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Home My WebLink AboutBuilding Permit 04-0445 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec'd See Main File 4/3D-oLi (Please!VDe or orint and sim at bottom) ADDRESS White File Pink City Yellow Applicant I PERMIT NO. 04-. 0 #51 .y'?~~ g~ g';$I~ 'l t1A-f L- I I ZONING (office u,,) PflO LEGAL DESCRIPTION (office use only) LOT $7 BLOCK / ADDITION 1:/HN,^ 6us.r &t<?U.. "d;~/ 770t-\ PID ZS -1-02. Os 7. 0 OWNER (Name) fvL..ri:- JlO>>/&.c, k15 .~J2P;tilLbr a./2I4.-VA-f Sv/n:~= /~/ (Phone) ~/-~i!.-5Z.o0 CA6M1.. J'1I!u SSIZ, (Address) BUILDER (Name) (Contact Name) (Address) 5A-mE- ?;zr ;R JA&,/'~t<<) (Phone) (Phone) b/7.. ~ZZ/ -I/P~ TYPE OF WORK /" ~ New Construction DUeck DPorch ORe-Roofing ORe.Siding DLower Level Finish o Fireplace DAddition OAlteration Dutility Connection o Misc. I. ,L, r , PROJECTCOST/YALUE (excluding land) $ ?/..,o0O 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 ;terupon;~o~~s &;-/37/YfttJ~ "7 Signature Contractor's License No. ~ t-J /Date' I Permit Valuation If/;.. ~t:JO,()() I I Park Support Fee # $ I I Permit Fee $ /tJ Z-7. SO I I SAC # $ I.'2.,So,OlJ I I Plan Check Fee $ &,4:> 7. ~tP I I Water Meter ~ze'5/~/I"; $ z.. 'SO. () D I I State Surcharge $ '/f?'. " (1 I I Pressure Reducer $ 4-~.OO I I Penalty $ I I City SAC and WAC # $ l'2L)o. fltl I I Plumbing Permit Fee $ /00. CD I I Water Tower Fee # $ ?tJt'J.OO I I Mechanical Permit Fee $ /. o. 00 I I Builder's Deposit $ I I Sewer & Water Permit Fee $ 3 $". $'0 I lather $ I I Gas Fireplace Permit Fee $ <j(J, "0 I I TOTAL DUE $ 5:S--", J j' ,VI n/ ReceiotMo. This Application Becomes Your Building Permit When Approved I Paid 9 &J r / / q--~ '1'- 7 ~ ~~ 6/;/;','( I Date 1..""_01--" By /L ([7 Building Official ' Date This is to certifY that the request in the above application and accompanying documents is in accordance with th~ Zoning Ordinance and ~ procee~~d. This document ~hen ~igned by the City'planner consti~tes a temporary Certificate of Zoning compliance and allows construed ~ce~e. MUlnc .r II epancy must be :t?~ngor!:;,:lu sfi/6, Y / 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 .~ \6?;. See Main File White - Building Canary - Engineering ~K ~ t"'lann~II~~ -- Th~ C~nr~r or lhe I.gke (-OURlr): BUILDING PERMIT APPLICATION DEPARTMENT CHECKLISt NAME OF APPLICANT APPLICATION RECEIVED r.). - . V l- IE:: 4 '). . . .A). 0 q.--- , The Building, Engineering, and Planning Departments have reviewed the building permit/' application for construction activity which is proposed at: ~ I 4.Qz4- L~l0 r)-- IITS llL/l-- ' ,J I Accepted ~ Accepted With Corrections Denied ~ A_ ,n' ./.n J...J Reviewed By: c><./"""--"",,, ~ -'~~ments: Date: rS:// ~/Cl i 'f . See-Main File :1;, I '1'1,'_ i "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." ~~. See Main File C\"Ihite - ~lIl~ Canary - Engineering Pink - Planning -- rh~ ('..nlN nl lhr 1..10.. Counlr) BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED Pv~TE"" 4- .50.04- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4-qz.4- I /' lSLVFr:::- HTS I1U.- Accepted Accepted With Corrections Denied Reviewed By: 3.uA.,..tL . ~}IU Date: ~ ((/07 Comments: See Main }'ile "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." Tht Ctnlpr of thr L.kt Country White - Buildina \0 i:.r.:1 v - Engineer~ Pink - Plannmg BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED PUL-Ib 4-.S0.o4-.... The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4-qz.4- t::'LLJr~ rn-:C:::-ll~G I Accepted ><. Accepted With Corrections Denied Reviewed By: Comments: m413 ,So'/IYl",/Y\ h'ir Date: s - { 3'-0,,/ "The issuance or granting of a permit or approyal 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 HEATINli/AIK CUNUUJUNll''<li/J<1l<.J'.;YLALji, YU<J.V111 # 8/ 17 ~Hs \(~ I ZONING (oBioo",,) I lJ H .'~ rPlease tvDe or mint and ~iqT) ~t h....nom' ADDRESS . ,~.. 41~ L/ PJ\\ l~' ::~ ~::, I PERMIT NO.lUf 11.,6 ~~ ),Yr.llow ApphUllll ~.~ LEGAL DESCRIPTION (office use only) .LOT BLOCK ADDITION PID II )WNER~ I I _ Name) 1"\ < 0 -k.. T-\"C)"""" S- Address) A\S hn~,\~ ~C1 IV (.Yo () U'PLICANT :Name) . _ \J'..... lip Burnsvllle ntiiClUII~ ~.- ....., --- 12481 Rhode Island Ave:_~o. Savage,MN ~~~&er4'LL (phone) ('oS 1- ~S.L - S 200 &. IU(> ,FCDCl(\C1 ~121 QC::;ri -'(,cj(f-(yy)s; (Phone) A.ddress) (City) (Zip Codo) 20ntact Person) _ . (phone) J>PLICANTSIGNATURE (.](/7/1_, Rl1fl..dI7a17./7../7. DATE 7-j-{)'-I APPLICANT PLEASE COMPLETE BELOW GZlNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS URNACEMAKEANDM,ODEL (O/Jn(lY t1c=;L/Z1~- JUI"'vO/.l" FUEL m~O?Jc..<L.J . -. '1 WE SIZE RETIJRN OPENINGS 5 INPUT t../<:;j f()1 OUTPUT !::/..L,-1 trJ TYPE OF SYSTEM HEATING OR POWER PLANT OWann Air Plants 0 St..... OGnlvity 0 Hot W.tor o McchllDical 0 Radiation ~ir COnditioning 0 Special Devices OVent. System 0 Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard SetbaCks REPLACE MAKE AND MODEL lustrial, Commercial & Multi-Family sidential, Heating & NC (New Construction) sidential, Heating Only (New Construction) FEE SCHEDULE 1% of job cost Residential, Gas Fireplace $3950 minimnm $99.50 $64.50 $39.50 Resident1;,.], Additions & Alterations Residential, AC Only $39.50 $39.50 Estimated Cost $ Building Penuit # e;~CJ) ~'17ru"D ~~ j)~, ~ '? --4-- .50 t""..J.I.-'J I ~ licE Use Only) Building OfficilJ ~IJ~ l~ L~ IJ VIJ l's -il!ReceiPt No. ~!.tjUL 9 2004 J ~y 24 hour notice for all inspections (952) 447-! 850, fa. (952) 447-4245 16200 Eagle Creek Avenue, Prior L Iiy'p'" ~.';1n Date 'his Application Becomes Your Building Permit When Approved CITY OF PRIOR LAKE PLUMBING PERMIT Date Rec'd C, ./5. 01-- I. Rh.e File 2 ('mid City l Yellow Applicant I PERMIT NO. 0'1--.0 #s-I (Please type or print and siM at bottom) ~<f,I}!~o~ - o-f-fZ dt...t/,T r //6-/6;//7.J 7R/'I1 L "192-0 - .,4-3 41Zz.. -"'I""~ 4<12-<1- #()~.tJ""'5 LEGAL DESCRIPTION (office use only) ZONING (office me) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICANT (Name) Vql/-e':j P/~i"''"'j ---L.-~c (Address) 'g-fs:,O Q..'-<.c.L-.".,- A.. ~ _ (Phone) 0;ordc-... (Address) (City) (ContactPerson)Chn~ f'I\(kr,'S (Phone) A-hov<. APPLICANT SIGNATURE ~cr.-<--<.-u!fJ~ DATE ~ -Is" -0 L../. APPtf{ANT PLEASE COMPLETE BELOW Type of Fixture I Quantity I Type of Fixture Bath Tub with or without shower I Rough-ins Dishwasher I Water Heater Floor Drain I Water Softner Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine) Laundry Tray (lor 2 compartment sink Sewage Ejector Shower Stall I Backflow Assembly Sinks I I Backflow Assembly Test Bar Sink I Lawn Sprinkler Water Closet (Toilet) I I Other C}s;c::r'-l9? c:9 /t!f1- I SS,3S..< (Zip Code) Quantity 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 Permit # ;?flIO t1~JL fJV/I/O PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ .50 (Office Use Only) Building Official Date ~ Paid _______ I Receipl N . DaZ . / s-. 0 4- I By This Application Becomes Your Building Permit When Approved 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714 ~~~ ~ <<.'<' /,ylVE SO CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd ; ;;;~, ~:~ I PERMIT NO.AA. AA ~ .~ 3.Yel1ow Applicant ~ ~ (Please tv'PCE. or print and sim at bottom) ADDRESS ZONING (office use) 4924 BLUFF HEIGHTS TRAIL LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name PULTE HOMES (Phone) (Address) APPLICANT (Name)~T.T.rRnm'RFC;;:TD'R DRA FTRESTDE HEARTH & HOMF (Phone) 651.633-2561 (Address) ?700 NORTH F AIRVIEW AVENUE (Address) (Contact Person) . BRENDA HUSTON ROSEVILLE (City) (Phone) _651.633-2561 55113_ (Zip Code) APPLICANT SIGNATURE BRFNfJA HUSTON DATE 7/19/04 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM OWarm Air Plants OGravity o Mechanical DAir Conditioning OVent System INPUT HEATING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices o Other Devices OUTPUT PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL REA TN GLO SL-550TR-D Residential, Heating & NC (New Construction) Residential, Heating Only (Ne~ Construction) FEE SCHEDULE I % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 Industrial, Commercial & Multi-Family $39.50 $39.50 Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ ,. .... , " " , '...-...-<&..:....- 'IiI.jJjJ-.. .50 ,-""1' ':1 I_.'.'''\t,'.CC,\ I:'_"-."''',~.''.rro i..-~~.:iJ.~.J~:m" ti-, -' , (Office Use Only) This Application Beeomes Your Building Permit When Approved BuUdine: Official Date !I]'\Ii'!Go Wti ~ 11\ I Receipt No. u~at.'lUl 2 2 2004 ~\BY 24 honr notice for nil inspections (952) 447- '850, fox (952) 447-4245 I:ly .- PRIOR LAKE Pa3ARTMENTOF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS ~Z'l HC/tI,HTS ~ NATURE OF WORK (tJAJS7/1u.m#l USE OF BUILDING SF: It- . PERMIT NO. I~O,!;...O 1-4:5 DATE ISSUED f! II {<I'" . CONTRACTOR ~ ~ HIJ/ltCS PH NE~ .1'~-t/Il'S' NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE.. .1 I FOOTING ~ . ~/ J//di , FOUNDATION (Prior to Backfill) r-...1-.t ~p /7~ I !.;j;~f PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS f# ~ d/J- SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING t/. {5. /Iq HEATING (if required) .FIREPLACE ty"//'f' Jl-v,z/~ }//6:hf" ;r/9/~ ~?#Y fJ~~ GAS LINE AIR TEST~,). ~l-fe ,iJ.,yt}/ , ~I f ~ ~ 'Tft~/or . / v' . ; COVER NO WORK UNTIL ABOVE HAS BEEN SIGN7D / ..?4'/-P I ~ I ?/~7/o/ FINALS . J GRADING (Prior to SoddilJg) -52:> e ,4t'''''....A ,L//~ . BUILDING -r~~1 . .~~. ~ ~/~/"Y ELECTRICAL PLUMBING /lPf HEATING ~ DO NOT OCCUPY UNTIL ABOVE HAS 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. 6/~,/6f ~ ~~ ~ / / ;?/~V(J'I ~o/~ BEEN SIGNED FOR ALL INSPECTIONS (952) 447-9850 DA '"' TIME .~Ag/~ T/V.y /f/:; IV /J{ 7/ / CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. CX/- q$()"- o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP o INSULATION 0 SEWER HOOKUP ....-I!I"FINAL 0 PLUMBING FINAL o SITE INSPECTION ./'(.MECH FINAL COMMENTS: &/ecJ, ~",I r;;.; / c/;.A-e ;-k?ft-r /~P#?-e;:r ?few ~~7 ~:SkJz e.S ~"h/. /:-: A ~' Rv.uoQ ffr!{i'~- +- ~/pr ./ ./ 1rYc /1 / '" ",ee cer0--e cl {.J/-5~ T ~~ L.?. hI-=. ( ;:;;~ /-Jh G-e o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL ~SLlNE AIR TST o /~s-/- Ofi O~ (~;]_J~~/ J~- J~' ~ --~~~,.ji/- -" / - f \ kRKSATISFACTORY, PROCEED .... / ~~ . ~RRECT ACTION AND PROCEED /6',5e /? Ie o CORRECT WORK, CALL FOR RElNSPEC Inspector: ~ Owner/Contr: .--. /-In.., I y; .......- L' " _ -::/I-II~.'......-o. ~.-:--:" --'11?/ , , CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION 7"7"..2 Y DATE nilE SCHEDULED ;?~7r ~ ,,~c; /J'/u# #~ /;/ CONTR. PERMIT NO. c;L/ - </r'j o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP ..-"0 PLUMBING FINAL o MECH FINAL o EXIGRADfFlLLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS: .4 I /1/Y?/lCJ#'1€?Te,r ---- / /*"0/ r)k- {!J //~el /0/ TV J~r-://e/' .-,/ / ( 14 e C/c- - /7//' (:-I/JU I / d / rt 9 ~ ~ / /---/;?4 / o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED ~/c o CORRECT WOR~Y- ..l7REINSPECTlON BEFORE COYERlNG Inspector: /' ~ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADYANCE, CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETY! ,,,,,,,,n BURNSvl'LLE0 v~\ Heating & Air Conditioning, L.L.c. 12481 Rhode Island Ave S, Savage, MN $5378.952-894-0005 , " Orslat Test Report for Job' I ,A-8 ~ Address ~<1.J-L\. Y'\LL~~ 4-~ T, City ~ ;D, ~ . Occupant Dale of Inslall Type of HT. F/A ../' HW Space HT Unit HT Other Make Model Serial Input Pilot Type Pressure Input CFH Stack Temp Date Tested Company Technician L-,'?fJ);' (!.,51 f>?p - .;;l.<JtS - OtiC:; - fJ{ 5~OY I- Itl~,';- w= , HOT SURFACE IGNITOR ~ ',J C02 LIt! 0' /1t:;'C> CO 3 0/ In . /0. qi-% ~ 3 DJ:Mo\ f 1 ~llfy BURNSVILLE HEATING & AIR CONDITIONING Jc..sC>"'- __.__~..._.___...__.k___.._,.,..__~_