HomeMy WebLinkAboutBuilding Permit 03-1265
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File f:t ~!~li""'
(Please tvpe or print and sign at bottom)
ADDRESS
/(P.s-O.s- T~-.;J€~ otESr OLNE
LEGAL DESCRIPTION (office use only)
LOT /1 BLOCK.:z ADDITION --r;;<fl$6l. ~r
OWNER 17
(Name) rvl--r~
lIo,4'lE ,$
~,l.rHl<'Efr
(Address) 81 S-
~;1<1
~
BUILDER ~ (' II
(Name) .;>4111rE AS /'f60l/€
PA-R.trI ~(
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
)(New Construction
DLower Level Finish
Date Rec'd
g- 1-03
I PERMIT NO. 0'5- /Z.(RS I
ZONING (office u,,)
PUD
PIQ;}S-GJ/2- 0&0')
Sv,rE 1L1o
(Phone) tD,j/- I{,)';1- ,),1.00
€'"46M . ",""AI ,J..r/;J I
(Phone) /QJI -l{S-J -.j"UJO
(Phone) (PI) - 'I'll!) -I{,;J Jg
DDeck
DPorch
ORe. Roofing
DRe.Siding
o Fireplace OAddition DAlteration
PROJECT COST/VALUE (excluding land) $ Gr. (pre
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 ywy"-n) 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
:terup~pe.:~.:e::ections Jk> 071 Bit /03
Signature Contractor's License No. Date
Permit Valuation
Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
1 Plumbing Permit Fee
I Mechanical Permit Fee
\ Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
I $
I $
$
$
$
$
$
&5000.-1
7t./r<'" 75
u~t,. t:,q
'3~-SO
/6(') .-
/Dt).-
-
'-ID. -
This Application Becomes Your Building Permit When Approved
~1~
Building Official
?/IS/a3
Date
I Park Support Fee
1 SAC
I Water Meter Size 5/8"; \";
I Pressure Reducer
I City SAC and WAC
I 'Vater Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
~r~. Cf.q..
4' /~ 07
'/
# $
# $ I (iI, It:) . -
$ .
...--
$ -
# $ l;lm . --
# $ ?(Jt'J .- 1
$ I
$ I
$'/bCOJ.,'t41
I Receip~o. ~/-I
Bv 4'..
()
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
~:: b:~i~ Pl;crnC~:s a tempocur cem;/;f;~~omPliance and allows cons"See'nrJiiiii apIt ecrupan~ must be
Planning Director Date Special Conditions. if any
24 hour notice for all inspections (!I52) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenu, Prior Lake, MN 55372
c'
~~
See M~rln File
White - Building
Canary - En ineering
.,-pr.;j( - Piannm
Th..<-..nlN of lh.. L.kf ('ounl~'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
l~'
.
1.
~ 'i,L
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~
'-j~w
Date:
9//S;{Y3
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."
ii~"
See Main File
C Whi~ -~ ~U~
~nary- I:nglneering
Pink - Planning
rhr ('..ntn <If lhfl..k.. COllnlr).
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.0 Ai};V. 'i/fn1t~
, .
R- / -()3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~ t:)O!J N/~~ ~.r-
.
Accepted
~
Accepted With Corrections
Denied
~
Reviewed By:
~~
~f-!
Date:
~/rs;/o 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
White - ~uildin.9
r !(anarv - t:no,"eennii)
Pink - - Planning
Th~ ('"nltr nf .hr L.kt Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
//, : /"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i (,/ [ /-' Z:;"-
I",
Accepted
x
Accepted With Corrections
Denied
10~'\.
Date: ~h! 03
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."
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CITY Of PR10R U.i-.:.I PLC..r3:>G PZK-\[IT
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4P?UCANT PLEASE CQMPLETE BELOW
T~p\: uf FI."::~Ul"~ I 0'1~nrlr:" I Tvp~ ()( F"i:::ur::
e;;~:-: Tu.lJ 1.\oIC:-:' \jr Wlt:l1Jl..:t :i~C""'C; I 1 I R.JU:!:i~lrS
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I ::ihow,,~ S~lI I Rac.<<-i\Jw' A:;,,,:nc!v
f ~ink~. . i B01ckr!ow ,,:;sembi:' Test
I do.( .:.mK I (.;lwn Spr!nkl~~
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rnd:.l;;:~:,!. C;:r.:~e:;",::::u Ji:. .....rulti-r:.m.ily [% afjoc C::::ISC .....ic:t::t. S:j9.50 minimu~
Rai~C1C:1J, ('olo:-,v On~ Jc. TWQ-r:'1tnify S';C?,~o
R.==:C::~t:.u. .-'l.~c:::cns J; ,~:=:-'-=lJr:~ S:9.~i)
E:;'drnac,,:': C \J;S; :s
EL.:il~i~;: P~=-=lC.::'
PLCiMBrNG PE&\,UT fEE
STATE SURCH.J"RGE
TOTAL PER."IlT FEE
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(O(fic~ L'~<, Only)
TGi~ Applioc:on a,,<:omc::ii YQtlr Buddin: Pl:rlDic When Appr-oved
80/80'd
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Buildin( Ornc.i::al
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IJC.-; .. "t. 1 Q03
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:" I1.JlJr "uci~c (IJr .211 inspections l':=) .4-L";'-?~~a.-, (;IX llJ:i:) .1..l';'...I:J.j
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GG:01 E00G-0E-d3S
Sep 30 03 10:13a
METRO GENERAL SERVICES
763-428-2868
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GREEN . ftlE
YELLOW. AP'lICANT
GOLD - CIT't
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4.
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6.
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
CfS).- 1f'l7- t.(7--tf~
S,w.No/JQ-/~C;-
F;..t.
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLICANT:~&~'" (;EJJE:.R...AL ~PHONE'7t,3-c..j.alr-a..~g
ADDRESS:~O ,1f\M AVE. ~IEDATE: AUG 132003
'--l' U~ 5i: rnlcHfllcl.,-m1J.!"S 371;
SIGNATURE: !!,,~~. , BLDG. PERMI']' #
SITE ADDRESS: 'b,t.;O!? fv,;JV!,tC"U..~ PID#
fILL IN THE BLANKS~
Estimated length of water service ~~
feet.
Size of water service I"
inch(es) .
Location of any couplings from structure ()
feet.
Type of sewer pipe. ABS
PVC LJ..I( Cast Iron
Estimated length of sewer line---s~~ feet.
Clean out (if required), located at
structure, NJA
feet
from
=~=================================~==========================~===
This application becomes your permit when approved.
BY
DATE:
========fJ~/Te:r=~~;4=============================================
FFFe;, n~~n ..,..~ Sewer and water line connection permit.
OCT 0 3 20ru
en
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v
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. C '7
" (~1117-
;952 894 0925
# 7/ 8
11-17-03; 3:34PM;
I
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FlREPLACE PERMIT
Date Rec'd
; ~~ ~i~. I PERMIT NO. 3 - I'll j(.:;-"
J. Y~lJa", Apphunl o-(o-f/
(?lease!YP'e or Drint and sim at bottom)
ADDRESS /'
/ ft 5D'7" / im~W CVVSt-
fJr.
, ZONING (offi", use) I
j
I
>j
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID
OWNER
(Name)
(Address) <lIS
PLLl it t-fti~.-S
I0w
(phone) fJi5/-L/5:2 - 5;;2CO
fA-QC&7, Iv? N. c:}7"!;:; I
v
(i'{
ii;i!
;jj
Bumsville Heating & NC, LLC
1<:'10'1 rmooe 151ano Ave, ,,"0.
Savage, MN 55378-1122
(Address)
_,.) \A..l.\. <L
APPLICANT SIGNATURE A~,.j!, C'l ~,,\:~1--~DATE 1\ ( 17 (D<
,,) '.)
. APPLICANT PLEASE COMPLETE BELOW
)SNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS ./
FURNACE MAKE AND MODEL leflf)6t 65i (Y)f '-d46 - 04<7 FUEL I\h~ cm.S
INPUT Lic;, C515D OUTPUT 4./', q,t5[,)
. ;
APPLICANT
(Namel
(Address)
(Contact Person)
FLUE SIZE
PM1
SI,Li-k (c(O
(phone)
(phone)
(City) (Zip Code)
CJ5z - rgff tj - ODD C;
I
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RETURN OPENINGS
TYPE OF SYSTEM
HEATING OR POWER PLANT
OSteam'
o HOI Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
OWarm Air Plants
OOravity
o Mechanical
OAir Conditioning
OVent System
FIREPLACE MAKE AND MODEL
Estimated Cost $
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
,I 0 00
'1. CD. Building Penn it #
PA\O vJ~T!,:,. ,,-
~,' "..... ~ '" 1;"':" _ --
:::..J.......~. .".-""
Industrial, Commercial & Multi-Family
$39.50
Residential, Healing &. NC (New Construction)
Residential, Heating Oniy (New Construction)
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Residential, Additions &. Alterations
Residential, AC Only
$39.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Itf;~ .50
Pd,
'e"\
b(v\ W
I Receipt No,
IBY if
IJ
$
$
$
Pafe
I Paid
I Date
NOV 2 6 2003
24 hour noliee Cor all inspections (952) 447.9850, Cax (952) 4474245
16200 Eagle Creek Avenne, Prior Lake, MN S5372
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS II. 5()S" 7 -; ,,~/J ~1.J tbu, +- .01-
NATURE OF WORK ~
USE OF BUILDIf'lG . Jc~1f
PERMIT NO. 03 - _ -, ~ C. ft'* DATE ISSUED
CONTRACTOR f-'JIA-/+-p PHON~/~ -l.Jf()- ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
S ~ 0 F01
DEPARTMENT OF
BUILDING AND IN ~I ron 1 e
INSPECTOR
DATE
, FOOTING y'lIl<'''1 I
I FOUNDATION (Prior to Backfill) r1I~,;,1 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
'M.,.
-
/1/1'/
yvy'/
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.
/2.- -"J-cr<.
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11--1-03
/2-. :J~<73
GRADING (Prior to Sodding)
BUILDING 1<.{;' t{-(-oq
ELECTRICAL
PLUMBING
HEATING
DO NOT
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
j'e.e. /Y~4-.~ h'/e.
/R':f ?pj/or
!/W
~
OCCUpy UNTIL ABOVE HAS
NOTICE
/ /ltHlJ
Lt fit, ~t-l
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
([rrfifirab of @rrupanrl!
CITY OF PRIOR LAKE
~epttdmenf of ~uilMng J}nsperfion
IFinal 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.PennitNo. 03-1265
Occupancy Type
R3
Type Construction
VN
. Fire Zone
N/A
_ Zoning District
PUD
Legal Description
L1I, B2, TIMBER CREST
Owner of Building
Site Address 16505 TIMBER CREST DRIVE
Contractor's Name & Address PUL TE HOMES, 8!S
ROBERT D. HU~CHINS /~:?-!/
/ ~Ui yugo !Cia!
'? /,,;{f. t?
/
NORTHWEST PTh'Y., SUITE 140, EAGAN
55121
City Planner
DON RYE
Date:
Date:
~iTlME
/6:S-ClS ?::"'~y C~./ tJ-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
eQ-t'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~s -/~
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/
/ ~/
~:~/~5e_
._~
~~ ')
-----
------.-.---.....
A:WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W':R~LL FOR REINSPECTlON BEFORE COVERING
Inspector: ~~--!~7 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INS'IOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE Tille
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/-/L(-<J<-{
ADDRESS
I c'a;s- q;....h.-..r~-r-
I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
$,-IUr
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
D"PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
f'rVl-fOl/t..-
rIJri-'i -fA Os
o WORK SATISFACTORY. PROCEED
I CORRECT ACTION AND PROCEED
o CORRECT W~~K. ;;~OR REINSPECTION BEFORE COVERING
Inspector: II V r Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
fNSI<On
~
BURN~tV.LLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378.952-894-0005
Orslat Test Report for Job# -SR0 J
Address /&>50<) -r,""hli' (ReST i)f' Cilyj?n lof! {-",<<-
Occupant
Dateoflnslall \2. \'"5 0:'
Type of HT. F/A X HW Space HT Unit HT
Other
Make Lf.I..00h',{
Model 0.5 \ m P - 2'-1&- D'I-=; 0 \
Serial S 80'?:,Ho \ q s',-J
Input 44 DL'O A,I..< l-l
Pilot Type
Pressure
Input CFH
Stack Temp
HOT SURFACE IGNITOR
'3 5 IW'- C02
44 02
<1 (., CO
l~.3
'1.1
iOr~
Date Tested
Company
Technician
\. \<'.o~
BURNSVILLE HEATING & AIR CONDITIONING
Leo
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
{ (, ~ 5' '77 jo4 b...- C4"t'~"'"
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
Ii!l"FINAL
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
! - k..-o'f
?-/4~
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(I) f/D.r.!<;/Jd5&<. dr..,e,--,,,v
~ F'''Itl I ~Y'aj," ap/7"t7V~J
'5dd. +- T~:s ~, d"vr/Jh?Ar---r-
(0 s:.-......... d~dL c:1-w?.r ~ hdUS.-
(sJ -h~'/"r'l c.v..,Jt.., dr,"-" II.... -Iv lc.4.<;~....... 4.",
Tcv.P "'<'IFl
cr-j-() '-I
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
a" CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
."",m
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/