HomeMy WebLinkAboutBuilding Permit 04-0442
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CITY OF PRIOR LAKE
~rpadmruf of ~uilMug JIusprdiou
~Final Permitted 0 Conditional e.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 of/he City of Prior
Lake regulating building construction or use. For the following:
Use Classification
SINGLE FAMILY
Bldg. Pemit No.
04-. ~44- Z.
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
_ Zoning District
PUD
Legal Description
L40, B1, TIMBER CREST PARK
Site Add"" 4918 BLUFF HEIGHTS TRAIL SE
NORTHWEST PKWY., SUITE 140, EAGAN 55121
Owner of Buildinp
Contractor's Name & Address PUL TE HOMES t 81;>
ROBERT D. HUTCHINS ~
/~l:u~~ial
_ City Planner_
DON RYE
Date:
Date:
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
Main File
I.White File
2 Pink City
3_ Yellow Applicant
lj,3t.J /(1
I PERMIT NO'(j4. 044zJ
(Please'!vpe or vrint and siJro at bottom)
ADDRESS
IIf/&-
ZI.Uff- ##16#7.5 'l/W'-
ZONING (office u,,)
Pr/O
LEGAL DESCRIPTION (olliee use only)
LOTt'OBLOCK / ADDITION0J?1BUt t:Izur ~ k'77Clh
PID 7S. 402- 04-0,0
OWNER
(Name)
fvJ-~ '#/JIL~
cPIS- Jt/pJ277/ Jt/LSr ,~/
SVITJ;;; /~o..
(Phone) &5'/ - ~.s-z.. -.5 ZOO
m.4n. #lu 55/21
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
SAm$-- _
I~ L5 tAscH~
(Phone)
(Phone)
(P/Z - ZZ/- ,/f rr
TYPE OF WORK
../
,'Jd"New Construction
DDeek
OPorch
OLower Level Finish
DAddition
ORe-Roofing
OAlteration
DRe.Siding
o Fireplace
OUtility Connection
DMise /. R, C.
PROJECTCOST/VALUE (exdudingland) $ -?t/t?~
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 plan7 I am aware that the bUlldmg officIal can revoke thIS permtt for Just cause Furthermore, I hereby agree that the CIty OffiCIal or a deslgnee may
;teru~~t~ns .8t--/37! ~fo~
~. "SIgnature Contractor's LleenseNo ./"'~~te r)'"
I Permit Valuation >f9h O()(). f) 0 Park Support Fee # $-
I Permit Fee $ ';() 2-7.SO SAC # $ 1.J5(J,()c
I Plan Check Fee $ {P&:'7.?i' I Water Meter (si:r€5/8~~h $ Z~O, a?
I State Surcharge $ L/ r. "0 I Pressure Reducer $ tf<:;;. (}c:J
I Penalty $ I City SAC and WAC # I $ /Zed , DO
I Plumbing Permit Fee $ /00. Dol Water Tower Fee # $ 7" 0 . 0 ()
I Mechanical Permit Fee $ II) () . 13 0 I Builder's Deposit $ J 50 0 . 00
I Sewer & Water Permit Fee I $ 35: S'Q I Other $
I Gas Fireplace Permit Fee 1$ 4t;J,ao I TOTALDUE $ '710&3, fj/
r '
I Reed"'t No, 4' (; '/(, '1
By t" /
This Application Becomes Your Building Permit When Approved
~.~~
Building Official
4(j~ 0/
bate'
I Paid
I Date
7(J(, f. II
u,2-,.,r
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
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
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rimming Director Date Special Corfditions. if any ,
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
.
~t
Jib..iIf' - Rllilclina
~rv - En!lineering~
Pink ,. - I'la"nn'"9
Th. {".."Ir. of II... I..k. Counl...,.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLl~T
NAME OF APP~.ICANT
APPLICATION RECEIVED
0--'-'.
'-jl. _ _.
('Ul,IT
A 7.n O.A~
'-Y ,J l., --r-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
40 /0 f5c LJ F~r:; HI'S n(~,
Accepted
Denied
Accepted With Corrections
Reviewed By:
/I11fJ
Date:
Comments:
SeA RAV_er~A ~irle for Additional Information!
/J1c,/n f,'/('
See Attachme11ts' 1) Gntding Plan, 2) Erosion ~ontrol Measures
"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
<:Jtlpite - Builaiii9)
Canary - Engfneering
Pink . Planning
Tl>fC"fnl..r of Ih..l..h Coul'llr).
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
ru LT5
Li.30.04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4- q t 0 15 L U r-r.; H13 Tl1A.-
Accepted
Accepted With Corrections V"
Denied
Reviewed By:
~~g', ~
R.vJ} tU.I ~.
Date:
61/c~ </
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,"
*
Main File
Th~ ("~nln of IhO' I..h ("ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f-/ U l-,t::
, -~, 1_ A ~
~ :-- l, , v ...,...-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
40 /0 1:((; i-J: HT;lllL
..Accepted
Accepted With Corrections /
Denied
Reviewed By: ~ U;-- Date: e:-/!o~ cj
Comments: /~ a.Lf ~/h.-'; _ ~,
"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.\'NES01....
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
&./5. 04--
I, Blue File
2. Gold City
) Yellow Applicant
I PERMIT NO, 0 + ,0 4+Z", ]
(Please type or print and sign at bottom)
~At~~ ~ O#'Z /?Lt/.FF /It:;;6;//TS 7RA / L
<1'9'zo ~ #3 0'
4-1 Z z- - --r.,---t- 4-<1 2- +- .:rt 0 .;-, t) +~r
LEGAL DESCRIPTION (office use only)
ZONING (office use)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
APPLICANT
(Name) VQ//-ej PI'-'-v> t.'.... j --L..~ c-, (Phone)
(Address) 8-'-0 &ft-....Cc'€-""".- A".< "0;orolc............
(Address) (City)
(Contact Person) c.t.,r, 'c Merr . ',5, (Phone) A-.60lo- ~
APPLICANTSIGNATURE~or~_ _., ,'~ DATE ~-/5'-O~
APPtf{ANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
Laundry Tray (1 or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
9'S'~Lf " t; "I:9IOJ ,
S S3S':<'
(Zip Code)
Quantity
Type of Fixture
Rough-ins
Water Heater
I Water Softner
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 $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Perm it #
f;110 c1~JL
1Jr/IVO
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
---
Building Official
Date
Paid....______
Da~ ' /~, 04--
Recei~.
B, {'
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S,E., Prior Lake, MN 55372-1714
# 2/ 17
; ~:" ~::, I PERMIT NO.A ~ A ~-L"
3. Y~lro", AppIH~.nl u.,.. u,.,..,...~
t'?lease me or Drint and sil!Tl ;:It hQrtnf7\)
ADDRESS .. ----
ZONING (office \JS~)
Llq \ '6
'PJ II I c=r-'
H-\s \(~
,Of
i~
1[
.LOT
BWCK
ADDITION
PID
II
LEGAL DESCRtr Bur. (ollice use only)
OWNER.......... \ \ _
:Name) i\... 0 -k- _ T-\('.J("h-f' So
:Address) ~\S hmAn\~ ~ ~n Ct..i.'Y~C0--
'l.PPLICANT
(Namp)
BurnsVllle Healllllj c.. "-'3. lob.:
12481 Rhode Island Ave. So,
Savage, MN q~a
(phone) (OS \ - l.J's''2 - S 200
&. 1\ It) , FCb':>Q(' n .%121
(Phone) -.!ls~-'i<q(f~('Y~
(City)
(Zip Code)
~
r~
Ii!!
,lI!
~~
Address)
Contact Person) (phone)
U'PLlCANTSIGNATURE B /1/}~ , 71JJ ~..J,/7a 170./7 DATE _ 7-i-OL/
,0;;,
in
APPLICANT PLEASE COMPLETE BELOW
l5ZlNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
URNACEMAKEANDMPDEL (O/lnov (.)=:;Lll1,tJ- ::JlIr'rO'-L,\ FUEL J)?~ _
LUE SIZE RETURN va..... ,OS S INPUT LJC;j fJ(y) OUTPUT ~) fY)
TYPE OF SYSTEM HEATING OR POWER PLANT
DWann Ai. Plants 0 Steam .
DGravity 0 Hot Water
o Mechanical 0 Radiation
.@ir Conditioning 0 Special Devices
DVent System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
REPLACE MAKE AND MODEL
:lustrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39,50 minimum
$99,50
$64,50
$39,50
Estimated Cost $
Building Pennit #
Rcsidenti~, Additions & Alterations $39,50
Residential, AC Only ~AtO iMiH9,50
eUln.DrNG ~R~r,IT
,~.odif.~
~~
,50
..idential, Heating & AlC (New Construction)
:sidentiaJ, Heating Only (New Construction)
HEA TINO PE FEE
STATE SURCHARG
TOTALPE E
rice Use Only)
..bis Application Become. Your Building Permit When APproved. \I~ t~ rE D W lE]
Building Offici,l Date 1111 9 2004 I
. 24 hour notice for aU Inspections (952) 4' 850, fax (952) 447-424
16200 Eagle Creek Avenue, Pri' !!yake, MN 55372
Receipt No,
-I.
,
By
~lii~r"~.'-~'~'~"''''I''''''iIl'''H"~'~~'_.'-''''-''if~1i\1Ii:~ .~--~. . . ' ,
..f?;;. ""l'~,; >." "', ",..;, 'i)I'.:;oa'nj~iffl,'!!I!tli~!:~: ".L_"$W"r,'i!i~"~'r;" j' .il ,:- "';~ir,"'~'I'~'{~J\fMn~'~ ,'I>. , , .=" , .. ~'=i@:".:r:~~;~..., ".~. .~ w'f:J~~J}$1\l~!'.~'~'~'~~!i!i~"'." "I '.
, ",~,,' 'M..". .. ,""""=C,I~i.:i"i 1)~' ," , .=.",,,,,,,>_,"'i'''.w,';~m;o' :' " , .. '.' ,jj;J;il\>.';a,;;:::':- ":J:'S"-:' ;', .. .. ":i$.'i!h",,,ni'i?,q~,((jl <,' I',""~ '.'
,.."
PRIOR LAKE
INSPECTION RECORD
. .
SITE ADDRESS H&.LJI!J/lf _ TM It..
NATURE OF WORK ~()N~1?t!.UCneJ~
USE OF BUILDING J'.I=:A .
PERMIT NO, .. D4~044Z- DATE ISSUED ;tU)/fl,tt/
CONTRACTOR 11I~:Tr HiJAlCS" PH N~" ZZ/..",(S-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF Main File
. BUILDING AND INSPECTION
INSPECTOR.. O-,\TE I
I FOOTING I ~ , I ~/~r"
I FOUNDATION (Prior to Backfill) 1..-'3>",,.../ /'~ I 7%~i7'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN'SrGNED
ROUGH - INS
I SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING !/;t; 111:1 bP-//of"
HEATING (if required)
FIREPLACE
, GAS LINE AIR TEST ffil), J '/Jilt/" Il-i1
, I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED /
~d I ~" I ~~7/oy
FINALS
GRADING (Prior to Sodding) /V/J '7,2- Z ,tl4-
BUILDING -H,1/J, eo. /.2,P~L./'
ELECTRICAL I
_ "A
PLUMBING flU) 1/) %:);rJ 1
HEATING /IN- '7/.,?" dY
- . . ;
L /DO/QT g.c..~U~Y {UNTIL ABOVE HAS BEEN SIGNED
~tv~/ L-c-vt', /J /7,mS/1e-.~ 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,
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FOR ALL INSPECTIONS (952) 447.9850
QIrrfifiratr of @rrnpaur\r
CITY OF PRIOR LAKE
~rparfmruf of ~uilMug JIusprdiou
,MFinal Permitted D Conditional C,O, Expires
"
This Certificate issued pursuant to the requirements of Section 307 a/the Umform Building Code cert~fying
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 FAMUY
Bldg. Permit No.
(j4- . tJ44-2...
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
PUD
Legal Descriptior
L40, B1, TIMBER CREST PARK
Owner of Buildioj!
Contractor's Name & Address PUL TE
Site Address
4918 BLUFF HEIGHTS TRAn, SE
ROBERT D, HUTCHINS
.' /. Build~ Oij.i0ial
/p/~..2 /C7"/
, .
HOMES, 81:;
I/H;d
/ //:/
NORTHWEST PKWY., SUITE 140, EAGAN
55121
City Planner
DON RYE
Date:
Date:
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
PHONE NO,
9-22pt
'Ill/( f2>/uH ;-/6 -,; I
R';"/~ fI&1t'J
PERMIT NO. (')tj - 'I'Iz.
SCHEDULED
ADDRESS
OWNER
CONTR,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
.,("~ILLlNG
'oC~itlT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
G/Q~<-f"Il(
C-v(b 28'-6 6 r....
5d-r
rtt WORK SATISFACTORY, PROCEED
Va--cORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
In$pector.~~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETYt
INSNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
C/J//J4~/
/ J I'
7/1
ADDRESS
19/~ $'Iv pi 1/,4
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)I'1!iNAL
o SITE INSPECTION
C~~M~TS:
p~cft-'c~1
.-<' /
r,,~
CONTR,
PERMIT NO,
o PLUMBING RI
o MECH RJ
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
h~~ / /h" ~
/'
t!!J/c
rfJ Ah~d- 11-;/
/;;.// ~dy (';;/
/ /
.~
7'C/-1~
,
C'ef- ~y'2
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
-- -
7'/..2 " / "y
,
~~,. /; AAFOW4 (
//-;/7- ~;;
c:'u dA/ /2//~
,
o WORK SATISFACTORY, PROCEED
",zf CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ OWnertContr.
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYt
lNSNOTl
DATE TIllE
~~f
rr; rY "tf;{; flI' //ft 7//
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR,
PHONE NO,
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~H FINAL
COMMENTS:
/tdtJ ~d;;;-
~S~~-(..s
,/- 7/~
~C el U -e d/ cJ,S~ /'
ksrt
~/ h .J
t'?)k
-'"
r~ /
//1'7'-7
. -:--7 /'
C//C
o'/- L/yz-
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~SLINE AIR TST
o
/ )
j-ttr
?7l"~
. /
:r:;;.J r--
hORK SATISFACTORY, PROCEED
/ri CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ _ OwnertContr:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
UUNO"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYt
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
~(
~/y .t?luh' ~ T/
nME
SCHEDULED
ADDRESS
OWNER
CONTR,
PHONE NO.
PERMIT NO,
09'-- 9'92
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 EXlGRADtFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
//;4/70/H~-:~ ;:; ~
- /
~~X
/::::
(tJ
--/ .
/; ~/.sL ~L-<JY'--
, ,
..Le {/,d / U t../
LAS h//t" d
~
~
(!)
~ei #/TV
0;i
../ / - /? / /. ~ /
/ u t' eft. (=/ /"J(h / d/ i--r <; /-7.>r.,
J
o WORK SATISFACTORY, PROCEED ~ ~
..a('CORRECT ACTION AND PROCEED I C
/ D'CORRECT WORK~ C~:;O~NSPECTION BEFORE COVERING
Inspector: F.?/VpL- OwnertContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn
BlJftNSVILLE
Heating & Air Conditioning, L,L.C,
12481 Rhode Is/and Ave S, Savage, MN 55378.951-894-0005
Orstrt Test Report for Jobl
Address~/~ ALN //,/1'0 City_~,v. ~
Occupant
Date of Install
Type of HT, F/A ,../ HW Space HT Unit HT
Other
Make L ..J?r/,?'>c
Model t=rs / mP - dt/t3 -Of) - 01
Serial S'7D/.J &OJIJ 3
Input ./.y~ ,,<?<>
/ -
Pilot Type HOT SURFACE IGNITOR
"? ./ I.?"'~
Pressure ..:> ' 5 CO2 IP / '"
Input CFH ~I 02 9. , '%
SlackTemp /03 D CO dt/~
/
Date Tested C) I,;' Jay .
Company BUIINSVILLE HEATING & AIR CONDITIONING
Technician Sa".,5 ""-
..
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