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!