HomeMy WebLinkAboutBuilding Permit #03-0188
(Please type or print and sign at bv"vm)
ADDRESS
/ilia iAJ Fl" L ~
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Main File
I. White File
2. Pink City
3. Yellow Applicant
PERMIT NO. 03-()/~~
/~31/9
'1/ m 8M tlUS'! O;u V c-
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK z... ADDITION
Date Rec' d
1~.30d
ZONING (office use)
pu..P
[;rn3E'L ClUSr ?AJU,(
PIDd5'" L/O,,-()Sb-{)
OWNER !) J
(Name) T 11/.,:,.-12- J.t om &-s 0 y 1J1Y\
(Address) 71/5" N()Jl.1HW7~~r PtJWY--i SUIT&- l'Iu,
BUILDER
(Name)
(Contact Name)
(Address)
SA-m E
& -lIlT Z lA-5aY1dJ
TYPE OF WORK
o Misc.
~ew Construction
DLower Level Finish
(Phone) ~5/- J;S'Z-- S-z..oO
~A6Iif1, Y11fi.
5.5/2-/
(Phone)
(Phone) I//Z - 221- 1./98*5
o Deck
~ Fireplace
DPorch
ORe-Roofing
o Alteration
DAddition
ORe-Siding
DUtility Connection
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 buildin official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~tz;2ezPerfl rm needed' pections. pC" _ / .3 7 I / /~O/o3
// ' - Signature Contractor's License No. ' Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
PROJECT COST IV ALUE (excluding land) $
~?,'IFY
!ffd9. (JD 0, ad I
$ '77', 7s:.1
$ '50'1,11' j
$ 3tt.5"O ~
$ I
$ / DO, 0 0 I
$
$
$
1"0,00
35,50
~o, c> 0
This Application Becomes Your Building Permit When Approved
~ ;Udp
Building Official
~/~/03
Date
I
I
I
$lJII. ,4- I
Receiy,~No. ~:J7tJ f
BU-
I Park Support Fee
I SAC
I Water Meter Size_~
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
\ "-.It
$
$ I z.. 75".00
$ 3~t;;.oo
$ ,~o.oo
$ I '2...Do. 0 G
$ 700. 100
$ 15tJo,oo
$
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
~
Planning Director
?~
tfl/t/ft3
#
#
I Paid
I Date
4vlr ~f-
, -Z ' 'l/[) .-- 03
~ tJ.d ~
, Date Special Condititns, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
J
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.....
I
Main Fi~e
White - Building
Canary - Engineering
C Pink - Plani'Ung)
Thr ("tnltr of Ihr t..kt Country
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:
,
--)
//
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---
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~
<:l~ ,L)
Date:
02/'/ /tJS
Comments:
Main Fi~:.e
"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."
~~
/ill a /'Jo/ F/ iLe/
Main ~ile
<.nb.!te - Buildinv
Canary - t:nglneering
Pink - Planning
The- Crnlrr or Ihe takr Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,PtdL ~.
/.-.$O~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: /(\
!?,~ L/9 ,~~-f Y-L--
/'
Accepted
Accepted With Corrections
Denied
Reviewed By:
~ 9~/J Date: o?(Lj~3
1f~ dLf ~O<JJ k-_o-~
Comments:
Main-File
"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
Ii
, '
,. I.'
1/'
, ]),
,I 1\'
,
j
I
r~- / "
f I i~-
The' Cf"trr of Ihr I.akr Coudlry
White - Building
C. Ca'lary - EnaineeiiiUp
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,l--I:-q (\ /'~1"\.-~ ,,' ,_./
,/l/t.l " '""'Z"-t' /; ,v'-/ .JL---,.-
i.:....<-_....r,. -~ /' ...J; -" J ,'~ '.- cr
/- c-~? {j.-,=}'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,r ;;::< Jl(~ ~~-"/{ ...~'.. /1 -i'/" ,,~ _"'"' ,::7/
f.'..~, . "./ If ...' ://1..1'l J},;,.:.-1 / //Li/ \..""".._....---.
~~r.,/ " , , .........i'.. ,~- i....,. ~ ~;;..r._,., t.-.........'~-..__.. (..~~-~ _
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/fftB
Date:
~-1.o-03
Comments: See Reverse Side for Additional Information!
/l7c,/1"I h' It
See Attachments' 1) Gr~dinE Phm. 7.) Erosion rontrol M~:lSllrp.s
,
"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."
Feb 04 Cl3 09:52a
METRO GENERAL SERVICES
763-428-2968
f'. 1
OIlEEIt . ALE
TULOW . '''PLICA.l
GOLD - ell.,
CITY OF PRIOR LAKE
SEWER' AND WATER PERMIT
FAy.... 95.]: '1'/7-'/'2-- i./.r NOTE:
03-/~ ~
S.W.No'-f3J - ,tq)
Sewer and Water
contractors must
be registered
with the city.
APPLICANT: )-)f)e:._L.J<~ G-~J.e~t.. ~'(y. .J..Nc... PHONE:-:1l...3'~K.~Ci3~
ADDRESS: 51"'(') Q...,qm &.:: ~ DATE: .;;../LiJO=l
SIGNATURE: (~"OF~5Y-"d"~ BLDG. PEro:IT' #
SITE ADDRESS:.J.b3L/-~.53..5~~f!t2i:!~~
FILL IN THE BLANKS
1. Estimated length of water service
So
feet.
2. Size of water service
Iii
inch(es) .
3. Location of any couplings from structure ()
4. Type of sewer pipe. ABS PVC t,L Ii Cast Iron
'........ 5. Estimated length of sewer line ..so feet.
6. Clean qut (if required)/ locat~~ at feet from
====:::~::~::~====~================~~~=-=========================
feet.
This application becomes your pennit when approved.
BY
DATE:
============r=====================================================
Pwhed ~ .'1-'1t
FEES: f] fd.J' P<!e..m" 1- Sewer and water 1 i.ne connection permit.
_' Surcharge
IV" /-t?L. TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge. --
*
Sewer ar~~~Rf~~~~ssued for new construction must be
rec?rde~ ~~ ~~~permit card at the time of ~ssuance
to ~nsu! _ a no up..:l':ate sewer and water permits are
issued. . FEB 2 4 2003 S"" r.J,'D ~', "
l".!..:..D' ,\',,:, r-
.J AMOUNT PAID' ,. .~\,;oJ r_.o .
DATE.I'AID
'.
RECEIPT #
By
REC/D BY
/1(. .//
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~
16200 Eagl~:Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (~2) 447-4230/ FAX ("t52) 447-4245
An Equal Opportunity Employer
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This Ai'pliccion Bc:com~ Your BlIildin: Penn it Waen Approved P::l.i~ )~y I Rc:ce:pc NOo_ ,___
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. JRIOR LAKE
INSPECTION RECORD
SITE ADDRESS L' 31./'1 7i '", -b~y G~S'" t:u-
NATUREOFWORK fl~ :r....,.[~t ~w ~~."1
USE OF BUILDING ~ ~ L iJ) '-~lv.rHlflJ.' ,ll~
PERMIT NO. 03 - 0 /[JB JL;;.. ~TE ISSUED i i fEB 9. 0 Z003 I. ""
CONTRACTOR ~ ~ es PH<p'kJ~.il _:J-( 1{!j8~
NOTE: THIS IS r<<ifAlJpEFfMIT FOR ANY OF THE IN~Eefi6NS Sf:lOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTM~~i AI FiLe..
BUILDING AND INSPECTION
'NSPfC:~ DATE
FOOTING ~q \J,^-i.h lIvy" 1)..-1-1
I FOUNDATION (Prior to Backfill) I 1'11/ I :J-IIt-C
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC an u~ it? r; 1/II(J
FRAMING /IJ1?
INSULATION J~
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
J-Li -(13
s- ~ ?,-c:>
S"-) It. 09
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f)/f" ./
c5'"'- ~ Il- ~
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GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
/l /d' -:1 '" u--;, D
YV
/- Jo.()cl
vviJ
ilW
OCCUpy UNTIL ABOVE HAS
NOTICE
7- /tl-dJ
1--1 (}-/0
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
, ~rrfifirafr nf @rrnpanru
CITY OF PRIOR LAKE
~rparfmruf of ~uil~iug J{usprrfiou
~Final Permitted 0 Conditional e.O. Expire~
I/o ).1< .c.,
This Certificate issued pursuant to the requirements of Section :JfJ7 of the Unifonn 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. 03-0188
, Fire Zone N / A Zoning Dis~ct PUD
j
Occupancy Type
R3 Type Construction VN
L3, B2, TIMBER CREST PARK
Legal Description
Owner of Building.
Site Address
16349 TIMBER CREST DRIVE/
Contractor's Name & Address
PULTE HOMES, 815 NORTHWEST PKWY., SUITE 140, EAGAN
ROBERT D. HUTCHINS )~ _ City Planner
55121
DON RYE
Date:
Bvilding Official
1- ,1...,0-0 ( i
Date:
I
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FlREPLACE PERMIT
RllrnsvillA Heating P. AIC, Inc
12481 Rhode Island Ave. So.
QJ)Jage, M~I ';;';~'18.w-1122
(Address)
(Contact person)J \.}J....A, 'c-- _ _
APPLICANT SIGNATURE AINh.l 0. . ~b-rov1
U \J
. APPLICANT PLEASE COMPLETE BELOW
. jJi?JNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONSA I ~ ~ 8
FURNACE MAKE AND MODEL t eA1 fJ1JX G ~(p cG1;;< - ~ FUEL / Va:;r, qd..3
FLUE SIZE RE1URN OPENINGS 5 INPUT 50.' (::X:SD OUTPUT LJ~ 600
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plants 0 Steam
o Gravity 0 Hot Water
o Mechanical 0 Radiation
OAir Conditioning 0 Special Devices
OVent. System 0 Other Devices
(please tvDe or Drint and sio. at bottom)
ADDRE?& ?J ~q ~fY} ley Cfe-s+
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNER
(Name)
PtLtk' /k;mts
~ 15 f\Jw. Pi.v0,Y, I S'{M TE-
(Address)
APPLICANT
(Name)
(Address)
FIREPLACE MAKE AND MODEL
Date Rec'd
I. Pi"k File PERMIT NO
%.Gr_ City '-3-/C>~
,. Vellow AppliClJ11 a
C\~
ZONING (ollire use)
.;,
/)
!,-
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PID
(Phone) !o 5' (- q 52-5;uj
/ LCD I E A-6Af\J J (YJ rJ ~51;21
(Phone)
(City) (Zip co~
(phone) q5:J ,--~L/- oud5
DATE S -{- 03
.~~
<.'1
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
I
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
( I J 000 t 00
'--I Building Permit #
9u ,o~D
~ ~~ ~._ .50 w'j\n ~~~ '~h-
(Office: Un Only) {Ii \1 L<;, ll0~ ~
This Application Becomes Your Building Permit When Approved l"illIJM _ 8 2003 ~j:. eipt No.
II MAY .
.If1t; By
Date: ; '" __ J
24 hour notice (or all inspections (952) 447-9850~ (ax~44~
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Industrial, Commercial &. Multi-Family
Residential, Heating &. Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
IlEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Omdal
$39.50
;':~::\
~;.:
Residential, Additions & Alterations
Residential; AC Only
$39.50
$39.50
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BVRN~"ILLE
Heating & Air Conditioning, L.L.C.
12481 Rhode 1sland Ave S, Savage, MN 55378. 952-894-0005
Ors1at Test Report for Jobl 6'/70
Address~ ?~L\q G/,. \"L-~" (1~A-- 'h City
Occupant
Date of Install
Type of HT. F/A
Other
Make
Model
Serial
Input
Pilot Type
Pressure
Input CFH
Stack Temp
~r-~ LaL
~/J;J. /b 3
- r
~'HW
. Space HT
Unit HT
~"D"
Q.J\o (x.). r-:. e;...
S~O~ ,-:.. ~::?:.C:;4v
.....f f.,.'( (.~
HOT SURFACE IGNITOR
- Ie. :.,
~.~ CO2 "/'"
02 r i L
"' - I' .;,
Cf7 CO ":<t .':':'IJ.-
Date Tested
Company
Technician
7!p/l1>
, I
BURNSVILLE HEATING & AIR CONDITIONING
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/C14t(
SCHEDULED . (,-2' {ft.{
~ *" Ia~.s;. -t
OWNER
CONTR.
PHONE NO.
PERMIT NO.
S-(~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
g-cl +
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~. C~OR REINSPECTION BEFORE COVERING
Inspector: t/U OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
!{.:,J'ff(, S >,-57/(; I
OWNER
CO~TR.
PER'uIT NO.
PHONE 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
, PLUMBING FINAL
o MECH FINAL
COMMENTS:
,re /AAIIW
~
y{}lJ(-e# 5
.
DATE TIME
_7- /'-L
~ C11t'&
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED (. '>.'
~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
./1 /J '7 (t(,{)~
Inspector: V V{ , -- Owner/Contr:
CALL 447-9850 F9~ THJ: N~~T IN~PECTlON 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOT1
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
Y.34t1 tTll4If ~~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
[J FRAMING
o ~LATION
,..a1=INAL
o SITE INSPECTION
COMMENTS:
.".........,
0-Yr(~Q(
?(v<:..~' oS
t?J ......Ilcl-
v
!.J-<-
y
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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y
cL:.V't" I dPIH~ f
~~~ t? f./~1-; J
DATE nME
7-/,
?-Irn'
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
Sd~
t(.
q-(-~),!
i:a"'WORK SATISFACTORY, PROCEED
,lrEORRECT ACTION AND PROCEED
[J CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: /Zr17---((,-O;> Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!
1NSliOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
1{16fO)
ADDRESS {(O~~ Ilu~'S~ l 1(P3Si ll&:x'a I) I (U:)Co\) \&'3>, (
10~'5 j-'to3l9 1"'~~~ t.-~T
OWNER CONTR.
PHONE NO. PERMIT NO. ~ ~-O i q I
SCHEDULED
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
:>Et' FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH R1
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
o EXI~ILLlNG
o COM~T
o FIREPLACE R1
o FIREPLACE FINAL
o GASLINE AIR TST
o
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@ IU~\~ "
I
~~ 6.A~~t1P'S ~vS~ u\lld<..~
f'tU.)1'~u.
,. ,
~f1"~~ WAL..\....
o WORK SATISFACTORY. PROCEED
~ORRECT ACTION AND PROCEED
~ CORRECT WORK, :tAL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL~O T~ NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!