HomeMy WebLinkAboutBuilding Permit 03-1231
(Please'!vpe or print and sign at bottom)
ADDRESS
/ ~L(qLf
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT <6 -' It/,. .,
See Main File,whik 'iI.
'Pi" Ci~ I PERMIT NO,o.l? -/2.31
3. Yellow Applicant ~
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'121=<<<:'1
LEGAL DESCRIPTION (office use only)
'DP / V1=
LOT3/ BLOCK 3 ADDITION T;/V.Rp'R ej?7=:"Yr ~k-
OWNER
(Name) p(.)~ f.I-d..A~"5
(Address) 6/s-
BUILDER
(Name) 5A.-A,I. ~
(Contact Name) l J)?:r
(Address)
TYPE OF WORK
o Misc.
*'i2'f1fINE3'r
I I ZOP~Dceuse) I
PIDtj'<j- L/Odl-OQ7-d
(Phone) ~51-4"S2-90~
'Pk.-W)/ <;"'7F /4-rJ
,
F ~AAI, M "I
TSLL<I" I:/:f'd
~w Construction
OLower Level Finish
(Phone)
(PhoneL G.r2-2..Z/ -'r'7/!J~
DDeck
DPorch
ORe-Roofing
DAlteration
o Fireplace
DAddition
ORe-Siding
9~ Oq.~
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
enter upon the prol)'ITY to pe-,rm"?spections. /' . // /
X ~./~~~-",--/,~ RC- /37/ ~9'dJ~
-~ ;' ~~anire -- -- Contractor's License No. / ,/ "'"Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
PROJECTCOST/VALUE (exc1udingland) $
qo( a::n_- I
$ tj~3. '15 I
$ 1~{YJ,qt./ I
$ l/5.- I
$ I
$ I~o.- I
$ //)0, -- I
$ 3.<), 's()
$ - L/o,-
This Application Becomes Your Building Permit When Approved
~ ~6 9/3/&f
Building Official Date
I Park Support Fee
I SAC
I Water Meter Siz~'; 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
53'/ ri-. & <1)
</ Fl. oj
#
#
#
#
I ReceiPt Nb.
IB(/_
$
$
$
$
$
$
$
$
. $-55/</,69
-
I;;. ').5: ---',
;:75'0,--
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7:'l . -
fdoO, -
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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
~~~P~,.,..y..._, cmm~O~;PlimcemdallowsconsttuOOSeeeMaIiiCFiy;p'n~mustbe
Plmning Director 0 Date Speci,1 Conditions, 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
White - Building
( LOrn..r:y - "QaineerinQ..::>
"Ink . Planning
Th~ ("flll..r of lh. Lak.. (.OUlIlr,"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~.-.,' I. :) '1
I't.. Lle;t-/ ~~~,'~ /L~-;"11 ()i?-(. i.:J:../.r.:::-':;J'-r- /" 0-,/
-/
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Comments:
/YYJ-1S
Date:
7- 2.... 03
Sc-(
/1le, ,'"
F,'h
"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
<;;lVhile - Buildi"iia:::>
Canary - Engineering
Pink - Planning
TIl.. C..nl... nf Ill.. I..k.. Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
YJ~~
g- /q-3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/L,L/C}tj ,",1um~ ~-t- I~
'-/
Accepted
/
Accepted With Corrections
Denied
'"'
Reviewed By:
~
7rL. /J f-)
Date:
~/~~
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 - i;nqineering
~mK ~ .....u'lnniOa ->
Th~ Crnln of lhr l..h ("ounll"}
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/,~li,
r I
Y:;/':;
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
It.- i/'/I/
,
I
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,
~
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"
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Accepted
/'
Accepted With Corrections
i' Denied
~
,
'"
Reviewed By:
~". -
.
1~
Date: ~/07
"-'-
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,"
S@P 18 03 07:45a
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2.
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6.
METRO GENERAL SERVICES
763-428-2968
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GREEI " ....l
YELLOW - ."'UCAMT
GOLD. ClT'"
FA~
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
'1S".2r 'I'I7-'I-v I/r
s.w.No.3- I ~31
NOTE:
Sewer and Water
contractors must
be registered
with the city.
SEP n::)
........~
APPLICANT: (h r::.1 k() (5 EtJ F.RA I SER.i/~IiFHONE: (b3-4-d.fJ-~'138
ADDRESS: 57Qo (7).uAm A,j~foJe- r,\JcOATE: SEP032003
"----;---""f\ .--L;r ---JA.--, -$1: rY) I '"-/1 r~r; L, -;-'11\1. 5537 ~
SIGNATURE: ~~_ avo_,"*-' v~ ~...1'V BLDG. PERMIT #
SITE ADDRESS: I h4-CJLj.. I~ )('~~.. PID#
FILh, IN THE BLANKS
Estimated length of water service
6,..,
feet.
Si~e of water service
/'/
inch(es).
Location of any couplings from structure
() feet.
Type of sewer pipe. ABS
pvc ~,j Cast Iron
Estimated length of sewer line
'5 () feet.
Clean out (if required),
structure.
located at
tV/A:
feet
from
;=~=====e=========================================================
This application becomes your permit when approved.
BY
DATE:
============r=====================================================
Pwl/e.d. w,H"
FEES: f] lei,! j::J,€.-M.' 1- Sewer and water line connection permit.
. Surcharge
Qlo Fe-e--:;; TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
*
Sewer and ~tet-P~rm_~~jssue~ for new constr~ction ~ust be
recorded o~t~'bU;Lld,ln'i'~.l>elnn~t card at the t~me of Issuance
~o insure t~~~ ~ ~u~t~a~~ sewer and water permits are
~ssued. I ' ,
SEP 2 3 2003
DJ\.TE,)?AIO
au PAID WITH
~'G t't:RMrr
or
AMOUNT PAID
c
.,
RECE 1FT # .
REC'O BY
16200 Eagle,Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. ('152) 447-4230/ FAX ('152) 447-4245
An Eoual Ouuurtunity Employer
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AP?UC.ANT PLEASE CDMPLETE 8ElO\V
T:"pe tl~' fi,'tru.i't: I QIJ~nrjr:" I
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PltJ1.lBlNG PER..\UT fEE
STATE SURCHARGE
TOT.~~ PER'HIT FEE
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METRO GENERAL SERVICES
763-428-2968
p.3
CAnll . HllE
VIHLOW - APPLICA,NT
GOLD - CIT"
rAy...
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
q S; 1..:- "'I 7- 'I z.l/-tr
S.W.No.
5- 1:+3/
NOTE:
Sewer and Water
contractors must
be registered
with the city.
SEP n '5 "'r'~
APPLICANT: (h C-I k() (~ENERFlI SER.VeEPHONE: Ib3 -L!-.;),f!-d,'138
ADDRESS: 57Cj 0 (:::l uAItl AIlE Ne: r;\JeDATE: SEP 0 3 2003
~\ '\1\ .~Dr ..-Jl+--,. s-r: !'Yl1C-ti t'\~L """"')/1/. 553710
SIGNATURE: .avo,+( ~ ^"JV - BLDG. PERMIT 1/
SITE ADDREss7", h'+CJ4-TdLA.J"1~~. PIDj/
FILL, IN THE BLANKS
Estimated length of water service
5r-,
feet.
Size of water service 1"
inch(es).
Location of any couplings
from structure ()
PVC L/-I/ Cast Iron
C:;(')
-' feet.
feet.
Type of sewer pipe.
ABS
Estimated length of sewer line
Clean out (if required),
structure.
feet
from
located at
NIA-
------------------------------------------------------------------
------------------------------------------------------------------
This application becomes your permit when approved.
BY
DATE:
============f=====================================================
Pwh'e.d l.J.'H,.
FEES: l1/d1 FJee-M,i- Sewer and water line connection permit.
, . Surcharge
CIJO F-t'e.--::J TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
Sewer and wat~_~e~its issued for new construction must be
reco .' ~~.2f!1E\\~~J,.ding pe~it card at the time of issuance
1;:0 i $l~e,_t1}atl WOl' Ruplicate sewer and water permits are
~ssu d.:~ I "
I I', \ SEP 1 8 7003 I ij\
DATE.:=AI ~\\ Ij
RECEIPT 1/ B.1 ~.. ---'=-
*
AMOUNT PAID
PAID IN:
R' "!..:J.~8 ~~~.
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REC'O BY
o
....,...:.,..'..,.-.:
16200 Eagl~:Creek Av. S.B., Prior Lake, Minnesota 55372/ Ph. ('152) 447-4230/ FAX ('1s2) 447-4245
An Eaual Oooortunity Employer
12- 5-03; 3: 16PM;
;952 894 0925
# 2/ 4
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
i =. J!~;a" I PERMIT NO'3-1'd--3/ I
(Please'!v'p:e or Print and sil!l1 at bottom)
ADDi{;SLfqi 1Imbtv (resf Dr,
ZONING (0,"", us.)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
PVll~, ~.S
(Address) q;\S NlN P l:-wL{ . ) SlA,lte
I L( 0 J
rM{UJ
1/ (
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(phone) (-L{7) -5..200
fV)!\J 5'5 / ;] I
OWNER
(Name)
APPLICANT
(Name)
(Phone)
- 'II' II--lill!! & ^,r' .1 r-.
gUI I I.,..., .......... .. -.-
12481 Rhode Island Ave. So.
~ava~'tJ'.~1t!ssr::n' ~ ...~j"! (City) (Zip Code)
(Contact Person) ,j \).../\...-\ ~ ~ (phone) 9<5;)- <:?:9cf rCODS
APPLICANT SIGNATURE /\u~ ~ ~ \JYrrv'\ DATE \ 2- JI '5 I 0 i
'-J '~
APPLICANT PLEASE COMPLETE BELOW
I J<;1NEW CONSTRUCTION , 0 REPLACEMENT 0 AL TERA TIONS .
FURNACE MAKE AND MODEL Lf./111o-X G 5/ m P- ;)Lff3 - 0'1 0 FUEL NrJ..-f. qClS
5 INPUT 70,000 OUTPUT t:l-f. L/OO
(Address)
;~2
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'-,4
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OWann Air Plants
OGravity
o Mechanical
oAfr Conditioning
oVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
;)J
I
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi~Family 1 % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential. Heating & NC (New Construction) $99,50 Residential. Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential. AC Only
, I oL>
Estimated Cost $ L-j I DD D . Building Permit #
$39.50
$39.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ IV / /) - I'd. 'oj \i)u.:../L",
$ , .50
$ eND WITH
~t~U.PIN-~~~R~\T Receipt No,
(Office Use Only)
This Application Becomes Your Building Permit When Approved'
Building Official
Date By
Date OFr II 200~
24 hour notice fur all inspections (952}447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Priqr Lake, MN 55372
~; , ~c,''''-. -~.="-.,=J
te
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
7),.
SITE ADDRESS I~ ~r C"e~+
NATURE OF WORK ~,. IA..;
USE OF BUILDING 5 FIfl. _
PERMIT NO. 03- ~J DATE ISSUED
CONTRACTOR ~ PHO~f~" ~";j.I-W"'6~
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
JllIV~
JlV!
~
SEWER I WATER I SEPTIC
FRAMING
INSULATION wit:- 6-H L..l ~
J
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to SOdding) ~~e ~;; ~ h ~ .-
(k-4 I""~;\ ~+1 ~ ~ 9/,2~/o/
~
C4,
I LlI/VI
OCCUpy UNTIL ABOVE HAS
NOTICE
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
G{r )-4-03
i - / t..{r(}'f
1/~/tOLl
YV)'/ _
wr
1~(4r09
I~(C-j-Ou..
rJ-1/ 7/1 t/
, 1--jq"i)l;j
BEEN 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
QIerfifirafe of @rrnpanq!
CITY OF PRIOR LAKE
~rpadmrnt of ~uilMng Jlnsprdion
fFinal Permitted lJ Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 307 a/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 fallowing:
Use Classification
SINGLE FM1ILY
Bldg. Permit No.
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
Pl1D
Legal Description
L31, B3, TIMBER CREST PAR~
Owner of Building
Site Address
16494 TIMBER CREST DRIVE SE
Contractor's Name & Address PUI., TE HOME S.. 815
/~p"
R.OBERT D. HUTCHINS
7:/;Z~~?1
NORTHWEST PKWY., SUITE 140, fcAGAN
nON RYll
5517l
City Planner
Date:
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
*~rnME
/0 ~;?~ rrlf~r6-e.> I A4
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
Q3 - / ..2.J' /
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
...s-FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
-----
._--::::::---....
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/-7/e. /
~
(~/?
~/OS e..
'--
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOIl YOUR PERSONAL HEALTH & SAFETY!
llaNOn
'1-1]...) (
BVRNSVILLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378.952.894-0005
Orstat Test Report for Jobl '::7 </1
Address JI",4'iLI T^.k..,' [1[pd 5::"'
Occupant
Dale of Install
Type of HT, F/A
Other
City It, "'.
LL
1/1d-h</
, ,
"""""-HW
Space HT
UnitHT
Make 1_ n , ,"~;(
Model ~ '~I Y'1 j; i t-" ('11-- 1
Serial -,'Il L-j ~ au Ji (
Input
Pilot Type
Pressure
Input CFH
StackTemp
Date Tested
Company
Technician
HOT SURFACE IGNITOR
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4/1/""
C02
02
CO
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f .{ ,
BURNSVILLE HEATING & AIR CONDITIONING
ll-'~f. I
DATE TIME
CITY OF PRIOR LAKE "] ~/hJ'1
INSPECTION NOTICE SCHEDULED
ADDRESS i~tfq4 ~ ""bv--c rt:.S1"
OWNER CONTR.
PHONE NO. PERMIT NO. ? .-/).3 I
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDA liON o MECH Rl o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
~INAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
(r' P~~-t S"I:J...........-;/~
~'
) r:;;..~ I v.,-u.,L, Ci (?,p I?Ivu /
,]j~rI.J .;: 'T ""'...., f4 d~...., I~.............. .r-
'"--' ~ "''1 1',",
q~/-o'-I
I
o WORK SATISFACTORY, PROCEED
, CORRECT ACTION ANO PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
rJ/P
Inspector:
OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
~n
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
..a/!7{O'{ t:l~
ADDRESS
OWNER
I ~ '-{q '-{ f """'~ ~. ..,..
CONTR.
PHONE NO.
PERMIT NO. tJ J -/ 'l" "J (
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING @ 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL )ill PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS:@> ~ ~ (r~,....,."
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
l1tn-1l_
~-
o WORK SATISFACTORY, PROCEED
'\II CORRECT ACTION AND PROCEED
/0 CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: tD. Owner/Contr.
CALL 447-9850 Fo1;HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
"''''''''