HomeMy WebLinkAboutBuilding Permit 04-1032 (2)
QIertifirnte llf (0rrnpnnrll
CITY OF PRIOR LAKE
~eparfmrnf af ~uil~ing JInsprrfian
\~ Final Permitted D Conditional C.O. Expires
(Th;S Certificate issued pursuant to the requirements of Section 110 of the [J Residential / 0 International
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:
Use Classification
SINGLE FMULY
Bldg. Permit No.
04-1cr
HlSD
R3
VN
Occupancy Type
Type Construction
:'16, B2, HERITAGE LANDING
Zoning District
Legal Description
4155 HERITAGE LANE S.W.
Owner of Building Site Address
ROCK CREEK BUILDERS, 16817 DULUTP AVE., PRIOR LAKE 5537')
Contractor's Name & Address
ROBERT D. HUTCHINS
JANE KANSIER
Date:
i, Bllildi7' Offit ial
'r- '( ,
: I ( /. J
!J
City Planner
( 7 Date:
POST IN CONSPICUOUS PLACE
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ADDRESS
/5"~
f/ d34/
\ PERMIT NO. 04, 1032-1
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Main File
White
Pink
Yellow
File
City
Applicant
at bottom)
If
5"":G I
t-JE'
LOT b BLOCK2.
LEGAL DESCRIPTION (office use only)
ADDITION
PID 25 4-25" 0 z..2.. 0
\ owNER
(N ame)
(Address)
(Phone)
! BUILDER . _ . _'. I
I (companYName)~t=j::'~ Pf.C;~Y~f 5 .r BUh_Dff:::7
(Contact Name) ~tL!"~ Ll""Nlt..E.
(Address)
Date Rec' d
ZONING (office use)
,:?I SD
(Phone)
(Phone)
<"52-#-1- OC155
t+1 ;' ()~ilc
TYPE OF WORK 121 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
'OAddition o Alteration DUtility Connection 0 Misc.
CODE: OO):.R.C. DI.B.c.
Type of 'o~struction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE $
(excluding land)
hat I have furnIShed mformation 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
ed property a that all onstruction will conform to all eXisting state and local laws and will proceed in accordance with submllted plans I am aware that the buildmg
e IS per for Just use Furthermore, I hereby agree that the City official or a designee may enter upon the property to perform needed mspectlons
:20 Lb2.302. . 8/zo/04,
Contractor's License No. Date
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Park Support Fee
SAC
Water Meter
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
I Paid 1"f;3 (, '7(;
Date I/J (:J-.1
pplication Becom~ur )Wilding Pennit When Approved
~~' ~u9~ / ()/J I /01/
Buildll1g Ufticial / Date
#
#
$
$ S ,00
$ 2 S;-o f otJ
$ .<; . (I 0
$ t ZOo , 0 D
$ 70(), 00
$ \ 'S 00 I 0 (J
$
$
#
#
11NO
ThiS IS to certify that the request in the above applicatlon and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested, ThiS document
w . Signed by the Cny Plannel constltutes a te'fPOlary Celtlficate of Zonmg comphance and allows construction to commence Befme occupancy, a Celllficate of Occupancy must be
''lj :l~,"g~dlr-J 10//11.:'1 ~~ ~
24 hOllr notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Main File
The ("tnlrf of the takr Countr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
"...-:--~'! ,- ,/ ,/
','. .' .'. II
NAME OF APPLICANT - ", (".-..:: n.~,
/ r/:~:.(
,Ie . LL>.C/;,'/ ,{)
,
.;;';:>~: t'
,/:r / L./
APPLICATION RECEIVED
,~",..~~
{ .",."
,--""-",
"
~~J ~_.~~._ /) .(
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
; L '~e-
... /,/ 00
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
1)IJ1f)
Date:
jCJ-/ I-bY
Comments: See Rever~e Skip. for Arlditionallnfnrmationl
(fIcJ,'\ F/ Ie-
See Attachments: 1) 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."
Main File
White - Building
Canary - Engineering
cPlnk - Plann~
The Cenfef of the t.kt' ('ountl1
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the buiJ.9ing permit
application for construction activity which is proposed at: V~--7"'-G S, C- ,
/~~--, .
/1" /{/,"I "'~
'l:~~~~~-b~
-c,.;?
L//55
Accepted
/
Accepted With Corrections
Denied
Reviewed C~VY\.~
Comments:
Date:
9/lb fot.(
I I
ux., ~
/
~~t. V-
"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
Thf' C..nlf'r or the I.ab Counll")
CWhite -~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 1?odC(lte&Lc ~CJl'} V-,&O';)
APPLICATION RECEIVED g: ~:3 -(JU
The Building, Engineering, and Planning Departments have reviewed the buil
application. for construction activity which is proposed ~t: /. "
k)fs 1& 17 If" 5S W~a-
ing permit ,
S,t;
- ,
Accepted
Accepted With Corrections ~
Denied
~~ ~~-I-- Date: /P~//~lt/
,
~ a1R~~~1
3-
Reviewed By:
Comments:
70',{)~
"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
SEWER AND WATER PERMIT
LEGAL DESCRIPTION (office use only)
LOT I V BLOCK ~ ADDITION
LR", E
~. ~:~~w ~~~~. I PERMIT NO. Oi/ - tJ .~~
3. Gold Applicant II .
ZONING (office llse)
PID
OWNE~
(Name) oc.-k
(Address) \ lo~ I f\
ex ~J? K
flu \ \ 1:\-\r\
(Address)
APPLIC~ .
(Name) \"'~\
(Address) \3 \S
b\[o..Ae
\'\I\.c.Lv G... <:;.
(Address)
\\0 VD.e 5-
f\ JQ..Y\ ~e-
l \ L
-
Sc
\ "'t
S\-V 12 e:\ ~\
(Contact Person)
APPLICANT SIGNATURE
(Phone) ~'5d --l\-,-+ 7 -oqss
\)V'\QV lo....\ze. 5S37~
(City) (Zip Code)
(Phone) Q-s ~ ~d3"3 ,- I d.-DO
S\nh ~ ({),pee 553/9-
(City) (Zip Code)
(Phone) qs ~~d33-ldDO
DATE 'IJ 0
APPLICANT PLEASE COMPLETE BELOW
Size of water service I inches.
Location of any couplings from structure ~ feet.
Type of sewer pipe. D ABC 0"PVC D Cast Iron
Estimated length of sewer line 55 feet.
Clean out (if required) located at feet from structure.
Residential sewer and water line connection
Sewer connection only
Estimated Cost $
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
$
$
$
.50
J;J
Paid
Receipt No.
Date 10 .~
-'/ f
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
L Pink
2. Green
3. Yellow
Jl~icant I PERMIT NOOafJD3%--
ZONING (officellse)
S. E.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) 'K00K C -t'r! e tL 1-1 CYVJ(' S
(Phone) 9s;;;- ~<;7-07S-S-
(Address)
APPLICANT
(Name) ~i7Gel/-I<JJdJ!./ ~ J;hU
(Address) J 2;;2<53 /(/, t.<//~ /J..L---
(Address)
).
Sv~-
(Phone) 9<=;.:2- /''7'''&-
~)//?SM~
(City)
<:'dO d
s-s '5 '5 -;:7
(Zip Code)
(Contact Person)
(Phone) 9s-:.J - ?V'/,: - S;;lc-c;/
DATE //- S~ 0'
APPLICANT SIGNATURE
~EW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL "15,/vrO.,f :? Y<?.n-,/'QI/c ?6d'cJ FUEL A/.xI-;-
/
FLUE SIZE ;:; ".f1. 1/- '-' RETURN OPENINGS /' INPUT :go OdCl OUTPUT 7V SOc/
./
TYPE OF SYSTEM REA TING OR POWER PLANT
~arm Air Plants o Steam PLEASE NOTE:
o Gravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
~Air Conditioning o Special Devices Required Side Yard
~Vent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AIC (New Construction)
Residential. Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Office LJse Only)
Building Official
Date
I Paid
Date
I ::ceiPt No
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
9524925ElEl5
GLOW mG HEARTH r~ HOM
PAGE Ell
'etTYOi,;'~iLAKE
H".. ".1' ..T~Tr.i:'I!':W,_~AND', T'f:i~~mlR.E" " PL....'~;.n:Jj'RM.I."Y;'
': ~A. .LL~Vl~J1~"~:V: . J.Jr.ltWUi:.~~lf~:"" . H:,~~;:'~l~ A'
Da;te,l\ec'd
i. ~ ~1~..<..',I?,;::.I :~..lERMI," T NQ, M.. ' I ^ 2, -;,
1. Y.U_ ^~PII0l!i\-'4," ..' La:.....IJ,.i~
e... ~QN~ ...1>\\'~\,toJ::e. . ffiN
ZONING (office Ule)
LEGAL D'ESCRIP1'ION' (-of1'ite~seonl:y)
LOT BLOCK
ADD1TION
PIt)
OWNER
(Name)
p.o~~ C \" eeK J)-eS \ ~Ner5 '. . '.
I ~~I ~. J)~ \ 114--. AJ'e. Sf. ~ f)f\'Df ~0C~l rn 1'0
(Phone) --.!:ll\ If - 0 a ~ 6
(Address)
APPLICANT r \' il. h + ~ 0 ('(\ e...
(Name) ~ CJW\ Y\if- TT eo.,+ . '.
(Address) I () o. E \ d, Q, a.. dO .J) ~ .
(}>ddUss)
(ContaCtPernon) J I r<\ 5V\\\Y"leJ::., (8..
APPt~GANT SIGNA'I'URE \'ro S)\\\Y\~..~
(Phone) -.hi 0, ~ . q & I b
~oro oJ , m r0 5535d.-
J(CIty) {Zip Code)
(phone) -1fq d.q 0.1 b
DATE ~ \10 04
&p'L~~~il1"'~l1l1\~E,-C'0~Lltrli,Bi&:f$()W'
~WCONSTRUC]lGlNO.Wt,ACBMENT E]AL TERATIONS
FURNACE MAKE ANPMODEL ,'> ;'~>,J .:;J. _ :''.f.",::!!..~< FUEL
FLUE S.1ZE RE~PE~:I1Nt3S . ' .. .JNPUT OUTPUT
n:PEOFSYSTBM HEiATl'NGOR POWER PLANT
D'N:ll.JinA,ir~I&nts 0 Steam
DGtav-ity o HofW!tct
Q.McehapicaIGJRadfa#\:ln
DAir .COnditiorting .b:r:Spccl81f!)l::V,i~cs
DVent, Syistem (:;I':oiheT'De~ice
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
RcquitedSide Yard
Setbacks
FrREPLACEMAKEAND'MOI)EL bOO -rR. -OA
F.E-;ESCHEDULE
Industrial, CommcTcial& Multi.PllJTIi.1y )%ofj9beo$t Residential, Gll.,~Fireplace
$~9. SQ',mirilitJum
Residential, Hcating& Ale (New Ccmstruetion) $99.50 Residential. Additions & Alterations
Residential. Heating Ol'lly (NcwCon~tnJction) $64.50 Residential. AC Only
$39.50
$39.50
$39.50
EstiInated CO!t$
I J I~O,O()
.
BuildingPermit #
H$A:1IN@PERMlT..PEE
stATE SURCHARGE
TOTAL PERMIT FEE
$
$
.$
.50 PAlD~
8U\LD\NG
(omreUseOnly)
Th" A~pll"".n D......."... lIullO-,g l'>"'i1t'WIien Ap~t.v",,~[C 2 g 200~
BundingOmel.a1 Dati: ~
U hO\1rn<1t:lee for aJrtnspettlons(95Z)441.9850,fax (951) 447.4245
1"6ao()Ellglecft61k,~"enul!, Prior Lake.MN 55371
1 ::"i~ No
MATTHEW DAt~ I ELS, I t~C .
423 3017 P.01
1>ate Rec' d
CITY OF PRIOR LAKE PLUMBING PERMIT
1. Blue F,Ic:
:. Cl).d City
), VcUt>U<I "-Pftlont
I PERi\UT NO.~
ZONING (office l.l.Se)
LEGAL DESCRIPTION (office use only)
LOT / BLOCK t2..- ADDITION
PID
OWNE
eN ame)
(Address)
APPLICANT. J . ~
(Name) ~jf-l~};) IJ../11 J 11.(1) . ~Jt {1. .
(Address) /_-r;?;L~ (J4JtJutJ1 )(\ ~ /. ~ J h
(Address) f/
APPLICANT SIGNATURE
(phone) t:S1.
~ J rl ~.J 1 .1 r. 1....fJ;;
(City)
(Phone)" 65/.
DATE
.J~. .J'1.~()
-S5ob8
(Zip Code)
J,).!j . 3'l3O
II/,d()~
(Contact Person)
Qua.ntity Type of Fi.xture Quantitv Type of Fixture
I Bath Tub with or without shower \ A Rough-ins
I Dishwasher J Water Heater
I floor Draip I~ Water Softner
~~ Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Ejector
I Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
~ Water Closet (Toilet) -/ Other . ~ .... _n
I , r
APPLICA..~T PLEASE COMPLETE BELOW
FEESClIEDULE
Industrial. Commercial & Multi.family 1% of job cost with a. S39.S0 minimum Residential. New One & Two-Family S99.50
Residential. Additions &. Alterations $39.50
Estimated Cost $
Building pennit #
$' {J:" , .
<,: < .11,. ~ ~ "
qq. sO ' '.., J!iG, .... ,.....
.50 <..lJ.. _ f). A "
I~O.~tJ 7~
PLUMBING PERMIT FEE $
STATE SURCHARGE $
I TOTAL PERMIT FEE $
(Office Use Only)
This Application Becom~ Your Building Penn it When Approved
Paid
Receipt No.
D.te
Da~ov 1 5 2004
By
Building Official
24 hour notice for all in.spections (952) 447--9850, fax (952) 441-4245
,
GLOWING HEARTH:/HIGH
PAGE 81/81
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FLUE SIZE ~1iDRN.Ib!.~Eit:~~13s-'.. " ~, . . . ,',', _m}WUTlDU1~PUT
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FI~EPLACEMAKEA~~~pJ,~~,.~:.~Ct)..g,.,.?~~,OHlS? ' f+~~~l,,~ SlO
PLEASE NOTE:
Air ConditiOMr Units
CmnotEnc.roach into
Reqti'itecl'Sldo Yard
Sl!tback!:
Indu~trillJ, COll'1l'rrerciid:& Mii\t:i"<Pdtiilly. .
i;tl~I~J,~serrE]:);t;1t;t
y%'o~J~13I:cq.#. ft~~:i'dr.:ritilll\Oll,,<<.Hirtp I a:o'c
$.3~ :S"O';.I\1il~Jifit\@
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$64.c50
$39.50
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$
$
$
.B9,50
$39.50
PAlO 'AI
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Re~idelTti!Il, Hcatlh~.,&A!C (New Gi!finst$t\tI6!11
Re~idCntilli, Ht:iting0til)' (Ne\vOot'lstr.,.l"ctiOI'l~
RcsliJentirti, Addilions& Al.tcrotiof1s
Re5iotntii:l.I, ACb'illy
Esttmated Cost $
IltrildingPernfit#
(Office Ute 'Ohly)
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TIl ileA p'pll't'!ltltitr'Becomc~ fy:~nrlJ u'IJd{ng;1!:etffi:lt"Wh~I1'A'PPl;iiyt!d
EltilltlhiirotnclAI
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pald
Recoipt No.
!
., 'J:iC\'ft .
,., . ,
2!Jh'out\ri~'tlU~E'/)r,DlmriSPH~l~,ri!l:,(.!>S2) 447 .~sO,~tllX (95:2.)441-4245"-' I
tll'@(iiElgle ,Clte~~~\:~Cl'i.ue;.prlor~t~~;5_37;:..= -~--:.-u:---l
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS A.{JSS~~ S'.e,
NATURE OF WORK W.
USE OF BUILDING $':, " .
PERMIT NO. fJc::..' /tJ3Z _DAT~ ISSUED ~
CONTRACTOR ~ ht~ PHON ". · :s
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEP R TE DOCUMENT
~~J eeJ.. rt 5' ~ ~ > /. '/~ " INSPECTOR
FOOTING
DEPARTMENT OF
BUILDING AND INSPECTION
Main File
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMIN~;., .... . U};~
INSULATION
ELECTRICAL
PLUMBING · i ,
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
, ---(4-cX
Ii
~ I q - Ov
COti!fliV R~_ -- TIL A~V$~ Bj:EN Sl~t
~ __ El ~~J51 I 94-:-
, FINALS
GRADING (Prior to Soddin )
BUILDING Ct!Jtl/h JI/tfJ"6/1111.
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
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
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850