HomeMy WebLinkAboutBuilding Permit 05-0166
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I PERMIT NO. 05. o/{p(p I
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White
Pink
Yellow
File
City
Applicant
Date Rec' d
{,.J I a..j)
LEGAL DESCRIPTION (office use only)
I 1.1 .-..1,.. W" __ I ~
LOT \.9 BLOCft ADDITION llJl:. ...",. CI'
0,:)
PID~ 5'" ~/~ -(J;). L{-
~'::~~ ~ ~S- \k,~
(Phone)
(Address)
BUILDER
(Company Name)
~ 1"1.;}one) -a 7- 'L - t/ 1'1 (J
(Phone)~~ 1#= t
J ,v "'3 ~ ? - ')-"1er 1
ew Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtiJity Connection 0 Misc.
CODE:~.R.C. DI.B.c.
Type of onstmction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
PROJECT COST /V ALUE
(excluding land)
o Fireplace
$ ,). vI'1, f1-Q 0
. Irnlshed mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
nd that all construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
1 for Jusl'cause Furthermore. I hereby agree that the City Off;; ~;/j'~enter upon the propelty to perforO;;;:n~cv: ~
Signature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
.3. 3, oS $ q
Park Support Fee
SAC
#
#
Water Meter Size 5/8"
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
-
#
#
tJOrtn)
OO.OD
3 s-..S;o
0." 0
Builder's Deposit
Other
TOTALDUE ~
Paid Cf,,3"..38.38
Date _.:;, ()S-
I ~~P;~8Z-6
This Application Becomes Your Building Pennit When Approved
3~~~
Bulldlll!! OIllclal
,3/2--Ios-
f o{lte
00 00
ThIS IS to certify that the request In the above applicatIon and accompanymg documents is m 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 bc
I i~Planr~ J'!~/O~e ~ ~ ~nY~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
<::CanarY - t:.nQlneenn..g:>
Pink . Planning
The Center or the' Lakt' Counlry
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: !
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Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
I(lJ:t
Date:
(J.3 -I__os-:-
Comments: See Reverse Side for Additional Information!
/)1., Kl 5~ rt. cI r.,;'Yle,~ c.c, '^ 'r'f- 10 01/ -Ie ~
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See Attachments: 1) Gradine 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."
..-vvhite - Buildmcr:>
Canary - Engineering
Pink - Planning
"he ('('nfer of Ihe tab Counll1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
t-
NAME OF APPLICANT m~/~/)
APPLICATION RECEIVED d - ;;? tj-tJS---
~.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is Rroposed at:
'3:L9~-, iL/~d ~p~
Accepted
Accepted With Corrections /
Denied
Reviewed By: ~ ~ Date: 3/1/05
,
Comments: ~ tJ--Lf ~.~
~~IZ~ ~~
~
/
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."
Thf' Cf'nlf'r of Ihf' L.k~ ('ounlr)"
White - Building
Canary - Engineering
CPink - Plan~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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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-"
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Accepted
/
Accepted With Corrections
Denied
~
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Date:
3// )'5
, ,
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."
03/07/05 MaN 14:02 FAX 952 890 2753
STOCKER EXCAVATING
~001
Date Rec'd
CITY OF PRlOR LAKE
SEWER AND WATER PERMIT
~ ~:;w ~i,:~. I PERMIT "Nq;;_o 166
1. (,o>ld ^1'1'1lC.MI _" . ".
~ilSe type orPriJ:1.: ilJld siQ1 at bottom)
[ADDRESS
_ 3296 ~ild Ho~se Pass
l LEGAL D EsatlP'f1 ON, om" "" O"'~l
LOT6 BLOCK 4 A DDITlON
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Wilds 6th Addition
prD
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~'^, 'NER "", "Mittlest:~edt Bxothers
(Name) __"
2520 151st Court W.,
(Address) _
(Addrc:.s)
Suite IOO'"R~~~ 5506~hooe; ~5_1-3;2-4140 - " . " J
(City) (ZIp C:odc:)..,__
.,,- .
APPLICANT
(Na.mc:L.~?CKER ~.~CAVATING COMPANY, INC.
,_ (Phone) -252/890-~?41
(Address).. 12336 Boo~.: AVenue Sa.vag~.> MN 55378
Curt (Add""~ (Ci~l
(Contact Person) __ - -k-~-r- ..- (Phone:) -.
"PPLlCAN1'SIONATUR.f-#~~" - PATE
(Zip Codc:)
same
1-7.-0"
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 length of sewer linE: feet.
Clean o~.~ (if reqllir_~d) located at _..~ feet from stJ1lCIUr~,
.....-..-...
Residential sewer and wacer line connection
rewer connection only
Estimated CoSt $
FEE SCHEDULE
$35.50 Industrial, Com'\ & Multi-family l% of job cost wich a $39.50 minimum
$17.50 Water connection only $17.50
Building Permit # _,
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOT AL PERMlT FEE
$
~ ~D WITH
-- BUILDfNG PERMIT
(Office Use On \y)
~lo;' A pp Ii ",',n B<<om" Y ,u r no "ding Porm it Wh<n APpro~~ l
Building Official D"I.
.,. .. .
24 hour notice for;all inspectiolU (952) 447.9850, fax: (952) 447-4245
Paid
'Receipc No.
"=l
D-te
t4AR 1 4 2005
By
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~,~e:n ~:~y I PERMIT NO. r -/ / L
3, Yellow Applicant ...2.- ("~
ADDRESS
ZONING (office use)
3296 WILD HORSE
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name MITTELSTAEDT BROTHERS
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
3/30/05
xD NEW CONSTRUCTION o REPLACEMENT o 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 HEAT N GLO 6000TR-OAK
APPLICANT PLEASE COMPLETE BELOW
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 & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
REA TING PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
PAID WITH
BUILDING PERMIT
(Office Use Only)
Building Official
Date
. :-~eceipt No.
This Application Becomes Your Building Permit When Approved
By
24 hour notice for all inspections (952) 447-9850, fax (9~2) 447-4245
8: 17AM;
;952 894 0925
# 2/ 3
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~!~r
i::g
~:~
~. ~~w ~i~icont I PERMIT NO.S ~ / 0 ~
I
I
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13;)CIl_ WI i...cLborSQ, }t:d-h
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
pm
I
~'::~~~dJ
$1
(Address) \ -
hros.
(Phone) 19'5! ~ 3dd-Y \ LlO
--l
(Address)
Bumsville Heating & Itf:-- \NG..
12481 Rhode Island Ave. So.
Savage.~d~8-1122
(phone)
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APPLICANT
(Name)
.';:;:.,",
(Contact Person)
APPLICANT SIGNATURE
(City) (Zip Code)
(Phone)QS'2 -~y~ ~ C:CC/S
DATE 1./- II-OS
APPLICANT PLEASE COMPLETE BELOW
W CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL ( f2I1J1(,/X G-c.; 3 (I F ~(.J ~()70 . FUEL .110 -I- C/O LV
FLUE SIZE RETURN OPENINGS 7 INPUT Y)(Y/O OUTPUT (.9~{otJ
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical 0 Radiation
1lJAir Conditioning o Special Devices
OVent. System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
/;::-;~:
I
FIREPLACE MAKE AND MODEL
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
$39.50
$39.50
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Residential, Heating & AlC (New Conslruction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
(Office Use Only)
HEATING~P,TFEE
S"",T", ,A,.'.".",T".""E."","".,.s,.",',.,UR:,'.',",''".."",c".,.'"".','.'.".,,., ,,'..',,'..',,'.',' .,'",'"',G,'"','"',',,,,,.E,.,.,,",".,',,",",' " '
TOTALPE ", " ' '"FEE
Date APR 2 0 2005 By
This Application Becomes Your Building PermitWhen.Approved
Building Official
Date
Z4 hour n,Oti, 'c, e fO" r,a"n,insp, ec",ti,',.,."o,'"""n""",s,' (,95,2")",, ~4,' -,98,~",.~~".[",a.,x, ,,(,9,,5,,2. ,,),4,4,', -424"5""""",,,;
16200 Eagle Creek Avenue, Prior La, .Ml~LSSJ1.z,_._h. -. .. J
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. ',' , , .,'.-..
Jul 03 07 11:26a
p. 1
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~.= ~l; [PERMITNO~.-
3. Ydla... .~Plltica" . ~
ZONING (office
use)
LEGAL DESCRIPTION (officeusconly)
WT BLOCK
ADDITION
PID
OWNER
(Name) 6n-"" 1-b~.-.Lr -t- (. ~ v.J.H'/"\.) kk"....r
(phone) (7.~/- J-) 1- :i-;;).J-t
(Address) .s.~,..." ...( .c.0.~
APPLICANT . J/1 .
(Name) M/ANf.:dr. IJIJ.t""J,,~ f~.f.7 :h..<.
111ft 3r!L ~ /;J
(Address)
fi1/v-/C- "or ;J ...J 1:.11- lei
.
/~
(Address)
(Phone) 10- -ft'f{J~ 'Iillff
5~K.r~. 1/lIlIJ J"TJ 79
(City) (Zip Code)
(Contact Person)
(Phone)
APPUCANTSIGNATURE
e of Fixture
FEE SCHEDULE
Industrial. Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & T\WrFamily $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $ Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
5 PAID W1TI-1
eDlLDING PERMIT
(Office UR Only)
This Application Beeomes Your Building Permit When Approved
Boildine; Official
Date
Receipt No.
'By
24 hoir DOtke .. aU illlpllttionS (~) "" tb (9S1) 41&7-4141
16281 Eagle Creek A\I&., SoE., Prior J\:akc.. MN 55372-1714
~~::'?" "'~--~.,..-~">..'- ,-
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~ if/, k.) I'Ll) t\OtuE"' p,,-S~.
NATURE OF WORK ~ ce~r:flUal.1I I CJ.I.JFI,.",'sHflD ~
USE OF BUILDING S. gj).
PERMIT NO. Os-. O/~& DATE ISSUED ~
CONTRACTOR · ec.r1t." . 'O""'~HONE~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT Of
BUILDING AND INSPECTION
INSPECTOR -7'
I tIW
I FOUNDATION (Prior to Backfill) I ~ ~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH- N
DATE
I FOOTING
'1 'II~O;y-
SEWER I WATER I SEPTIC
FRAMING
INSULATION we..
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING we.
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspectiollS-
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