os. 004-0 I
(Please type or '0: int and siJm at bottom)
I ADDRESS
.~b ~Q r(..,h ('u.T
TD..
I
;1/ .W.
I I
ZONING (office U>O)
jet
LEGAL Dm CRIPTION (office use only)
LOT.T)BIOCK { ADDITION /1.,
( 1 ) ./ J c.
Sf), 7i "-
PID Zb. 382.037.0
~':'e~R /1/1 eIJro ^(J J ( \ OA<) J
,(Address)nj~ol ILt..,~'j-Ls.'J-f.AjsJ"f.
,-'
AdJ/,,- (~
i t./
(Phone)c;Q.4S'iJ.. /W (
)fl~. S~ /d. L/
'~;~~~~tQo~JJ C;"'sT (Phone)<;S.)..4{J.?W f
(Contact NarteJ~~f-' C)<.",I) l;,,, - \' cllQ"l. I-Jv/J -"-- (Phone)1'".Jl6 <;5"1. .:1.'1'1 -10 C. <:,
(Address)? bO( /Lj ~;/- -:-Fcp.(> cl- A/>d...://~&Az -:>5:; _n...~,,-tp(.,l1. .?c::>1-8&. tr If-
TYPE OF W DRK
~w Construction
DLower Level Finish
~k DPorch ORe-Roofing ORe-Siding
~ireplace DAddition DA1te~ation ~UtiCJ Qnnection
PROJECT COST IV ALUE (excluding land) $ '-? S' Y d i) 7.
DMisc.
I hereby certifY 111at 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 agen 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
entJllr up n e 'oI?fY to perform needed inspections. t!7 /J I j
X' (/.__1._ .--/-- !<CV.-;)</& JJ.'(?lc^-O,
, - ---- I#" -~ Contractor's Gcense No. Date
Ii' v .........- ,. -
I PermitVa1uatim ~,- 3.5"1.000,00 I Park Support Fee # $ ?sOttJ(f) I
I Permit Fee $ dl ~O 7. ~() I SAC # $ It 4-50, 0 0 I
I Plan Check Fe , $ //"ql./.'p? I Water Meter Size5/8~ $ /{o(),Oe I
I State Surcharg' $ I '7 'i: ~O I Pressure Reducer $ 7~ tJ" I
1 Penalty $ I City SAC and WAC # $ / 150 o. 0 0 I
I Plumbing Perr lit Fee $ ~ <' 0 .(l 0 I Water Tower Fee # $ I ~ 0 0 O. 0 D I
I MechanicalP,rmitFee $ '(0 o. 00 I Builder's Deposit $ 15"t9-t:1,(;J(J I
I Sewer & Watf r Permit Fee $ ~5e lather $ I
I Gas Fireplace Permit Fee $ ~IJ,O() ITOTALDUECAL\EO 1.10.05 $/1,432.381
/1 '1~~_, <.'")~
J- Hl-()I;;I
-7
~~'~
Buddinl Official
I/~")
I Paid
I Date
I Receipt No. lI)( tJ~ (Q
Bv ~ .
This Applicati )n Becomes Your Building Permit When Approved
This is to certify t1 at the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by th ~ City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
"'U~~. -1'~
Planning Director
Special Conditions. if any
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
p/!.,-;-
..:..~x ~KIO", (
f-.. ?F.
o [1"'.
White . Building
Canary . Engineering
Pink . Planning
- -----
Thr (-..nln ,f thO' Lllkt.Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
Nfl ME OF APPLICANT
ARPLlCATION RECEIVED
lIe 0 ()/Vrl Lf.)
/2.. ZZ-. 04--
(i ~ )" <:-; (c-t..
'. <.11-- .
Th ~ Building, Engineering, and Planning Departments have reviewed the building permit
apl )Iication for construction activity which is proposed at:
3072- J3 01.3 IVi I 77;;,'7/ L /V~ I,V
Ac ;epted
x
Accepted With Corrections
De nied
Re viewed By:
/Y&A
Date:
J -il Q-05
~
Comments: See Reverse Side for Acirliticln=>' Infgrmatic\,;!
Drivewav Must Havp- A ~nnrrp.tj::ll Annrn~,...h
"Tile issuance or granting of a permit or approval of plans, specifications and
co nputations shall not be construed to be a permit for, or an approval of, any violation of
an{ of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pr$suming to give authority to violate or cancel the provisions of this code or other
onllinances of the jurisdiction shall not be valid."
Gti~
"---.. --
I h~ ('pnlp or lht 1.1I.kr ('oUnlt}
White . Building
Canary . Engineering
(..!'mK' . r;larinmQ')
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NI \ME OF APPLICANT
APPLICATION RECEIVED
I/e U[Jv;-lLt) C (/.:-T7(.,.
/2.. 2Z-. {4-
Tt Ie Building, Engineering, and Planning Departments have reviewed the building permit
ar plication for construction activity which is proposed at:
"::" ( --7? ' ' i /' -.) ,--- .T?-::/'II L 11/ 1/,
'.. ' I t-- L/ l/ ,j , 111 v~
AI :cepted
Accepted With Corrections
/'
...
D,mied
-'l< ' '7_ 'iI""
R,viewed By: -----L~ ~
C)mments: A. (!", ~..-<:!-.....,
<~ ~ .-d~,
Date: ~~.5'"
,
~~~
-
""'he issuance or granting of a permit or approval of plans, specifications and
c )mputations shall not be construed to be a permit for, or an approval of, any violation of
a,y of the provisions of this code or of any other ordinance of the jurisdiction. Permits
p resuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
.---1-----
ii~1
'----- -_//
Ih~ (-~nl~1 "f lh~ I..k~ ('o"n[~.
\-!IY'1!tp. . HUI'(Img )
'c:afIary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NI\ME OF APPLICANT
APPLICATION RECEIVED
!1c.OO;1.//!LO eONSTK-.
IZ-. ZZ-. 04-
n,e Building, Engineering, and Planning Departments have reviewed the building permit
ar plication for construction activity which is proposed at:
3072- 130f3 MT 7/?41IL
AI :cepted
Accepted With Corrections
fl/W.
/"
Dmied
r-
R ~viewed By:
~
~
;z. t flL
Date:
//S/dD
C )mments:
a...ef ~.
"fhe 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
c ny of the provisions of this code or of any other ordinance of the jurisdiction. Permits
r resuming to give authority to violate or cancel the provisions of this code or other
crdinances of the jurisdiction shall not be valid."
CITY OF PRIOR LAKE PL'VMBING PERMIT
Date Rec'd
Q'!ele ""'t, F nrin' ADCIsW! .. bottom)
!ADDRESI3o/d SOhw1 Tro.I'/
; ~~. ! PERMIT N<t4::> .... 9.~
3. ,,(dIow A.pphcanl 1 U'l
N. W I ZONlNGco!Bet...) I
LEGAL 1: ESClUPTION (Om", uoeonly)
LOT3r;BLOCKOJ ADDITION W:!d.., ~U+h
PID
,
g,=~ /jr/ (..J.h 0 ) J 0~ IJ... fY'uc --+ I' 0 Vl Jtc - (Phone)
(Address) 1~OL/Y..s1-h S'i: t?P{~. Aff)p U/~~ J1h ...s--~/J y
~~~ANT f,.VP ~~ {/iJ,hr~) Jhe--CPhOne) ,6-S-I-y.s-9.... J'/fJO
(Address) ./00'1 S'u.'fA_ _h. . ~iVp' WhrJd.6uY't ,J>1n ...r-..,s-I(}Cf
I n (Ad~ss) +. I ( ity) I (Zip Code)
I (ContICtP:rson) I_/r.. Yhj h ' (Phone) j rJ-.Ys-l~r:P) <:P~
c ~~;I{ DATE d - /Y---&1\l
\
APPLICA NT SIGNATURE
QIlaDUtiY
-d
J
V1~
. )
/
I
r~
APPLICANT PLEASE COMPLETE BELOW
Type ofFlxtare
Bath Tub with or without shower
Olshwashor
Floor Drain
Lavatory (Bathroom Sink)
Laundry tray (lor 2 complll1lnent sink
Shower Stale
Sinks
Bar Sink
Water Closet (Toilet)
Quantity
~'t'
/
Type or FIxture
Rough.ins
Water Heater
Water Softner
Stand Pipe (Washina Machine)
Sewage ~Iector
Backflow Assembly
Backftow Assembly Test
Lawn Sprinkler
I Other
/
FEE s...:.......ULE
Industrial, Commercial" Multi.family 1 % of job cost with a $39.50 minimum Residential, New One &: Tw..Pamll~ $99.SO
/ Rooldential, A.ipf,'~tlon. $39.SO
Estimated Cos, s/6!.J:"'/0:? Gt.> Building Penn;, II f)~~JJA-
PLUM~INGPERMlTFEE $" AJ) .-(/).--~'G~~
STATE SURCHARGE $ /- - .50 '7".f,^
TOTALPERMlTn:E $ 'r
(OllIe. U.. 0 .Iy)
Tbis Ap~ liClltlon Becom.. Your Bulldln, Permit Whon Approved
D dldlAll Olllelol
Dall
:u lIou. nollce"', alllalpoetlons (951) "7.~, fax (952) 447-4245
!'llIa:\CI. . ..- . -.--.----~~Recelpl NO.
l:> ,:. I . ',,::
; I Date I By
,. ~~1=l? <1 700'i
Cl~ PR10.f
~j
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please tvne 01 print and sim at bottom)
ADDRESS
; ~;,:" ~::y I PERMIT NO. . ~ _ i~
3. Yellow Applicant ~ -7"~
ZONING (office use)
3072 BOBCAT TRAIL NW
LEGAL DJSCRIPTION (office use only)
LOT B "OCK ADDITION
PID
OWNER
(Name M::'DONALD CONSTRUCTION
(Phone)
(Address)
APPLICAl' T
(Name) AT-UF.n FIRESIDE DRA FTRESIDE HEARTH & HOME
(Phone)
li5 I .li33.251i 1
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVTT T F
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633.2561
APPLICAN r SIGNATURE
BRENDA HUSTON
DATE
2/1.'i/05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE! 1AKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
DWarm Air Plants
DGravity
D Mechanicrd
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
D Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
TYPE OF SYSTEM
FIREPLACE MAKE AND MODEL
HEATN GLO 6000TR.OAK
FEESCIIEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
564.50
$39.50
Industrial, Cor lmercial & Multi-Family
Estimated Cost $
IIEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Residential, Additions & AlteratB _
Residential, AC Only eu/(b~l)
Building Permit # ~~ ~
~ .50 "~~'"
$
$39.50
$39.50
Residential, H :ating & Ale (New Construction)
Residential, Hi ating Only (New Conslruction)
(Office Use Onll)
This Appli ,ation Becomes Yonr Building Permit When Approved
,faip
,
Bui din!! Oflicial
Ilate
'.lVol"EB 2 4 LUUJ
I Receipt No.
I By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 307% 130gcAT .ru..i (.. /J.w,
NATL RE OF WORK tJEW CD,......., ...u.c:oO,.;)
USE JF BUILDING S.F: D.
PERMIT NO, 050040 DATE ISSUED " 5 IDS
CON--RACTOR ~D~~, PHON~~O'''Kto'Ig
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT ~ %2.-4 ':r2r Ist.l!;,
INSPECTOR DATE
DEPARTMENT OF
BUILDING AND INSPECTION
.
, FOOTING w.j,~(k ~ Uc. I fltl ~.. ( --to f:! ~ .
'FOUNDATION"(Priorto Backfill) I //p ~~ /
PLACE NO CONCRETE UNTIL A'BOVE t#\S BF!EN SIGNED
ROUGH) - IN~ / .
SE ER I WATER I SEPTIC ;jj/ 1..cl'f.z/
~ FRA ING ~w,..p O(Lvl(f }vJ.~~ ;') ~ Jp/r>'s-
. ~ LATION IsJ d- 2..J Y/
). ELE ICAL' ..z/7'<<"5 ..-
PLUI nBIN~ . 1M 1-/ jr)..-o<,
HEAtNG (if reqUfre..d) trf c.. ~ I ...l ft ft 5-
FIRE LACE ~ I /$'.1--- I ?,;{/0'-
GAS LINE AIR TEST V'\tIl/1. (;J 01'7,,--1 VVV? I i-l.?-O-;-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
It./ltH./IfDJtS'eIVIIAI'' I ;..;$1-h/ I
~lA.r,"'-i~f::J B~NALS D~~~
,
GRAlllNG (Prior to Sodding) /"
BUILDING 'TV ~ ~-\~
ELEC TRICAL
PLUftlBING
HEATING
1>0 NOT
w~
9- 2. -~
@
flf)
OCCUPY UNTIL ABOVE HAS
NOTICE
0-'1
BEEN SIGNED
Tllis card must be posted near an electrical service cabinet prior to rough-in inspections
ar Id maintained until all inspections have been approved. On buildings and additions
wmere no service cabinet is available, card shall be placed near main entrance,
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
3D 7J- 1Xhcc.!- -,; I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ ~lto.L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
s;'~ vc, /l:-o L
DATE TIME
7-ZI-oS-
me ~JI
c5. <10
~~LING
-0 ~Ni
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
lj Jrr
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTION BEFORE COVERING
Inspectord'~.- _ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
HaNDT!
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 3017 ~1
OWNER CONTR,
PHONE NO.
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'1!C.FINAL
/i:::i SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL
DATE TIME
#
5 - 0 '-fa
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: I ,) . - .
~ t1{I\Q ~-t r.uJ-- ~ (:~ tL)cJk
'2, ~,'..J ~n.L ~ IUIoln
~. Y..l Tr-.-
':L..JJ~ S'u't.tc.., 7?ni.H" ~tl\X. Zrt' oj /1'0.(7, "/.~
5, w..a....;;J..,: -<i-."",<-- ~
(", ()~ c::;,~~ ~~ v.u..D_f(
7. Goo-c...; "'I.:.a.~ .L-1".......\.::..~ (la1<('.J\lO-i.:. ........r;.,..J <:\?
~ /
, J~J 12>
(J
6/ ~
~ -1-cfj
o WORK SATISFACTORY, PROCEED
o CORRECT A NO PROCEED
X,CORREC LL FOR RElNSPECTION BEFORE COVERING
Inspeeto . /I Owner/Contr:
C LL"~ 50 F~HE NEXT INSPECTION 24 HOURS IN ADVANCE.
\./' V ______
CODE REflU/REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
fNSNOn