HomeMy WebLinkAboutBuilding Permit 03-1259
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY C~.fTION PERMIT
See Main .~11e
Date Rec'd
a. ~g.o.J
; ;i~i~ ~:~ I PERMIT NO. 03-/7 CQ I
3. Yellow Applicant V.:/"
(Please .!VD~ or orint and sim at bottom)
ADDRESS ZONING (office "<oj
'J:;ngr;, tA&/ ~2It/~
/f,5ZY
"(/0
LEGAL DESCRIPTION (office use only)
LOT,;] BLOCK 3' ADDITION ~nl/3t:1t CA.tif fA-1U(.
.
PID Z5'. 402. Oil:? 0
OWNER :/. .1
(Name) ----1..JIbTE- Hon1!.5
(Address) '6'-I.S J1/oJZ.T1l/1J[$;7 fAtut.l(/o/
BUILDER
(Name)
(Contact Name)
(Phone) f,SI-l!s2 - sZOO
WM1, t11f1 .~5/l-1
!;ulrL /~CJ.
$tm&
CUll?"
(Phone)
(Phone)
ZtA5c~
t/Z-2Z/-l/rF'5
(Address)
. TYPE OF WORK
C(New Construction
DLower Level Finish
DPorch
o Deck
ORe-Roofing
ORe-Siding
DAddition
DAlteration
D Fireplace
DUtility Connection
~'?F tJ?S-
o Misc.
PROJECT COSTlY ALUE (excluding land) $
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. am aware that the building 0 cial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~teru.;;..<?to needed in Clions. &- _ /37/ -.ffh?-;~~
V "/- Signature Contractor's License No. / D;r' Q~
1$
I $
$
$
$
$
$
$
""tJ, (;loa.ou I
, 123,?5 I
fooo, tit.( I
tfS; d~ I
I
I
I
I Park Support Fee
I SAC
I WaterMeterc.~'-iie5/~1";
I Pressure Reducer
I City SAC and WAC
I \Vater Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
CJI'f',fY1
"f,..} C/./1 <.
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
$
$
$
$
$
$
$
$
#
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a5'(j. (JO
-/S'.-C 0
/ZllCl. ~
?c::lO.MJ
#
#
-
/1M' lJeJ
lao,aO
g!J". ;50
~tJ, tJO
$53/4.609
\ Receilt}(o,
Bv - ./.
{;
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This Application Becomes Your Building Permit When Approved
~
I Paid
I Date
1.du-
'9//1 /t;'3
,
Building Official
Date
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
:~' ~~ PI;;;1zmpo'MyC'rtillca9~o;:;;;liance .nd ollows consseemMain~FileocruP,"~ mustb,
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
--
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See Main File
White - Building
Canary - En!lineering
Omk - Plannlnp
.
Thr Croln of thr L.kr <.'ouolry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/<, ,- "{,,.
/c )
/'~J/
/ l'
('.:: .._n) r: ./ '-~
C>. t::- t: "
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/. r /'/.i..-
,/ ,'- -':--/
'/' "/' /i ,
/ / .-.,-€.- /''---
(:,I'~: _ c.- ._~' I
/' .1"
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Accepted
/
Accepted With Corrections
Denied
,....
Reviewed By:
~
?~
Date: 0/1 <~3'
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
rwhite . Buildint1~
Canary . Engineering
Pink - Planning
Th~ ("~nl..r of lh.. I..k.. ('ounlr',..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
P(/~TC #OHb) ,
e. ?6. 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/& 524- ///"/ P61c e/'u&S1 PIC.
Accepted
/'
Accepted With Corrections
Denied
~
Reviewed By:
~
-::J.v.tl fJ
Date: 9/ I ~:7
I
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,"
~~
Th... ('C'nlrr of lb... L.b ("o..nl"
White - Building
, ~anarv - ~nalneArlna )
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLISI
NAME OF APPLICANT
APPLICATION RECEIVED
l-<,/ / / ~;"7'::'- :?:__t~v-!lJ' /'i/!' ,~-:-'--r-
) (, ,........... I G... . ,ff '" ;.../J L...-')
C;/ .-, C;', ?
[:;'. ? i:>' (,_
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-
.//(:C :; 24- /7>'~/'.l.l/{;,.~{:. (~~~t"L>_.S Il)/C .
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/J14R
t; ~ t' /J'J",,.^ h'll
Date:
7-19 '-oj
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."
Oct 03 03 II:OOa
individually is $20.00 plus
r-'-'----- .---- -..
Sewer and water permits issued for new constructi)n,L~ust b~ -1
recorded on the building permit card at the time e~ issuance I
to insure that no duplicate sewer and water Bflr~U l?r.eO i I
0>',.;;:;. AMOUNT PAW I~, "_'""3 ~
RECEIPT # REC/D BY ()("
- -' " 1{UIL~~~D INn}.,
16200 Eagle, Creek Ay. S.B., Prior Lake, Minnesota 55372/ Ph. ('1s2) 447-4230 / FAX (Cfi529tRt=.'f,.
An Ecual Onnortunitv Emnloyer
1-
2.
3.
4.
'--- 5.
6.
,
"
METRO GENERAL SERVICES
763-428-2968
".3
GAUII . Ftl(
YELLOW - A...L1CA..'
DOLD. cn'f
FAY--.
CITY OF PRIOR LAKE
SEWER'AND WATER PERMIT
crS'lr 'I,/7-'1'1-Vr
S.W.No~ IJ5q
NOTE:
Sewer and Water
contractors must
be registered
with the city.
APPLICANT: (h C/RO (2,E,^)ERAi SER.'IUooONE:.lb3 -4--d-,?/-(9,13g
ADDRESS: 57Cl0 f-J.uArYl AI/€.Ne: ::::W-VCDATE:
~\ '0 J----1r" ---.h.- ST rn IC-li fiE L, -,..,I\J, 55376
SIGNATURE: a, o+! _,~ i=.1V" BLDG. PERMIT #.
SITE ADDRESS;--/6504-ro~ (~'DA..PID#
fILL. IN THE BLANKS
Estimated length of water service
Sf)
feet.
Size of water service
/"
inch(es).
Location of any couplings from structure () feet.
Type of sewer pipe. ABS PVC ~(I Cast Iron____
Estimated length of sewer line ~n feet.
Clean out (if required),
structure.
located at
NIA-
feet
from
===~===========================================================;=;
This application becomes your permit when approved.
BY
DATE:
============f=====================================================
Ptul/d w.'Ht
FEES: ,~Id FJet.M,i- Sewer and water line connection permit.
..._'" ' ",',.. Surcharge
(" () .r--.~~) TOTAL
,...."..._.. ".",'\0
*
Fee for either sewer or water
$ .50 surcharge.
*
OCT-17-2003 09:01
I:' I \;,
t)ALLE'1'PLUMB WGCOI t~C P. 02/02
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PC.t.~lB[NG PER..\.UT FH
STATE SURCHARGE
TO~C..u. PER-yIlT fEE
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Tbi.:l APplic::ztiOD B~CQrn.d Your BuildlD: P~n:ait Wbell Approved
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TOTAL P.02
-,~--'-""'" "--._..,--_._------------_._.._--~---------_._~._.~_...._-------.---
12-31-03; 1: 13PM;
;952 894 0925
# 2/ 4
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FlREPLACE PERMIT
Date Rec'd
l.1'i.nk
" <>un
:1. Y~l1ow
~!~ I PERMIT NO::=--:'_ /---,Cq
ApphCVII V ~ t
(Please,!},pc or print and sism at bottom)
ADDRESS
!v 5;2~ ,y:N) W
Cve~.\-
G,.
ZONING (office us~)
LEGAL DESCRIPTION (office use only)
I
LOT
BLOCK
ADDITION
Pill
OWNER
(Name)
~\A., \ -K ~--y\JUj ~
'{ IS Nv0 ~iw"'\, ")W'\( \L\o
I
(Phone)
YPI ?JY'A---f)
. J
fo5/-L{'52- 5-zCO '
If'Y\ Y\J c; S I ?- \
, (Address)
APPLICANT
(Name~
l3umsville Heatina & AlC. LLC
12481 Rhode Island Ave. So.
j:lllllSg" Mill /lJ;::I711_11??
(AddRss) (City) (Zip Code)
(Contact Person) < \ VJ...,\ "L (phone) cr 5;2.. - 'b cr Lf - 0 DO S
APPLICANT SIGNATURE A\~ \l.'A~bvt5y) DATE \~ \ 3 \ \ ~ 3
'-J APPLlCAN.'i:' PLEASE COMPLETE BELOW '
\;gJI:ffiW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL LMlllox G5/(Y1f-,;J..L/13 - Ot./5 FUEL pJo.J qa3
FLUE SIZE RETIJRN OPENINGS ":5 INPUT t../c,; oW OUTPUT cfil Lj 00
(phone)
(Address)
OWann Air Plants
OGravity ,II ,-<Y"
o Mechanical t.--VVl, vv r' "
ey.irConditioning 0 /Lee 0).,1
OVen!. System I f\ l
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
TYPE OF SYSTEM
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & NC (New Construction) $99,50
Residential, Heating Only (New Construction) $64,50
Estimated Cost $ .!:L, 0071, ()l) Building Permit #
,
$39,50
Industrial, Commercial & Multi.pamily
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
x
Q PAID W"~H
~ ,_~U!' ""~'" ,
I --.,.I.:~<:., ;o,:,,~. ....,..
t~\W -'.,.'!
,50
(Office Use Only)
This Application Becomes Your Building Permit When Approved I Paid I Receipt No.
D,t. I Date JAN 0 5 2003/ By
Building Official
24 hour nolice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
(}--.
{J
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::_?:1
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PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS J~.~'I/' CI!l4S'r ~JJG
NATURE OF WORK ~614J N~U'1'~
USE OF BUILDING ~ ·
PERMIT NO. DATE ISSUED
CONTRACTOR PHON IS
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING (vb'", I
I FOUNDATION (Prior to Backfill) jI\\~,,, I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
fvI~"
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST . I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I \
FINALS _ /
GRADING (Prior to Sodding) ,-See ~~ h:~,//:",/
BUILDING /\-l"i 1- (..-oul #'~ P.-27'/7
ELECTRICAL
PLUMBING
HEATING
DO NOT
A
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;?-- ~OGI
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J.~OOll
J..- 3-OGf
.
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1/l.,.vJ
OCCupy UNTIL ABOVE HAS
NOTICE
BEEN
~-~ -tJtf
"3~n~
SIGNED
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections haye 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 @rmpanq!
CITY OF PRIOR LAKE
~rpadmruf of ~uilbiug 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 o.fissuance this structure was in compliance with the various ordinances of the City of Prior
Lake regulating building construction or use. For the following:
Occupancy Type
R3
Type Construction
V!'\
Fire Zone
N/A
03-/Z59
PIID
Use Classitication
SINGLE FAMILY
Bldg. Permit No.
_ Zoning Districl
Legal Description
L27, B3 tIMBER CREST PARK
Owner of Building
Site Address
l6524 T1MBER CREST DRIVE SE
Contractor's Nam, & Add"" PULTE HOMES, 815., NORTHWEST PKWY., SUITE 140,
ROBERT D. HUTCHINS /$/ City Planner_ ~ DON RYE
/ BuildJng 9ff'Y--CIa
9' /7<''}/ / C" Date:
./ '
EAGAN
55121
Date:
ADDRESS
~(# TIME
/6' S-,,2 1-'/ --;?k.l" --CcS /- d
SCHEDULED
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
C8- /...2.S?
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..a--1'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
--::::::=========-----
~ ~~
/....,/ ./f / ')
" C:-/ase /-r /p .-/
'------- --------
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~~C~R REINSPECTION BEFORE COVERING
Inspector: /R~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
~j"~
BURNSVILLjJ; ">l x-lt
Heating & Air Conditioning? L.L.C' r I Ie"
12481 Rhode Island Ave S, Savage, MN 55378. 952-894~0005
Ors1atTest Report for Jobl I~(J
Address Il,/d \.Q ---,;", Lt. ( r,\/.. t-
Occupant
Da1e of Install
Type of HT. FlA V""Hw
O1her
Make
Model
Serial
Input
Pilot Type,
Pressure
Input CFH
Slack Temp
Date Tested
Company
Technician
/'
I
City h:c( LJ>.{..
Space HT
UnitHT
1.'1. (UiYli"l.,''''-
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1
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HO:, S,!!!E,~(C~!X~/T~. ;~/r> (,.
'f ":, u C02 L,' i,
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o t-.,A";
J-
:d~I(<-I
BURNSVILLE HEATING & AIR CONDITIONING
_Y{ ':,Ok'
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS __1/" () '-(
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)!f- FINAL
o SITE INSPECTION
COMMENTS:
(i)
$
f-f;)
'--../
p,..,.,/ tA~
;?~/~_,,~..L
.~~ .,.L
SCHEDULED
DATE TIME
'Z - :5,/-0</
!' U, Zw",/ ~ ,;/'.
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
4~~,,~ I
.Cd-..u-n/k-'
~r p~,
; - /2S1
o EXIGRADtFlLLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
r-I.-eJ ~I I)X?,,,,-, -I
t'{ ~-H-tP ('/;<11;' ( q--f?:>4
,
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
~RECT WORK. CALL FOR 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!
mSNOTJ
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1,--"( Ot(
ADDRESS
J fDSJ.-4
0-'...,b___/ A'Cc.1-
OWNER
CONTR.
PHONE NO,
PERMIT NO.
"'< -/).5"(
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
Ii!l""PLUMBING FINAL
o MECH FINAL
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
r&~
fl rv..E~
,
o WORK SATISFACTORY, PROCEED
I CORRECT ACTION AND PROCEED
o CORRECT ~~K;.,C"R REINSPECTION BEFORE COVERING
Inspector: / t/ / /' Owner/Conlr:
CALL 447-9850 FOR THE NeX,T INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY!
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