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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