HomeMy WebLinkAboutBuilding Permit 04-0462
(Please ty1'C or mot and Jim at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
SAND UTILITY CONNECTION PERMIT n~ :::::Jr.-/)/ /
ee Main File,,,, 'd, '7' CJ(Jl//
2. P;,k C;" I PERMIT NO. 0 A_. 0 A I "1
3 Yellow Applicant ~ ~ ~
ffor
$ tII,P'/"- ,rPIAlTS
,-.
.4t1-/(...
ZOp(l;Dce u,,)
LEGAL DESCRIPTION (office use only)
LOT9'1 BLOCK / ADDITION 1':ntBfA Uus.r ~ ~d/~
Plr:td5"-40d-OQf-(',l
OWNER
(Name)
?vJ.:rL- JIohJ~
&'1~ ////~uJ:Sr_~~
rx..re::- /~f
(Phone) ~.::J"I- ~.r2-S-.axl
;~_ dk ~/~/
(Address)
BUILDER
(CompanYName)~
(Contact Name) 4..er-- 7~\
(Address)
./
TYPE OF WORK If(New Construction DDeck DPorch ORe-Roofing
DAddition DAlteration DUtility Connection 0 Misc.
CODE: ~C. Or.B.C.
Type of Construction:
Occupancy Group:
Division:
(Phone)
(Phone) tI/z. - 2.i!/ - ~
ORe-Siding DLower Level Finish
o Fireplace
A
B
r
E
II
F
I
ill IV
H r
2 3
V
M
4
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
9~_e:fJ
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 ownl.>( or authonzcd agent for the
. conform to all existing state and local laws and will proceed in accordance with submitted plans: ~.m 'zt the building
ore, I hereby agree that the City official or a designee may enter upon the property to perform needed lflSpcCt" s.
S~ - /~7/ ..s; ~ ~V
Signature Contractor's License No. / .,A5atO""
Permit Valuation I 94.6>60_-1 I Park Support Fee # $
Permit Fee I $ /oC)/J-5o I I SAC ~ # $ /_350. -
I Plan Check Fee I $ U,;;. ~9 I WaterMetec-Size~I"; $ ZSO. dO
I State Surcharge I $ LI'R.- ! Pressure Reducer $ <l!fC;. de
I Penalty I $ I I Sewer/Water Connection Fee # $ L 1;;)00. --
I Plumbing Permit Fee $ / t2,t).- I I Water Tower Fee # $ QtJ() _ -
Mechanical Permit Fee $ /o~. - I I Builder's Deposit $
Sewer & Water Permit Fee $ LfS-; sa I I Other $
I Gas Fireplace Permit Fee I $ 1../0. - I I TOTALDUE 1$4--5"-3.813
1C),~it,,:i' i:~ - ~
This pplication Becomes Your Building Pennit When Approved I Paid I Receipt No. tI b '1('1:7
. (1l~;P ~ Sir ?/d'f I Date - /_- d.,-nU Bv tJ ) -
Building Otlicial Date
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 l'equl.'Stcd. 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
i~,"Di~~~J o/j?<,~~ See ~
24 hour notice for all inspections (952) 447-9850. fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
~1
See Main File
White . Building
CanarY . Enaineering
~ink - Planning"")
Tht' ('t'nlt'r of lht' l..kt' Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CI:IECKLlST
NAME OF APPLICANT I/ .I/ltJ... lIt' f ..J
APPLICATION RECEIVED L / - 3C) - {/ {I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
//9GJ<;(- L::'/r, /'r Ill-~ II-'
Accepted
/'
Accepted With Corrections
Denied
;'
,-;
Reviewed By:
~
~
Date: S/!~O if
",t. .
.; i
1
Comments:
I. I
'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,"
Thr ('rnlrrof Uti' I.akr{'ounlry
See Main File
White - BuildinJl
l r...anarv.. EnQinee~
Pink - Planning
BUILDING PEBM.II.APPlICATION DI;fARTMENT CHECKllSI
NAME OF APPLICANT
/. i ,': 'O(.
//~/j. j,t.,-( .Q....
':"'A / 4-"1.' ,J.A" j
/-.......t., i".- ~.
APPLICATION RECEIVED
/ ~~',' ," ~"~ t
1./- _"-!'-I'}'.I
(......- c..-"" ,,../ ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I",....' -~I r~-'~Jl/~
,_//) -?C/. - I"" r' r .r? rc
v-/ 'iC_ ?5 t; / ' . io '-
~-- ,
Ir
Accepted
x
,
Accepted With Corrections
Denied
Reviewed By:
Comments:
fi/JIt--A
Date:
~--/3-C#
"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 - Builc!ffiB?
Canary - EngIneering
Pink - Planning
Th. ("dln of th. L.k. ("ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(j)~~ ~
Lj- 30-04
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
q't}0>j- 8/tA-rr I/Is- Tr
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~
::;1e-~L>
,
Date:
5/17~if
,
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 24 04 11:51a
METRO GENERAL SERVICES
763-428-2968
p.5
Gftt_ . ....!
YELLOW . ~.\lCA'"
GOLD .. CIT1
Sewer and Water
contractors must
be registered
with the City.
APPLICANT :JlJet},l) :/1erJJM~~NE:l1..i:l.,-lf1j(", Jff3&'
ADDRESS: J,rl9'J Q 110 rll. Ave.. h,. DATE:
SIGNATURE: ~~/,_ ~~J'~, - BLDG. PERMIT #
SITE ADD~ESS: ~S /JIj#- ,A1fl'~ .1-1 PID#
. ... .FIL.,'IN THE BLANKS.
/::;0 feet.
CIT)' OF PRIOR LAKE
SEWER AND WATE~ ~RMIT
FA~ 'l5;l..- "tf7-'I~v.r NOTE:
S.W. No. '1'" t-I L, ~
1.
Estir,ated length of water service
I' Ij
size of water service inch(es).
2.
3.
Location of any couplings from structure ('J feet.
h"
Type of sewer pipe.. ABS PVC.., Cast Iron
, .
Esti~ated length of sewer linet;IJ feet.
4.
'---
5.
.
I
6. Clean out (if required), located at feet from
====:::~::~::~========~==============~~1.f=========================
. .
This.ap1=lication becomes your permit when approved.
,i
BY
DATE:
I
----------=--==---------=-=-==--=-==-----=--=----------------------=----=
--------Pw7Te.d -(.;:-i{--- .'-.- --'- ----- -- ----------
FEES: fJ1d.j P."IK.1-.. ,Sewer and water line connection permit.
= .." ',Surcharge
lJ'a l-e,e-TO'l'AL
",..-..,
"'':j'"i';
* Fee for either sewer or. water individually is $20.00 plus
$ .yo surcharge. . ...
* sew~randwater permits- ~ssued for new construction must be
.,. !i;:~&t"";' '"RECEIPTI'j .,..,. ..'. REC' DBY . ~
:.~";"'., ... .~Ii'" .~
'.:;Sl~,~i',:;". . . ,.,.;1.... . . 'I;~
'f{;t{ij(j200 Eagl(l:!:reek Av. S.E., Prior Lake, Minnesota 553721 Ph. (.,~2) 447-4230 I FAX ('$2) 447-4245
An Eaual Opportunity Employer
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMq (J.V
~ V4..-o~0
I. .,,, F;I, I PERMIT NO.
2. Gold City
3. Yellow Applicant
(Please tvDe or orint and si2ll at bottom)
ADDRESS ZONING (ofl", U"')
Lffo:J, l.f9~, l.f900; o/96g ,€It.,to //efdS J;,v.-.-/.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
PLl Ne.
(Phone)
(Address)
APPLICANT I /}J
(Name)~/-e.u Tlu-.j, /'-N.
/:\'-J ---.J
(Address) 8"'~o (J.LUj.k~ AI/"'e..
(Address)
(Contact Person) CL,.. . ''" fYlor,. , '..S
APPLICANTSIGNATU~~~'
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
I Sinks
I Bar Sink
I Water Closet (Toilet)
~
<.../-+. c....
~OrdlA-.
(Phone) .%.:r"~9.9 -c;/aJ
..M N ~S.sS-'::;'
(City) (Zip Code)
(Phone)
A-b6(..~
~
DATE
7-/:S -00/,
Quantity
Type of Fixture
Rough-ins
Water Healer
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
I 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 & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
PAiDWlTH
W~WNG~!"lll/lrr
(Omce Use Only)
pplicati~n Bur BUildiDJ}m; %; 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., S.E., Prior Lake, MN 55372-1714
;952 894 0925
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
:: =. ';!!:" I PERMIT NO....A. h!L1'"
J. Yollow Apphealll CJ-r'. ~
f?lease!VR!. or IUint and sUn at bottom)
ADDRESS
L\qD~ "'h\llc:r H-~
u
-T(~
ZONING (011"", use) I
. LEGAL DESCRIPTION (olllce use only)
LOT
BLOCK
ADDmON
PID
~~e~QI.O:k. ~_"
(Address) 9.. \"S (\{)lmLJ.~ R:d [.u.)~
(phone) I_CJ~ \ - U c:; ) -.9 ("'[")
~ \lV~ . k~[) l..ltt. SSIZL-
(phone) QSL-\(CjU-()~
APPUCANT
(Name)
(Address)
t'loIrR&>JilI9 HS3tiRQ & .l:../C, ll""
12481 Rhode Island Ave. So.
.0 Mfl --3~~ ..~..,
..;;J.:..,":',.tJ':', ~)_r.&.&:
(Zip Code)
(City)
(Contact Person)
APPLICANT SIGNATURE
(phone)
(iy .nfl. J1h Mnti hO/l DATE
q - ;;; p._(){j
APPLICANT PLEASE COMPLETE BELOW
oo.NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL J on,(')')( (~S\uP.::Jll~ FUELyY't + ~
FLUE srZE RETIJRN OPENINGS S INPUT .!:IS. ('(n OUTPUT 1..\1.400
TYPE OF SYSTEM HEATING OR POWER PLANT
OWlImI Air Plants 0 Steam .
OGsavity 0 Hot Water
~ Mechanical 0 Rodiation
Air Conditioning 0 Special Devices
Vent. System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial. Commercial "" Multi-Family
FEESCHEI)ULE
I % of job cost Residential. GIS FireplllCCO
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Additions"" Alterations $39.50
Residential. AC Only PAlO Willt $39.50
Building Pennit # BUILDING "eft..rr; n .
E ";::l, \r\,,'/ ruG ()~)
HEATING PE FEE. $ cO It j \..l)U .
~M-~S~~GEEr<50. .........l'n~
Residential, Heating"" AlC (New Construction)
Residential. Heating Only (New Construction)
Estimated Cost S
(omceu",Onl,). . .<<,..:.....<.;.............. . .....:....:..::..<:.. .
Tbis Application Boco... Yon. Bulldlnl Ponait Wh... Approved ~ ~ l:E 0 ill ~ ReceiptNo.
.~..- ~___::.._~l~~9..;~ 1 "'
16ZOO ElpCrook Avenuo,Prio' ~"MN~S371 J
# 2/ 9
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PRIOR LAKE; OEPARTMENTOF See Mainl
BUILDING AND INSPECTION
INSPECTION RECORD
~ Itts Tt-
NATURE OF WORK IA:>
USE OF BUILDING ~ F J4. .
PERMIT NO. ~ 6~~Z- _ _ DATE ISSUED L~~ .
CONTRACTOR-~~Mf!.~ PH N - ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SITE ADDRESS
INSPECTOR
DATE
!FOOTING ~ 7/~/o,
, FOUNDATION (Prior to Backfill) ~ ",~l j U'....4' /~ I rf/{/37-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~
d64
#U--
#U
~
. -
~/...29co4!j'
/tW.J/dy'
/~Pf/{'I
/t7ft/ltx/.
/';/~/~
/1/1 ?ftY
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING I/. tt: //f/ 7/?&?/--r-
HEATING (If required)
FIREPLACE
~AS L1N!: AIR TEST
,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I / . I I
~er,.&ve #.5 p'"J-~ecl FINALS
. GRADING (Prior to Sodding) ,. ~~ c. /(f::;.. t..
BUILDING ~
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
.
A/e,
/,;-//4/1'/
,
///..?q(a.y
JI-~
/.;;.4e/cw/
. f
BEEN SIGNED
wv1,
~
.
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.
FOR ALL INSPECTIONS (952) 447-9850
ar~difitab of OOttupant}!
CITY OF PRIOR LAKE
~~parftttlmf of ~uilMng Jlnsp~dion
'~inal 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. Permit No.
o 4- . tftttfIiIf4 (p Z.
Occupancy Type _
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
PUD
Legal Description _
L41, B1, TIMBER CREST PARK
Owner of Building
Site Address
4908 BLUFF HEIGHTS TRAIL SE
Contractor's N.me & AddressPULTE HOMES, 815__ NORTHWEST
~.
ROBERT D. HUTCHINS
4//CJft~cial
City Planner
PKWY., SUITE 140, EAGAN
DON RYE
55121
Date:
Date:
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~' 'Inptflo:H 44' ' .9.S
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ti~tfi:~-:~~;A.. .. .
t~~~!:.:l~:~.~. ,,- "...~. ".~n~' CDNDf!'IONING
1'.fillcilli:'<'k~w .' ." ," ,,' ,. . '
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~~NSPECTlON
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
..)i-MECH FINAL
DATE TIME
O'~ 42.
o EXlGRADlFIWNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
C~~ENTSr __; /
~/~f7P'GrrvI /7,h... / ~~"'
. '" -- / ~
_/U~JL. ~.h<i!,/ ~/<- /J ~ ~
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/~RKSATISFACT~OCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTION BEFORE COVERING
Inspector: ~ ~ OwnerlContr:
-
CALL '"7-9850 FOR THE NEXT INSPECTION 2>1 HOURS IN ADVANCE.
"""""
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI