HomeMy WebLinkAboutBuilding Permit 03-1406
(Please ~e or vrint and sign. at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
I. White
2. Pink
3. Yellow
File
City
Applicant
SOlO $Wff J./G/6J.1rS 7M/I-
LEGAL DESCRIPTION (office use only)
LOT / 7 BLOCK j ADDITION 'l:..m/?"i/l !Jug- ~lJln{)J1_
OWNER
(Name)
PfJ~ JJflYYI6
~/j' 11/o12:TJ/ W lq- 0-j2J(UlA-e-1
/
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
SkmP-.
&/If .'lJ.A~t(/)
TYPE OF WORK
o Misc.
~ New Construction
OLower Level Finish
(Phone)
:')JIU_ /4/tJ.
...-
f:'A(,,H1 .
Date Rec'd
9- 22_03
IPERMITNO'O?-t+001
I I
ZONING (offi" u,,)
PUD
PIDZS: +tJZ. 0/7. 0
G5/ - I/Sz -52OD
~1 :'fS/Z/
(Phone)
(Phone) 612- Z2l-~,f5"
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1 ";
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
Jj{ ~ v I
/d ~ l . '-' 1
ODeck
OPorch
ORe-Roofing
o Fireplace
OAddition
OAlteration
ORe-Siding
OUtility Connection
9a Ms'
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
;tedn~7z~%ns t'/-- /37/ _919~3
?f" r Signature Contractor's License No. /' /;'Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
\ Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
PROJECT COST IV ALUE (excluding land) $
9tJ/(}OO.OO I
$ Q?.3. 7b I
$ 100(J 44- I
$ 46.00 I
$ I
$ /00.00 I
$ jrJc).O 0 I
$ J5.5lJ I
$ 40,00 I
This Application Becomes Your Building Permit When Approved
~~
Building Official
14/'1/0 S'
Date
# $
# $ /Z7S.00
$ '25ZJ.OO
$ 45.00
# $ /2-00.00
# $ /tJO.OO
$
$
. $'=:"3/4-: toq
(\' /
I ~~*o. ~f-1tJ r
B{j .
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
~;;-~ /0/9/03 See Main File
Planning birector I 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
See Main File
Th" Cnl...o( Ih.. L.b("oIlRlry
~te - aIJildina
arv :_ EnR,neerln'i)
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
l::-l-L'I C ,rtOl'i6S
9. 2 L. 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,:5 U I () 6 L- {__,cr:- /;E;7 G I-IT-~ -;7'-1..--
Accepted
x...
Accepted With Corrections
Denied
Reviewed By:
f)/)'J I~
5~L 1Yl~/Y1 Fie.
Date:
/o-/t, -03
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."
t~~
See Main File
1.hr{'..ntrrofthrl..kr<.ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Pv&/D /101165
9. z.- 2-. 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
50/0 6 t..,UFr /-/5161--1TS '/?l1-
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~7~1--
, .
Date: /r1~3
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
White - Building
Canarv - . ering
"'----Pjnk - Planning
Th~ Cpnln of lhp I..... ('ouolry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1-1/[77:. / I{;! ./6 --'
a-) - (,?
./. c- i-. ~....."
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
:5 0/ () C'L- {/' ;::I-~ /-11:-/ C; II-iT .//t:--L--
Accepted
~
Accepted With Corrections
Denied
~
Date: /0/7.43
Reviewed By:
~
':J~
,
.. 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."
Sep 22 03 09:54a
METRO GENERAL SERVICES
763-428-2968
1".5
cu.u.. _ '''E
Yf.LLOW . ArP\tC".T
COLD - elT'
CITY OF PRIOR LAKE
SEWER' AND WATER PERMIT
FAY-. '1:;1.r 'I'I7-'/Z, vr NOTE:
s,w, NO.3 -' Itrok
Sewer and Water
contractors must
be registered
with the city.
APPLICANT: (h t::.iRf'J (::;E:AJERAi. SER..ViC.-EW.ONE: ib 3-4-d:i..?!-.;J,'13g
ADDRESS: 57Qo GluAm AtlE tVl?: :r:t\JC.DATE: 5EP 2 2 2DD3
. , ,
~\. \1\ ....L..-Jr .-Jl+-, $1. 1'Yl1e./i riF-L -'l'Y)iJ. 55376
SIGNATURE: ~_ alJo.,+(v'" bl2.-J\! BLDG. PERMIT #
SITE ADDRESS:..5:oJ (,)KO,.~~fJl2~ i;.J hAjJ). PID#
. F. IN THE BLANKS
1. Estimated length of water service
5r-.
feet.
2. Size of water service
I"
inch(es) .
3. Location of any couplings from structure
() feet.
4. Type of sewer pipe. ABS
PVC ~(I Cast Iron
'----
5. Estimated length of sewer line
5n
feet,
6. Clean out (if required),
structure.
located at
NIA-
feet
from
===~======================~==~============~=======================
This application becomes your permit when approved.
BY
DATE:
~~~~====Ib~/le:l=~~~============================~================
water line connectioD..PE!rmit.
!1ld" P~e-M :-1- Sewer and
...,............."., Surcharge
C~~..._C:~ TOTAL
Fee for either sewer or water
$ .50 surcharge. --
individually :.:SU S€~ 'lllt 2~uf.
FEES:
*
.\
'---- '
Sewer and water pe~mi~s issuet;l for new constr~on !!,ust.. be I
recorded on the bu~ld~ng pem~t card at the t~me Or--I~.J
to insure that no duplicate sewer and water permits are
issued. PAID
DATE.);'AID AMOUNT pll.~l6'L.DINr:> vy,.ilH
RECEIPT # REC'O BY ~~M/~
--(I
*
.-',..
16200 EaglQCreek Av. S.E" Prior Lake, Minnesota 55372/ Ph. (9$2) 447-4230 I FAX ('lS2) 447-4245
An Baual OODDrtunilv EmolDver
1-13-04; 11 :31AM;
;952 894 0925
# U
._.;;.;~t:;-:~;!;~:;u:\~:r%:)f ;.~.:
:,..,-........;..:..,!"'...;::.,...;.."'-,,,'::.'... ,.
CITY @FP$ORLAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
.__~. '2~:::':i2'_
~.~ . .~:~;
Date Ri2d
I
(Please me or print and si~ at bottom)
ADDRESS
50\0 Gklff
~\qU-~
----
Ir
; ~ ~:~ I PERMIT NO.llOZ.,1i.I\L.
).Yellow AppllClnt ~ ~
ZONING (offic, use)
;l
Ii
j
,
~
:"
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
Ru,.J.z. \WY'M-"::;.
1:>\ S NW RCwCj ,
"5, . j -k
140
(phone) ~ '7( - 452 - <S,;ZOO
't'Clj 6--y\ / )II r\J "55 ( Ol.- I
APPLICANT
(Name\
Bumsville HeatinF & AlC, LLC
12461 Rhode Island Ave. So.
SavaQe, MN 55378-112'
(Address)
(phone)
:1
.~
11
[~
(Address)
(City) (Zip Code)
(phone) q 5',;z - <6 ~ L\ ~ 0005
I - I 3- 0 '-\
DATE
I
r'j
1
r.~
/j
(Contact Person) -.J u.... G~ ~
APPLICANT SIGNATURE .\..~Q, ~l.,
"-.) '--'
,...... . --
, APPLICANT PLEASE COMPLETE BELOW
. ~NEW CONSTRUCTION O. REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL L-P,n~ G51MP - c~~- OiD FUEL Na:* . C\C\.S
FLUE SIZE RElURN OPENINGS _S INPUT 'to. DaD OUTPUT~U!Y.OO
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
oGravity
o Mechanical
,g)Air Conditioning
oVent. System
L. Ul fVrl. .
[0 f><c:.L O;;l '-\
,;z "l D."
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
I
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AlC (New Construction) $99.50
Residential, Healing Only (New Construction) $64.50
Estimated Cost $ 5,56 D. C'=>
$39.50
;-)i)
rndustrial, Commercial & Multi-Family
'Of':
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
.'..",
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
PAID WITH
aUI1.DING PERMIT
N/A
~. \aj ~v.\ \ckr-
I
.To;'<
Building Penn it #
(Office Un Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
Date 0 1 1 1 0 ,.
24 hour notice ror all inspections (952) 441-9850, rax (952) 447.4145
16200 Eagle Creek Avenue, Prior Lake, MN 55372
By
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I,Pink
2. Green
3. Yellow
~::y I PERMIT NO. 'a....1,I-f I
Applicant ~,~
(Please type or 'Print and silUl at bottom)
ADDRESS
ZONING (office use)
5010 BLUFF HEIGHTSD TRAIL
LEGAL DESCRIPTION (office use ouly)
LOT BLOCK ADDITION
PID
OWNER
(Name PUL TE HOMES
(Phone)
(Address)
APPLICANT
(Name) ATJJRD FIRRSIDR DRA FIRESIDE HEARTH & HOME
(Phone)
65]-633-256]
(Address)
7700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55]13_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _65]-633-256]
APPLICANT SIGNATURE
BRFNDA HUSTON
DATE
2/27/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DOravity
o Mechanical
DAir Conditioning
OVen!. System
o Steam
o Hot Water
D Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO SL-550TR-C
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Industrial, Commercial & Multi-Family
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
.'" /:)",
, ""~JJD....
~lI~ 0:.. 'l$t
~~A
Receipt No. ·
,
(Office Use Only)
BuildiRl! Official
I Pall! '
Date I ~itJ MAfi 1 l004 ,BY;
24 hour notice for aU inspections (952) 447-98Q"'~~4474~
!: ~!)
I, Ii;
This Application Becomes Your Bnilding Permit When Approved
r
{I
PRIOR LAKE DEPARTMENT OF See Main F)-Ie
BUILDING AND INSPECTION
INSPECTION RECORD
SITEADDRESS ~/(J _73UI1-r flci1~' r~/~
NATURE OF WORK ,116W ~,..;m ~
USE OF BUILDING SiF;A.. ..
PERMIT NO. 03 -140ft? DATE ISSUED .1I:l../!1.../J
CONTRACTOR .~"t..tE -'I/)At~ PHONE_~-Z2/-NS"'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
'FOOTING ~I'\ I /;1/yf'
I FOUNDATION (Prior to Backfill) 111M,,, I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
/1Vt4.f~
, SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
%
.J -J- -0(;
3~q -b4
f/l//
;/V}//
'Y - k-tl'l
:J- vm
GRADING (Prior to Sodding)
BUILDING 14(1
ELECTRICAL
PLUMBING
HEATING
DO NOT
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~ee ~J-';
d/../
11../l.kcJ'i
I
rYe _
r /-2-~ /O~
,
-
LII/Y/ _
I/L/JF
OCCUPY UNTIL ABOVE HAS BEEN
NOTICE
4-(. -011
1.-1-)( -1A
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
QIrdifirZttr of @rrnpanqz
CITY OF PRIOR LAKE
, ~~parfm~uf nf ~uil~iug J1usp~dinu
;f{Fi~al Permitted =:J Conditional C.O. Expires
.7
I
This Certificate issaed parsaant to the requirements of Section 307 of the Uniform Bailding 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 FAMILY
Bldg. Pennit N"
03 -/<f-Ob
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
PUD
Legal Description
L17, Bl, TIMBER CREST PARK
SlteAddre" 5010 BLUFF HEIGHTS TRAIL SE
Owner of Building:
Contmctor'sName&Addres,PULTE HOMES, 81~, NORTHWEST PKV\'Y., SUITE 140, EAGAN 55121
ROBERT D. HUTCHINS /;i{3./ C;ty Plann,' DON RYE
o /. Byild~OIJJclal ). .'. /
Date: ,/'//"'/5//"'>4/ i ,',./ Date:
/ POST IN CON~PI~UOUS PLACE
?iN
~ff? ffi{ 7//
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
::;--()/o
OWNER
CONlR.
PHONE NO.
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,...P-FlFiAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
--.
-=-
~
/ ---./'
\.. C-- /OS-e
-----
~/~\
/7/P /
--~
nUE
c)s-/L/cJb
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~ WORK SATISFACTORY, PROCEED
o CORRECT 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_
lNSNOfl
CODE REQUIREMENTS ARE FOR YOUR PERSONAl. HEALTH & SAFETY/
,-j')'~
BUftNSVILLE
Heating & Air Conditioning, L.L.e.
12481 Rhode Island Ave S, Savage, MN 55.178. 9S2~894-.~~05 0',. "'_~
r.
>,
, \.\!
Orslat Test Report for Job# /,pf) ~L/
t
Address .t;"OI n
Occupant
Dale of Inslall
Type of HT, F/A
Other
~ILL ~t 8-.c.c~.l, \., r;:
Citv' '>-- '. .i.. ,._.1. . .
~'),,-: ~.-_.~"_.
VHW
Space HT
UnitHT
Make LO.;--,nr1V-
Model r-.S- ( frJ j"~ - 31,,f~ - 0 To - 0 I
Serial 5-({)'-l \J, C) OCl \ r; !).
Input / nln U':)O
Pilot Type
Pressure
Input CFH
S1ackTemp
Date Tested
Company
Technician
HOT SURFACE IGNITOR
-
:<, , '::> C02
/oln 02
1010 CO
- .!::.~. /
,') ,-' /0
If, "'.010
Cj),)"'1
t .
4 tie </
/ .
BURNSVILLE HEATING & AIR CONDITIONING
..:) iA ~ crv-,
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
If..(, -()~ (
ADDRESS
bCXD {!:f,j,(? t--fk
OWNER
CONTR.
PHONE NO.
PERMIT NO.
.s -1f.(oC;
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
<:EWER HOOKUP
PLUMBING FINAL
MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
/1;..
/ V('tiMl1irl
po1ku.f7~
, ---
o WORK SATISFACTORY, PROCEED
r-CORRECT ACTION AND PROCEED
o CORRECTW;o/~ FOR REINSPECTION BEFORE COVERING
Inspector: .../t...-.K/./ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
,,,',.m