HomeMy WebLinkAboutBuilding Permit 04-1032
Qlerfifiratr of (@rrupanr\1
CITY OF PRIOR LAKE
~tpartmtnt of ~uil~ing Jfnsptttion
\yQ Final Permitted 0 Conditional C.O. Expires
(Th:S Certificate issued pursuant to the requirements of Section 110 of the [] Residential / [J 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 FMHL'i
Bldg. Permit No.
04-1C3..
R1SD
R3
\'"
I'
Zoning District
Occupancy Type
Type Construction
',16, B2, HERITAGE f.ANDTNG
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 KANSLER
Date:
.'. Buildin$ Offic..ial
!! / {,.n
,
City Planner
( 7 Date:
I
POST IN CONSPICUOUS PLACE
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Main File
at bottom)
ADDRESS
/~:;;-
Ii
LEGAL DESCRIPTION (office use only)
LOT b BLOCK2
Date Rec' d
White
Pink
Yellow
f/ JB--()L/
I PERMIT NO. 04-. /032-1
File
City
Applicant
ZONING (office use)
t...JE:'"
5"7G I
If?/SD
ADDITION
PID z.5 4-25, 0 z.2. . 0
OWNER
(Name)
(Phone)
(Address)
BUILDER '. . '. I
(Company Name)~r::~j( p~'4~r 5 .r BUll,DF- f::;'
(Contact Name) ~~"IL Lr-NllE .
(Address)
(Phone)
(Phone)
tls-2-#-1- Oe,sS
t~ /n~ilc
TYPE OF WORK l5lf New Construction ODeck OPorch ORe. Roofing ORe-Siding OLower Level finish 0 fireplace
'L!Addition OAlteration OUtility Connection 0 Misc.
CODE: !i1t.R.C. DI.B.C.
Type of 'o~stmction:
Occupancy Group: A B
Division:
II
F
I
III IV V A
HIM R
2 3 4 5
I
E
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 <>r authorIzed agent for the
ed property a . that all onstruction wlll conform to all eXlstmg state and local laws and will proceed in accordance with submitted 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.
20lh2302.. 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 $
pplication Becom~ur JlPilding Permit When Approved
4~' ~u9/-J /tJ/; I loLl'
13uildIlH! Otlicial / Date
Park Support Fee # $
SAC # $ S- ,00
Water Meter I"; $ 2~o,o~
Pressure Reducer $ '<;; . () 0
Sewer/Water Connection Fee # $ I ZOO, 0 D
Water Tower Fee # $ 70(], 00
Builder's Deposit $ \$OQ,OO
Other $
TOTAL DUE $
I Paid 7 r;~ (, '7-;:' IrQ
Date III (:J-.1
ThiS IS to certify that the request in the above applicatlon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested ThIS document
w ' signed by the City Planner constltutcs a te'('Porary Certificate of Zonmg compliance and allows constructlOn to commence. Before occupancy, a Certlficate of Occupancy must be
" r,. J1~rJr-J /O/I//ol/ ~.~ ~~
Planning D' ector , Oate
24 hour notice for all inspectinns (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Main File
The Crnter nl thr l.akr ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
-. !(~_...t.'..... IF,.:.',.' ...: /(
U! --
/ L>'<-/~'/ It)
.. ,_- - I
.;;?~: t
", /r / L./
APPLICATION RECEIVED
,~-~....,
><.~\'~
,"'. ~_.-.,
'r',.L~
,l
-.~~' /) .(
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/( .. ...1 ,./ L S- s- \::{;E"?1
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
1JIJ4f!;
Date:
/0,-/ / -Oi(
Comments: See Reverse Side for Adrlitionallnformationl
me, I~ F/ t t-
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~
--
Tht' C't'nlt>r flf the Lake Count,.,.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the buiJ9ing permit _ _
application for construction activity which is proposed at: 0.&-7~/ S E r
____ /: ~'7I.x->---, .
,/ / ""5- /1' ".;t"{/.r; ~~
'7 / .:::> ~;~d~-G?
~, ..?'
Accepted
/
Accepted With Corrections
Denied
Reviewed C~""".~
Comments:
Date:
9/110 fot.{
I I
we ~
~~~
"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
The ('rnlt't nf the Like Counlr)'
(Y.Jhite ~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 1foclcrZt'e-dc j)~-ItlJJ f 6/t 1'/)
APPLICATION RECEIVED B: ~:3 -()U
The Building, Engineering, and Planning Departments have reviewed the buil
application. for construction activity which is proposed ~t: / ."
/015 It, 1'7 I~ 55 W~a'
ing permit .
S'C
. '
Accepted
Accepted With Corrections ?/'/
Denied
~~ ~~r Date: /P~//t:l~/
~~ aL{ ~~~ I
3.-
Reviewed By:
"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."
LEGAL DESCRIPTION (office use only)
LOT I & BLOCK ~ ADDITION
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
~~~:w ~ii;~. I PERMIT NO. 0'/- iJ .~~
Gold Applicant II
ZONING (office use)
~Yl
PID
OWNE~
(Name) ~k.
(Address) \ l 0'6 I '\
ex- j?~ K
fJ\ t \ \ \:\~
(Address)
APPLIC~ .
(Name) '''' LA. \
(Address) \ 3 \ S
G\'f l'\. A e
N\.o..-rG,..'S.
(Address)
~ \/Y'I.e .5-
(\ JQnu..e-
(Phone) ~'5d --4-4-7 -oQS5
~dDv lD---Ke 5S37~
(City) (Zip Code)
\ \ L
-
SE-
\ \'\1
S\\f 12 e A- ~\
(Phone) QS ';;) ~d3"3 -- ld-D()
S\r\ (1 ~ ({),pe. e 553/9-
(City) (Zip Code)
(Phone) qs ~ ~d3"3 -/dDO
DATE () 0
(Contact Person)
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Size of water service I inches.
Location of any couplings from structure -=- feet.
Type of sewer pipe. D ABC 0PVC 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
TOT AL PERMIT FEE
,50
d;eJ
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Receipt No.
Date
Date ~
I () .- / 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
I. Pink
2. Green
J. Yellow
~~:y I PERMIT NOOal. I ^~
Applicant . ~
ZONING (office use)
s,E
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) 'K 00k C.-rf e tG 1-1 ern (' S
(Phone) 9 Sd - ~<;7 - 07.!>-S-
(Address)
APPLICANT
(Name) AJ:J(;el/ -I<) uf.~ - j; 17&
(Address) 12~cs:5 /l/' t..cIW ,.()I..~ S v./;4{.
(Address)
(Contact Person)
(Phone) 9~.:;;- 7'/&- <;-;~2l:/ d
~.Y/t")L~~ S-S 5"5-;/
(City) (Zip Code)
(Phone) 9~-J - ?y~' - :5--;;2Cc;/
DATE //-. S'- 0':"
APPLICANT SIGNATURE
~EW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL -1?~VForf :? y"d/1.-1;<)vC ?6d-O FUEL ....1/}'q-;
/
FLUE SIZE ;;; N,f1. l/. L.- RETURN OPENINGS "7 INPUT go OClc7 OUTPUT 7y'So<::/'
./
TYPE OF SYSTEM HEATING OR POWER PLANT
~arm Air Plants o Steam PLEASE NOTE:
OGravity 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 #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Office Use Only)
Building Official
Date
I Paid
Date
I Receipt No.
By
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
12/15/2004 14:50
, -\'~"",~;II~~m~~~~~-m;;:!.;t-t,~.:.'!.lYli\):';:,;.:.: ,.
.' t.~, ;..,.. .~:".,.".r_,~~!t~I'iP!.,;:';;:.Jl,~r.;:.. 't ,- ",. \. .",1.::.... -':, ". .
'3524'325005
GLOW mG HEARTH r~ HOrv1
PAGE 01
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e- ~C\ t\l~ ... '?n~r<'l(l~e. . ffiN
LEGAL D'ESCRIPTION. (omte~seonlY)
LOT BLOCK
ADDITION
PIt)
(Address)
R-ot~ C\eet. :D~.s\~Ner.s .. ...
I ~~I ~. D\.\ \ u.~ AJ-e. Sf. ~ ~f\-D( '~?~~l rn ~
(Phone) -.!.jl\'1- oa~b
OWNBR
(Name)
~~~~~ANT c; \CJW\\'\t 1+e(M+~ + ~O\0~
(Address) 100- E\d\),~dO :n~ - ..
(A:dcli"e~)
(ContaCt Person) II ((\ ~~\f(\r-. @:
APpJ.,;.~GAmSIGNATt1RE ('N\ 5)\\\Y'Iel~
(Phone) -1l c, -a . q &1 b
. ~orc\ ot-J . m rJ 553!5d-
J .
(City) (Zip Code)
(phone) -"yq d.q 0. 1 tv
DTE ~ \10 04
. .&PJ'Lt~~rt':~~E~~E,C'Q~LltPE,8imb()W
~WCONSTR.UCTIGN .D~:P,LA:CBMENrt:J.AL TERATIONS
FURNACEMAKEANDMODBL"> "~>,:L--;J- :~>";f.'!..~~, FUBL
FLUE SIZE RETl.:TRlWPB~:1,NGS . ' . INPUT OUTPUT
n:PEOFSYSTBM HEA't'lN'GOR POWER PLANT
tJWlU!in~irf.'lants . DSteam
OGts.vity DHotW!tcr
DMCdt~ca:I J:l:Radi!tl~n
OAir~nditiortiilgD:$pc:aillfP~~'<il:CS
DVent. s,.stetnQiiJ'thor'Devict$
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Requited Side Yard
Setbacks
FIREPLACE MAKE AND'MODEL bOO l"R. - OPt
FF/ESCHEDULE
lndu$trial, Commercial & Multi-FlIllIily I%Qfj9beo$t Residentia.I, Gn.~Fireplace
$3.9.S0.,tnirilmum
Residential, Heating & Ale (New Construction) $99.50 Residential. Additions & Alterations
Residential. Heating Only (NewCon~truction) $64.50 Residential, AC Only
$39.50
$39.50
$39.50
BstimatedCo!tS I J I YO, 0 ()
.
BuildingPennit #
HtA:T1NGPERMlTFEE
stATE SURCHARGE
TOTAL PERMrt FEE
$
$
.$
.50 PAlD~
Q\J\LD\NG ~",,". .
(Office UnOnty)
Tit.., Applle.atlon Becomes. YpurBu.ldi~g PerfuUW'hen .Apptove~ .1 :~ [C 2 G Z g 9 11. :~i~ No
BlInaingOmelA1 Date . ..
U hournotiee for alrtnspedion9(9S2)441.9850,(ax (951) 441.4245
Uiao()Ellgle cft61k.,4,vel'lue, Prior Lake. MN 35372
11-12-2004 04:00PM
r1ATTHEW DAri I ELS, I riC .
423 3017 P.01
Uate Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
1. Blue Fih:
:. C().d City
l V.lit>.. "Of"".'
I PERi."lIT NO.~
ZONING (offia: ~e)
at bottOm)
LEGAL DESCRIPTION (office use only)
LOT / BLOCK ~ ADDITION
PID
OWNE
eN ame)
(Address)
APPLICANTLI ~
(Name) 'fl.effl~J?J IJA l' Jlj-OJ . '-.41f {1. . (phone) t:S1. ~~.
(Address) l!f;';1.~ (J4kA.AJl }t'd J, ).blJ h ~JI1J rI AJ 11. r. "^' ;)
(Address) q (City)
J7_':?'()
APPLICANT SIGNATURE
(Phone); 65/.
DATE
..sso68
(Zip Code)
/~ . .3'130
II/I~O~
(Contact Person)
Quantity Type of Fixture Quantity Type of Fixture
I Bath Tub with or without shower , -~ Rough-ins
I Dishwasher J Water Heater
I Floor Draip I Au"_ Water Softner
--1 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) I Other - - -
I I .
APPLICA.1'iT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial. Commercial & Mulli-family 1% of job cost with a 539.50 minimum
Residential, New One & Two-Family S99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
t :~~' >
; , '. ~
qq. st> .... J!I\k, .:.
.50 liJ.. _ f). A . :... ""..
I /JtJ jJtJ "7( ~
PLUMBING PERMIT FEE $
STATE St1RCHARGE $
I TOTAL PER1m-I FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Dare
Da~ov 1 5 2004
By
Building Official
24 hour notice for all iaspections (951) 447--9850, fax (951) 447-4245
,
GLOWING HEARTH:/HIGH
PAGE 01/01
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ADDR~SS .. '.. ..
Yl55 -H{'irtQe~ L~e.'Yf\O(
LEG Al,I)E.S~ror1:tWff\1;G<l(fite:u;eonljt) ,. .,. .. ,~.'
ZdMIN'GCofficeI1se.)
LOT Br~0Cl<
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~':~R o~ . Cr'e~:,~ ' '.1 " " H" .'''',~,:t.h." , (Pl1onc) ~ Lfl- 0 9S~
(Ad<hog.) \ k/3 n - 1) (~~"- A \J e ;;PJ\ of,l~,~e) CD. N
.~, " &iIIl~",,,,,,,_"''''.'J~~T','',~'.A . ". "~"'''.','''''lh~:'.-'''"- . . ,0. ,~..-:.J.t
APPLICANT.. ......., .,..,. . . ..<"" .... . Q1
(N''''~) ~ I (); ~ 'r ~~tl.eLld;hi,>;\-\nmp, ,,,,".., - (Pb.tJ~e) ~. qa .' 1 a 1 ~
(Addre~~)Jo.Ujd_~, ctrn1J.(0\J~~", .... .' jD(OA"~ '. fY\\\) 55352-
, .{A1lbli:!!~~'; , -(Cily) (!lip C&t1~)
(Contact p,,,on)::Jjin 0 hi ~<;;t . """". '. '.'~ . . {J1!\Ofit) ..-.!:l.C1 d . OJ a'lh
APP!,;l"'!'i\>lir$IQjjMTt;~.;1L:ip .~~~/.1G.;'.. ,. .'"'-;:' ".F<1iTE~LQk ....,~
,,(~?~~, '.."![~,,;t~I~i1~~~;!~rP~~It5~:~~~!.~~v. . ' I~. ,
,~Wi,CCjNSJi:RP~i,1 ::1~:r3N~~'~E' '1ft H . ... .. . .TBfiJ(L T.ERti::P;r.$~'
FURNkGE MAfD;,A:STJJ"MODEl .' ...., ..'0..... .", l-l' Ft:J!$l:..
;,:,.,-"-,-,1'.::
FLUE SIZE .. " ~1i0RN,,'q~EiCt~ljS: . .,~_.!1:NrPUT QLYI.'f'UT
~;e;CiF'SYS~n'M tiEi8~:l$t~I$J1t:';POWBR PL1\J.tr
;"-l]It)~,~~f,tJ,lM1sQ:Stt'~tIl '
';. :,:'Ho~;~~((!r
Ge..M.'~.. '0]. 1\.'~.J~..B:l..: ;;, ;~'REItljoHi611'
GAit G~rrltJti~111hg: ~ }~,tt~6i~l~~11J;0~,~~
,DVi.!rtt,.S.1~\~tl ':fi@'!ltJt11&"j)cV1~&!i__~
FrttEPLACEMAI<EANO~M~PEt .~-, 'pIg,OAK5 ' 1+1'0+ (\J Gto
" ' ., . ~. ....... ,.' j ". _.0
:
P!:;EASE NOTE:
Air ConditioMT Unl1s
CannotEnc.rollCh i.nto
l Requited'Sido Yard
S/!'tback.~
Indu~lriQJ,Cnmmercial&Mii\ti<:l',dtitl1Y. ,
.\;E:g~~~.CtlI!1;D:t1Et
;h~"Q~;j~tkAA~t. .R:1i~'i'd1!rttiilh On..~;Hircpla;o'c
$3\):30'.1\11 MmtJ:t'l'\
Residential, Hcatlh~&AlC (NewcJ6nS1l<<t:ll1tf6J\~ .$99;SD. ... Rc.diJentinJ, Adtlltions& Allcnltiot\~ $39,50
Re~idCntillJ, Ht:lting0IiW(New06l'lstr.ucfiCit'1~ $64,M Resiotntinl, AC'CJiJly $39.50
l!Stim"<il Colt $ BtlHdl,g Portnlt # alllL~ 'M~1~ . \0'\
EE~r-~~;F,Erovtf!r~F.ElE $ ~ ~,~>
's~~::tE islJtRCHkI{6-);1 -$ .5 0 ~ lJ'
Tt)TNL,P.::e~MLr:;Fl!)~ $ ~ \) '\
$39.50
(OITiwU,f('Ohly)
BUlldhig-otncllll
-'-"-- ' ' ' ate ' )3y
~~fc ;., JUN 2 0 2006
24h'0t1t\ri~tl~~(~QnllIFlriSPtiJi.l~,riS.(.952) .447 LrsSQ,~tiU: (95:2)447 -4245'.' ;
1ll'2'O(j":Eli.gk ,€Jtl!~lt;S~criue,J'rlor ~"MN ,55372.~!
c, ..;___ __ .._ ...> ___~___:=J
Recoipt No.
. .
Tb i!l.A p'pU~.gfltii1'BeC6mc~ ".y~ur"}lu'lJdiitg:tetftjJtW)\~tl"AiP15tdYi!d
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS L{J 55 ~~ S'.e,
NATURE OF WORK w.
USE OF BUILDING S~. '" .
PERMIT NO. ~~ATE ISSUED ~
CONTRACTOR t\1~ PHON - · :s
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEP R IE DOCUMENT
~J"d t:c./. P $" ~ ~ ~ / /. /b. 'd INSPECTOR
FOOTING
DEPARTMENT OF
BUILDING AND INSPECTION
Main File
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMIN~;., .... . U};~
INSULATION
ELECTRICAL
PLUMBING · I ,
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
r -{ 4-<X
rl~-Ov
COliJ!!iiV R~_.__ TIL Ar$S BJ'EN SI~_
~ -- - l~~/>-~ I 4 ~_~
, FINALS
GRADING (Prior to Soddin )
BUILDING CtJll/h li.'ISI,iJ /K1 ~
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