HomeMy WebLinkAboutBuilding Permit 03-1542
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
Date Rec'd
/1-5-03
(Please ~e or vrint and sign at bottom)
ADDRESS
; ~i~:' ~::y I PERMIT NO. ()3 , / r- A ? I
3. Yellow Applicant ~ r-
7'972'-
Sl..t.lFP )/131&.#75 '7 MI L-
ZONING (ollk, use)
?/v.-D
LEGAL DESCRIPTION (office use only)
LOTZSBLOCK I ADDITION
17mBE.<l ~r a-J?~
PIDd5-t./o;)-{}d, 5"-~
OWNER
(Name)
Pvt.1&- )/"fft&5
8-/5 I'lIoI2#WLbr
PAf2~
/
(Phone) is/ --I/57--SZCO
~7 MIW,
-,
(Address)
BUILDER
(Namp)
(Contact Name)
(Address)
.5 kh-1 P:
d/~f
'l:!.....4:7;./.g/)
~
(Phone)
(Phone)
6/z-2~/- L/9FS
TYPE OF WORK
~
l1rNew Construction
ODed<
OPorch
OAddition
ORe-Roofing
ORe-Siding
DLower Level Finish
D Fireplace
DAlteration
DUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
9'11, 09:5"
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 loca1laws and will proceed in accordance with
submitted plans I am aware that the building OffiCIal can revoke thIS permtt for Just cause Furthermore, I hereby agree that the City OffiCIal or a deSignee may
;ter~?to~~ons $?_ /;S71 //k~5
r?-~ /' SIgnature Contractor's LIcense No / ~v ~
I Permit Valuation 9 ~ (JO (J, 0 [) I I Park Support Fee # $
I Permit Fee $ , l}:?-s,7sl I SAC # $
I Plan Check Fee $ /p()(J, If~ I Water Meter Sitl'sm'l"; $
I Slate Surcharge $ J./'O. 0 0 I Pressure Reducer $
I Penalty $ I City SAC and WAC # $
I Plumbing Permit Fee $ 100.00 I Water Tower Fee # $
I Mechanical Permit Fee $ 10 (), Dol Builder's Deposit $
I Sewer & Water Permit Fee $ 35,'5"0 I Other $
I Gas Fireplace Permit Fee $ 40.00 I TOTAL DUE $
_./ --""1 1 ~, ~,......
~ ::J ''1- t? !
1~--4-,"",
/2-7'5.00
2..~o. DO
4~.c:lO
, '2.0() . 00
700.00
Building Official
,II/!.'-/ /0 ;r
Date
I Paid
I Date
__I
I Receipt No, UCJ IS ,') I
By!') 7- ,
LT--
This Application Becomes Your Building Permit When Approved
~~
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
:~ning'tj;~ //IIDt/o:J Sfl~pe~
24 bonr notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
.~~
See Main File
Tht Ctn,,,, lIf lht I..kt ("Oqnlry
White - Building
('" C~":':tN - ....1"(1loftttr..ng:>
- iilrir< - Planrii-ng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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/LLfQ!-.(} :(jUj~J
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted
--\
Accepted With Corrections
Denied
Reviewed By:
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Sf p= /11c. /1/1
Date:
/ J-/9-())
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
White - Building
Canary - ~n9ineering
(:'Pink - PlanningJ
-
Th.. ("..nil" of lh.-I.I"" COllnlr,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
'1 -'
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APPLICATION RECEIVED
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i
The Building, Engineering, and Planning Departments have reviewed the building permit,
application for construction activity which is proposed at:
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Accepted
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Accepted With Corrections
Denied
Reviewed By:
~
Date: /'Iif /0:1
See Main IfIle
~A
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,"
i;~~
See Main File
(While -RuildinCV
Canary -:-~ngineering
Pink - Planning
Tht ('fnln fOr th L.h Counl!)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
o~~
/1--- ~-{)3
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
L/tJ'?.;;< 1/JjitJ Ak
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Accepted
~
Accepted With Corrections
Denied
Reviewed By: _~
~f-'
Date: / (Ii '7" /0 :s
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."
,b 1 S 04 02: 05p
METRO GENERAL SERVICES
763-428-2S68
p.4
GREt:. . FK.E
yeLLOW . ""'UC".T
GO'-') - ClT"
CITY OF PRIOR LAKE
SEWER'AND WATER PERMIT
q5~ '/'I7-'I'P'Ir
S.WNO,~2...
FAY.
l.
2.
3.
4 .
"--- 5 .
feet.
Location of any couplings
Type of sewer pipe. ABS
,,;:":.,,,
from structure L) feet.
~~ . ~ q
PVC Lj Cast Iron
Estimated length of sewer line
~
_,I)
feet.
6. Clean out (if required), located at feet from
structure. lilA .
=~====~===============~=================~==;===========~==========
This application becomes your permit when approved.
,I
BY
DATE:
.::i
-------------------------------------=-----==---------------------
--------fJ~7~-t;~----~-~--------- ----- ---------------------
FEES: 12 Id.. P'f-M."-I-- ,Sewer and water line connection permit.
. "_ " surcharge
Nt] (-ee..- TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
* Sewer and water pemIts> issued for new construction must be
reclfX'ded_onthe building permit card at the time of issuance
to :\'.I'lsure that no duplicate sewer and water permits are
issu~d. '
DATE;WAJftli'i FEB 1 l\ 2004
RECE;PT ~> . .
[-c'L=,_:
AMOUNT PAlO PAID WIW
BUILDING
REC/D BY PERMIT
.16200 Eagle:Creek Av. S,E., Prior Lake, Minnesota 55372 f Ph. (!js2) 447-4230 (FAX ('$2) 447-4245
An Equal opponunity Employer
-~_.-._,_.._-".,----'".._..~
Nev 26 03 01:10p
o' PR10.j> ~
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~NNES~
1.
2.
3 .
4 .
'--- 5.
6.
.,./'
METRO GENERAL SERVICES
763-428-2568
p.5
GlllI. . ME
"ELLOW . ApPUC....r
GOLD - ern
FA '"
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
C-J'51.r 'I'/7-tf'Z-V./r"
-- '
S,W, No, -;~/71.1J-
NOTE:
Sewer and Water
contractors must
be registered
,with the city.
APPLICHT: (hC:-IK1) ('-5 ErJERAI SER.V/CEPff.ONE:-rb3-4-d.8'-~138
ADDRESS: .57Qo r:2uAM A,lE NE Tt\JCOATE: NOV 262003
~\ ':1/\ ----L--Jr ~ $1. I'Yl 'C.H f\ G L , '1'Y) lV, 55:3 7 b
SIGNATum: @o.'+-l -"nl'J\J BLDG. PERMIT #
SITE ADJRESS;- L/--q'jd. /:.311o'If i~u!/, f:~ Pr.D~
. FILL, if THE BLANKS 1~L
Estlmated length of water service
6",
feet.
sizl of water service
I"
inch(es).
Locltion of any couplings from structure () feet.
Typl of sewer pipe. ABS PVC ~(I Cast Iron
Est lmated length of sewer line 5" () feet.
Cle,ln out (if required),
strIcture.
feet
from
located at
tV/it-
==~====:~==========================================================
This ap)lication becomes your permit when approved.
BY
DATE:
;;;;;=;"fj~/~=~~~=;==;;;;===;==;====;==;==============;;=;====
FEES: f1ld ;eLM' f- Sewer and water line connection permit.
Surcharge
(No Pee..- TOTAL
...' ,
* Fee for either sewer or water individually is $20.00 plus
$ .! iO surcharge.
* SeW.!r and water permits issued for new construction must be
recorded en the-builciing permit card at the time of issuance
to "nsure that no duplicate sewer and water ..Rermits are
iss1led. _ . I"AID WITH
DATE.:,P.A::O DE'c 8. ZU03 AMOUNT PAID-:" ilLDING PERMIT
.~ECEtPT #
REC'D BY
/
Yr
'.d.":'"
16200 Eaglc:::C reek Av, S,E" Prior Lake, Minnesota 55372/ Ph. ('/$2) 447-4230 / FAX ('152) 447-4245
An '(:;ou,.l ()f"lnnrtnnitv Emolover
;952 894 0925
"# 8/ 9
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
C?lease.!'{pc or ntint and jl:i(lU at botto"l.)
ADDRESS .. . ,
L{q7;) ?>Cu/I IH3 T(~
;: ~ ~~ I PERMIT NO.~. i - J::.A... ~
1.Y~low Applicant .~
ZONING Cofficeuse)
LEGAL DESCRIPTION (office "Se only)
.LOT
BLOCK
ADDITION
PID
OWNER
(Name)
hAP*- fflmfb
XiS AJ (A) /f>>J
(phone) LaC; ( - C;sz -::S200
APPLICANT
(Name)
>!l1rnsville Heatina & NC, LLC
12481 Rhode Island Ave, So,
C>~, ~N 55378-1122
(Addn:ss)
(j )0/ -f-= .
(phone) Q"'};;- ((q((- <<rE-.
j
~
(Address)
(City)
(Zip Code)
I
:Address)
:Contact Person)
~PLICANTSIGNATURE BLZI'2_ BnJMa.J70/1
(phone)
DATE
1/- f/ -0'/
;,~
4
~~
APPLICANT PLEASE COMPLETE BELOW
(;&NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS .
'lJRNACE MAKE AND M,ODEL I Q/) 11[J)( - (:"SII/II jJ 306- () 70 FUEL YlII I- ~(L:JJ
'LUE SIZE RE11JRN OPENINGS 4 INPUT ~IJ(Y) OUTPUT (Q!j. I./CJ(')
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants . 0 Steam
OGravity 0 Hot Water
o MeebanicaI . 0 Radiation
OAir Conditioning 0 Special Devices
OVent. System 0 Other Dcvices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
1
IREPLACE MAKE AND MODEL '
Ii
ldustrial, Commercial &. Multi.Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
S39.50 minimum
$9950
$6450
Rcsidenti'al. Additions & Alterations
Residential, AC Only
$39.50
$39.50
$39.50
]
"
~
~
I
l
esidential, Heating & NC (New Construction)
esidential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
lUice: Un Only)
This Application Becomes Y our Building Permit When Approved
Paid
Receipt No,
Building Official
Date
D"A1>R 0 9 2004
By
24 ',,'if n.otk.f: for aU inspl':~:Lm'is (952) 44?-9850, fax (952; 447-41:45
1(12{)'O E:1gh~Ct,;ek in:nue, 'Prior ~~e~ l\.'-E< SS3'!2
';r~
I;:~
:1)
[1
~
PRIOR LAKE DEPARTMENT OF See Main File
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS L1't7Z,. ~FF H.E'iClatiTS TltL..
NATURE OF WORK klE t.U C4)N,r"t..aio~
USE OF BUILDING . S. F\ A. . .
PERMIT NO. 03 J 54--2- DATE ISSUED JJ.lJ!::fJ(j "3
CONTRACTOR Ea.LTE t:lM\Es PHO~E"2.22.'-~aS
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
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
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
-
fIVY/ _
/VI//
?1 ~ ;.o~d1
L...\ ~ )--2- -() VI
~
rvr./ ,,-;.
1114'/
t-.(rHh)'-/
'-( --h?-o'1
~/~f' .
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~ \~"- ~/).
~
!flU
;tq-
OCCUPY UNTIL ABOVE HAS BEEN
NOTICE
;4 /-e
7' /2y/oy'
GfltjCitf
t/r{f t1~ .
~/ Y/ft '/
.
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
~
(!ltrfifitaft of @rrupantl!
CITY OF PRIOR LAKE
. ~:cparfm:cuf of ~uilMug J)usp:cdiou
'Final Permitted C Conditional CO, Expires
I This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying
that at the time afissuance this structure was in compliance with the various ordinances afthe City of Prior
Lake regulating building construction or use, For the following:
Use Classification
SINGLE FAMILY
Bldg. Permit No.
C":, / --:4-2-
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
PUD
Legal Description
L25, Bl, TIMBER CREST PARK
Owner of Building:
Site Address
4977 BLUFF HEIGHTS TRAIL SE
Contractor's Name & Address PULTE HOMES, ,~~ NORTHWEST PKWY.. SUITE 140,
_ ROBERT D. HUTCHINS /.l::I:!'-ft City Planner DON RYE
O BUildJ><By/f' ial
Date: ~ '-2,;/ / U'<: Date:
,., . ..
EAGAN
55121
~~I
f/972 Jt?/v1fJ //ft 7//
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR_
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,.a-t'JNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
rSke h~
?oRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
TIMe
cg-/sr.2
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
/$?
Inspector:
Owner/Contr:
CALL 447.9850 FOR THE ~"H ''''~PECT10N 24 HOURS IN ADVANCE_
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
uaNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
<79,72
OWNER
PHONE NO.
o FOOTING
o FOUNOATION
o FRAMING
~NSULATION
FINAL
o SITE INSPECTION
COM~N_TS:/, /
CHcTr: c."
DATE TIlliE
SCHEDULED 0#v
&tjY' AVA- 7//
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EltIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
----
rA~/
-" ,
~p<?~y
/n / / _/ /',/
0/ A/f"'e-c! ~ r- Ar<ees Q~-
nh../ ~rI.... ~ ~//1'rX; /
~.;;;/ (~(),
~
C)H~// rfV~~r-
>
o WORK SATISFACTORY, PROCEED
ACORRECT ACTION AND PROCEED
( ~ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
Inspector:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOllRS IN ADVANCE_
OWner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
"",,"n
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~? 7'..2
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED ~~~
/f~# ~r{ 7F/
CONTR,
PERMIT NO,
C/?-/s-</2
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o R HOOKUP
PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
. ,..-,
~J
COMMENTS:
~, /' / ~~ ~.~ _ n /, / /
/Y.;&:t! _",;IV /k.rr.:-/h cL
uL
o WORK SATISFACTORY, PROCEED
,A:(1:0RRECT ACTION AND PROCEED
/ b CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ --=l-- OwnerlContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
VlSNOTJ
BURNSVILLE
Heating & Air Conditioning, L.L.c.
12481 Rhode Island Ave S, Savage, MN 55378.952-894-0005
0rs1at Test Report for Job'_ (n I q ::)
Address L{ q 1~ R\lA~~ ~ k City.]:r;rx- Lh.
OCCupant
Date of Install
Type of HT, F/A ~HW SpaceHT . UnitHT
Other
Make
Model
Serial
Input
~..-<O;C
~5'(t>>P - d413 -f)4s-l)(
S-<1Q4\) \ '"'Tl.c,S-n
4L.\,oec;:>
Pilot Type
Pressure
Input CFH
SlaCk Temp
HOT SURFACE IIiNITOR
?;,r;
002
02
CO
(g,3 %"
q,1- /.)/0
I~ ?yr'^-
Date Tested
Company
Technician
<./-4
I1i-D
6-/0//01
{ ,
BURNSVILLE HEATING & AIR CONDITIONING
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