HomeMy WebLinkAboutBuilding Permit 03-1271
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT g _ ;-&J
See Main File l. Whi<, ,;,. I PERMIT NO
2. P;,k C;,y '(J7 _/"7 71
3_ Yellow Applicant .> v
(Please'!ype or print and sign at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT /,JBLOCK;l ADDITION -r,""'/)~L C#Ji
OWNER D
(Name) rvvnE
/-h..ME J
(Address) Blr
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BUILDER
(Name).
(Contact Name)
(Address)
frSA--"'1e; AJ A-iJc!JlIe- /'
AAil.&J /I1flK-1
TYPE OF WORK
~New Construction
DLower Level Finish
o Fireplace
PROJECT COST/VALUE (excluding land) $ ~r, lf9fi
I
DUtility Connection
o Misc.
ODeck
ZONING (officeu,,)
pulJ
PID ()5' '-L/Od.~o&50
(Phone) t;FI.-l{S02 -5,;200
. EACA..J. /VI AJ 5.5/ ~ I
- I
S'vl,€ /'/()
(Phone)
(Phone)
OPorch
OAddition
ORe-Roofing
DAlteration
05/- t{S-;' -.f',;.oo
!o/,,2 - '19() - '/.,1.,1.8
ORe-Siding
I hereby certify that I have furnished information on this application which is to the best of my knowledge hUe 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
:ter uPaope:to ;::gede~:ctions BC- ;.;7 I 81,/03
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
I Gas Fireplace Permit Fee
I
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This Application Becomes Your Building Permit When Approved
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Building Official
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Date
1 Park Support Fee
1 SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I 'V"ater Tower Fee
I Builder's Deposit
I Other
1 TOTAL DUE
I Paid
I Date
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This is to certify that the request in the above application and accompanying documents is in accordance with the City Z~ Ordinance and may proceed as requested. This document
:~::' :~~"?;~'~~~~ C,,"fi;ofz;~m;m" md allow, ,"",ouoooo to co ~el!' MATi}" Fileu"b'
Plmniog Ditector ~atc Sp,cial Conditions. ifany
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 . Engineering
Pink . Planning
Th~ (-rnltr of lhr J,lkr ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
#
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:
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Accepted
/
Accepted With Corrections
..
Denied
Reviewed By:
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.
Date: ? /1 S- / a.3
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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
While .. Building
~II~I-'; ,- cnqineerlnB:>
PinK ....':"f>lanning
ThO' ("..nl.., of Ih.. l..kr (:ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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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:
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Accepted X
Accepted With Corrections
Denied
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Date:
y; Ii I O~
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."
~~
See Main File
,- WhitA ~ tt,wldmg "":>
Canary - Engineering
Pink - Planning
Thr Crnlrr of Ihr I.akr ("ountf)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 'P ~ ~
f?--I-t:? -:B
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity. which is proposed at:
/~'5:5.::5 7//J11~/ !h~+~
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Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments:
~~
~
7~/-J
Date:
ft/; 5'~3
f
"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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E;;:r.:l:':c~~ C~J:: S
PLtiMBrNG PER.'-aT FEE S
STATE SURCH:.-\.RGE S
TOTAL l'E~"'m FEE s
(Office t:"t.: Onl~)
Toi. A~plk:"ion B<oo",,,,, Your Buildi"; P"rmic Wben Appro~'d
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CITY OF PRIOR LAKE
SEWER' AND WATER PERMIT
CJ5)..- .(117- 1(7.- 'f.E)'
S.w. No. '3~ I d '7 I
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLICANT:~STW~ <:,EIJE:R..AL S~PHONE'~-lj.;;lll'-~fj'3!?
ADDRESS:~O ~""" Av DATE:. AUG j 3 2003
~O.. ~ mlc.H"'l/l.L.,-mN.5'S',3"11;
SIGNATURE:~ . BLDG. PERMIt #
SITE ADDRESS: /t-,5~l ~(~~:"P.l 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. A8S PVC~ cast Iron____
Estimated length of seWer line .~ feet,
Clean out
structure,
(if
from
required), located at
N/A
feet
==============~===~~==~=======-============================~===~==
This application becomes your permit when approved.
BY
DATE:
=~========================~===-===================================
PLhI/e.d. w.'t""
FEES~'. /1. ,...".;"," Sewer and water line connection permit.
Surcharge
No ree TOTAL
. . ,,- ~ "-..L-..:. '.
* F~ for ei sewer or water individually is $20.00 plus
$ .:>u l>u.....charge.
*
Sewer and water permits issued for neW construction must be
recorded on tl~" cLJlitdi1'!q:' permi t card at the time of issuance
to insure th~~ iilouduplicate sewer and water permits are
issued. ':'1/1 PA '^
DC 0 3 ~ll ~~ 1/e....1 ;'4
T 2003 AMOUNT PAIO(I,'~", "i'l'h
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DATE PAID
RECEIPT #
REC'D BY
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (15'2) 447-4230 I FAX (Qs:2) 447-4245
An EQual Occcrtunity Employer
6"01
BS6i!-Bi!1>-ESl.
S3~I^~3S l~~3~3~ O~13W
eBi!'Ol EO OE oI~S
11-17-03; 3:34PM;
;952 894 0925
# 1/ 8
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
,. Pi"" "', I PERMr.r NOg
J. ar- Clly . ~
1 Ydlll,," AppUcanl
(J'71
(Pie... !Yl!e or print and sim at bottom)
ADDRESS /'
10733 I JlV)hw Cve.s4-
[jr.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
fMJj
Si ;,.i-k ! c( 0
(Phone) &51-L/5:J - 5;;2W
ffiJ:te&7, /Vi N. cJc;!;2 /
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APPLICANT
(Name)
Bumsville Heating & NC, LLC
1 ~4111 Knoae ISla no Ave. ;'0,
Savage, MN 55378-1122
(Address) (City) (Zip Code)
~u....l.\ 'L (Phone) '1<)'2 - ~ L/ - (:"7)7) C;
APPLICANT SIGNATURE ~~'J> \). \.-R/I..~I-.."...e-, DATE ~
. "kPLICANT P'~EASE COMPLETE BELOW
filNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL lei1l7;,),l 0'5 { (Y) (- CJ.L/ (] - oL/cs FUEL Idj} (jt{ S
FLUE SIZE RETURN OPENINGS INPUT Lk, r51JD OUTPUT !1L-2J6()
. ,
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone)
(Address)
(Contact Person)
OWarm Air Plants
OGravily
o Mechanical
OAir Conditioning
OVent. System
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
o Stearn
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Induslrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
f. . 0 00
L , OD. Building Pennit #
,
PAID WITh
,..... '''''J'='O~ ~1"'1i'
J\ ~n ;",11\:.,,-:;.. ~ "
, '. .~..,-' p
$39.50
Residential. Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Residential. Additions & Alterations
Residential. AC Only
$39.50
$39.50
Estimated Cost $
REA TINa PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
l'rffpo
Pd.
~
b~ ldt-y
Receipt No.
$
$
S
(Olliee Use Only)
Building Official
r Paid
I Date
Dale NOV 2 6 2003
24 hour notice rnr all inspections (952) 447-9850, rax (952) 447-4245
162DO Eagle Creek Avenue, Prior Lake, MN 55372
By
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This Application Becomes Your Building Permit When Approved
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PRIOR LAKE DEPARTMENT oSee Main File
BUILDING AND INSPECTION
INSPECTION RECORD
.
SITE ADDRESS 14S'~1- ,-r~~7- n \-
NATURE OF WORK N~
USE OF BUILDING --SF"R.
PERMIT NO. D"J - - I V I DATE ISSUED ._.... 0.
CONTRACTOR ~ ~'11L6 10 PHoW~-LlfD-"'ff/!J:::ft'4T
NOTE: THIS IS NOT A PERMIT. FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
OATE
I FOOTING \Mil VI. I
, FOUNDATION (Prior to Backfill) lt1-\a ,\ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
I ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING 0{""? tf 0(.01
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY
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UNTIL ABOVE HAS BEEN
NOTICE
(- J.-~-UL/
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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
aIrrfifitafr of <IDttupautl!
CITY OF PRIOR LAKE
~tpn:rtmruf nf ~uilMug Jlusprrfinu
;J Final 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. Permit No.
01-1271
Occupancy Type _ R3
Type Construction VN
Fire Zone
N/A
Zoning District PTm
Legal Description _ L12. B2. TIMBER CREST
Owner of Building
Contractor's Name & Address PUL TE HOMES, 815
ROBERT D, HUTCHINS ~~
/. Bui~ng OJlicial ..........
Date: 9'/27/ad
;;"00 -/ /
Site Address
16533 TIMBER CREST DRTVE
NORTHWEST PKWY.. SUITE 140. EAGAN
~~121
City Planner
DON RYE
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/6,S-ss
OWNER
PHONE NO.
D FOOTING
D FOUNDATION
D FRAMING
D INSULATION
....err.NAL
D SITE INSPECTION
COMMENTS:
.-------
/
/
( r", --ke-
'-
fd:;l/ TIME
~L.---- CeJ / tl--
SCHEDULED
CONlR.
PERMIT NO.
C!J3 - /..2;? /
D PLUMBING RI
D MECH RI
D WATER HOOKUP
D SEWER HOOKUP
D PLUMBING FINAL
D MECH FINAL
D EXIGRAD/FILLING
D COMPLAINT
D FIREPLACE RJ
D FIREPLACE FINAL
D GAS LINE AIR TST
D
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~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
D CORRECT WORK, CALL F R REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS AIlE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
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, 'i/i'l
BVRNSVILLE
Heating & Air Conditioning, L.L.c.
12481 Rhode Island Ave S, Savage, MN 55378.951-894-0005
Orstat Test Report for Job' 58 q 7
Addres.~ /IP533 /iMI?CR. CRL5I DI<'. Cily \1>/01"_ LAte
Occupant
Date of Inslall
Type of HT. F/A ',( HW Space HT Unit HT
Other
Make
Model
Serial
Input
L[t-.)!0C>'<
(15\1--Ic? L,uP.:,-045-01
5803I..Z055""-I
,-\y. aOO 1O'1\J. \\
)
j)
.~ t ;
Pilot Type HOT SURFACE IGNITOR
Pressure ::'5 IWC CO2 (..,./
Input CFH 4'-\ 02 9_ 9
Stack Temp 9i CO II PI'.,.,
Date Tested
Company
Technician
1-21-64-
BURNSVILLE HEAT/NG & AIR CONDITIONING
leo
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
2-).-c)tl
ADDRESS
/c.{;?'3 1~M1b-rc:,-eyf
OWNER
CONTR.
PHONE NO.
? -I).. 7 I
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
iJ"l"I'NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
(lJ 5"-eCI/Y'f"
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~
!?,qr!-,'ll
'7 <- Jow/ l.M1-i (
'1~(-d:../
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
~WO~ CAL~EINSPECTION BEFORE COVERING
Inspector: Y ty"~ Owner/Contr:
CALL 447..9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETY!
""""n
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
i!JnYltvIk
OATE TIME
SCHEDULED
1- k-04
1&5"<.:>
'f/kof~.r r~(...r--
CONTR.
PERMIT NO.
3-/27/
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~EWER HOOKUP
LUMBING FINAL
o MECH FINAL
o EXIGRAOIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
yrDhA"15
v
o ~SATISFACTORY. PROCEED
60RRECT ACTION AND PROCEED
o CORRECT ~OA: ~ FOR REINSPECTION BEFORE COVERING
Inspector: /II/V OwnerlContr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETYI
INSIfOTl