HomeMy WebLinkAboutBuilding Permit 04-0157
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
;;; - F7-tJtj
(Please lV{!e or orint and si... at bottom)
ADDRESS
.w5J
I. White File
2. Pink City
3. Yellow Applicant
Date Rec' d
I PERMIT NO. O~.ols71
6lLiFF Jla6A'TS '//lA-/l-
LEGAL DESCRIPTION (office use only)
LOT //BLOCK ,-? ADDITION -f:I11Bv-r ,6tt>7 ~
OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
SA-/}jE
&J2r" Z ~j(j)
TYPE OF WORK
o Mise, I.~,Q..,~,
~w Construction
DLower Level Finish
(Phone)
M6A-11.
ZONING (office use)
PUIJ
PIrH5'-lIo~' 0/71-0
i1InL
$SIZI
(Phone)
(Phone) /p/Z-ZZ/- #J=5'"
DDeck
o Pireplace
OPorch
OAddition
ORe-Ronfing
OAlreration
PROJECT COST IV ALUE (excluding land) $
ORe-Siding
OUtility Connection
-- ....~_.- 9(,,041,114
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
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official an revoke this permit for just cause Furthermore, I hereby agree that the city official or a designee may
;teruP~ZZdU1SpeCbo . 8C- /37/ .zhAY
-? ~ ,. SIgnature Contractor's License No. / fiJat7
r
I Pennit Valualion
I Permit Fee
Plan Check Fee
tvLrc.. J/omcf;
.
filS /lbz/1/AJn;r ~ I St/Jr~/~_
State Surcharge
I Penalty
I Plumbing Pennit Fee
I Mechanical Permit Fee
I Sewer & Water Pennit Fee
I Gas Fireplace Pennit Fee
#"U, (J(Jt!). 00 I
$ ltJOl 7. sa I
$ /" (;. 7. ylf' I
$ 48: 44
$ -
$
$
$
$
10 a. t)lJ
lOt). () 0
S 5". S-~
"10 . tf) t:J
This Application Becomes Your Building Permit When Approved
~ ~f..>
Building Official
c1.;;~f>v
Date
I Park Support Fee
I SAC _
I Water Meter (1fZe 57~; I";
I Pressure Reducer
I City SAC and WAC
Water Tower Fee
Builder's Deposit
lather
I TOTALDUE
--, - -,..-,
IPaid ~~""0r6~
I Date,;./.... 1'7 -6L1
#
#
#
#
$
$
$
$
$
$
$
$ I
$,55r-::>30PJI
13 S""O. c!nl
2.50.00
'+S.oo
IZO('J. 00
700. {} ~
I ReceiPtNo.tlt:,itSlj
Bv e-
IF
This is to certify that the request in the above application and accompanying documents is in accordance =.e City Z~.ce and may proceed as requested. This document
~:: ~i~Thnnu.:: rempmmy C:;;;;2;lian" ,"dallOWSCOO~e{! IVlifii<YPifeOccup,"<Y must be
Planning Director aate Special Conditions, if any
24 hour notice for all inspections (952) 447-98S0, fax (9S2) 447-424S
16200 Eagle Creek Avenue Prior Lake. MN 55372
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See Main File
White - Building
Canary - E!'lqineering
'--"InK - Pjannjn~
Th~ ('fn'l'r of 'hl' 1,.I<l' Coun'..,..
B.!J1!..PING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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)'i!(:,
re.. .,' i i >..j
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APPLICATION RECEIVED
/:) -
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is pxoposed at:
L! q 5S lj f:j~U 1v/;; ~
fir)
Accepted
Denied
/
Accepted With Corrections
Reviewed By:
~~
Date: C;;-/.;>- ~ ~ L/
'. .
Comments:
, "t.
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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."
~~
See Main File
r1iiihitll - Buildinq:)
Canary . Engineering
Pink - Planning
Thf('fnlprnflhfl..bCoUnll')
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT C;V _afti ~
~ - / '1- CJ'-/
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
L/qSS Jj~ N-z; ~
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
~
~
Date: OJ/a--{.. lit) L/
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,"
See Main File
White . ~ulldlns
t"" \,;S!!srv . cny,"..rln~
Pink . t".a"m"y
Tit' (""1",0' th, I.... ('01lnl'"
BUILDING PERMIT APPLICATION DEPART~NT CHECKLIST
NAME OF APPLICANT : i) / J 11;' YvifyJ'}-/;JJ
APPLICATION RECEIVED /:;) - / '7- iY';
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I. / Q 5 r l'{ If /71 rjj{.~' ::.,.~, i, /
- -, ,J,..1 LU_/I /'r J L -
:,II,
Accepted
,,x
"
Accepted With Corrections
Denied
Reviewed By:
Comments:
/Y)t- is
Date:
3-/5-64
"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."
,.
Nov 26 03 01:21p
METRO GENERAL SERVICES
763-428-2968
p.3
,
GIIU. . PLE
YELLOW. APPLICANT
GOLD. enf
CITY OF PRIOR LAKE
SEWER' AND WATER. P~RMIT
q$"l,r "'17-'I~l/r NOTE:
I
S.w. No,uf.O/57
FAy...
Sewer and Water
contractors must
be registered
with the city.
APPLICANT: (h e:.TR{) (:!.;E^JERfj.i S~RVUPHONE: tb 3-lf-dJJ .-3,~38
ADDRESS, S7Qo ilif\/Yl Av€.1e :r::7\lC,DATE,_ NOV 2li /.[103
-------I ,,1\ .-...L...1r ~ 5-r: m 'C!.Ii f1G L, -,..,IV. S5376
SIGNATURE: ~ GLVOJ~-\._,~'" ",-IV , ._, B~DG: PERMIT II
SITE ADDRESS: Lf955'" ~ l~ '
. . FILL IEB~I<S
1. Estimated length of water service 6,., feet.
2. Size of water service
("
inch(es) .
3. Location of any couplings from structure () feet.
4. Type of sewer pipe. ABS PVC L/- ii Cast Iron
"--
5. Estimated length of sewer line
5' (') feet.
6. Clean out (if required),
structure.
located at
tV/A:
feet
from
=;===========================-----================================
This application becomes your permit when approved.
BY
DATE:
========fJ~i~=~~~=============================================
FEES'q.,!b. jJ."t-M.:r- ,Sewer and water line connection permit.
,,_.'.~ ':::-c""'~' Surcharge
(,!'!..~_...!::;.e~ TOTAL
* Fee. for either sewer or water individually is $20.00 plus
$ .50 surcharge.
* SeWer and water perm'its issued for new construction must be
rec<<?rdea, nn i-hD.~'}\~d,inv.-permit card at the time of ~ssuance
r~s~~~~4~)~~ l~ql\a~B~ileate sewer and water permits are
DATE.i:AI~ i[11 MAR 232004 . AMOUNT PAI~~~
RECEIPT # REC'DBY '''l.:fP~~
L___'~'-"---'-
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16200 Bagl\': Creek Av, S.B" Prior Lake, Minnesota 55372/ Ph. ('ls2) 447-4230 / FAX (~) 447-4245
An Eoual OODortunitv Employer
MAR-26-2004 FRI 08:50 AM VALLEY PLUMBING JORDAN
FAX NO. 9524922617
p, 02/04
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Ree'd
...ffiE"~ ~ ~r Drine And sllZll ae bonoml
ADDR1!SS .
L1q55 'B~ ~~ ~
I,Hlue PI'"
2. Caw Cny
1 VeJkl. ""pliAlflI
.~
l!ERMIT No.r~
ZONING COm",,,,,,) .
LOT BLOCK
LEGAL DESCRIPTION (office u., only)
ADDmON
PID
OWNER
(Namel
"Pu.C..:lo..
(Address)
APPLICANT ^ 1\ f\ P') I . . """I ~ , . ,^
(Name,' \Ir UJlI,U..~ :::..b.J.-u, ~~
(Address) ~ld) n \ 1 r j 0 J\ fu \() 0
(Address)
(Contact Person) /~n. Y11 011
APPLlCANTSrONATUR1! ~ m 0""lA.-1..la
. (Phone)
(phone) Q <;=);::) .l) Cj ~-~ '-~J
'\0\00.n c:;S~S~
(City) (Zip Code)
(Phone) ~'S~ -Lj Dt d -l &oq
DATE 3- ab-OLJ
APPLICANT PLEASE COMPLETE BELOW
, I Quantity I Type of Fixture Quantity I Type of Fixture J
I c9 I Bath Tub with or without shower 3 I Rough-Ins J
I , I Dishwasher J I Water Heater J
I I I Floor Drain Water Softner J
I ...3 I Lavatory (Bathroom Sink) i Stand Pipe (Washinp; Machine) I
I I I Laundry Tray (lor 2 compartment sink hi;age EjeClor - I
I , I Shower Stair Backtlow Assembly J
I I I Sinks I Backflow Assembly Test I
I I Bar Sink I Lawn Sprinkler j
I ,~ I Water Closet (Toilet) I Other
FEE SCHEDULE
Industria!. Commercial &. Multi-family I % of job co., with a SJ9.$0 minimum
Estimated Cost S
(Otrice 'USt Only)
PLUMBING PERMlT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
This Applicalion Becom.. Your Building Permit When Approved
Building OMell1
Date
RESidential. New One &. Two-Family S99.50
Residential. Additions & AI"'r'tion. $39.S0
Building Pennit #
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."c' "I ';ID~,
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, Ll,.1 1/111- yece'PI No. ('.A'. ____
U attllAK ~ ti LUU4 -L--
o
.50
24 hoar nollu ror .UI.lpullonl (~2) 447-' M tal 19S1\ u'~U.
16200 Eagle Creek Ave.. S.!.. Prior L t_~ 1..1" ;;:J~'ll-017J4
# 6/ 9
(Please!"P~ or nrint and shm l'I.t.hnttom1
ADDRESS . ,., ,.
Y~S5 ~\{ oU ffic:::.., TV'(l'l \
~:~a ~:~. I rJ!.KlvIITNO. ~1_ I:~
3, Yellow ApPllCUlI ..,.
- -
I ZONING (om""".) I
1
r
LEGAL DESCRIPTION (office U5e only)
I.
.LOT
BLOCK
ADDITION
PID
OWNER"\',. f\ . \ \ _ '
(Name) t-\JJL*=- nnryycS
(Address) ~ 1----\ci--WlljJe Ih i.L.lAX:.l.D
, I
(Phone)C]lrhI-U<:..J, -Q[O
s::-\t,Il(O r{'1.G('o n Un
- ,
MPUCANT
(Name)
:Address)
lCity)
lZip Code)
-),',
I
I
it:,
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Burnsville Heating & NC, LLC
12481 Rhode ISlano Ave. ;:>0.
!'lavaae MN 55378-1122
IAdclress)
(phone) Qs7 ~UJX:;CY:O
Contact PeISon)
IJ>PUCANT SIGNATURE &i5 /l J5 DW1I ho If"7
(phone)
DATE
tJ, 22 -ol/
APPLICANT PLEASE COMPLETE BELOW
, ' . ~NEWCONSTRL",..v.~ OREPLACEl\.ffiNT o ALTERATIONS
URNACE MAKE AND MODEL \ 0 Yly\()V' (3,5\ IJI (J.,. Zl{ Pr (\ liS FUEL vnJ 0.0 .0
LUE SIZE. . REllmN OPENINGS Ll OO'UT U.S tif) OUTPUT l\ I', LIM
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plmts 0 Steam
oOravity 0 Hol Water
o Mecbanical 0 Radiation
OAir Conditionins 0 Special Devices
oVent. System 0 OUltr Devices
..~
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
:!ustrial. Commercial k Multi-Family
!",idential. Heating &: NC (New Construction)
!",idential, Heating Only (New Construction)
FEE SCHEDULE
I % of job oos! Residential, Gas Fireplac.
S39.S0 minimum
599.S0
S64.S0
Residentid, Additions &: Alterations
Residential, AC Only
$39.S0
S39.S0
S39.S0
~i:)
~,;,;
~~
::REPLACE MAKE AND MODEL
.. .-'-
--- -
Estimated Cost S
Building Permit #
HEATING PERMIT FeE
STATE SURCHARGE
TOTAL PERMIT FEE
: y",
.....
~~Q~
.50 '\'\
~ '
!lice Vie Onlyl
~his Application Betoma Your Building Permit When Approved
-,'--'-"-'.-'- .
. Sulldiag Official
.---Plll(\ ..i
: II j C' 1 :_n LJ \~Ji : !I:' '\
, .__' '--" ..-- I" ,
: II..,,: ~Date i li:l By
n_le \ n APR 2 7 2004 \ J ,\
24 bour nollce foc alllnspeclloDl (9S2) 44 \.\lsso, tax (952) 447-4245 c../ \
16200 Eagl~ Creek Av.nue, PriOtl~~e, MN $5372._____,
Receipt No.
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',"_ .,-" ','.'''1"' _,,' ,~~m"",_ "
PRIOR LAKE,
INSPECTION RECORD
SITE ADDRESS '19 SS &JJb- rH6ISN~ Tit/.,
NATURE OF WORK /+J6/I-J ~,lZu0ytM)
USE OF BUILDING s: F: A, ,
PERMIT NO. ()t:/-.O/57 DATE ISSUED a/.#'/d~
CONTRACTOR ~ PH6NE..N1-'71.~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
INSPECTOll
DATE
, FOOTING
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
j
j
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
. PLUMBING
HEATING (if required)
. FlaSPLACE .
GAS LINE AIR TEST ~ (/Lfftc.f'
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
,
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1///(/
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';//7 /04
,
5 "-[Ii -tJl1
I/VV
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(214-
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GRADING (Prior to Sodding) .
BUILDING'ftPfA (?(J. 9//..)~';
ELECTRICAL I . ,
PLUMBING
HEATING
DO NOT
OCCUpy UNTIL ABOVE HAS
NOTICE
. See Ar";' h~'"
S "L.'e
{' e Au"" r"
6/fl/Df;-/
6fty/~
~/~~'I'
BEEN SIGNED
~
~
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
.- "t...""'"
QIttfiftt~h of ~trnpnntll
CITY OF PRIOR LAKE
~tparttlt~nf llf ~uilMng Jlnsp~dilln
2{~inal Permitted D Conditional C.O. Expires .
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying
that at the time of issuance this structure was in compliance with the various ordinances of the City of Prior
Lake regulating building construction or use, For the following:
Use Classification
SINGLE FAMILY
Occupancy Type
R3
Type Construction
VN
. Fire Zone
Bldg. Permit No.
N / A _ Zoning District
PUD
Legal Description
L11, B3. TIMBER CREST PARK
Owner of Building
Site Address 4955 BLUFF HEIGHTS TRAIL SE
Contractor's Name & Address !,ULTE HOMES, 815 NORTHWEST PKWY.. SUITE 140, EAGAN 55121
ROBERT D. HUTCHINS
!3,/il;~ff~cial
Date: I .. -
( U
. City Planner
DON RYE
Date:
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?;;;~/ 11I1E
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y"? S-S- /f;t fJP //& . fr /
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
gflNAL
/'0 SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~E!9'E!: , ..... / J
~~<?I7J~/ hl... 17__
~.~/S-7
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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(LJ /f/,P>~,..J ( I.a,/ -I- /rees af/f"l!'c/
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k~d ...-c (,/.. /.h7J/ ~~/"I's/
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'( C/~_~ /---c/ C- ' )
o WORKSATISFA~ED ~
~ORRECT ACTION AND PROCEED
o CORRECT W02"lYOR REINSPECTION BEFORE COVERING
Inspector. /~ Owner/Conlr.
CALL "7-11850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
uaMm
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
BV~~.LLE
Heating & Air Conditioning, LL.C.
12481 Rhode Island Ave ~ Savage, MN 55378.952-894-0005
Orslat Test Report for JobI (P ;:J d~
.i./-c;Cs- &{:.~ J)jc. r;: City ~n'D( kl...
Address
OccUpant
Dale oflnstaJl
Type oUIT. FlA
.
Other
"
Make
MOdel
Serial
If Input
II
Pilot Type
Pressure
Input CFH
SlaCk Temp
Date Tesled
Company
Technician
v". HW
Space HT
UnitHT
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46(}?1P~o?lfg- Mb -01
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1f,4o~
HOTSURFAC~ __
"3.;;0/ .-:/ C02,~ic-\
44 ~1t5fr ~/~
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BURNSVILLE HEATING & AIR CONDITIONING
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