HomeMy WebLinkAboutBuilding Permit 03-1261
(Please t\J?e or Print and sign at bottom)
ADDRESS
1u.5 Z!i-'
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
1': YJ1 /)[.n
~r
Date Rec'd
8.l-B,03
; ~i~:' ~::y I PERMIT NO. /"J? -/2 /'_1
3. Yellow Applicant u....J (tI
J/;UV'.b
LEGAL DESCRIPTION (office use only)
LOT5BLOCK, ~ ADDITION ,r;:mRrfi tlu:;;r fAtzt<....
, .
OWNERp ,I
(Name) I f/J...rf-. .IIC111E"i
(Address) .f-Ie; dJlJ7Y IVt!:r IA-~
BUILDER
(Name)
(Contact Name)
(Address)
, )A-n1E
/d{P.T ' K LAc(;,.t;# ItB
TYPE OF WORK
o Misc.
~ew Construction
DLower Level Finish
I I
ZONING (office use)
f/U.o
PID 2S. 402. oi'(!. 0
(Phone)
Sill r r, p/tJ,
f3AGMt.
(Phone)
(Phone)
Illn
,,.,.0'IZI
I./Z,-?LJ - //yPS
DDeck
DPorch
ORe-Roofing
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
o Fireplace
DAddition
DAlteration
PROJECT COSTlY ALUE (excluding land) $
9a tJ96
submitted plans I am aware that the building official c
enter upon ropertyjD ~ ;eded in~on
X h..hQT D/~~j
~ . / Signature
'I
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
\ Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
y~
1190. tlotJ.tJo I
$ '92.-3. X' I
$ &O(J. 4"11
$ 18;.00 I
$ I
$ JotJ, t)(I I
$ /00. eo I
$ .3~. 5"0
$ J!(). 00
This Application Becomes Your Building Permit When Approved
~~ 1.vtJl-
Building Official
JiLL/o7
Date
bG-/37/
Contractor's License No.
I Park Support Fee
I SAC
I
I
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
~
Water Meter ~<l";
Pressure Reducer
#
#
Receiptklo.
By A,
f
$
$
$
$
$
$
$
I:SJ,-!6f
lz.. 75".00
d}50. UJ
4{:>, 00
tZOO, 00
7tJO.OtJ
^
. />-
"fj (P) (
I Paid
I Dale
,
.l. lI'f (,. I
q v-I ,U (
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
~5C~i~ Plan~::ti~:mPorary C'rtifioa;;;;i~O;Plian" ,nd ,"ow, con'SeemMalnqPileocrup,nq mu", b,
Planning Director Date Special Conditions, if any
24 hnur notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~
White - Building
c:::Er_narv . Englneer...iw _
Pink . ..18nOlng
Thr ("rlllu of lhr I..kr ('OU"lry
BUILDING PERMIT APPLICATION DEPARTMENT CHe:CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
i){/L. 7~ //O/'-iES
g Z&. 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/&5' 28 //'/'///f.;7:::.' (~/~E~ / {j/C.,
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Comments:
!J1'113
~(I' Iflc",'"
Date:
9-l.f--o 3
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
Thr(-..nf..r"fth..l.lbCoUnll')
White - Building
Canary - Engineering
Qir'lk - Plann"'i>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
! )
-'(
( ';7d //{)/'f- C .--
_",.' 1..-" I -/ G-~
(.': --<
(.. Z& C,.-'
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
aPl~lication for construction activity which is proposed at:
jr>C; 2 g I Ii ,I C/.. (iT u/c,
.,-'
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
Comments:
15~ ;JeJp
Date: '7/ /~'3
.,
1. ,1
,
"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
.....-w-h;t~ . Building)
Canary - Engineering
Pink - Planning
Thr ('rnlr. of thr L.kr ('ouoln'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
PU c7E:- f-/O/-165
g.ZB,03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1&52/3 T/nLl6lC UW I . O/t:..,
/
Accepted _
Accepted With Corrections
Denied
f'
~~
Date:
7// /,10 7'
Reviewed By:
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:Ola
,
l.
2.
3.
4.
'- 5.
6.
METRO GENERAL SERVICES
763-'128-2968
p.5
CAlI. . FIll
"ULOW - APPLICANT
GOLD - ell.,
FAy...
CITY OF PRIOR LARE
SEWER AND WATER PERMIT
'1'5l.r 'I'/7-'I"",l/r
3- )d-~I
S.w. No.
NOTE:
Sewer and Water
contractors must
be registered
with the city.
APPLICANT: rn 6TR() (:.'.,Ef,)FRAI. SER.V/U=.P'HONE: rb3-4--d,f/-C),'1.3g
ADDRESS: 57Clo n uAIl1 A,lE: NE rl\ft.DATE:
...------:\ " T'\ .-J....,:Jr .--Ir:\.--. Sf. rYl I C-H f\ G L ...,....J/V. !:> '5 2, 7 b
SIGNATURE: ~_a.vO_"+-(v"'}Q)V BLDG. PERMIT #
SITE ADDRESS: Ib 5d),8 .-,f-~.f>/J~~D#
FILL-IN THE BLANKS
Estimated length of water service
6",
feet.
Size of water service /.,
inch(es) .
Location of any couplings from structure () feet.
Type of sewer pipe. ABS pvc L{(i Cast Iron
Estimated length of sewer line
5()
feet.
Clean out (if required),
structure.
located at
NIIt-
feet
from
~=:================================~==~=======~====~==============
This application becomes your permit when approved.
BY
DATE:
========fJ~/~=~~~=============================================
FEES: /J Id., FJ~f-M':';" . SeWer and water line connection permit.
~~, Surcharge
e"..;-:9 TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
* SeWer and water permits issued for new construction must be
recorded on the building permit card at the time ~~ance
~o insure that no duplicate sewer and water pgt~~~s ,~)~ ,0
lS5ued. . , " ~ d u;~~ ;r
DATE...~l'AID AMOUNT PAID L" OCT 0 Jl ZOOJ ff/
RECEIPT # REC' 0 BY Isv /J..
.' '. " eU!j,~G~r~-~~
16200 Eagl~, Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. ('ls2) 447-4230/ FAX r~~-4245
An Eoual Oooortunitv Emolover
.-,,'
12-3'-03; 1: 13PM;
;952 894 0925
#- 4/ 4
.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Bumsvill~ HeatinJ] & NC. LLC
12481 Rhode Island Ave. So.
~AvAgR MN 1'l1'i37a..11??
(Address) (Cily) (Zip Code)
(Contact Person) < \ ",,-^-,\ ~ (Phone) q S;;2. - 'b'1 Lj - 0 DOS
APPLICANTSIGNATIJRE ~~ \l.-~~\;lY'\ DATE \~ \ 3 l \ \:) 3
~ APPLICAN:;' PLEASE COMPLETE BELOW
. ~WCONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACEMAKEANDMODELLM!flC;';< G7(mP- ,;{<-ffl:, ~Ofo FUEL Aid qas,
FLUE SIZE RETURN OPENINGS .5 INPUT ~().ODO OUTPUTIpI,!,/ '-100
(Please tU!e or .lint and sil!Jl at bonom)
ADDRESS
/0 '5;2.<b 1i fV) bt-r Cv t') .\-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDmON
OWNER
(Name)
(Address)
Q v'v \ -\z \kt'lVll '\
'i is P-Jw ~'l-w'1. 5w"\( \L\D
. APPLICANT
(Name)
(Address)
Date Ree'd
; ~:" ~~. I PERMIT NO. ~ /( J J V
l. Yellow A,lphWll ,- ) c;J"1{J ,
,
I
~(',
ZONING (ollice use)
;:'i:'
PID
,';@
i
(Phone) b'5/- 452- 57 CO
~~ a~ ItVI)'\j 5' S I :;2 \
I
i,'
(phone)
'i
~~
DWarm Air Plants
OGravity .
o Mechanical lrVVl yl.cf)C .
ey.ir Conditioning 0 /Lee 0 ). f I
OVent. System I r\ l
HEATING OR POWER PLANT
o Steom
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Lit oon, OU Building Penn it #
TYPE OF SYSTEM
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi~Family
Residential, Heating &. Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Offict USt Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
$39.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
539.50
$
$
$
~ ~ 8UIL~t~ ~,!ff. .
.50 b'iMl L? .-!=1~11'"
x
I Paid
I Dat~AN 0 5 2003
Receipt No.
I
r'
By
24 hour notice for all inspections (?52) 447-9850, fax (952) 447.4Z45
16200 Eagle Creek Avenue, Prior LaIre, MN 55372
PRIOR LAKE DEPARTMENTOFSee Main F~
BUILDING AND INSPECTION
.
INSPECTION RECORD
SITE ADDRESS I.Sl8 7i~"r 1)lIivr
NATURE OF WORK AlEId 1"'~/ttIfr~r"~
USE OF BUILDING S If:: "-. ..
PERMIT NO. 03. - /2 (p / DATE ISSUED '!ll11lI'
CONTRACTOR ~ ~a p~It.,r'.'f1IS
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING v114 1M I
I FOUNDATION (Prior to Backfill) ~;" I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
vW,,;' .
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
~
tI/If
,,/1JV'
1-2-9-0,-/
J...-j,..- oi.J
v
-
M"_
t///f ,/
I ~J,q. tJ II
I~ 2-PI-1J "I
GRADING (Prior to Sodding)
BUILDING 1{o/ ()~~I q;(1)"
ELECTRICAL
PLUMBING
HEATING
DO NOT
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS _ '"
~ee ~~). /7k / .
~ 7/~.y/o/
-
VVV"
t/V}/
OCCUpy UNTIL ABOVE HAS
NOTICE
BEEN
1. ~ -0"1
3---1'7-0'1
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
QIerfifirate of @rmpanrl!
CITY OF PRIOR LAKE
~tparfmtuf of ~uilMug Jlusptdiou
DfFinal Permitted D Conditional C.O. Expires _
i
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifyinf?
that at the time afissuance this structure was in compliance with the various ordinances afthe City of Prior
Lake regulating building construction or use. For the following:
Occupancy Type
R3
Type Construction
VN
Fire Zone
Bldg. Pennit No. 0.3 - /2(0/
N / A _ Zoning District PUD
Use Classification
SING1.E FA1-lILY
Legal Description
L25, B3 TIMBER CREST PARK
Site Address 16528 TIMBER CREST DRIVE SE
55121
Owner of Building
Cont<aclor'sName&Address PUl,TE HOMES, 815 NORTHWEST PKWY., SUITE 140, EAGAN
. 4:/9'
ROBERT D. HUTCHINS //,:;,.,.. . City Planner_
/' Buildiny.>fficj.a1
'7/..2 <-/ / tJ <V Date
/' , ,
DON RYE
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/(,9-8-
q- n'l b-o.-'/' .-e.--r-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
Jf INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
.. .
/ lf~
T7J
f'. /J1,,<j'
L/'
DATE TIME
,A2-oy
~-ll..CI
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o fiREPLACE FINAL
o GASLINE AIR TST
o
;zf WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~K, C~OR REINSPECTION BEFORE COVERING
Inspector: fJ ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Il'iSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ol SAFETY/
1, -I)~~
BVBN~.v.LLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave 5, Savage, MN 55378.951-894.0005
Ors1at Test Report for Jobl . 1001 ~
,
Address I~i -r;~,hx (\I'~}\\'ci1y i>t-;i): L-l.~
Occupant
Date of Instal'
Type of 1fT. F1A V"'HW
Other
Space 1fT
,.
/.
Unit 1fT
Make
Model
Serial
Input
L...L.....,,.u. \1
. t--
~5IlY} ~-'- :?l..,v -[".:if', -0 I
5'f<l-A J+ Jt.}d,..,
Ir,.{ ~ 000
Pilot Type
Pressure
Input CFH
SlaCkTemp
,11/
// l"
HOT SURFACE IGNITOR
-,' . ~- ;., .J.c62 iJlr,' /
1af.8 02 1/ 'J"
J/Yf.,~ CO
.1'< n
Date Tested
Company
Technician
#"
t
.
BURNSVILLE HEATING & AIR CONDITIONING
.:x.~.. (I (r~ b~
~\ \0',\.L,,4 v v-
/ "rl
\ v./, J-. \,
:>JII/C'"
/
,i
(yU
)
DATE nME
SCHEDULED ~'.2lZk(
11.", h..vc-~.s-1
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/ Cg.r;r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
COMMENTS:
8) F.I1O I '!'>Y7Ij~. ,4(112. Y/JI/"'!
..... (I" ,
C (b"l -I- l' r-~-r s p..--
~ -, 11e;l4Vrrl~1~ .Sr...kIA./p/i/
,
r {..uy f/Yr f/ /
'7, ~ /k /
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
rI=a!f?~Y/I!-
tlf~/-o(...f
I
D' WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
, CORRECT WOR~, C~ FOR REINSPECTION BEFORE COVERING
Inspector: rw OwnerlContr:
CAli.. 447.98~O Fr:>R. Tl<E NEXT INSPECTION 24 HOURS IN ADVANCE.
'NSHOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
Jif;~ / 1rw,'hi"rCrs r
tL I1t l..rf-'-=-I'Yk,
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
., PLUMBING FINAL
o MECH FINAL
COMMENTS:
~
{;Y ( (f)}(J\;(
~ ...,
/?Jri;Z.Q{/7
'Y
DATE TIME
3 -).-cJq
-r _IL( I
. ~)'?
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o WORK SATISFACTORY. PROCEED
jRRECT ACTION AND PROCEED
o C RRECT W~R~L FOR REINSPECTION BEFORE COVERING
Inspe or: Ii/I/ Owner/Contr:
. .
CALL 447,9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
IIiSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/