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HomeMy WebLinkAboutBuilding Permit 04-0443 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT See Main File (Please type or Print and sign. at bottom) ADDRESS Date Rec' d I.J '.]0 -D'-j I PERMIT NO. 64. 04431 I. White 2 Pink 3. Yellow File City Applicant 7'9a> pt.dPP- )/Pitft?=:> ~I..- LEGAL DESCRIPTION (office use only) LOT39 BLOCK J ADDITION 1:'1IIi3l#t. ~r ~ 4/hrTtJ"L OWNER (Name) f{;t-.rE.- JlMI'f L-5 G-/S I1Ml2r7ttv~~~/ (Address) BUILDER (Name) (Contact Name) (Address) ~A111.e.- _&~UO TYPE OF WORK ./ li3"N ew Construction ODeck DLower Level Finish o Fireplace PROJECT COST IV ALUE (excluding land) $ o Misc. /. {(. c, Permit Valuation I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee This Application Becomes Your Building Pennit When Approved ~~4 '-!.o ~ 5//~h'l Building Official Date I I ZONING loffice use) PUD PID 2.5. 46z-. 03'1. () /jv'$ II//), ~. !fk, (Phone) &6'/- //Sz. -SZ.oO OPorch ORe.Roofing s5' /ZI /.,/Z'~/- ~~$-5 ORe-Siding DUtility Connection $ $ $ $ $ $ $ $ $ D.5" GS y,r' J. 'f'5(J I tJil .7.t::;O.O(J if~. dO 1201J.1Je} 7(}(),00 1/ I ReceillNo. By lJ...-- r! 4MC.7 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;.Jemporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be i~ ~ s/I'fi~ See Main File Planning Director [}ate 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 (Phone) (Phone) DAddition DAlteration 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 offici can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may ;reru~t?z.:de;:spe s J5' t - /31/ 1}~~~ -f'./.J"IM ,/ Signature Contractor's License No. r. / Dafe b "'9~.()()a6J(I I $ 1hz 7.S-O I $ t" to?,ff I $ "'I,f; tJ?J I $ I $ / tJC), ()O I $ IOOd)e) I $ 3S:~o I $ ~,tJo 1 I Park Support Fee I SAC I Water Meter ~'~ 1"; I Pressure Reducer I City SAC and WAC I Water Tower Fee I Builder's Deposit I Other I TOTAL DUE Paid Date ~J 'I rl ~,l-_.r t? ,t./XYJ , > # # # # 'l.~~~ PRIG", <: i- ~ ;/ iJ rn Tht(-rnluoflhrl._hCounlry White - Building ~anarv - l:n~on"", ,..~ Pink- -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED .,,~. - J--'ULnj 4 ~~0.0 4-- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4.QZQ {~L_LJ'rr-: I.f-n Accepted X Denied Accepted With Corrections Reviewed By: /J11f3 ~a_ 1YlC,(h f','(r Date: O--/3-0t.! , 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." t~1 See Main File White - Building Canary - Fn'JinPfIl;iS ~lnK - Plannin The ("en..., or lh..l.gk.. {'ounl.,., BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED r-ULTC 4. --YG (, A - _._J . -'~- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4-0z0 " ~".". .-- Ie G 1'1- /'-. I I __ i Accepted / Accepted With Corrections Denied .' Reviewed By: I Comments: ~ ~ ~IJ Date: ,~~;0 cf s~~ }\1lahi Filt "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." t~~ See Main File <:)A1I'l;ta - ~uildi'iiV Canary - Engineering Pink - Planning -- Th~ (.rnlrr or Ihf I.akt (.ounu.... BUILDING PERMIT APPLICATION DEPARTMENT CHeCKLIST NAME OF APPLICANT APPLICATION RECEIVED PULTh 4.30,04-' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4QZO (3LUr:r:: 1+1 ~ ~ Accepted Accepted With Corrections Denied Reviewed By: ~AUP ~ t/edJ f-J Date: 6;/~ c; 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." CITY OF PRIOR LAKE PLUMBING PERMIT Date Rec'd r;,./5. 01- 1,B1ue File 2. Gold Cily 3, Yellow Applicant I PERMIT NO. 01'. 044--,? I (Please !VUe or orint and sign. at bottom) ~Jj?~d'~ - O#Z /?~(/rr ,H'b/G/f';/5" -nv9 / L nZo dl- -~..3 c/' 4-9 Z Z- (J f-- .rr.,-,..- 49' 2- ~ .# tJ ~. 0 ,,4__ LEGAL DESCRIPTION (office use only) ZONING (omceuse) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICANT (Name) Vq/I-ej PIc......-..-. /"''''0 -'--'~ <"-. (Phone) (Address) '8-/,;,0 Q.........c.k......- ,;1.,,<. ~o,..d&-,.., (Address) (City) (ContactPerson)ChY"'l:. M()rrl'~ (Phone) A-I:Jot.--<' APPLlCANTSIGNATURE~or~,- _L"....-c=. DATE r;,-I5"-O~ APPtf{ANT PLEASE COMPLETE BELOW Quantity I Type of Fixture I Quantity Bath Tub with or without shower I Rough-ins I Dishwasher I Water Heater I Floor Drain Water Softner I Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) I Laundry Tray (lor 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly I Sinks I Backflow Assembly Test I Bar Sink I Lawn Sprinkler Water Closet (Toilet) Other 9S.,::rLf CJ .f;> ;;9/5 , SS;3S,:< (Zip Code) Type of Fixture FEE SCHEDULE Industrial. Commercial & 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 Permit # (l/1 {O t1~JL !li//I/O PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ .50 (Office Use Only) - This Application Becomes Your Building Permit When Approved Building Official Date I Paid_____ IDa~./S',o4-- I Receipt N . I By 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714 7-04;12:03PM;, "952 894 0925 HI!:ATtNli/AU<' LUN1JIIIUI~ll~\:>ll'l1u.,rLJU...I!. r.l!.NVU.l # 4/ 17 (Please.!VDe or Drin! and siC1tl at h~tf:t"'Im) ADDRESS - __U_ L\Y J.O ~ h J c::::f' : ;;:.~" ~:~ I PERMIT NO~ "'~""'-.J... J.\lellow Appllclnt ~.~ H+=, \(~ I ZONING(offi~.") l ,J; if ,~ LEGAL DESCRIPTION (office use ooly) .LOT BLOCK ADDITION I' PID DWNER~ :Name) 1'\ l. 0 ~ .\-\0 rn T' 5- hn~~ '"1>n Iy (,Yo '1\- (Phone) (,pS \ -l..iS'2 - S L.OO ~\ll('. ~n g:,1L.1 (phone) -.9s~ -XCi (j-f'Yr'.)S; <<" :Address) i<., \s I\PPLICANT (Name) ~ "..... , b...... BurnSVllle H6i::1.11IlY ()o. .'....:;., '- -- 12481 Rhode Island Ave. So. Savage. MN qi\l!drQ-;j t2t (City) (Zip Code) , 'iJ:::': Address) Contact Person) (phone) Ar /7/} , , 'R Ii (l.JL]a A~ ./7_ DATE 7-j-{)L/ .i.'i',i j;ij Il'PLICANT SIGNATUllR APPLICANT PLEASE COMPLETE BELOW ~NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS URNACE MAKE AND MODEL CO /lnO y (.jc:;illJ.Itl- :Ju 8 - 0 (L\ FUEL ~01J<-.(LJ WE SIZE . RETIJRN OPENINGS S iNPUT '-1<:;; fJ()1 OUTPUT !:f1,1/X) TYPE OF SYSTEM HEATING OR POWER PLANT OWann Air Plants 0 Sleam OGravity 0 Hot Waler o Mectumical 0 Radiation @ir Conditioning 0 Special Devices OVen!. System 0 Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks REPLACE MAKE AND MODEL iustrial. Commercial &, Multi..Family FEE SCHEDULE 1% of job cost Residential. Gas Fireplace $39.50 mioimum $99.50 $64.50 $39.50 :sidential. Heating & NC (New Construction) :sideotial. Heating Only (New Constructioo) Residenti?J. Addition. & Alterations Residential, AC Ooly $39.50 Q~rn !~r-.:1'J39.50 ~-t?Ill.l..l IlUl'L. !!~l[r.nriVG p[;Rrr.rr .~ ~.OMif . -p~ I. Estimated Cost $ Building Permit # REA TING PE FEE STATE SURCHARG TOTAL PE E .50 )Ile. Use Only) Building Offici.1 ~~ L~ I ~ 0 III rtrtrceiPt No. [~atjUl 9 2004 ~ By 24 hour notice ror aU inspections (952) 447- '850, rax (952) 447-4245 f 16200 Eagle Creek Avenue, Prior I ~. MN 55372 Datt -l. I fbis Application Becomes Your Building Permit When Approved PRIOR LAKE INSPECTION RECORD SITE ADDRESS /j92~ I!/,I/FJC HG7&lfJr 12A/~ NATURE OF WORK N61V ~AJ~U~r~iJ USE OF BUILDING ~~A, .. PERMIT NO. .rJ. 04.0443 DATE ISSUED $h~/~~ CONTRACTOR CM.~rE #J11H1JQ PH6NEM'/" -~'I-"'...r 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 GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING a(I. HEATING . ///4 go NOT OPPU.PJ y,NTIL ABOVE HAS BEEN SIGNED ,J(}w~r ~~el Uf;';,t6A ~C! NOTICE 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. INSPECTOR DATE I FOOTING /II?' . ~/~ J.~ , FOUNDATION (Prior to Backfill) Lr,. It Wv~/ /~ I i~.j.,t7 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING J<<? ~iLy~c/ INSULATION ~ dftl/co/ ELECTRICAL A'-'# ,f';t~ PLUMBING () (5. 1# ~/:N~'t/ tI1~ >r7f YUY HEATING (if reqUired) pq'- fl//~/.ry/ FIREPLACE . , GAS LINE AIR TEST ;t(1~, ()'1'/ f ~r /fr//f! /..?~o/ . COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED _LQ~ir I ~ I ~?~y FINALS ...... S-ee- /I~,~ /; /e. , /d~ /t?//J/o,y ?/,,{1 A~ 1 Of" /0,/ 9&/# FOR ALL INSPECTIONS (952) 447-9850 Qlrrtifirab of <IDrrnpanr\! CITY OF PRIOR LAKE , / ~rparfmrnf of 'lJiluilMug Jlusprdinu ,,;b' Final PerIIIitted [J Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 307 of the Un~fonn Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances a/the City of Prior Lake regulating building construction or use. For the following: Use Classification SINGLE FAMILY _ Bldg. Permit No. 6<1- t44-3 Occupancy Type R3 Type Construction VN Fire Zone N/A _ Zoning District PUD Legal Description _ 1.39, B1, TIMBER CREST PARK Owner of Building Site Address 4920 BLUFF HEIGHTS TRAIL SE ContraClor'sName&Address~ULTE HOMES, 815. NORTHWEST PKwl'., SUITE 140, EAGAN 55121 ROBERT D. HUTCHINS ~Pp City Planner DON RYE / BUjlt1yin Ilicial Date' /IJ / / i' /l'< Date' / ' CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS I/f.za , OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o II!SULA TlON .J7l!iNAL o SITE INSPECTION C~E!'PS: )?/~cT/i. c~ / DATE TIME /V;;-!,j~/ g1,# f?f 7// SCHEDULED CONTR. PERMIT NO. o PLUMBING Rl o MECH Rl o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL h~/ ./ ?'/ /- / /Z7 o~ 4i? . o EXIGRADIFILLING o COMPLAINT o FIREPLACE Rl o FIREPLACE FINAL o GASLlNE AIR TST o . #~~ ~h~/o/ ~'i' ./ ('//,C ~.:::--,._.. ~----- (/%e \....-- ~ ;c(WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR RElNSPECTlON BEFORE COVERING ~ Inspector: -- o /~/ "1 ./7 /e- ./ ----- - Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY! INSNOTJ CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS L/'7.20 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION DATE TIME SCHEDULED ;;bq'#r AJ'~ff /A- 7;/ CONTR. PERMIT NO. o c/ - 4/56' o PLUMBING Rl o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ?EcH FINAL o EXlGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL ~SLlNE AIR TST o COMMENTS: 11/ / / / () /h-t'#'itt,.,.,&frr- ~J' rs ,~y t'~~s 2 h e.s ~/;, 1 .c7;-</'(Jr- ...J ~/H' r'JK./ / ./ , r/hq / / C//c Aik: /1/: t"~'1"e/ ~ ~. ft.k.e- ~ WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WOR::}".>..7 RElNSPECTlON BEFORE COVERING Inspector: jP"P/t/7.- Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! lNSNOTI DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED f/Lf4 y' <I?2() ~ f'~ /16: // / ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING Rl o MECH RI o WATER HOOKUP o SEWER HOOKUP ..,a"'ParMBlNG FINAL o MECH FINAL COMMENTS: ~A / ff//'e.ncJ~'{' fy/ oL/-~~3 o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o k ~ /fie ~ I (f; /V~ej ~ru y;'S ~//e / - / h'( / /' /cI/ ;. 9- - ~/L ('It/~{' j ~ --- /7"./ o WORK SATISFACTORY, PROCEED )d' CORRECT ACTION AND PROCEED o CORRECT WORK, C~~7NSPECTlON BEFORE COVERING Inspector: ,/'" / /~ Owner/Contr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. I/'fSNOTJ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!