HomeMy WebLinkAboutBldg Permit 04-1152
(Please type or print and sign at bottom)
ADDRESS
g17b W~'lk
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~_-<- AI.cJ
LEGAL DESCRIPTION (office use only)
Date
10. 28. '
~. ';i~i~e ~::y I PERMIT NO. 0 A_ . II C"7
3 . Yellow Applicant .,- ';} I--
.s:D~l
LOT/'1 BLOCK
I
OWNER
(Name)
( ADDITION ~ l' -e.1l : ~
fV7 ~ DcrJr"' J) (Y nl" ~ i
(Address)
ZONING (office use)
PUP
PID 25.307. u /7. ()
(Phone) 9s;;;. -lr3J.- ? bot
BUILDERJ1/7 IJ I J C I'
(Name) /1' If. '0 ~(/ o-R '
(ContactName):J ~'b lIoJJ~o/Z..-:r ~f'~(~~Sc#-"
(Address) t:;) fco l I '< 1 r-e:.. 'i:t- U/_.~1--o: )1Kl-L~j~ P7-
. , (;.r
(Phone) 9S'-r Lt 31- ?.(, 0 (
(Phone) f.. f;). - 70 ( - ?~ 4 '-I
;j~ ~--,.- J.Cf~'" I o~r.o
TYPE OF WORK
I o Misc.
~ew Construction
~ower Level Finish
~eck ~orch ORe.Roofing ORe-Siding
ts(yireplace OAddition OAlteration ~tility Connection
PROJECTCOST/VALUE (exc1udingland) $ I'~~S- DCo s: ~ -
,
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
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 wi!
SUbm1/d.ned lans. 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 ma
;ter u 011 n7r r;m need.ed inspections. i3 e~ ~3 7 ~ I 0 - #0, 0 '-I
i / 'ff Signature Contractor's License No. Date
v v .
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
f3loS,oao.D'O
$ 2lc;) q3 . So
$ (71 B. z,s
$ 182.,5'0
$
$
$
$
$
l eo. El 0
, 00.00
3~..'5o
40.00
This Application Becomes Your Building Permit When Approved
~Offi~ I 1/SkI
I Park Support Fee #
I SAC #
I Water Meter Size 5/8~
I Pressure Reducer
I City SAC and WAC #
I Water Tower Fee #
I Builder's Deposit
I Other
I TOTAL DUE MtAe'O II. I O~ 114-
,.,
I Paid JtJ/ V" 7/
I Date II. I ~~()~
8so.00
13~Q. Era
300.00
70, 00
fL.-OO,Oo I
700, O{J I
1~1Jt).DO I
$
$
$
$
$
$
$
I $
1$ /0,789. 7B
,
I Recei;YJ' ~!.J#J
I By ~ 'i
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
~ ~ 'teRM
I'/s;lo'f ~d~'
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Planning Director
White - Building
c:- ~anary - EnQineering~
Pink - Planning .
Th, ("rRlfr or Ihr tlk, Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,/1-1' '/ I;' ,,"'- 1\ ,..(/ I.. L.J /~ I) .J, ,,.is:,. -77..;'1.
I / { <....,./ './ I ...i';. ....',- L.' l, '_'" -. 1',-
/('1 7 ,; ("\ /1
] ...). J.:..,." (.} ~ "".' ....,~~d
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;!- -7-7 0 ? VI L D .5 t~~l'; ,\/f f:S IV~ I'~/.
Accepted
V
I "
Accepted With Corrections
Denied
Reviewed By:
IYfJ1)
Date:
J /_t./-01
Comments: See Reverse Side for Addition~1 Information!
Spp Athlchments: 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."
Th~ C~nttr of th~ Lakr Country
CWhit". -=- Buildinv
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
11~ OON/lLO ~ON~-rrc.
10. Z8. 04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
277h WILDS LANE. N. N.
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
~ :?~
~ /1L/ A~,
, "
Date:
/fl'l/t; cf
~~.
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."
:..: ""..
White - Building
Canary - En ineering
dffik - Plan",
Thr Cfnlrr of Ihf L.kt Count.,.,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/i/(I L) { /"'// L U C ( /V .~ -nC .
/(.2'>:-'.(4-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2 '7-70 I [.,.j L f.) S L/-I;.J E /V'~ iV.
Accepted
Accepted With Corrections V'
Denied
Reviewed By:
Comments: ~11~
~U~
~~
~ ~ A,e.. ~
/
~ _ffJ~1& ~
t/
Date:
II / ~/c '1'
r
~
/
~r
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."
LiT Y. 0'" PRIOR LAKE
flEA TINGI AIR CONDl'.llONING/.t'.LKEPLACE PERMIT.
Date Rec'd
\. Piolc
2. Chtll
3, Yella"
~~lKanl I PERMIT NO'04- _, , I S ~
q'lc:a$C ~e or Print and nJ:Il a.t bottDm}
ADDRESS
D~IO~
~p"
ZONING (otlicc~)
0lZ2f;,
AI. Uj r
LEGAL DESCRlr 1 LON (office \)$1: only)
.LOT BLOCK
ADDmON
PlD
~V:::;;R 172('.~ If)
(~~~ J-..
(phone) ~ - 7(:-" ('\ I
(Address)
~~~~ANT(~~rv'le 0 -QJ/l
(AdiJ:ress)~/::J/("\ ~11 \ 4r)~ ,
(Address)
" I7jAJ.
7J;;;-MIJ}
(phone) O/~
~,..
(City)
(Qo~ ::::>
!7~rv04
(Zip Code)
(Contact Person)
APPLICANT SIGNATURE ~
(phone)
DATE
/':;; ,.. q -eLl
_ APPLICANT PLEASE COMPLETE BELOW
.k:JN~ vi CONSTRue lON 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL L.ornkl'l-n?~f' qC'l~ FUEL ).j,q.)-'
If p. ~
FLUE SIZE ,.:<: lJe. RE1URN vrwINGS ~J INPUT ,( m O()<!) OUTPUT q 6) .0;<
- ., .
TYPE OF SYSTEM HEATING OR. POWER PLANT
DWann Air Plants 0 Steam '
o Gn\vity 0 Hot Water
~chanica1 0 Radiation
- ~nditioning 0 Special Device$
AYc::nt. System DOtherDc::vices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
r .u...er1..ACE MAI<E AND MODEL
Residential, HeaIing & NC (New ConSLruction)
Residential, Heating Only (New ConstroctiQn)
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
539.50
Industrial, Commercial & Multi-Family
$39.50
$39.50
Estimated Cost $
Buildi.ng .Pellnit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMlT FEE
$
$
S
50 fA\DG~cflt4IT
. ~U\LO\N r
(Offic~ lIse Only)
This Application Becomes Your Building Permit When Approved
I
: i Paid
Receipt No.
BUIlding Ornaal
I i oUt: l 2 '0 Z()(j4
Dau '
24 hour Ilotice for all inspectiol:lS (952) 4+,~8S0, fax (952) 447.4245
16200 ElI21eCreek Avenue, PriDrtim,MN--i5372
By
too!Pl
HIV U.:I. 110H.LNO:)
9L~909ttS9 XVd t~:gO nH~ tOO~/60/~t
,-,_. ._a...,,,,,^,-._-.._~_
CITY OF PRIOR LAKE
HEATING/AIR ONDITIONING/FIREPLACE PERMlit: I....
f,: !,
I' ."
f. \
(, I
~. ~;e~n ~:;y I PEJ1,i'JITD~~.~Q_l_~..
3. Yellow Applicant ~ . ~
Date Rec'd
(Please type or Ilrint and sign at bottom)
ADDRESS
ZONING (office use)
2776 WILDS LN NW
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name MCDONALD CONSTRUCTION
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
2561
(Phone)
6~1-6l3-=
<Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
2561
BRENDA HUSTON
(Phone)
651-633-
APPLICANT SIGNATURE
12/10/03
BRENDA HUSTON
DATE
APPLICANT PLEASE COMPLETE BELOW
X NEW CONSTRUCTION REPLACEMENT AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT
OUTPUT
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL (2) HEAT N GLO 6000TR-OAKS
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50
12/1012004
Message
Page 20f2
"'\c
$39.50 minimum
Residential, Heating & AlC (New Construction) $99.50
Residential, Heating Only (New Construction) $64.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
PAID \}llfH
BUILDING PERMIT
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
._~t
.50
JJate lUC'U
CitY OF PRIOR LAKE PLUMBING PERMIT
(Please ;xpe or print and s~ ILt bottom)
ADDRESS~/10 lJJikl~ i(Jh~ IV WI
1- BI". file I. PERMIT NO.o+.lf5Z.
2. Gal4 Cily
). Vellow Applloon.
ZONING (oMcellle)
LEGAL DESCRIPTION (oftice use only) J
LOT /1 BLOCK 0 ( ADDITION~e f\ / j 'n Q ~l4 -+ h
'v
&=Rf1C/}OYI a J d (~h~frljL'b1 Oh,. :J n'/.
(Ad4r<A) '760/ .I y~~ 5;,'1. Ii/. ! Ji-&JP J/a /lp Y I /1 h
\~~TANTbIlP s:iilP !JuVhb;h ~ :rn~. (Phone) .h'S?- y~9,- J=>/cPO
(Address)~<Y&fk~rJonl fJr<Ve VI JIl)rMdiJv,Y'v ,Nh ~~/r;)9
. f) (Address) I (e:'ity) / (Zip Code)
(ContactPmon) _I Ja..u.~ . ('!- h c (Phone) t..,J- Y~9-rP/ cY'O
~ ~ ~-4j;( DATE _ I a-I Y--aY
PID
(Phone) 9\f'c9-Y.Y0>,- /bO I
APPLICANT SIGNATURE
Quandty
J
I
J
V'
. /
';::J
/
. I
"":-r
APPLICANT PLEASE COMPLETE BELOW
Type of FIxture Quantity ] Type of Fixture
8ath Tub with or without shower I Rough-iris'
Dishwasher ) I Water Heater I
/ Floor Drain I Water SOllner '. ,1 I
Lavatory (Bathroom Sink) / I Stand Pip~ (Washing Machine)
Laundry Tray (1 or 2 compartment sink I Sewage Ejector
I Shower Stall I Backflow Assembly
I Sinks 8acktlow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) I Other
FEE SCHEDULE
Industrial. Commcrcial &. Multi-family 1 % of job cost with a $39.SO minimum Residcntial. New One & Two-Family $99.50
1/ Residential. Additions & AJ~~ns $39.50
Estimated Cost $ I rtJO __Vt:J Building Penn it # 0 Y -:: LL..:s.. d
"~WITH
PLUMBING PERMIT FEE $ ~ - G PERMIT
STATE SURCHARGE $ .
TOTAL PERMIT FEE $
(oroce Use 0..1)')
. This Appll~ation Bec:omes Your Building Permit When Approved
Bulldln. OMclal
Date
-.
-.--__._~_~_c.~_. _'U'~
/' l~ ~ U . 'il R.~I~No
'lilllOlJEC 2 (J 2aftf~,~!l1 By
. j",.-:
14 hour notice for alllnlpectionll (951) 44'(..98500 fax ("1) "7-4~5
,i::1y ___~u;,~,_, ."_
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~ 77ft:, ~iL.DS (.,,~t.J~ r......,.
NATURE OF WORK tJeW
USE OF BUILDING ~ I) , .
PERMIT NO. ',~4-. 1/52- DATE ISSUED nJI;!ftcl
CONTRACTOR l\\.~OOfJ"...b~. pH3NE!Sa.-&(JZ,-,t,O I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
I FOOTING )f1'~
;:....
I FOUNDATION (Prior to Backfill) I~ ~ ~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
.~/~~
@ f7 J11d
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
..
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~~q
DEPARTMENT OF
BUILDING AND INSPECTION
OJ-TE ;'
////Z/<:1Y
\1)0
( / tJ.
~
//P-,/(fS-
,
(;)
vvv)
gh
ffll
I h. ~ I-b--tlv(
: /l t
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
LA..\1\~ &AIlAP W I
FINALS
/1/5 7/~Yl
(it)
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
/1!~
~ r-&' ~
Pt;
UNTIL ABOVE HAS
NOTICE
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
(tltrtifitaft of <IDtrnpanty
CITY OF PRIOR LAKE
~~varfm~nf of ~uil~ing JInsV~tfion
eM Final Permitted D Conditional e.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:
SINGLE FAMILY 04-1152
Use Classification . _ Bldg. Permit No.
Occupancy Type _
R3
_ Zoning District
PUD
Legal Description _
VN
Type Construction_
L17, BI, STERLING SOUTH
Owner of Building Site Address
, MCDONALD CONS~&UCTION, 7601
Contractor s Name & Address r) II
I ROBERT D. HUTCHINS /, / !/. .
" . II _ City Planner
( / ! B.uil . ding Official V,
I ~,-;'7 a IJ-r:-
Date: ,U, Date:
I (
2776 WILDS LANE N.W.
145TH STREET WEST, APPLE VALLEY 5
JANE KANSIER
L.'
'-.. ,,---..;.;-.. : ... '-
~ '_."._........,-'P'
.~~_. ,. r" ..->.. ..............
-', ,.'~ ,'" ,
". "
:~"
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
{~
TIME
ADDRESS 2!l2 t, We .{~ LfA
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING Rl
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
o GAS~I!4~IR TST
jJt . !' rt::.:j
COMMENTS:
~ (PSt- ~^' S(:i ~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~CALL FOR REINSPECTION BEFORE COVERING
Inspector: I t1'7 Owner/Contr:
I/'~
CALI!:" 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INmOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 7l7t 0 LJtlQ~l.I1
OWNER
PHONE NO.
o FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
[J FINAL
[J SITE INSPECTION
CONTR.
PERMIT NO.
o PLUMBING RI
[J MECH RI
[J WATER HOOKUP
o SEWER HOOKUP
[J PLUMBING FINAL
[J MECH FINAL
?fti/;
lj ~IIS7..-
o EXIGRADIFILLING
[J COMPLAINT
[J FIREPLACE RI
o FIREPLACE FINAL
[J GASLINE AIR TST
[J
I
I
COMMENTS:
I, )../ar.Q ~Ot~Q.. \)r1{(j.!J&~
2. Ma,' J'\ feu Ii ~ 'f ,,..,c i:J:;.A. ~L
:5. ~ .d- Ti1.u.A
4, F;'~' co\~ .,vtS~t~ ~~ ~ol
5. ~ .&- 6'cu-","-~~ AcOA1,~
lA ~\ ~n..a.* ~
7. ~,...\_".~ ~o ~~
8. ~Q ."'~ .\.u.- '<:;;~ -
T~ 1~
8-(-cJfI
!
I
i
o WORK SATISFACTORY, PROCEED
[J CORRECT ACTION AND PROCEED
XCORR~ALL FOR REINSPECTION BEFORE COVERING
Inspector{j/J / Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INS/iOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 2. 77? tv K iris L 1'7_
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 MECH FINAL
COMMENTS:
f.,;~C9 r(
G-vJ6 !Sor"O fC
DATE TIME
;-11/0)
/l7 L l1t1ct11
b'-/-JIS L
;J!..~LING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
fJ o-A I It)
X 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.
INSNon
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 277/"
IAJ,'(~<) {.V'L
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
P ~R HOOKUP
~LUMBING FINAL
o MECH FINAL
DATE
1-fn
TIME
'/- /r;Z
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
I~t~~: M:17 t t./(/]-'l81W
z. ~ ~I=r~
3. ~~ff ~~lJnJ..'.J-
(l WORK SATISFACTORY. PROCEED
p.. CORRECT ACT N AND PROCEED
o CORRECT OR. ALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 ~HE NEXT INSPECTION 24 HOURS IN ADVANCE.
~ME~TS A.RE FOR YOUR PERSONAL HEALTH & SAFETY!
INSIIOTI