HomeMy WebLinkAboutBldg Permit 04-1062
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
Main Fi_e
White File
Pink City
Yel\ow Applicant
1/ dtJ-otj
I PERMIT NO. 0+.1 o~z-I
(Please type or print and si~ at bottom)
ADDRESS
SDley
ElJJFY
J../ &//:')tTj
~M/L-
ZfJa~rJe)
LEGAL DESCRIPTION (office use only)
LOT '1 BLOCK J ADDITION 1) >>18f;t UlGT .? A-fU( At;IJJT10h
PID;]I) -L/O).' () OLI-~
OWNER
(Name)
Pvt.-I&-- Ho mf.S
f1Q MJ2Tf/WJ:!fPAflJf.WAf ,
(Phone) ~/-~5Z--5200
(Address)
WA+1t
yYI/A
65/2-)
BUILDER
(Company Name)
(Contact Name)
(Address)
<~e.-
eu/Zr3~1t()
(Phone)
(Phone) ,,/Z- -2ZI-- 41f'~
/'
TYPE OF WORK ~New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition o Alteration OUtility Connection 0 Misc.
CODE: I2'1\R.C. DI.B.c.
Type o~stmction:
Occupancy Group: A B
Division:
I
E
II
F
I
IIIIVVA
HIM R
2 3 4 5
B
S U
PROJECT COST /V ALUE $
(excluding land)
~t"oOb
I hereby certifY that I have nlrnished mformation 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-mentIOn 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
:cial ca~ permit for Just cause Further e, I hereby agree that the CIty official 08~g:e j~n; ;pon the property to perform need;~7 ~
/ Contractor's License No. - , -6ate/
Permit Valuation n;OOo.OOI Park Support Fee # $
Permit Fee $ /0..,:/-7; So I SAC # $ /35D. 00
Plan Check Fee $ c;C;? RfI I Water Meter ~ze 5!]J; 1"; $ ...25 O. r:A!7
State Surcharge $ ~r: a:? I Pressure Reducer $ ~s: 4UL>
Penalty $ I Sewer/Water Connection Fee # $ / ~t7. c--C
Plumbing Permit Fee $ /00, CJO I Water Tower Fee # $ 7t70, t:,V
Mechanical Permit Fee $ /;c7c? , c~ I Builder's Deposit $ /5'Ot::J,OO
Sewer & Water Permit Fee $ JS ..)V Other $
Gas Fireplace Permit Fee $ .yO. c-O TOTAL DUE $ 7cib~ ~
This Application Becomes Your Building Permit When Approved Paid 1/)~], /( ReceiJNo. #.lrj
~ ~ ~fo/ Date to. 1,6.d ~ By , ~
()
Building Onlcial
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 requested. This document
when signed by the City Planner consl1tutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
i~~
Planning Director
~/yc0r ~ at{pec~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
.......,~,
Main File
White - Building
Canal'\,. -EnQineering
~inIL - Plan~
Thf' Cf'nlrr or Ihe tab Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
- (/ / It'
,.
I "'~~,
/'.
,/"j.- ( (
',~.
The Building, Engineering, and Planning Departments have reviewed the building permit
..%~ application for construction activity which is proposed at:
.z:- /),/ 8-
~ '_/(/" . //
l
.....:
/\ ..-
./ .::--'
/
Accepted
Accepted With Corrections
/'
Denied
Reviewed By:
Comments: ~
c
~ ~f-J Date: 9;G~'!'c.j
ad ...Jr~
"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."
Main File
~it'e - BuilrlinD"-)
Canary'. Engineering
Pink - Planning
The ('fnler of the Lake ('ountr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ /7'1, ~
\/ -- lV-
APPLICATION RECEIVED q - aO -c;J L/
. .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construct~oZ W~h i~) ~ t;?~
vV
Accepted
Accepted With Corrections /'
Denied
Reviewed By:
~
~
~ . ().L
CLLt
Date: 1ha;iv-
~
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."
"
Thl" ('"nlfr O( thl" tikI' ('ounlry
Main File
~e - Building
. rv . E:nqjDUrlna)
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
.j..
.ff
APPLICATION RECEIVED
_//~,.,i t~"...1
, ~. l
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
- r~'
....t:.-- "~'"
."':;~) u
" .
~j""'.Y"'"
i..,'
Accepted
.x
Accepted With Corrections
Denied
Reviewed By:
.114fJ:6
.
Date:
/O-7-otj
Comments: See Reverse Side for Additionallnformationl
/Y/'r'~' F/'L
See Attachments: n Grading Plan. 2) Erosion Control Measures
"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 PERlVul
J. Blue File
2. Gold City
3. YeJlow Applicant
/lB. I (Jf, Z --
PE~NO.~
ZONING (office use)
(Please type or print and si~ at bottom)
ADDRESS f\^
. 5oc" ~ ::;, 70, 50 7<2 5:Y 7 <( ti5A.. f tlj,"':r~ J.:
Ira... /
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER /1 I'..J.
(Name) rLt I 't::
(Phone)
. (Address)
APPLICANT A .----.
(Name)1/ul/~ rv,....t~ ~ (',
(Address) ~D ewaR-~ Ave..
(Address)
(Contact Person) C-.h.,-.""S. I'\.Or/"/~
APPLICANTSIGNATU~~~-' ~
(../
APPLICANT PLEASE COMPLETE BELOW
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
Water Closet (Toilet)
(Phone) 9 >~ -'7 '} ~ .,,;7/ dl
~,.oI~ JeT N SS ~ S"C;1..
(City) (Zip Code)
(Phone) ~ v ~ .
DATE
ID...../ ~"0Lt
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. 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
Building Official
~;J
Paid 6ik1 t) r- Receipt No.
Date \ 0- J,~ -I.{ By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245J
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
Date
(Office Use Only)
This Application Becomes Your Building Permit When Approved
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGlFlREPLACE PERMIT
1;.-. I PERMITN'j-IOI.~
(Please type or print and sim at bottom)
ADDRESS
Date Rec'd
I. Pink
2. Green
3. Yellow
I
I
,
i
SOLPcf
PJ{ ) ff I-J-+-~ Tf/ J.
ZONING (olfier we)
LEGAL DESCR.1.r nON (office use only)
LOT
ADDITION
BLOCK
PID
I
OWNER '---r1 j J
(Name) rU .C-J-e. /1(1))(':..5:"
(Address) r;~)l5 ;J'lJ/hu,tJ/ IJ /1 [( /(I.L/ ill k()
. 0
APPLICANT
(Name)
tlUrnSVllle riecniny &. A/C, LLO
12481 Rhode Island Ave. So.
Savage ,(Mrll-e,?p;j' 0.'11 ~
(Address)
(Phone)taS/~(l5'2. S2.CX'>
;:',pCrE /) /)7/). 5'6/2. /
,
(Phone) (;i5J - fq(j- aoS
.-.
{'.\~
!:,}J~
.' ~!:;:
::::;.-::,.'
i:i@
(City)
:..;;,
(Zip Code)
::;::;:;~
::.:.::~'~
(Contact Person)
(phone)
6cLZO / .17// ~ ,,/ /rr /2u /-7 DATE
/-:3/-{),5
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
1 % of job cost ReSidentilil, Gas Fireplace $39.50
$39.50 minimum ..."""""
$99.50 Residential, Additions & ~~"Vf' "~ .....,..$39_50
$64.50 Residential, AC Only y~ ~ pE.~""\ '$39.50
aU\LO\Nu
Estimated Cost S Bu~ldingP(lrlllit # . jl ~
HEATlNGP~/-"$ ~
STAT~SURSIiAR~... ................. ..... .~.
T?I~~~~#'~S~$~>' ..-. .. ............. ..........
[]}NEW CONSTRUCTION
FURNACE MAKE AND MODEL /11-./7/7 DY
FLUE SIZE RETURN OPENINGS
TYPE OF SYSTEM
DWann Air Plants
o Gravity
o Mechanical
r:i?JAir Conditioning
OVent. System
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
(OfJice Use Only)
o REPLACEMENT 0 ALTERATIONS
GLf 3tI JI.;?LI/'5 0 ~ 5-
5. INPUT .if), (nn
HEATINGORPO~RPLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FUEL .Lla / CL('J<---Jr.?
OUTPUT '-/;. '-/00
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
~
I
. This Application llec(Jmes Y~l1rBuildiDgl-~l'~it ",hell A.pp~oved.
...... ..."~"Il~~~~~~~f~~~j~~~9##j!~~.
. 16200~gle 9'eek Avenue,
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS.-SoU ~I."ff He~ TllIf/4-
NATURE OF WORK NEIAJ CIN~ , ~C",.~
USE OF BUILDING J',J::' 14.
PERMIT NO. 04./ofJZ DATE ISSUED ~/iv
CONTRACTOR ./iII.TE ItAM6S PHON~Z -'W,-,.,,...
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
-vIain File
INSPECTO~ /)
///U
FOUNDATION (Prior to Backfill) ;t?/?(~I'~ tv...... ~/ r /~ I ;11j-{j,r;
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN'SIGNED
ROUGH - INS ~-
SEWER I WATER I SEPTIC ./f//#- //~5/o r
FRAMING ~ 3//6s-
INSULATION . U J/Y'/"S~
ELECTRICAL f~/c?l'-
I ~.' ,
PLUMBING II (p. #fit ;zlrif,s../ #PI-. "L/,A$/c6/
HEATING (if required) ~ .5~~5'-
(( " FIREPLACE . / /
.--<e~ GAS LINE AIR TEST //4;" #,... y'~/ t -~./ ~ ~ /r- A>r
~ ,. /
. COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
. M
~ IIA!1fE/II"ilfr~~ I I
~~t'-yhv:(/.s vH/!t-/rk/" FINALS
GRADING (Prior to Sodding) ,AI /}
BUILDING 1~Pt/.J. r: 0., __II :7 fiA-~- ~ s;/4h~
ELECTRICAL ' .
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
I FOOTING
,DAT9
I 1/ //7/u~
/11. zl.tr
Jt
" /
~~/6S-
Y$/~
'i/qaJ'
I I
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
Qh~ttifitatt of @ttupant\t
CITY OF PRIOR LAKE
I ~tparfmtnf of ~uil~ing c1fnsptrfion
r,t'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 VN
_ Type Construction
Fire Zone
Bldg. Permit No. C4 _ I (j l Z-
N I A Zoning District _ pun
Use Classification
SINGLE FAMILY
Legal Description
1..4, Bl, TIMBER CREST PARK
Owner of Building.
Site Address
5068 BLUFF HEIGHTS TRAIL SE
Contractor's Name & Address PULTE HOME~, ~.15 NORTHWEST PKWY., SUITE 140, EAGAN 55121
ROBERT D. HUTCHINS /'*U City Planner_ DON RYE
Building Official V
Date:
Date:
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/()-ZC/ -t!1\
ADDRESS ~ 81".(;F IifJ PI
;;J
OWNER CONTR. JtJlh ~
PHONE NO. PERMIT NO. 04/ -1tK.:/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)(~ILLlNG
o CO'..'i..AiNT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
GrrJc-l!>t(
( IIJ tb ~ t!) (....
>.. r. .
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
SOb?' ;?~ # ~;{
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
CQ..MJ\IIEtjTS: . /' /
p<.~~ t' ~~~ / d~e
".. - / /
~ ,;r/-ee,c/
/- / /"
(2) A/~
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Jflz~/' ~~
7/ees /:Je,-
,
/ /'
(::U;- v~n /
DATE TIME
#-2;ic
;!;-/
dJy- /062
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
/ /
<Y ~ /as-
1J, /~<"-~Iii' i/
/
~;'&1I..;uzl'
, ,
/I _~
~v, ~A-..
//
;7// /a.,\
/'
o WORK SATISFACTORY, PROCEED ~ C
~ORRECT ACTION AND PROCEED
o CORRECT WOR~. ~~ ~EINSPECTION BEFORE COVERING
Inspector: /~ Owner/Contr:
f
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOT!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
SO&Y ~L~#~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~H FINAL
COMMENTS:
/~/?d~t'/~r /.
?Jr
~V'('y ~
/
DATE TIME
~/ds-
., (
7//
c;J~ - /Oc.. 2-
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/ /
"'$5' /3
~~.
- ... /
..../
~ /
/c /l~.. (
./
rJr?
C/ r '--
~
~/#
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~K~ :.A}YOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
....
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
J~/~r-
7>/
ADDRESS
S06cf /110# //.6
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~UMBING FINAL
o MECH FINAL
c99' - / L'h 2-
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
.~~ l
///'t!Ho~e rer- I~ T O{L
Ii) L4V-> -kk ~f- ~~- 1.#/~tA
'M..H"/ se/ ~ A-s /i,....~
_r /
~~~
-r
~ /
./-/ h-~ /
I
,-, /"
ote
I
/
~/
r;~(
_t? /,
&!:! /~//d-/?9
.../
.,
o WORKSAT,SFACTORY, PROCEED ~/ G
~~ORRECT ACTION AND PROCEED t (
o CORRECT WORK, C LL FO EINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I!tSNOTI