HomeMy WebLinkAboutBldg Permit 03-0124
~~l~ hLe-
CITY OF PRIOR LAKE BUILDING PERl~lll,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
I. White File
2. Pink City
3. Yellow Applicant
PID
(Please type or print and siM at bottom)
ADDRESS
rf50
5058'
--:Tit J). rP It ~ Ht3- /7CJ>..,' L-s{:-;
LEGAL DESCRIPTION (office use only)
LOT~ BLOCK / ADDITION l'Jlnl>41 (/l[~r4/}1 nt,lY\
OWNER t') .
(Name) i'Jt:Te- Home:s
(Address) fr/~ t101l1J..luJtS-r i'KuJ'I
5,) lie- 1110.
,
7 Abkt1
(Phone) t>5/ - JIG Z - 5z.o 0
JI)I) r\ , 55 J 21
BUILDER
(Name)
(Contact Name)
(Address)
5)}n\ 6-
(fl 1/% g kPQc--}.J /..LO
(Phone)
(Phone) (p J Z - ZZ-) - lJctvS
TYPE OF WORK
~ew Construction
OLower Level Finish
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace
OAddition
OAlteration
OUtility Connection
o Misc.
PROJECTCOST/VALUE (exc1udingland) $ till. .:,~ y;a C9'.5
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
sUbmi~:~n ~s. I a.m aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~terg~?rty~~ns. 6c~ /571 JZ/$1J/f)Z-
'//' / / Signatufe' Contractor's License No. / D!te
I Permit Valuation 9~ /)OCl, IJ(} I Park Support Fee # $ I
I Permit Fee $ /'9;1.375 I SAC # $ tZ-75ao I
I Plan Check Fee $ ~o(), '10/ I Water Meter ~~l'" $ 025"0, {) e I
' ,
I State Surcharge $ ~-s: tJ (J I Pressure Reducer $ 1S; 0 () I
I Penalty $ I City SAC and WAC # $ ~O,O() I
...
I Plumbing Permit Fee $ /t.:Ja, 0 (J I Water Tower Fee # $ -;ltJO.O" I
I Mechanical Permit Fee $ 100, & d I Builder's Deposit $ I
I Sewer & Water Permit Fee $ 6"c5: So I Other $ I
I Gas Fireplace Permit Fee $ ~,4~ I TOTAL DUE ~ 3/4-. & 91
---- lif J l' J ,____ /
This Application Becomes Your Building Permit When Approved I Paid o U /(0- . Receipt No. '"f"'5 J / d
~ , I Date J-IJ:3 By ~
~p / /,;J 7~.3
Building Official r 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
~,"";r.::~ ~/.;. ~3 xk ~H""~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
o'EC /I'//lI;<.J 1-1 LlT
See \1ain Fi~e
White - Building
~ - J: "neering
(Pink - P~~ina
The ('f'ntrr of Ihe L.kr COUnll")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT !i
APPLICATION RECEIVED
1/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
50 sa W~ HErqllTs //<!AIL Sc,t',L / "
-...../
~
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
Comments:
~
-~
r--..
Date~ f/.:z 7 ~
~.. ,
~t.J
r
7;A~
"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 ?i_e
White - Building
~J "lld.I~ - r;!'9Ineenny~
Pink - PlannIng
The C,nltr of Ihe "ak< ('ounll'}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
,APPLICATION RECEIVED
I
''JI).() ,?--It:t!,~'/
I.? "...., 7\, "'~
." ....1..- I.. ,
-:,:-:..-",,,,,~ {"",/ "-',-.."._<t
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: / /./ .r;;' ,.,
U./! .'-' J' P
Ll'r:'\ c-O If'! / I }'l .;/> . i.;../1 --1 ."
:::)\,/~ 0 fI.:.:"h-, / I'.j,...t.~,../ ' c,.k-,,;.;1
Accepted
K
"-.
Accepted With Corrections
Denied
Reviewed By:
/J19-i3
,
S~~.I11c,;h {:rl( (,
Date:
1-.:{7-03
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." .
,-"~",,,,-,,_.,-~-,-,,,~~-~;,------"""~"""""'-'''''''--'-'-'----'''~--~._'-~---"_.",>_.."..._......--~~.-- ,-,-
~~iN F(L6
See Main ~i_e
c:3.2Fite - Build"iiib
Canary - t:ngmeenng
Pink - Planning
Tht' Crnlt"r or tht" Lib ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT \() ~ ~
v - .
APPLICATION RECEIVED /-' ;)- l)3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for c5;~n~tivitB{~;;:ro;;;;dT(t ,~~ ~ IMv ~7-
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
~
~
r
J7 .a-J)-r!-
~~. ~"'..J
Date:
//,.274~
I'
Comments:
Y'4
"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."
Jan 21 03 09:49a
METRO GENERAL SERVICES
763-428-2968
p. 1
~.~
~NE~
GRElN . fa-E
YEllOW . AP~lICA"T
GOLD. elT"
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
FAX ("9.)-1'17- ,/" i/~
S.w. No.
O,'~- )2- 'I
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLICANT:~ ~ ~ONE: (7b3)Ya~-~43~
~. -./
ADDRESS: ~~ ~~. NE._ DATE: ll~l/o3
~ ~T. ~;YYIN. SS"'3'b
SIGNATURE:._. . ___ c-r;"'-BLDG. PERMIT it
- ~U::;:J~
SITE ADDRESS: L.lAFE= 1-lE./Gu PID#
THE BLANKS or7S~ftlt.. S.l:.
1. Estimated length of water service
so
feet.
2. Size of water service
171
inch(es) .
3. Location of any couplings from structure
Q
feet.
4. Type of sewer pipe. ABS PVC~ Cast Iron
5. Estimated length of sewer line ~~ feet.
6.
Clean out
structure.
(if
required) I
located
N/~
at
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This application becomes your permit when approved.
BY
DATE:
========~:l.k:r=:;~;4=============================================
FEES: (lIe;.! P"e./H I 7- Sewer and water line connection permit.
__ Surcharge
AI () /- (' e- TOTAL
* Fee for either sewer or water individually 1S $20.00 plus
$ .50 surcharge.
....
*
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 permits are
. d Q "l'^
lssue . [;U~~r6~:.Ll~ '.' T'J./
AMOUNT ppJ~~'
REC' 0 BY . ~ ~- P.. . _
t::.D U4 Z003
-4245
DATE PAID
RECEIPT #
C}S' By
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. ("2) ~4/-4,t:j
An Equal Opportunity Employer
,s
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
I. Pink
2. Green
3. Yellow
Date Rec'd
~J~icant I PERMIT NO'3 -'/ I?- 'I
ZONING (office use)
(Please tyoe or urint and siltll at bottom)
ADDRESS
5058 FLUFF HEIGHTS TRAIL
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
OWNER
(Name) PULTE HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
pm
55113
(Zip Code)
3/6/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
FIREPLACE MAKE AND MODEL
HEAT N GLO SL-550TR-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39,50 minimum
$99,50 Residential, Additions & Alterations
$64,50 Residential, AC Only
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEA rING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
--..,
-~ ~a@ ~ 0 ill LE '
~ U 'j Z003 J
.-J
Buildinl! Official
Date
24 hour notice for all inspections (952) 41B~50. fax (9.c;2) .:t.:t7-4"'~~
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39,50
$39,50
$39,50
PAID wm.,
8UILDING PERMIT
Receipt No.
By
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D30G-61-dIdW
t:>0/m'd
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
L Pink File PERMIT NO 3- dl{
2, Green City . 0" I
3, Yellow Applicant
(Please type or print and sign at L~.u~)
ADDRES~050 ()\d rr ./
.':) 11 ~v\'{'-r ~ elJ h +::, - l ( Il i \
ZONING (office use)
LEGAL DESCRJ..t' nON (office use only)
LOT
BLOCK
ADDITION
PID
APPLICANT
(Name)
GUII I;:' v i'l1t:: i'i't::dli"y (; Ate, inc.
12481 Rhode Island Ave. So.
~avage, ~~/8-1122
(Contact Person) J \A;U t..
APPLICANT SIGNATURE _~~ (l, ~bY01'\
V '-....J
APPLICANT PLEASE COMPLETE BELOW
~NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL Len(\{JX G~"'rQ~ - SO FUEL AlAi,
RETURN OP~NINGS 5 INPUT 5Q 000 OUTPUT
(
HEATING OR POWER PLANT
(Phone) f61- 4S;2-5,200
5wtf- 140 I C01ttLl7 J (VIA) 55/;//
J
(Phone) q52- tq4~OOOS
&'::e~R Q\L\\t ltom~s
(Address) <b\ S NW PQ;('HNU~
(Address)
(City)
(Zip Code)
(Phone)
DATE
~};;}.~/03
FLUE SIZE
QrLS
Jt.j0, 000
TYPE OF SYSTEM
OWarrn Air Plants
o Gravity
o Mechanical Le1\ rv::J'I.
HAir Conditioning o..f 0... ;}.: t
OVent. System IOI\\..oV '1'.-.-
~ \ 0(\
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
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % 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 & A/C (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ 5,5 DO I (:) 0 Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
qq.SO
Building Official
Date
$
$ .50
$-4DO \ no
- ~ (1/J1l4 )
Paid Ptt eyv -
Date 3 ~ A tj-/J?J
Receipt No.
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Bf}
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS S'S8 ~UlEF He;r.m tTAA,i. S:E.
NATURE OF WORK ~ tUN S"'~/'~
USE OF BUILDING ~ ;.-: A · _
PERMIT NO. OJ- cuz,4- DAT~.I~~UED ~
CONTRACTOR 'fiikt'rE tllwMes ~ F m.uw, PHONE-':da -22' - 'fIlS
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT oksr!.~~~ ~
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING
FOUNDATION (Prior to Backfill) 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
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~
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nr
4~/1J
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?of -{ 0
L-l-lD
GRADING (Prior to Sodding)
BUILDING lf~wI' l/IIt h I ~-/
ELECTRICAL
PLUMBING
HEATING
DO NOT
Yl
VVtP
,;vv?
OCCUpy UNTIL ABOVE HAS
NOTICE
S~)'4r-~
,J-1/f-D-~
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
Qlrrfifirafr of Ql}rrnpanru
CITY OF PRIOR LAKE~' <>
~tpartmtnt nf ~uil~ing c1f nsptttinn
dfPinal Permitted D Copditional 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 e'onstruction
VN
Fire Zone
Bldg, Permit No. 03-0124
N / A _ Zoning District _ Pun
Use Classification
SINGLE FAJ.'1I1Y
Legal Description
ns, Rl, TIMBER CREST ADDITION
j
-l Site Address
5058 BLUFF HEIGHTS TRAIL SE
Owner of Building
Contractor's Name & Address PUL TE HOMES}. 8 I?' NORTHWEST PK\,Ty., SUITE 140, EAGAN 55121
_ ROBERT D. HUTCHINS /Ji{!! City Planner DON RYE
Building Official V
Date:
Date:
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED t-(p-t/),
ADDRESS ..s()~ 1s f'>1ufi: I-f1-.s Tr-/
OWNER CONTR.
PHONE NO. PERMIT NO. 1-1 )..L{
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
)l"FINAL 0 PLUMBING FI~~
o SITE INSPECTION ilI'-MECH FINAL V
COMMEt)lTS: _ I
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AJr1 flJIt:> ~ po.; f. cL- &~ U;v+1.ntt:.~r.,
c'ede ,
o EXIGRADIFILLlNG
o COMPLAINT
/J2 FIREPLACE RI
~ FIREPLACE FINAL
o GASLINE AIR TST
o
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1 ~1Nt f? 1//1 I-i I r?- (-cJs
Or S 4 t iI\-/, ~/.I'io d
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
jiI CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: W & ~{g . c.J"'!7 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Il'iSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~-); :;
ADDRESS
~On ~I rJ/r I!1-J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3-{2<./
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o ~R HOOKUP
,...Q"'PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Yof I/11dlA
,OlJ{..Ga.,I/ .?
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1M s- ;"1-~ner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INS/Ion
'_..,
" \::: ~. I, ,.,
BVftN~~.LLE
Heating & Air Conditioning, L.L.c.
12481 Rhode ls1and Ave S, Savage, MN 55378 · 952-894-0005
Orstat Test Report for Jobl 503'
Address 50Sg b..u(\ ~~\~\\\s
Occupant
Date of Inslall L/ <.':7 - 0 3
Type of HT. F/A '\ HW
Other
\(? l... Ci\t +>k'lD~ l f\ f.t.
'.i)
;,,,
"
Space HT
Unit HT
I, . '\
Make h.. L ..) I'-' 0 '
/' \1 /\ ""'\ !
Model ''\ if 10 l,)( d - D \P
Serial 5 go <.Y3 0 07..0 -Z;z..
Input :.--Jj ,(k~D 6\0 t.i;
Pilot Type
Pressure
Input CFH
Stack Temp
HOT SURFACE IGNITOR
3, '5 \ V'J C C02 ((,J, 3
:5D 02 6,~
~<~ CO J?5
Date Tested S 2 \ ' 03
Company BURNSVILLE HEATING & AIR CONDITIONING
Technician ~D