HomeMy WebLinkAboutBuilding Permit 04-0461
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or Print and sim at bottom)
ADDRESS
Date Rec' d
See Mam- PI-lew,,,, ''',
Pmk City
Yellow Applicant
L( 3o-c)<j
I PERMIT NO. Ot/-. () +t, I I
~1tt;, 7Ldrr /&#~ T~'--
LEGAL DESCRIPTION (olliee use only)
LOT?"ZBLOCK / ADDITION -J:1'I1I?M. ~~.Nl .4J?.d7tf/h
OWNER
(Name)
(Address)
Bun..DER
(Company Name)
(Contact Name)
(Address)
A
B
I
E
V
M
4
II
F
I
ill IV
H I
2 3
$
$
$
$
$
$
$
$
q't... t'JOtJ.- - I
16d.~~SO I
t,~'7/~(j I
4tJ<.00 I
I
I
/ a () ,-
(QO.-
3:5". 'i)6
40.-
This Application Becomes Your Building Pennit When Approved
$. '-.-'; ~
Building Ofliciol
s-h/~y
, Date
ZONING (office use)
pun
PlrQS-t/a;?- Ol/;;'-G
(Phone) ~5'/-~.sZ-G"~
SWfL- /4/0..
~, #In
SS-/2,{
(Phone)
(Phone) V/i!--i!-~-~~
ORe-Siding DLower Level Finish
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
I Park Support Fee
I SAC ___
I WaterMeter(S/ze5/~1";
I Pressure Reducer
I Sewer/Water Connection Fee
1 Water Tower Fee
j Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
,-,,-,
ry/:. (o6~:'o~1
#
#
#
#
o Fireplace
9~_ tNlO
$
$ (,3<)t),-
$ .;1.50, D a
$- ~~tJo
$ I ().L:ro . --
$ 'ltJO.-
$
$
$ ~S"..J 8B
':iGltl:r
Receipt No.
Bv /~
(T">
ThiS ls 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
~;':': Pla~~ tempo'", Certifie"e o~ ;i~;d allow, wmlruction ':g'eetfoee occupancy,: C'rtifie", of~eeupancy must be
PlarulingDiiOc,o, . Date ~e
24 hour notice for all inspections (952) 447-9850. fax (952) 447.4245
16200 Eagle Creek Aveoue Prior Lake, MN 55372
?uL.rE- Ji",86
.i/S- /d/l.d~.~
~
&nr- .,g /A5L:A'~
/
TYPE OF WORK (!(New Construction DDeek DPo,eh ORe-Roofing
/' DAddition DAlteration DUtility Connection D Misc.
CODE: ~.R.C. OLB.C.
Type of Construction:
Occupancy Group:
Division:
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-mentIOned pr perty and that all constructIon WIll conform to all eXisting state and loca1laws and Will proceed m accordance With submitted Pla~' I %aw that the buildmg
offiCial can revo IS permtt for JU cau FUltZ I hereby agree that the City offiCial or a destgnee may enter upon the property to perform needed 111 etlo
X_f. .' ~ S~-/$7/ .s:; 1': ,;,/
//' ", SIgnature Contractor's LIcense No. /" / Date
p'.
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Pee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
~
..l
Thf ('fnl"orlhf 1.lh('oUnll"f
See Main File
White - Building
(Canarv :::,~::._.: "'~
Pink - plinnlng
.mru,.DING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
" "t i'J
I\"-.? .' ..... /~--1' ,," ,
/ L(j/ 1 . ... ,: rXy A..../
(/~ .~Q -oil
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity \\Ihich is. proposed at: _
,.. '. l. L "f I
L/900 - !.-.:)I< I" ,r,.. S ( r
Accepted
)<,
Accepted With Corrections
Denied
Reviewed By:
I)I1Ifj)
Date:
- ...
'S -fJ '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 ofthe jurisdiction shall not be valid."
~~
See Main File
~~hih:ll _ RlJilflinaJ
Canary . Engineering
Pink - Planning
Th~ (.~nlf'r (If Iht' I..kt Counlr)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(P"d1L ~~
[./- 30-oLj
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1/900- S/I/--P-F Hts T r-
Accepted _ /'
Accepted With Corrections
Denied
Reviewed By: ~ ~/..J
Date: .I? '?~ <I
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."
~1
See Main File
White - Building
C~eering
~k - Plannn;g-...."
--
Thr {'Pnlrr of Ihf L.1I... ('OURI!)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.;J Dl ft 1/ l~I)i . ~/
( / - :3 ()- 01./
'''''"
I'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ".
j /J 0 fe, - Xl / J f r Ii + s T r ,'1
Accepted
/'
Accepted With Corrections
r""',
.. I'J
Denied
Reviewed By: r:RO.A...,.
. n
~~
Date:
sit 7~q. ., "
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~ O~ 11:51a
METRO GENERAL SERVICES
763-~2a-296a
p.6
GIlEE.. ,..e
'fELLO'N. "'''lIe''NT
GOlD - CIlY
sewer and Water
contractors must
be registered
with the city.
APPUCANT,JJJdlrff JtfJl1N1L ~.l<E' liJ3JfJX1J'f~
ADDRESS:__tlJCb fJam. fIv.L IJ' DATE:
SIGNATURE: !.Jt1....i!t.!b/v;/;f, - BLDG. PERMIT #
SITE ADDF:::SS: "7"QOu fllJf)j~.J.LPID*
. . .F.ILLdN THE BLANKS
/5() feet.
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
FA"/.. 9S~ 'I'I7-'/"1/.r' NOTE:
S.W.No. L/-~ '-\
1-
Estb.ated length of water service
. IJ
Size of water service I
inch (es) .
2.
3.
4 .
Type of sewer pipe.
ABS
from structure ()
/J II
PVC.L;f Cast Iron
~I)
feet.
Loca1;ion of any couplings
"--'
5.
Esti:\ated length of sewer line
feet.
6. Clea loUt (if required), located at feet from
====:::::~::::=======================~~i.f~_~======================
This application becomes your permit when approved.
BY
DATE:
.!
, ';'_'';';'';U:'j':'.';
---==-----------_......---==------=--=-------------------------=------
--- ---f'~/~ ~,t{--~~~-- -- ------------------------- ------
FEES:. I1ld" P~t.M.7-Sewer and water line connection permit.
"c .., surcharge
Ala n:!.~ . TOTAL
Fee. for either sewer or,water individually is $20.00 plUS
$ 'TP surcharge.
Sew~r and '~-~ ro~its issued for new constru~ion must be
recprded 0 . ~MlJ~~ffit card at the ti~~:ssuance
J to ~nsure. 'noli: llu~1i!C , sewer and water ts are
i ~'~j.1rf,:';~~;~-:.:riX1)E.~,:: :;d. JON 26 2004 AMOUNT PAID . ~
. ;:i~\i~~?',> .'RECEIP-r4l. /By -' -.l REC'D BY ~"
('~\,;7r . YJ " .
. ..:....,- ,,- .
", ..,-"." ....' . ,j.
{::~-f~{;~l;'::.::":' : :;~,. . I:. ','.
. .."1';;':' ";of6200Eagl~:p-eek Av. S.B., Prior Lake, Minnesota 55372/ Ph. ("52) 447-4230/ FAX (,..2) 447-4245
An Eoual.Opportunil)' Employer
*
*
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMJ':{ (J.V
~ V4,o L{r;'j
I. Blue File I PERMIT NO
2. Gold C"y .
), Yellow Applicant
(Please tvPe or orint and SiWl at bottom)
ADDRESS
Lffo:J; 'i9tJ4,. 'i90~: 0/968' .8It.J:O //~:yJS 1;.,'6.'/.
ZONING (office use)
LEGAL DESCRIPTION (olliee use only)
LOT
BLOCK
ADDmON
PID
OWNER
(Name)
(Address)
fJu /Je.
(Phone)
APPLICANT / /)/
(Name) ValttJ n~~~
(Address) g>~O o.LU:.ok~ Aere..
(Address)
(Contact Person) CL.... .""'S fYlor r I 'S
APPLICANT SIGNATU~~~'
V
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
~
~c..
"0o"d'c-
(Phone) ~~9.9 -;;J/~I
JIflN
(City)
':;SSS':;"
(Zip Code)
(Phone)
A-h6(,.".
~
DATE
-.r- J 3; ~O Lof.
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 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 #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERNITT FEE $
.50
PMBWJfH
W~WING ~!f1Il1l17
(Office Use Only)
pplicati~D B.a:r BUildiD:;J; it; Approved
Building Official ' Date
I Paid
I Date
Receipt No.
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave" g,E" Prior Lake, MN 55372-1714
;5152 SS4 0925
# 4/ 9
CITY OF PRIOR LAKE
HEA TING/AlR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
g
Cflease ~ or orint and sim at bottom)
I ADDRESS
LlCta. 0 "By (:P t+~ \("~
:~ ~!~. I PERMITNO.~ IVIJ~I
J. Y.J1ow Appbcun V1 ...,-rw
-
i!:'
I ZONING (0_ UK) I
':-
LEGAL DESCRIPTION (oflice use only)
~!t
LOT BLOCK
ADDmON
Pill
OWJo<.e.l<. ,) . ^ -L> L\_
(Name) 'T'\.~'- \~cY"\..Q..,I.)
,(Address)~'fS ~.ki~nl1lfd ~\~hJ1}
-\\- \'-1 ()
(phone) LoSI- L\'S2"S"2.CO
&q::v1 Un S'S12J
j~.,:,
(Address)
Bl;1fRtVi\lS H9?tin9 .It AIr., i I r:
12481 Rhode Island Ave. So.
r...--- "~l ~lj3{,O ...,.,
"'......-::1-, ... !. . .--
Address)
(phone)
~
~
!lID
~~.
",:;.:.
APPUCANT
(Name'
(City)
(Zip Code)
!,;::
,~
(Contact Person) (phone) .
APPLICANT SIGNATURE ({ n..tL ]},J\ U AroJ-tOt./J DATE 9-;:)R'-()l.I
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION fJ REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL ~0!c:."IM;:J;)(j(30l/S FUEL L12...f y~
FLUE SIZE RETURN OPENINGS e:; INPUT ~rYXJ OUTPUT ld..1. u(}l)
TYPE OF SYSTEM HEATING OR POWER, PLANT
DWann Air Plants 0 Steam .
DGravity . 0 H~t \Vater
D.MeChanico1 0 ~~on
[g'Air Conditioning 0 SpeCiai Devices
DVenL SySlClll 0 Other Devic:cs
. PLEA~EN()TJ!::
Air ~pnditi!lll~rJJnits
CIlI!l!O!.l>J1Crqacbil!to
Requirecj !lidO Yard
Setbacks
FIREPLACE MAKE AND MODEL
,
Industrial, c........_.:at &< Multi-Family
FE;E SqIEJ:)UL,J!:. '.
J % of job ~st . .. ~sldcntllll,GasFircplace
$39.50 minimum . ... . .
$99.50 Residential, Additions &< Alterations
$64.50 Residential, AC Only
$39..50 .
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.S0
PA1Dwmt
Estima1edCostS Building Permit # B'JIlOlNGPERUrr .... ~
..~rfto!G.PI". EE ....$..,.......... .....~...,.....,.......~.. :;'.,.~..,.,: .....:..._..0 OJi
.. .STATESURCHARG.$,," :;"." ~SO' . ........ C..J...;/t.//IX:.~./
.. ... .i'OTALP........................:. :E ....:$7...... ,...,,"'........,...'.... . ..... ..... ."............'"..,..............,'..,......
(()BiccC~()nly) ... . .>:....,X.... '..<., ...:..... ...".h~...:':x'.:....:, . ............"".....
... -::~.:- ..~......-.:-~< ., I~' ~ ~ :~o~lr ~'";'
24 hour DOl1ce fo<llI1l.aapeel1ol11 ('52) 4 ~~, fax ('52) 447-424~ ..J
.......~~~~f8!~r0....0~15:~;!~,. ....
..'1'
..
I
PRIOR LAKE -'~~rt~~~~N~~pMmn File
INSPECTION RECORD
SITE ADDRESS 1J;/)~F~ ~ T,,",
NATURE OF WORK e.w
USE OF BUILDIN~, _ F }4 - . ~
PERMIT NO, DI/-- 04-(,.1_ ~ATE ISSUED .5/17/~1{ ~
CONTRACTOR ~{~*e.L PH6NE;l.it-'. "''f~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
-
I FOOTING ~ 7ft/~1
. I ... .-
, FOUNDATION (Prior to Backfill) ."..."k 1 ~/" .A'~ I 7/.f%~'7
PLACE NO CONCRETE'UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
/IZ?' _
#U
;it/I-
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL _
PLUMBING V. 65 #fd" 7/5~.A;r1
HEATING (If required)
FIf!EPLACE
GAS LINE AIR TEST~,..:. ",-~4
,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
,\~I'-' ~/Z
J?U.
,
~~" Lf,,-e / /J ~J../dd'
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY
INSPECTOR
DATE
I
I
f/l.Jjf
nut
~ .
6/,.29/.:> Y
/~,.?'p~L/
"fJ / .;P./ /OL/
/oh~~r
/6/17-/0t(
/tJ/I-P,4~
~
/..2A~A"/
h/L _
/~/(JM
1/ I~&!A.;
/;1/v1 /1, r4~{flA
/H//- /.2 ,It;IA-y
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
QIrtfifirate of @rrupanrJ!
CITY OF PRIOR LAKE
~J11ztrftutuf of ~uilMug Jfusptdiou
~inal Permitted D 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
Type Construction
VN
Fire Zone
N/A
04- . 04'~~
PUD
Use Classification
SINGLE FAMILY
_ Bldg. Pennit No.
Zoning District
Legal Description L42, Bl, TIMBER CREST PARK
Owner of Buildinq
Site Address
4906 BLUFF HEIGHTS TFAIL SE
Contractor's Name & AddressPUL TE HOMES, 815 ~NORTHWEST
ROBERT D. HUTCHINS ~ c;ty Planner
Date /~-t~yfficial
PKWY., SUITE 140,
DON RYE
EAGAN
55121
Date:
~~~/
4/90'6 AJ A'uCj' p,t; 7/ /
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
D FOOTING
D FOUNDATION
D FRAMING
C INSULATION
S'fTRXL
C SITE INSPECTION
C PLUMBING RI
C IIIECH RI
C WATER HOOKUP
C SEWER HOOKUP
C PLUMBING FINAL
,.)tMECH FINAL
COMMENTS:
~I -A / 7
.-<)/&> ....y Y friJ /-- idA
.,..?-J n V~-- #
/ ~~/c.
~/ ~/
;:r-?nf; / VI'c.
DATE TIllE
~~-~~/
C EXlGRADlFIUING
C COIIIPLAINT
C FIREPLACE RI
C FIREPLACE FINAL
C GASLlNE AIR TST
D
~ :?
0.,,(j~ k....,
-----
/' .--, /
\..L: /OJ"-e-
~
~
.___~ l'
/-7/-,P )
~
~RK SATISFACTORY, PROCEED
~~RRECT ACTION AND PROCEED
C CORRECT WOR~~7,>>EINSPECTlON BEFORE COVERING
Inspector. /V~~Owner/contr.
CALL "7-9850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE.
"""'"'
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
~~.\
.,.-..'-\.....
...-'........-,-..,...'
.-.'...... ,.
; :""'-:,:',:-:-.-.",',.:,
.. :':~~'<,,;:,-
.i-. ,::,>,'f-/!-':/
;"~lb}~:;::;.
".<{
('":::,,
v/:::>.~:;;
..aL..
,. ,. ",:', .,.... ,
'''g,L.L.C.
IIINssm._
~. ..('
.<