HomeMy WebLinkAboutBuilding Permit 03-1270
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
3. Yellow
Date Rec'd
'3/ I! (j 3
File
City
Applicant
I PERMIT NO.Q3' - /2-70 I
I iJTlf)fficeu,,) I
(Please!VPCE or print and si~ at bottom)
ADDRESS
/t>S-cJCf
111"11J€1!- OCCsr Q/Z I<le
LEGAL DESCRIPTION (office use only)
LOT I). BLOCK :z ADDITION 71-I,$€1!.- CL-e.JT
PID 8. s> Llt);).~O (,,5-?
OWNER n
(Name) r l/L:r€
I-I-OMEJ
(Phone) ,fP.)I- 'f S-..J - 5;1-00
J.,IT"€ No I eJ4-<..A-N J /'IN J.)I,)-(
(Phone) hJI - I{Sgl -5,).00
(Phone) to / ~ - 1{1 (J - 1(,1..1 8
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\
(Address) BIS""'" NokTHtve'.Jr Ph1C-/C.i....~
,
BUILDER
(Name)
(Contact Name)
(Address)
if SA-P1e- AJ MOlle"
LtA~ /VJA~ 1
TYPE OF WORK
)If New Construction
DLower Level Finish
DDeck
DPorch
ORe-Roofing
ORe-Siding
o Misc.
o Fireplace DAddition DAlteration
PROJECT COSTlY ALUE (excluding land) $ /Pt!, (pSfJ
OUtility 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
;teruPa::o~.:e:nspections ~ _ 1371 9/1/03
Signature Contractor's License No. Date
I Permit Valuation to 5' ()('?() .--1- I Park Support Fee # $ '-
I Permit Fee $ /lL/Q', 75" I I SAC # $ /~?S.~
I Plan Check Fee $ ''1q~. t-,q I I '~ater Meter Size 5/8"; 1"; $ ~
1 State Surcharge $ 3:;;;,Sb I I Pressure Reducer $ -
I Penalty $ I I City SAC and WAC # $ / ;;}OO.-
Plumbing Permit Fee $ /00. -- 1 I Vvater Tower Fee # $ 700,-
Mechanical Permit Fee $ IDO,- 1 I Builder's Deposit $ -
Sewer & Water Permit Fee $ .- I I Other $
! Gas Fireplace Permit Fee $ '-10.- I I TOTAL DUE $ LIlt:> k()" 'IV
This Application Becomes Your Building Pennit When Approved I Paid #J[z...~1. q.- I Receid~o_ c.x Cd 7
~ ~ 'il/ISitl '5 I Date 4./ (,~'1 By I '.
~ ..J J
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
~~;'=: Plan~:~~mpurMYC'n;fi'?J~u;;;;ance andallo",'o.'~ee'.Nlaiii aFile".panG mu"b,
Planning Director ' 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
~\
See Main File
White - Building
Can!'ry - Engineering
c .....ln~ --'plannlna:;>
Th~ ('~..lrr of Ihr Lllkr ('au",,.,.
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 pcoposed at:
j
/
/
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Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~
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Date:
fIlS/;3
Comments:
{/(
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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."
A~ PRJOo?
~~
See Main File
~fS. _Allilrlina
n~rv - Enai~~rin~
Pink - Planning
The- Ctnlc-.of Ihl'" I..beounery
~UILDlNG PE'RMITAPPLlCATION OEPARTMENT CHECKYSI
NAME OF APPLICANT
APPLICATION RECEIVED
c._
.-_ /" ~_/') "::7~~
v' ~.'"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is p(oposed at:
) /' ".-') C' !.? v--
/ ..~::)..:) ,:;7~-- .7 L/' I
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
~-~-
Date:
'Kilt ^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 Pile
~'I.it,,- - BUildinv
Canary - Engineering
Pink - Planning
rh~ Crnlr. <If lh I..kr ('ounlr}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
P~L-
R--l~03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is pl;!)posed at:
Jts-;L9 ,--1L-~IJ~~-;- Vr
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
(~
,-
9~
Date:
%'/;~/O f
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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Pl..tl1,.lBlNG PERi"rrT FEE S
STATE SURCHARGE S
TOT..u. PERi.".crr FEE :s
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{OtTicr: t:.ac Onl~'
T:,i' '~Pl'li""do" a.com.. Yo". S"ildia:: Pormit When Approved
aale
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I DatI:
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GREEN _ Fill
YELLOW - APP'LICAIIT
QOLD . ell't
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CITY OF PRIOR LAKE
SEWER' AND WATER PERMI~
't5~- 1ft( 7-l!';A$'"
S.w. No.3 ./ !;? 7d
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLI CANT :~!f'I"IIf''' r-:, E. fJ~Al. Sir~PHONE7k.3 -4 ~r ~ a.11j' 3g
ADDRESS:~' ~ V DATE: AUG 13 2003
5T. mICHl'lcl.)-'h'l1J. ~s :!'1b
SIGNATURE: ' ,.. BLDG. PERMIt #
SITE ADDRESS: 1Io.C:;;:;,Cj r/'1J?....~PID#
FILL IN THE BLANKS
Estimated length of water service ~C)
Size of water service--1" inch(es).
Location of any couplings from structure (J
feet.
feet.
Type of sewer pipe. ABS PVC~ Cast Iron____
Estimated length of sewer line 5t+'l feet.
Clean out
structure.
(if
from
required), located at
NJA
feet
======~~======~==================================================~
This application becomes your permit when approved.
BY
DATE:
========jJ~/Te=d==~~;4=============================================
FEES:~,;~/")L !~~~~a~~~ water line connection permit.
~.-""
* Fee or e~ther sewer or water individually is $20.00 plus
$ .50 surcharge.
*
Sewer and water permits issued for new construction must be
recorded on the buildiD~ permit card at the time of issuance
to insure that no du~~Icate sewer and water permits are
issued. .. w ',:. Lc &/ /jA,
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DATE PAID
OfT 0::1 7003
AMOUNT PAID
RECEIPT #
REC'O BY
16200 Eagle Creek Av, S.E., Prior Lake, Minnesota 553721 Ph. (152) 447-4230 I FAX (it!i'2) 447-4245
An Eaual OCDortunilv Employer
8'd
89S2-821>-f:9l.
S3JI^~3S l~~3~3~ 0~13W
e82:0T f:0 Of: daS
11-17-0;3; 3:34PM;
;952 694 0925
# 2/ 8
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONlNG/FIREPLACE PERMIT
Date Rec'd
:~.:.. ~:~ I PERMIT NO. 3 - / -, 7'"
l. Yellow AppliQ/ll c7'- r......J
rflease .!V2e or Print and si2n at bottom)
I ADDi~S5}q 1iM~w CY0t-
fJr.
I ZONING (office ",e)
;c\
Ii
~
~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
Pul it rkjfl'l~'S
(Address) <6'1 C) tJ u)
OWNER
(Name)
PM :I
Si,U-k (c(O
(phone) 1f5l-L/5.J. - 5;;2CD
EaJ4CU7, /VI N. 5"7'1;2 /
0.1 - -
APPLICANT
(Name)
Bumsville Heating & Ale. LL.C
l~q.D'-' t'tnoae ISla no I-\V~. .::JU.
Savage, MN 55378-1122
(Address) (City) (Zip Code)
(Contact Person) ~U-...L,\ <L (phone) L-/,SZ - f?ff ll- avo c;
APPLICANT SIGNATURE ~~ \), fl'L~L)..~ATE 1\ { 17 (D<
",,(pPLICANT~. EASE COMPL~TE BELO~
~W CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL letJfU1'j G 51 (Y1 f- ~L/ 8 - DL/CJ FUEL /\ hi tJtt c;
FLUE SIZE RE11JRN OPENINGS INPUT LK, C51JD OUTPUT L~.(, Lj.t51J
-;
(phone)
(Address)
TYPE OF SYSTEM
OWarm Air Plants
OGravily
o Mechanical
OAir Conditioning
DVent. System
HEATING OR POWER PLANT
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
Estimated Cost $
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$9950
$6450
If 0 00
'1, aD. Building Penn it #
.
$3950
rnduslrial, Commercial & Multi-Family
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
$
$
$
id ~ .50
, ,
Pd.
Ie'\,\
'~~~
Receipt No.
PAID WITH
a~ 4ft ..'"\H'~S'
~,,:,,"",\"(l'''''I!"'
(Office Use Only)
Building Official
Date
I Paid
I Date NOV 2 6 ZUUj By
fA'
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This Application Becomes Your Building Permit When Approved
24 hour notice for aU inspections (952) 447-9850. fnx (952) 447-4245
16200 Eagle Creek Avenue, Prior Lak~ M!II~53n
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PRIOR LAKE
INSPECTION RECORD
SITEADDRESS -11.5-.q. ~~+-~
NATURE OF WORK ~
USE OF BUILDING .-:5 r:: A-
PERMIT NO. 0'3 - >>r 70 DATE ISSUED
CONTRACTOR Pu..J-t-fIJ PHOt6/~..qgd- ~
NOTE: THIS IS NOT A PERMIT F.OR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT oSee Main File
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING ,^^u ~ I l
, FOUNDATION (Prior to Backfill) vWA,", I I 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
VINl, "
t/W/
!/7/P
/2 - /7-(7')
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I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY
0-ee //f'q-h
kq
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J/W/ _
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UNTIL ABOVE HAS
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.
{- }Jr-(jL!
(I 1-27-dC/
BEEN SIGNED
,
FOR ALL INSPECTIONS (952) 4~7-9S..~Q..___
@::edifitaf:e of ~ttupantll
CITY OF PRIOR LAKE
@.tparfmtuf nf ~uil~iug Jlu5ptdinu
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95 Final Permitted 0 Conditional CO. 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 F &'1IL Y
Occupancy TYpe
R3
Type Construction
VN
Fire Zone
Bldg. Permit No.
N/A
Zoning District
03-1270
PUD
Legal Descriptior
L12, B2. TIMBER CREST
Owner of Buildinp
Contractor's Name & Address PULTE HOME~~ I~~
ROBERT D. HUTCHINS /~
D:te. 9hs'~rCi~
/ / ,
Site Address 16529 TIMBER CREST DRIVE
NORTHWEST PKWY., SUITE 140, EAGAN
DON RYE
55121
City Plann/'"
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/6S:2?
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
-r:J'FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
r;tZ /e,
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
OA TE nME
~k
C..;; 4
Q.S - /.;??O
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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X~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO,R~,-,C~ FOR REINSPECTION BEFORE COVERING
Inspector: f~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IN31lOTI
3 -1)./0
BVHN~.v.LLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378.952-894-0005
Orslat Test Report for Job#
-r: rn topA! C, ~-\- .J:::titv
Address llu4',),C1
Occupant
Date of Inslall
Type of HT. F/A
Other
/'
VHW
Space HT
UnitHT
Make --1. .'f}fl"-V '
Model I'.....,,-/n-li/- ;;;!t..)f/;-{'\l I.c:-- 0 I
Serial 5' ?n -:2, L .':J f'I..;~~ -
Inpul tj~ DOc:::.
I
Pilot Type HOT SURFACE IGNITOR
Pressure 2"S CO2 -/'6%
Input CFH t/I- 02 J;;)l %
SlaCkTemp /t?3u CO Lo :>pf"'\.
I
';
Date Tested
Company
Technician
1/J.7/) t./
BU'/Nsj-,LE' HEATING & AIR CONDITIONING
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/ (,f)-'f
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o j/lSULA TION
I7'FINAL
o SITE INSPECTION
COMMENTS:
(I) Snv..,.
0-) h..." /
(J) S'dc:L
SCHEDULED
1', U1 b-'n_ro-f
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
}-) -0:-(
'<- /1- J b
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
l7a1-t,) S~~J'
A.....-t ~./7~~(
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v
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r/-r:~ vMhY
q~/-yj0
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~RECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
~
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY!
lNSI<<.'TI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
j-.J%4-I
- /
ADDRESS
rGs)..q
r-r'l/<! h.., /' _. -r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3-/'Do
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
-tJ MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
;:) r ~1M.;Jw
'-../
"..,
ydf}{-- r-p5
o ~RK SATISFACTORY. PROCEED
~CORRECT ACTION AND PROCEED
o CORRECT WO;;t::;~R REINSPECTION BEFORE COVERING
Inspector: f /I r Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
"'$NOT'