HomeMy WebLinkAboutBuilding Permit 03-1479
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
(Please typ~ or print and sign at bottom)
ADDRESS
JJ99tJ
~k/6/-/75
'6t.uPP
Date Rec'd
10. l.-'/-. 0}
[PERMIT NO. 0'3 "'/Lf."1Q I
I
ZONING (office use)
PJD
1. White File
2 Pink City
J. Yellow Applicant
'lnA-/ L.
LEGAL DESCRIPTION (olliee use only)
LOTZ3BLOCK / ADDITION "hmBf312 cJu-S7 fJr/2K...
OWNER
(Name)
fi'L-n::: Hom Ec.
(Address) 8/S 1J/t'llmk/[<",.g-
fk~
BUILDER
(Name)
(Contact Name)
(Address)
SMnI!!:-
&/2-r
!.6LACC//~J
TYPE OF WORK
o Misc.
Ji( New Construction
OLower Level Finish
DDeek
o Fireplace
PROJECT COST IV ALUE (excluding land) $
90/ 09'.5
PID Z-f>.4-0 Z, 02.. 3. (;
(Phone) 65J-~52-5200
&ffYI m>> 55/2/
<<3v/rE No
(Phone)
(Phone) ~Z-2Z/ - ~Z/r
DPoreh
ORe-Roofing
ORe-Siding
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 aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the pr erty to perf~.rspectio~ /
X V~.J../ ~~&-- .~ Ze--/57/ /bh,v/o.i:
~ - " .-"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
I Mechanical Permit Fee
1 Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
'l1J. 000 ,() 0 1
''7;;-"5- 75 I
(pao. <{L( I
15- tJo
!l)t).,10
loo."D
35.5d
'$0.cnJ
This Application Becomes Your Building Permit When Approved
~
Building Ollicial
1~~
/~/~3
$ - I
$ /2..7<E>.oo I
$ Z'50.dO I
$ <IS .<!J f} I
$ 12-00,00 I
$ 700.00 I
$ I
$ I
I TOTALDUE $ <3/ +.(/11
I
,,g ;~/4- h-;IReceiPtNo_ t.(t,-f'3(
f,- In -/Kl Bv 8- _
DAddition
DAlteration
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
~:=th~Ci~ p~a tempomy cm~; o;~mg;Plim" and allows OO"'ttusee,nMaIii' aFileorupm~ mustb,
Planning Director p~ 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
I Park Support Fee
I SAC ~
I Water Meter (Size-:i7F;lI";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
#
#
#
#
I Paid
I Date
~1
See Main File
~hite ~uildin~
Canary- - Engineering
Pink - Planning
Th~ Cfnln of lhf I..h Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~Uv r6 ~r16S
/rJ, 2-4-. C2l
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
49'10 6t/t/rJC ~/6t175 77lA1L--
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
~
~/-J
Date:
IO/3{1o~
r
Comments:
See rvlaiu Filt
"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
While . Building
Canary - Engineering
~anl<. - r".annm!::f')
--
Thl' (-..nl..r 01 lh..1,lk.. Count,.,.
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:
I /"
.,-.- ''/ r..--'~'
f-
Accepted
v'
Accepted With Corrections
, .
Denied
Reviewed By:
r7) -
at 1 /L-L-C
/u..[f--
Date: /0/3 ( ~ s
Comments:
~~~ Ma;.l.I--Fit~
"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."
I
~~
See Main File
White - Building
~f'r!arv - '::l1q~ileerln~ ~
Pink - Planning
Tht' ('f'nf..r of Ih..I..kt Country
BUILDING PERMIT APPLICATION DEPARTMENT CH.ECKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
/ /'
-,
.:.
(j
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J
../-
':. ((>
'. ,,,.;r, /'?-I'
/'" ~"'~- " i,,'/
:""" -'-~'-'j.' --rl' ,.
) ,f~~~..11 ~
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
/lYJ-g
.'x( .. /7J./',,-.. F, 'k
J / -'-1-6 ~
Date:
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."
Nov 05 03 01:06p
METRO GENERAL SERVICES
763-428-2968
p.3
,
GaUR, Fill
YELLOW. APPLICANT
GOLD - ell"
CITY OF PRIOR LAKE
SEWER-AND WATER PERMIT
Q52.r 'I,,7-'/-z,V,G'
S.W.No.3-/"'(19
FAy...
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLICANT: (h CiR() (:!.;E^)ERAi SER.V/r!.(;.PHONE: rb3-4-CAS'-Cl,'138
ADDRESS: 57Qo GluAm AI/E: NE: :rive-DATE:
~\ :, f'\ -~r --!l+----. ST I'Yl I Q.li '" IE L --'YV) N. 55:3 7 io
SIGNATURE: avOJ~\ ~ ,,,.N BLDG. PERMIT #
SITE ADDRESS;- i:990~.f--k~f~PID#
-FILLcIN THE BLANKS
1. Estimated length of water service 6 () feet.
2. Size of water service. '" inch(es).
4.
Type of sewer pipe.
ABS
from structure ()
PVC L/- (( Cast Iron
en
-' feet.
feet.
3.
Location of any couplings
\.......
5.
Estimated length of sewer line
6. Clean out (if required),
structure.
located at
NIA-
feet
from
~=====~=~=======~====:==~=================~=======~=======~=======
This application becomes your permit when approved.
BY
DATE:
========fj~/~:r=~~~=============================================
FEES: aY '~M.)L Sewer and water line connection permit.
. Surcharge
.!Vo Pe_e- 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 tha"t; no -duplicate sewer and water .Q~rmits are
issue9-.. NOV II 6. L003 S' PAID WITH
. . lj~ UIlDlNG P
DATE-.lPAIO I AMOUNT PAID r:rERMIT
RECEIPT # _ REC'D BY fji,
,-,;'
16200 Eagl~:Creek Av. S.B., Prior Lake, Minnesota 553721 Ph. ('1s2) 447-4230 1 FAX ('152) 447-4245
An Eoual ODoortunitv EmDlover
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STATESURCH."'-RGE S
TOT."IL PER..,m FEZ s
((,1(J'jl;.C C,'I: OnA:"')
'''[11.,; Applic::adon B<'C~rn.es Yaqr Bqih::Un;: P'er1Dit When Approved
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PAID WITH
RIIIl :lING P!:RMIT
-
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[ Oite<: NOV 2 6 2003
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;952 894 0925
CITY OF PRIOR LAKE.
REA TlNGIAIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
'# 4/ 9
.
I. Pink
2.-'
J. Yellow
~:~ J PERMIT NO. ~ _ I'I~
ApphaM I ~, n
I
q"1casc: me or 'Print and sim at bottom)
ADDRESS
4CA/)K/UW I-f-k
/rr)j' /
ZONING (ollk''''1
LOT
BLOCK
LEGAL DESCRIPTION (olliee use only)
ADDITION
PID
. g.~e~RYJ-Ir
(Address) ,l( I c:
APPLICANT
(Name)
(Address)
(Contact Person)
1inL'llt' <;
Ai!.;,) Ih /t
(Phone) tOe: ;-(/$? - S200
)JY))-I,!:;(J{fGC[t/J nJJ1L) PO/II
(phone) QC;-d - f9(/-()!YJS
Bumsvllle Heating & AlC, LLC
, ~4:v~~:,O~~.8:'~~2~5.
(City)
(Zip Code)
APPLICANT SIGNAWRE 0//7r!,-
(phone)
,AAtU'r't/7{V] DATE ~3-/1-()1./
I
APPLICANT PLEASE COMPLETE BELOW
~EW CON~~ucnOif -- 0 REPLACEMENT --- 0 AL TERA nONS
FURNACE MAKE AND MODEL nnx {!-5l/1lJ~- dL((3-- () 'IS FUEL tl/L -I- cp'//.'J
FLUE SIZE RETURN OPENINGS t./ INPUT 45', () ()() OUTPUT fdL...!:/ (]f)
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants 0 Steam .
OGravity 0 Hot Water
o Mechanical 0 Radiation
OAir Conditioning 0 Special Devices
OVent System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks .
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
1%1 of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Industrial. Commercial &. MUlti-Family
Residential, Heating &. NC (New Construction)
Residential, Healing Only (New Construction)
b\A.-Jdv\ yu10JJ
~-lll)\JJ-fs .
I
I
$39.50
$39.50
$39.50
Residenti~, Additions & Alterations
Residential, AC Only
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
x
.50
(omc~ Use: Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid I Receipt No.
-Date Mt>.\l.l 6 20M I By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN SS372
1;.~
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PRIOR LAKE
INSPECTION 'RECORD
SITE ADDRESS 'l/9lJ '8L~ Ht/6H~ TZAiL
NATURE OF WORK IJIEUJ S~~
USE OF BUILDING S,1=: , .
PERMIT NO. _fJ3'__~7q DATE ISSUED ~~O~
CONTRACTOR ~ tf/JME~ PHO . -~
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
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER / WATER / SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (If required)
FIREPLACE
GAS LINE AIR TEST
-
0Y..
f;'t1/ /
t(rn-d-j
t{ -/r./;r./
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4 ~(G iJ4
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to SoddinJ;l) . f J See ~-.lt
BUILDING 7e"';J e ~ f/,f6'; ~ -- /#f/
ELECTRICAL 6./1 ftl
PLUMBING
HEATING
DO NOT
- /
,/-; /e .
7' /..2r/6~
#~~
//H
OCCUPY UNTIL ABOVE HAS
NOTICE
.
6#~~
6/~;/
BEEN 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
Ql:erfifitat:e of (IDttupanty
CITY OF PRIOR LAKE
~rparfmrnf of ~uilMng Jlnsprdion
I
~ Final Permitted C Conditional C.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:
Use Classification
SINGLE FAMILY
Bldg. Pennit No,
()::;. 14-79
Occupancy Type
R3
Type Construction
V)l
Fire Zone
N/A
Zoning District
PUD
Legal Description
L23, Bl, TIMBER CREST PARK
Owner of BuildiDl?
Site Address
4990 BLUFF HEIGHTS TRAIL SE
Contractor's Name & Address PULTE HOMES, 8:YS
//ij
ROBERT D. HUTCHINS
. /7 )l~ingjMficial
~ ~""'.y / (~?,C/
NORTHWEST PKWY., SUITE 140, EAGAN
DON RYE
55121
City Planof'"
Date:
Date:
DATE
~y
~f9CJ /JL# ~ Y
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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
~EWER HOOKUP
LUMBING FINAL
o MECH FINAL
COMMENTS:
.
g ~
r~r
fl~--""n~
./ /,j /'
/Vd7C'; /1/~4
r;;:; ~. "/c:6~
.....
#f7V
~4/
TIME
L2.? - /.r//7
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
~.JC-
/'
/'L-d~r
.hORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
JNS/fOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .t SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
~#o/ nME
- r
Y9?O Rk/)tJ $ 7//
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
as-/1?':?
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..-'H'JNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXtGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
--
n'''-')
--------
L;-
CJ..{ "'5-e
"--
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK; ~';L:~ 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
DATE
91~f
f/'ffcJ &#' ~/\' ?;/
./ .
TIME
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
6s-/Y'??
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLlNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
.A'l"FINAL 0 PLUMBING FINAL 0 GASLlNE AIR TST
r 6 SITE INSPECTION ,?MECH FINAL 0
CQMMEIlITS:. _ A/,/
C;/aP~/ h'h / ~~ 6//M
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~ ~~-:1U,j/~~"!r ~~f ~ /
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~~
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/ /
R// /dt:/
o WORK SATISFACTORY, PROCEED
/CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~ OWnerfContr:
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
IIISl10TJ
BUftN~ .,ILLE
Heating & Air Conditioning, L.L.c.
12481 Rhode Island Ave S; Savage, MN 55378. 952-894~0005
Orslat Test Report for JobI t.. \ '-\'5
Address c-\qqO 6LVff ~I.L\""",\S \It Citv VeloR LM-t:
Occupant
Date of Install
Type of HT. F1A x HW Space HT Unit HT
Other
Date Tested
Company
Technician
Make L.'" t--:I...:>- (2:, ~
Model (\"JI",(l iNe,. Q"I6"-ol
Serial 5 '104C. ;J7S 73
Input V~ {)DO 6-.v II
Pilot Type
Pressure
Input CFH
SlackTemp
HOT SURFACE IGNITOR
3'2> IW~ CO2
U~ 02
l~ CO
l.,.. :;l
<1.B
II ,pf~
s' "20-0'-1
BURNSVILLE HEATING & AIR CONDITIONING
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