HomeMy WebLinkAboutBuilding Permit 03-0831
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ADDRESS
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See M':l~n FI"Ie I Whi<, FII,
~ 2.Pmk CIty
J, Yellow Applicant
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OL/~
CtIl.€fr
Date Rec'd
(P.zo.03
r'ERMITNOCJ3- <23JJ
LEGAL DESCRIPTION (office use only)
LOT 10 BLOCK,;2.. ADDITION -rl1'Vl/'J0-- Czerr PM-K-
OWNER
(Name)
f?vt..~ #O.M~-I
81r No/t.-TJ.f/vEJ,
(Address)
BUILDER
(Name)
PA-/LI4-~
I
f'S,tf~€" ,AS A-6oll~ I(
A-A-,L()~ A1A1'-- {
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
X"New Construction
OLower Level Finish
ZONING (oftk, U<O)
f> u.o
PIDz.,s- -40z. 6{,:1-0
(Phone) (p.J I - t./.J .,) - .r .,) 0 '0
>" IT€' Ii/O I €4C.A'" : /f/I.-J ..r..rf.,l/
(Phone)
(Phone)
6.r / -'II,,) - r.,;Oo
(p /.) - tf90 - tf,).,) B
ODeck
OPorch
ORe-Roofing
PROJECfCOST/VALUE (excluding land) $ j'g'1' l/fjB
-,
o Fireplace
OAlteration
ORe-Siding
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
;terup~rty~~dinsp,ctiOns jJC _ I 37/ ~j,JO]
Signature Contractor's License No. Date
I Permit Valuation
[ Permit Fee
I Plan Check Fee
I State Surcharge
1 Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
[ Gas Fireplace Permit Fee
v9. 000.-1
$ '77~.'1~ I
$ >D4. ~q I
$ 34-.~-o I
$ I
$ /00.00 I
$ IO/),cfD 1
$ 3~.5V 1
$ CJn. UD 1
This Application Becomes Your Building Permit When Approved
~~~
Building Official
l~~I6:J
Date
OAddition
1 Park Support Fee #
1 SAC #
1 Water Meter Size5/S"; \"; /-~t
I Pressure Reducer
1 City SAC and WAC #
I WaterTowerFee #
I Builder's Deposit
I Other
1 TOTAL DUE
I Paid
I Date
,')::::'11- {"L(
'7'\- 1";.1, -,--~
I Receipt No, .., -.Q
Bv h
~
$
$ I, Z. 7-s-.o0
$ 3(,5,-
$ /80.-
$ /, ZOO. 00
$ 700.00
$
$
$6 oil. (PL.f
,
:')11
This is to certify that the request in the above application and accompanying documents is in accordance with the City ~~rdinance and may proceed as requested. This document
~~PUnn,;~aryCmillcat;;m~;;'andallUW'constructiontoco"-~'eeucMainOfFile"b'
Planning Director ~ Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
\6200 Eagle Creek Avenue Prior Lake, MN 55372
~~~
ue~
See Main File
~it.. - Ruilding
anarv - EnqlneerlnJL)
'Pink' - Plannlnr
Tb~ Ctn'tr of lht I..kt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,....)
NAME OF APPLICANT &<'.r.JtlL rWf] iLil~/ j
APPLICATION RECEIVED
~,:.'? - ;;.;=<.(,y ~- (),3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed~t: , ,
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I G;:> I ,"_.:J ....""'~/_........r' I ...., I"".~- ',_...-" i.;..J<?~j I v>"-'- l,......[-'. ---
Accepted ""
Accepted With Corrections
Denied
~L "-
Date:
7/1.,"t-/61
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
~tp. - F\.uildina":>
Canary - Engineering
Pink - Planning
Thr (.f'nlrr or lhr I.akt ('ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(;) d;lL fI-rrnt ~
~ -.;u'-03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/(.,4Q5- ~'~~r ~
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~
'9~
Date:
7P-L/',~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,"
~'t
See Main File
White - Building
Canary - . ering
~ - Planning
Th~ ('f'nl.., or lh.. 1..1<.. ('ounff)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
, 'I
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"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i
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,{ -
./ ~.
, I
.f...._",.,?/,__..... '
, ! ;'
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Accepted
/
Accepted With Corrections
Denied
Reviewed By:
Comments:
~
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,
t
Date: ?4~ 3
>>
.
"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 02 03 03:40p
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L
METRO GENERAL SERVICES
763-428-2968
p.2
GREEN. f1lE
Y~LLOW - APPLlCAMr
GOLD. CITY
FAy...
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
95:& 'I'I7-'i~ I/.r
3 ~1<{3/
S,W,No.
NOTE: Sewer and Water
contractors must
be registered
SEPO?2003 with the City.
APPLICANT: rn c.TR() (2,EAIFRAi SER.v'IC-EW.ONE: -(b3 -4-d-,fJ-.?J,'13,?
ADDRESS: 57cf 0 n uAfY1 AJE. NE: riVcDATE:
, ~."f\,--L),r re STI'Y1IQ.r111;';L,"""'>>1/V' SS376
SIGNATURE: \ alJo_-+[ ~,,'"_ BLDG. PERMIT #
SITE ADDRESS ~-;fo 4-hc", f:::,Cf, 7~.77.'33.g7 l"}/n-;l:ID#
I~~~ . ~
FILL IN THE BLANKS
Estimated length of water service .5 {)
Size of water service~Y2- inch(es) .
Location of any couplings from structure
feet.
() feet.
Type of sewer pipe. ABS PVC ~fl Cast Iron
Estimated length of sewer line 5' () feet.
Clean out (if required),
structure.
from
located at
IV/A-
feet
==~========================~====~==~====~=========================
This application becomes your permit when approved.
BY
DATE:
========fJ:/~=~~~=============================================
FEES: f] lei,? P'I..Ik' f- Sewer and water line connection permit.
~ ~" Surcharge
( No Fee....) TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
E!~i~~" o~h:~e ~~~f~gi;~j~md ::d Ch:.~;~e ~$
DATE.,l'AID \ ,:\ JEP 0 5 2003 \! aUNT PAID rr '~4ft?-
RECEIPT # UIJ RE ~, D BY
Sy,,--:--
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (9<;2) 447-4230/ FAX ('1s2) 447-4245
An Eoual ODDortuniry Employer
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JH I OJ'JH 1 aWnld[.3lll;i(i
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
I. Pink
2_ Green
J. Yellow
~:~ I PERMIT NO. ~ -- C>-:2,J I
Applicant -:) (\ ~
(Please t:voe or Print and sUm at bottom)
ADDRESS
16495 TIMBERCREST DRIVE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name PUL TE HOMES
(Phone)
(Address)
APPLICANT
(Name) AU,.JFD FTRFSTnF DRA FTRFSTnF HFARTH & HOMF
(Phone)
651-633,2561
(Address)
7700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRFNDA HUSTON
DATE
ZONING (office U<O)
PlD
55113_
(Zip Code)
10/2R/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
D Special Devices
o Other Devices
, FIREPLACE MAKE AND MODEL
HEAT N GLO SL-550TR-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64,50 Residential, AC Only
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
,50
(Office Use Only)
BuUdine: Official
I"paid 'Iii 'c
... ,J L!,_,
Date ~]~te OCT 2 8 Z003
24 hnur notice for all inspections (952) 447-9~ljI.rax (952) 447-4245
This Application Becomes Your Bnilding Permit When Approved
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39,50
$39,50
$39,50
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I\~ceipt No,
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DEPARTMENT OF
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ---1.t-1./9 S I ~~ ~ 1- 0"..
NATURE OF WORK ~
USE OF BUILDING \ ~EI.4
PERMIT NO. Oa - 23/ DATE ISSUED
CONTRACTOR Y lA-l+~ HON-e., PHON~- 4t:j()-~ ~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
OATE
I FOOTING u1A6.;",1
, FOUNDATION (Prior to Backfill) ~'(AI I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
I FIREPLACE
I GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
Se e ~,,~ /2- /e I
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11,-. 7-CI)
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GRADING (Prior to Sodding)
BUILDING 1<""f (/YI+I( il'/1?L-1
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN
, "NOTICE
/1IA(7 A
f/l1//
It- (7-0],
( I--/'J-{[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
QIrrfifirab of @rrnpanrl!
CITY OF PRIOR LAKE
~tparftttlmf of ~uilMug Jlu1\ptdiou
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"DJ Final Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant 10 Ihe 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 Ihe following:
Use Classification
SINGLE FA.'IILY
Occupancy Type
R3
Type Construction
VN
Fire Zone
Bldg, Penn;' No, 03-0831
N'/A PUD
~ Zoning District
Legal Description
LIO, B2, TIMBER CREST PARK
Owner of Buildin/!
Site Address
16495 TIMBER CREST DRIVE
EAGAN
55121
Contractor's Name & Address PUT.. TE HOM~.:.h, ~
ROBERT D. HUTCHINS ~~
0->~yCilli
NORTHWEST PKWY., SUITE 140,
DON RYE
City PlannPT
Date:
Date:
I
I
J
CITY OF PRIOR LAKE
INSPECTION NOTICE
~~/ TIME
/br?S~ ~~/C"6/d
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~.~- 8'~1
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.a1'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
..---==-
--
(~/ ---~ ~'" ')
~~/~5-€ ~~
)'(WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
:$::O:ECT~EINS::::/::~:FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
,-"'"
OATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/2-- ~.)--c/?
ADDRESS
1{,4f()"
(MA-fl;,-f..-c.-..7'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'~-5> I
o FOOTING
o FOUNDATION
o FRAMING
o I~TION
~INA~
o SITE INSPECTION
o P~UMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o P~UMBING FINA~
o MECH FINA~
o EXIGRADIFI~~ING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINA~
o GAS~INE AIR TST
o
COMMENTS:
(;') 0~4 ,
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v . ,
-{.. 'f]...,.,,'5 r.4- r-..!~ NkA.~
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fr.-/0C/
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~RECT WOJK.~~ FOR REINSPECTION BEFORE COVERING
Inspector: / ~ OwnerlContr:
CA~~ 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
'N,N<m
12 -,A?-Cl~
if.t.l4r:- 7/H,d,,_~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RJ
o WATER HOOKUP
o SEWER HOOKUP
-cr1'J,I.IMBING FINAL
.J<I"MECH FINAL
COMMENTS:
(9r{~-<- Y7'J~/J5
DATE TIMe
s- R-"S /
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o ~ SATISFACTORY, PROCEED
t!fCORRECT ACTION AND PROCEED
o CORRECT WO~';; ~OR REINSPECTION BEFORE COVERING
Inspector /'" r---- OWner!Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <l SAFETY!
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Heating & Air Conditioning, L.L.C.
12481 RhiJde Island Ave S, Savage, MN 55378.952-894-0005
01S1at Test Report for Jobl .c 7 .',
Address JA, l\q .-: -r. L' C, \- Ix Gitl/te", j, ;
Occupant
Date of Inslall
Type of liT. F1A './ HW . Space liT Unit liT
Other
I
Make
Model
Serial
Input
J...e:,'.' C)J."
C~/f>)r' -.?-I.P; " t.t/r: fl,
~o3 t<l.dJ1 (",9
1ft.! DO='
Pilot Type HOT SURFACE IGNITOR
~ s-.'j %
Pressure 514..-;. CO2
Input GFH <-I" 02 ID. ~ vjo
S1ackTemp '170 GO I' P.v-
Date Tested
Company
Technician
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BURNSVILLE HEATING & AIR CONDITIONING
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