HomeMy WebLinkAboutBuilding Permit 04-0756
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(Please tt.D! or orint and sim at bottom)
ADDRESS
4f>74
8L lJP,C'
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
See Mam- P-lewh;" HI.
. Pmk CIty
1 Yellow Applicant
0/dSJD~
I PERMIT NO. 0f-.61501
J.lE2~H7'.5
LEGAL DESCRIPTION (office use only)
1.2'MI1c- ,(
LOT6Z> BLOCK / ADDITION
OWNER
(Name)
PutTE
I-kM'E S
(Address)
e.Jt'
BUILDER
(Company Name)
(Contact Name)
(Address)
llJ~rj(wGrY
7RA2'l.
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(Phone)
PAJAK t../A ~
S v:p7p /((),
5/1/HE
e.vttr I~ lUauto
ZOfJ!tLJuse)
PID;Y5-4~a-().!::J()-C
c,cl- 4n~rUc
Z,,~U A~ CrlZ/.
(Phone)
(Phone) t.,/.2- 22/ - 4'1SC-
TYPE OF WORK lll'New Construction ODeck OPorch ORe-Roofing ORe.Siding OLower Level Finish 0 Fireplace
DAddition DAIteration DUtility Connection 0 Misc.
CODE: 1l(iI.R.C. OI.B.C.
Type of &stroction:
Occupancy Group: A B
Division:
I
E
II
F
1
IIIIVVA
HIM R
2 3 4 5
B
S U
PROJECT COST IV Al.UE $
(excluding land)
7bpcJO
I hereby certify that 1 have furnished information on Ihis 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 prope and that all constru ion will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
:'~Ok' this a cause. hennore, I hereby agree thallhe oily OffiCIi;: ~siie3 '77" opoo the propeny to perform 0"1} 72S164
7" Signature Contractor's License No. Date
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
.f96 tJl)(}.OrJ I
S 16Z'7.!:?J I
S bh '}. i'"tf" I
$ 45?:do I
S I
Slot'. ""1] I
S 1~t'.EJ~ I
S ,1~ s" I
S tlO. () 0 I
This Application Becomes Your Building Permit When Approved
~t1~ 7/lfo</
I Park Support Fee
I SAC
I Water Meter (size ~')";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAl. DUE
.5 .!> '" 'B, >(~
']- 30-L)
I Paid
I Date
#
#
#
#
I
I
I
I
I
S 700.00 I
~./T~I
I $ I
I SS;5f,3. 88 I
S
S J*3~ 0,00
S "d-~,oo
S 1/<:;:. 00
S I z.o 0 , 00
I ReceiPt N 0.11 '7 t-t:3 '/
Bv C
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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 tequested. This document
~Iaooenmp:rary Certificate of Zoning CO;;? aod alluws construction to commence. Before acc:aocy, a Ccrtifl=tc of Occupaocy must be
P_ngImctor ~ oa..YtiEile
24 hour notice for all inspections (952) 447-98~O. fax (952) 447-4245
16200 Eagle Creek Avenue Prior I.ake, MN 55372
See Main File_
.-Jlbifa - ~ulldina -
~narv - En'llneering:::l
Pink - Planning
The n."," III 1M 1"0 C..IU",
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
//51<.)(/ ~.(5~1f Yi!Z; ;;;',2./
Accepted
v
......
Accepted With Corrections
Denied
Reviewed By:
IVY1-..I3
,5 ee rflc,/", F,'k
Date:
7-/$-ol-/
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."
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Th~ C"t'nft'f of lht' t.kf ('Ounlry
See Main File
White - Building
C~I'!!'~'!!lineering
,,- rl..iK - Plili..mln~
BUILDING PERMIT APPLICATION D~RTMENT CHECKUSI
NAME OF APPLICANT
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j./ j)jix.
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APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(/F'/~ Lj~t;f f/Zo ;;;tV.
/ Accepted With co~rections
Accepted
Denied
Reviewed By:
Comments:
~
:/LdJt-
Date:
7/(3~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."
See Main File
~WhitA _ Bulldina-=:::>
Canary - Engineering
Pink - Planning
Tht' ("t'nlf'faf lht' t.kf {'oulUry
BUlLPING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
{J Affi ~
It? - ~,c;-04
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APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
t/?~C/' ~11j f/?;; ;)4J.
/ Accepted With Corrections
Accepted
Denied
Reviewed By:
.~
~J2~
Date:
7/;'3hlf
. 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."
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(please type or Drint and sim at ~
-ADDRESS y"
Lf~o. Lf87~/4ff/'i \[;-76
LEGAL DESCRIP~O~~Y)
l. Blue File
2. Gold City
J. Yellow Applicant
<(-~
I PERMIT NO. clli-) I
75"1
ZONING (office use)
tJ/IA.I>fJJ.~:olh,.
(/
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LOT
BLOCK
ADDITION
PID
OWNER
(Name)
Pu/I<-
(phone)
(Address)
APPLICANT /)} I
(Name) V a. 1../-<. u. ,....h.......... b":j J:;:;-.,. c...
(Address) ~rl (i...t;<L-___ A'J~
(Address)
(Contact Person) C-t. r ....C M~r,.",-..s
APPLICANTSIGNAT~.c< _..?t2-&. ".C-:-t~
V
APPLICANT PLEASE COMPLETE BELOW
Quantity I 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
I Wa1er Closet (Toilet)
(phone) ~ s..:;- ~9; - 0/1;:;)/
-so,.d~ M N SS~.s=<
(City) (Zip Code)
(Phone)
~k~t.."""',
DATE
8'~ 3'07'
Type of Fixture
Rough-ins
Water Heater
I Water Softner
Sland Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
I 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 PERMIT FEE $
.50
(Office Use Only) J f
This Application Becomes Your Building Permit When Approved iPaid ~/ ;J--j-{;~ReceiPt No.
Date I Date IJ./ W)~IBY n
Building Official VI J...Jr U~
I i'J J
24 hour ootice for all inspections (952) 447-9850, fax (952) 447-4245 .
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
Ju1 20 O~ OB:2~a
METRO GENERAL SERVICES
?63-~2a-2S6B
p.3
.aM . flU.
'OLLOW . AHlICARr
GOLD. ClT'I
CITY OF PRIOR LAKE
SEWER' AND WATE~~RMrT
FAy.., '15;l..- 'If/7-'lz"t/,r NOTE:
S.W.NO.~~
Sewer and Water
contractors must
be registered
with the city.
APPLICANT:-!n..tflIV :J1oJli)Vl~' Sfr~9NE: -/l1J3)/2J(~J4P;~'
ADDRESS: Fl7tr) Q/l/'trl{ 1J1J'f... j'}F DATE:
SIGNATURE: - })O/,,_(b,"IU;tY,
SITE ADDRESS: j.;)f7it t3J~ Iit:Ljlhl-'i
FILL"IN THE BLANKS,
1. Estimated length of water service /')() feet.
/. I,
2. Size of water service inch(es).
BLDG.
(;- PID#
PERMIT #
3.
Location of any couplings from structure (oJ feet.
J Ii
Type of sewer pipe. ABS pvc..i/ Cast Iron
Estimated length of sewer line ~;() feet.
4 .
"--
5.
.
I
6. Clean out (if required), located at feet from
____:::::~~::~_=c-=___~_____________~~r1 '______________________
---- -.---- -- -----------------------------------------------
This application becomes your permit when approved.
I
BY
DATE:
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FEES: IJ Id.., P~t.-/l":;" ,Sewer and water line connection permit.
"c "., Surcharge
N"" re, L- , TO'l'1.L
Fee for either sewer or, water individually is $20.00 plus
$ .50 surcharge.
Sewer and water pertni:ts, issued for new construction must be
recorded on ,the buildin~ permit card at the time of issuance
to insure that nodupllcate, sewer and water permits are
issued. ,_~'C,>
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'" '.,., :"16200 Eagl~:CreekAv. S.B., Prior Lake, Minnesota 55372/ Ph. ("52) 447-4230/ FAX (9112) 447-4245
An Eq1ial OpportUnity Employer
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AMOUNT PAI-&~ljJ t-J
REC'DBY " Pl::,::,V-
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-
;952 894 0925
# 4/ 9
Date Rec'd
LIlY U1'. t'KlUK LAKJ<;
REA TING/AIR CONDITIONINGIFIREPLACE PERMIT
i: ~ ~i~ I PERMIT NO....... ^ "",#;,/,.
3. Yellow Applicant ..,-r' ~
q'lease ~ or print and sillll at bOllOm)
ADDRESS
Llrr74 'MJuCr J-l-f:.) '-T((:t-("~
I ZONING (office use)
LEGAL DESCRIPTION (office us. only)
LOT
BLOCK
ADDmON
PID
. OWNER
(Name)
(Address)
.+1-<- V k l-!rxnJlLJ
g6 .U:JtI-hUJ('d /fuj(f.A.)Ct..~/
Ii I LIO
(phone) (0. (,-J - L/S 2620{)
GifiO /) /Jl/7 55/2/
APPUCANT
(Name)
(phone) q<),...) - f(q <.../- ()(YJS
8:.-.......:11"" 11.:;;c.~i..~ ~M,'C, i...i...C
12481 Rhode Island Ave. So.
t""
-...a\'a~::fol IVI(Ad~ 0- I I ~~
(Zip Code)
(Address)
(City)
(Contact Person) (phone) .
APPLICANT SIGNATURE &1("), & }.J1/l'L.!7(1 /J DA-TE 1;J - d:;; - (J c.j
APPLICANT PLEM.ECOMPLETE BELOW
[),!NEW CONSTRUCTiON 0 REPLACEMENT 0 AL TERA TiONS .
FURNACEMAKEANDMODEL /p./)JirN (;.'-/~I.JI-I;;)(I,a,I)'I.<;j FUEL /7LCfyl'k.A./
FLUE SIZE RETURNOPENINGS tl-o,r:Jf-<'/S _ INPUT i./-of7I.:g; OUTPUT .!::/J........4r:L)
TYPE ()FsysTEM HEA,1'J:NG ORPOWER PLANT
D'N'."'ll1Air Plants D.Stoan> ...
DGrayily DlI~1 'N'a~ ..
~tt~:f3~ning 8 ~r~obevices ....
OVen!. System 0 Other Devices
PLEASE NOn:: .
....W<:P~ir!4P~;i!'..r.rDits ..
. ~~olJ;;~~~~il!t.~
Requ~dSici!:Yard ...
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commc:rtial &. Multi-~amily
F.E..E SCH.EDULl!:
1% ofjobcosi .. ReSidentilll. Gas Firepia"e
$39.50 minimUm ......../
$99.50 Residential, Additions &. Alterations
$64.50 Residential. AC Ooly
$~9.S0 .
$39.50
$39.50
Residential, Heating.lt NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
BuildinlOfficial
WITH. r
..............".wr;e~?1I!u:h
.:i:.:"',''''
~i~~~;;~]~~~fii ...":.
24 hour D. oticelor aU inapectioDS(9S2) 44'~q.~~~) 447-4245
161,00 Eagle <:reuAY~~~I'1"!o~ ~ ~ 5~~--
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:, ;(;'c>..~:~(,~:\\<..
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::"}',$X/"'", "",''',
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c..... ..'f1.I.A~IM"*~OD~~~#~.y!i~f~+~~!~~re,I'iii!~i"~#~.~pp~\'~ ..
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PR lOR LAKE DEP.ARTMENTO.see Main File
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~'71/ '8LJ1r~ tfEltStH7"'s TIl.f..
NATURE OF WORK AII!!/AJ ~~A.J.rr~~~
USE OF BUILDING ~.F: A . "
PERMIT NO. (J"4-.01.SCa DATE ISSUED 11..n/II(
CONTRACTOR.I!JUJ:# ~ PHONE"'-.."',"~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I ~ I ~;/:'I
I FOUNDATION (Prior to Backfill) A<>./Ad ..ub~ ~ I %!~jY
PLACE NO CONCRETEfU'NTii ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC ,. ,
FRAMING 11#-. (!/~ I's
INSULATION r I'll/;:} //1<f' jV()
ELECTRICAL / iI] /I S
PLUMBING (). d M '117ft..; )1111.:/ _ _ / /; Lj /~
HEATING (If required) fr, //1 ij' /Is'
FIREPLACE, . ~ .
GAS LINE AIR TES~Jc, "Y/I r/J,.-v<~ - ~ J/~ /~
. ,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
....\~e Jni~J...
~
.
I,
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
J%7
~
,L/ l~ _
J.h//(;~
J//o)o~
..2 / .z.f.l': ~
J/Y' /Gs-
.
BEEN SIGNED
OCCUPY UNTIL ABOVE HAS
NOTICE
This card must be posted near an electrical servlca 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
QIntifirat:e of Q1}mtpanrl!
CITY OF PRIOR LAKE
;!El:epartm:ent of ~uilbinl' Jjnsp:edion
IFinal 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:
Use Classification .
Occupancy Type _ R3
SINGI.E FAMILY
_ Bldg. Permit No.
0+. ()75(;'
Legal Description _
Type Construction VN Fire Zone
L50. B1. TIMBER CREST PARK
Site Address 4874 BLUFF HEIGHTS TRAIL SE
N/A
Zoning District PUD
Owner of Building
Contractor's Name & AddresfULTE HOMES._ 1F-5,. NORTHWEST PKWY.. SUITE 140, EAGAN 55121
ROBERT D. HUTCHINS /# City Planner DON RYE
. / 0ilding Official
Date: --3./// 0....5."'""
/
Date:
\
-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
t ?l.y;f/u {/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~LATION
~~L
o SITE INSPECTION
o PLUMBING Rl
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATI! TillE
P{~
7ft, G- ~I
t5 L/ -/-5 ~
o EXlGRADlFILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMe.Nl;S: /
?S-/~ c t-" / ~ Ci- /
-- ~ /
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3fto/~
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{eke
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WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ""9FJ<-J!A:/ FOR REINSPECTION BEFORE COVERING
Inspector. /M- Owner/Contr:
/I /
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CALL "7.98&0 FOR THE NEXT INSPECTlON:U HOURS IN ADVANC~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
''''''''''
".
DUHNSVILLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave 5, Savage, MN 55378.952-894-0005
0rs1at Test Report for Jobl In q 1 t.f
Address L/87t./ /3w{{ 11t.lc,f/7S '1itA/L City ?flIOJ( tAKe
Occupant
Dale of Ins1aIl I - 18 - 0"-
Type of HT. F1A ./ HW Space HT Unit HT
Other
Make it;. rJAlO \:
Model G~'3u( - 24,IJ-D<.(S"" - 01
Serial 5qo,-/~ I5~D(,..
Input '-/</, 000 ,,-ru"
Pilot Type HOT SURFACE IGNITOR
Pressure 35 IWC. CO2 [p. "Z-
Input CFH a..j<.l 02 <::J.t
S1aCkTemp uS' CO ~ IJ.D"",
.
Date Tested
Company
Technician
'2 -1"5 - O"}
BURNSVILLE HEATING & AIR CONDITIONING
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