HomeMy WebLinkAboutBuilding Permit 03-1230
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~..pj-'3
rii<M:IT NO. OJ -1Z30
M. Pil LWhi~
2_ Pink
~ e"v'"0W
File
City
Applicant
_I!'lease !'!P<:. or Print and sil!ll at bottom)
ADDRESS
/(, Lfotz
~
I/AARFJ2.
C~s-r Y"Jp II/E
LEGAL DESCRIPTION (office ose only)
LOT3~LOCK 3 ADDITION 7I~ ('.'iCE...;" ~
OWNER
(Name)
PUL".-rE.f.../:nN. p.s
f',/5 .^./~A{f5~r
P/r:.Wy . c>orrE l'f/'>
.
(Address)
BUILDER ~II J. r-
(Name) ~
(Contact Name) (", ~1i'T AI A-<r ~
(Address)
Date Re.
ZONING (office use)
fJ/)...D
PID~S"- tlO.;l- 09 fI- d
(Phone)
(Phone) ~-ZZl- 4"J~
(Phone) c:'61-Lfn-~
.E.4-Gu41\1, ;\~ A I
TYPE OF WORK
~ew Construction
OLower Level Finish
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Misc.
o Fireplace OAddition OAlteration OUtility Connection
PROJECTCOST/VALUE (exc1udingland) $ CJO; Dt:t.~
I hereby certify that I have furnished information on this application which is to the best of my knowledge tIUe and correct. I also certify that I am the owner or
authorized agent for the above~mentioned 1".....y.....J and that all construction will conform to all existing state and loca11aws and will proceed in accordance with
submitted plans. I am awa:r=:~~l~:~~Oke this permit for just cause. Furthermore, I hereby agree that the city offi~'yr a designee may
;ter2:;;p~ 'BC-/37J ~;k
/' /' - ". Signature Conttactor's License No. / rrate
I Permit Valuation CjO. 600.- I Park Support Fee
I Permit Fee $ 'ip.3,tS I SAC
7"">
I Plan Check Fee I $ /" 0{) J 111./ I I Water Meter Si~;I";
I State Surcharge 1$ t.J5.-- I Pressure Reducer
I Penalty $ I City SAC and WAC
I Plumbing Permit Fee $ I()O. - I Water Tower Fee
I Mechanical Permit Fee $ lOt). - I Builder's Deposit
I Sewer & Water Permit Fee I: . 35:50 lather
I Gas Fireplace Permit Fee 40,' I TOTAL DUE
This Application Becomes Your Building Permit When Approved I Paid ftjAl'l c; "7
~ .. ~Jh IDate lj./!-i:J_?
7.t.d?1--
Building Official ' Date
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$
$
$
$
$
$
$
$
$logl'l,,,q
#:Shoro
7.b~: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
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~~ 71~6J1-'
Planning Director
/~4ff ~.
Date Special Condit(6ns, if any
24 bour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
'-.
. 1
11M (0.._ of ..... ...... c.......,
Main File
White .~
(. t:Jan.~.. na7
Pink . Plennlng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
.Y~( ~)
)(-/(./-3
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
., 'I. . /" /]
1& '/9~ '--0!vl'k;(J.J;i-u (UL.(J j- j~
Accepted
Denied
.x
Accepted With Corrections
Reviewed By:
/f)t)1
Date:
9-;2-03
Comments: See Reverse Side fOr Additional Information!
~ee Attachment'!. 1) Grading Pllln. 2) RroRion ('nntrol MP.llRlITP"
"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."
Main File
White - Building
Canary . Enqineering
~ u,n\c - Plannlng--::>
./
Thlf C,nlnof lhfI,.kf<"ounlry
"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
. A.I ,( )
.:J-.~A '/:::hnJ1...e..a../
R-/tl-3
.
The Building, Engineering, and Planning Departments have reviewed the building permit,
application for construction activity which is proposed at: ' .-
/ (, '/9;) ,,,=--/;%--/t; ~ ,I!U.-<J j j C!/L.../
,.
Accepted Accepted With Corrections ,..-/
"
,-
Denied I-
Reviewed By: ~ ?~t-J Date: 9/~~;r
Comments: ;(~ /1..U ~~
,
:..1<_
.....
"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."
Main File
~e - Buildinv
"t:aii1i!'Y"'crlgineering
Pink - Planning
Thr('rnlnoflhrL.h(.'ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CH~CKLlST
NAME OF APPLICANT
jJ~~
)(-Il/-3
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
It, L/9;) ~ ~~j~
Accepted
Accepted With Corrections V'
Denied
Reviewed By:
~
~
....
'::f~
---h ~ ou:ID.
Date:
9 ~~:1
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."
S@p 03 03 03:05p
l.
2.
3.
4.
~. 5.
6.
'-
ME~RO GENERAL SERVICES
763-428-2968
p.2
OIl!!. .. 'R.!
Y!LlOW . A"'UC~Mr
GOLD - CIT1
FJo1.
CITY OF PRIOR LAKE
SEWER'AND WATER PERMIT
Q5).- If'! 7-' f/'}.. tf-6"
S.W. No. ~ -I d.-30
NOTE:
Sewer and Water
contractors must
be registered
with the city.
SEP 0 3 2003
APPLICANT:~ETWo ~EtJgAL Sir~PHONE'7h.3-4~-a.fif'.3Er
ADDRESS: ~lAfq, AVtE. _ lUJED, ATE: S~p 0 3 WO:i
SIGNATURE:~ ';A p~ ST. m'cH"'.kl.~1Jpr~~76#
SITE ADDRESS: /bLf9~-~I(lN.if~
FILL IN THE BLANKS
Estimated length of water service ~"
feet.
Size of water service I'I
inch(es) .
Location of any couplings from structure (j
Type of sewer pipe. ABS PVC~ Cast Iron
feet.
Estimated length of sewer line~
feet.
Clean out
structure.
(if
feet
from
required), located at
NJA
==================================================================
This application becomes your permit when approved.
BlI
DATE:
========f7~7Te:r=~~;{=============================================
FEES: /1/<& p,t"...f- Sewer and water line connection permit.
Surcharge
No ree. TOTAL
...s'.1--
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
rec~rw1.u~~~~~~~~ permit card at the time of ~ssuance
~o ~n ~~ ~~ ~l~ ~cate sewer and water perm~ts are
~ssue . ,~
DATE PAID )1] SEP 1 8 Z003 ' AMOUNT PAID BUrPA10 INrrH
/:tJ LUING PE;PV,r
RECEIPT # REC'O BY 1/1 .,
~ J -==:: ~J
16200 Eagle Creek Av. S.B., Prior Lake, Minnesota 55372/ Ph. ('fS"2) 447-4230/ FAX (1t!<"2) 447-4245
An Equal Opportunity Employer
Sep 18 03 07:45a
1-
2.
3 .
4.
~.. 5.
6.
'-
METRO GENERAL SERVICES
763-428-2968
p.2
GRIfI.. fill
YULDW & ~"'L1C."T
GOLD. CITY
PI'/.
CITY OF PRIOR LAKE
SEWER'AND WATER PERMIT
QS).-1('I7- '/-;,.I{r
s.w. No. 3 - 1;)..3:)
NOTE:
Sewer and Water
contractors must
be registered
with the city.
SEP 0 3 2003
APPLICANT :~iii'"1'If" ~E: IJItR..AL S1rIlV::mc.PHoNE~ -4;a' - a.'l' ~tr
ADDRESS:~" ~ AVE. lJED,ATE: $EP 03 WD3
'-f' i.i::;:J,;,P: '!iT. rn I CN ~ c L,-,...,." 5"5' ~.,,, '
SIGNATURE: ~~~ BLDG. PERMI1' #
SITE ADDRESS: /ht...f9~-~('A.PAf~
FILL IN THE BLANKS
Estimated length of water service_ ~~
feet.
Size of water service I"
inch(es) .
Location of any couplings from structure () feet.
Type of sewer pipe. ABS____ PVC~ Cast Iron
Estimated length of sewer line
5tol
feet.
Clean out
structure.
(if
from
required), located at
NJA
feet
~===~===~==============================~===~===~==================
This application becomes your permit when approved.
BY
DATE:
============r=====================================================
P,,-,Iled w.'I-'1,
FEES: /1/e& P'!-Il-I' 7- Sewer and water line connection permit.
surcharge
No ~ee TOTAL
~ -".,..---
~,
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
Sewer and ~~j:>,enrri';'''l-'';'''''iued for new construction must be
recorded (iJ t!h~btj,iiJclI}~ '~ rmit card at the time &:~uance
to insure tffat no dupllC: t,', e sewer and water 'Y8I()),:::-!" /It;)are
issued. Jl SEP 2 3 2003 i I ~1\tG 'l7'/t
DATE PAID ~ AMOUNT PAID ~~f:i"",.,.
RECEIPT # By________ REC'O BY Cr
"
16200 Eagle Creek Av. S.B., Prior Lake, Minnesota 55372/ Ph. (?,.2) 447-4230 I FAX (rr!i"2) 447-4245
An Equal Opportunity Employer
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STATE SURCHARGE S .t., , C, 0 8 200'3 .I!J"'~/~}
TOTAl. PElt.)[IT fiE S r'"
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'.'JtL.O/N
. G PERMIT
0...
I ~.:zld
I Date
fOrn~1' c.:.., 01't1~)
r.~i, ^pplic,,;on S~~.m"" Your Suildie: Pc,"",,!: Wilen Approved
a..ildiac Ollid:d
:. h'll,Il" llud~c (U~ 10111 in.spd'c:ddtlS \'::) .....7...')~:iJ. (:I.t (~::S:') +-I":',"':.1j
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l>I1Vtl1l.d
JNIOJ~Nlawnld^3ll~h
~S:6111 EI1II1I~-BI1I-1JO
12- 5-03; 3:16PM;
;902 894 0925
# 1/ 4
.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
I,Pillk
1,0....
1,Ydl_
~~ r PERMIT NO. 'I -I....,~...........I
ApPUClftt C: ~
I ZONING (0_ "sel I
',;!
'-',
,".
I
~1ease t-(pe or Print and siED at bDttom)
I ADD/~~SLi a '7
if -( 1;,\ 1/ IYI btr [rest-
{Jr,
LEGAL DESCRIPTION (ollice us. only)
LOT BLOCK
ADDITION
PID
. ~=R P\A.l.\f. \-\rriVU S
(Address) 1;\ S Af lr0 P [WL-{. J 5 LU if I L( 0 I
f:MiM7
1/ (
(phone) liS (-L{C}) -5',,200
tv) f\J '55 / :J. (
'~"I
APPLICANT
(Name'
(Phone)
I,
FLUE SIZE
~ u, II \' &A'" ""
",:-",,"",~t,..e 68lflg .\...,....
12481 Rhode Island Ave. So.
';"'''l:I''':u!fuf5:r.''B 1".::: (City) (Zip Code)
(Contact Person) ~ IJ-..~....\. <-c. (Phone) crs;)-. ~9L/ -CXY.J 5
APPLICANT SIGNATURE h~Q V-.. KovfL,i::J~ DATE \ 2'151 0 ~
'""J ',,)
. APPLICANT PLEASE COMPLETE BELOW
,
~NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS f '
FURNACE MAKE AND MODEL LfMIOA" G5/ m f-;)<.ff-?- 0,0 FUEL Net . q'Cl5
RETIJRNOPENINGS 5 INPUT 70.000 OUTPUT t"c{, LfOO
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants 0 Steam
DOravill' D Hot Water
D Mechanical D Radiation
DAir Conditioning D Special Devices
DVent. System 0 Other Devices
(Address)
,:::,;
I
I
'1lI
'II
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yatd
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi~Fami1y 1 % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential. Heating & NC (New Construction) $99.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $6450 Residential, AC Only
,/ 0'-"
Estimated Cost $ L-j I DDD . Building Permit #
$39.50
$39.50
$39.50
i<!;.;j.
il
"",<'
"':'~
r4
Building Official
$ N J 4 - rd 'au., 'v)w.IcL..v,
t' .50-J
S ?ld9-W'TH
~~~IN9 DC:R\\tT
rrt]rlfl ,~ ? I Ii! Iri'! n Receipt No.
, U 1./ ~ Iii
lipaR:.- II' By //,/
Date j III Ute 8 2003 I Jr, I III
24 hour nollce for alllmpoclions (952) 447 ,~~o, fa. (952) 447-4245 ,--,' - U
16200 Eagle Croek Avenue, Prior Ell"e. MN 55372 ~'___
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
j
(om.. URe Only)
This Application Becomes Ynur Building Permit When Approved
_ _,,,,,,.:!,..,,,,,,.,...>.._..__~~,,,,,,,,,,,,,,,,_.___ .. __ _"""""'=_="""=="""~"'-'"-""'t""'="-~c'<!'=~~
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
2. Green
3, Yellow
~::y I PERMIT NOa:J IZ'3l)
Apphcant ..
(Please ~ or 1Jl'int and sim at bottom)
ADDRESS
ZONING (office use)
16492 TIMBERCREST DRIVE
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name PULTE HOMES
(Phone)
(Address)
APPLICANT
(Name) AT.UfoPT'RJi',srDF. DB.A pn~F,"Tnp. HP,ARTH&HOMF
2700 NORTH F AIRVIEW AVENUE
(Address)
(Phone)
ROSEVILLF
(City)
I\Sl_I\~~_?Sl\l
(Address)
55113_
(Zip Code)
(Contact Person)
RRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
12/18/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
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
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N SL-550TR-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64,50 Residential, AC Only
$39.50
$39.50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAID WITH
BUILDING PERMIT
<fl
(Office Use Only) 'i~l\ ! ,~- -I~~ - - \~ i-
This Application Becomes Your Building permitnWatehen Approved Ui ~;-' :~ : ~ 2~O~!",,: (}R:ceiPt No.
Buildine: Official ~---../
24 hour notiee for all inspections (952) 44 ~~n fay (9~~2) ~47_-47~5.__1
PRIOR LAKE
INSPECTION RECORD
'7: tJ) ~
.
DEPARTMENT OF Main File
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. -1)3- DATE ISSUED
CONTRACTOR ~ e.- PHOr4i;l~. ~/- M9'fr
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
Jt.~
A/~W
INSPECTOR
DATE
fIIA// I q~2q-03
. .
I FOUNDATION (Prior to Backfill) I j/I/V/ / ~ I l,j-II) -~ / I t1-~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - IN.S _
fI /y/ ~
t/I/f/
/,/l/Y/
I FOOTING
SEWER / WATER / SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
Q'2q-o'5
/-/6'-or
/ _ 2C)-o'-1
v'Vr'" ""'-
t/U-
/0-)..'1 -en..
1-6-t:JY
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
;f[8 IO.~.o-l-
GRADING (Prior to Sodding)
BUILDING '1=(..,.I OlIN
ELECTRICAL
PLUMBING
HEATING
DO NOT
<f -f -die I
~
. .
/C'./..22~~
-
f11./1/ _
j/ld
OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
2-1'i'-rJi {
J. - 1&1-oiJ
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
or~rtifirat~ of Ql}rmpanqz
CITY OF PRIOR LAKE
~epztdmeuf of ~uilMug Jluspediou
~ Final 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 FAMILY
Bldg. Permit No.
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
PUll
Legal Description
L32, B3, TIMBER CREST PARK
Owner of Builr"~,:,
Site Address
16492 TIMBER CREST DRIVE SE
ROBERT D. HUTCHINS
/foJ/7cial
HOMES, 81~ NORTHWEST
~
City Planner
PKWY., SUITE 140, EAGAN
DON RYE
55121
Contractor's Name & Address PUL TE
Date:
Date:
"";::;~'':-'''''''.,. "c. .t_~ .. L: ~-;.... ..._;':,,':.~."; """,<w_o, ".-..i ....., ",~, ''', ",'..i.._r~~,-,':o.: ~:"'-~ ',-,. -,1.,".
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DATE nIlE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
I()'~
PHONE NO.
/~'17~ T:lYlbtrCf(sf- Dr.
CONTR. Uk HflynLJ
PERMIT NO. -'!;3 -/2-30
ADDRESS
OWNER
[] FOOTING
[] FOUNDATION
[] FRAMING
[] INSULATION
c:Ii( FINAL
[] SITE INSPECTION
[] PLUMBING RI
[] MECH RJ
[] WATER HOOKUP
[] SEWER HOOKUP
[] PLUMBING FINAL
[] MECH ANAL
~ILLING
'[] cOMPLAiNT
[] FIREPLACE Rl
[] FIREPLACE FINAL
[] GAS LINE AIR TST
[]
COMMENTS:
b/2:",.I^- /91(
01/6 &>m- ($:)'-.-
Sd-"/
,Ix! WORK SATISFACTORY, PROCEED
. ~ORRECT ACTION AND PROCEED
[] CORRECT WORK, CALL FOR RElNSPECTION BEFORE COVERING
Inspector:~ Owner/Cpntr.
CALL 447.9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"""'"'
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
IGLfq1- 0htk..vr,..,J; 7
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING Rl
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
1# PLUMBING FINAL
o MECH FINAL
COMMENTS:
@ (-c fM.fI.-(
rtXJf?<<J7
DATE TIllE
2--/.f--otl
j
"5 -/.1-3/\
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o WORK SATISFACTORY, PROCEED
If CORRECT ACTION AND PROCEED
o CORRECT ~R~~ FOR REINSPECTION BEFORE COVERING
Inspector. f V /- OWner/Contr.
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
uaNtm