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Home My WebLink AboutBuilding Permit 04-0173 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec'd Z. -z.." ,04-- See Main File I. White File 2. Pink City J. Yellow Applicant I PERMIT NO. 04- . O/73J (Please tvD~ or print and sign at bottom) ADDRESS )/t; 5''1 h Jd/ Ff:- ;./;~ J&)f/,S /' j/; f I I ZONING (office use) PVO LEGAL DESCRIPTION (office use only) LOT &JsLOCK / ADDITION ?; m Rf'f1 /d r.~-r &il..JA PID ZS. +02",030.0 OWNER (Name) iluJ...rf: )./01116 f?/5 rtIo/lT/lIt/~r 4ZKII.JtW . / ' S VITg /I/t). (Phone) ~S/-'I~2--s2O(J CAl.A71. $;1 ,~')JZ.I (Address) BUILDER (Namp\ (Contact Name) (Address) SAmE:.- .. &11..7 ,1('Afd/JW (Phone) (Phone) U/z- Z:i!/-I/f~ TYPE OF WORK [lYNew Construction DDeck DPorch ORe-Roofing ORe-Siding DLower Level Finish o Fireplace DAddition DAlteration DUtility Connection PROJECT COST IV ALUE (excluding land) $ ~ ~~q l.~; B (j 0 . DO o Mise I. R.. c (l....Jl..g,~. - 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.vy....~J 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 can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may ;tet;: .u~:;7 Z.z~ededinsp:: . EC- /37/ z/z6~f/ y- )' Signature Contractor's License No. ..l5"ate ' /' .. I Permit Valuation I '(qt,. 000.00 I Park Support Fee # $ ---- I I Permit Fee I $ I t!J 2- 7. t;;'Q I SAC # $ 1."2,50.00 I I Plan Check Fee $ t.,f, 7. 'iff/' I Water Mete( -Si;e5i~~ 1"; $ Z-gj.0(J I I State Surcharge $ 4J". (j 0 I Pressure Reducer $ ~S.(jfJ I I Penalty I $ I City SAC and WAC # $ lZoo.oO I I Plumbing Permit Fee I $ /tJO,OO I Water Tower Fee # $ /00. 0 0 I I Mechanical Permit Fee I $ 100.1)0 I Builder's Deposit $ I I Sewer & Water Permit Fee I $ 35: 5'0 I Other $ I I Gas Fireplace Permit Fee I $ ";0, ~ 0 I TOTAL DUE $~S(,3.~ r1 This Application Becomes Your Building Permit When Approved I Paid 55i?..ft' I RecetNo, #300 ~ . I Date 7. z..-i. 0 f-' I By)' . ~ --3/-4/0 <I () Building Official 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 j~=Ci~ PiJ;tes a L..yo._, Ccrti;;JO;i:~mPliancc and allows consSeem"Miiiif t lIeoccupan~ mu"bc Planning Director Date Special Conditions. if any 24 hnur notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake. MN 55372 ~~ ue~ ~ y{\~y~ Tht' ('''nlf'' "r lhf I...... Counery White - Ruilliina ( CanarY - Engineeril!!L> PinK - I".anmng BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED i .--;,....,..-- (- ~ HUI"itj- c4-- ..-'"") '"/' I " I. f.,.- . i:- If The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: "1-(1 S z-.) L l F F f!T~)T7LA_. . Accepted 'f... Accepted With Corrections Denied Reviewed By: fC t2- Date: ~/ z. tljt; 3 Comments: S M. ,~q", ee aID ., ..... "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:::, Canary - Engineering Pink - Planning lh~ ('~nl..r of lh.. J..k.. ('ount~. BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED PU L I tI H-OM.c5 'Z-. 7--(, .0 4- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1-t! 5 z- g L-V FF ff1S --nu.-- Accepted ~ Accepted With Corrections Denied Reviewed By: ~~~ Date: 3/11/ () 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," &~',; See Main File White - Building Can::.ry - ~naineering ,Pink - Plannin~ - Th.. ('..nlO'r or lh.. 1,11100' ('ounlr~' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT C \" . I , If Ci It ( 1-. . , . APPLICATION RECEIVED i I I, The Building, Engineering, and Planning Departments have reviewed the building permit -..,l application for construction acIivity which is proposed at: ~ J .-.~' -"] .:---' i /. I ! ',/ J..-- ! , , , f . '-~ ,. . , II' l- . , 'j. '. Accepted /' Accepted With Corrections Denied Reviewed By: ~~ ~ ~ Date: sit I 10'-1 , 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." Feb 19 04 02:07p METRO GENERAL SERVICES 763-428-2968 p.l0 GREE. . ,lLf. YELLOW. ,,,L1e..' GOLD. en" sewer and Water contractors must be registered with the city. APPL!CANT: J]\.(tU) . ikrtlN.tl Sem~ONE: Jlu?~ ,.tlJ1f"-ll3~ ADDRESS: .f)fJ41 (]UUUl1.. !fvf..- tJf DATE: " ' SIGNATURE: '.'. li)}j~ lJa/it..cl:;(,' BLDG. PERMIT # . ,," AOORm ,.l#!/I ,tit ~ jJ(;d nO' ,..,' LL,nf~HE BLANKS ' /50 feet. CITY of PRIOR LAKE SEWER' AND WATER PERMIT FAY- Cj5~ 1f'l7~t.f"tfr NOTE: s.w. No, L/:'- 1-'13 1. Estimated length of water service size of water service /' Ii _inch(es). ,,..,,..,,, 3. Location of any couplings from structure t J feet. 4. Type of sewer pipe. ABS_ PVC 1/" i cast Iron ~ 5. Estimated length of sewer line t)iQ feet. 2. 6. ilIA ~~~~~=====~~~==~~~========~==~====~========~~=======~========~~~== clean out structure. (if required) , located at feet from This application becomes your permit when approved. DATE: BY =~====-=-==-T==---=----------------------------------------------- - PwJ/e.J. --~ ,ti;,-----:---------------------------------------- FEES: (1ld,j P~e..I.."f- Sewer and water line connection permit. " . surcharge No f-"ee- TOTAL ;.','.,-, ! * Fee- for either sewer or water individuallY is $20.00 plus $ .50 surCharge. Sewer ;LIllie,water pertnits issued for new construction must be rec'?rd~C!~nt~r;b)i1)l.,t;.l:'iio.!~ permit card at the time of ~ssuance ~o msurethat!;. HO:~I d:U~~J1.Cate sewer and water ~J(!l\1ts are 1 ssued, !.. .; , t Z'llJtJl W'trN . ." . 1 MAR 2 6 2004 !' . 2]f}JJaDPiI$6"> l: 'DATE';i,P.AID 1_ L ; AMOUNT PAID ' ci.~ P~I1'R~r;r RECEIPT # i~)'-. ":. REC/D BY ~ * ,16200 EagkCreek Av. S.B., Prior Lake, Minnesota 553721 Ph. ('152) 447-4230 J FAX ('1112) 447-4245 An Equal Opportunity Employer ,..r, ___MAR-31-2004 WED 01:08 PM VALLEY PLUMBING JORDAN FAX NO, 9524922617 p, 03 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT ; ~~,: ~::, I PERMIT NO~. ,^,.,:a, J. V~11l)w ^JlPIiCII~ ~ ~ rflc:J.5~ [\I'tl~ ortlnnt and~il!:n at bottom' ADDRESS qQSl\ J3~<\1U~j~. ZONING (office Ulel LEGAL DESCRlPTION (office ",e only) ,LOT BLOCK ADDITION PID OWNER (\ [\ (Name) "/'i \ \I t 0 . (Phone) (Address) , APPLICJ\NL. IIV\ If'\" ,^ /.J (Name)~10 00 1 t O~ kkr~ U (Address) 5Z,\0r) 0 \.\n ~lQ.f\ .f\;I~- (Address) (Contact Person) ~"'n f\ !$i(\ , APPLlCANTSIGNATURE,L::: .LJ yYJ~ (Phone) .95Ql,4Q~ -;:1 \'N. \ (';;qj$J r\~ ss ~ S,.::) -(City) (Zip Code) (Phone)CASN. r4q($~l QOS '3 '7/ .OL-) DATE 'I Quantity I ~ I , \ , I '2, I 1 I I I ':l, AP~LICANT PLEASE COMPLETE BELOW Type of Fixture Quantity Bath Tu~ with or without shower :3 Dishwasner Floor vram Lavatory (Bathroom Sink) Launory j ray (lor 2 compartment sink Shower ;iaii ::.mlCs Bar Sink \\iaterCloset (Toilet) Rough-ins Water Heater Water Softner Stand Pipe (Washing M~o.hine' Sewage Ejector " Backflow Assembly Backflow Assembly Test Lawn Sprinkler . Other Type of Fi,~ture FEE SCHEDULE !ndustria.,I. Commerci3.\ &. Multi..family 1% of job cost with a $39.50 minimum Residential. New One &. Two-Family $99.50 Residential, Additions &. Alterations $39,50 Estimated Cost $ Building Perm it # PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ ';Vr, 'Jl' ^^'~' \, Zi\.<.'. ~ ''/>'!I,'i:~ ,'- ~ v V ~ I, " I '~['1 ""'~':",^ ""'''-;.r:~ L',' '" ,,' ""H~ I~"-- ' ','I .~__,-".,,"-.1, ,-"'1'."! (Olli<< 'V.. Only) This Application Becomes Your Building Permit When APproved Building OtTi~.1 J 24 bour notl.. for al\ In.peetion. (952) 447-9850, In (952) 447-4245 16200 Eogle Creek Ave., S.E.. Prior Lake; MN 55372-1714 Date ~ I Paid \ Da!PR 0 1 2004 Receipt No. By 4-30-04; 2:23PM; 5'(~~ +/NNES01" ;952 894 0925 # 6/ 9 HEATING/AIR CONDITIONING/FIREPLACE PERMIT ZONING (officeu"J ~ ~ i~";l ~, i (Please type or print and silm athl')ttnml ADDRESS ' ., . ' ~-fi'lL/ 8~~ /11s 7/(jA/C LEGAL DESCRIPTION (ollice use only) ; ~:~ ~,: I PERMIT NO" ,,_ "rr-I J. Yellow Appbu.nl ~ '. JJ ;l~ :,<;; ;~~ :~ Iii ,LOT BLOCK ADDITION PID )WNER Name) ~uJZlf rJ.,lj"J1U4.-/' k 15- /V_U,,/fI;ul! wcu...-/ &'itp/l (phone) q() --tlfL/-O{OS- (phone) rb..S-;-- 4{S;)-Sza-) I}'V7 59 Z ( A.ddress) .PPLICANT Name) \ddress) Burnsville Heating & AlC, LLC 12481 Rhode Island Ave. So, 5I\vl'l<:'~ MN 55378-1122 (Address) (City) (Zip Code) :ontact Person) /1 PPLICANT SIGNATURE L'!fXI1- , (phone) )3f)rJ/J/70 ACt/7 DATE L/ -; 10 -0(/ APPLICANT PLEASE COMPLETE BELOW , ,DNEWCONSTRUCTION DREPLACE~T o ALTERATIONS " JRNACEMAKEANDM;oDEL IOj}/7(N ~'j/nP;;{03/JC/s ' FUEL ffil (fiLL! .UE SIZE ' RETURN OP~GS ~ J/ INPUT ~.:5" ()()() OUTPUT W()() TYPE OF SYSTEM HEATING OR POWER PLANT OWarm Air Plants , 0 Steam OGravity 0 Hot Water o Mechanical 0 lUdiation OAir Conditioning 0 Special DeviCe< OVeoL System 0 Other Devices lStria!. Commercial & Multi-Family ,dential, Heating & Ale (New Construction) !dential, Heating Only (New Construction) FEE SCHEDULE 1% of job cost Residential, Gas Fireplace $39.50 minimum $99.50 $6~,50 $39.50 i \,~ !"'~ 'Clij ~~ I ~' I~f 1>- it:: .':.' t~i Ii i1\! I ] " ,PLEASE NOTE: Air Cond,itioner Units Cannot Encroach into Required Sjde Yard Setbacks CEPLACE MAKE AND MODEL Resident~l. Additions &. Alterations Residential, AC Only $39.50 11 ~?'F~";" . <- ~ [ r..:'"?...::.~ ,. '.:-'.-, /"."t:;--.., Estimated Cost $ Building Permit # ::e Use Only) lis Application Becom.. Your Building Permit When Approved "tfeceiPt No. ' I~Y cB~J'. '., JWP/j;)1i/ 1 ~j Building Official >('.50 ( lP~ 'IDatIl . Date , 24 hour noUce for. an InspecUons(952) 447.9$S~j ralol~2) U4""lW!I4 16200 Eagle C~ek Avenue, Prior ~; MN 55372 ' HEATING PERMIT FI,;E STATE SURCHARGE TOTAL PERMIT FEE $ $ $ DEPARTMENT OF See Main File BUILDING AND INSPECTION PRIOR LAKE INSPECTION RECORD SITE ADDRESS 'l95Jf "&Urt: J-llfi~t!7J' 'rblL NATURE OF WORK ~Lt.J C/JIJsr~J.U:T1;,J USE OF BUILDING S'.':; A. PERMIT NO. 04- ,(")/7-3 DATE ISSUED 3!' 11/)'1 CONTRACTOR P&At.i'E H'IttCs PHONEbI2- 2Z/-l/,'iS 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 l PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION ( / ELECTRICAL{(,.r ~ {Ic:<f PLUMBING HEATING (if required) FIREPLACE GAS LINE: AIR TEST ~ 7/.vM COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS ~ /lP c/?cf.y 0/y/a/ /tH ~ / V~/~' _ c:./7/'d,y , GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE HAS NOTICE I0l~ 7/..?Olo<( 7/.:;-/ /oy , 7~6/ui 7/"">/ /a;' BEEN SIGNED See .#%>,t-. I//fl- - /%/Lt: I~ ft'I~ 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 ~ QIrrtifirnfr of @rtupnnry CITY OF PRIOR LAKE ~rparfmruf of ~uilMug Jlusprrfiou e(Pinal Permitted ., 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 Bldg, Pennit No,_ 0 4- ' u r7 ~ Occupancy Type R3 DO, Type Construction VN Fire Zone N/A _ Zoning District PUD Legal Description B1, TIMBER CREST PARK Owner of Building Site Address 4954 BLUFF HEIGHTS TRAIL SE Contractor's Name & Addre"PULTE HOMES, 815 NORTHWEST PKWY., SUITE 140, EAGAN 55121 /~// ROBERT D. HUTCHINS //<v~:, City Planner_ DON RYE ~ /' BUi1~gyffiCial Date: 7: _? u / () L. Date: /- DATE TIME ~~c1~r 5I'7'JY A"t;:yJ ~ 7// CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ...a--FlNAL o SITE INSPECTION C01t'lfr'lENJS: ~,-7//c"? / SCHEDULED CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ./ / /l hj"", a-e /" .-/' / r//lq h/( C/y:./Z] o EXIGRADlFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o 7h/~~ , " -- ,".,,~ ./S/ ) ,r;, /e ' ----- ~ ;/7/ \. / cr:c-e. -- ~ ~ORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK;';;';,L}7 REINSPECTION BEFORE COVERING Inspector: /' ~ Owner/Contr: CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH,{ SAFETY/ "$NOT, BVHN~-.r.LLE Heating & Air Conditioning, L.L.c. 12481 Rhode Island Ave S, Savage, MN 55378.952-894-000$ 0rs1at Test Report for Job# -.fp ::2 3 D Address t.J q t;"" Ll ~ I. . lc.. ~ \;: Ci1y ~ ; 1v" t--.l. Occupant Dale of Install ' Type of HT. F/A .............. HW Space HT _ Unit HT Other Make b^~r Model ~(Mr7"r:J4K-f)lJS-' r)/ Serial$)C( /) (j C I ~ W "~ Input LId DttO , " PilotType HOT SURFACE IGNITOR Pressure Input CFH Slack Temp Date Tested + Jq ~J '{ { Company BURNSVILLE HEATING & AIR CONDITIONING Technician ' \r. "",..,.. ...- CO2 I"r % :-t, .S " LJL/ 02 C2} -0;: ,::> D /1)<" 0 CO ;;)::<, ~ -( <