HomeMy WebLinkAboutBuilding Permit 03-1264
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
(Please !VDe or Print and si2l1 at bottom)
ADDRESS
I~s-t)/ (IMUIl c,{..€sr I>;L/I/€
Main File
I While File
2 Pink City
J. Yellow Applicant
8-/-03
I PERMIT NO. a3 -I zu4--1
ZONING (oflic,use)
oU-o
LEGAL DESCRIPTION (office use only)
LOT II BLOCK d2 ADDITION ~($€~ Ctcrr
PlD ~..vtlD~-O~l{-J
OWNER /J 1/
(Name) rVl-rE ffor-r€S
(Address) Blr N(),'{.THwcr, P~'I >//I1'C: /'/0 J
BUILDER ~ II
(Name) S'A-""~ h> A8dflC
(Contact Name) AA~t)^, ~ 1
(Address)
(Phone) 6.n-I{J.l-r;J<:Jo
Et4G~,J,,.,w sr/,;l J
(Phone) tor/-I(,),,} -J"loO
(Phone) 1'01 ;l-1(9o - L/;J.)p,
TYPE OF WORK
;gr New Construction
DLower Level Finish
DDeck
DPorch
ORe-Roofing
DRe-Sidiug
o Misc.
o Fireplace DAddition DAlteration
PROJECT COST IV ALUE (excluding land) $ (/;'1, tf B 8
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 loca11aws 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
~ter'2Z:.~~dinspectiOns !k:-- In I 61ft /03
Signature Contractor's License No. Date
I Permit Valuation ~q, ()OD I Park Support Fee # $
I Permit Fee $ -?-71A,75 I SAC # $ a75'.-
......
Plan Check Fee $ 504, gel I Water Meter Siz~l"; /fj. 11 32?o,s.. i ~ ' -
State Surcharge $ 34,57) I Pressure Reducer /S($~. ..:-~---
Penalty $ I City SAC and WAC # $ I~M. --
Plumbing Permit Fee $ 100. - I Water Tower Fee # $ - 700--
Mechanical Permit Fee $ 100,- I Builder's Deposit $ /6 Of) .-----
I Sewer & Water Permit Fee $ 3S .fX) lather $
~~
I Gas Fireplace Permit Fee $ l.../t),- I TOTAL DUE (., 'if'J./" . C"i) $ 'I ~
This Application Becomes Your Building Permit When Approved Paid ~.~Q-- I Receil,yNo. ~6r//
~ t~ .103 Date tl / 07 Bv <' ___ .
./ U
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 Zoniug compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~ ;2~1-
Planning Director
81''5>/63
Date Special Conditions, i(any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
:; ) I './1/
ADDRESS
" r
J(~....()!
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l.j'n/'r'#I-I
7)", /'
OWNER
CONTR.
P "
v I',
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PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
iii FINAL
/0 'SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
;g.~ILLlNG
o COIlPc(jNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMeNTS:
. ,
'! /~, JI
9(WORK SATISFACTORY, PROCEED
"0 CORRECT ACTION AND PROCEED
o CORRE~]Z~L FOR REINSPECTION BEFORE COVERING
Inspector:/~~-- Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IN$1WTJ
~\
Main File
White - Building
-:-""r'''''''' J;og.lnee~
Pink - Planning
Thr ffnltr of Ihl!' L.kt Counf".
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
~...:. .;,....~ ..
APPLICATION RECEIVED
.f""" '....
3/ .~ /
.~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'--"'
. /
Accepted 'X
Accepted With Corrections
Denied
Reviewed By; ~r-~."'--
Comments: See Reverse Side for Additional Information!
Date:
gh/o~
See Attaclunents: I) Grading Plan, 2) Erosion Control Measures
"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
~*!-I;luil~
Canary - Engineering
Pink - Planning
-'
Th~ ('..ni.., nllht 1.11<.. Counlf).
.
flUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
fJdft- ~/.).-)
f-/~()3
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/&,S[)/ ~1vmiwv ~f;(0' -
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
~ ?~.~j.J
J!:3;M aLl a:tf~
~
Date: 911 is fa '5
, .
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~~
-~
Main File
..
White . Building
Ca..n~ry - Enaineering
~ "'on' - PlanningJ
lh~ C~n[rr of Ihr L..... Counll"
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:
Accepted
Accepted With Corrections
/
Denied
,
J~~.
.1P~.
~ ~f.J Date: _ 6"//5/0 '3
~. d-S;/~ ~
A.(!. /...L. -", I'..J. _.rI----~ S'{;gdf~
J
Reviewed By:
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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E:.;:ic::.t.e~ ClJj~ .'S
PL(.i'MBCNG PERJ."lIT FEE S
STATE SURCHARGE S
TOTAL PER)m FEE S
50
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SL:ii~i:::; P=~ic.#-
{Office t:JIl' Onl::-)
Thi. Apolioeio" Become:< Yo., Bolldin:; Ptn>1lt Whon AppCClVtd
BuildiltllOrticj,:1l
O'aC~
I Pai<l
I Dale OCT 0 32003
16YV
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IN I OJ91'~ I El,Jnldi,3lll:lrl
8,,0, E00c-0E-d35
Sep 30 03 10:16a
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6.
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METRO GENERAL SERVICES
763-428-2968
p.2
GlIUN . PIlE
YlI!:llOW - APPLlC.NT
OOLD - CITV
F~
CITY OF PRIOR LAKE
SEWER'AND WATER PERMIT
CfS:J.- I(t( 7- t(7.- 1/-6"
s.w. No. /J 3-1 d ~ '-I
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLICANT :~Ef1'I1i?o (;E JJErR....AL SIItRv'.-::J1k:PHONE'7b.B -4~lf- a."i'3S'
ADDRESS: 5~iArn A. .VIf. ~ DATE: All" i 3 ?0llL
'-rf' ~ - '!n:rnlcH"'.L)~"'.~S'3"'b
SIGNATURE: ~~~ BLDG. PERMIt M
SITE ADDRESS: /b c5n r ~~''Ll\.JC.L Cu,d-. PIDM
-:[')/'~
FILL IN THE BLANKS
Estimated length of water service ='"
Size of water service--111 inch(es).
Location of any couplings from structure () feet.
Type of sewer pipe. ABS PVC '-/--" cast Iron
feet.
Estimated length of sewer line~~~
feet.
Clean out
structure~
(if
from
required) , located at
NJA
feet
~~=~============================~===========~====~================
This application becomes your permit when approved.
BY
DATE:
========??~I.Ted==~~;4=============================================
FEES: fJJ~r'.;~f../>O ,,~ Sewer and water line connection permit.
.~~.--c; Surcharge
/ IV oC.ee. .' TOTAL
* F~o~' . er sewer or water individually is $20.00 plus
$ .50 surcharge.
Sewer a"ct-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. OCT 0 3 2003 6'{~ ,.()4/0
DATE PAID AMOUNT PAID (~~! ~
....,. ,0 I't</
~
~,)'-
*
RECEIPT #
(y
'U
REC'O BY
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (1J;2) 447-4230 / FAX (rts-2) 447-4245
An Eaual Oaaortunily Employer
----"'--~._.._--""-_._---~,._,..._-~._'-
;952 894 0925
# 8/ 8
11-17-03; 3:34PM;
.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGlFlREPLACE PERMIT
Date Rec'd
I
i~ Ji....I PERMIT NO. 3-ld0cA
. qt1ease.!Y:E.e ororint and sim at bottom)
ADD7t '50 (-1iWIhW Cv~4-
fJ-r.
ZONING (office use)
!';i;
LOT
BLOCK
LEGAL DESCRIPTION (olliee use only)
Pro
.""
~,~
i~
I
ADDITION
OWNER
(Name)
(Address) 'II S
Pul it ~~'\
tJuJ
(phone) IP51-L/5J- - 5;;2CD
EMa/l'? MAJ. cJ'7I;2/
v
Bumsville Heating & AlC, LLC
1 ;'!4tsl Knoae ISlano Ave. ~o.
Savage, MN 55378-1122
(Address) (City) (Zip Code)
.jv...)j\ 'L (phone) '1<) Z - <6:J L/ - DUD C;
APPLICANT SIGNATURE ~'-.t C). ~,~l~DATE 1\ (/7 (~
. "-lPPLICANT ~~EASE COMPLETE BELOW .
~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS . J
FURNACE MAKE AND MODELlef1(),r51( (; '5 i rYI f-~y8 - oL{C; FUEL .L\.rtr (j'((S
FLUE SIZE RETURN OP~NINGS INPUT U7., C57fD OUTPUT ~l/.t5(')
APPLICANT
(Name\
(Address)
(Contact Person)
PMY
C;;i J-i-k {(/O
(Phone)
:'f!~
~F:'!
TYPE OF SYSTEM
OWarm Air Plants
OGravily
o Mechanical
OAir Conditioning
OVent. System
I
HEATING OR POWER PLANT
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
Estimated Cost $
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
'-I. ODD . 00 Building Penuit #
)
PAID wr~:_rn' ".~.
. u ~,",1,,'r: -:) ~- -
~'J~--'--";.; ,~
Industrial, Commercial & MuUi-Family
$39.50
Residential, Heating & AfC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential. AC Only
$39.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
/rJ/rrSO
Pd,
~\
\?I'vt t1t,r
Receipt No.
(Office Us. Only)
This Application Becomes Your Building Permit When Approved
Building Offidal
Paid
DateNOV 2 6 2003 By
cr'
Datt
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PRIOR LAKE
INSPECTION .RECORD
. ,
IWOI ~MIJ?V~~
NATURE OF WORK II) ewr
USE OF BUILDING -6F Pr
PERMIT NO. D'B -. ,a" LI DATE ISSUED
CONTRACTOR ~ PHON' la- ".~ - LI>~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF 1t.A '.:l1n Fl.le
BUILDING AND INSPEctfcMU
SITE ADDRESS
INSPECTOR
DATE
'FOOTING I (f1A/ Iq - N- 03 I
"""'""-, .~
, FOUNDATION (Prior to Backfill) I yvV / vvY/ JUt to-7r01. /Io-It./-<-::;I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED 10-00>
ROUGH - INS
All U.J5 IM4.
1/Vr ~
tAr -'
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
-
PLUMBING All /JoI\b ,M/ /04,---(f)
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
/tJ- 7--~
J,.?-:r -cr~
IL- J-=-ev
J/tP'
~
/~-'1-dJ
/2-- - :/-tr3
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING '11-.-tf? 1-/-ocl
ELECTRICAL
PLUMBING
HEATING
DO NOT
~
J7'.2g /..r
t/V}P
~
OCCUpy UNTIL ABOVE HAS
NOTICE
BEEN
! - / S--()G!,
I /, lit,- fb.(
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
- -_.,--------~._-
--~-~--"-
QI~rfifirab of (@rmpanqz
CITY OF PRIOR LAKE
~~arfm:enf of ~uilMng Jlnsp:edion
~Final Permitted D Conditional e.O. Expires _
This Certificate issued pursuant to the requirements of Section 307 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:
Fire Zone
Bldg. Permit No.
N / A _ Zoning District
03-1264
Use Classification
SINGLE FAMILY
Occupancy Type
R3
Type Construction
VN
PUD
Legal Description
L11, B2, TIMBER CREST
Owner of Building
Site Address
16501 TIMBER CREST DRIVE
Contractor'sName&Address PULTE HOMES, 81_5
ROBERT D. HlnCHINS /-#,~
~'7~Cilli
_ City Planner_
NORTHWEST PKWY., SUITE 140, EAGAN
DON RYE
55121
Date:
Date:
J-/l.{-cX-/
<:J;//"I h...~.r ~'i...:.r-
. ,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
( (,Wf
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
.JiI"PLUMBING FINAL
o MECH FINAL
COMMENTS:
V TfYl1iM.--
n&h:/4(75
I
DATE nME
:g-/u 6/
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
I' CORRECT ACTION AND PROCEED
o CORRECT w;tf:>1Jtf1ZL FOR REINSPECTION BEFORE COVERING
Inspector: jI II f Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
,,,,,,,,n
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY/
BURNSVILLE
Heating & Air Conditioning, L.L.c.
12481 Rhode Island Ave S, Savage, MN 55378.952.894-0005
Orslat Test Report for Job#
5890
Address \<c50lli'f.-A<';t.a C'{<'t."'-
Occupant
Date of Install \ L \ "S 0":'
Type of HT. FJA '\( HW
Other
----
\)({.
City'V"'oi? LA....t
. Space HT
UnitHT
Make LE.f0000 "-
Model C:" co, IHi/-,JL.\(.l, 0'-\<; -01
Serial 580~ K $'(,0'"3 5"7'
Input L{l.\ .coO f:,"<;\.l \.J.
Pilot Type
Pressure
Input CFH
Stack Temp
HOT SURFACE IGNITOR
-:z,. '5 I vue. C02
'-\4 02
Dt, CO
1e.;l
'19
8\'rrr--.
Date Tested \ ' rz - oLI
Company BURNSVILLE HEATING & AIR CONDITIONING
Technician \.- e 0
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
If)-- /?-- C/3
ADDRESS
I"~ - :3 71:.r,~..,.-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
5 - I J..t tj
o FOOTING
... 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
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(j}ct+V.-
1wj) C, J I
. I
Ef-WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~91"~ 590R REINSPECTION BEFORE COVERING
Inspector: V va Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn
CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
ADDRESS
I (..s7J I "f, '11 &n~Y7.J -r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDA nON
o FRAMING
o INSULATION
.J'l'FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
/-..2&--tJij
'2 -1Lt ()
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(it fYt/ J1k,.,e~ rl1""1,A' U/tAY a..,d
W F, "'''' ) "'" V1<rk ( .-r()~"..1
>r)ct' j:: 'T ru1 1 'tf}e/ ctvcLn tJ-Mvl :)--
z.j) >erJfrc. I'IJ"'+'CJ ;:;J,;;;>s ~ j htJvs-r-
'--"
'l2M,{/ l/YIH I
?' (,J~ u __ /I(
1-(.-1J(/
o WORK SATISFACTORY, PROCEED
o yoRRECT ACTION AND PROCEED
;tf CORRECT WO~K, C~R REINSPECTION BEFORE COVERING
Inspector: / vy'- Owner/Contr:
CALL 0147-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
"""""
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
CITY OF PRIOR LAKE
INSPECnON NOTICE
DATE nile
SCHEDULED
Lj-II~
ADDRESS /f,5rJ( T;~"'~I- Dr.
OWNER CONTR. P fJ I ft.... flfJJItI~
PHONE NO. PERMIT NO. ()J-lz'1
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
i8-EJNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~G~ILLING
o COM'J!LAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
b~~/- ntC
(' ur!:,Br;f' Dll
l(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ _ OwnerlContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
INSNOTl