HomeMy WebLinkAboutBuilding Permit 04-0172
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
(Please ~ or print and sien at bottom)
ADDRESS
Date Rec'd
-z.. ~r, . 04--"
; ~i::' ~::y I PERMIT NO. 0 ".011'" I
3. Yellow Applicant l/' ~
J./fsz .oWP;:: J/e/6#T3 IMI L-
LEGAL DESCRIPTION (office use only)
LOT3/ BLOCK I ADDITION -1':mr>"Ul wr ?A,~
OWNER
(Name)
11/ J-TE-
~/S-
&.J(uJA-H.
l'
f!bJ11LS
IlkI2J1/tt/;!.;,r
(Address)
BUILDER
(Namp)
,~;;:.-
. war
J? IA.c,cf..l un
(Contact Name)
(Address)
TYPE OF WORK
../
~ew Construction
ODeck
DLower Level Finish
o Misc. I. ~.c.,. ('A"~
o Fireplace
PROJECT COST IV ALUE (excluding land) $ . Tv';~ - 9.&. ;(JO. () ()
, }
/Of). Dt)
100.0 tJ
35,"". s-tO
</11, ()o
This Application Becomes Your Building Permit When Approved
~ 4?jf)
Building Official
J/Il L Ot4
ate
I ZONING (olli" u,,) I
PIJO
PID2.5 hz. .031. D
(Phone) &5/ - ~5Z -.s:;ax)
EA6A-t1. J1l'1 5"5/21
,<)OIif _ /~o
(Phone)
(Phone)
DPorch
ORe-Roofing
!//Z - ZZ/- ~9~
ORe-Siding
DUtility Connection
#
$
$
1~~O.Ot:)
$ Z,SO.OE>
$ 4s.o0
$ 1'2...00.00
$ 700. 00
$
$
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 ca evoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~teru;kth/;~/o;tZdinspecti~ D~- /571 Z ~~y
I' r Signature Contractor's License No. 7' ~Ilfe
/ d
I Permit Valuation ~ q~ ()dd. at!
I Permit Fee $ . .I () 2- 7. .~
I Plan Check Fee $ I,," 7. ?f
I State Surcharge $ 4((',11 0
I Penalty $
1 Plumbing Permit Fee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
OAddition
DAlteration
#
#
#
, ~sr..3.M
-Ft:D 0 c>
I Receipt~o.
By <).-.
{/
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
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a eerticate of Occupancy must be
~annin~ 3/'IL~~ Se~J~!~!,~y FIle
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
I Park Support Fee
I SAC _
I WaterMeteC.. Size5~ 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
65iP J ir
'3,7A- b ~
~~ PR/O/?,,-
t ~'~
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5~ y{\~~ f~~
Th., C.,nlrr of lh.. L.k.. ("ounlry
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C ~anarv .. Enain'::~ri.]g:>
--Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f - '. -;-;--
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4-- '1 '.) 4- 1.',' L Ij F F j- rT"~ ~n::._.!.--
Accepted
'I-.
Accepted With Corrections
Denied
Reviewed By:
(2..e
Date:
3/2.. 3/C <(
Comments:
See Main-lQle
"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."
5~~
See Main File
C:-~hite - BuiLdTiiQ>
anary - E:.ngmeering
Pink - Planning
--
Thr Crnfrr "f lhr L.kr C""nlr,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
PU L- -rE: Ho M,ES
Z.2..-&;.o4--
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4-154- gcuF F
~
/-tiS '(iLo<..--
Accepted
Accepted With Corrections
Denied
~
Date: ..3//1 ~ 0/
, I
Reviewed By:
~
~t0
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."
.
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See Main File
White - Building
Canary - Engineering
c-PmK - I""liu.U"IIIIY ).
-
Th~ (-rnrrr or Ihr I..k. ('ounlD'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
-
,. i l
I!. ! . L'
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c.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
#
('- /
e-r-
! !! >
........
,
,L_'
,
,
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~
~p
3//I/D</
,
Date:
Comments:
~
s~~
"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."
Feb 19 04 02:07p
METRO GENERAL SERVICES
763-428-2968
p.9
Gl'Et.. . ftlE
YELLOW . "H'llC~IIT
00\.0 - CIT"
.
sewer and Water
contractors must
be registered
with the city.
,PP", CANT , nWflD . J:Jer!1M1 '!nvi~ONE' JiI.>,#JJ- lJ3't,
ADDRESS: 5if'tlQ {JUf)fPC l:JilL {If DATE: '-
SIGNATURE: Il,k~l.f, 12J/1'vlv:r:r, _BLDG. PERMIT #
I- .;
CITY OF PRIOR LAKE
SEWER' AND WATER PERMIT
FA'f... '15~ J/'t 7-tf'J,l/r NOTE:
S.w. No.
L/~ IrJd-
SITE ADDRESS:
PID#
1-
2.
3.
4.
'-...- 5.
Estimated length of water service
~1 ql
size of water service /
BLANKS
r'
/)D
feet.
~'~
Location of any couplings from structure, (J feet.
Type of sewer pipe. ABS____ PVC~ Cast Iron____
Estimated length of sewer line ~[) feet-
6. Clean out (if required). located at feet from
structure. /I ~:A' .
1-,. .
=====================================~~~==========================
_inch(es) .
This application becomes your permit when approved.
DATE:
BY
============r=====================================================
Pu,heJ. ~.'f1t .
FEES; f] tel,! P4f..-t>',:f- sewer and water line connection permit.
~' surcharge
N"o (-e.L- TOTAL
1":'-;";
* Fee' for either sewer or water individually is $20.00 plUS
$ .50 surCharge.
"-'.'
',,:< -; ".~~~'
* sewei.,-...a.. IlJ...../!c.t'1y r",..,.,..j,~.s issue~ for new constr';lction !!lust be
reco .~~ 1Ctp,'tl!1ie\',p~ilA;tng perm~t card at the t~me of ~ssuance
~o i!ij.lie' that hoL-. ~uplicate sewer and water " permits are
~ssuf~~ MAR 2 6 '>004 'j ".?lAlD WPft..
. .'. i.U . ,'tl i ''')" ".UI11
. 'DATE.:pAi rU .. . AMOUNT PAID':) .,c.;"".W;j fI:'~~~,e","
.c.' . I ~-~h1
RECEIl'T Py___c.:c.::d- REC'D BY ~.
. "" .':~~i~
.-\~:t"::~;..;:~'. ~
\..:,--.
. ,:i?::,{;:~;.:'
. 16200 Eagllt:Creek Av. S.E., Prior Lake, Minnesota 553721 Ph. <"52) 447-4230 f FAX (<1!i;2) 447-4245
An EQual Opportunity Employer
_~AR.:-31-2004 WED 01:08 PM VALLEY PLUMBING JORDAN
FAX NO, 9524922617
p, 04
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
,. "" fil. I PERMIT NO~~ -
:. G61<l ell)'
], V,IIo.. AI,~1i.!:1VI1
I ZONING (offic<u"l I
(Please me: cr print and sil!n atbo[tom~
ADDRESS
l\C\5d ~ ~2fctbjA
LEGAL DESCRlPTION (office II" only)
LOT
BLOCK
ADDITION
PID
OWNER,j) l\t
(Name) "t I II. ()
(Address)
(Phone) _
-
. (Phone) Q.6G'-l\~ -;::), Q \
~0^ r\ (\jf\ ~S?, 5N
-0 (City) (Zip Code)
. (Phone) q ~U~Ol '::i. -I;J m
'70ff1/t~/) DATE 3-31-0Ll
APPLICANT Ifl !'
(Name)3 (\ t ~ (\ 1 N ful.l('{\ K\ 1 n.n
(Address) ~lo() /]'Jl.O \{ P. r ~-
(Address)
(Contact Person) ~0 (lJ,XY\(l
APPLICANT SIGNATURE)d A/7~
. \
I
I
I
I
I
I
I
I
I
Quantity
Cl.
1
I
3
I
.3
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture
Type of Fixture
Bath 1 un wi," ur without shower
uisnwasher
Floor urain
Lavatory lJ:latllfoom Sink)
LauncrY Tray (lor 2 compartment sink
Shower ;i-aii
SmKs
Bar ~mK
water l:io,et (Toilet)
Quantity
3
\
Rough-ins
Water Healer
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industria,l, Commerc.ial & Multi-family 1% of job coSt witl, 3 $39.50 minimum
Residenlial, New One &. Two-Family $99.S0
Rcsidc:nlial. Additions &:. Alterations $39.50
Estimated Cost S
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL pERMIT FEE $
?~~D ~JJ'IJ'"-:
...cnj'1 rr"'''n''=lIOii:.::::::''.'.-.' ,
-.,- _lJ" .,\,;:1, '1.;.:11"':'1'
(Office: 'U.!lC Only)
This Application Becomes Yotlr Buildipg Permit When Approved
I Paid
\ ~I'R 0 1 2004
I Receipt No.
lluildinr:OfliclnJ
Dille
\ By
I
I
24 hour nOllee for al\ inspections (9S2) 447-98S0, ra. (952) 4474245
16200 Eogle Creek Ave_. S.E.. Prior La"" MN S5.171.1714
;952 894 0925
REA TING/AIR CONDlTIONINGIFIREPLACE PERMIT
# 4/ 9
t?1ease typ~ or print and siPn athottr"iml
ADDRESS . . .
515;) pjui~' 1-I--f0, /]) / .
LEGAL DESCRIPTION (office use nnly)
I ZONING (oflloeus.) I
I
~~
~I
~.
~~
.
: ~ ~~. / PERMIT NO. 0 1~_/""lL
). Yellow Appllcanl ., I~
~..,">,
ii',
r'
.LOT
BLOCK
ADDITION
Pill
~=~R '71lf 0 ie. ~JJl2/)
Address) Y J.~ tJ I)J
Pfl II f
- .. ~ .--
U J('J A .A
.-/
r"',~_ ~
(phone) ({)E;;-/-LlS2 -zS2CC)
;:'i?JO/C /7 /}1/) SSJ 2./
f/
(phone) Q Si-RCtUV? Zl~
U'PLICANT
~ame)
131',""vilJp. Heating & AIr. I I r
12481 Rhode Island Ave. So.
!=:"v"~~f\I ""'nl'-11??
(Address)
(City)
(Zip Code)
'l.ddress)
::Ontact Person)
. (phone)
j<,() tJr!J170/7(j.,/Z DATE ..' (j~3{J -c){/
. (J -
PPLICANT SIGNATURE -y /7 LL
APPLICANT PLEASE COMPLETE BELOW
. . ~WCONSlRUCTION , OREPLACEMENT. o ALTERATIONS . _
JRNACEMAKEAND~ODEL /J2fJL7/!X ;;"C)//lvlP )i./~(]Cj:r. FUEL _n{LI-~-I~
.UESIZE . RETl1RNOPENJNG~ INPUT ~s.,()/YJ OUTPUT tfl, Vt1rJ
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants . 0 Steam
DGravity 0 Hot Water
o Mechanical 0 Radiation
DAir Conditioning 0 Speci.al Devices
DVent System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
~PLACE MAKE AND MODEL
-- .. --.-
.._~
IStrial. Commercial &, Multi-Family
FEE SCHEDULE
1% of job cost Residential. Gas Fireplace
$39.50 minimum
$99.50
$94.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
!y
.50
C~fi.r>~ Lr~~<~!.i~F ~'.".9r;~O
~": 1'1~'.r,.',. 9,<Il1
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Btuh/q, p.rL&P._ ~7, ".
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I KeceiptNo. .
I By
:dc:ntial. Healing & NC (New Construction)
..dential, Heating Only (New Construction)
Residenilit~ Additions & Alterations
Residential, AC Only
Estimated Cost $
Building Permit #_
=e Us. Only)
"is Application ileco';'es Yo~r Building Permit When Approved "--:'Paid-
Building Official
Date
. '. !'AY 0 J ?nn4
, , t.
24 hour notice fat all Inspections (952) 44~,nSO. fax (952) 447.4245
16200 Eagl. C~k AVenue, Prior J..ake, MN 55372 .
I' ,
. nate
l~.--,.":'::'~C,
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS -93.5, "BLUFF' H~. ,.el.
NATURE OF WORK tJ E k,) ~t2JJ..a1~ ~
USE OF BUILDING 'S.h ~ ..
PERMIT NO. {)Z,,..OI 7Z- DATE ISSUED '" I (44.{
CONTRACTOR 111&.T-=. H61t=ES PHo'NEA/2- %21- tft~
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
INSPECTOR
DATE
, FOOTING I
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
SEWER 1 WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL ,
PLUMBING ~ ~/~fI
HEATING (if required) ~ 6/t7~y
FIREPLACE / /
GAS LINE AIR TEST ///4 .?/.z.i/'y
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
See ~/?r
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L/y/o?/
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f/t/7
OCCUPY UNTIL ABOVE HAS
NOTICE
h/e.
7/rq/o/
? /-?01~/
70;/f/
}' /7/fty
BEEN SIGNED
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until al/ 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
.-.---.---- -- -'."---,., ____~'_.M._..._..._ _.___ __'~'_"~_'.__'_"_"'_____"__"'_~'_""'" _._____~___.M.."'._.._.. .,__"_"___._.,,_..___"""_.__..,_.._.___..__..____..___~_.._~___.._
;
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@erfifitafe of <IDttupanq!
CITY OF PRIOR LAKE
. ~tparfmtuf of 'lJlI.uilMug JIusptdiou
,
~'Final Permitted [J Conditional C.O. Expires _
This Certificate issued pursuant to the requirements of Section 307 afthe Uniform Building Code certifying
that at the time of issuance this structure tVa5 in compliance with the various ordinances of the City of Prior
Lake regulating building construction or use. For thejbllowing:
Use Classification
SINGLE Ffu'1I!.Y
Bldg. Permit No.
(4.0172-
Occupancy Type
R3
Type Construction
VN
_ Fire Zone
N/A
_ Zoning District
PUD
Legal Description
L31, B1, TIMBER CREST PARK
Owner of Building
Site Address
495~ BLUFF HEIGHTS TRAIL SE
Con"actoc"Name&Add",s~ULTE HOMES, 815 NORTHWEST PKWY., SUITE 140, EAGAN 55121
1'/;;'.- /
_,;/U
/J;/1:> 1;/
City Planner
DON RYE
ROBERT D. HUTCHINS
_ , /, Bui)9"'g ~ciaI
Date: //~ O,/~;)4
Date:
DATE
~~~
Y':J/,S:.z g~ fP /# k/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..-!l"FlNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
? MECH FINAL
C~EN~: _. ~
d"-C-CT//C4/ /;n../ //k",,~
TillE
cY~-/?2..
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
.....
17..2/ ~y
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~-~-----...
/ A/ ~
( C~'S~ ~/~
hOR~ACTORY. PROCEED
/d ~ORRECT ACTION AND PROCEED
o CORRECT W~~,~;L ~ REINSPECTION BEFORE COVERING
Inspector: /F'~ Owner/Contr:
~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
IN""'"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
.' ~)~
BV.SV.~LE' .
Heating & Air Conditioning, L.L.c.
11481 Rhode Island Ave S, Savage, MN 55378.952-894-0005
'~
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"1
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Orslat Test Report for Job# W3 r
J ;:)1 (' I I ") - / J
Address ""7$~), ,~'-A('. H-fs Cily f("rOr' ~
Occupant
Dale of Ins1all
Type of HT. F/A .~ HW Space HT Unit HT
Other
Make L 'l..Jv, DX:
Model (; 5/1'Tli) . ;)."-16 " o.K
Serial .5' ~oLj F 0 '6' ~ q/ /"
Input I.{ <-I DOO
Pilot Type
Pressure
Input GFH
S~k Temp
Date Tested
, \
Compa~
Technician
HOT SURFACE IGNITOR
<. . S- C02 fc-."' 7.'
<-I.{ 02 0., c/
.. . fb
CO~ ::; t~
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7/1'1/CJ
, ,
BURNSVILLE HEATING & AIR CONDITIONING
~
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----------'-~.-.""..._------,~_.~-----,_._-~~,..._,~~,---,-,..,----~-_.._..,--"-,~-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~52
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED ~~~
&t# //?fs;7;/
CONTR.
PERMIT NO.
""'4/ _/7.2
&
o PLUMBING RI
o MEcH RI
o WATER HOOKUP
o R HOOKUP
PLUMBING FINAL
o MEcH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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#f'~dd#U' ~ /''('" Sr-
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~ORK SATISFACTORY, PROCEED
Ici- ~'ORRECT ACTION AND PROCEED
o CORRECT WORK,;~ J)r~INSPECTION BEFORE COVERING
Inspector: ;::11" .F Owner/Contr:
v. -
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
IHSHOTJ