The URL can be used to link to this page

Home My WebLink AboutBuilding Permit 04-0159 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' u See Main File;v:::~' 3. Yellow File City Applicant d -17--/11 I PERMIT NO'04-. 0/59' I I Zpm;GD~use) I q?lease ~ or 'Orint and si21l at bottom) ADDRESS #%'! B WrY J./e-IC,HTS '1M-t l.- LEGAL DESCRIPTION (office use only) LOT 9 BLOCK 3 ADDITION --t;1J1.8 tit 6us..r f3Hzv PID;{5- 1.16J.-CY15-t' OWNER (Name) fJULr& ~ ~/.5 JU/21H" tfJD>:/ EwJ(~ , / ' (Phone) .5um~ /'1(), M6A-n tfJn -'?"SI21 (Address) BUILDER (Name) (Contact Name) (Address) SI1m E- ~/7r Z'tA-SC#1tA (Phone) (Phone) ~/Z -ZZl- L/&Jk-S- TYPE OF WORK ,.,..- [j(New Construction ODeck OPorch ORe-Roofing ORe-Siding o Mise, DLower Level Finish { . tC ..<L... a. ~~ o Fireplace OAddition DAlteration OUtility Connection , - ,N,,,- q" 000,00 I PROJECTCOSTIVALUE (excluding land) S ~d I hereby certifY that I have furnished information on this application which is to the best of my knowledge blJe and correct. I also certify that I am the owner or authorized agent for the above.mentioned Y'~Y'"'".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 ;teruZ7to~:de:7 .&('~-/37/ v~~~ 7~ /" Signature Contractor's License No. /' ~te I I PennitValuation "'"96_ ()I}d, df) I Park Support Fee # $ jPennitFee $ /('.2?,~O I SAC _ # $ I PlanCheckFee $" t. ?,lrf! I WaterMete~;'1"; $ I State Surcharge $ L/ r. "(J I Pressure Reducer $ I Penalty $ I City SAC and WAC # $ I PlumbingPennitFee $ 100. () 0 I WaterTowerFee # $ I Mechanical Permit Fee $ /OD , tJ" I Builder's Deposit $ i Sewer & Water Permit Fee $ 3~S"o I Other $ I Gas Fireplace Permit Fee $ '*',01'1 I TOTALDUE . $S~3 f!lf}1 , I Paid ..:J~c,5 .6i I ReceiotNo_ i!&Lf3'.j I Date .:5 - 1'7-0 1..t Bv /:' , I 0 /350. o~ .;J'S(J, f) ~ 15,ao /ZLkJ. t!Jo 7dcJ, l!Jo This Application Becomes Your Building Permit When Approved ~-~ Building Official c::.1B~,h r- Date 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 B::~~i~j;:m~c;J:;~mp;~mdallo~CS"ee--~amPFireeOfoccupm~most~ Planning Director ' Date I Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 ~1 See Main File White - Building Canary - !;n9ineering ~ - t"'lsnnJng,J lhe (' fRtfr of lht I..kt (~ounll')' NAME OF APPLICANT BUILDING PERMIT APpllCAlIfldNr1EPARTMENT CHECKLIST ~ ll.t V:tr'Uu. /-, ./-"7' - ~ I (.~;7/ -, Y ;, APPLICATION RECEIVED ~... ........ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is PJoposed at: I //C? ~ c;K:~- &_"1/) YJ l7 ~J1- Accepted v Accepted With Corrections Denied ~ Reviewed By: Comments: ~ ,~ Date: ."..2~~ ~ '/ , - ----..........'" 1,< ,. ' "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 ~t.. - 61Ii1dinct::) Canary - 'Engineering Pink - Planning Th~ ('"nlt'f of tht' l..kt' ('ounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ~%~ ;:;?- /'")- <I The Building, Engineering, and Planning Departments have reviewed the building permit application for constru4/;~9 which ~~: y/z; 01... Accepted / Accepted With Corrections Denied ~ ,. -:/e ~ 12 f..- Date: ~/~4>/o'; 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." ~~ See I\1ain File White - Building ~~~;.~. ~ '::~."'II.F.~II~ Pink - Planning Thr {'rnlf' ..Ilhr I.."r ('Ollnl,., BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST ,/) , ./ ilt t, NAME OF APPLICANT J --I.Il>tf'. Y+rJ11,:,(<) APPLICATION RECEIVED - / '7 - </ The Building, Engineering, and Planning Departments have reviewed the building permit application for constru~~~~c;~~~~Vi:7 which ~~:~::~l<~/~~': X/I-~7 C'1_- ,. I ,..' /' .! \ i"/"',_.,,...-," Accepted Denied :>( Accepted With Corrections Reviewed By: Comments: IM4- /) Date: 3-/~-{)</ "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 HETRO GENERAL SERVICES 763-42B-296B p.5 ~ P"~ , 1 7~; ~NNE~ GIIll. . ~ nLLOW . APPUCAIIT GOLD. eny CITY OF PRIOR LAKE SEWER: AND WATER PERMIT FAy... '1'52",- tf'l7-'I~~ NOTE: s.w. NO.t*.o/$'f Sewer and Water contractors must be registered with the city. APPLICANT: rn r:::- J K() (; E1J ER.A;. SER.VUPHONE: -rb 3 .-4-d-.8 '-3.'138 ADDRESS: 5'1Qo (.:;ju8m AvE Ne :r:NC'DATE: NOlf 2 62003 .........-;-\ "f\ ~r~SI. rn /C!.I111GL..."...,N, 55376 SIGNATURE: fllJo.'+-l BLDG. PERMIT # SITE ADDRESS~ J-j-qSq- ~~ . .', FILL,.lN HE BLANRS ' 1. Estimated length of water service 6,.., feet. 2. Size of water service I,j inch (es) . J. Location of any couplings from structure (') feet. 4. Type of sewer pipe. ABS PVC Lj... (f Cast Iron '--- 5. Estimated length of sewer line :5 (') feet. 6. Clean out (if required), structure. located at N/A- feet from :======================================~===~====================== This application becomes your permit when approved. BY DATE: ============T========-----~==~=================~================= pu,J/ed l.>,f1t FEES: {lId "/..1,,,7- ,Sewer and water line connection permit. , Surcharge AI tJ Pe.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 recc;>rd~, ',c..n.. th,.e. ,."I:luilai~ permit card at the time of ~ssuance ~o ~nSUl!'!!'.c,that, no' dup'hcate sewer and water permlts are ~ssued~0 ,', ",,' ,~,'., MAR 2 3 2004 ' OATE,.~P.AID . AMOUNT PAID * . RECEli'T ~ ' REC'O BY '!:la"",~ ~i:-uaNG ~rr ., .~:;/~ ,~:-., 16200 Eagl~:CreekAv. S.E., Prior Lake, Minnesota 55372/ Ph. ('/!;2) 447-4230/ FAX ('152) 447-4245 An HauaI Oocortunitv Employer MAR-26-2004 FRI 08:50 AM VALLEY PLUMBING JORDAN FAX NO, 9524922617 p, 04/04 CITY OF PRIOR LAKE PLUMBING PERMIT Date Rec'd LEGAL DESCRIPTION (office use only) LOT BLOCK ADDmON ~ ~~;~~ANT \Jo.l~ ~ 'P ~ (Address) ~19D Q U~ ifluQ... (Address) (Conrac[ Person) ~ h D....V\ ~ APPLICANT SIGNATURE ~ % D~ i ~':: ~~ l PERMIT NO.U_ J~ l V~16w AppJiAM' --, TV ~ (PIC"::<<:.!"Pc orprintOlld slm :ubottlllD) ADDRESS YQ5Q B~~~j~ 'I Quantity i :J I 1 I I I 3 I \ I J I I I I .3 ZONING(Dffie<",el j PID , (Phone) . (Phone) C\'2:>~-llq o)-;;t \ '& 1 3" 0'"'\ d..a.x\ co5 3'3 ~ (City) (Zip Code) (Phone) ~:) d . 1.J <\ a - ') cl. D ~ DATE 3- @.lc> .OL-\ APPLICANT PLEASE COMPLETE BELOW I Type of Fixture I Bath Tub with or without shower , Dishwasher Floor Drain Lavatory (Bathroom Sink) Laundry Tray (lor 2 compartment sink I Shower Stall I Sinks I Bar Sink I Water Closet (Toilet) Quantity .3 J I Type of Fixture Rough-ins I Water Heater I Water Softner I Stand Pipe (Washing Machine) I Sewage Ejector I Backflow Assembly I Backflow Assembly Test I Lawn Sprinkler I Other , OWNER (Name) (Address) FEE SCHEDULE Indus"i.,!, Commcreiol &; Multi-family 1% of job cost witl1a $39.50 minimum ResidenliaL New On. &; Two-Family $99.50 Residential. Additions" Alterations $39.50 Estimated Cost S PLUMBING PERMIT FEE STAm SURCHARGE TOTAL PERMIT FEE (ome.u.. Only) Tbis Application Becomes Your Building Permit When Approved Building Otfieial Dale 24 hour notice for aUlnspoclion. ('52) 447- U200 EoCle C....k A..~ S.E., Plior La Building pennit # ~~ : .so ~~ f.. (952) 447-4US _ , 4 -.......... A _... ......__~...._........__ ;952 894 0925 # 2/ 9 --..........."'...'" HEATING/AIR CONDITIONINGIFIREPLACE PERMIT 1. Pillk " Gnon ]. Ydktw ~::y I PERMIT NO. J 1_ ~ AppllQll1 ..,. ~ I ZONING (olliceus.) ~ II Q?leasc tYDe or urint and sicrn at hnttom) ADDRESS . " LlqSCt l\\( DU \ \ 'r.., TiLt'l \ ',',' LEGAL DESCRIPTION (office use only) il ,LOT BLOCK ADDITION PID OWNER:\",\ (\' \ \ _ (Name) .HH::A'L nnmcS, (Address) '3l\C-, "\DL~l I UQS.~ D-ul..--.lAYLU ,- I (Address) Burnsville Heating & AlC, LLC 12481 RhOC1e ISlanD Ave. <10. ~avaoe, MN 55378-1122 (Address) (Phone)CJ!rhI-Uy. -Q[D c::.-k \~O Fo..c,Cin Un I ~ (phone) .QS! JKC/U,rrQS I:'li '" ~ r APPUCANT (Name' (City) (Zip Code) '.":' '-"" ~~ (Contact Person) APPUCANT SIGNATURE Pv /i/l }S i\ ~..!Jln /if}( ,f'} (phone) DATE LJ' 1-2 -ol/ APPLICANT PLEASE COMPLETE BELOW , rxINEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TrONS FURNACE MAKE AND MODEL 10 f\Y1nv (J,S\ tv\ ~-2L{ Ar (iLlS FUEL m+O(d) FLUE SIZE RETURN OPENINGS L.l INPUT U,S,{'(1) OUTPUT ~ , , TYPE OF SYSTEM HEATING OR POWER PLANT OWann Air Plants 0 Steam ' OGravity 0 Hot Watu o Mechanical 0 Radiation OAir Conditioning 0 Special Devices OVent. System 0 Other Devices . PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL Jndustrial, Commercial & Multi.Family FEE SCHEDULE 1'Yo of job cost Residential, Gas Fireplace $39.50 minimum $99,50 $64,50 $39.50 :Residential, Heating & AlC (New Construction) !Residential, Heating Only (New Construction) , Residenlial, Additions & Alterations Residential, AC Only $39,50 $39,50 Estimated Cost $ Building pennit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE ~v $ / "'" " ~v~ .50 ~...JJ\j1~, t()mcc Use Oaly) This Applicatioo Bec:ome.sYourBuildiogPermitWheoApproved . :,_,-1 \llllldli'l'~ I'~ I, \\1' lie ij'!ReceiPtNO. III I L.L, \S CC U L, ~- ""u' 11' palfpR 2 7 2004]1 . By Buildi... omeial Dlle U _ 24 hour notice for alllnspeclloll5 (951) 447 9850, fax (951) 447-4245 16200 Eagle Creek Avenue, Prior ~ MN 55372 "___, q:- V PRIOR LAKE; DEPARTMENT OF See Main FilE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 'I!s9 ~tu"J- ~H7:r 72t, NATURE OF WORK N~w ~~Sl d,Ue4NJI--J USE OF BUILDING S ~ A . PERMIT NO. 04. O/Sq DATE ISSUED ~(:;t,(() If CONTRACTOR Pu LTE 1-M~65 PHONE~/t - ZZI -rtrS NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE , 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 VW/ _ ,~/([-OLI PlEATING (if required) rw./ C-{{-{f1,J FIREPLACE ...- GAS LINE AIR TEST ~ ~~.Pf 1 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS GRADING (Prior to SOddinj) , ,J e~ ~...;, h / ~ BUILDING Hi41/). V/fn.' R"-/~Df ELECTRICAL I PLUMBING HEATING DO NOT OCCUPY UNTIL ABOVE HAS NOTICE - VVf/ Ill/}?' L:vJ(r(/L1 c, 1'"1, t41 ./ . ~ ~ 6/.?%y" 6p~/'Y ,/P.tH 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 QItrtifir&ft"tlf (0trnpanty CITY OF PRIOR LAKE ~tparfmtnt Df ~uilMng JfnsptdiDn !]{Final Permitted D Conditional e.O. Expires _ . th: 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. Pennit No. N/A Z' D' , _ oomg lstflct PUD Legal Description L9, B3 TIMBER CREST PARK Owner of Building Site Addres, 4959 BLUFF HEIGHTS TRAIL SE Contractor',Name&Addre"PULTE HOMES, 815 NORTHWEST PKWY., SUITE 140, EAGAN 55121 ROBERT D~UTCHINS /J B ~ff5ia1 Date: /1/1/ 1 &,,4-- Date f V I POST IN CONSPICUOUS PLACE - City Planner DON RYE ,.' .:,...j.,;."..",j...... ;'L,:.~".;;;..;"';;:' ~', .', ",."...."", '..'~ ,..,.. 'do"' .~.". I :,~" ~". ""~. ,. , CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER ~?s? PHONE NO. o FOOTING o FOUNDATION o FRAMING ~SULATION FINAL o SITE INSPECTION COMME~TS: ~cfvl C""/ ....:: 0) (jJ DATE 7# / ~~.H ~ 7i-1 SCHEDULED CONTR. PERMIT NO. o PLUMBING Rl o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL /5-1.,,/ 1/0~~ TillE ~~-/.r7 o EXfGRADlFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ~'.50-oy ;Z;P'$t?vf:- ~~p.-.L? ~.4S c ~ed' :I- 7r-er:s ~ tl-c- hh../' ~4./~ ~~ro~/ "', d~{ Ae"'"e I ~~t2L(:bL .;:7; ~ 4LoVr:' ------ " (' G/O. <; t:- O WORKSA~. M .~_: "J(c:ORRECT ACTION AND PROCEED o CORRECT ~~~ C~.'7 FOR REINSPECTION BEFORE COVERING Inspector: ~ OWner/Contr: , CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI IJfSII(In ..J]' (.~ r.,:) l)..-&:>- (~J~ rf't BV....NSV.LLE Heating & Air Conditioning, L.L.C. 12481 Rhode /slond Ave S, Savage, MN 55378.952-894-0005 // Orstat Test Report for Jobl (,1. 'Z. ~ Address I..\Q5ct &Iu.~~ ~1"Hl~ Tit. Citv ~'oR 1A1(.(" Occupant Dale of Inslall Type of liT. F/A X HW Space liT Unit liT Other " Make LE~uox Model 4SIt-l P- 2"i8-oc.a.c; -01 Serial 5<; oo..te. -z.. ., ~ , is Input 4.4., \.:lc>e P>\'1.A;.\ . Pilot Type Pressure Input CFH S1ackTemp HOT SURFACE IGNITOR ~.6" IWe:... CO2 ~~ 02 9~ CO <c.:2.. q.9 l~ fDrr" Date Tested <.D - ,,\ - oY Company BURNSVILLE HEATING & AIR CONDITIONING Technician lsz...o