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Home My WebLink AboutBuilding Permit 04-0444 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec'd t) - .y;-o4 I PERMIT NO. 04.0 H4-1 See Main File 1. White 2. Pink 3. Yellow File City Applicanl (Please ~ or orint and sign at bottom) ADDRESS ZONING (office u,,) PtltJ ~9'ZZ- .Et.4.P? )/fi~ 7M'F<"'- LEGAL DESCRIPTION (office use only) LOT 3?BLOCK / ADDITION -hm15l/l ~r p~ ~dA:fft PID 25. 4-02.. 03Y 0 OWNER /J J I (Name) rULiE:-- /tt>>'J1fi3-S (Address) tflf MJl-.THItIlhr 'pAil.KW7.' .5rJ1T& J9'ti, BUILDER (Name) (Phone) ~51-'i'sz..- SZOQ ifA6An, J1J" 5S"/Z-/ .:5NJ1 e- !:ttar Z 1ASC#JU) (Phone) (Phone) t.lz.-2-Z'/- qf'~ (Contact Name) (Address) / pNew Construction DLower Level Finish TYPE OF WORK DDeck DPorch DAddirion ORe-Roofing ORe-Siding D Fireplace DAlteration DUtility Connection /,~ (!, 9t.a::b o Misc. PROJECT COST IV ALUE (excluding land) $ 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 plan. 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 :rerup;~~rog~ $C--/S7/ ?:hcviY' ~ T Signature Contractor's License No. /)Dav 1/9~tf"P6,tlP I 1$ //)'2-7,>0 I 1$ ~1D7.J"r I I $ '1J? Of) I I $ I 1$ I{)O.Of) I $ j"ttJ. tJ() I $ ~S:Sd I $ ~d.O~ I I Permit Valuation I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee Mechanical Permit Fee I Park Support Fee I SAC I Water Meter ( Si1"e 51V, I"; I Pressure Reducer I City SAC and WAC I Water Tower Fee I Builder's Deposit I Other I TOTAL DUE r;.r~7 .,i" {,.l...' r--- $ $ $ $ $ $ $ $ $ S-S-&3 .t'r # # ISS-C, ~" 2.S"4. cJ 0 45;. (J cJ /ZOttJ,Od 7~, {)d # # Sewer & Water Permit Fee Gas Fireplace Permit Fee (" Receip 'J-<o. By /~. U q-~7(,7 This Application Becomes Your Building Permit When Approved ~~:a) Paid Date .s-/;Ih~ , 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 when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be ~ ~ ~~);y See Main File Planning Director Date 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 .~ ~~ See Main File White - Building Canary - Igngineering <:fInK - t',annlna -., ~- Tht Crnrrr..r Ihr Lakr ('ounl~. BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED f)VL-TE:" 4 3C.o4- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4L7 Z 1- l!.-e 0 ~._~ r:;" rt I :.., . J. Accepted / Accepted With Corrections Denied ~~ Date: s? 0 y' .. Reviewed By: Comments: ~ ~ee Ivlain Fil~ "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." .~~ /e Th" C"nft'r of thr l.abCouIIlry White, - Buildina .".....--canary - Engineering----, .....rn-<<- - t"laulllng BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED {.)Uc TE:" 4 30 04- . . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4-t~1 2.Z- ELuF'::- K \ :::::, . Accepted )( Accepted With Corrections Denied Reviewed By: 1YJ4i3 Sf; L- /Ilt:, /^ Date: . S-(3- oy Comments: h'k "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 ~itll 8uild~ Canary - Engineering Pink - Planning lhCenlfrnr,h..I.lhCounln' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED. PUG ---re; 4- '30,04- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4t1 2.Z- I3LUF~ r+ IS. Accepted /' Accepted With Corrections Denied Reviewed By: -;3LA~ 'T/jJ~ Date: ~ /,/01 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." ;952 894 0925 # 6/ 17 ......"..'" ...",,'" U ................ .... '-'..... ... ..~_....." ~.l.a.A."'A.J HEATING/AIR CONDITIONING/FIREPLACE PERMIT '! q'leasetype ororint an~~~1m a.tbottom) . ADDRESS . '-\C1?:A ~h Jc.:+' ;~ ~:~ IPERMITNO.A~_ ~~ ). Yellow AppllGlftl .......,.....,....... ~ H-\-<s \(~ ZONING (oflk,us,) I ,I r~ LOT BLOCK ADDITION PID n I LEGAL DESCRIPTION (ollict us. only) OWNER~ \ \ _ (Name) t\... () ~. ~) 01-1'" OS (Address) ?\\S ~\:.!"c;r\ "l>n./'v ,,--Yo T APPLICANT (Name) (Address) BurnSVllle n""'ll 'Il .; ::-:::, lob'.: 12481 Rhode IslandAve.~~o. Savage, MN ~~ildrl?s-sj I z, (phone) (oS \. ~S2 -S200 ~ ll.\() . F~(i...,'1 3:::.12_1 (phone) QC:;ri -gq(j-~ :'i.' I II 'I ;W (City) (Zip Code) w<: b~ (Contact Person) (phone) (.-J( M _ , 1< 11 ~ J, /71'7 An ./7 DATE 7- j-oL! APPLICANT SIGNATURE APPLICANT PLEASE COMPLETE BELOW ~NEW CONSTRUCTION FURNACE MAKE AND MODEL [0 /J nC'y FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM OWarm Air Plants OGravity o Mechanical ~r Conditioning OVent. System o REPLACEMENT 0 ALTERATIONS (;'c;UlJ,::7 - ;JUt<'rOI../_) FUEL J'2~~ 5 OOUT t../<y f()1 OUTPUT !:I..4-1/Y) HEATING OR POWER PLANT o Steam ' o Hot Water o Radiation o Special Devices o Other Devices I PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL Industrial, Commercial & Multi-Family FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace 539.50 minimum $99. SO $64.50 $39.50 :Residential, Heating & NC (New Construction) Residential, Heating Only (New ConstNction) Resident~I, Additions & Alterations Residential, AC Only $39.50 $39.50 Estimated Cost $ Building Permit # ~1JV'0~'(L~ ~u;.ur~~G...fi': !/"'1':~rJ~l n n '<7\ , fu .OYC\9.J""'L~ -p~ ~omc. Us. O.ly) .50 Building Official \ VWdll3 ~ [\ ~ ~ \11 Receipt No. ~r~L 9 2004 J By 24 hour notic. for alllnspoctions (952) 447. 1850, fax (952) 447.4245 16200 Eagl. Creek Avenue, Prior I ~.MN ,,1?' Date ., I This Application Becomes Your Building Permit When Approved Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT (;./5. (}1~ 1- Blue File I PERMIT NO ~ I 2 G<>1d Ci" .of: (! ""- .1 Yellow ^pplicant (Please type or print and sign at bottom) I ~Jj~~d"~ - o-/-IZ Mt..(/r-r /I{;/~//7..s- 7Rfll L ~Z.O - -f4-.3 VI 4-92 Z- - "'t-~~ 4Y Z- ~ -# () ~. () ,,"'.r LEGAL DESCRIPTION (office use only) ZONING (officell") LOT BLOCK ADDITION PlD OWNER (Name) (Phone) (Address) APPLlCA~ (Name) q//-e':j Pi........... b,'-, 0 ~L~ c. . (Phone) (Address) g-~c> c:;p.........c.K....,..- A".e. "3'o/oIc-.., (Address) (City) (Contact Person) Ch..... "- MOo- I'S (Phone) /'rhov-<!:... APPLlCANTSIGNATURE~~"_~ DATE ~-/5"-OL./.. APPt1{ANT PLEASE COMPLETE BELOW Type of Fixture I Quantity I Bath Tub with or without shower I I Rough-ins Dishwasher I Water Heater Floor Drain Water Softner I Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) I Laundry Tray (] or 2 compartment sink Sewage Ejector I Shower Stall Backflow Assembly I Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler I Water Closet (Toilet) Other qS~Lf9 ~ r::91c!!J , SS$S.:< (Zip Code) Quantity 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 # (l11/0 tJ~;L JJrI/I/O PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ .50 (Office liSt Only) This Application Becomes Your Building Permit When Approved --- Building Officifll Date I paid_________ I Da~. /!O, 04- I Receipt N I By 24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245 ]6200 Eagle Creek Ave., S.E., Prior Lake, MN 55372.]7]4 PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 1~z $!P~ rIe/(;,~?S '7""AjiL NATURE OF WORK Hew ~~#rrItI,er'iJlU USE OF BUILDING .!!J:': A. . PERMIT NO. _04.044-4- DATE ISSUED ~'I /t;1/ CONTRACTOR j1.I~"'G ~ PH NE~- ~2/.apS NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DJlTE / I FOOTING I flP,f I 6/'Y"/'( , FOUNDATION (Prior to Backfill) 4.,j/ UAIK ~ I i4!f;i PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIG'NED ROUGH - INS SEWER I WATER I SEPTIC FRAMING ~Pi- ?~6/~~/ INSULATION ~ ? ~ ~/c;r,/ ELECTRICAL r .., fI/ d/P'f . PLUMBING ,t~ Q' 61f.,/o C; Pt'4 jy/R&lc.j HEATING (if required) ~ ~6/~ FIREPLACE . /. .01 / GAS LINE AIR TEST ~'/f/ /)-/t/ f 7#' ft# Y.8o/o/ COVER NO W9.RK UNTIL ABOVE HAS BEEN SIGNE~/ I ,. /,I(fft - I ~ I f/40/" '. Jlo/,iJ J/e,'r /lE~c-1J FINALS <./ GRADING (Prior to Sodding) S-e e ~.It ft % ~ BUILDING ~~ /(j/I">~'" ELECTRICAL o/--?W~.. . PLUMBING /ff~ ~ j j";4P, ~ I HEATING , /#I ~0~V DO NOT OC;'UPYJ UNTIL ABOVE HAS BEEN SIGNED kv{" /eu'l.i IS u"f-/Lf,/el 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. FOR ALL INSPECTIONS (952) 447-9850 <tltrfifitab lIf @trnpaut1Z CITY OF PRIOR LAKE . ~rparttttlmf uf ~uilOing Jlnsprdiun .P' Final Permitted r:::J Conditional e.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 fallowing: Use Classification SINGLE FAMILY Bldg. Permit No. (74- () 444- Occupancy Type R3 Type Construction VN Fire Zone N/A Zoning District PUD Legal Demiption L38, B1, TIMBER CREST PARK Own" of Buildioe SiteAdd"ss 4922 BLUFF HEIGHTS TRAIL SE Contractor's Name & AddreslUl. TE ROBERT D. HUTCHINS 0. )2dinVJfficial /0 / J' 0<,/ f HOMES, 815. /4{!'t?/ // ,<:---:"'- NORTHWEST PKWY., SUITE 140, EAGAN 55121 City Planner DON RYE Date: Date: CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS ~9.2.2 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION .2-FINAL o SITE INSPECTION CO,.,.MENT.$: ghc 7n (-h ( DATE TIME SCHEDULED ~C~~~ / ' J1J:#,#;- 7r / . . CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL .-<" . /f //h-f / /);,,, e ~- ~</y/ o EXlGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ~~~~' G ~~V-L A -io P:a~ jrr//~/~.</' J 6.i'1:hY all decA ~OC7//cS 9"('_ .?4s~/d-d ./"" /" / /-/M"'t (_ - .-,/ C/l c.. ~/ ~3~ ----....... a~' ) ---- --- ---, A WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ Owner/Contr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ U<SNOn DATE TillE 7/Jr/cf Y9..22 ..tSkM- N 7;-/ CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH Rl o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ,.....a1IECH FINAL o~- .y9"~ o EXlGRAD/FILLlNG o COMPLAINT o FIREPLACE Rl o FIREPLACE FINAL ~ASLINE AIR TST o COMMENTS: ffhflC1P7-& h~ nc5'~ 1;7 - ~J.~Ae.$ ~/):, J Li:;~- -I- <-<-//.4/ e/k./ / /& G {?, V" / cJrS-?// --7:eS/ /~~/ uL /WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WO~';;, ;);~R REINSPECTION BEFORE COVERING Inspector: ?f/Pj-- Owner/Contr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. /NSNOn CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! rJrloi ~~.2. g'/u// #%7// CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED AODRESS OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP .,A!M>LUMBING FINAL o MECH FINAL COMMENTS: /440~&;;'-- 7;;' / TIME o~-9'"yr o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o o;{ r"l) ~e/ /JY!/f/ /hu~//C'/ .- ... fC) 6""v, /~(;" <;: /-;;.. / - -./ / ~/C e--Aec;{. o WORK SATISFACTORY, PROCEED AORRECT ACTION AND PROCEED o CORRECT WORK, C/'J/'REINSPECTlON BEFORE COVERING Inspector: ~ Owner/Contr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSIIOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! DUftNSVILLE Heating & Air Conditioning, L.L.C. /2481 Rhode Island Ave S, Savage, MN 55378.952-894-0005 Orstat Test Report for Job# /oI.J.3:J. I] Address~dd 1\\u...\~ ,"-t--", City R',Dr LaL Occupant Date of Inslall Type of HT. F/A ..............HW Space HT Unit HT Other Date Tested Company Technician Make L-e...n f'1 C\t Model G-btrl1~~dl..je-045'-()1 Serial r:;:;r::( 04- ;::.; 14105/ Input 44 . D:b Pilot Type Pressure Input CFH Stack Temp HOT SURFACE IGNITOR .3,~ C02 '-1</ 02 " C) ~ CO 10. '1 v /0 '6 .-:r "'{T:> L/k, p~ rk)1 BURNSVILLE HEATING & AIR CONDITIONING --- :JCWc"