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Home My WebLink AboutBldg Permit 04-0637 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT c-'.' I ~" f (Please type or print and siWl at bottom) ADDRESS 1499 'f t4'll~ uJ" l.~ /c!;~1 <- LEGAL DESCRIPTION (office use only) LOTJ. _BLOCK r ADDITION ~1'.qU : ~ ~~~R ft/leLJ(?rJJ 0~7. , -- (Address) ~(..,{)( t urlZ 8 1'(..UMJl..J.j7' ( BUILDE~I) I) rJ ,/ ~~~ @~ ~ r " r - (Contact Name) r' Q.flJ St~~ - (Address) TYPE OF WORK ~ew Construction ~wer Level Finish ~. ~eck I. White File 2. Pink City 3 . Yellow Applicant It L.t/ - )J(J" -t;O~ Date Rec' d & .1. 04-- PERMIT NO. 04- . 0 &311 ZONING (office use) pt/O PID 2.5. .3rffl . 00 2 .0 (Phone)C;SdrL.;,,!:J. ~ 7 ~cJ I Aa>}-<.- vLlL ,h_ ~~~4C V" (Phone) ~ -i{3;;2...,.. 7/.. 6 l (Phone~ ..~_7;2... ? t-o I &,t.f - fQ{~ - 70 I-~,i(c( DPorch ORe-Roofing ORe-Siding ~eplace OAddition DAlteration ~tility Connection PROJECT COST IV ALUE (excluding land) $ j' oq, Ot) 0 ~ .00 ,; I hereby certify that 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 agent 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 ~ter71jrope to perform needed inspections. 3 e _ d- 31 b b - ?~ CJ tJ Cff-f//i- Signature Contractor's License No. Date 1/1/ I PeniIt'Q'aluation ~O tf.lJOtJ. 00 I Park Support Fee I PermitFee $ 22:77, S-CJ I SAC _ I Plan Check Fee $ /L/Ytj, S8" I WaterMeter Size5/8'(@ I State Surcharge $ I S 2. fPC) I Pressure Reducer I Penalty $ I City SAC and WAC I Plumbing Permit Fee $ / ()t::J. 00 I Water Tower Fee I Mechanical Permit Fee $ I ()(). t!J 0 I Builder's Deposit I Sewer & Water Permit Fee $ 3 S- _ ~o I Other I Gas Fireplace Permit Fee $ 'fO. 00 I TOTAL DUE tJ'I'Uef) DMisc. " r(. . e This Application Becomes Your Building Permit When Approved ~ -1~ fo/z-S~L( Building Official Date I Paid /() /55.:J 8 I I Date ?...c,.... () +- ( '-..... $ SS-O. 0<9 $ 1'3 $""0 .00 $ 300,00 $ -,0 .0 0 $ I ZC C> . D 0 $ 700,00 $ iSOO, DC) $ (,. 7.3,d4- $/~ /65.3fL Receipt {j. -:f"J z,..s:J I By J'. I (f # # # # . 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 ~ fJ~ 6/ZY/oY Planning Director bate 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 . Building ~anL- t:::nainpennu) ink . Planning Th. Crn.., or thr l.ok. Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT w-i"'}"?"'7 /t <\._."~,, / ..,If / / / c.;, Il.l>(. 1/",.,[vcc."rL /l /1 -#-" ," (".., i /) }'.~ {-,,~...., .P"'~-~L,,,.'" ~ I APPLICATION RECEIVED / "'7 (i 4.-.., U ' /'.......1 . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: . r ,I y-",;l: C) q -7-::lh' / ~:.. ,/r,;t.' . >.........." /A,,/'lt: c" ,:;..? . A /iAri, ,./ /' I ,.< t/ ',/''' {,J .....~ .(~,..r..__.(....o'" .. ".. ..' ,I',~' ,.. / V. vi. . " "'~ I "_4# l..' ",.... -~.,. ... ........._ ~ ~ ; Accepted ~ "' Accepted With Corrections Denied Reviewed By: h14/3 Date: t-2Z-0Lf Comments: See Reverse Side for Additional Informationl ! 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." I. White - Building ~ary . Enaineering _. k - Planni"]) Thf' ('tnfer of 1ht L.kt Counl.,., BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /')/c ;(i.r-l~(L{ol o .].04-- (;' ' /C7~ The Building, Engineering, and Planning Departments have reviewed the building permit apPliCajn;' 91tru7tionfl:Z~szsed ~CL~ ;1/.:;,( Accepted Accepted With Corrections ~ Denied - Reviewed By: ~ ~ Comments: ~~ ~~ ..IttJO-lO~t:" 7~~ ctl~':'?'~ ,;~ J' ~ ~ /?t(,tJ, ~,e, /~ ~ ~~~{/~~~~ Date: t"II?/o t{ "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." CWhit~ - eJ,JildinV Canary - Engineering Pink - Planning The C"tnler or the take {'ounll" BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED .-me~ , (; . 1. 04- ~. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4-997 '.' , ~ . 1lI:J/ , Accepted Accepted With Corrections /' Denied Reviewed By: ~~ ~ CL{/ h. 12~ . Date: foil? lot.{ 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." CITY OF PRIOR LAKE HEATING/AIR CONDlII0NING/~1.t<EPLACE PERMIT Date Rec)d (please tVoe or Print and ri2n at bottom) ADDRESS I l~q97 sti~/~Js 6/1~ I LEGAL DESCRu:' .uON (office use only) ~OT BLOCK ADDITION I ~~R/-??(\,D~A VJiAj r~, , . = i: ~':., ~~ I PERMIT NO""'- N'_ -:l'r!. ~. yono,"" A~IiCllnt ~ ~ . ZONING (office we) PID (Phone) -f,.".?C)- 7Go I (Ap.dress) I AItPLICANT~ 1 J/f) (Name) f:A^ "I'A,//"'" (AddIe$$)~/Q /0 . e;;~^ \ &. . .1 (Address) (C0ntact Per3on) , AP?LICANT SIGNATURE ,I{;;d 77:.. . ~ (J)/"l (phone) #~ - t:.tfd ~ ~sfJar (Zip Code) ~h' ( ~), (City) _ (phone) DA'TE 7 ,. t9~~ APPLICANT PLEASE COMPLETE BELOW ..QNEW CONSTRue llUj~ 0 REPLACEMENT 0 AL TERA nONS . FU~ACE MAKE AND MODEL ~)~r C9n~hlco crt""! FUEL A ~AI- FLUE STZE ;? II P..J(' _ RETURN OPENINGS ~e) INPUT /co, {)O(\ OUTP1IT --2~ t'lOO TYPE OF SYSTEM DWarm Air Plants OOravity ....e:t'1Vlechanical ...ePJr Conditioning E"'ent. System a:EATING OR POWER PLANT o Stoam . o Hot Water o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIR EPLACE MAKE AND MODEL Industrial, Commacial & Multi-Family FEE SCHEDULE 1% of job cost Residential. Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64,50 Residential, AC Only $39.:50 Rc:si :Icntial, Heating & Ale (New Construction) Resi 1cntial. Heating Only (New ConstrUction) $39.50 $39.50 Estim.ated Cost S Building Permit # I (OfliF Use Only) n is Application Becomes Your :Building Permit When Approved REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .:50 ::!i') 1''1~1 .." .....r"..m .. },I :. -"'/':" ... ....' J. ~NG ?:~Y;r- Buildill; Official . ~ j ~~ If .U \YJ ~ ~\l RcceiptNo. Date _- J DjOL 2' 9 2004 _ By 24 hour notice for all inspections ~S2) 44' '.9850, fax (952) 441-4245 16200 Eagle Creek Avenue) Prior ~e. MN 55372 too III HIV Q3'110H.LNO::> 9L6909~tS9 XVd 60:0t QaM ~006/g6ILO ~.~~\ w j \ "'1 ~..~ CITY OF PRIOR I..AKE PLlJMBJNG PER.WIT Dat. Rec'd J. 8IiI. PII, I PED........ NO ~ l. 001; CIty .~...u I . . AJIIL , v..... "PPIl""" ~ ~ar"'ttD4g2J~pl) _.._ L ~/yq91 /I;II~/d€ ~- ..--.---"..- C;J1C/ ~ ZONING (otBctllle) N.W LEGAL DSSClUPTION (ulftct !,tse Ollty)'. LOTO~ BLOCK 0 \ ADDITION 5:'f~f' t IIJ OWNJiR M n I J 0t f' 't- II 1/ (Name)...L'l.//vfJJJSlUL -:f2!l,'\ rust:&n J...~_ (Phone) t:rc),- )''.3(}-76f2j J_) 1WU-..ltrft S't..JI!e.sf ;lt/'l(1 ifd!.r,y/!:ia ~.s:!~f .:-r{iY-L si-JJt ~lIJbl~~4!Jc ._ (1'_.) ..f>~ /.. ~ ~~~ I (A4men) 6S'L -2y:fh'f' /a~ _ f).t U/f!.. . if J.n j/:)Uf''' 1./111 S-s- / d J ! f' (Adciresll) ~ <<C) (Zip Code) 1 (ContIeIPmon) -.-I /1J::~..e "S:m /fh _ I. (Phone) ..f ~/'- J<rf/- r;f /r;f(5 APPUCANTSrONATtJRE ~ '& ~ DATE ~._;;; 9-();Y FEE SCHEDULE lllcNstrial, Commercial" Multi..(a."nHy 1% of jot> cost with ill $39.$0 minlmwr. Residential. New One &: Two-PwnUy S99 50 f / RosidMtial. Aoditions 8r. ^Itcratloft' S39,SO Estimated Cost S ft/ ~ (/t) CO Building Permit 1; -D:J.. -- 0 b.J '7 PLUMBING PERMIT FEE $ ~f/Y'-.1~' ?A:D ~ SorA TE Slt1tC'KARGE $ ~ - v . -.55lGU.D!NG PSRMrr TOTAL PERMIT BE $ , ~~~ ~l . Thlt A.pplicatton Becomes Vour BuUdiAI hrmit When "pprond . ~ ~~ \1, C ~ l.b - Receipt No. )\ DMt, I By i AUG 0 4 2004 . . _ L ' 14 hOllr .oila for all bu,.ntold (952) ....,..-0. fa,.. (953) ....,...3... IBy- QuaIltit)' ....~ I / 'i / '/ / ..::.t pro APPLICANT PLEASE COMPLETE BELOW I rrp. of JIb..... SlUt Tub with or wtthOUt ~~wer Dishwasher floor Drain lAvatory (Bathrcom Sink.) ~ Tra}' (~ or ~ oompartrnetJt smk . llIinower ::Jt8I( / "IW Bar linK . vi.. (.;loNt ('foilet) Q....tIty f 'rype orll1xtllN 1 Roqh-Ina W..... Heater w*, Sonner StaD. d Pipe (Wuhjna Macbine) ~ClQtor . AllHmbJy ~OW.Auembl)' Test Lawn SpritlkJer . Otber / / .......... Oflk'I.t Dttte CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd liW1lId (Please tvDe or Print and si2ll at bottom ADDlESONlU'lU__H 14997 HILLSIDE CIR( :LE HLL^vi'Ut vd ~. ~e~n ~::y I PERMIT NO.O' I 0 {~3-; I J . Yellow Applicant L.f. 1(1 I I J ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER ~ame MCDONALD CONSTRUCTION (Phone) (Address) APPLICANT ~ame) 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 BRFNDA HUSTON DATE 7/21/04 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM DWarm Air Plants o Gravity o Mechanical DAir Conditioning DVent. System HEATING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL REA TN GLO 6000TR-OAK X 2 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 & A/C (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ '. ~~~rJ V~m 8UBillfNG P~MIT Tii ~i'@ [E 0 ill ~ \ " Receipt No. , \ D11JG 1'1 2004 J By .50 (Office Use Only) This Application Becomes Your Building Permit When Approved Buildin~ Official Date ..--/ 24 hour notice for all inspections (952) 44i .9850, fax (952) 447-4245 By P R 10 R LA KE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS _ IJ./" 9? I{ it/, S iOG (:4kCLE )J. iA1 , NATURE OF WORK ~ ~~~~t/o~ USE OF BUILDING S. ~D, PERMIT NO. 04.0fc3'7 DATE ISSUED laftSI:: CONTRACTOR ~l)6JJAL/J C~Sr. PHONE" ~ -',-tJ/ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL "'"' PLUMBING M;f'" <;{>C(rdl1 HEATING (if required) '~. H~&?/t:;'i' FIREPLACE . " il:> ~6 ; ~ , GAS LINE AIR TEST If/. ~p- f'/'~ /h"# tY;:t:J~,-/ ~ COYER NO WORK UNTIL ABOVE HAS BEEN SIGNED Il.ArHe/~ULTUI'l.~ Iwe. PI) IO'2tl 4tt/eY ~vJ /S p~kL FIN A LS GRADING (Prior to S~dding) ... ,IVZ!' /1_ z,z,.4 +-' BUILDING;f>;-,t1.CU;u"f/j ~~J .~/~/.n/ ELECTRICAL' - PLUMBING HEATING . DO NOT OCCUpy UNTIL ABOVE HAS NOTICE INSPECTOR DATE - FOOTING ft~ Ytllvd kJc.1 Vp 7-1Cl , FOUNDATION (Prior to Backfill) I n;/ ~si PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH~INS I P .>,~ l() L (/If P/.5 8>>0 . ~ , Pf; 111f-BlOb 1// ffll~ /;/d/o</ // ;/o/6t/ . . BEEN SIGNED 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 _"'_:.c,;,,:-':_________.___.'.~__.______,___.u~__. ____,._.~..:_ _"L_.:"',,' ,.~L:'M'_~iL ___ _'J--'---L-L-'-L~ , {!~ 1+197 /1/v~510G ul/6u6 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. 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 MEcr FINAL stl I ' COMMENTS: d ~ N4:R ~/J~ DATE TIME 04-, 0 (P37 o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ';II:. WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o COt:R ~ RK, CALL FOR REINSPECTION BEFORE COVERING Inspe or: . l.-.. Owner/Contr: LLW9JFOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. ~ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl 0"' TE TIME /Yhftj/ , , ./~99'7 $/~/~ CI- CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ..,.(if1!iNAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ~CH FINAL CQ,~ME~TS: _ FlcrU//#,1 ~h. / r/~_ r--? L ~te LJl~e. -Ld/ UL/~s t1P c 00/ -6J" 7 o EXIGRADIFILL1NG o COMPLAINT o FIREPLACE RI ~EPLACE FINAL o GASLlNE AIR TST o ./ / /' L/,f/ / ~c/ ,. , ~ i h~.r; h .., ~k ~#,-~-4/J , A:d: n~~/', .. ~ kr-PIIV~d ~6..;!--/ 7rf~ /":- / / ...,< J ..- / /J _ ~ C(j jV~edH H/W/ L~4/ ~ J JvCCO ,/ -I-it[, kt"'S( ~.;Hj~r-' /1'\' e "roll ~~'f' ;7;ee.s /~ ~ J- y';"d , - ~ /./ /1/ 7<P-1;J. c:~, 4.-~h7;1 8/1 /~~ . I o WORK SATISFACTORY, PROCEED " /C- It'CORRECT ACTION AND PROCEED ~ L ~ORRECT~; ;JL FOR REINSPECTION BEFORE COVERING Inspector: ~'~7~ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS /~9'7'7 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION DATE TIME SCHEDULED /~r ///lsI;k OJ- CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP ~ING FINAL o MECH FINAL COMMENTS: /- ,~ ~ 'C--/ r;! /' / ;' ~:r- ~-6J7 o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o / f3/{ ~ //' .-/,/- ~/ ~/e-erl /HrV /ls/~~~' --/' ~ ,'---::. I / F' t .; / I ./ a ,~( / -. 4 / I. ~cI" ~ ~0/Ycf,lL~ 4.-./ )------ / /7~1 o WORK SATISFACTORY, PROCEED ..*ORRECT ACTION AND PROCEED o CORRECT W,..> .JVR REINSPECTION BEFORE COVERING Inspector: YR/ /--' Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl SCHEDULED /cp...U "l':f tLJ/s /dt- C/~(/I( CONTR. fYk,/)O~4 // PERMIT NO. t)~-?3 7 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS I L/79l OWNER PHONE NO. a FOOTING o FOUNDA liON a FRAMING o INSULA liON ~L o SITE INSPECTION a PLUMBING RI o MECH RI a WATER HOOKUP o SEWER HOOKUP a PLUMBING FINAL a MECH FINAL COMMENTS: h""#~ crtt Cwb &9?-- /9 (~ DATE TIME .)(' ~LL1NG ... iJ"tO'WIPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ,v WORK SATISFACTORY, PROCEED Va \ORRECT ACTION AND PROCEED a CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING Inspect~.c;;;-- Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. IlUNon CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! Job Address /flor!7 /ltlk-,'/ r'" Heating Contractor Name of Tester Date Percent O2 Percent CO2 Percent CO Stack Temp. Controlled Air /?d I () - i - 0 y 7... 5 ~_ l 0' / (rJ F