HomeMy WebLinkAboutBldg Permit 04-1180
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/1.7. c+-
(Please tvpe or print and si~ at bottom)
A;::,1 Qu~ V ~ \
~~~:~ew ~~;;Iicanl I PERMIT NO. (}1-. //80 I
r~ I aIL j,."./~ , A1 AJ ~-. S 3 '1 z
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LEGAL DESCRIPTION (office use only)
LOT1BLOCK ~ ADDITION
OWNER
(N ame)
(Address)
(Phone)
ZONING (office use)
t2/JO
PID ~5, 4<J4-. Oz.z.. 0
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~~~~~Name)AA,ltf'.S~T~M~S. ~C~e) '1~~- '1J'1D
(Contact Name) ~ ~~"J.... (Phone) ~
(Aadress) ~S?o ,~tS ~ AJ6.t;.7. ~lVJtMNr J~,.) ~~l)~d
TYPE OF WORK ~w Construction ODeck o Porch ORe-Roofing
OAddition OAlteration OUtility Connection 0 Misc.
CODE: ~'R'C' DI.B.C.
Type of C nstmction: I II III IV V A B
Occupan Group: A B E F HIM R S U
Division: 1 2 3 4 5
Permit Valuation
Permit Fee $ ,
.3~CJ9. $"0
Plan Check Fee $ Z z..O~~ 6L
State Surcharge $ Z!15:,.50
Penalty $
Plumbing Permit Fee $ I(JO,OO
Mechanical Permit Fee $ 10 O. () ()
Sewer & Water Permit Fee $ 35.50
Gas Fireplace Permit Fee $ L./{),~o
This Application Becomes Your Building Permit When Approved
~'(~ li/it:!o <I
ORe-Siding OLower Level Finish 0 Fireplace
PROJECT COST /V ALUE
(excluding land)
Park Support Fee
SAC
Water Meter Size 5/8'~
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTALDUE ~ lUQ_04-
Paid JI..ro (j. I~)',
Date . /1-;;:;-q-nL/
I
$~/,960
#
-' $
$
$
$ 70,00
I $ I ZOOr 0-0
1$ 700,. f)~
I $ IS-oo,. () 0
$
$/1. ZSlJ./fJ
nished 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
hat..ll construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
[ ust c se Fl11thermore~I hereby agree that the CIty offiCIal or a sMnter upon the property to perform need:~(:~ "-
Signature Contractor's License No. 1-/- Date
./( '9'11. O()('),. Of) I
#
/3'50,.00
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ReceiPt Nell X Oc?'--I
By /::
rr
ThIS IS to certify Ihallhe request in the above applicalton and accompanymg documenlS is in accordance with the Cily Zoning Ordinance and may proceed as requesled. This document
~" ",,~mpo,., Co,,"''" 0' ~;/,om'""re ,,' ,,~ ro,"mom' co romm<ore. ""," =",",>. , Ccr'"'''' ,Wre','., m~' "
Planning Director 111-1 ?' ~ r 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
The Cf'nlf'r of the I.ake ("ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
-NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2~ i -7 (~ (/ Gl f\ [2- f) 1-\ \ f-l
{
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
mtA
Date:
/1- /(P'-o if
Comments: See Reverse Side for Additional Information!
See Attachments: 1) Grading 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 otheF-Grdinance 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
~r>~ry - Engi~g
~nk - Planning
The Ctnll"r of Ihr L.kt COUnll1"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
. ~."",....,
!
f
r\
(
I r \\l-
'"" Accepted
Accepted With Corrections
/'
Denied
r
Reviewed By: ~ 9- JLA..f2~ Date: 1L/.; ~h ~(
Comments: Are I (~ (I~ ~
~ ~ ~a:A.CR ..rJO Jf/~~ '
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-----
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"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."
Thl' ('l'nll'r of thl' L.kr CounU"l
(White - BuildinQ':)
Canary - t::.ngmeering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
M 1'lle:L~1 A EDt
II.Q.04-
3,<05.
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2- B 17 tOLJGAl2- 'PA \ t-
. , .
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
~
~ oJ-f
7-..eJ2~ Date: II j;J>'Io.;
~,
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."
11/30/04 TUE 12:40 FAX 952 890 2753
STOCKER EXCAVATING
l4J.~.2.; .
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
~. ~:w ~:~ I PERMIT NO.
I c;"ld ^ppli"""
04-1180
(PIC:8se tYpe or print and siP.n at bottom)
ADDRESS
ZONING (offieeus~)
2817 Cougar Path
LEGAL DESCRIPTION (office use: only)
LOT 3 BLOCK 2 ADDITION The Wilds North
pro
OWNER
(Name)
(Address)
Mittlestaedt Brothers
(Phone)
2520 151st Court W., Suite 100, Rosemount. MN 55068
651-322-4140
(Address)
(City) ~Zi~ Code)
APPLlCANT
(Name) STOCKER EXCAVATING COMPANY. INC.
(Phone) 952/890-4241
(Address)
12336 Boone Avenue
Sava~e, MN 55378
Curt(AddreSS) I /;;;J~I (City)
(Contact Person) I' . (Phone)
..!'!~I,I~N.:,-~!9.NA TUREP i ',. .. . _ _~ DATE -..... u..~'
APPLICANT PLEASE COMPLETE BELOW
(Zip Code)
same
Size of water service inches.
Location of any couplings from strUcture w.__._ feet.
Type of sewer pipe, 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
Residential sewer and water line connection
Sewer conneclion only
FEE SCHEDULE
$35.50 Industrial. Com '\ &. Multi-family 1% of job cost with a $39.50 minimum
$\7,50 Water connection only $17,50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATESURCHARGB
TOTAL PERMIT fEE
$
$
$
.50
..
(Office lJse Only)
this Application Becomt5 Your Building Permit When Approved
'~.' ~ici-.. \
. 1 ! 1- ((
i Ii r-' [1
. Date
Receipt No.
BuiJdin~ Official
~c ,~1
24 hour notice for all inspections (952) 441~9850. fax (952) 447-4245
Datt
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please tv1Je or 1Jrint and sip at bottom)
ADDRESS
1. Pink File PERMIT N I /
i: ~:'w ;~~icant O. q -II R 6
2817 COUGARPAlH
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
OWNER
(Name MUILESTAEDT BROS
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FI~IDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRfNDA HUSTON
DATE
ZONING (office use)
PID
55113
(Zip Code)
1/17/05
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
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
D Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
HEAT N GLO 6000TR-OAKX 2
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
(Office Use Only)
.50 )
()\ '/J
. r,.)\\c\
Paid \
'" ;V\. \
I. / /
Date! __ , Qj /0 b
This Application Becomes Your Building Permit When Approved
Buildine Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt No.
By,
11'
PRIOR LAKE
INSPECTION RECORD
2.8" ~o~<&1.R- 'PATH.
NATURE OF WORK NE."-J (:A)N.,-t&i ~r' O~
USE OF BUILDING ~, c:-: 0 -
PERMIT NO. 04,//60 DATE ISSUED II J,QJ~"
CONTRACTOR tAlc cc~s. C>>t<<mONEW-J&t.-"~iJ
N.OTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ~ ./... >
HEATING (if required) t/VP'. /- 3/~
FIREPLACE f,/l/f'/ J
GAS LINE AIR TEST /l/yY' Y1
COVER NO WORK UNTIL AB~VE H~S BEEN SIGNED
t..ATHel HoUSE IIJAAP I f9P /" I
,~FINALS
GRADING (Prior to Sodding) /\ rJ !S
BUILDING ~ J, Ifl)" f!jI lip 1
, .; I I
ELECTRICAL I
PLUMBING I /~
HEATING .....Iv
i 1WCTOR DATE
FOOTING kJ<.. I ~f} II z/~ / (f)Y
FOUNDATION (Prior to Backfill) I rrv /y; /~.H
PLACE NO CONCRETE UNTit ABOVE itAS BEEN SIGNED
ROUGH MNS
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7//7/05'
,
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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
~.,-""'~
___~.:__...~"__,,____._,,...,~':._.Jl:!!:ill'__...,,___.____ ..._
- ~..
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
Oil. TE TIME
SCHEDULED
lfP-](<O'
~e;~ fJ" fA,
CONTR. /YJ,'UJ6U"-
PERMIT NO. D 4-11 NJ
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)(EXI~or~ILLING
o CO~INT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(:.,.ek.. ()J:.
~...4'JIL
.~". I
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ _. _ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
2~(1
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
_0 jIlISULA TION
~FINAL
o SITE INSPECTION
COMMENTS:
I, h.~
DATE TIME
SCHEDULED I~
~lJr f'. r r-?i:L
~
CONTR.
PERMIT NO.
Cf -/($13
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ GA~~R TST
0-e..k- :~
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORR~EORK' CALL FOR REINSPEOTION BEFORE COVERING
Inspector { Owner/Contr:
CA.-L r. 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODWo.U/REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSIIOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS -2%/7
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE
SCHEDULED ~~
~vQ~Y A/Z
. .J CONTR.
TIME
PERMIT NO.
oet/-//JO
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
)i""PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~_9""MENTS: /' I ~ ~
~~,,-.~ fe'/' r~<i /' O,L
~// /,,/
I. A/eed. /fr TU '4rS~/!~d. 4
) #.ed ~y~ &/h, C/h ~h L ~ /e
/h _ G:;r~qt:.... / ~
r!:2 $eu / /'~/1 ACaf '* %6 v4r,4..h
(iJ ~e, .,Ldv-e/ L~,-- ~eJ1/ ~/
r:;:;~; ~~p .
~/ / ./ '" - /
'07e#'~{lrkC/~1 g~r c1L~ tf"'..!
~~ -..k ~fr; ~ .
~ k't /I'./:/ ,fhc.- di, ~~ /}-..,.... 'cr. J!;. <::i
. /'
, !'" / .-./'
a~Rk ~ ~~ '4J 9- hl<<t/
o WORK SATISFACTORY, PROCEED ,-J ~k
~ECT ACTION AND PROCEED .
o CORRECT WORK, CALL FOR RE SPECTION BEFORE COVERING
Inspector:
VALL 447.~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .( SAFETY!
INSNon