HomeMy WebLinkAboutBuilding Permit 03-0123
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
1. White
2 Pink
3. Yellow
File
City
Applicant
I PERMIT NO. (}.3 OJ 2.31
(Please tyPe or vrint and sign at bottom)
ADDRESS
7&0 50S"
/3Lu FF f{ 674Afs. 72A; /, s. E.
J
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK I ADDITION 'JJ Yh 'OU1. efl.f~r A L)tJJ 1t0'V\
(Address) 815 (Joll11-lWf.sr
OWNER .?
(Name) rU/..1"G-
BUILDER
(Namp\
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
PID
flflm€5
rZlh.
&wy
tJ~
(Phone)
Date Rec' d
.';5/2-1
~~ tS.-
&17% r..~~/ttt)
(Phone)
(Phone)-'4l -ZZl-lItj~
Date Special Conditions, if any
24 hour uotice for all iuspectious (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
ORe-Siding
DUtility Connection
?q ~5'
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 pennit for just cause. Furthennore, I hereby agree that the city official or a designee may
ent7r upon property ~e'nn neede"ctions. J
X A ~./~~ 13c..-/37/ /z-?ohz..-
/' ,f ~ Signature Contractor's License No. Date
r
cA-6rn.
riJ.,
.
~i.JIr&-
/1/0
I Permit Valuation 911 QOO, (Ja Park Support Fee # $
I Permit Fee $ '9~ 3. 75 SAC # $ /275'.aa
I Plan Check Fee $ ~M. ~'1 I Water Meter Si~;l"; $ .,;)5:('). 'iJO
I State Surcharge $ 'IS-. a () I Pressure Reducer $ ~S;oo
I Penalty $ I City SAC and WAC # $ /200,00
I Plumbing Permit Fee $ 10o.()tf7 I Water Tower Fee # $ ?ao,'o
I Mechanical Permit Fee $ IOd. 0 () I Builder's Deposit $
I Sewer & Water Permit Fee $ ...?S:So I Other $ I
I Gas Fireplace Permit Fee $ '/eJ,()(J I TOTAL DUE ~?;i'/4-_ rot:! I
I Paid ~") -:51 LI r h '-1 ' ___.f
This Application Becomes Your Building Permit When Approved I Receipt No. t.I '"} / lei) I
-3~ ~~ ;P7~3 I Date j -I.-/-----?-) By .If ..,./' I
~
Building Official Date
~ew Construction
OLower Level Finish
DDeck
OPorch
ORe-Roofing
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
~ ~~ /~?ftJ ~ ~-~, ~
Planning Director
D Fireplace
DAddition
OAlteration
PROJECT COST IV ALUE (excluding land) $ ;;.~ .~y
b~~
$5 LMAI'~ l1LE
. -------
See Main File
Th~ ('t'nln or lh.. 1..1... Counlry
White - Building
CanarY ~ EnDineering
<"'ink - Plannln~
.........
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/ i : i
; ,
,
APPLICATION RECEIVED
<'""'
"
-' -)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at'
605~ 'i)LuFF Hs-laA-b 7lz.L-. S~6,
J
i
i
Accepted
Accepted With Corrections
/'
Denied
,
Reviewed By:
~ '=I~~
-4u.. 'h7,..-
Date: ;p 7.A 3
7~
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."
~
5.7;
~~.I(l~
See Mai:~ rile
<:.whit" - Ell'ilding :>
Canary. Engineering
Pink - Planning
ThO' (-..nt... nf IhO' I..... ('ounl,.,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT P ~ YJ01~
APPLICATION RECEIVED
{-- ~-03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: !-<J rc' , 0
'5?J5~ J5LUfr flt5;;~Jlfs rR/l/L S,E. I3L I \5JJ/J1I~r
J
Accepted Accepted With Corrections /'
Denied r
~. , ~ P~3
Reviewed By: . n Date:
Comments: ~, '-h/14~ ~Yt7
, . ~
"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."
/~1
See Main File
Thr Cf'n1t'r tlf lhf' L.kr Counl!)'
Whitll. . - ~uilding
'~."nary - englneermg )
Pink - "'Ia~nnlng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
c .-')
.. / iL(,
r~ "I/__ 'I
, iLL,,~
APPLICATION RECEIVED.
{-;:A-C'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: /. i' (;, .
5i.o5~ L"..---<,_,,'.,' ','/-..11. 1"'/' j. ,,"//, ",,;,,-
"~ <. I,' __}"'_AI i'l'~"./ ( ii/I i!'~.'
\..~:."",L/'i //t'.>U. "\..--,, ,__,.... ~..-,.,;:....v'
Accepted ()( Accepted With Corrections
-
Denied
Reviewed By: IYYl- J3 Date: j- .:?9-0.3
Comments: 5<c- !J1lit,'/\ ,8k
"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."
Jan 21 03 09:49a
METRO GENERRL SERVICES
763-428-2968
p.l
(;Itf.E" . "K.E
,.EL\.OW . .""LICAlIIr
GOLD. CIT'f
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(({.9.)-1 L/ 7- 1/7--1/5'
S.w. No.
I/_~- 10--3
FA~
NOTE:
Sewer and Water
contractors must
be registered
with the City_
APPLICANT:~ ~ ~ONE:h{'3,L./d.~-d-..93'6'
---:,.. ,,:,.... -./
ADDRESS: G~qc;> nJ.~~ NE. DATE: 1(~l/o3
SIGNATURE:.~J..L -7 Ikd '~;r'~:5m~'~~~~5;~tHT #
~ ..::,U
SITE ADDRESS F': Hl't{;." PID!!
FILL IN THE BLANKS" ISI(I'lII.. S.t:.
1. Estimated length of water service
so
feet.
2. Size of water service
1"
inch(es) .
J. Location of any couplings from structure
l"
feet.
4. Type of sewer pipe. ABS PVC~ Cast Iron
5. Estimated length of sewer line ~~ feet.
6. Clean out (if required). located at
structure. Nj;r-
feet
from
==================================================================
This application becomes your permit when approved.
BY
DATE:
========~:7Te:t=:;~;4=============================================
FEES: (11,;~ P'L/><.:';- Sewer and water 1 ine connection permit.
Surcharge
/lfo f-re- TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
*
Sewer and water permits issued for new construction must be
recorded on the building permit card at the time,.of issuance
to insure that no duplicate sewer and water' permits are
issued. /t!;!",;~.""
. " ,.,' 'J'
'~J.. ';, .1'1....
.. . .,-" {,l: ~
AMOUNT PAID
DATE PAID
W FEB 04 200: ]1
~~
"\5 .,5
16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372 / Ph. (&2) 447-42~Y T'.6. x (.2) 447-4245
An Equal Opportunity Employer
RECEIPT #
REC'D BY
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T!ti. ....ppliC:lcion 8<com.e< Your 8Uildi~:: Pormit When Approycd - D.~ ~l~ .1I.. ~I ~..11 ! Rec:=pc ('io.
Budd.n( Offic..J . '0"< ~U: Itf~ 2 0 7Anl . i I I By Qr1
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
- - --. ------
~avC1y~, IVIl~A~s')O-' I~..c:
(Contact Person) . U\.... \ 't- _
APPLICANT SIGNATURE ~ ~r\tu1Jn1JY\
'-.J V
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION _ 0 REPLACEMENT 0 AL TERA TIO~\vf_
FURNACE MAKE AND MODEL U4lfrU'X (6.;? 0(9;;2 - 5.) FUEL IV (~S
~ INPUT 50, aDO OUTPUT ilk.,DOO
(
HEATING OR POWER PLANT
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & Ale (New Construction) $99.50
Residential. Heating Only (New Construction) $64.50
Estimated Cost $ 5, Soo I 00
(Please.!VD~ or urint and sign at bottom)
ADDRESS
S'05J..o B \ v..Ff J-It'\~h-k,
, LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
P\A,\-\Q HuM~
(\lw ~OJ~W~
OWNER
(Name)
(Address) 'b\ 'S
APPLICANT
(Name)
c;\l1'ftS\1:II-: 11-:.:.::"" 3. X~, 1.-.-:.
12481 Rhode Island Ave. So.
(Address)
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical l-el/1ru:Ji
~ir Conditioning '^ / a. -1 t.f
OVent. System I Ol'""-'U f1'
:J.. 101\1
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Date Rec'd
; ~~, ~:~ I PERMIT NO. --; _ h ?
3. Yellow Apphcant ,~ (c:;f-\...,)
1Y6il
ZONING (offico u,,)
PID
(Phone) tJ 5/- <../5;2. - 5? 0 0
5/-ti -k- I 40. TM~r1 J (VJrJ '77/;;' I
J
(Phone) q'5,? -<6'14-0005
(City)
(Zip Code)
(Phone)
3) /,;1.7/0"3
DATE
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
$39.50
Residential, Additions & Alterations
Residential, AC Only
$39,50
$39.50
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
QQ,50
.50
JOn , DO I. )
/1 I'J. M)V
I pai'Pll /J'-
1 Date 3- d80
BY/'
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Receipt No.
Building Official
Date
24 hour notice for all iuspectious (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
iMia- S'.E.
NATURE OF WORK ~ OW .~
USE OF BUILDING 'S,Ir. ....
PERMIT NO. ()3.0~ DATE I~SUED ~ /,4.4/63
CONTRACTOR 'BlL'r1 ~ of M.itUl. pHONElij- 22. -....'5
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
. - ~SEE /)(Ai~ A'L'
DEPARTMENT 0 ---'~ ~' .... ~ - J
BUILDING AND INSPECTION
SITE ADDRESS
INSPECTOR
DATE
I FOOTING
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING VV /(vr"rC"hVV\!)
INSULATION
ELECTRICAL
PLUMBING
HEATING (if reqUired)
, FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
1M
f/If
'::"(-/s-
L+ 1'(
w(/
M/
?( -is
0,rf.r
GRADING (Prior to Sodding)
BUILDING 1-<A\r v.AII
ELECTRICAL
PLUMBING
HEATING
DO NOT
<;5- ~
/rv{/
(, r 7 -fA
Ij\IY
JI1III-"
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.
.~ -l-'i-t0
_ r;- - ).. 7- c/'!?
SIGNED
FOR ALL INSPECTIONS (952) 447-9850
QItdifitaft of ~tmpant)!
CITY OF PRIOR LAKE
~~}larfm~nt of ~uilMng c3Jns}l~dion
pFinal Permitted n Conditional C.O. Expires
This Certificate issaed parsuant to the requirements of Section 307 of the Uniform Building Code certifying
that at the time a/issuance this structure was in compliance with the various ordinances of the City of Prior
Lake regulating building construction or use. For the following:
Occupancy Type
R3 _ Type Construction VN
Fire Zone
Bldg. Permit No.
N I A Zoning District _ PUD
03-01::3
Use Classification
SINGT~E FAMILY
Legal De,c,iption _ L6, B1, TUlBER CREST ADDTTTON
Owner of Building _
Contractor's Name & Address PUL TE ~t
ROBE,"RT D. HUTCHINS( /1)
c ~ / r' B~il~ing Official \j V
Date: (" )./ () I
Site Address
5056 BLUFF HEIGHTS TRAIL SE
815 NORTm~EST PKWY., SUITE 140, EAGAN
55121
City Planner
DON RYE
Date:
BURNSV.LLE
Heating & Air Conditioning, L.L.c.
12481 Rhode Island Ave S. Savage, MN 55378.952-894-0005
./
Orstat Test Report for Job# So 3 ;;)
Make
Model
Serial
Inp~t
)i)
/('
\..<
"
Add;ess ;::PS0, 6w,J{ \-iI..\(,WI":::, -'\?L Citv \ 'plOP
Occupant
Date of Inslall <1- 1'-1 D 3
Type of HT. F/A \ HW
Other
Pilot Type
Pressure
Input CFH
StackTemp
Space HT
"
iL~tJO<
-,
7&):610;;), 50- 1.0
5'i?03D CY2. 0 2L/
'.2D . (,ex) ~\\). \ol
HOT SURFACE IGNITOR
36 'WG C02
SI.:> 02
90 co
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C)L-
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Dale Tesled S- 21- 03
Company BURNSVILLE HEATING & AIR CONDITIONING
Technician le Q
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
8-5 o I.!
ADDRESS .565(" !3 (o~j:: l:4- k
PHONE NO.
OWNER CONTR.
PERMIT NO.
3-
12.(
o FOOTING
o FOUNDATION
o FRAMING
~~ULATION
~ ~~~AL
o SITE INSPECTION
COMMENTS:
,,()
l~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
+kDCo
I
/
~K SATISFACTORY, PROCEED
o CORR5'-' ".. ION AND PROCEED
o CORfECT we ~K, CALL FOR REINSPECTION BEFORE COVERING
Inspeel )r: I~ ) Owner/Cantr:
c~--iiX~85Q FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
Il'iSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
. ms-z,
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
I#"l'INAL
o SITE INSPECTION
COMMENTS:
(j)
()rJe..f ~?,t:""""
SCHEDULED
@'v~ /-1''C7:;116
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
J7 MECH FINAL
DATE TIME
&.' t '-cO
~,-(
?,~/.1-5,
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
a f,prc)v<l ( '/h-.
cJ.", i.nl If(?~-r:
11:> (;o~-+ .../- IJ-cCt-"V" Urn~e!r",,-
S:Od .0.-
d/'II<~V'
(
~~(~dS.
o WORK SATISFACTORY. PROCEED
.r3"'CORRECT ACTION AND PROCEED
~RECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ;fIP G-(;-(/?7 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE'~
OJ 1-r"'4( 0)/<(&
- T/- n::.:, - 0..-<--
(J-.) kJd (JoIn
0.-1 e,..dc..
. .of W~! T' _ ...r-" ~ _, . .::.- _~
IVirJM 11;-.;( 11'1'&,1 p;~~",1
Wi1m rtMr" as fr1clcl-( /
..' ,
-7'''UM-(/ / arO VA I,-r
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
UUNO"
DATE TIMe
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
's-./13
ADDRESS
5lli"t
(VufF /-I1s
OWNER
CONTR.
PHONE NO.
PERMIT NO.
?_f2.J
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
~MBING FINAL
o MECH FINAL
o EXlGRAO/FILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GAS LINE AIR TST
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COMMENTS:
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o ~K SATISFACTORY, PROCEED
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o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector: V V{ ,/ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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