HomeMy WebLinkAboutBuilding Permit 04-1035
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CITY OF PRIOR LAKE
~tparfmtnf of Iiuil~ing Jf nspttfion
'f1Final Permitted D Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D 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:
SINGLE FAmrS 04-!035
Use Classification
Bldg, Permit No.
R3
VN
RISD
Occupancy Type
Type Construction
Ll 9, lL", HER l TAGE U\ND: NG
Zoning District
Legal Description
4179 HER:TAGE LANE S.E.
Owner of Building
Site Address
ROCK CREE<~ BUHDERS, 16817 DULUTH AVE., PRIOR LAKE 5537:..'
Contractor's Name & Address
ROBERT D. HUTCH~NS
1ANE KANSIER
Date:
Bj'lding,o. fficial _.',
Ii; (" ,;
. ! I \~; - ~, { Date:
I . POST IN CONSPICUOUS PLACE
City Planner
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ADDRESS
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I PERMIT NO. 04-. / 0351
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
White
Pink
Yellow
File
City
Applicant
at bottom)
(
Nb7L ,"AGE
LA
E.
LOT
LEGAL DESCRIPTION (office use only)
ADDITION
PID t.5 4 z.~. ()z5 0
OWNER
(Name)
(Phone)
(Address)
Date Rec' d
ZONING (office use)
J2./SD
(Phone) ~5Z..-4t7 - O~S-S
(Phone)
L
TYPE OF WORK 'l7f New Construction ODeck o Porch ORe-Roofing
TIAddition o Alteration OUtility Connection 0 Misc.
CODE: ~.R.C. DI.B.C.
Type of ~stmction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding OLower Level Finish
PROJECT COST /V ALUE $
(excluding land)
o Fireplace
that I have furnished Information on this application which is to the best of my knowledge true and correct. I also certIfy that [ am the owner or authOrIzed agent for the
ed proper 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
thIS p mlt for J st cause Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the property to perform needed inspectIOns
8/20/04.
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
20 '" 2302-
Contractor's License No.
.. () 0
100. [) D
3s-: $""0
'fo, D ()
Park Support Fee #
c:J SAC #
Water Meter ; 1";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Pennit When Approved
~~~ /O~jo'(
Date
$
$
$
$
$
$
$
$
$
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
~:' d' b, ,be C;" '''""'' "'r""";" "mp""~ C,nifi"" ";:'/;",m(:";d "m", "'""mn"See' Malo'''File'''' m"" b,
Planmng DIrector , Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See
Fe't
~a I,~
Thr ("tnleT of fh~ Like Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
/"\
i f
NAME OF APPLICANT (....l) (
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted
Accepted With Corrections
Denied
Reviewed By:
.': ..;;,.
./ ,.......:~
Date:
Comments:
See MajnFile
"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."
White - Building
~~nary - Engineering
r- 'nk - Plan~
Tht' ("t"ntt'r nr Ihe I.ah Counlrl
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT t~(', ( {L.
/'
\< C L F-'"
l' ~- .. . \
:".''(.. '-~ {i...' ~
J-' , f'
'j.......-(,{ i l.
APPLICATION RECEIVED
/. - ( -
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/', t /
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
l ,I, ,. f ."J ' ',/' , : .".J.. ' ,-"",c., 'I' 'L"
, ' i ",' (. C/ lk.\ ./ ./ C '.' ,I........" ,(',....)
\ ~.....___ "n' , _ ~ ...
Accepted
/
Accepted With Corrections
Denied
~M~
Date:
/()/ I Ie 'l
/
Reviewed By:
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."
Tht' ('t'n't'r nf 'he- l,.kt COunl'1'
rWhitp - Building:)
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT f!.tJ C (L C1u::ctL- '~E, S- ,'G-.J
APPLICATION RECEIVED 8 -- 2,~.- 0 l{
~ ~l.{ "<-D
f
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
=1/7{ H~~
/'
:5'6r
Accepted
Accepted With Corrections
Denied
Reviewed By:
&u'~
;:;i2r-
Date:
loff / Ia c(
, I
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."
11-12-2004 04:01PM
f1ATTHELJ DAN I ELS, I ~lC .
423 3017 P.04
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PER.t\1IT
at bottom)
~. ~~ ~~~ I PERJ.\-IIT NO-I\L. fA '2&-
J _ v cllo.w -';>>(;C,lt\( .
Ljl'lq
ZONING (office we)
(Address)
PID
LEGAL DESCRIPTION (office use only)
I LOT lip BLOCK ~ ADDmON
OWNE
(Name)
(Phon~)
Al'PLICANT.JJ~ . ~
(Name) -, ^{7.J 1 DJ:V A 1 JlJ.(} J , ~It fl. .
(Address) 1.5:!'MO ~..AJJ k1' J, ~ J L-
(Address) - f J '
(phone) bSl. Jj,).3.
ql.lJJ Ii A~J J F '--IJ.. ;).
(City)
..3 '1.~ (")
(Contact Person)
(Phone).. t;,fJ I.
DATE
-S5068
(Zip Code)
~ . a'J&:)
JII AAkotJ..
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
I Bath Tub with or without shower ! JJ Rough- ins
J Dishwasher I Water Heater
J Floor Draip I~ Warer Softner
-~ Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink Sewage Ejector
J Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
~ Water Closet (Toilet) I Other ... "'i" ..." r\
I
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a S39.50 minimum Residential. New One &: Two-Family S99.50
Residential, Additions 1ft Alten1%ions S39.5O
Estimated Cost $
Building Penn it #
PLUMBING PERMIT FEE
I STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
CfQ .51)
.50 ,J.. ~.
Jt)~.Ot)~ ~
.
.", .,.r~. ;,....~.;, ..,
.' ;'"
cornu Use Only)
This ApplicatioD Become3 Your Building Permit When Approved
Paid
Receipt No.
BuildipC OMcllll
Date
DateNOV 1 5 2004 By
24 hour notice for .11 inspections (952) 447-9850. fax (951) 441-4245
,
Date Rec'd
CITY OF PRIOR LAKE.
SEWER AND WATER PERMIT
I ~~~g~;;:~::~m: LOhP
LEGAL DESCRIPTION (office use only)
~:~:w ~ii;~, I PERMIT NO. 01 '~/o.,,31
Gold Applicant 7
ZONING (office use)
S'E
LOT I q BLOCK
ADDITION
PID
OWNERn
(N ame) _t<-- 0 (' k.
(Address) I u '? I '7
Cr....~x.
\) 11 \ \ .J- ""
(Address)
\\ 0""", P S
~\\ ~Y\ \ V~
Pr'lOY
(City)
(Phone) Q 5 ~ -4--Y- 7 -O~
l~kp 5537c~
- (Zip Code)
APPLIC~
(Name) -' V'l,oJ
(Address) J 3 I 5
~v-(lde
r1\ (l Y n.. <;
(Address)
\nL
S\-r ~ ~-\-
*/
(Phone) q 5:;;2 -';>"3~ ~ I ~
ShoJJOp~p 55.:::nCJ
(City) (Zip Code)
(Phone) 9 5 ;:> -,;:f?' '3 - J ;;;WO
DATE ju
(Contact Person)
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Size of water service ( inches.
Location of any couplings from structure ~ feet.
Type of sewer pipe. 0 ABC I}gpvc 0 Cast Iron
Estimated length of sewer lin6S' feet.
Clean out (if required) located at --=-- feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family
$17.50 Water connection only
I % of job cost with a $39.50 minimum
$17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
By
C::;:'
Paid
ceipt No.
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
1. Pink File
2. Green City
), Yellow Applicant
PERMIT NO
ADDRESS
<'-//7
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) r~ ('//< ~
(Address) /6
e)/e~k./ /-/cYne <5
~ ~ S
~'
(Phone) 99- - <7"'C/:?-o9 sS
-;?
APPLICANT
(Name) An ?'~/I- .J<)/f2e~ -:;r~~
(Address) 1;;;1..;2 s;-- -< h/ ,,'?/.::;7/d--/\J I/"t'" ~ ,<;C;'v -/A --
(Address)
/J6~ 1)
(Phone) 9S7- 7V~ -~-;;;2c:/P
?v//1su//L/./ .:;- S- 5Y-;/'
(City) . (Zip Code)
(Phone) 9s--d 75/6' -- ~C
,
DATE //-- /S--:'Oc.
PLEASE COMPLETE BELOW
EW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL .-;5""..../)<1/ ~4-"d /?7 A t/.::p"St5c;"f?z;i FUEL /1/.xJ-I
FLUE SIZE c;;2 n/u RETUkN OPENIN~S' "7 INPUT 5"'0 O'~ OU~PUT 7' C/ <; ~C
I /
TYPE OF SYSTEM HEATING OR POWER PLANT
mrarm Air Plants
DGravity
o Mechanical
m~ir Conditioning
,.)2f' ent. System
o Steam
o 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
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
$39,50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Office Use Only)
Building Official
Date
I Pffid
Date
I :~eiPt No
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
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9524925005
GLOWING HEARTH ~,J HOM
PAGE 04
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LEGALnES~.mn.tl.N(amtc:uSconly)
.e' -I;
LOT BIpOC:r<.
ADDITION
pm:,
OWNER
(Name)
"":: ,.
~:~~. C~~::;~~~~1r~~(,~;<Lii~)rnN
.,'
,-'. ".l"'.'
(Phcme) ..lIl..\ 'I ~ 0 a. ~ (,
(,Addr~!l)
~;;~~'AWrG hJw\Y\~ec\(+b+~OfD~,
(Ad~ss) I GO. E \ d at' o..d-Q ,1)R. " "
(:Mtiii'es~)
(Contact Person) 1 \ yY\ 5~\m~,,@.,~:
APPIsI~:rq'SIGNA'I'URE ( 6~\fr}e~
~i'.'fi
/~_:.!';
'CONS-m ',' .
FURN,ACE MAKEAND'MOVOC
FLUE SIZE RE-~~;eS~(9.S
'rW'..E<~F::'S~M
c.:.JW~\~it:'iPIUts
O@'4vJlJ1
O:'M~eli~i~
OAirq,n>ditl"nmg
[JVentS}:~~
, , " {PlroncQ .1l ~ a. q ~ 1b
'J'Q(na~, InN 552Dd-.
. J(tlty) . (ZipCade)
~hcme) ~<1cl.q ~'l b
ti. \~ 04
......L""~'" " '~. '0tW.,
; . ;"'. .':~ ~,,~ ,l;. :.
. ~~.,',~, ~;' . . '. ,~. :'3 : '-
\, ..' ,',' ,,," " . " " ~ .y ,.' . '.. '. '",
ff;~i!(i' .. . :[j(,AL TE~AtlONS'
FUEL.
OB'tPUT
.. ' . .rFNPUT
HE,(l\;.~;~Rp.aWERp.LANT
o Ste'am
[Jiaot~'~~Ji!r
"'1' ". (B,l!liii!.t)~n
',"';: ~,j$~~,.jh,'I,J~,'~ ...~,', "~'\::,',"~
': '~li(Ot1tff:9t:Vi\\;Es;
PI:.EASE NOTE:
Air Conditioner Units
CannotEncrcrach into
Requited Side Yard
Setbacks
FrnBPLACE MAKE AND"M<!>J,:)EL
m1~;5€HEIJ,{qLE
Industtial,ComrnercillJ& Mlilti.Piimily IPkofj9b\~()~t ReSidentilJ,I.Ga.sf~r~pll\Q'e,
$39 ;5(}'mif.ij~~n1,
Residential, Heating & Ale (New Canstnlcn.el't) $9:9.50 Rcsitilential, Ai.!dltlt:lns& Alterations
Residential. Helith~~ Ortly(NewConsttuct.il:ln~ $M,SO' Resitlentil1l, AeOn!.}'
$39.50
$39.50
$39.50
Es,titnatad,Cost $'
1,140.00
.
BtJildibgPetnllt #
;HE~(:i.:PEfU:v1IT_F,EE
S'tA!E'SU1tCHAR6:E
TQrAL,'P:E~:f?EE:
$
$
S
PAID WITH
oijlLDlNG PERMIT
(OlJitttJ.t owly)
'" ,', ,.,' ," .,.:.",,: ",. ...
This ApplJ'elltloD 'Bccome~Yt;~1tr :Bul]d;mg~t\t~it :Wli:e11' ~P'P~v..~
Ihdldlili:Omclal
:P~.ct 'Receipt No.
.~ 2 0 2004 By
Dille
UltoXlJ' \ti(Jt}t~..t'or:Allfri5~editi$(~5:Z)~1~9850,::tax (952)447 ..4Pit5
1,r20Q'tllg!l!' C~$:~v,ei)~1!', Pi'ior~el;MN ,55,372.
PRIOR LAKE
INSPECTION RECORD
.
t C
o~
Df,PARTMENT OF See Main File
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING . .
PERMIT NO. ~/03S- DATE ISSUED '."1
CONTRACTOR ~ PHONE 2." n-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
~ THE PERMIT IS BY SEPARATE DOCUMENT
/1J/J ;- .#~eJ ~ :S / h ~ 0' INSPECTOR
FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRET UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ~
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
[~TtJ/~S€ Wfi./JI.p ~H/>~~y I ,4#~('/~p;4-
, FINALS
GRADING (Prior to Sodding)
BUILDING' f!?#1.'. . (1 p_'~?
ELECTRICAL
PLUMBING
HEATING
DO NOT 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
where no service cabinet is available, card shall be placed near main entrance.
,
"(
FOR ALL INSPECTIONS (952) 447-9850