HomeMy WebLinkAboutBuildiing Permit #03-0192
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ADDRESS
/1,,3t7
Se e .Th e /!1 tl ilt/ ~/ 'L e
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
1. White File
2_ Pink City
3. YeHow Applicant
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PERMIT NO. 0:5 -Off 2-1
?; fY1~ tR.LsT .f)/UtJE.
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK Z- ADDITION 17T11f5Erz t3U::J/ AtJornt7V\
OWNER
(Name)
fuLrG- ).)0111135 t1 y
~/ 5 t1Io/2lJlWl--Gr
mJ1.
I Jt.U// "
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
GAm 13-
~- 3J4S1'--H IUJ
TYPE OF WORK
o Misc.
~New Construction
OLower Level Finish
ZONING (office use)
Pu.D
PID/r)6-L/~.J. -05"'7- C1
611/T E-
(Phone)
......-
/t/O I ~A61111 I
/JJt1. SS/z/
(Phone)
(Phone)
DDeck
o Porch
ORe-Roofing
o Alteration
~ Fireplace
OAddition
~/Z-2Z/- ~Y'F5
&~. tG"Y
.
ORe-Siding
OUtility 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 offic. can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~ter upo~ to !?orm eeded ins . ns. $' C ... /37/ / ~o 4:,3
~/~ ? ~ignature Contractor's License No. / .6;t;-
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
PROJECT COST IV ALUE (excluding land) $
"1t15. OO{),OO
$ '7q~. 75
$ 4 A ~. &'9
$ 3z.. 5""0
$
$
$
$
$
/"0 i 00
}O(),tJ()
410, ~"
This Application Becomes Your Building Permit When Approved
~1~?
Building Official
eJ./ ~ If) 3'
" i>ate
I Park Support Fee
I SAC
I WaterMeter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
t/,&j't q ~
'., ~~ ':/J,
#
#
#
#
$
$ /2 7S;tHJ
$
$
$ JWO,O~
$ 70tJ. 0 (J
$ -
$
$4-,t,12.94-
()
ReceiJfNo.
By A,
(J
,
-
<:f-? e;" 7
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
~y~
Planning Director
~
~1{1(J:f
f 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
7J(~
r~
See Main File
(" White - ~ullding:)
Canary - Engineering
Pink - Planning
The Ctnler of the l.lke ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
p~
/- 30-0
The Building, Engineering, and Planning Departments have reviewed the building permit
application forconstru~i:n ;liZ ;iCh iS~ ~T ~
Accepted
Accepted With Corrections ,.,,/
Denied
Reviewed By: ~
,...
:/~~
Date:
Z/sI /&3
, ,
Comments:
See Main ~~ile
"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
Canary - Engineering
~K - t'lanmng:;>
Tht <.tnttr of Iht t.k, Countl)'
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:
,..
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,
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Accepted
Accepted With Corrections
~
Denied
Reviewed By:
r:::? _ . ..
~-
7'~
Date:
c!)/ 'i 10 Sc
. .
Comments:
s~ MaiIL3le
.-..,...,
"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 - Buildinq
(CanaN - En~ineerin9)
Pink' - Planning .
Th~ ("renin of tht I..kf Country
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:
../ l, '"J) /~,'""7 \..~"-:)'>-VZ,L ;i ::.1:'~~."L_"' ( l /-l..l2.KJ"-t, (,~~._~
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Accepted
V
./ '-
Accepted With Corrections
Denied
Reviewed By:
/II'IT 13
Date:
2-Z0-0Z
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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Tili.s .....pplic:lc:O:1 B<:comQ Your Buildin: Permit ~b..~n Appt'Qvcd I ~~:~, ill.t.~ I R.~=:pc No. L'j ___
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APPUC...l".'\T PLEA.SE CO:\(PLETE BELO\V
Typl: ()f Iji:crul"l! I q(J:lnri~! I Typ~ of fi;trur::
8a::1 Tub "'''((:1 or wic~1()uC ih0\"'~:- '.1 I R-:Ju:;h-ins
Dish.w~::;h~:- I I I W:lC~:- ~~:lre:-
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I l.l'i;:J.rcr-1 18achren.., :j~t!-..:l I t .$c.lnd ?:r.-: r ',V:1:lr.in; '\(::C!lIr.>::)
j LJun~r:w Tr:t:-. ( ! or: ~Cl7.p:.1r:i.i~:lt $l(::~ I '::;~'-V:l;;O: Ejc:-.:rvr
I Showe:- $c:LlJ ,- I I 8:s.c:krlow A.:!se:ncly
.1 Sinks "c:;,."r;.. . ....".'".J.". ~.". ;";'l;''"rl :,.l" .......,";;.,~:..',;,,-:;-d..B;1cktlow Assemblv T~st
Bar Sink I I L~wn Sprinkt.::- . ---
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5- 7-03;'2:37PM;
;952 894 0925
# 5/ 8
.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
~: ~~ ~~. I PERMIT NO. ~- ~' ')
). Yellow Applicant . CJ ) '1 (/\
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(Please type orDrint and sim at bottom)
ADDRES/S/", A / r1 ~
l{! J 'I) I - II m ley Cre,.2:>+
~f':
ZONING (oflia: use)
LOT
BLOCK
ADDITION
PID
~~
I
LEGAL DESCR..1r LION (office use only)
OWNER
(Name)
PuAk /bmiS
<615 NW. P6A),Y ~ S'()A(t-
,
/ LCD ,
(phone) 65/- q52-5~
E A-6AI\J J (YJ tV 75/;2/
(Address)
APPLICANT
(Name)
Rum!;ville He~ting 8. AIr: Inr.
12481 Rhode Island Ave. So.
(Address) QavlIge, MN 5S378-112?
(Contact person)j \JJ.A 7:- (A~SS) (phone) (Cilyq 5;) ,- ~t.f~Zou7J5
APPLICANT SIGNAruRE AWLuv tl . ~()-n}(l DATE 5" - I - 0 '3
u u
~ APPLICANT PLEASE COMPLETE BELOW
I jJ)?1NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS" J ~, d
FURNACE MAKE AND MODEL Lf.A1f)f);( G;?(PrQ;< - ~ FUEL /VCCf, q8...-.3
5 INPUT 50 I con OUTPUT LJ(O. coo
(phone)
I
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FLUE SIZE
RETIJRN OPENINGS
"
I
TYPE OF SY':>l..e.l\i
oWarrn Air Plants
oGl1lvity
o Mechanical
OAir Conditioning
oVent. System
HEATING OR POWER PLANT
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
Estimated Cost $
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
f I J ODD f 00
~ Building Permit #
$39.50
Industrial, Commercial &. Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Building Official
$
$ I
SJJjA
1\frtt~ [Q. \B ~ r -'\! Receipt No.
~Date ! By
Date . .Ii --MAY - lL70D3
. L[._ 0'
24 hour notice for all inspections (952) 447J.l8!.iO, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior lake, MN 55372
JBy
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
l:1. ~A.
UI/.(). -"0 &I..
VJ\lG ",,'f1.t
50 \ .o~~
L f'd '. OJ bul ~ ~ ~/,.
(Office Use Only)
This Application Becomes Your Building Permit When Approved
/1
if'
PRIOR LAKE DEPARTMENTOFSee \1ain File
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ! (.. ~ (. 7 (
~~~u~: ~~~~~K ~~ ~_, _ ._,_
PERMIT NO. ~-JJ: - DATE ISSUED .ii r~.." t v . ".i.J. ". .
CONTRACTOR ! p~~O~.~~/.tN~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE rNSPI:~ IIUNS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING \fIJvJ.'M I I
FOUNDATION (Prior to Backfill) ~o.\,^ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING W I L
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
ifV..JJ.lN\
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l/Iff 7/"' ( ~-tf)
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
,r J- ].ro~
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
-.' -.. ..~-
(1h~tfifitaft of @ttupantl!
CITY OF PRIOR LAKE
~tparfmtnf nf ~uil~ing Jfnspttfinn
CfFinal Permitted 0 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:
Fire Zone
Bldg. Permit No.
N / A Zoning District
03-0192
Use Classification
SINGLE FAMILY
Occupancy Type _
R3 Type Construction _
VN
PUD
Legal Description .
L4, B2, TIMBER CREST ADDITION
Owner of Building
Site Address
16367 TIMBER CREST DRIVE
Contractor's Name & Address PULTE HOMES, 815 NORTHWEST PKWY., SUITE 140, EAGAN 55121
ROBERT D. HUTCHINS ~ City Planner DON RYE
Building Official
Date: 7 ~L t ~ 0:' Date;
BVftN~ .,ILLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378.952-894-0005
O,,)W Test Report for Jobl 51-,-4
Address (f 3C7 --r;,q/)u"'. /'i...'7
Occupant -
Dede of Ins1al1 ::':> Z "'1. 0 3.
Type of HT, F/A '\( HW
Other
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City !t'
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Space HT
Unit HT
Make
Model
Serial
Input
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Pilot Type HOT SURFACE IGNITOR
Pressure -~> -=::> l f\..\ L- CO2
Input CFH ';::0 02
S1ackTemp~ toS CO
S9
ID S
20 .J(.)f...4
t .
Date Tested
Company
Technician
-i "j - 0 ~
BURNSVILLE HEATING & AIR CONDITIONING
~
1..Jl .r.:>
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 7,21
ADDRESS /(pJ~ 7 of, I\Il ~(r (.~~> r
OWNER CONTR.
PHONE NO. PERMIT NO. "1-ICfL
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
$FINAL o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION IjjP'MECH FINAL 0
COMMENTS:
~
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: vVY? 7, 1.--1 ~ tI} Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7-/~
ADDRESS
1~'3G7J 11/E,. ?1
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1- 1'lL:3,/Cf.,{
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
.. PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~COMMENTS:
(!) y~ /.M ~ V1!1 Jfr ..t(1 ~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Vlf 7 -/~1I1 Owner/Contr:
CAll 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
-D-
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