HomeMy WebLinkAboutBuilding Permit 04-0249
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
3. Z-?_a~
Date Rec'd
See Main File
(Please.!ree or print and sign at bottom)
ADDRESS
). White
2. Pink
3. Yellow
File
City
Applicant
I PERMIT NO. 04-.0244 I
I I
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT J~BLOCK 5 ADDITION ~P,f"~ 6UST 1k2~ .4LJIJ7Ut PID Z5 4-01...080. 0
OWNER
(Name)
PI/t-TE- ~111/5
ffJ5 .d/2T7//.I./Z.S/ AvE-- $E-
(Phone)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
S4-m&
&l2r
7'~ J11.u,
5012-/
,F:;A&'-H1u J
(Phone)
(Phone)
iJl-- ZZI -~t9k5
TYPE OF WORK
/"
~~ewConsttuction
ORe-Siding
DUeck
DPorch
ORe-Roofing
o Misc.
DLower Level Finish
PROJECT COST IV ALUE (excluding land) $
?..?,~/Y\
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. am aware that the building official can revoke this pennit for just cause. Furthermore, I hereby agree that the city official or a designee may
;teruP"2:~:/toZ2e~e~n# .36 - /57 / 3~ 6
;I' / Signature Contractor's License No. 7~~"7
Permit Valuation f~0 OOO.('){) I I Park Support Fee # $--
1~2-C::;:.<;;;o I I SAC ~ # $
(dol? K'f" I I Water Meter ~ze 5/8' 1 "; $
4!?,Otl I I Pressure Reducer $
I I City SAC and WAC # $
I I Water Tower Fee # $
1 I Builder's Deposit $
I lather $
I I TOTAL DUE $ 6i,~. 8~
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
\ Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
o Fireplace
DAddition
DAlteration
DUtility Connection
$
$
$
$
$
$
$
$
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1.SC. DO
4'S: .00
/20a.()'O
7()o. 00
JOO.oo
lalJ, DO
35'. So
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This Application Becomes Your Building Permit When Approved
-~
# 2/0 if
Date
Paid
Date
~..? .J'4'"
4-. /~ 04----
4-t. t.3Y
Building Official
I Receipt~.
By -:J-.
U
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
~:~onn";::;;po'~ ce~fic:;;:~P;" ond illow, ,on'ttucrioSee'.1VIiilnc"Fileanoy mu"b,
Planning Director . r 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
-
Th, C-,nlt. "r Ih..l..k.. Country
<_"Vhite . Buildin9)
Canary - I=.ngmeenng
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
PUt..---rb 1+0 ME:S
:5 .73.04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4-q 4-1 BL. U F r:- /-/-FIG ~ -nu....-.
I
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~
~I'--
Date:
~//G~~
Comments:
See Main ~-'ile
"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 - Buildina
C-- Ca!l!!rv - I="s[!leeriiiif:>
Pink - Planning
Th.. Crnlu of thO' l..h COUftl11'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
'application for construction activity which is proposed at:
I.. !.i r
/'I" f- !
I-f-
I';. I
;C>\.-..
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
m1/J
5t:L f1II4/~ F:/t
Date: L/-~-O'/
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."
~
o.~
See Main File
-
The ("I'nl..r of lh..l..kl' ('nunlD'
White - Building
Canary - I;nqineering
<:::ein1: Dlann~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
-
NAME OF APPLICANT
APPLICATION RECEIVED
- I' I,'
I L . lie
lr-
The Building, Engineering, and Planning Departments have reviewed the building permit
, application for construction activity which is proposed at:
,~ f
j ! '
I" ~ '
! i ;,
If i
,
I ,
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l
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
~
,
.:fo.-j2J--'
Date:
-1//2./0 '-/
,
Comments:
See Main.Eile
"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."
Mar 23 04 03:32p
METRO GENERAL SERVICES
763-428-2968
p.3
GREEM . filE
YElLOW - APPLICANT
GOLD - CITY
FAA
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
~5l.:- Jltf 7- if'], t1r
s.w No. ~...~ lffj
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLICANT:
",1eve Cenerat ;:;"'. v;...."'. inc.
5790 Quam Ave_ NF'
St. Michael. MN. 55376
1Cftfllftff fldj/Jf\ -YtJ if
fILL IN THE BLANKS
Estimated length of water service /) 0 feet.
/,1
Size of water service inch(es) .
PHONE:
DATE:
BLDG. PERMIT #
PID#
ADDRESS:
SIGNATURE:
SITE ADDRESS:
1-
2.
3.
4.
'~, 5.
Type of sewer pipe.
ABS
from structure
/ III
PVC ~ Cast Iron
,--5D
D
feet.
Location of any couplings
Estimated length of sewer line
feet.
6. Clean out (if required), located at feet from
structure. ,
========================~============~==~=====================
This application becomes your permit when approved.
BY
DATE:
============r=====================================================
Pwhed w.'!-4.
FEES: f] Idj fJnM,1-- Sewer and water line connection permit.
,_ Surcharge
Nt) f-ee-. TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recor~"', ~n "".ebuilding permit card at the time of issuance
~o in$ur~ ~n~t no duplicate sewer and water ~~~~re
1ssueql. . '"'r vn u.v W~~ii'iJ
DATE PAID ' APR 1 5 2004 AMOUNT PAID :.;,,ji.:.D!NG 1?~!Mrr
RECEIPT #',
REC'D BY
1)"
'-
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (QS2) 447-4230 / FAX ('1$'2) 447-4245
An Equal Opportunity Employer
~PR-19-2004 MON 09:36 AM VALLEY PLUMBING JORDAN
FAX NO, 9524922617
p, 02
Dllte Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I,SIIK Itile
2. Gold thy
}. VtlJaw ApPlitli/ll
I PERMIT NOU_ ~
,
I I ZONING IO'lie,",,)
Q'1easc ~ OT nrint and sim a.l bottom)
ADDRESS 1A \ I , I j ,/j f'I" rv'\rd ^ 1\ 'l
~q~\ ~l ~~.:~~
, LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
OWNER...() ()..I-
(Name) 1-' I \ \I -1 0
(Address)
(Phone)
, APPLICANT f\ \ ~ .
(Name) \h ~ l'IjJ q_ I-' \ \ k.. '0\1f) t ~
(Address) ~ ~ 1(\ \( 0 " -k ~
(Address)
(Contact Person) _.1})n O~Y\
APPLICANT SIGNATURE /.A A ...;... '/1/J I'YJ./L..V,
Quantity
&.
I
J
':l,
I
\
I
'=\
(phone) G\S8 - 4 ~ ~ \ cil_
J tOLlri 0. n 5~?J5a-
(City) (Zip Code)
(Phone) ~ -,)~01
DATE LJ -/q -{) 4
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture
I Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
I Sinks
Bar Sink
I Water Closet (Toilet)
Quantity
~
1
I Type of Fixture
Rou~h-ins
Water Heater
Water Sol'tner
Stand Pipe (Washing Machine)
Sewa~e Ejector
I Backflow-Assembly
I Backflow Assembly Test
I Lawn Sprinkler -
I Other
FEE SCHEDULE
Industria,l. Commercial &. Multi-fa.mily 1% of job cost with a S39.50 minimum
(Offi,. U.e O.ly)
Residenti.l. New One &. Two-Family $99.50
Residenti.l. Additions &. Alto...tions S39.50
Estimated COSt $
Building Permit #
BuildioC Official
"01 diJI(;,r..
i:.;.,rJ^ "''-' Jfl-
. ~ll.rJtfIJ(,~/~J?:::'
'J;jA~-.,
"['''~.-
"'W;}r
~ -----.--"'~-::-';"~
I\~d? rc: '; , , ~ ,%eIPl No.
I ~ It 0 I. I, 'I'
D.t. l 1:' APR' 2 1 2004 \,~':
24 hour noti<:. Cor all in.pectl.n. (952) 447-98: b, fa. (~S2) 447-4245 1
16200 Eogl. Crock Ave., S.E., Prior Lake, !!W ~S371.1714 ..---
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
This Application Becomes Y OUr Building Permit Whon Appro~ed
5-27-04; 2:54PM; ;952894
u~ II .)J;;;) ...u-"n......n~/.C'........... '-''V.lUJ.........'V.'A.'~.A U~A ~a~~ A ~A~'A...A
~Nnbl
0925
# 6/
9
'lease tvDe or Print and siat at bottom'
.DDRESS ..----.-----.
LL~ Y 1_ ..'1\h~ #J H-+~ 11' CA...-0.
EGAL DESCRIPTION (ollice use only)
L Pink
2,Grun
J. Yellow
~!I~ I PERMIT NO'AJ G21urJ
Applle.llU U7. ~
I
ZONING (officcust)
!li,
~r,
~
i
~f
,~~
t
ADDITION
Pill
m
WT
BLOCK
~~~\ ^ 0 ~_:--..~~();,
,ddress) '6 \~nUA~~ \II ~+ llifu ULL( ,
PPUCANT
<ame)
R, rrn~villp. Heatino & AlC, LLC
12481 Rhode Island Ave. SO.
~<>"Bl1A MN 55378-1122
(Adrlress)
(phone) IpSl- US) - ~7()()
fc~qnn I )--In_ c;..,S121
(phone) QS L - X' yLJ - ('j()' _'r;
ddress)
(City)
(Zip Code)
Dntact Person) (phone)
'PLICANTSIGNATUFE (~L'nt1.J _RJ\QJJ1CLhOl a DATE S. d/ -(Y-I
APPT.ICANT PLEASE COMPLETE BELOW
. . I)(lNEW CONSTRUCTION -- 0 REPLACEMENT 0 AI.. lERA irONS
RNACE MAKE AND M;ODEL Ion rl (Jy i f FUEL --tJ!1 --j 9QLJ
JE SIZE RETIJRN OPENINGS -r INPUT lFl,l ()O() OUTPUT ':1L......L/(){)
TYPE OF SYSTEM HEATING OR POWER PLANT
oWarmAirPlants 0 Steam'
oGravity 0 Hot Water
o Mechanical 0 Radiation
oAir Conditioning 0 Special Devices
oVent. System 0 Other Devices
PLEASE NOTE:
Air CoIid,itiODcl'" Units
Cannot Encroach into
Required Side Yard
Setbacks
SPLACE MAKE AND MODEL .
arial, Commercial &. Multi-Family
lential, Heating & NC (New Construction)
lential, Heating Only (New Construction)
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Resident~l, Additions & Alterations
Residential, AC Only
$39_50
$39.50
$39.50
,;~
.,
}~J
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
BuildingPennit #~_~~
$ Xi3\i.- ~~~~~~..'.~ ~J. ".
$ .50 J)v....nJL6 {,J.;!..AJ l \.)J'--'
$ / T
Estimated Cost $
Use Only)
IS Application Becomes Your Building Permit When Approvt ':::; ~. ~;~ ~ WI rE -::I, I
. Q~' ~\
Building Official Date ~\\JI . U~I II ') ~llnA :.
24 hour notice ror all Inspections (952 ,Jij\7.9850. rax (952) 447-4; '5 I
16200 Eagle Creek Avenue, P 'or Lake, MN 55372 I
By_ ___'C--.--- ~
I Receipt No. .
I By
PRIOR LAKE
INSPECTION RECORD
19 ~ I &upp #E7(g,Nn' Tl2AI'
NATURE OF WORK N6l4J t:tJ~S1 ~W:~ftJN
USE OF BUILDING 3.~ ,..
PERMIT NO. 04-.0u.-q DATE ISSUED Lfll.ll)'\
CONTRACTOR 'PLu_~ ~rKiS PHONE("ll.- 2~
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
SITE ADDRESS
INSPECTOR
DATE
, FOOTING
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH. INS
I SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TESY4r).... ,ft)"c."r f ~' ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS _ ____
I GRADING (Prior to Sodding) .....") e e ~ -? f7 0-
BUILDING ~ ,f'/l7' /oLj
ELECTRICAL !"//6(CY
PLUMBING I'#,f/ f!-{6~
'HEATING ~ g'/1'la~
, DO ~OT pcrCUPY UNTIL ABOVE HAS BEEN SIGNED
,/t.l 15 0f-/xr'Jkec 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.
##'-
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FOR ALL INSPECTIONS (952) 447-9850
QIrrtifiratr of @rtupanru
CITY OF PRIOR LAKE
, ~rpadmruf of ~uilMug Jlu5prdiou
'Final Permitted D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying
that at the time afissuance this structure was in compliance with the various ordinances afthe City of Prior
Lake regulating building construction or use. For the following:
Use Classification
SINGLE FAMILY
Bldg. Permit No.
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
PUD
Legal Description
L14, B3, TIl1BER CREST PARK
Owner of Buildioe-
Site Address
4941 BLUFF HEIGHTS TRAIL SE
Contractor's Name & Address PULTE HOMES, 815
ROBERT D. HUTCHINS /~;t;/
/ Buildl,Pg ~f~ia]
Dateor / /? /d'Y
-/ '
NORTW.-JEST PKWY., SUITE 140, EAGAN
55121
City Planner
DON RYE
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
#/lr- TIME
ADDRESS
9"9'7"'/ /5~ if __ ;/~- /7/
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
o PLUMBING FINAL
.Ji'li!ECH FINAL
COMMENT~: ,,/ /
/:7t''t!'.H.Q.He~ /-r-/ ks- /
~"h /' d..-/<"____
~~A.;.s hi k
C-/{L
;7-
/'
r/ P7"'7
/
;'
,,?)/!'
C/t'L
~
C!)~ ---2 ~p
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
..&J-GASLINE AIR TST
o
/'")
~r
'-<---./ ...:;/
..
~ WORK SATISFACTORY, PROCEED
/2; CORRECT ACTION AND PROCEED
:S::O:ECT WO:/12lINS:~::::::FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
-Y//7'~T
.//9L// A'dIJ/ ~,~/- 1-, 7-/
- ,/
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
C)~.2.::/9
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
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENT$.: ../ . /f '. / _ /
~/l"'C 75-, C<;. rhh'7 / /-J..u> K/ /~/~
(/I..-/k:rf .X;'4/ ~L _~/"0tJ~ /
a, c4...f tf' /7//,,1."" i o~ J/:/,.?u /
AIb/r- .' _. "\.' I
..,/o..e-r /eh'~ ;<J v"...j-;"c.J.tf"ul
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\ (/~C's--e // / e_ 1 /-
D~RKSATISFA PROCEED / ~L
~ CORRECT ACTION AND PROCE ------
. :s::o~ECT /J2ZEINS::::::::FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETYI
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