HomeMy WebLinkAboutBuilding Permit 03-0677
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
3 ~ 3o~3
See Main File
I. White File
2. Pink City
). Yellow Applicant
I PERMITN~3_ 077
(Please type or Print and sign at bottom)
ADDRESS
/tt/S-S- ft/f'ftJ€',l. cL€.sr /J;e.,/I/~
ZONING (office use)
)[Jl-LD
V
LEGAL DESCRIPTION (office use only)
LOT 6 BLOCK ;l ADDITION -r;/'1tJ~ Ce.csr PIht4:--
PID,~5-t/O;J..-O(Pf-()
OWNER
(Name)
PU'-'T~
J.!.oM IE 5
(Phone)
fa>1 - C(r"l- S0100
(Address) 8 f ~ /IIo/l.Tu~rr P4~iLWAU
,
SUIT'€ 1'10 1 t::'Ati,jj,v . AA..J
rs/,,)/
BUILDER
(Name) ~A--M'" 4~
(Contact Name) A-A-#!.o,J
(Address)
1f&J"~
/I-1.IHu
(Phone) (Prl - '(rpl-..l~OO
(Phone) jo/~ - t/C,O -1./;J,l8
TYPE OF WORK
)tLNew Construction
DLower Level Finish
DDeck
DPorch
ORe-Roofing
ORe-Siding
o Fireplace
DAddition
DAlteration
DUtility Connection
o Misc.
PROJECTCOST/VALUE (excluding land) $ tal{. l:,.r8
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
:terupona::pe::::;zctions Bc- /37t .r/a>-'i/o)
Signature Contractor's License No. Date
I Permit Valuation flit, r:;: OOO.tJO Park Support Fee # $
) Permit Fee $ - 7L/t5',7S" SAC # $ 127$"".00
I Plan Check Fee $ #.rt: ./0'1 Water Meter Size 5/8"; I"; $
l State Surcharge $ 3z.5o I Pressure Reducer $
I Penalty $ I City SAC and WAC # $ Iz.oo.oo
I Plumbing Permit Fee $ /00,00 I Water Tower Fee # $ 700. iNJ
I Mechanical Permit Fee $ //J/J.{)O I Builder's Deposit $
I Sewer & Water Permit Fee $ , . I Other $ I
I Gas Fireplace Permit Fee $ 7"a. 00 I TOTAL DUE $1-;/raz... 94-1
fI.
This Application Becomes Your Building Permit When Approved Paid ~fp~2 'ta- I Receipt~o. of'Cli'/8
r-
~ ~ 6/rU6? Date 13/ rJJ Bv /r.
U
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
:~ Plan?::;;;por~ certillc:oh:;;:ance and allows consttucSeenc~arii CFIi~upan~ must be
Planning Director ' Date Special Conditions, if any
24 hour notice for all iuspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
"'-~x PR/O/? (
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See Main File
White - Buildin!l
<.. Canar:y - ......"jJ,QeerlnQ-)
Pink - Planning
Tht' Cfnlt'r fI' lhr L.kf ('ounlry
BUILDING PERMIT APPLICATION DeEARTMENT 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 /'-:' T';' ,/"'-~1
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, {.(/ c-_, _.:j ~,_.;.:.-<t .f~~./.t_,f~;'>'l- . I,--,~j" .-'
Accepted
'X
Accepted With Corrections
Denied
~ }"
. \..Jf~~_
Date: 7 ( &1) ~
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."
~~
See Main File
White - Building
CanarY - f;naineering
ct>ink - Planni"9;7
The Center of the L.kr ('ounlr}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ -,.'j l
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_/
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/:/"~, 5' .. , l) . 7 I 'c./
.
Accepted
/
Accepted With Corrections
Denied
~
.
9'~
Date:
c../; 2/0 '5
,
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."
~i
See Main File
( Whilf' - - Building~
Canary - I:ngme<>rmg
Pink - Planning
lhr('rnlrrofthr L.b('ounlrl
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Q~dJL ~
.g-3D-0\3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~~h~ fJAp-t<J-f ~
/ jp t./5'~
/
Accepted With Corrections
Accepted
Denied
Reviewed By:
~
'1~
Date:
(p 11'2/0 ::?
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."
Jun 19 03 08:06a
METRO GENERAL SERVICES
763-428-2968
p.2
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YI!:LlOW . APPllCAIllT
GOLD ~ C1T'l'
FJ.t..
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Cf5:J..- 1ft( 7- i/t.-4'-E:'
7 NOTE:
S.W No. Y to 77
Sewer and Water
contractors must
be registered
with the city.
APPLICANT:~O Gc.1Jr;.R..PL Se-R.y'::1kPHONE']t.~-4~-a..'1'3g>
ADDRESS: 5'710 Qu4llY) (WE. ;.liE DATE: JUN 1 9 ZOOL
~rr. '---rf/ .Q~~ '5'i. mICHM~L)--mJJ_$'5'37b
SIGNATURE: ~ 0'\ r;:~. r BLDG. PERMIT #
SITE ADDRESS: /(,4;).9: 33: 3.7r 4//.f-7;51.f5S:.5hID#
FILL IN THE BLANKS ~~
1. Estimated length of water service
50
feet.
2. Size of water service I"
inch(es) .
3. Location of any couplings from structure ()
4. Type of sewer pipe. ABS PVC 4-'1 Cast Iron
5. Estimated length of sewer line~ feet.
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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- "
(] /e/f tJt'Cm i-'-
,
No ree
FEES:
Sewer and
Surcharge
TOTAL
water line connection permit.
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
*
Sewer and water permits issued for new construction must be
recordednn :the.. hll i ldinq ?ermi t card at the time of issuance
I~s~~~~r~~~ lFD \!?frI~te sewer and water ~~~re
DATE PAID _ i ./1" 2 R 7nn1 AMOUNT PAID . '~';:;;Jf
I Y' Jy4f1]-
V
REC'D BY
'~
RECEIPT #
-fSy
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (~!>2) 447-4230/ FAX ('15'2) 447-4245
An Equal Opportunity Employe,
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CITY Of PRJOR L'>"KE PLC:-.fB,:--;G P~R.\[IT
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W'lcer Closet l Tode:)
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I 6lc.ltrlo'" Assembly
I l3i1ckrlo'" ASsemoly Test
I L'Iwn Sonnkler
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ICH:lJ;;:.~:1. Ccmr:-:e:-::::ll ..:t MLllti~(=r.1il::, t% of jOb c:ost 'Ni~h ~ SJ9,.sO minfmur.t
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PUj!v(BC'-fG PER...'l.UT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
s
PA.ID WITH
BUILDING PERMIT
E:;~fm:.:.t"~ CiJ:>':: S
at.:.i~<!1i.; P-::-::-.it ,;
SI,jl<.lirl'!J omcj~J
Due
~n
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I 111I
~~:ltAUG 1 II 2003 ~J I Rece:pc r-.'o.
JyDat"'____~__11 By
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(Orrico; t:S4: Onl,:-)
T:lis Applic.::lc'::on B<coma Your Buildin::: Permit When Approved
:.. 11.,.u noJOl.:e ('U .:IiI iru!J--..cCJGnSl':::) ...;..?,1::1).. (3~ (':.IS:) .&..l~-J:.S
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PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 1l."I5!
NATURE OF WORK ~ W
USE OF BUILDING .'S'II-
PERMIT NO. ~ - '- ?a DATE ISSUED
CONTRACTOR ~~~ ~MC-S PHO*~. YCfO" C/..~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT oSee Main File
BUILDING AND INSPECTION
~
INSPECTOR
DATE
, FOOTING .MCm
, FOUNDATION (Prior to Backfill) IMl4i 1\1 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER f WATER f SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
l,Mti1-1\
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1~4~
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(O~~-et:>
IO/'?-c)- e1'J
GRADING (Prior to Sodding)
BUILDING rf-c v.O UWIo)
I ELECTRICAL
PLUMBING
HEATING
DO NOT
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~.ee 4*,j. h k .
~a 9'/.2f~~
'61-0'1
;/I/P'
t/l/J,//
OCCUpy UNTIL ABOVE HAS
NOTICE
BEEN
IL~J?-o ~
11...I.NJ3
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
~rrfifitafr of Q1)trnpanty
CITY OF PRIOR LAKE
~tparftutut of '!IiuilMug J/usptdinu
~Final Permitted 0 Conditional e.o. Expires
This Cer'ifica,e issued pursuant 10 the requirements of Sec,ion 307 of the Uniform Building Code cer,ifying
that at the time of issuance this structure was in compliance with the various ordinances of the City of Prior
Lake regula'ing building construction or use. For the following:
Use Classification
SINGU F&'lILY
Fire Zone
_ Bldg. Permit No
N / A Zoning District
03-0677
Occupancy Type
R3 Type Construction VN
PUD
Legal Description
L8, B2, TIMBER CREST PARK
Owner of Building
Site Address
16455 TIMBER CREST DRIVE
Contractor.sName&Address_ PULTE HO:;~ ~,l.5 NORTHWEST PKWY., SUITE 140, EAGAN
ROBERT D. HUTCI1INS/~-;:i' City Planner DON RYE
9hl;%ycial Date
/
55121
Date:
~kTlME
/6 ~sr -:Z:-kr Ce.r-/ -a
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
COMMENTS:
---
----------
/~/'
~6,,--e,
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~
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C2S-~7?
o ElCIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
---
'~
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~ElNSPECTION BEFORE COVERING
Inspector: ~" Owner/Cantr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ol SAFETY!
INWm
OA TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/ )..-- ~ -0]
ADDRESS
/c.t({"{' 1',""'!xd.-.,-r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
"'?-G77
o FOOTING
o FOUNDATION
o FRAMING
o I~LATION
....IirliNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
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:
(7) PI""" I
,
(J..) end.
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../...- r'{;..e-e-s "'"- ct,~IM-e-vI;f----
~ORK SATISFACTORY, PROCEED
..e-1:<)RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTlON BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETY!
uaNO"
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/},r .JiJ3
ADDRESS
/(,4J~7>nlHn:,<s+-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
:? --(, 1'7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
.J3::..PWMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
IL,.....iJ,.-<
~6....r?s
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO;r;,;~ FOR REINSPECTION BEFORE COVERING
Inspector: Y /I' r Owner/Contr:
CALL oU7-985D FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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BVRNSVILLE
Heating & Air Conditioning, L.L.c.
12481 Rhode Island Ave 5, Savage, MN 55378.952.894-0005
Orstat Test Report for Jobl 5 (" ~{ I
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Address 1<""'\ \ ,,,.P,d" l. f\. 's:
OCCUpant ~, I\} \ U--.
Dale of !nslal! \,;. . \ c) .-:;
Type of HT. FfA '" HW
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Space HT
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Model ;~ ,.; I ~q" )c{h (,q <.' () I
Serial >r~,"; r 7' N'I::
Input ;1'1. COo (i,'\ b i.l
Pilot Type HOT SURFACE IGNITOR
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Slack Temp lID? CO ~b fOf('t'Y't.
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Company 8URN~V1I::.LE HEATING & AIR CONDITIONING
Technician f(<' I '- AJ .