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HomeMy WebLinkAboutBldg Permit 04-0647 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d {g ./0.04- I. White File 2. Pink City 3 Yellow Applicant PERMIT NO. O~.o&41 (Please type or print and sign at bottom) A,~~SS~ \ ORNJ~ C1u~T \ ? ',RID(L ~ ZONING (office use) ~/ LEGAL DESCRIPTION (office use only) LOTIO BLoCK ~ ADDITION W I L.D<;. ~~ IJPP I V DrJ PID 25. 4/2.0/4--.0 OWNER (Name) c;J:.E. ~~ (Phone) (Address) BUILDER AA J (Company Name)'" t ~LS 7'PI6ar 1>ft,f1~~ (Contact Name~6 ,..) YlA I ~ L- S ~ ( (Address) CN>I~~~) ~ ht1< ~ - ..... t U ~1.L - '1 JlflJ liSt -nl.- ~ / / TYPE OF WORK ll1New Construction ODeck OPorch ORe-Roofing ORe-Siding L1Addition o Alteration DUtility Connection 0 Misc. CODE: M.R.C. DI.B.c. Type of ~stmction: I II Occupancy Group: A B E F Division: 1 /"'- Ilhe byce above e t nflie' I a re OLower Level Finish o Fireplace III IV fIJ) A @ HI'i10SU 2 n 4 5 PROJECT COST IV ALUE (excluding land) s3'{b) 06-0 rnished mformation on this application which is 10 the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the that .11 construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans. for Just cause Flllthermore, I hereby agree that the City Offe;O ~iqeqy I'(r upon the property to perfor~e~d I Signature Contractor's License No. I Permit Valuation i:3"1(), IJOO,_' I Park Support Fee # $ I Permit Fee $ cJ..({ if J: S'""d I SAC # $ 1350 . D 15) I Plan Check Fee $ I ~ z..o. 721 I Water Meter Size 5/8'~ $ 300. DO I State Surcharge $ L 7tJ, 0 d I I Pressure Reducer $ 70, 0 0 I Penalty $ I I Sewer/Water Connection Fee # $ {Z-OO..OO I Plumbing Permit Fee $ /00,60 I I Water Tower Fee # $ 70o~ 00 I Mechanical Permit Fee $ IDO. 0 IJ I I Builder's Deposit $ \';;;-00, c9 0 I Sewer & Water Permit Fee $ ,yS-. s;-o I I Other $ I Gas Fireplace Permit Fee $ 4o,do I I TOTAL DUE $Cj (,r; 1. '2fL . This Application Becomes Your Building Permit When Approved Paid Cltr:> 77. r ISJ' Receipt No. 'ib~Cj b I ~ ~ l,fi,t/III Date b - 9-~-tA - By 'j- I Building Ollicial '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 docut))ent when signed by the City Planner constttutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupan~erl1n, 'of Occupancy rust be i~ ~ ~ 2.t/Iot/ M aI.( ~ ... Planfiing Director # , Date . Special Conditions. if any "" ~ " \ 24 hour potice for all inspections (952) 447-9850. fax (952) 447-4245 ~ 16200 Eagle Creek Avenue Prior Lake, MN 55372 c ..whit~ - RII;irl;ng ~ Canary - Engineering Pink - Planning Tht" Ct"nlf'r of the tlkt Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /'1// I t/L.:577i E,D T g 1U}f'. APPLICATION RECEIVED (,. /0. 04- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /543/ ~ N &. (;;() U /2-1 Accepted Accepted With Corrections / Denied ~ ~~. Date: ~~J:/~o/ I Reviewed By: ~ .;. Comments: ~ d.1-( 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." --- -~'--'-----'''''''-'''''''''''''---t"'-.~~----~~- ~ Th. ('rnl., or Ihr I..k. Counlry .--White - Building C_ Canary -. EnQineenng..::> Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ;I/i /' -./' Tj:::' I ~<',7!)-) r= D -/ ,'./ . .. ...........~.. f..--:. --. . '- I,,-'.--U'.,(", I() c4- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / r /} "'2 / j /~d-rj IV ,~. .,/. (>'/:.'-~-,/ - / .__,' '-f' '_ " ~, Accepted x Accepted With Corrections .. , Denied Reviewed By: .1}141~ Date: ?-;}LJ-()I{ , Comments: See Reverse Side for Additional Information! : /!7q,.n!c,In, {;roS/n"" Ct,/lfrD I vnl,'/ (;~I-'i t /,j V. +vr~ , I!J See Attachments: 1) Grading Plan, 2) Erosion Control Measures 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." , ,. The ('enler of 'he Like ('oun.ry White - Building Canary - En ineering '-.ein.\f_ - Plan~! BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /, ,I / T ;r [ L _=- / I C /) T /::..-<. :4- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /.' / ,. I / ..;...::'-- I~ I /\/ , f' - /'.'/ Accepted Accepted With Corrections ~ Denied . Reviewed By: ~tJ ~ ~ Date: to /:;J....c.( ~ if , ,.... Comments: j(~ o-RfJ ~~, A.(, ~ ~~ ~ ~.~u~~, IJ (/' "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." """.......... '-'... .......'-"".......-....................., ;952 894 0925 # 2/ 3 ..,....."" ......""'" u HEATING/AIR CONDITIONING/FIREPLACE PERMIT (Please type or Drint and sien at bottom) ADDRESS I. Pink 2. Green 3. Yellow ~~~ I PERMIT NO. tf;- 6(/ yl Applicln' 'I \.SLL~ I r f0..Jl~ ZONING (office use) 0i l i ;:;:. .LOT BLOCK ADDITION .{ ~ ~ l, LEGAL DESCRIPTION (office use only) PID . ~=e~~l\ A , ~ J"krJ d ~n15 . (Address) ;;5dQ - ;..!:)/JI r./ Ct.) -rI-/(JO (phone) LoS-1 - ~ ~ d - LII tj?J R()5e//O?~/7-0 M/7 5S~)~np j.;.;:: ::\t ::(.:;.: ..;;. APPLICANT (Name) tjurmsviiit:: i it::aLi,,~ .;, ,;;e, LLC 12481 Rhode Island Ave. So. savage, MN ~@112 (phone) ct:":J ~ -RQ(j-cYJQ5 .~ f''''' ~I ..~~ (Address) (City) (Zip Code) (Contact Person) (phone) APPLICANT SIGNATURE ~ }3J)f.!L/],(d..Ce./I DATE J -' ;)-0 Y ji.~t~ ::::=:: APPLICANT PLEASE COMPLETE BELOW [][NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERA nONS FURNACE MAKE AND MODEL (r; fJr/(})( 65/ IV}PfiLj ~r'.O 70 FUEL rYA_-:l-CjO.L7 FLUE SIZE RETURN OPENINGS I I INPUT !iO., oaJ OUTPUT J( d.. PCO TYPE OF SYSTEM HEATING OR POWER PLANT OWann Air Plants 0 Steam o Gravity 0 Hot Water o Mechanical 0 Radiation I8lAir Conditioning 0 Special Devices OVent. System 0 Other Devices I ~~ j:f~ !:t .~$j 11 PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL .esidential, Heating & NC (New Construction) esidential, Heating Only (New Construction) FEE SCHEDULE I % of job cost Residentia~ Gas Fireplace $39.50 minimum $99.50 $64.50 $39.50 ndustrial, Commercial & Multi-Family " Residential, Additions & Alterations Residential, AC Only $39.50 $39.50 Estimated Cost $ Building Pennit # Building Official HEATING PERMIT Ft>( STATE SURCHARGE $ TOTAL PERMIT FE " ~ ~ci0 ~ ~ ill ~ l' Receipt No. _ +J D~tlG 0 2 2004 J) By .50 73uJ,duJ 'p~ P:vvnd- t Use Only) l Application Becomes Your Building Permit When Approved Date 24 hour notice Cor. aU inspections (952) 44' -9850, fax (952) 447-4245 16200 Eagle Creek Avenue, Prior ~~ MN 5!31~ 06/29/04 TUE 09:43 FAX 952 890 2753 STOClffiR EXCAVATING 141001 Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT I Cro;::n File l Vell.w Ci,y }. Gold "I'plle... PERMIT NO. 04-0647 (PIcas.: t't'tle or orint and siP,n at boctom) ADDRESS 15431 Crane Court ~1[!) LEGAL DESCRIPTION Coffi.:e use onlyJ LOT 10 BLOCK 2 ADDITION The Wilds 6th PlD OWNER. (Name) Mittlestaedt Brothers (Address) (Phone) 2520 151se Court W., Suiee 100, Rosemoune, MN 55068 651-322-4140 (Addrm) (CityJ (Zip Code) APPLICANT ~ame' STOCKER EXCAVATING COMPANY, INC. (Phon~ 952/890-4241 (Address) 12336 Eoone Avenue (Acldress) Cure (Zip Code) same (Contact Person) 6-28-04 APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from strUcture feeL Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron Estimated length of sewer line feet. Clean out (if required) located at feet fram structure. R.esidential sewer and -.vater line: connection Sewer connection only FEE SCHEDULE $35.50 Industrial, Com'! & Multi-family 1% of job cost with a S39.50 minimum $17.50 Watcrconnectiononly $17.50 Estimated Cost $ Building Permit # SEWER AND WATER PERMlT FEE ST ATE SURCHARGE TOT AL PE&\11T FEE $ $ $ .50 ''''}7 .' ,::::.Ar0" "\';:jl"'~. .<..Jr, '.. ~"~,, ~" ,'~ ~~1i~ v".!:) '<..:) /;:: "" .1"'.1 ... '-" ,"' '",~.I-'/'I "'Vi.~.c<;"'... (Office U~C Onl)') "'('his Applic:ltion Becomes Your Building Permil When Approved 6uilding OCliciaI I Paid ~ Receipt No. .~\ ~';0 ~ n \!J IT; f1 By D~te L ,J 24 hour notice for 311 inspcc:liuns (952) <Wi ~ :~;O, .JJJ~52) .z.f.1!Q~ - j ff By -,--~."-" ._..~,.~.__.,..~,~-~~-"", '~,~__,.. '.'~"'~" '0 ~'~~~"'~"'_".__'_ CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd 1, Pink File 2. Green City 3. Yellow Applicant PERMITNO~1 (Please type or print and sign at. bottom) ADDRESS ZONING (office use) 15431 CRANE COURT LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name MIllbLSTAEDT BROTHERS (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 7/21/04 APPLICANT PLEASE COMPLETE BELOW xD NEW 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 DWarm Air Plants DGravity o Mechanical DAir Conditioning DVent. System o Steam D Hot Water D Radiation o Special Devices D Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL HEAT N GLO 6000TR-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 & NC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50 """Y\~ '-/"1:'1 i/)-.. . "'::r""" , " .. " .:' , /-" - ... I '-'-iJ-,)Y'\. ~_ "" l'~ ~..._ ~".._ ~, ....I~. (Office Use Only) Buildine: Official Date DItifd@ ~ U W ~ l. I Receipt No. Da3UL 2 9 2004 By } ~ - This Application Becomes Your Building Permit When Approved 24 hour notice for all inspections (952) 44i ~O, fax (952) 447-<J2~____ . PR I 0 R LA KE DEPARTMENT OF . .' . BUILDING AND INSPECTION INSPECTION RECORD SITEADDRESS /5'i11 CKANS' (",IJul&T NATURE OF WORK J)"", C6~ ,bA\ USE OF BUILDING &P:J) · PERMIT NO. .. 04-.0(;;4-7 DATE ISSUED .1&../0'1 CONTRACTOR M'Tr&'L.~"'lIIs. ~HONEilSl-"2"'/!J... NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT /.J'r.-l (/p 7-7-1G<-! ... . FOUNDATION (Prior to Backfill) 1~.6 ~- / ? I' PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS --.. SEWER/WATERISEP~C ~ P-:#! FRAMING (/(Jv't"rlA \ ~ ~ fV r/ 'fJ INSULATION 'V tr J7 ELECTRICAL PLUMBING ;j;5 e-~ HEATING (if required) II lIP ~ FIREPLACE /l ) t/Vf GASLINEAIRTESr~~/ #A/~, fi(!r4)4/' ~~;;( COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I ~. ~FINALS GRADING (~IO~Sod1g) , Y lJ r,. 'Z 'f. · J- ~ BUILDING ~~. ~CU /~(dl/ 4/1- fJtl ELECTRICAL ~ PLUMBING j//!~ , HEATING ./~ /tf//~~' DO NOT 9PCUPV UNTIL ABOVE HA$ BEEN SIGNEO ).w-ey J~(/t.1 IS a 17~ /J'.A~J NOTICE ,4fib 41,4..- /J $/~,l~j This card must be posted near an electrical service cabinet prior to rough-In Inspection. and maintained until all Inspections have been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. INSPECTOR t FOOTING FOR ALL INSPECTIONS (952) 447-9850 DATE ~-q.(ftl 8'l1- I 8..-Q-ay ~ A.{-(/Lf "/;)/~ ~ '11r:7Io~ /~///d~ aIertifirate of <IDrtupanrl! CITY OF PRIOR LAKE ~tparfttttuf of ~uil~iug Jluspttfiou ~Final Permitted D Conditional C:O. Expires This Certificate issued pursuant to the requirements of Section 110 of the:O Residential / D International Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City of Prior Lake regulating building construction or use. For the following: SINGLE FAMILY 04-0647 Use Classification _ Bldg. Permit No. Occupancy Type R3 VN _ Zoning District Rl Legal Description Type Construction LI0, H2, THE WILDS 6TH ADDITION Owner of Building. Site Address 15431 CRANE COURT Contractor's Name & Address MITTELSTAED;;H10THERS CONSTRUCTION ROBERT D. HUTCHINS/,/IU I / DON RYE , \; . _ City Planner I Building Official Date: I \ I,,~, DC. Date: \ ~ - " ,,', ........." .'~ ~~.- 'lltlIllli', ~ DATE TIME CITY OF PRIOR LAKE 1l~I~bL INSPECTION NOTICE SCHEDULED ADDRESS )5it31 ~e. Q~ OWNER CONTR. PHONE NO. PERMIT NO. '1- tR7 o FOOTING o PLUMBING RI o EXIGRADIFILLING o FOUNDATION o MECH RI o COMPLAINT o FRAMING o WATER HOOKUP o FIREPLACE RI o INSULATION o SEWER HOOKUP o FIREPLACE FINAL o FINAL o PLUMBING FINAL o GASLINE AIR TST o SITE INSPECTION o MECH FINAL 0 COMMENTS: ~ . Ql~ ~ ..;-, D .)(WORK SATISFACTORY. PROCEED o CORRECT A ON AND PROCEED o CORREC 0 _ CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CAL 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED h-d'l~ PHONE NO. 1$"'~31 Ci~4L C +~ CONTR. tII;~1- PERMIT NO. 6'-1-~7 ADDRESS OWNER o FOOTING o FOUNDATION o FRAMING ~NSULATION FINAL o ITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL 'Jt~FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS: RG \'~ f.u ~ ~ F/~s~ ~ "'" b~ck G r'-fJJe . oK. ~ ~ORK SATISFACTORY, PROCEED "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 & SAFETY! INSNOn BIJRN~ .v-ILLE Heating & Air Conditioning, L.L.C. 12481 Rhode lsland Ave S, Savage, MN 55378. 952-894-0005 Orstat Test Report for Jobl 10 5 II Address /sL/3/ CRIlNc..- Cou/t:"l City fk,()~ t4~ Occupant Date of Install. q - 21../ -0'1 Type of HT. F/A ./ HW Space HT Unit HT Other Make I ~ u 1'-)0)( Model r"w'3u...F" - '-\ 5L - o~o - 0 , Serial 580 c..j c.. J 4 Z 'Z.. <- Input _~, 1)(;>0 f!>TU. rl Pilot Type Pressure Input CFH Stack Temp HOT SURFACE IGNITOR 3.5 Iwe C02 t.:;.lt ~ g 02 <1 . '1 "'-\ CO 13 ppt'Y'\ Date Tested q - 7- q - oc.f Company BURNSVILLE HEATING & AIR CONDITIONING Technician Le..n