HomeMy WebLinkAboutBuilding Permit 03-0824
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ADDRESS
1(P'l~S-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CER'qFICATE OF ZONING COMPLIANCE
AND urWI'tY CONNECTION PERMIT
M' '-=';n PI"Ie ] Whik FiI,
-uJ.. 2. Pink City
~ r ' JIfl J, Yellow Applicant
t
-rlA1..&a ~T DiZloI€
Date Rec'd
0-d-{)~oa
I PERMIT NO. 3- '6d-.lJ
LEGAL DESCRIPTION (office use only)
LOT r BLOCK c2 ADDITION -riMIJ€tL W>T ~
OWNER ;J
(Name) rt/t 7'E' I!o/l'/€,f
(Address)8/S" /l!o.L{HW6r P~A..I. S'v/t't: /1/0
, ,
BUILDER
(Name)
(Contact Name)
(Address)
ftS'lfll'fe Af /f~O/Jt"
/l/l~oN /114-ft:-./
TYPE OF WORK
o Misc.
KNew ConsbUction
OLower Level Finish
ZONING (ollie,u,,)
PUD
PID2.5-4tJZ-0f8Z-o
(Phone) _ (on - 'IS-,) - J ,,200
EAWf"J M;.J
(Phone)
(Phone)
DDeck
DPorch
ORe-Roofing
rJ/~1
~s 1- 'IS,) - J 02-00
M.2-I/<J'o-I/;J.;J8
D Fireplace DAddition OAlteration
PROJECT COST IV ALUE (excluding land) S r; r. 1f@8
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 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
enter upo~ property to perform needed inspections. /
]I' ~...~ ~-e.. BC- /~71 ~//(,,/OJ
Signature Contractor's License No. . tlate
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
\ Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
(P C;; IJVV. -
77~. 75'
504-.~1
. "$4-.50
/00.-
J()(J.-
..35.$0
4t:J. (/{)
x::::mei;;g;;;;;roved
Building Official I' bate
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1"; I-If..'"
I Pressure Reducer
I City SAC and WAC
\ Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
t..i54' ~'
'f//;;" ?,
I Paid
I Date
#
#
#
#
$
$ /275_-
$ . 3&.5. -
$ /fJJO. -
$ /, ZoO. 0 ()
$ . 700.60
$ /.500.00
$
$ ;(;/6'11- (0 l./
~
I ~~ce~~s 5/ I
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
"S~ngDirfrd? ~'1! ~ ~con~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
AODRESS
'I U
! v It,";
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
(I II rJr
SCHED~LED
11.."".t:Jp" '-'
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
__~"""'--_.'N."
DAre TIME
/
r "
I ;--
, J"/('
~EJooRADlFILLING
/" 0 COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
A WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: / )/l.~~'- --' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SA.FETY!
,,..,.,,,
.\ .
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~~
Main File
cWhile . B~
Canary - Engineering
Pink - Planning
Th~ Crnlu of lhr L.kf Cou"lry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
?~iJ, ~fUo
~- 0(6-cJ'<3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/r;ljhs-f~~ 1~Jbc1-t J~
.
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
~~
1~,o
Date: 7/d-~.3
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."
&~'j;
Main File
White - Building
Canary - Engineering
,..-pink - Plann~
--
fhr{.tnlrroflhrl.llkr(.ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,//
!,
/-;--!-~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
It f/ (') - ;' /,/! ,L ,_ ~>)j,]-t I '--
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
/2 -
j ~wu f
:(b-{(,u
Date:
~/~ V/: 3'
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."
--- ~~
Main File
,
White - Building
C\";8'1arv - ~n~::;:~~~";~ ,'=' :>
Pink - Planning
Thf Cfnfn of lht' I..b Counlry I
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
-I
_./.,r .( ;
o
,
/""!'~ .~l,.""'\,;.L..,,c
_ '..J :.~~.
'.,.,,/ ',.,;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
j,., (' . ,--
,I .J? "/ (~':-:_)
I
.../ ..f".:},,;.',1 L~e:',<...
,I , I
/- J " ,-r"
-~ )-,...~...j ..
!".,>'!f.-' ",..,"
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
;f-cy.l2~ \ Date: 1/1-'L (03
see'lRe~erse ~i~ for Additional Information!
Comments:
See Attachments: I) Grading Plan, 2) Erosion Control Measures
"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."
Sep 02 03 03:40p
1-
2.
3 .
1\ .
'-- 5.
6.
METRO GENERAL SERVICES
763-428-2968
p.2
GIlUM . ME
YULOW . APPLICANT
GOLD - en"
FA'/-..
CITY OF PRIOR LARE
SEWER'AND WATER. P~RMIT
'1~2.:- I/tf7-t!'Z,I{.tj NOTE:
S.W.No. 3-gd~l
SEP 0 Z 2003
(h t::TRO
Sewer and Water
contractors must
be registered
with the City.
APPLICANT:
ADDRESS: 57Cfo
.---------;-
SIGNATURE:
(~EA.I ERA/, SER.VIC-F-PHONE: rb 3 -4-d-.fJ-d,'13g
J-/\J C
Gl up..fY1 All€. Ne DATE:
Ih Sl. m IC-H I'\F- L, ~>J. 5.'>376
~ ,eJV SLOG. PERMIT #
fit 7~.77.g3~S7J11,~5" PID#
,FILL IN THE BLANKS
SITE ADORES
--rv; .
Estimated length of water service f)^
Size of water service---LY2- inch(es).
Location of any couplings from structure
feet.
() feet.
Type of sewer pipe. ABS PVC ~f/ Cast Iron_
Estimated length of sewer line 5~ feet.
Clean out (if required),
structure.
feet
from
located at
tV/A-
==================================-===========================~===
This application becomes your permit when approved.
BY
DATE:
:::=::==fl~/~=~~~===========================================:=
FEES: (] tel" P~"/fH1-- Sewer and water line connection permit.
(No (-'~ ') ~~~~~arge
* 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 at the time of issuance
t~s~~~~re that ~o r0~i~~~e-i s,ewe~ and water ~~~s are
OATE,:.I>AID "J.( Co> U G i10UNT PAID ~r.'l ~~
RECEIPT I I~;S:~ 0 5100~~C'D 8Y !fi
16200 Eaglc:::Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. ('ls2) 447-4230/ FAX ('1s2) 447-4245
An Eaual Opportunity Employer
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A,F;>UCAr.'T PLEASE COMPLETE eElOW
'r~p~ of Fi.ttl.lit: I () 11:':',' dc-, . i T:,p~"r' Fi:::ur:.:
: e~l:;1 f,llj '....ft~1 -:lr Wl::ll.Jl:t .s1"iG\.\.(::- (~~1.' : R.111'.!:,n"lnS
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i L~un~(" T~:i \ i Qr : ..:~~r::.r.j'.:':'';~:1( ;lr.:~ I ~~"VJ.:;-: EjC::-:;:Jr ___.
I Showe" 5r,,11 I B:!.ckrlow A$s,,:nbl:' _-
I Sinks I S:1cktlow Assembly Test __'
I 8:11' Sink I r~W" Sorinkle" -"
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R.~idl::\ri~l. NC".v One ok Twa-F::ur.ily Sr;.9.~O
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I This cIopplidc:on Bceome. Your Build,,,:: i'<r",j ~b.j, Appro~.avc tJ'Fid
J , ,81__ ,. _------I----Q'lCC
J Bu::ldin~ O(liC1.2i1 D:IICI: I
S0/E0'd
PRIOR LAKE DEPARTMENT OF l\Jf~1n PI"Ie
BUILDING AND INSPEe~
INSPECTION RECORD
SITE ADDRESS &!L'S' 7/t1J be~ C'-C-(T D'rI'II~
NATURE OF WORK .lJ~
USE OF BUILDING ~F ~
PERMIT NO. (JS- V~ '" DATE ISSUED
CONTRACTOR .puJ+~ PHON~/al" 't'q~- ~..tC'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I l/VV./ I 'D/L.i, -If? I
I FOUNDATION (Prior to Backfill) I vw Iw I tf-1Q--tI> /tt-lt'0
PLACE NO CONCRETE UNTIL ABOVE -1i~EN sldEOq-;-?-<a
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
I ri';
-
!/l/Y"
IO-,27.P'5.
(/)- '30. ~
yvr-' / UP
~
q- J)...ar /IC'''~
10 -.2 J- V'7 I
GRADING (Prior to Sodding)
BUILDING '1--(nfJ ~-I-Ol.-f
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
9'/,LJ>~'Y $'/
fi;#
UNTIL ABOVE HAS
NOTICE
BEEN
JL -I H0
/2---(!)- CD
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
Ql~difirat~ of <IDrrupanrl!
CITY OF PRIOR LAKE
~eparfmenf of 'l1iuilMng Jjnspedinn
~Final Permitted D Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Unifonn 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
. Fire Zone
Bldg. Permit No.
N / A _ Zoning District
03-0824
Occupancy Type
R3 Type Construction
VN
PUD
j
Legal Description
L9. B2. TIMBER CREST PARK
Owner of Building
Site Address
16465 TIMBER CREST DRrVE
Contracto,', Name & Addre,s PULTE HOMES. 815
ROBERT D. H~TCHINS /Yd
,/ Buil~ ?5P"ial '
9" /~..l,-Y /0 l'
I' /
NORTHWEST PKWY.. SUITE 140. EAGAN
City Planner
DON RYE
Date:
Date:
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1 J.-!f--d -;
ADDRESS
}r;/,( C ~
0W/bt'-/.r-cl r-
OWNER
CONlR.
PHONE NO.
PERMIT NO.
-:s- 'i:7t.-/
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
Ii. PLUMBING FINAL
o MECH FINAL
o EXIGRADtFlLLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
CJ refMl)l~
-Y~CV?5
o )'YORK SATISFACTORY, PROCEED
rI CORRECT ACTION AND PROCEED
o CORRECT ~~~OR REINSPECTlON BEFORE COVERING
Inspector: 1KI Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
''''''''"
/2 -IS<I>
'Ti JIU h.,r/'~rr
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/ r; tj (, c:;-
OWNER
CONTR,
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
'MECH FINAL
COMMENTS:
DATE TillE
s - g- J-c.j
I
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
LD
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06<<r OIL
~-I-df.{
o WORK SATISFACTORY. PROCEED
;CORRECT ACTION AND PROCEED
o CORRECT W~RK;?LL FOR REINSPECTlON BEFORE COVERING
Inspector: .1/l4' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE
INS/'IOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
BUftNSVILLE
Heating & Air Conditioning, L.L.c.
12481 Rhode Isl4nd Ave S, Savage, MN 55378.952-894-0005
Orstat Test Report for Jobl 5'?-7,;)..
Address--U,?JL-,,~ --r:rl-It-:e,- ~City ~;i',r ,kL
Occupant
Dale of Inslall
Type of HT. F/A ./ HW Space HT Unit HT
Other
Make
Model
Serial
Input
L fl..-I'I/\~'.V
G:e-::.;JI/?-'J<lI3- (}<I'-:-- cl
-)'''0::: -L 'l-..5:(0?, 7 /
4</ CCD P'J, H
Pilot Type HOT SURFACE IGNITOR
Pressure :=?5"' CO2 <II/'
Input CFH 1-/</ 02 Ir:l,l€ PI.
Slack Temp ~~ cr CO JD Dl)1Y\.
I'
Date Tested
J:J/oh3
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Company BURNSVlLLE HEATING & AIR CONDITIONING
Technician ~bOYI
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
lj-/l.fj'
ADDRESS
I""~ TtMberCrCS../- Dr.'v~
lull (.
PERMIT NO. ---03- a..7Y
,
CONTR.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ILLING
-0 COill5LAlNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
bf'c,~ - f) t.
-..
Gullo f/;IJ T - 8 1<...
c1.. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpector~ - Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTl