HomeMy WebLinkAboutBuilding Permit 04-0158
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT ;) _I r, -0 L/
See Main Fi1t4 F:t ~~;];~, I PERMIT NO.o~, 0 /Sfi
(Please ~ or Drint and sien at bottom)
ADDRESS
1/957 g~ HI&/~HTJ;
~l--
ZONING (office use)
fJao
LEGAL DESCRIPTION (office use only)
LOT /0 BLOCK3 ADDITION"; mBf.h t#.a;r-.~
PID d5'- I./O(}-01to-C
OWNER
(Name)
Pm.-re.- ~
0-/0 lI/olWIWr;.r .~2If.-wA.j I
.sAmE--
IltI2r J? L4-SCUJ:/)
(Phone)
SeJtTC /1/0_ EArJ/f11c 11hL -SS"/ZL
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone) ol;? - zz.I- </9R5r
TYPE OF WORK
,./
[)1few Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
DLower Level Finish
o Misc. 1.R.n.~
o Fireplace OAddition OAlteration OUtility Connection
PROJECTCOST/VALUE (exc1udingland) $ ~" "..;';:-9t..OtUJ, Os
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 y--r---J and that all construction will conform to all existing state and loca11aws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;ter/Z;~o~ Zt---/371 ,;!-~k
" ' /' Signature - _ Contractor's License No. / ~ate/
I Permit Valuation $'qt,JUJt!J.()(J I Park Support Fee # $
I Permit Fee $ /1) ? 7. S-" I SAC ~ # $
I Plan Check Fee $ .;.,(" 7,/?/ I Water Meter ~l"; $
I Srate Surcharge $ ~'i:', 8 0 I Pressure Reducer $
I Penalty $ I City SAC and WAC # $
I Plumbing Permit Fee $ /O(J, tJ (J I Water Tower Fee # $
I Mechanical Permit Fee $ I tJ t!). 0 a I Builder's Deposit $
I Sewer & Water Permit Fee $, ~ :">. .c::;-a I Other $
I Gas Fireplace Permit Fee $ .qtJ, dO I TOTAL DUE $,5"~. B8
I Paid $5&3. ff '-tiP '134
I Date ~+ /<-'-04
I
/3So, 0 0
b~O, 00
4~. () II
/2>:JC. 0 (J
7tJd. 00
.
This Application Becomes Your Building Permit When Approved
~~
Building Official
qI~~~
Date
I Receil't.1'o.
Bv (A
vj
This is to certify that the request in the above application and accompanying documenu is in accordance with th~ ~ Or~d mar procee~ested. This document
:~Z;d=PIann~;;;;;;..:emp<,,"Y C~2:n~;liance and allow, ,nn"ructiD\;;;C'.lVJ.CliJl rifepanq mu"b,
- Planning Director 1:>ate Special Conditions, if any
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~
See Main File
White . Building
Ca'tlll'V . Engineering
n>ink _ . Planmll!r)
ThtC"l'nlt'roflht'I..broUnll'}'
1/
.
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHE;CKlIST
~,
,)-~dji II 6--,11(>;
.;?- r7 __oil
,
.
APPLICATION RECEIVED
~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
t/9 -:::; "/ 0'=-'i~~:f;{ /v<<~ 01.._
/
Accepted
Accepted With Corrections
Denied
Reviewed By:
~
~
Date:
~p(.,t0 y
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
~ite - Buildi.,Q::::>
alldlY :. Engineering
Pink - Planning
Th.. ("..nlrr of Ih.. L.k.. ("ounlry
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DE;.f4RTMI=NT CHECKLI~T
p~~
~- /r;-o'l
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
t/tJ5"? ~,~ ~
/'
Accepted
Accepted With Corrections
Denied
Reviewed By:
~
,
~I--
Date: dl..>.-t, ~ q-
f .
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."
<=->..~~~PR/OR (
f:: ~
u '"
Tht'Ct'nlt'rnflht' 1..11t ('oUlllry
See Main File
White - Bull!ling .
~rv . .:nainl'wng.:::.
~Ink -. Planning
BUILDING PERMIT APPLICATION nEPARTMENT CHeCKLIST
NAME OF APPLICANT 6~~J1i f~ b-1Y1ci>J
APPLICATION RECEIVED c.)- 1'7-oLj
The Building, Engineering, and Planning Departments have reviewed the building permit
. application for construction activity which is proposed at:
I, '--"'J .....:1,();1 ,.1-:-.- ,
/19:.:;;.. - / r/::"';'U-'-k J .XVtS. ,....:_-iL
<.i._ '
Accepted
:>(
Accepted With Corrections
Denied
Reviewed By:
M48
Date:
S-;S-o'-(
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."
Nov 26 03 01:21p
METRO GENERAL SERVICES
763-428-2968
p.4
,
..u......t
1'E.LlOW . AH'LtCAtll
GOLD . CITY
CITY OF PRIOR LAKE
SEWER'AND WATER PERMIT
q!>~ '1,/7-'/" I/f
s.w.No.M.OIS6
FA~
NOTE:
Sewer and Water
contractors must
be registered
with the city.
APPLICANT: (h t:.TR() ~E.rJERP'/ SEPffifPHONE: tb3 '-4-d-.!1-Ci),13,'!
ADDRESS: 5'1Clo ~up.fl'I AvE. NE DATE: NnV 161D03
______\ ~ l\...L;!r --A\--. 51. m I C!..H A F- L , ~ No 5.5 3 7 b
:::A=~S;- ~~:~-'B$~.n ~~'. 'Q""'T ·
FILL.> IJJI,iHE BLANKS. .
1. Estimated length of water service 56,.., feet.
2. Size of water service
/,(
inch(es).
J. Location of any couplings from structure (') feet.
4. Type of sewer pipe. ABS PVC ~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:
========;;~7r.;t=~~~==----===========-----=======================
FEES: {1ldr 'fJ~"M' =t- .Sewer and water line connection permit.
" Surcharge
~ (-'e.~ . TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
*
Sewer and water permits issued for new construction must be
recr;>rded.on cthebu~~eU.nCJ:-permit cud at the time of issuance
to lnsur(i.t~~co no' dupl;1Jcate sewer and water permits are
issued. ','I ,-.
"I ','\ '
MAR 23 2004
-
RECEIPT # .
1.....1\..1
I
,
AMOUNT PAID ~~AJD ~
REC'D BY lVG PERM.''?'
DATE;~P.AID
~'";-~'~ ~"'
-:<,'/;,~ ,~:;...."
16200 Eagl~~Creek Av. S.B., Prior Lake, Minnesota 55372/ Ph. (152) 447-4230 / FAX (~) 447-4245
An Eanal Oonortunitv Emolover
MAR-26-2004 FRI OB:50 AM VALLEY PLUMBING JORDAN
FAX NO, 9524922617
P. 03/04
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec:'d
(PIcas< CV1le or Print and sillll ., bollllml
ADDRESS
L\q51
I. an. FU_
:1. Calli Cil"
J. y,lto.I "JlpliCMlt
I PERMIT NO.~ /s-Ir
.
~~~~
ZONING (om"",,)
LOT BLOCK
LEGAL DESCRIPTION (oRk, use only)
ADDmON
PID
'OWNER
(Name)
i'~
(Address)
APPLICANT ,n Q Ll JI'Y\ k l VI a
(Name' '\J 0- ~ 0 c Y t' -: -_ .~ _,,-,-,~ ~
(Adclress) 810 0 0 ~ Au Q,
(Address)
(Coneact Person) ~
/' IJ u. rr
APPLICANT SIGNATURE ~ '?VI. ~
. (Phone)
(Phone) 06 do .L.l q a ,~ \ cl. I
l"lOlld.CLn 6535~
- -
(City) (Zip Code)
(Phone) Cj 5 a -Ll c, 'a - ~ \ ~ I
DATE .3 - ~~- Dy
APPLICANT PLEASE COMPLETE BELOW
I Quantity I Type of Fixture Quantity Type of Fixture I
a Bath Tub with or without shower '3 Roullh-ins J
I I I Dishwasher I I Water Heater j
I , I Floor Drain I Water Softner
.1 I Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine) J
I I I Laundry Tray (l or 2 compartment sink I Sewage E,jeCtor J
I I I Shower Stall I Backflow'Assembly I
I , I Sinks I Backflow Assembly Test I
I I Bar Sink I Lawn Sprinkler j
,~ I Water Closet (Toilet) I Other
FEE SCHEDULE
Industria,!. Commercial & Multi.family 1% of job co.t with. S39.50 minimum
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office UIe O.Iy)
This Application Bccom.. Your Builcling Permit When Approved
Bulldi"ll Olfidal
D.te
Residential, New One & Two-Family S99.50
Residenlial, Additions" Alteration. $39.50
Building Penn it #
~:0~4h...
'J~~~~ItlJ
. '.
v'Q,v...
S
$
$
~.~ ;C; I[~ ~
I if ~ ~ - :eipINo.
I. MAR 2 6 2884 IA ".----
~.
.50
2. hnur notlee ror all in.pee.lnns (952) <l47-,~.il)'.x llln\ .~-
16200 Eall. Croak Ave., S.l., Prior Lake, MN 55312..171.
# 4/ 9
ZONING (0"'''''''') I
I
,
~1
cPlease tvDe or orint and siPn at hnttnrn'
AnDRESS .. ...
LlQS-, ~\I DC{' t--\4c:., TV-(j'l \
:: ~ ~~~. I PERMIT NO. 1;_ M!"'d
,. Yellow ApplIcant Yt I~
LEGAL DESCRIPTION (ollice use only)
j'~
,
.LOT
BLOCK
ADDITION
PID
j
~=R'1\k~k _ ~()'\cS.
~Address) '3l\C.. h\().AVIIJlo<..{ .it, Lr.
1 AXl1 )
~ --,
(phone)<:J\cF>I-UY. -9[D _
~--k IllO F~('U1~Un
(phone) Q.c...,i ..fl<CIU~(;C()C2;,
I\PPUCANT
(Name)
Bumsville Heating & AlC, LLC
12481 Rnoae ISlana Pove. <:IU.
Savaae. MN 55378-1122
(AddJos.)
(City)
(Zip Code)
I
Addres.)
Contact Person)
U'PLICANT SIGNATURE (!y /i/l
. (phone)
t5 ~1'1 /10 ,r) DAT.'3 _L/~2 -ol/
i~
11i
APPLICANT PLEASE COMPLETE BELOW
. CilNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
URNACEMAKEAND~ODEL 1 0 YlyU)V C-;S\ IJ. {J~ 2q Pr (\US FUEL yY'l+OO.o
LUE SIZE. . REivRN OPENINGS Lj INPUT U.S tt"f) OUTPUT L\I ',LjOO
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarmAirPlanls 0 Steam
OGravily 0 Hot Water
o Mechanical 0 RAdiation
(]Air Conditioning 0 Special Devices
OVent. Sysll:m 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Rcquired Side Yard
Setbacks
:REPLACE MAKE AND MODEL
~ustrial, Commercial &. Multi-Farnily
..idential, Heating ill. NC (New Construction)
..idential, Heating Only (New Construction)
FEE SCHEDULE
1% of job co.t Residential, Gas Pireplace
$39.50 minimum
$99.S0
$64.S0
$39.S0
11
,
Residential, Additions ill. Alterations
Residential. AC Only
$39.S0
$39.S0
Estimaled Cost $ Building Pennit #
HEATING PERMIT FEE S Y
STATE SURCHARGE
TOTAL PERMIT FEE : ""-.
~~.~~
.50 '\"\
J- .
"ce Un Oaly)
....
~..::..:-y_.._-:-...- 'I:^" ~. ;;;:~ 1jr"NO a:
24 bour notice 10. aUlospectiOJlS. (952) 447-9;~1X (952) 447-4245 LJ ()
16200 Eagle ~ Avenue, Prior La ~~ 55372 .
PRIOR LAKE DEPARTMENT OF See Main File
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~ ~L.UFr HtlSHfJ ~{,
N~UREOFWORK N~ ~~"~~
USE OF BUILDING SJ=: ~ .
PERMIT NO. 04-. 015 DATE ISSUED ~/.J.~ fdll _
CONTRACTOR L PHONE~Z. - Z2I- 9JI'S
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (If required)
FIREPLACE
GAS LINE AIR TEST
1M
(). /j
.\-/;,V\1
'>;);7 /CJ~
YV{/..
Vvy/
5- I J'o~
c;- -(l~ '0'1
~
r
J/4-c/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
-
GRADING (Prior to So~dj'1g) . c \ee #A/), H '/ e
BUILDING ~J'It~, t1417/ !f-jdf
ELECTRICAL I .
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
~
~
/'13t7/~i.
J.pY~r
6/.zd~
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
Qtrrtifitab,lm~ttupinq! ,_
CITY OF PRIOR LAKE
~tpttdmtnt of ~uilMng Jlnsptdion
o Final Permitted 0 Conditional e.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 ordind{tces afthe City of Prior
Lake regulating building construction or use, For the following: ,v....
Use Classification
SINGLE FAMILY
Occupancy Type
R3
Type Construction
VN
Fire Zone
Bldg. Pe~t.No.
N / A . "ooing District
.
PUD
Legal Description
L10, B3 TIMBER CREST PARK
Site Address 4957 B~kF HEIGHTS TRAIL SE
815 NORTHWEST PKWY., SUITE 140, EAGAN 55121
Owner of Building
,
Contractor's Name & Address PUL TE HOMES,
ROBERT D. HUTCHINS ,Ilt!i
,"1- (, ~OqPffiCial _-r
RYE
City Plannp,'
~~
~
Date:
"
..~
'L\
~"
.. ~ '~', '~_'. . ". ," ;.~ d~ .'N..I
-~
/~~~
/ 1 .
~7s7 .If&/Y'I//5 71'/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
. a FOOTING
a FOUNDATION
a FRAMING
~)NSULA TION
~~INAL
a SITE INSPECTION
a PLUMBING Rl
a MECH RI
a WATER HOOKUP
a SEWER HOOKUP
a PLUMBING FINAL
a MECH FINAL
COMMEt-lTS:
r-7~CfrIC"E/
-
A
ft~
7' I
/ 1""".:
r: /1 t"'l/ /'
(!.J /~e~,....~ /"',.{...-6....~/
- / /" .I Y'
(A) #~ed ~o~ r fre.J..['
- p;,., .r:;-/ co-;'...d'e- ...., 1~'.
DATE TillE
tPt/'-/s-Y
a EllIGRADlFILUNG
a COMPLAINT
a FIREPLACE RI
a FIREPLACE FINAL
a GASLlNE AIR TST
a
./ /
6/;>%.-,?
-
&/,S
- I
q~-
c.A!I~
~;a.r 4.......e.......- L~C/-t!! / c...-~/7t.c\r.i.J
~;;;e ~~'\ -
a WORK SATIS Y PROCEE~ ~
~ORRECT ACTION AND PROCE"u
a CORRECT WOR~.;~L':.~ REINSPECTION BEFORE COVERING
Inspector. /~ Owner/Contr:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEllLTH & SAFETY!
JN8NCm
(
,
BU8NSV.LLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Aye 5, Savage, MN 55378.952.894.0005
0rs1at Test Report tor JobI -----W;;2 2,
Address 4q ':::7- ~\ I . ~l Hb Tr GUy ~;.crl.ak.
Occupant
Dale of Install
Type of HT. FJA / HW Space HT Unit HT
0Iher
Make ~r'1-D)c
Model -B-c;-UIif>- ~H.Lf.. - 1)t4C:;-~ 0,1
Serial ,c;c; 0" ~A ""?.JoJ -:t.
Input LIt/. 000
I'
,L '\
!'I I PRol Type HOT SURFACE IGNlWR
I ),-,cr Pressure :0:., ~1 ~ {, . G02-1t.. z:> l:>4
Input GFH 1./'-' 02 I (). -3'" L
S1ackTemp \ I",l.l ~ GO ~,....
Dale Tested ~/JO:;
Company ---;;;/'NS~/LLE HEATING & AIFJ C"'OITlONING
Technician ~.~ ! . 'p;"t'fJ.~d-
I (/" J '
)()""'~".<Ie"
p' ;/"/05 e ;:::: "'")