HomeMy WebLinkAboutBuilding Permit 03-0277
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BVftN~~.~LE
-^ Heating ~ AirrConditip.ning,,:L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378. 952~894-0005
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Ors1at Test Report for Jobl 5IO\...\
Address \S 33::2. e,1~\-\cRt.( PASS City P~tot< tA~t:
Occupant ku ~ ~
Date of Inslall G - '''3 -0 ~
Type of HT. F/A X HW Space HT Unit HT
Other
Make L t. )..) ,.J Dj<.
Model C dto Q"'3 -IS - <-
Serial S Z 03C- 3 KoC( :L
Input /Cj ,("XX::> A~:H:
Pilot Type HOT SURFACE IGNITOR
Pressure "3. '5 \ vJ t.- C02
Input CFH -r<;- 02
Stack Temp 1800
Date Tested "7/' f /6 ~
Company BU~NSVILLE HEATING & AIR CONDITIONING
Technician /--P-o
b. :;J..
1. '1
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CITY OF PRIOR LAKE
// ~~flarfm~nf nf ~uil~ing Jfnsfl~rfinn
~Final Permitted D Conditional e.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:
Occupancy Type
R3
Type Construction
VN
Fire Zone
Bldg. Permit No.
N/A
Zoning District
03-0277
R1
Use Classification
SINGLE FAMILY
Legal Description
LS, B3, THE WILDS FIFTH ADDITION
Owner of Building
Contractor's Name & Address MITTEl.STAE~,l\~ROS. ,
ROBERT D. HUTCHINS : Ijf
, ,> r
~; "
Site Address
15332 BIG HORN PASS N.W.
City Planner
2520 1518T CT. W., #100, ROSEMOUNT
DON RYE
Date: /("Ij _ \#' B.l!ilding Official
I-C'l'S
/
Date:
"",-..~;'.';"".;~..;,.-""
....:::..b.....
~""';:~~~...;.oi.t'~.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
9-)(-03
ADDRESS
/~33.1 f3j h/Jrf'l
CONTR.
~~
1111 '/-1/<. b kef/-.
eY~-~77
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
CJZ" FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
h> ~1' -"., I.L
Gv/?' jZy'l/ Q-/L-
~UNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
AWORKSATISFACTORV, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpectOr:/~~ . _Qlftner/Contr:
-
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY/
DATE nilE
SCHEDULED ~7/~\ (~
ADDRESS -1.S~~t.. f!::5;u" HoP..0 f~
CITY OF PRIOR LAKE
INSPECTION NOTICE
PHONE NO.
OWNER CONTR.
PERMIT NO.
CJ 'S- ?- YI
o EX/~IFILLING
o C02iNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
,., SL,oPf.S ~Gf:E...n 3,1 60 r'd-rH ~ ()f Ho,YSf.
JI...X'\ l' 1.1. ') (.Jl.. ~--(~ '\
. ., ., . .
- (;u-R,~ SLoP ... 0/.....
,
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
X CORRECT WORK, ALL FOR REINSPECTION BEFORE COVERING
,
Inspector:
Owner/Contr:
--....
CALL 447- 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
v
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
1.1.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS I 5 ~ ~?..
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'){ FINAL
o SITE INSPECTION
COMMENTS:
DATE TIllE
SCHEDULED I 0 ~ 11-01- cr: 30
~,.) ~N\... ~CL~S
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
1.(3)
I ,-, L.
l II
2"2 TT\oQ~
\ -<.'" q,
-(5)
,. '"
-
tL~
]- 2..77
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST ( n .
f{ /A._..... ~k'~~
(1f-P~j-
F... Glo~^,,~~. OJ, L...t~ ~"DO -8:x:> A"'l
UcJ/l, _Q~ -=i~
l r t' -1.... - -
l~~/
o WORK SATISFACTORY, PROCEED
o CORRECT ION AND PROCEED
X CORRE WO K, CALL FOR REINSPECTlON BEFORE COVERING
Inspecto . _ Owner/Contr:
C~LY44 J)~OR, nu: Nf-XT IN~PECTlON 24 HOURS IN ADVANCE.
CO!;jp fUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE nMe
/-2c..{-CY
ADDRESS
J 533'2...- f):-~ ~ ~~~-;'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
AMECH FINAL
3.0 ~77
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: 4'17 - CJB"10
\. t=id G-.<b. ti-Vir . \.oQ..~~~ ~
2. s....t .J- T~~ t:;)..t~~ ~
~- ~,~ ~~
4. ~ ~. ~..~~
':). tJ C lI\o~ I~ t.Jr
.J,. L..\U~ ~ r.l....\..~~ .L~'f-
I~ T;;
If}-r-D~
- vT/.-<"IAL ~
J"'. . ()
~~ ~~L~\k 1s~t'I
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
j, COR CORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector Owner/Contr:
9 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INS/iOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
IbS32
SCHEDULED 7-7-0~
b5 h,M^. ~~p
CONTR.
OWNER
PHONE NO.
PERMIT NO.
?-O2.7/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
;,a. ~LUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
\. (J~J-S;\. 'b. ~
~ l ~ ~~ fy1"A 0",
3, ~~ R..oo6 ~
o ?RKSATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRE~qi)-K. CALL FOR REINSPECTION BEFORE COVERING
Inspector: t I- I. Owner/Contr:
CALL "'7- FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom~
ADDRESS \1
,~1~1. ~,If' H~ ''+$S
Date Rec' d
2-/0-03
I. White File
2. Pink City
3. Ye\low Applicant
I PERMIT NO'Q3 -OZTI
tU . fA).) fA. aD tL ~,.us...
,
LEGAL DESCRIPTION (office use only)
LOT bBLOCK~ ADDITION ~ ILJ)'S S,ffi Nf) 117",j
OWNER
(Name)~~
A.s~
ZONING (office use)
/2/
PID z.5 -.3 75 - 02-0 -OJ
(Phone)
(Address)
BUILDER M' I J :./. S~~ I ~l7}.e/L-> i., S 1
(Name) ~ '; ~v. c. TJ ~.. "\;, :-r,,,, ') l"'_ ~ (Phone) ~ "2. '2.... l(' '1 D
(Contact Name) ~~~ ~.L~~T (Phone)~
(Address) '::l S" ~ IS') ~ ~-INc.S;- (\. ~ / b-O
Rk~ /JIA..J~G.5
TYPE OF WORK ~ew Construction ODeck OPorch ORe-Roofing ORe-Siding
OLower Level Finish 0 Fireplace OAddition o Alteration OUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
ave 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
above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
ware at the buil~ing o~cial can revoke this permit for just cause. Furthermore, I hereby agree that the CityXCial70 designee may
"..' eded mspectlons.
.---. ~ql{~ O~ ,0 Ho~
Ignature Contractor's License No. f Dat.
Permit Valuation
Permit Fee
Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
#/93. tJOO,OtJ
$ ?5l!i,SS .
$ 9f3L1. l/14 I'
$ 9b,50 t
$ , I
$
$
$
$
/O(),OO
/00,00
35. s-o
10 ,() 0
This Application Becomes Your Building Permit When Approved
~9~
Building Official
dl/~/ 103
Date
$
$
$
$
$
$
$
$
li8, I~~. (j /
I Receipt~. r.3 9t:: J
IBy L.
()
Park Support Fee
SAC
#
AS-o, 0 r:J
12.-75:,00
3ot).oo
70.00
1"200 , 0 "
7oo.()o
, 500.00
rhis is 10 certify thai the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requesled. This document
'hen 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
ued. ~
~~"t~~ dl..J~3 ~ ~".~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
#
I Water Meter Size 5/8"(lry
I Pressure Reducer -
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
~ :$-'17-03
I Paid
I Date
X'7~fvol
. .J//"7'~5
White - Building
C t,;~n.il{'{ - t:naln~ll~
Pink - t'ldlllllllY
Thr ("~n'.r of .11. l~kt' ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/' ",/1 ./,. A', '
...- "/,..., j" ,'1".'-"- /--"-
" /' /..'/'.1' r '4
fi/;(?Ct.u,Qvr:~,t/~
,. ~
/2-/0-0.3
.#-2
L,j'2...(/'7:1- .
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
applicatio~ ~~r ~~~struction actjv~ty which ~wo~osed at:~{/..~- I ;/ /1
J.z:.. ..<: -< 7 .-/?, /~ ,) 1. Vi /I,/L .;/ /'? "'1 /1 ;1V" I, l-
/ ~,/--"'--' "- ~r ---/7& Vr I (A.x;..,t<_ J f/ .
Accepted X Accepted With Corrections
Denied
Reviewed By:
1'#113
Date:
3 - /'1-63
Comments: See Reverse Side for Additional Information!
~~~ Attachti1ent~. 1) Grading Plan, 2) Erosion Control Measures
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
- ---
II
0-1/01/03 TUE 11:50 FAX 6128902753
STOCKER EXCAVATING
" leJ.9.0.1, '."
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(Pl~c we or prine a.nd sian at bottom)
ADDRESS
I. Cr<<n File
2. VdlC\w Cir'(
). Oold AIl1l'JiC:"lll
PERMIT NO.
03-0277
ZONING (office Us<:)
15332 Big Horn Pass
LEGAL DESCRIPTION (office: U$C only)
LOT 5 BLOCK 3 ADDiTION .,..,.,Th"~..._W_itqs ~tL.~_Qd
OWNER
(Name)
pm
(Address)
MittleS,1;_~t~4t Brother,:; (:n1lSt'Tll....t-i ('In
2520 lS1st Coure W., Suite 100
(Phone) 651/322 414~
Rosemount, MN 55068
(Address)
(City) (Zip Code)
APPLICANT
OName) STOCKER EXCAVATING COMPANY, INC.
(phone) 952/890-4241
(Address) 12336 Boone Avenue Sava~e. MN 55378
(Mdress) (City)
Cure /\
(Contact Person) /-fL.. I~' t- (phone)
APPLICANT SIGNATURE V flr{'vfilLf ~_~ 1 DA TE
...'...-F..- . -- -
APPLICANT PLEASE COMPLETE BELOW
(ZIp CClde)
same
'I-:.l~ rJ _3
" 'U_ ....._._....__.....'_. ""'.""'.""'." ~
Size of water service inches,
Location of any couplings from structure
Type of sewer pipe, D ABC 0 PVC
Estimated length of sewer line feet.
Clean out (if required) located at, feet from structure,
feet.
o Cast Iron
Residential sewer and water Ime connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1 % of job cost with a $39.50 minimum
S 17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERrvfIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
S.Q.
"-,:JAIO WITH
6UILLJING PERMJT
~
(Olliee Use Only)
This Application Becomes Your Building Permit When Approved
8uilding Offici_I
I Paid I Receipt No.
~eL~ ~ U ill ~ ~') By
24 hClur notice fClr nil inspectiClns (952) 447 f ;0, AP~sfl.f7to~ !
Dale
11....-...
1
By
,T:
[,
~~RIOR LAKE
INSPECTION RECORD
SITE ADDRESS 15332-_ , t-btt-J 'PA~s ".W.
NATURE OF WORK ~f tAJ Yiauc:.rltJA3
USE OF BUILDING S. . o.
PERMIT NO. {).3 -02 77 D~~ISSUED
CONTRACTOR MI""E LSTAI.IJf lJI'OJ, PHO E 2~tJ
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
, FOOTING I Vb I I ~ - '2.,v
r FOUNDATION (Prior to Backfill) I & ( 'fi~/63
PLACE NO CONCRETE UNTIL ABOVE HAS BE~N SIGNED
ROUGH - INS
(1(./
rIP $- >0
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING I)\tjl, VVi) yvJIJ ~~-O)
HEATING (if required) / S-/4/4I
FIREPLACE ~/f. 5/1,,'/a.>
GAS LINE AIR TEST "^"~~\~ V!I) t -/7..."
COVER NO WORK UNYIL ABOVE HAS BEEN SIGNED
~sr"lArkC I
FINALS
If/? {jJJ
~~ >...-0
(fP
1,j-l1-<13
s- 4/a1
"
GRADING (Prior to Soddin~)
BUILDING '\~..
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.
If) -Iv
FOR ALL INSPECTIONS (952) 447-9850