HomeMy WebLinkAboutBuilding Permit 03-0112
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~Ls--,
Date Rec' d
(Please type or print and sign at bottom)
ADDRESS
Main File
J- d- - 3
~. ~i~i~e ~:;y I PERMIT NO. n?-1'I112-'
3. Yellow Applicant ') V
ZONING (office use)
1'6'0
lh313 Tf'M..8~cecsT J)elilG SE,
LEGAL DESCRIPTION (office use only)
LOT I BLOCK 2- ADDITIOl'( 0 i)
\.. ,
'h1111"3L11. t!t.[S/ 401 T/bn PID
OWNER
(Name)
P,J~n;.. J/tI>>1J:S LI~ /Jh,
8"/5' /JDj~HW~7 &WtL.
,
S{JlrL
(Phone) ~/- .vS2- S-Zob
_~ I J11},'\ G"51Z-1
(Address)
I '-IV.
BUILDER
(Name)
(Contact Name)
(Address)
Qn1e-
r!u ILT bi..A:sc#/LtJ
(Phone)
(Phone) /1) I Z - ZZ-I- '1'1' Y5
TYPE OF WORK
~ew Construction
OLower Level Finish
ODeck o Porch ORe-Roofing pRe-Siding
/
o Fireplace DAddition OAlteration OUtility Connection
PROJECTCOST/VALUE (excluding land) $ ,".~.' t.... ';3'" "G9; ~
o Misc.
I hereby certifY that I have furnished information 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 above-mentioned 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 official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;"'"P7.;:;:p~~ u- /571 /Z/30~Z.
/f' / ;~ature Contractor's License No. / DMe
I Permit Valuation ,y 70. f) (J (9 , 01) I Park Support Fee # I $ f_
I Permit Fee $ , 7a3. 75 I SAC # I $ I 2. 7 s-; 00
I Plan Check Fee I $ . SoCf. LI4 I I Water Meter ~:,'E"; l"~ Pi" I $ 3~S .O1!>
I State Surcharge I $ 3 s. 00 I I Pressure Reducer l Yz, If I $ I S () . DO
I Penalty I $ I City SAC and WAC # I $ I 200 t 00
I Plumbing Permit Fee I $ 100.00 I Water Tower Fee # I $ 700, 0 0
I Mechanical Permit Fee I $ /00,00 I Builder's Deposit I $ l~o, 00
I Sewer & Water Permit Fee $ 3S. sa I Other I $ I
I Gas Fireplace Permit Fee $ Lfo. 00 I TOTAL DUE I $ ~b3. ~! I
~
. Receipt ~ o. ,If..?1f/7 be I
By ::i-'. I
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This Application Becomes Your Building Permit When Approved
Building Official
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./
I Paid r; 15 7.S. /, Pj
I Date J- 3/-tJ.3
~~~
, 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
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. ... ,...
~~
Planning Director
/ /Z~ '(
, , 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
_A,,, ~~..)
BURN~w.LLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378' 952-894-0005
Ors1at Test Report for Jobl..'5l.'Xn'
Add . ,"1.'2 -- '
ress lL",)I.:J \ 1M t)ff
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Cit\l \" ,r
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Occupant
Date of Install .t..l. fS c.y:j
Type of HT. F/A V HW
Other
Make
Model
Serial
Input
Pilot Type
Pressure
Input CFH
Stack Temp
Space HT
Unit HT
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HOT SURFACE IGNITOR
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t>
Date Tested] ) ;..~. (y~
Company BURNSVILLE HEATING & AIR CONDITIONING
Technician L J ()
DATE TIME
CITY OF PRIOR LAKE G-rY
INSPECTION NOTICE SCHEDULED
ADDRESS I (p 31> 1(1"fl ~/.../rc....f-
\
OWNER CONTR.
PHONE NO. PERMIT NO. '7-/( l-
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: ~ (.1h~J
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~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: !1111 ~ - J ~-d) Owner/Contr:
CALL 447-9850 FO~ THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
DATE TIME
~-/2 -C.J
/~31S TimW(~(,t5-fD~"
. CONTR. J1J1f tis r11t.)
PERMIT NO. fro., ~- I J z....
SCHEDULED
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
oLE~L1NG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
/fR 313 &cd-t- c9K
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1~3~ I
Gro,~- -;;tL )
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-3'~'.\'eRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: L1?~ a..:-~::~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
} (, :J 3s:.. (,~ -' C) t:- INSNOTI
Gv/b ]3"r- -0 t.-
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ~-IC -d$
ADDRESS If. 5/1 ~r ~ b.(/.Crr~ 1-
OWNER CONTR.
PHONE NO. PERMIT NO. -:i-IlL
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
,Ji6 FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
",WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: v1f G -{ [,-03 Owner/Contr:
. .
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
---- - --~- .-- -----
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<tlrrfifitafr of (0ttupantu
CITY OF PRIOR LAKE
~tparfmtnf of ~uil~iug Jluspttfiou
~ 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:
Use Classification
SINGLE FAMILY
Bldg. Permit No.
N/A
03-0112
PUD
VN
Fire Zone
_ Zoning District
Occupancy Type
R3
Type Constructiol1
Legal Description. 1..1, B2, TIMBER CREST ADDITION
---- --.- . -)
Owner of Building.
Site Address 16313 TTMBER CREST DRIVE S.E.
55121
Contractor'sName&AddreSsPULTE HOMES, 815 NORTHWEST PKWY., SlETE 140, EAGAN
1111'
ROBERT D. HUTCHINS
DON RYE
City Planner.
Date:
( BUildintOffiCial
f" ~
^ IJ- 0
Date:
A'
Main Fi_e
,~~;ry : ;i~~~ing~
The' Cenlrr of Ihr l..kt Counlr)'
BUILDING ,PERMIT APPLICATION DEPARTMENT CHECKLIST
.....~.., .
NAME OF APPLICANT
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/--, I
"'3(~ I /~b<.,r- c.;/,(, {- ])r,'v(. l;; L- '
Accepted X
/'" .-.1
. f',~.J '
l..>~"'/." "/(,~..,.. ,
/
Accepted With Corrections
Denied
Reviewed By:
/Pl-fJ
Date: I - ~7-O-3
Comments: ~ee Reverse Side for Additional Information!
/llc,/y\ F// ~
See Attachments' I) Grading Plan, 2) Erosion Contml 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 ~le
~; ~ V-ILG
ThE' ernleof of thr takr ('ountr)'
CWhite - Buildin~
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
{)~~ .
APPLICATION RECEIVED
/..... ;]- (5
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construc~ion activity which is proposed .at: LtJ + / /)J ,.'
./~ 3.l.j 71mlf&72- ~~ r (7)R~P't 28,13 L- ~ ~~.l.AL<J7
Accepted
Denied
Accepted With Corrections
/
tvnd /
Reviewed By: ~/6 F;/~r Date: 1!rJ.;)-/03
Comments: /) A eoVeJVNVt!C" SHALL ,(fe- ~~c-P W~B"
No At>J)IT-I;~ ,/4LTE7J..A(ld,.,J..S' t!AN 7?c ,/)tuJ6 /;.J Fie{)~ I ~
7tJ PlA';;nt,JJ 1..Ji#A1. 3u;"~;~'1 /?et7u,;e~c7Vrr
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"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."
~
--
HLF
Main File
Thr Crnltr or the t.kt ('ounlrl
White - Building
Ca.,arv - t;vaineering
<...f.!.nk - Plannin~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
{/ ( /
APPLICATION RECEIVED
\.......:
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: i (, / /
lCc313 Ti'~E12.-Q.R.t;"?1 Df2-cu€ S.E:. L
Accepted
Accepted With Corrections
/'
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I....>.,.
I
;' /
Denied
Reviewed By: ~# (G 72e-;~r-
Comments: .w1~ ZS I nvl~ r
~lUr~ S'n-I8AcK..!"'
V
Date:
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"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."
T
Jan 21 03 09:49a
METRO GENERAL SERVICES
763-428-2968
p.2
GAEl. . filE
'l'ULOW . APPLlCAIfT
GOlD . ern
NOTE: Sewer and Water
contractors must
be registered
with the city.
APPLICANT: "vYt.~~".et l1Q.'l<lO.A.....Q. ~ ~PHONE::Jb3. 4~t~". ~<132'
ADDRESS :~O""(",::J,',',,., I.{.A.~" (1,' ..',b," N,!f.".. Ct. 'rYtUJ~Ar.O "'~ D.ATE: I/It I '0 ~
, 'I L) I."- ."..........M.. 5~, =.lb ,~
SIGNATURE: ~ ( '!:;.:..t;f.,.-:r BLDG. PERMIT ~
SITE ADDRES~: } b3/3.JjJ7, ~I, ~5", .31,35; 3lJ,4-3 PlD#
1/ I.~'>-. I~'{(ER. C--ltES'- URIVe:.. .:sa '
, ~FILL.IN THE BLANKS
1. Estimated length of water service ~O
2. Size of water service ,,, inch(es) .
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
FAy... 9S-x i/'I7-'lz, t/r
~ -IJ tY'
S.w. No. c':;; ~
feet.
3. Location of any couplings from structure
o
feet.
4. Type of sewer pipe. ABS
PVC Lt. 'I
Cast Iron
feet.
'-
5. Estimated length of sewer line err)
6.
Clean out (if required), loc~r7L at
structure. f'J/,,-,,
feet
from
=================================================~=========~==;===
This application becomes your permit when approved.
BY
DATE:
\..-
========fJ~/~=~~~=============================================
FEES~. ~ P~~M~1L Sewer and water line connection permit.
~ r=:,oe- ') Surcharge
AI () ~ TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge. --
* Sewer and water permIts issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued. r----
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, .'. L FEB 04 2003 J /)f/
16200 Eagl~: Creek Av. S.E., Prior Lake, Minnesota 55372 I Ph. (~5: ~jI:17-423P I FA]{ (q.a;, ~~~245
An Equal Opportunity Employer
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PllrMB0fG PER1.(lT FEE S
STATE SURCH..",RGE :s
TOT.U PER.'YUT FEE S
T:ll~ .-\.ppli<.::lC;()n
8,;:':um<::l Your Buildir1~ f'~rmit Wl1c:n APprovi:~.~ Ut[~ 0 ITr~ ~I
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~Z:91 Z002-~O-83~
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or print and si2l1 at bottom)
ADDRESS
1. Pink File PERMIT NO ~ ?-J
2. Green City . - . .// _
3. YeUow Applicant / f I _
ZONING (oil... Jse)
16313 TIMBER CREST DRIVE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
PULTE HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
3/29/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
OUTPUT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. 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
HEAT N GLO SL550TR-C
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 & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEArING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAID WITH
BUILDING PERMIT
.50
Building Official
Date
24 hour notice for all inspections (952) 447-~~~6, faA (1)5 J ,j' '=..f.9~
. 0'
.~~ -:,'
'. aid ~ ~- -receip'NO.
j - ate' Zuib ~ l3y Ilr"
'1/
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(Office Use Only)
This Application Becomes Your Building Permit When Approved
PRIOR LAKE DEP~RTMENTOFl....~U;~~
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 1C.'St~ TiM..8f1LCllasr ~itlE s.r.
NATURE OF WORK N!w ~i~
USE OF BUILDING 'S..-F't A.
PERMIT NO. ~1fJ:S.,(JIIZ- DATE ISSUED 111."'/0'
CONTRACTOR p.a&tU "'OIM~S I:I~. PHONE~.~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING jIl/f/ J. "q - 03
FOUNDATION (Prior to Backfill) I lI1IJ/' / tNf' I ?. - I- S -if) / 3, >t (})
PLACE NO CONCRETE UNTIL ABOVE/HAS BEEN SIGNE,D
ROUGH - INS
l/lIV
~~,
t;v(1' .J
SEWER I WATER I SEPTIC
FRAMING wi:-
INSULATION v ~ ~/ Oft'
ELECTRICAL
PLUMBING ULlr, o.l\ ~ u,^i\-~ vvP )-)..1 AthJrJe ~, 6:;.-,
HEATING (if required) 4.-,
FIREPLACE ~I
GAS LINE AIR TEST
r- l-fJ~ J~
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~/.;2-.3AJ :1
, f/;;)-3/63
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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(P./Z.03
G- (G-U3
wP
vvy/
OCCUpy UNTIL ABOVE HAS
NOTICE
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(; -( ()--(J
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