HomeMy WebLinkAboutBuilding Permit 03-1266
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File. Wh;"
Date Rec'd
CC5 -J-(Y3
2. Pink
J, Yellow
File
City
Applicant
I PERMIT NO.03 -/2- {p {p I
(Please'!vpe or orint and sign at bottom)
ADDRESS
/ e:,.)() 7
"/IIVlIJeIL ~sr P19-,l./L
ZONING (office use)
PtL-D
LEGAL DESCRIPTION (office use only)
LOT /I BLOCK ,;;
-----
ADDITION 71MIJC/<-
&.$(
PID ;7 5"-L/{),1- (J1oLf-C
OWNER
(Name)
PVL- r€' 4/l1c5
B /5 NO,tTHW€Jr
f~.4'"
I
Sv I1E jt{()
(Phone) foSI -I/,j,). -5,;2(;0
EA-6Arl, P1tJ 5.Ji;21
(Address)
.
,
BUILDER
(N amp)
(Contact Name)
If fl1.h/.€ AJ l1/k)tJ€ II
AI1,(o"J fl1A~{
(Phone) lOr / - t.f J,,2 -.r "l 0 0
(Phone) Jo l,;z - tiro - '1,),)8
(Address)
TYPE OF WORK
ftNew Construction
DLower Level Finish
DDeck
DPorch
DRe.Roofing
ORe-Siding
DMisc.
o Fireplace DAddition DAlteration
PROJECTCOSTiVALUE (exc1udingland) $ (bt{, IPS-g
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
enteruP7?~t'~../toperf~neededinspections. I /
X /L~_~ ~~, 8e- /371 B l/c3
Signature Contractor's License No. Date
Permit Valuation &;06D.- I Park Support Fee # $ ,
Permit Fee $ 1'18',IJ I SAC # $ /d.-75. -;-
Plan Check Fee $ L/.R" ~ h q I I Water Meter Size 5/8"; 1 "; $
State Surcharge $ 3;:},"')'o I I Pressure Reducer $ --
I Penalty $ I I City SAC and WAC # $ / ';).C.O , -
I Plumbing Permit Fee $ JOt'J.--- I I Water Tower Fee # $ 7rXJ ,-
I Mechanical Permit Fee $ /(') 0 , - I I Builder's Deposit $
\ Sewer & Water Permit Fee $ I I Other $
I Gas Fireplace Permit Fee $ 1-10,- I I TOTAL DUE $ 1f~~:J..'14
!J
.I ;,/J(? I ;
This Application Becomes Your Building Permit When Approved Paid UI. r'7 . f4- Iy~
~ ~ P/I~107 Date . l' ,t;, rj
'"/~
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
when signed by the City PIann" on",tilute> a ternpm-"')' Certificate of Zoning oomphan" and allows oonstructionsmmen", Befo" oo"'pan",. a Certifioote of Oo"'pan", must be
~anni~-d:~ ;:/ISt?/ ~e~cM~e
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
Canary - !;nQ.ineering
~nJc ~ I-'~~n".~
Thr (""Ir> of lhr I..kr Countf)'-
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
-
,I
..
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is propo~ed at:
/
'C
_"1'
-.--./(-- ~
~
Accepted
~
Accepted With Corrections
.. Denied
Reviewed By:
~
.
Date: f1/1S-~ '3
7~7p
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 an'y 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
POI
_ ~....ii;- - Buil~
lIe Canary - Engineering
Pink - Planning
-
Th..(-nl..,nflh..l..ll..Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
p ~-:;
,
r;Z>-(-t!) .3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~5{)9 tJ'-vnt~~T~-
Accepted
v/'
Accepted With Corrections
Denied
Reviewed By:
~
:;~j-J
Date:
it') ~ f
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."
See Main File
White - Bllildina
("'Canary . Enflineeriiig:)
Pink - - ....la;"n'"9
Thr ("rnIPr of Ihr l..kr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
({-
;7
/ .'(./
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-, '
!' ,"
" '
('~: -"
.,<-
! ./ ~:....:...--.,~
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Comments:
/~T-4.~,,--
Date: ~h (0)
"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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AF'?UCAJIIT PlEASE COMPLETE BEL,)';!
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I SitOWC" S "'-I 1 I 8.1ck:l<Jw A,3~:ncly
I Sink. I R.~ckrlow Assemblv T <OS:
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!r.cu:i:~::L COl':'lr.i=:"::~! &. Mu!ti~(:.r::'til.:' 1% onoo c::l:i[ '..,it:! :t S::;9.jO minimu~
E';;~:l7::;'c<::~ CtJs::: S
PLtfl'vrBrNG PER."lIT FEE :s
STATESURCK~GE S
TOTAL PER;.'trrr FEE S
tome\:! t:.l'('Ol'll~1
1-i\i.1 Applk:tdoa Bcc.QtnoC:' Your Sutldirl:: PC'nDir: When AppC"oved:
80/1..0'd
Buildinlt Ol'tici:ll
Due
.:~ n.Jur .:'lllCir.:= (1J1":l1l inspcl.:t"ians 19:::=) .&-L':'.?::S,SiJ. (~;C l~:i:) .+.4":'-l:J.j
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YtHOW . ""PLICA-tiT
GOLD. Cllt'
CITY OF PRIOR LAKE
SEWER'AND WATER PERMlr
F~ CJ5).- 1('/ 7- '/7-- 1/$" NOTE:
S,W, No, !) ~- (t3-t6
Sewer and Water
contractors must
be registered
with the city.
APPLICANT:~rr1l!~ GE.IJIt&..1-V. ~PHONi~-l/.~-a.'t3S"
ADDRESS: !!f""~' Q ~ Av~ .lJJE DATE: AUG13 2003
~ '5T.rn'CHA&L)~N.S'$'.!I'71;
SIGNATURE: __r~.- BLDG. PERMIt #
SITE ADDRESS: /!c5n9 -rz;;.,kv (!/)J-""j-hU,:@ID#
FILL IN THE BLANKS
1. Estimated length of water service ~~
feet.
2. Size of water service I"
inch(es) .
3. Location of any couplings from structure ()
4. Type of sewer pipe. ABS PVC~ cast Iron
~ 5. Estimated length of seWer line~~ feet.
feet.
6.
Clean out
structure.
(if
required), located
t-JjA
at
feet
from
=====~~~~~~====~=====~=~====~====~=~======~==~~===============~===
This application becomes your permit when approved.
BY
DATE:
========f7:lr~JC==~~;4=============================================
FEES: ~r.J~e."", -r- Sewer and water line connection permit.
surcharge
No ree TOTAL
~ ."..,.,...,."...
* er sewer or water individually is $20.00 plus
$ .50 surcharge. --
*
Sewer and water permits issued for new construction must be
recorded on thebuilcHn<;--permit card at the time of issuance
to insure that no duplIcate sewer and water pe~jt~. are
issued. 1.1', ,;;g)j\
,(~ v.
OCT \) 3 2003 AMOUNT PAID 1.(';1 '11h
1I('>/;:,$"IYi'S
( , 'Z,t....
V I "
,
i
REC'O BY
DATE PAID
RECEIPT #
'-
-
--_._---~"------
16200 Eagle Creek Av, S,E" Prior Lake, Minnesota 55372/ Ph, (152) 447--4230 I FAX (ffs:2) 447-4245
An Eoual OODortunitv Employer
v.d
8SS2-82v-ESl.
S3~I^~3S 1~~3~3~ 0~13~
el.2'OI EO OE das
11-17-03; 3:34PM;
;952 894 0925
# 6/ 8
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGfFIREPLACE PERMIT
Date Rec'd
; ;;;:, ~:,~ I PERMIT NO. Q -1"1 / E_
J. Yellow AllphC&llt-J ..c:r-l.J?W
(please ~e or Print and sien at bottom)
ADDREj&509 lim~w CvtSf-
fJr.
ZONING (o"""u,,)
LOT
BLOCK
LEGAL DESCRIPTION (office we outy)
PID
ADDITION
OWNER
(Name)
Pult ~~
,(Address) ~IS t.Ju)
(phone) (Y5l-L(5J. - 5,;2CO
fMe&7, A1N. 5"7'/;2/
..;
Bumsville Heating & Ale, LLC
-14!401 t'tnoce ISlano Rye. \:tu.
Sevege, MN 55378-1122
(Address)
--.') U-L.\ <L (phone)
APPLICANT SIGNATURE ~~, C'1. ~1\.~1-~ATE 1\ ( 17 {o.;>
. "l.,PLICANT P~EASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS , J '
FURNACE MAKE AND MODEL lUl/),t5f.' G'5i (YJf..~t./6 - 04'7 FUEL /\.rtr (j'ffS
FLUE SIZE RETURN OPENINGS INPUT ~, 6IJD OUTPUT !1L-L/.t5[')
TYPE OF SYSTEM HEATING OR POWER PLANT
APPLICANT
(Name)
(Address)
(Contact Person)
PM ':I
Sf ,Ll-+e ! cf 0
(Phone)
(City) (Zip Code)
c;5z - ~ t.f - OVD C;
--.--
'}
OWann Air Plants
OOravity
o Mechanical
OAir Conditioning
OVent. System
o Steam'
o Hot Waler
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
I
FIREPLACE MAKE AND MODEL
Estimated Cost $
FEE SCHEDULE
1% of jOb cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Ir 00
"1 . ODD , Building Penn it #
,
~~\O 't-I~':'."-':
\"It:: .
,0 .~..._r
~~--J'.""--
Industrial, Commercial & Multi-Family
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
/~
Pd,
'8v\
~M~
I Receipt No.
IBY It
(Omce Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date:
I Paid
I Date 03
I~nv '2 6 20
24 hour no lice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~()9 ~,;,~~.,.. J/)v
NATURE OF WORK W
USE OF BUILDIN~ :s -/4
PERMIT NO. (.) 3 - ,_ (JI". DATE ISSUED .
CONTRACTOR ~ "" ,+ ~ PHO~-II.0- ~~;.I'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
. ~\vb l.V~tUl1 rIIt
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING vJtL LU"5 ~
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I
FINALS
'- )Pf' ~,.''''
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1,1~1 K"J/(t,
~
~
~
t 2-1 ~1cr3
lJ"2-- t 1Jh3
GRADING (Prior to Soddin~)
BUILDING 1t M(I
ELECTRICAL
PLUMBING
HEATING
DO NOT
tH-o'-(
,
h'/e ,
flAS/oy'
l/L.V
~
OCCUPY UNTIL ABOVE HAS
NOTICE
r - )).- ()y
J tLU?pe 4:
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
QIrrtifirafr of @rrnpanq!
CITY OF PRIOR LAKE
/ ~rparf1Uruf of ~uilMug J}usprdiou
.ti Final Permitted D Conditional C,Q, 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. Permit No._ 03-1266
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
PUD
Legal Description
1,11, B2, TIMBER CREST
Owner of Buildinl!
Contractor's Name & Address PULTE HOMES, ?lS
ROBERT D. HUTCHINS~~;1'
/. Bui!Pfi1~ 9Jlicial "
Date: ?/,~f/07
Site Address
16509 TIMBER CREST DRIVE
NORTHWEST
PKWY., SUITE 140,
DON RYE
EAGAN
55121
_ City Planner_
Date:
ADDRESS
/~-)~;;.
DATE TillE
gdi/<>/
. .
~::h k,r r1-e,( I "or
SCHEDULED
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
QS' - /.2h ~
o FOOTING
o FOUNDATION
o FRAMING
o ~ULA TION
""11"FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
-----
---
//"...., /
~ /6S-e
-
-- ~-_._---- -------------
F;[" )
------
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION ANO PROCEED
o CORRECT ~~' ~AJ"L 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!
IHSNOn
BVftN~ .vILLE
Heating & Air Conditioning, L.L.C.
1248/ Rhode Island Ave S, Savage, MN 55378.952-894-0005
Orslat Test Report for Job# 011-;:).
Address-/-!LJ:)CCt --r:" lk;/ (l(IJ-]i~R,n' 1v,14
OCCupant
Date of Inslal'
Type of HT. F/A """----HW Space HT Unit HT
Other
Pilot Type
Pressure
Input CFH
S1ackTemp
J ) 1 Lllo~
BUtlNSVILLE HEATING & AIR CONDITIONING
"5 \;L)O''-..
Make
MOdel
Serial
Input
,
Date Tested
Company
Technician
L{]A-J/10V
r:-S/ Y177-at./-rJ - OLJ:::- C ,
-
~7/)'? L 7t.1...(~/;;;l..
'N,COD
HOT SURFACE IGNITOR
-
?,~ C02
'-/4 02
C) c1 CO
b.' '/17
J <>j
1/, "
i-f{). v~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
I Cmq
'T-kn.f-
OWNER
CONTR.
PHONE NO,
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o ~ULA TION
p"FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
u)
~)
R)
flrycLs~ ~~
p", 14/ <?l .qJ... a I!7P~'1 /
5:Od +- 7'''''r:~''i 0.-
->,zv.... tl4'rd <de~J'
~ tM-li /
,
DATE TIMe
!~X-&f
]-/Uc
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
c:4v/ V'P"~-/-
-!?J p'tJVS C-
1- 2(;-()l.-(
,
o 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.
.-0"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
Its-or rf,/VI.4e"",.-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
iii PLUMBING FINAL
o MECH FINAL
COMMENTS:
On~
mFUr,oc;
DATE nME
1->>cJj
"3 -/2c~
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o ~K SATISFACTORY, PROCEED
%CORRECT ACTION AND PROCEED
o CORRECT ~~RK~ ~FOR REINSPECTION BEFORE COVERING
Inspector: -t-V-(/ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
IN$NOl7
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETY!