HomeMy WebLinkAboutBuilding Permit 03-0622
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
(Please tvpe or Print and si2ll at bottom)
ADDRESS
/&J13 -r;~~ r~€~-r DIZ-Illff:
LEGAL DESCRIPTION (office use only)
I. While File
2 Pink City
J Yellow Applicant
Date Rec'd
S-:~Lo3
I PERMIT NO.03 - 0;2-~
LOT S- BLOCK.;2 ADDITION If /lr1J€'.e. c.lkrr 114tt-/~
OWNER ,/
(Name) P"'''7'~ ffOI"l€f
ZONING (office",,)
nIp
PID 2 ,--~ ~ - od-()
(Phone) ~J( - ~r.l- S-,7-~
(Address) e,t NlJ,tTHM:tJY PA'LWAt S"'-7'E 11/0 J FAfI..A1) /1'1-.1
BUILDER
(Name)
I:tSH/I'J€ M A-l3olle ,.
Mu,J /VIA-/?f
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
!(.New ConstrUction
DLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $ fpt! .iDrJJ
(Phone)
(Phone)
DDeck
DPorch
ORe-Roofing
,;,n~"
hr(- 'Ir,7--r.;Jpo
~/') -'I7C1-'I.J.:)~
ORe-Siding
DUtility Connection
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
;ter ":~;;ir:peny :grm.e::d inspections. Be _ / .3 7 I S-JJ-o !oj
Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
I Gas Fireplace Pennit Fee
J
I .,riP s:- 000. OD I
I $ 7~.R, 7S1
$ 48UJ,&"11
$ 32.5'0 I
$ - I
$ /00. 00 I
$ /{)O.OO I
$ I
$ J./(),OO I
This Application Becomes Your Building Permit When Approved
~ciaI7~J:.J ~1a(.ltJ3
DAddition
DAlteration
#
#
#
#
$
$ /275,00
$
$
$
$
$
$
-
J2D{),DO
700, do
$ 4-& gz, - q-t--
I Receipt No. Lj<.-jifi 7 d.
I By Or
()'
This is to certify that the request in the above application and accompanying documents is in accordance with the enning Ordin~ ~ may proceed as requested. This document
;~::: C=:~'~:J;:; Ccrtifi~O~~/;;on" ond .llows ,onsou,"on n"eeB'lvl~lirfiFrreCY mustb,
Planning Director 0 I')ate Sp,cial Conditions, ifany
24 hour notice for aU inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Aveuue Prior Lake, MN 55372
1 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
I Date
Llfn6'd-., qt.';
'7- ;;24-~
s~~
See Main File
,r:WMe - BuildiO!i>
Canary' - Engineering
Pink - Planning
Th~ ("~nl..r "f lh.. I.."'" Counll')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f)LdjJ; ~
~ - ;;2;;1,. -0'3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
lk_.5..q9~- f01~ ~ Or-
Accepted
~
Accepted With Corrections
Denied
~
~
Reviewed By:
"1~?
Date: ~/II. 4.:r
, ((lfl
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
CAn!:lrv - S::nqineering
CPink - ~lannin9::>
Thr ('rnln of Ihr L.kr ('ounlry
" .
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
.' ,
NAME OF APPLICANT
APPLICATION RECEIVED
//1
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-
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
) .'
II ^'/.,-
/ j..' 'j ,)
t. / I
"",, ,\.:'
/, 7 I) ,-
Accepted
/
Accepted With Corrections
,
Denied
Reviewed By:
~
7~
Date:
tP/tf /03
, .
,
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,"
~x PRIOI? <:
t .,~
(j !T1
See Main File
White . Buildi.,!!
~,::,rv - Engineering'"')
In - Plannm9
Tht' ("..nlff of Iftt' I..lr.t' ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~,,- ,
_ / /.- "/' ! '>;/..L<r
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/./ .:~? C;
1/.,4 "_i /
iQ..(1.J. -
- !
~ It -~ 1 "T"
_i/ i..i...\j:.'-l
I'
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I,
,
Accepted 'X
Accepted With Corrections
Denied
Reviewed By:
~r~~'-
Date:
1/1--1-1 D\
. ,
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."
Jun 16 03 01:08p
METRO GENERAL SERVICES
763-428-2568
p.2
GRU:.. -......E:
YI!LLQW . ",PPlICA,,'T
GOlD. CITf
FAA
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
95~- '/'I7-1/Z,'I.$'"
NOTE:
S.W. No. 05 - 0& 2.-0
2.../',
U, 2- 3
Sewer and Water
contractors must
be registered
with the city.
APPLICANT: m.o1h.n ~~~~~PHONE: 7~ ~ - L{-dJ-d.-'l.38
. ~ 51 rn'JCHf-!~l, ~N. . .
ADDRESS: c)"1<1n GJ.I.UI.N'A NE .553"7/",-DATE: b/lb } (").,3
\ ----\. , f\ --D 0_ ffi I I
SIGNATURE: ~ ~ \.. '1'r BLDG. PERMIT #
SITE ADDRESS:lb3t~ gQ:Q3/1'Z,-4-01; r;!-~PID#
FILL IN THE BLANKS Cz..!2.",,--,c~
l. Estimated length of water service S-,....., feet.
2. size of water service ( " inch(es) .
3. Location of any couplings from structure C5 feet.
4 . Type of sewer pipe. ABS ~ Cast Iron
PVC
'-- 5. Estimated length of sewer line 5?\ feet.
6. Clean out (if required), located at feet from
structure. 0/ A::
==============~=~==========~==============~=~=====================
your permit when approved.
This
BY
DATE:
-? I~,~J
========Ib~/r~=~~~=============================================
FEES: f] Id,,_t3!.I<f>U 7'- Sewer and water line connection permit.
~.- ~_~ -; Surcharge
c... No ~ TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
I......-
* Sewer and water P~rv~~s issued for new construction must be
reco:ql~ ~ ~~~~ua.-:-;j, cng permit card at the time of issuance
~o i~ Hel~~~ Nb~drillicate sewer and water permits are
~SSUE II .1111 1 7 1003 ~
DATE _.PAII: . AMOUNT PAID P41D WITH
RECEIPT #8'1-____ REC'D BY SUfU)lNGPSRMIT
16200 Eagle:Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (952) 447-4230/ FAX ('152) 447-4245
An Equal Opportunity Employer
FIRES IDE CORNER
#2745 P.002/002
CPfCI5e ~ qT mnt Ind Ill." at bottoml
ADDRESS
CITY OF P~R LAKE
HEATING/Am CONDJTI~ "GfFJREPLACE PERMIT
FIRESID'n. I PERMIT NO. 3-0;?~
' n- ~~,~" - ,
Date Rec'd
Ii gARTH&HOME'-
16393 TlMBERCREST DRTVE
I ZOJ:IUNG (offi<<u",)
T.roAI. DESCRlPTJON (office use only)
LOT
BLOCK
ADDITION
1'10
OWNER
(Name PULTI HOMES
(phon.c)
(Address)
APPLICANT
(N arne) A1-T.TIlD r:.rU;aIQE DBA F1RESTWiJj';:All.TH 8< HOME
(Phone)
651-633-2561
(Ad dress)
2700 NORTHFAIRVJEW AVENUE
(Add,.,,)
(ConTBa Person)
BRENDA HUSTON
ROSEVlLLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
APPLICANT SIGNATURE
BRFN/)A HUSTON
DATE
9/11/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEl-
FLUE STZE RETURN OPENlNGS INPUT OUTPUT
TYPE OF SYSTP..M BEATING OIl. POWER PT.ANT
OW:Jml Air Plftnts 0 Strom
OGravi'y 0 Hot Worer
o MechonicAl 0 Rodia,io.
OAir CondiTioning 0 Spccial DeviCe<
OVent. Sysrem 0 Ol"er Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO SL-550TR
Industrial, Commercial & Mulr.l-Family
FEE SCHEDULE
1% of job cost Resldenti.I, Gas firepl,ce
$39.50 minimum
$99.50 Residential, Addition. & AlI.en".ion.
S64.s0 Residenti.I, AC Only
$39.50
Residential, He8ling & AIC (New COOl:!rue!.ion)
Residenti,!, Heating Only (New Cons!rUCTjon)
$39.50
$39.50
Est.imm.ed C09l S Building Penn it # PAID WITH
HEATING PERMIT FEE $ DU/LU/NG PERMIT
STATE SURCHARGE $ .~" ,,>tln m I'~ i-'
TOTAL PERMIT FEE $ ~i1l[~ lJ) iC::- LI \'J Lf '\ ~ "
rOmr,elJ,cOnly) - :jl
. Thi. Application Becomes Your nllildlng P!l'J'1I.lnWN'if 11I1I1ftPYS~f", ,'nfi. n'?;;- ~ " eipr NOli I
~, B!lildc'rDivi.'a In I Ij~. k V ./~~
~Jllllld;"eO~\lOO Falrview Avenue NorTh RdJ4tt!lIc. MN 551 13 ~hdncl/il;ll::.. :'!"1 ro!'..~51 . _-..&&4 , DWWL
'u".~".. cw,. 3850 West HiJ.:bwoy 13 HlJrnsville. MN 55337 Phone 952-&90-075& Fax 952-890-5408 !~:"fl'!'\~.'?'!:}':~~
24110llr notleo for nil jnsDeetion, (952) 447.9RSIl, fox f9S2) 447-4245
"'",,",.nrtj"'rlll~rI'.(1)1Il MN tt)"f"ol(IIU' 1.h:l:lhf " 211U.NN II
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(r:Cll:':~;::l.1. CCIi.':...e:"~:,J.1 &. ......(ulti..r:miiy t% o{job COSt ;yi~li::l S39.5Q minimul':1
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PAID WITH
50BU1LOING PERMIT
PlJJMBrNG PERi.\'UT FEE :s
STATE SURCH."'-R.GE S
TOT.-U. FER;.vITr FEE S
Q'AiI4inv, om.;:.,l
~. ,'[.i0 [~ C ;~; ~ -~ii\1 Rc:cdf.Jc No.
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ijUDa,~ II U 1;1 2003 ! ;il 6y
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Tbis Applit::1c:on B<come:> YOllr Buildinc: Permit Wbcn Approved
80/~0'd
DUe
JI~ I W9~~ I ElWrlld;',3lltJ(';
E : 50 ~00C:-50. Tlf
PRIOR LAKE lJEPARTMENTOF See Main Filf
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~. ~r~c-l- /)'1'
NATURE OF WORK ~
USE OF BUILDING ',WD
PERMIT NO. ~,.. DATE ISSUED
CONTRACTOR . ~ +e PHONwa- 4.(!!JD- q~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING IM~II' I
, FOUNDATION (Prior to Backfill) ~i~ 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
~rt
~
t{ -).Ji - dJ,
JIVt'
m/
Me'
C{ -J-Cf-~
q - )..q- (3
q~~q-d3
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
<\~e
HAl'. t!: ,/
/r/v/,h , ,,/<. _ /
df-d/ 7/,.?j"/o-/
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
1/11//
111,1/
.
OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
/ /- 7- OS
!f-lcg'(Jl
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
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QI~tfifitaf~ of @ttupantll
CITY OF PRIOR LAKE
~rpatfntruf of ~uilMug Jlusprdiou
)~(Final Permitted D 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 FAMILY
Bldg. Permit No.
03-0622
Occupancy Type
R3
Type Construction VN
Fire Zone
N / A Zoning District _pun
Contractor's Name & Address PUL TE HO~Z /.8-1?5
_ ROBERT D. HUTCHINS~~
9b~~nVcial
/
L5, B2. TIMBER CREST PARK
Site Address 16393 TIMBER CREST DRIVE
NORTHWEST PKWY.. SUITE ]40. EAGAN ~121
Legal Description
Owner of Buildin,l!
City Planner
DON RYE
Date:
Date:
-,
.....
DATE Tille
~%'c/
/(,S9J ~k/ C.s/ If
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
COMMENTS:
-----
/
\.
-"""/
C--/CJ5e
'-----.
-~'.--..~
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
-
c2-6'22
o EXIGRADtFlLLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
'-, ---- ~
A/~ '\ )
~
A WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, ~~~REINSPECTION BEFORE COVERING
Inspector: /" ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
IHSI'IOTJ
/
BVRNSVILLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378.952-894-0005
Ors1at Test Report for JaW ~~ I
Address III3tft ~h-r&t5f- lxCity hl'{)r kk
Occupant
Dale of Inslall
Type of HT. FIr.
0lh8J
Male
Model
serial- \.-
Input
(If';'lb~
~w
Space HT
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11 f}IJ1O
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Pilot Type HOT SURFACE IGNITOR
-
Pressur~}. ,. ~ .6.? . I,hc>';" ") C02
Input CFH 44 . 02
Stack Temp C1C:-: CO
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:t;;-.>.~
Date Tested 'O/~iD?
, .
Company BURNSVILLE HEATING & AIR CONDITIONING
.-r
Technician _ y,::..c: ,-
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
jl-f7--(/:J
ADDRESS
/Gs'l'>
~ "",.'t'M'...--.nr-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3 -c; ).,)..
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
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
COMMENTS:
(0 r-:-I "'PI I
QJ Sdd
~~ O/J#4vtl.!
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ch'A.ltrf? ~-r-
'/-tVo1~ VA'" 7 g--/-cJ4
r
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~R~.~L FOR REINSPECTlON BEFORE COVERING
Inspector: vvr Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
l/ttNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
If. :3 q J 0...~.-s-I--
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
o MECH FINAL
r-eVf.1Ov.t {~~7
DATE TIME
LI- 7-oJ
3 -(.2).
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o WORK SATISFACTORY, PROCEED
II'"CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspeclor: II ^/J
! Vr
OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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