HomeMy WebLinkAboutBuilding Permit 03-1478
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
//).1-'f,D]
Main File
; ';i~:: ~:~ I PERMIT NO. A' '2 _ /A ...,.....
3. Yellow Applicant t,....J' I ~ ~ G/
q?1ease!We or orint and sism at bottom)
ADDRESS
~~ $W-ff HelbJtT5 1MIL
I ZON~~(officeuse)
LEGAL DESCRIPTION (olliee use only)
LOWt' BLOCK / ADDITION
'lImBBlL CAwr ~
PID25.' 4OZ. 02+,0
OWNER
(Name)
PIlJ...'IE.. )/o!'n e<;
5JS- 1Lb/WA.Vf6"i PMlIIWM.
(Phone) ~ -.f5Z-52CO
(Address)
.$lJlTE.
/1./0 .
EA6A-n..
. J'JI >1. ."5:5 J"2 I
BUILDER
(Name)
(Contact Name)
(Address)
SMYlE-
&12=r
.z z.A&:W J(n
(Phone)
(Phone)
t?/T..-2Z/-t/~S:S
TYPE OF WORK
Q( New Consttuction
DLower Level Finish
ODeck
OPorch
OAddition
ORe-Roofing
OAlteration
ORe-Siding
OUtiliry Connection
o Pireplace
o Misc.
PROJECfCOST/VALUE (exc1~dinglaod) S
~ tJ?5"
I hereby certify that I have furnished information on this application which is to the best of my knowledge ttue and correct. I also certifY that I am the owner or
authorized agent for the above-mentioned property and that all consttuction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. IJlm aware that the building official can revoke thiS permit for just cause. Furthermore, I hereby agree that the city official or a designee may
en~pJf::.~~ /
X _ _A....... Be-/371 /ok4'/"~
Signature Contractor's License No. / Da&
I Permit Valuation q{) () tJ(J. () 0 I I Park Support Fee # $
I Permit Fee $ '1J,;!,.5,?SI I SAC _____ # $
I PlanCheckFee $ IPOO. ~t{ I I WaterMeter~I"; $
I State Surcharge $ JI~, I) (J I I Pressure Reducer $
I Penalty $ I City SAC and WAC # $
I Plumbing Permit Fee $ J 00 I 0 (J I Water Tower Fee # $
I Mechanical Permit Fee $ J" IJ. 0 0 I Builder's Deposit $
I Sewer & Water Permit Fee $ '3 s: s-" I Other '/.. .. $
Gas Fireplace Permit Fee $ .t.jO,(JO ITOTALDUEt~\\[\.b' .$~/4-.,,?
I ,.., 1:~r'1l
IPaid ~~("i,(()i I Receipt No. "1-Jo:..J(
I Date ltJf) - CJ.3 By r;; \.
IZ 7 'S".(J(J
2..5"0. 00
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J'Z.OEl. 06 I
700, Oa I
ISOD,oo
. This Application Becomes Your Building Penuit When Approved
(~ciaI 41- _/na!t17
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 te,ntPQfoUY Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~gDire1.a4J:5 /a,1i~C1 /fg~ ~ondwons,' any r
24 bour notice for all inspections (952) 447.9850, fax (952) 441-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~
Main File
White . Building
~ - En9ineering
(""Pink - Plannlnlf.>
Tht' ('''ftlt'r of lht' tab Country
BUILDING PERMIT APPLICATION DEPARTMe:NT CHECKLlSI
NAME OF APPLICANT
APPLICATION RECEIVED
j/l. L rE
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4- t0h i i- 1 Ii. //- /IT: i).f-i / L-
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
~i~
e~aU
Date:
/0/3t!03
Comments:
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r
"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
/'Wh;h. - Building>
Canary - Engineering
Pink - Planning
Th~(...nft'rorlh" I.ab('ountry
BUILDING PERMIT APPLICATION Dl.:fARTMI;NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
PULTE H0J16S
/ O. z. 4- . 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
49&8 lJt-UFr tle/Grtrs TlVt'/ L-
Accepted
Accepted With Corrections ---
Denied
,
Reviewed By:
Comments:
r;i?~ 4~
-.
Jf~ an ~
Date: / CJ!:5'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."
.
.
~~
Main File
Whit.t . BulldinQ
~ ("......~-:v - En~ineerina-")
Pink . Planning
Tilt ("..n't' of tilt I.... ('O.lIlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4- 7':713 !.-' /;.:: / /C ItS/IT:... 72::-11/ t-
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
J'J1ffS
Date:
II-tl-o)
Comments: See Reverse Side for Additional Information!
Driveway Must Have A Concrete Appro"r.h
IY7CtII1 F,'f e.
See Attachment!':: 1) Gradiug Plan. 2) Erosion Control Measures
"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."
Nov OS 03 Ol:OSp
METRO GENERAL SERVICES
763-428-2968
p.2
QRUN. Fl.!
YElLOW - "'~ICAtlT
QQLD - CITT
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
'15l..- 'I'I7-'/oz-l/.$'"
s.w. No. :-\ - ( L{ '1 S'
FA'I--
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLICANT: (h 1=-1 K..{) (~ENERAi SE:/!..V~E::.FHONE: Ib3 -L{..d,>:-d,'138'
ADDRESS: 57Cl0 (.:), IJArfI Av€. NE :Ct\JCOATE:
..........-;-\. "',/\ .--.L),r ~ SI. I'Y1 Ic..H A.G L, """'"l"111!. SS 376
SIGNjl.TURE: ~_ CWO.,+(_,"" il),NBLDG. PERMIT #
SITE ADDRESS: 4-9 ~(-g~, ~ill'i~ID#
. fILL.I QHE B NKS
1. Estimated length of water service 6 ^ feet.
2. Size of water service
I"
inch(es).
3. Location of any couplings from structure
() feet.
4. Type of sewer pipe. ABS
PVC L/- i / Cas t Iron
"-
5. Estimated length of sewer line
5()
feet.
6. Clean out (if required),
structure.
located at
tVlA:-
feet
from
======:============:==============;==========:============~=~=~===
This application becomes your permit when approved.
BY
DATE:
========:===f===============================================~===~=
P u.. J /e..J. t.> . 'Ht
FEES: {] lei ~f-M,i- Sewer and water line connection permit.
Surcharge
lVa Fe.e... TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
* Sewer and water permIts issued for new construction must be
recorded on the b~ilding permit card at the time of issuance
to insureth~t uoduplicate sewer and water permits are
issued. NUV,U 6 ZOOj PAIOW/TH
DATE.:,~AID AMOUNT PAID aU'LD/N~F.RM'T
RECEI1lT# REe'D BY \.;0
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16200 EaglccCreck Av. S.E., Prior Lake, Minnesota 553721 Ph. ('15'2) 447-4230 I FAX ('fs2) 447-4245
An Eaual Oooortunitv Emolover
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PL(,j'MBCNCi PER.'I.CIT FEE S
SLATESORC~~CiE .S
TOTAL p~"ar FEE s
.50
PAID WITH '
i3UILDING PERMIT
Ta... ....pplic.~tio" s...:om... Y.~~ 8~ildi,,: PCt"lDic Wile" Approved - i~1iL' ",', r: Ii ',' , '/ &':-"::\=c No,
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;952 894 0925 # 2/ 9
CITY OF PRIOR LAKE, Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
I, Pink
".....
l.Yellow
~~~, j PERMIT NaJ_l" ~
Appbo;.ut :;J." tn,
q>>lease!Vge or Print and siJu1, ,.~ ~':'~'!!."
ADDRESS
Lf q ~ 9."A/U f? j..) --I: "
ZONING (oII"leeuse)
7Y(j~/
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LEGAL DESCRIPTION (office use only)
,j
if
,LOT
BLOCK
ADDITION
PID
OWNBR~ J. 11 .
(Name) :VI" €7r _ TTnJ17 r:'.
(Address) X It.::) :1\/ /) ) ,Oi lIt
Burnsville Heating & AlC, LLC
12481 Rhode Island Ave, SC'.
Savage, MfIK.A8I6l11l-1122
(Phone) (tJ r / - lfS2- - S2CO
My jJ;WI Fc 9u fl. /J1 /7 , 5~)/)/
(phone) ~-gCjt..( -Ooos:
if I
APPLICANT
(Name)
(Address)
I
(Contact Person)
APPLICANT SIGNATURE tQ I nt?, :BJll..L1/7t:t.Ln /}
(Ciry)
(phone) _
DATE ,~- //-0'-1
(Zip Code)
"
~
,
APPLICANT PLEASE COMPLETE BELOW
lXINEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL l ~ /J/lfJX. f-:- '5/I/;fP. 31v-B- ()J() FUEL fkJ j r: ('
FLUE SIZE RETURN OPENINGS L./ INPUT 7 () /)(j() OUTPUT (C> i. U (j)
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plants 0 Sleom '
OGravity 0 Hot Water
o Mechanical 0 Radiation
OAir Conditioning 0 Special Devices
OVent. System 0 Other Devices
I
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yord
Setbacks -
"~,;;,
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FIREPLACE MAKE AND MODEL
Industrial, Commercial &. Multi-Family
Residential, Heating &. NC (New Construction)
Residential. Heating Only (New Construction)
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
,
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
$39.50
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Estimated Cost $
Building Permit #
(Omce Use Only)
\j~5
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This Application Becomes Your Building Permit When Approved ':;~R 1 Ii ZUU4 \, \:eiPt No.
Building Official Dale I
24 hour notice for aU Inspections (952) 447-9850, fax (952) 447-424:'.._1
16200 Eaele Creek Avenue, Prior Lake, MN ssmc - .
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
x
,50
.._..._.,.~-"."..-
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~IOR LAKE
INSPECTION RECORD
SITEADDRESS ~e -aLUR=" +t~M1$_ !rlAiL
NATURE OF WORK NEw ~c2"'~
USE OF BUILDING ~F: ~
PERMIT NO. Og- ,-47~ DATE ISSUED ~
CONTRACTOR PHO'NE~ -221-~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, FOOTING i/fi ~- I Jt~;~~ I
, FOUNDATION (Prior to Backfill) I Yl1'./ / ~ 11t-2!..{),r IJ<;J6-c I
PLACE NO CONCRETE UNTIL ABOV'f: HAS BEEN s'IGNED
ROUGH - INS ~
SEWER/WATER/SEPTIC Jrf( /JolT+.> rVr'"
FRAMING . III/Y'/
INSULATION II //y /
ELECTRICAL
PLUMBING lJ,&. f/l,1O ~
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding) ,I I A/LJ It) 'z.!!. 0 <f-
BUILDING ('j~".jJ. {:.(;I. btf'H d ~
ELECTRICAL i 1/t~1
PLUMBING
HEATING
DO NOT
.
,
DEPARTMENT OF Main File
BUILDING AND INSPECTION
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OCCUpy UNTIL ABOVE HAS BEEN
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 available, card shall be placed near main entrance.
./j/~~
~('-).( ~I
SIGNED
FOR ALL INSPECTIONS (952) 447-9850
-,. ~,..J,.+:oII
(!l~rfifirat~ of ~r:tUpttnrU'
CITY OF PRIOR LAKE
~tparttuent of ~ttilMng Jfnspedion
~inal Permitted D 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:
Occupancy Type
R3
Type Construction
VN
Fire Zone
Bldg. Permit No._ () 3. /4-78
N / A _ Zoning District PUD
Use Classification
SINGLE FAMILY
Legal Description
L24, B1. TIMBER CREST PARK
Owner of Buildine:
Site Address
4988
BLUFF HEIGHTS TRAIL SE
SUITE 140. EAGAN 55121
DON RYE
Contractor's Name & Address PUL TE HOMES, ":,7.5
ROBERT D. HUTCHINS ~.
/~b.J~~ial
, .,
NORTHWEST PKWY.,
_ City Planner_
Date:
Date:
DATE
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#J'i' Lf~~ ~ 7?/
COPt'lME~TS:
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V 7/-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO,
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
Af:SULATION
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
---
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o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
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- / {J
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~RK SATISFACTORY, PROCEED
~~~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
Inspector.
Owner/Contr.
CALL ~7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSMm
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SIIFETYI
DATE TIllE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
I&-lf; '0/
ADDRESS '1?f)'i 'Bf,.If'.F fI,~h Tr (
OWNER CON"TR. ?/Jth I-It'JM(S
PHONE NO, PERMIT NO. /')3 - fill!
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
o PLUMBING FINAL
o MECH FINAL
~E"eLUNG
o CO LAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
lilt &l,
s;-'/
?<.. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
InSpector:~ OwnerlContr:
1-
CALL 447-9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY!
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DATE
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
[] FOOTING
[] FOUNDATION
[J FRAMING
[] INSULATION
[] FINAL
[] SITE INSPECTION
[] PLUMBING RI
[] MECH RI
o WATER HOOKUP
~EWER HOOKUP
~LUMBING FINAL
[] MECH FINAL
COMMENTS:
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[] EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
[] FIREPLACE FINAL
o GASLlNE AIR TST
o
~ /~
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/lI-L,,-
~RK SATISFACTORY, PROCEED
[] CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ Owner/Conlr.
CALL "'7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
INSNOT'
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI