HomeMy WebLinkAboutBuilding Permit 03-0448
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFI!CATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
.L
I. White File
2. Pink City
3. Yellow Applicant
I~l'tdl-
I PERMIT NO. 03~
--- .
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(Please type or print and sign at bottom)
I ADDRESS
. --S 0 (.:, \ \-\ ~ "-
~L-V
,
\~s.-
LEGAL DESCRIPTION (office use only)
LOT \0 BLOCK '"2- ADDITION N."", ~\.. b-L.
PID
- 3G, 0-
I OWNER
(Name)
(Address)
(Phone)
BUILDER
(Name)
(Contact Name)
(Address) \ '\ ~ <\. S-
(Phone)
(Phone)
~~
~s L '\<,S:. \"\.00
La? l 1... ~ l.. '7,. ~~ ~~
TYPE OF WORK
o Misc.
~ "L ~'-=>
Ss.o ~ ~
ew Construction
o Deck
ORe-Siding
o Porch
ORe-Roofing
DLower Level Finish
)4tiI!eplace DAddition o Alteration DUtility Connection
PROJECTCOST/VALUE (excludingland) $ '2-~, ~~~
I hereby c~fy 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
authorized t for the above-m ntio ed property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitte pI I am aw building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter 0 e e eeded in . /,_ I J7
fP '-I- I - I 7 -0 "'"!>
This Application Becomes Your Building Permit When Approved
f
~~ ~ ~A'A
Building Official '7 -, ~a~
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Contractor's License No.
Date
-
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
I ~~~ q I t1ii-~
'his is to certify that the request in the above application and accompanying docu~nts is in accordance with the City Zoning Ordinance and may proceed as requested. This document
ben 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
ued~ 7~p
Planning Director
2/s/tJ.s
. Date Special Conditi
24 hour notice (or all ins~tions (952) 447-~50, tax (9Si) 441-4245
16200 Eagle Creel<: Avenue Prior Lake, MN 55372
Tht ('tnttr of tht "'kt Country
C White - Build~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPl,JICATION DEPARTMENT CHECKLIST
19aM_ ~
APPLICATION RECEIVED / - / -? -(}.3
.,
NAME OF APPLICANT
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at.:
30 ~ /~d( ~+ led
Accepted
Accepted With Corrections ~
Denied
Reviewed By: ~ 'I.~ ~ Date: ..2/3~3
Comments~ ,(p.. ~ aLl ~ ~ -~. ~ ~
~ ~ 1 \.?o'.~ ~ r- .LI--~
1~..", ~- ~ ~ ..ex.- ~ L-r-. &}-zt"
&1';M~ ~, (~ LP)
{/
liThe issuance or granting of a p~rmit 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 ('tnltr of Iht tab Country
BUILDING PERMITi~PP~ICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
;" , " ! ,)
'''''./ /.:k(i
, t'
l;,'vlO.J
APPLICATION RECEIVED j.- //7.~ {/ .:..?
.
101'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at~
3 0 / I I I / n I .. l~ j
. ""'7:/:(u/< /''i!.'Yrrt'. ./ d
I
Accepted
Accepted With Corrections
/'
Denied
,.
Reviewed By: ~ t~ Date: -?J3/d3
Comments: A.c.. ~ ~~ th- .,LJ'cP.-21-"'p
~,
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."
White - Building
(;anarv - cnalneer~
Ink - Planning
TM ('..11<< of ,_ 1..11. Co..."
BUILDING PERMIT APP~ICAnON DEPARTMENT CHECKLIST
.",".
NAME OF APPLICANT
APPLICATION RECEIVED
i <'
.. "l. ,: I-''} t'l.\/7.....,....1.:...
l /</ .l-h-.t;'? ,t(::';'?' .: (,,-'---
J ,.", -"-":(
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for constru3Q a~~vi Whj~4;~:~f:~j?;otj~ /?.J
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
~f;;
Date:
1- 3O-f!)3
Comments: See Reverse Side for Additional Information!
vJ...:tL.u J~ ~ ~ 1)~
See Attachment~. 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 toe valid."
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in.R-l or R-2 Districts
Reviewed by'
Date: 02/;';0 3'
Zoning:
PID:
Site Address: 3J(p I ~ ~etL, .
Legal: L /0 , B e:l Subdwis~: ~ ~
Building Permit #
Existing Structure? YES ~
Iff
i Existing Nonconforming Structure? YES (ffi!)
I ~~~=~ TO ZONING : I
.
.
.
.
.
.
.
I Floor Area Ratio: N/A I FAILS (tOMPL~
Yard Encroachments: NA I FAILS 0 I IE
Eaves. and Gutters no more than 2 feet in width and
no closer than 5 feet to a~ lot line Easements .
Ale and other equipment cannot encroach on in1erior
side ards.
AILS I COMPLIItS
eYES
Standard
25'
10'
10'
Wall over 50'?
25'
30'
75' or setback average of
adjacent structures no less
than 50"
.30 Maximum
Standard
Standard
Y2:1
NO
Pro osed
rJo~G
~,..
tJ ;4,.
/'Z~
Pro osed
Nay...) ~
NaN tC;
Pro osed
L:\TEMPLATE\BLDGLIST.DOC
JUN-12-~3 ~9:14 AM VALLEY AIRE
952 e9~ 3351
P.~l
. ~}:~~ .
;. \
CITY OF PRIOR LAKE
HEA TING/AIR CONDItIONINGIFIREPLACE PERMIT
Date Rec'd
I. PI.1t
1. ar-
). Y,llow
~~I"" I PERMIT NO. 3 - [I L/r
. f~"'lYPC :;nnd I~ albollOL
. ADDRESS ~R
QG v ,;vl~~
LEGAL DBSCRIPTION (office use only)
QtA
..~
ZONINO (omc~ UK)
LOT. BLOCK
ADDITION
prD
(Address)
B~~
\-{ c.~ ,JJOa J.. T,.. \
(phone)
3~-lqDO
OWNER
(Name) .
Cb..~~J ~
~ l<.UL
APPLICANT I , \1
(Name) V fA, \~J {\ ~ ,... .(.. 3:."" L
(Addre!s) J l II fA) l? ~ ~"', . S-'-
(Addreu)
(Phone) \. ~ 1)
L-(4~q"J~ \ l ~
(City)
(phone) ~o" 43" \
~D - ~30\
~S (1~
(Zip Code)
DATE
APPLICANT PL~ASE COMPLETE BELOW
W CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL . L~\A.aA.~Y C U FUEL 1.Jot+. ,~, I
FLUE SIZE ~ RETURNOPENINOS J I INPUT 1~,,"V'}v OUTPUT Cf3,~
TYPE OF SYSTEM HEATING OR. POWER PLANT
OWarm Air Plants
i1rlVlty
Mechanical
Ir Conditionina
E;1' ent. System
o Steam .
o Hot Water
o Radiation
o Special Devices __...._..
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
.
FIREPLACE MAKE AND MODEL
FIE SCHEDULE
Industrial, Commercial & Multi.Family 1 % of Job co.t Residential. 015 Fireplace
$39.'0 minimum
Residential, Healing &. Ale (New ConstNction) S99.S0 Residential, Additions & Alterations
Residential. Hcatina Only (New Construction) S64.~O . Residential, AC Only
539.50
S39.S0
539.'0
Estimated Cost $
Building Penn it #_.__. .
~(q~-fJ()
~G~
~~~".
HEA TINO PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
s
s
s
.~Q
o. _.~
~
~._--
(omu Ule Only)
TMI Apt'Ucatlon Become. Your Building Permit When Approved
Bulldlnc omell.
nile
Z4 hour notice for alllnspectloM (952) 447.985 rax (952) 441-4245
16100 Eacle Creek Annue, Prior Lake ~ !l~"'"
-=
FROM : BRUCKMUELLER PLUMB H~G H~C PHm~E ~40. : 651 688 2160
JUN- U3- 2003 1'2 : 35 CITY OF PR r OR L~KE
Jun. 11 2003 07:17AM Pl/l
952447424'5 Fl. 131 /c:.H
Date Rec'd
CITY OF PRlOR LAKE PLUMBING PERMIT
~ me or grim 1DC1 slm II bottom)
I ADDRESS
.. 30~l ~.~ Q0.~f-eM.d
;: = ~~; . I rERMJT NO. 3 -if L{r1
) Vellew APJllllI"
I ZONING (o5R-"'l I
LEGAL DESCRlPTION (omet: Use! onl,)
LOT .BLOCK
ADDITION
PID
I~=
Address)
~~~€- ~ ~- ~ ~~ ~M) ~~~-~$~/~~ I
.:) . t....J . i . ~ \ g, h4~~: -y;j() l? ~ J."".18
::~~~~~~ 1'::~::t:~) eJr;;(A~~~~(A
(AcIclresc) SJ (CIty) (Zip Code)
e r2L <.... (pl\one) Cc-rO:-f1~S- ~.~~
,
(Contact Pcnon)
APPLICANT SIONATtJ'RE
DATE
APPLICANT PLI.ASE COMPLETE BELOW
. of xture
or WIt out shower
of Fixture
FIE SCJU:DtrLE
Indusrrlal, Commer~lll. MulU.lMIily 1% of job cOIl wlth. 139,'0 minimum Rcsldential. NISW OM &. ~Funi1)' S99.~O
I.Clfdefttlal. ActditionJ ~ Alterations $39.S0
EAtimated Cost S
Building Permit -M
aPAlo~
MO vIlHf-DlNG PS .
BUILDING PERIIrr RAI",
PLUMBING P~T p~ $
STATE SURCHARGE S
TOTAL PERMIT FEE S
(Orrin Ute 0.1))
Thtl ApplieAtlDn .ocomes You.. BlID4inl Permit Wb~ Approyed
.uU4JbIc oaIchIl
DI"
TOT~L P. 01
14 .our ..tlcl for III tntJteti... (95%)
1 '200 "ap C.... 4\1&. S.E.. 'Prl.
l. Pink File
2. Green City
3. Yellow Applicant
~fE@[EOW~
Dat
I1UN 0 6 2003
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PE
By::
(Please type or print and sign at bottom)
I ADDRESS
3061 HAWKRIDGERD
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name) DAHLE BROTHERS
(Address)
(Phone)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
6/6/03
APPLICANT PLE~SE COMPLETE BELOW
xD NEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plants o Steam PLEASE NOTE:
o Gravity o Hot Water Air Conditioner Units
o Mechanical D Radiation Cannot Encroach into
OAir Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO SL-750TR-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % 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 $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT !FEE
Building Permit #
$
$
$
.50
PAID WITH
BUILDING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When ,Approved
I ::ceiPINO.
BuUdinl! Official
Date
I Pmd
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
MAY-08-2003 02:12 PM STAR PLUMBING & EXC.
952 884 7468
P.01
- -....
~"__ICAR
__ - an
CrrY OF PlaOR LMm
SnER AlfD WAllER PKRMn'
S.Vf. No.
~-L/ LiS \
BOTE: Sever and Water
contractors must
be registered
with the City.
APPLICANT:
ADDRESS:
PHOBE: ~~- Wa'(- ~/~~
DATE: 6-11- a,3
BLDG. PERMIT .
pro,
FILL IN THE BLANKS
1. Estimated lenqth ot water service ~
I~
feet.
2. Size of water service
I
inch(es).
J. Location of any couplinqs from structure
feet.
4. Type of sewer pipe. ABS_ pvc--.l!:S.. Cast Iron_
s. Estimated length of sewer line Sa feet.
6. Clean out (if required), located at
structure.
feet
from
==::===--===::;;::======~...._______...-========a:::==--=====:::::=:'=============....._ --=~==-~===
This application becomes your permit when approved.
BY
DATE:
_=c~~~==~_~~=~~=======~~~ ~~===~===~~~-~-~=~a~=
FEES:
$
$
$
35.00
.50
35..50
Sewer 8ind water line connection permit.
Surchat;1ge
TOTAL
· Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
MAY 1 3 2003
issued for ne,., construction aust be
peni t card at the time of issuance
cate sewer and water permits are
PAID WITH
8U'LD~ PERMIT
AMOUNT PAID
,.
REC'D BY
16200 Eagle Creek Av. S.B., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
A... Rft'I..1 tlftft~f't"n'tv R.......I".-r
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 30"'- ~ 1?JH;e T? cI.
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR
NOTE: THIS IS NOT A PERMIT F R ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED '" ~~J
, PHO Q. - ~..
INSPECTOR
DATE
I FOOTING
~ I ,[/ze" /113
I FOUNDATION (Prior to Backfill) I pO ~ S- -/71
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
5- t3
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if re ulred)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTI,L ABOVE HAS BEEN SIGNED
I I
FINALS
M
L..)L-
~
"
"
.
GRADING Prior to Soddin )
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTil ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electerical service cabinet prior to rough-in inspections
and maintained until all inspections h.ve been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
3. ~ 9. ~
-~ /".
FOR ALL INSPEeTIONS (952) 447-9850
."
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
cy/3~J
ADDRESS
~lXf ftcwlL (tr~
OWNER
CONTR.
l-l./J./r - 4,.1-'17
PERMIT NO.
PHONE NO.
[J FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
[J FINAL
[J SITE INSPECTION
o PLUMBING RI
o MECH RI
Oi WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
[] MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
[J FIREPLACE RI
o FIREPLACE FINAL
[J GASLlNE AIR TST
[J
S--~1
COMMENTS:
{(/y nVq-l-
----
J~"
... 44{)-C{(p/~
jlJNORK SATISFACTORY. PR~EED
, 6 CORRECT ACTION AND PR(i)CEED
o CORRECT WO K. C FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR TH~ NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
INSNOTJ
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDuLED
12.- (/-O~ 11:'50
ADDRESS
3 ()(e,(
~fUy
OY'INER
PHONE NO.
CONTR.
PERMIT NO.
3- "q8
o FOOTING
o FOUNDA liON
o FRAMING
[J INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
J(pLUMBING FINAL
o · MECH FINAL
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS:
U~~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR !REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE ~EXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS AR FOR YOUR PERSONAL HEALTH &I SAFETY/
INSNOTl
l-ev-f
l/~
clot, 0 ~
'1(/7- ? 83'7
/
8-/-200 Y
e'1J ~
Owner/Contr:
850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INS1IOTl
~
DATE nilE
CITY OF PRIOR LAKE
INSPECTION NOnCE SCHEDULED 3..;}f -0'1
ADDRESS '5 c> 'I /-I P L/ j( f(, k1?L ReI
OWNER CONTR. j)c, 1-1 if B, 0 } ,
PHONE NO. PERMIT NO. (:) 3 -1./ 'I 5>
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
rJL FINAL
"0 srre INSPECTION
o PLUMBING RI
o MECH RI
o . WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~LUNG
'" 0 C~
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
6 #A~d( - 01(
CUI b B(>^ -L/~
(WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROOEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
In.pe~~ -OwnerlContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &I SAFETY/
INSNOTl