HomeMy WebLinkAboutBuilding Permit 03-1405
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
CJ. z..Z-, 05
See lVlain Filth~:' ~:;y
3_ Yellow Applicant
I PERMIT NO. ()] - f L/-o5" I
(Please'!vp~ or print and sien at bottom)
ADDRESS
5008- 3Wrr ;../ GJ bHlS -1' fUrJ t.-
ZONING (office u,,)
PUD
LEGAL DESCRIPTION (office use only)
LOT/8BLOCK / ADDITION 'l;m3U1 ~ AtJtJmOh
PID 25,4<;Z.. 0/8.0
OWNER ? II
(Name) rui:ri: HomP'>
(Address) ?TIS" /I)Oil-rJ.ltJ'isr ~/JJ4tf, Stl1FL Ii/o,
BUILDER
(Name) $lhYJE-
(Contact Name) eulZ7 ~d/J
(Address)
(Phone) 651- I/SZ- - .~200
CA6M1 . 1'12..1:L. ,'>SJZi
(Phone)
(Phone) bll.-- 27/ - /1'9,05"'
TYPE OF WORK
~New Construction
DLower Level Finish
ODeck
DPorch
ORe. Roofing
ORe.Siding
D Fireplace
DAddition
DAlteration
DUtility Connection
o Misc.
PROJECT COST /V ALUE (excluding land) $
9q tJ95
I
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
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 plao/ I am aware that the buildmg offi al can revoke thtS permIt for Just cause Furthermore, I hereby agree that the CIty OffiCIal or a deSignee may
~t~/Z;?t~.zeede~;;zjns gc- /57/ 7; 1f~3
;f7 . ~/slgnature Contractor's LIcense No ~ /&te
Permit Valuation t?O, (JOO -DO I Park Support Fee # $
$ CJ?3. 75 I SAC # $ /L 75_ ()Q
$ h(}{).# Water Meter SizeS/8"; 1"; $ ZSO.OO
$ ~~()CJ I Pressure Reducer $ 4s.o~
$ I City SAC and WAC # $ / ZOo. 00
$ /O().O() I Water Tower Fee # $ 700.00
$ 10 O. OQ I Builder's Deposit $
$ 35.50 lather $
$ 4-0.00 I TOTAL DUE
~~
Building Official
1'~_
/~/9;a7
Date
Paid
Date
~ 1/ d " 7
/0. Lv tj?
I
I
I
$5;3/4-: 1'oC; I
Receiptl4o. <11~<i' q I
By -1 I
t/
This Application Becomes Your Building Permit When Approved
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~~ "$,01) /o19fi7 See Main File
Planning Di~ector . 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 S5372
/
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See Main File
Thf ("rftlf' (If lhr I..k.. ('oadlr)'
White - Building
l 1,;anary - ~ngjneering)
Pink - t'lannTrig
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I?! / '-I" 7:::.: /'-?tJ / "1 /- - c-~'
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(/-' Z? //-2
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
50{)6 CJL-Ulr' /-fE7CjI17:S-:- /)-Z-.L.
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
1J1'J/~
~C'( tJ1CtI;'" F( f/.
Date: J{}-/C-oJ
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
C- vv"n,:t. - ....UIIC1ana ".>
. Canary - Engineering
Pink - Planning
Thr (-.ntrr of Ih. L.k. ("ollnu",'
BUILDING PERMIT APPLICATION DEPARTMENT CHI;CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
Pt/ c--- / b HtJ/"1 e:s
CJ. 22.. 0.3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5006 Of-,U ff flt;7 cjlrTs:' 7/U-.
/
Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments:
~.o
r
~, fl./-;
Date: /?l;9~ 3'
"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 ('rnler fOr the L.kr ('ounlry
White - Building
~~n~....: Il:'n,:,ineering
C- 'nk - Planniii!t'::>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
1.;)(/ L TE-: I-/OI? c.:'::
APPLICATION RECEIVED
/'-~ ....,") G-::>
/. L.<-. :....;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5 {; {; '6 0 L.. U ;::;:: 1ft / c;rl rs;: /?!--'L .
Accepted
,/
Accepted With Corrections
:' -.;.'";
Denied
Reviewed By:
~~
Date: /oh~:r
. "'....
.
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."
~.
Sap 22 03 09:54a
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METRO GENERAL SERVICES
763-428-2968
p.4
GIIU. . fill
YELLOW ~ APPLICANT
GOLD. en.,
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
FAy... '151..:- 'I'I7-'1-Z-l/r NOTE:
S.W.N:?J---!tjO"[;
Sewer and Water
contractors must
be registered
with the City.
APPLICANT: fh t::I f<.() (~EpJERAi. SER.v'IC-F-~lONE: rb 3 -4-C),8-d,"13g
<"7 r,\/ c .
ADDRESS: .;, I Clo (.';}.UAffl AI/S Nt=: DATE: Cl:P ?) 7nn~
...------;-\ \1\ .~r - ~ $1. m IC!-li /1/= L """""l"')fv;-h 5_> 37b
SIGNATURE: ~__ alJO-+.(_""" 'l~_N BLDG. PERMIT #
SITE ADDRESS: 506S< u ~ir.o.l6#
FILL N THE BLANKS
Estimated length of water service
5",
feet.
Size of water service
1'(
inch(es).
Location of any couplings from structure_ () feet.
Type of sewer pipe. ABS PVC Lj.-fl Cast Iron_
Estimated length of sewer line
':5n
feet.
Clean out (if required),
structure.
located at
tV/A-
feet
from
==================================================================
This application becomes your permit when approved.
BY
DATE:
========fJ~,i~=~~~=============================================
FEES: (] Id" P"t.m' 7- Sewer and water line connection permit.
~..." Surcharge
Co Fee:....::; TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
* Sewer and water permits issued for new const1;\1~tion!!,\l$t ". be
recorded on the building permit card at the\tb.j.me of lssuaJllCe
~o insure that no duplicate sewer and wa\l\~r olWl'!'P- ~eu3 ~re
lssued. 1\\~lc'
DATE.:,!,AID AMOUNT PAID.
RECEIPT # "$)fL~~#kitv-nC ..-
PE:R^{T7""
16200 Eagl~:Creek Av. S.B., Prior Lake, Minnesota 55372 / Ph. ('152) 447-4230 I FAX ~).M7.4245
An Eoual Opportunity Emplover CO
~:~ I PERMIT NO.~ JlM~ I
Applicant ~
ZONING (offi" u"'j
1-Z7-Q4;1Z:Q7PM;
;952 894 0925
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
I.Pillk
2. Ore~"
1, YellGw
~lease ~ or Drint and sien. at bottom)
ADDRESS
500'6
Ij I uJt
J.Hs,
-rr.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
Pro
OWNER
(Name)
OlA-\k
'1S1S
t-mY\\iS
I\J W P~u)j'
(phone) ft,5(- L/52- 5-200
Sw~ ILfO, ca.9CLtI 1V}r\J :75/2/
J
(Address)
APPLICANT
(Name'
(Phone)
Bumsville Heating & AlC, LLC
12.4R1 Rh(ldl! .Island Ave. So.
sllvag.., Mflt.dii3Y8-1122
(Contact Person) , \~\e (phone) Cf5"2. A9rJ- 00 oS-
APPLICANT SIGNATURE A~ ~ 0 . (~G-0~ DATE , r 2/ I D t...j
'---.J \...J
, \ APPLICANT PLEASE COMPLETE BELOW
~NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACEMAKEANDMODEL L&IfJI1ffK G'5f mP- ?'J.ofS- DID FUEL A/d, Cfa')
FLUE SIZE RETURN OPENINGS ,5 INPUT -,OJ ClOT) OUTPUT &-l/, c..f. () 0
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical 0 Radiation
o mr Conditioning 0 Special Devices _
DVent System 0 Other Devices
(Address)
(Oty)
(Zip Code)
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 & Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
~. 400,00
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
~~G~~'#'"J ~ Idw;
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Omclal
Dj~N 2 9 20m
By
Date
24 hour notice for all inspections (952) 447.9850, fax (952) 4474245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
# 3/ 3
.
f1
',_1_
I
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I
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS SdOf 15t.ur;r:- /{eM,Iti:S 7J2.A/~
NATURE OF WORK J)E ~ . ()o1Jsr~Crl<'N
USE OF BUILDING . ,~F:' A. · . .
PERMIT NO. Q3-/4fJ5. DATE ISSUED /1)('1/'"
CONTRACTOR ~P/)'L"-E #~IHES PHONE-'wZ"JU -1./98S
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
I FOOTING '/Wfv.. I
I FOUNDATION (Prior to Backfill) Y'wll-VI I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
fWJ.i '^
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
j/lf/ -
1////
M
tIW
1- J-04
~ r 5"'-c)t/
>-s~,
'J, - ?~OLI
GRADING (Prior to Sodding)
BUILDING .t"Wf'7 4...("'JI'1
ELECTRICAL
PLUMBING
HEATING
DO NOT
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
/.
&e /~/h ,h/e
~ 7#~~r
1/V(/ _
1/ -1//
OCCUPY UNTIL ABOVE HAS BEEN
NOTICE
l1--(.,o~
4.- Y r rjr,(
SIGNED
J
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
@rrtifiratr of (@rtupanrl!
CITY OF PRIOR LAKE
~rparfmruf of ~uilMug J)usprdinu
/
/0:J Final Permitted LJ 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 afthe City of Prior
Lake regulating building construction or use. For the/allowing:
Use Classification
SINGLE FAMILY
Bldg. Permit No.
03-14-05
Occupancy Type _
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
PUD
Legal Description . L18, Bl, TIMBER CREST PARK
Owner of Building Site Address SOOR BLUFF HEIGHTS TRAIL SE
Contractor's Name & Address PULTE HOMES, }}/NORTW,o/EST PKWY., SUITE 140,
ROBERT D. HUTCHINS /%.-7. c;tyPlanner DON RYE
~/~rCial
EAGAN
55121
Date:
Date:
,~~/nME
sooy 8/u# //;?{ #/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
----
//~
( f'_/:Se
'------
....-- '
(/ /e
--------
--
C8-/j0s-
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
)
~
X WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, ::~ :~REINSPECTION BEFORE COVERING
Inspector: r~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE nilE
CITY OF PRIOR LAKE q~~7.J[(
INSPECTION NOTICE SCHEDULED
ADDRESS 0)'i( f!Jc# lfk
OWNER CONTR.
PHONE NO. PERMIT NO. S- /4'.:1)
o FOOTING o PLUMBING RI o EXIGRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~ULATION o SEWER HOOKUP o FIREPLACE FINAL
INAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
- v.;./J11"","~ f f2-,v...,~ , + S:,,'.J.-~oY
....::.....Pr H.o I <t1~ .U,?;P'.-oi/~/
~)..,l ...J.- I r"1P-r j F- d~,.p~
~
( /..- J,hr,;:/ Url f,' I
{ ~ 1
q..... frCJr-1
,
o WORK SATISFACTORY. PROCEED
o C~ECT ACTION AND PROCEED
p-tORRECT WO~ :~R REINSPECTION BEFORE COVERING
Inspector: / /t7 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
Date Tested
Company
Technician
BIJRN~ wrILLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378.952-894-0005
Orstrt Test Report for Job# ~ 7 ~\
Make
Model
Serial
Input
Pilot Type
Pressure
Input CFH
Stack Temp
,+, /1-,1> Cityj7'D\ L-~L,-
Space HT
UnitHT
Address 'itt, c( I.:oJ, . (' c
Occupant
Date of Install
Type of HT. F/A . /' HW
Other
J ... _ /~.-... ''''''
.. -
~') I 01 ~- -.;> 1;-8 -n7.f)- I'~I
C:-";, r"~ ("'vI I' I (\ (J. -:J
- , I
I I r.)~C:..J
.(....'-l
HOT SURFACE IGNITOR
-, /
-< c,
C02
02
CO
Lo J '
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1/; /r-d
BURNS~/i.LE HEATING & AIR CONDITIONING
.-""'fr. '-..~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
~
{Y Y PIA(> I~
SCHEDULED
DATe TIllE
1./-6 O'-{
. t; CO? fiJltJft~. m~ f'y I
CONTR.
PERMIT NO.
3,-l'Irb
o PLUMBING RI
D MECH RI
D WATER HOOKUP
t5s R HOOKUP
LUMBING FINAL
MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
r-/!?/--w?5
o rORK SATISFACTORY. PROCEED
~ CORRECT ACTION ANO PROCEEO
D CORRECT V:'}f~ FOR REINSPECTION BEFORE COVERING
Inspector: f/ fir Owner/Contr:
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOn