HomeMy WebLinkAboutBuilding Permit #03-0280
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main Fi_e
I. White File
2. Pink City
3. Yellnw Applicant
(Please type or print and sign at bottom)
ADDRESS
SDZ2- ~U(FP H ~tbHrs 1'{lA1 L-
LEGAL DESCRIPTION (office use only)
LOT /5' BLOCK /
ADDITION
'l:mBrft
?U1-17~ ;/om[S tlr
6 JS- Jt!oJ1,tJllJ}/:E> r ?;(WI,IJ
I
OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
~;;-
Ct/ Ilf
~~tAScH ItD
TYPE OF WORK
Il(New Construction
o Misc.
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
D Fireplace
OAddition
DAlteration
6Ll5:7
JJtI1
SUITt:.- J#D
(Phone)
ZA6M'1
Date Rec' d
z... zs .-a3
PERMIT NO. 03 ~OZ8D
ZONING (office use)
p{jO
PIDZS- ~2- tJIS-O
/tt5/ - t/5Z - 52LO
11JJ1 55/zl
~ C9.s
(Phone)
(Phone) _ &/ Z -2Z/ - ~9J..r
I Park Support Fee
I SAC
.-;::::)
I WaterMeter &r~'; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
I Paid ~/tF .Jp i
I Date - .?' I f ~]
#
#
#
#
ORe-Siding
DUtility Connection
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 m aware tha.' ilie lmililing~":, /",1<< <h. p=;' fm i"" ",.,. F_=~" I h~"'y'gre<"" <h, ci'Y ,iii,," ~. d<,i_ ~'Y
;terup:;e~/er~~ /t - 1$7/ ~~d~
If' - / ;7 Signature Contractor's License No. / Dat~ -
,
'11)1 ()()(), ~(J
$
$
$
$
$
$
$
$
tjpl3. 7.s-
i (J(J, if L/
4S~O
IO(J , 00
ItIJ 0, dO
3S, So
4ft), O~
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~ :;'~
Building Official
slt:1ltJ.:r
.
Date
o Deck
OPorch
ORe-Roofing
$
$ 12-75',00
$ ,;),50,00
$ '-Is.() 0
$ lzoo,ot!)
$ 70".00
$
$
$..5;3/4-. (PC}
/)} .
Receid(No. --1'3'15 d
By 1--,
o
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. .
z.,~ ':f~ 3!13~3 ~ h(~ f~
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See \fain Fi~e
White - Building
Canary - Engineering
C Pink - Planmns::>
Tht' ('f'nlt"r of .he L.kt' ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
r/(j L --IE
t E /'-'.~
i) i' I -.
-
.C...../
. ~ ;>
C,_-,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
:;;()Z2- I__L t F f t([ I ('I j--! /-= --"[Ie l-
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
~
,..
':f Lu1LP
Date:
3/13~ 3
Comments:
See-Main ~i~e
"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
(White - Buildi.!!Y
Canary - I::ngmeering
Pink - Planning
The Crn'fOr or Ihr L.kr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
PUG / E; f-."O M f3S
2- ?C) -03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
50Z2- B~UFF !1Slgt-hS (r'4--
V
Accepted
Accepted With Corrections
Denied
Reviewed By:
~
,.
:t.A-J) ~
Date:
3/i.! ~3
Comments:
See Mai~41c
"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
White - .B.uildin9
t Canary - Engineennv
- Pink L _ ...Ianning
Thr CC'ntt'r or Ihr I..kr ('ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
r>'() L ([, f-to {L'l 5 S
2 -' 2-!:=:> -- C),3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,L--){)Z2_ }:SLU F- t- HS i 6 rti--ST12.rL-
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/J14 i~
~ e-e m""h r:,' Ie..
Date:
(J '3-(;-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."
Mar 04 03 09:54a
METRO GENERAL SERVICES
763-428-2968
p.2
QltEIEII - ~ILIE
YELLOW - APPLICANT
QOlD - tIT or
CITY OF PRIOR LAKE
SEWER'AND WATER PERMIT
FAA Cf5'~- i/'I7- ,/"j, tI,r'
S.W.No. 3 -d8'O
Sewer and Water
contractors must
be registered
with the city.
APPLICANT:~~~~~PHONE: 7b~ - ~-~'i38
ADDRESS: ~90 r:J.UA.H'1I\ ~ Nt::. DATE: ~
SIGNATURE: \~~ ~~~ BLDG. PERMIT #
SITE ADDRESS: 50 ;;"d...~Wf:6 ~1;~ PIO#
FILL, IN THE BLANKS
NOTE:
1. Estimated length of water service
feet.
~('l
2. Size of water service
( "
inch(es) .
3.
Location of any couplings from structure ~ ,feet.
Type of sewer pipe. ABS PVC~' cast Iron
4.
'---
5. Estimated length of sewer line
feet.
~(")
.
~
6. Clean out (if required), located at feet from
====:~:~:~:::~================~~~===============================
"
,
This application becomes your permit when approved.
BY
DATE:
,
,
..
.
========f1~j~=~~~=====~=======================================
FEES: !1ld." P<!f,M 1'1- Seller and water line connection permit.
~. C~'-; ") Surcharge
C. N~ TOTAL
Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
*
,,1,
~
Sewer and water permits, issued for new construction must be
recorded on tbe buildinq permit card at the time of issuance
; .,,;; I~s~~;ere tt 'DT~@ [t~r~~:~ sewer and wate~;;'ts are
),i . _,.OATE.:.l'AIO _ U MAR j 8 1003~. AMOUNT PA:!HJ'lD'NG Pc:AMI}
J:;i ~fV~~~:< RECEIPT # REC' 0 BY Cf
~; ~ . i.\' .0"" oy 1
f "\~:~;~ Eagle: Creek Av. S.B., Prior Lak~.:~~nesota 553~21 Ph. <'52) 447-4230 I FAX <~52) 447-4245
G: :,:,,, An Equal Opportunity Employer
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5- 6-03; 1: 1 4PM;
;952 894 0925
# 3/ 4
.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please lVI>e or Drint and si2ll at bottom)
ADDRESS ()) ft
50~~DU- r
~: ~~ ~:l~, I PERMIT NO. 3 -"""' 00
), Ydlow Appl.unt c;;;t'"?:J ,
I
:;,.;:'
f-I-ts \
.--.--
If.
ZONING (office use)
LOT
BLOCK
ADDITION
PID
<:"!':'
.,,,:
,,}~
i;~
I
LEGAL DESCRIPTION (office use only)
OWNER (),. \ \ n
(Name) \""\/'V\ ~
(Address) ~ \ S Nw
~'f\'US
fQ{~W~ I Stu~. (lfD
(phone) 105/- L/ 5;2 - 502 00
CCaqB./). fVJN -S-:)Id~
u
APPLICANT
(Name)
(phone)
;i>>.~
::;:,'~~
r~:~
,,:.~"'-'
CJmsville Heating & Me, Int'!
12481 Rhode Island Ave. So.
(Address) &~h'~"" '\ AN &y1lGeJ)1:)1
(Contact Person) J \A...l...\ L _ \ _
APPLICANT SIGNATURE ~~ u l \ I\U.W ('JYt)-(\
'-> \J
. APPLICANT PLEASE COMPLETE BELOW
JiJ..NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS _ /
FURNACE MAKE AND MODEL LetJ/1f5X 61o;(Q.;;<- 50 . FUEL No.:{. j,a.s
FLUE SIZE RETIJRN OPENINGS F) INPUT f?:J I 0 00 OUTPUT L/ b I OCO
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants 0 Steam
o Gravity 0 Hot Water
o Mechanical 0 Radiation
DAir Conditionjng 0 Special Devices
OVent. System 0 Other Devices ,
(City) (Zip Code)
(phone) 05:2 - 8'14 - 0005
DATE 5-10 - 03
ill
;~,~1~
\T~~
l~,:~
:':;i~~
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
;:',,-./
FEE SCHEDULE
Industrial, Commercial & Multi-Family I % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & NC (New Construction) $99.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
Estimated Cost $ L\ I 000 tat> Building Permit #
$39.50
:;l~:~~l
;~@.~.
$39.50
$39.50
i~~;
~
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
N)~
- (Pd, hA buJt~
.50 -,) aU/LOIN WliH
G PE1=1Mrr
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
!;~ I ~ejpt No.
11111i~ @[EWL#/.n
Date _.' -i- ~
24 bour notice for all inspections (952) 447.985 ~ ' x (952) 447.424 .:J :;
16200 Eagle Creek Avenue, Prior Lakl B MN 55372
""~."..,"=..."""^'.,.,.,~_.~"...,=.,,,...,..}.~X,...."'...-".=,.'.,.... ",...~,,_....... .., .."
PRIOR LAKE -DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. ~
CONTRACTOR PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
N~.
7MJL..
INSPECTOR
DATE
FOOTING \MCl\~ I
FOUNDATION (Prior to Backfill) I]\MIY\ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC ~\).l'"
FRAMING wi {Ci""!t-~>
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
M/
v11/
Co~~~m
~~ I 0-0>
fI1Il
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(,,- ~-~
&~{"~u3
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
: J I I
FINALS
GRADING (Prior to Sodding)
BUILDING 1e~f ()~~ ,\ q~k6>
ELECTRICAL
PLUMBING
HEATING
J!!tf'
M/
l!W7
1~ I ~/(f7
,- ('(- rJ\
SIGNED
DO NOT 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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
. - ,,-
QIerfifitafe nf <IDttupauty
CITY OF PRIOR LAKE
~tpztrfmtnf of ~uilbing Jfnspttfion
~ Final Permitted D Conditional e.O. Expires
/(J J .iI, C ,
This Certificate issued pursuant to the requirements of Section ~ofthe 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,
N I A Zoning District _ PUD
03'OZ00
Use Classification .
SINGLE FAMILY
Legal Description _
L15, Bl, TIMBER CREST
Owner of Building
Site Address
5022 BLUFF HEIGHTS TRAIL
55121
Contractor's Name & Address PUL TE HOMES, 815 NORTW..mST PKWY., SUITE 140, EAGAN
ROBERT D. HUTCHINS ,l1./1.c'~ City Planner DON RYE
I B uildin~ Of.ficiaI
I ~ () OL-.' Date:
Date:
.........'.
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~.1.<l_J"".~'-li--II.-i
'.., ,
BVftN~ wILLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378.952-894-0005
Ors1at Test Report for Jobl
- - I
S Ie::)..".
Address S':)C)'2 Bu.A(( ~1G.lli <:>
1 (<. City rR {otZ ttl ~ L
Occupant
Date of Install 5 z q - 0 ~
Type of HT. F/A \: HW Space HT
Other
Date Tested
Company
Technician
Make
Model
Serial
Input
lc tV 00 )(
(~'d(,.,Qd 'So \-
.,
2S60-~ Os s-/o)?
L:J U . 00 () P; TU (- {
Pilot Type
Pressure
Input CFH
Stack Temp
HOT SURFACE IGNITOR
35 \~c.. C02
60 02
/0:( CO
Unit HT
5,7
10. -g
Ii fP{I..t
-/ Ill! /0 ~
I .
BURNSVILLE HEATING & AIR CONDITIONING
LLO
DATE TIllE
1- 10-0'(
131 rtfF ,IH-S '7 y-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
_'OZ,;L
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
s~;l-~{)
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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Inspector: t/Z Owner/Contr:
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
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OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o JtlISULA TION
j3""FINAL
o SITE INSPECTION
COMMENTS:
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DATE TIME
SCHEDULED
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CONTR.
PERMIT NO.
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o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GAS LINE AIR TST
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o CORRECTJ'~O;;?CALL FOR REINSPECTION BEFORE COVERING
Inspector: m . 7 r tl * () ~ner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNon
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 7-/)
ADDRESS QJz~ 11/ d'C2 Ift~
OWNER CONTR.
PHONE NO. PERMIT NO. y- .Llic)
o FOOTING o PLUMBING RI o EXIGRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION rnECH FINAL 0
COMMENTS:
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z(" WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: YJtr? 7" (711) Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INS/iOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7-(1
ADDRESS
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OWNER
CONTR.
D FOOTING
D FOUNDATION
D FRAMING
D INSULATION
D FINAL
D SITE INSPECTION
~RMIT NO.
D PLUM NG RI
D MECH R
D WATER OKUP
D SEWER HOOKUP
~LUMBING FINAL
D MECH FINAL
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PHONE NO.
D EXIGRADIFILLING
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLINE AIR TST
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COMMENTS:
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D ~K SATISFACTORY. PROCEED
Illf"CORRECT ACTION AND PROCEED
o CORRECT ~O~~LL FOR REINSPECTION BEFORE COVERING
Inspector: m '7 -11157 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH de SAFETYI
INSNOTl