HomeMy WebLinkAboutBuilding Permit #03-0189
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
(Please type or print and sign at bottom)
ADDRESS
I. White File
2. Pink City
3. Yellow Applicant
I PERMIT NO. 0:5- ~ /tp9
I V 35'..3
,/;n113GIl
elLS/" iJ/ZIVC-
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK z.... ADDITION '/1m $m (jus! 4/)/ TI?1-1
OWNER
(Name)
?ut..n; J./orn &s " F r1'\ ~
~/s- /lJO/lmuJ~1 ?tJ..~ I
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
, <) A1n 13:---
Curu- Z1A-sCl-lKo
TYPE OF WORK
p{New Construction
OLower Level Finish
,29-Fireplace
PROJECT COST IV ALUE (excluding land) $
DAddition
OAlteration
Ii, .'1, /., 52'
OUtiIity Connection
~ 0 Misc.
5ulre /1./0 I
(Phone)
If A&kI1 J t'Yl Vl .
Date Rec' d
/- 3U 3
ZONING (office use)
PIAd
PIDe;} 0' -L/Oa.- tJ 510 -t.)
~5'S/Z- /
(Phone)
(Phone) t?/ z - ZZ/- ~9'y-S-
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
Water Tower Fee
Builder's Deposit
lather
I TOTAL DUE
I Paid
I Date
t?-'(Pfz q4-
z ' Z-# -{)J
DDeck
DPorch
ORe-Roofing
ORe-Siding
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
;terWrtyZ~ons. ,Be,-- /37/ //20~~
7 ~ / Signature Contractor's License No. / rni're
r Permit Valuation ~5{)()o. DO I
I Permit Fee $ ?~8, 7S I
I Plan Check Fee $ L/~(,.foL
I State Surcharge $ ~Z.50
I Penalty $
Plumbing Permit Fee $ IO{)r OD
Mechanical Permit Fee $ 100, () D
I Sewer & Water Permit Fee $ -- '"--
l Gas Fireplace Permit Fee $ 10. 00
This Application Becomes Your Building Permit When Approved
~~
Building Official
2/i/l3
f 'Date
#
#
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$
$ \"2..75.oa
$
$
$
$
$
$
l "2..00. 0 0
7Do. 00
( $4.~6Z. 94-
) .
~~C1-NO. ~ 3 90Cf I
U I
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
~:,~gD;~,L o?I~1,; /!~ ~;"C~~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
...- .......
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See Main Fi~e
White - Building
Canary - Engineering
~ink - Planning>'
Tht etnltr of Ihf' L.kf' Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
.-1
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J
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:
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Accepted
/"
Accepted With Corrections
Denied
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Reviewed By:
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Date: ,,2/0//03
Comments:
See 1vlain File
"'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."
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See Main File
The Ct'nlrr of the l..kt' ('ounlry
Q(thite - Buildin~f)
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
P./It2E- ~
APPLICATION RECEIVED
1- 3 0--03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
t~~5a (~&V~+~
Accepted
Accepted With Corrections
/'
Denied
Reviewed By:
~
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~~
Date:~-(/l13
Comments:
See Main tile
liThe 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."
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See 11ain Fi_e
White - Buildinq
(:Yanarv - Enclineer
Pink - Planning
Thf' Cf'ncf'r of Ihll' l.alr." ('ount,.,.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building pem
application for construction activity V'!hich is proposed at:
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Accepted
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Accepted With Corrections
Denied
Reviewed By:
/Y'A- i3
S-c e /1lt;, //7 F, 'I (.
Date:
Q-;;(O-o3
Comments:
liThe 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." -
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CITY OF PRiOR LAK.I Pll-:'f2r:,<"C PER.\IIT
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5- 7-03;'2:37PM;
;952 894 0925
# 2/ 8
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FlREPLACE PERMIT
Date Rec'd
(Please t'(De or Drint and sien at bottom)
. ADDRESS ~
/&?J53 - I linter
t ~~:w ~J~ic.nl I PERMIT N03 - ! t y'
6(e-s+
~~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
PuJIe f/-rJmf!/S
~ IS NW. Pi-vu,y _ / S'()A TE-
/L[D I
,
(Phone) 10'5(- q52-5~
E A-8Af'J J (Y) rJ ~51d I
,
(Address)
APPLICANT
(Name)
Rllrn~ville He::lting R. AIC, In~
12481 Rhode Island Ave. So.
(Address) ~f\!age. MN 5537~L1122
(Address)
(Contact person)J 'vLl.J\ cz:..-
APPLICANT SIGNATURE M&.t 0 ' ~b-rovI.
U \J
. APPLICANT PLEASE COMPLETE BELOW
~NEWCONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS^ J~~D
FURNACE MAKE AND MODEL t (?A1 f}i[)X' G;<(P cO;2. - SO FUEL / VGCf. qt13
FLUE SIZE RETURN OPENINGS 5 INPUT 50, L"Y..)U OUTPUT LJ(6'. 60D
/
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone)
(Phone) (Cityq 5:) - 69'L/ ~zjou?J5
DATE 5 - r - 03
OWarm Air Plants
o Gravity
o Mechanical
@ir Conditioning
OVent, System
UWl M"f
\0 ~~ \tE; ,
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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
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
S39.50 minimum
Residential, Heating & AlC (New Construction) S99.50
Residential, Heating Only (New Construction) $64.50
C' r..rY\ 00
Estimated Cost $ ...::) I L--^-^-I .
Industrial, Commercial & Multi-Family
$39.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Bun:n. ?"""it . 8(q~ ~
(Om" u.. O"y) ~~_. _y,{50l:le;jhnJ.. \ ~ ~f:/Mrr
This Application Becomes Your Building Permit When Approved ~ \i...;,;v ';], ~\ Ie 1\ Receipl No.
~~ \ DtoIAl - 6 ~nn3 ~ B~
HEA TrNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Official
Date
-
if
24 hour notice for all inspections (952) 447 9850, fax (952) 447
16200 Eagle Creek Avenue, Prior
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS IJ, 3$'3 ., l'j'A b~".. C ~+ l)\-.
NATURE OF WORK ~ iPn Ie n vn, ~ IV
USE OF BUILDING 5 ,:a F/. \ ~- - , ,
PERMIT NO. D~ - 0189 DATE ISSUED cJ\ I rtb Z U {UUj ~I
CONTRACTOR ~c, fJJON~1A ",;A;J/- '1fiS-
NOTE: THIS IS NOT A PERMIT FOR ANY OF TH~~i'ECTIO;I4~ -BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
F.l
DEPARTMENTG ·
BUILDING AND IS~&T)(.\aln 1 e
INSPECTOR
DATE
I FOOTING \f\Ao.W\ I
FOUNDATION (Prior to Backfill) ~"' I I
PLACE NO CONCRETE 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
I I
FINALS
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GRADING (Prior to Sodding)
BUILDING fel\{? ey'((;-O'i
ELECTRICAL
PLUMBING VlJyO
HEATING N('
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.
7-( fr--(/)
1-1 Q-1!J
SIGNED
FOR ALL !NSPECTIONS (952) 447-9850
@trfifitaft nf (JJ}trnpantl!
CITY OF PRIOR LAKE
, ~~parfm~nf of ~uil~ing Jlnsp~rfion
~Final Ijeh'JttecO IL Ie; D Conditional C.O, Expires _
f If () L ,/2, /' ,
This Certificate issued pursuant to the requirements of Section.Ja7 of the rJiiifonn BuitiJing 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 F.AJ.'1ILY
Occupancy Type
R3 Type Construction VN
Fire Zone
Bldg. Permit No, 03-0189
N / A Zoning District PUD
Legal Description _
L3, B2, TIMBER CREST ADDITION
Site Address 16353 TIMBER CREST DRIVE
Owner of Building
Contractor's Name & Address PUL TE HOME S , 815
ROBERT D. HUTCHINS hA ~
r . vr City Planner
Building Official
I -, ? 0 () (.
NORTHWEST PKWY., SUITE 140, EAGAN
DON RYE
55121
Date:
Date:
3T\C '^~ jf'.\\S\~I\~
BlJftN~,~ILLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378 · 952-894-0005
Ors1at Test Report for Jobl S' / 7-/
Address J~!:'3 -r;~-'"~e..~+.br CUy f:r,oc ~
Occupant
Date of Ins13l1 6/ ~/61
Type of HT. F/A ~W Space HT Unit HT
Other
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Date Tested
Company
Technician
Make
Model
Serial
Input
Pilot Type
Pressure
Input CFH
S1aCk Temp
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HOT SURFACE IGNITOR
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BURNSVILLE HEATING & AIR CONDITIONING
,
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
I-:?O,-OL{
ADDRESS
I' sS-3 fI;-If ~'-C.A!"S-r
OWNER
CONTR,
PHONE NO.
PERMIT NO.
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
o PLUMBING FINAL
o MECH FINAL
-S~('iJCf
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~, C~R REINSPECTION BEFORE COVERING
Inspector: j/ ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIllE
CITY OF PRIOR LAKE 7- t:L
INSPECTION NOTICE SCHEDULED
ADDRESS /(.3QJ 1" ~t;e--~J-r
OWNER CONTR.
PHONE NO. PERMIT NO. :3 - Jg-q
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION ~R HOOKUP o FIREPLACE FINAL
o FINAL . LUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
(7'\lVORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: J!W? 7 -( '1"'~ OwnerlContr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I/iSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
16'~ f3
17 i'tf ~ ensr
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o ~SULA TION
,Ja""FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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fJ'fr' d.r,LrtI cq?~ -f
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DATE TIlle
7-tc
'5 r ~1
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
Sari
q-/~
o WORK SATISFACTORY, PROCEED
~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: v1fJ 7-/('> (J)
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn