HomeMy WebLinkAboutBuilding Permit 04-0246
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
3. Z3,04-
; ":;:;:' ~:~y I PERMIT NO. 0/1-. 0 7 A / - I
3. Yellow Applicant ...,-. ~fP
~~a;;~~~p~JSow ILP ~ ~ I L
~R \ oL ~....s.. -A.t~ ss:13.'7"2-
LEGAL DESCRIPTION (office use only)
LOT I BLOCK \ ADDITION W~S PM ~ LA) (/...1) ~
OWNER 0~...
(Name)~
(Address)
--
~HJW
I I
ZONING (office use)
pUD
PIDZ5.3A3.ool. D
DDeck
DPorch
ORe-Roofing
(Phone)
(). A_'\ ~~)
\....8lVCl ,.q,e-'l7~hOne) "1"2-?- - f./ I c.( ~
(ContactNam~ IL{jj'~.L9'MrcQ;- (PhOne)~ hs"' - :Z"2..2-
(Address) ~SH, \ <>t! C,.A't Wt--f,I/ ~~~,u7j~ ssll~'
BU1LDE~A ~n- -., tII ~ IU
(Name) 'V\ \\\5CS,. I~ I > 1\10' I,.....~
TYPE OF WORK
o Misc.
~w Construction
DLower Level Finish
DRe.Siding
o Fireplace DAddition DAlteration DUtility Connection
PROJECTCOSTiVALUE (excluding land) $ (() 10 ~
I he 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
au oriz d agent fi the ave-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
; ~~; n I ern ili~ ::~~I~~;e~:O~~ can revoke iliis pe~t1"~ ~1rmore, I hereby agree iliat ~ l ot:~/;;;e~~
Signature Contractor's License No. I Date I
I Permit Valuation
I Permit Fee
I Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
Gas Fireplace Permit Fee
.r
1f>/o 10. OO~. (JO 1
$ ,<:~ 77.7')1
$ Z5~c:,. it{
$ 305'. 00
$
$
$
$
$
I (J{j .so
I Of) . aD
3'S,0:;-0
4-0 .0 D
~Be7Zilding~~e;pproved
Building Official Date
I Park Support Fee #
1 SAC _ #
I Vvater Meter Size 5/8~
I Pressure Reducer
I City SAC and WAC #
I \Vater Tower Fee #
j Builder's Deposit
1 Other
1 TOTAL DUE
$ ~.OO
$ I:sSC .CO
$500. 0'0
$ 70. 0 0
$ I "Z.-dc:l . 00
$ 100. 00
$ I~oo. 00
$
I
I
$ (3, 1/3 . 7[,( 1
1 Paid
1 Date
.
I.-i. /1.'5. '7'1_1 Receipt No.rj"tj ~/
LI'-'~{ 1 By ~
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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
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24 hour uotice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~
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~llile - Bu~
Canary - Engineering
Pink - Planning
lhr ('pnrrrorthrl.Rk.Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~.A0J?..cL:I- ~.
,
APPLICATION RECEIVED :3 - :;;{ 3; -cY...j
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.3 d- ~ s- W.tRdLkU::Jd If-
Accepted
Accepted With Corrections ~
Denied
c
~.eA.-r~ 4-;JJ---.J Date: 4/(2..102-.
~d.// ~~
I
Reviewed By:
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 - Engineering
,..-PiiiK - t"lai......;z......>
Th.. C-..nl..r "f Ih"I...... Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ) i) (ICe.
APPLICATION RECEIVED
f-
(I
-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,,:..' l:-
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
Date:
-I/J.:L/LJ ~
I : &,L
t:J'Yo- ~ 11
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Jl~
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Comments:
-
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rL.C-z-W 6l
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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."
White - Building
~anarv .; ~ru'JJ"eerm'fb
Pink - Planning
The' ("..nit'. of thr Lake' ('OU".!')'
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 proposed at:
~.
"....,..."
,::;.;..-
/ "',
, ,
,_.J" :'_".< c~L
Accepted
x;
Accepted With Corrections
Denied
Reviewed By: IYYJ- 13 Date: 'I - fYCJ'f
Comments: ...spp Rp.vprse Side for Additional Information!
/Y!e,/""Ic,;... ~ro~/fJ'" Lo;1!/()/ . 0"//' T(/(~ I s k'5-46/'~V
See Attachments: 1) Gr:1r1inl! 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,"
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please me or Drint and sin at bottom)
ADDRESS
~. ~~:w E!~i"", I PERMIT NO.W . a.li ~
ZONING (office use)
3235 WILDWOOD TRAIL
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name MTTTLESTAEDTBROTHRRS
(Phone)
(Address)
APPLICANT
(Name) ATJJFDFrRFSTDF DRA FTRFSTnR HEARTH & HOMF
(Phone)
651-633-256 I
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVIT TF
(City)
'5113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
. APPLICANT SIGNATURE
BRENDA HUSTON
DATE
6/15/04
APPLICANT PLEASE COMPLETE BELOW
xO NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
D Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO 6000TR-OAK X 2
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cosl Residential, Gas Fireplace ", .. ~~t"i1 $39.50
$39.50 minimum r.r~;~,!'It&t ,,.,.~
$99.50 Residential, Additions & AIterationsrr~;", t .1$39.50
$64.50 Residential, AC Only , ""'!~.f1 )~.3.9.50
1/l!'llj--'
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Penn it #
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildine Official
Date
24 hour notice for all inspections (952) 447-9850, .~l(~:;.. .
~~ ~1I1: ~ n ~ ~].No
Da ! ~ i ~9{J ~0 I
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--..------"
~- -- ~--~-~---- ------------
04/19/04 MaN 11:40 FAX 6128902753
STOCKER EXCAVATING
~001
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
I. ",~, f;[, I PERMIT NO
I V,II.. co"~ . 04-0246
1 lA.Id Aprile>".
(Please r:v!)e or P!int a.ad sip;n. a~ bottom)
ADDRESS .. .
3235 Wildwood Trail NW
ZONING (olli" ,~,)
LEGAL PESCRlPTION (omee "l< only)
LOT IBLOCK 1 ADDITION
The Woods at the Wilds
PIP
OWNER
(Name)
(Phone)
2520 151st Court W., Suite 100, Rosemount, MN 55068
(Address) _
Mittlestaedt Brothers
651-322-4140
(~~~s)
(City) (Zip Code)
APPLICANT
(Namel STOCKER EXCAVATING COMJ?ANY, INC.
(Phone) S52j890-4241
(Address) 12336 Boone Avenue Savage, MN 55378
Curt (Add~r"'l I 0 (City)
(Contact Person) _.__ . - . - _ (Phonc)
APPLICANT SIGNATURE. v..6. A-1J!!.. .~~ _____ DATE
(Zip Code)
same
4-19-0'-
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any coupllngs from S1l1lcture
Type of sewer pipe. 0 ABC 0 PVC
Est[mated length of sewer line feet.
Clean out (if required) located at feet from structure.
feet.
o Cast Iron
Residential sewer a.nd water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
_50
(Office Use Only)
,his Application Becomes Your Building Permit When Approved
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Ruildinl;Official
,i >; Date ! ,!,I i By
D." ;:11 IIPR 21 2-lt94 j!;I,
ill I I "'I
24 hour no lite for all inspections (952) 7.9850, fn (952) 447-4245 L)j
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;952 894 0925
# 2/ 3
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HEATING/AIR CONDITIONING/FIREPLACE PERMIT
(Please.!We or orint and .!i;gn at bottom)
ADDRESS
3~ ':\S LA) \Q l1. lCX--d I{ (', J....Q
; ~ ~:,~ I PERMIT NO..-J ..~uiJ
) Yellow AppltCtnl . ~ tJItI~
ZONING (office use)
''''
:r
~J
.~
A
,
j
LEGAL DESCRIPTION (office use only)
1J:
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
l A \ ~p 1~--kui c{::+bt lb,
d.S~n r \: S \?J c:+ u.') i=\- \ OD
(Phone) (Qc:.,l-~';)d-q Il( 0
{2 n..":&I1Y.lu (\:-! ;\.....(n.. SS,(")lJ'g
(Address)
APPLICANT
(Name)
(phone) Y C::;,;:q~q l( -cr O)~
Burnsville Heating & NC, LLC
12481 Rhode Island AVA. %I.
Savage, MNA!lim-1122
(Contact Person) (phone)
APPLICANT SIGN.i\TURE ({.. /7f], 73 J\ R ~.Ilt1Jla/7_ DATE
(Address)
(City)
(Zip Code)
(0 -I (y()lf
APPLICANT PLEASE COMPLETE BELOW
OO,NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACEMAKEANDMODEL lonf\C'n< (-:F->\fy\,P\l LlQQ-(A() FUEL yyd ~QD
FLUE SIZE RETURN OPENINGS Lj INPUT Cj("u"fl) OUTPUT 9...::J ,5<(D
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
OGravity
o Mechanical
llilAir Conditioning
OVent 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
1
;;']
:~
I
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi.Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39,~0
Residentia~ Heating & NC (New Construction)
Residential. Heating Only (New Construction)
Residenl~. Additions & Allerations
Residential. AC Only
$39,~0
Estimated Cost $
Building Pennit #
:Offitt Use Only)
V-.50
J\ .
This Application Becomes Your Building Permit When APprove:'-II'~..' IT tf~ 0 \TI [C~
\ Date 111
Building Om'ial Dale J1IN 1 !L2lll14 I
24 hour notice for. all inspections (952) 9850, fax (952) 447.42<,J
16200 Eagle Creek Avenue, Pr ur Lake, MN 55372
By
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
Receipt No.
By
ct
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS -3 Z 3 5 tJ iL() WtJi) tJ I '~/t..
NATURE OF WORK WEPJ ~e1'1~
USE OF BUILDING $'#'.. /
PERMIT NO. () 4- - oz4(P QB"E ISSy'ED ~ ",
CONTRACTOR ItA./TrFI,"ST:14G/)r ~O E I 0
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
~
~ SEWER I WATER I SEPTIC
.Lj FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST '^~\> ()>v'\
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~~11I~/rr~~/~ I
FINALS
-
I FOOTING I cY/ C/- ~
I FOUNDATION (Prior to Backfill) I /71 O'~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~ s;-'-?
((~
INSPECTOR
DATE
We.
VI)
(p -2J!
(if} ~?
rli
GRADING (Prior to Sodding)
BUILDING ~ ..L. t \ - \
ELECTRICAL \J
PLUMBING
HEATING
DO NOT OCCUPY
/J.fg ,\-'0c.,
filS 9 -22.
we...
IW
v
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
3~ '2.,C)
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
iSSULATION
FINAL
o E INSPECTION
COMMENTS:
DATE TIME
SCHEDULED Q-22-o'f
U:l.O ~
CONTR.
PERMIT NO.
L( - "Lye..
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o.LL~ r(rl;rl~ f. 'I (J
,/
/
/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORFECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspeetol II OWner/Contr:
CAL\.'..47\fsSO FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR fOUR PERSONAL HEALTH & SAFETY!
"'SNOTI
DATE TillE;
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
PHONE NO.
3;f3) WJJvfl'Irl Tr
CONTR. J1l/-hUc;-ktt:lt-
PERMIT NO. (')1/- :?'1 fJ
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~Y~ILLlNG
~T
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
~~-(9~
Lu(b &7 - ~ t..
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: d~ ~ Owner/Contc:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNCJTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIMe
SCHEDULED
<1-7 -011
ADDRESS ::22.35' 10..1 ~\Jlll~.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)l( FINAL
"tiSITE INSPECTION
CONTR.
PERMIT NO. '1- 2//L
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~PLUMBING FINAL
);i'"MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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ARK SATISF TORY, PROCEED
~O ECT K, CALL FOR REI~SPE'EFORE COVERING
Inspect r: ~ j Owner/Contr:
CA ~ tJ985~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~ R~EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/ - INStWTI
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