HomeMy WebLinkAboutBuilding Permit 04-0362
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT /..-1- Y - 0 '1
See Main File ~;~~~
(Please ~e or print and sign at bottom)
ADDRESS
File
City
Applicant
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LEGAL DESCRIPTION (office use only)
LOT 33 BLOCK /
ADDITION 0mZM tJusr f!1-at<-
OWNER
(Name)
PilL -n;., J/om ~5
g/S /I/oP.1ltWl:;r- lA-i2JLU4.fJ
(Address)
,
BUILDER
(Name)
(Conract Name)
(Address)
:"'A1n IE--
&I?~ ,q:,vc,rJ-/1W
TYPE OF WORK
./
l12rNew Construction
o Mise, /. R. t.
DLower Level Finish
~
PROJECT COST IV ALUE (excluding land) $
pplication Becomes Your cBuilding Permit When Approved
r -t:~ </1V'lotJ
Building Official Date
I PERMIT NO. 04. 0 3''' z..1
ZONING (offi"use)
jJU/J
PID.;2S'.... Llt>:f,-D33-0
(Phone) d5/-f/52 -52/)0
f' AMn ,
Y11Y1
s:<<; /2 I
(Phone)
(Phone) ~/Z- - Z-.?/- #y,;-S
ORe-Siding
DUtility Connection
~~,t1'X)
#
$
$ J3So,~~
$ d250. at!)
$ LiS. 00
$ /200.0d
$ 7~~.tJC
$
$
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 aU construction will conform to all existing state and local laws and will proceed in accordance with
submItted plans I am aware that the budding OffiCIal can revoke thIS permit for Just cause Furthermore, I hereby agree that the CIty offiCial or a deSIgnee may
ent~ruponthe .f~r'_.~. tope~o~eededm~ons - / /
X ~-'rr~.h:-/~ PC-/57/ ~/~#9/
/ SIgnature Contractor's License No / ./ Dat'e
"
I Permit Valuation tlqlA t}&O.t}O I
I PermitFee $ /17~7. I?O I
I Plan Check Fee I $ '(p It; 7.li~ I
I State Surcharge $ 4'i?'. d-tJ I
I Penalty $ I
I Plumbing Permit Fee $ /00. tJ 0 I
I Mechanical Permit Fee $ I (J 0, tJ 0 1
I Sewer & Water Permit Fee $ 3';). '5>0 I
I Gas Fireplace Permit Fee $ l/tJ,O(!) I
DDeck
OPorch
ORe-Roofing
#
#
#
-
$.5.5(,3. U
I ReceipVJ-Io,
By '1 .
o
"!TIIP'a
o Fireplace
DAddition
DAlteration
This is to certify that the request in the above application and accompanying documents is in accordance w~a~. Pin!a.-~ . ce atW. may pr~(~ested. This document
~hen signed by the City Planner con~tutes a temporary Certificate of Zoning compliance and allows consg1iiiiguelY1.~' r J.le'ccupancy must be
~. ~ ~~<I ..
Plannirfg Director . . 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
I Park Support Fee
I SAC _
I WaterMet0iie50?1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
TOTAL DUE
I Paid 5S(,.f,rtf'
I Date 4,~ o~
~~
See Main File
White - Buil!iing
~ '"nary - t:ng,"eerinq ')
Pink - Planning ,
Th<l' Cfftlrr of lh~ L.kf ('ounlry
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 I2roposed at:
L/" 'C~I"' /1' (') '"if I ',' // /' ,~:;,fl <v.A..,,',
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Accepted
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Accepted With Corrections
Denied
Reviewed By:
/Y#j-J
,:X e.. /VIe, r'r...
Date:
(;(1'
Lj c27'~0'/
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."
~~
ue~
8t!@ Main File
While . Building
Canary - I;n!lineering
,-+mK - t',anninil>
Th.. ("{"Ol..r of lh.. L.k.. ('nunlry
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
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APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I//(::{ II /..i,e, 1//
.1,,_.. Lc 1()
,
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-"f
. I
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2.tLC
Accepted
/
Accepted With Corrections
.
Denied
/'
Reviewed By:
~
Uf-J
Date: W,;:; J>~ t-/
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,"
~1
See Main File
CWhile - Buildi~
Canaiy - Engineering
Pink - Planning
Th~ ('en In of lhf I..kf ("ounlr)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI!=:T
NAME OF APPLICANT
'fJ~ ~
L/-f"-Ot/ -
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constru~qa~O WhiChlP-=M ~ ~
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
Comments:
(J;2 . . -
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~
kJ2N
Date:
i/~/otf
"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- OB 0'1 OS:'I6a
METRO GENERAL SERVICES
763-'128-2888
p.s
GflEEI . FILE
U.LLOW . .P~IC"1IT
GOlD. Con;,
CITY OF PRIOR LAKE
SEWER'AND WATE~ PjRMIT
FA'!.. 95~ '/'I7-'lz,'I.o NOTE:
S.W, NO,,,q- '3h:t
1.
Estillated length of water service
size of water service I" inch(es) .
2.
3.
Loca'don of any couplings
from structure ('J
/J 'I
pvc~ Cast Iron
!)() feet.
feet.
'----
4 .
5 .
Type of sewer pipe.
ABS
Estinated length of sewer line
6. Clea~ out (if required), located at feet from
====:~:~:::::~========~=============~~if==~======================
This ap~lication becomes your permit when approved.
,I
BY
DATE:
,,-.,....-,..
========j?~i~=~~~=============================================
FEES: (1ld.'! P~e-M'7-- . Sewer and water line connection permit.
= "" .surcharge
Ale /-e,L- TOTl\.L
* Fee for either sewer or water individually is $20.00 plus
$ .! ; 0 surcharge.
* sew,~rand water pe:tniits issued for new construction must be
rec,)rded on .the building permit card at the time of issuance
to cLnsure that no duplicate sewer and water permits are
iss led.
,:;
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'Y. '
REC'D BY
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'D~TE';',I?A~D
r,MY 0 l)in04
AMOUNT PAID
.
RECEIPT #
,'I.:
'i::::;,,'~, J6200Eag!l;Jreek Av. S.E., Prior Lake,~n~esota 55372/ Ph. ('1s2) 447-4230 I FAX (QP2) 447-4245
An Ecual Opportunity Employer
_ ._ MAY-07-2_QQiFRI 04: 07 PM VALLEY PLUMB ING JORDAN
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FAX NO. 9524922617
p, 04
Date Ree'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. "lilt Pile I PERMIT NO 1
"Gold CiI' '0 A' . "'?','7
J. Vella... Appli~.Il~ q- u..;> W~
(please We or ~t i\1\d si.t:n at bottom)
I ADDRESS
L\q li 0 Bt ~ ~~ \-\~'1 G\h-tS TrOt \ I
I ZONING (on-", "so)
LOT BLOCK
LEGAL DESCRIPTION (ollie,".. only)
PID
ADDITION
OWNER \ +
(Name) P I, p_
(Address)
(Phone)
APPLICANT ,
(Name) \Jo. I \~I PI II mhlY\3
(Address) ~ II) [) n uo.-b2.r
(Address)
(Contact Person) ~ h n. 1\ Y Yl Yl
APPLICANT SIGNATURE /" A /1 Y, "yv/ ~
'I Quantity
I .:l
I I
I I
I~
I I
I )
I I
I
I ~
(Phone) Cla;)- Llqri - rl J.d..!
11l('dt1(\ 5535J.
(City) (Zip Code)
(Phone) Q~d- L\q~ ~'l3J)C1
DATE 5- "")- D4
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture I Quantity
Bath Tub with or without shower 3 Rough-ins
Dishwasher 1 Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
I Shower StaH I Baektlow Assembly
I Sinks I Backflow Assembly Test
Bar Sink I Lawn Sprinkler
I Water Closet (Toilel) I Other
Type of Fixture
FEE SCHEDULE
Industria,l. Commercial & Multi-family 1% of job cost with a $39.50 minimum
Residential, New One- & Two~Family $99.50
Rcsidentia.l, Additions &. Alterations $39.50
Estimated Cost S
Building Permit #
PLUMBINGPERMITFEE $ I "P_A Tn YV ITtI
STATE SURCHARGE $ I :~
. ,TOTAL PERMIT FEE $ I I::UJlinIN" G
(Orrice Use Only) . I - -
. This Application Becomes Your Building Permit When Approved \U) ~ ~I U ~ ~
8"il~lng Orr.,lol D... tilll "''' 1 '2004 \ ~)\ I By
1~ bour nolice lor .n insp..tlo.s (952) 4 -9850, rn (952) 447-4245
16200 togle Cr.ek Avo., S,E.. Prior
;952 894 0925
# 8/ 9
..................................
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
(Please ~e or print and sim at bottom)
-ADDRESS
ZONING (om",u,,)
i~
.~
j
;~.:, ~I,~ I PERMIT NO.J1_ 3~ J1
l, Y~Uow Applu;.nt ...,......~
hiller 1-\f'J51'\+, T{(lfo
LEGAL DESCRIPTION (office use only)
LjC1 '-10
LOT
BLOCK
ADDITION
PID
J
"
!
~
t
J
l
OWNER--;) ,""
(Name) ~-
H~j\~
\N.cj'(-+hLt~0-I -fh. ,\ t CCK"Lul
, J
iI=- I LJ()
(phone) {()<::~ \, \,J<:..,? -S"200
FQ,Qtn t7, 17161, SS /2 /
v
(Address) 5\ \ c::,
APPUCANT
(Name)
Burnsville Healing & AlC, LLC
1?481 Rhode Island Ave, So.
savage, MN~~122
(Phone) Qc:~) - x-O U-(){X):::>
(~i;
(Address)
(City)
(Zip Code)
~NEW CONSTRUCTION
FURNACE MAKE AND MODEL / (J 11 yl(N
FLUE SIZE RETURN OPENINGS
TYPE OF SYSTEM
OWann Air Plants
OGravity
o Mechanical
liID'\ir Conditioning
OVent System
o REPLACEMENT 0 AL TERA nONS
[-,5\ {V\(? -.2'-1 8 ~(J-lC:; FUEL L{n f c,t1LJ
5 INPUT Lis.noo OUTPUT 41.J:/OO
HEATING OR POWER PLANT
I
III
'J~
""';
(Contact Person) (phone)
APPLICANT SIGNATURE Cifln ~ ~hrJo'/)Il(1l7a L1 DATE f2::../ )-()(j
APPLICANT PLEASE COMPLETE BELOW
>:':f
",,'~
o Steam '
o Hot Water
o Radiation
o Special Devices
o Other nevices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
,..
I
,p
r;;~,
~';<
FIREPLACE MAKE AND MODEL
Estimated Cost $
11
:i~'>j
~
~b ' (, dlL/\ .~
X .50 ~'V~_i
I'~~ (\9 \~ U ~ u: \ijceiPlNo,
\ ~~ JUN 1 5 2004 \~~
24 hour noti.e (or all inspections (952) 447-985 ~ (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake\~ ,,!,5372
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39,50 minimum
$99,50
$64,50
$39,50
Industrial, Commercial &. Multi..Family
Residential, Heating & Me (New Construction)
Residential, Heating Only (New Construction)
Resident~I. Additions & Alterations
Residential, AC Only
$3950
$39,50
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
:Officl: Use Ollly)
Building Official
Date
- -I
thY I
()
J
This Application Becomes Your Building Permit When Approved
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS '-Ifllt) 81k.~ fI.+S T",
NATURE OF WORK /II~w
USE OF BUILDING f: 11
PERMIT NO. rcz. DATE ISSUED
CONTRACTOR I.AJffe. PHOr6/~' ~a.'-- 'ff~$'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT o~ee MaIn ~lle
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING
I 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 ~~_ 7// .v"'r'
HEATING (if required) ~?- 7' /~ .z./o:/
FIREPLACE . I
GASLlNEAIRTEST~';,.4'" f~~ ~ ~~r
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
.
--5. ~e ..ad
~
~Jff4
" ,-
7// 2~r;.
?//fYo/
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY
#~
'~
/r
/"i 1",-:- / /
7kfOcj
%'/-1.{ or-!
.f/-i'4(lo~
8'A'--/W
UNTIL ABOVE HAS BEEN SIGNED
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.
FOR ALL INSPECTIONS (952) 447-9850
QIrrfifirztfr af @rrupanry
CITY OF PRIOR LAKE
/ ~cpZtrtmcuf af 'l/iluilMug J'uspctfinu
)iJ Final Permitted n Conditional C.O, Expires _
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying
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 FAl-IILY
Bldg. Permit No.~
Occupancy Type
R3
Type Construction
VI(
Fire Zone
N/A
_ Zoning District
u-=c&Z-
PUD
Legal Description
L33, Bl, TIMBER CREST PARK
Owne' of Buildin' Site Add,,,, 4940 BLUFF HEIGHTS TRAIL SE
eonlfaCW'S Name & Add""PULTE HONES, ~_NORTHWEST PK',o/'{., SUITE 140, EAGAN 5512]
ROBERT D. HUTCHINS /pc:-.~ ~ City Planne'. DO~' RYE'_
;> /:' ~~d, Official -~.;
Date: r~ / /'07 Date: 1::' ""-.
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE nME
~:/
f/? 5/'0 /?/u jJ,L J/ ,I,,/:" /
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..4PlNAL
o SITE INSPECTION
SCHEDULED
CONTR
PERMIT NO.
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
CQ~ENJ6: ____ /
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,
GJ~ --J~ Z
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
///
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~RK SATlSFACTOR , n
~ ~~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR 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 nME
CITY OF PRIOR LAKE h _. L~/
INSPECTION NOTICE SCHEDULED !fZ~r7
ADDRESS ~'Jyo & 1/ A{ / k
OWNER CONTR
PHONE NO,
PERMIT NO.
Oq- 3 ;:'2
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RJ
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~CH FINAL
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
'~-9'~/:"- -/..J/ Mr- /
~.s~~, ~,',t... ,'R.~'-t' -rLJ/~
{(?~ ~ V #
/~v:' . d ~~r' rIdv ...A~ /,-~_
~",,.?h,... ~ -h:~",'C.- #k,/.7~.c'P
if' . 7'
~ /-/
r/H9' C/~<-
~RK SATISFACTORY, PROCEED
~ ~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
~ ,gwner/Contr:
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTiON 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .t SAFETY!
'''''"'''
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<;/9~o g'".{/!/2 M -Ar/
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
_ I!I' I'LUMBING FINAL
o MECH FINAL
DATE TIME
O~Jt:.2
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
/j$~Hd~~ ~ ~S / 0/
~t'/ /ff7V /kJ'h//.;J
~/k;/ (~ AJI'{d~i..s
. - ,_. ~
o WORK SATISFACTORY. PROCEED "'~ ~
~ORRECT ACTION AND PROCEED -7 C
/0 'cORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
./,--
07
("J~
Inspector:
OWner/Cantr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
4~/
uaNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .( SAFETY!