HomeMy WebLinkAboutBuilding Permit 03-0626
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT s-. ~ Z, ,OJ
See Main File Fil.
2 p;" C;'y I PERMITNO'03_'I ..... JI
3_ Yellow Applicant It? c;I-ft::)
(Please type or print and siJm at bottom)
ADDRESS
/"'1/1
If~a C4.€~ bl..fV€
ZONING (office use)
PUb
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK:2 ADDITION -r;M812'L- t.A.€if fJAtU-
PID z.-s- - 4-d l-'o~ ,C)
OWNER
(Name)
Pv"T~ J.k.1"1E'5
(Phone) ~S-I- 4r.,) ~ J"l-IIO
(Address) t:l(S" AlQ~rH/N€ff PAUW.4'f sv{r~ It!o I €A6A-,J
M,.}
SS'I ;Jt{
BUILDER
(Name)
(Contact Name)
(Address)
rr J4-1"I€ ~5 ~,~"
jJA-~tW /144~1
(Phone) (,SI-t/5',j,r.;loo
(Phone) -k/.J - 1./"/0 - tf,};I'i
TYPE OF WORK
)1( New Construction
DLower Level Finish
oDeck
oPorch
oRe.Roofing
ORe-Siding
o Fireplace
DAddition
DAlteration
DUtility Connection
o Misc.
PROJECTCOST/VALUE (exc1udingland) $ (,,"/~.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
;terupon a:: to p;:en;;t inspections. 8t! ' 1371 r b () /03
Signature Contractor's License No. Date
I Permit Valuation 4f/45.ooo, DO I I Park Support Fee # $ I
I Permit Fee $ '71.p.7SI I SAC # $ , z... 75. 00 I
I Plan Check Fee $ 'Rh. (P"j I I Water Meter Size 5/8"; 1 "; $ I
I State Surcharge $ ~c;a 1 I Pressure Reducer $ I
I Penalty $ I City SAC and WAC # $ 1"ZJ;:X:), 00 I
\ Plumbing Permit Fee $ /rtJCJ,DO I I Water Tower Fee # $ 7{Jo, 00 I
I Mechanical Permit Fee $ fDO.oo I Builder's Deposit $ I
I Sewer & Water Permit Fee $ I Other $ I
I Gas Fireplace Permit Fee $ 'fa." 0 I TOTAL DUE $tP~A 2.14
This Application Becomes Your Building Permit When Approved I Paid L/ t:: r.J, -! t.I- Receipt No. t./Lfi /;},
~~ffici;t~~~6? I Date J-;:J.D --::'1 . By C;
0
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
:~:e. C~Plon;:::o~empo'ary Certifi~/lzo,n7~;once and allows cOnStlUctionsommence Before ocruponey, a Certificate :f1occcupancy must be
Planning Director ' ~ate peclal C
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
~~
See Main File
(White - Buildin!L)
Canary - Engineering
Pink - Planning
Th..('..nl..rnr'h..I..k..('ount~'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT tfJ ~~ ~
APPLICATION RECEIVED
.5- ,Q ':k00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~tJl/ ~kv~ jO~
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
~ '=;t~
Date: 1o/llla"?
I .
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
~ - Erqineering
C ,Pink c - Planning ::::>
Th~ {"Pnlr. of Thr L.kr ("ounlry
"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT rfJ/A.Ltc ~1(jv1~
APPLICATION RECEIVED .5 - ;J ~ 0 3
.
~
... ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/&,L/// 'L~~Vc!-~ d OA-/'
",
.,
.,
Accepted
/
Accepted With Corrections
~.-_...
· . Denied
..
Reviewed By:
~
-
'1-~/-J
Date: &., /11 /a 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."
t~~
See Main File
Whlt..e.... - E3,:,~lding
.- l :'-':"'1 'tJ ~ ~rl~..neerlng...;
Pink - Planning
Tin C~nl..r IIf lh.. Lak.. CQunlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
fj) ~ fJ-m/}tLUJ
5-,;;0 -03
The Building, Engineering, and Planning Departments have reviewed the building permit
applic?tion lor construction activity which is proP.Qsed at:
/10 tj// ~hy~r /!JA--
Accepted
J<
Accepted With Corrections
Denied
Reviewed By:
~~AL~
Date: 1/"(.;,) o\'
Comments:
"The issuance or granting 01 a permit or approval 01 plans, specifications and
computations shall not be construed to be a permit lor, or an approval 01, any violation of
any of the provisions 01 this code or of any other ordinance 01 the jurisdiction. . Permits
presuming to give authority to violate or cancel the provisions 01 this code or other
ordinances 01 the jurisdiction shall not be valid."
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PAID WITH
'-.UILDING PERMIT
,~Q
PLUMBiNG ?ER.'-UT FEE S
STATE SURCHARGE S
TOTAL PER."rrr FEE S
nus App!ic.::J:WHI ,Become.:: Your Buildjn~: I?ermit When Approved
~ I R.cc.:pc t'<c,
JI/ By
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80/80'd
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In O:ffl' 0 9 2003
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT o.see Main File
BUILDING AND INSPECTION
SITE ADDRESS /'1/11 ~Y~f Dt
NATURE OF WORK ~ ow
USE OF BUilDING .JS.F_ft
PERMIT NO. ~>-~_ ~ DATE ISSUED " t>
CONTRACTOR ~ PHO~/)- "tJ.ro
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
OATE
, FOOTING 1M";" I
I FOUNDATION (Prior to Backfill) \MI.,,, I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC \1'^U.in
FRAMING tv / C
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
if110
i/!/V
~
/lr'
/b'y(}3
/0- 7 -0']..
10-, 'J-c/]
10']' CIl
GRADING (Prior to SOdding)
BUILDING 1.(~ 4H'~
ELECTRICAL
PLUMBING
HEATING
DO NOT
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
- _.
See /ff~nM h~ , _
ft/#' 7..b3/~
~
f/V1//
OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
/ /.fiI-(/J
J(~n-07
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
QIrrtifitab of @ttupantl!
CITY OF PRIOR LAKE
~rpnrfutruf of ~uilMug Jluspufiou
I Final Permitted D Conditional e.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. Pennit No.-.J[l-06 2 6
Occupancy Type
R3
Type Construction VN
Fire Zone
N/A
Zoning District pun
Legal Description
L6. B2, TIMijER CREST PARK
OwnerofBuildin~ Site Address 16411 TIMBER CREST DRTV!"
Contractor's Name & Address PULTE HOMES. 7 8\~,c NORTHWEST PKWY.. SUIT!" 140. !">'GAN
ROBERT D. HUTCHINS 4~ City Planner DON RYE
Date ?B~7l Date
0;5121
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONlR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
....e-l'lNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
---
----.
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Of-(;7-'
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~ORK 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.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
//~}.J.I-d?
ADDRESS
I ~ 4/ { 11 Hi he--c-..s-r-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
z-Cu
o FOOTING
o FOUNDATION
o FRAMING
S- INSULATION
;rJ FINAL
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:
(l)
ry
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~p/ +'
<"I~I/ck
'- 'f~><3
q;JJt?~4 ,1
f7..,~ rl.:v.er fW? ~-J--
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o WORK SATISFACTORY, PROCEED
"'CORRECT ACTION AND PROCEED
o CORRECT ~RK'J!LL FOR REINSPECTION BEFORE COVERING
Inspector: r Vf./ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
UlSNOTJ
OA TE nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/1--14-0 :3
ADDRESS
/[4 ((
1/... ~'M:J'c",-r-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
"'S-cz,
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
.,.scPLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
y e lA1iJl/C.
rlWk4tJs
'v -
o WORK SATISFACTORY. PROCEED
,i CORRECT ACTION AND PROCEED
o CORRECT, ~~K?LL FOR REINSPECTlON BEFORE COVERING
Inspector: II W Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IIaNOn
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BVft~.LLE--,~,^
Heating & Air Conditionifql,~C.
12481 Rhode Island Ave 5, Savage, MN 55378.952.&94-0005
Orslat Test Report for Jobl
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Address \. \ \'. ,
OCCupant
Dale of Inslall \.
Type of HT. F/A'
Other
Make
Model
Serial
Input
Pilot Type
Pressure
Input CFH
Slack Temp
. > (':'~'" - :.:'
City
;,
HW
Space HT
UnitHT
L ;..0''7' I .".".)1 ;i(,
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HOT SURFACE IGNITOR
,\,.1' C02
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Date Tested
Company
Technician
BURNSVILLE HEATING & AIR CONDITIONING
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