HomeMy WebLinkAboutBuilding Permit 03-1404
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
(Please.!'Pe or orint and sign at bottom)
ADDRESS
Date Rec'd
t?. zz. 03
I. White File rPERMIT NO .
2. p,", C;,y . O''? -/4-0 I L
J. Yellow Applicant :...J "r
500&
$LJ-l.FF
;-/ GlbHTS 1" flA-J l--
LEGAL DESCRIPTION (office use only)
LOT 1'1 BLOCK J ADDITION 'l:mi3U1 tt!f5/ --4i1t7l?h.
OWNER D .}
(Name) 111<.:oE- J./()rYIt5
(Address) ~/5 NO}l:Jl/W[Si fivv(J.tJM/
. ,
BUILDER
(Name)
(Contact Name)
(Address)
f'AmE-
('mer
:61.AYJ# KO
,
TYPE OF WORK
~N ew Construction
DLower Level Finish
o Misc.
ZONING (office use)
PliO
PID z5.. +oz., 0/9.0
(Phone) k5J -lIS-Z - 5'~
r/Mkn JJ1n ,-S-SIZ-l
:<)/11';:;" plo..
,
(Phone)
(Phone)~/Z-ZZ/- ~o/~
ODeck
DPorch
ORe-Roofing
D Fireplace
OAddition
DAlteration
PROJECT COST IV ALUE (excludiog land) S
DRe.Siding
DUtility Connection
9t7. CJ9:S'
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
enlerupoo :?';?Z:~ ft:-/37/ 9~k
I r'" Signature Contractor's License No. ' / ~ate -
I Permit Valuation
I Permit Fee
I Plan Check Fee
) State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
90 000. CIV
$ 92-3.75'
$ !o 00.44..-
$ ~.OO
$
$
$
$
$
/ tJo, 00
/c.J?). (IV
.5 E.S7J
4-o.oel
Sewer & Water Permit Fee
1 Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~'f~
I~~;';J
Date
Building Official
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Cily SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
~JI L/. (p 'I
/d. 1/1.-.0 I
# $
# $ /z. 75. 00
I $ z.S7J. 00
$ +5. 00
# $ 12.00.00
# $ "lOb.OO
$
S
$<6,;3/4-.69
I ~~ceiP&o, ?r f<I r
J
This is to certify tbat tbe 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
~ ~f-- /(j/9~7 See Main File
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
yO> 2~~x PRIO/;' <'-;:
,/ u en
"
See Main File
Thr ern'r. of lhr t.kr ("ounlf)'
White - Buildina
<-"Canarv - Enqlneerin9)
Pin~ - "Janning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1_,)1 : L I i- LJ... v' E' (
I / ' v r rUt I ~,
q, 7..7-. D3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
r. r, '-.c r-' .--F
JUG (J I.::'l, U 1-
iff-] G H-TS 7 TZ,L..
Accepted
?<...
Accepted With Corrections
Denied
Reviewed By:
Comments:
IJ11
S.cf /114/11 hie
Date: 1()-/c'-o3
"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
Thl' ('I'nl.., oflhr 1.."1' Country
('While - Ruilding--::,
Cana~c Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
PU~/6- HonES
q, ~L,. 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
SDOCo I3GUFF I-r61GH--1 ~ TlU-.
~
Accepted
Accepted With Corrections
Denied
Reviewed By:
~ ~p..;
Date: 16/~h3
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."
~~
See Main File
Thf (rnlrr of lh", l..kr Counlr,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
!-)I/ L TE: fiG tl E 5
/'
(/ "l ~ . 03
.,
-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
{A.-Jj, 13L 0 ~- r: I-IE i G H I ~ -/ltC.
/
Accepted With Corrections
Accepted
Denied
Reviewed By:
~ -:;JfJ
Date: /0/'7 /:, s
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,"
Sel" 22 03 09:54a
1-
2.
3 .
4.
"- 5 .
6 .
,.'
~.
METRO GENERAL SERVICES
763-428-2968
1".3
GREEII . ,....!.
Y~LLOW . APPLlC..T
GOLD. C1TY
FAy.."
CITY OF PRIOR LAKE
SEWER'AND WATER PERMIT
q~2r 'I'I7-'1Z,l/r
S.W. No. ~--:2, - !Jdf24
NOTE:
Sewer and Water
contractors must
be registered
with the city.
APPLICANT: (h CIR() (~Ef\JERAi SERv'/<!.EfiHoNE: rfc>3 -4-d-.1I'-d-.'13,<f
ADDRESS: 57Clo (.:luAII'l All€. Ne: :crJCOATE: SEP 2 2 2D03
~\ .......1\ '~r --!A---,. s-r J"YlIQ../i fir.: L, ""''1",. 55376
SIGNATURE: alJo_'+-l ~ dV BLDG. PERMIT #
SITE ADDRESS-;-S()O(nl3.luK J......l",:L~f~PID#
VU '--ir' .
FILL. IN THE BLANKS
Estimated length of water service
Sf'l
feet.
Size of water service
I"
inch(es).
Location of any couplings from structure () feet.
Type of sewer pipe. ABS PVC ~II Cast Iron
Estimated length of sewer line
5()
feet.
Clean out (if required).
structure.
located at
tV/A-
feet
from
===========================;======================================
This application becomes your permit when approved.
BY
DATE:.
========fJ~/~=~~~=============================================
FEES: ,~jj.j.i$...e.,e.(,,,,:';- ~~~~~a~~~ water line connection permit.
<. No (-'e~_,...) TOTAL
-"n'-r ,....,.,..,.,.,....'~..,.-.".,=-_.. .,-
* Fee for either sewer or water individually is $20.00 plUS
$ .50 surcharge. --
* Sewer and water permits issued for new construqtion must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water per1lIits,.'1lt:e,
issued. au PAiD WUH OCT 17 2003
DATE...PAID IL~F:!'EFf~N' I! , '
RECEIPT!/ REC'D BY 1,3>,__"
16200 Eaglc;:Creek Av. S.E., Pri. 'or Lake, Minnesota 55372/ Ph. ('1$2) 447-4230 / FA~ 447-4245
An Ecual OODortunitv Employer (,Ij
Ei-I PERMIT NO.OU9fIJ/ I
ZONING (office "..)
1-27-Q4;12;07PM;
;952 894 0925
# 2/ 3
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
l. P1"k
, (fflo
3. Yellow
q'Iease!VeO or orint and .i.. at bottoml
ADDRESS
500 &;
~luft
fHs,
-rr.
LEGAL DESCRIP'TION (ollice \LIe only)
LOT
BLOCK
ADDITION
Pro
OWNER
(Name)
OlA-\ -k_
<:61S
rtnMlS
l\) w P t:-W j
_ (phone) &5(- Lf'52- 520()
S u.i -Ie... I Lf 0 . fa. CfG-r7 fV] r\J C;;5/.2 (
.J
. (Address)
APPLICANT
(Name)
(phone)
Bumsville Heating & AlG, LLG
1'>4111 RboDll Ill!and Ave. So.
Sav."., MN-dH8Y8-1122 (City) (Zip Code)
(Contact Person) ~ \WiE' (phone) Cf5"2 - A9c(~ 00 oS-
APPLICANT SIGNATURE ~~ 0.. f~~ DATE If:J...ll~q
'-..J V
\ . APPLICANT PLEASE COMPLETE BELOW
~NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL L&fi/UJ7( G'SI mfJ- ?J.o~- Din FUEL ),Jd, q~')
FLUE SIZE RETURN OPENINGS -5 INPUT -,e] 000 OUTPUTr:;~ <-J()()
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants 0 Steam .
OGravity ~ ,-,-/ 0 Hot Water
o Mechanical L-eA1' ""'" I' . ,I 0 Radiation
\:El1'tir Conditioning IDA c.c.. - 0;:< '1 0 Special Devices
OVen!. System :;L ",\0 N 0 Other Devices
(Address)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
::l. SOD ,00
.
Building Pemit #_
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
\ 6~.- u JJ IA . I
"N~"cP,L ~ l3w ldu:
$
$
S
(Office Use Only)
This Application Becomes Your Building Permit When Approved
I Paid
I DaljAN 2 9 2003
I Receipt No.
I By
BuildinG: Official
Date
24 hour notice Cor allinspeclioDS (952) 447-9850, Cax (952) 447.4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
.
it;'!
~
~ .
!i'?"
'-',";::-'
c~;",~<
~::;"-
h~":
I
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~O &, ZLur/- Hr!7S117:r 77eA/(,
NATURE OF WORK .AJ&W e"AJsrltUCn4~
USE OF BUILDING S:F:'A,. -
PERMIT NO. d (]J'-/4m- DATE ISSUED /0(9 fD _
CONTRACTOR ru,LrE' !/6MES PHONE~-Z%l- 'I'l#"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
INSPECTOR
DATE
LFOOTING
, 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
I I I
FINALS
111~
1M/'
:.s's~()(,/
7,-7-0((
~
vvy
}/J#
'Y-<;", -r)ll
1.-<.,-:"()(f
I GRADING (Prior to Sodding)
I BUILDING (~ th-o'\
ELECTRICAL
PLUMBING
HEATING
DO NOT
<0 ee //Pk;.,
~ //#
nte.
~/d</
I/Vjf
M~
OCCUpy UNTIL ABOVE HAS
NOTICE
BEEN
?--Hi vi.{
vj~if vel
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
;. .
QIrrfifiratr of Q1}rmpanry
CITY OF PRIOR LAKE
@.rp&tfmrnf lIf 'liuilMng JInsprdilIn
#Final Permitted D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 307 afthe 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:
Occupancy Type _
R3
Type Construction
VN
Fire Zone
Bldg. Pennit No.
N/A
03-1f-()4-
PUD
Use Classification
SINGLE FAHILY
Zoning District
Legal Description. 1,1 9. BI, TIMBER CREST PARK
Site Address 5006 BLUFF HEIGHTS TRAIL SE
Owner of Building
Contractor's Name & AddressPUL TE HOMES, 81?
~/
/ "Pf'
ROBERT D. HUTCHINS
_ / B'lildiJIiyffi>a1
'%-'Ol"/ /0
/ .
NORTHWEST PK\VY., SUITE 140, EAGAN 55121
DON RYE
City Planner
Date:
Date:
~k nUE
, .
SCJCJ(; .#~.fJJ ff~ ;%/
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
-a-l'INAL
o SITE INSPECTION
COMMENTS:
/~;-;--
( .......~/
V/ dse
~
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
CB-/y'c:Jy
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
~
. )
......-/
-7/
/7e
---
~ORK SATISFACTORY, PROCEED
~ ~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL 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!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
.qo(~
(Ztff- flc.rfl;"';""
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
efFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
f /"l{" I
~-ILlt'L{
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~.- t/'-e-;H.(,oU,",,-/ 5,:J.... tv."f/r ..f- c1~~'-"/.-
A) p:...", ( &1..vch oryP.-av't I
~) 5iJd + ~ l/'r>e ~ i-'b~ ~0P~
7~P vwh/
)5--/~cJ< I
o WORK SATISFACTORY, PROCEED
o CORR T ACTION AND PROCEED
RRECT WO~, C~ REINSPECTION BEFORE COVERING
Inspector: Y f/'}'..-/" Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
""''''''
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
DATE nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
'1-hJ<.!
ADDRESS
[OY. (!j k 1-115
OWNER
CONTR.
PHONE NO.
PERMIT NO.
Z-ltt04
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o )iEWER HOOKUP
,,2r PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
([)r r"""Jvc n]!Jt- t:.//S
"WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W/r;Y7- 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 of SAFETY!
,,,,,<<m
BIJRNSVILLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378.952-894-0005
Orslat Test Report for Job# I (J () 1-1
1-\+.0 \\"JCitv P"o<, l--<<l....
Address 5CDI..> P'\IA ~(.
Occupant
Date of I nslall
Type of HT. F/A .............. HW
Other
Space HT
UnitHT
Make l-r2-nrlo}c
Model A5"/P1?- ?jln8 -07<.)-0\
Serial b"'mLj 8 d- -r 1.D '"7- 3-
Input lolo. 000
Pilot Type
Pressure
Input CFH
Stack Temp
HOT SURFACE IGNITOR
:s , -;- C02
L"l", 02
q?; 0 CO
( ci "I
o. p
~! "'1 0/
'^ , . It:>
14 -( C> ov'
Date Tested
Company
Technician
t//Ii/o<l
BURNSVILLE HEATING & AIR CONDITIONING
--
:.r...<-,trY'1
,: