HomeMy WebLinkAboutBuilding Permit 03-1508
(Please tvee or Print and sign at bottom)
ADDRESS
'Iff!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File;i~i:' ~:~y
J, Yellow Applicant
b;..urF ;&;6#7.5
Date Rec'd
Ib/~'6~
I PERMfTNO. 0.3-/508 I
~
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LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK 3 ADDITIONhf118fA &csr &za
OWNER
(Name)
?vt.I& J!omF--.5
'ff/~ //JOIl-I)! ~j{sr
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
0ttzIGLJ /H,
I
9/117 ~
/,d/Zr7~~~
TYPE OF WORK
o Misc.
~ew Construction
DLower Level Finish
ZONING (office use)
PL0D
PIrf;{5- LjO;;2- 0/73- 0
t~6k11 .
(Phone) t:.5/-f/~Z- S-~O
m1. SSJZJ
(Phone)
(Phone) ;{, I Z - 2Z/- Wcf'S-
DDeck
DPorch
DAddition
DRe.Roofing
o Fireplace
DAlteration
DRe.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 local laws and will proceed in accordance with
submItted plans I am aware that the budding offiCial c revoke thIS permit for Just cause Furthermore, I hereby agree that the CIty offiCial or a deSIgnee may
~terupo~o e tn~ Z{'-/S7/ /o!zrk
/'./' Signature Contractor's LIcense No 7 L'2f"ate
//
I Permit Valuation
I Permit Fee
Plan Check Fee
State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
PROJECT COST IV ALUE (excluding land) $
;/O,09S-
$
$
$
$
$
$
$
$
, qa oOt}, ov I
'9~3. 75' I
~QO, L/11
,/5,00 I
I
I
I
I
I
-
IOD.OO
loD, 00
35.50
Jf4.t:JO
This Application Becomes Your Building Permit When Approved
~cial~1'- ~r5~O?
I Park Support Fee
I SAC
WaterMeter~"i
Pressure Reducer
#
#
$
$
$
1 275. dc
2.-So, 00
4'5.00
I ZOO,Do
'100. Dc
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
I $
$
$
$
$
$ 0;3/ .,:.. (./1
~ 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
~~==~ P_~o:;:mpornry cmm;; ;~O~;Plimce md allows consuucS'eenc:MaTiia Filerupm~ muSlbe
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
I Paid
I Date
~:JI if." 7
II. tv. d
('
I ReceiPt of< o.
Bv 1-.
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See Main File
White - Building
~ ..'iSI'!"rv -'EiUiineerlna ""'::>
Pink - Planning
ThO' ("tnl.. "r lh.. l..k.. ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT j' It,
APPLICATION RECEIVED /j-
/,";i
,)C:?
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(// ';.? /
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-~./-,._;"':
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Accepted
~
Accepted With Corrections
Denied
Reviewed By:
1l1J4/<
Sc (: /J1t:.1 '", h 't/
Date:
/ /-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."
&~'1:
See Main File
White - Building
Canary - Engineering
I""F-m" - ...,annm!!.>
Thr Crnlu of lh L.kr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
, l.
jt ,
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,
~
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I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(;/ /; ,'/' / I
,;' /' J
\.
// \.
Accepted
~
Accepted With Corrections
.'
.
Denied
Reviewed By:
~
f
~I-J
Date: I J/ " / IJ ':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."
~~
See Main File
~itp. - 8uildiOg::>
Canary - Engineering
Pink - Planning
Th.. ('..n..., or lh.. ).R"" Countr,'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLlCANT~7L il~
APPLICATION RECEIVED II; - O2.,f-O\3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
C/99/ rA~~L/ #2;~
~U()
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~~
Date: / ~/&./~ 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."
Oct 22 03 02:05p
Sewer and water permIts issued for new construction~~st be
recor!i~.,.65..-. ~... _.' -bu.ildin'] permit card at the tim~UlJlUiA:.~~~e
to in,"l1~~ .thfttl'l\odupllcate sewer and water peLl.~~~A1re
issue!,:; ~-', ." . ~~!ilirr
DATE.,~AIO! '" NQV 1 2 2003 " AMOUNT PAID
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RECEII>Ti!::.:.,__==c_== I, .'
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HETRO GENERAL SERVICES
763-428-2968
p.3
GRUM . n.E
YElLOW . APPLICANT
GOLD. C,lTt
FAY-..
CITY OF PRIOR LAKE
SEWER' AND WATER PERMIT
lJ'5'2.:- 'I'I7-'I"J-l/r
S.W.No.
.
3-ISOr
NOTE:
Sewer and Water
contractors must
be registered
with the city.
APPLICANT: (h t:./R() (~Ei'J ERF1i SeR.VIc..~PHONE: rb 3-4-d-.g-eJ,'138
.5 -riVe.
ADDRESS: 7 q 0 r::J. u f1 fY'l A II ENe - DATE: seT; 2 '003
SIGNATURE:--"\ ~o:i?('~"~ sr:)'Yl 1(1..11 f-l:L~G~1.Effi1I,r'Fb
SITE AOORESS;- t.../-99 I-i:<~ · /Jd----Jp.J.'1:;:;T~
(~ tJ
FILL. IN THE BLANKS
Estimated length of water service
SA
feet.
Size of water service /./
inch(es) .
Location of any couplings from structure () feet.
Type of sewer pipe. ABS PVC L/- f! Cast Iron
Estimated length of sewer line
c()
-' feet.
Clean out (if required),
structure.
feet
from
located at
NIIT
~=~=~====================~=========e========:====================_
tion becomes yo~permit when approved.
~6~ DATE: nCT 2 2 2003
(/
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P t.u I/ed w ''tit
FEES: aid -t-IlH:';- Sewer and water line connection permit.
Surcharge
No Pe.L TOTAL
This
BY
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
*
REC'O BY
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I'
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16200 Eaglc;;:Creek Av. S.E., Prior Lake, Minnesota 553721 Ph. ('152) 447-42301 FAX (~) 447-4245
An Eaual Opportunity Employer
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A..P?UCANT PLEASE: COM?LETE BELOW
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PLrJMBCNG PER.."aT rc::: s
ST A IT SURCS.....RGE S
TOT..lJ.. PER."m ITI :s
.50
(Crr1c;e t:J_ Onl:,,)
T~1.i.:I: A-ppiicocl1 Bc::::;om= Your BuiIdil1; Per-m.ic When Appro....e.:::!
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2- 9-04; 2:51PM;
;952 894 0925
# 2/ 4
CITY OF PRIOR LAKE
HEATING/AIR CONDITlONINGIFIREPLACE PERMIT
Date Rec'd
I. Pink
2. Green
l, Yellow
~:~ fPERMIT NQ\:I./r::.O ~
ApphQllI!---- ~U
(please ~e or Print and sie:n at bottom)
ADDRE4~rr I 13/ u {t
IHs.
(
r.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
g.~R PuJle
. (AddreSS)g 15 #\juJ
Home.s
P(wu.,
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ZONING (olli", ">oj
Pill
S~l~ I Lfo
(Phone) 0'5(- Y5;l.-5:J:oo
fa.QCU; I M f\.) 55/;2.1
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APPLICANT
(Name)
(Address)
'Ji"- uo~tinn & AlC, LLC
~2481 Rhode Island Ave. :so.
_ . MN Fi5378-1122
:Ji:SVClS....,. (Address)
..:Ju.LA'c.
(Phone)
(City) . (Zip Code)
(Phone) <15;),- 'lCf4-oooS
,;) 19/ oLj
(Contact Person)
APPLICANT SIGNATURE ~,\\: _, \\.. ~..-t.cl:Y;YD~ DATE
APPLICANT PLEASE COMPLETE BELOW
. QqNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACEMAKEANDMODEL LuifIDX G5)(Y)P- J,yf)- DL/-5 FUEL 1lJa.;t. GJaS
.?) INPUT LIS, ODD OUTPUT t.f II'--'L\ OD
FLUE SIZE
RETURN OPENINGS
TYPE. OF SYSTEM
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
DWarm Air Plants
DGravity
o Mechanical
~ir Conditioning
DVent. System
(,.Of) f)'Dr- 07. t.\-
I 0 fV:..c-
d-- "ON
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
J % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential. Heating & NC (New Construction) $99.50
Residential, Heating Only (New Construction) $64.50
c: 00
Estimated Cost $ 5. 000 ' Building Pel1llit #
Industrial, Commercial & Multi-Family
,
Residential, Additions & Alterations
Residential, AC Only
li~
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PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
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$39.50
$39.50
~
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
X
l
oc:1, .",. ",P~'?^ WITh
.50 ~j b~rt;PER.\'!T
$
$
$
(Office Use Only)
This Applieation Becomes Your Building Permit When Approved
I Paid
I Dtl~B I 0 ZOot-
Building Official
Dafe
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
-
;r;l
.
I Receipt N
I By
.
:~
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~~
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS J./99/ ~UlFr HEI&Nr.$' 0011,
NATURE OF WORK ~~ CbtJ J J IUl c7'7bI>J
USE OF BUILDING S:~A.. .
PERMIT NO. f23-/50tJ DATE ISSUED jllftJ[d'
CONTRACTOR PULre:- }(~If4P PHbNEJ,Jl.'~J...1/9~S
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
, FOOTING
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
0H
j/l/i7
J/Z,?/
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING Ut () , w(l
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
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WPA
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,
GRADING (Prior to Sodding)
BUILDING ,\(V1'? \J"hl
ELECTRICAL
PLUMBING
HEATING
DO NOT
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS _ ;r
,,\ee ~,,; hY'c
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1/)/'("/ ~
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OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
L1- ), 1--tfU1
.5' ~L1- 0 1-)
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
~ttfifirab nf @rrnpanqz
CITY OF PRIOR LAKE
~:eparfm:enf of 1iuilbing JInsp:edion
/
,rZl Final Permitted 0 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 of the City of Prior
Lake regulating building construction or use. For the following:
Use Classification
SINGLE FAMILY
Occupancy Type
R3
Type Construction
VN
Fire Zone
Bldg. Permit No._ 03-1508
N / A_ Zoning Districl
PUD
Legal Description
L7, B3, TIMBER CREST PARK
Owner of Building
Site Address
4991 BLUFF HEIGHTS
PKWY., SUITE 140.
DON RYE
TRAIL
EAGAN
25121
Contractor's Name & Address PULTE HOMES, 8~S NORTHWEST
/>yp
ROBERT D. HUTCHINS/'P/' . CIty Planner.
/ ~l~ ~"'al '
,//.,..1. ~ / /J} Date
Date:
~~yTlME
/
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.::trFINAL
o SITE INSPECTION
COMMENTS:
----
//
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" (" )'~S-f'
----
SCHEDULED
CONTR.
PERMIT NO.
CE - /.)06"
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
------
~..'~
h~ /
--------
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCF~
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .t SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
4qq( '(!,l# ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
)il'MECH FINAL
COMMENTS:
$ F,,'4/ <61-J. ttJI1~,'
j., (.~ 4- r "",,-r-"
-
(f--eN(? f/l1rhf
DATE TIME
.t'-) HI.(
3 -/J"ZW
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
9::-"/~
o WORK SATISFACTORY. PROCEED
o CORRE ACTION AND PROCEED
ORRECT :~K:~ REINSPEcTION BEFORE COVERING
Inspecto~ /' "T Owner/Cont~ .
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
uaNO"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
,
:s - '';u 7
BUftNSVILLE
Heating & Air Conditioning, L.L.c.
I
12481 Rhode Island Ave S, Samge, MN 5Sp8. 9'p2-f!P4~005
o
~rs1at Test Report for Job# J" II q
Address i..{Cf9/ t)/.u..{I #>;1(,.117> (it Citv fA.o(( '-AIt.,,-
Occupant
Date of Install ~ - .." - 0'-1
Type of HT. F/A X HW Space HT Unit HT
Other
Make
Model
Seriat'
Input
/1
1 0 .
. II
l ~ 1-.)t00\!
c.s.!\~r l'-{P.,- 0<..\,<; -01
,.
580-\8 Z I' Ii
'4'-\ . (y.X) fly \\.A "
Pilot Type HOT SURFACE IGNITOR
Pressure '3s I u.x:. CO2 /"'.0
Input CFH '-\'4 02 10.3
Slack Temp \05"" CO \<-\ $'0......
Date Tested
Company
Technician
'-\ - -z...l:)- ()U
BURNSVILLE HEATING & AIR CONDITIONING
lLu
(
OA TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
tI-~7O--J
I
ADDRESS
iff q ( fS(,~ iI1-s
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~ - / j---z5
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
)<I"l>LUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~
((.aI:-4f/J
o WORK SATISFACTORY, PROCEED
If CORRECT ACTION AND PROCEED
o CORRECT WO.JfK.~~R REINSPECTION BEFORE COVERING
Inspector: IV r Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH dO SAFETYI
IJIISNOTl