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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 ~9~o gWPF J/#/wn '1fi+t'- 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 :~ I" '-7 /~c//t<Lt~tL--" ,/ /- ,C'/') L-/' ,/ -1 '.J f.-' '"'.,/',,..., ~:~_-;,.-r y''! ..- 'l (",,' ,.; 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..,,', ~" ".' '''''.,-,. ..fI- / '>. , } Accepted ,)( ""'-. 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 // ,.0Cl'.,[/_ . C/'Cl. // ' ~/ " , / X'.f"", " Vf- / J /,' ,'~ ........; . <- 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() , ;1/ / -"f . I .', I." 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 . . - \~ ~. ~ 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. ,:; "'.l {.~~r~;~:;' . 'Y. ' REC'D BY ,,',' \, .\ '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 €~~ ""NNUO'1.'" 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: ____ / ~,~?,C'- / rh... / rl-~-, /' ,............) ,~ //h"t / /I:;;; /' ~ ') (C , GJ~ --J~ Z o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o /// ~/S/ 10/' / / r7 t../e,,' J(~// "?('O t:-- ~ h- ~ ~.( .. r-./ - ~ - . -~~ , --,-. ~ L-. /r ~:-:- ~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! '''''"''' ?MU , / ~., <;/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!