HomeMy WebLinkAboutBuilding Permit 03-0675
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See M~~n F1ole.whi" FiI.
~ .Pmk CIty
3. Yellow Applicant
(Please.!TIle or print and sign at bottom)
ADDRESS
/fotfl/7 TIM~ c..L..€q- /),l./v€'
LEGAL DESCRIPTION (office use only)
LOT B BLOCK;2 ADDITION /i"".6/E,<.. c.4ES-r PA1LfL
OWNER
(Name) f:-,'-T~ f.Io,..tO
Date Rec'd
0-31-3
[PERMIT NO. 0 3- ~ 751
ZONING (office u,,)
y/ (). fJ
PID;{t:;:l/OJ,' ()(ol-O
(Phone) (pr/-i/s-,)-r~
(Address) 81 r NO,CT~ST P~fC.WAY J ((~, TEO /<10. t74ti.A-,.,J. /VI'" rrldJ./
I
BUILDER
(Name)
(Contact Name)
(Address)
>,A-I"ll: IH A-l3o.!1i'"
A-ALo.tJ ~I
TYPE OF WORK
o Misc.
~ew Construction
DLower Level Finish
DDeck
o Fireplace
(Phone) f9>I -l/r,;J -r ,;lO()
(Phone) fa/,) - "90 - I{,).)l(,
DPorch
ORe-Roofing
ORe-Siding
DUtility Connection
PROJECT COST IV ALUE (excluding land) $ t t/ / (,rf3
"~$ooo,ool
$ '7.lfl!,7sj
$ ~1l(P .1Da; I
$ 32.50
$
$
$
$
$
IdO,Ot)
/tJO.tUJ
"'fO.oo
This Application Becomes Your Building Permit When Approved
r
13d' .-4. r'~J...; "//2/03
Building Official Date
DAddition
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 t'.....t'....~j 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
:t:ru~'j~ZSPections BC-/37/ r/.;1'1'IoJ
Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Park Support Fee
SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
Paid
Date
4-'lj g,z . q <'-
""7 ~;. cJ3
# $ ~ l
# $ 1'2.. 7S'. 00
$
$
# $ /ZO().O()
# $ 700.00
$
$
$~~~L<74-
~.
Recei{ltMo. ~ '7t?J
By ~J.-,
U
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
~~~,;n:db: =_':;:1;pomy cmm:;:i~;Pli,"ce ,nd illow' oon,truction tOSee"oMainfioPIIe mu",li,
Planning Director f Date Special Conditions, if any
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
$~~
See Main File
White . Building
~;;a~ - Cngin~ering
C k - PlanOlni:)
Th~ Cpor.. of thp L.k. <.'o"nlry
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{, //,/"')_
I
} I
~
.~
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Accepted
v-
Accepted With Corrections
..
Denied
r.L) A-A _. .::
Reviewed By: ~-......--......
::J-e.....t2 t--
Date:
to Ii 2../0 '&,
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-WlJi~e - Buildin!l:::>
~anary - l::ngmeenng
Pink - Planning
Th~ ernlrr of lhr L.h Counlry
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
fJdft ~
APPLICATION RECEIVED
.5 - 30 -0-3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
!~ t;Lj/}- \':-~~ ~124t Dr
/'
Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments:
~
.
?~f--
Date:
&, IJ'Z-/"'5
, I
"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 - Buildina
C'C8narv - I;nq,in!!,!ring --;>
l>>lnk - I'lann,ng
Thf Cf'nlfrnfch..l.ak"COllnlry
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:
" .//7-"
i.
.....c
.r-'~
.<'..{i .'
Accepted
x
Accepted With Corrections
Denied
~1Lt-
Date: 7 (w (O-S
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 GENERRL SERVICES
763-428-2968
p.2
~EE.. "....f.
YELLOW. APPLICANT
GOLD. Crr'l"
F,Af..
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
CJS)..- 1ft{ 7- I/tA-5"
S,w. No,;3- 0 P
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLICANT:~O Gt=.1JirR.J.iL 5f;R.V;~PHONE7b3-4~-a..Cj'38'
ADDRESS: 5710 Qu/Arn A~ve. kilt:: DATE: JUN 1 9 2003
~ O. '--rf'" .0 -- "5i: m/CH,.,t::.L)~JJ.$"5'37b
SIGNATURE: . ~ "'^ /\0. BLDG. PERMIT #
SITE ADDRES;- /(;4;).9: 3373. 7t 4Itt.f-~ 5/. 5 5", .5~ PID#
V 1~Cu.-<>..:t: ~
FILL IN THE BLANKS
1. Estimated length of water service =,eJ
feet.
2. Size of water service I"
inch(es) .
3. Location of any couplings from structure ()
feet.
4. Type of sewer pipe. ABS
PVC 4-" Cast Iron_
5. Estimated length of sewer line
~
feet.
6.
Clean out
structure.
(if
required), located at
NJA
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This application becomes your permit when approved.
BY
DATE:
========!7~/k:r=~~;4=============================================
FEES:
f] 1,/ f /-::J~. e./J-l I 7-
,
Sewer and water line connection permit.
Surcharge
TOTAL
No ree.
-'
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
'-
;:~:~,:d''!1eh"i.iiw;;.i,f~~~ftf~~r~e~tc~g~t~~;i~~~~~~an~:
to lnsure t!!. !it '-"fi8' ltlup1'i. l e sewer and watlilf.Jll.));:'!1Ji::.... are
lssued. JUL 28 2003 J '1tv(i';'~1"Jf
DATE PAID j AMOUNT PAID ~~
RECEIPT # IBy REC'D BY Cf
*
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (1.2) 447-4230/ FAX ('152) 447-4245
An Equal Opportunity Employer
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CITY Of PR.l0R L-\M Plt':.(B,:--.-G p'::R...\rIT
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APPUC..l.,.....T PLEASE CQ:\fPlETE BELOW
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I So.cldo..... A$s~:r.cl,'
I 8ackr1o..... Assembly Test
I La.....n Spri~kler
I OmlOr
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fEE. :iCE:i..f.Dt:l.f.
lndu:;::-:::l. ('<'r:':,.-:<::-=~l & Multi..(::t:'1i1:" !% o(joo C.::I:it wit.'1:z. SJ9.50 rntnimu~
RaidCld~. N~v Ont; &: Twc..F:uniI~ S:;'9..!O
R.::1ic=:i(:~. Al.!ci::l:n; &: .....:;:=:-....::tJr:s 5::9':1
E:;:;it:lJ.te~, CIJ.:it $
B~iicj::; P~.:-:-::ir.~
Suildint:: OtTic;l:ll
PLUl'vCBING PER..\UT FEE S
5T A TE SURCH.~GE S
TOTAL PER.\ITr FEE S
~w.:~GI; ~ ~a~~': :~"<,o
PAID WITH .
B.\)ILDJDld PERMIT
(ornc~ t'le Ol'd:-l
Oatc
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-----
T"i~~ .-\ppllC:'::l:Ciorr 8<<0I1:u:s YOl..lr"" Buildia; P,=,rmit Wben Approved
;-L I1'JlJt'. n\.l(II:r: flolr ~u in.spcct'JQI1S ~,::) ","",,7. a:~. (;u: (95:1 ~7':-l:"S
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JH I OJ"lH I avn1d!.3lltl!l
cc:s! (00c-p!-"lntl
PRIOR LAKE
~1~A~~~~~~~~~~~JWain FH
NATURE OF WORK -JlC.W
USE OF BUILDltiG ~F R
PERMIT NO. 09. ~?S . - DATE ISSUED 1_ " f>
CONTRACTOR ~ HtI m.c:..S PHO~')" t{!JO . ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT O~pp l\Af. pOl
BUILDING AND 1~PE'eTItltfa1n . 1 e
INSPECTOR
OATE
I FOOTIt-4G iMu..1
, FOUNDATION (Prior to Backfill) IM4.,. I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
, SEWER I WATER I SEPTIC lMlA""
FRAMING
INSULATION
I ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
c<.)'ee ~;,I.. h'~
~ 9'A}~r
~
Yf1//
!/I/J/
OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
M_
fVV/
{O/{(~ -(/)
{ O. J-/~ c/;:>
....
tM/ ~
iliff
rD/((g- dJ
((J -( (,- r/)
I GRADING (Prior to Sodding)
I BUILDING ,,-cwf/ tr \ %+'''''\
I ELECTRICAL
PLUMBING
HEATING
DO NOT
JL- J -{)'1
JL-L.j-O~
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
@:erfifieab of @erupanq!
CITY OF PRIOR LAKE
, ~rpadmrnf of ~uilMug J)usprdiou
jFinal 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. 03-0675
Occupancy Type R3 Type Construction VN Fire Zone N/A Zoning District POO
Legal Descriptior LB. B2. TIMBER CREST PARK
Owner of Building
Contractor's Name & Address PUL TE HOMES, 8):6
ROBERT D. HUTCHINS~~
Date ~J~?Cial
Site Address 16447 TIMBER CREST DRIVE
NORTHWEST PKWY,. SUITE 140. EAGAN
.....
55121
City Plannt",
DON RYE
I"'.
Date:
OATE nME
CITY OF PRIOR LAKE .,... ~. /
INSPECTION NOTICE SCHEDULED ~40</'
r
ADDRESS .---..d yy? ~ fer Cs;/ d
OWNER CONTR.
PHONE NO.
PERMIT NO.
03' ~ 6";;S-
o FOOTING
o FOUNOA nON
o FRAMING
o INSULATION
,..D-RNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~
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,
AWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspeelor: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I1UI<<JTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
J{;Ll47 1'tWl~y(>-eS-r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o I!!SULA TION
..a-fINAL
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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(IJ""'cL a~pro/,rt:( /
"..J- ~:"'::J 1f7....r~
DATE TIME
12--~ -() '3
5-(;75
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
r:h.-e/",.",............ r-
~p C/nk(
r-1-cJ4
I!l"'WORK SATISFACTORY. PROCEED
~CT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~ OWner/Contr:
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
H<SNO"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .t SAFETYI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/J. -g'-o (>
ADDRESS
1{,441
1,,,,,,frrd~+
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~--G{S-
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
....a"'PWMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
J --'" M.1il..M.
~"kr: d (?S
o ~ATISFACTORY. PROCEED
)1I""CORRECT ACTION AND PROCEED
o CORRECT WORK, CAL OR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN AOVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
mSNorl
r--l'>? S\.::. ("-::l~'v\
BVRNJj wrILLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378.952-894-0005
3--G:7S"'
0rs1at Test Report for JobI
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Add " i "~'I' .- "
ress .~' \.( I"";'... /-
i.' Cit" if'
t. p- 5-;~
Occupant I , . J.' "
Da1e oflns1al' : c."
Type of HT, F/A " HW
Other
Space HT
UnitHT
~ldGe .,." '
~odel i:-,iHf";) \(,"'F, ',."
Serial 5M~:S (yqq I
Input .'-t :' \ .,., i\\\..' \\ I
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Pilot Type HOT SURFACE IGNITOR
Pressure ..- j'.,-''-- C02 t'17.
Input CFH '--Ic.i 02 1. (p '7,
ltA"f.
S1ackTemp' co lore!'"
DateTested)k,t/fI-Z";b~,'/ i' <"&'~ "
Company BURNSVILLE HEATING & AIR CONDITIONING
Technician &t I t ,,/.