HomeMy WebLinkAboutBuilding Permit 03-0674
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ADDRESS
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File; V;;~~' ~::y
3. Yellow Applicanl
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LEGAL DESCRIPTION (ollice use only)
LOT 7 BLOCK ~ ADDITION 7I"""fkF.L- ~sr /)~IIIt~
OWNER
(Name)
!vvre #OMfE$
Date Rec'd
5~3oa
I PERMIT NO',13..- t, 7Y I
ZONING (office use)
ri.Ub
PlDdO' L/OJ.-Otoo-O
(Address) 815' ,JO~H~J, 1>~~
,
(Phone) p,..n - 11.)',,) - ~ ~OO
>VIT"," No ~A6AAi. ~ rrt,J./
,
BUILDER
(Name.
S-4-I'1~ ,4~ A-&oIlfE'
,erA;tc,.) ~I
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
~ew Construction
DLower Level Finish
(Phone)
(Phone)
ODeck
o Fireplace
DPorch
ORe. Roofing
6S-1 - t{.r.,l- -..r ..,)fJO
fa I). - '190 -t{'};J-~
ORe.Siding
PROJECTCOSTIVALUE (excluding land) $ C:.t(. ~..r~
DUtility Connection
OAddition
DAlteration
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 y....y.....) to perform needed inspections.
X O~ ~~
Signature
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
\ Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
.
~bS; Ooa,()C)
$ '7'1'1.75
$ .t.J~ ft" Iff!
32.50
I $
1$
$
$
$
$
JaD, 013
1'-'0.00
~o, 00
This Application Becomes Your Building Permit When Approved
~ 7~1- 4/1.//0:7
Building Official Date
8<! - /J.LI
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
~E7Z .94-
-J ://.07
,('/;'1IoJ
.
Date
#
#
$
$ 121t;; ,00
$
$
$
$
$
$
#
, '2.00.00
7o(J,oo
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$ tf. ~ ~Z- . 94-1
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I Receipt.N6. ~e I
By ..JC.., I
o
#
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
~::me:Ci~ p;:;;: a temporMy ce~6;~.:;an" and allow, con'ttu'tionSee BMiiiirPilenq mu"be
-planning o;rector ~ 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
~e - ~u;idinv
Canary . <:ngmeering
Pink . Planning
Thr ("rnlrrofth L.k'(.OUlllry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;;J~ ~
5- 30-03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1~L/ll/- ",-.b~--, ~J24J'- /~
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~
::;.ub
Date: ~/ f 2.../ 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."
Th~ ("~nl~r "f Ih~ I..k~ Counlry
See Main File
White - Building
Canary - EnQineering
(pi~k - Plannmg ,)
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:
~.IV . <-e
.
'=I~
Date:
~/Iz.lb3
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
Whit\! . Building
ctanary - Engineerin1f::>
--"'mK - t'lannmg
Thll' ("..nlnof lhll' 1..11, ('ounn)'
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
x
Accepted With Corrections
Denied
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Date: 7/1--1) Ol
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"
METRO GENERAL SERVICES
763-428-2968
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"I;LLOW . APPLICANT
OOlD . CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
CJ5)..- de( 7, ill-- If.5'''
7 NOTE:
S.W.No.
3-{;;,7l(
F/4
Sewer and Water
contractors must
be registered
with the City.
APPLICANT :~~O GlENiiR..AL SFR.V;~:I:t1cPHONE"7t>3 -4-;;lZ-.;l..'l38'
ADDRESS: 5710 Gw,rA~ AVE. ~ DATE: JUN 1 9 200L
r\'\.o. '--rf/ Lf~ '5"f.mlcH"'l:;Lj"~"""N.~~37b
SIGNATURE: ~ /1'\ (\""~ BLDG. PERMIT #
SITE ADDRESS: lc:'tf,;},9, 3~ W7; 51...!{.f .S~ PIO#
!,ILL IN THE BLAN~~~
1. Estimated length of water service
50
feet.
2. Size of water service ["
inch(es).
3. Location of any couplings from structure (j
feet.
4. Type of sewer pipe. ASS
PVC 4-1/ Cast Iron
5. Estimated length of sewer line
s,..,
feet.
6.
Clean out
structure.
(if
required), located
N/A
at
feet
from
~~================================================================
This application becomes your permit when approved.
BY
DATE:
========}7~7k:r=~~;4=============================================
FEES: l1 U,j' FJ,.c", , f- Sewer and water line connection permit.
Surcharge
No Fee TOTAL
* Fee :or either sewer or water individually is $20.00 plus
$ .50 surcharge.
RECEIPT #
~~~~~d;~nn~(;ij~ r[~~:'H[ i~~~ttf~~r~e~tc~g~t~i~~i~on ~~~~an~~
to lnSL L't~t-"Jb dU)1 cate sewer and wat4ru/~ /t).~ are
lssued. 3 1N~':'n1
JUl 2 8 200 \ol ~
DATE PAID AMOUNT PAID _ ~4f~
I i-.. 'f
"'{
By
REC'O BY
*
'~
16200 Eagle Creek Av. S.E., PrIor Lake, Minnesota 55372/ Ph. (9!i2) 447-4230/ FAX ('15'2) 447-4245
An Equal Opportunity Employer
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CITY Of PRlOR l.-\.K.E PL C).fC; i>C P r:R-\.IIT
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AP?UC.';'.'\T PLEASE CO.\[PLETE 8€LO\1;
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Im;ll':;::-:::/. COi,'lt';"lC;:;J.J J:. Multi~f:mily n~ CJfjob C:J:iC wjt:t ~ Sj9.50 minimur.:1
Raidc::ui::l. ~eW One Jc T.....o..F~il~ Sy~..!O
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BIJl ~G
PLUMBrNG PER.\,UT FEE S
STATE SURCH."'-RGE S
TOT.-\!. PER.:.'rm FEE S
(i?mc:~r;J4:01'JIy)
[- Tn.' Applic'C1on B.com"" Your 8u,rdill~ Permil Wben Approved
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80/\70'd
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PRIOR LAKE
INSPECTION RECORD
C/ &.u+ D,.
DEPARTMENT oSee Main FI"Ie
BUILDING AND INSPECTibf.t
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING ....sF R
PERMIT NO. 0 ~?l.(, DATE ISSUED
CONTRACTOR P IL h HIJIMe$ PHO~~. L(9{)' I./;J.).,'
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) W\}..,. 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~ii\
J/W/
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IO-(?(- c1
!rJ{(,-(/],
-
j/f/Y/
/0//
(O-/?I-tj
/o-(?(- c/J
GRADING (Prior to Sodding)
BUILDING T-<--vO UYl',/ ~I'(}<
ELECTRICAL
PLUMBING
HEATING
DO NOT
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
See ~~~
pR-fr'
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?/.zf/"Y
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!/W-".
YW./
OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
/ (-HJ-()~
Il-J~()'2,
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.
s:nR 41 I IN~ps:r.TlnN~ (q!=>?\ 447.QR!=>O
~
....-
~rrfifitafr of @tmpanq!
CITY OF PRIOR LAKE
~rparfm:euf nf ~uilMug Jlusp:edinu
P Final 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:
SINGLE FAMILY
03-0674
Occupancy Type
Type Construction
Fire Zone
Bl1ti~ennit No.
Zoning District
p~
"
Use Classification
R3
VN
Legal Description
L7, B2, TIMBER CREST nRIVE
Site Address 16441 TIMBER CREST DRIVE
NORTHWEST PKWY., SUITE 140, EAGAN 55121
Owner of Building
PDLTE HUMES, 815
Contractor's Name & Address _:_/,. /
ROBERT n. HUTCHINS /~
03~rciaJ
DON RYE
City Planner
Date:
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/6;/r'/ ~it'r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..-!H'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~--
/~/
( (J~5e
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DATE TIMe
f~;{.y-
(;t:S / 4-
C'J? - ~7~
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
-------
)
~
)(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447.9850 FOR T"'F NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
BURNSVILLE
Heating & Air Conditioning, L.L.c.
12481 Rhode Is/tlnd Ave S, Savage, MN 55378.952-894-0005
Ors1at Test Report for Jobl S Co(r 8
Address Ilc'-\'-\' 11"-<1',,0", (\Zc.S, VPCity VIZ\OR LAIc.::
Occupant
Date of Install lu - .. - () "l
Type of HT. F/A 'I. HW Space HT Unit HT
Other
Date Tested
Company
Technician
Make J. (0,1-.) t->(),
Model C\SIMP- '2.41',- 0'-1.<;-01
Serial 5 E{)~'!"', gc;;;>.,
Input 1I '-\ ,ODe> P"T'-' t\
Pilot Type HOT SURFACE IGNITOR
Pressure 3'5 IW<-- CO2 (.,.2
Input CFH '--\'-1 02 qq
Stack Temp 166' CO I L\ fOf}...
II-M-O:,
BURNSVILLE HEATING & AIR CONDITIONING
Lt:.o
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
Ie, tit-( {
'T,,,,,, ~~rC/"5r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~
t::''laf
S't1-J
(/\,.,,L .::I.I1fJ '7Vot I
.
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DATE TIME
i~ J-r:J3
7~c. 7C. /
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~--.J6f?~
1?--1-t1!(
o WORK SATISFACTORY, PROCEED
~ECT 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.
-,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TlMI:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/ 1-j..()~V')
ADDRESS
/r:l./4f
T,vU f,...,.A~..rI
OWNER
CONTR.
PHONE NO.
PERMIT NO.
7-(74
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
jll"'PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RJ
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
ref/l.r{)~ Y~;7'S
o WORK SATISFACTORY. PROCEED
jifCORRECT ACTION AND PROCEED
o CORRECT WOA~ ~ FOR REINSPECTION BEFORE COVERING
Inspector: ---f!J!.f Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSN011