HomeMy WebLinkAboutBuilding Permit #03-0195
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ADDRESS
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6ee- ne- 1l1a /'IU F/ Ie-
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main Fi_e
l. White File
2. Pink City
3 . Yellow Applicant
~mB.t3/L e/2-i~ /J;21t/G-
LEGAL DESCRIPTION (office use only)
LOT tf BLOCK 2- ADDITION 1/ If1 J3/~-/L
~kTG-- )..~S tJp-
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OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
fY}",
jJy,-y.
5A1Y1 &--
Cu...n.r ~ tA-SCH UO
TYPE OF WORK
~ New Construction
o Lower Level Finish
o Misc.
621S/~IJI17CJy\"
(Phone)
SUIT&- J 0/'0,
,
JfAbfH1,
(Phone)
(Phone)
ODeck
3f Fireplace
OPorch
OAddition
) ~ ~3J / 3
0.5-0/95
I PERMIT NO. P t{/{) I
ZONING (office use)
PID :l~" tjD(l~ n?;7-()
fY1 t\ .
-
(,/2 - ZZI -'I9&-5
ORe-Roofing
OAlteration
~ ~ ~p;-
ORe-Siding
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 official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
=teru7~t?~ons. J3G - /37/ ~:5~~~
f 'Signature Contractor's License No. 15ate
J,
" t,9. 1)00,00
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) $
$
$
$
$
$
$
$
$
'77'.75
5oL{.1"9
30/.50
1001 0 (7
lDo,DD
35,50
~o,oo
This Application Becomes Your Building Permit When Approved
~ 7~ ~/~;03
Building Official
Date
Park Support Fee
SAC
I Water Meter Size 5'0 ,..Ii!,
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
#
#
\ ~II
#
#
$
$
$
$
$
$
$
$
$53/1. (P4-- I
1"2. 75.00
3<O<:;,.~ 0
180.00
fa, o. 00
70c:1, aa
Receipt No.
By
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~ .p~
Planning Dfrector
02/if~3
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
~
~
72da
See Main Fi~e
The ('f'nfer of the t.kt ('ounlry
White - Building
Canary - EnQineering
<:. "inK ~nln9'::>
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 conS7~ion =:CliVi; which i"jO~:S1~:t:~ .' f , f. .~_
Accepted With Corrections
/
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Accepted
,,~.
Denied
Reviewed By: ~{..(_~ ::J~~
Date: ~/ ~/03
Comments:
s~~ M'-d.il1 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."
See Main File
The {'tnler of the L.kt ('ountry
(" White - Building
Canary - ~n erang
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
r;J.~
)-000
The Building, Engineering, and Planning Departments have reviewed the building permit
application for cons7~o;;~V1 which is ropos~d at: ~-r 0-t
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
~
~~
Date:
,2/~~3
Comments:
See Iv~ain ~'i_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."
See Main File
White - Building
(Canary - Engineern..V
tllnK - - tllannlng
Tilt ("tn'tr n( lht I.alt, Coun.ry
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~~r;>ropos~d at:
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Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
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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5- 7-03;12:37PM;
;952 894 0925
# 8/ 8
.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
~: ~:. ~:~. I PERMIT NO. ~ ~ I (j~r-
l, Y.llow Apphcanl .......J '1 J
I
(Please type or print and sim at bottom)
ADDREY& ~J9 ~m U( (Y~b+
~~
ZONING (office use)
:,,:,:;
~1
ili';\
i!~
I
LEGAL DESCR.1.t' J. LON (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
PuAk ~mlS
~I 5 NW. Pl-vD.Y,
S'()A -r E-
/40 J
(phone) 10 5' (- q 52- 5;2(JJ'
E Mf.}1\) J (Y} rJ '75/;21
(Address)
(
APPLICANT
(Name)
~lJrnsvjllp. Hp';:Jting R. Ale. In~
12481 Rhode Island Ave. So.
(Address) ~avage. M~I ""~"'l.8-1122
(Address)
(Contact person>J \J.A..A 1:::-- ~
APPLICANT SIGNATURE A\NU..t l). ~~
u u
. APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TraNS... J ~ _ 8
FURNACE MAKE AND MODEL L-eA1f)1);( G.:<(P(();;< - =:50 FUEL /va;r. qd3
FLUEsrZE RETURN OPENINGS 5 INPUT 50: C:tSD OUTPUT LJ~ 60D
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone)
(City) (Zip Codex
(Phone) q 5;< - gtftj- oudS
DATE 5" -(- 03
OWann Air Plants
o Gravity
o Mechanical
@ir Conditioning
OVent. System
Lei) fIj;'{.
\0 l\U> \~
S '10<--
\ .
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
$39.50 minimum
Residential, Heating & NC (New Construction) $99.50
Residential, Heating Only (New Construction) $64.50
~. rvY\ 00
Estimated Cost $ -..J I L...^---L.I, Building Permit #
Industrial, Commercial & Multi-Family
$39.50
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Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$ I
$~
glJll~ ~
.50 \ ~G iJ.~11i
L (ld. ~-:J bu.l \ <i.a;J ~~"'~
~ \ fkeceiPt No.
;y
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(Offite Use Only)
Building Official
~~ @ ~ Q \'Ii
~ate
Date jAAY - 8 Z003
24 hour notice for all inspections (952) 447-9 , fax (952) 447-4245
16200 Eagle Creek Avenue, Prior La ~, MN 55372
tsy_
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This Application Becomes Your Building Permit When Approved
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please me or print and sign at bottom)
ADDRESS
16379 TIMBERCREST DRIVE
~. ~e:n ~::y I PERMIT NO. 3 --(qel
3, Yellow Applicant J
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) PULTE HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
5/21/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT NOLO SL-550TR
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alten -~~(~
Residential, AC Only D 1lS;
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Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$PAIO \Inn-; .50
SUI DINS PERMIT
~~--.MAY 2 7 700.1
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By
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(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
By ~
-1/
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DEPARTMEN I OF See Main File
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~~~~-J '~
NATURE OF WORK e I.AJ ,'~ 1(0 rc ~ ~~\\
USE OF BUILDING 5 FR-. u) l\; ~ lb \\ \1,\
~~~~A~$OR ;?;,:,a:S- DATE ISSU~~~~~~: ~~~/-q'f8S
NOTE: THIS IS NOTAfiERMIT FOR ANY OF T"'E/~GN-S BELOW
THE PERMIT IS BY SEPARATE DOCUMEfJI
INSPECTOR
DATE
I FOOTING ~~W\ I
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
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
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FINALS
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OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
DO NOT
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
<llertifirate of <0rrupanrll
CITY OF PRIOR LAKE
~tparfmtnf of ~uil~ing Jr nspttfion
[lI Final Permitted 0 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:
Use Classification
SINGLE F&'1I1Y
Occupancy Type
R3
Type Construction,
VN
Fire Zone
Bldg. Permit No. 03-0195
N / A Zoning District
PUD
Legal Description
14, B2, TIMBER CREST ADDITION
Owner of Building
Site Address
16379 TIMBER CREST DRIVE
Contractor's Name & Address PULTE HOMES, 815 NORTm..TEST PKWY.. SUITE 140, EAGAN 55121
ROBERT D. HUTCHINS ,!/LII,iP DON RYE
City Planner
Date:
7
Building Official
}I O"S
Date:
t
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
Ilf FINAL
o SITE INSPECTION
COMMENTS:
(:) {~iJ IlL
SCHEDULED
I~ '37t1
r I "16.v"_re o;-'f"
DATE TIME
"7-j. (
5-/q S
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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Sl./'~ P Jf '", 1"
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INSNOTl
~c:4-- I dlt
J'ilf'WORK SATISFACTORY. PROCEED
6'RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1 ~ 7 -),; kd> Owner/Contr:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ MECH FINAL
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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Heating & Air, Conditioning, L.L.C. ' ,
12481,lhode-ls1and~ve S, Savage, MN 55378 · 952-894-0005
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0rs1at Test Report for Jobl $" IS- (,p
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Address
Occupant
Date of 1ns1aU fflilf,h :$
Type of HT, Flkt ,,/nW
Other
p-
Make
Model
Serial
Input
Piot Type
Pressure
Input CFH
S1ackTemp
-
Space HT
'UnitHT
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5t) '.-.0
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HOT SURFACE IGNITOR
3. $' CO2
ro 02
q 7- 0 CO
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Date Tested ....., 1,0/63.
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Company "BURNSVILLE HEATING & AIR CONDITIONING
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Technician $.~
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