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HomeMy WebLinkAboutBuilding Permit 03-1540 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec'd 11/;-03 See Main File ;';:i~:' ~::y I PERMITNO'OI?ICAO I J. Yellow Applicant J .::;;;u:.r (Please type or print and sil'P)l at bottom) I ADDRESS J/fIPr ~p- )j~/(P)/T5 r I'lA-i t- I zmp~OpU") LEGAL DESCRIPTION (office use only) LOT Z7 BLOCK I ADDITION ?:n1J3L/f t:kar E,pt'L PID M'- tf()).- O:J.?- 0 OWNER (Name) fJvJ..T&-- JlomGS filS- M01llWBr Av~ ~4 (Phone) #.51- $I.sZ-<;zc,d :Sllr"'L-- It/V. fA-6k'11 n1J1 (Address) BUILDER ." ilo1,w _ (Name) LYI'" t::-- (Contact Name) _tun:r g/.Af,/'~KA (Address) (Phone) (Phone) ;:'/2 -7~/- 'I1"tr.s- TYPE OF WORK ~ ~ew Construction DDeck OPorch ORe-Roofing ORe-Siding DLower Level Finish o Fireplace DAddition DAlteration OUtility Connection o Misc. PROJECTCOST/YALUE (excluding land) $ 9,?, ~6 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 subrmtted 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 :ter?~7to~Zns Be -/371 //~i5 ,7 , SIgnature Contractor's License No '/ ~ 0 ~ I pe~itValuation - I ~'tJ tJOO, tJO I I Park Support Fee # $- I Permit Fee $ /923, 7S I I SAC ~ # $ IZ7~ 00 I Plan Check Fee $ ftx!J{), t{ 'I I I Water Meter Qize~~)I1"; $ z.-5a. fl ~ I State Surcharge $ tis: dol I Pressure Reducer $ L/ S,C)O I Penalty $ - I I City SAC and WAC # $ tWO,DO t Plumbing Permit Fee $ 100, 0 tl I I Water Tower Fee # $ 7tJo..oo I MechanicaiPermitFee $ /oo,ao I I Buiider'sDeposit 1$ I Sewer & Water Permit Fee $ .:J5( 5'<:1 I I Other $ I Gas Firepiace Permit Fee $ .efO.oo I I TOTAL DUE $5.3/+-. /19 Building Official II /; <(~ '7 I' ;ate , /" I Paid ,') ~/'-I- ~ / I Date /,:}-- a- -) I ReceiPt No. VA fZ)'i By (if U This Application Becomes Your Building Permit When Approved ~ 7.eJJ1-- 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 constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be ~anninZ~~ l!/tltJ3 Se~J~!!!,~y File 24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 ~~ See Main File nvmte -Buildin9:=:> eaiiary - Engineering Pink - Planning The Centt'. "f Ih..I.lk.. Counll"). BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED PLi1:k.- ~o.---- /1-&-3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I1btj ~ ~/ Lit{ ~ g / Accepted With Corrections Accepted Denied Reviewed By: o. d;).fLA-: r ~f- Date: 10~h:? 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." ~~ See Main File White - Building Canary - ~!19ineering ,....-p;n", . ..,annl"!!:::> Tht ('..nt..r or lh..l..k.. Countr)' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT . f / ,I , ;'.-" Ie .~" ...01 ..:l-... APPLICATION RECEIVED I I' Ie" The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: t/;/,Y ;f '.. " /... ii' ~.,- J _."' ' .' j' '<iV '..I ,/ , ' '---- Accepted /' , . Accepted With Corrections . , '. . .. Denied Reviewed By: ~ r 7-d J .of'--' Date: /0r7 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." ~ ~e~ See Main File White - B'Jildina \..Eanarv - Engineerin.s::> Pink - Planning Th~ ('.,nln nf lh., I.,kif COUnlf} aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED '; ,'J I . -) ,.- ii 7 -- ' r-,-, ; ,.'-'____,__ A .,...., /-~. ___"-- C-- .LeA. '. ,,c.. . ',': ..j " Y. ~- ~ / i.., I.' ..., i 4-" The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: -!j "., 1./11 {,:? ~ b./.<tffj' /(''0 (,J.L/ ,-:// / --' Accepted )( Accepted With Corrections Denied Reviewed By: /YJ4 F) Date: _c,.,..,.. !J1,AI:r.. r; '/ r / 1- /~-Cd 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 giye authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." Feb 19 04 02:05p HETRO GENERAL SERVICES 763-428-2968 p.5 GAEEM . flU! YeLlOW. APPLICANT GOlD. ellf NOTE: Sewer and Water contractors must be registered with the city. rn 1..,.,( (" ,'") APPLICANT: 18IdA.]) . jf'knJJlLQ} ,)en1~jlONE: 71JJ.~..l/2X-l?3~ ADDRESS: ,f)i7f.lo a tW.f'X Alt.. fJf DATE:' SIGNATURE:' jJ~_lj.d:t"Ii.f4'/f,' BLDG. PERMIT # SITE ADDRESS: Ljqbi ~/tiIT/Jtff/Jt;5 'lhU.:.&ID# FILL..IN THE BLANKS 1. Estimated length of water service /50 2. Size of water service l If inch(es). CITY OF PRIOR LAKE SEWER' AND WATER PERMIT FAy.. CJ5~ '1'/ 7-'lz,l/r' S.W.NO.~ feet. ABS from structure , pi PVC Lj [/. ~)'L) I,'" I.J feet. 3. Location of any couplings "--- 4 . 5 . Type of sewer pipe. Cast Iron Estimated length of sewer line feet. ~ 6. Clean out (if required), located at feet from ====:::::::::~=======================~:f~==~====================== This application becomes your permit when approved. I BY DATE: ========fJ~J~=~:~======~====================================== FEES: fJ Id~ P'f-!>t,'f- . Sewer and water line connection permit. "_ '. Surcharge Nt) /-ee- TOTI\L * Fee for either sewer or water individually is $20.00 plus $ .50 surcharge. Sew~randwater pemits issued for new construction must be recorded on. the buildin~ permit card at the time of issuance to insure that no dupllcate sewer and water permits are issu~tLFEB 1 II 2004 ..:DATE',Pi\.I.p' . RECEIPT ~4; AMOUNT PAIP PAlO WITH tsylWING PERMIT REC'DBY . * .'.,.; Eagl\l:Creek Ay. S.E., Prior Lake, Minnesota 55372 f Ph. (.~~2) 447.4230 f FAX (.$2) 447.4245 An Equal Opponunity Employer ..--- Nov 26 03 Ol:lOp METRO GENERAL SERVICES 763-428-2968 p.3 IIItUtl ~ A.( YELLOW - A"L~T GOLD. CITY , CITY OF PRIOR LAKE SEWER AND WATER PERMIT Cj'5l..r 1f'l7-f/1-t/~ S.W.No. 3-/5"40 FA y.. NOTE: Sewer and Water contractors must be registered with the City. NOIf 2 6 2003 APPLICA~T: (h E:iR() (~ENER.A/ SER-VIC..EfHoNE: rb3 -4-d.?l-d-.'13f! ADDRESS: 57Cj 0 (::l vAIYl All€. Nt: :W\J C DATE: NOV 2 B lOO., . ----I~I\ '~n ..-!I+--, s-r: I'Yl Ie-Ii P,F- L, """"1N. 55376 SIGNATU~E: 1 a1Jo..+l ~ I&lV BLDG. PERMIT # SITE AD)RESS;--L/-1t:,'6 ;Q!./-.L. f/~,~p.,.1;..- PID' pl) ~ /~ FILL. IN THE BLANkS 1. EstLmated length of water service 5r-. feet. 2. siz~ of water service (./ inch(es). J. Locltion of any couplings from structure () feet. 4. Typ~ of sewer pipe. ABS PVC ~II Cast Iron '- 5. Estlmated length of sewer line 5' () feet. 6. Clem out (if required), str'lcture. located at NIl+: feet from ====;=====~=========~=====~~=================~===============~==== This ap)lication becomes your permit when approved. BY DATE: ======="====r===================================================== P",IJed (,J ''1-1, FEES: il/d ef../IHi- .Sewer and water line connection permit. . Surcharge <: No Fee.- TOTAL ... * Fee for either sewer or water individually is $20.00 plus $ . ,0 surcharge. * SewI!r and water permIts. issued for new construction must be recqrded 011 the bui.1din<<;J permit card at the time of issuance ~o ,.nsurethat nodupllcate sewer and water J:le:tllli.t~H are lSSlled. f'AIU WI I .', ' . '8Z' 003 BUILDING peRM!T OATE.},'A:O . DEe AMOUNT PAID . - .. , " RECEIPT # REC'D BY 0~ ,.~...;......---'_..._-_.._" - '16200 Eagl<::C reek Ay. S.B., Prior Lake, Minnesota 55372 / Ph. ('b$2) 447-4230 I FAX ('l'32) 447-4245 An PnllA1 Onnortunitv Emnlover ----..---~~-----_..._~-"._---,._.~,----~- 4- 8-04; 9:38AM; S@i A,1"'tiE5D'\" ;952 894 0925 # 4/ 9 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd I. Pink 2.Oreen l. YdlClW ~::, I PERMIT NO.f'liil I~~ A.pplicant ~ (Please type or 'Print and sim a.t bottom' ADDRESS 40M hill tI ub -o~ It aU I ZONlNG(oflk,,,,) H 'H '1 LEGAL DESCRIPTION (office use nnly) Ii I' .,1 '-;' .LOT BLOCK ADDITION PID OWNER r I) (Name) Jf.( C R (Address) 85 10 f-I.nm.fl.LJ fl.! Prd/r (phone) (as /-[/5-;). - s.::t:o fA VU.A~ ~ ~'I' >''':i APPLICANT (Name) Burnsville HeatinQ & NC. LLC 12481 Rhode Island AYe. So. Sayaae. MN 55378-11'.2 (Address) (Phone) Gcs r) - gc, LI- ()~ Ii" ('; "', l~ [~ (Address) (City) (Zip Code) (Contact Person) /:1, . APPLICANT SIGNATURE .l.:::L11/l (phone) Df)MJYL!ICVl ~ DATE J.j - f -0'/ APPLICANT PLEASE COMPLETE BELOW r.8J,NEW COI:;;~~TION 0 REPLACEMENT [j AL TERA nONS . FURNACE MAKE AND MODEL Y.. as 11l1P~3(Pl3r())0 FUEL .m;j- ~/ FLUE SIZE RETURN OPENINGS J/ INPUT '1....1) (,yf) OUTPUT(9_SJ.._Y ()Q TYPE OF SYSTEM HEATING OR POWER PLANT M r~ ~ 1;\1 OWarm Air Plants OGravity o Mechanical OAir Conditioning OVent. System o Steam' o Hnt Water o Radiatinn 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 599.50 564.50 Residential, Additions & Alterations Residential, AC Only $39.50 539.50 $39.50 Residential, Heating & Ale (New Construction) Residential, Heating Only (New Construction) Estimated Cost $ Building Pennit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE ~dv~ IT ,?~c;l !"k~lding O',:'f1h:~J D:m~ I Paid I DateAPR 0 9 2004 I Receipt No. ! By '1 , I (Office Use Ouly) This Application Becomes Your Building Permit When Approved '.Il..l,~ ),'.(,1.. [(If aU in~;i. d:kn.'i 16200 Eagle Creek Avenue, Prior ~~tt.~N $5372 PRIOR LAKE INSPECTION RECORD SITE ADDRESS ~'i&,s. D./..uEt: ~ TAA/~ NATURE OF WORK fJEJAJ fffST'I!tM:7J'tW USE OF BUILDING s:' . At.. . ~ i PERMIT NO. Q3j54-Q DATE ISSUED ll.L1!L/1J? CONTRACTOR~ Hi4",..c. PH0NEIJ2 -eZl- "-185 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BEL.OW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF See Main File BUILDING AND INSPECTION INSPECTOR OATE 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 VHJ /..j - J- Z-ffL/ flli-, "'~B 10" VI(V2 Vv}'/ ~ i-j,..U-ov/ l.{ 'Y 7-vLt ~1i%1. COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS GRADING (Prior to SOdding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUPY UNTIL ABOVE HAS NOTICE _ A .-/ 0,pe //7?-,,)' ,h/e , /#!/ 9' /-P/ /oy . V/t:!/~f !Ifd 6/ltft~1 . t@. 'O/%/b{ BEEN SIGNED ~ This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all inspections have been approyed. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850 <1ttdifitaft of <IDuupanq! CITY OF PRIOR LAKE ~rparfturnt of 1JiuilMng Jlnsprdion / ftJ Final Permitted [l 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 FANILY Bldg. Permit No, {'.~>, 1~40 Occupancy Type R3 Type Construction VN Fire Zone N/A _ Zoning District pun Legal Description L27, Bl, TINBER CREST PARK Owner of Building Contractor's Name & Addresf'YLTE Site Address ~968 BLUFF HEIGHTS TRAIL SE ROBERT D. HUTCHINS 9' /~)/~~Cial HOMES, 815,NORTHWEST PKWY., SUITE 140, /~1" EAGAN 55121 City Planner DON RYE Date: Date: CITY OF PRIOR LAKE INSPECTION NOTICE DATE ~~..v ~~~ ~II' ~ '"ff/ TIME SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. I"? -/,L/O - , o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o R HOOKUP PLUMBING FINAL o MECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE Rl o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ./") (!:/ ./ / Jf' 4R f' (,J ~TU ~ / // / ~...>;4- / / e d .A tf'1J/; '---" . J!:ORK SATISFACTORY, PROCEED CORRECT ACTION AND PROCEED o CORRECT WOR/K..:, ~4L~R REINSPECTION BEFORE COYERING Inspector: 7~ Owner/Contr: CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADYANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! m"",,, CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE TIME t::A!# ADDRESS ~6? -tf'h# ~ 7r/ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING ~SULATION ~~NAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ~OJ'!PJIENTS: . $~cr~, ~../ hk/4.! LJS - ~~cJ o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o / qAt?/oY CJ /~ed~ ~~J r kf'Oe_\t:;. A~ ~../ t'~L: ~i#n)~ ( . ....,./ C ......., /..eM F' V, ,/ . U'/,'/,.9/// /dy- ~ " o WORK SATISFACTORY, PROCEED 'il"'CORRECT ACTION AND PROCEED /0- CORRECT WORK, CALL FOR REINSPECTION BEFORE COYERING Inspector: ~ Owner/Contr: CALL 447-985Q FOR THE NEXT INSPECTION 24 HOU~S IN ADVANCE. """"" CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH.{ SAFETY! OATE TIME 7.b/~ ~~69 /?J,ff # ~/ CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION -'H'INAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: ---- /~~ ( (_ /q.s-€ '-- ....---- t'Js -/Ss/O o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~ ,....- / ) /-7 /e..~~ ~ WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COYERING ~ Owner/Contr: Inspector: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. If'fSNOTJ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! BUHN~.v.LLE Heating & Air Conditioning, L.L.c. 12481 Rhode Island Ave S, Savage, MN 55378.952-894-0005 0rs1at Test Report for Jobl (n ,q:::-- Address Lj.GLd< Kl.l'\'..\-. ~. Occupant Date of Inslall Type of HT. F/A y" HW Space HT Other ." t \ City~J L...f"k UnitHT Make L", /I/}r.r Model rJ6/ mP ~:.2tIA - D~'; - f){ Serial ~r;z,I(' .;)~; ~./"1 . Input ~/t/ (X;JO Pilot Type Pressure Input CFH Stack Temp Date Tested Company Technician HOT SURFACE IGNITOR ..-- :<.':;;' 1-/4 105" C> t..,J 7-/0'; C02 02 CO La ,"3 % 9'"'''/0 dO,J r')w' , I BURNSVILLE HEATING & AIR CONDITIONING ~ CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 7'PGj/ ADDRESS ~. -JliT. 7t? r 72 " "/ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RJ o WATER HOOKUP o SEWER HOOKUP ~LUMBING FINAL / MECH FINAL DATE TIME tV~y .t5f.,5-11& 7';-/ Os - /.s-..:,.r'?L ./.r:v/. /s-sr..:z... , o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI V'REPLACE FINAL ~ GASLINE AIR TST o COMMENT.-S: .F~A'6....."./,n- ~J ~< CJ(1If# .p.~ c~'J/IJ..L.s ~''/ ~~~ r- '" # ~C' r:!O-(. / 6rs~ ~ k ~ /;?/ec-4: ,,--- /;;A""- ~ / r/ C'~ ~WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COYERING Inspector: ~ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADYANCE. IJIiSNOTJ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ,( SAFETY!