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Home My WebLink AboutBldg Permit 05-0875 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d C?_IZ _OS File City Applicant I PERMIT NO. Os: 0875" White Pink Yellow (Please type or print and si~ at bv..uo..) . ADDRESS y;e,:I / L- 3zQ/ 11I/1/0f1/00() LEGAL DESCRIPTION (office use only) ZONING (office use) pvo LOT ADDITION PID Z5.?U. OOJ. 0 BLOCK OWNER (Name) 5alAN (Phone) ~s l -ZZ6 - 64<d6 C~\ ~ \-e1\.Se^ (Address) BUILDER "'-+-t ('") I r (Company Name) \ \~'tllDCc.c- ..!:::XI- \o....e.. \ ~ r'U(((C LA~n~ANtJ Po BuK "1.l 'f (Phone) 'l~' L -4l(.:) - 35/ S (Phone) p fLl.0 IL LAK.e (Contact Name) (Address) TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding rok:1wer Level Finish 0 Fireplace OAddition OAlteration OUtility Connection {~V CODE: DI.R.c. DI.B.c. Type of Constmction: Occupancy Group: A B Division: o Misc. III IV V HIM 234 A R 5 B S U I E II F I PROJECT COST IV ALUE (excluding land) $ I hereby certity that I have hlrnished mformation on this application which is to the best of my knowledge true and COlTec!. I also certity that I am the owner or authorIZed agent for the above-mentlOned property and that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg :fI~~_ermore, I hereby agree that the CIty offiCIal or a designee may enter upon the propelty to perform needq 7;~t7~! - ~-"? S!gilature Contractor's Ltcense No Date Permit Valuation 2/ ()() 0,00 Permit Fee $ 6Z.26 Plan Check Fee $ State Surcharge $ 1.00 Penalty $ Plumbing Permit Fee $ 4-0.00 Mechanical Permit Fee $ Sewer & Water Permit Fee $ Gas Fireplace Permit Fee $ 4-tJ. UV Park Support Fee SAC # # Water Meter Size 5/8"; 1"; Pressure Reducer Sewer/Water Connection Fee # Water Tower Fee # Builder's Deposit Other TOTALDUE ~ q~/'Z., OS This Application Becomes Your Building Permit When Approved /~J. 2S 9/t:..6'.s- Recei9t No. B'["'l. o Paid Date Building Ofticial Date $ $ $ $ $ $ $ $ $/+3.z5'" ffY(, ThiS IS to certity 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 conslllutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be isslIed Planning Director Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Special Conditions, if any Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT (Please type or print and siJtll at bottom) . ADDRESS 3291 W/~o w' em 0 LEGAL DESCRl.l:'TlON (office use only) LOT BLOCK ADDITION OWNER (Name) (Address) APPLICANT 1'1,1) , (Name) If J1-e,... 'pI V ""'bib ?";)hd-q "ZkJ.1 OkL-./ - (Address)' I' (Contact Person) ~'fe VL Lt"or)b,...,.1 E:-L// . ~/ ;;.- ~ (Address) APPLICANT SIGNATURE 9. /5 oS- I. Blue File I PERMIT NO 2. Gold City 'OS 0815 3. Yellow Applicant (Phone) (Phone) (; /J- 6ff.h brt:;U! (City) (Phone) DATE APPLICANT PLEASE COMPLETE BELOW Type of Fixture Quantity Bath Tub with or without shower Dishwasher Floor Drain Lavatory (Bathroom Sink) Laundry Tray (lor 2 compartment sink Shower Stall Sinks Bar Sink Water Closet (Toilet) Quantity FEE SCHEDULE Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Estimated Cost $ PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE (Office Use Only) This Application Becomes Your Building Permit When Approved Building Official Date ZONING (office use) PID ZS-: scO . ()ciJ. () . d.-ro ~'t b~''/ 55005 (Zip Code) (;/)"')"/IJ "'1/,.rl/ q ,/S-tJS- Type of Fixture Rough-ins Water Heater Water Softner I Stand Pipe (Washing Machine) Sewage Ejector Backflow Assembly Backflow Assembly Test Lawn Sprinkler Other Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 (]frlO {f~{fi- r eJfV Building Permit # ../'" $ /"" .50 $ ./ ; $ p~ Da~ - r- 7-15 . () J 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd (Please type or print and si~ at b , ;;,.. ".) ADDRESS 3291 WILDWOOD TRAIL NORTHWEST ; ~~n ~::y PERMIT NO~ r;j~ 3. Yellow Applicant V - U - ~ ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name TIMBERIDGE BUILDERS (Phone) (Address) APPLICANT (Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone) 2561 651-633- (Address) 2700 NORTH FAIRVIEW AVENUE (Address) ROSEVILLE (City) 55113 (Zip Code) (Contact Person) BRENDA HUSTON (Phone) 651-633-2561 APPLICANT SIGNATURE BRENDA HUSTON DATE 9/8/ 05 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS FURNACE MAKE AND MODEL FUEL DWarm Air Plants DGravity o Mechanical DAir Conditioning DVent. System INPUT HEATING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices o Other Devices OUTPUT FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) HEAT N GLO EVEREST FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 $64.50 $39.50 FIREPLACE MAKE AND MODEL Industrial, Commercial & Multi-Family Residential, Additions & Alterations Residential, AC Only $39.50 $39.50 Estimated Cost $ REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50 PAlo Wf'"I-. 8UILDING ' , ,., PERMIT (Office Use Only) Building Official Date ~~ @ [E ~ m IT: ~.ceiptNo. ~~e SI:P 2 3 ZUOS ~ ~ V This Application Becomes Your Building Permit When Approved 24 hour notice for all inspections (952) 447-98~ii,)faY (1)A\2) 447-424" CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd I. Pink 2. Green 3. Yellow ~:~ I PERMIT N Applicant (Please type or print and si~ at bottom) ADDRESS 3291 WILDWOOD TRAIL NORTHWEST ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name TIMBERIDGE BUILDERS (Phone) (Address) APPLICANT (Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone) 2561 651-633- (Address) 2700 NORTH FAIRVIEW AVENUE (Address) ROSEVILLE (City) 55113 (Zip Code) (Contact Person) BRENDA HUSTON (Phone) 651-633-2561 APPLICANT SIGNATURE BRFNDA HUSTON DATE 9/8/ 05 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM INPUT HEATING OR POWER PLANT OUTPUT DWarm Air Plants o Gravity D Mechanical DAir Conditioning DVent. System D Steam D Hot Water o Radiation D Special Devices D Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks Industrial, Commercial & Multi-Family HEAT N GLO EVEREST FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 $39.50 $39.50 FIREPLACE MAKE AND MODEL Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) Estimated Cost $ REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ fJUlL ~/O WITH DING PERMrr ~.. f\ ;)\rs@~DIYJ~\.~ . IP.fhl I r-.ece1pt No. l;~at$E? H--tGO~ _./ Y .50 (Office Use Only) This Application Becomes Your Building Permit When Approved Buildine Official Date 24 hour notice for all inspections (952) 447-9~ ~""I. .Jg PRIOR LAKE INSPECTION RECORD aZ9/ IYIL,OWOtJO I lUll L- l,&V I!,J..-. ~ DATE ISSUED ~ CONTRACTOR PHONE H tJ ...33J3 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE I I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL PLUMBING (_~ HEATING (if required) FIREPLACE GAS LINE AIR TEST f-V COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS (If! / " 7/Z~ ,.. BUILDING ELECTRICAL PLUMBING HEATING DO NOT /1 LlW/ J ~L-'b-of, 01/./ J-., bY 0" ~ j" t>6/~ OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE 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 DATE TIME CITY OF PRIOR LAKE )... J-5J:Lt INSPECTION NOTICE SCHEDULED ADDRESS ~Lq( wIld wUlJd 7/1 OWNER CONTR. PHONE NO. PERMIT NO. 6-fs7S- o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP o INSULATION 0 SEWER HOOKUP ~L V, C- (~ 0 PLUMBING FINAL o SITE INSPECTION lY 0 MECH FINAL o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ---- ~ ( " '--- - ==----- ~ I '\ \ ( ...-l Ov ~ L, ) . ./' ------- 'WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT ,~O~L FOR REINSPECTION BEFORE COVERING Inspector: tV f' Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl