HomeMy WebLinkAboutBuilding Permit #03-0191
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
(Please type or print and sign at bV<Lvm)
ADDRESS
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1. White File
2. Pink City
3. Yellow Applicant
Date Rec' d
/-30/3
I PERMIT NO.m-O/9 /
?; /11 8;;/7- CllLsr [)/2J 1/ IE
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK Z ADDITION 1IJ11$~/L eUs.? ktJ/77cf\..
ZONING (office use)
flU)
PID~,tJ-L/O~- D56-0
OWNER ? 1/ ./V1
(N ame) --' IJ J..:r&- If 0 1ItG5 ttJ;::- III f1 (Phone)
(Address) 8/S NO/l:rU tv U::JI ltil/ , SlJlrE:. I t/O. fAbA--11, tiI f\ .
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BUILDER
(Name)
(Contact Name)
(Address)
~A111 ~
fit U-.. PlA-SOI Uo
TYPE OF WORK
o Misc.
.lli1 New Construction
OLower Level Finish
,~5/~ /
(Phone)
(Phone) &/ Z - Z?I - '1?Y:J
o Deck
OPorch
ORe-Roofing
~ Fireplace
OAddition
OAlteration
?f, c,S"y
ORe-Siding
OUtiIity 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 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
:teruwe~spections. Zt.- Is7/ /ho~~
?~ / Signature Contractor's License No. / Dlte
Permit Valuation
Permit Fee
Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
PROJECT COST IV ALUE (excluding land) $
,. /,5.lJoo,D 0
$ '7L/f,7S
$ ~6fg. "1
$ 31.. 5"0
$
$
$
$
$
/00, 0 d
/01),0{J
~a,dd
This Application Becomes Your Building Permit When Approved
~4~
Building Official
~/~/o3
Date
I Park Support Fee
I SAC
I Water Meter Size 518"; 1";
I Pressure Reducer
City SAC and WAC
Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
Paid ~1'{ t:f r/-
Date 1 'lAJ ..,0')
#
#
#
#
$
$ 12.. 75. 00
$
$
$
$
$
$
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$4!,eZ.14-
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Receip(fi o. (/:J r r/f
BY~.
U
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
c~ """"" ~ '""""'''' c_; ;;~mp- md --:z: oo~re. "'~ ~ C<rtifirnre ofO=pm" mw' '"
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 Main Fi~e
ThE' ('t"nlrr of thE' I.lkr ('ountry
<lYhite : Buildinv
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~
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)-~O -0(3
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construitzn ~cZ/ W;T:Z:: ~T ~
Accepted
Accepted With Corrections ~
Denied
..
Date: 02/~A>..3
,
Reviewed By:
~ =l-~
Comments:
See Main File
liThe 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. II
See Main Fi~e
The Cf'nlll'r of thr takt ('ounlry
White - Building
Canary - EnQineering
<1ink - Planni~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;t' ,. -:~~') '-...J ~:+/
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I /
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,
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
~
r-
~ ..R.A-t2.P
Date:
021'-/ /03
Comments:
See 11ain Ei.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 - Building
(~anarv - ~nalneer'"9->
Pink - Planning
Th~ ('f'nlff or thr L.kr Counlry
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:
/ I
I [;. I :>;<-'J'7J .6J.,2--t._)
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
/JIJ1j~
. ,;.
~-( ~ 1I11A/~ t://r
Date: 2- -2(;..-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."
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I Rc:c;::pc No.
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i'i!is '''pplic:lcion BC'come:s Your Buildin:;: Permit When Approved
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5- 7-03:'2:37PM:
:952 894 0925
# 4/ 8
.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
~: ~:n ~:;y. I PERMIT NO."-::/ _ / q I
3. Yellow Apphcant - )
I
(Please twe or print and sil!ll at bottom)
ADDRESS ~
jl;?J& - Ilm~r Cfe,s+
::::,:;
~~
ZONING (office use)
LOT
BLOCK
ADDITION
PID
!:;:~.:;
:i::~1
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I
LEGAL DESCRIPTION (office use only)
OWNER
(Name)
P/J.Ak !fo~s
~IS NW. PitA)~Y ~
S'()A -r E-
I '-tD I
(phone) 105'1- t!52-SAd
E A-6Af\) ) (Y}rJ ~51;J1
(Address)
(
APPLICANT
(Name)
(phone)
Rllrnsville I-Ie;:!tino R. AIC, Inc
12481 Rhode Island Ave. So.
(Address) saws~" u", ....":l7A_~ 122
(Address) (City) .... (Zip cOdd6
(Contact person)j UM ~ . (phone) q 5;2. - ~L/ ~ QU
APPLICANT SIGNATURE ~ 0 . ~QIQ{) DATE 3 - ., - 03
. APPLICANT PLEASE COMPLETE BELOW
~NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS ^ 1-. 8
FURNACEMAKEANDMODEL [P.A11J1YX G,;<(PrQ;;2. - .5() FUEL JV(J,J". qti3
FLUE SIZE RETURN OPENINGS 5 INPUT 50.. oon OUTPUT LJ~ ()OD
TYPE OF SYSTEM HEATING OR POWER PLANT
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DWann Air Plants
OGravity
o Mechanical
@ir Conditioning
OVent. System
LeI11lf;'1-
\Ol\~\~
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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
I
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial. Commercial & Multi-Family )% ofjoh 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
c' f'"'V"V\ 0 '0
Estimated Cost $ .:) . LA-A-J I Building Permit #
REA TING PERMIT FEE $ 811~ ,oJf/i) ~
STATE SURCHARGE $ I .50 \ D/t\tG 1~
TOTAL PERMIT FEE SjUA Lfd. b~ bul~~J ,o~~
(Office Use Only) I 0 'It"""
This Application Becomes Your Building Permit When APprl~-\~ ..~ IT ~ wn.,- Receipt No.
\. ~ ,DatG-, 03) By ( J~.
Building Official . Date I I,' IJ.A/ - ~ 20 l .IT
24 hour notice (or all inspections ((~S~ 4~7-9850, (ax (952) 44742 15 -f
16200 Eagle Creek Avenu \fior Lake, MN 55372 j
~~
$39.50
$39.50
$39.50
PRIOR LAKE
INSPECTION RECORD
.I ~ 1. '".1Ie .,..~sI- DJ-
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USE OF BUILDING ; Eft,.. .
PERMIT NO. ~ .(}-;:1?!t'f7 DATE ISSUEDii\ FEB 'l Vi, ~
CONTRACTOR ~ ;o(j)~.;;.aJ- l./q~J
NOTE: THIS IS NOT A PERMIT FOR ANY OF TH NSPE. IONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPART~ENTOFSee Main File
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
INSPECTOR
DATE
FOOTING f\u;1A I
FOUNDATION (Prior to Backfill) (~~11 I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
f1A() il-\
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
GRADING (Prior to Sodding)
BUILDING f..<: vV\ (J fi ( q, I, 0
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
v1;1f
M
/-/t+03
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
@etfifitafe of @ttUpant\!
CITY OF PRIOR LAKE
;!Eltparfmtnf nf ~uil~ing J1nspttfinn
IX] Final Permitted D Conditional e.O. Expires
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This Certificate issued pursuant to the requirements of Section-:Jt17 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
Bldg. Permit No. 03-0191
N / A _ Zoning District PUD
Legal Description .
L3, B2, TIMBER CREST ADDITION
Owner of Building
Site Address
16361 TIMBER CREST DRIVE
Contractor's Name & Address PULTE HOMES, 815 NORTHWEST PKWY., SUITE 140, EAGAN
ROBERT D. HUTCHINS ~
55121
City Planner
DON RYE
Date:
Building Official
, - :30- (JO
Date:
Y/Cf/
.'1ftNSVILLE
Heating & Air Conditioning, L.L.c.
12481 Rhode Island Ave S, Savage, MN, 55378 · 952-894-0005
Ors1at Test Report for Jobl -4/73
Address /L,3t,,/ t;~Jk Crr''5+~ ~/~.. j~h
Occupant ~~.."rl
Da1e of InS1alI r/"",..;{; ..,
Type of HT. F/A . V'HW Space HT Unit HT
Other
Make
Model
Serial
Input
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r:;~. ~() - LL?
~<;?O -0 (.. 5" :SS-S- ~
"~D. [Or'
Pilot Type HOT SURFACE IGNITOR
Pressure 3 . .:; C02
Input CFH /"C) 02
S1ackTemp J(X)c CO
Date Tested ~/5/'3
Company BURNSVILLE HEATING & AIR CONDITIONING
Technician .~.<,..~.
1(:1< "/0 _
10 . r3 h
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1- 30'-(/G-(
1IJA1 ~-t'r[r(!".':> r
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
t.t 3'- ,.
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
COMMENTS:
5:--1 +
~ ~
/' /~/
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----
DATE TIME
'::g~ It? I
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~. C~OR REINSPECTION BEFORE COVERING
Inspector: 1/ If - Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
Ie "x,(
1 ~~/~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o D1SULA TION
I7"FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(!) SfJd- 4
DATE nile
7r-/c -tJ"J
7,- /q/
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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o WORK SATISFACTORY, PROCEED
..,a'CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: (bfl 7- Ie ~ Owner/Contr:
CALL 447-985Q F()R. nil; NEXT IN~PECTlON 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
IIISNOn
DATE nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/~3~1
SCHEDULED 7-('1
71 ~ 6-vc~ r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
s~ /q/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
C FINAL
C SITE INSPECTION
o PLUMBING RI
o MECH RI
C WATER HOOKUP
C SEWER HOOKUP
ld"'fiLUMBING FINAL
C MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
./
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
C CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: H {-f Y -OJ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn