HomeMy WebLinkAboutBuilding Permit 03-0235
~~ @ ~ 0 ['{/ r~ I-;:i
CITY OF PRIOR LAKE BUILDING PERMIT, t>aPe'~e4'd
TEMPORARY CERTIFICATE OF ZONING COMPLIAN FEB 1 0 2003 '..
AND UTILITY CONNECTION PERMIT _:
see: MAlI\} J=:\ l...E"
I. While File
2. Pink City
3. Yellow Applicant
(Please ~e or print and siJro at bottom)
ADDRESS
..so Sr OW Fp- J-I f3/1dtrS 'I M-I L
LEGAL DESCRIPTION (office use only)
LOT II BLOCK / ADDITION ~mgfl1 ttusr -40JJ/17Cn
~h-rE;.. )./Ombs 1Jc- /f/Y1
eJ~ IIhlUJlu/e:,-r ?;{Lt/if. SCJiT( JW.
/ '
OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
Sf7J1~
~
J) W::L#/0
TYPE OF WORK
o Misc.
State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
~ew Construction
DLower Level Finish
1iiJpeck
~ Fireplace
By I
I PERMIT NO. OJ' - 0 2.3 S-
I ZONINGCofficeuse)
Pt/O
PIDZS- - 402.. _()/I-O
(Phone) ,6sJ-~SZ-SZbO
IfAtJIh1 , 1J1f1
(Phone)
(Phone)
OPorch
ORe. Roofing
DAddition
DAlteration
PROJECT COST IV ALUE (excluding land) $
This Application Becomes Your Building Permit When Approved
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. 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
~terupo~o~top~ $&- /5"1/ Z:-~b~3
~/.L~ /" Signature Contractor's License No. 7' )?fate
, _JI
I Permit Valuation " 9'1') ~oO,OO I
I Permit Fee $ . '9..;13.75 I
Plan Check Fee $ flo o. 'I Lj I
$ l/S;()Q I
$ -- I
$ /OI').Ot) I
$ 1...0 o. Do I
$ 35.50 I
$ LlO,DO I
~~
Building Official
o1P/ /tJ 3
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid ,s,"'t/4-J,L6f
I Date J~ <I, 0'] -
v/Z.-~2/- &J9J-'.>'
ORe.Siding
DUtility Connection
9~ t7V~
I
I
I
I
I
I
I
I
$f3/4,(PQ I
l~o.<a9JJ :
#
$
$ 1:J7S'OO
$ ,;:15"'0 . Q 0
$ 4S,Od
$ 12-00,00
$ 700.00
$
$
#
#
#
This is to cenify 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
~~=:e :i~ PI;; ~"mpomY c~:;z;n~a;te:mPlimce md ano:zction:;;~~nc~ B:foce ;:;~c7illca" ofOcrupm~ mu" be
Planning Director b: Speciai Conditio~ns, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~
See Main File
~hile - Ruil~
Canary - I::.nglneering
Pink - Planning
Thf (-..nln of Ih..l.ak.. Countl')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
c%~ ~J1
2--/0-03
--
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
apPI;~: ;38"ru8Z# ;'JZ;?d4--' '-~-(1A'-f
Accepted
Accepted With Corrections /'
Denied
Reviewed By: ~
Comments:
7~
Date: ...2b/.fa '3
~pp M,:lln Fl~
"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,"
Jan 31 03 12: 15p
METRO GENERAL SERVICES
763-428-2968
p.l
GRf.!. ~ ....!
'fEllOW - A~tCA.T
GOLD - Cl11
Sewer and Water
contractors must
be registered
with the City.
APPLICANT: (YJE-rE,o L-::tENER-AL SER.\/ PHONE~.b 3"Y.~g .~'9.3g
ADDRESS: S'7Qn QuAm Ave ['l F' INC.OATE: I hllc:>'
SIGNATUR~~~ BLDG. PE~IT ~
l/ '--I ~Lt...IFF
SITE ADDRESS: 50_. ,=3<6. PID#
" -rFU=l1 L.
FILL IN THE BLANKS
CITr OF PRIOR LAKE
SEWER AND WATER PERMIT
FA'f.. Q5A,- 1'17-'1"J-1!.s"'"
. ;\3 '.-"
~, 6
s,w. No.~ _
,.1.[
NOTE:
1. Estimated length of water service
50
feet.
2. Size of water service
I CJ
inch(es).
3. Location of any couplings from structure
o feet.
4. Type of sewer pipe. ASS
PVC 4-11 Cast Iron
'--
5. Estimated length of sewer line ~(J
feet.
6. Clean out (if required), located at feet from
structure. N k
===================================~=============================
This application becomes your permit when approved.
BY
OATE:
============f=====================================================
P ,,-h'eeL ~ . 'Hr
FEES: f] idj Pet-/H _]- Sewer and water line connection permit.
_ - ~ .~. Surcharge
2:!!0 {-e e... ~ TOTAL
RECEIPT #
Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
Sewer and water permits issued for new C9!fl}@:uqpm Irn ~i be
recorded on the building permit card at 1~ ~~~~f~ ii; ~nce
to insure that no duplicate sewer and ~t~~ oEermit. are
issued., MAK it 2003
DATE. PAID AMOUNT f~ID
y - I
REC' 0 BY /1f./. ~
L1f ~YI~PE~MIT
*
*
'--
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 { Ph, ('i5'2) 447 -4230 I FAX (152) 447-4245
All Equal Opportunity Employer
4-30-03;1007AM;
;952 894 0925
#- 4/ 4
.
CITY OF PRIOR LAKE
HEA TINGI AIR CONDITIONINGlFlREPLACE PERMIT
Date Rec'd
(!'Iease \VJ!e or Print and sil!D at bottom)
ADDSo3?? Gl ~f( /kijrJs
;~ ~:,~ I PERMIT NO'3- .......~~
3. Ycl1....w ApphQnt c::;:? .;' J I
I
,---
/(,
I ZONING (officeu,,)
-~
LOT
BLOCK
ADDITION
PID
.....~......
if.
"',:
I
LEGAL DESCRIPTION (office use only)
OWNER
(Name)
PlA.-\\e.
~\S-
1-\u{\'\.Q...~
N v0 Pa (/(wCL4 \ 5Lu'-/c
L j ,
(phone)
jLIO
r.os/- t.fS;;2- 5;;200
~aqQ.1? MN 55'(,2)
/ /
(Address)
APPLICANT
(Name)
(phone)
;:;UII ~;)vi:' ~ I ;ca~;ll~ a iv-\.I, me.
12481 Rhode Island Ave. So.
1lI8Veag, M"!AlMli!IP"";':~ (City) (Zip Cede)
(Contact Person) c \IAJ"U'_ . 1- (Phone) 95/-<if'1<f- {){)J5
APPLICANT SIGNATURE cJk ll~ bYov\ u!?ATl3 Lf./ 30 .I 0.3
APPLICANT PLEASE COMPLETE BELOW
~NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TlONS, 1 A-I--
FURNACE MAKE AND MODEL L e,t'I (/,0 /( (;,2 (nn;:) - 'SO FUEL A,j{M , qaS
FLUE SIZE RETIJRN OPENINGS S INPUT 50rI'D OUTPUT L(0~OoO
. .
(Address)
OWann Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical LM M;( 0 Radiation
~Air Conditioning I D "0D '). I _ 0 Special Devices
OVen!. System "',)0' "1 ;)-ro,f\l 0 Other Devices
FIREPLACE MAKE AND MODEL
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
I
TYPE OF SYSTEM
HEATING OR POWER PLANT
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & Ale (New Construction) $99.50
Residential, Heating Only (New Construction) $6450
S' t)D
Estimated Cost $ , aDO (
Industrial, Commercial & Multi-Family
$39,50
Residential, Additions & Alterations
Residential, AC Only
$39,50
$39,50
(OffiCe! Un Only)
Building Permit # ~
$ . '!A { Po. J b'-lij ~\..i\ ~~
IV, n I J, PAID JTH
~ \~' l~ Ir~l~ '\ \.:0 lE --;I BUILDING PERMIT
~ ~ ,~ " I \1
This AppliostioD Beoomes Your Building Permit When Approved I Pa MAY - 1 LUUr R:0 pt No.
IDae IBy
Date By
24 hour notice for all inspections (952) 447,9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Omcial
(f
,.---'-""""
I;-;'~ P,~~ ~..,\
(....:..(l~/'1 \ '. <,,'\
- \ ~
u L--.::, "')
, I
".1, :."1"/
,..~~~
Uatc Rec'd
CITY OJF' I)RIOR LAKE PLUMBING PERMIT
; ~~:: ~,',', I PERMIT NO'3_ '7 3-"~i
J Yfll~w ""I'pliQl.nl of <......J
,_ (PI~~;.!):p.=_~l.t'.~~~..:~~."~~!!!~~,,~?.~~,~)_....,.,,.,
ADDRESS
//JfV
vi./'- e,
/I;; I ;/' / I /
/)ji/t-.._- 1f//1-,lL:t-.1/'
"
------
ZON1NG inffl(.;' .i;'rl
LBGAL DESCRIPTION (Q!lic, "'" only)
LOT
BLOCK
ADDfTTON
PID
g~~e~~.!.Z4;~~.0~.~..:-'~-'=_.
__ (Phone)
r il;.~dr<::~~_..."_,."~.,,.._..._._._~.,,___..
-APPLICANT;; / j)1 J J_
(NJmc)._.:(.L_qjIAC,f1. I JIl{/
(Actdre\S)!i;g!?__Cd:JO~f _&~
(Address)
_::-?phone) 952- 49 L ~ J-j.vL..__.. ___
00 rh.1{ . .5 s"3.:5~:V
(CIty) (lip Code)
(Co nt;1Ct TJr;:r:;on) _" """,.,_,""'''''_ ,",. ,_,.".._.,..._".<..~, "..,'"".....~.. ,.".,.,
APPUCANT SIGNATURE C-A~.._.1c v( ~.1~.i
(Phone)
DATE -Ydd.L.&. J / p'
- I
~ ...'(j,;;"lltY=r.----... Type of Fixture
....-".-:j;".....- -l3ath Tub with or without ,b;Jw.r
----;-- Dishwasher - --'-::::::::::...
Floor Drain
Lavatory (Bathroom Sink)"
Laundry Tray (lor 2 compartment sink
Shower Stall
-_._---~--_.'-,-_.
Sinks
Bar Sink
I Water Closet (Toil"t)
Af'.PLICANT PLEASE COMPLETE BELOW
Quantity
-'1
I
"..../,..
. ?
J
Rough-in~
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backtlow Assembly Te~t
Lawn Sprinkler
Other
Type of Fixture
.--.-.-...........1
,/
/
I
...,.........1
I
-'1
,.]
FEE SCHEDULE
llldu~lri:J.], COrrlJlll;n,:i.11 &. Multi-hmily 1 ~il of job t;O:ir wiih ::L $39.50 minimum
Residential. New 001: & Two-Filmily $99.5U
Reside:nlial. Additions & Alte:ra[jons $3950
Estimated Ctlst $
Building Permit #
PAID WI
13(J/LOING TH
PERMIT
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
tOnier. u~.~ Only)
Tili~ c\pplic:ltion Become. ~'our Building Formit When Approved
t-O/[O'd
I, Paid I Receipt No.
____._. Dut, II~~ ~ 0 W;rn 13y
2. hour nOlif, IM.II in,pmion, (952) 447.liIUI, ra. ~52)2t7-~gQ~ U
16200 E:\l.:.AC Crcek ,<\ve.. S.E.. Pri~lr L~ (e. MN S5372~1714
By
JI'j I OJ:J'~ I E1fnldi.3llCln
/}:i- ....-...
V--'__'_-'.'~
.,.. -'-"-~-
Building f)ffid;t~
[S:91:
[OOe - 1: [-i'lClfJ
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~. "'&L.~ T2A..L
NATURE OF WORK NEw , ~
USE OF BUILDING ~ _ S. . ~.
PERMIT NO. .. ~ ~ DATE IS~UED 2./21 JtJ'I
CONTRACTOR aMES DF M.lt..\~. pHONE:IJi. t'Z,-CIj8s
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, FOOTING lMa'~
, FOUNDATION (Prior to Backfill) 1IvIil,'" I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC 1!\Il6.1M
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
--S ee
GRADING (Prior to Sodding)
BUILDING 1.(~f &D ullki H
ELECTRICAL
PLUMBING
HEATING
DO NOT
INSPECTOR
DATE
M
t:tj/
0'1;;-
<;- /4-/';>
fV'(J
r1#
..f-15'
S'-/!:"
_ J
-
~,.h ,h'7e .
~ ?P~/CJy
6-1'(- If)
I?/I 1 /~~-3
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
1M"
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
@crfifitafc Df (0ttupantl!
CITY OF PRIOR LAKE
~-epartm-enf of ~uilMng Jlnsp-edion
,;S Final Permitted 0 Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Budding Code certifying
that at the time of issuance this structure was in compliance with the various ordinances of the City of Prior
Lake regulating budding construction or Use, For the following:
Use Classification
SINGLE FAMILY
Bldg. Permit No 03-0235
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
pun
Legal Description
Lll, Bl, TIMBER CREST ADDITION
Owne-r of Buildinp
Site Addre" 5038 BLUFF HEIGHTS TRAIT.
Contracto,'sName&Address PULTE HOMES, 8-).5
ROBERT D. HUTCHINS~~~
7~~~~al
NORTHWEST PKWY., SUITE 140. E~GAN
~'iJ.21
City Planner_
DON RYE
Date:
Date:
BVftNSVILLE
Heating & Air Conditioning, L.L.c.
. 12481 Rhode Island Ave S, Savage, MN 55378.952-894-0005
Orstlt Test Report for Jobl
Address so:~~ }?>h,,-~ ~~k City ~'",r ~L
v
Occupant
Date of Install
.' Twe of HT, F/A
Other
b j;.:;-/o"?:?
.~w
Space HT
UnitHT
Make bJ'lEl>G
Model f..-.:JI () rY.::l -50-L:,
.... Serial s-ro:; D74 c;"''1
.~ ...... t;(). =0
Input
Pilot Type HOT SURFACE IGNITOR
Pressure ~.5' CO2 {... . >g
Input CFH 5""'0 02 g. ..
S1ackTemp JO/ ~ CO /
Date Tested
Company
Technician
(,bl/0~
, I
BURNSVILLE HEATING & AIR CONDITIONING
::SG--~""""
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
c;()>~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
1---( "'-'" I 0""cL
4- q;,.~,
SCHEDULED
(JtorP I+cr(;o,h I-J
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
a J1flrcw /
?~IMf' u~+,'/
DATE 11ME
7-1
r ""'" /
~-6~'J)
o EXIGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
1Zv...
Sod
0/-.tJ7
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ 7-1-tJ &ner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETYI
IN,,,,m
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
.so l' '(
(l.luFr t4rs
OWNER
CONTR,
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
"PLUMBING FINAL
o MECH FINAL
COMMENTS:
U) (-ejl\lfbW
r1Jttfu.d?S
DAll! TIME
C,-/<g
f'r/
7 -IJS
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
J/'wORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT w.~ CALL FO~REINSPECTION BEFORE COVERING
Inspector: YV r (g - (1{ 0). OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
"'SNOT'
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/