HomeMy WebLinkAboutBuilding Permit 03-1154
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QIrrfifirztfr lIf @rt'U):Jaurll
CITY OF PRIOR LAKE
~tp~dtUtut nf ~uilbiug Jlusptdinu
pJFinal Permitted D Conditional C.O. Expires.
This Certificate issued pursuant to the requirements of Section 307 afthe 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
Occupancy Type
R3
_ Type Construction
VN
Fire Zone
Bldg. Permit No._
N / A _ Zoning District
PUD
Legal Description
L33, B3, TIMBER CREST PARK
Owner of Building
Contractor's Name & Address PUL TE
Site Address
16476 TTMBER CREST DRIVE SE
ROBERT D. HUTCHINS
~~' B)'ildy{g OJ'Cia]
'7;: ",I So' / cJ<
/
HOMES, 815.
-#/1
//P,?
:-lORTHWEST PKWY.,
City Planner
SUITE 140,
DON RYE
EAGAN
55121
Date:
Date:
DATE nilE
SCHEDULED ~// 0'/ '2 (tJ 0
,
I~D/l.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
It, 1l(,
OWNER
CONTR.
PERMIT NO. EJ.) - / / S L(
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)11 FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
}Q MECH FINAL
~OMMENTS:CP ~ "11 ~
&J ~~~ ~ I~'
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
~ FIREPLACE FINAL
tJ GAS LINE AIR TST
o
e-..
u
r
-""""'""-""""'-
"""^""",
T; c, (). -ftlJ 51! 3d/oi
o WORK SATISFACTORY, PROCEED
~-_ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ OWner/Contr:
CALL "7-9:S~ JOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
IliSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
ADDRESS
/t5'-r7G
~#y TIME
7""ler~J;/ -4
SCHEDULED
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
m - /4-Y
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
"..Q-FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
(J GASLINE AIR TST
(J
COMMENTS:
------
~
( ........,/
r~~/<:!'Se-
------
.-/ r"~\)
~€~
--
..J<WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:'::O:ECT W~R REINS:::::::FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
'''''"'''
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
I {",t./ 7 (0
SCHEDULED !~
Q.
-,) ..t.,J J-.L.A.A"A.f~
//:00
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(J 3 - II t;;q
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
~ PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:{1\) Qp~ ~ (l,~.
~} l2P~ ~ )..J~ () ~;
t@L-~ ~. J ~
d~~
1
~-.~,
o WORK SATISFACTORY. PROCEED
)4 CORRECT ACTION AND PROCEED
o CORRECT WO~LL ::- REINSPECTION BEFORE COVERING
Inspector: ~ ' Owner/Contr
V
CALL 447-~85n FOR T"E NEXT INllPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
'NSIron
BVRNSVILLE
Heating & Air Conditioning, D.L.e.
12481 Rhode Island Ave S. Savage, MN 55378 . 952~894-0005
0rs1at Test Report for JoW 5870
Address 1G. 4'7(, 11....01(.<<' c! ~~ S T f:Jt<. City VI{ ~ l..A.l(tT
Occupant
Date of Install \\ - Z t> - (') ~
Type of HT. F/A )( HW Space HT Unit HT
Other
Make -.Li: ,'L)\JC'<
Model ("5\HI'-2L\6.04f). 0 I
Serial 5&:}~ L ?, '-\ S- 0'1
Input l\L\J)OO P.::>lV H
Pilot Type
Pressure
Input CFH
Stack Temp
Date Tested
Company
Technician
HOT SURFACE IGNITOR
'2, S 1\.0(.. CO2
4l\ 02
'10 CO
":5.[
10. '?
g ,o(7~
\ - 0;; ~ 6L\
BURNSVILLE HEATING & AIR CONDITIONING
I r 1'\
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File~
(Please .!'Pe or orint and si2l1 at bottom)
ADDRESS
/ It? Lf 7/, 17 A!. RF2
c.-'eE<;,
LEGAL DESCRIPTION (office use only)
File
City
Applicant
Y\72.I (/E
LOT:53BLOCK 3 ADDITION If~ C~
OWNER
(Name)
'Puf.IF-. J-l-oMG-<
8 /~ NC5f2-'TJhNj ~ '
,
(Address)
(Phone)
PkJ/./ V' (<,,, a:F
BUILDER
(Name)~~
(Contact Name) ('.u72--r 7?LA;<.r,~
(Address)
TYPE OF WORK
o Misc.
,-",.,
/
~ew Construction
ODeck
~
Date Rec' d
~~~-Zl3
I PERMITNO.tL7_//S4-1
I I
ZONING (offic,use)
fJUD
PID~5" L!od'oqq-()
(p<s{ - ~~ - S-.zoz,
~,M~I
(Phone)
(Phone) _ (p//'- zz/ - ~~~
Park Support Fee
SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
'!:'J / 'I 6 '7
q/.rd_~
/.. --
DLower Level Finish
o Fireplace
PROJECT COSTlY ALUE (excluding land) $
OPorch
OAddition
ORe-Roofing
DAlteration
ORe-Siding
DUtility Connection
~o. 09"<;
I hereby certify that I have furnished infonnation 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 is permit for iust, cause,' Furthermore, I hereby agree that the city o~ or a designee may
;terupon ~erfOrmneed inspections. IY _ /-""71 ~~
.r Signature Contractor's License No. ./ /" Date
r
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
C/o. OOt) -I
$ ~d3'1,5' I
$ (,,00, tfL/ I
$ '-I,f:). - I
$ I
$ 16>6- I
$ /f!),/),- 1
$ as.S'D I
$ Lfo,-I
This Application Becomes Your Building Pennit When Approved
~ '=1~
Building Official
~b~7
Date
#
#
/d.7S'. -
d50.-
I..H;-
/ dOO.-
?o(). -
-
#
#
1 ~~'_r.
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
:7~;':= Pl.u;;:;;~mpo'''Y C'~fi'"t~:~li;" ,nd allow,eo",ttuotion tSeeB'NraIiifiFile~ mu"b,
Planning Director Date Special Conditions, if any
24 hour notice for ail inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
5~\
See Main File
ClY.!1i!1' - RuildinQ~
Canary - Engineering
Pink - Planning
Th.. ('..nl..r or lh.. 1..10.. ('OURU"
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
()J.-u.fh.-
5(- ~, ~ 0'3
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:.
/(pL/'7{-- l//AVlhJ.-. ~-t- ~
/
Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments:
13~
"
? ~ /..J
Date:
g'~/6 'J
; .
"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,"
~1
See ~fain File
While - Building
Canary - EnQineering
~in'" ~ PIAnnin~
Thr ('''nit'. or lhr 1..k" Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
tic
(", ' /
::c
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/(,1/// t- - ,/,'
!
,/
, _/,---"
"
,
Accepted
/'
.
Accepted With Corrections
Denied
Reviewed By:
~
::; ~7,tJ
Date:
P/c:r~ 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 File
Whit", - Buitt:linQ
r Canary - Engineerin~
Pink - t'lannlny
Thr (-"nlf' of Ihr I..... ("ounlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I'" .....J.----
I i ,! t (]
...A...CA" ,/L~
x - Gc, - 0"3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:"
-1--"
/('c //'7 ?- i,- /..1,,1 hJ-, ,,/:/' LJ!. (L)--L...-
Accepted ><
Accepted With Corrections
Denied
-1ft1tv~---
Date:
({/1 fO)
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."
Sep 03 03 09:56a
METRO GENERAL SERVICES
763-428-2968
p.5
GRf:EM . fM..E
YELLOW - APrUCAn
GOLD - Cll''f
CITY OF PRIOR LAKE
SEWER'AND WATER PERMIT
'152.J.. 'I,/7-tf"l-V.$'"
s.w. ~ -- / / !J- (j
FAy....
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLICANT: (h 1=-1 [<.() (:.j E/V ERA! _ SER.VUW.ONE: rb 3 -t..{-dM/-d-.'131{
,<.y C1 J.- iIJ C .
ADDRESS: :::> I I [) (71 uArfl AvE- NE: DATE:rrn'l.-.l-1DM
~\ "1\ '--..L.Jr ~ s, rn 1C!.111'\~L ~.~3S3"7~
SIGNATURE: .a.vO~"+-\ ~ eJV - BLDG. PERMIT-#
SITE ADDRESS~- Ie.:, t../jt, ~~)(1j)O.n'1; PID#
,FILL IN 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. ABS
PVC L/- 'I 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:
========f7~/~=~~~=============================================
FEES: (1/d,f P't.M' 1- Sewer and water line connection permit.
, Surcharge
(Xto Fe~ TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge. --
* Sewer and water perrnitsissued for new construction must be
recorded on the buildin~ permit card at the time of issuance
to insure that no dupl~cate sewer and water p~~/Dare
issued. (,-----'--' 1I..D/!o,Ir:- "'!!7"/-J
::::~,:I: \l/\-SEP'~; ;~~1;:T B:AID ()_ ~~..,'
, I U
,;' , "0y ~--- ~~--~ I
16200 EagleCreekAv. S.E., Prior Lake, Minnesota 55372 / Ph. ('1s2) 447-4230/ FAX ('152) 447-4245
An Eoual Opportunity Employer
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CITY OF PR10R L.-\li PU::.-[.3r::'>G p~?.."IlT
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tYjJt;: llr Fi:trur~ 1 0'I~n[H"r
'r -0
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R...iu:':!1-lt1~
I,:'/~t;~ t-:e:t~~
LJ':::rcrl (F::IC!1;C\)r:1 ~Ir,~)
L~un~ry Tr.:.:. ( i iJr _ ..:cr:-:C':.:.r:~t:a( ~lr.:":'
Showe: Sr.J.ll
Sinks
8M Smk
wate' Clo,ec lTvde:,1
I
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I ::)cJ.r.c ?:r.~-i~\.-::':;:lln~ \-iJ.'~~tj,:;:t
---
SC:""J.~': E]l::..;:or _____~._
Backtlow A;semoiy
Backrlow A5,;emblv Test
I lawn Sori<lHe,' .
10th,,,
-
-.--'
fEf. SCEiEDL'Lf.
k,c.U:i~,-::':'l. CiJ~~::-:;:::11 J::. ~{ulti.fz:;;l;, (~':'l of job i;:J~( 'Nit~ :: SJ9.jO minimum
(om...:: (;J,~ Onl!l
R~idc::'lti:t New One:..k TWQ-F:unil~ S7'?~O
R~:c.=:u::1I. .,,~c.i:::cn.$ ~ A~:::::-:::on.iS,;9..:C
E:;;:ir.1;:c,:..!Clj;j\: 5
3-1/54-
e.l;H~i~~ P:::-:-::it:;.
PLtiMBCNG PER.'vUT FEE
STATE SURCHARGE
TOTAL PER...,rrr FEE
~ J?P.ID WITH
S BuiLDING PERMIT
~j ~@ [~ [] 't\; :~; m', Roc::pc No.
U~ Oai:t.P u 4 !UU; l;,1 By
I
--
--.- l
_....",..;
T'ilis ,,,,,pplk:.tion 8<com~ Your Buildin~ ?o:-rmit Wben Approvl:d
---j
Bloilldin( QrriCl.2.l
r0/W . d
Dace:
:.. i''Jo:U'' I1IJU":O: ioJr:111 inspections \9=:) ~~ e'S~!._J.:J-,-~ l~-,:i;'~i:.~:_"l.? J
JI~< I OJ:JI~ I El,Jnldi,3llCl(,
CC:S, m0c-S0-:JriCl
"-1'-03; 4:29PM;
;952 894 0925
# 3/ 4
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
; ~~ ~::, I PERMIT NO. ~-
],YcflClw 1.ppllclnl U
".f
1(7\ I
(Please .!YP~ or print and sip at bottom)
^{0YS7& 1!mbLY Cres+
~r:
ZONING (office use)
LEGAL DESCRIPTION (office us< only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
'9 W\.\.Z
'6\S
\\:b~'S (Phone) (()5( - L/5 Z - 5'200
j\)w PCwL-j. 5u..,ik (LfO) ~~i' (VInJ.1)i:JI
(Address)
APPLICANT
(Name)
('\rnt"ille H'il"ting & A/C. Inc.
12481 Rhode Island Ave. So.
..." . ___ '~~I <;"'''71>._11??
-.J~""U~-'(Address)
(Contact Person) .J\.J\- \, e. .
APPLICANT SIGNATURE fl~ Lt ~ n)''\
o \J
APPLICANT PLEASE COMPLETE BELOW
dNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKEAJr;" MODEL L €.4IMf 6"71 (ViP - ::<4(3 ..0 L(5 FUEL /'Ja.J
FLUE SIZE RETURN OPENINGS 0 INPUT L.-jS, 00 0 OUTPUT
(Phone)
(Address)
(City) (Zip Code)
(Phone) CJ ") 2 - ~'1L( - 000 5
DATE tl-It-O~
tla '5
/
TIPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
BAir Conditioning
OVent. System
HEATING OR POWER PLANT
[011 nffX
o Steam
o Hot Walcr
o Radiation
10 A-t.-!3 :;l. Lf 0 Special Devices
;;2. ION o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Requ ired Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
Residential. Heating & AIC (New Construction) $99.50
Residential. Heating Only (New Construction) $64.50
00
Estimated Cost $ S, 9 0'0 I
Industrial, Commercial & Multi-Family
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
$39,50
$39,50
PAID WITH
~fi ,11NG PERMIT
N /11
.50 tiJ..bL; &w' Ib-y
rpaii-:~; C \,,' L" 'i, '!~eCeiPtNo.
i DateNOV 1 2 2003 '.~Y ~
1/
;,'j
Residential, Additions & Alterations
Residential, AC Only
\~!
i
I
~,
Building Penn it #
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Dare
24 hour notice for an inspections (952) 447-9~50, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior La~jlI{N ..3~'-- ~ ~~_..~.._,
PRIOR LAKE
INSPECTION RECORD
.
SITE ADDRESS ""'7' ~~"1iuN t4M+ ~
NATURE OF WORK ~
USE OF BUILDING ~
PERMIT NO. ~- -1/.54:- DATE ISSUED ,.
CONTRACTOR -p ~ _ PHOr4;~ ' - (.(q'~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT oSee Main File
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER 1 WATER 1 SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
-
;1;V/ _
J/l/Y /'
I ).-I-(} '{
12-':1-0;
YVr" _
t/1/f'Y
J J-2/; e:~
11--1-11-::>
GRADING (Prior to Sodding)
BUILDING 1:C,O,W mtp'l'
ELECTRICAL I
PLUMBING
HEATING
DO NOT
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I
FINALS
. .
... <)ee ~,j.
~ ;Y11t1r' ~
h~, .
7d7"'/oy
I
) :>
"
~ I!lkt~
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
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 availabie, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850