HomeMy WebLinkAboutBuilding Permit 03-0115
~EE f1/lJ\j N 'R tE
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
)- a ~ '3
I. White File I PERMIT NO? C
; ~;;'~w ~;';'k'", ' 0.) - 0 II :J
(Please ..!VP~ or print and si~ at bottom)
ADDRESS ZONING (offic,u,,)
TbO 1(052-5 TtM..8~ c.R.bs
T::Lt'r} G s: f:
LEGAL DESCRIPTION (office use only)
LOT / BLOCK Z ADDITION ItJif)
'/7m/3t;1 Cngr ~JJmt?-1 PID
OWNER ;? , J
(Name) J 1/J.fJ1 HnnJ.Gc. tfr
(Address) ,f/S /U;,erH'Ulrsr
/lJ 17
fj( Wj /
(Phone)
65/ - ~5?-~ _s-~-Oc)
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BUILDER _
(Name) ~j;;.
(Contact Name) Y/l7r IYft9:'~a...,
(Address)
(Phone)
(Phone) ~/Z -ZZ/ - f"y,y-s;-
TYPE OF WORK
JRINew Construction
DLower Level Finish
DDeck
DPorch
ORe-Roofing
ORe-Siding
o Fireplace
DAddition
DAlteration
DUtility Connection
o Misc.
PROJECTCOST/VALUE (excluding land) S ~-f'. ?~V"
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
;terupo: /dtoP%~s .cc _ /37/ /zh~z-
f' '~ignature Contractor's License No. / AJate
I Permit Valuation .f /"5aotJ.0 0 I I Park Support Fee # $ --
I Permit Fee $ , WI!. 75: I I SAC # $ /2-75,0 fJ
I Plan Check Fee $ i.€fe>. {,,9 I I Water Meter Size 5/8"; 1"; $
I State Surcharge $ 32..5'0 I I Pressure Reducer $ -
I Penalty $ I I City SAC and WAC # $ 1200,oCJ
I Plumbing Permit Fee $ /OOd) 0 I Water Tower Fee # $ 700.00
I Mechanical Permit Fee I $ jOt),OO I Builder's Deposit $
I Sewer & Water Permit Fee I: I Other $
I Gas Fireplace Permit Fee ....4b.U(J I TOTAL DUE $4 t~ .'14-
,
~
This Application Becomes Your Building Permit When Approved I Paid ~;; tJ7._ q~ ReceiptA%, 4'<: "'7h
~ ~ / 1~;1/'H l Date /-'''N ~l!7 Bv 4-
U
Building Official Date
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
issued. -
~~~
Planning Director
/j.;1d/d3 ~ ~ 7/"
Date Special Cohditions. if any
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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See Main File
,- White - BuildiM9:::>
Canary - ~ng,"ee,'ing
Pink . Planning
TIl~ Cfnlfr of lhf L.kf Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
\(J ~L.. ~u:J
APPLICATION RECEIVED
/- J,-:5
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: CJpI- I -- ~r
l/n3ZS lTM.Ben C/lc:~( 'J)Jtf(E Sob- j;f L;) lAm .
t!br.bC-# Y
Accepted With Corrections ~
Accepted
Denied
Reviewed By:
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.
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777~
Date:
//..:2.;)/d_'"
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Comments:
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"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
~;11l. _RJ'~'
~anary - Eng
"" 'i' -_
Th~ ("tnln"f Ihr I..kr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
,~
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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: !...:Jr7'-
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Accepted
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Accepted With Corrections
Denied
Reviewed By:
IYJ4 B
Date:
/ -:?5-o3
Comments: S-r:c. /J1er,'" f,~
"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," .
o EC: PlAtA] AU:::1-
~~
White - Building
Canary - EpQineering
r-'1"ink - Planning..:J
Th~ {fnltr of lht L.kt (:ountry
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: -r- /
Ib32S T/~tierG~5 r ,7JI2/d'e ,f-b. ~./
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Accepted
Accepted With Corrections ~
/ (t1 II
Denied
,.
Reviewed By:
r
~ =I..R.Jt-J
~ <' '-h"71'1.
~
Date: Y..;J~~
;2~_
Comments:
\'a~-:-Ilf~"'"
"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."
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PLl.il',!3GG PERMIT FEE
SV,n: SURCi-L-\.'<.GE
TOTA"L PER-,Irr FEE
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
; ::;;~" ~::y I PERMIT NO. ~-;) __ 1/ r-I
3. Yellow Applicant 0 I, J I
(Please me or print and SiKD at bottom)
ADDRESS
ZONING (office use)
16325 TIMBER CREST DRIVE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
PULTE HOMES
(Phone)
(Address)
APPLICANT
(Name) ATTJED FIREsmE DRA FIREsmE HEARTH & HOME
(Phone)
/\51-/\33-25/\ I
(Address)
2700 NORTHFAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
,5113_
(Zip Code)
(Contact Person)
RRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
4/10/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
OOravity
o Mechanical
DAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEA TN GLO SL-550TR-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
$39.50
$39.50
~Olt.~/()
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Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
(Office Use Only)
Building Official
1~)~d(0 ~ U
~rA"pR 1 1 Z003
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This Application Becomes Your Building Permit When Approved
PRIOR LAKE
INSPECTION RECORD
,s~~ ~N FiLE
DEPARTMENT OF - ...,
BUILDING AND INSPECTION
SITEADDRESS ~ SZ.S_ Tiw\BE1l..~ ~ S.I.
NATURE OF WORK N&~ (.Ofo)~T LuCtr.~
USE OF BUILDING S.F; A..
PERMIT NO. ~ DATE ISSUED -.l1% t 10 'I
CONTRACTOR ~ ~F MW. PHONE~Z'-'I!l1Is
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FOOTING 'f/IlJ.,1\
, FOUNDATION (Prior to Backfill) V\\b\'l\ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
(N\IM""
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
J;VP
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V/lP
t/!/Y
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GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
f1I1I/
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-
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OCCUpy UNTIL ABOVE HAS
NOTICE
G -, -d3
L-(o- R
BEEN 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
(tltrfifirzdt of Ql}rrnpanq!
CITY OF PRIOR LAKE
@.epadmenf nf ~uilbing J/nspedinn
.Final Permitted [J Conditional C.O. Expires
This Certificate issued pursuant to the requirements afSection 307 afthe Un(form Building Code certifying
that at the time of issuance this structure was in compliance with the various ordinances of the City qf Prior
Lake regulating building construction or use. For thefollmving:
Use Classification
SINGLE FAMILY
Occupancy Type
R3
Type Construction
VN
Fire Zone
Bldg. Permit Nu.
N/A
_ Zoning District
03-0115
PUD
Legal Description
L1, B2, TIMBER CREST ADDITION
Owner of Building
Contractor's Name & AddressPULTE HOMES, 815
ROBERT D. HU~CHINS 1/1/
/ Build~ Official
( n ~ If,,-(J f,
Site Address
16325 TIMBER CREST DRIVE S.E.
NORTHWEST PKWY., SUITE 140, EAGAN
DON RYE
55121
City Planner
Date:
Date:
DATE nue
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
GJ~
ADDRESS
If. 'JU- lIUf~_..+-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
Y-IIS-
o FOOTING
o FOUNDATION
o FAAMING
o INSULATION
~FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRAOIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS:
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j<YWoRK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: f1.tr? & L~~ D 3 Owner/Conlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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BIJHNSV',~LE ,
Heating & Air ConditiolJing, L.L.C.' . .."
/248/ Rhode /sland Ave S;>S'ilJJg'otR1II.4;)78,' 952>1i(}4-001A?,
Orslat Test Report for Jobl
50&5
Make
Model
Serial
Input
Pilot Type
Pressure
Input CFH
SlackTemp
CRt-'57 /)/Z Ci1y ?""b(< LMt..
Space HT
UnitHT
Address 1(,,32 5 -riM. Px. rz
Occupant
Date of Inslall ,-/-/8.03
Type of HT, F/A x HW
Other
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G;1"Q;) so <,.
5e,o::,D-Z~ZSD
'20 ,Deo 6"-'-<<
HOT SURFACE IGNITOR
35 lWe... C02
50 02
'19 CO
1.05
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Date Tested (.,. (" - 0-:3
Company BURNSVILLE HEATING & AIR CONDITIONING
Technician t....- I>
/
CA TE TIME
CITY OF PRIOR l.AKE
INSPECTION NOTICE
ADDRESS
/~ 3/ ~
"-IZ~3
Tim")~'f'('ft,sf- Dr_
CONTR, P vi It rk 11ft ~
PERMIT NO. (f) ~_ J J [..
SCHEDULED
OWNER
PHONE NO.
-.~
o FOOTING
o FOUNDATION
o FRAMING
o INSUl.A TION
~n...aL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~F;~~fuRLLING
o COMPl.AINT
o FIREPl.ACE RI
o FIREPl.ACE FINAL
o GASUNE AIR TST
o
COMMENTS:
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3"WllRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
/Y'7 ,../___
Inspector: // /~ -..,_~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Dl: IU;"J,l.VU\J:;.1n!:,)f'f&:iiii!!R YOUR P
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