HomeMy WebLinkAboutBuilding Permit #03-0190
5 c:e- n e /J141 /iU
CITY OF PRIOR LAKE BUILDING PERMIT, tiitlrk'~
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
I. White File
2. Pink City
3. Yellow Applicant
/- 3D-' 3
PERMIT NO. ()j'-O/rO
(Please type or print and sign at bottom)
ADDRESS
/;"3 0- 7 ?:m 13m tf2-cS'/ fJ/a tilE-
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK L ADDITION
1: rY1~L 6Uhr A-o/J 111~
OWNER ?
(Name) ~TE
J) om 1&-5 ~ F
NIJ fl-TJI WCST
rf'lV\.
Pit! ,
. I
(Address)
f/5
BUILDER
(Name)
(Contact Name)
(Address)
C;.km e.-
fit n..;r- 1- ~cH J4J
TYPE OF WORK
o Misc.
~New Construction
OLower Level Finish
ZONING (office use)
puP
PII),~6-L/O;2. -05!o-tJ
5/JIT~
J i/o I
(Phone)
~AvA-f). rY1 r\.
.~5JZ.1
(Phone)
-
(Phone) ~/z.. -2ZI'" 'I?~
ODeck
J2( Fireplace
DPorch
ORe-Roofing
PROJECT COST IV ALUE (excluding land) $
OAddition
OAlteration
ORe-Siding
~~ ?5y
OUtility 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 building fficial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon yproperty~05rr.needed in ctions. /
X ~~ ~'r'v pC -" /37/ /A-o/~~
// Signature Contractor's License No. / ASate
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
$
$
$
$
$
$
$
$
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This Application Becomes Your Building Permit When Approved
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Building Official
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Date
I Park Support Fee
I SAC
I WaterMeter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
~14- )"L,. &fe;:-
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#
#
#
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$
$ I '2.. 7 '5 . aa
$
$
$
$
$
$
$~~9Z.14- I
ReceiPt!o. .,tS70 7 I
BVO' I
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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
is~
Planning Director
c:y~~~3 ~ ~itiol~
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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See Main FLe
White - Building
~ - 1= . eering
(""'"P~~k - Planning
Thf' C.-nt.-, of Ihe Lake Country
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:
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Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~
7'~/w
Date:
47"103
,
Comments:
See J1ain f"4ile
~
"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."
See Main Fi~e
Thf' ('("nler of Iht" t.b ('ounlry
rWhiUL.-- Buildin9:=>
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT p~ ~
) - 30 --03
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for c7Z~c~ ;'JtiVity ~'t::: ~ E:h-
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
~ ':f~~
Date:
J/4/()3
Comments:
See 51ain 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."
See Main Fi~e
The' Crnl~r nf .hl' I..".. ("ounlry
White - BuildinL
<l:~n'!!y - En~ineeri~
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
..,....J.. ".'_'_.'.<.'~'.-..1"/-,; ~'., . .... I ~ t'T F /"; /
'_ -: .:r," ~ . .7.~:'!-~~J;../t.t.::,,_~..~...' .'
"-='..
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
. i
/(L'~..{~' f/ 1,,=:> /;; ) L.I,~'./v :. ?~/\lJ~~(;~
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Accepted
x,
Accepted With Corrections
Denied
Reviewed By:
171113
.S~< /J1en',-.. h 1<.
Date:
2- 2()-03
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."
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APPUC..1.:'-<'T PLEASE CO,\(PLETE BELOW
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80/90'd
5- 7-03;'2:37PM;
;952 894 0925
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
21. PGrink Fi!e PERMIT NO.3 -/9 D
. ..... cuy
]. Yellow Applinnl
(Please tvtIe or Drint and sim at bottom)
ADDRESS ~
1&?;51 -, lmkr
Cre-s+
~~
ZONING (office use)
LEGAL DESCR1.t'uON (office use only)
LOT
BLOCK
ADDITION
prD
OWNER
(Name)
(Address)
PLLtk !fo-nuS
"b I 5 l\JW" PitU,Y,
/4,0 I
,
(phone) 105'1- q52-5~
E MAAJ I fY] tV 5'5/;21
S'{)v{ T E-
I
APPLICANT
(Name)
Rurm:ville He~ting 8. AIC, In,..
12481 Rhode Island Ave. So.
(Address) ~~lVage, Mf\1 l:;"~7~-1121
(Address)
(Contact person)j VJ-A'r-. _
APPLICANT SIGNATURE AINht l) . ~b1oV\
u u
. APPLICANT PLEASE COMPLETE BELOW
~w CONSTRUCTION .0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL t. ell fJ1JX G.:<& cO:;< - 5C) FUEL /JaJ. qd.3
FLUE SIZE RETURN OPENINGS 5 INPUT SO: con OUTPUT L.J~ ()OD
TYPE OF SYSTEM REA TING OR POWER PLANT
OWarm Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical LeIl 'f'If)"I.. 0 Radiation
@.ir Conditioning 1\ / Il. \<(; 0 Special Devices
OVent. System \ 0 t'I. VD S "f""(}'('\ 0 Other Devices
\ .
(phone)
(City) (Zip Cod~
(Phone) q 5;) - f!1L/- QU<J5
DATE 5 -{- 03
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AlC (New Construction) $99.50
Residential, Heating Only (New Construction) $64.50
~" rvY\ DO
Estimated Cost $ --..J I L.^-^--J, Building Permit #
Industrial, Commercial & Multi-Family
$39.50
$39.50
$39.50
Residential, Additions & Alterations
Residential, AC Only
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
ell/i.:1O ~
50 ~ ~G ~'i11
L rd'. l:)j bul \ ~J 7:i4.1/.,..
O\fl~1\
I ~Rtte - 8 Z003 l
$
$ I
$ -1JjA
(Offit~ Use Only)
This Application Becomes Your Building Permit When APproveii [E @i~
Receipt No.
By
(A
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Building Official
Dat~
24 hour notice for all inspections (952 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, P ~ Lake. MN 55372
# 3/ 8
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PRIOR LAKE
INSPECTION RECORD
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DEPARTMENT oF~ee Main FiJ.e
BUILDING AND IN~ECTION
SITE ADDRESS / 'c..3 57
NATURE OF WORK fl~
USE OF BUILDING ~ F A
PERMIT NO. ~..,- CJ/fO DATE ISSUED i,JL F~::; ~ 13 2~O? ~!
CONTRACTOR ~ p~p~/_. ;;JaJr'l'f'S
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
,
~
I FOOTING ,^^a;~1
I FOUNDATION (Prior to Backfill) {v..oil'o I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC vttJ~ I
FRAMING .JwIc!1l::::-:::V<e~~". ~~,
INSULATION ""'5?~
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
tl :J-tc3
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING t'f-cwf t("/~O"'1
ELECTRICAL ,
PLUMBING
HEATING
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SIGNED
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.
FOR ALL INSPECTIONS (952) 447-9850
-
..
QIertifirate of @rtupanrl!
CITY OF PRIOR LAKE
~tparftUtnf of ~uil~inB JI nspttfion
~Final Permitted D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section/~7 of the u;!io'rl!iJ!Tzding 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
Fire Zone
. Bldg. Permit No,.
N / A Zoning District _
03-0190
Occupancy Type
R3
Type Construction
VN
PUD
Legal Description
L3, B2, TIMBER CREST ADDITION
Owner of Buildin!!
Site Address
16357 TIMBER CREST DRIVE
PKWY., SUITE 140, EAGAN
DON RYE
.(
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Contractor's Name & Address PULTE HOMES, 815 NORTHWEST
_ ROBERT D. HUTCHINS I/~ City Planner.
Building Official
/ - 1n -t1L1
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55121
Date:
Date:
\
BVRN~ tVILLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378. 952-894-0005
Ors1at Test Report for Jobl 57 /' ~
~
Address 1~35?-1T "'-lbc..,~ ~~~ ~ity--1:L.;.- bAtA-
Occupant
Da1e of In81811 ~ I (;Ii)jc!;.
Type ofHT. F/A /Hw Space HT Unit HT
Other
Date Tested
Company
Technician
Make ~ >--r t> ~
Model 6r~ ~ 5;"0 - (.p
Serial ~-s r; ~'7"-;;,::??
Input SD . eeo
Pilot Type
Pressure
Input CFH
Stack Temp
HOT SURFACE IGNITOR
"':f. < CO2
.("'0' 02
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In'\" co
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BlJRNSVILLE HEATING & AIR CONDITIONING
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CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE nilE
SCHEDULED
_7-fl{
ADDRESS
It 35 7 rr, #'11 h-v-6/~~ r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(' -It(/)
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
,Iiif1S[UMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
gvw<)RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: H 7 -{ (,1 - 03 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IN$/tOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIllE
SCHEDULED
7,./,
ADDRESS
~3D
f(i.", 6.-r,.~-t
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3--/CfD
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
p4iNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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0_ ~RK SATISFACTORY, PROCEED
;:f'"CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: (JIf7 /-1 G '(b
.
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
1NSNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/CJ~{
'Tr;11 br;- ~
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
~cl ~
COMMENTS:
DATE TIME
1- fa
7-/10
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~, C~~REINSPECTION BEFORE COVERING
Inspector: r.(r Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI