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!