HomeMy WebLinkAboutBuilding Permit 03-1100
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
V.4-'.Oj
See Main File
J. White File I PERMIT NO I
2 ';,k C;'Y . QI ? -1100
3. Yellow Applicant ~ m,
(Please type or vrint and siJm at bottom)
ADDRESS
~L{B
II At- Fl.F: 12
(~-r-
. ,
/)lC--lVE
ZONING (office use)
pUc>
LEGAL DESCRIPTION (office use only)
LOT37BLOCK 3 ADDITION T7^^BF~ (,12kT 'PA.e.k: A;/)DID()l,.\ PIDZS. 4-'02../03 ()
OWNER
(Name)
Ij)e,jl -,,:::: {-/-~AA1=<:;.
(Phone) . (.,<j/ - ~Z -S2OD
(Address)
8/e:::;- t'-,I ",?::n.J.W ~"r Pkwv
'5ulTE 140
FA,r:"At-J Mt-J
.
BUILDER
(Name)
(Contact Name)
(Address)
Sd.J, ,A F
('<..>~., 1St .<1.<1" i..J..J.,/l
(Phone)
(Phone) _0/2 - 22/- 4'785-
TYPE OF WORK
~New Construction
OLower Level Finish
ODeck
OPorch
OAddition
ORe-Roofing
DRe.Siding
o Fireplace
DAlteration
DUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
9CJ. o9s~
I hereby certify that I have furnished information on this application which is to the best of my knowledge tnle 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
:t:ru~~tn~~~ &-/37/
/?~/ " Signature Contractor's License No. -# D~~
I Permit Valuation 'o/t), POP, dO I Park Support Fee # $ I
I Permit Fee $ 'j23. 75 , SAC _.' # $ /275'.-t1tJ I
I Plan Check Fee $ &00.'1'1 IWaterMete~l"; $ dSP.tJO I
I State Surcharge $ tfs, 00 I Pressure Reducer $ O/~. tJO I
I Penalty $ I City SAC and WAC # $ I ZOO. ()O I
I Plumbing Permit Fee $ /I1P, ()O I Water Tower Fee # $ 70t1 .Ot:} I
I Mechanical Permit Fee $ 100 , () tJ I Builder's Deposit $ - I
I Sewer & Water Permit Fee $ 3'5. !;"d I Other $ I
I Gas Fireplace Permit Fee $ 9d.OO I TOTALDUE (\ $03/ .t.~~r I
I ~~Cei?o. CK d-7 I
Bt;~. I
This Application E",_~.__..> Your Building Permit When Approved
~
I
7~
tf~1 /0 '3
~ Date
I Paid
I Date
~S //CI--. " 1
i'. lA. /,) (
./
Building Official
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~lann1~-'-' cem;:;:n77a;'andallow'mn'Seem'MOaiii~' Fireocrup.n~ mu,'b,
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
-
~ \{lY0 h~
See Main File
~~::rv - :::~
Pink - Planning
Tht Ctnluollht t...kr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
VI) ( .' 1/;;-
t ',_--, \....,..'
r'o A I;:>
YJ 4-. 0_/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/(c 4-48 TI tl(5t~ Ie Cf/csT 0/(.:.,.
Accepted )<
Accepted With Corrections
Denied
Reviewed By: !:/tA. . f;.~~J
~J\f. r~
Date:
<611 (6'<
Comments:
See Main File
"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. Pennits
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
The {-enter nf Ihf'J,lkf CQunlr,-
White - Building
Canary - Engineer,i"g '.
<::::J-'lnK - t'lannl~9rt,\,.:"
, ~- . ...""..... ,
~-"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
pi:l,TS
(, A (-."
(; . <-r'. .'..-'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ (( 4-48 'TI f I {,iF 1(, ell [. -T I )/C
Accepted
Accepted With Corrections /
Denied
Reviewed By:
Comments:
'6~
.
"1~p
Date:
8121 !oJ
,
',1'f
I
"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
~niie . ~uii~lna~
..,........:..-:1 Eftgmeermg
Pink - Planning
lhr Crntr. of thr L.kr (."ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
VULTS
g.4--.03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ {tJ 4-4fj TI n {)E tC Gt'2kSf DIG.
Accepted
Accepted With Corrections ~
Denied
~
(
?~ ~,u
Date:
f:b/ /a 3
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."
Aug 20 03 09:22a
METRO GENERAL SERVICES
763-428-2968
p.5
GIIEEM . PllE
YEllOW ~ ....lIC....,
GOLD - en.,
Sewer and Water
contractors must
be registered
with the City.
APPLICANT:~~~ ~E.fJ~R.A!.. S~PHONE7t:.3-4.;tg-.;.lij'.3~
ADDRESS:~.. 0 /Am AWL ~ DATE:
......"., 0 ~ '!iT. mlCHI'IIlI.,-mtJ."'-,S'.!3'7b
SIGNATURE: "'^ f\~ BLOG. PERMI'!' # Os -I (fJ 0
SITE ADDRESS: L (", Llil.'? .:r-~ (P/lp,,(,I:;t'tYv._PID#
F;.t.
CITY OF PRIOR LAKE
SEWER' AND WATER PERMIT
"15;;,- tit( 7- if7-- 1./.5'"
S.W. No, {)3 -I /00
NOTE:
FILL IN THE BLANKS
1. Estimated length of water service ~~
feet.
2. Size of water service JII
inch(es),
3. Location of any couplings from structure ()
feet.
4. Type of sewer pipe. ABS PVC~ cast Iron
~. 5. Estimated length of sewer line ~ feet.
6.
Clean out
structure.
(if
required), located at
NJA
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This a~tion becomes you~~rmit when approved.
BY (........1/}!-r-;'!' &.e2AVO?JR-'" DATE: AUG 202003 .
========jO~J!e:r:f~~;4=============================================
FEES: f] J..'J P'e..m I i-- Sewer and water line connection permit.
~ I::'. ~ Surcharge
f No .ee. TOTAL
~."",""
* Fee for-ertfier sewer or water individually is $20.00 plus
$ .50 surcharge. --
RECEIPT #
Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water pe~mits are
issued. 131J1l.DlD W,.,',.,
DATE PAID B. ~O. OJ AMOUNT PAID G Pt;:oa.
Affi-"''!!.t
/
REC/D BI'
*
~
16200 Eagle Creek Av. S.E" Prior Lake, Minnesota 55372 (Ph. (15'2) 447-4230 f FAX (1f5'2) 447-4245
An Enual ODDortunity EmDIDyer
80'd 1':1101
Ull Of PRIOR LAKE PLL':-.L3;-:''';C PZ~\lrr
'.,.
.......:::;
. \', ~
~,.
'. ,/
..., '~ ." ?'
"'~.,~~.:,../
JI.,. .....
PE:K'.!; r.'d)S_//(JO-
---
; ,-..,,,} \::,~
"_~~~I: -,-.. ,or ~"':-:r. .,,:.; :'':''''': I. '-!r;r:::I":':.
i '('11"_ '.",,"nI
_.~:~2.~_ ;;/~jf7.j!\LP..j):;f ]);-,
- '" -.7":--
.~ "" .,-
----'-"--
:':'~:.~.~ .;~.;t'.:?...:.?7:C~; ,'Il~':: .~,;~ ;....;,<)
--
"'. .- -.-
". ,.
'" -. ."
. - -'.-"-.'
-...... L'! . ~'_...l
?~:J
. '.',:7. )_< //y
----,
::l., '_'.'
'. ",-,I...
-~--_..__.,-,--
{'Jet /1 tI,U fJ./ Ii (j,
n. /' Iii) j, 7 1/1
....:c,," ('i:/v/ U U /J ,t',il/ n IJf..
r :, ' . ~""'_ .
f/ '/-'--'~J
:_".:c.: :'C'.;.~J ~~..-/'.//ud:~t.-
..;.,'-.'.:.<.,~;:0~;.'.:-'_.,,;: J!.4-1 I ~ Jt.
J(P~IA..
,.-".:c~ 9,~.2 ';'~2~ 2/ (<~___
~ . .''/ /" .".../ ./" .
\./1/'d"t.111 . ,~).'" ,/,i./
IC,", . _._ _ ,_.
-'., ' t'"
C;sc2 "</~)ol-7Jt)Y
q'j /) ~ /! 'J"
c.';'.," I )//<A, ;";1. d,/~/1.__
I / . -.-.-
\::::-'::-::':J
"~ .......:::
..
'-\'PrUC..l.,.'\T PLE..l.,Sr:: CO',\[PLE",TE BELO'"''''
Typ~ "r Fi.\turl: 1 011~nCi~, j'" T:-,pc: r)i f\:-::;.:i'"~
1 EJ.:~ \I.J.I:l 'filCh \~r ......,\~~l~I.;C 5:-:~""\:::- l": 3 ~ - i -R.,JU'.;:t.lC1.~
I DI;Jhl.l/.1sh~:"" / j W':J.'~r ~e::\::" ,
, ,..'\~{;J" Or:l.Ir: I \\'"J('::- .s..;f.:rt-:::-
\ L~'''1.r.;r-/ f P.~1ti1;"Cl1:7i )lr.~ 1 /! :jG~nC p:r.~ ('"V:.:.:i:-:rn; >/ JC~1t~ I
I L.:l.Un~r:i T~:.,1 (I ur: ":0r~a:::.1r:;;":i::~I~ 1111;, ; ~,:-'.v~g,: E.it":;:ur
I Snowe~ 5,::./1 1 Bac:krlaw,i..sembly
I S'nks I Sackrlow Assembly Test
I 8,u Sink I la....n Sorinkle~
I WaterCloset\T",lctl I Otl1~
-.----
1.1U:":., C:(~i
.1.
__....l;l-
(
-:-.a......_
I
!
i
r-
\"
_-1:
--
-.-
.-...-
-
fEZ SC n.E:,O I.; u:
(.:ct,l.:;:.;-:..::i. COr:'1l":;c::-:::::ll Jc. ~,fr.:lti.f:r.-:jl:' t% Gtjob' C:Jsr 'Nitb, ~ S:i9.S0 rninimum
R-=sidc:\u:l.l. New One ok TWlJ~?'wtly $99.':0
R.:s:ce.-:t:<tL ,""....!c.:.:cns.I:. "'\";::::'r':iJi~J S:9.;C
~:;;:::m~tc:"':' C\)j~ S
Sl;ikH:t; P~~~t;'
PLtiMBLNG PERMIT FEE 5 O>u /:)
STATESURCHA.RGE S 50 '1..c/"I/()u.
(0..." r:.. 0.',) TOTAL PER.'rm FEE :s ~G ;(~
m',::::.,~:~., Y.., Eo''''., ,.~':=... ^"ro.~. ; ~~ ~ IU 1~:r" ,. ;:B
:-lIi'lur RU<lI.:J: (ur:all in:pCi:tIQn.: CJ:::) .u7...')~=~~~_~~~:?~S J.
_.
IN I OJ~I'1 I Ei,Jnldl,311t!('
'32: :t>'t [002:-0[-lnI
80/80'd
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS It.LlL(8_ TiM8iR.. c.1UYT T>ai~E
NATURE OF WORK ~ ~(.A
USE OF BUILDING ~A:."
PERMIT NO. ~ -1(00 DATE ISSUED JflIJJ.iD~
CONTRACTOR-Pu.LTe" H1S~1S PHONE"1..nl"~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING (-1.1."',, I
I FOUNDATION (Prior to Backfill) ~4,^ 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
tf(t,;'I,
V// _
y //}/./
1/-(()-t.0
II r J). - d3
/lVJP
JI1/V7
f{-IO-dJ
fI- l U h
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding) I <..~ e e #~,.;~
BUILDING 'Vt~ 11.-\1,1 g.,.J1. .4#
ELECTRICAL
PLUMBING
HEATING
DO NOT
h~
~~y
!///v
j/Vy./
OCCUpy UNTIL ABOVE HAS
NOTICE
BEEN
1),,- / (~ 07..,
J)..- M-t13
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
. ~ ~".-
QIerfifirate of (ID:cmpan:cy
CITY OF PRIOR LAKE
~tparfmtnf nf 'liuilMng c31nsptdinn
~inal Permitted 0 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. 03- / /00
NJ toning District PUD
Occupancy Type
R3rype Construction VN Fire Zone
Legal Description
L37, B3, TIMBER CREST PARK '
Owner of Building
Site Address
16448 TIMBER CREST DRIVE SE
PKWY., SUITE 140, EAGAN
Conteactor's Name &'Addre" PUL TE HOMES ,/11 15 NORTHWEST
ROBERT D. HUTCHINs/~e'l
d _ City Planner_
~" . BUildiW.5!f;J9ial
'/: 23/0'7 Dateo
/
DON RYE
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/b ~9"P
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,..B1'INAL
o SITE INSPECTION
COMMENTS:
~
/ _/
( /:-76..l e
'-..
ZZ~TIME
~~v-- Ce5 -/ &
SCHEDULED
CONTR.
PERMIT NO.
c:P.s-//aG
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
----- ~
./"i / ....... ')
/?~~
-~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FVEINSPECTlON BEFORE COVERING
Inspector: ./10 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
,"""",
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/~tfll'?' 1'11NT&+- r;~-r
'.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
. MECH FINAL
COMMENTS:
DATE TIME
IL-If(-cr;5
s-!/{)()
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ -F. 0'11.1 "",,,./., e;t~1
:;- drl.. - cI~v-eMt?~
01- r~.. 'J 0.-
,
Catllk a~[L ~.-,,~~ '........h aV"l
e.Kk~/::;"'"
r--r-:c....P v",f,'J
. .
1?-I-oe-{
,
o WORK SATISFACTORY. PROCEED
g:ceRRECT 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!
DA. TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
f2-g~~
ADDRESS
I r; qt; 'r
1/.,., L...,___~~-r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
?-!/O()
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 EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
(I ') V' ,"", v1A.1l1.K..
V
r1?IF;.....{}5
I WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~R~ ~OR REINSPECTION BEFORE COVERING
Inspector: II V JI...... Owner/Contr:
CALL 447-9850 FOR THE NFXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
''''''''''
--'''''.
.
BVftNt!J.~.LL'E.
Heating & Air Conditioning, L.L.c.
12481 Rhode Island Ave S, Savage, MN 55378.952-894-0005
Ors1al Test Report for JobI J1 6'77&
Address IlD4c.U'F.,!(, Cl' .,-,A., ( Cit\l r. . i(,
Occupant
Date of Install Ii lIP h '
, "
Type of HT. F/A y'" HW SpaceHT UnitHT
OIller
Make
Model
Serial
Input
,
L..
,.:
(.- ~- (~!jh,v ~- J.-/ v
-C'lf: '-(_I
(., l,.; . (('0
-'
Pilot Type HOT SURFACE IGNITOR
Pressure ..., ~-" CO2 1., t: jlu
.:>'~
Input CFH [Dt., 02 Iii. '1 "I..
Slack Temp 0/1~ CO l\~~
Date Tested
Company
Technician
lilll\:lk?:;
I .
BURNSVILLE HEATING & AIR CONDITIONING
-:5c1 <J:51 \