HomeMy WebLinkAboutBuilding Permit 03-0673
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
See Main Filewhi"
2. Pink
3. Yellow
3-3cYG
I PERMIT NO. 0 3- ? 13 I
(Please type:. or Drint and sign. at bottom)
ADDRESS
itt/17 Tt~,L ("1€~r DLlllre'
File
City
Applicant
I ZO~(Oceuse) I
LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK;2 ADDITION .'-;;"'6eIL ~r PIhU-
PIDd5-L/oa;- tlko--J
OWNER
(Name) PULrF' ~J;
(Address) 81 if NQ,17'..tt.J€Sr p~ Jr.."r7": It/a
I
(Phone) 10..1- I/s-~ - 5,;200
~A6A,J #1.Al rs-I.J.I
BUILDER
(Name)
(Contact Name)
(Address)
!:'4/"1e' AS
AMo.J
A-tJotlt
;vtA1i:-1
(Phone)
(Phone)
,gs-l - 'IS- ~- ,aJOO
~ (,) -1(90 -1(,).,) e
TYPE OF WORK
J1f.:t1ew Construction
DLower Level Finish
DDeck
DPorch
ORe-Roofing
ORe-Siding
o Misc.
o Fireplace DAddition DAlteration
PROJECTCOST/VALUE (exc1udingland) $ ~t{. (gS'8
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
enter uPO~VY"'H)' to perform.yeeded inspections.
X ~.-. ~.;;& 8c.- 1371 r/:;Q!o3
Signature Contractor's License No. Date
I Permit Valuation rt(t.,~OOO.oo I Park Support Fee # $ I
I Permit Fee $ '74tf. 7S SAC # $ I Z. 7~, OtJ I
I Plan Check Fee $ q.Sb.la'1 I Water Meter SizeS/8"; I"; $ I
I State Surcharge $ .~2..S-0 I Pressure Reducer $ I
I Penalty $ - I City SAC and WAC # $ I ZOO. 00 I
I Plumbing Permit Fee $ 100.00 I Water Tower Fee # $ 70n.oo I
I Mechanical Permit Fee $ /00. DD I Builder's Deposit $ - I
I Sewer & Water Permit Fee $ I Other $ I
I Gas Fireplace Permit Fee $ 'fo.oo I TOTAL DUE $4-,t,ez.Q4-1
,
This Application Becomes Your Building Permit When Approved I Paid +~8Z . '1a- I~Ct~. <75V'18
-~-/~~ 6ke/o':g I Date "731. oJ
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
~~;:t:1i~ ~t" a tempor~ Ccrtifi~ of;:i:m:an<e and allow' 'on'ttu~on to'seefffiX1aIn'atprre:e
Planning Director 0 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 Mmn File
White - Building
Canar:y - Engineering
('Pink - Planning)
Thl'(-..nlunrlh..l.ak..Countrl
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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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 ::. Fj \ ( .. ./ /j)J), ! ! ... /0 .
...
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
~
,
:::;." I {}~
Date: (p /, 2-(0 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
(White - Build~
l.;anary - I:ngineering
Pink - Planning
The (tnlrrof lh I..kt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T
NAME OF APPLICANT /4tf3~ ~;t~~r~
APPLICATION RECEIVED 5-::30 --03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/1~Ll31 ~i:Jbu (J/U4T Libv.
Accepted
Denied
Reviewed By: ~
/
Accepted With Corrections
r
~
Date: ~/(2./0':2
. .
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."
-'.~:<PRIOIi'<,
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u '"
See Main File
~~
. ;ry: Engineerin~
prnK -. Planning
Thr (""nlt'r of Iht I.... Counlry
BUilDING PERMIT APPLICATION DEPARTMENT CHECKlISr
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 ( ;2 /";' / ('", 1 '^' ,.. . f' !. .
1 ("'~ ~,. -..,.,' ~ .~ix../,-__) ./<~'...f:.>,..j _ l,~__.J.::.../i..--'
Accepted X
Accepted With Corrections
Denied
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Date: I (1...t( 0'\
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 08:06<3
METRO GENERRL SERVICES
763-428-2968
p.2
GJlEElIl ~ I'IU:
TELL OW . APPLICANT
GOLD. CITl'
F.At.
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
CfS)..- 1ft( 7- 1/7--4'~
s.w. No.
rc 73
NOTE:
Sewer and Water
contractors must
be registered
with the city.
APPLICANT:~O (?,E1JIZRj.lL Si;;R.V;:1~PHONE7t:.3-4~-a..Cj'3!?
ADDRESS: 5"F1~O A~ AVE. _ ~1j; DATE: JUN I 9 2003
'--f./ 0 ~ '5T.mlcH/'IIt:;L)""""'~.$'~37b
SIGNATURE: > . /1'\ i\~ BLDG. PERMIT #
SITE ADDRESS: Ib4d.9! 3&) t.j.1/+7/:;1,~ _5~ PID#
FILL IN THE BLAN~~~
1. Estimated length of water service
50
feet.
2. Size of water service I"
inch(es).
3. Location of any couplings from structure ()
feet.
4. Type of sewer pipe. ABS
pvc~ Cast Iron
5. Estimated length of sewer line
5r"">
feet.
6 .
Clean out
structure.
(if
required), located at
NJA
feet
from
------------------------------------------------------------------
-----------~~-----------------------------------------------------
This application becomes your permit when approved.
BY
DATE:
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FEES:
(] le/ f /::)., Z./H , 7-
,
Sewer and water line connection permit.
Surcharge
TOTAL
No ree.
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
Sewer 1~1~~~~rp~r~~. issued for new constr~ction must be
record Eln ~M lb1li.1LUl. perml t card at the t~e ~^ lssuance
to ins, .r. that no du ',cate sewer and wat~/ll)j)i~~ are
issued. JUt 2 8 2003 '!Va p~1f
DATE PAID AMOUNT PAID 'J:1J"frr
Itly
*
RECEIPT #
REC'D BY
fr'
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (95"2) 447-4230/ FAX ('15"2) 447-4245
An Equal Oppor1unity Employer
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CITY OF PRiOR l.-\I-.:.E PlCl.fEi:\;C PZR-\IIT
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I S;'owec $'::.11 --
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(QITic': t.'Jt'OJ:ll~)
Tili.' App.!iocion Become:< Your Sui/din;:: Pertai, Wben APProvecl
PU-iMBlNG PER.MIT FEE S
STATE SURCHARGE S
TOTAL PERlUT FEE S
PAID W~~MIT
~ILWNG
-
Due
U 'iSJ U; I '] I R.~cc:P' No.
1 8 2g03 W I 8)1
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By
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PRIOR LAKE DEPARTMENT oSee Main File
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /.J,J/''Lfi4b~ r'I "'e.~'" ~
NATURE OF WORK ---1Ji: ~
USE OF BUILDING SF R .
PERMIT NO. (J 3-. (,. 7 S DATE ISSUED .
CONTRACTOR P"'-/~ H~"'I!.s PHoteJ..l.~~i
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING
\M.(}"\.. I
I
, FOUNDATION (Prior to Backfill) l/WAi,^ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
II'^ iJ.n/"- I
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
tYtr/
/lW
I 0/'( ?/~ <")
IfJ-({/CA
p1/P'
j/Z/;,//
(()_(L-/- "J
/Ik/(.,(.-V'>
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING 1'-(",(1 ull1 (
ELECTRICAL
PLUMBING
HEATING
DO NOT
-
,-See ~""h AM-.
/t"N ~s/~
1;vr
, //1 A/7
f/vr /2.-'5-0<."
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
'6>(--0>-'
11- HJoO'::>
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
-".,---,.--^-.----"~~."..,.----~__~_..,._ .. _ _....,"_...________......_.,_..____. u__.____.
Qttrfifiraft of OOrmpanq!
CITY OF PRIOR LAKE
~tpctdmtnt of ~uilMng Jlnsptdion
J.I1 Final Permitted D Conditional C.O. Expires
I
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.'1ILY
Occupancy Type
R3 Type Construction
VN
Fire Zone
Bldg. Permit No, 03-0673
N / A Zoning District _ PUD
Legal Description _
L7, B2, TIMBER CREST PARK
Site Address 16437 TIMBER CREST DRIVE
Owner of Building _
Contractor.s Name & Address PULTE HOMES. 815 NORTHWEST PKWY.. SUITE 140. EAGAN 55121
ROBERT D. HUTCHINS/~ _ City Planner DON RYE
O BUildin:yffi al
Date: q 2::: /OC- Date:
// - /
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CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
12--.J~<f3
ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
--z- C7 ""?
o FOOTING
o FOUNDATION
o FRAMING
o I~TION
4"fiNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
er'MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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o WORK SATISFACTORY, PROCEED
"'CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
//1/
OWner/Contr:
CALL 447-9850 FOil, THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNO"
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TillE
SCHEDULED
/ /-UJ-tYJ
ADDRESS
/C4?7
1;J'I1k/'_~)-
/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
S-~75
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o ~EWER HOOKUP
Al' PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
rffl!t.rJIH
rrJlJfZu/?s
/'
o ~RK SATISFACTORY. PROCEED
z:f'CORRECT ACTION AND PROCEED
o CORRECT v.;O~K. C~OR REINSPECTION BEFORE COVERING
Inspector. j/ W Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
1-=
BUHN~~.LLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378.952-894-0005
Orstat Test Report for Job# 51.0 <e, 7
Address 1/~'-I37 -r;M/k R
Occupant
Dale of Install \t, -I - C' ~
Type of HT. F/A Y HW
Other
kt-?T
012 Citv -;;p tOK V, (U
Space HT
UnitHT
Male t.F I..)ue.",
Model (:,,'::'\1-...11' 2"-\P.:>-o<..t<:;-
Serial _C::'lO~:T1 ZO;-t Y.
Input L-N,DW ~T!.-<1-I
Pilot Type
Pressure
Input CFH
StackTemp
HOT SURFACE IGNITOR
35 1;0(... C02
L\L.\- 02
109 CO
(.,s
'1.3
It..( 7P'-"""
Date Tested 1\- 1'.1- D-::'l
Company BURNSVILLE HEATING & AIR CONDITIONING
Technician ~LO
DATE TIMe
rhf4</
/6" 9"J.7 -r:- i-.!'r G-r /' .a-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
CONTR.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..,a1'fNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
Q5 -6~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/.-./
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rRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CAWEINSPECTlON BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!