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HomeMy WebLinkAboutBuilding Permit 04-0733 0' PRIO", . .,. .~ ~ ~ :>: u '" +J'l\'IVES01.t'o CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT & / :7 S; -0 L( See Main F~ ~::y 1 PERMIT NO. OiL, 07.'"'231 3 Yellow Applicant ,- ....../ (Please tvoe or onot and sir:n at bottom) ADDRESS 4666 f3U}PJ= H<!"~~I9Tf LEGAL DESCRIPTION (office use only) LOT47BLOCK , ADDITION T~MiEJZ OWNER (Name) 'PUL..7"F IIIJMES" (Address) eJ)"- PiPl:r N IV,t: <7 71M~ L C-.2ErT PAt/-(, ZO;Y'J Ljeu<c} PID ~5 -'I{)~-{)L/?-4 Sv'J!7'e !hIJKI,/A'r 1<(0 (Phone) '-t / - 4(;"2- S- It:b l"AbA,V !I1V S~/21 (Phone) (Phone) I Park Support Fee I SAC ..---=-. I Water Meter (Size51Ii:lJl"; I Pressure Reducer I I Water Tower Fee I Builder's Deposit I Other I TOTALDUE Sewer/Water Connection Fee Paid Date ~.7/ J'Y 7.~/_ <> --- BUILDER (Company Name) (Contact Name) (Address) TYPE OF WORK. ~ew Construction DDeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace ~~~dition DAlteration o Utility Connection 0 Misc. j/1/1fr Lvt.T & ASl H,eO CcI2 - ZZ /- ~9g;- CODE: J!:.R.C. DI.B.c. PROJECT COST IV ALUE $ 'If",,&cDO Type of onstIUction: I II III IV V A B (excluding land) Occupancy Group: A B E F H I M R S U '. Division: 1 2 3 4 5 I hereby entity 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 authonzed 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 :""Z ';;''' fO'Justc . .,.~'rth"~ 'h" 'he"tyUffiCi'IOA~g:e m~?;u;n the pmperty '0 p"fo,m o'ZZ";/6-1 // Signature Contracto~s License No. Date ' I fI qt, tJoO,t9 I:) $ /02..7.<.0 $ b" ,. ~.V $ '1'?O~ $ $ $ $ $ Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee '''0, at! I"D, a I:) 3-:;: 5"" t3 4~. t9 " Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee This Application Becomes Your Building Pennit When Approved ~ Uf.-- Buildlll_!! anlcinl 7fpi Oae # $ $ 13so.oo $ '2-$'0, 0 tl $ 'f~,oo $ (ZoO. DO $ 70 0 ; 0 .. $ $ I I I I I I I I $5IS"3.~B I '7~/ I I # # # Recei6VNo. Bv r r" T. hIS is 10 ct'rtify that tht' request in the above application and accompanying documents is in accordance with r~." itY_?Oning~.' af~n 'and 'ifW proceed as re.9ucslrd_ ThiS document 7e::C'~ P'~o"ry ceo"fi,,,,or;ho;,oa:;,uowscoost"'Ubt :e1V1mn: C!liIe"p,ncy most be - Pl,nning Directo' . ~e . Speci,) Conditions. if illY 24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake. MN 55372 ~" See Main File (White - Building ;) Canary - Engliieilring Pink - Planning Th~ Crnlrr IIf Ihr t.ak. ("ounll"l BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED VJ~..~ 0- d,S-OLf , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ,!",Y)? ;.&J~ fIJz; ~ Accepted With Corrections ~ Accepted Denied Reviewed By: (~ ~ Date: f/~A y 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." t~1 S@e Main File White . Building Canary . En ineering ~ . Plan"," Th~ Cfnlfr of lhf L.kt <,'ountry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED . ,,;,1 , //' / - ( I i j 1", '" ,>, I .,.,'.: \....., / '-' ~ i)-(j(f The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I!e;:? <2f 'LAP/:/' rJ./Z 0A-/ /) / Accepted With Corrections ", Accepted Denied Reviewed By: ~ ,... ~/-> Date: 7/:? ft; C/ Comments: '- ~ "The issuance or granting of a permit or approval of plans, specifications and f 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," 5~~ See Main File Whit" . Building. ( C;anarv . En<!.ineerlng-..., Pink . Planning Th. C..nln of Ih.. 1..1" Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED . . j J il-ll-ek'. ! .{ , ! / ;;-'i-.'t-A-"1,'..'Yi :', ") '}',..) (/ / r LV--/~ -', -" ....... -- ()I ( , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1 ." ) , j - (" r " /, ~/ ,1/ rx // 17 y,::' i( ;i.A . (.L/'y' \ .:i,t-"l'J , /.1 ~ :/1,.1 Accepted )(' Accepted With Corrections Denied Reviewed By: Comments: /fYJi3> ,~ -c ( /Ilc,/"'. Date: 7- /5-0,/ F, '! l' "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.3 GAElII - filE YElLOW. APPLlCAIIT GOlD. CITY SITE ADD NOTE: Sewer and Water contractors must be registered with the City. APPLICANT!: JJ1d~1) ,r;VeJUh:/.l Sl'fVl~ONE :A~~il7i~l4J'Zik ADDRESS:_ hr;C!t) Ql1i1.rJ{ lIV.f_ hf' DATE: 1)0 j~ tb/lI"R. . .. BLDG. PERMIT # ?ftfttf P,/ Ibr/L~ PID# FI L,,:IN THE BLANKS /5n FA'/.. CITY OF PRIOR LAKE SEWER AND WATER PERMIT CJS;;.. '1'/ 7-'1-z, II.$'" S.W-No. ()~., 133 1. Esti .ated length of water service ,j 'I Size of water service I feet. :2 . 3. inch(es). "-- 4 . 5 . Laca ion of any couplings from structure n feet. } " Type af sewer pipe. ABS pvc4 Cast Iron Esti ated length of sewer line !){J feet. 6. Clean out (if required), located at feet from stru=ture. , in Ii;" =====================~===~======~==========~======~=============== This appLication becomes your permit when approved. BY DATE: .! ===~=== ====T============================~========~=============== P u, h'e..d iJ ''Hr. . FEES: I1/J,j P'/-M.' 7-. Sewer and water line connection permit. .. . surcharge Ala Pee... TOTl\.L )>;~'5;,: - " " . , .'.' /l:, ' :,'~;i' C ~'.' * Fee for either sewer or water individually is $20.00 plus $ . 0 surcharge. * Sewhrandwater permits issued for new construction must be r.eC).rded 9.n +)o,^ l.~. ;.J....i.n9" permit card, at the tim eOf. i.ssuance r..~s~r~~~ ~lS hcate sewer and waterperml.'t s are CkrE-;iPAr:J.. JUL 292004 .. .. AMOUNT PAID ~._ ,. .. . . ,-t-\\,,,,, 110" t"\ RECEIPT t REC/DBy?r.r:'':)(ii\'~r:l~'='~~ . IP~- ""i;.;;::_:;?:':" ", .~:~ \ 16200 EagJ~:' :reek Av. S,B.. Prior Lake, Minnesota 55372/ Ph. ('Is2) 447-4230 / FAX (~s:2) 447-4245 An Boual Opportunity Employer .-~ '-;'.~ ~.,.; ;952 894 0925 # 4/ 9 Date Rec'd UTY UJ:f l'.K1UK LAK~ HEATING/AIR CONDITIONING/FIREPLACE PERMIT f!'lease '!yp'e Of Print and sim at bottom) I ADDRESS LI'i?8Z ~\lA~'("' I-\-+--, \{~ :~::. ~:,~ I PERMIT NO^,,- A""Oll J.,{e!lowApplj~nl ~ ZONING (ollke use) . LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID I OWNER (Name) ?l.A.O k.. -\-\o.~-c:...S (Address) 'l, Ie, d lv.\hwc'\ + 0(1 I ~ 1k.i j,/ I :tj: ILI(). (phone) '- oc:::, I - f 0.a r., fl. f.-.A ,r) , c.,c;: 17 I : APPLICANT (Name) (Address) Burnsvil/e Heatinc & AIr. I I r. 12481 Rhode Island Ave. So. Savace. MN fi!i~7'l_11"" (Address) (phone) C)"") ,3 -\( q L/ -(:cas (City) (Zip Code) (Contact Person) (I. APPLICANT SIGNATURE j/ / 1/1 j (phone) 73.JII2LJ.L70 ..I7(2g,Ll DATE //-/7-0L./ APPLICANT PLEASE COMPLETE BELOW (ElNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS FURNACE MAKE AND MODEL '&-rl/?lV (:c:,/ ;L./reJ. JLI13 .. 0<1 S FUEL 1"1CI ..7' CiCk.A-/ FLUE SIZE RElURN OPENINGS "'S INPUT LIS, 000 OUTPUT 'iI LJ{)(J TYPE OF SYSTEM HEATING OR POWER PLANT DWann Air Plants D Steam . DGfl!vity 0 !lot Water o Mechanical D Radiation D1IAir Conditioning 0 Special Devices OVent. System 0 Other Devices PLE:~S);: N9'l'E:: AirConi\itioner.Units Cannpt Encroach into Required Side Yard Setbacks I 1\ FIREPLACE MAKE AND MODEL Industrial, Commercial & Multi-Family FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 I Residential, Heating & Ale (New Construction) Residential, Healing Only (New Construction) $39.50 $39.50 Estimated Cost $ Building Pennit # ~::z (om.. Us. Only) Tbis Applicatioil Becom.sYllur.BuildiDgPerani(WberiApl'roved I~? I Date Building Official Date 24 hour notic. Cor all inspections (952) 447.9850, Cax (952) 4474245 161.00 Eagle Creek Avenue, Prior Lake, IIfN 55372 .50 I Receipt No. I By t:~~ P~RIO..ps. - ~ u '" ~,yl'{BSO<<'''' CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd (Please me or 'Print and sim at bottom) ADDRESS ;~, ~:~ 1 PERMIT NO.AL. ^"'7"Z14iI. 3_ Yellow Applicant u-I"'" "'"".IU ZONING (office use) 4888 BLUFF HEIGHTS TRAIL LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name PULTE HOMES (Phone) (Address) APPLICANT (Name) ALT.JED FIRESIDE DRA FIRESIDE HEARTH & HOME (Address) ?700 NORTH F AIRVIEW AVENUE (Address) (Phone) ROSEVILLE (City) 651-6~3-2561 S5Jl3 (Zip Code) (Contact Person) BRENDA HUSTON (Phone) _651-633-2561 APPLICANT SIGNATURE BRFNf)A HUSTON DATE 12/7/04 APPLICANT PLEASE COMPLETE BELOW xO NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT DWarm Air Plants DGravity o Mechanical DAir Conditioning DVent. System o Steam o Hot Water o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL HEAT N GLO SL.550TR-D Residential, Heating & Ale (New Construction) Residential, Heating Only (New Construction) FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 $39.50 $39.50 Industrial, Commercial & Multi~Family Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ PAlO WITH .5tiUILDING PERMIT (Office Use Only) This Application Becomes Your Building Permit When Approved Buildine Official r' .fJ.;y, c' ! n 1 ~ I r~, I~' I' 'IJ b'_ i.. Date Ii' By Date I i[ -QE ~ 3991 Ii> 24 hour notiee for all inspections (952) 44 tlj'a50, fax (952) 447-4245 , i I:~ n Receipt No. By,_, PRIOR LAKE INSPECTION RECORD SITE ADDRESS ~~S ~I..(,J~F tiE/Sf( TS. 7)u(/~ NATURE OF WORK AJ€ ~ ,~ USE OF BUILDING S'.Fi A. .- PERMIT NO. _ O~ 073:1 DATE ISSUED 7l1g/tJlf CONTRACTOR PUCTE H"WI~S PHONE~Il.- l-Z/-nYS NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF See Main Filt BUILDING AND INSPECTION INSPECTOR DATE , _1(7,,:~~ I l I FOOTING ;;It t ~ , FOUNDATION (Prior to Backfill) v11'P'JJtk'YI/ ~ I 7ff~7 PLACE NO CONCRETE' UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER/WATER/SEPTIC J41i- 7:~t{ FRAMING VVP I ~ ~ - { 7~ut/ INSULATION //#/ /::7/7 /Alii ELECTRICAL, _ , PLUMBING u/;;? //t/ tf/16H /~. /.:z//.57"Y HEATING (if required) JlV{/ _ / L- n-CAI FIREPLACE .,/VJ/' / // 17-(//, J GAS LINE AIR TES~/., dyu / J: 1/ r '7../ ~ ,2A~s--' ./ i - COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED hilt I J/f~ I O,,?5;/~ FINALS GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE HAS NOTICE -...See .~ ~,h- ~ , ,;;lL/yt/ /Q5- ~~~/os:- ~,21f/oJ- .2?~S- BEEN SIGNED .., ~ 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 QItrfifitaft of <IDttupauty CITY OF PRIOR LAKE , ~tparfmtnf of IJiuilMng Jlnsptdion ~'Final Permitted [J Conditional C.O. Expires This Certificate issued pursuant to the requirements o/Section 307 o(the Uniform Building Code certifyinll 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. (j 4-. {;733 Occupancy Type R3 Type Construction VN Fire Zone N/A Zoning District PiJD Legal Description L47, Bl, TIMBER CREST PARK Owner of Building S;te Address 4888 BLUFF HEIGHTS TRAIL SE Contractor's Name & Addres'pULTE HOMES, 815,-NORTm,EST PKWY., SUITE 140, EAGAN 55121 ROBERT D. HUTCHINS /',/;1')'" C;ty Planne. DON RYE O Bu;ldjl</l-Off,e,L Date: J -'? L/ / U ~ Date: ~ I' = ~ 2~:/ TIME SCHEDULED ~~ ~rf'r 6~/P $- ?;/ CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~~NSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL CO~j:NTS;' / / / ~~,,-l/I~~I kkq~. o~-73J o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI ~PLACE FINAL o GASLINE AIR TST o ~~ .~;~Al/4cc: h~~i ?J~ t-/ c&h.J-e ICY /~h, 'h/d ~ /-'/ /7"'7 / o/~ ----- - .------ / ~ /' ;./";{, X~ORK~~Y~:EED// p ~-;;ORRECT ACTION AND PROCEED REINSPECTION BEFORE COVERING Inspector: Owner/Contr: ~ \ ) CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI ualmTl OA TE TillE ~~<) 'If'~~ %Iv./y/~k' 7;1 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION SCHEDULED CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ~CH FINAL COMMENTS: 16:::: -!-/ 3LI . r:}-7h-a~ r ~r~ /) , / f?eLet(/-e~ -A"l / 0;(50/ r '" /';- / r,/ n~ I /lh' &/'- dq~ 7..f ? o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o r-, '#r- $/r/, .---- / /--"-J/ ~'RK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WOR.wffREINSPECTION BEFORE COVERING Inspector: / /~ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE, CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH Ie SAFETY/ """"Tl rc @ 'V BUftNSVILLE Heating & Air Conditioning, L.L.c. 11481 Rhode Island Ave S, Savage, MN 55378.952-894-0005 Orstat Test Report for Job# In 90;; Address 4888 6w.11" J/t:.iC,/17 <; Ire. Citv t1z1Of( LA?i Occupant Date of Instatt I:::J ;;l;;l - O~ Type of HT. F/A./ HW Space HT Unit HT Other Make Model Serial Input Lt.: /11/010)( G...nu..i1, "21\(':, -c>'-{S - 0 I 5Q641" 2311<' "1'-1.060 f3"(/.A.H Pilot Type HOT SURFACE IGNITOR Pressure 35 . we. CO2 /.,,0 Input CFH 1-\" 02 10. "3 Stack Temp II~ CO (n pprr. Date Tested Company Technician 1-\- 0"> BURNSVILLE HEATING & AIR CONDITIONING I-e.Q 'i ,I ] ,