HomeMy WebLinkAboutBuilding Permit 03-0627
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File~;::' ~:;y
J. Yellow Applicant
Date Rec'd
S. 2-2-. OJ
(Please .!VD~ or Print and sign at bottom)
ADDRESS
/I"L/ 15' t,JY1/Ja desr DLlvre
fPJ!:RMli NO. 0'3 -- ~d-1
I ZONING (ofiic,",,)
\-' V!?
LEGAL DESCRIPTION (office use only)
LOT" BLOCK:L ADDITION -r;Md€L furr fl ~
PID Z'- -4'02> - or''1 - 0
OWNER
(Name)
PllLr~ Ht>ME"J
(Phone) J~j/- t/rd) -!>,;)oa
(Address) 81r
<;,,'r€ Jt(O J
t:= AWW
""N
sn~"
;V C1,l.711(.)~r p~Ar
BUILDER ft ,.
(Name\~AI"l~ AS Alono/€
(Contact Name) ~ A4Att.I
(Address)
(Phone) !PFI-'IS:J.-r"loo
(Phone) .P1.2 - I{'tO - tf,;1,) g
TYPE OF WORK
JiCNew Construction
DLower Level Finish
DDeck
DPorch
DRe.Roofing
ORe-Siding
o Misc.
o Fireplace DAddition DAlteration
PROJECTCOST/VALUE (excluding land) $ tP1'.l/es
DUtility 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
enter upon ~erty to perform needed inspections. _ / /
X (./4#. ~~ &:- /371 .)1J.~/~3
Signature Contractor's License No. Date
I Permit Valuation ~ t-,9. /J(JO, 00 1 Park Support Fee # $ I
I Permit Fee $ '77'. 75 1 SAC # $ /2..'75,00 I
I Plan Check Fee $ 504.'il'1 Water Meter Sizeo.. ""'''''; I !Iz.." $ 3bS.OD I
I State Surcharge $ ~ l./. 5""0 Pressure Reducer $ 19.D. 00 I
I Penalty $ 1 City SAC and WAC # $ 1'2..00.00 1
I Plumbing Permit Fee $ /tJO,O() I Water Tower Fee # $ 7tJo.C!1(1 1
I Mechanical Permit Fee $ /{)O,OO I Builder's Deposit $ 1
I Sewer & Water Permit Fee $ 55,SO 1 Other $ 1
I Gas Fireplace Permit Fee $ "10. () 0 1 TOTAL DUE . $5:3//. (,,4-1
,0'f2 II, I .. iiiif. Ja-
This Application Becomes Your Building Permit When Approved I Paid l.i?'-t I Receipt..No.
~ r LDate --j- ;:) "kO~')" I Bv ( ~ .
7~ ~!'I /03 {/ ~
Building Official Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City ZolcOrdinance and may proceed as requested. This document
j;'~:fu:: p-;::; :,mporMY CmffiC:; :o:mi,:m;ance and allows 'onsttu~on to com~'eee oMain' oFireUsl be
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
,
4R/o-?
5@~
See Main File
White - Building
.....--c-a..ant . (:f1oineeroJ'ilr-,
Pink . Planning
Th~ Crnru of lh. I._It. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
;
j.1 /~II ,j(,_/-'?1-;;/it_,:~.r-
APPLICATION RECEIVED "!:::; - c) ..~;. --t...':::'
The Building, Engineering, and Planning Departments have reviewed the building permit
applic<;ltion for construction activity which is proposed at:
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Accepted J<
Accepted With Corrections
Denied
/(~~~t
Date:
{ /1..- -1...J ()~
. -
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
':::::::::Wh~!~ - 8ui~
Canary - ~ngineer,"g
Pink - Planning
Thr ('..nIt. of Ih.. L.kr ('ounlr).
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(i){d;t; ,~
~ - Ol,(9.-Do
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1(0415- v.-Vm}UAJ ~T~.
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~~
'::7~1-
Date: &" / I I / (:; 3
, I
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."
";1
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.
!
.
~1
See Main File
White . Building
c,"l'Iary . !,ngineering
~lnK - t"'laimmQ ...,
Th.. n~nl..r "r lh.. t..k.. COunll'l
.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI!;T
NAME OF APPLICANT
JlfPLIC~~EIVED
/.1/ II
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rt:
/
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: /
lef/! - '--'// ....!... ,t l'~'
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
d3~
r
7~~
Date:
I.,/II/OJ
r I
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."
CITY OF ~~R LAKE
HEATING/AIR CONDITI~ "G/FlREPLACE PERMIT
FIRESIDg-:;. ~~"'- I PERMIT NO. J - G () ( I
Date Rec'd
fPleasc!1'l"; or orlDr ud ,''''' at bottom)
ADDRESS
HEARTH{;.HOME'"
16415 TlMBERCREST DRlVE
ZONING (01&.:, lIl<)
LEGAL DESCRIPTION (olfioe uoe ollly)
LOT
:BLOCK
AODITlON
Pro
OWNER
(Name PULTB HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLlS.O FIII,P<;rr,P ..,~. "'o.~"'n..ru.B.:r~1 & HOME
(Phone)
651.633.2561
(Addtess)
2700 NO:R:IH FAIRVIEW A VENUF
(Addresa)
(Contac~ Person)
I~RENDA HUSTON
.ItOSEVILLB
(City)
(Phone) _651-633-2561
<;~113_
(ZipCotk)
APPLICANT SIGNATLTRE
BRFNDA HUSTON
DATE
91l~/O3
APPLICANT PLEASE COMPLETE BELOW
xO NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL fUEL
FLUE SIZE RETURN OPENINGS TNPUT OUTPUT
TYPE OF SYSTEM HEATING OR. POW.E1l. PLANT
OWarrn Air PllU,l:i
OG",vity
o Mechanical
OAir Conditioning
OVen!. System
OStcu",
o Hot Water
o IYKllfllioll
o Spocial Dc:vices
o Other Dovicos
PLEASE NOTE:
Air Conditioner Uni!!l
Cannot Encroach Into
Required Side Yard
Setback.
fIREPLACE MAKE AND MODEL
~~EATN Q!.O SL-550TR
Industrial, COllrrlleroial & Multl-Pllmily
FEE SCHEDULE
J% orjob cost Residential, GIl:l Fireplace
S39.50 minimum
$99.50 ResideIltllll, Addlllons &. Al..","o,"
$64.50 Resldentlal. AC Only
S39.50
RcsidcQ'[jal, Healing &. AlC (New C.,,>vuction)
Rcsid."tlol, Healing Only (New ConStCuctioIl)
$39.50
$39.50
E:ltlrnared Cost $ Buil$~ing Permit II ~l.It'Dt::>,;j;D 1,,_,
HEA TfNG PERMIT FEE $ <. r,A~ ~~/"'"
STATE SURCHARGE .50 '\fl.' "'i...<'Y
TOTAL PERMIT FEE $_ '!:lJ~
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" B.i1dluOlSftJO fuirvlow Avenuc North Ro:lbolitlc. MN 55113 1 h<,;[o 651.633.2561. """ 65[-:; 3-g8~4 '-";"\ ~
oun.DII . CW~ 3850 West HiRhwav 13 .Bw.nsv,l/e. MN 553~37 Phoru 2.890-(/758 Fax 952-B90 5408 I\'l'Wi".~\~w.\'l:
... "1;lfhoul" notace for Mil n~pcC'tlorls 952) 447. S-::.=:::.:::..=~
....w"'.Un:aldl:lltll.cmll l\1N Otrtract\lr 1.1<</"1111 100'0') 1
100/100'd 801r# ~.N~OJ .aIS.~I. 1888 rr9 1.9 91'r1 rOOc.81'd.S
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CITY Of ?RJOR UdU: PlC).I3,:'o"G
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i I Showe" S(~II-- 8.1ckrl<lw A,sc:nbl~
/ I Sinks B01Ckrlow A,s~mbly Tost
I Bar Sink I L.1wn Sprinklec
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ir.du::::-:.:.L C017'::,:",:=::-r:::.l &. ~[uJti.f:'r:lj[;, ! ~/'J of job c~~, 'Nira J S39.50 minimur:'1
Rd'idC::Hi.:1l. ~':'.v One-.k r.....o~C":Jmil:-' S.;~.~O
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PAID WITH
.~llDING PERMIT
PlUMBrNG PER..\UT FEE S
STATE SURCK-\.RGE S
1"OT.-\!. PER.:.'rm FEE S
[veri,e t:~~ Ol'tl~l
Thi3 AppHt.:lCion Sccomc;s Your fluiIdill~~ P~nnit Wh.:t1 Approved
al.llldir1( OffiCl:a.1
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0<::;60 E00<::-60-llif
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS J' 'lIS'" r;'~t! r CJ'. $ r D".
NATURE OF WORK ~
USE OF BUILDING ~F R-
PERMIT NO. Q3... ~...., DATE ISSUED
CONTRACTOR ~ PHONf, I~. L./!lO- ,,~).A
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main Filt
BUILDING AND INSPECTION
INSPECTOR
DATE
, FOOTING J^Au.A I I
I FOUNDATION (Prior to Backfill) 11M,,, 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
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IO-'YcT3
IO-7-c0
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1(1... "Z~d"'"
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Soddinfl)
BUILDING I'\<~ u/lh (
ELECTRICAL
PLUMBING
HEATING
DO NOT
~+o{
. ,
":ee A"~...A h/e.
ft~ 9/Af/to/'
I/J/V
lM~
OCCUpy UNTIL ABOVE HAS
NOTICE
BEEN
11- fI.1 ~(T)
/(-(7-,/3
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
mrdifiratr of ~rrnflanq!
CITY OF PRIOR LAKE
~tparftttlmf llf ~uilMug JlusptdillU
,#inal Permitted D Conditional e.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 FAJ'lILY
_ Bldg. Pennit No.
03-0627
Occupancy Type
R3
Type Construction
VN
Fire Zone
N / A _ Zoning District
PUD
Legal Description
L6. B2. TIMBER CREST PARK
Site Addiess 16415 TIMBER CREST DRIVE
Owner of Building
Contracto;'s Name & Address _PUL TE HOMES, 815- NORTHWEST PKWY..
/$!Y
ROBERT D. HUTCHINS
/ BUilcjilfg7ial
C//.z?/C
// - ;.-
City Planner
SUITE 140. EAGAN
DON RYE
55) 21
Date:
Date:
......"
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"
J
~yo/ TIME
/~CY/5~ ~&/ ~S /.Lt-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
...l&-i'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
a5 - (;,2.7
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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------------
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---------------.---.
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~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:S::O:ECT WO~ElNS::::/::~:FORE COVERING
CALL 447.9850 ~OR THE N':XT IN!)PECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOn
DATE TIME
CITY OF PRIOR LAKE //-24-./J'--
INSPECTION NOTICE SCHEDULED
ADDRESS /(,t{/< lI..,~r---r
OWNER CONTR.
PHONE NO. PERMIT NO. "5-C27
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
JJ FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
~
.~g f pt7 a-'d~d --6?....".... I.H"...-vt-
0"'1\ I - 6'-'ck tf{aJrOv?I /
~r)d. 01-- l' yy........ jb__ 'rlr..d4'" JOt,.,.. -r-
o WORK SATISFACTORY, PROCEED
;Ii( CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
Inspector.
Owner/Cantr: .
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH of SAFETY!
owwn
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
...1 /rjt.("CJ ?
ADDRESS
It 4(') q;""h..,n~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
"'?-'2 '7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
~ PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
@ rcl4//l-' rM?uv:J<5
.~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~ffL FOR REINSPECTION BEFORE COVERING
Inspector: f V r./ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
'''''"'''
-.;.p.(; ~G .J~'q:f1"~ffl
DVRNMW.ILLE
Heating & Air Conditioning, LLC.
12481 Rhode Island Ave S, Savage, MN 55378.952-894.0005
Ors1at Test Report for Job#. ~) c ::; (^
Address j\J"\\ Tl,I,P.L(' ,:"'_\(C~" j\P City f," t.'
Occupant
Dale of Ins1al1 ,.'1
Type of HT. F/A )( HW Space HT Unit HT
Other
Make leJ"'"
Model \~',i4 ':- ,,;; ;;",'-"" ' ,.,.
Serial 58036<'11<.<,..
Input + , , ' "d, (';n',
Pilot Type HOT SURFACE IGNITOR
Pressure -' , \'\,\\'.. CO2 L.. t
_0, '.."
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Input CFH qq 02 Ie;. {
Stack Temp 103. CO . ,
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Date lested \ i i' " -",
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Company BURNSVILLE HEATING & AIR CONDITIONING
Technician k.l' 0
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