HomeMy WebLinkAboutBuilding Permit 03-0623
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
S. ZZ-.OJ
See Main Fil~ ~::y
J. Yellow Applicant
I PERMIT NO'C3_ &.;2-3
(Please !,yPe or print and sign M bottom)
ADDRESS
/~'391 -n~€Il. CUff O~ltf€'
ZONING (ollk,u,,>
fUP
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK:z, ADDITION 7iMtJ~~ eU's, PA-,L,t-
PID zr -+tJ'Z. -osy. 0
OWNER . I
(Name) Pvt. T€ ffOl">E"S
(Phone) 6.s-! - If S,iJ-.r,;lQo
(Address) BIS- No.LTHt-Jer1" PI'f~A<.I 5:'-/Tl\<'" It/a, P'A6Ad, M,J rn.)tf
,
BUILDER
(Name)
(Contact Name)
~ JA/l1~ AS ~"E ,.
AA~ MAl! I
(Phone)
(Phone)
(psI - t{J.-; - S' ~c
(;/J - t{'fr; - '/,)..)8
(Address)
TYPE OF WORK
j!!J.New Construction
DLower Level Finish
DDeck
DPorch
ORe-Roofing
ORe-Siding
o Misc.
o Fireplace DAddition DAlteration
PROJECTCOST/VALUE (excluding land) $ tt/. fcJ&
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
~r:ru~,_-y"".::e:e:edinSpectiOns Be-I}7/ S/.;.O/oJ
Signature Contractor's License No. Date
"
j Permit Valuation Jl.S:OOO.OO I I Park Support Fee # $
I Permit Fee $ , 7L/B. 75 I I SAC # $ I~ 7S; tJO
I Plan Check Fee $ t.j~. ''7 I I Water Meter Size 5/8"; 1"; $
I State Surcharge $ 32.6'0 I I Pressure Reducer $
I Penalty $ I I City SAC and WAC # $ IZOQ.OQ
I Plumbing Permit Fee $ /oadJCJ I I Water Tower Fee # $ 700.00
I Mechanical Permit Fee $ }o~. pO I I Builder's Deposit $
I Sewer & Water Permit Fee $ - I Other $
I Gas Fireplace Permit Fee $ 4cJ.t!JO I TOTAL DUE $ 4-(, e z. . 94.-
~. .
This Application Becomes Your Building Permit When Approved I Paid I-/hool... _ '7,-/ Receipt N#/ /{' / cr
:B11':~ r I Date -7- /~-'-I- ~ By G
::t~W &11'/63 0
Building Official Date
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
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Planning Director . 'Date Special Conditions, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
f.,
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Th~ C~nlfr of Ih~ I....~ Counlry
~~~ Main File
White - Building
CanarY - F=nnineering
r Pink _ - Planni~
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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Accepted
/
Accepted With Corrections
Denied
Reviewed By:
23".,..~
"
'4 ~ /-.-
Date: ~!( 1/03
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."
5~~
See Main File
(' White . Buildin~
GllmIfy - t:nglneering
Pink - Planning
Th~ ('tnlu of the I..kt ('ounlry
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
PdT;, ~
fi"->>~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/{"_3 C)/j -riin her tlresr IJ t---
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
~ 7'~t.J
Date: t.../t/;Io3
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."
A :i PRIO!?
/~~
Thf Cfnlfr nf lh.. l..k.. ("aunl..,.
See Main File
White - Building
cCaniil~naoneenn1t)
Pink - Planning
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:
/,..- ':J ,<~ /'/'
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Accepted X
Accepted With Corrections
Denied
Reviewed By: 0fO)l.,\,,-
Comments:
Date:
1/1.-1-1 O~
"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 IS 03 01: OBI"
METRO GENERAL SERVICES
7S3-42B-2SS8
1".2
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OAE-tlll. PillE.
YELlOW. A.."LIC.....'
GOLD. ell of
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
PAj.. 95..:!...- if t.( 7- 'lj, I./r
NOTE:
S.W. No. 0'5 - 0& 2,..0
2....1',
U,2-3
Sewer and Water
contractors must
be registered
with the City.
APPLICANT: m.ot:;1\ ~~~..u...".,~PHONE: 7h 3 - ,(~~-d..'t3g
ST m"tHf-\n, ""'>'>IN. ., T'
ADDRESS: ':;'7"'10 N\l~ N'V\ ~ N.E ' .sS3il.,-DATE: b~.3
SIGNATURE:\ --"'~;:S2 p~ BLDG. PE~IT #
SITE ADDRESS: /b3t5; gQ,q3 .CJLJ.f.o 3, D'7, II, (5" PID#
. ~ --,-~
FILL IN THE BLANKS ~~
1. Estimated length of water service
s- (')
feet.
2. Size of water service
r'r
inch(es) .
3.
Location of any couplings from structure. c:J feet.
Type of sewer pipe. ABS PVC~' Cast Iron
4 .
"-
5. Estimated length of sewer line
5?\
feet.
6. Clean out (if required), located at feet from
====:::~::~::~=======-========~~~===============================
This
your permit when approved.
BY
DATE:
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FEES: i11~4 8- M.,7'- Sewer and water line connection permit.
~ . _ . , Surcharge
C No (-ee.... TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
Sewer and water p~~irs issued for new construction must be
re,C?~~~~I~~~~uanr,t",n~ permit card at the time of ~ssuance
to ~ He~~W MOI~~'1 l~cate sewer and water perm~ts are
issu
11 .1111 1 7Z003 I
DATE.PAIl: 1\ .J AMOUNT PAID P~ID 'NITJ-I
REC/D BY SWlDINGPERMIT
*
'-....
RECEIPT JlIBy __
16200 EagIe:Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (952) 447-4230 / FAX ('lSZ) 447-4245
An Equal Opportunity Employer
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CITY Of ?R10R L-\KI PU.-:.-f3,:>C FE
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\ '1\ \ Jill
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ShOWI::-- SC:dl Backtl\Jw A.:is~:71oi:,
Sink, B;).cktlow Assembly To,:
B;u 5 Ink I (.;).wn Sprinkfe~
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R~idC:Hi:ll, New One &. rwo..F:mily
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PUl,\.U3rNG PER.'.UT fEE S
STATE SURCH....RGE S
TOT.U PE~"'m FEE s
PAID WITH
.5fUllDING PERMIT
,,,is "pplj~"jon B.~'m"" Your B~ildin~ ('<rmi, Wben Approved 'l~~ !;,Jl8
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80/S0'd
=II~ I m91~ I Elv~md!,3llti(,
1:C::E-O [001:-60-lrII
PRIOR LAKE ~~rtD~~~~JD~~~-Main File
INSPECTION RECORD
SITEADDRESS~. ~~~+-O~
NATURE OF WORK ~
USE OF BUILDING ,e:;' F R
PERMIT NO. - DATE ISSUED
CONTRACTOR PHO~ &f'l~ ."",JI
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FOOTING ~4~ I
I FOUNDATION (Prior to Backfill) /Io\~'" I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
\M.4'"
M_
t/W
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a~~
/(J~(~h
C{r/A-P'J
q~~Cf-r;:.
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
- .
~.ee. //fe:kh h k /.
~ 9'/2/0/
-
~
j/l/J/'
OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
1/-'7'CI}
1//>/(}3
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
,-
(!l~rfifirab of @rmpaurlJ
CITY OF PRIOR LAKE
~tparfmtuf of 'liuilMug ~usptdiou
ts(Pinal 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:
Use Classification SINGLE FA,VlILY Bldg. Permit No, 01-0623
Occupancy Type R3 Type Construction VN Fire Zone N I A_Zoning District pun
Legal Description 1.5. B2. TlMBER CREST PARK
Owner of Building Site Address 16397 TIMBER CREST nRTVE
Contractor'sName&Address~ PULTE HOMESJ 81.5 NORTHWEST PKWY.. SUITE 140. EAGAN
ROBERT D. HUTCHINS //z::;;:! _ City Plaunec nON RYE
/ ~Uil jiflg qrticial
9/.2? 0'/
./ .
55121
Date:
Date:
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
//-7-C/)>
ADDRESS
/r.'317
1''l1~,-r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3-'2"7
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 EXIGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
rCVIII(II/~
v~"I.?<
o WORK SATISFACTORY, PROCEED
f CORRECT ACTION AND PROCEED
:S:~:ECT?1I0L FOR REINS::::::::FORE COVERING
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETY!
"""""
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/1.:1 q7
rr"Mf~~/ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
DflIfSULA TION
A1 FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o )'lUMBING FINAL
}If MECH FINAL
COMMENTS:
tB
~"fA ( PI ...-qJ,
$nd -L- ~r......{
~/I--uv..1
t?t- d,.1.n!i1IJ~
,
T ~t7 t/-t+i!
DATE TIllE
1/-llJ-fCl
---3-r, 2 '1
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
'is'" - h1/...-(
(
o WORK SATISFACTORY, PROCEED
.P-'CORRECT ACTION AND PROCEED
o CORRECT ~OR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSI'':l!TION 24 HOURS IN ADVANCE.
tNSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
~2{y TIME
/639'/, ~6e~ C~ ~ ,d-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
"..e-FINAL
o SITE INSPECTION
COMMENTS:
-----
.---
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~/C':5.e..
SCHEDULED
CONTR.
PERMIT NO.
t:)!-~.23
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
- ...----
~,,~
--, '\
r- /e_ /
-------
;(WoRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:'::O:ECT W~ REINS:::,::::FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETY!
'''''"'''
BVRNSVILLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island A.. S, Savage, MN 55378.952-894-0005
Ors1at Test Report for JobI Sl,,;;.;;{
Address /1p.'5t? -r::../::r. \' a-~~f ixcily-tt :{'[ L, iL
Occupant
Date of InSlall~;' ~
Type of HT. FIA J-Rw Space HT Unit HT
Other
Make
Model
Serial
Input
j..U//#J y'
G<::I jY)jj- :;Jitf, our CI
l.-~! r";;, r\ -;<", "~',
../ ~ ~...M _J j" V'
4Y 600
PilotType HOT SURFACE IGNITOR
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Pressure 3,~ C02 d. ~ /1:>
Input CAi W 02 1, ~ ';'
S1ackTemp ?f.;;' CO t/~-
,.
/1) ho~ ~ $'
BURNSvt{LE HEATING & AI8 CONDITIONING
Date Tested
Company
Technician
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