HomeMy WebLinkAboutBuilding Permit 03-0625
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main Fil~:,
Date Rec'd
~. ll- (;)
3. Yellow
File
City
Applicant
I PERMIT NO. 0 3-b~
(Please tvP~ or print and sim at bottom)
ADDRESS
/&1./07 -n...uPR cA.€N' D~/v'€-
ZONING (office use)
p~
LEGAL DESCRIPTION (office use ooly)
LOT (p BLOCK r:2 ADDITION --r/Md~L ~sr fJAtt-K.
PID ?J ,t.jOl- O<;-q-o
OWNER
(Name)
(Address) 13/5' NolLTUWFJr PA1e./u,4'o.I
)
PVLr€ /10.....0
<;,.lIT€ 11/0
(Phone) jp.rl-#S.;z ~r.;J-oo
sn.;q
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e'" AC4,.}
BUILDER
(Name)
f
SA~ A-S
..4 A-~o;J
,4!jOllfO I<
PIA-Ill
(Phone) iPs-I -'fJ,;J - r;loo
(Phone) 6/,}. -"'0 - 1{,})f7
(Contact Name)
(Address)
TYPE OF WORK
}l'New Construction
DLower Level Finish
DDeck
DPorch
ORe-Roofing
ORe-Siding
DUtility Connection
o Misc.
o Fireplace DAddition DAlteration
PROJECTCOST/VALUE (excluding land) $ &;t/.6,.r8
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 upon the ~rty to perform needed inspections. I I
X ~~_~......a B~ - 1371 .JIJ.olo3
Signature Contractor's License No. Date
,
Permit Valuation ~"'fOOO, 00 1 1 Park Support Fee # $
Permit Fee $ 7~g 751 I SAC # $ /2.- ?S.OD
Plan Check Fee $ 4F~ . &/J 1 1 Water Meter Size 5/8"; I"; $
State Surcharge $ .32. SO I I Pressure Reducer $
Penalty $ - 1 City SAC and WAC # $ J2co. DO
I Plumbing Permit Fee $ /tJo, {J 0 I Water Tower Fee # $ 700. o~
I Mechanical Permit Fee $ J()CJ,oO Builder's Deposit $
I Sewer & Water Permit Fee $ Other $
I Gas Fireplace Permit Fee $ J.fo, 00 TOTAL DUE $ of {, to Z- . 11--1
This Application Becomes Your Building Permit When Approved I Paid ';6i~. r)i/ Receipt No."'V 0'7;1,
~ ?~ t. wi (J::J I Date 7-::JL/~L ?, By a
t\
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
~~ry P7::;~"mpomY C'~fic:~~:mJ:m:liance mdallow, con,auction to S"ee'foMaritFilP~ mustb,
- Plarming Director - Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See Main File
~ - Building
c, ~~!!al'Y - ;rQmeermg )
Pink - Planning
Th~ C~nl..r nr th.. l..k.. COLlnl.,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
,i'" ,.4 ';r_~~
-YfliX :'
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
applic~tion for construction activity which is proposed at: /'
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Accepted
x
Accepted With Corrections
Denied
Reviewed By:
I'ly-{~~\ '-
Date:
1/1--1.-/ o~
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."
i;~1
See Main File
C"y{hite . Building J
Canary - I::ngll'1eerltlg
Pink - Planning
Th..('..nlnnflh..I..k..Counl~'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
VIJ Ifa
.
e - ;?f.;2-03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J/.t/O~ rYPm~ ~r ~
- -
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
Comments:
~
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Date:
&'//(/03
"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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See Main File
White - Building
Canary - ~nqineering
C:::t'mK - Plannin~
Ihr(-rntrrof Iht Lakr('ounln'
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
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'.
Accepted
/
Accepted With Corrections
Denied
9~
Date:
r;;/({t~
Reviewed By:
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.Pl'LIC"."'T PLEASE COc\[PlETE BELO\\"
T.'''';::lt: "f Fi.'tru:"c ! QIJ:.:.n[i("'.I I Type: r)( Fi:t:-u:"::
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LJUn4r:. Tr~:~ (: .x: ';(~r.:::.J.r::7!~:lt .ilr.:, i .::i~'.V:1g~ Ejt:-"::ur
Shower SC:J.JI eJCkrlllw A~se:nbly
I Sink.:; Backrlow Assembly Test
I 8ar Sink I L:twn Sprinkler
I W"Jter Clo$et lTlllk:) 10th":
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FEE SCfiEDl;U
(11C:lJ:i~:-::L Cr.mr;:;:::~;J.l ~ .'l..ful:i.t=r.,il;.. t'~~l of job cost 'Nic~.:1 .s::i9.50 minimlJr.1
(Qmcc t:J'e Onf?)
R~id~ti;lI. NC'\v One: J: Two-F:uniI:-- 599 ~Q
P...:~:~.:::~t:.J1. ,-'l.Jci::cos ..I: .,,~:;:-:';:or.:l ~: J .:'0
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PLtiMBrN'G PER.'-CIT FEE S
STATE SURCHARGE S
TOTAL PER"UT .fEE S
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'4,f",
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.50
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Thi~ r\pplic.:!.cion Bc:comc:~ Your 9uildin~~ Permit Wb~n Approvl:d
8[J/W'd
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By _._ __.,-'------_ .
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:II~ I :O:JN I ElWrlldi,3lll:J(",
~c: :60 Z00c:-60-ll1i
DEPARTMENT o~ee Main File
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~1J'l Ti.",j,~t' CJre.~1- htf-
NATURE OF WORK ~~
USE OF BUILDING ~
PERMIT NO. D~ . DATE ISSUED .
CONTRACTOR h. # I!J Jt\ eol PHof\6/tZ... 119fJ' q~;..l
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FOOTING \IM:",I
, FOUNDATION (Prior to Backfill) 1Il0:" 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
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
c
GRADING (Prior to Sodding)
BUILDING 1'i..p 11/
ELECTRICAL
PLUMBING
HEATING
DO NOT
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FINALS
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OCCUPY UNTIL ABOVE HAS BEEN
NOTICE
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.
I(-I/.-I.~
Jh7-0 '3
SIGNED
FOR ALL INSPECTIONS (952) 447-9850
([edifiatfe of QJ}rrnpaut1!
CITY OF PRIOR LAKE
~epNrfmenf of ~ui1Mng Jlnspedion
IS Final Permitted D 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 FAMILY
Bldg. Permit No
03-0625
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
PUD
Legal Description
L6, B2, TIMBER CREST PARK
ROBERT D. HUTCHINS
~Ui!.ding,6ffiCj;d"
/'. '.-20' / 0 '/
, ,
PULTE HOMES, 815,NCRTHWEST
/~., City Planner_
Site Add'ess 16407 TIMBER CREST DRIVE
PKWY., SUITE 140, EAGAN
55101
Owner of Buildir"
Contractor's Name & Address
DON RYE
Date:
Date:
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ADDRESS
/b707
DATE nMe
SCHEDULED ~~,?
/?h~.- ~d;/ ~
CITY DF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
C:8-'2.~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
....e-1'lIfAL
o SITE INSPECTION
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 GAS LINE AIR TST
o
COMMENTS:
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~WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: /0/ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
II'SNOn
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,
BUHN~.L~~N~
Heating & Air Conditioning, LLC.
12481 Rhode Island Ave S, Savage, MN 55378 . 952-894.0005
Orstat Test Report for Job# 5"i,aJ
Address~+- \\!Vhr Ue;:+-b~ City 'H-,(';, Lk
Occupant
Dale of Install
Type of HT. F/A ............HW Space HT Unit HT
Other
Make ~lniOjt!:
Model (:,) ii"j,>-.:J</{5 'Cd/S'N
Serial ";'/ Ie ";'" !+- ??' l" -, if
Input ~" 8VC
Pilot Type HOT SURFACE IGNITOR
Pressure :3. !:'" C02 10 C ',;
Input CFH 1/4 02 10 ",
StackTemp ?/ r,' , GO f I;).~'-
Dat~ te~;~" I)) ~L ~ i. I i ./'
Company BU~SVILLE HEATING & AIR CONDITIONING
Technician ~SOY\
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/1-btd3
ADDRESS
/tl.{07 fi,"~s1""
OWNER
CONTR.
PHONE NO.
PERMIT NO.
':5 --cqr
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
t!l"FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS:
({,}fl ~ 1
~) ("M.
o.n.rl-G- t:,?{)~?
d-.- '[ n-,.;c; fb.-
r1 ,.vel ~p ""'-: -r
o W~SATISFACTORY. PROCEED
It-Cc>RRECT ACTION AND PROCEED
o CORRECT W~~ ~FOR REINSPECTION BEFORE COVERING
Inspector: J/ VY Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
",,,,.m
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 1/11.1-0>
ADDRESS /(,407 1r"'1b~~~
OWNER CONTR.
PHONE NO. PERMIT NO. -;J-cJ-r
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RJ
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:
{ j, Vklh"",
rdlJ?'t.JJf'/?;
o ~K SATISFACTORY, PROCEED
!I" CORRECT ACTION AND PROCEED
o CORREC~ W~RL?ALL FOR REINSPECTION BEFORE COVERING
Inspector: JL.J!l- OwnerrContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IN9N0n