HomeMy WebLinkAboutBuilding Permit #03-0193
:See- rh e /11q /A/ r;iL~
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT i - 36 ~ :3
See Main File
~. ~i~i~e ~::y PERMIT NO.o..? -0/0 ?
3. Yellow Applicant J I~
(Please type or print and siM at bottom)
ADDRESS
1~31 / r;1't113~1Z tZlG/ /J;2{U~
ZONING (office use)
PaD
LEGAL DESCRIPTION (office use only)
LOT r BLOCK Z- ADDITION
7:/YII3&/l ('/2[$/ ~~/7ivY\.
PID d 5-1!tJ~- /) 57-q
OWNER
(Name)
.?UJ.:rE- ;./-.P.m~ ~
8/ S fl}OMJ./1AJ t-sT
IYJ VI .
PKl/
/ '
.$tJ/ n';- I J/ tJ _
(Phone)
fAoA-11 ,
fY/Y/.
55; 2/
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
;5A1v1e-
Can.:r- ~LA5Mtu;
(Phone)
(Phone) ~ I Z - zz./ - 49 &-5-
TYPE OF WORK
)R( New Construction
OLower Level Finish
o Deck
o Porch
ORe-Roofing
ORe-Siding
~ireplace
OAddition
OAlteration
OUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
~~~sy-
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
:ter72to~z-=~Z Ze,-/3J J /'4~~
;'/ . / -/ ~ Signature Contractor's License No. / ..;; ~ate
1'1
I Permit Valuation ~~()() (') .00 I Park Support Fee # $ .
I Permit Fee $ 7'18. 7S I SAC # $ J "2 7t;;; . 00
I Plan Check Fee $ Ljw., .ro? Water Meter Size 5/8"; I"; $
I State Surcharge $ .~2.50 Pressure Reducer $
I Penalty $ - City SAC and WAC # $ \'2...00.00
I Plumbing Permit Fee $ /oO.f)cJ I WaterTowerFee # $ 7tJo,Oo
I Mechanical Permit Fee $ 100.00 I Builder's Deposit $
I Sewer & Water Permit Fee $ lather $ I
I Gas Fireplace Permit Fee $ .eJ~. dO I TOTAL DUE $4-, IPB2 - 94-1
f)
This Application Becomes Your Building Permit When Approved I Paid 9UJ J Z; 0/9' Recei~o. 1117 7C/ i
~ ~ o1;!!LltJ3 I Date "Z<2d.c!) By /... '..-
G
Building Official 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
iss~ 1dFL 02/,/(43 ----<iLL ~ ~
Planning Director
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
See Main ~_e
White - Building
Canary - I;nqineering
<e.ink - PlannincD
The Cenler of the takr Counlry
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 f
I ( )
I
(
, .,.-.,----
Accepted
/
Accepted With Corrections
Denied
Reviewed By: ~ ' :
Comments:
,..
Date: ~/ 0/103
, . ,
7l.LJl f.-
.See-Matn File '
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."
See "lain File
The ('('nler of the' tlkr ('ounll")<
C Whit~ - RuildinQ:::::>
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\9~
1- '3 O-D
The Building, Engineering, and Planning Departments have reviewed the building permit
application for COn&rumi:~:;i~ ~hiCh~S1::edk ~ ~
Accepted
Accepted With Corrections /'
Denied
Reviewed By:
~
~
7Twl-
Date:
~7"),5
. .,
Comments:
See Maill File
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."
80'd lljlOl
, '", I \";,'
/ ';,,~'~"'~ ,,'.
( -,' ,. '1' \;-
-, ,)-
-, -
\. I ,.:/
..'~/
'.... ,../
...........:......"':.,,..~
CITY Of PRIOR LAKE PLC-:'vrEt~'G PER.\rIT
D;:~", :-,'
..... ~ ,C1':
.- _.- - . .
. .....
.. _ 01 ..._"__
'l,,:.'~;;,: -r'~ ,~: ~t":':-:r l..~,~:::..J.c~,,:~
~/~.~ "11
-r;'~;1(".:brL
(:~'/:/.c, ;
..__..1 "'"
[);
.:..~:'.:...:. :: :='':'L:.::''':''?'-::C:I:''I'' ~l)'~;:: :J':~ :7:,;~.'J
, : 't -, ; :: ?
; :-1'.:~7:'':.:
, . \.....:..,;:'.:!..~ .
~r .-r-'....
- - - -..'"
,~...::c {7~':' >;
..--
iL ,/ II~"
7 " /", Ii.
I (/. '=:.
. -? r ," . , \.- / I,' ,1_. /1
,- :. _.,_.-.. "'// / /'il! I) (r,,l.'.)
, ,.- _ . /f) I III ", ,'-' /,..../. ,-
I . . _ ". _ .', " , ,j ,., h
.~ : ".....' 5J':l ' '., tf
::~),' J _ . /'"\ <,,,,,',4'
',,~.,,;.:.:~:;: ~,j,./ ,)',{." I'
'/)
/..
/' /,;7
(.:.....:;.:::=~
, .~....::-:~.:~7 ;: ~:':;\;:-: 1
; ./')~ J
I - '-" - , ' -. -- ~ / ./1' ~
. .;'??~:l...':',;"l :H(...I",.l.".;:~,I.. :/L ';::::',~, 1"..'
t.; ''::':,:1 c: r;-:-'
- }
1_---.:lL-
I
.j
.-
I /
r
I
I .-I(
I
tomee t:JC Onl~)
80/80'd
JII.'" I,..:
?ER.\[iT "'Il:3-/a~
:.: "'::' :C~~
~. .~"... \~.:'1
; .'-.hl.... \:I:m..:,)".
'-
--
=r~
~ .-'
i ?~~i:=.!
,-.
t....::~r::::~
/' . //7 .-') ). r ,'1 /
/"''''',1.. C/7' /, 1'/
,,':.4~-~. -' '>-=~ r:: . l~.
,..-ro 11
. "'ov?'1~.j("..
.." _ ...., ~ ,_ 'n. ~.
(c::::)
,/'.-:::...,,....~',.'j".,.... ",:~l........
;. '),.:t.:'-"::-.--,
(:::: '':.:..:.:':
-.
t: ;:-.: :-:':)
JvtJA/L
. ....:.'
.:./ ../. J
. /./...
Jv{/'/14.6
C'.':'" T;:
...
AP:?UC..1..''''T PLEASE CQ,\(PlETE BELQ\V
Typ~ ,d-r-i:ttun:
S.l::t Tub \'\01(11 <Jr wtc:UJl.:r sh..:wr::"
C/fsh ',''':I.$hc::- .-
fi~)lJr Dr::un
I lJ.'i;J.COi'1 r 8ad1rcom ::),n!-.:)
L.J.uMry rr.l;-' ( 1 !:Ir: ..:crr:!":,U:wr:::1C :iln:~
! Shower $l'.:z.1l '
I Sinks
! Bar Sink
IW:I.[I::- Closee IT\Jrlr:~) , . '.....
.-
I
I
!
I
I
r
I
I
, I
I
Qu:uHicy I Tvpr: lJ ( Fi~:urt:
3 I R-Ju:;n-Ins ~ ..
I I W.:I.[~:- i-:r::Lce:-
I \"'::1(::" S\Jr.nr:r
I I Send P:r:~ f '~V:J.:>hing ;\1J.c!l1r.l: I
'.1 ~C:W::1:;-: Ei~';::\Jr . .
I 8:lcktlow A.:lsc:mb{~
/.~. <;.....;.j8ackr1Qw Assembly T .:st
I L~wn Sprinkle:".,;;,"._d
. "I Othc::".' '., "d...'
I
. ~I
--
"
tn"","'''. C"'''n~''' J< "iu,ti.rim", t% ~fj:' '~,f,'o;[';" f :;;,~ft:~u:1',~~;~~~.!O .
.. . ' .'" ,:":'c~:''''':"'.:.J''''':'':'';.:-_'7.:::~:'~~,.~dd~~Q~:~:'; . ~;o '
E:;:lm;l.c,::! Co:.. :~ ",.'..:'..' "'::r".:,;'Sulir,!In'" P::-:;t.tt~_~~;M,!~~<:1~'.;!l-.- . 17' .'~
...~."',.,;:;'.;.l.~>A'J'..,',-'~).~.'.,..:,~...'''.''~:.;-'.''!6....~..:....." ...' ,..... '. '." '. ".- l'."~';'~'" '''',.
\0 .,~ ''-h~(.~~'i01t~:'';~~''.r:-';~T;.''~~!,~..;1\';'~;~;~.j~~~~, c:'- . . ,,{o(l 4" ...... .,' " I.":,,, ""'.
p.~~ UMB rNG,P E~"UT':F~~ ';':,S.'" ~:;::.~.;.::;;~?;' .' I '. '~ 0 ill ~]" ~ '
. .' ':.~.'.;.S{.'~~. ..~.~~tf:~g.~. ~~f.:.f,,1:.',~~.-,1 ~ . J
,.:~.\,~1:~~itT~;'~~~)~_:,:~: ,,' ~~~~.\(6 4 2003
'-"'. ..... '.' .'" -~-J
'Ii'lis Applil::lcion Bcc:ontc:f Your BrJi1dill:~ Pennit When Approved I P,~~~, . " @:t __J R.~c;:pc ~~.'. --1
. Date rr:.n By ,
Suild/I<" Ollici:l/ O~rc ,U . :~. ____
; , (
:" IIUl.lf nC,II:ict= fur~'ji i~$p'<<:rj~~~ l~=:) ~'7~;~~O~:r1{l;:i:) .Jh-l:.J.:i
....,.;'. .~.,:>..>., ,1;:':1,: ".'. - . .... .,....-'j.'..'''' '''.~;:~~;'' ;.....,*..:, .
· ;,:,~:",,,~~",,~~~:lt~r.f~,~f.-t':~;':'~;"~:~~~;"7~~~'"
. " Jt'~ I m::N I 81.-Jnld/,3lllj('1
Sit' : 1: 1:
~00c -t'0-elljl.-J
See Main File
White - Building
(Canal''' - Engineel'i!!sp
t'U 11\ =-Pla-nning
The' Ctnecor of the take ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
{I t.~,.
II) fiY ,:
~-,"",,--t __/1--'<--
1--
(~~r~.,~:)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,I' 1.'"" ",.'"2.--.,-,'.1 I 1\, .... I_
..1 '~, ./.../)1'[ IL2/
i
Ii ,
y""----
Accepted
Denied
(~
Accepted With Corrections
Reviewed By:
fY!t ,3
S( 1tL j11 iJ/ n.. {', j I <..
Date:
2-lO--t;).2.
Comments:
liThe issuance or granting of a 'permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction, Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
5- 7-03;12:37PM;
;952 894 0925
# 6/ 8
.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/tllKEPLACE PERMIT
Date Rec'd
(Please tvDe or Drint and si211 at bottom)
ADDRESS ~
f&?Jl\ - II/YJ}er Ct~S+
~: ~~ ~:~. I PERMIT NO. ~ _ //7 ':::?
3. Vellow Apphcant, j '-1 L
_. ; .
I
~~
ZONING (office use)
LOT
BLOCK
ADDITION
PID
,.
t:t
I
LEGAL DESCRIPTION (office use only)
OWNER
(Name)
PuAk !fo~-s
<=615 f\JW. P~v0,Y.
S'{)A T [.
I LtD J
(Phone) 10 5'(- q 52-5;2QJ
E A-6Af\) I (Y} f\J ~51;J I
(Address)
I
APPLICANT
(Name)
Rurnsvillp Hp;:!ting R. AIC, In~
12481 Rhode Island Ave, So.
~al'age. M"I 1;""18-~ 1 ~2
(Address)
(Contact Person)<:., ) VvlA.1:-
APPLICANT SIGNATURE AINht 0 . ~bJ.-Dvl
U \J
. APPLICANT PLEASE COMPLETE BELOW
I ~NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS^ l~ _ 8
FURNACE MAKE AND MODEL [f AlJIfUX' G.:<(P cO:;< - 5() FUEL / VLCf. qtL3
FLUE SIZE RETURN OPENINGS 5 INPUT 50.' (~:SD OUTPUT LJ ~ COD
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical L e{l "flf;'I. 0 Radiation
@ir Conditioning ~ \ <& 0 Special Devices
OVent. System \ 0 ~ S 'l'O'f' 0 Other Devices
l ,
(phone)
(Address)
(phone) (Cityq5~ _ ~L/~ZOU05
DATE 3 -{- 03
I
:':'~~
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
I
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39,50 minimum
Residential, Heating & AlC (New Construction) $99,50
Residential, Heating Only (New Construction) $64.50
5' rvY\ DO
Estimated Cost $ . l...^-^-I, Building Pennit #
Industrial, Commercial & Multi-Family
$39.50
Residential, Additions & Alterations
Residential, AC Only
i~,);.<'~'
&u/~ ~~ I
rllSf:1A4rr '"
I
::j
.gJ;
-
if
;0..;'-':
"~,
(Office Use Only)
$
: Nf. Ud":OOj blll~~
This Application Becomes You r Building Perm it When Approved ~ t~ ~ 0 IJJ ~ -..., Receipt No,
. Date By
Date MAY - R ZilllL _"__
24 hour notice for all inspections (952) 4 . '~)850, fax (952) 447_424!..J
16200 Eagle Creek Avenue, Pril B~ake, MN 55372
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Official
PRIOR LAKE
INSPECTION RECORD
I~ /--Atft1t'~~V'
NATURE OF WORK ~ .~ @ ~ Ii \If: \~ \~,\\! .
USE OF BUILDING S P ~ ~ - '. "I~ \\\i .
PERMIT NO, O~ - ()/~ DATE ISSUED JI \ l-c.!j t <J /uJ., u
CONTRACTOR f2-UUc,." p~~N~/~ ~!- ''l!ItS'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE 1~~t,'TJ\JNS-'~t:LOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTML~T OF See ~ain Fil.e
BUILDING AND INSPECTION
SITE ADDRESS
INSPECTOR
DATE
I FOOTING 'W'().t ~ I I
I FOUNDATION (Prior to Backfill) Mo.\~ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMINGW / C-
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~~y\
M..~,^,
~
/l7/f1
h I :J-tc5
~- if-~
~
~
~ {J--!zq
(p t ~tlr3
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
vvv/
7- )..Im
Jll'; 7r- Ir-dJ
ytf/ 7r f%"'d':)
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
QIerfifirafe nf Ql}rtupanr\!
CITY OF PRIOR LAKE
~tflarfmtnf of ~uil~ing JInSfltttion
~ Final Permitted D 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
Occupancy Type
R3
Type Construction
VN
Fire Zone
Bldg. Permit No. 03-0193
N / A Zoning District PUD
Owner of Building _
L4, B2, TIMBER CREST ADDITION
Site Address 1_6371 TIMBER CREST DRIVE
NORTHWEST PKWY., SUITE 140, EAGAN
55121
Legal Description
Contractor's Name & Address PULTE HOMES, 815
ROBERT D. HUTCHINS /J;f'J
Bvilding Official
{-- L (~(j']
City Planner_
DON RYE
Date:
Date:
i
l,
ft
f,
i
BVftN~ -.rILLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378. 952-894-0005
r
I'
i
I.
!.
Ors1at Test Report for JoW 511{
Address Iff 37 f'J;t'-4Al I;: ;,!l'c. Sf
Occupant
Date of Ins1al1
Type of HT, F/A
Other
....-t
. /
ilIM!
iA r f:
D~
CUy
5 2.., ,o~
'. HW
Space HT
Unit HT
Make ~ A/,V {I "-
Model :> '>), ~
Serial 5 :e.c,~<;:: s '3 (~'--1-1
Input )() ;::;'\.1 "'~
Pilot Type HOT SURFACE IGNITOR
Pressure ."', ........fi. \ v..J <- CO2 {" (j
Input CFH .~O 02 10.'3
Stack Temp qiP CO \<1 C p.a...l
Date Tested
Company
Technician
-1-1 U.~
BURNSVILLE HEATING & AIR CONDITIONING
It.o
DATE TIME
CITY OF PRIOR LAKE 7'" 2../
INSPECTION NOTICE SCHEDULED
ADDRESS I~ 37( r(lMl,~r LV'lf-t
OWNER CONTR.
PHONE NO, PERMIT NO, j .-/q 'l>
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
)iJ-FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION 12' MECH FINAL 0
COMMENTS:
-
~ I
( /' / /1-
\ <--L U~C
~
~
----
~
Ir- / )
r( l.Q
/
---
Ct- r ()k
-frWORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: I~ 7,jj-tf) Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNon