HomeMy WebLinkAboutBuilding Permit 04-0279
FROM
TIMBERIDGE_BUILDERS
FAX NO.
9524403319
Apr. 16 2004 08:56AM Pi
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLiANCE
AND UTILITY CONNECTION PERMIT
Date Rcc'd
4-.III.~f-
(Ple.ue FOe or print and sign at bottom)
ADDRESS
Lj(,q;<. Hvf\llll'\.:~b,i'J IILL
l Whi" Fi1, I PERMIT NO'f)#. DZ7fI
2. Pillk C'!:l'
). Ycllnw ^ppl~/ll
ZONING (offi", ",,)
~
LEGAL DESCRlI'TION (office ule only)
LOT
BLOCK
ADDITION
PID 2S. 33 <1, 039"n
OWNER
(Name)
(recJ (if l--IE U ftNDeYl. W e (,
LlbCf:;Z . HvNl""IIl"./blrrl (hL
(Phone)
Lfqb - 3200
JAddrcss )
'-'
BUlLDEK" . _ (J .
(Name) IliM.fY=-:/lI/Y"k bUJLDl31L'5
(Contact Name) f1Ill~ I MMi<NtJ
(Address) J9f/1 (S(l..l~VJA-ltiL fu,
5Av f\o.C"
(Phone)
(phone) 44.0 - 3.3/3
fYl tJ ,
TYPE OF WORK
o New COtlstruction
~')\VeI Level Finish
oDeck
oPorch
ORe. Roofing
ORe.Sidlng
DMisc
o Fireplace:: DAddition DAlteTarion Ot.'tility Connection
PROJECTCOST/VALUll (excluwn.land) S :<,O.'::>QD,O'
1 hereby t:c:rtiry that 1 hll.\'C furnished infOfn'l!J.tion on thi; application ....'hich is to the best of my know1cdse true and correct. T also certify that 1 am the owner or :
authoril~d. ll.p;cm for !.he above. mentioned propctty ;md that all constn1Ction will conform f(l aJl existing state and I(x:allaws and will proceed in accordance with'
~UbInit{l.l(1 plans. 1 am i\Ware that the bullding official can r~o~ this permit for just cause. Furthermore, I hereby agree that the: cicy offici.-"!.! or a dcsj~e ma.y
:"'~mZ2:m needodinopecrion<. _._ ~o3. 8Li 89 b ./j/16/0!-f
:' ./ ,....-- ~ SiW\Ol.lUre Contractor's License No l):,lIe
lPeImil ValU.ltinn I '1IOOD.OO I I Park SuppOrt Fee # $ \ l
Permit Fee $ ?'7. ZS I I SAC # $
PhJ:n Check Fee $ I I Water Meter Si1.e S/S"j 1"; $
J S((lt~ Surchar~c $ 2.00 I I Pressure Reducer $
~enaltv S I I Sewer/Warer Connection Fee n $
, PllJJrlbing Permit Fer.: ' S 4-0. 0 0 I I Water Tower Fee # $
! I
I Me.:haluca.l Pc:rmit Fee I : I I Buildert~ Deposit $
I Sewer & Water Permit Fcc I I Other $
I G;\S ?irepl~.~c Permit Fee ... I $ I I TOTAL DUE Ct1~) 4- ,l~ _ (.,d,...--' $/t?9.ZS-
/ I Receiol No. '~0
~lmesy"yrBUilclin!1pe I Paid 'fJ"" V',_..,
_. ~ -1:: I Date' 4-;"z9 - By VfP
./
Bl,:ildl g,Officia
; Thb: ~ tt'l '_-allfv lh.l."{ i~lt rcq~c,~t m th~ above- ilppli.cariol1 and ,l.ccompanying document:; Ill' \/1 tI.,::cl~tdance with the ei.l)" Zoning Onllr.(U\Ce ~ may proceed J.S requtStt'd, Thi~ diXJ~menl
! whc!l s:..F,"I:'~ b:- ~b~ City l'l,Uttlcr eOj~tinltes :It.!!mp:..lrn.J)' Ccl.if'.catc ot Zonine t:'ompli<1TlcC ,md ll1JClWl ccnsttuction to commc-nC:t::, llelbte (lo:;clJpan.:y. a Ccrtifi.::a.tc ofOceupanc:!l' rn.l$t bll
;~,:c:'.d
P1Mnin~ Dircewr
Dare Special Cot1ditjons. jf :lny
24 hour notice for aU inspections (952) 447.9850, f.x (952) 447.4245
16200 E.gle Creek Avcn\lc Prior Lake. MN 55372
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONING/FIREPLACE PERMIT
Date Rec'd
~: ~~onw J~~icant I PERMIT NOr)L/- ;:yJ q I
(Please type or Print and sien at bottom)
ADDRESS
ZONING (office use)
4692 HUMMINGBIRD TRAIL
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name TIMBRRTDGE BLDRS
(Phone)
(Address)
APPLICANT
(Name) AT .T TRn FTRESIDE DBA FTRESTDF. REA RTH & HOME
(Phone)
651-633-2561
(Address)
noo NORTH FAIRVIEW AVENUE
(Address)
ROSEVILT P
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
4/26/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent: System
D Steam
D Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEATNGLO SL-750TR-D
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimaled Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
:I:
$
.50
(Office Use Only)
This Application Becomes Y onr Building Permit When Approved
Buildine Official
Date
I Paid
I Dater,; A T
Receipt No.
\I a LUU4
By
24 hour ootice for all inspections (952) 447-9$50. fax (952) 447-4245.
Ma~ 05 04 08:53a
MAY-04-2004 14:23
Jim Thompson
CITY OF PRIOR LAKE
851-483-7801
9524474245
p.1
P.ll1""1
......- ....... -
CITY OF PRIOR LAKE PLUMBING PERMIT
~SIE'!..._..c1_It_..\
I ADDRESS
'i~1Z-
::: ~~ I PERMIT NO. /);./_ '7.rx.J.
3.,v.o... ApJlrI'CIUd (?/ ~ /71
/f,;",^/,/ 6/,d
LEGAL DI!SCRIPnON (o....oeo<d)')
fr-
ZONlNG(........" I
LOT BLOCK
ADOmON
PID
OWNER /' - I
(Name) ('Xo~/ III. ~. '" /" l. jJ. . r (Phone) f9--'Tl1:-"3 '2. 8''l?
(Addtes,) <lc.9''2- 1-J~~~'7L/-! T/
~~~ANlp''1) ~.J.v- f Ih'l j:,...( (Phone> fo~/-</'O-?'1l2-
(A~s). 5''-1 CI") uJ I "J?" d <'+ ro/ ~~~ c-"C/7_ ~/
(Address) (~). (Zip Code)
(ConlaCt Penon) -S;\.tV"-- ~ \ ~ ",-,0<;)...,- (l'hone) C. '7/ r Lj{ D - '1''-/ Z- z...
AFPUCANTSIGNATURE .. . .C~ , DATE _'5-:-2:'-:-::-oY
T - ---"...
f/ APPUCANT PLE~E COMPLETE BELOW
QUlllity I Type ..rFixture Q..lltity I Type oU'ixture
I Bath Tub with or without Mower RoUgh'lns .- -
OishW8llher I Waler Heater
floor OraiJI Water Softn...
Lavatory (Bathl'Qom Sink) Stand Pipe (Wasbing Machine)
Laundry Tray (I or 2 romPB/1lllem sink Sewage Ejeetor
I I Shower Stall Badttlow Assernbly
J I Sinks Backflo,", Assembly Test
I ] Bu Sink I Lawn Sprinkler
I Water Closet (Toilet) . other
FEE SCHEDULE
I_iol. Commercilll/!<. M..J'i.r....ily 1% o(job coli with a 539,s0 IllillilllU1ll llesidential. New One "Two.F....ily 599.50
Il...idenlia\. Addi.i01l.1t Al\O~.... 539.50
Estilnatecl Cos' S
Building Penni,l/
PLUMBING PERMIT FEE $
STA'rnSURCHARGE S
TOTAL PERMIT FEE S
.so
,orrlCt u... Oftly)
nis AppI...'io..Ikco.... Yoar lIaildill!: r'l'IIIit Who Approved
a.il.u..: Ollldo'
I Paid
1~IeMAY U 5 Z004 By
i .
1'~..... ..tin lb. all in.p..tio.. (9$2) "7.~~,'(a. <95'2) 4.1-4245
UZUG E.l!eC....."'VL, SoL, Prior L~ l\Iltf'5!3,j-rit4---.::-,.:,.
Re.eipt No.
DIIlte
_I
"' ""-,-~--~_.~._,_._--_._.__.~..-_.~_.._._---
--'~-..,,~--
PRIOR LAKE
INSPECTION RECORD
"'" ~ NUHH I AI. 'f1t,t.,.
Df:PARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS _
NATURE OF WORK
USE OF BUILDIN
PERMIT NO. J SSUED _..
CONTRACTOR PHONE
NOTE: THIS IS NOT A P RMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~~
INSPECTOR
DATE
~
,
- - ~ ~ ~ ...... , '" - '
I
ill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
GrI?
iI/~
-
({f; .
06
&--0---
?
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
/l
r/II /
/
I
?o/
4,..0( {5
/"
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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
7no service cabinet Is available. card shall be placed near main entrance.
~/ FOR ALL INSPECTIONS (952) 447-9850
"
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
4toc;L
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
_ 0 I.!IlIIlLA TION
~INAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED 8 -ll-{)f
/-I." iM.wtl~Iot'~
CONTR.
PERMIT NO.
4 - z. '1lI
o PLUMBING RI
o MECH RJ
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
-"
(V.,1
^ 00
v
/'
.AS:ORK SATISFACTORY, PROCEED
o CORRECT CTlON AND PROCEED
o CORRE RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"""""