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Home My WebLink AboutBuilding Permit 03-1541 (Please .!VD~ or print and sign at bottom) ADDRESS if" 7u CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT See Main File Date Rec'd / j-5-63 I PERMIT NO. 0.3 . /5"4- / I 1 White file 2. Pink City 3_ Yellow Applicant I51AL,cr II PI~/ff> rtL+'L- LEGAL DESCRIPTION (olliee use only) LOTZtPBLOCK / ADDITION ;);mBw~ iJtfRr f/AQlA OWNER () (Name) 'I'/1J...7& (Address) fJ/S Jl.6J2d/ It/fE;;- /Jrzo I.L"'I BUILDER (Name) (Contact Name) (Address) ~ SA-m r.; 4ar /51_"~-U//7 , TYPE OF WORK (]?'New Construction o Misc. DLower Level Finish PROJECT COST IV ALUE (excluding land) $ DAlteration DUtility Connection a .- /~ b'~5- (Phone) SvITL Ii/a. ZONING (office use) PUD PID ,;)S-t./();).- D"J.(,,-l.i &&/- '1!>2- 5'200 '&6 A-1/1 . flJ 1.-, (Phone) (Phone) DDeek DPorch ORe. Roofing tlZ -z?/- ~?fj5 ORe-Siding 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 plan. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon prop~.rtyt rfirmnee~d7ctions. ~ / X ~~ A..~ &-/371 /1 57(JJ , 7 Signature Contractor's License No. -fJate Permit Valuation Permit Fee I Plan Check Fee State Surcharge Penalty I Plumbing Permit Fee \ Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee $ $ $ $ $ $ $ $ ". ~'CftJ.(J{)(J,OO I If z 3'. 75" I (;00. #'1 I L{S.OO I I I I I I loo,oc , 0 0, 00 35'.50 If 0, eJO ~ This Application Becomes Your Building Permit When Approved ~ II} 1//0.7 Date Building Official D Fireplace DAddioon # # # # $ $ $ $ $ $ $ $ $ I 275," 0 2.'50.00 'fS .00 12.00,00 70{).00 .~.~ ~/ I Receipt No.'1/7 ""y I By ~ 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 ~7?:d~Y:' :Plan~:mpOrMY C~~;;I7A~~O;liane' and illows ronsttusneem'Malii' F(Ieoerupan~ mustb, . Planning Director , Date Special Conditions, if any 24 hour notice for an inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Park Support Fee SAC .......... I Water Meter Siz(5/8-~ I"; I Pressure Reducer I City SAC and WAC \ Water Tower Fee I Builder's Deposit I Other I TOTAL DUE I Paid I Date "---., /" J JI'1~ 107 J d- / ;:).- -=-, ~~ See Main File ~-.:- Building---., l;anary . _ .. .:ifii'iQ Pink - Planning Th Cfn'..rof lh..I,.kf Coun!.,.. BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED P ,,1/ ~ ~ '---N&J: )1- (:,- () 2> The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: L/f70 ~i6 I.Lz;; fJh~~ Accepted ~ Accepted With Corrections Denied Reviewed By: ~ ^ ~f- , Date: 10~!t,3 Comments: s "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." 1i~'1e See Main File Tht CrnIProfthrl..b(."ounlry White - Building Canary - i::ngineering ~mK - ..,annm!!::::> BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST 4 NAME OF APPLICANT APPLICATION RECEIVED // ..,.// / 1- &:? '.~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /; -- f ,I ,".~ - .' Accepted ",- Accepted With Corrections - Denied Reviewed By: g~ ~f...; Date: 1/1 <( /(J :? Comments: See Main-FiI€ .. "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 ( ~iclll 'CII~ Y - Il:.nqmeerlng::> - Pink - - Pla-nning Thf' C"DI'" Dr lht' L.k" ('ounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ,.-'., ) r'-/ / I': r/ / A..<_C f.__' ;,r' / / / ,.- t-,. " (CJ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ,/'.' t<-Af_'.\ ',/' " . / / ,-' L.- 1- /..- c ,.--"j' ,-. , Accepted >< Accepted With Corrections Denied Reviewed By: 1J/i18 /)-[(' /YJ c, I V1 Date: /l/g-03 Comments: F'"; I ( . "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 26 03 01:10p METRO GENERAL SERVICES 763-428-2S68 p.4 , GIIED. f&.1. YELLOW . ~PP\.ICAIIT GOLD - ClTt CITY OF PRIOR LAKE SEWER' AND WATER PERMIT '15' 2..r '1'1 7- if ~ vr S.w.No.3- 15 {( FAy... NOTE: Sewer and Water contractors must be registered with the city. APPLICAfT: (h C/R() (-':;E^)ERAi. SER.Vk!-t:.PHONE: tb3 -4-d.8-3."138 ADDRESS: 57CJ 0 ~ Llf\1l'I All€. NJ:: ::r:"AJC-DATE: jlO\l 2 6 lOO~ ~\ 'f'\ '~r .......A---. sr: J'Yl 1(1.../1 "G L -'W) IV. 5537 b SIGNATU~E: J2l)O..'+'\ ~^J?AV . BLDG. PERMIT /1 SITE AD)RESS;~J 7n ..p,P.y(_ t-*dJl4 PIO/1 FILL"~ THE BLANKS I~ 1. Est Lmated length of water service 5,.., feet. 2. sizl of water service I~ inch(es). 3. Locltion of any couplings from structure () feet. 4. TYPl of sewer pipe. ABS PVC yo.'1 cast Iron '--- 5. Est ~ma ted length 0 f sewer 1 ine 5' () feet.. 6. Cle,1n out (if required), str Icture. located at Nllt feet from ====;=~,~========================~========~======================== This ap')lication becomes your t>ermit when approved. BY DATE: ======="f7~il~=~~~============================================= FEES: fJ /d et.M'7'- Sewer and water line connection permit. r-- C"'. Surcharge "" Afo /-ee.. TOTAL ... * Fee for either sewer Dr water individually is $20.00 plus $ . :;0 surcharge. * Sew,!r and water permits issued for new construction must be rec'lrded 9c!Lthe..building permit card at the time of issuance to . .nsure 'that no . duplicate sewer and water"i\ P.l'l;1;;lJJt' tHs are isslled. ,. IV VVI )il';JG PERMIT OEC8' 2003 AMOUNT PAID DATE,,~P'A. :0 .,:\',' - , RECEIPT # . REC'OBY CJ' c , , .,._......:.'1. ..16200 Eagle:( reek Av, S.E., Prior Lake, Minnesota 55372/ Ph. ('/52) 447-4230 / FAX ('l'32) 447-4245 An F'.nlls:l1 nnnnrtnnitv Emolover ~\)~ 8-o~~~;;NG/Am CONDITIONING/FIREPLACE PE~;94 AtJ"'NESO"''' 0925 # 6/ 9 . , lease ~ or nrint and !if l1n, at hnf11'l1.n' \DDRESS . ~ .. LlQ10 !3~L/K " V LEGAL DESCRIPTION (ollie. use only) I.Pi1Ik ::I. GrCel\ J. ydlo..... ~:; I PERMIT NO.l\';il ...Al1 Appllunt ~ ~.J 7rw t -' .- ZONING (office use) .LOT BLOCK ADDITION PID H ;1 ~ ! i' OWNER (Name) {Address) f1;X;k _~_thm_~_ 81S; rN (A j fh}l / (Phone)O';-.;l-I..E;;2-bd()() (Ah~./1~ . - - -,r APPLICANT (Name) ~Yrl:'li\lillD ~p.~tinQ & Ale LlC 12481 Rhode Island Ave. So. Sa\..,~1 .F"'PQ_-1'l'l , (Addr<ss) (phone) qh;;) - J(C}(j - ~ (City) (Zip Code) I ~ I~ ~ (Address) :Cont.ctPerson) '} . (phone) oo\PPLlCANTSIGNATURE.~'"'/./.7J1 An#.JJJ70fl/}/J DATE L/-[-Ot./ ~ APPLICANT PLEASE COMPLETE BELOW . poNEWroNU~;ZON o REPLACEMENT OALlERATIONS / "URNACE MAKE AND M,ODEL 1'1.)( !:-S(IjII/-/-3I,!r1J70 FUEL [j{) -r tjOAj 'LUESIZE RETURN OPENINGS '-/ INPUT 7O,(}{)(J OUTPUT (1<1. (jOtJ TYPE OF SYSTEM HEATING OR POWER PLANT OWann Air Plants 0 Steam . OGravity 0 Hot Water o Mechanical 0 Radiation OAir Conditioning 0 Special Devices OVent. System 0 Other Dcvices PLEASE NOTE: Air Conditioner Units C~ot Encroach into Required Side Yard Setbacks ll' ~. i ~ '!REPLACE MAKE AND MODEL '''!B:~ --;-:- ldustriaJ. Commercial & Multi-Family FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99,50 $64.50 $39.50 >, ~esidential, Heating & A1C (New Construction) .esidential, Heating Only (New Construction) Residenti'at, Additions & Alterations Residential, AC Only $39.50 $39.S0 II It ....~ ,~ 1 I Estimated Cost $ Building Pennit # HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ Inice Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Building Official Date Dat~PR 0 9 2004 By 24 hog,\, r:otice fot .in in,,:pfd,i.m::s t9S:..:':} 1620n 'E;1~Je Cl:k:'e-k ,'~...em)j~~; '/for ;{(''',C1: iJ ~~ .~ Feb IS 04 02:051" METRO GENERAL SERVICES 763-428-2968 1".2 '. GIIIIEI . fI..1 YELlOW. AJlPLlCANT GOlD. C\'n NOTE: Sewer and Water contractors must be registered with the city. . ~ APPLICANT: nW)JJ . }knWll Sen1~ONE:Jlq?rll}jFRi3~ ADDRESS: /97C!tJ alMrtl Aut.. if,t DATE: . SIGNATURE: ~ 1.),1-h. m/itd.7(",. BLDG. PERMIT # SITE ADDRESS:4!lKJ gulrJ-:~/91ff67fal'J, PIO# FlLL..IN THE BLANKS 1. Estimated length of water service tJ'CJ feet. 2. Size of water service / Ii inch(es). 3. Location of any couplings from structure () feet. ,~ Ii I '*. Type of sewer pipe. ABS pvc # Cast Iron '--- 5. Estimated length of sewer line !10 feet. CITY OF PRIOR LAKE SEWER. AND WATER PERMIT FA'f.. q5~ 'it( 7-~"Vilr S.w. No. aJ54-1 6. Clean out (if required), located at feet from ====:::::::::~=======================!!l1f========================= This application becomes your permit when approved. ! BY DATE: ============T======;=======================~~;;===~=;============= P",I/e.d ...., 't'tt . FEES: /1 id,f P..t,.",,;f- Sewer and water line connection permit. .. . surcharge No 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 rec~rded on the building permit card at the time of issuance to insure that no duplicate sewer and water permits are issued; .' )1:; DATE;;PAltP" FEB 1 8 2004 RECEIPT J( I __f AMOUNT. PAlO PAID INlTH REC'D BY BUILDING !O'Ef~!'\itIT Eaglc;: Creek Av. S.B., Prior Lake, Minnesota 55372 I Ph. (."52) 447-4230 I FAX ( ~$2) 447-4245 An Equal Opportunity Employer '_._'_.._-~ PRIOR LAKE INSPECTION RECORD . . SITE ADDRESS HflG.liT3 1/t.AIL NATURE OF WORK E ~ ~J2.f.,u:;7YiJ~ USE OF BUILDING $./1: A . ~ ~ PERMIT NO. 0:3 ./64-1 DATE ISSUED 1111 If Id7 CONTRACTOR "BI.L.~ HClt\6S PHON~- Zl.1 - '1'85 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 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 r[lf' f1 ~ t- )-() 11 INSULATION YII1P" t.{ ~ ).(,-0 "1 ELECTRICAL /IvY~ PLUMBING t--j ry-J-- iJ-j \ HEATING (if required) 1/1./1// L-1 . f-).-0<1 FIREPLACE b/~r GAS LINE AIR TEST uar COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS .'. GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUpy jee ~;'" h-/e ~ 111/1 ~/lllDf ~# ., &I /ojrjt.j /;f/~. 6/~t( iDtf I JJI!/I h/ilc,'/ . 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. FOR ALL INSPECTIONS (952) 447-9850 QIrrtifirab of Ql}rrupanql CITY OF PRIOR LAKE :!Elrpctdmruf of 'lJiuilbiug JIusprdiou rFinal Permitted n Conditional e.O. Expires , This Certificate issued pursuant to the requirements of Section 307 afthe 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: Occupancy Type _ R3 Type Construction VN Fire Zone Bldg. Permit No. N/A 1'':. 1-=-4-1 PUD Use Classification SINGLE Flu'lI1Y Zoning District Legal Description _ L26, Bl, TIMBER CREST PAP~ Owner of Building Site Address 4970 BLUFF HEIGHTS TRAIL SE Contractor's Name & AddressPUL TE HOMES, 815, ROBERT D. HUTCHINS //7~~/ ,7 ? / B~il~g Official :::/'.,.2 // /0 </ NORTHWEST PKWY., SUITE 140, EAGAN 55121 City Planner DON RYE Date: Date: DATE nilE y~ij JL? 70 $~/f' #f{ 7// CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ....a-F1NAL o SITE INSPECTION COMMENTS: / / /" ~/a5'!? SCHEDULED CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL --- ~ h% ) ~ &-~~/ o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR RElNSPECTION BEFORE COVERING Inspector: ~ Owner/Contr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! 'M,<<m CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS ~~~~ OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING ;!:' SULATION INAL SITE INSPECTION COMMENTS: DATE TIME SCHEDULED ~~~ ~c;., f'/ ~ 7// ..". CONTR. PERMIT NO. as - /s-# o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRADlFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o .- / / / r /'/ (!) #~ed ..j~d + I~~ qJ ;L-- '/;1-/ @-d<. 4'LJAtt6!I....~/' . / ,,- . A/;- /e; _ ~~: r.r /) ~4'-C / ~~do<- ?</I/I 6<!!-- -hA rJ'Zd ~ l--e~ pl. , /J __ ( c.-U / ~,.?; /' y"f~S/~ t I o WORK SATISFACTORY, PROCEED ~ORRECT ACTION AND PROCEED o CORRECT WORK, CALL F R REINSPECTlON BEFORE COVERING Inspector: CALL "'7-9850 FOR THE NEXT INSPECTION 24 'lOURS IN ADVANCE. OWner/Contr: CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH.l SAFETY! INSNOTJ CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 9r? (} ~/,;.{J,P 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 ~EWER HOOKUP LUMBlNG FINAL o MECH FINAL COMMENTS: /- /f/;~/ //'7 r-O @) DATE TIME ~#y /% 7/ ,--,?- /)9'/" o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o /' / / ......J.,.- J'4.~ rI ./ / - / / -~ ,~# k~ f ~~,- At!'&- t'_ _ b poi'/"ClO_ ~////" 4~/.he M/J-hN ~ ~/S "h/~/-~ -'" ~/L - , ~ORK SATISFACTORY, PROCEED ~ :ORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING Inspector: # Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! BVHN~~.LLE Heating & Air Conditioning, L.L.C. 11481 Rhode Island Ave S, Savage, MN 55378.952-894.0005 Orstat Test Report for Job' t, I q l/ Address J./170 6Luff' 1Jt.1~/I1-S T/2 Citv {k ">I" LA;U;- Occupant Date of Install Type of HT. F/A \( HW Space HT Unit HT Other Date Tested Company Technician Make Lt. DtJU" Model 65(1--11)-2,-\8-04<;- 01 Serial 59o'-/c 2D820 Input 44,006 e,,.u.~ Pilot Type Pressure Input CFH S1aCkTemp HOT SURFACE IGNITOR '3S \we. C02 ,-\u 02 \09 CO 10./ <}'1 1<1 flPrr-. 5-2~'OL\ BURNSVlLLE HEATING & AIR CONDITIONING leu