HomeMy WebLinkAboutBuilding Permit 04-0009
_...FROM : TIMBERIDGE_BUILDERS
FAX NO.
9524403319
Dec. 31 2003 0k:25PM P2
I
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTIO~ PERMIT
lJate Rec'd
I;} - 3/-03
(Please ~~ or nrint ~d ~im at bottom)
ADDRESS
;),0,1") LJ tulk AI I (l,L. f\jw
LEGAL OESeR I PTlON (omce ",. only)
LO'!' d (BLOCK ( ADDITlON
I }));-J/J
OWNER NJ 1-
(Namc) III rrrr- F I 'CUJ2 AJ t=A-u...
(Address) :;t q l/y Bo&o'l-l' TtU., NoN
; ~i~ ~:~ I PERMIT NO. 'J4-. 0000 j
). Y.l:ow ^p~!icI!lt I
~
ZONING (o"."', u,,)
V'L
I~
PlD,J5- 3~J- {);}(-c
(Phone) CfQ-Lp3 - 6394
; ~~~;;~,ER ~tY1i.et1.I~ gv..AuJcfl-:) ~~<)3~e8b
(Contact Name) /1'/ ilC/: LiluMAf-' N
(Addrc") \5D'71 &z,.,DC-t:4vA..-c:;{. 01 , 9\-vA6.G /Vtt\J
TYPE OF WORK
DMi~c
tJ Nc\v~n~ction
~wer t.:\'el Finish
~
05).-.!..J1.f0.s3t3
(Phone)
(Phone)
"5$3;8
OP<ck
OPorch
ORe. Roofing
o Firepbc~ OAddition O.AJteration
PROJECrCOSTIVALUE (oxcludil\Rl.1nd) S ~'(\"O
01 ,'Sidmg
01 fcility C"nn,c;tion
I herchy certlfy that I have fllrnisncd information On thIS il:ppHca~(Jn which i~ to the best of my k.nowledge troe and correct, I ;Us.o certify lnat 1 am the ovmcr or
::!.uthClrized .:lg,~nt for the il.bo\"c-mc=nu.o.r.cd property and tha.t .:tll constrUction will con(cmn to all existing state and lacaJ laws and will proc :ed in accordance W1th
$,~bmlttej t'lan.~ T am aWaT~ that the building official can revoke chi:! permit fnr ju.st Cause. Furthermore, 1 hereby apec tbat the city MlCial or it designee may
entef upon tlle p~n;"Crf7Cdl..:d inspections.
X v~/_ ~ -2a3,849,8f, rZ/3/lr:;>3
- - ~ SiDl<lLUre Cnntractor's Llcense No D3tc:
I Perr.1.it V",lllation
1 Fcnnit Fee
I Pl.n CheekFe.e
St.te. Surcharge
P~n,~~
i Plumbing: PE:rmic fee
I
1 MechanicaJ Permt Fee
I S':'I.\'.;>r & Water Permlt Fcc
I
! Gas r'lrl:place PC!'TT'lir Fee
I ,J~OOO.OO
$ 7l(,75
I $
I $
1$
S
/'50~
I
'-fo,~o
S
$
$ 40.00
1i::iO~C:; :urB~lmng"~/;/oP~V<d
! B\lllding OffiCIal Date
I
$
$
$
$
$
$
$
$
1.7.04- S/SCt1. 2.5
I RceeiP~ ~~v
Bv -r
0-
1 Park SuppOrt Fee
I SAC
\ Water Meter Size 5/8"; 1 ";
J Pressure Reducer
I Scwer IWattT COIUlcaion Fee
1 Water Tower Fee
Builder's Deposit
Other
I TOTAL DUE MUe-?;)
#
;:
#
#
Thl..~ ~ III "r.rtiJ':' rh.\! :n<! ~':-4l.1:n i" lhlll abo"'~ ~Di'li.:.a.tion and OI.:~ompar.Yinr. d(l'llment~ L~ in lc.:O!danC/! with the City Zon;ng Or(!in11lte and may proceed I' !'eque~ted. This dO(:uMeM
when ~iO;n~d by lr,!:: C:"':' P~l!lIV:'l: (.cnMitute~ i1. lcmpor;uy Cer.if..=.1.te of Ziming C'fJm~Ii,'l\ee and ,,1\1)\\'(, coru;l:r\.1t.1jt")t\ to commence:. :er.for~ 1jC,""(:upancy. ... c.:l!1"l: ~k:uc "r O<:ellj!l.lno:y mvsl b<!
I ~o:.<:Ul!J
I
i -
1'1:'U'1n1ngbi'r.:,;ull:'
i Paid
I Date
/~. z,?
/. /,.o~
Date Special Conditioo$, if any
24 hour notice ror.1I insp<dions (952) 447-9850, rax (952) 447.424S
16200 Eagle Creci< Avenue Prior Luke. MN 55372
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
f. 2-P ,0 {.---
(Please tvo~ or orint and siQ;ll at bottom)
ADDRESS ZONING (olli"u",)
L Blue File I PERMIT N' ) I
2. Gold Ci~ . . O'f, (j t7(/ 9
3 Yellow Applicant
:)q 7 c.j BohfL..%
-
1f'A.' J
;)/1../
LEGAL DESCRIPTION (olliee use only)
LOT
BLOCK
ADDITION
PID
. OWNER
(Name)
(Phone)
(Address)
APPLICA'/'R
(Name) Yro M..sJ..,- fib... 1:;,.,,,,_ (Phone) t.<)/-V(..(j-ii'Y7..7
(Address) <;'-tb<:; WI"X')-U.. Sf- n.~_N~h.,- ~/7 ......,_z,?
- (Address) , (C~" :Zip Code)
(Contact Person) ~ r"'"'- ---rh.o..........o 5G..- (Phone) "-S-I- Y t. n - "" 1.1 2. '7
APPLICANT SIGNATURE -.1L r1(PJ DATE
1/ APPLI~ANT PLEASE COMPLETE BELOW
Quantity Type of Fixture I Quantity I Type of Fi] .lure
Bath Tub with or without shower I Rough-ins
Dishwasher I I Water Heater
Floor Drain I I Water Softner
Lavatory (Bathroom Sink) I I Stand Pipe (Washing M! chine)
I Laundry Tray (lor 2 compartment sink I I Sewage Ejector
I Shower Stall I Backflow Assembly
I Sinks I Backflow Assembly Tes
I Bar Sink I Lawn Sprinkler
I Water Closet (Toilet) I Other
FEE SCHEDULE
Industrial. Commercial & Multi.family 1% of job cost with a $39.50 minimum Residential, New One & Two-Pami y $99.50
Residential, Additions & Alteration: $39.50
Building Official
Date
e.;...'...." 04--".7 pa t'l
___50 (J I /fJ fl.-
I Paid .--------r~ cr
I Datf z,I/' f- I By '1--,
(,)
$
$
V--
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, lax (952) 447-4245
16200 Eagle Creek Ave" S,E" Prior Lake, MN 55372-1714
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please tvoe or 'Orint and SilW at bottom)
ADDRESS
.
; ;:;~" ~::y I PERMIT N ){)fN!Nl
3. Yellow Applicant ~
ZONING (office use)
2974 BOBCAT TRAIL
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name TIMBERTDGE BUILDERS
(Phone)
(Address)
APPLICANT
(Name) ATJ.TFD FTRFSTDF DRA FTRESTDF HEARTH &. HOME
(Phone)
651-633-2561
(Address)
?700NORTHFAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
1/9/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPU r
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVen!. System
o Steam
o Hot Water
o Radiation
D Special Devices
o Other Devices
PLK lSE NOTE:
Air Conditioner Units
Cann It Encroach into
Requ red Side Yard
Setb, cks
FIREPLACE MAKE AND MODEL
HEATN GLO SL-750TRN-C (2ND Firenlace)
Industrial, Commercial & MuIti.Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Residential. Additions & Alterations
Residential. AC Only
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAJO-Wmi
.~U1LDING PEF IM'T
(OfficellseOnly)
Buildine Official
Date
I Paid
tD~
Receipt No.
This Application Becomes Your Building Permit When Approved
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
.
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
Building Permit ;:
Site Addnss
i~~
Z97C/- 6v~~ing~
Subdivision: vJ~ ~7"~
Date:
/S{-3/-03
BY:~
Legal: L c5l-( B
/
Existing Strllcture@r NO
CONFORJ.vIS TO ZONING
o RD IN Al.'l" CE
"YES
NO
Is this an expansion of the existing footprint or
building height?
YES
Refer to Planning
NO
Does the alteration include any additional kitchens?
Refer to Planning
~Jo
t'JO
rJO
Is the property located within the flood plain?
Refer to Planning
Does the proposed alteration include any outside'
entrances other than patio doors?
Refer to Planning
1'10
Is the proposed use of the finished space or
alt=tion for anything other than a normal single
family home (office, grOUD home, day care, e(e.)?
Refer to Planni\'1g
~Jo
THIS CHECKllST MUST BE COMPLETED .-'.L'ID INCLUDED IN THE BUlLD[NG PERi'tllT FIL E TO
i'iWNTAlN A RECORD OF THE REVIEW.
r '\T'=:\,rPTJ, ~\ALTr:HC{.DOC
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS J974 130 b~T "TR...L. tJ.~.
NATURE OF WORK -- L.~~ t.EI1 ~ 4. F1 toJ IS" "1
USE OF BUILDING S.F: 1:>.
PERMIT NO. O~ 000 q DATE ISSUED lJ...ZJ o4f
CONTRACTOR ~aJ)8"JI.C..... PHONEj:g-ll'iD-:n I'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTIOI ~
INSPECTOR
DArE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
1/1'/ l-<~
/
!
I
I
l
\J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNE 0
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
## 1f/~1;1
]//~:,I
~n ~LjI'tlL(
/'/ff ///0~t
OCCUPY UNTIL ABOVE HAS BEEN SIG NED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in insl ections
and maintained until all inspections have been approved. On buildings and ae Iditions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
~9?~ /1dbC~/
~~~;, e
-'
hA.o-/
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
[JJ!l'.ULA TION
~~L
o SITE INSPECTION
COMMENTS:
OY'rfr,'(t:'; /
_ f
hh//4ct<'
U~'-e. @
,
-
P~-ecL:r
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
[J ~R HOOKUP
~~.BING FINAL
p!I1olECH FINAL
/3;;4< /
h-""/ .c?~
~_,'h/d
r~~ I 63!7k
@~
DATE TillE
O/~(
7;-/
L1~ - '7
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
p1!iREPLACE FINAL
o GASLINE AIR TST
o
A
L0/'I -e-.
~/; /cc/
--
,
~
~
(~;e 4;;')
~RKSATISF~ci':;",,'. ...'w"""" ~
h C~~RRECT ACTION AND PROCEED
o CORRECT WOR> J,.#OR REINSPECTION BEFORE COVERING
Inspector: F~ ~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY/
IN$NO"