HomeMy WebLinkAboutBuilding Permit 03-1510
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~ee Main File ; ~:' ~::y
3. Yellow Applicant
Date Rec'd
I D" d--&-03
(Please type orvrint and siJID at bottom)
ADDRESS
I PERMIT NO. 03-/5/0
'119'~
J5ULFP
J/ab#75 'ft;A-rL-
. LEGAL DESCRIPTION (office use only)
LOT SBLOCK3 ADDITION 1:mBlI1 {JygJ- ~uL
OWNER
(Name)
?UJ..,.Tf- J/om 65
Nofl.Tl!WLsr
M6A-M
ZONING (officeu,,)
pm;} 5-l./(Jt3.. -0'71-()
rMtilWA<-1,
/
(Phone) ("sJ- tjSZ -S2fJ 0
J'Yhl- .sSIZI
(Address) 8JS
BUILDER
(Name)
(Contact Name)
(Address)
S/t1vIt,;
I !ufLJ
15 t4SfJ# f4j
(Phone)
(Phone)
TYPE OF WORK
~ew Construction
DLower Level Finish
D Fireplace
DPorch
ORe-Roofing
ODeck
OAddition
DAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) $
bt7- 2Z)- f/9~5'"
9LJ.09:;;
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. m aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;teruponthe;pe~c~ Et- /37/ /l)!?'f~ate~"?:
~ ~;..~= - Contractor's License No. 7"',/U
1 Perinit Valuation #9 /). DO () .0'01 Park Support Fee
1 Permit Fee $' &],;),3. 75'"1 SAC
1 Plan Check Fee $ &'tJ{).'1<{ I WaterMete(. SizeS/8f,I";
I State Surcharge $ 45. DO Pressure Reducer
1 Penalty $ I City SAC and WAC
I Plumbing Permit Fee $ ItJo . ()O 1 Water Tower Fee
1 Mechanical Permit Fee $ I (){). 0 a I Builder's Deposit
I Sewer & Water Permit Fee $ 3'5.50 lather
1 Gas Fireplace Permit Fee $ L/t). dO 1 TOTALDUE
This Application Becomes Your Building Pennit When Approved
I Paid
I Date
S7/ ~.{, "1
/1. /1.-. 07
~~~
/I /(;/07
f----n;te
Building Official
I
I
1
I
I
1
I
$ I
$.5.3/4-. f.?91
/
I R~ce~o. """oJ'P-- I
BV{) . I
#
#
#
#
$
$ 1z...7~.DO
$ ~50.8"
$ ,,/5".00
$ Izoo.aO
$ 7tJO.oo
$
-
~
Th~ ~ to certify that the request in the above application and accompanying documents ~ in accordance with the City z;a, ordinan. ce and may proceed as requested. This document
~p~~mpomYCertifi7;fz:g;~p~ance"ndallow'con'ttuctiontoco ...,eereMaiii"Fileustbe
Planning Director V Dale 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
5~~
See Main File
White . Building
Canary - Engineering
(" Pink - PlannlnV
-
-
Th~ (-..nln ur Ih..l.lk.. Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
il/ ((
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ I
/ ,j /{/ \ ".j . " '
" l
Accepted
/
Accepted With Corrections
'"
Denied
Reviewed By:
~..n
,
~.pjU
Date: /1 / ~/OJ
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
~;t.. -I'luildi~
Canary - Engineering
Pink - Planning
Thr (-tnlt. or Ihtl.ak.. ("ounll1o
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
p~-/ ~
1:-1' o-R...-tJ-3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction :C:i:y;'ShiC_h is pr~s:d at:
[;1'-'17 ~ ~~~
{/U
Accepted
~
Accepted With Corrections
Denied
,
Reviewed By:
~
~
Date: II !,j(J3
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
1.
2.
3.
4 .
'-- 5.
6.
METRO GENERAL SERVICES
763-428-2S68
p.5
GIIIEE. . PM..I
YEl.lOW . APPl.ICAN'f
GOLD. CIT'f
FA'A.
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
'1'$'2..- '1'/7- '/i-II,G"
S.W.No. "3 - IS- /0
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLICANT: {h t:.JRO (5ENERAi. SE;R.V!C-~f>HONE: rb3 '-4-;)'fJ-C>.'131l'
ADDRESS:57QOr:::luAIl'l AVENe: rt\JcOATE: OCTZ22003
.----;-\ ~^ '~r ~ S--r I'YJ lQ.li Pi~L '4"')1\1. 553710
SIGNATURE: ~ .avC2_'+-~\.oo"J?.N. ,BLDG. PERMIT #
SITE ADDRESS: 4-9 q:5 I J. cl-Jn :_2:+:I~
U~-~
FILL, IN THE BLANKS
Estimated length of water service.
bi'l
feet.
Size of water service
I"
inch(es) .
Location of any couplings from structure () feet.
Type of sewer pipe. ABS____ PVC ~{I Cast Iron
Estimated length of sewer line 5" () feet.
Clean out (if required),
structure.
located at
IV/A-
feet
from
================~======~-==~=====;================================
This application becomes y~ermit when approved.
BY_( r~",,)(~.Q.... DATE: OCT 2 2 2003
============r===== ==============================================
PwJ/ed ~.
FEES: f] Jd -e.M' 1- Sewer and water line connection permit.
Surcharge
NtJ 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
record~d. qn thebulldIrig permit card at the time of issuance
to ins\lre"tl1at 00 dupl:icate sewer and water permits are
issued~ _ . ;
DATE,:~AIb t;. NOV 1 2 2003 '
... ~-
RECEtPT # " _
.......-_.-~-,_._.~.__._.-_.-._._..-
*
AMOUNT PAID
< PAID Wn"",
BtllI ulNa M
U
REC'O BY
,_I'
..",:,/ :._-..,<,',-'1,'"
16200 Eaglc;:CreekAv. S.B., Prior Lake, Minnesota 55372/ Ph. (9s:2) 447-4230/ FAX (Qs2) 447-4245
An Reua! Gooortunitv Employer
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[nee..':..";:!. Cooc:-:.:::::::::.l ..k :\'{uLti.b':l.il;-r (~-; c(joiJ C),iC '~ic.":. .J, 'sJ9,SG minirnt.;o.
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SeA TF: SURCH."'J'..GE S
TOTAL. PER,m IT!: S
.50
{Oenet: t:..IC Onf~)
TiIi:s Applic.::2dort 3<<ame:s YoUr' Buiidin: Pl::-a1ic Wben Apprnv~d
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2- 9-04; 2;51PM;
;952 894 0925
# 4/ 4
.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please \)]!e or Drint and si.. at bDttom)
ADDRE4cr95 13 { u (f
Iffs.
f
y.
:~ ~:~ I PERMIT NO"," ,c:,trl
~.Vel!ow ApplicUlt U~'
ZONING (olt"" uso)
I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
P /A. {..{p
. (Address)SIS I\JW
OWNER
(Name)
f-fo IYI e 'S
Piwl.-\l
"-'
S~lJ.e.. 140 I
(Phone) (tiS (- y 5;2- :s;[o 0
EaCl(u) . MI\) 55/:21
V
APPLICANT
(Name)
i3 MI" u"",tino & NC, LLC
12481 Rhode Island Ave. :>0.
~ . ":;;-M'" '5j=;"l7B-1122
..,g.,,,,,~. I n (Address) (CIty). (Zip Code)
(Contact Person) j\J..LJ." 'c. (phone) CfS;;)- 9/14-0005
APPLICANT SIGNATURE \A,\h~ C\. ~O,()Y\.. DATE ;;) 19/ D t.j
U '-J
.. . APPLICANT PLEASE COMPLETE BELOW
OllNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL LuJ IlDX G511Yl p. ,1,4 & - 045 FUEL AJrd:. Cla.S
~"5 INPUT LIS, ODD OUTPUT tfLv40D
(phone)
(Address)
II
FYl
OWarm Air Plants
OGravity
o Mechanical
lSJt.ir Conditioning
OVent. System
fp(l rm-r. 07- tt
10 ACC.-
d- ,,\0'10
HEATING OR POWER PLANT
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
.....1
I
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi.Pamily
$39.50
'''''j
.:,Ii
",>.,.-,
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & NC (New Construction) $99.50
Residential, Heating Only (New Construction) $64.50
Estimated Cost $ 5j 500. 00 Building Permit #
;"'j
Residenti;j, Additions & Alterations
Residential, AC Only
$39.50
$39.50
'I'~i'i
,
~:r~4;
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
\/"
/\
l
od ....F~\;D V\iiTh
r ~'~}n -.');)i\;{:: ::"-0:\ ~,-
.50 bj o;ZJcG?':1 .!.,U i
Building Official
Date:
I Paid
I Date
FEB
1 0 2004
Receipt No.
n
'r O'
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447.9850, fax (952) 447.4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
.it#!.1,'~',','!':;~-E!'-~;::~,=....!7c~~=t="$!.~~.........,._.,._.;,,_"'.1iEMf=='~'~,;;z;."!;;:',',m~J",;n=r.l!r.!:1l~r"~nl'~"""'~"'>"',~",,,,,,",,,,,,,,,,,,,,,"""''''''o:.,=~"''''
~"-;~'O~PRIO.'Iy <:
f:: ~
u [T1
See Main File
~ . ~i1dina
ry qinei"ring J
mk - Planning
Thr C"ntn of IItf l,.kt ('uunlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,
;'...., ...: /,.~_cl
I-I ' I"
>' 1,1'" .C...
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'\./' ._ ,I.Ii.~'?, 1l t' ./~\
1\ 1(/ ,.- ,........./-.....J
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
"j I
.. . /, /'l /~:f 7-" .. /:,1
{~:L d'(~f;i; .Y~(J.. i1/11.L
."
I /
;
(-...-
.)
Accepted
><
Accepted With Corrections
Denied
Reviewed By:
j1A4f?:.
St' "'- JYl4'~
Date:
11- L/-6J
Comments:
F/lc.
"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."
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS I./qq S 'B'j.lrF HE-If;. HTs 7!2A,i,
NATURE OF WORK All. W C,/JA.JST I!Uc:r"~
USE OF BUILDING SF: IA.
PERMIT NO. (l3 - / SID DATE ISSUED lL1l# 10:1
CONTRACTOR ~rE H~Mn PHONE",tZ..Z2t "'11'85
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
OATE
I FOOTING
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
S-r+-
)~
/ft1/
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING {/[;v" ( (J, b' v0' J. ;-IJ<..{
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
( {- (c.,r -0 ~
7,'((.-00
1. -('i>-()l.(
-
/ftY/
v1A/
>--{G~(/[ I
" --/ (, tJ4
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
0ee ~/,~
//#
VV~
vW)
/
h/e ,
9P'~ /oy
GRADING (Prior to Sodding)
BUILDING f1-r~ lJ-tll\ (,d-c"'\
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
I.;{-).. 7-o~1
c:: J,.(,.()&(
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
@rrtifirafr of <IDrrnpaurl,!
CITY OF PRIOR LAKE
~~J1arfm~nt of ~uilMng JlnsJ1~dion
/
;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 following:
Use Classification
SINGLE FAMILY
Occupancy Type
R3 Type Construction
VN
Fire Zone
Bldg. Permit No.. 03-1510
N / A Zoning District
PUD
Legal Description _
1.5, B3, TIMBER CREST PARK
Site Address _4995 BLUFF HEIGHTS TRAIL
Owner of Building _
Contractor's Name & Address PUL TE HOMES L 8%5
ROBERT D. HUTCHINS~~~
Date .?6;~7im
NORTHWEST PKWY.. SUITE 140. EAGAN 55121
City Planner
DON RYE
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
L-{1f(r (ljcJf~ Ith
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
o MECH FINAL
COMMENTS:
(I) 0,.' "'''-<1,* d!7'71V14
C::.~ S"cicl -I 'Tw ,,',
T.A4r? Chlh I
,
DATE TlME
s,j.(,,' <1'1
'3.-(SfO
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
8-/1--= ,
Ia.-lI't6RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector /' ./I./?~ Owner/Contr:
CALL ~7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
"""""
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
~~ nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 9Y,2~-CY
Y77S- /?~jJJ & -z;/
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FDUNDA TION
o FRAMING
o INSULATION
.,..Q-1'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
QJ - /..s?O
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/
( ~/
~ C-:/ose
~---~
.~
./
.---- )
/7 ./'b
--------
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:.::o:ECT W:;;a::EINS::::,::~:FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'''''"'''
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
LJ-J..~(;<f
ADDRESS
L-f q4!;
IYfi fik
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~-mo
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
~PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
;'Levt.<ll,....,
t7J~ Lw/'S
I
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT /1R~'pOR REINSPECTION BEFORE COVERING
Inspector: 1-Jf.! Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUlREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
H<SNCn
DURNSVILLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378.952-894-0005
Orslat Test Report for Job# ~ I ';;l I
Address <.f995
Occupant
Oate of I nslall
Type of HT. FJA
Other
6LU. rr t-JUi:,m s
City ~'ol( L>(~"
\' HW
Space HT
UnitHT
Make l,,-',hJ6X
Model ~5lHj?'2yl';'04"'-OI
Serial 5'8oLj c.. 'Y11 Z s-
Input 41..\. oco ,A,-n...,"'
Pilot Type HOT SURFACE IGNITOR
Pressure 35 "cUe CO2 lD4
Input CFH 4'-\ 02 C).5
S1ackTemp '71 CO J Z PI'''''
.
Date Tested 5 - L..\ - 0 L\
Company
Technician
BURNSVILLE HEATING & AIR CONDITIONING
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