HomeMy WebLinkAboutBuilding Permit 04-0360
(Please.!YPc:.. or print and sign at bottom)
ADDRESS
7'93t..
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File;~:' ~:;y
3, Yellow Applicant
Date Rec'd
t.j-f/ () Lj
I PERMIT NO. 04-. 03'=' 0
I I zopiv)'u,,) I
gwPP
h/6HTS r /lA-1 L
LEGAL DESCRIPTION (office use only)
LOT3S"BLOCK / ADDITION 1:mBE/l wt;.r fJtl2K
OWNER
(Name)
(Address) Fi/~'
~/t..T1i-
JIomLS
Ml2TlMEST
BUILDER
(Name)
(Contact Name)
(Address)
~WII-</.
CAmE-
WJZ:r B MY'fi/'Hn
TYPE OF WORK
o Misc. II< ('.
/"
~w Construction
DLower Level Finish
rt~~...,.
(Phone)
Oulrf It/D.
Uwrn.
(Phone)
(Phone)
ODeck
DPorch
ORe-Roofing
PIDdS- t/O;),()8S-<')
J5/ - //S2 - ...,ZoO
MY!
Scrf2-1
t/z - 2z1- L/f'~
j?~.0't't)
DRe*Siding
DUtility Connection
1 hereby certify that 1 have furnished information on this application which is to the best of my knowledge true and correct. 1 also certify that 1 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 operty to ~~fo~eeded in~e~s, _ / /
X /~~~../~~ /fc>/37; ///?.dJ~
" r Signature Contractor's License No. /" .A:)ate"
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
! Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
D Fireplace
DAddition
DAlteration
PROJECT COST IV ALUE (excluding land) $
'tfqt, OO().OO I
$ '/fJZ 7, $'0 I
$ {p", 7.?,f I
$ ~~O(J I
$ I
$ /CJtJ. eO I
$ ItJO.oo I
$ 3s:. 5'"0 I
$ ~tJ. 00 I
This Application Becomes Your Building Permit When Approved
~cial~ 1/~1u<(
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
City SAC and WAC
Water Tower Fee
j Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
5)r,7.J'-r
I- . :J-1. , ~
#
#
#
#
$
$ /.350,DlJ
I $ ='5'"0. 00
$ 4~ ()O
$ /ZOtJ.OO
$ loo.oo
$
$
. $5;S{:;3.8'8
/l
I ReceiptMo.
By 1....
o
~Gro'
This is to certify that the request in the above application and accompanying documents is in accordance with ~ty Zoning O,1t..~and l1tay proce _ ._ ,,_~. ed. This document
=en signed by the C:ty Planner constitut~ a temporary Certificate of Zoning compliance and allows constnlCOeecel V~am CMlepancy must be
~.~ '7";.:iJ'"~o/"
Planning Director Dafe 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
~7
~e~
See Main File
White - Buildin~
~an~rv - ~nq,ineeting
Pink - Planning
TIlt' (.....,n" nf ,lwl..k.. ('Ollnll')"
BUILDING PERMIT APPLICATION DEPARTMENT CHJ;CKLlST
NAME OF APPLICANT
f) .
, 4/1-:If:. V'" - -'
'./.-_/ J ..AJ',., .1,.'-:~.'<'1,Lk'>-~--"
'. ...-A:,.... -...- I' ,'.., :I>'
APPLICATION RECEIVED
/ i _ C _-'/;/-./
vi () ......,-,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
- jj('} --;,/ ,PV)..a..t. V7 ,,;/>.-/
7 7 :5 Ie:> ;~l..o/f/-) /, ~:J
'... \../
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Comments:
fr'f}JlJ
5 a'_ fJ1c,/,^.
Date:
I../-} 1-0,/
F,'{"
"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~'"
See Main File
c.:White _ - Buildi~
\"i:lIllcuy .. engineering
Pink - Planning
Th~ ernIeI' of th. L.kr ('ountrl
~UILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAMEOFAPPLlCANT V~ 1Jtn~
APPLICATION RECEIVED' If - f? -04
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constru:;~]ac~~whiCh ~ at~ ~~
.7 vV
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
Comments:
~
~
~
Date:
~b~'/
. .
"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 - Building
Canary - Enq!neering
c::eiiik. - Plan~
rh..(...nl..rllf'h..I......Counlr,.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,1
/(J ~ t~./
1.-,. .....
,.
, i .
, /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~ / " /- .
'_.._,t,_ LL ~.-:' ') It ( ,\,--j /~'
:li, .
ill:;::? ~
/
Accepted
~
Accepted With Corrections
Denied
~
Reviewed By:
Comments:
~
~fiJ
Date:
~/.:l9/a 'f
,
"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."
Apr 08 04 09:46a
1-
2.
3.
4.
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G'.'
METRO GENERAL SERVICES
763-428-2968
p.3
Glll:EM. fl.r
YELLOW. ",,,.uulr
GOL.D - Cln
CITY OF PRIOR LAKE
SEWER' AND WATER PERMIT
FA 'I- '1S~ '1'17-'/-;" C/~
S.w. No. ag-3/o 0
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT: _ff/.efAn _ !lrruM J SeJ~ONE: JiJ,~~l11i" 14J"I~
ADDRESS:_ F/I4) (J11IJ}1(. Ilw_ h,- DATE: -
SIGNATURE: - I-J(lh- .1!iJ/~/;j-!-,. . .-
SITE ADDF ess: L!C/3(1l f?Ji.J,.(;2:" ~A ff
FILL. IN THE BLANKS
BLDG. PERMIT #
pro#
Estir,ated length of water service /50 feet.
1'1
Size of water service inch(es) .
Location of any couplings from structure~} feet.
/J'i
Type of sewer pipe. ABS PVC -'"'f Cast Iron
Esti.,nated length of sewer line
d)!)
feet.
6. Clean out (if required), located at feet from
_ stru:ture. IdA
===_====L=============================~===========================
This apFlication becomes your permit when approved.
BY
DATE:
============r=.====================================================
Pwlle.d w,'f1t .
FEES: f] id.. P'/-fI",f- Sewer and water line connection permit.
"_ .. Surcharge
No (-e.e..- TOTAL
*
Feeifor either sewer or water individually is $20.00 plus
$ .so surcharge. .
*
Sew.,r and water pe!11\its issued for new construction must be
rec'lrded on.the buildin'l permit card at the time of issuance
to insure that no .duphcate sewer and water permits are
iss'Jed.
MAY 05 2004
DATE-;jl'A to
RECEIPT #
,"y~":;<,:::";',,,',
. ",'. O:~' :,J"i-:~"!~:
AMOUNT PAID
REC'D BY
.....'- j', ',.';,
y,;.;;''t6200 Eagle;: :reek Av. S.E., Prior Lake, Mirmesota 55372/ Ph. ('l52) 447-4230 I FAX ('$2) 447-4245
, An EQual Opportunity Employer
-~~ ~-~~-'--,..,.~~_..__.__._-
_.... -.!:!AY::.~7-200URI 04:06 PM VALLEY PLUMBING JORDAN
FAX NO. 9524922617
P. 01
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
. (Ple"'..!V'J~ or "rin, and sio:n at b<>ltom)
ADDRESS
yQ3lo 1::>\ u H ~tei9mS TrQ\ \
LOT BLOCK
LEGAL DESCRIPTION (omee IISO only)
ADDITION
OWNER
(Name)
(Address)
P\~ \-\-e.
APPLICANT "\ \. .
(Name) \111\ \".\./ I-' H.m oifl(X
(Address) ~bll G>UO,\lH A \le
(Address)
(Contact Person) Sinn. Y\ \1 \I n
APPLICANT SIGNATURE (.J.. .I1;/l '1'Y1 ~
.\
I
I
I
Quantity
do
I
i
J
I
I
\
3
(om..u.. Only)
;~: ~::, I PERMIT NO. 0'#. D.' ?r.O I
3, v,no," A.ppll"-aN c.r- '..-::>t.e
ZONING (.fIi"",.)
PID
(Phone)
(Phone) q C)~ -llq F\)~.;llcl )
~~I~~~ 5535~
(City) (Zip Code)
(Phone) ..9.53- 4C,ri - I)B OCl
S .7- ()L)
DATE
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
Sinks
Bar Sink
Water Closet (Toilet)
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Tbis Applieation B"",om.s Y our Building Permit Wh.n Approved
FEE SCHEDULE
Induslrial, Commercial &. Multi.family 1% of job cost with 3. $39..50 minimum Residential, 'New One &. Two.Family $99,50
. Residential. Additions &. Alterations S39.50
Estimated Cost S Building Permit # vJ \1I~G1
rr.\O It-l l'
~V I v~&" I
~i ~. if U .~ LE ~ feceiPt No.
~~aratAy 1 J' 2004 I By
Building Officl.1
Date
Quantity
3
I Type of Fixture
I Rough-ins
WatCr Heater
Water Softner
Stand Pi"e (Washing Machine)
Sewalle Ejector
\ Bacldiow'Assembly
Backtlow Assembly Test
Lawn Sprinkler .
Other
$
$
$
.50
14 bour ootie. for.n InlJleetion. (951) 447-! ~~. r.. (~S2) 447-4245
16100 Eagle Creek A'Ie., S.E~, Prior La~:v- -- &.. 1 . - .~
6-11-04; 2:37PM;
€~~
+I....NUO"..
;952 894
0925
# 4/
9
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
(Please ~ or nrint and si~ at bottom)
ADDRESS
L/ C1?'>'lt? .t\ It 1 cr
ZONING (office use)
ii
i"~
ii.',...
",
~,
t,'.
I. Pink
2. Gnm
3. Yellow
~:~ I PERMIT NO. ~. J . 3 J'"
AppHclnl 1fI/I//I.""
1-\ f' J9'\+:~ Trctf Q
I LEGAL DESCRIPTION (ollice use only)
LOT
BLOCK
ADDITION
PID
,~,!'
I
OWNER-~ '"' ^ t \
(Name) ~_ ~~,\'"l"\ () ^,)
(Address) l<\S (Nrj)~ f1 Je.-J Jh ~ r (. iru,jJ ~ IL[Cl
I
(phone) I cc::.> \. \..C',,"2 - S ~OO
P'nOldL 1~1. SS/2./
v
APPUCANT
(Name)
(phone) C/-..,j - ~Q Lj-OCO.""::>
Bumsville Heating & NC, LLC
12481 R~lOde Island Ave. So.
SSVlg_, MN ~t122
(Contact Person) (phone)
APPLrCANTSIGNATUREfu1f1j ~h/)O.()1Y1 /70/1_ DATE
-
(Address)
(city)
(Zip Code)
(0- / )-0(/
APPLICANT PLEASE COMPLETE BELOW
. IZlNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL I ~ J1rKN GS\ f\J\(7-";;>L( t3 -U..-lS' FUEL -4<:' /- 9".LJ
'LUESIZE RETURN OPENINGS :5 INPUT 4~r('jOO OUTPUT !:fLJ:/(JO
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarmAirPlants 0 Steam
OGravity 0 Hot Water
o Mechanical 0 Radiation
~ir Conditioning 0 Special Devices
OVen!. System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
IREPLACE MAKE AND MODEL
.dustrial. Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
539.50 minimum
599.50
564.50
539.50
esidential, Heating & NC (New Construction)
esidential, Heating Only (New Construction)
,
Residential, Additions & Alterations
Residential, AC Only
539.50
539.50
Date
t
./
I
Building Omdal
/X .50
. - ~ "J
rrM~ UD ~ U \!J ~ 'r;ptNO.
1[00 JUN 1 5 20041~IJ
24 hour notice for. all inspections (952) 447-985C fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, ~ 55372
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~~~t:.t
bt. , ( nk""fl'f,) 2s>~.
. ji~..~~,~
~ Y-JJ\J~>
Estimated Cost $
Building Pennit #
:ffice Use Only)
II'bis Application Becomes Your Building Permit When Approved
PRIOR LAKE ~~~tD~~~~NJD~~~cM~in File
INSPECTION RECORD
SITE ADDRESS t,{ q 5' t31/A.;'PI:' H k r~
NATURE OF WORK fie.,td.,)
USE OF BUILDING... S-8-
PERMIT NO. 011- rJ,:3(p{) DATE ISSUED
CONTRACTOR .D..u, (r~ PHor(f/.a..~' - qqtS-
NOTE: THIS IS Ni:iTA PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
GRADING (Prior to SOdding)
BUILDING
ELECTRICAL
PLUMBING
I HEATING
DO NOT OCCUPY
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE .
GAS LINE AIR TES~h , j)"yer t~ /
I I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
);e JtftA
,
.
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7- /fro-/
7/..20rl
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$1f
.
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/'~
.~/.e, /
r iJt/14~1
~ /:]1 /{}If
S J:2!//6L(
i/soft-/'
UNTIL ABOVE HAS BEEN SIGNED
NOTICE
J#7" ..
~
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
QIrrfifirafr of OOrmpanrll
CITY OF PRIOR LAKE
r ~rparftttrnf lIf ~umting J1nsprdilIn
\-,,/
.!<'J Final Permitted
C 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 a/the City of Prior
Lake regulating building construction or use. For thelallowing:
Use Classificatio"
SINGLE FAMILY
Bldg. Permit Nn
(;4 , O~fL 0
)
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
pun
Legal Descriptior
1.35, B1, TIMBER CREST PARK
Site Add,,,, 4936 BLUFF HEIGHTS TRAIL SE
'---.
Owner of BuildinlZ
---.
Contmcto,'sName&AddcessPlJLTE HOMES, 8J5/NORTHWEST PKWY., SUITE 140, EAGAN 55Pl
ROBERT D. HUTCHINS #ff CityPlaooec DON RYE
Dale: rAldingOffiCial'" 1> - Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
t/'l36
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.AfiNAL
o SITE INSPECTION
~NT.li:
//~c/nc", /
DATE TIME
SCHEDULED ~~
1tkf!l I/Is fy/
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
___ / /1
hj7~ ~~
/I /
I<"~~
...------
/'
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\ C-- {c1,/.e'
~
~ ---
RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR';~)tt.OR REINSPECTlON BEFORE COVERING
Inspector: ;f"~ OWner/Contr:
..-./
L-/ (c
~
~ .
~?
~ij-]{,6
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/ /
g/j/ /,y
---
./
--
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETY!
lN$Non
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~7'J /,
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TillE
SCHEDULED r04(~
bk# /~ P/
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL
COMMENTS:
_({..4 / / ')
/~/f1;;c1~~(~ r~S'f
~..<::~L"h.e>, #~ ..,[.
- - ~ /
//
~/1'o//
uJ:
oY"'-J6CJ
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
L':-
'avo/'
/
~~
/ WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK; ~A~L:7 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!
INSNOn
DATE TIME
CITY OF PRIOR LAKE ~,L /
INSPECTION NOTICE SCHEDULED? /2r (Jr
ADDRESS rLtb ~)IfZ#/r n, /
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
/nUIMBING FINAL
o MECH FINAL
COMMENTS:
/
/7f/~-""~".,, 7t'r
4J/-
-"
"" q< .?.,(" C)
,
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
fJ{
l!~ /~r'/,~7v /~aA/:f/
"
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C/I
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,
, -::)/ / ,;/' 1\
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,,-{
o WORK SATISFACTORY, PROCEED ~/
~ORRECT ACTION AND PROCEED '"/ C
o CORRECT WORK.: ~L; :OYEINSPECTION BEFORE COVERING
Inspector: ?"~ J,. Owner/Contr:
/
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/NSNO"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETYI