HomeMy WebLinkAboutBuilding Permit 04-1064
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
See Main
PO] I,While File
("2. Pink City
1"., 3 Yellow Applicant
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I PERMIT NO. 0+ ,1 6 (p 4-1
(Please tt.'! or Print and siRft at bottom)
ADDRESS
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'ELLIFF-
HT;J (,XT 5
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ZOp111fl
LEGAL DESCRIPTION (office use only)
LOT z.. BLOCK / ADDITION fil:n.R'iPt 4ttsr P A:flIf
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(Address)
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(Phone)
11111I
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OWNER
(Name)
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BUILDER
(Company Name)
(Contact Name)
(Address)
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(Phone)
(Phone)
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TYPE OF WORK ~ew Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection 0 Misc.
CODE: ildir.R.C. DI.B.C.
Type of l"onstruction:
OCCllpancy Group: A B
Division:
r
E
II
F
I
rnrvvA
H r M R
2 3 4 5
B
S U
PROJECT COST/VALUE S
(excluding land)
f'~AXJ
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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 I am the owner Of authorized agent for the
above-mentioned operty and that all construction will conform to aU existing state and local laws and will proceed in accordance with submitted plans. I am awa that the building
;'iad7J_'"-"~:;?4"'bYagmlhatlhec'~Offidalorad"i&~n/;~;,prOP,nyloperfonnne;::t1io"'t/
1 .r Signature Contractor's License No. /' ~Datl
I Permit Valuation I z.~. c-OI I Park Support Fee # $
I Permit Fee I $ /t7...2?: .sO I I SAC # $ /~OO
I Plan Check Fee $ 6~ '7, J'f' I I Water Meter Size 5/8"; 1"; $ ..;lSlJ. e.D
I State Surcharge $ 4~ c..o I I Pressure Reducer $ ~S7 cJV
I Penalty $ I I Sewer/Water Connection Fee # $ /~. G..<I
! Plumbing Permit Fee $ /~,OO I I Water Tower Fee # $ ~, ~
I Mechanical Permit Fee $ /a;/, 0-0 I I Builder's Deposit $
I Sewer & Water Permit Fee $ ,~SV I I Other $
I Gas Fireplace Permit Fee $ -s/tJ. GO I I TOTAL DUE $ ...s:s-e ?f
9l:! J ,r'K' 7 /1
This Application Becomes Your Building Pennit When Approved I Paid I ReceiJt,IN o. "P'7 / 7
~~ 9A-'d,&.v I Date /0.3'(" 0 fZ-- Bve-f'
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Building Oflicial D&;e
ThiS is. to certify that the request in the above application and accompanyin~ documents is in accorda~~~ty ~nJl>rAaj:w ma~ell:!fquestcd. This document
when signed by the City Planner constitutes a temporary Certificate of Zonmg compliance and allowso'VV' e~a.lc:lflpaJ!"<1:~ec nfOccupancy must be
i~~ PlanZ~ flhfit SpeciwConditions.uany
24 hour notice for all inspections (952) 447-98~O. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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See Main File
White . Building
Canary. Engineering
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Thf Cfnln of IhlP 1..h ('oun1!'}'
BUILDING PERMIT APPLICATION DEPARTMENT CHeCKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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(:;-~90 ~ ,1X{
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is prop~d at: )( /-
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Accepted With Corrections
Accepted
/
Denied
Reviewed By:
Comments;
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Date:
See Main File
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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
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\.,;ana..y- Engriieering
Pink - Planning
Tht' (",nlt'r of Iht' l-.kt' ('ounny
NAME OF APPLICANT
.B.U.J.LPING PERMIT AP-PLlCATION DEPARTMENT C
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APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is pr~Od at:
$O'?.;;J-./ ~. ~
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/ Accepted With Corrections
Accepted
Denied
Reviewed By:
Comments:
~~
Date:
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See Main File
"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
White - Building.,
c~~;""y -cn\1I.. ,'""b
I( - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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C;-~90 - '()/j'
The Building. Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is prop9~d at:
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Accepted
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Accepted With Corrections
Denied
Reviewed By:
/1?9'/3
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Date:
/0;' 7-0,/
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."
;952 894 0925
# 6/ 9
Date Ree'd
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
I. Pink
. .....
l, Yellow
q-/~'r
~~ I PERMIT NO. .
A.......
J
q'teasc!fPe or Print and siRD. at bottom)
ADDRESS
::)() 7 d"
N( ,( W /-J-h., Tt'I
I ZONING (office .se) I
LEGAL DESCRIPTION (office use oll1y)
.LOT
BLOCK
ADDmON
PID
I
. OWNER --u
(Name) -J:-r.(
(Address) 8'/5
(J>Ie. !-fo/)lt"_,
^-blll/Le.nl 4. ;:/I.( /u if
-# I,PO
(phone)(i?~/-(fS2- S?l'X:>
~rpqll /7 t.lJ.L). 55/2/
(phone) C1.."5d - f9l./ - ~
APPLICANT
(Name)
~uniSQiITe ntli:ILIIIY Q ~.~, ~L~
12481 Rhode Island Ave. So.
- - - - --
~avage ,(NiIlI...if>'>' 0- I '''''''
(City)
(Zip Code)
'I~~.~...~.'!
~m;~
I
(Address)
-
(ContaCt Person) (phone) . .
APPLICANTSIGNA'rURE ()(/?fl-, ,l3l)dA/n/1t'//7 . DATE_h"3/-0S
APPLICANT PLEASE COMPLETE BELOW'
[JINEW CONS1RUCTION
FURNACE MAKE AND MODEL (/L/7r7(/1{
FLUE SIZE RETIJRN OPENINGS
TYPE OFSYSTBM
,,'" .:..
OWIIl,DlAir !,I"!,IS
O~vily
O~~lIlical.
!S?JAirConditioning
OVent. Systcll\
o REPLACEMENT 0 ALTERATIONS
(;'13UII.?4.4V>VS- FUEL LJfi.j c;.~
5 INPUT ~() OUTPUT '1/ ~()o
HEl\TIl-lG O~Pq:WER PLANT
OS~
Oa,~IW~
O~Ilij~~. ....
o SpCCiol Devlees
o Other Devices
I~~al~~~ .
aequiRd Side 'yard.
Setbacks
FIREPLACE MAKE AND MODEL
Industriol, Commerciol & Multi-Family
FltE S.......,.~,ll~
I%ofjobi:qst . .~~~ti8),~Firepl~
539.50 minimum .. . .
599.50 Residential, Additions & Alterations
564.50 Residential, AC Only
.$3~.SO
Residential, HOlling & NC (New Construction)
Residential, Heating Only (New Construction)
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CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
4--- ZZ J) "::J
I. 81~ File
2. Gold City
], Yellow Applic.nt
r PERMIT NO. 0-:. !'{{I~-
/Ot,,5f
(Please.!VD~ or orint and siRll at bottom)
ADDRESS
57Jfe;8 10 72. -14- t5U/ff IIrs- TJt/(., Jc
'I I
ZONING (office use)
PUO
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
APPLICANl' // /?/ .~
(Name) VQ/I~ r/~6f'~ c.. (Phone) qs;;;?-~9.9-OJ/c9/
(Address) q-(a;Y k3yqL__ . ~Oro/_ /:7-1" bS-..s-~~
,
(Address) (City) (Zip Code)
(Contact Person)C/, r". 'l:: /-47 en' ,... . 's (Phone) #-..6~......
. APPLICANT SIGNATURE -z?f?'~~ ?_~ DATE ~-t7&2--oS
APPL~NT PLEASE COMPLETE BELOW
Quantity I Type of Fixture I Quantity I Type of Fixture
I Bath Tub wilh or without shower I Rough-ins
Dishwasher I Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washinl! Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector .
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) . Other
FEE SCHEDULE
Industrial, Commercial & Multi~family 1% of job cost with a $39.50 minimum
Building Official
DllIte
Residential. New One & Two-Family $99.50
Residential. Additions & Alterations S39.50b
I/- . //)"z. - /J
Building Permit # /~ P
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->
Rec~/~
BY~
I
$
$
$ -----
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IP~
I DateAf r...-
"""'Z'L(j~
,/
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Orner Use Only)
This Application Becomes Vour Building Permit When Approved
24 hour notice for aUln.pectlons (952) 447-9850, fa. (952) 447-4245
16200 Eagle Creek Ave.. S.E.. Prior Lake. MN 55372.1714
PRIOR LAKE
INSPECTION RECORD
. #
SITE ADDRESS luFF lIoslIf'J- ritA,,-
NATURE OF WORK ~ I.~
USE OF BUILDING S.R ·
PERMIT NO. 04. ((J(P4- DATE ISSUED ~/'4' -
CONTRACTOR -&lJlE ~ PHONEIt6-.2&~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
.
DATE
",~?/,y
-'(/ ~ . .
I FOUNDATION (Prior to Backfill) "'''<4...V u.-..u ~. I ~~Z
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC /#?I /ds-/;..y
FRAMING ~. ,2h2/~r-
INSULATION ~..2/ 2.f/or:
ELECTRICAL A ..2-/2-~Q)
PLUMBING f). &: ~ ..219'~<S~ /%:f..- //Z2,tOS
HEATING (if required) . , ~ kl.J-.2-/~
FIREPLACE /Y / /! .
GAS LINE AIR TEST ~I';', fa ~,., -I- /.,u/II ~ 9" /~k ---
COVER NO WO"AKtNTIL ABOVE HAS BEEN SIGNED
1U1171&' / //'II,r:1&fM1J I I
.4u-cr /etr::-! IS /fl,,}-.ft:d FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
INSPECTOR
I FOOTING
JK..f/
.C:-ee ~~.~
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OCCUPY UNTIL ABOVE HAS
NOTICE
h/t'"
t// .22/01-
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1 -)S -fftj
f!V/OS-
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 shail be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
Qtrrfifitafr of @tmpanqz
CITY OF PRIOR LAKE
~eparfmenf of ~uilMnB JJnspedion
?inal Permitted D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Unifonn Building Code certifying
that at the time of issuance this structu~... s i in compliance with the various ordinances of the City of Prior
Lake regulating building construction o~ For the following:
SINGLE FAMiLY" e,4- 10(,4-
Use Classification . Bldg. Permit No.
Occupancy Type R3 Type Construction VN . Fire Zone N / A _ Zoning District PUD
Legal Description
L2, B1, TIMBER CREST PARK
Owner of Building
Contractor's Name & Address PULTE HOMES, 8\,5
ROBERT D. ~TCHINS ~
Date: ?;h'~:ral
Site Address 5072 BLUFF HEIGHTS TRAIL SE
NORTHWEST PKWY., SUITE 140, EAGAN
DON RYE
55121
City Planner
Date:
"...*'/. ",.,
CITY OF PRIOR LAKE
INSPECnON NOTICE
ADDRESS
~O?2
OWNER
PHONE NO.
D FOOTING
D FOUNDAnON
D FRAMING
D INSULATION
~NAL
D SITE INSPECTION
DATI! T1IIE
SCHEDULED ~~~
/ '
AlL.f?IJ #J? k/
CONTR.
PERMIT NO.
C)eY-/t:J6r
D EXlGRADlFILUNG
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLINE AIR TST
D
D PLUMBING RI
D MECH RI
D WATER HOOKUP
D SEWER HOOKUP
D PLUMBING FINAL
D MECH FINAL
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~ ~RKSATISFACTORY. PROCEED
D CORRECT ACTION AND PROCEED
D CORRECT WORf:,~LllJR REINSPECTION BEFORE COVERING
Inspector. ff~/' OwnerlContr:
,
S;ALL "7.9850 FOR THE NEXT INSPECnON 2~ HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lItSNtITl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
:r;(]7~ (Y,Jf'f3- 1Jr>
-
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
(j) it ~IAN-
CONTR.
PERMIT NO.
o PLUMBING RI
D MECH RI
o WATER HOOKUP
o SEWER HOOKUP
1ll'1'LUMBING FINAL
o MEcH FINAL
~
. .
DATE TlIIE
J,).~'d5
t.I-I/%?/
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o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~ CALL FOR REINSPECTION BEFORE COVERING
Inspector. yvr Owner/Contr:
CALL "7.9850 FOR THE NEXT INSPECTION 2<1 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNO"