HomeMy WebLinkAboutBuilding Permit 04-0399
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
'-1- J 3-0'-/
See Main Fil;;~ ~:~Ii"" I PERMIT NO. 04-.03'11
(Please!vpe or print and sign at bottom)
ADDRESS
'I1ZS 8~r ;..Ie/tIffS TM/L-
LEGAL DESCRIPTION (office use only)
LOT/~ BLOCKS ADDITlON'1:mEf/I Ursr z'1UL 4iJ/TI/J1'\
OWNER
(Name)
Pili-7&- Mm'DS
8-JS ,%/2T7/Wt:E.;- Ai2.JL~ /
./
(Address)
BUILDER
(Name)
6A1n f-
&/lr $' LA6c#/U.
(Contact Name)
(Address)
TYPE OF WORK
./
lI3"'N"ew Construction
DLower Level Finish
o Fireplace
PROJECTCOST/VALUE (excluding land) $ 9~_CJa)
,
DUtility Connection
o Misc.
(Phone)
ffAtIH1 ,
~
.sSj.z.j
ZONING (office use)
PaD
PlDds. 4.jIJ,;l- 0 1r4-~
t.67 - 1,15 Z -.5 ZtX>
(Phone)
(Phone) ~/l-2Z./- t/9~
I Park Support Fee
I SAC
I WaterMeter<'Si~l";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
SJ "1.11'"
... 1. d9-
Paid
Date
ORe-Siding
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
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
;t:ru;2~:;T~~ections 8t -/S71 .y/z.z:..~V
?~, Signature Contractor's License No. ' / /'Date
DDeck
DPorch
ORe. Roofing
I Permit Valuation '16, rx::o. I
I Permit Fee $ !Od-'?,sd
I Plan Check Fee $ (p fc/J. g l>
I State Surcharge $ 'If<.oD
I Penalty $
Plumbing Permit Fee $ t O() ,QCJ
Mechanical Permit Fee $ loa, 00
Sewer & Water Permit Fee $ .3 'S' . 5'0 I
Gas Fireplace Permit Fee $ '-11).00 I
This Application Becomes Your Building Permit When Approved
~ ~:eflt-
Building Official
s-A,/dy
Date
DAddition
DAlteration
#
$
#
#
$5"
/1
ReceiPtfll/o. ~ fo'l
By A /I
!
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
:~:~y:~ p~~mporffi7 Cffim;;i/i;Pli,n" md,llows comuusee,nXIaln' FIIerupm~ mmtb,
Planning 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
~~
See Main File
White - Buil~ing
q;anfM'X - I-ngl""-ArInQl '\
ink " Planning
Th~ Crntrr nf lhr l..kf Counl~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
U! III
11--1 //.Le_j{.f~,
, I
;\; ,
'.r.A, t ;' /l --?AII . ,) }
~'-C"/" l, ..J',' ~../'
/I'.d~-OL/
t
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .
/;1 /! ' }' ._oF /)
/ J /7 ., 5 <I'" ' "?J -.." f 1/
I '7 c?'-.. - A:J(~'711 '1-/4/1 ""~h..,.~fl...{..~
i"J/ "
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
~
.t;er- ffllf,'r- r:dt'_
Date: S"-L-J-(!} '-/
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."
~~
~e@ Main File
White - Building
Canarv - Enqineering
LDln'" - Plariiiii'lJ:r,
-
rll~ ('rnln of l"~ I..kr CounlrJ
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
. ./ ,/ #.
. j{ r . ../
if);3 -(HI
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is,proposed at:
C((1~ -, c::-- /. I
/;.: -.J /~L~."._,:/';l' //-(~,
',1 I
./~ /'
"'~" I
'- c....,J..{_.L-_
Accepted
/
Accepted With Corrections
Denied
~
~I--
Date:
5hlo ~
Reviewed By:
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."
I
I
I
_.._.__...,~~__~__i
~t
See Main File
CJllllilte - Buildinp
Canary - Engineering
Pink - Planning
Ih~ ('rorr. of lhr 1,llkr ('ounl~'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f!J"d:tL ~~
IA-'d-a-OLj
( .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .
<-/180'- ~ ~~.
/ Accepted With Corrections
Accepted
Denied
~ ~.tf21U
Date: S /~ /~ '/
Reviewed By:
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."
7-04;12:03PM; ;952 894 0925
HEATING/AIR CONDITlONINli/J!l1{J!;l'LACE l'EKlVUT
# 14/ 17
(Please !VDe or Print and sion at botttlm'
ADDRESS
: ~~" ~:~ I PERMIT NOoAA. A ozG12
l. YEllow Apphc.lnl ~ .~{
ZONING (0"", ."')
L{01JS PJh IQ::"' ~1s \(~
r
II
~ ;
.'",
'.F
LEGAL DESCRIPTION (offi; use only)
.LOT
BLOCK
ADDITION
PID
II
OWNER.....,.",
:Name)t\, 0 -J\' "
40 rn-r s.,
:Address) A IS hmA~"C9;\ 'l>n fu' To u_
()
"J'PLICANT
(Name)
BurnSVllle Meil""\! ;;. ;\'S, k.:..::
12481 Rhode Island Ave. So.
Savage, MN ~~i1.Mis;1-U:
(Phone) (OS 1-l..jS? - S 200
&. ~j() . FGX>(\r:l SSl2J
(phone) .!lC)~ -Kef L(-(Y;(X;;
~.'..,
.q:
(City)
(Zip Code)
,
I
Address)
"..;,
Contact Pemon) (phone)
U'PLICANTSIGNATURE {...{( /z/L , RII ~...Jrv /](]./7 DATE 7-i-OLj
APPUCANT PLEASE COMPLETE BELOW
IilNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
URNACE MAKE AND MODEL to /lr/CJv fJ:5( 1?7.:J - ::JUrz,-OI./';:;- FUEL ffi.;/-~
LUE SIZE RETIJRN OPENINGS c; INPUT '-1<:;; f()1 OUTPUT !:i..L,..1lrJ
TYPE OF SYSTEM HEATING OR POWER PLANT
l4k\
OWIlIlD Air Plants
OGravity
o Mechanical
NAir Conditioning
OVent. System
:REPLACE MAKE AND MODEL
o Steam
o Hot Water
o Radi..lon
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
::Iustrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Estimated Cost $
Building Pemit #
ResidentW, Additions & Alterations $39.50
Residential, AC Only ~'"M,",t""""'. ,.,[ $39.50
\i~~~\i\"loILwl.'
P" ern ",,',,~(I';> F""," C rr~'
-.,J:,,'.JJ..3~1!.'j]["".o~,.,. .~
.~~~
.50 'I'...>LJJ , ~
;sidential, Heating & Ale (New ConstnJ,ction)
:.sidc:ntial, Heating Only (New Construction)
HEA UNG PE FEE
STATE SURCHARG
TOTALPE E
Illc, Us. Only)
Building Official
I~d~ I~ U ~
(pafuL 9 2004
Lw
24 hour notice foc aU InsperUons (952) 447. /850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior I iiJSe. MN 55372
Date
..-
LE: I . I Receipt No.
L By
Fhis Application Becomes Your Building Permit When Approved
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
S. 2-/ ,0 4--
; ~~: ~:~ I PERMIT NO. 04. 03QCJ I
3. Yellow Applicant I -}
(Please.!V1?C!. or mint and sism. at bottom)
ADDRESS
C:;?ZS 8/A/r-:F rtrJ m.
LEGAL DESCRIPTION (ollice use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
ZONING (offic<u,,)
PID
APPLICAJIjT,
(Name) VCl/J-e'0 P/~ t..--... J :I:.V1C. (Phone)
(Address). R-foo 0'-<"'k__ Av.." ~d.-..,
(Address) (City)
(ContactPerson)CI..,...'S 1-116/'/'.''':.. (Phone) abov-.::.
APPLICANT SIGNATURE 4~~ DATE 5- ex /- o?f.
AP~ANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
. Water Closet (Toilet)
CfS.P-'I9.9 -&/02/
.5 _"'sS"~
(Zip Code)
Quantity
Type of Fixture
Rough-ins
Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family 599.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ,./
$ ../.5'0
$ ./
/'
IPai~
l'TTat':s: 7 I _ 0 4--
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all Inspections (952) 447-9850, fax (951) 447-4245
16100 Eagle Creek Ave., S.E., Prior Lake, MN 55371-1714
pff1tJ 061?-
/5VIV
~~
ReceiP~
By ~!JJ!L-
I
Apr 20 04 01:10p
METRO GENERAL SERVICES
763-428-2968
P.4
GIllUM _ fILl
YEllOW. A.f1PlIC"Ml
GOlD. CIT1
CITY OF PRIOR LAKE
SEWER'AND WATER PERMIT
FA'I- '75~- 'I'I7-'lz,lJr'
s.w.No.M.~
NOTE: Sewer and Water
contractors must
be registered
with the city.
APPLICANT: IfltfA]) ~ l/tfUNJ.{ .$e~ONE: 71d,3~1/2f: /zrP;k
ADDRESS: .f-';r;tJ:.) QIJIU1/.!Jue.. tJF DATE: '
.l/tt/pt1:vIt/;/-./; -. BLDG. PERMIT #
SITE ADDF ESS: 2;lJdfJ ,(Lu../LJJ (ijlItfS IrPID#
,FILL, (P:;;;;' BLANKS,
,b)()
I
SIGNATURJ::
1.
Estir.ated length of water service
Size of water service / II inch(es) .
feet.
2.
J. Loca1.ion of any couplings from structure () feet.
4 . Type of sewer pipe. ABS pvc 4 ., Cast Iron
'---
5. Estinated length of sewer line f)(j
~
feet.
6. Clea n out (if required). located at feet from
stru~ture. 11111
========~==~==~======~==;==~=======;~~==~============~============
This application becomes your permit when approved.
I
BY
DATE:
======;=~===r=~;=====~========~===~========~========~=====~=;=====
Pwl/e.d (,.>.'f1r. .
FEES: f] ld.j P~e.-M' 1- ,Sewer and water line connection permit.
, , Surcharge
AftJ Pee- TOTAL
* Fee' for either sewer or, water individually is $20.00 plus
$ .ll>0 surCharge.
Sew~r and water permits issued for new construction must be
recJrded on the buildin~ permit card at the time of issuance
" to i.nsure that no dupllcate sewer and water permits are
;..',:it. ,. ..j ~SSl~'fE~ ~ 0 IV ~Gill
"'~"0~i;~t;';; "::::i:; rl~ JUN 02 2004' .; ~ jf ·
~,':. By <,j,.
:/:::~;:;,:\.\-.
," .', l'~':;'
*
. -I
,~i -f,i
REC'DBY
c.'.";
'}62oo Eagl~:~reek Av. S.E., Prior Lake, Minnesota 55372 {Ph. ("52) 447.4230 {FAX (.,,,2) 447-4245
An Equal Opportunity Employer
------.---------.--..
'-.-.--
-._-_._~-,._-
--.-..-....
Apr 20 04 Ol:IOp
METRO GENERAL SERVICES
763-428-2S68
p.4
I
,
.N; PRI~;<
fEf /1\ '~!
) / U tzll
GIIU"~ fLE
't'f.LlOW . AIIPLlCAtlr
GOlD. ClTY
NOTE: Sewer and Water
contractors must
be registered
with the city.
APPLICANT:_/Il{fAD )f/Prl1)yjJ Sal1~ONE: 7td3~1j1f{];rc;~'
ADDRESS: AIJ4;O alll} J1( IIUf_ I7F DATE:
SIGNATURE: - '.l)q..fll iff/ltf)....!,. BLDG. PERMIT #
SITE ADDFESS:_ 2;tJd'5 J5/5LI( /1 (fhf.S hID#
FILL"lf'THE BLANKS,
.J
1. Estiriated length of water service /1 C)
2. Size of water service Iii inch (es) .
CITY OF PRIOR LAKE
SEWER'AND WATER PERMIT
FA'/- QS;J..- 1ft! 7-'1z,II;$"
S.w. No. ()t1. ~
feet.
3.
Loca Hon of any couplings from structure n feet.
?I/i
Type of sewer pipe. ABS PVC.&y Cast Iron
4.
'-....-
5. Estinated length of sewer line
[:;f)
feet.
6. Clea n out (if required), located at feet froln
structure. , jh
, 11m'
==~=~~=~~===;;=~====~;====e===============~===========;===========
This ap~lication becomes your permit when approved.
BY
DATE:
I
========f7~i~=~~~=============================================
FEES: f] id,f FJ~e.-.I'H 1- Sewer and water line connection permit.
. , Surcharge
lJa Pee... TOTAL
* Fee. for either sewer or. water individually is $20.00 plus
$ .!iO surcharge.
Sew~r and water permits issued for new construction must be
rec)rded on the builcUng permit card at the time of issuance
, to t,sure that no duplicate sewer and water permits are
'nATE~:::~'~ W5 IE 0 1!7 ~m~ '
, " '. '.. JUN 02 2004![ I' '
RECEIPT .'
'By ~ .r .. ~
16200 Eaglt:l, Creek Av. S.E.. Prior Lake, Minnesota 55372/ Ph. ("$2) 447-4230/ FAX ( 447-4245
, An Eoual Opportunity Employ<,r
AMOUNT PHfWDym'H
~ rr;....&
REC'D BY
*
"- . -----~~
------.---
-------
--~- ----
--~,~-,,~
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS L/~~- 8tu1^,^' ~ rte.
NATURE OF WORK paw
USE OF BUILDING .5r ~
PERMIT NO. oct- opq DATE ISSUED a,p.04-. ~
CONTRACTOR ~ PHONt>>/d." ~..,' "91;1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT O~pp l\Jf ~1 P'l
BUILDING AND I~PECT-Id'rf.u..Ln 1 e
INSPECTOR
DATE
, FOOTING b. IS'/; 7100/'
I FOUNDATION (Prior to Backfill) I ~I ~H....4f
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC , .
FRAMING /M.,/I/ . -7/!9 /t!1e/
INSULATION ~ ~~/9</
ELECTRICAL". .7 ff~(
PLUMBING tJ.Gr M ~(116'f .J/?? 7pW/o/'
HEATING (if required) ~ 7/...:27'/&/
FIREPLACE. /
GAS LINE AIR TESTII~/~; iJ'rr ~. P rl/~f
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED /
I'r;/j I /%i I '7/.29/~Y
FINALS
./r
GRADING (Prior to SOdding) ( )...e ~ ~/J;,.
BUILDING ~. .
ELECTRICAL $;'
PLUMBING 1114
HEATING jIPf
DO f'.IOT "qCCU.PY/ UNTIL ABOVE HAS
.?we/' 4:v~1 d j-,""/Sh~C! 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.
,A/e .
9 /~As/
9' ~~ /Co/"
~I t(9f
fl/c{I'{
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850
Qtrrfifirah of @uupanq!
CITY OF PRIOR LAKE
f @.rp~khUlmf nf ~uilMng JInsprtfinn
rh Final Permitted . ," j D~onditional e.O. Expires
, \.,:"'''.
This Certificate issued pursuant to the reqiJirements of Section 307 of the Uniform Building Code certifying
that at the time of issuance this structure wa.\ in compliance with the various ordinances of the City of Prior
Lake regulating building con.,truction or u;e: For the following:
\
Use ClassIficatIOn SIN~ FAMI1J'Y
, \ I
R3 TyPe CQru;Jr~tion i VN Fire Zone
118, B3; \IMBER CREST PARK
..
Occupancy Type _
Legal Description.
Owner of Building \ Site Address
Contractor's Name & Add"" PULTE\HOMES. 815 NORTHWEST
ROBERT D. ~UTCHTNS '7~/ City Planner
,,"? Auilding9ffici~
Date: 7-,/ 5G' ./&4~ Date:
, 'I
tN,. CS91
_ Bldg. Permit No.
N / A Zoning District
PUD
4925 BLUFF HEIGHTS TRAIL SE
PKWY., SUITE 140, EAGAN 55121
DON RYE
7'J~r nMe
t/92\ ",.(~#./A 7//
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o .J,NSULA TION
~FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMM~I'f~ / __ , /
A7cc-/,.ia-9 h;'~/ rlo~
~ /
r/H"i(
&;:
""C/ - ..?'R7
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
. )
l' h-r--;/
~v ~
/-/ /~ ./
-------
~
/'. ./
I ,.r'l6se
\
~ '- --
WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~').~>>- FOR REINSPECTlON BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSl<<m
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
~E nME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED i" "1
~f./5- ~~PI //1\ p/
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
~H FINAL
COMMENTS:
/' / ~
$'lC#,,~f-,,-, kS' 7-
c~Sh ).,,,, ~/lh./
.,L- ~/U
/ ,', t1k
./' /
//'h-7 /
/
~/c
~~-()9?
o EXIGRAOIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
A
'-/-d r-
t:/'/ye,r
/
....{WORK SATISFACTORY, PROCEED
/~ ~ORRECT ACTION AND PROCEED
o CORRECT WO~~ cpf~ REINSPECTlON BEFORE COVERING
Inspector: #~ Owner/Conlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
INSIIOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
1'f'2S-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED ~~~.
d,.c /}/J #'h fr/
CONTR.
PERMIT NO.
e ij' ~ .3T';?
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~UMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
~f' /
//t~# Od?~rC'r
/ /
rr?s/
(3)
/"1 /
it' n q.
/
r)/C
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:.4V Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI