HomeMy WebLinkAboutBuilding Permit 03-0676
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
See Main File;~:'
3~-36a
J, Yellow
File
City
Applicant
jPl<:RMIT NO. 03- & 7 ~
(Please type or orint and sign at bottom)
ADDRESS
It-'irl 1i/f1A€A... G<Rsr IhZIfI€
ZONING (ollice use)
PtLf)
LEGAL DESCRIPTION (office use only)
LOT 8 BLOCK;z. ADDITION 7I/'11J€L- ~ r /J~/v'€
PID,()S-L/O.J,- L){p/-(,J
OWNER
(Name)
Pt/l~ IIoMF'S-
(Phone)
t'osl-/.{,r,;2-r.,2.Oo
(Address) O/.r AlrJ~-rH~fr P4-J!-~u
I
SUiTf~ 1'/0 J ~Mi.A-AI . MAl .rS"(~ I
BUILDER
(Name)
(Contact Name)
(Address)
>A/"'1E AS ~otlE:
M~o"'/ ~I
(Phone)
(Phone)'
~n - L/S-~ -r'".,2.oo
ft,1J. -l(<fo - t/J.) 9
TYPE OF WORK
KNew Construction
DLower Level Finish
DDeck
DPorch
ORe-Roofing
ORe-Siding
o Fireplace
DAddition
DAlteration
Dutility Connection
o Misc.
PROJECTCOST/VALUE (excluding land) $ C:,i(. ('rR
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 ~}'. "'..". to perform needed inspections.
X r -h. ~~ _&-t.ll..l S-/!!?i/03
Signature Contractor's License No. Date
I Permit Valuation Tit:, '5:. (JOfJ .()~ I I Park Support Fee # $
I Permit Fee $ 77~2. 75' I I SAC # $ /275000
I Plan Check Fe. $ If t?/.,.. 109 I I Water Meter Size 5/8"; 1 "; $
I State Surcharge $ 32.50 I I Pressure Reducer $
I Penalty $ I I City SAC and WAC # $ /200.00
I Plumbing Permit Fee $ /O(), t:I" I I Water Tower Fee # $ 700.00
I Mechanical Permit Fee $ lad.ad I I Builder's Deposit $
I Sewer & Water Permit Fee $ I I Other $
I Gas Fireplace Permit Fee $ --'It). tJO I I TOTAL DUE $ 4-; (p fJ z.- . '14-
^
This Application Becomes Your Building Permit When Approved I Paid ~~Z-9cp I ReCei? 45ZJ Cff:;
~. 7~ /6//2-/03 I Date "-7.11. ()? I Bv .
(J
Building Official . Date
This is to certifY that the request in the above application and accompanying documents is in accordance with the City ZO~Ordinance and may proceed as requested. This document
~:::ili~: Plann;;;;j~po,~ Ccrtifi"~J~:;:~:" and .llows ,onstrumon to ,om ~eee~ o'rvtiiiii ofFiIest be
Planning Director . Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prio, Lake. MN 55372
~~
See Main File
White - Building
Callarv - ~n ineering
~ - Plannm
Th.. ('..nl.., 01 lh..I..k.. Counlr,'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.f
--
-'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/l,i/'_I
I
}-k!"'...,j-
.
Accepted
,/
Accepted With Corrections
Denied
~
,...
Reviewed By:
7~
Date:
t, 1/2-./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 apprqval 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
(White_ - B""Uildina .,
Ca-nal'y - Engineering
Pink - Planning
rhr (',fItrr of thr L.kr <.'ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
fJ~~
~5- ao-03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/1R45/ tJLinIdv (hL4+ &./U
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
Comments:
~
:;t~
Date:
G /,2-/0 ~
"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."
~XPRI
'-' .(
!:::: ~'~
u . rn
See M~~ pOI White - Building
u..LD 1 e.- .~:.:~." .. ~~q'ti~erln~
Pmk - anMlng
Th. ("nln of Iht l..k.Coun1rr
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
{:)-:.::A~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
11..//5( hL-' .', )~--,-j
,'I
Accepted
x
Accepted With Corrections
Denied
Reviewed By: &-r1--4. \
Comments:
Date: I { ~LI 01
"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
GJIlEEM - ftl...f.
Y'ELlOW . APPliCANT
OOLD . elT't
FJ>1.
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Cf5;J.- I(t( 7- i/tA.s-'
S.W. No. 03- G 7k,
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLICANT :~E:J1Ro Gt:.1J(i:.R-PL S!;R.V'.-:rt::k:PHONE7~3 -4 0lE-a..9' 38'
ADDRESS: 5"'Ff~O rAm AvE. _ ~~ DATE: JUN 1 9 200.1
'-rf'" ~~ '5i: mlc.H"'r::.L}~"'.5"S37b
SIGNATURE: ~ . r1'\ ~-~ BLDG. PERMIT #
SITE ADDRESS: /C:.<f';;'9, 33. 3. 7. 4IJlf(5/)55: 5~PID#
. .. '--.--7~" 1"'. - ~
fILL IN THE BLAN~~~
1. Estimated length of water service ='C? feet.
2. Size of water service I"
inch(es).
3. Location of any couplings from structure (j
feet.
4. Type of sewer pipe. ABS
PVC 4-1/ 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:
========~:7k:l=~~;4=============================================
FEES:
. "
11 /c/f /J.'tm, I
,
Sewer and water line connection permit.
Surcharge
TOTAL
No Pee
'..~-
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
RECEIPT #
Sewer 1lti .' l.:.::- ._~. issued for new construction must be
rec<?rd :J.i ~@:tjl~ ~w-mL~ . permit card at the time of ~ssuance
to lnslf '\fiarno d11: cate sewer and w~e~~ermlts are
lssued JUL 2 8 2003 ~(Clt\l 11rt;-..
DATE PAID AMOUNT PAID 'Q~..:.-,y
/ . "'i-f4,f""
f1
~y ---
REC'D BY
*
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 553721 Ph. (9$"2) 447-4230 I FAX ('15'2) 447-4245
An Equal Opportunity Employer
'. "..'
,.~'~,,""",
" I' \~,.
'=
, I ,;,
. j'
~/
" ... .'"
-....:.:.:::~
CITY OF PR10R U..i{E PU':'vf.3,>G PE:R.\(IT
...:~~.::~ :~'~"
.jl.... l;'~
! ? E R.. \ [il:' :'~ r i, '-.~---..-
().~-()(p 7 b
--......
: ,,; ", :-:: ~-::--.--
,,",' ~ .
,~,.... ';;"
.- - - -. .
I .. .
,.".,-,",'.
';:'~~.r: -r'. ,~~ --:-:r '.,,:.: ;:~~l: -""'r:,,:~
".,1.". '::0",.;.)"1
tr-esl1J1'
/t/ </:// 1IMi(/,
.-------
:.. : ',.:.'~.,~ .:': .:: ~..: :.;::-:-~C .' j __ '.II;;:: ..:..: ,::::"J
- ".' '. r) I) f))'
. >,' '1./ ()( (Uf.,/ r Ii; f
__ "." 9?;,u' (P...iaKi/ r It/if
(-;., ' ,.-....~,
{ I '--iT'
~v{/JIC.pI-I../
. , ~ """ . '"': "J
. " ''''0'
':.::::.:.: ?=:..,:::J
---
.-" .. ....
.; - - '- .'~
:T7'.
, ,-
,:...=;:. ~7~,: '::
-.
7==;---;-
h;,dli.(
-----
, .?:--:vi':::
--.--'-,-
"--'''--~.
1t,'7 '
, ~/{ ("]{
~~-:c= 9::/.l-tf.1J-J/JI
,,/;/dd.JL'
rc:::,"I
,:=::-:c.") .t?S" d t/~ J - '7,2 pi f
JIlIA! )~ 1/
-.---
,~:"" ,l~,' )
./yc.,/ .r;>(....
\ -_: "-':~:::"
L J/A (/bU
. - '_.i': .,:17 ;,.~., },7'-_':\~
(}'';~;' f:r-.:
J.
I
--'--
I
"
./
l
(
/
-3
C..:.. ,::
..\.Pl'UC.~>T PlE.~SE CQ,'.[PLETE BElQ\V
T.:'p~.,r fi.trur~ I Q'J:..:t1ciC"( I
I 2.1::1 T'..Il; '." rtll ur ~"''1r.:l\JL;r .$;'~\"I=~ I' ') . 1 R,Ju:!n..w:.:
I D1Sh"\o.::sh~~ } I \t.'::Lc';~' ~.:;:::cc:;-
I fv;t.lrDr:.l:':. I \.v:lc-::~vt::l~... _.____
l.:';1.(~;r''' (F:.J.C~~':;I~~ ::;lr.!-:) I I Sc.:~r.: P:r:~ ('"t\:~.'rn.~ .\I':l.:~'Ii:::I_._,____
J L.Jun~r:. T'r:':i ( I iJr: "':;;l"i":C:.:.r:~'=lIC :itr.:, ; ~~"""J.;;~ Eje-'::ui
S;'0W"~ St.lll I 8ack:low A,.~",bly
5 ,nk:; I B ;lckrlo w A5sem b 1:-, T ~5t
ear Smk I r 1wn "nrinkler
Water Cjo,~:( T l.lil~:1 Toti,-=r --
Tvf'~ IJt' Fi;-:;ur:.:
._--
-
-
-'---
FE... SCkiEDf..iLF.
[l~t!iJ.:.-::::I. CIJmr.:.::-.::.J.! &. ~(l.llti-t;:mill' !~~ ot'joe cost '..,Ic.'1:1 S19.S0 minimui.t
(QrTi:c t'seOr1I:r)
R.~id.e:uj:11. N~w Onte.t rwc-F'~iJ;, S99.~O
~;c:::'l.t:~. AJc.i::cns..t:. ,"~~::~::iJnj" 5:9,;0
E:;~irn:.H~~ CiJS~ S
eL:iic.!i~:; P:~it: ,::.
PUiMBI:NG PER.\.ITT fEE
STATE SURCHARGE
TOTAL PER;.-.,rrr FEE
PAID WITH
BUIU'tIN,G PERMIT
n "1 C" I "I
'11oJ "'1""
L L :::1 1:"
- \il!
1\
1 IS 2003 I!!)
"
--"--i
--..----..
D~'c
S
....5
~ri; G' IS:
u~ ~ b_,
ill PA~G
_ ~J Dac=
I R<oc:ip< 1'0.
I By
T:,i. App'it~<ion B<comc> Your BuiJdin;l: Pennit Wb<1l Approve<l
1-
BlIlJdinq- om(j,21
80/90'd
;../t.J\lr nude::: (ur:aU in.spilll''CCJOni 19:::) ~7'..')::j:!iJ. (.:IX (~:i:) -W7....:..I.j
J~4 [OJ~~41 ElWnld),3lll:irl
~~:s, [00~-p,-~nl:i
~ee IVlmn ~11e
DEPARTMENT OF
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
~f . ~~ Crc.S+ t)~.
NATURE OF WORK Ale. W
USE OF BUILDINGSEH
PERMIT NO. -L}-:J- ~ 7" DATE ISSUED
CONTRACTOR 7'L./'h!. ~e..S PHO~' cl90.4/;J.~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SITE ADDRESS
INSPECTOR
DATE
I FOOTING \%;,d I
I FOUNDATION (Prior to Backfill) N..6ct\ 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
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
GRADING (Prior to Sodding)
BUILDING 1t..{;' lJrI~11
,
ELECTRICAL
PLUMBING
HEATING
'{v..6."..;..
Jl/fY? /
lM/
/ ()- ! (,,(JI,
(() - )..()-' rD
I/;P
/1/JP
{ O-{U"d}
I {)-(I, d)
I
FINALS
, <;'" E" e
.
~/q~,J,
..H/'
r;<<i
~5/o/
~'('O<-I
j/l1//
JNv./
OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
DO NOT
Ii, '2,-0'3
J). - 4~U3
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
~tdifieaft of <IDempaue1!
CITY OF PRIOR LAKE
~tparttutuf of 'lIiuilMuB Jluspttfiou
~ 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:
Use Classification
SINGLE FAMILY
_ Bldg. Permit No.
03-0676
Occupancy Type _
R3 Type Construction
VN
Fire Zone
N / A _ Zoning District
PUD
Legal Description
LB, B2, TIMBER CREST PARK
Site Address 16451 TIMBER CREST DRIVE
Owner of Building
Contractor's Name & Address _ PUL TE HOMES t. ....8 y>
ROBERT D. HUTCHINS /~~
Date ~;,/2?ial
NORTHWEST PKWY., SUITE 140, EAGAN
55121
City Planner
DON RYE
ltIi
Date:
, i.
. \
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/b~)/
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,liI"1fNAL
o SITE INSPECTION
COMMENTS:
/
/ ---.. /
( c;/ t9S-e
~~7nME
~lt!y Oc,1 dr
SCHEDULED
CONTR.
PERMIT NO.
4s-67C
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
----
-~ )
./'
~~
A WORK 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.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"",<<m
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
iL-s-o)>
ADDRESS
!(;4.S-/
7r"",lx-L.-res1
OWNER
CONTR.
PHONE NO.
PERMIT NO.
s-C7t:3
o FOOTING
o FOUNDATION
o FRAMING
o I!lSULA TION
B"1'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
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:
--.fl Cf'1'U4 (
(i) (od.
'?J /&l-*-- CU:;:J:7 '7J//e. /
+ Tr::r.-~r p~'" , cle-/11p-'-"'-'--
1" -e J1. r7 lM-1.' I
9>...../-0<..1
o WORK SATISFACTORY, PROCEED
~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: yY Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY/
""""T>
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/2-7-0 "3
ADDRESS
Ie tjf(
7r.....~t"~c~r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
-:l-r.7f.
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
.B1'LUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
#r-i.A1.lflA
~s
o WORK SATISFACTORY, PROCEED
~RECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ,/1./
OWner/Cantr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Yi9NM'
,
[.
"""\ ~ ? ~ () <SS.j V\
BVKN~ fl7ILLE
Heating & Air Conditioning, L.L.C.
12481 Rhode lskznd Ave S. Savage, MN 55378.952-894-0005
Ors1at Test Report for Jobl ~'C "7()
",
~---',
l~..~.~
Address i t~ ..\ .~> I - T \ ".("c {', h'. 1, f",c
C... '. .
IL" \ t-~' \'-.+
Occupant
._,
Date of Ins1aIl " > v' . .
Type of HT. FlA '\ HW
I Other
,
r
.
Make
Model
Serial
Input
Pilot Type
Pressure
Input CFH
Stack Temp
Date Tested
Company
Technician
Space HT
UnitHT
!. l'~ \. >
-,-."..
," \ "~'f 1 f' I, (i "2 ~_i. \"1] /') "~, <..
. () \
s,l<?os"3 '744'-1 Co
i..{'.t 'J e'i-'l\.-."'{
HOT SURFACE IGNITOR
~), I"JL. C02 5.1,%
l...\L\ 02 lo.r '7,
qo. t: CO IDl"fPM
'''.{ '-1:
11- w'tdJ
BURNSVILLE HEATING & AIR CONDITIONING
t>,~.. ~./'