HomeMy WebLinkAboutBuilding Permit 04-1065
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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See Main File~t
File
City
Applicant
I PERMIT NO. 04 _ I tJ {j 51
(Please ~ or Print and sip at bottom)
ADDRESS
;/ ~/6 HT3 'T /1A:-l L--
5D71
ButPr
LEGAL DESCRIPTION (ollice use only)
Date Rec'd
1. 7-0.01-
ZONING (office use)
<pUP
LOT J BLOCK J
ADDITION
0mBY1C12LSr .&ru...- ~')J170t-, PlorlS--tlt?;?-OO/-~
OWNER
(Name)
PIlJ..n3-- J./oh1 r~
8-~ tUf2rlI IIJts.r P A-f2I( 1U&f.-
(Phone)
tA61H1 mz.,
(Address)
BUILDER
(Company Name) 5ttm e.-
(Contact Name) (}"17% 'El~.JIfk)
(Address) ./
/
TYPE OF WORK M New Construction DDeck DPorch ORe-Roofing DRe.Siding
DAddition DAlteration DUtility Connection 0 Misc.
/S"/- ~SZ - SZ1'Jb
55/21
(Phone)
(Phone)-&Z-ZZlr ~~
DLower Level Finish 0 Fireplace
CODE: ~I.R,C. OI.B.C,
Type of ~nstn1ction:
Occupancy Group: A B
Division:
B
S U
PROJECT COST IV ALUE $
(excluding land)
I
E
IT
F
1
ill IV V A
HIM R
2 3 4 5
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I hereby certify thai 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 authorized agent for the
above.mentloned roperty 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
:0;"1 cau re~rm~7:e. ;z' 1 h"'by agree thot Ihecity offio;aIO~tig:e 73eo;;poo the propeny to perform oecd;Z;/, V
- , .,. Signature ' Contractor's liCense No. / /DatE
/
I Permit Valuation % 6'a:?, e-o I Park Support Fee
I Permit Fee $ /~17.SO I SAC
Plan Check Fee $ /.hZ ?f I Water Meter Size 5/8"; 1";
State Surcharge $ 4A': GO I Pressure Reducer
I Penalty $ I Sewer/Water Connection Fee
I Plumbing Permit Fee $ /0& eo I Water Tower Fee
I Mechanical Permit Fee $ /CJcJ. ",., I Builder's Deposit
I Sewer & Water Permit Fee $ .3S":SO I Other
I Gas Fireplace Permit Fee $ ~. GO I TOTALDUE
This Application Becomes Your Building Permit When Approved
~~
Buildmg Official
I Paid
I Date
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/'~~ -~
~~~
Date
#
#
#
#
I Receilll No,
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$
$
$
$
$
$
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, ThIS is to certify that Ihe request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
~ityPI~'atempor"YcertificoteOf;i;~;andallowscoostructionSee BMniIfFiIeCY must he
Plannmg D"..tor ~ Date Special Conditioos, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 4474245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~
See Main File
White - Building
Canary - Engineering
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Thf ("..nIt'. of Ih..l...... ('opntry
BUILDING PERMIT APPLICATION D~PARTMENT CHeCKLIST
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APPLICATION RECEIVED - 9-;;10-0 t/
NAME OF APPLICANT
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity WhiCh, is propo~e t:
1, $0 ~(/' /&;' tf.V
1 . VI '
1
/
Accepted With Corrections
Accepted
Denied
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Date:
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Reviewed By:
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Comments:
SeeMainFile
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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
~ - RuildlnL.
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TIM (""II" of till! I._Ill! {'Olllll..,.
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
[;)-tLt:;t.(i" iJ~tp~
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APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constructi~~toiVity ~C~/iS proposecr~tl> .I ~ //-71'"
. ~. I' {; ~ftHx lY--{/J d V
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Accepted
Denied
x
Accepted With Corrections
Reviewed By:
~
Su /I1e,,'-" p, 'f <-
Date: JCJ~"-O'l
,
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,"
*
See Main File
rV{hite - Bui~
Canary . Engineering
Pink - Planning
Th~ (.~"lpr of lhl!' I..kf Counlry
WILDING PERMIT APPLlC~ION DEPARTMENT C
NAME OF APPLICANT '0 ~
APPLICATION RECEIVED - q--- ~-o7"
KLlST
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is propose t:
.5 0 /}t/ ,(It; ~
Accepted
Denied
/
Accepted With Corrections
Reviewed By:
~
-
~
Date:
9Pr:</
Comments:
Se@ MaiD---I1Ie
"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,"
;952 694 0925
# 4/ 9
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT .. /
t.I-/d 60
I
Date Rec'd
I. Pink
,.....
1.Y'ellow
~:~ I PERMIT NO.
AppliCllnl
(!'lease.!Y.l!! or'Drint and sim at bottom)
I ADDRESS
50 7 Lj N( j rr: /--I=h.. TY"I
ZONING (olli<t...)
LEGAL DESCRIPTION (ollice use only)
.LOT
BLOCK
Avu!uON
PID
OWNER 'f'}, 1_ . 1
(Name) rIA ~-;K_ I-nv))(""_\
(Address) SisA(;l/hl.l,nf IJ II f.t )(if/ -# / /(()
, APPLICANT
(Name'
(Address)
r;,urnsVlIle ntlcl\lIlY tit M;~, ;"L:'
12481 Rhode Island Ave. So.
savage,(MllI.~' 0-1 .,"-"-
(phone) (nc:;t-(JS2- S?CO
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(phone) Ci5) - fCtt.;. ~
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(Ciry)
(Zip Code)
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(Contact Penon) (phone)
APPLICANT SIGNATURE Or M, J3/J1J.A Jrf /70/7 DATE J-. ~/'OS
APPLICANT PLEASE COMPLETE BELOW
[JINEW CONSJRUCTION 0 REPLACEMENT 0 AL TERA nONS .
FURNACEMAKEANDMODEL / 2./71'7(/1/ (;.'13t//I.;;t.IA/)~.s- FUEL f}O-/ ~Oui~
FLUE SIZE ' REWRNOPBNINGS 5 INPUT i./5:;fl?f) OUTPUT </1, LloO
TYPE OF S)'STEM HBATI!\lG ()1.l PO;v.'ER PLANT
OW""" Air .PlluJtJ O~,""", '.'
OOIJlVity O~9"\':~ .
Ol\fechlll1c.ll OR;adiI!iOl! '.
lSi'JAir Conditioning 0 SpeCial Devices
DVenL System 0 Other Devices
,0--.,
~
PL.I!:~~(>TE:
A:i).CoOlliliohuUnils
. ~tii$Cr9~i;lto
RiicjUlredSide Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, COlllmcrtial & Multi-Family
FJi:E SCHEJ}m,E
1% of jobcilSt ~1~""ti....q!",l'itepl...
$39.50 minimum .'. ,
$99.50 Residential. Additions & Alterations $39,50
$64,50 Residential, AC Only PAID wm-I $39.50
BUILDING PERM~'1
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$39.50
Rosidential, Heating" AlC (New Con.. _.,;...)
Residential, Heating Only (New Construction)
Estimated CDS! $ Building Permit #
HEATINGP~~- $
STAT.B.SUR~ .- ,\ ',,'. ,- , . ,. . :.50
ToT~P;E$~' __::~; .'~$"~'L\- ^. , "
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(omeeVscODI') . .'. '. ._ .-. .-.",1, ....c.,.'.. ;'" .. '" "
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Tlils ApplicatioD Becomes Yoar BUu4~1!Crmit Wb.~'Approvld .L3:~;::.'-.' :- .
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BlIi \llnl Ont.,;.a'
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14 hour hiiili.-\i~~!!i!~~~:~~lll
. 16200E..le~A.~Ue;l'I'i",r
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CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
c:f. "2-2 .0 ::)
I. Blue File
2. Gold City
3. Yellow Applicant
oA:. o/~~-
rPERMIT NO. ; . / ~(p
(Please ~ or print and si2D at bottom)
I ADDRESS
5l)to8 I 10, TL I -,4--
(jt...//ff flrs-
TJVc.... J c
. ZONING (officeu,e)
PUO
LEGAL DESCRIPTION (ollice use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
(Phone)
. APPLICANJ' /?/_
(Name) VQ/I~ r /~.61'''''1 ' / ~ C-_ (Phone) CfS;;;; -t.rPc9 -,9/6) I
(Address) C(?""(acr a 4 (i kT!'''-- ~ '""'Joro/ -., /h...., ~ s: S-~ ~
, .
(Address) (CIty) (Zip Code)
(Contact Person) CI. ".. '<:: ~ C1I" r . ' c;: (Phone) d---6.c....,.
. APPLICANT SIGNATURE ~~~-7~- DATE
APPLgNT PLEASE COMPLETE BELOW
Type of Fixture I Quantity
Bath Tub wilh or wilhout shower Rough-ins
Dishwasher I Waler Heater
Floor Drain Waler Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing 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
~-c3c9-oS;;
Quantity
Type of Fixture
FEE SCHEDULE
Industrial. Commercial & Multi-family t % of job cost with a $39.50 minimum
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Building Permit # ~'/~y tJlj .
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~ p~{)( /-to
$
$
$ ~
/"
Estimated Cost $
(orner Use Only)
Building Official
Date
P~
DateA S.,.
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, Rec~.1. _
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This Application Becomes Your Building Permit When Approved
24 hour notice ror all in.pection. (952) 447-9850, rax (952) 447-4245
16200 Eagle Creek Ave., S.E" Prior Lake, MN 55372-1714
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~ 7~ 8/,JJ~~ ~ 1it'A1;'
NATURE OF WORK ~'N I'racC.T1,iJ
USE OF BUILDING ~ . ~
PERMIT NO. t'~+. LOfR5 DATE ISSUED -J/.J-L-" ,____
CONTRACTOR c.rfi Hh~.r PHONE~"_'-T'~~
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
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ;), ri /IIfI' ,,2/~/o~
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST~~ ,,tfNu f ~.j,
, I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
'(4/llr / lflllff ~I' I I
./ow{"r 'Le.-J t:/,.f;[;fL../F I N A L S
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
DA~ ~
I FOOTING I ## , I /0"~/"Y I
'FOUNDATION (Prior to Backfill) "'~'Hl/ 1-<-1.-:.// %;- I ~~:b: I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
##.
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INSPECTOR
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fit ~,1.. n'4-/
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1-).~-.-()(
r1'#JO- .
BEEN SIGNED
/A_d}
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.~
OCCUpy UNTIL ABOVE HAS
NOTICE
This card must be posted near an eiectrical 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 piaced near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
C1l:erfifitaf~ of ~ttUpantl!
CITY OF PRIOR LAKE
~rpadmtnf of 1Ou~\Mng Jlnsptdion
%Final 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:
,
Occupancy Type
R3
Type Construction
VN
Fire Zone
Bldg. Permit No. ()4
N / A Zoning District
16(~
PUD
Use Classification
SINGLE FAMILY
Legal Description
L1, B1, TIMBERCREST PARK
Site Address 5074 BLUFF HEIGHTS TRAIL SE
NORTHWEST PKWY., SUITE 140, EAGAN 55121
Owner of Building
Contractor's Name & Address PULTE HOMES, 8)5
ROBERT D. HUTCHINS~
",.t / Buildin~fficia1
Date: .,.../2..2 / tJ ,-
'I' /
City Planner
DON RYE
Date:
i'~s_n"E
~7~ /<~# #!6 1//
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~~NSPECTlON
CQM"'ENT~ .
r/<c7/tC~
;;:7
~~
.---/
SCHEDULED
CONTR.
PERMIT NO,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
t:7~- /005--
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ / /
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C/fC
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( /' 70f-f'
/WO~ACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, ~~;~SPECTION BEFORE COVERING
inspector. /'7- Owner/Conte:
gALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH of SAFETY!
IIUNOTJ
DATE nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
!'-.lS'-<J)'
ADDRESS
~74 NvfP-- Pk
OWNER
CONTR,
PHONE NO,
PERMIT NO,
D FOOTING
D FOUNDATION
D FRAMING
D INSULATION
D FINAL
D SITE INSPECTION
D PLUMBING RI
D MECH RI
D WATER HOOKUP
D SEWER HOOKUP
)i('PLUMBING FINAL
D MECH FINAL
D EXlGRADlFILLING
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLINE AIR TST
D
COMMENTS:
_/l
~ I ('t/IAIM, ronF-~1l7
~WORKSATlSFACTORY.PROCEED
D CORRECT ACTION AND PROCEED
D CORRECT ~)J~ FOR REINSPECTION BEFORE COVERING
Inspector. r r 1/ Owner/Contr.
CALL "7.9860 FOR THE NEXT INSPECTION U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
IN$NOTI
;