HomeMy WebLinkAboutBuilding 02-0529
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT _2 a..20lJi
I ~~'j;:t~~~Im'r;;.Jito
~f2.<;C
a .Il c'L.E.
ZONING (office use)
K-/
LEGAL DESCRIPTION (office use only)
LOT 8 BLOCK ~ ADDITION WI L.o ~
1. White File
2_ Pink City
3. Yellow Applicant
I PERMIT NO. 02- - 052-11
I
AJW
~-n4
23- 0
PID
OWNER M \ T'TS- L..S M-G--P' /Ld J
(Name) 00.-..> ~\A6.a:' 0 ~
(Address) ~ t1 (,.~;- Efio,. s,.
(Phone) ~ '" ) - S-<;;"2.. - J "Y1 I
fI.'11LJ !:>"S 0 1'7
(Address)
TYPE OF WORK
ew Construction
ODeck
o Misc.
o Fireplace
(Phone)
~ (PS"J- SS2.-7o?'L
o Porch
ORe-Roofing
ORe-Siding
o Addition
OAlteration
\
o Utility Connection
&cKJ
PROJECT COST IV ALUE (excluding land) $
$
$
$
$
$
$
$
$
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
mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
at the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city fficial or designee may
'nspections.
Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
es Your Building Permit When Approved
~-~2 -07
Date
~'1 ",~
Contractor's License No.
Park Support Fee
SAC
#
#
Water Meter Size 5/8" I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
:...
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
:~~"'cl by lh, ,ry Plm,::::,",., C'~;fi~~~';!~~tt 00' .~:oo '~ 'l:l~.~
Date 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
7 24-02; 9:42AM;
;952 894 0925
# 2/ 2
Date Rec'd
'1' ~4-' -02--
E.
~: ~~n ~!~ I PERMIT NO.OZ-o,~2ClI
3. VC!lIow Applicant , V~ L,
ZONING (office use)
LAJ (< \d +f clrS e..
C \' rcJ-e..
NV
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID2S.3BZ. rz3.o
I ~~e~R Y"<\ \1t--el S.~<cL-t
(Address)
(Phone)
APPLICANT
(Name) BLlrnsvill€l Heafino....8.A1C, Inc.
12481RhogelslandAv~.SO.
321vago.,....MN.......5~tl~~~)122
{Contact Person) ... .......Kf.-l\....~...c-1.........~'f-~.t/\J
APPLICANT..SIGNA TURE ilVQ../VX
(:phone)
(City)
.' "(ZipCode)
','-'_', <: :<.-:.- _:.--::.",-_,>,:':';, ,.,-,', :' >-..... '-: :-"."'-.:': _:':'_'--;:::<':'-::"'<'" ,,:':'.'-,':..'-_:.::.':',:'<:,:,:<:'-:':: :,.":,-'.:,:'::'.::'::-'_:::":-';:-,:':'-.:: '::,'.',,:-':-:':.:i>' .:',:_:-:..:.f:......:. ;.: :,'.-:':'-':'.:...":'.::--:'::-\-:::--,~ .'-:
"APPLICANTPLE.ASECQMPLETEBELOW
EWCONSTRUCTION . .... ........... DRE;PLACEME'N'f '.DAIJTE:~JIgl-lS
FURNACE MAKE AND MODELFUEL ."
FLUE SIZE RETURN OPENINGS OUTPUT
..."-......................... .
(Phone)
"DATE
TYPE OF SYSTEM
DWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVen!. System
',' , ',",', -.-'.-"- ",""
HEATING OR pOWER PLANT .
. 0 Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
. PLEASE~OTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
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, Healing & AIC (New Construction)
Residential, Healing Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office lIse Only)
Thi. APPI"~.' 8.;'.i.O p"m;l When App,o.e.
{. ']/~,~Z-
Building Official DR Ie
24 hour notice for all inspections (952) 447-9850, fax (952) 447-424
OS/20/02 MON 08:32 FAX 6128902753
STOCKER EXCAVATING
I4J 001
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
'l
Ch'tt::n
Vellow
(;old
F.il. [pERMIT NO,
~:Ii"""l L.. 02-0529
=:J LONlNG(O--'
LEGAL DESCRIPTION (ollice use only)
18 4 Wilds Sou~h
LOT BLOCK ADDITION
PID
OWNER
~am~ Mittelstaedt Brothers Construction
(Phone) __651/552-1171
Inver Groye Hej~t~
'(City)
__MN
55077
(Zip Code)
(Address) . 2425 96th St "_.E
(Address)
APPLICANT
(Name)_., ~to.-kE"r
tj'~~~Avs:lT;ng ~n
Jnr-
(Phone)
952/290-U{jl
(Addre;:ss) Jll47 TAT
1 ? C; rb.-,s t
(Addtess~
Sa'-age
~
(Cl[Y)
553 7 8" (Zip Code)
(Contact Person)
Curt:
~/~-
(Phone)
DATE
saine
APPLICANT SIGNATURE
~...... ;0 ,..05-
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure _" feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated 1 ength of sewer line _ feet.
Clca~_~~t (if required) located at __ feet from st~cture.
Residential sewer and water line connection
Sewer connection only
$35.50
$17.50
FEE SCHEDULE
InduslTial, Com'J & Multi-family
Water connection only
1% of job cost with a $39.50 minimum
$17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
j -'..
(Officr: Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Buihling orndal
Datt:
By
24 hOllr notice for a.1I inspectionS (952) 447-9850, fax (95Z) 447-4245
Jul 12 02 01:53p Emil~ Ogorek
09/19/01 WED l5:4U ~~A U~Z44'4l~a
651-457-1381
....1.1.1. UJ'" rn.l.un LJ'Il,.a.u...
p _ 1
Date Ree'd
CITY OF P1IUOR LAKE PLUMBING PERMIT
IJ, ielj,,,'3e.
c..~
~J _' lh ~ L",k
~::;~ ~~ I PERMIT NO.02;- 05' 2 'I
J. v.n... ....i.....
I ZO~G (ong use)
LEGAL DESCRIPTION (olfice \1Se onl7)
LOT Irs BLOCK if ADDmON M xds
," .u
....;0..'7""
PID
OWNER ' 'V
(Name) lV\ t- -4t--i. ts-k~ + DflJS .
\
1!1
(Address) J- LtJ_l!i 9 (p 51-. L
lp}.\.s-I.
j;. (.. il jUf;
._~-
(Phone) ~..;(- sS' ~- lilt
-:;7) 11
(ContRa: Pason)
. .
':) ~ " I
.f K~~A-^"'r- ..~1..!.c-,^-
r.d .) . .,
7,s -- Sf. z.._ _ J- c 1/.
(Addft:ss)
l J t<.
APPLICANT '8 n
(Nilme) f! 1-)
(Address) 3'iV g
(phone) (p $"1- Y 57- 13 &,
;-5"071.:,
(City) !). Lf ~ (Zip Code)
(phone) &;)' I - 'f!i!:4 - 7 (/; 75
DArn -j/to/{}.l-
.t.
?,.- F~ '
. f:~~~
~
Qaautity
'Z
I
I
'1
,
I
,
o Xtlll re
Bath Tub With or without slio~~
Dishwasher
Floor '0
Lavat9f'Y (Bilthroom Sink,
Laundry ray (I or 2 compiirtrii
Shower Stall --..
Sinks
Bar Sink
Water- Closet (Toilet)
Quaotity Type of Fixture
:r 3 Rough-ins
I Waler Heater
- Water Sofiner
I Stand Pipe (Washing Machine)
ent sink - Sewage Ejoctor
- Backtlow Assembly
- Backflow Assembly .Test
.-..-. Lawn Sprinkler
Other
3
FEE SCHEDULE
InduSltiDI. Commcrc:ial.t. Multi-family 10/. of job ,:,)SL \lith. 539.50 minimum
t:rl' ',/7 0 J
Estimated CotE S :1,Ot:..'V. -
-~--
~sidcl\tia1. New One.t. Two-family S99.S0
Rc.sidcntial. Additions &. Aln:rarlons .S39.S0
BuildiDg Pcnnit # 0 cJ - IJ 5 J 1
.50
~}. .,r'-
r'r", ' ~~"T!J",.
tiP I., ,..,..- "'!, "
~ 'U~,_a..?\i~J~; r')>"~
, ,',-,. i" ':, '
PLUMIIENG PERMIT FEE S
STATE !;UR.CHARGE $
TOT.U.. PERMIT FEE $
(ORin U.e o.ly)
This Application Becomes Your Building l'1!mllt When Approved
Paid
Receipt No.
Date
JUL I
2002 By
a.Mlne 00'".0.1
n...
14l1our notil:t lor allllllJNlctioDJ (95Z) 447-9850, r.u: (9S1) "7"'245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. &~~~w EJ~icant I PERMIT NO. ;;) - 5d-~ I
ZONING (office use)
3181 WILD HORSE CIRCLE N.W.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
MITTLESTAEDT BROS
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone)
651-633-2561
(Address)
2700 NORTH FAIR VIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
7/8/2
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NOTE:
DGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEATN GLO ST-TRC
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 $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
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(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Buildim! Official
Date
By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Tht' ('t'nlt'r or tht' t.kt Counlr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is propose at: -
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Accepted
Accepted With Corrections -1
Denied ~~
Reviewed B~ _ _ _
c(Zents: ar ~
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Date: 5 -~ - o--z
"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."
Tht' C"t'nlt'r or Iht' l..kr Counlr)'
s:: ~~u;z
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted f>(
Denied
Reviewed By: 1J1JJ3
Accepted With Corrections
Date:
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Comments: ~AA Reverse Side for Additional Information!
"
"See Attachments: 1) Grading Plan,' 2) Erosion Contro' Measures
3) Erosion Control Plan
"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 - Engineering
Pink - Planning
The Ct"ntt'f of .he l.ake Count'1"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
n
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Accepted
~
Accepted With Corrections
Denied ~
Reviewed By: -- ~-"../~
Comments:
Date:
S/t3/D2
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"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."
PRIOR LAKE
INSPECTION RECORD
DEI?ARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS '3 f 8l l.J /l& 4a t-'5.e. (; t'/--
NATURE OF WORK tJ.,..J.I,-J
USE OF BUILDING SFQ'
PERMIT NO. .-:?2~ DATE ISSUED 6-2--6 "L
CONTRACTOR J:4",- 4-cQ PHONE C.SI-S52-) Tl f
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) ~ ~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS B
I
FINALS
EN SIGNED
I
GRADING (Prior to Sodding)
BUILDING [CD, -tJJ /0 Sf ~ 2.-
ELECTRICAL
PLUMBING
HEATING
DO NOT 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 b!!~.;'l aF-proved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850