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Home My WebLink AboutBuilding Permit 04-0397 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Main File Date Rec'd 1. White File 2. Pink City J. Yellow Applicant lj-)3 ~/J'I PERMIT NO. () 1. 039'71 (Please.!VQe or orint and sign at bottom) ADDRESS '112.1 ZUP'P ;/&l6HTS .-.- !I1A-IL ZONING (office use) PUD LEGAL DESCRIPTION (office use only) LOT Zt:BLOCK.3 ADDITION -hmBV1. (Ag;.T 2,e;L 4#t11T10'1 PID,-iS' 1/0;1.- O<6t,~ ~ OWNER (Name) Put.TF_ )../r,rnQ (Address) ~/~') IlIcb1ltIlJ'$7 BnKuJ'7' BUILDER (Name) S/Jrrc- J I,I() _ (Phone) 65/ - ~5 2.. - oS ZOO KA6frU. Iilvl <ss-JLI (Contact Name) (Address) 541n/Z.- &/L.r j?L A<;C#JU) (Phone) (Phone) - 6JZ-22/ -~9J'"6 TYPE OF WORK / a;rN ew Construction DDeck DPorch DLower Level Finish o Fireplace DAddition ORe-Roofing DAlteration ORe-Siding DUtility Connection DMisc. PROJECT COST IV ALUE (excluding land) S 9t..OOD I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authorized agent for the above-mentioned Y'~l'-'~J and that all construction will conform to all existing state and local laws and will proceed in accordance with SUbmpltted plans I am aware that the budding official an revoke thiS permIt for Just cause Furthermore, I hereby agree that the City offiCial or a deSIgnee may ;teru;/:;i~$Z:;;;ZCt1 i3c - Jd7 1 ~ ~~~ V - SIgnature Contractor's License No 7 ~te Permit Valuation qt" 00/, I I Park Support Fee # $ I Permit Fee $ fo,.;l--1.Sol I SAC :;ft/JS-Odlb .,... ~-I.IiIII"" . I Plan Check Fee $ (_ t-. '7. RX1 I WaterMeter(""'Slze~ 1"; $ ';;"So.eo I State Surcharge $ LlQ, ao I I Pressure Reducer $ 95. (} 0 I Penalty $ .-Ij I I City SAC and WAC # $ IAOO.OD I Plumbing Permit Fee $ / () C!). 00 I I Water Tower Fee # $ ~OD~O() I Mechanical Permit Fee $ ((J(), 00 I I Builder's Deposit $ I C) oO.DO I Sewer & Water Permit Fee $ 35'.5'"0 1 I Other $ I Gas Fireplace Permit Fee $ ifo.OO I TOTAL DUE $1 o~~ jf0 , This Application Becomes Your Building Permit When Approved Paid 1.f2{.3 .Y r I Receiptlllo. 4r~'l(} :7 ~ ~ ~/"1 Date r. 7,04- By J( /'. a Building Official Date 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 signed by the City Planner consti~tes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be "~PI.annl'ng~DI'rector $~a Iteq </ A$dLl d-Lf -.h- / ~_ f-. ~ ~te Special Conditfons, if any 24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 &~~ Main File rWhIte - BUild~ Canary - Engineering Pink - Planning -~ Tll~ C~nl~r of Illr L.kr CounlD'. BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED pJLfJL ~ q- d~~O~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: </9d-/- ~ ~ ~ /' Accepted Accepted With Corrections Denied Reviewed By: ~ ~~A.Jl aD ~ Date: ~~y ~. 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." .~ o.~ Main File White - Building Canary - Ennineering rF'ink - Pla~ -~ Tile Cf"ler of the l..ke ("ounlrl BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED I; ! , r (. , i 1./ i /1. ~~.~ / c _.I (~c'1 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: <// .) / -, / 'J ;, " ./ ,( Accepted Accepted With Corrections V-- Denied ~ Comments: A ~e., ~~ ~--~ Reviewed By: ::; f. ' .!2 f-- Date: .5 /~ /d c.( ~~ .,-'+~. ~.. ',,~. ~ ,.t!1~~~t~ (./ J ' ,. ~ >.7. /"...".... _ ~ (,) L'r t.; -Ji' ~ , ~-.1J .... "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," ~~ Main File While - Building --l.-,anary ~ i:ngin~erlnl!:> Pink -...ar.. ...." Thf (tofu of thr l..kt ('ounll'}' BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED / )171 . { r--- 11 1/ Ie 1/r1~)/J1e/;J.// t-,lo ;2 :1'- e-1c; The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: (/0'1 1 I - /t.<_~, ,tl' Ii Jz:.1 V:)( :"r - "J:' ,....... ;',,{ .J / . ':1 "/..h../_.c.i.._~. Accepted ){ Accepted With Corrections Denied Reviewed By: wB Date: 5- if" 'I Comments: ..;.SAA RAverse Side for Additional Information! See Attachments: l) GradingElan. 2) Erosion Control Mp.::1~llrp.~ "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." Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT (Please tvEe or print and silUl at bottom) I ADDRESS 4-9 z/ 8L--vr::F ff'lJ 7)L LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION OWNER (Name) (Address) APPLICAI'jT. (Name) VQI/-eu. PI~ b I~" '\ :?Vl~. . 0 .,j (Address) R10 0 (2).~C4k-.r- AI/"". (Address) 6. 2-1,04- ~.~: ~:~ 1 rI!.NvrrTNO'(),4-. 030-71 3. Yellow Applicant 7 / (Phone) ZONING (office use) PID (Phone) 0b.-d~ (City) Qs,p-Lf9.9 -&/011 .s . < "3 S'G2. (Zip Code) (Contact Person) CJ.~ , 'So h ,., /' /' .'" APPLICANT SIGNATURE 4~251~ t:/ - APPLICANT PLEASE COMPLETE BELOW Quantity I Type of Fixture Quantity I Bath Tub with or without shower Dishwasher I Floor Drain I Lavatory (Bathroom Sink) I Laundry Tray (lor 2 compartment sink I Shower Stall I Sinks I Bar Sink I Water Closet (Toilet) (Phone) ahou"'<!: . .5- 6l /- oq DATE Type of Fixture Rough-ins Water Heater Water Softner Stand Pipe (Washing Machine) Sewage Ejector Backflow Assembly Backflow Assembly Test Lawn Sprinkler Other FEE SCHEDULE Industrial, Commercial & Mulli-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 Estimated Cost $ PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE (Office Use Only) This Application Becomes Your Building Permit When Approved Building Official Date Building Permit # $ .,/ $ ../.51l $ ~ /' IPai~ l-Uat~~/.O~ 24 hour notice fur all inspections (952) 447-9850, fn (952) 447-4245 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714 fftlO 06rG- 6UW 61 :'"~fL~ Apr 20 04 01:10p METRO GENERAL SERVICES 763-428-2S68 p.3 '. GltEEII . fILE VEllDW ~ APPUCA"f GOLD. elTf CITY OF PRIOR LAKE SEWER' AND WATER PERMIT FA'/.. 9S;J..- 1ft( 7-'/1,1/.6'" s.w.No.~97 feet. . I 6. Clea1 out (if required), located at feet from ====:::~:::::~======================={~J1==~====================== This apFiication becomes your permit when approved. I BY DATE: ============r===================================================== P",JieJ /.:J.'f1t . FEES: aid.. Pef.-(I1.pi- Sewer and water line connection permit. "c '" Surcharge IVCJ t-e.e- TOTAL Fee for either sewer or. water individually is $20.00 plus $ .50 surcharge. sewbr and water permits issued. for new co"c:rruc;!tion must be rec Drded on the blli) ,H M permit card 0 t pElt. \W ~L l.SSU<lll'-l'" ,. to i.nSU~JiI1~~~ ~~. [.late sewer End WUlh;I w:i'ilHal~ lss:1ed. Lt; ~ 'J BUILD . .DATE)?Ar'D. I(AY 122004 AMOUtT PA:r.p~ ING ~ .' ~~RMIT RECEI~'I# RECIT"l>V . * * ~y ..--' , """'. (',,','.. Eagk ~reek Av. S.B., Prior Lake, Minnesota 55372/ Ph. ('152) 447-4230 I FAX (9li2) 447-4245 , An Eoual Opportunity Employer '--.-- --__._._..u.____ ~ ~. --..-."..---. 7-04; 12:03PM; .952 894 HEATING/AIR CUNV1TIUNlNt,i/1<l.liliYLALE YEKlVUI 0925 # 10/ 17 ~lease.!Vt>~ or olint and siC'Il at bottr:'lm) ADDRESS . Ltc\~ I ~\U~' H+:s -\fcUY., I. Pink 2. Grllell J. Yelll)w ~::, I PERMIT NO~ "7/Pf, Appli~1lIl1 .~ . ZONING {(lffia:use) I 1~ LEGAL DESCRIPTION (ollice use only) ;" hI' i!:' ~~ .LOT BLOCK ADDITION PID JWNER~ ~ame) 1"\AO-k-.. 4ornT'~ Address) ?\\s h(')A\'1\~",::~ ~r"1 tv (...To U>PLICANT [Name) l_cr- (phone) (OS \ - LiS? -5 LOO ~~ 1\ ~O ,~~n 3:,1:;11 Qc:;,..:) -gCf (j -(Y:.tY:; (phone) Address) . ~ ~,~ '~" BumSVllle nt:Cl~lll~ IJ& ,-"v,'" - 12481 Rhode Island Ave._~o. Savage, MN ~~M:l?s;j .",0. '(City) (Zip Code) Contact Person) (phone) J>PLICANTSIGNATURF. (..J.r/zi1~~RI1~..J./7Cf/70./) DATE 7-j-oL/ APPLICANT PLEASE COMPLETE BELOW ~NEW CONSTRUCTION URNACE MAKE AND M.ODEL [0 /I n() yo LUE SIZE RETURN OPENINGS TYPE OF SYSTEM. DWann Air Plants DGravity ~echanical , 'r Conditioning Vent. System o REPLACEMENT 0 ALTERATIONS (.)c:::;/ m,tJ - ::Jy P, - Ol..f', FUEL 1l2.~~ _ '5 INPUT Lie:::; r()1 OUTPUT !:I41iYJ HEATING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conclitioner Units Cannot Encroach into Required Side Yard Setbacks , '. j REPLACE MAKE AND MODEL :IusuiaJ. Commercial & Multi-Family sidentiaJ, Heating & AlC (New Construction) sidenlial, Heating Only (New Construction) FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace: $39.50 minimum $99.50 $64.50 $39.50 Residcnti~ Additions & Alterations Residential, AC Only $39.50 $39.50 Estimated Cost $ Building Permit # HEATINGPE FEE STATE SURCHARG TOTALPE E rC;J::]\i'"T(i{ .~ r~iit\Lr:,r""~ 1-,1'>''''' r"," r ' ~ ' ---tt'''''\U')~.. .50 --p~ ' Building Official ~lff~ ~ U \lJ ~ Date 'j%L 9 2004 24 hour notice for aU inspections (952) 441 850. fax (952) 447-4245 16200 Eagle Creek Avenue, Prior /By' MN 55372 .- f\ ::ceiPt No. liee Use Only) ~lJi5 Application Becomes Your Building Permit When Approved PRIOR LAKE ~~rtD~~~~NJD~~s~ File INSPECTION RECORD SITE ADDRESS ~ ~ fF fI.+s T~ NATURE OF WORK _'~ USE OF BUILDING~ ~ if PERMIT NO. Oll- - 3 7 DATE ISSUED S.b. 0 t- ~r- CONTRACTOR --.JL~ PHONefJ I~ · ~..I. ".,0 ~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR OATE I FOOTING I th. IS//llo q I FOUNDATION (Prior to Backfill) I I~ N~t:.:- "'J,t; iJL{ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED' ROUGH - INS SEWER I WATER I SEPTIC , ... FRAMING ~ . ,j/ /-7leJ cj INSULATION r/.h../ /,/6/od ELECTRICAL . _ . I /1'1/4-' If /:;/:; 7 PLUMBING 1/1 {6. 11I1 6/ltPt/ ~ sY)<-/ /~ HEATING (if required) /U/,,?- );!;/C/( or FIREPLACE .. ... GAS LINE AIR TEST ~/t/ f ~ ;/f1' ffi'ft COVER NO WORK UNTIL ABOYE !iA~ BEEN SIGN...ED".- ~M ~OW~ I~~~Y FINALS A/e c/. zz . Of-' I GRADING (Prior to SOdding) I BUILDING 7/' () II/; s/r; ,,/ ELECTRICAL PLUMBING HEATING DO NOT OCCUpy M ~ - . /qaz/Or m.4-. ill). J/rjoo/ fl/~/dt/ ~ . 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 I *'~ QIrrfifiratr of Ql}rrupanr1! CITY OF PRIOR LAKE ~rparfmruf of ~uil~iug Jlusprdiou ~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 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: Occupancy Type R3 Fire Zone Bldg. Permit No. N/A (N-.0397 PUD Use Classitication SINGLE FAMILY Type Construction VN Zoning District Legal Description L20, B3 TIMBER CREST PARK Owner of BuildinjI Site Address 4921 BLUFF HEIGHTS TRAIL SE ROBERT D. HUTCHINS ~ Bu;ljil1g OJlici'1 /0 _2.2 /~<'/ , / PID,TE HOMES, 81~ /-JPY NORTHWEST PKWY., SUIT" 140, EAGAN DON RYE 55121 Contractor's Name & Address , City Planner Date: Date: DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS '172/ 7'-2 Zc/'f RlrJ+ fib ~41' I Iv lIe HOr1,'J 04-.O:HI .x..~LING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o CONTR. SCHEDULED OWNER PHONE NO. PERMIT NO~ o FOOTING o FOUNDATION o FRAMING o INSULATION ~AL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: bhhc,/ /)/( Cu/b ~ $- t") l( f;rf-; ri WORK SATISFACTORY, PROCEED "ct CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING lnspector:,$~ >-- Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY! ""'''''' DATE nilE t/~o</ t/<J'21 /5/(j~/ #~ // CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER CQNTR. 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 ~UMBING FINAL o MECH FINAL O-;/~J7'/ o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: /F~Haffi?~~~ /~cS/ O~ ./ .,/: / ~~4 ~yL hRK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WOR~, ;;';/17 REINSPECTION BEFORE COVERING Inspector: I' /IZ# Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. ,,,,,.m CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! DATE TIME 9k</~v 1 1 LJIv/,L 4~ 7// CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 9"9.2 / 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 0</'-, ?9> o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: _JI.# /;1 /' n /~I"O'..?-?/'J"--"" -T? r 7:~ s r- -f--e'Y- /5'5:;; r .&k -r ""~ f4/.k. Lt v:t- r- -,LL-u/~ .-/ /' ~ r :. UrC }:::("(': f?/v-J OYS'el,j Tl'S.j ~. // Ok /;{T~f @ d ~/;1-r:1 /;",5,[,//;'/ r:-ht,S r -/)Jh c:. ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, C~L; F2fJ REINSPECTlON BEFORE COVERING Inspector: p1('~ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH.l SAFETY! DATE TIME CITY OF PRIOR LAKE :ll< / INSPECTION NOTICE SCHEDULED :!/j> '!~/ ADDRESS f/Y2/.I?~ M /4 Tr OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ,.erFfNAL o SITE INSPECTION CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENT~: / ~C r/'ICC7 / ~"" / d(7~e. ~~ / c?/ O~-3""7 o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o o/:o~( /'1 1/ I .~ / ~ / / I I ,/. / /1/ <(J e d // J<- "l (Qr...d e /7/.JP /~'-4( --- rr~p, / -.--? ./1l L~ V, ~u/! //~S~ ~RK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WO/'5'~~ RElNSPECTION BEFORE COVERING Inspector: ~ P" Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! If'iSl{On BUHNSVILLE Heating & Air Conditioning, L.L.C. 12481 Rhode Island Ave S, Savage, MN $5378.952-894-0005 Ors1at Test Report for JoW to t/,~ 4 Address t./9;;J I Occupant Oate of Inslall Type of HT. F/A Other: w.., Cc. U("J') 1'..... City----lr,' 0,/ 6J-. VHW Space HT UnitHT Make ho _m-. rJ'{ Model r...SIr>t?-J4t5 - 04~'DI Serial ,(t10tJ.f-:-t), \\'6' In~ 1.1'/ ODD ~ r-Cf'Ii.--</Ors,:::,,/c-/ Pilot Type HOT SURFACE IGNITOf{ j. Pressure ?;. ~ C02 ~, <..) 0 l> Input CFH <f.<! 02 cf. ~ i) 10 StackTemp \ 0 T' CO ~ 1"1' ~ Date Tested q /7/ eLl Company BURNSVILLE HEATING & AIR CONDITIONING Technician 3""<:""'':::><''-''''1 l