HomeMy WebLinkAboutBuilding Permit 03-1481
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
(Please type or Drint and sign at bottom)
ADDRESS
Date Rec'd
/o.c:,~,()J
; ~i~:' ~:;y I PERMIT NO. i\"2_f'A ell I
J. Yellow Applicant U...:;'- ~ U
I/?lf hUlFF 1115/6//15 'hvt1L-
LEGAL DESCRIPTION (office use only)
LOT2/ BLOCK III ADDITION
'17mhU/
OWNER
(Name)
!/1/LrT;:. J/omE5
,ff/S Mi?Tl/ /t.!fSr
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
/If/2KiU/rj,.
61m&
~'J2T '5L.f-S/'.-HiilJ
TYPE OF WORK
)21New Construction
OLower Level Finish
o Fireplace
PROJECTCOST/VALUE (excluding land) $
OAddition
DAlteration
o Misc.
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 $
$
$
$
$
$
$
1/J. O/JIJ;(9~
'9~3'. 751
dJ [)(), .,r 41
dS,dO I
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/otJ,I}CJ
/oo,O{)
<..?:'). '5'0
510,11<:1
This Application Becomes Your Building Permit When Approved
~-1~
Building Official
/a$(~:f'
Date
Otar ~
ZONING (officeu,,)
Pu'O
PIDZS: +oz.. ozi.CJ
13A64u
(Phone) ~/-~52- 5a:o
nl/l. 55/Z/
(Phone)
(PhoneL 6/Z- 27/- ~9g-s
ODeck
DPorch
ORe. Roofing
ORe.Siding
DUtility Connection
7b.~
#
#
#
#
I Receipt No.
I By c
0\
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
~mn~7~~c~ifi~~f~;;;cemdalloWSCS;eCOMaiiiPl~~ileeofocrupm~mustbe
. Plmning Directm 0Date Special Conditions, if my
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 ("'Slze5/8)11";
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
o -31'1~ ti:> t
71- fOr o~
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 revok is permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon thepro rty to perfo~~ inspections. ~ /
X A./~d ~~ ~ J5c- /37/ /a:.?'~/o~
/ , ....signature Contractor's License No. Hfate
I $
1$ /Z?S.ao
I $ "'!>CJ, 00
$ 4s.t1C
$ /zaO. &0
$ 700,00 I
~
$ .5S/ -I-,f9q I
ltb?3/
~~.
~
See Main File
rWhit&' - B\liIdin!t:>
Canary - Engineering
Pink - Planning
Th~ C-~nl", nf lh.. I..k.. Coun.,."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
PtJL-/b fitJl1E:5
IO.Z~.03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
<1-q94- 8[;[/;:::/= HG/6trfT' ~
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
:3~_
~
Date:
/tJ/.3//o:S
, ,
Comments:
See Main }file
"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
While . Building
Canary - Engineering
r r-'mt< ~ r'181U1lng ...>
Th.. ('",UN of lh..)..k.. ('ount"
BUilDING PERMIT APPLICATION DEPARTMENT CHECKlI~T
NAME OF APPLICANT
APPLICATION RECEIVED
/
/ /t
~
r.;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.,,,Ii,
,
C':f'*-
. ,
, .
I '
-'-'/' ~
Accepted
~
Accepted With Corrections
Denied
'2 .
Reviewed By: ,H.J:.>LI <-<-(
':;led/-
Date:
/(]/3/~7
,
Comments:
..
'-"',
See Main File
. T
.
"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
Th~ ('''nl... <If tM L.k.. ('o.uury
White - Buildinq
('Canarv - Enqinee~
.Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLl~T
NAME OF APPLICANT
APPLICATION RECEIVED
/
/ Tl:-. k-.//:/- ,;.:-.-
1--" i V / fL.-~1 / t:--- -'
, f
/
'-f""" . ..J_,'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
CI._.d,~ :~,7 f," .F _ ' f
. , <.,..,.-- ;/ c.., 1.)
i,_ . '~/!
',-' I ,""_.~ m'
C...-'.' , .; ,
. >:7::.;/~.l / L-...
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
/YJ1-lJ
(,,- " lYle/" F, / (
Date:
/ /~'-I-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,"
Nov 05 03 01:06p
METRO GENERAL SERVICES
763-428-2968
p.S
GREll. PIll
U.LLOW . "PPlIC.Nr
DOLO ~ en.,
CITY OF PRIOR LAKE
SEWER'AND WATER PERMIT
'1~2.:- "'I7-'/~ l/.r
s.w-No.3 -' /11~1
FAy...
NOTE:
Sewer and Water
contractors must
be registered
,with the City.
APPLICANT: (h E::rR() (!'E~ERAi. SER.VUNIONE: -(&J3 -4-GJ,[J -d.'13,S'
ADDRESS: 57C10 ~uArr'\ AilE Nt:: ::r:;\JCOATE:
~\. 'f\ ~r ~ $1 m IC!.H f1/ciL ........,Jo,), 55376
SIGNATURE: JZVO.A-\ ~ o.JV . BLDG. PERMIT ~
SITE ADDRESS;~CJqLj.');;LJa-.J.'D~..L, PID#
, FI~IN T~E BLANKS
1. Estimated length of water service 5 () feet.
2. Size of water service
(,/
inch(es).
3. Location of any couplings from structure
() feet.
4. Type of sewer pipe. ABS pvc ~(/ Cast Iron
'---- 5. Estimated length of sewer line 5() feet.
6. Clean out (if required),
structure.
located at
/VIA-
feet
from
=~=~===~=================;==~~====~===============================
This application becomes your permit when approved.
BY
DATE:
========ff~/r~==~~~=============================================
FEES: 111d </-.M':';- Sewer and water line connection permit.
Surcharge
No 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 per~its are
issued. 0' "'AID WITH
...!JILrJllvQ. -
;j' "'''ERMIT
bf-
NOIf \; 6 ]nn~
AMOUNT PAID
DATE'.i~Alri
RECEIPT #,d '
REC/D BY
, ,
;...-"/---
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16200 EagI,,:Creek Av. S.E,. Prior Lake, Minnesota 55372/ Ph. ('l~2) 447-4230 / FAX (l1s2) 447-4245
An Eoual 01loortunitv Employer
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~??UC.A^,T ?LEASE COMPLETE 8ELI)'.V
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PL(j~CB!NG PERi."IIT FEE $
STATESURCK~GE .$
TOT.u,PER.'rar FEES
.50
?AiD 'NiI;-: ~._
aJ1LOING PERililll
f~'J((tc;~ \.'~c Ol'llrl
T:1t.:& r"'-ppfiCloon Becomes YOUi* !luildin: Peru:r.ic When Approved \
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;952 894 0925
# 8/ 9
CITY OF PRIOR LAKE.
HEA TING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
.
~1ease tvD~ or mint and sicm at bottom)
ADDRESS
tjCH'-j :A/u!! )fA
, LEGAL DESCRIPTION (ollice use only)
/r(U~
ZONING (offk"",)
I
; ~':"M ~:~ j PERMIT NO. -:..2 -J J 11r1
J_ Yellow ApphClllll [ ~ "" Q
-' ~
i ~
.LOT
BLOCK
ADDITION
PID
OWNERrJ) 0 I~ )) ,
(Name) 1V 7C~ /mf)u} <;
. (Address) R/<; N I,() Ilu;, L
APPUCANT
(Namp)
OUI/Isvllle Healing 1St Ale, LLC
12481.Rhode Island Ave. So.
>:lavage, MN(~lj-1122
(PhoneloS/~ tlS?.r S2CiJ
r;J~ -#7 L/O 1(1 9u /ll rfl n SS/2/
(phone) qr:;z-tq t/- m~
(Address)
(City)
(Zip Cod,,)
(Contact Person)
P'
APPLICANT SIGNATURE J/ IV")
(Phone)
h() OJ)J?l1.fn /7 DATE 3 - / j-() 1/
,
APPLICANT PLEASE COMPLETE BELOW
fXJJ'IEW CONSTRUCTION j:J REPLACEMENT [] AL TERA TrONS
FURNACEMAKEANDMODELl'!::.YJr7J1J>G (;51 !l1f!.3b6 - 07{) . FUELryd 1;,{V'J
FLUE SIZE RE1URN OPENINGS 4 INPUT /i) . /)( yJ OUTPUT{O ,{fed
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann 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 Y lU'd
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
Residential. Heating & Ale (New Construction)
Residential, Heating Only (New Constructinn)
Resident~l, Additions & Alterations
Residential, AC Only
Building Official
Date
24 hour notice for aU Inspections (952) 447-9850, fax (952) 4474245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
I Paid
I Date MAR i 6 2004
$39.50
~l) $39.50
(~!Ye ~
{JlO/c/~ ~L.d
}2;U7Uh
I
]
Receipt No.
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
~ '\ / .50
$ /,J
(Office Use Only)
This Application Becomes Your Building Permit When Approved
By
PRIOR LAKE
INSPECTION RECORD
~~TEU~~D;i~~RK J./9~ .tJ"tRt'Ji~p;r T~l,
USE OF BUILDING S'" F: .
PERMIT NO. ()3 --1481 DATE ISSUED /tJ/ILlJ)Z
CONTRACTOR ~ ~ PHO'NE~.~"'-'I!laS
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DE~ARTMENT OF
J;lUILDING 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 II I/e- .-.
INSULATION i///1/
ELECTRICAL
PLUMBING II 11/~/ /..1 - 7-oV;
HEATING (if required) . )"I/r _ 4 r(b'(J,-/
FIREPLACE tf// L:-f.rlv(/CI
GAS LINE AIR rEST ~ t..Ht--'()l(
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADiNG (Prior to Spdding) ~. j 0Fe ~,,~.
BUILDIN~~ (;'U ~ ~!dof' /M'
ELECTRICAL' ~//I(J<(
PLUMBING
HEATING
DO NOT
I
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L{r((j-OC 1
///e /
9p~/"Y
/In b"/J/o/
!/W/ r::;-).{..~I
OCCUPY UNTIL ABOVE HAS BEEN SIGNED\
NOTICE
"
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.
!=OR ALL !NSPECT!ONS (952) 447-9850
@:rrfifitztfr of '@r;rnpanty
CITY OF PRIOR LA~E
~tJladmtuf nf ~uilMuB J'usJltdinu
,;t(Final Permitted D Conditional C.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 of the City of Prior
Lake regulating building construction or use. For the fallowing:
Use Classification
SINGLE FAMILY
_ Bldg. Permit No.
03 .14-131
Occupancy Type _ R3
Type Construction
VN
Fire Zone
N/A
Zoning District
pun
Legal Description _ L21, Ill, TIMBER CREST PARK
Owner of Building
Contractor's Name & Addres?ULTE HOMES, 815,
ROBERT n. HUT,CHINS /?;?.;Y
W?;0'~cial
" / I
Site Address
4994 BLUFF HEIGHTS TRAIL SE
NORTHWEST PKWY., SUITE 140, EAGAN 55121
City Planner
nON RYE
Date:
Date:
DATE
0/~
~~ Ak;2,t2 //s /r-
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
ELEWER HOOKUP
~LUMBING FINAL
o MECH FINAL
COMMENTS:
TIME
t:'.3 - /ff/
o EXIGRADfFlLLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
A / A
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~ORK SATISFACTORY, PROCEED
ft CORRECT ACTION AND PROCEED
:S:~O:ECT~OR REINS::::::::FORE COVERING
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
""""n
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
~
Y??r/ /~flI1 fit{ 7//
TIME
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
Cl3 -/yff
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.,...B'FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADfFlLLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: . -- A/'/ /'
.g~;7JcQI rkl a,rtc. ~..A/cy
~'\ /! '/ ~/. - / / - /
(!J fl.7av"I, #~c. ~k#C1"'" G:/r/
@ 4~Qt,€- /*~ ~~ C;,4S /- /
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"
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto~ .#':I, Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH,{ SAFETY!
lNSNO"
~#;/ nME
flfY AIoJ)O /4 1//
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
_ rlNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~----
/'
( eke
----
05- /'/f'/
o EXIGRAOIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~
i~
~
h/~
-~
~WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~-;;~ ~ REINSPECTIDN BEFORE COVERING
Inspector: /' ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN AOVANCE.
IIaNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4< SAFETY!
f
1- ((.('7'-6
BURNSVILLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave 5, Savage, MN 55378.952-894-0005
Orstat Test Report for Job# ~ I '-1:3
Address 'IQ9'1 !3V.t.I'I" fk'4 (Ii S City (Jp IO~ LMe
Occupant
Date of InS1alI
Type of HT. F/A X HW Space HT Unit HT
Other
MakB .J.r ..:Jut'>)(
. lIMBtIA11 6f:l \ ~ fL :2,uL.o 1u ~Q I
am", -[\ '^' '~ -~ ''-., \--.\ ~
Serial \ .
Input lot. nO () el1l" H
Pilot Type HOT SURFACE IGNITOR
Pressure ?, .s \ v>C C02
Input CFl:l. ~ (, \\: i.. ,\ 02
If'$1aCkTedtp\v.10R ~', . CO
li\'\"7_
(.,,4
'1.5
;l.\ f'PofY"\
Dale Tesled 5.70. aLl
Company BURNSVILLE HEATING & AIR CONDITIONING
Technician Leo
.
.