HomeMy WebLinkAboutBldg Permit 04-0922
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
& 26.64-
I PERMIT NO. 04--,0924
i
ZONING (office use)
I White File
2 Pink City
3 Yellow Applicant
(Please type or print and sian at bottom)
ADDRESS
80 ~ c -;::;J- T fJ..u-; I
Al_W
J) Co if
Rl
LEGAL DESCRIPTION (office use only)
(t1:IJs
~"ui' i
LOT1k,BLOCK { ADDITION T)...-.t:-
~=R (J1 pi) (Y)" J(J
( 4 s: ..,~
PID~5- 3~~' 63 ~ - ()
~ 0'-"'> 7,
.'Y' Lt ~~ r .
(Phone) 912.. f-y;;;.. ?~f
~)<- U-IY'~' ~r ~
(Phone) 9:;;-pl ~ lr3"?-~ ?(o (
(Phone) 'PS'"':J - ~ f' 2 - I () b 0
J~ 9sj.. Lr sJ,..--? k>(
(Address) f) ~O 1
BUILDER // /? /J I IX -::]
(Company Name) F' r e O~ U \9l~. . ('
(Contact Name) J ~/J./2...Y&1 "-----
(Address);toe (U-:::.-'j-t.... ,<::," tJ .J V. _~A.
/
TYPE OF WORK ~ Construction ODeck OPorch ORe-Roofing ORe-Siding
OAddition OAlteration ~tility Connection 0 Misc.
OLower Level Finish ~irePlace
PROJECT COST/VALUE $ 3SCo (()'? 9 ;'
(excluding land)
CODE: ~.R.C. DI.B.c.
Type of ~nstruction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV
H I
2 3
V
M
4
A
R
5
B
S U
I hereby certify that I have furnished mformation 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
abovc-mentlOn d property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submittcd plans. I am aware lhatthe buildmg
:ficial can ev ~-' this n:.:;(:use Furthe=e, I hereby agree that the city OffiCii3 a (iig:e~a~7uP(:e property to perform n~~n~; 0 'I
'-"""" Signarure . Contractor's License No. Date'
J/
1T~6 000, OC>
,
$ 025~', SO
$ 16fl3,/1
$ /7R, ()(J
$
$
$
$
$
Park Support Fee
SAC
Water Meter Size 5/@
Pressure Reducer
Sewer/Water Connection Fee
$ ~S"'O..t) 0
$ 13So. 00
$ 3dO,Do
$ 70 rOO
$ J 2...t::J 0 , 0 f:J
$ 700 , 00
$ ISoo, D~
$
#
#
Permit Fee
Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
#
#
Water Tower Fee
Builder's Deposit
Other
/{JO, {)'tJ
to (J, ()"
-..::5'~, 5"0
~,d1J
I TOTAL DUE
~ 4., 4- ,04--' $ / q '9(,. / f'1
.rJ n
IX Receipt No. ~
By U/JL/-?/
-
10J /t~ (.1 (p .
'0 -/1:;'-<.1
l ,
This Application Becomes Your Building Permit When Approved
~ ~ geft~
Paid
Date
'Date
Building Ofticial
Thts 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 Certtficate of Occupancy must be
iS~~
Planning Director
9/1fte/ ~tLL( ~
/ ' Date Special Collditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
w~ - Building
aa.,ary_- Enaln(;,:~. ;. j~
Pink - Planning
Th~ Crnlrr of thr I..kr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
j /'
--......--
,;(.,(:-t:,____-..
(/-
-(./'-/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is p~oposed at:
".,._~.-..:~ /'-'~!~' <.'.~_~.'.' I I ,'{" ~~. --J-.~. ~._.-!
,_ ~_ ../~~;:(i /." / y.-,~__
Accepted
x'
Accepted With Corrections
" .....
Denied
Reviewed By:
IJ14h
I) -
Date:
9-&-t:lY
. .
Comments: See Reverse Side for Additional Information!
Drivewav Must Have A Concrete Approarh
See Attachments: 1) Grading Plan. 2) Erosion Control MeasUJ:es
"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."
White - Building
Canary - Enaineering
<::;rink - Planning-,
The C'rnlf'r of 1he L.kf' Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ /1"
._.~""
_f
t-
I
/ \.....,./'(_.
Accepted
Accepted With Corrections
/
Denied
..
Reviewed By: ~ ~ Date: ~fty
~ tLU ~/':~r"~' A.C. ~
..~ ~ cnCiir ~~ ~
~~ tJ-1 -I'~ '
I
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."
cJNhitp. - Buildinp
Canary - Engmeering
Pink - Planning
The Cenler of Ihe I.lkf Counlr}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
mt dtn1~~
APPLICATION RECEIVED ~- ;)S-OL/
NAME OF APPLICANT
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3 () 6 L/ &!Jell -;-- ~
Accepted
Accepted With Corrections
/
Denied
Reviewed By: ~~. 1.... ~ j) ~
Comments: ~~ ~
Date: ~h~ '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."
CITY Of PRIOR LAKE
HEATING/AIR CONDITIONlNG/~l1{EPLACE PERl\'UT
Date Rec'd
-~q()~~
;Yd,r;0t-
~:~::. ~~. I PERMIT NO.~.L 11~.
3. Yollow AppUGiIIt .., . ~.
ZONING (Qf5cCll\1c)
(please tvoe or orint and si 1m at bottom)
ADDRESS
M AJ,Lj.
LEGAL DESCR..i.t- nON (office 11:'1: only)
LOT BLOCK
ADDITION
PID
~=R~~~()/nC)
(Address) /l / /,
APPLICANT /' J.:. I J \\
(Name) .r ,()A f)rTOI/eN
(Address) rJ?:J / n c;n ~A ')
(Address)
~1J:
(phone) .~~6J - 7~ I
(Contact Person) #
APPLICANT SIGNATURE ~.ch
(phone)
Fr1 fA )
. (J (City)
(phone)
~~ DATE
AS!"
HIJ~ ~
L/~o - Gcc?~.
5' 5ocr-!
(Zip Code)
/d - /5-0-'-1
___ APPLICANT PLEASE COMPLETE BELOW
.,2jNEW CONSTRUCTION ~ REPLACEMENT 0 AL TERA nONS .
FURNACEMAKEANDMODEL~~/l~j"??, er r:9p/fl/:j/I)CJ FUEL A 141-
FLUE SIZE .;sIr e.,/C. RE11JRNOPENINGS .... .._/0-- INPUT /00 Q(Y\ OU~ -9~~
, ;
TYPE OF SY;)l~M HEATING OR POWER PLANT
OWann Air Plants 0 Steam
OGravity 0 Hot Water
~ChaniClll 0 Radiation
~ Conditioning 0 Special Devices
~ent. System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial &: Multi-Family
FEESCBEDULl
1 % of job cOSt Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.:S0
Residential, Heating & AlC (New Construction)
R.esidential, Heating Only (Nt:w Construction)
$39.50
S39.50
Estimated Cost $ Building Permit #
__~. .0---..-
..._~.",..
REA TING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
PAllJ WIl'H
.50 BlJlLDING
(Omee Use Only)
Bui1din~ O.llicial
~-, ~""l ~J 1\11 .. I .
~lW.'. ~ -I 1,=1' 1I_ !L .[!. ~oeitlt No.-
I', '-- '.. II.!
, . I
\ ~ateoCT 2 2 2004 'II:~~
DAte '; II ~ j,
24 hour Ilotice for an inspections (952) ~7-9h~o, fax ~~) 447.4245
16200 Eagle Creek Avenue, Pnor L~}~~ ...:~~--------- _
This Application Becomes Your Building Permit When Approved
toolPi
~IV <I3"I"IOM.LNO::>
9L6909~tS9 XVd so:~t IHd ~006/St/Ot
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or print and sian at bottom)
. ADDRESS
1. Pink File
2. Green City
3 . Yellow Applicant
PERMITNO.~
ZONING (office use)
3064 BOBCAT TRAIL
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name MCDONALD CONSTRUCTION
(Phone)
(Address)
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
10/18/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
D Mechanical
DAir Conditioning
DVent System
INPUT
HEATING OR POWER PLANT
D Steam
D 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
HEAT N GLO 6000TRI-OAK
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PA1U WIl't!
.50BlJILDING
",., PERMIl'
(Office Use Only)
This Application Becomes Your Building Permit When Approved
r., I Pa.jl.' ,':' 'I i /
U J L:.S l'tLJ ,:1 -:_. t 1
i It"""~pt} lu.
,!
Duildin!!: Official
Date
i n ~ D"'"~T fI Q 2
J~ ttt, M ~ 004
24 hour notice for all inspections (952) 44 ~~50, fax (952) 447-4245
Date Rec'd
Cfl 'i OF PRIOR LAKE PLUMBING PERl\'ul
~: ~~~ ~!:y '.. PERMIT NO.~... D-1l1
3. Yellow Applicant V -, I ~
(Please type or print and sign at bottom)
ADDRESS '-:::/0 (y fJ I --r:. J
-...J 0 PO lJCU~ - / ro. ;
flW.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT~ BLOCK 0 I ADDITION VJ; Ids: ~~+h
~':~R HG Oono.} d C/k\+r~c+; Q h / 2ht. (Phone) 9~J,- .Y~~- 760 !
(A<klress) 1 ki } JY~+t, Sf: Vk..,+ j ~flp !In 11eX, N h -r -r/ J 'f
&;;;~~ANTF;IJP ,')far .PJlJW)h;fIJ i JhC _ (Phone) fir/,- YS9- JJJJO
(Address) ~y ~~ ~y1 )o.nrl .fJn've . iPrxJ !JUrl/, J4 VI sr/C) 9
/J (Address) / ~. (Zip Code)
(Contact Person) D. 1/ P s" 't> ,. I h (Phone) ls- ) '- >-<J-9 - .p / ~O
APPLICANTSIGNATUREriI~ ~, J!'~ D~TE ItJ ,-;)) '-OY
. Quantity
.-;;2
/
~
Y
/
./
I
....-?
PID
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture Quantity I Type of Fixture
Bath Tub with or without shower , l"" Rough-ins
Dishwasher - / Water Heater
I Floor Drain Water Softner
Lavatory (Bathroom Sink) / I Stand Pipe (Washing Machine)
Laundry Tray (l or 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
Industrial. Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
-f Residenlial, Additions & Alterations $39.50
Estimated Cost $ I ~ -s1) 0 I 00 Building Permit # _ () y- 09 C? d
A 1 ~ 0.' f} \ . PLUMBING PERMIT FEE $ -";::~:~;l'~~Jt."', ;
. r~ ~ STATE SURCHARGE $ .50 ';;~""l))~.
TOTAL PERMIT FEE $ ~\...~ '!' iO..,~ [.I. t
(Offiee Use Only) ~ ~"'~;.).,
This Application Becomes Your Building Permit When Approved nw~ iaf~ '0 \fl [E . receiPt NO._'
Bol"'I.,OfII"oI D... r ,l"OCT28 2004 DY (r
14 bour notice for all inspections (951) 447-9t5.J, fax (951) 447-4245 t
Bv _____.___ -------
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 3oCo'-/ Bo&~ IMiL ~.tJ.
NATURE OF WORK ~~ CO~ST2.&.A-Q1JO~
USE OF BUILDING S. f:': 0 , .
PERMIT NO. CJ4-. oqZz.. DATE ISSUED ~ " /0&/
CONTRACTOR ~ ~:n~ PHONE~ · 2'2 -~.tJ
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
I I?!,PECTOR
l FOOTING S..,l c.r ~ / ffl
FOUNDATION (Prior to Backfill)--'" I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH-J,~S
/"/'! ?~>
(,u(., Ph
1 '}/)
DEPARTMENT OF
BUILDING AND INSPECTION
DATE
tf'- ? I
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE .-~..,
GAS LINE AIR TEST 7!7 "J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
ItA ~fl.rE"wAAP I I
FINALS ~Jv~'''}~ ;'
~f0 q~~~
P/- ~ oJ /J t(
f ( lJ -4~dVl
~
/6-< ~
\
GRADING (Prior to Sodding)
BUILDING~ .It" 8. (-oS-
ELECTRICAL '4
PLUMBING
HEATING
DO NOT
;JJ
fA>
OCCUPY UNTIL ABOVE
NOTICE
I </~" / t!> ,/
. ~fllJ4o
, .
HAS BEEN SIGNED
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspect,ions 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
J.::i. -,
'~..--_:...
.~(
. '
~,0:...iL~.[ ~.'. - _~.__iL~_4! '_"_"'o_"~"_'"_'.""_a_.._'''__~':''_______ .__';~_':"ll
~~,
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7-lJ<C
ADDRESS
sa,q l3okc. {- w I
PHONE NO.
PERMIT NO.
1flJ:1,,~uJ
6t.! ~lZ-
)i..~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
OWNER
CONTR.
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
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
510& I.vr. 11'- "0 /..
)Pl
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL ....7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
1NSIiOT/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
50(g~ 't)oke..o.t
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
COMMENTS:
I. ~t~.,....t~
{J ~
~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~.~ rJ.r
DATE TIME
,~ oc..--
t.f - 122.
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ GASLlNE AIR TST
;a.. S ~:r
o WORK SATISFACTORY, PROCEED
~RRECT ACTION AND PROCEED
o CORREC~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ r V Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &I SAFETYI
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
:ntA ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
9 INSULATION
10 FINAL
'~ITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
,TE TIME
//t!t)~
/-7 .
~(- 72..<-
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
I, t:;.~ b~ i~ /f
z. ~~+t~ ~rg~ (-t1~
3. MQM....\f cv:.... &ost<M. ~ -\- ~
~/, A l... (Uh,' ~ M\ls~ Vlaf /t;t2 " I't +4 SeLfLMl,_
r-1
, La-f
fo
8 ~ ( -0 :)
rfA) ~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o COR~'~ALL FOR REINSPECTION BEFORE COVERING
'nspeir: I II / Owner/Contr:
;Ai j7-~50 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
C~DE ~MENTS A.RE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSIiOTf
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
1?/~1
~k~
I
TIME
SCHEDULED
ADDRESS S6~ '-f
...
OWNER
PHONE NO.
CONTR.
PERMIT NO/tJ1 t.j. - &f tX2-.-
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
~ PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COWJIENTS:
j. ~Ll
~n
~.
L~ LtLl.\~J
2.
o WORK SATISFACTORY, PROCEED
)( CORRECT NO PROCEED
o CORR W RK ALL FOR REINSPECTION BEFORE COVERING
/
Inspec r:' ~ Owner/Contr:
c..ALJ447.ssIo ~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
\../ - f
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNon