HomeMy WebLinkAboutBuilding Permit 03-0621
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File::'
J. Yellow
(Please!VDe or urint and sign at bottom)
ADDRESS
/ ~ 3 R q -rJ,N'I&€L C/le'sr' 1)fZ, ole
LEGAL DESCRIPTION (office use only)
File
City
Applicant
I PERMIT NO. 63- ~ d..-/I
LOT J BLOCK,2 ADDITION {ir'18e'~ CM:ST Plltt--IL
OWNER , I
(Name) Pvtr€ H"I"IE>
(Address) 9/5 NQ.(.rllt.JllSr pAtUt#JA<I ~"'(rE No . P"A6.tW . I"W
,
BUILDER ft' ..
(Name) $AMtt II~ 1IIJo1l€
(Contact Name) AA~ /l1AJt 1
(Address)
TYPE OF WORK
o Mi,c.
-
~ew Construction
DLower Level Finish
Date Rec'd
~). ~Z-OJ
ZONING (officeu,,)
PJI/
PID 'Z 5- ,..f1J z.. -o.rY -(:.J
(Phone) (,.rl- If)) -5'.;100
.rrtJ4
(Phone) fRS/-t{~J.-r)Oo
(Phone) (glJ -If'o - 'IJJB
ODeck
ORe-Roofing
o Fireplace DAddition DAlteration
PROJECTCOST/VALUE (exdudingland) S at/. b.re
OPorch
ORe-Siding
DUtility Connection
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;ter~:rop:~~..:eededin,pections Be- 071 5/,;,()/o3
Signature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Pennit Fee
Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
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$ '7'1S. 751
~~,b" I
32.~o.1
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I
I $
$
$
$
$
$
$
100.00
100.00
-
40.00
This Application Becomes Your Building Permit When Approved
~ :fdl--
- Building Official
to/I I /IJ 3
Date
I Park Support Fee
I SAC
I w at\..~ h~.......~ ::::~".... 5,'8" ,i";
i -; ~"""';)U.I\,; r..euucer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
I Paid
I Date
L.f h){.J.. ,'-i '-/
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#
#
#
#
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$ I
$ ~f/Z. _1+- I
$ 0,
$
$
$
12-75,00
---
$ 1"2...00. Db
$ 7(0)0. 0 0
$
I ReceiptNo,4i;~- f;;},
Bv f.A
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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 t.......I'u.""') Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~ning"!~).J ~/"L~3 ~p~~ndM~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~1
See Main File
....--white - Buildi"iib
Canary - 'engineering
Pink - Planning
Thf' (-..nl..r or th..l.ak.. ('ountry
B..Ul!.DING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
rPJdft ~
.
5-'?';;;,,-o3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity ~hich is proposed at:
/tf;,~R-q- ~~(h~ iO-1.
Accepted
,/
Accepted With Corrections
Denied
Reviewed By:
~
.
7-~~
Date:
1.:./ I l/O: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,"
...""
t~~
See Main File
White - Building
Canary - En'lineering
<"inK - Plann,"!!:>
The ('enluof the l..hCounlry
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:
// "'" \/9- , -,! ' ""'-+-
v ";', ' . './ ,./ ...1/ '>,',..y ,
./1 .
Accepted
,,-/
Accepted With Corrections
Denied
Reviewed By:
~
7'~1--
Date: .J;"h I J 0 '<
J .
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,"
See Main File
White . Building
~anarv' -l:.n~lnecIIl19--"
-P",k . Planning
Th~ ("rnltr nr lhr l.alr.r COllnl,.,.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLLSI
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:
j I --, ,""'_.Fe; ,',' ,,_/~!.
/ tve>$K '''/'' \: L-iV),. LP1./ CV)j4-t
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Accepted 'X
Accepted With Corrections
Denied
Reviewed By:
Comments:
~.__J?A-_~
~.'1~
Date:
{ h.:d 6'Z,
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction, Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid,"
Jun 16 03 01:08p
METRO GENERAL SERVICES
763-428-2868
1'.2
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~NNE2Y
GRIE:~", ....IE
YELLOW. APPLICANT
GOLD. cnt
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
FN- 95.:1..,- if t( 7- ,/"}; If.$""
NOTE:
S.W.No.O"?-O(PZ-O
2...1',
U, 2- 3
Sewer and Water
contractors must
be registered
with the City.
APPLICANT: m.o:t;-,,~o~_"~~~PHONE: 7t..3 - tfrl'6~d.'138
ST m'>CHf'Ot:l, -""'1<. ' .
ADDRESS: S"1'10 0J1.l.4-""" ~ N.E ' SS3/I,,-OATE: bin 1().3
SIGNATURE,' '~;d2 p~ BLDG. PE~IT '#
SITE ADDRESS:, 1t,3g5: gQ.Q3/1L4-0:J, Q'1, II) (5" PID#
. oF _-,-~~ .
FILL, IN THE BLANKS ~
1. Estimated length of water service
.s- (")
feet.
2. Size of water service
( /I
inch(es).
3.
Location of any couplings
Type of sewer pipe. ABS
from structure C5 feet.
PVC~' Cast Iron
4 .
'-
5. Estimated length of sewer line
S?\
feet.
6. Clean out (if required), located at feet from
structure. 0/ k
=====~===============-======~===========================~=========
"--
This applicatio ~~your permit when approved.
BY , '-::1, -, DATE: -? I~. ~7
========fJ~~~==~~~=============================================
FEES: f] Id~' IlH7'-- Sewer and water line connection permit.
~ '_ -~. Surcharge
( No {-ee..- TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
* Sewer and water pp~ts issued for new construction must be
re,CO~~~ ~ ltll1=q.,~n~ng permit card at the time of issuance
1;-0 i ifelUftM.tiJ rib J;d1jtllicate sewer and water permits are
~ssu -I I
\'1 .1\ 11 1 7 1003 j
DATE. PAIL , AMOUNT PAID PAID 'NITII
RECEIPT # 8."--- J REC'D BY SU<<.rnNG PERMIT
16200 Eagle:Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (952) 447-4230/ FAX ('152) 447-4245
An Equal Opportunity Employer
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L.ltJn'..:~. r~~1 i I cr _ ...;cr.-;::~i::":'1c::\C :.ilr,:~
~;'Qwe:" Sc~ll
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Backrt0w A"semoly __.
Sackr10w Assembly Test __'
Lawn So, rinkle~ '
--~
Othe~ __
F <'1. :i Gi.ED G'LE
[r.;;:IJ~~:;;:.I" Ci.;ml..e:-::::l.l Jc. ~rlllt.i-flmil:l [~'... o'~' 10e C:JS[ wit:' J S:i9..s0 minimt;r:1,
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(0;:: "::::::~(iOn B.com.. yOU<' Bui'dill~ Permit When Approved 'r'ir ~i~ ~ 0 U ~ 'TII
I, .~. oal'dL iHi 2.003 u II By
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:.l'l'lur tlVCU':J: roJr:aU inspcct'lons ~?:::) .u.1-f?~~"-- ',ll'::-,' ,,- ,- '" ~
80:C:0'd
Rdic!oci:ll. New One ok Two-F:u':'1i!;-r S9.-c;L.~O
R..=:>:c::::'I.:;J.1. A..:t:,icn.s.1: ,.l..::.:::':.::Or~~ :s: -:; ;c
c:.;;;::m:.:.c.::.:. CU:i;: :5
2I..i.i(;'!i~; P::~i(_~
FM> WITH
BUILDING PERMIT
PLliMBrNG PER."lIT FEE
STATE SURCHARGE
TOTAL PERi..Ul' FEE
50
Rec~:p( No,
-l
-~~
i!~uldiln~ Offici:al
O:ate
JI, I OJ:J~, I Elf,Jnldi,3lll:l(,
Tc: 50 E00C:-50-1IIf
PRIOR LAKE
INSPECTION RECORD
/- 'D~
DePARTMENT OF See Main Fil{
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK ~w
USE OF BUILDING ~
PERMIT NO. 0 - ~ DATE ISSUED
CONTRACTOR;;' PHOf\M I~' &190' I/H"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FOOTING
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
, SEWER I WATER I SEPTIC
I FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
, FIREPLACE
I GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
S~e
I/fP
JIf/P
4- 24-03
q-J..C1-~
Yvp
IiIIV'
q - ),4rt(l
q- )A'H)~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
- - ,
~,;, h~ ,
4~/ 9'a/tX/
rvr/
~
OCCUpy UNTIL ABOVE HAS
NOTICE
BEEN
/ !-7-CJ;?
//-/'5-0>
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
;.
~tdifitaft of @ttnpantlJ
CITY OF PRIOR LAKE
:!Elrpadmrnt of ~uilMng Jlnsprdion
iFinal Permitted 0 Conditional C.O. Expires
I
This Certificate issued pursuant to the requiremenrs 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 FA..'1ILY
Bldg. Permit Nn
03-Q62\
Occupancy Type
R3
Type Construction
VN
Fire Zone
N / A Zoning District
PUD
Legal Description
L5, B2, TIMBER CREST PARK
Owner of Buildinp"
Site Address
16389 TIMBER CREST DRIVE
ROBERT D. HUTCHINS
'" /. .:~~ ~cial
"i' 2/ Of
PULTE HOMES, 815
/~
v
NORTHWEST PKWY., SUITE \40, EAGAN
5512\
Contractor's Name & Address
City Planner
DON RYE
Date:
Date:
....'
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" .,<:,:.......
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............
ADDRESS
DATE
fhYtfe/
//~J7' Zh-,/~/C~S~ .a--
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
C'f '5 - 62 (
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
....e1'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
-------------~--~,
.------- .-........--. --...........
~ -~~
/ ..-"\ /' ~ /\
~/c>s.e //' /=----- /'
YWORK SATISFACTORY, PROCEED
/0' CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
.A~~
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IN$1iOTl
BVRNSVILLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378.952-894-0005
0rs1at Test Report for JoW 5'1r,)o
Mdress-1.1.iJ'tfi Ii ",b...,. r 1/1'7 to l\ (" City f;-c, c\ k-J",-
Occupant
Dale of Install
Type of HT. F/A /HW Space HT Unit HT
Other
Make )..... l",nr; 'It
Model ~5 if', v - :l.l >< - nJ" . cJ
Serial S'YO? tr 3?i.o1"r
Input 4./ 0..
Pilot Type
Pressure
Input CFH
Stack Temp
HOT SURFACE IGNITOR
"?'. <;" C02
4t.{ 02
91 (;f CO
;l.<'/..
\ 4'
\.n.
in\\,,,,
Date Tested
Company
Technician
1#211c~ . !. ~
BURNSVILLE HEATING & AIR CONDITIONING
~5>O'" \.C
,
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
(f. 79"1
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
(Qr::;,.. ~ (
~ y ~/).L-
SCHEDULED
'1...!"'~ l'
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
IRJ '""IlL t1 /7/J~",. I
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-+- "h-..~ '<. (J.,-
d.....lrJ/.J~......-t-
-/..:etA1 t:? 01 +; I
DATE TillE
! (- ( 7-z;IJ.
3-(;2-(
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
fi--I-() q
o WORK SATISFACTORY, PROCEED
,.WP"'CtiRRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~
Owner/Contr:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOT>
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
I/-?GO
ADDRESS
/ (g -X8-r
'Ti"'~/tSr-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'3-C2/
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 EXiGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
0-fL.~~
~-LI/Js
I
o WORK SATISFACTORY, PROCEED
" CORRECT ACTION AND PROCEED
o CORRECT W~RK,~L FOR REINSPECTION BEFORE COVERING
Inspector: II' W OWner/Cantr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"""""