HomeMy WebLinkAboutBuilding Permit 04-1063
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File;~~. ~:;y
3 Yellow Applicant
(Please ~ or oriot and sim at bottoml
ADDRESS
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LEGAL DESCRIPTION (ollice use only)
LOT 3 BLOCK J ADDITION 'It/'HRUI
P llL.rT"z- NOIHL<!.
&-/5 /d1U7l Jl/J"$.f PA:f2JL1fLW.
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OWNER
(Name)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
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Date Rec' d
IPERMITNO'O~.IO{,3 I
ZONING (ollie, use)
PUIJ
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PID::J ~- tJilfI- QjQ-O
1A-6ht
(Phone) 6!>/ - LIS ~ - S zcx::,
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(Phone)
(Phone)~Z-?.2/~ 1/yg:~
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TYPE OF WORK [}(New Construction llDeck OPorch ORe. Roofing ORe.Siding OLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection 0 Misc.
CODE: ~.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V A
HIM R
Z 3 4 5
B
S U
PROJECT COST IV ALUE S
(excluding land)
?It MId
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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 1 am the owm."f or authorized agent for the
above-mention d 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
official can r~ke Lerm~. it for 'us ause. ~ore, I hereby agree that the city official or a designee may enter upon the property to perform needed msrions. /
X V~~ u .' ~ E/: - /37/ ?/Z{)/OJl
- "Si~ature Contractor's License No. / .Pfate I
,
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
7t: ebO, c..<>
$ /O~7. SO
$ 1{.?,.7{ J'Y
$ 51'f- ~
$
$ /0&. ~
$ / tJIC}, 00
$ ?S;So
$ ~tJ, -
~nB~uildmgp;:,tene ~'()A;roved
Building Otlicial ~.....
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
, /'
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10. .u. Aq:--
# $
# $
$
$
# $
# $
$
$
$
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I Recei~o.
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, ThiS is. to certify that thc request in the above application and accompanying documents is in accordan~ith the City ~~~~al: and mmeed as requested. This documem
::; signed by the ~ty Planner con:!"UlcS a temporary Cenificate of Zoning cnmpliance and allOWS\) eeo cIVlaInUPr ltt!." nfOccupancy must be
~ PI~ o/Sb..1t Special Cnnditions. if any
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 - Bulldlnll
. ~Canary - ~nCi"neunfl-.p
Pink - Planning
ThtC't'nlff.rtMI..ktCottll.,.,.
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
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APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building pennit
application for construction activity which is propose,!i at:
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Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Comments:
1YfJ-6
Sa ~,'" ~
Date:
/~ -7--01/
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"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a pennit for, or an approval of, any violation of
any. of the provisions of this code or of any other ordinance of the rurisdiction. Pennits
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 . Building
Canary . Engineering
(-' .!:m~'_-""Ia~
Th~ ('"nip. of lh.. I..kt <-'oUnlry
{JUlLDING PERMIT APPLICATION DEPARTMENT CHECKLIST
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NAME OF APPLICANT \-y!.u..i!.2< ~~
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APPLICATION RECEIVED
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is propose,d at:
c:i"O~? 0 .L/&;;{Ij;/Z o:k-.
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Accepted With Corrections
Accepted
Denied
~
~
Date: ~~~
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,
Reviewed By:
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Comments:
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"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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See Main File
fVvh.ife - Rlllldina-::>
Canary - Engineering
Pink - Planning
Th~ Crnlll'r of Ihp I.."" ('OU"lry
BUILDING PERMIT APPLICATION D~RTMENT CH KLlST
n. . /J~
NAME OF APPLICANT l "Y ~
APPLICATION RECEIVED 9 - a 0 -C'J c.j
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
$0'70 ~ ~ o:h-.
Accepted
/
Accepted With Corrections
Denied
Reviewed By: ~ ~
Comments:
'J~
Date: ~/8"~o/
~
-
"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."
;952 894 0925
# 8/ 9
Date Rec'd
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
"P'nk
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~:~ 'PERMIT NC): .. I J
Appllc:an.1 I
(Please toa!e or Drint and sim at bottom)
ADDRESS
ZONING (office use)
5070
?-it ,( ff I-!---k. Ty" J.
LEGAL DESCRIPTION (office w. only)
.LOT
BLOCK
ADDmON
PID
. ~=R '71.( ~-:k. /-k,l))t"~'\
(Address) 2'15 Ai),lha:t:rf IJ If lr lu U
. (7
ill kO
(Phone){t'2~/-(fS"2.- s?a,)
~!'iJC?L' or} UlLJ. 66/2/
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APPUCANT
(Name)
(Addres.)
tsumSVllle nttClUlIY Q "iv, LL~
12481 Rhode Island Ave..So,
savage,(NIllI..ap.>to-l IUO
(phone) Cj5,) - f9l./- CXCO"
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(City)
(Zip Code)
",'
~
(Contact Penon)
APPLICANT SIGNATURE
(phone) .
Of.i?t1, ,fl!J~ A Irf /117./7 DATE
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.... '. ' .' , .
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APPLICANT PLEASE (:QMPLETEBELOW
. [JjNEW CONS'J'RUCTION
FURNACE MAKE AND MODEL . I R../71? U\(
FLUE SIZE RE'IURN OPENINGS
TVPE.oF SYSTEM
CJ\V"1'!' Air.Plants
CJo.~v'ty ." .
13 M,~lI!Iical
rszIAIr Conditioning
OVent. System
o REPLACEMENT 0 ALTERATIONS
(;'13t/II;;;>4,;:J;O</S- FUEL LlI7 -I c;.~
5 INPUT 1..f5l0?() OUTPUT <II. L/OO
~Tll'I"G OR POViER.PLAl'IT
OS~,',"'"
H~i~~> ..... .'
CJ S....ial DovICes
CJ Other Devices
ie
'~~~fi~~~~Nls
C~Qt~~cltiJjlQ
R.e'luiledSideVard
Setbacks
FIREPLACE MAKE AND MODEL
FJ!:E SCHEJ?~lt .. .
Industrial, Commercial'" Multi-Family 1% of job coSt . . , ROsidenti~OasFireplacc 539.50
539.50 niinimum . ,.,' . ." . .
Residential, Heating'" NC (New CoDstruction) 599.50 ResidentiaI, Additions '" Altention. ......... $39.50
Residential, Heating Only (New Constn1ction) 564.50 Residential, AC Only Pl'\O "'" , I I ~50
EstimatedCost5. BuUdingPennit 1# BU\LO\NG PER fJa.d1
:..~TW(J..l'9.~.:.;..,,,.:.,/,,,,.,... ..:.~$\..""".,:y,::":...."...:.:,,,.. :.......................:~.,..~,.~::....:...::-..... .........
STATESlJRS:~~.....,.,_.".sO . ............. .. ........
.roT..jfif,E:Rl\...~.....':)$:~~'''.~<h'. ':. ....:.,..:. :...... '" ..:............:::,:..... .....:..:.....
.' . Th............ :.ISU.A..'.popDI::~t.I.O.D. "..."....:-.'..o....m.............:...'.......y....... ...o..............q..:.:.:r...'...:.....B.........::..........."..........:.......'.:~.'..:...:......I...'.:_.'.'......'.'g...;..'...'..,..~.'.'.'.......'...'.;.:.:.'.',...:._......:.'.'..:.'.,.'...l:..,'.'.'.~"..:..,'.'.'.;...:.""'...'..:.'...:.:.~,'.'....:......'...~.......'..,....;.'.:.'.'/l.......'.........:...!"........l..:,:.:.:......'.p'.f.'.:.,....p~...:.:'...'to..,...........:.',.,...::'...'.',..,........'..."',:........~.,..:,.....'...,......:..,.......... :,..,.....:...:....,.,..:...'......,'.:.,.,.;:....."'.'.;~.,:..'.;.:f.:..~.,................'.,.............:.......'.......~.~,:.:..'.~I' rj" J:" ," ,'.' ....
.~ .-v _ uuu~. U'UU' ,..~ ", _" ~."~ l 'W.f:~if~~~Pt~~;.::(
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Bulldlnl omei~.1 . '. ..:.:;',ij'::!!!!':O;:U.;;;@'sA:0:':::4::'"
'2411 nOtkiit~."""~==:~
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CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
1-- ZZJ)~
I. Blue File
2. Gold City
J. Yellow Applicant
I PERMIT NO. 01'~ ~~~-
(Please.!VEt;. or Print and si2l1 at bottom)
ADDRESS /I
57Jfo8 1D 72- -14- fju/ff rs~ nt.A., Jc
'I I
ZONING (office use)
PliO
LEGAL DESCRIPTION (ollice use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
APPLICANJ' // /?/ ~
(Name) VQ/I~ r I~~ T.- c-. (Phone) qs;~ -o/P.9 -,;;;J/OJ /
(Address) <::?'"raCY e4C;k........--~ SOro/--. h?.... S;S:S~~
,
(Address) (City) (Zip Code)
(Contact Person)CI.".. 1::: /~ eN" r . '." (Phone) d--6<:..<.&>
APPLICANT SIGNATURE ~~~_'4~ DATE
APPL~NT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavalory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
~-a6l-os:
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. Comme:rcial & Multi-family 1% of job cost with a $39,50 minimum
Residential. New One & Two-Family $99.50
Residentialtd~il".;/tZIt':::.ions $.39;b.
Estimated Cost $ Building Permit # ..., r- p
PLUMBING PERMIT FEE $$ _~.' / - ptrlO . ,()
STATESURCfJARGE ~ (l/lf VV
TOTAL PERMIT FEE $ ~ V V
~
(Offiee lI.e Only)
Building Offid.1
Ollte
p~
. DateA" S.....
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This Application Becomes Your Buildiug Permit When Approved
24 hour noliee ror ol1ln.peclion. (952) 447-9850, rn (952) 447-4245
16Z00 Eogle Creek Ave., S.E., Prior Lake, MN 55372-1714
DEPARTMENT OFSee Main File
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~.,~ .&..uFF H61GR1;t 7AU/L-
NATURE OF WORK ~-~A4!~"/~
USE OF BUILDING ~.
PERMIT NO. {J?-,/O~3 DATE ISSUED '1~1f
CONTRACTOR pH&fEio - z:L(-""
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
-
I FOOTING I ~ //ft~"""
I FOUNDATION (Prior to Backfill) /bc;....JI~ ~: ~~~-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
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SEWER J WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING {/, Ii. j#;j :;)l//~~
HEATING (if required)
FIREPLACE .
GAS LINE AIR TEST~I').. .dry", t' Y,v
, I'
COV~R NO WORK UNTIL ABOVE HAS BEEN SIGNED
.
. ICA~~~P I I
~tr ~-e1'5 !).,rlJ FINALS .
GRADING (Prior to Sodding) Se e ~. L
BUILDING ~'
ELECTRICAL .
PLUMBING ~
HEATING /II/f-
I
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
INSPECTOR
~
DATE
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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
@rrtiurafr of ~mtpanrll
CITY OF PRIOR LAKE
~rparftttruf of ~uilbiug J1uspediou
~inal Permitted 0 Conditional C.O. Expires
This Certificate issued pursunnt to the requirements of Section 307 of the Uniform Building Code cenifying
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.
64-. I () (P -:?
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
PUD
Legal Descriptior
L3, B1, TIMBER CREST PARK
Owner of Building
Contractor'sName&Addtess PULTE HOMES, 81$
_ ROBERT D. HUTCHINS /:;14
Date: ~i~~"!.-
Site Address 5070 BLUFF HEIGHTS TRAIL SE
NORTHWEST PKWY., SUITE 140, EAGAN
DON RYE
55121
City Plannpr
Date:
,..)>.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS . <:-o,?(')
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~~NSPECTION
SCHEDULED ': ,,:,TE ~~k
/fL# //P..~J 7//
,
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
-.fi:/- /~?
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
CQMMEt\IS: . ~'f. /' J.
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/...WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~~CA;-~REINSPECTION BEFORE COVERING
I...................:: ~ Owner/Contr:
,.
~
CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAl. HEALTH & SAFETY!
INSN07I
DATE
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
50'70
OWNER
CONTR.
PHONE NO.
PERMIT NO.
lJ FOOTING
lJ FOUNDATION
lJ FRAMING
lJ INSULATION
lJ FINAL
[] SITE INSPECTION
lJ PLUMBING RI
lJ MECH RI
[] WATER HOOKUP
lJ ~R HOOKUP
PPLUMBING FINAL
lJ MECH FINAL
COMMENTS:
nME
[] EllIGRADlFILUNG
[] COMPLAINT
[] FIREPLACE RI
lJ FIREPLACE FINAL
lJ GASLINE AIR TST
[]
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~WORK SATISFACTORY, PROCEED
lJ CORRECT ACTION AND PROCEED
lJ CORRECT 'N9r:J<Hj.FOR REINSPECTION BEFORE COVERING
Inspector: }/tv"r Owner/Contr:
,
CALL ~7.9850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE.
",.,.,,,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/