HomeMy WebLinkAboutBuilding Permit 03-0236
CITY OF PRIOR LAKE BUILDING PERMIT, ~ ~ ~ ~ ~ mt~~j4\d
TEMPORARY CERTIFICATE OF ZONING COMPLIAN' ,I
AND UTILITY CONNECTION PERMIT FEB 1 0 2003 !
J
sa. MAIN FllZ
I, White
2 Pink
3. 'r'ellow
File
City
Applicanl
By
jPERl\i1l NU. (J~ /OZ,3(P
(Please type or print and sign at bottom)
ADDRESS
-6"01/0
gU1~ J./~/{'Nrs --( /1.Ic-1L--
ZONING (office use)
PVD
LEGAL DESCRIPTION (office use only)
LOT /0 BLOCK J
ADDITION
f(t11BV1 t(lf~
AvIJ; 171m.
PIDz5-4tJz- 010-0
OWNER
(Name)
J./ OWl 16 tJ F
GJS- /lJauWtf::ir ?J<WV
,
1f/-Jdh1 .
tllf1
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tYlvl .
Su In /'10.
(Phone)
ts/- 'Isz ~S2D{)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
LUlU
SA1t1~
'R tA5cHUo
(Phone)
(Phone) &IZ - 2&:-}- '/'1f-S-
TYPE OF WORK
aNew Construction
OLower Level Finish
~eck
OPorch
OAddition
ORe-Roofing
ORe-Siding
i1 Fireplace
DAlteration
DUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
?tJ, t79'S"
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 y'....y"-nj 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
:nterupoZ'/o~ Dt-/31/ z. ~D_.L/o3
~ ' , Signature Contractor's License No. "/ ~dF
I Permit Valuation <1110 Odd. {/O I Park Support Fee # $
I Permit Fee $ ''1'')3. 75" I SAC # $ 1#75'.0 (J
I Plan Check Fee $ 1t1(Jfl. ~fL-1 I Water Meter Size 5/8"; I"; $ ~o, (/0
1 State Surcharge $ ~~,OO I Pressure Reducer $ 'I'=>, (/0
I Penalty $ - I City SAC and WAC # $ /200.00 I
I Plumbing Permit Fee $ /00, ()O I Water Tower Fee # $ 700.00 I
I Mechanical Permit Fee $ lot), 0 0 I Builder's Deposit $ I
I Sewer & Water Permit Fee $ 35. so lather $ I
I Gas Fireplace Permit Fee $ 4/}.00 I TOTAL DUE $5.3 / 4-- . (p ~1 I
r
This Application Becomes Your Building Permit When Approved I Paid .531 .,.. ~ I ReceiP~o. -rJ 9:Jr I
.;;ft~,. .; --;t~ .:J./~A1 I Date 3- 'I' (/) By -'_, I
G
Building Official Date
This is to certify that the request in the alJove 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.
~
1..t.uJ2~
xJu_
.;uGu
Planning'Director
~~
See Main File
White . Building
Canary - . eering
(Pink - Planning
TIl..C,"nlnof Ih..I..k..(.ounl~'
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~;?;~L,w ).JCJ)Z~
2 --Ie -(3
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constructio~~ctivity whic~ is propos~d at:
5-04 () 7!2ftf~;?-( /'~k(>11 (/~
~
/7 . /
_______/vcc-r
{
Accepted
Accepted With Corrections -----
Denied
Reviewed By:
Comments:
~
,
1LdYJ
Date:
did I ,,{,'-'
se MainEile
"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
C White - RllUding:::,
ea;;;;', J - Engineering
Pink - Planning
Thr {'rnl... or Ih.. I..... ('ounlr')'
aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
m~~
v -
2-/6 -Q.3
The Building, Engineering, and Planning Departments have reviewed the building permit
apPI5J~struA/:~tYd~ ~
~ tJ {/ f
Accepted
Accepted With Corrections
~
Denied
Reviewed By: ~ :;7~
Date: d/~/J3
Comments:
See !vIalii ftflt
"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 31 03 12: 15p
METRO GENERAL SERVICES
763-428-2968
p.1
GRI.!. . PllE
YULO. . APPLtCA.T
GOLD. en.,
CITY OF PRIOR LAKE
SEWER'AND WATER PERMIT
FAy.. q5~- if'! 7-,/-;,tlr
'.r).' '10.1-.
s.w. No. / .;1><,) If
NOTE:
Sewer and w~~~~
contractors must
be registered
with the City.
APPLICANT: mE---cr-<r> GENER.fJ.L 5F~PHONE~.b 3)Y-~8 '~'13g
ADDRESS: S"7Cfn Wu..a.m AVE. f'! F'" TNC.DATE: I hi to?'
SIGNATUR; \ ~;/?(2.;d- BLDG. PE~IT 'It
'-' __ ,,"BL~FF
SITE ADDRESS: SO +() H/:/Gr/-l71; PIDIt
. ---rRA I L.
FILL IN THE BLANKS
1. Estimated length of water service
50
feet.
2. Size of water service
III
inch(es).
3. Location of any couplings from structure
o feet.
4. Type of sewer pipe. ABS PVC 4-/1 Cast Iron
'---- 5. Estimated length of sewer line 5r") feet.
6. Clean out (if required), located at feet from
---_:~:::~:::~-------------------~ ~---------------------------
-----------------------------------~-----------------------------
This application becomes your permit when approved.
BY
DATE:
========f?~jl~=~~~=============================================
FEES: f] IdJ FJ'~M:i- Sewer and water line connection permit.
.__. ., Surcharge
<:-7J',,__.,-=ee... "') 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 building permit card atf!!' of issuance
I~"~~~~re that 00 du,licate "ewer ao, D @~ [f~;w are
DATE. PAID AMOUNT rfMR 04 7 _
RECEIPT # REC'D B'lV1J PAl WnH
'---- --t:if =-- -~_I.\''' '11 n.~ PERMIT
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. ('152) 447-4230 / FAX (152) 447-4245
An Equal Opportunity Employer
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APPUC...I,.'iT PlE.-\.SE CO:\(PLETE BELO\-'
qU:':';'lCir:; __ 1"'yp~ {)f Fi.uur~ I QU:Jncicv I
,j.- E~~:1 Tub .......tcn ()r W:C~'lI.)U( 5hC""'~:" I.? I R.Ju:!.h~ins
l Ol$h-.v~si,c" I ) I W:l';C r;~:l'ec
/--, fioQr Dr:l.n I I \V"C:l" Sur.:n~c
I LJ.1i=lCCl'1 (B:unrcm71. S'lfl!..:) I / I .$cJ.nd P:r.r: (...v:'.ihin~'.\-r~C!1Jr.~1
lJ.unt..ir:~' Tny \! or: ..;:;r;;p:1r:r.1e:lt Sin:, '::;~w;1:;~ Ejt:~:lJr
S;'ow.~ SO:l" I S:lcktlow A;s~:nbly
Sinks ;,', r ',;:. . . ,,~ ,~-- " ',., '.;-'~ . " /,',';/: "',~;..i",~:.d .BacktlQwAssembly T ~t ',)' ,~,:;::':f:~..t,;c~;,.,;!i-,
8ar Sink I L:lwn Sprinklcc .
w":ice:- C~o'S<:~ (ToJtk~.l ".~,~:.", ".,;.;.~~;'." "','i"Y'''~,.':)' 1\~J~:""~ "":;,;1'f,: 1!I~i.,'~:"',,<;:,'q Othc:-.1iR'l""~1",,~y.'':' t,":' I ,-
T~pe of Fi"ru""
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4-30-03;'O:01AM;
;9b2 894 0925
#- 2/ 4
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
i~:' ~:~ I PERMIT NO. ~ ., ::u
l. Yellow ApJlIIl:.Int ...;:;:r- a-~
q>lease lVl!e or orint aod sil!ll at bottoml
ADD~(J-fO SIlt ff jJe ij tJs
.--
Ir
I ZONING (ollke use)
LEGAL DESCRIPTION (office use oaly)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
PlA.-\\e.
~\S-
(phone)
IL/CJ
I
~5r- 4"5:2-5;;;200
<(:.aQOJI MN 5)12)
j I
l-\-o~'\JI...~
N vU Pa (/(.u..)cU1, SLul k
<-..J'
(Address)
APPUCANT
(Name)
(phone)
:ulIl;;)v;lIc; IIe:c::I~;"Y ci f-..iL" iul,;.
12481 Rhode Island Ave. So.
1lJ9Y<;Ieg, IYlI'(AlIlliiltpall""
(Contact Person) c \LeL l ( . 1 -
APPUCANT SIGNATURE /h~ Ll..1tlLO ~
LJ V
APPLICANT PLEASE COMPLETE BELOW
II<!NEWCONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS. I.-+-
FURNACE MAKE AND MODEL L efl IJ,o -X (;.2 (nO;:J, - 50 FUEL I\...}(}JI . qa.s
FLUE SIZE RETURN OPENINGS c::; INPUT 50.('{')D OUTPUT t..f0~OOO
TYPE OF SYSTEM HEATING OR POWER PLANT
(Address)
(City) (ZIp Code)
(phone) 9)/ - ~'1V - Xb5
'--/ / 30 /03
DATE
OWarm Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical Leo/! vvs--f. 0 Radiation
~Air Conditioning I f\' 6')' I _ 0 Special Devices
OVen!. System D.,(., 0''1 ~-(o,1\.I o Other Devices
FIREPLACE MAKE AND MODEL
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace:
$39.50 minimum
Residential, Heating & NC (New Construction) $99.50
Residential, Heating Only (New Construction) $64,50
Estimated Cost $ 5, orJ), oD
,
Industrial, Commercial & Multi.Family
$39.50
$39.50
$39.50
Residential, Additions & Alterations
Residential, AC Only
Building Permit #
(futcl b~ '\jv'-\~~
.50 BUILDING PEAM/-'
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~ If\
.
(Olliee Use Only)
This Application Becomes Your Building Permit When Approved
i~:~ ~lU l~a;r~ro
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I
(f I
Building Omc:lal
Date
24 hour notice for all inspeclions (952) 447.985 fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lak
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PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS SolllJ · 3' T/ZAlt.-
NATURE OF WORK CC '"b~
USE OF BUILDING $.j:;. _
PERMIT NO. DATE IS~UED 1./l.lAJ
CONTRACTOR ~ MJj}J!. PHONE~. Z'f.1- t,e;as
NOTE: THIS IS NOT A P RMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING IM.w.-1
I FOUNDATION (Prior to Backfill) INfM I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
i/'J.rw-
SEWER I WATER I SEPTIC
FRAMING /}/ I /(Jf(Ct-h 'VO 5
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
Yv1'
1M;?
,;
.5",11-07
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I
FINALS
GRADING (Prior to So~~ing) {( ,,\ -See ~,-ft
BUILDING i.Lo/ [hk>;u.\;rtJ~\1~ ~
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE
NOTICE
,h-~ ,
V25//c7Y
f r
HI P udrcJ y!>
ell- 7/i'aS
HAS 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
~ .
QIrrfifitatr of @ttupauty
CITY OF PRIOR LAKE
~rpZtrftttruf of ~uilMug Jfusprdillu
IFinal 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:
Use Classification
SINGLE FAMILY
Occupancy Type
R3
TYpe Construction
VN
Fire Zone
03-0236
Bldg. Permit No._
N / p:.- Zoning District
PUD
Legal Description
LID, Bl, TIMBER CREST ADDITION
Owner of Buildinr SHeAddress 5040 BLUFF HEIGHTS TRAIL
C tr t . N & Addre PULTE HOMES;;8 5 NORTHWEST PKWY., SUITE 140, EAGAN
on ac or s ame S8
ROBERT D. HUTCHINS /-1>/ C PI DON RYE
,/ /;Z--;;.; _ Ity anner_
/~JJ~7al
55121
Date:
Date:
DATE Tille
~+k
. .
S;().yO &/P M- ;;Y/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
D FOUNDATION
D FRAMING
D INSULATION
~INAL
D SITE INSPECTION
D PLUMBING RI
D MECH RI
D WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
D MECH FINAL
COMMENTS:
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.~
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./
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------7
/-?/e
-
CJ1-AS~
o EXIGRADIFILLING
D COMPLAINT
o FIREPLACE RI
D FIREPLACE FINAL
o GASLlNE AIR TST
D
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:s::o:ECT :;a:EINS::::,::::FORE COVERING
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INS1WTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE
7/ik3
~l{) ~ 140 ~\,J4
CONTR.
') ~ '2-1 b
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS :S(9 t.{.{0
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
l! FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
Ii MECH FINAL
nME
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
t~M(~~ ~ (lV^~ ~~
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');'" ,\.jLr~/0>r'~"tY'~
~, ~WAM.~~ ~v&vI -(~lY\~~ (
1{ < L'th-'01/ ~~dVr1A. l'v.4.1le~::.c.2
,,,) ~ ~_ \.Q...ob4./~ /J^- Aj
~ ~. rJ 1 . - ./"_ -"~ ~ ~ J
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!l.rJ"1 (5;), ~-I + Ydd--lk _( I?k~
o WORK SATISFACTORY, PROCEED
!=l .90RRECT ACTION AND PROCEED
If CORRECT WO~' ~ALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSpeCTION 24 HOURS IN ADVANce.
,-."
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
BURNSVILLE
Heating & Air Conditioning, L.L.e.
11481 Rhode Island Aye S, Savage, MN 55378 . 952-894-0005
Orslat Test Report for Jobl uf ::. J 51 ~ ')
Address ::;040 &",rr
Occupant
Da1eoflnslaJI s/,?/o""3
Type of HT. F/A )( HW
Other
Citll~ICR c,. <!e;
, ---
!lUG! of) 1(2
Space HT
UnitHT
Make Lt...~JJO;<
Model C '}C:,(J ;;l . '56 .. (..,
Serial Sio"':!, D "><;; I?S
Input "SO DOO f, -rL< fl
f
r
I
I
Pilot Type
Pressure
Input CFH
SlaCk Temp
HOT SURFACE IGNITOR
3.<; IIAlG C02 (n J-
,,>0 02 'X fa
{O I CO ...e
Date Tested (,.,. 17,' 0 j
Company BURNSVILLE HEATING & AIR CONDITIONING
Technician L .L-D
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
6Z)t.-f ()
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
Vre~/J1.-l
SCHEDULED
(1.fuFF ~
CONTR.
PERMIT NO.
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
fl SEWER HOOKUP
.PLUMBING FINAL
o MECH FINAL
~
(?11)~C--<t If) ~
,
DATE TIME
r:..-t{.
1l,..-
7 _2:J?
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ &;-( ~-d) Owner/Contr:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"""""