HomeMy WebLinkAboutBuilding Permit 03-1152
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main Fi~ ~::y
3. Yellow Applicant
(Please .!VUe or mint and sign at bottom)
ADDRESS
/&'-172 7/A/..FJ?K C T2E~
D 72 wE
LEGAL DESCRIPTION (office use only)
LOT3sBLOCK 3 ADDITION I/M i<.F'K
OWNER
(Name)
POL-rE HoM. "G-"'"
.
,(Address) 8/~ ^/~IIV.E~ Pf:-V,.tY'
BUILDER
(Name) 5A-M EO
(Contact Name) C UQ.. & A-$C ~
(Address)
. TYPE OF WORK
o Misc.
~
[Q-N-ew Construction
DLower Level Finish
cP f~1
P.4ie k:.
Date Rec'd
q-t-03
I PERMIT NO. 03-//52-1
ZONING (offi" u"j
PuJJ
PID
,)s~ t/O~-IO/-~
(Phone) U SI- Lfs2 - 520;3
~A&..1w.. Mll
SUirE /40
(Phone)
(Phone) _&> I z - 22/ - '("I Ss-
DDeck
DPorch
ORe-Roofing
DRe.Siding
o Fireplace DAddition DAlteration DUtility Connection
PROJECTCOSTiVALUE (exc1udingland) $ "1 0, O'1~
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 Clty;2;ffi~1 or deSIgnee may
enter upon ~opertyt~dedinsp~y
X /~/ ~~ &-/37/ ~':5}o3
~ ./ S;gnature 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
$
$
$
$
$
$
$
$
Of),Otif7 -
'1{)- 3- 7S-
(;;,06. LI tJ
45.-
16().--
ItJ6.--
;':;S.b'O
40,-
This Application Becomes Your Building Permit When Approved
~;t~
Building Official
?/~3
Date
I Park Support Fee
I SAC .
I Water Meter S~ 1";
I Pressure Reducer
I City SAC and WAC
I '~ater Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid .5 JI t./ u
I Date 'I..J.t: OJ
# $
# $
$
$
# $
# 1$
I
I
I
I
/.;1.0(),- I
tL?1J '-1
--- - I
-J
1:;2. 75- -
;:;180; -
L/S'-
6/3;f~
I~~o,
-
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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
~: ':~ p_;:::;;mpoc~ c~cat;;;~:~;" and allows constturnoSee lVraiii~ilean~ mustb'
Planning Director ~ Date Special Conditions, if any
24 hour notice for an inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~PRIO",
@1
Thl: ("..nlrr of lhll' L.kr Counll'}
See Main File
Whit", _ Ruilrlina
C Canarv . En'lin~rJn<t::>
Pink . Planning
.BUlLDlNG PF~MIT APPLICATION DEPARTMENT CHECKLIST
~
/ I j}-""---
NAME OF APPLlCANTt--',/{l,{!./e../
,1'"- -'.
APPLICATION RECEIVED :( - L.. .- 0'.:.1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is prop~sed at:
"1, -''':r,,'! _ //j, : ,~
/ f{? 1/ ,/:2 \....J{.1)!' /l;2~2..l/Ji i/:I- ,d (lA...-/
Accepted X
Accepted With Corrections
Denied
Reviewed By:
~^'1A_
Date:
<i?h (0)
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 Ivlain File
White - Building
Canary - Enqineering
(Piilk - Plannin!!)
Th(' C..nl..r of Ih..I....f ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.i)
. -"or-'
I"
I .~_
-1",./<3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activ!ty which is proposed at:
II;' / / '/.~- h / -l
i
IJ ..J.'~'
Accepted
1/
Accepted With Corrections
Denied
Reviewed By:
Comments:
~
;i~tJ
Date: A"'/d.c9-)d.7
,,;r:~'~~n::-~
"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."
0" PR~
~
See Main File
ctllle - Bui1llir1lP
.:0 Id. y --erlgmeering
Pink - Planning
lh~ C~nl.r of thf I..kr ('oun1l1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT -P~
APPLICATION RECEIVED f?-I." -O@
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~L/?d VimbPz_ (hu!- J~
/'
Accepted
Accepted With Corrections
Denied
Reviewed By:
~
f~
Date:
~~()Y
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,"
Sep 03 03 09:56a
METRO GENERAL SERVICES
763-428-2968
p.3
ORlElM - "aLE.
YELLOW. ".....llCA.T
GOLD - CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
9 ~lr "'/7- 'lzA.r
S.W.No.
3-(( 5d-.
FAy....
NOTE:
Sewer and Water
contractors must
be registered
with the city.
APPLICANT: (h E-iR() (~Ei\J ERA/. SER.'IUMONE: rb 3 -L{-.;)J/ -d, '13&,
ADDRESS: 57Cj 0 ~ uAll'1 AJ~ /lie ~;vc DATE: SEP 0 3 2003
~\. }I\ .-...L1r -lA-----. $1 J'Y) 1('-11 f1(;L -w)N. .5>53710
SIGNATURE: __ a.vo_+l_~~ - I BLDG. PERMIT #
SITE ADDRESS: / ?,l-!-7ri.. -<-t r..-:,.,JU!A./~PIDII
-. -~
.FILLIN THE BLANKS
1. Estimated length of water service
5(')
feet.
2. Size of water service
{,/
inch(es).
3. Location of any couplings from structure
() feet.
4. Type of sewer pipe. ASS PVC ~(j cast Iron
'-- 5. Estimated length of sewer line 5" () feet.
6. Clean out (if required),
structure.
located at
tV/A-
feet
from
==================================================================
This application becomes your permit when approved.
BY
DATE:
============r=====================================================
Pwhed ~.i-1t
FEES~. ~V~"'-' Sewer and water line connection permit.
, Surcharge
Aft) Fe.e- TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
.'\'
\......'
Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
~o insure that no 'du~V~~1t~,' d water P&m~/D are
~ssued '!,', 'I!L; liD U; U '1lDI/.. /17"1-
cO .~ .~
DATE,.'~AID I, ,~"\ SEP 0 5 2~ PAID / "i~1
RECEIPT ~"C REC'D BY VI '\''''
/0
*
j:2y
--_._~-"--
16200 Eagle, Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. ('ls2) 447-4230 / FAX ('?52) 447-4245
An Eaual Opportunity Employer
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:.\.P?LlCA.'T PlE.>-SE CO'\(PlETF. BELO\'.'
Typo,: of Fi:trtJr~ I Q'I:.:nrj~1 I
CJ::t rub .....[C~~ \)r WI(:hJU~ )~-=\...~~ !.: '1. I R-Ju:;i1-tns
I Olsh\\o'Jshc:- ...../ \..\.':lC~.- E:::.:r/!':'
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lJ.'i:1CCr"l (~,Hh:-::dr:r :::l:r:\l
LJut1t.:r:-' T r.:.:" ( I i,jr : ";jr.;C:.:.L:.-:-:eat :ilr.;..;
I $i1awe~ Sc~!1
I Srnk:;
I 8ar Sink
I w'~if:~ tiO~et (T ud~:)
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I S(.:r.c.: P:r;~ ( '~V;':':::l[il'; .\'I;1C~W'::')
i :it:..V:lg-: Ej~:;:..Jr
I 8:1ckrl<l'" A~:;~:nbly
I 8:lc!crlow A$sembly T ~st
I l"wn S!,rinkle~
IOtllt::
-.-
---.-.
!
--'.-
-.-
FU :;(;OZ.ot.;U;
\c~~U.:;7.~:I. Corr.l':::::-::::l.! .l.\ifulti-tJr.'1il:, !~~.. oc"job co;;, wi[~;z. Sj9,.so minimum
(f)mc~ t'SoC Onl!)
t'Cj/~0 . d
Raid~tbt New One:.t Two-F:uniIy S'i9,~O
R.:z:c;:~t::tl. .~Jc.i::cns &: .",!:.::-=.::on,;; $~9,;C
E:;tir:1.:.:.r~'..: ClJ~~ S
3 -1152-
e~iillin; ?-::-:r:ic.~
PLtrMBrNG PER..\-UT FEE
S-rA TE SURCHARGE
TOTAL PE~'m FEE
~ID WITH
\lUJ!;2.lt':I~ PERMIT
---I
--]
---
:IN I OJ9~, I ElfJnldA3lll:lrl
[C::ST [00C:-SO-9r!1:I
11-11-03; 4;29PM;
;952 894 0925
#- 1/ 4
I
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
.
(Please tyee or Drinr and sill;D. ar bottom)
AIl/~tl7- '1im 6--tr C( e<;> +
; ~ ~::, I PERMIT NO. -::::< ~ I J c: -~
J. Vellow ^1'P1l~."\ ~.../ (/1
[jy;
ZONING (olli" use)
-.._- -
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
vw\,\z
<6\S
~~s (Phone)!rJS(- Lf5Z-')200
l\JW peevy. 5/AA'k (L{O; faib-/l. MI\.JSS/.::2./
J
(Address)
APPLICANT
(Name'
(Phone)
"j
J
.~
~<:rnE"ill'il H""ling & A./C. Inc.
12481 Rhode Island Ave. So.
:::;~;;<~~::, ~AI\I "".,7l'--11?? . .
.. (Address) (CIty) (ZIp Code)
(Contact Pe"on) .jl.f\. ,\ e.. (Phone) Cj c) 2 - ?/1L( - 000 5
APPLICANT~IGNJ\TURE ~ lA2-~~~ DATE Jl;l!.:O ~_
APPLICANT PLEASE COMPLETE BELOW
,
~NEW CONSTRUCTION . 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKEAJD'MODEL . L€41~ GC? I r'VI? - ;:(L{f3 - O'-f5 FUEL /JaJ qa'S
FLUE SIZE RETURN OPENINGS S INPUT t-ic;, 00 0 OUTPUT /
(Address)
I
<iN
--j
OWarm Air Plants
OGravity
o Mechanical
E:tAir Conditioning
OVen\. System
o Steam
I/J .11 /1ffX. 0 1I0t Water
(,IC/T I . 0 Radiation
10 /fi.-13 ~ Y 0 Special Devices
?-- ION 0 Other DeVices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
I
TYPE OF SYSTEM
HEATING OR POWER PLANT
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
Residential. Heating & Ale (New Construction) $99.50
Residential, Heating Only (New Construction) $64.50
00
Estimated Cost $ S I 9 0.0 (
Industrial, Commercial & Multi-Family
$39.50
Building Permit #
Residential, Additions & Alterations $39.50
Residential. AC Only . PAID wrrH50
eUILDING PERMIT
N /11-
.50 d J btj ~1M' IdPy
,-.J
, .', ," IteceiPt No.
LI '-, '/,i I
.. I
I. \ y /'
II} t,---
y
$
$
$
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(ornCt Use On I)'}
Building Official
,..
1...1. P~id
"
il',lil~t\1,
Dat'" '. NOV 1 2 Z003
24 hour notice for all inspections (952) 447-~~'50, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior L\tlie,.MNS5372 .-. -, .----:c
I._~---- -~.-
This Application Becomes Your Building Permit When Approved
PRIOR LAKE
INSP,ECTION RECORD
~".. eveS"" /)v
0CC IVlaln j"flle
DEPARTMENT OF
BUILDING AND INSPECTION.
SITE ADDRESS ---1' lCl ~
NATURE OF WORK ~~
USE OF BUILDING ~ F J1+
PERMIT NO. 0'3..... //52- DATE ISSUED
CONTRACTOR }Ji~J ~ PHOMJ2" ~J- Lift,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I~I
, FOUNDATION (Prior to Backfill) VVcili>' I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
v1M"
SEWER I WATER I SEPTIC
FRAMING ( .II) ((__
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
?tJ4-
. J/~
},2r/K~
/ ~ -C{-o<:"
(M,
.A
v1/1//
~
11-2fe/?
t-z--/ n iff<.
GRADING (Prior to Sodding)
BUILDING ~...o c(-}-()'-(
ELECTRICAL
PLUMBING
HEATING
DO NOT
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
0ee~..j, J-//e.. ..
~ 77;zy/tJy
f/W
J/l1//
OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
1-IAyay
1-17-()'j
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
<tltrfifitztft of (@tmpztnty
CITY OF PRIOR LAKE
~lhpztrfmruf lIf IJIluilMug JfusprrfilIu
I
/~ Final Permitted :1 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 FAllILY
_ Bldg. Pennit No.
Legal Description
R3
1.35,
Type Construction
VN
Fire Zone
N/A
Zoning District
Plm
Occupancy Type
B3, TIMBER CREST PARK
Owner of Building
Contractor's Name & AddressPULTE HOMES, 815
ROBERT D. HU;CHINS ,/;/i?;~
/Buil9in~fficiJll
Date: t::,,/,c.y./ (1<,:/
/ i'
,
Site Address
16472 TIMBER CREST DRIVE SE
NORTHWEST PKWY., SUITE 140, EAGAN
DON RYE
55121
City Planner
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/bY?..2
~~~,,-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
".A-1'INAL
o SITE INSPECTION
COMMENTS:
~
0>e
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~ynME
cd LJ,.
eJ}?-//-'s?-
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
-~~=---
.~....~
-.~- . ..
,
~4 ,/
~
XWORK 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.
CODE REQUIREMENTS ARE FOR .YOUR PERSONAL HEALTH & SAFETY!
lliSNOTl
$-I(~l...
BUftNSVILLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378.952.894-0005
Orstat Test Report for Jobl
C:;YG,i!
Address i -, c, C' ~~q. j -T: \ (; \ CiN f.
Occupant
Date of I ns13l1
Type of HT. F/A J / HW _ Space HT
Other
Make
Model
Serial
Input
,
I'.
.
UnitHT
1~","'1
A ., ~ /,.,
I" f'd'- / v')- i r'~- ,'( j ,"'. - c' Ii (-_
... ,,' " ./ 1,-__.' .. --f .'
''': ICF' \ ~'.'--' /,-
_.j ',_ ,~)~ '"f
L/ y (L~)
Pilot Type HOT SURFACE IGNITOR
Pressure
Input CFH
Stack Temp
Date Tested
Company
Technician
- - , , '/
CO2 'i ,
ilL! 02 II
.'1, r. " CO
it ).,-/.
I/' ,ily!
I I
BURNSVILLE HEATING & AIR CONDITIONING
-.;-:
11 '
CITY OF PRIOR LAKE
INSPECTION NonCE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o Ijjll!1LA TION
lil"FINAL
o SITE INSPECTION
COMMENTS:
(/)
f;JQs+
'O-cdl c.
r /.
rt"'1.6\
r;-Jj
(?)
6)
~
DATE t1l1e
SCHEDULED
l-lq-c)t..(
1(.1.-171-
~ wf ~.... c-<sf
CONTR.
PERMIT NO.
3~((~L
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 GASLINE AIR TST
o
'10
I" OI1/W t. f-, v--.
0,.....,
e.-aw,
c.. ~ud., a;.1,<1~ /
..t.-- th~'j fh- ~j//t? J~
....rewP
q-j'c)'-l
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
R REINSPECTION BEFORE COVERING
Inspector: !
Owner/Contr:
CALL 447.985Q FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY!
INSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE nilE
/- ;)(NJf.{
I
ADDRESS
/(, t.{~ L
1'."", ~ '-_.' y
OWNER
CONlR.
PHONE NO.
PERMIT NO.
"!'-II~
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
Jilt PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
f""'c K-lth-<
I,W c ",//7
~ SATISFACTORY, PROCEED
~T ACTION AND PROCEED
o CORRECT ~K'..fOR REINSPECTION BEFORE COVERING
Inspeclor: /l't/Y Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <I SAFETY/
INSNOn