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HomeMy WebLinkAboutBuilding Permit 04-0460 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please ~ or urint and sian at bottom) ADDRESS 1"Po/ LEGAL DESCRIPTION (office use only) Date Rec' d 4- 30-0t/ I PERMIT NO. af, 0411 d I Filo: City Applicant 4omo~ LOT'93BLOCK / ADDITION 'h1Hl?1"~~ ~ See Main Fili~ &tvr #~ 7M1L-- Pul#-J/UffI.S tf-;s- ;z4~telt:s.r ~ / sAn1E- ~J,I!T- 6/AYH I<n , OWNER (Name) (Address) BUILDER (Company Name) (Contact Name) (Address) PIQJ.-r ~ ZONING (office use) PuD LlO~-()lf3-d , Sdfff:-/Vq ~,~ (Phone) .k5'/-~.sz-s2co B S U PROJECT COST IV ALUE $ (excluding land) S5f z.( (Phone) (Phone) t,/2 -.1f.AI' - Y'~ TYPE OF WORK ~ew Construction DDeck DPorch ORe-Roofing DRe.Siding DLower Level Finish 0 Fireplace DAddition DAlteration DUtility Connection D Misc. 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 Of authorized agent for the above.mentloned perty and that all construction will conform to all existing state and loc:allaws and will proceed in accordance with submitted plans. I am aware that the building "mci,/ c,n "V ;;'m~ F"~. / h",by ',"e that the city omc'" 0" d"i,"ce m,y ente, upon the P'"petty to perronn necded myclio? X Z " . -'~ ,8~-/.:?7/ S/~//)Y /:/' /- Signature Contractor's License No. / /' Dite F I Permit Valuation I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee CODE: ~.C. DI.B.c. Type of Construction: Occupancy Group: A B Division: I E n F I III IV VA HIM R 2 3 4 5 $ $ $ $ $ $ $ $ qt)jofX},~ ILJp./}~"1() " to '), sQi' 411.- 1<:)1') ,- IO('},- ..~.'So L/(), - T . s Application Becomes Your Building Pennit When Approved ~~ Building Otlicial sJ7ftt/ Dlfte I Park Support Fee I SAC I Water Meter (Sizf 5/8'~ "; I Pressure Reducer I Sewer/Water Connection Fee I Water Tower Fee I Builder's Deposit I Other I TOTALDUE O'~ - ~ :f ' Yi?r fa - d-"'l-U I # # # # I Paid I Date I ReceiPt No. By q~_$1J $ $ $ $ $ $ $ I I I I I, ;:)..00.- I '71Yl.-1 I I $ I I $ S;S{'3.~ -- U~,;("7,,) c..; U - )::l ~():- ZC;-O.01l tiS, a ., - , 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 ~ity Pl~tempo'~C'rtific"eO;:;;;C;d'l1ow'con'ttuct;'S'ee ~aiirPiIe'n~ mu"~ Plaiming Director ' I 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 Th~("nl,r of lh, l...k'Co....lry See Main File ~ - Building ~arv - En'll(1eirlnD liink - PJanning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED I/~~'-,~I L/ 'f::') " I ,/" "./). ;;:..':-' - -.:::SL. ,J-." ,,/) , 0,:7 C"'':~'111 ,,) 'I ~., <:,P,_ 1.., ~, !'-~~ ; /1 X r7 ,,- t " . /,,"~/"L.J "~.... L The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /--/' ,1/(11." ;I'/iL::A(' Accepted >\ Accepted With Corrections Denied Reviewed By: ~ , . Date: 5-1]-0'1 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." See Main File White ... Ruildina ~ ~anary - Enqineerii'i1r') Pink . - Planning Th~ Crnlfr of lhl L.kr ("ounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED L/q(J~ h...~ Aft. ~. //- 3CJ cJ7V The Building, Engineering, and Planning Departments have reviewed the building permit application for construc~ir-r. ctivity which is proposed at: Yf..-/ II .e1L. ~ , Accepted Denied / Accepted With Corrections Reviewed By: . Q ,.. -1 /1 ~ ~I-- Date: S;/ 7';:e/ , 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." Thf ('fnlfr of lhf tab Counlry See M[ain File White - Building Canarv - ineering '--I"lnk - Plann,n ;1. WILDING PERMIT APPLICATION DEPARTMENT r.HFr.KUSI NAME OF APPLICANT APPLICATION RECEIVED L/e; 0 (I 6-1&", A',/ r( ;:,jz., ~ . , . . (If) /./- -(j ..). II " ,/_n.'" .._/ ,__ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ,; "I I~ I (i , .. I, ...L j i I; " Accepted / Accepted With Corrections , , Denied Reviewed By: ~ ~ lp,-,Il/-' Date: .s:/i7~~ . 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." Jun 2"1 0"1 11:52a METRO GENERAL SERVICES 763-"128-2568 p.7 d: pa~ ~/l~~EI ~....;;; GREEI. fill YELLOW. .".UCA"Y GOLD. CITY Sewer and Water contractors must be reqtstered with the city. APPLICANT:-fl1etXD ~~11 Ser~ONE:111J,_~-lI2g",;g.~~ AOORESS'_ _~'jr7t;r) (J/.lo.rll. IJv.L 11' DATE: .. SIGNATURE: l.b h tbi..lu:hl, - BLDG. PERMIT II SITE ADDFESS: ~~q ~~/f'#4.J1 PIDII . ..FIIJL.IN THE BLANKS. . /=)() feet. CITY OF PRIOR LAKE SEWER. AND WATER PERMIT FAy,. '1S;l,- 'I'I7-'1-z.ttr NOTE: S.W. No. I./-tl (DO 1. Estir,ated length of water service . Ij size of water service I inch(es) . 2. 4 . Type of sewer pipe. ABS from structure rj /J't PVC~ cast Iron t)() feet. feet. 3. Location of any couplings "-- 5. Estinated length of sewer line I 6. Cleal out (if required), located at feet from stru:ture. IJhh ====~==============-=-=-Q-=-------=-=-=~-------=-----=-------=--- This apJlication be:o:e: ~o:~-::::i: :h::-::::::e:~--- ------- --- BY -I DATE: I "",..':,. "",',:'''; ==~=T=~====---;=a===--=-~====----=~~;~-------==------===== Pu.-Jt'e.J w.iij-. ...-- - --- ------ ------ {lldJ p.e,.t>t.7- . ,Sewer and water line connection permit. .. , .. surcharge /.fa Pe.e-TO'l'AL * Fee. for either sewer ~,water individually is $20.00 plus .. .. $ .ra surcharge. ..'.... .. ................. . ...*.. se.w.!r and water perm.. it. s..~' 55' ed. for . new construc.t~..on. m u.st be reo ,.rded w"'r" ~U~fP\WJ . it card at the tim~ of ~ssuanoe ., to r-nsure t ~. ri.tJJ l(dtip'J.Ii; sewer and water~~~ts are .i~:..:;''''.' .. iSS.1E!d. . . . '~1b s r:"i....;...~:..;)'.'.... . i..' JUN 2 5 2004,.. ~ h~ ; .,:~;i/~,,}.",i' .DATE:i;,I;lUP . .. . AMOUNT. PAID ~ '?:,", :}. ...,."n' . ... . .!N!:...ii;y :..tS~iji} '.RECEln '. . .8'!. REC/DBY . 7J .~ {~;:~\~.~~~j,~~; ;', . ". :':.~:'. . .,~.: ,::.'~...1: ;;';~';!ii:l6200Eagl~.'f!eekAv. S.E.. Prior Lake, Minnesota 55372/ Ph. (,s2) 447-4230 f FAX ('~2) 447-4245 An EQuaI.DpponunilY Employer ------- ------- FEES: Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMI1' (J.V ~ V4-{)~~ I. .,,, ,". I PERMIT NO. 2. Gold City 3. Yellow Applicant (Please tvD~ or Print and sim at bottom) ADDRESS <-ffo~; '-f9CJt4., Lf90<Ol 0/908' ~It.,./:{) 1/~~'r;L/S J;./~,~/. ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID , OWNER (Name) PLl /I.e. (Phone) (Address) APPLICANT I /)/ (Name) Valt~ nu-,,1, ":J (Address) ?~O (J.l..<4k-G-" AI.I""e- (Address) (Contact Person) CL __, ': <: fYlor r , '..S APPLICANTSIGNATU~~~ .~ V APPLICANT PLEASE COMPLETE BELOW Type of Fixture I Quantity Bath Tub with or without shower Dishwasher Floor Drain Lavatory (Bathroom Sink) Laundry Tray (lor 2 compartment sink Shower StalI Sinks Bar Sink Water Closet (Toilet) ~ ~c... ~OrdlA- (phone) %.:r~9.;;J - c; I a J ft1 N ~SsS"~ (City) (Zip Code) (phone) ~.b6(...... DATE "'7- J ~ -00/, Quantity 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 & Multi-family I % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alleralions $39.50 Estimated Cost $ Building Permit # PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ .50 iWDWTfH eU11.DING ~~HN'lrr (Office Use Only) pplicati~n B~r BUildin:;7;;; Approved Building Official ' Date I Paid I Date Receipt No. By 24 bour notice for aU inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714 ;952 S94 0925 # 6/ 9 Date Rec'd CITY OF PRIOR LAKE HEATINGIAIR CONDITIONINGfFlREPLACE PERMIT ~. =. ~~ I PERMIT NO.^",- AA...I_^ 3. Yellow AppllWlI Lrr. UTlf'CL/ q>>lease tv:l!e or Print and sUm atbottom) I ADDRESS 4 90-1 ~\LL~c::' ZONING (office ",e) - ,., ~ \(W....Q o LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID I OWNER (Name) ~JJ)4t' ~ ~\~ rfw-\hlA\C&+ PailwCuj (phone) (!f5J-L("S2 - SlcXJ 140 I ft{). F- LtfJD/l iVr1 SSI U , (Address) APPLICANT (Name) Burnsville Heating & AlC, LLC 12481 Rhode Island Ave. So. Savage, MN 6ilJIlIrl1122 (Phone) q-=j,.)- \(Cj L/ --ocns- I ." ",., (Address) (City) (ZIp Code) :;,-. I (Contact Person) (phone) (-!Uu:L, .A))o.JJLYlhlL/J DATE 9-dJ'-O(f APPLICANT SIGNATURE APPLICANT PLEASE COMPLETE BELOW ~W CONSTRUCTION FURNACE MAKE AND MODEL I D/J/1.I/X FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM DW8I1Il Air Plants DGr10vity o Mechanical ~ir Conditioning OVen!. System o REPLACEMENT 0 ALTERATIONS rT5IMP;;)(-I&'l-I0" FUEL m.:l CtJI L'J ~ INPUT l./5, I.O? OUTPUT t.{ l. (;/)1) . HEATING OR POWER PLANT o Steam o Hot Water o Ra4i.tion o Special Devices o Other Devices .v..., ~;" PLE~~~NOTJ.<:: 0 AirCan<iilia!1erUnits 0 Cannal ~crQa!'l! .i!)ta 0 Required Side yird Setbacks FIREPLACE MAKE AND MODEL .",. ~;::,: - ~} Industrial, Commercial & Multi-Famlly Fi!E SCHEDUl.,i! I%ofjo~~st ' Rel!I~entia1, ~Fin:place $39.50 minimum 0 0 0 0 0 00 0 00 $99.50 Residenlial, Additions & Alterations $64.S0 Residential, AC Only $39.50 $39.S0 $39.50 Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) Estimaled Cost $ Permit # :~.:.';:;;::..',::.:. PAt "-. U!;&fit ~..... :;":.,::.',:::::" ...".":',,,,, . ::;: ~ . " , . . ' ......'.' ....-.:._',~';'.::.:::<:::,::<ij.?\ ... . .. ',-".' "," , . -'::.~..:-y-......_~:.."";'" J ~~~ ~"~l:"" . 24 hour nollce for 011 inspections (951) 44 Waso, fax (952) 447-4245 ~ l~ltagltf~~'0"~;~~~ ~~MN553n 0 ;:-';:',".:;Y: DEPARTMENT ~ee Main File BUILDING AND INSPECTION PRIOR LAKE INSPECTION RECORD - 'fJ'I BI-.ff tl-1-S I ~ SITE ADDRESS NATURE OF WORK USE OF BUILDI~ . PERMIT NO. OJ - . DATE ISSUEDsl/7 JOlT CONTRACTOR *' 't-.t' PHO~ ~ ~...,. '-'!i' r NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT /1/% .. j. I FOUNDATION (Prior to Backfill) ~""",J,/U19/r ~ I .f~SXJ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS ~ ~ I FOOTING INSPECTOR D~TE '" 7 /~/C31 . ,. 6'/4' /V'7' /tJ/VJ#/ . /b/2-z-,A-7" /~1f?/W /D!7Jftt/ /0/20/"7' SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLU~BING VI (;5. ~ 7/J-,;-'1 HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I I .4w~..' ~"v~//s c./A/,j,/}~d FINALS . GRADING (Prior to Sodding) --S If> ~ //1." 'lh h /e I BUILDING. $I /,z//4:"~y ELECTRICAL I/".c?~/c~ PLUMBING JlVVI JI-~4~ HEATING ft# /.>~()/(}( DO NOT OCCUpy 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. /H{f ~ FOR ALL INSPECTIONS (952) 447-9850 @nfifitaft of OOttupantl! CITY OF PRIOR LAKE ~eparf1tnmt of ~uil~iug J'usprtfiou Jtf Pinal Permitted 0 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 FAMILY Bldg. Pennit No, iJ4-. 41;0 Occupancy Type R3 Type Construction VN Fire Zone N/A Zoning District PUD Legal Description L43, BI, TIMBER CREST PARK Owner of Building Site Address 4904 BLUFF HEIGHTS TRAIL SE PKWY., SUITE 140, EAGAN 55121 DON RYE ROBERT D. HUTCHINS ~UildiIJW071c' /.-7 /' /O/,C~ r . HOMES, 8I5/NOIlTHWEST -4'ff Contractor's Name & Address PUL TE , City Planne'^ Date: Date: DATE nIlE q~,dy' 7"9t:Jy b%/}!/ ~ 7// CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. D FOOTING D PLUMBING RI D FOUNDATION D MECH RI C FRAIIING C WATER HOOKUP D INSULATION D SEWER HOOKUP .IiF1'lRAL D PLUMBING FINAL D SITE INSPECTION ""p*CH FINAL CO.MMJ:N't6:. , -"" . / ,PE/;crnC.,/ ~"""" t' ~....~ - ; N-r'GO D EX/GRADlFILLING D COMPLAINT C FIREPlACE Rl D FIREPLACE FINAL D GASUNE AIR TST D . , /dl"ftv' . ~,e~' r~/O'K ~__.-....~C'y- ~~,j-r ~v ~~~ r ~,I/ a-yl"?# ,t- . &0./ ~ ~i"-eu.,.".1 /' ~.rlS"c:T ~!"7"- ~ /' }'7~ / UI': ~ --==-- 0~4 ____) ARK SATlSF~CTORY. PROCEED D CORRECT ACTION AND PROCEED ~_~:~.R.E~ FOR REINS::::FORE COVERING v CALL ....7.9850 FOR THE NEXT INSPECTION U HOURS IN ADVANCE. INSNOn CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!