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Home My WebLink AboutBuilding Permit 04-0250 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 ~9'13 i3u.trr /lfi(,H75 I,White File 2 Pink City 3, Yellow Applicant 'fi;+t L- LEGAL DESCRIPTION (office use only) LOT/3 BLOCK -3 ADDITION '1:ntZt:It au~- f!wa. k/J/77V1 OWNER (Name) Pv). -r ft /Iomc!!> &/0- d/lrM'~r AL (Address) BUILDER (Namp\ (Contact Name) (Address) Sf / .y1m E- t:tIJlr ,~J.fU7 TYPE OF WORK / ~w Construction o Misc. DLower Level Finish PROJECT COSTlY ALUE (excluding land) $ (Phone) /" j::Af-AH _ Illj// Date Rec'd 3. z,.3, 04- PERMIT NO. 04-. (; ZSf) I I I ZONING (office use) PU.f) PIDZS' ~z, . a7f:J.-O # # # # Receipt No. Bv l 1.5/-lISZ-$2.CO (Phone) _ bsJ-I./SZ-,'f2bO (Phone) 6/Z- 2,2;/ -- .t/t;,J..5 -5-0/2/ C/~, M'1r ;> ORe-Siding DUtility Connection 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 submltted plans I am aware that the building offiCial can revoke thiS perout for Just cause Furthermore, I hereby agree that the City offiCial or a deSIgnee may ~terupon~/L?o-Uee:ed;# b// - /57/ 3 ~ {~ ~ r Signature Contractor's LlcenseNo /~o_~ $ $ $ $ $ $ $ $ '1/" 000.00 Ii:; 7, c:;-o {,f.o7.f?F t(g.t!Jo [ Permit Valuation I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee /()o.t!)o /DO.OO 5~. S-O '-/0.00 . ~comes Your Building Permit When Approved BUildingOffi~ial~~ ~~~ ODeck o Fireplace OPorch ORe-Roofing $ $ $ $ $ $ $ $ $ "')~ ~~. BE:; , 1'"'<.. s"Q,Do 25""0.{)0 L(S . (JO 12..00 . fJ() 700.00 "1-(i,C,SB .~ ~r ~ 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 ~~ffinn~Zpor~c'nillc'~;;4;,""M'dillOW>COn'ttuSee'Maiii 'Filecrup,"oy mu"b, - PI,"ning Director ~ Date Special Conditions. if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenut~ Prior Lake, MN 55372 DAddition DAlteration I Park Support Fee I SAC ~ I Water Meter fi"e5/91"; I Pressure Reducer I City SAC and WAC I Water Tower Fee I Builder's Deposit I Other I TOTAL DUE Paid Date 65'&J. Y Y 4-. /1.' {.--- ~~ See Main File rvvhite - Buildinl(:> Canary - Engineering Pink - Planning fhrC'rnl,rOrlhrl.lkrCounlr) BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 'j:1JvTh ~s S, 1.2.04- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4-q4;3 BL U FF (-16 (6 ff1 S /lU.---. Accepted /' Accepted With Corrections Denied Reviewed By: ~ ':/e.J2p Date: 1/1 Z-:h 'f 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." ./~~ See Main File Thr ('..nl,. oflhr L.kr Counlr)' White - Buildin!! c-:<',lnarv - Ell9lneer'"9> Pmk - t'lannm9 BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 1. ,_ j' .-.-.-.- j/iiL 'c_ I I: .-- I~!rl'-.I'i-. : "'-'''I \.~ j -.., '? ;~. ,. ., f_.~ . () 4-- The Building, Engineering, and Planning Departments have reviewed the building permit . application for construction activity which is proposed at: If-()'!J.--..2. LCl.irr !It! r-r r _T)(L.... Accepted x '- Accepted With Corrections Denied Reviewed By: M4t'3 SCf:- /J1q,/'I Date: L/-S--ol/ Comments: t:", ,/" "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.5 l. 2. 3. 4. .- 5. 6. '-.- ~IE..FK.IE 'fELLOW. APPlICA.T GOLD. CITY' FAY- CITY OF PRIOR LAKE SEWER AND WATER PERMIT '15J..- tit( 7-tf-z-l/r s.w. NO.lI' Ol~() NOTE: Sewer and Water contractors must be registered with the city. APPLICANT: Metro General Services. rile 0190 Quam Ave. N.E. Sl MieRaer, MN. 5i:>",o DATE: BLDG. PERMIT # PHONE: ADDRESS: SIGNATURE: SITE ADDRESS: .;.;CJLj3 /J/v.t7' fIe./fllt::s1r PID# Estimated length FILL IN THE BLANKS bO feet. of water / service If Size of water service inch(es) . Location of any couplings from structure l:) feet. j /1/ Type of sewer pipe. ABS PVC -r Cast Iron ,c-..."."., Estimated length of sewer line AJ feet. Clean out (if required), structure. located at feet from no... ------------------------------------------------------------------ ------------------------------------------------------------------ This application becomes your permit when approved. BY DATE: ;;======fJ:lre:r=~~;4============================================= FEES: f] Id" P'/../H,"i- Sewer and water line connection permit. v _ Surcharge Ala I-e<'- TOTAL * Fee for either sewer or water individually is $20.00 plus $ .50 surcharge. * Sewer a\1lL-water 'permits., issued for new construction must be recordetj. un-the. buildin<j permit card at the time of issuance ~o insu~e ~hatno duplicate sewer and water ~~~~re ~ssued.' ...,,,.;-?\UIWI IW'lUiih APR 1 5 Z004':''';;iW1';\"S ''-,:::,",,!.{,'T DATE PAID I, AMOUNT PAID .. .. RECEIPT # REC'D BY 01' o , , , 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (~52) 447-4230 I FAX ('15'2) 447-4245 An Equal Opportunity Employer __ ___APR-19-2004 MON 09:36 AM VALLEY PLUMBING JORDAN FAX NO, 9524922617 p, 01 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT I,Blue rUe 1, Gold CMY 1. '(clio.. AppliaM I PERMIT NO. I/*' ,.s(J rrlea..'ic t"VVC: or orint and :rien at bottom) ADDRESS YQL13 ~ <liU~ ~ ZONING (offiau..) I LOT LEGAL DESClUPTION (office u.. only) BLOCK ADDITION PID OWNER f) 6.L.. (Nam~) ~ Y 1 I t I "Q. (Address) (Phone) APPLIC'\j I 1M h.'1 \III\.. (Name) II ~ n n l~ PJ 1-:- '~/() (Address) <g fD (J I(}) 11 QO h JX H' _ . \ I I I I I I I I Quantity d I J 3 I I I ," (Phone) q'SOl- Ll-Clri-;J \~l ,Tnl'd {lJl 6~,~S~ (City) (Zip Code) (phone) ~~ ~ LlQ ~-')dOq r?'h OJ/lJ.o DATE c,,-ICi-Ofj. APPLICANT PLEASE COMPLETE BELOW Type of Fixture Bath Tub with or without shower Dishwasher Floor Drain Lavatory (Bathroom Sink) Laundry Tray (lor 2 compartment sink Shower Stall I Sinks I Bar Sink I Water Closet (Toilet) Quantity 3 1 I Type of Fixture I Rough-ins Water !-leater Water Softner Stand Pipe (Washing Machine) Sewa~e Ejector Backtlow- Assembly I Backflow Assembly Test Lawn Sprinkler I Other FEE SCHEDULE IndlJstria,l. Commercial &. Multi.family 1 % of job cost with a $39.50 minimum (omell!: t!se Only) Residential. New One & Two-Family $99,50 Rcsidcnthd. Additions & Alterations $39.50 Estimated Cost $ Building Permit # , ., P/1d,~ , . ,'ft'IiJJ-' , 1>1," 1fk7'...... I:"", !/l~ "<lit~- &J ~ Ii, RiJ! ~ . '';;i",Jif.r[ PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ .50 This Application Becomes Your Building Permit When Approved -~-.~"; B.ulldinr; OfficiAl I Paid . I n.te 1', ,\\ By -TJr1 II LLI \ I, I' 24 hour nOllce for all in'peetions (951) 447i~8SI6 j"l'If ('Z14~S J I 16200 Eaglo Creek Ave., S,E., prlor'B-,!\e, l\\N'~SJ72-17t4 :J Receipt No. Date 8V 5-27-04; 2:54PM; "952 894 0925 J~~':;;) .U..a:..n..1.1H'U',.n...n 'A_I'iU.........~.,~. '~'A ~A~A ~U~~ A ~A~;A.... ~NE:;Y # 6/ 9 'lease !'lEe orpnnt and si~ .l'lt.hnrtnl']'1\ ,DDRESS "'--.-., ..- l4 <1 ~ 3 l)\,-~~ EGAL DESCRIPTION (ollice ;;';;;~y) ~ I(C^----~. I ZONING (office us<) I I 1. Pink 2,""", 3. Yellow ~~, I PERMIT NO."~ A .~A Apphunt v-r.U~'" -'~ "'". .>'3 ~OT BLOCK 04.DDITION PID ,;}i' ~ ." WNER:\\ rame) Y\;.. .ddress) <;? IS C) -J: . ~)lO\Q /\ vlQAh '^ ~(J lli.fuLCu-( , 'PUCANT lame) R"rnsville Heatina & AlC, LLC 12481 Rhode Island Ave. SO. ~B MN 55378-1122 (Address) (phone) IJiSl- US/-~7(){) f0~~n. SSI"2..1 _n__., ___ (phone) QSl -~ctl1-0()tJS ddress) (Cily) (Zip Code) )ntact Person) (phone) 'PUCANTSIGNA'TIJ!l-~ (~'-~ ..Rf\LlJ1o....fJ-OJ Ll DATE S - d/ -OL/ APPLICANT PLEASE COMPLETE BELOW , 'OQNEWCONSTRUCTION o REPLACEMENT o ALTERATIONS RNACE MAKE AND M.ODEL (0 n rl ()'X FUEL ...t1(1 -f CaL) JE SIZE RETIJRN OPENINGS Lj INPUT ~, ()()() OUTPUT Y.L...c.j()O TYPE OF SYSTEM HEATING OR POWER PLANT OWarm Air Plllllts 0 Steam OGravity 0 Hot Water o Mechanical , 0 Radiation OAir Conditioning 0 Special Devices OVen!. System 0 Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks ~"".;.".' !I if~ ,I 3PLACE MAKE AND MODEL ;trial. Commercial &. Multi-Family Icntia!, Heating & NC (New Coostruction) lentia!, Heating Only (New Construction) FEE SCHEDULE 1% of job cost Residential, Gas Fireplace $39.50 minimum $99.50 $64.50 ResidcDti';"l, Additions & Alterations Residential, AC Only $39.50 $39.50 $39.50 Building Offici:.) Date Building Permit ~ ' ~ ~ ~~dJJJ~" \:)', .50 j")~ S / . r ' ~~ @ ~ 0 ffi ~ ~eceiPt No. , rffi~te JUN 0 2 2004 Ii It -I. I' Estimated Cost :& HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE . Use Only) s Application Becomes Your Building Permit When Approved i 24 hour notice for all Inspections (952) 447-98 ;0, fax (952) 447-4245 16200 Eagle C~ek Avenue, Prior Lallil~ 5~'" PRIOR LAKE INSPECTION RECORD SITE ADDRESS 1/9"/.3 '5.L.tJ.FF f+I! 1 ~KTS' T/2.Aic.. NATURE OF WORK. N6"~ ~w\\.,.,..,a~ USE OF BUILDING ~ ,~ . PERMIT NO. O?,Oz,5D DATE ISSUED ~ 11'2..(0&1 CONTRACTOR PLtc..Tr M~"'h PHONE--,-,.z..-2.Z./-~cr~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF See Main F. BUILDING AND INSPECTION INSPECTOR DATE I FOOTING I I FOUNDATION (Prior to Backfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC . FRAMING ~'. ~F/~ INSULATION /P4- ~br./dl ELECTRICAL _ PLUMBING %~ 0?/~_ HEATING (if required) ~.f:Z- ~?/OY FIREPLACE , J / GAS LINE AIR TES~, A;y'" t~. ~ t? /0/4/ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS <.\op /~,IL. /:~ / #Cr t/lf/o! . I - I t'" //6/Ctf ;r/i.4- /i/;?loy //C4 d/0IpQ OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE I GRADING (Prior to Sodding) I BUILDING , ELECTRICAL I PLUMBING I HEATING DO NOT 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 ~trfifitatt of <IDttupaUtl;! CITY OF PRIOR LAKE / ~tp&rfmtuf of ~uil~iug c3Jusptdiou tf(Final Permitted :::J Conditional C.O. Expires This Certificate issued pursuant to the requirements afSection 307 afthe Uniform Building Code certifying that at the time afissuance this structure was in compliance with the various ordinances of the City afPrior Lake regulating building construction or use. For the following: Use Classification SINGLE FAHILY Bldg. Permit No. Occupancy Type R3 Ll3, Type Construction VN Fire Zone N/A Zoning District PUD Legal Description B3, TI~BER CREST PARK Owner of Building Site Address 4943 BLUFF HEIGHTS TRAIL SE PKWY., SUITE 140, EAGAN 55121 DON RYE Conlcactor's Na~e & Address PUL TE HOME:,' "./~ ~7 5 NORTHWEST _ ROBERT D. HUTCHINS /7t:q CilyPlanner ~ Building Ojftcial Dale ,.f':/9 /0 <;/ Date, -----b , I OATE TIME CITY OF PRIOR LAKE ~<J/7 INSPECTION NonCE SCHEDULED ADDRESS r/'lL/.3 ~hC //k 'PI OWNER CONTR. PHONE NO. PERMIT NO. tY/, ..2P:? o FOOTING o PLUMBING RI o EXlGRADIFILUNG o FOUNDATION o MECH RI o COMPLAINT o FRAMING o WATER HOOKUP o FIREPLACE RI o INSULATION o SEWER HOOKUP o FIREPLACE FINAL ~AL o PLUMBING FINAL o GASLlNE AIR TST o SITE INSPECTION o MECH FINAL 0 c) .A:< 8) COMMENT,B: . ~ / A / ~/eplr,~ ( hA... I ~ 0//6/0'-/ _/ f ..-, -. / d/ J ./!/,eed hh.<71 e:;""de ~.N-v./ rQi.../h ,:;-~~J 95' J;Ykce--' /- , ~ / /~,he; I i ,/ ..... t? C --........... .---:----- ~ _.~/..~ /-? /1" ~ ---- /' .,/ ( ('7/6('4" '---- - ~ ;!pRK SATISFACTORY, PROCEED ycORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector. ~ Owner/Contr: CALL "7-9850 FOR T~E NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY/ DaHOT> #/'fv TIME ?/~~ /?~ j-:j! #"f &/ 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 RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ~CH FINAL COM~~,tjlS: / 74,e:'_CJ~" 77-:/ ~,h., . /2-..,u,v- ~r'Z#r ~..5 C)~- .2rO D EXIGRADIFILLING D COMPLAINT D FIREPLACE RI D FIREPLACE FINAL ~ASLINE AIR TST D ;r!e..s-/ ~r ..r '-<../ / // /7,? ~ ---- /~~/ /(j) ~ _:.-- - - ~ORK SATISFACTORY, PROCEED ~~~RRECT ACTION AND PROCEED D CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~~ OWner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOn CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!