HomeMy WebLinkAboutBuilding Permit 03-210
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/- J-a-D3
L White File I PERMIT NO
2. p;" G.y . JI. 7-02 '0
3. Yellow Applicant ~ II
~~~~~rintmds~tOO-i
I 1,-:>19 - fR-'(5~-I$.
LEGAL DESCRIPTION (office use only)
PID
LOT
BLOCK 3 ADDITION
I OWNER
(Name)
(Address)
f:;~::/J:;;u/7:
ZONING (office use)
~31.5 -(j54-
t#Itl-(4 (k
~ 1t/I-056i
5:: (I
(phone)
.MM
BUILDER --- i-\
(Name) J~ M(')iAl? lXl~ Dmlld-
(Contact Name) -=--l """^ f../\c-lA r } J(L
(Address) I;'
(Phone)
(Phone)
TYPE OF WORK
ODed<
OPorch
ORe-Roofing
OLower Level Finish
o Fireplace
OAddition
DAlteration
o Misc.
PROJECfCOST/VALUE (exc1udinglmd) S
o
. n n this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
OUtility Connection
authorized agent for the
submitted plans. I a
enter upon the p rty to
x
,/151
Contractor's License No.
Park Support Fee
SAC
Water Meter I'"
,
Pressure Reducer
- City SAC and WAC
,(00.00 Water Tower Fee
.(!)tJ Builder's Deposit
~6. sa Other
'a,DO TOTAL DUE
#
#
Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
#
#
This Application Becomes Your Building Permit When Approved
,
':f~
~
61/ ~ '3
. Date
Building Official
I /:plo~
, Date
$
$
$
$
$
$
$
$
$
.00
/ZOOdJO
700.00
.00
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. . ~ C"
/f.." <-L -T~P .9/.3/:'3 4...0 /1'( ;'r'-~'~)'
Planning Director Date SpeCial Conditi s, if any
24 hour noUce ror all inspections (952) 447-9850. tax (952) 447-4245
. .....'"'*".ek Avenue Prior Lake, MN 55372
---
-
~1
White - Building
CanaN - Enaineering
Cl'ink - PlannlnlL>
Th,C't'nlt'roflh.. l.ak..Country
I,
:'"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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i
A~-: /,,-
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity Wh.. iC... h is p. rop. osed at~:... '
/C-/'\/.'I 1Z - ui,-<? 1 ~ / .' ,., - -I
/.:?CAP I . "x/ Ilu//~ O/e-'-~
, I '
./ <,,,/ t <'
Accepted
Accepted With Corrections /
Denied
Reviewed By: ~ ?J.L~:Ot.. Date: 2/3h 3
Comments: ~.(J. ~ (l~ ~dt:t- ~ ~
~~~~.
"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."
~~
Th~ Clfnlfr of Ihf-I..kr (.'ollnlry
CWhite - Building:,
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
-lerrYL II!~~
APPLICATION RECEIVED / - ~;;l... -0 '3
NAME OF APPLICANT
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/50(0 tf ~~) :Yr ~ jJ~
Accepted
Accepted With Corrections y"
Denied
Reviewed By: ::x; AA- ' ; '1~ Date: "';/...?ft 3
Comments: ~ ~ :J'~'
f?Afj aJJ ~L~ -L-:JJ -~.
"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."
.
TM (.....,.., of IIIe I..k. C08l1lry
Wh~ - BU~dlnll
(""~. rv - En In_ln~
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
-hr;
l-d~-o3
/".' I ---
/l' I, t/.U<-_... ~
The Building. Engineering, and Planning Departments have reviewed the building permit
apPIi~ion for construction activity whjch is proposed at:17
/ ~ (9(pLf .. :.pJ~ r~
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
/119-8
Date:
::2 -2/-()3
Comments: See Reverse Side for Additional Information!
DriVAWSlY MII~t Hl'lVA A Concrete Approach
See Attachments' ]) Grading Plan, 2) Erosion Contro] 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."
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Pl.... type or print and sip at bottom)
I ADDRESS
15* JEFFERS PASS
~:~~ Z~ic.nt I PERMIT NO. 3-d-/6
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
IOWNER
(Name)
(Address)
THOMAS J MAUER CO.
(Phone)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
4/24/03
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TlONS
-
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
o Mechmica1 o Radiation Cannot Encroach into
OAir Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL REA TN GLO 6000TR-OAK
APPLICANT PLEASE COMPLETE BELOW
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
Residential, Additions & Alterations ft,. I'A_ $39.50
Residential, AC Only Qu'/Ll)IN~ ,
Building Permit # 'l:FlJ.IJt
$
$
$
Residential, Heating & AfC (New Construction)
Residential, Heating Only (New Construction)
.50
BuildiD2 Official
Date
1 \\ll
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-
GRADING Prl r to Soddln
BUILDING j.., 10 -
ELECTRICAL
PLUMBING
.HEATING
~ r DO NOT OCCUpy
I -
J'
t
\9
.
PRIOR LAKE
INSPECTION RECORD
SITEADDRkss /S()~Lf 9~ p~
NATURE OF WORK IV e-W
USE OF BUILDING S ~ .{}
PERMIT NO. ()f-Oz./O DATE ISSUED
CONTRACTOR 70/11 /!t1aur.-l.y r:'IJ/lJ5f y PHON~~O :JJf 6S"7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTI~S BELOW
THE PERMIT IS BY SEPARATE DOCUMENT 12~ t../1tJ - 57d)
INSPECTOR DATE
I FOOTING I PI> s-;y
I FOUNDATION (Prior to Backfill) I I!P 5'-2'( I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DEPARTMENT OF
BUILDING AND INSPECTION
.
SEWER I WATER I SEPTIC
FRAMING wk"rrlCf,.....~
INSULATION
ELECTRICAL
PLUMBING
HEATING If re ulred)
FIREPLACE
GAS LINE AIR TEST j4.1,- l="P
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
wA I ~ ~~?/ I
.
FINALS
s- 7-C(f
s-y
J/l/Y'
~
S"-7-ca
..5'. 7- (.0
L
Vrl
'3
UNTIL ABOVE HAS BEEN SIGNED
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.
FOR ALL INSPECTIONS (952) 447-9850
ah~rfifitafr of @trnpnut}Z
CITY OF PRIOR LAKE
~rparfmrnt of ~uilMng ~nsprdion
~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. Pennit No.
03-0210
Occupancy Type
R3
Type Construction VN
Fire Zone
N/A
Zoning District
R1
Legal Description L2. B3, JEFFERS SOUTH
Owner of Building Site Address 15064 JEFFERS PASS
Name & Address TOM MAURER HOMES, 21225 HAMBURG AVE.. LAKEVILLE 55044
ROBERT D. HUTCHINS 'OC~Planner DON RYE
Building Official
Date:
Date:
'J
!;l;PUS~EA TlNG TEST RECORD
ADDRESS !)O&c.( ~ I~s') "APT._~OOR_<;ITY ~U8UR8
OCCUPANT OWNER ~~-::r. (' r>< o<d"'A:Po-_
HEAT LOSS ~ DATE HTG.INST. ~
SOLD 8Y . . INSTALLED 8Y ~
Electrical Work By . ,. C Ga. Line By ~~
TYPE OF HEAT GA _FA ~HW _STEAM _SPACE HTR. _UNIT HTR. _OTHER
"'-
MAKE OF ~RNER
Mod.1 ---
"If
Ven' Siz8 ....
KIND OF LINER - .pir--- SIZE '3 I ' NONE ~
Draft Hood Regulator
Flit.,., Size ~~:J'~ "'umbe,
o.lmney Location In.ld.~> Out.ld.
Chimney Construction -.:I:::f.l.C-.
MAKE
Mod.1
Serio I
INPUT
~:".~
~ ;(~~
Mo.. BTU oting
MAKE OF FURNACE
Mod.1
CONTROLJ'
H..i.~ lwt
~~I~~MOS~~ I1IIl
Limit ~_
Llmil S."lng i> :!:
Fan Setting
Pilot Type
Pilol Mok.
Pilol Modo!
Pilot Timin,
L.W. C., Oil
.-; . .,-If .. '"
Preuur. ~ _.2 "'"'l.
1;0,,(.
/::l-S'<#./--
Smoke 80mb
Draft
Door P,essUfe
t.~
.~
Percent CO2
Percent O~
Percent CO
Oa.. T..t.d
Com~ny Te..ing
Ha.... of.T...!,
lnp.1 CFH
Stack Tamp.
Fon.. 135
.-."
';'",,,,.~
d ."
",
----
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.,.,. Witing
~ T... Tal
~ Llghling Inol.
~~k.
v'
~
/-------
~.- ' .
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE ..
SCHEDULED
t..-~
ADDRESS
1~1.f ,~ Pos
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3~2,(()
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EXlGRADIFIWNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
~rl /ri'V~-5
/
COMMENTS:
/
~RKSATlSFACTORy.PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~;# CALL FOR REINSPECTION BEFORE COVERING
Inspector. -fJ!I.:- qJ 18'/v'7OwnerlContr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <I SAFETY!
I1tS1IOf7
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS J ~~ ::r~(fi::F6 r~
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
_0, INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE
~
TIME
O~-1-\O
o "~"'ILLlNG
o c~iNT
o FlI'EPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
(~..J.f'Jt::, - O~
,
"jiWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT RK, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
Inspector:
INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
ltalWTl
7(;13
1 50 ~'f J~C:r?-S
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
0' FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~EWER HOOKUP
PLUMBING FINAL
ECH FINAL
TIME
I: '$"
3-z10
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: 7YrP :YeA9 c..2:>
I
8~ 1 )/si-ku~tiJL- ./JtJ.;w/tj
~ o,/l.
-j~ a,t 0 -fa 10- 5[
o WORK SATISFACTO Y, PROCEED
~RRECT AC 0 PROCEED
o CORRECT FOR REINSPECTION BEFORE COVERING
Inspecter:
Owner/Centr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNS/'IOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETYI