HomeMy WebLinkAboutBuilding Permit 03-1267
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
g:., /-iX3
See Main Fil~~ ~:~Ii"" I PERMITNO{)J' - /2&7 I
(Please tvo~ or 'Print and sign at bottom)
ADDRESS
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Tf"tlt6e-1-
LEGAL DESCRIPTION (office use only)
LOT /I BLOCK e1. ADDITION If/f'1d€/L &1
OWNER It
(Name) L--rP
,
Ifo"...rs.
(Address) If 1 r- AloLn/f.JtJr
PM-It-bJA<f
f
BUILDER
(Name)
(Contact Name)
fr SI'f-I'1E"',4r MOllE I'
AAl<cW ~I
(Address)
TYPE OF WORK
)i:[New Construction
DLower Level Finish
ZONING (office use)
PUD
PIDaS-L/tJ;).- fJ01./-0
S'v17€ /'10
(Phone) 6J/-'IS-.,2.-fOlOO
F4<i.A-J MrI 5~/.;2 J
(Phone)
(Phone)
ODed<
OPorch
OAddition
ORe-Roofing
W-I- 'II,,) -5..200
6M -1('(0 - ,/.;1,) B
ORe-Siding
DUtility Connection
o Misc.
PROJECTCOSTlYALUE (excluding land) $ (Pt!.0Jf3
,
o Fireplace
DAlteration
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 y....y_.~... 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
:reruaovY"'J t::~~f:?::pections Be _ 137/ fJ .Yo3
Signature Contractor's License No. Date
I 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
Gas Fireplace Permit Fee
I
'"1~;75T
LfRbJ~';f
3.;l.--5-b
$
$
$
$
$
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This Application Becomes Your Building Permit When Approved
~ -r.edzr- ?AS~3
Building Official Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Vvater Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
Paid (hcf/7,<{{I.-
Date 1. /~. ~~
. /
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#
$
$
$
$
$
$
$
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ReceiPtNI' ~t17 ' I
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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 Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~ 9~ ?/rS-/o3 SeeMai.n FlIp
Planning Director f 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 - Engineering
c:::::::Eif.w: -.....I~lnl;J-,
Thr ('fnlrr or lh"i._afl' ('ounlrl
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
- ;.-
.11,;, ic
- -
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I
Accepted
~
Accepted With Corrections
,
,
Denied
Reviewed By: ~
~
7~
Date:
!?!t<::; h 3
t
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
Ghite - Build~
O...g.!J - .,;,;.~~..~...,....r.ng
Pink - Planning
Th~ ('rnln of lh~ L.kr ('ounl~'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
6Jd1Z.~
R~!..- 03
The Building, Engineering, and Planning Departments have reviewed the building permit
apPlicationforconstructi/~~?3~h~J=~' ~T ,~~
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~
'7.e.J}p
Date:
?/IS/a 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."
.........-
~
G~~
See Main File
White - Building
Canary - Engineering
Pink - Planning
Tht ('tnlrr of thr L.kr ('OIlnuy
.BUILDING PERMIT APPUr.ATION n",PARTMENT CHEr.I(UST
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:,
i '
-,
,
1,.-:>
, 'J..
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Accepted X
Denied
Accepted With Corrections
Reviewed By:
Comments:
4) ~~)'-
Date:
'6h (6)
"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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A-P?UCNlT PLEASE CDMPlETE BElO',y
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PUJ'MBCNG PER.'-UT FEE S
STATE SURCHARGE S
TOTAL. PER'HIT FEE S
(Office t:.lI~ (-'nJ~)
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TCIi.:s Io\.ppliction B~cl]me:s Your Suitdin: Permie Wb~R ApproYed
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CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
"15),- If'! 7- t.f"J- tf.Q'"
S.W. No. 03-1 d-07
NOTE:
Sewer and Water
contractors must
be registered
with the city.
APPLICANT:~!i"'f1tt1 r-,EIJ~AL ~PHONE'7h3-Lj.;;lf-~'3l?
ADDRESS: 5~~ Avt[. _ ~ DATE: AUji 1 3 2003
~ '5T.mICHl'lal..)~",..!i;S'.B"'h
SIGNATURE: .~~-- ,-.. BLDG. PERM1:T #
SITE ADDRESS: j Ie ~/ 3 -r,;,.,J~., .J ~/'-JZ.-.:>--0b- v":-~ PID #
FILL IN THE BLANKS
Estimated length of water service ~~ feet.
Size of water service--1il inch(es).
Location of any couplings from structure~ feet.
Type of sewer pipe. ABS PVC~ Cast 1ron____
Estimated length of seWer line~ feet.
Clean out
structure.
(if
from
required), located at
NjA
feet
==========================~========~=============~========~=======
This application becomes your permit when approved.
BY
DATE:
========fJ~7~:r==~~;~=============================================
FEES: /1/,1 ., f- Sewer and water line connection permit.
surcharge
No Pi!e. TOTAL
*
0/
'-
F~~~ o' er sewer or
$ .50 surcharge.
water
individually
is
$20.00
plus
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insurEj that no: <luplicate sewer and water permits are
issued. ,~ L
DATE PAID
AMOUNT PAID
PAID I., ". ( /
ell,~:},"v~/!H ~O
'.~ .-..: ':\111)"'1'-
G.C.J-(l ~ ~ Or!
RECEIPT #
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REC/D BY
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16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (152) 447-4230/ FAX (!f!i'2) 447-4245
An Eoual Oooortupitv Emplover
S'd
8SS~-8~v-ESl.
S33I^~3S l~~3~3~ D~13W
el.~:Ol ED DE das
;952 894 0925
# 5/ 8
11-17-03; 3:34PM;
.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGlFlREPLACE PERMIT
Date Rec'd
I
;;':" ~:~ I PERMIT NO.::2 _ 1'1/ r7/
], Yellow ApphC&lll ,- J cf{o' I
I?lease ~ or Print and si.. at bottom)
ADDjt5/3 ~~W CVt6i-
fJ-r.
ZONING (ollk, ""')
, \E,;,~
tE"
Hj~::j
I_?';!
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
PID
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ADDmON
=e~R 0Jt ~'S
(Address) <61 Cj tJ wPM ':1
Bumsville Healing & NC, LLC
'I ;.!40-' rtnooe ISlanu ,.we. ",u.
SIIVIIIlB, MN 55378-1122
(Address) (City)
~l.\..\A 'L (Phone) 157 - ~ if-DUD S-
APPLICANT SIGNATURE ~~ \.1, ~~~DATE i I ( 17 (D<
"lpPLlCANT ~lEASE COMPLETE BELOW
,
~EW CONSTRUCTION 0 REPLACEMENT . 0 ALTERATIONS .
FURNACE MAKE AND MODEL Let1l1m (; '5 f (Y) f - at.! (3 - oLfcs FUEL IlW {j'(t r:;
~TI1RN OP~NINGS INPUT UC;, (J!jD OUTPUT If..(. Lt-t51J
- ,
APPLICANT
(Name'
(Address)
(Contact Person)
FLUE SIZE
(phone) &51-L(5J- - 5;;2CO
~e&1, M N. 5'"7/;2 /
0./
Si;.i-k /C(O
(Phone)
(Zip Code)
\;i~';%
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TYPE OF SYSTEM
oWann Air Plants
oGravity
o Mechanical
oAir Conditioning
OVen!. System
HEATING OR POWER PLANT
o Steam .
o Hot Water
D Radiation
o Special Devices
o Other Devices
I
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
] % of job cost Residential, Gas fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
I"~'::;];';
"lS:;
[ndustrial. Commercial & Multi-Family
$39.50
Estimated Cost $
If 0 00
'1.00 .
"
Building Penn it #
$39.50'1
$39.50 ~i~l
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Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
id ~ .50
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Pd.
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Receipt No.
(Offi,e u.. Only)
This Application Becomes Your Building Permit When Approved
Building Official
cr
By
Date n'J
v"
24 hour noliee for all inspections (952) 447-9850, ax (9 2) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
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See lVlaln ~lle
DEPARTMENT oF'"
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
~~4.~.J~+ ~
.
SITE ADDRESS --H, 6/3
NATURE OF WORK New
USE OF BUILDING t5 F R
PERMIT NO. Q..3 - I1I-,'1 DATE ISSUED .
CONTRACTOR 1J l.t... PHON~~" LLq(J- "-~ '::> a.-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING l/Vt;~
I FOUNDATION (Prior to Backfill) M4'~ I I
PLACE NO CONCRETE UNTIL' ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC 1Jv..A "'-
FRAMING r,,'/L
INSULATION
ELECTRICAL t91-:<
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
INSPECTOR
DATE
7fJ-l-
lU.</cr1
7541-
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
'- \pe ~c,,; h/e ,
~ 9/A]/oy
GRADING (Prior to Sodding)
BUILDING ~ q_(-OL\
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN
NOTICE
yVV/ -
,;vy/
1- J.-t_u,
1-).,<.-04
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
'"
QItdifiiaft of Ql}ttupanqz
CITY OF PRIOR LAKE
~rparfmruf of 1iuilMuB Jlusprdiou
IFinal Permitted D COiditional C.O. Expires
This Certificate issued pursuant to the reqlj ements of Section 307 of the Uniform Building Code certifying
that at the time of issuance this structure w in compliance with the various ordinances of the City of Prior
Lake regulating building construction or u For the following:
.1
UseClasSlficaUon SINGLE FAMI~ Bldg.PenmtNo. 03-1267
I.
. ~ VN
Type Constructio~ '
Occupancy Type
R3
Fire Zone
N/A
Zoning District
PUD
Legal Description
Lll, B2,
TIMBER CREST
'~
. Site Address
16513 TIMBER CREST DRIVE
Owner of Buildin!!
Contractor's Name & Address PUL TE HOMES J) ,I}l 5
ROBERT D. HUTCHINS/*1'
- .. /' BUil<j;,(gyial
Date: 7/-23"/0
/ /
NORTHWEST PKWY., SUITE 140, EAGAN
55121
v
City Planner
DON RYE
Date:
ADDRESS
/6S/ -3
DATE TIMe
SCHEDULED ~~~
~A-r tier Cs- / Lt-
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONlR.
PHONE NO.
PERMIT NO.
03 -/47
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH R1
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASlINE AIR TST
o
COMMENTS:
---===-=----
~-
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---
~ORK SATISFACTORY. PROCEED
/';;'~ORRECT ACTION AND PROCEED
o CORRECT WOR~ ~A;ttOR REINSPECTION BEFORE COVERING
Inspector: /r? Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"''''''0
"''''''0;
SVRNSVILLE
Heating '& Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378.952.894-0005
Orslat Test Report for JoW S- (/ 'f :,
. ,
\
Address I V~:I 3
Occupant
Dale of InS1al'
Type GfHT. F/A )// HW
Other
"PilotType
Pressure
, Input eFt!
Slack Temp
/ II ';/tF4
I I
BURNSVILLE HEATING & AIR CONDITIONING
Make
Model
Serial
Input
Date Tested
Company
Technician
_ /' \,,-, i I
I, ",Iv, - ("",.::,'-t D City-1.:.-' z: r- 1--" ,'<I
Space HT
UnitHT
k",I,'/O\'
-c';; Yr) P- J, ci. f - nJ C /II
L-o-<{-,,'?, Ii. '-I' ",,-(l
--" '-_../ '-' \."~-
44, DOb
HOT SURFACE IGNITOR
7" ~ C02
L/;./ 02
lOU' CO
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DATE TIME
CITY OF PRIOR LAKE )-X,-d<'-!
INSPECTION NOTICE SCHEDULED
ADDRESS /tb!) 1i~~r.n:,~
OWNER CONTR.
PHONE NO. PERMIT NO. Z -/J..t 7
13 FOOTING 13 PLUMBING RI 13 EXfGRADfFILLING
13 FOUNDA nON 13 MECH RI 13 COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~SULATION o SEWER HOOKUP o FIREPLACE FINAL
FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
!L'} ~/''41 ~...(t, a4D~1
riJ ~;v-I 01- ~..'r rO--, dt:u/~""I....,.,+-
f11 S-l"L.u'vc aJ..rn si:,{?$ In J,~/
"-/ti) /;J..."'{,:.-. I hi'ta / /1/t...U,(M.1..f.._ ;1-,-.:d. ,I
\...Y ..
/:Jf ~ u:!+i (
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q-(-oCr/
iiiI- ,.'
13 WORK SATISFACTORY. PROCEED
o ~RECT ACTION AND PROCEED
fY CORRECT WO~K. CA"R REINSPECTION BEFORE COVERING
Inspector. n/Y--''' Owner/Conlr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
/l'ISNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
;c s-n.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
(7) YO'-ttM-
SCHEDULED
1"IHrb-r_~~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
iii" PLUMBING FINAL
o MECH FINAL
~
1'aX-u.{/J
DATE TIME
/--22-<7,
~- 11..&'7
o EXfGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o WORK SATISFACTORY. PROCEED
,HCORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: W
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS A.RE FOR fOUR PERSONAL HEALTH 4< SAFETY/
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