HomeMy WebLinkAboutBldg Permit 05-0556
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
f;-~ -65'
. =::S;~la~::: i~1J""L
I. White File
2. Pink City
3 Yellow Applicant
I PERMIT NO. 05'.055{? I
ZONING (office use)
~/StJ
LEGAL DESCRIr uON (office use only)
I LOT ~ BLOCK ~ ADDITION
A-s
-
kJJt.D~
lJ,c'~
p tt/li{\.
PID zs: tfOif.-. Oz.t$. 0
OWNER 0~1!
(Name)~"'-'
(Phone)
(Address)
BUILDER ,,\Tl '-L~ ~r7/6L.s
(Company Name) ~ "I.--V-~ .~
(ContactN~e) ~ lJ4.;lT..C-~~
~J.S'~ 1St ~r~' r
(Address) A-L~___~- t-~
I~~ ,,~ ,) ,t;J....u ::>:>-0
TYPE OF WORK ~New Construction ~Deck o Porch ORe-Roofing ORe-Siding
tJAddition OAlteratio"n OUtility Connection 0 Misc.
,.,sl
(Phone) "'3 "I. ~ -1//"10
(Phone)~ "SI- $"2'2...
'7'11 J
CODE: !.R.C. DI.B.c.
Type of onstruction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
.-. ...
~Lower Level Finish 0 Fireplace
PROJECT COST IV ALUE $ S~ ~ Io1S 0
(excluding land)
ed information on this application which is to the best of my knowledge true and correct. I also certify that I am the ownt'r or authorized agent for the
all cdftstmction will conform to all existing state and local laws and will proceed in accordance with submitted plan f.' I af:mw e that the building
t c use. Furthermore, I hereby agree that the city offi'jj()a ~qtf 1 upon the property to perforOeCd 1 ;,e~n '"ZtrtJ~
Signature Contractor's License No. te
x
1 Permit Valuation 53'", (!:)oiJ. ~ Park Support Fee # $
1 Permit Fee $ #,,:? ?S- SAC # $ / f" j(:). OCJ
Plan Check Fee $ -2, .1 ~s: "Y I Water Meter Size 5/8"6; $ ..100. -
State Surcharge $ '"l6J'. DO 1 Pressure Reducer $ 7f &.Q
Penalty $ 1 Sewer/Water Connection Fee # $ /$'00. -
Plumbing Permit Fee $ /~t:J . .,.:I 1 Water Tower Fee # $ /~. -
Mechanical Permit Fee $ /t:)d. ~ I Builder's Deposit $ /S'dJ. .., I
I Sewer & Water Permit Fee $ ..?..s: ..s~ (;) 1 Other $ I
1 Gas Fireplace Permit Fee $ SIt'. - 1 TOTAL DUE t/n.AA!l) (P4~~J $/2,32/. 291
I Paid i~4 ,1 (1'11.1. ,-A
This Application Becomes Your Building Pennit When Approved Receipt No. q I..f~' ;:, /'
,.#-L4, ftp. ~~S- I Date r I By J-~
Building Otlicial Date
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
when signed by'the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
i~S~ .~~~~ 'fl'f!JJs
Planning Director ' Date 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
("White . BYlIdItib
~ :'Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTftdENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/1'7/ / ~ f:;, t-.sm c.o'T lJlePS.
y. 3. oS-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2785 eOClq/i-,e. ,P/i771 .A/11/
Accepted.
Accepted With Corrections
A
Denied
Reviewed By:
Comments:
~~.
Date:
&/~--
e44./- d/o- /;
# .
c::::;// ~ ~,?~ ""#1;'/ #v.s~ LurqJ:? ;~;J
/
liThe 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 - EnCl!!!!!!'ing
(t"lnk - Plannln~
BUILDING PERMIT APPLICATION DEfARTNlfNT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Il/I / 7[... t....:VIc. Of {flc.e-S.
tt. 3. C::
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2 78,:;- (} 0 U C; rlK. hi 7/1 ,A/IV
.Accepted
Denied
Accepted With Corrections )(
Reviewed By:
#d~-
Date:
c~~-
,
Comments:
...".., .. 'ti .
~ 11" I ,07101 o:ner prd Odler Meehaniea1
Units Carnot Encroach into Required
Side Y8.l'd Setbacks
..-"""---......''\
liThe issuance or granting of a permit or ap~1 bf~lans, specifications and
computations shall not be construed to be a perm it(fo r, or ~pproval of, any violation of
any of the provisions of this code or of any other o.J;..lfrlce 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. II
. .
JlLbiIr' - Bulldlna
c.c.o.rv - EnClineering)
Pink - Planning
BUILDING PERMIT APPLICATION OEP.ARTUENT CHECKLlSI
NAME OF APPLICANT
APPLICATION RECEIVED
/'-'1/ /7 E'/..- ':::VI6Dr 8k:'CS.
/ --=: oS;-
{/'. - -
The Building, Engineering, ~nd Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2 78 5' {~{/ {/ q,.q~ ;Or! 7?1 ,A//i//
Accepted ,X
Accepted With Corrections
Denied
Reviewed By:
~
Date:
~-/'1~S-
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 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."
07/01/05 FRI 13:41 FAX 952 890 2753
STOCKER EXCAVATING
~001
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
I Orc"" l'il<
~ Yelle", City
~. Cold "-1'I'1l.lnt
... PERMIT NO.
05-0556
(Please: type or print i1.t:ld si,P;ll at bl'lttol'l'l)
ADDRESS
2875 Cougar Path
ZONING (office Il$t)
LEGAL DESCRIPTION (offil."C use only)
LOT 5 BLOCK 2 ADDlTION
The Wilds North
PIO
OWNER
(Name)
Mittlestaedt Brothers
(Phone)
2520 151st Court W., Suite 100, Rosemount, MN 55068
651-322-4140
(Address)
(Address)
(Ciry) (Zip Code)
APPLICANT
(Name) StOCKER EXCAVATING COMPANY) INC.
(Phone) 9-52/890-4241
(Address)
12336 Boone Avenue
(Address)
Curt
Savage, MN
(Zip Code)
(Contact Person)
same
APPLICANT SIGNATURE
7-01-05
APPLICANT PLEASE COMPLETE BELOW
Size of water service , inches.
Location of any couplings from structure:
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of sewer line feet.
Clem1 out (if required) located at feeL from structure.
feet.
o Cast Iron
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial. Com'l & Multi-family 1% of job caSl with a $39.50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
$ EWER AND WATER PERMIT FEE
ST A TE SURCHARGE
TOT AL PERl'v1lT FEE
$
$
$
.5~ID WITH
8t1ttotNG PERMIT
(Ol1ke Use Ollly)
Building Official
. ~JI ~ r~ 'ifID~il- f~iPl No.
D~t~ J! Ie JUI_ 0 6 2005 / ~1
24 bour notiee f"r:all inspections (952) 447-9~QX (952) 44~~4~_ :;;i
-- -..~~~-=~-;;;;~;~
1'his Application Becomes Your Building Permit When Approved
P.01/01
Date Rec'd
i ~~; PERMIT NO.OS:.. 05.Sf _ \
3, Ydlow Applicanl ~
rPlasc tVI)e or OW and si2:D at bottom)
ADDRESS, ZONING (office llse)
2165 [OUGIIR PATJ.I
LEGAL DESCRIPTION (offict! use only)
LOT BLOCK
ADDITION
PID
O\VNER.
(Name)
(Address)
KEN KIRSCH
2785 COUGAR PATJ.I
(Phone)
~J2-29J. 23D9
APPLICANT
(Name) V I fRECK FIREPLACE SALf.5
(Address) Ifa/51 MAIN AVE Sf
<A<1dteJs)
(phone) 952.41../1) - 5/..20
PR JOR LAKE 55377-
(Cicy) (Zip Code)
(Contact Person) STfVE RIVERA ~..-- .
APPLICANT SIGNATU~:><:tj.L/~~~ ';-J
'- ---
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS iNPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
."
o Steam
o Hot Water
o Radiation
o Special Devices
o Otner Dcvices
(phone)
952. 44{j.51.2D
ID AU(; 05
DATE
OWann Air Plants
OOrav;cy
o Mechanic:31
, OAir Conditioning
OVent. System
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FTREPLACE MAKE AND MODEL MAJESTIC DV3'DRFN (z.)
"
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39,50 minimum
$99.'0 Re:;idential; Additions &. Alterations
$64,50 Residential, AC Only
S39.50
$39.50
S39.50
Industrial. Commercial &. Multi.Family
Rc::;idcntiaJ. Heating & AlC (New Consttuction)
Rcsidentilll. Heating Only (New ConstrUclion)
Estimated Cost $
Building Penn it #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PER..\1IT FEE $
(Office lJse Only)
This Application Becomes Your Building Permit When Approved -\~ ~~trl:ll ~ u ill \E C)1
Buildln! Ollici:l' Dale r \ itiG 2 4 2005
LL
24 11l)!l!' ~otice ftJr :aU inspections (952) 4 17-9850, fax (952) 447-4245
,.By -.- "_
PAID WITH
.S<gUILDING "PERMIT
Receipt No.
By
TOTAL P.01
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS ~7?r CwUf~ AN
NATURE OF WORK ~~ -~w;t,;;...
USE OF BUILDING r)1ru
PERMIT NO. O~~ PJ-TE ISSUED
CONTRACTOR AM' .1tIlr PHON~"-.uz-t'/tID
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDI~G AND INSPECTION
l
/' , INSPECTOR
J FOOTING t\) L I r p
FOUNDATION (Prior to Backfill) I ~6 ) ... 7~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
) Ii (/dIJ
. .
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
pi;
~
/#
jII f).1
v
o -/7-dJ
8 - $.s:.d
./
~~:;,
COV!=R NO WORK UNTIL ABqrE HAS BEEN SIGNED
,Lq/~ / dVJ"t:- t:.e/rC?d I ~ I
,
FINALS
ifill
, ?~~
It). '7 J, tJ;r-
H lL.j h
fA' C. Y1~
/()/27/oS
FOR ALL INSPECTIONS (952) 447-9850
@:~ttifitat~ af ~ttUpantl!
CITY OF PRIOR LAKE
~tpa:rtttttnt nf ~uilbing Jl nsptttinn
zr;:inal Permitted
o Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or use. For the following:
Use Classification .s11t!9'-~ FrlrllU/ _ Bldg. Permit No" C C". (;55~
/(3 VtJ 12/:5D
Occupancy Type Type Construction_ _ Zoning District
L c; /27, JAj/,-O~ N'OK.--r11
Legal Description ...... LJ '- Y v I rr
Owner of Building Site Address Z 785 CO{)9t7fc::. PI1"1'H IVN
Contractor's Name & Afrss /vlITTe~.s:m'E.DT i3K.a:5;. 2520 15/ '$1 c/., I~USen()l/Nr
j ~ 1,1 i \ l ' ) . f' 55068
i l\ ' ". ,/f City Planner
Building Official \ l'
II 15. tJ S 1'( I Date:
POST IN CONSPIC0Gl}S P'rACE
Date:
-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~ 7F!;-t:;
OWNER
PHONE NO.
[] FOOTING
[] FOUNDATION
[] FRAMING
[] INSULATION
I~INAL
· [] 'SITE INSPECTION
COMMENTS:
J. O".Jl C~
SCHEDULED
Qauc.gr ~~"
c.J" -
CONTR.
PERMIT NO.
[] PLUMBING RI
[] MECH RI
o WATER HOOKUP
o ~R HOOKUP
)lI PLUMBING FINAL
o MECH FINAL
MTtJ
7.,~.p c..p
~ C.LIA r \ ~u-J
DATE TIllE
~
~ - ,~!:>f.p
o EXIGRADIFILLING
o COMPLAINT
C FIREPLACE RI
C FIREPLACE FINAL
C GASLlNE AIR TST
o
4(/?-Cj~1e
~ \:~l~T~<:
,~.. ~",L hit ~cce~ ~ LJ~ ~~
_ C .?K SATISFACTORY, PROCEED
.xg,ORREC~AC ION AND PROCEED
C CORREC RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: \ ~ Owner/Contr:
CALL 14T-fs5o FO~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
v
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
/ItSNOTl
CITY OF PRIOR LAKE
INSPECnON NOTICE
ADDRESS ?~8S
OWNER
PHONE NO.
C FOOTING
C FOUNDATION
o FRAMING
151 ULATION
IHAL
o SITE INSPECTION
DATE
SCHEDUlED 1#06
Q,~
CONTR.
TIME
PERMIT NO.
5 -SSC::,
C PLUMBING RI
C MECH RI
o WATER HOOKUP
C SEWER HOOKUP
C PLUMBING FINAL
C MECH FINAL
C EXlGRADlFILLING
C COMPLAINT
o FIREPLACE Rl
C FIREPLACE FINAL
C GASLINE AIR TST
C
COMMENTS:
llMl/lk r~it=M- ~
2. ~ .J-1 f2J.A6
W
J .
d- tf1~k.~
-J-. _
f -
J
R- /- e>to
"
C~ SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED '
C CORRECrtJiLL FOR REINSPECTION BEFORE COVERING
Inspector:. Owner/Contr:
CAU: .. 0 FOR THE NEXT INSPEcnON 24 HOURS IN ADVANCE
.
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH & SAl.'iH ;'[
fJISfIOTl
DATE nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
l!!:J/~
ADDRESS ~ 7iS- (Qv~r P.. ~
OWNER CONTR. trI ,'I:J..M,J I-
PHONE NO. PERMIT NO. -.f) ,- .oK'
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
~EY~ LING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(;,AJ.- tf) IL-
Culh 8()~... (? 1/
tJo~i-'J
)( WORK 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 A.RE FOR YOUR PERSONAL HEALTH d; &41' IH 1'/
1N$NOT1