HomeMy WebLinkAboutBuilding Permit 04-1034
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIF1~!E OF ZONING COMPLIANCE
See l\1'flflliFlIe~lNECTION PERMIT
Date Rec' d
~, ;>-3-6L/
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. Of-, /034-1
~
SG
LOT
BLOCK2
LEGAL DESCRIPTION (office use only)
ADDITION
PID zS. 4Z 5". 0 zA...
ZONING (office use)
K./S D
OWNER
(N ame)
(Address)
(Phone)
(Address)
.
-t-f>U.IL.\7tf~
(Phone) '15'2--#1 -O':,S"5'
(Phone)
5<::.""37 2..
TYPE OF WORK ~ New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAdditlon o Alteration OUtility Connection 0 Mise,
CODE: ~R.C. OLB.C. I II III IV V A B
Type of Construction:
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
I hereby certify at 1 have furnIsh d 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
above-mentlo d ro cIty and at 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
official 0 e this permit I' Just ca se Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the property to perform needed mspectlOns
8/Za! 04-.
Date
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
~ ikZ30 2-
Contractor's License No.
Park Support Fee
SAC
#
#
Water Meter
I" ,
,
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
$
$
$
$
$
$
$ ~
$
$
rOO
I 2..00 t' fJ C;
00,.00
TOTAL DUE
This Application Be~ Y o~r Building Pennit When Approved
'&/~ -fe-<i}/-- 10(/,10'1
13uildIlH! Orticlal Daft!
ThIS IS to certIfy that the request 10 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 constIl.\ltes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a CertIficate of Occupancy must be
"'~PIM~ /tJ/" 61 See ~~l~!ogMrile
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See Main File
White. - Building .;
Canary -:'EngineerTng
AJlr\k -~Iannln~
The ('rnlrr of the Like Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
,"~'." I
y' /...,'Y /
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/i': /--:
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, I J,. , i
. '_' ' (.,' - ~...._" t'~}
APPLICATION RECEIVED
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I.., . .
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,It" ,.,' ,
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
L/I ~,71
'. - ,'- / ,/
,~./l" t. "., 7."... .
, ,. (."'7 C,
/
/
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Accepted
/
*
Accepted With Corrections
t
~'
~$
Date:
lo/;/ /a L/
/ I ,
,-
". .
~
. \
..
Denied
r-
Reviewed By:
, .
! ,
..
Comments:
~
See .'
"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."
See Main File
Thf' ("tnter or thE' 1.1lk<<' Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
k!~/~ (~
t?'/2- 3 Ie, tf
t
B~i'~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~~O;) ~ S,'6/
'1/71
t/'
Accepted With Corrections
Accepted
Denied
:&u~
~
Date:
(d jr /r; tj
I '
Reviewed By:
Comments:
SeeMain~
"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."
See Main File
White - Building J
ctanary - Eri~lneer~v
Pink - Planning
Thr ("('nln of thr Lakt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
,,-1
///
f:' ,,- J
.fA; (:~"' .(:~-~-,i:'", ,..-
"
H~~ _._.<,-l.--{..::~~.(?~ .-t-li~~._.
t',
/\ '
t~'_:J>!.,~_.(~~.".~;,,,,~1 '7
....-".
/:;-:;1 '/7 {
,,/ j~~A.,-'(.:;:l-
APPLICATION RECEIVED
.~."'-~?:' / /'
;.--.- ;- .r; oJ':') I. r
" I ,,' .. . /" t.j
;" i' '-~n~,,___' /!...".' l'
;
(j
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.ill;-) / \-~;;<f:,~=./t, c::-;7'>~?;7 .!L,." ,::::-.:iE9-'Y<-k:__ j _.~) (~ ,"
....-'/
".,,..,/
Accepted
Accepted With Corrections
Denied
Reviewed By:
- - /)
,"'/}f.; I f j
,I i, ";. ,
Date:
t.,/
Comments:
See-Main File
"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."
12/15/2BB4 14:5B
9524925BB5
GLmm'lG HEARTH r,j Hm1
PAGE B3
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LEGAl.OESC1UP1'!O,N(tifl'ice'u$cOllly)
LOT neCK
.A:IJD1TION
PI~
(Address)
R. O~ t. C i eeK J) -e s \ ~hJ J5 ....<<
110 ~I '1 -:j)ul Ll-\l.. AJ~ ~J 1Jn~(\-1ti~ rn N
(Phone) ~l\'1' Oa9Jb
OWNER
(Name)
~:~;WrG \~W\Y\d- +teCl(k\;+ +\om~
(Addre~s) 10 C) , E \ d G, C\d-aJ)R '. ' Co
(Witffi:iC:;'s)', '.' . .'
(ContaetPersoti) II r<\ 5 ~\ fY'\~,,, @.:_
AP~i~SIGNA~ (. 6)\\fr\€'''~
(Phone) \.{ OJ.~ . Q d 1 ~
'" ,~orA oJ ffiW 55 &5 d-.
., J.'
((l;lty) (ZipCO'de)
~l1one) ~t1cl.Q 0.1 b
DATE ti. \b 0 ~
". _I", ,.-
"~~,,
~l'COlil$tr'RO" ,
. /.-{ JI'"' "~i, -: ,~_: ((':-;fJ)~
FUIrnA:CEMAKEAWMODEL . .' '''"i--J.~:'''''''' .
FLUE.SIZE' HE~,b.~lV~GS:_
~;e:;mFSYS~:eM
C1,..,l~111!IF4.~re:lMt9
CJ~ttv
a'M~~~m
o Air Cdrii1ltionmg
[J'v~ntS,-:~
. ~'. ..~PUT
lIE~~~:;G'R;POWBR PLA:N1'
. [jJ-SteMt'
,Qi,ftof'W~
'1('0 ~~8Iiiil~n
, 'I: iJg~ct$.Ii.1!l~f.~S.~
I'~"" .... ....,.~"'"
~~(j~et,~b~Jb!;8: "
P'tiEASE NOTE:
AitCondi~orter Units
CannotEncroach into
RequitcdSidc Yard
S~bat:'ks
FIREPLACE MAKEANO"M0'PEL bOO
,~lJ!;iSCm:Dl11,l;!E
Industrial, Commereial&Multi~F:llminy l%>of;ji'1b"~~$t Rt!i~cl1tial,GasiFirep !3.ce
$;j9 S(}'tttiti,ll'nil'tTL
Residential, Hcati'ng& Ale (NtwCCltlstt;tlGtiCiI'l)$99'sO ResidenfiaJ, Additions & AI~erations
Residential, HeatingOrlly(NewConsttucti.,n~ $64.S0 Rcsidentiiil.ACOnJ,y
539,50
$39.50
$39,50
Estimated Cost $ I. J .14 0, GO
Bulldiitg Permit #
H$A~'PElUAIl':r-}!E
S:rA:tE"StJRCHARGE .
T(),[AL-~E~FEE'
$
$,
$
~D WITH
au' . 'NG PERMIT
(OmtelJae 'Oll1y) ,
.. .' ..' . ...... ..... .
This Appn~'tlon'Become)~bil:rBufTdli1g'~eJ'fuh;;WhetT,:i\:pPto~,~
Dirt
I..... - - .l....RB.yeCeiPt No,
'D~EC 2 0 Z004 ...
a#lldhl~OrnclAl
2olI:bour,n6t1ttfor.atr insp,t!~t1orl!J,t9S:Z'4~7~9850;:Ill~" (95:1) ,447-4245
ttnO(l:E;ltgJi! Ctef~Ay.l!nlle. Prior L.~e. ,MN ,55372
11-12-2004 04:01PM
MATTHEW DANIELS, INC.
423 3017 P.03
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PER1\1IT
l. 81"" F;lc I PER'\-lIT NO~
:, G>W C"y
l. Y ellow ,'P9li(2~'
a.t bottOm)
ZONING ladlec u:e)
ADDRESS
.)/'1}
LEGAL DESCRIPTION (office use only)
LOT 1'1 BLOCK cR ADDITION
PID
OWNE
(Name)
(Address)
APPLlCANT__1 1\ . --:-'\
(Name) ~1f1. OJ7) /W11 ) 11-(1) , ~it Q , .
(Address) '-'i'!J._~ (JJlX,k.AJJYl81, ~) 1.-
(Address) r .
..3'1.~ 0
SS068
(Contact Person)
APPLICANT SIGNATURE
DATE
Quantity Type of Fixture Quantity Type of Fixture
I Bath Tub with or without shower T JI Rough-ins
I Dishwasher / Water Heater
I Floor Draip J~ Water Softner
-3 Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
I Laundry Tray (1 or 2 compartment sink I Sewage Ejector
I Shower Stall Backflow Assembly
I Sinks Backfiow Assembly Test
Bar Sink Lawn Sprinkler
~ Wa~r Closet (Toilet) I Other \.!5 I' ,.., ^ -
I I f
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial. Commercial &. Multi.famiIy 1% of job cost with a $39.50 minimum Residential, New One &. Two-Family S99.50
Residential. Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE
I 51 A TE SURCHARGE
TOTAL PERL-mT FEE
$
$
$
9q,~
.50 ~ I I
~~tJ.~a 7
~_ j~~NO
. Dal+OV 1 ~ ZUU4 .. By
.f ',_~;_~,,'( },
~'''I\;.''' '
. '0$' - '~i ",' ,'"
'--" ~ . ,
COmee Use Only)
This Application Becomes Your Building Permit When Approved
\
Dare
Bujldillg Omeial
24 hour notice tor all inspections (?52) 447.-98S8, fax (952) 447-4245
.,
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
; ~:~~~w ~ji~~, I. PERMIT NO{)l./ -" L 0;),' J
J Gold Appileant, _ _ ~ t.j
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT \<6 BLOCK d ADDITION
PID
OWNEi:
(Name)-1Y k
(Address) III <317
C~~. <ct.': K
Ditl Llt'~l
(Address)
\.\-O \Y\-e c:,. LJL.
AJ-el) Ue 'S'C
(Phone/iS~) -LfL/ 7 -oCjSC:
Dr \t.~r l 9. k e
(City)
553'7 .)
(Zip Code)
APPLIC~T
(Name) \---1 nD-" G \/" L1 f'l p l. \tl (
(Address) 13\ CS \\/\'6-" c:l S Sw C.c:\
(Address)
(Contact Person) M \ (.\r,,{'j.\e
APPLICANT SIGNATURE
Sk \
(Phone) g C5~) - J 3 3 -- I c).OO
c c_.,'S -3,- -7 q
','} VVl \( (',) e e '" ~-' - -I-
(City) \ (Zip Code)
q~., ;:;;;.
(Phone) ~:) -j - <~ 3.::>~ / ;;)DO
DATE y-()l
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 out (if required) located at feet from structure.
Residential sewer and 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
\
\
Date
ItJ
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Date
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~, ~e:n ~!~y I PERMIT NO.A&! . Om
3, Yellow Applicant ~ ~
ZONING (office use)
sE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) ~ t'.kJ C/Ce,k, /I cY717' 5
(Phone) 9-:;;;; -' 7"'-17- 09 SS-
(Address)
APPLICANT
(Name) A //6(/// ~ /<J J'~j~ 7/?~
(Address) /;?;/' <;"':5 ~ J '~I /c/ ;.<Jt.~
(Address)
(Phone) c? ~:;;; - 7 ~' - (,-;.,2 c? c::;/
~~~~~ S~~?/
(City) (Zip Code)
(Phone) 99-7~?--Qc/d
DATE /"'~/
APPLICANT SIGNATURE
LICANT PLEASE COMPLETE BELOW
(Contact Person)
~w CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL ?L/~' 5Y't:7/H)<1l/o:??oSc:J FUEL
FLUE SIZE ,..:< '/,P//~ RETUR'N OPENINGS / INPUT :? 0 c;/d:::/ OUTPUT 71/ S-cJ c;/
,J ../
TYPE OF SYSTEM HEATING OR POWER PLANT
rCiWarm Air Plants o Steam PLEASE NOTE:
DGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
~ir Conditioning o Special Devices Required Side Yard
ent System o Other Devices 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
$39.50
$39,50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
,50
(Office lJse Only)
I ::cei~ No
Date
I Paid
Date
This Application Becomes Your Building Permit When Approved
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
.
\ 71 I-\~Illn E
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING .F:
PERMIT NO. ~Q34- DATE ISSUED .
CONTRACTOR ~ PHONE ss-
N.OTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY S P RATE DOCUMENT
"/c.J r #t'cJt n ~ I/, /(; 0
FOOTING
S.E I
FOUNDATION (Prior to Backfill)
PLACE NO CONCRET UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ~
HEATING (if required
FIREPLACE
~~ d//
GAS LINE AIR TEST 'r ~/" f /,,"V)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~E/ #jI"~t~p 'f: 4/2AI71~# #t"Y'~~t
FI ALS
GRADING (Prior to Sodding)
BUILDING ~~ y, . V.. t/'t' ,r i, / 135-
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 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