HomeMy WebLinkAboutBuilding Permit 03-0672
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main Filewh"o 'ilo 5-50-6
2 p;", c;" I PERMIT NO. 0-'2 - ~ 7 .....1
J. Yellow Applicant J (t1 cr-......
(Please ~e or print and siJm at bottom)
ADDRESS
/6t/33 -r7.o1A€A... ~(r Ol.,,,~
ZONING (officeu,,)
fOUl:)
LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK,;z ADDITION 71/111K~ CAesr pAJ2.1:-
PID~S-L/Od.- 0&0-0
OWNER
(Name) p(/,~ II<JM~
(Address) 81';
dO.Lrlf~sr &~ I
SVJr~ It/o
,
r,:-A6.JhJ M,,/
I
(Phone) fcS-l- f{.J.J - S-oI<Jo
.r.J"t oJ ,
BUILDER
(Name) S/fI"J€ ,/H ,A&v€
(Contact Name) A-ALtJ"'/ ~I
(Address)
(Phone)
(Phone)
WI-t{r.l-r.l-OO
(01,) -1/90 - (/,),,)8
TYPE OF WORK
~ew Construction
DLower Level Finish
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace
DAddition
DAlteration
DUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) S t; If. t,s-f3
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 uP:a:~eny ':':;'.:e,ded inspections Be _ /371 .r /'; <t !o3
Signature Contractor's License No. Date
I Permit Valuation (p S DOO. 001 Park Support Fee # $ I
1 Pennit Fee $ 71(3.751 SAC # $ \2....75.00 I
1 Plan Check Fee $ Ljg(". ~"J 1 I Water Meter Size 5/8"; I"; S I
I State Surcharge $ 32,50 1 I Pressure Reducer $ I
1 Penalty $ --- 1 1 City SAC and WAC # $ 12019,00 I
I Plumbing Permit Fee $ IOt),oo 1 I Water Tower Fee # $ 70(),00 I
I Mechanical Permit Fee $ 100.00 1 I Builder's Deposit $ 1
I Sewer & Water Permit Fee $ I 1 Other $ 1
I Gas Fireplace Permit Fee $ ~.OO 1 I TOTAL DUE $ 4; ~ ~2 . 9+-1
Building Official
t, 112--~ 3
I Date
Paid
Date
~~ez. <j"
7. 3/ o?
J
I Receil?(No.
I Bv 2J- .
(J
"5U /" %
This Application Becomes Your Building Permit When Approved
~~
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
~ 7~ ~//do? See Main File
Planning Director f Date Special Conditions, if any
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 - Building
Ca~ing
~k - Plannin~
~
Th.. (-..nl.., or lh..l.ak.. Count.,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/L'
[
"
/
,.;/
APPLICATION RECEIVED
,~ .-:5 ,- -- :.~:)::~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/,} '! ,j (
r
I
I i \~
, '
.
Accepted
v
Accepted With Corrections
Denied
Reviewed By:
~~
:t~ !-'
Date:
0/'7-!C)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."
See Main File
c-1lI1hite - Buildinc)
Canary - Engineering
Pink - Planning
Thr(-tntnor Iht L.k..(.ounl~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WJ1JiL /JtJ-w~
5- 30-03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ & L/ 3 3 \'--~ (l/'U4./t 1) ~
~
Accepted
v
Accepted With Corrections
Denied
Reviewed By:
~
,
7~ ~dlp
Date:
~/I :2j(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."
~1
See Main File
White - Buildin~
Q'l'narv - Englneerln-D
Pink - Plannl"9
Tht ("oenltro' lhoe t.kr ("ounll')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~._/, .n~l._( J. / /"-, 1),$, .)
) l1..--CtA. ' v'-- ;, (v' '-'
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r-
=< .,'-'\ __/'Y2
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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 ' ,.f ^ .--/. u~
6' L /","~ ~., ...;;~~~. AL;?'-['/ ( ~/ LP;-<1.-, ( J')~-
Accepted 'X
Accepted With Corrections
Denied
~L.~
Date: 11'1...& { o~
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,"
Jun 19 03 08:06a
METRO GENERAL SERVICES
763-428-2968
p.2
&flE.EM - fILE.
TE.LlOW . APP1.ICANT
OOlO. CIT'l'
FJ>/.
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
CJS).- '1'1 7- 117A~
- 7:J
S.W No. ~---& '1
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLICANT:~~O e,E1J5:-R-PL Si:R.y'.~PHONE7t.,3-4~-d..af3!?
ADDRESS: 5'710 ~iArn AVE. iJj!:: DATE:. JUN 1 9 20L
~ O. '--rf/ R~.. '5"'f. mlcl1/11l:;Lj.,....,.,..,.,-!if 3'71,
SIGNATURE: . ~ ~ l\-Fd BLDG. PERMIT #
SITE ADDRES;:/?:,4d.98 3-71 41/+7;51,~D# .
FILL IN THE BLANKS ~~
1. Estimated length of water service =>()
feet.
2. Size of water service lit
inch(es).
3_ Location of any couplings from structure (J
feet.
4. Type of sewer pipe. ABS
PVC 4-" Cast Iron
5. Estimated length of sewer line
51"">
feet.
6 _
Clean out
structure.
(if
required), located at
NJA
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This application becomes your permit when approved.
BY
DATE:
========f7~7k:r=:;~;4=============================================
FEES: (] IC/f i),.tm, 7- Sewer and water line connection permit.
, Surcharge
No r-ee TOTAL
*
Fee for either sewer or water individually is $20.00 plus
$ _50 surcharge.
Sewer 'r~tI~O;:OOr~i-~1)j issued for new construct.Q;>l1 AlPllst be
record on t~~ build ~~g permit card at the time-W~lUl(~~nce
to ins ]na~ g~001u licate sewer and water pe~~~~e
~ssued ~ ,()~~
DATE PAID "'c' AMOUNT PAID ~)-
*
RECEIPT #
REC'D BY
a~
~
'-
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (1s-2) 447-4230/ FAX ('1s-2) 447-4245
An Equal Opportunity Employer
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~U\~\NG
(Office t'.tc Onl:-)
PU.iMBrNG PER.\UT FEE
STATE SURCH.J...RGe:
TOTAL PER"IIT FEE
Tal':; A.pp'Hc:l:cion l3.:coma Your 13'u ild in:, Pl:rmit When Approved
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I Rec~:pt 1'0_
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BB/C:B'd
IN I OJ:JI'~ I EfWnldi,3lllOn
BC: :S! >:B0c:-t'!-:JrllO
SEP.2S'2003 16:07 651 633 8884
FIRESIDE CORNER
#3459 P.005/005
Date Rcc'd
(l'1....ttpe or orin' M4 oilll ot '''lffoml
ADDlU'JiS
CITY OF PZ}AKE
HEATING/Am CONDI110(( " /FIREPLACE PERMIT
FIRESID~ ~~i_
I PERMIT NO. -:3 -G (Jf
I
ZONING (ore", u_",)
1:1.1:1 A K'l .Ii. 0- HUM 1:1'-'
16433 T1MBERCREST DRIVE
T,EGAL DFJiCRJPTION (office u,e only)
LOT
BLOCK
ADDlTION
pm
OWNER
(Namc PULTE HOMES
(Address)
(PMDne)
APPLICANT
(Name) AI.L111~.sT!)ll DnA.D~SlDlll'lf.LIRTH & HOM~
(phone)
6SJ -633-256]
(AdAire.,)
2700 NORTH FAIRVIEW AVENUE
(Ad&""
ROSEVJJ.LE
(Cil)l)
55113_
(Zip Code)
(Contacl Petson)
BRENDA HUSTON
(phone) _651-633-256]
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
9/25/03
APPLICANT PLEASE COMPLETE BELOW
xO NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM BEATING OR POWER PLANT
JWarm Air Plant.
JGrnvity
] MeehanloAI
JAir Conditioning
JV co!. SYSTem
BST.OlIm
Hot Wah:r
o RadiAI.!on
o Special Devices
o QUler Device.
PU;;ASE NOTE:
Air Conditioner Units
Cannot Encroaoh inro
Required Side Yard
Setbacks
Indu;oi3l, C........"i.1 & Mulll-F.mily
HEAIN G~~O SL-5~_o.LR-C
FEE SCHEDULE 8" PAID 'A.
1% orjoh 00St Residential, Go:; Fireplace vII.,O,A. rvl"1"l,J9.S0
$39_50 minimum 'vO p ,,.,
$99.50 Residential, Additl.oM & Alteration, 'E:Atu6D
$64.50 Residential. AC Only -s3ff.~o
FIREPLACE MAKE AND MODEL
Residential, Hcati.ng & NC (New C<lostrUcticn)
R..identi.l. HearIng Only (New ContlMJCtion)
Estimated Cost $
HSA -rING PERMIT FEE
STATE SURCHARGE
TOT AI- PERMIT FEE
Building P<:rmil #
$
$
S
,.500er 0 3 2003
(om<< Un OAly)
I
Thi. Application Beoomes Yon, BlIlldlng PJilrJl1itoWAlQl! 1nI11J1.oYTJlII.. "o1iP.~ilJrl1ntf. Receipt No.
~. Builder Div,,;. 'n I Date By A
~ u.,ildln@OfIIOl\lIu rOIfVleW Avenue ",ono I<''"~ft'''"' '"'' OJ 1.3 ~horc 651-633-2561 Fax 651 633-8884 I' j-
, .
J15.)V WeST HlgnWIlY lJ "urmn'we, IYJL"i jJ~lJ f nlonc 952-R9U-0758 Fax 952.~90.5408 - l
24 hOllr no'ic!.r2.fi,l1I'd!ef,P.,~Sfi'1ll~ f9,~~.I,1,1'l=2MP, fw:l~) 447-4145
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nLlli.;'"I-,il:i'I:'.UI\.
PRIOR LAKE
INSPECTION RECO
DEPARTMENT OF~pp l\/Jao pOl
BUILDING AND IN~~CtI6~ In 1 e
SITEADDRESS ~l/~~
NATURE OF WORK AI eJ.U
USE OF BUILDINGF'"
PERMIT NO. () .. 7;' DATE ISSUED ~ - .
CONTRACTOR b~ .d_ PHON~/"'o I./YU- f./J..).p
NOTE: THIS IS N T A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING ~ J
I FOUNDATION (Prior to Backfill) I/;\~t'^ I I I.
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC Itvv.'^' I
FRAMING I//;-f I trlO~t/')
INSULATIONf/VV/ /(J/ 14~r/J
ELECTRICAL
PLUMBING vvr r 0- (0 -V':1
HEATING (if required) 1M (IH 0 -th
FIREPLACE viiv' to-rO/(/)
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I
I
FINALS
See ~/~
~
f J/1~
~
- .
GRADING (Prior to Sodding)
BUILDING I"(.~ v~\.\ ~'/~Ovl
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
h/e,
1" /.23/cY
I (~LI)-(/)
fv- 1- 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
, ~ -,-.-
QI:erfifirab of @rmpanq!
CITY OF PRIOR LAKE
~:epadm:euf of ~uilMug JIusp:ediou
f6 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:
.
J'
Use Classification
SINGLE FAMILY
Occupancy Type
R3
Type Construction
VN
Fire Zone
Bldg. Permit No. 03-0672
N / A zoning District PUD
f ,
Legal Description
L7, B2. TIMBER CREST PARK
..
Owner of BuildinlI
SHe Address 16433 TIMBER CREST DRIVE
NORTHWEST PKWY.. SUITE 140. EAGAN
.
Contractor's Name & Address PULTE HOMES, 8J:5
ROBERT D. HUTCHINS ~
~~J'7~Cial
55121
City Plannp.-
DON RYE
Date:
Date:
1
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~/~ "ME
ADDRESS
/6 rJJ "ffi"6e/ CeJ/ v,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
05-672
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..,.e-FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
--
~.,,~
N~ /
-----
------
Gc:;~
;x( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTION BEFORE COVERING
Inspector: ~~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
IN$NOT'
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
Ira 45 3
7/"'1I:H-c~d-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o j/lSULA TION
...e'1'INAL
o SITE INSPECTION
o PLUMBING Rl
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
,a-MECH FINAL
COMMENTS:
ft
h"4/
Slid...-
t:1.....,~ &/iJ/?~Vl11
'. .
.t- tf~..., 0- ~/1f?-.....r
7~ V>lf-t{
DATE TIME
/2. -un
-::Y- C 72-
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
i--/-dl.f
~K SATISFACTORY. PROCEED
&rCORRECT ACTION AND PROCEED
o CORRECT Wo;:,K~ ~OR REINSPECTION BEFORE COVERING
Inspector: Y vr Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
UfSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
fGl-f'l3
tM~J:--/LY'er.+
OWNER
CONTR_
PHONE NO.
PERMIT NO.
D FOOTING
D FOUNDATION
D FRAMING
D INSULATION
D FINAL
D SITE INSPECTION
D PLUMBING RI
D MECH RI
D WATER HOOKUP
D ~EWER HOOKUP
Al!!l"PLUMBING FINAL
D MECH FINAL
COMMENTS:
() Y'-efMdw
Yj)/)F'at/?s
DATE nilE
J/-Uh:r7
'?-r.7L
D EXlGRADIFILLlNG
o COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLlNE AIR TST
D
D WORK SATISFACTORY, PROCEED
11 CORRECT ACTION AND PROCEED
D CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
IN$NOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
BVRNSVILLE
Heating & Air Conditioning, L.L.c.
12481 Rhode Island Ave S, Savage, MN 55378. 9S2~894-0005
Orstat Test Report for Job# S(Dle <..,.,
Address 11.'-\"S3 \I-.A"'-<-(.>
Occupant Lv >-->0
Dale of Install Ie) '\ - c.3
Type of HT. F/A " HW
Other
? -'J
,--f~", \)P City If,C)," l,~<c
Space HT Unit HT
Make L L p...Jf>..-~D,"
Model G,s\".{J- dL\f'; CoLt", DI
Serial S80'3:!'" 785 ~()
Input "I'-\,O()O 0., TV-- \,
Pilot Type HOT SURFACE IGNITOR
Pressure ?, ...; \ W Co C02 (., , 0
Input CFH L\,-\ 02 ID. 3
SlackTemp---1D\ co It-{ P/?fY'\
Date Tested \ \ - \ "3 . 0 -=)
Company BURNSVILLE HEATING & AIR CONDITIONING
Technician Le c)
---------_._--.__._._.~~.._.,---
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