HomeMy WebLinkAboutBuilding Permit 03-1260
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec' d
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT B. z..f;. Q3
See Main Fil~ Whi" PiI. I PERMIT NO I
2. P;,k C;" . 01-<'-1'2/-0
3. Yellow Applicant ~ to
(Please type or print and SiWl at bottom)
I ADDRES~ / .r 7/
/(A)?(e::> 'l;rnAfA ti1/~-r
;Al-tffE-
ZONING (office use)
PUO
LEGAL DESCRIPTION (office use only)
LOT,2t.BLOCK < ADDITION 'l:m"Kl/t tltL.Sr k2K.
PID25: <fOe.. ()9z... 0
OWNER' JI
(Name) rJ/L~ HO/J1c.S
(Address) ,ff-l'-J AI~tU[;Sr ~~I
BUILDER _
(Name) 6A111r--,;
(Contact Name) ('.ullr $O..<t!#1L.O
(Address)
51ITL /~.
,
(Phone)
r'
J;&A-n.
Mil- YsZ -5206
12ft,. SS/ZI
(Phone)
(Phone) ~J Z - 2Z/ - /lYr~
TYPE OF WORK
JQ-New Construction
DLower Level Finish
DDeck
DPorch
OAddition
ORe-Roofing
DAlteration
DRe.Siding
o Fireplace
Dutility Connection
o Misc.
PROJECT COST/VALUE (excludiog land) $
?IJ. 0;;:5
I hereby certify that I have furnished information on this application which is to r.he best of my knowledge true and correct. I also certify that I am the owner or
authorized agent for the above-mentioned y.....y....~J 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 official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon th opetty to rZded inspecti~ rh J
X . ~ ~~ f?{, - /37 J 5/ zgt-/lJ3
.- "7 Signature Contractor's License No. :21"ate
I Permit Valuation "9()J do (),cJ/J I Park Support Pee # $ I
I Permit Fee $ 9,;J.~,7S" I SAC # $ 12..7~,OO I
~
I Plan Check Pee $ ~,'N Water Meter (?iEe 5/8"} 1"; $ ~O, 0 () I
I State Surcharge $ 1fS;.00 Pressure Reducer $ Lis-;. 0 0 I
I Penalty $ I City SAC and WAC # $ Iz.oo,oo I
l Plumbing Permit Fee $ /"(3, ()() l Water Tower Fee # $ 700,0" I
I Mechanical Permit Fee $ (00,00 I Builder's Deposit $ - I
l Sewer & Water Pennit Fee $ 3':;, S-'" I Other $ I
I Gas Fireplace Permit Fee $ 1'..,,00 I TOTAL DUE $6"31 4-.(P? I
<":J!1.r, '! f)
This Application Becomes Your Building Permit When Approved I Paid I Receipt)4o. cfr&:J-/ I
~ .. I Date By ./ J....." I
--:;t~ "//1/..,7 q. z.r. 0 l 0
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
:~~n:;:t;:or~ cerofica;;:n;j:m;ance and allows conSeemMalii~Fl1efoccupan~ must be
Planning Director . fttte Special Conditions, if any
24 hour uotice for all inspections (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~
White . ~uilding
C"l,;anary . t:n!'ineerinQ':>
Pink . planning
Tht C't'nll!r of Ih. l..b ('uunIO'
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:
//(, :::~:.J (.-> /;--~//"'/L/C L?:/i.6;S:?.'-~ /~)/C..
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Comments:
/llJ4f)
c;rf' /17",...... hIT:'.
Date:
C;-/~-61
"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."
~1
See Main File
cWhite - Buildi;;U
Cana~ngineering
Pink - Planning
Tht Cfoltr of thr L.kr <."ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
PVL-7C /10/'-165
g. 2-'&. OJ'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/{P ~ Z& 7/ /V7 Oe /e C!/t-6s7 D/(....
Accepted
,/
Accepted With Corrections
Denied
Reviewed By:
Comments:
~~
Date: 911(?~
"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 - EnRineering
[t"lPK . Plannina"")
The ('fl1ln of lhe L.h ('OUlllry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/1/'{ I c: //(//L ~
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ /';' c:? (C /j / /1. (:, /; :' /i C /"
. .P
(j/C
Accepted
/
Accepted With Corrections
Denied
,...
Reviewed By:
~
Date: f II ( 1'1'$
~
,~ Comments:
\
...tr-.~~
~~,
1 '
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"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 11:00a
METRO GENERAL SERVICES
763-428-2968
p.4
,
GlUM. FlU:
YELLOW. APPliCANT
GDLD. en..,
CITY OF PRIOR LAKE
SEWER. AND WATER PERMIT
'f52.r 'I,/7-'13-1I.r
3- /J-106
S.W.No.
FA'I--
NOTE:
Sewer and Water
contractors must
be registered
with the city.
APPLICANT: (h c-/R(J (5Et,JEEfli S~R.VUf.HONE: tb3 -L/-d,g.-CA'13g
,-c7a rive.
ADDRESS:':::> -,on. uA1l'l AilE Ne DATE:
.......--;-\ '\1\ .-....L.J,r ~ s-r. j'Yl '~Ii I'lG L '"'1<Y)JV. 5'53710
SIGNATURE: avo -+-( d"V BLDG. PERMIT #
SITE ADDRESS ---:-1 t, 5' d b~~~h.PID#
.FILL,IN THE BLANKS
1. Estimated length of water service
bf)
feet.
2. Size of water service
/'/
inch(es) .
3. Location of any couplings from structure
(') feet.
4. Type of sewer pipe. ABS PVC L/-o cast Iron
'- 5. Estimated length of sewer line S () feet.
6. Clean out (if required),
structure.
located at
!JIlT
feet
from
======~=====~=====~=====~=====~======================;============
This application becomes your permit when approved.
BY
DATE:
, ~l
'--'
;;;;====fJ~i~=~~~============================;==;=============
FEES:. ~ /J. ./d P~€-M,f- ~~~~~a~~~ water line connection permit.
('No Pe~9 TOTAL
,...;,.....:.~._--..,"".... .............
~e~5go~u;~~~;~e~ewer or water individually is $~
;:~~;d:~do~a~~~ b~i~~i~g i;:~1t f~~r~e:t c~~~t~i~~i~!i/ '~;~~~7 IE!:'!;!
~.o insure that no duplicate sewer and water jtJ~rm~l.'ts 'a~a03 ii.1
lssued. '.. ~__ u
DA'l'E.\PAID. AMOUNT PAID ;..-----~_
RECE~PT# . ... REC/D BY ( ~
V BUIl!;'1~~ Wm~
., P€RM/T
16200 Eagl<::Creek Av. S.B., Prior Lake, Minnesota 55372 { Ph. ('ls2) 447-4230 { FAX ('B2) 447-4245
An F.oual Oooortunitv Emolover
*
*
12-31-03; \ :13PM;
;952 894 0925
# 3/ 4
I
€~~
+'....NE.O"'"
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink
2.",""
). Yellow
~:~ I PERMIT NO. j" '(' J..-/"? 01
ApphQlI1 C7 If'
(please ~e or print and si~ at bottom)
ADDRESS
ILP 5;;2 &, ~fV) bLr
Cve') .\--
G-I.
ZONING (ollice .se)
LEGAL DESCRIPTION (officc use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
~Uv\-\z ~~ S
'i is NW ~'(.W"1 -SW'\( ILlD
I
(Phone) 051- Lf'52- 57 CO
C;;Pl atl.Al. If'vI Y\J '55 I ?- l
J
(Address)
APPLICANT
(Name)
6lun"ville Heatina & AlC. LLC
12481 Rhade Island Ave. So.
!:lr.wag" k~f\l ~11?,)
(AddIes,) (C;ty) (Zip Code)
(Contact Person) , \ VJ,....\. "L (phone) 9' 5;;2.. - 'b'1 Lf - 0 DO S
APPLICANT SIGNATURE ,A\~ \l. .. ~~\:l--y""', DATE \~ \ 3 ~ \ ~ 3
\j APPLIC~ PLEASE COMPLETE BELOW
~EW CONSlRUCTlON 0 REPLACEMENT 0 ALTERATIONS
FURNACEMAKEANDMODEL LMJI/,(jj( GSjmP-;?t.l-6'.0t./S FUEL tJoJ: qas,
FLUE SIZE RE1URN OPiNINGS '7 INPUT Y S I 0lJl) OUTPUT ~ 00
TYPE OF SYSTEM HEATING OR POWER PLANT
(phone)
(Address)
OWarm Air Plants
OGravity ,Il J-rt
o Mechanical /'-eNl, "" (' .
e:fAir Coodition;ng 0 /l.. Cc.. 0 ). cJ
OVent. System I" l
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
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
1 % of job t:ost Residential, Gas Fireplace
$39.50 minimum
Residential. Heating & AlC (New Construction) $99.50
Residential, Heating Only (New Construction) $64.50
U (,m on
Estimated Cost $ ~11 , Building Penn it #
Industrial, Commercial & Multi-Family
$39.50
Residential, Additions & Alterations
Residential, AC Only
$39,50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
x
.50
M, B PAID WITH
rt~ \ (;;-OING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved I Paid
D,te I DateJAN 0 5 2003
Building Official
24 hour notice ror aU inspections (952) 447-9850, rax (952) 447.4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Receipt No.
- ~
By
(J
rJ
PRIOR LAKE
,
INSPECTION RECORD
.
SITE ADDRESS TiMf1fTC.~.I. 1)eiv5
N~UREOFWORK ~ CO~~&k~
USE OF BUILDING S.t:: A.. ._
PERMIT NO. f13 -/?JoO DATE ISSUED -'l.LUO'J ~
CONTRACTOR B&.c..T~_j(OlM.a PHor..iE~.Rl.'TJ1G)
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPA-RATE DOCUMENT
See Main File.
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
,
I FOOTING w.a'^-. I
, FOUNDATION (Prior to Backfill) I;W."- I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC (/via.,
FRAMING !/l./fY 1- ""500'-1
INSULATION VvY) '1,.,>- C:f-l\
ELECTRICAL
PLUMBING l/lf/ Ir '!.O/(Jt..j
HEATING (if required) t1J"- /r '1,r) /()(../
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I I J
FINALS
GRADING (Prior to SOdding) ~ee ~....Jt h ~ /
BUILDING 1r;.f iI~h\ 4,I-oq ~ 709'/oyl"
ELECTRICAL
PLUMBING !/1/J/-/ ~-- 5' -6<-}
HEATING t/0// "Jr{ 7-rJ[ /
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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
@:trfifitaft af OOttupantll
CITY OF PRIOR LAKE
~tparfmtnf of 'liuilMug Jfuspediou
M'Final Permitted L Conditional C.O. Expires
,
This Certificate issued pursuant to the requirements ~"Section 307 afthe Un~forrn 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 N",
03 -I z..W()
Occupancy Type
R3
Type Construction VN
Fire Zone
~!A
Zoning District pun
Legal Description
L26, B3, TIMBER CREST PAF:K
Owner of Building
Contractor's Name & AddresrUT......I TE
Site Address
165c6 TIMBER CREST DRIVE SE
ROBERT D. HUTCHINS
~/ B~M OOYfi.'
7/~.;/ () <
,
HOMES, 815. NORTHWEST PKWY., SUITE 140,
/$#
EAGAN
55121
City Plannp'
DON RYE
Date:
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/6'5-26
OWNER
PHONE NO.
o FOOTING
o FOUNOA TlON
o FRAMING
o INSULATION
.-l!H'INAL
o SITE INSPECTION
COMMENTS:
~:/:# TIME
~~"'C/"~.s/ d
SCHEDULED
CONlR.
PERMIT NO.
c1J-/~()
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAO/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~-------,----
~
0:se
------
\)
....---,/
,L---/ /p
--------
RORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, C_A~L :~REINSPECTlON BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 4-17.9850 Fl)R THE NEH INRPECnON 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INJI<<)TI
,.
,. '~"):!\
.,;~
BVRNSV.L~E - -
Heating & Air Conditioning,t.i;.C.~ .' " . .
12481 Rhode Islond Ave S, Savage, MN 55378.952-894.0005
0rs1at Test Report for JobI l..,j \',
, . _ ')/: _.. \ F\ i " i
Address 1\. "aU'\.'" ., r I .i.<:+- City \ , " r l_, L
Occupant
Da1e of Ins1all
Type of HT. F1A / HW Space HT Unit HT
Other
Make ~-v/' , , c..y
Model /1..L: I mi=='- 3lcP>" 070 -0 \
Serial 5&:>11.1\-6(:. 3'l.1-
Input ~ , ciOi.?
HOT SURFACE IGNITOR
". 1- . .
<<1. \ h_)
/1': '/
Pilot Type
Pressure
Input CFH
Stack Temp
"'f1/ i
, . /'O'1,f
'0'
f
SURNSVILLE HEATING & AIR CONDITIONING
5f.;;C""",
<'-
..':>
C02
02
CO
~/~,
(,,\,p
J/J (;)
Date Tested
Company
Technician
,.
.~
'i
j
.~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
li1 FINAL
o SITE INSPECTION
COMMENTS:
(f). (t7-P/UUV1+
r~' hvw/
~) 'p)d
iC~x;,
DATE TillE
SCHEDULED s-).) -(.)'1
tj,""~rr JeS1
CONTR.
PERMIT NO.
S-ILf.c
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
c;,~
/~II{
4'/i'J?~/
N'A.- d...,~~........,. '
. '
i2> vad....
+- l'~-rS
~1..J. .---" -'- 'j
-, . V"Y UVt", (
"1 ~/-tJC.1
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
f CORRECT WORK, CA;;.sOR REINSPECTION BEFORE COVERING
Inspector: /4/ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
_on
DATE TIlliE
CITY OF PRIOR LAKE 'J .4-Glf
INSPECTION NOTICE SCHEDULED
ADDRESS I (p~).(. 1< ....../o-V{"':>+
OWNER CONTR.
PHONE NO. PERMIT NO. 1. - /).C ()
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
i" PLUMBING FINAL
o MECH FINAL
o EXIGRADtFlLLING
o COMPLAINT
o FIRE:PLACE RI
o FIREPLACE FINAL
o GASLINE: AIR TST
o
COMMENTS:
{eW<(/l;e
rotlz-dlS
;
o WORK SATISFACTORY. PROCEED
o CORRE:CT ACTION AND PROCEED
o CORRE:CT W9f~' 9'9FOR RE:INSPECTlON BEFORE COVE:RING
Inspector: / r r ../ Owner/Contr:
CALL ..47-9850 FOR THE NEXT INSPE:CTION 2. HOURS IN ADVANCE:.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .t SAFETY!
'NW>n