HomeMy WebLinkAboutBuilding Permit 04-0248
(Please!ype or print and sign at bottom)
ADDRESS
'1939
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
Date Rec'd
S. ?.?..o4-
l. White File I PERMIT NO I
2 P;ok C;,y . 0 A . 02. AAJ.
3. Yellow Applicant 'r" ""r II
Z"-t(,Fr J/ft/t.h'T- 'l/IA-IL-
LEGAL DESCRIPTION (office use only)
LOT ISBLOCK.s ADDITION "hm8!:/t tlttr;.r fA,Zt( Aoolnt:.A-1
OWNER
(Name)
PIJJ.-TE: JlOh1t'~
6/5" /dJ2TNWr!o,r AlIl~ sE
(Phone) 1$/- 9.5Z-5Z00
fA6A-1~. rfll-l5SIZ/
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
SAm f:.-
&01"'
~lfl.( ~
TYPE OF WORK
o Misc.
~w Construction
DDeck
(Phone)
(Phone)
DPorch
ORe-Roofing
j I
ZONING (office u,,)
PUD
DLower Level Finish
o Fireplace
PROJECTCOSTiVALUE (excluding land) $
DAddition
DAlteration
PID Zo. toz.. OBL i'J
61z, U/- ~o/.s:S--
ORe-Siding
Dutility Connection
~,4t7.1
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 official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the pr rty to perform needed inspections. /~
X #;~~:.: ~ 15C--/37/ .3/ZI/.~~
(1' Signature Contractor's License No. / te
I
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
\ Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
it C;;fG:, 000. OD I
$ /' I
07.7. so
$ ''107S1F I
$ Lf,?,tJo I
$ I
$ /00.00 I
$ tDO.Do
$ 35. S'o
$ l(() . 00
~come:;;r,~ZP:!~:2r;d
Building Official Date
I Park Support Fee
I SAC -----...
I Water Meter <..size 5IP';',/I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
$5~_ XV
4-./3.04-
#
#
f350,DO
z..;;- 0 . t:) C
t.(<;;: . aD
11.oo.CJ 0
700.0el
#
#
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
~hen ~igned hY=.Plan~mpor~ cmmi~:i;~lian" andallow,consttucseenCMaTif Fi1erupan~ mu"he
~ Planning Director I Date' Special Conditions. ifany
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
r t,;anarv - Enoineeri(ijp
Pink - Planning
ThO' (-rol..r of Ih..l..k.. ('Ollnl"..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
, ,
L...! I . 1--rT::'
I \j> I C
'\' , -'
r' . "" I..'
, ".j \ t "-...
(4-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,,::,9 I.) F r l'iL! (::, I r=-i"k>C...
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
M413
See Ilk,);., F,"I,
Date:
Lf-~ol./
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."
.......
S@1
See Main File
White - Building
Canary - Engineering
~.<-~
-
The ('rnlrr of thr I..kr (.ountl')
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I-rC
L.. I u'
\ \
I
,~
/.r-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/
/
r !~
:'!r.... (" f1T
v
,
,
Accepted
/
Accepted With Corrections
Denied
( -
Reviewed By:
~~
,
~'fJ
Date: ~/10 y
Comments:
..
See Mare 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."
~
o~~
See Main File
c"1Nhite - Buildinv
Ciii'illry- ~ Engineering
Pink - Planning
Thr Croff' of tht (.ak. ("ount.,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
PUL-TlO H0t165
5 . 23. 04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4q3q BL.IJFF H86,HT$ ~
Accepted
/
Accepted With Corrections
Denied
~~~
Date:
I/IZ~'-I
Reviewed By:
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."
.__Mar 23 04 03: 32p
4 PRI~
(~'iiYE1
METRO GENERAL SERVICES
763-428-2968
p.2
CltlEU - FK.I[
vrLLOW . APPLlCAIT
GOLD - CIT'f'
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
~~-If'( 7-1f~1./5"
s.w.No()l!-dtfl
1-
2.
3.
4.
_. 5.
6.
FAA
NOTE:
Sewer and Water
contractors must
be registered
with the city.
APPLICANT:
PHONE:
r.J' a,"'re-:Acncl ",I 8crviees, l;:t.:,
5790 Quam Ave. N.E.
St. Michael, MN. 55376
BLDG. PERMIT #
ADDRESS:
DATE:
SIGNATURE:
SITE ADORESS:
qq, 7fJ l)JtJf?*IrJJJ~ 'Jr PIDt
rILL IN THE BLANKS
/jD
feet.
Estimated length of water service
/,1
Size of water service inch(es).
D
feet.
Location of any couplings
from structure
Jill
PVC~ Cast Iron____
.&:fJ
Type of sewer pipe.
ABS
Estimated length of sewer line
feet.
Clean out (if required), located at feet from
structure.
==================;=========;====;============11;~==========;===
This application becomes your permit when approved.
BY
DATE:
========)?~fk:T=~~;4=============================================
FEES: {] Id~ P~~I>I' 1-- Sewer and water line connection permit.
Surcharge
Ne, r~-!"e- TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
Sewer and water.Rerlllits. issued for new construction must be
record~'-Qri-the building permit card at the time of ~ssuance
to in 5 U!.t1.. !~ ,.:thatno duplicate sewer and water f.Ml"il.rtli.l,~. are
issued.":,' n-''iWIl.iiW~H({,
I,': APR 1 5 2004 eUUUJrNG ~~rr
DATE PAID ' AMOUNT PAID
*
RECEIPT #
RECio BY
IY
vp
16200 Eagle Creek Av. S.E., Prior Lake. Minnesota 55372/ Ph. ('152) 447-4230/ FAX ("152) 447-4245
An Equal Opportunity Employer
__~PR~-?004 MON 09:37 AM VALLEY PLUMBING JORDAN
FAX NO, 9524922617
p, 03
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
: ~~% ~:~ I PERMIT NOJ J, ::J IfO'
J, VcJl()W .ApflliCRnl '-'(. "." Q
(Please M~ or ",tint and si~ at bottom)
I ADDRESS
yQ3Q ~ \iQj~ ~
ZONING (ollice.,,)
~
LEGAL DESCRIPTION (oCliee llse only)
LOT BLOCK
ADDITION
PID
OWNER. 11
(Name) -r-- \ 1 Q -r-O
(Address)
(Phone)
APPLIC\T I '~n L .
(Name) 101. ~ ~ \ ~ 'P t b_-".l.1Q \ V\ ~
(Address) ~ I 0 f) G u oJ( ~ 1\ fu I-€...
(A4dress)
(Cont.ct Person) _ J\ \n (1 Y\J.. l((\ f\
U
APPLICANT STGNA TURE r:;l-, /J ~ /}J;) ((l./JA-<'/\
. I
I
I
I
I
I
I
I
I
Quantity
A
I
I
::>
\
\
1
3,
(Phene) ....9 'SA - 14 Ct. a . rildL
3mr\rlf\ V\~3~;:J
(City) - (Zip Code)
(Phone) a ~;::L L.l CI ~ - 'l (;) ffi
'-J-/0-DI.}
DATE
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture I Quantity I Type of Fixture
I Bath Tub with or without shower I 3 I Rough-ins
Dishwasher ,Water Heater
Floor Drain \ Water Softner
Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink I Sewage Ejector
Shower Stall I Backtiow Assembly
Sinks I Backflow Assembly Test
i Bar Sink I Lawn Sprinkler
I Water Closet (Toilet) Other
FEE SCHEDULE
Industrin.l. Commercial &. Multi-family 1% of job cost with a $39.50 minimum
(om,rlJ,r Only)
Rosidrntiat, New One &. Two-Family $99.50
Rosidontiat. Additions & Alt<nltions $39.50
Estimated Cost $
Building Permit #
07,)'
::") . .j.'
/'.~." 1"l.";){)11
...)((...." .'''''eilr~
:~-'>w.'':'''JI'''''' !'GI/)/._
......,{:~\l.~ (J/'"
, J;~~ ,~~~
....,~,,' -:;-
(..,~~), ,
';,
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
This Application Becomes Your Building Permit When Approved
B.lldilltl ORleinl
r!~. ,,; ,c n m. n' ~~. eceipt No.
i;;-;\I;-; ! I,; ,II, ,.-. rJ
; II! "'. I [, i,I, ,~-:: .I't
~ate 11[1
Dot. ,r APR 2 1 2991 ~J
Z4 bour notice ro. allln.pections (952) 447.91'~ ,fax (952) 447-4245
16100 EIgle Creek Ave., S.E., Prior uk rJ.?~ 55372"1714.__..._,
5-27-04; 2: 54PM; ; 952 894 0925
ij~)J;;; .u""'~".Un"/nu..n. ~""-'J.''''''''''''~.'''.'~'''~~'' ~a~~.. ~..~,......
"tl"'-NESO""
# 4/ 9
'lease ~e or Drint and siWl at bottom\
.DDRESS
4~~9 ~\U~_.I~ H+J"I (C^--~.Q,
EGAL DESCRIPTION (office use only)
ZONING (om",",,)
~
I
I. Pink
2.Gfeen
3. Ydlow
~~. I PERMIT NO~ A Zd.t2.
Appl'Clnl ~. II 'TD
:;0
WT
BLOCK
ADDITION
PID
~
"
~
WNElt\)
lame) Y\ ^
.ddress) <;?, IS
o ~ _ ~)lO\.() /\
noA~1) \" itS4- ~ J-.W-{ r
ddress)
Ryrnsville Heating & NC, LLC
12481 Rhode Islancl Ave. :>0.
c::""age MN 55378-1122
(Address)
(phone) 1_(")::-,1- US) - r;:.,7()()
ro.qan ,t---~n. SSI2/
(phone) QS:2 -~ctu-()()t)S
,,,,:
PPLICANT
,ame)
(City)
(Zip Code)
I
:>ntact Person)
.iX'
'PLICANT~!(mATURE .n/l-,
. (phone)
,KI\ Q.JY1u.J-tOl a DATE
.C::; -;)7 -OC/
:',",
APPLICANT PLEASE COMPLETE BELOW
. . Q1l.NEW CONSTRUCTION
RNACE MAKE AND MODEL I 0 II rl(Y'X
JE SIZE RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent, System
o REPLACEMENT 0 ALTERATIONS
FUEL PI i ("JOL)
L.j INPUT '-rJ, O(ln OUTPUT YLJno
HEATING OR POWER PLANT
o Steam .
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
,.
I
'JJ
!
EPLACE MAKE AND MODEL
;trial. Commercial &. Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$54.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Residenti';.l, Additions & Alterations $39.50
Residential, AC Only $39.50
";""<"'"'" '~cW1 . ..
:X\~"50 ?~~.
lentia!, Healing & A1C (New Conslnlction)
leotia!, Heating Only (New Construction)
Estimated Cost $
~ Use Only)
~ Appliution llecomes Your Building Permit When Approved
~
Ita13UN 0 2 2004
Receipt No. .
~IIBY
,
J
,1.
i'
~uildinR Official
. Date
24 hour nolicelor alllnspeclions (952) 447. l850, rax (952) 447-4245
16200 Eagle C~ek Avenue, Prior J ~ MN 55372
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 'I 93l'1 'BLuFF ~ T&/:"
NATURE OF WORK N6uJ t:(JN~ritJN
USE OF BUILDING S\ f:': A .
PERMIT NO. ()~, 02-4--8- DATE ISSUED ~J2,1 tJ"
CONTRACTOR "puLTe K~M.e$ PHQ'NE1lI2';'2Z/-""S'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main Fi.1
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTil ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
I FIREPLACE
I GAS LINE AIR TES~~ /~r' r7',.f"
/ :
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
,\~t'-' /ff~"h'
,///~
~
-
~4~r' oy
t.Of'/af
#to/
~
.
0~/o7
~4y/oy
~
. ,
.p7/dY
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTil ABOVE HAS
NOTICE
d
~ /
/,,-/e "
J'//9'g.'ff
f?//6/<1Y
?//~o/
P/9/tf"r
BEEN SIGNED
1ft
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 INSPECT10NS (952) 447-9850
QItdifirab of Ql}rrnpanq!
CITY OF PRIOR LAKE
I ~tpnrfmtnt of 'lJIluHMng Jjnspufion
ili Final Permitted C Conditional C.O. Expires
I
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifving
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 following:
Use Classification
SINGLE FA..'lILY
Occupancy Type
R3
Type Construction
VN
Fire Zone
Bldg. Permit No.
N ! A _ Zoning District
pun
Legal Description
L15, B3 TIMBER CREST PARK
Owner of Building
Site Address
4939 BLUFF HEIGHTS TRAIL SE
Contractor's Name & Address PUL TE HOMES t 8J 5
ROBERT n. H;TCHINS R/
,rf>~9 ~?ffiCial
-? /'"
NORTHWEST PKWY., SUITE 140, EAGAN
DON RYE
55121
City Planner
Date:
Date:
I
J
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
-Y?J? &~p
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
:i),'LUMBING FINAL
,.,..--MECH FINAL
COMMENTS:
A /' V'. /'
/P'/-P'''''~..".n,... /-e.J' /
~,4_.
/
~JZk<L ,
~
L7 ('-
./
~41
cj~
DATE TIME
y/~-/
r -
~h 7//
1'3 ~- -:l '/L
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
EJ:IREPLACE FINAL
~GASLINE AIR TST
o
11
~/
fi Y ('.-. T
./
o/.~
r
~ORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK,. ~A;.LYREINSPECTlON BEFORE COVERING
Inspector: /t"U, Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/N$!I(}Tl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
t/9J7'
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o )~ULATION
)iI'1'INAL
o SITE INSPECTION
COMMENT,5:
A7~C~,.~..., I
DATE TIME
SCHEDULED ~~~~
Alvfl.: Yh fr/
CONTR.
PERMIT NO.
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
-
.
cyl\-
CJr~L/r
o EXIGRADIFILUNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
)Y~hk
- l
~A'Mc.c..- /"
//
'- C/~t9rk
~
/
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~~- .......~
(7/ /--; / )
. .l'o<.J-t' h re ./
.~
~
h}.9- I ".-(1:-"-,,
if) ~jl ~~fi/ ~~J:
C~) ~-:~/i .:;nl'-,,,,'/
.
...-: /
/-;.1--14 /
o WORK SATISFACTORY, PROCEED
..(f"CORRECT ACTION AND PROCEED
/ ~ CORRECT WO,.R} ~LWR ~EINSPECTION BEFORE COVERING
Inspector: F~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY!
uaNO"