HomeMy WebLinkAboutBuilding Permit 03-1480
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
q'lease ~ or print and si2Jl at bottom)
ADDRESS
tjQ9Z
'&uPF Jlffi/6/(T5
. LEGAL DESCRIPTION (office use only)
[,White
2. Pink
3. Yellow
File
City
Applicant
I PERMIT NO. 6 3 ~ )~~
'/ ILH L-
LOT ZZJlLOCK I ADDITION
'l;l11ffAL {/USr- ~
OWNER
(Name)
aL"{E fJoJJ1F.C,
rYJs JJhJZ11/ NEST
(Address)
2w.uw~
BUILDER <' A-..A
(Name) '-'TFTt E-
(Contact Name) ---1!H./)T :7,J.4~iLI
(Address)
TYPE OF WORK
~ N ew Construction
OLower Level Finish
o Misc.
Date Rec'd
fO, z..-f-,QJ
ZONING (office use)
PUD
PID Zo. +,OZ.OZ'Z...O
CAfA?J
(Phone) 65J~ /j~Z- 5206
flln. 5SJZj
(Phone)
(Phone) tf/Z -22/ - ~j=S-
ODeck
ORe-Roofing
DAlteration
OPorch
o Fireplace
DAddition
PROJECT COST IV ALUE (excluding land) $
$
$
$
$
$
$
$
$
90. {N () . 00
, <(d.3.7S
h-JtJ, ~1
"IS.oo
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 l-'.u......~J 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 budding official can revoke thIS permit for Just cause Furthermore, I hereby agree that the City official or a deSIgnee may
enter upon the p. erty to perform ne ed msPe~~ ~ /
X /N~? _':-:. ,~~ $c,- /~7 / _ /a 'Jt' /03
.// ~ ./.... Signature Contractor's License No ~ate
pi'
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
I()CJ. () 0
100 . 00
35. 5CJ
4tf. ""
This Application Becomes Your Building Permit When Approved
~~~
Building Official
/El;$Ih, :$
, \
Date
I Park Support Fee
I SAC ~
,
I WaterMete<'Size5/~ 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
\ Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
,"'l :::>J '-" 1/'/1
i l-J~-a.
7CJ. ms
#
#
#
#
ORe-Siding
OUtility Connection
I
I
I
I
I
I
I
$ I
$ 5;314 .f4'J I
$
$ IZ7S'.ocl
$ ..;z.~d.a d
$ "'IS. 00
$ I zeo. 0 ()
$ 7eJo.C) 0
$
---
__ _ I
I ReceiptNo. Ut.,Y 0/
By g-:, .
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 constitutfl a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
"S~~ ~ /tJ/Y/~3 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
~~
See Main File
Th~ (-..nl.., ollh.. t.ak.. Country
c:;;Wbile - Buildin/l:)
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlRT
NAME OF APPLICANT
p{)~/t/
/0.
HOHES
2- +-. 03
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4'792
/
If L-tJ PF HGlCiHr5 77VT1 L-
Accepted
Accepted With Corrections
Denied
Reviewed By:
:E~ ~/---;
Date:
lopt/o3
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
Canary - En!l.ineering
(' Pink - PlannmQ)
"h~ ("..nit" of Ih.. La"" ('oun1l1'
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 i .-'
,/1- . L
'....
, -
Accepted
,/".
Accepted With Corrections
Denied
~
r"'-'-') --/.
Reviewed By: r!:;L/,C-Z.k. 'f-C.(e/'f~
Date: /~0 /h 3
Comments:
See-MainFire
;
"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
~rv . I.;n(\'"ee..o<.....:.
Pink . Planning
rh. C..n'f'rnf Ih.. t.k.. ('OYnlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
i:--:; //
_J ''; '.".-
, .
----r--
I .~.
, ,~....-'
i , _.' ..
! (C./"! /...._
I /-i L-~ 4- , cJ.3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,-.<1,
/r",.'"1 ^-:
/.!./
. ~
/ /1 //,r,t::
. 1........
I. / i::'-~ /(-./.17. .-- 1/:./-1 / L.
! .'~' --{., '-
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
/Yl4 ;3
<;" r' JJ4,'.1 1=, 'If.
Date:
/ I~ LJ-o.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."
Nov 05 03 01:06p
METRO GENERAL SERVICES
763-428-2968
p.4
GAEE. . filE
'f'I.LLOW . ",.P\.1CANT
GOLD. CIT'I
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
'1'52..- 'I'I7-'1"tI,r"
S.W.No. 3 - IljS"O
FA '"
NOTE:
Sewer and Water
contractors must
be registered
with the city.
APPLICANT: rn e:/RO (.!.;E.NERAI SER.VJc.MiHoNE: ib3-l.{-d.'i/-3,')38
ADDRESS: 57'10 (.:luf\M AI/€. NE rNC.DATE:
~\ \f\ .......LJ.r -1A--. s-r: )'Yl1C'..11 (iGL.~IV. 55:?.7"'--
SIGNATURE: avO.-+-\ ~ "J?JV BLDG. PERMIT #
SITE ADDRESS;-- lfq9d..Ji1P~~T/ltit.Q.PID#
. FILL" HE BLANKS
1. Estimated length of water service 5(') feet.
2. Size of water service
"I
inch(es).
3. Location of any couplings from structure
() feet.
4. Type of sewer pipe. "BS PVC L/- {f Cast Iron
'--- 5. Estimated length of sewer 1 ine :5 (') feet.
6. Clean out (if required).
structure.
located at
N/^,
feet
from
==============~=-===========~====~~============================~==
This application becomes your permit when approved.
BY
DATE:
========?7~J~:C=~~~=============================================
FEES: ~~ ~~M,f- Sewer and water line connection permit.
Surcharge
IV IJ Fe 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 that no duplicate sewer and water permits are
issued.
NOV 0,6 2003
DATE.:P.AID
RECEIPT #
\
..-1
AMOUNT PAID
RECtD BY
S' PAID WITH
UlLrMIT
-'--,.--,..-"'.~._.
....:.,....
16200 Eagl~,Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. ('1~2) 447-4230/ FAX ('152) 447-4245
An Eoual Oooortunilv Emolover
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A.P?UCANT PLEASE COMPLETE 8(l()W
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r:,;;:::~;;r::~ CIJS~ S
5t.:ii~i~; ?~it.::'
PUJ1>-CBLNG PER-"aT FEE
ST A IT SURCH."-RGE
TOTAL PER-..,ar FEE
PAID WITH
BiJILOING PERlIIi1i
"
..
"
.w
.50
s
T4'll.."\ App{ic'ion B<~Qme:: Your Sr.lildin:r. Pe\a1ic: Wben Approved
---
al.lUdid~ otnc::i.::lr
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I Oa9>JOV 2 6 2003
I R...,=:pc No.
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......__.__n___..__..___..____u._ --
._.-~._--_._-_.~~-->--
____.'_ ___~,_+___M~"_"_
;952 894 0925
CITY OF PRIOR LAKE.
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
# 6/ 9
;;;:.. ~i~ I PERMlTN0.-::2 .. II.lUO
l. Yej[pw Applil'alll ~, q
3(td~/) pt<<t~
fUAf7U>h
I
]
(flease ~e or print and sic at bottom)
ADDRESS
4CCt ~ P;ill,t. DI ~ --rv-(~ ~ 0
UI}
LEGAL DESCRIPTION (office use only)
ZONING (ollk"..,,)
LOT
ADDITION
PID
BLOCK
OWNEK\\ (\ I..
(Name) -V1 ^ l W
(Address) X. \ S
\\r\\OY<.....
\\\Ll \ Q(\[L
(Phone)((b\ ~ LlS2- S?0()
I AI (J.-z4-#f(jLf EJ.LQ(l(\ OVl 5Sl2/
(Phone) YSZ- %QLflYYD
APPUCANT
(Name)
'iurRsville FleatiA!l 8. Ale, LL::;
12481 Rhode Island Ave. So.
~..:.a!le, ~~W8-t 12:<'
(City)
(Zip Code)
(Address)
(Contact Person) (phone)
APPLICANT SIGNATURE 6~/lo~ ,J~npJJVJ.h(1/J DATE 3-jj-()tj
I
APPLICANT PLEASE COMPLETE BELOW
- ~EW COl'jSTRUCTION 0 REPLACEMENT 0 ALTERATIONS .
FURNACE MAKE AND MODEL (0 f) ()/))< (} 5/ /I1(/";)Lj ,8-0t/S' FUELn/d {;r1-U
FLUE SIZE RETURN OPENINGS L/ INPUT U r If} ;/ OUTPUT 1// ilrJ()
. . - , - .
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
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
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
$39.50
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Resident~I, Additions & Alterations
Residential, AC Only
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
\/
/\0
.50
(Office Use OQly)
Building Official
rPaid
I Date
Dale . M,t.R 1 (; 2004
24 hour notice Cor all inspections (952) 447-9850, Cax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Receipt No.
This Application Becomes Your Building Permit When Approved
By
,
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[~
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fb.
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1(,11
1;
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PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~ U Fli;.,/-t f...J' 7J!l,
NATURE OF WORK GlFllii~~
USE OF BUILDING · . .t-.
PERMIT NO. Q3-/4-80 DATE ISSUED ~.,
CONTRACTOR ~ PH6NE~-ZZl-+"""'"
NOTE: THIS IS NOT A PER IT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDJNG AND INSPECTION
INSPECTOR
DATE
I FOOTING
I 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
!/V)I.1 .
I/W/
J/1/P'
//7'/
L/-/4rO<1
&1-fr.<rFJ
L./"/<1-(N
U-/C-(-O"1
,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Soddln~) h ,. L ' I
BUILDING 'U~ I?O ./&' 6/~{
ELECTRICAL I ~~/~
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN
NOTICE
J
"
See ~/). .4'k" <
~ 9,0#0/
~ -
lM/
6/d:ftY'
J;: - ).{,-uti
\
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
@::etfifiraft nf o&rmpauru .'
CITY OF PRIOR LAKE
~t}mrtmlmf of ~uilMug Jjusptdiou
~' Final Permitted D Conditional C.O. Expires
I
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:
SINGLE FAMILY
Use Classification
R3 v:~
Occupancy Type _ Type Construction
C3./48o
PIlD
Fire Zone
Bldg. Permit No.
N/A
Zoning District
Owner of Building
L2:>, B1, TIMBER CREST PARK
SiteAdd,ess 4992 BLUFF HEIGHTS TRAIL SE
NORTHWEST P~WY., SUITE 140, EAGAN 55121
Legal Description _
PULTE HOMES, 815
Contractor's Name & Address
ROBERT D. HUTCHINS /44'<2/
P' /'~/
Date:
rhy~~fiCial
DON RYE
City Planner
Date:
~
f/'ff~ alP //~ -z::-/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
TIME
PHONE NO.
PERMIT NO.
-L2S -#fd
COj!l~ENTjl: .
~-ecft<c~/ h-~"P/ L6--<-
@ ~"'d~ ~d'c
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q-r&o,L<. ~"'';r,vc- I
-60 "
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
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 GASLINE AIR TST
o
~ "
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o WORK SATISFACTORY. PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING.
Inspector: ~ Owner/Contr:
CALL <<7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Il'iSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
t/?92
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.A:J1'JNAL
o SITE INSPECTION
COMMENTS:
~
/
/ --./
\. (' ::/6'S€
"----
DATE TIME
SCHEDULED ~~
fltffJ //Is 7/1
CONTR.
PERMIT NO.
es-/~?O
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~.... -------
~/))
h /C:' ./
~
A WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK~ C~~L)OR REINSPECTION BEFORE COVERING
Inspector: j/~~ ONner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ,[ SAFETY!
9'$NOTI
DATE
taN
. .
~..z e'/v# /if 7r
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:
~_--..h:- ~J/
TIME
t7? - /~ro
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
eft-
/"J / I
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~ Lh'dlccc ~~/
-J.
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L/t.-
/~."c4P_-
~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.
IJIiSIWTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
.....".
DVftNSVILLE
Heating & Air Conditioning, L.L.c.
12481 Rhode Island Ave S, Savage, MN 55378.952-894-0005
Orstat Test Report for Jobl I" 1'-14
Address~Qq:::) P-.L....u u'.l(..n"
OccUpant
Date of Inslalt
Type of HT. FJA Y HW
Other
...,. a City -v., IO~ LA~L
.
Space HT Unit HT
Make Li.. ",,-,,.,,,
Model G.5\MP. MJe;- 0'--01
Serial S "fo'(~ ?,(, :r:>-
Input 1Ji:/ ( Y"t> e,l U \.l-
Pilot Type HOT SURFACE IGNITOR
Pressure 3-5 .we CO2 fo.O
Input CFH ILU 02. J/J.'2
S1aCkTemp las CO J i.J ffk"'.
Date Tested
Company
Technician
5.10-0<.4
BURNSVILLE HEATING & AIR CONDITIONING
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