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
\
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',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~~~)
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U ~1.L - '1 JlflJ
liSt
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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 -/
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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
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APPLICANT
(Name)
tjurmsviiit:: i it::aLi,,~ .;, ,;;e, LLC
12481 Rhode Island Ave. So.
savage, MN ~@112
(phone) ct:":J ~ -RQ(j-cYJQ5
.~
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(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
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'<..:) /;:: "" .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\~
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~, ....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