HomeMy WebLinkAboutBuilding Permit 03-0825
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
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See Main Fil~ ~i~i:' ~:~y
3. Yellow Applicant
] PERMIT NO. a- ~ d.S"'
(Please.!VUe or orint and sign at bottom)
ADDRESS
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-nMIJ~L c.iE>r l/,l/vfC
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ZONING (office use)
P{/fl
LEGAL DESCRIPTION (office use only)
LOT 'I BLOCK;2. ADDITION --rI,Nt.&G'~ Cee:JT ~~
PIDze, - +02 - Oft, Z-o
OWNER ,/
(Name) Jlv" riE ffO,""ES
(Phone) ~.J/-tf.J.,2-S-,;1.00
(Address) illS- AJoLrH~lf ~A<.I, S~ln: /'10 €A'-.lt,.}
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BUILDER
(Name)
fS/fMrE' /H A-~V€)I
AdM,.}
MA1LI
(Phone) ~S'I-/{.J ;1-S ;J.OO
(Phone) ~/.)'" 'Iro- '1;1.,28
(Contact Name)
(Address)
TYPE OF WORK
jE(New Construction
OLower Level Finish
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Misc.
o Fireplace DAddition DAlteration
PROJECT COST IV ALUE (excluding land) $ (; t{, ~ 5"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 upon~roperty to perform needed inspections. / /
X ~. ~t:?- Be -1171 ~//(pfoJ
Signature Contractor's License No. Date
I Permit Valuation ~s;, 000.00 Park Support Fee # $ I
I Permit Fee $ ;;48.7S SAC # $ I. 77~.- I
I Plan Check Fee $ H,t,. (, 1 I Water Meter Size 5/8"; 1"; $ I
I State Surcharge $ :52.. ..5V I Pressure Reducer $ I
I Penalty $ I City SAC and WAC # $ 1,700. - I
I Plumbing Permit Fee $ /00.- I Water Tower Fee # $ 70 a. - I
I Mechanical Permit Fee $ /00.- I Builder's Deposit $ I
I Sewer & Water Permit Fee $ I Other $ I
I Gas Fireplace Permit Fee $ -ro, - I TOTAL DUE $ tft, 5? J ' q 4 I
Building Official
Date
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This Application Becomes Your Building Permit When Approved
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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
~i::i~ P;;;;:" a tompomy cmi;;;~;Plim" md allow, oon'truseeenNI'alD a Firerupm~ mu",b,
Planning Director -, 'Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
.l.~X PR/O..,."
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See Main File
..Jllhile--.... Building
C,C2.narv - Enaineerina ./
Pink - Planning
ThOI' ("rnll1'r of lht 1..1111' ('oUIIII'}'
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
~~i -,
Date: ,1/'(...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."
t~~
See Main File
"'vvnJJe - ~uiiding)
Call~ry- - II:.rlgll1,=,unng
Pink - Planning
Th~ C~nlrr of lhf I..h Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
r~~
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APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constructiOj ZqtY~qh is :;;;; ~~/&4- LR ~
Accepted v'
Accepted With Corrections
Denied
,..
Reviewed By:
~
~
Date:
;Pr~.:?
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."
5~1
See Main File
White - Building
Canary - t:;ngineering
r I'lnK - Plannin~
Thf (-..nl... or Ih..l.ak.. ("ountry
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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
v
Accepted With Corrections
Denied
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Reviewed By: ~t , '--Cf7
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Date:
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Comments:
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"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."
Sep 02 03 03:40p
METRO GENERAL SERVICES
783-428-2988
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GflI~IO' .I'''E
YULOW . APPLICANT
GOLD - CITY
NOTE: Sewer and Water
contractors must
be registered
SEP 02 2003 with the city.
APPLICANT: (h ETR() (!5EitIERAJ SER.i//CJo.fuoNE::7r::,3 -4-d-.S -.?J..'13,r
ADDRESS: .57Cj 0 n uAIY1 A,/IE. NE ::r:;'vC-OATE:
.....----;-\ "(\ --.L-h Il:\ SI.I'Y1IC'..r!l-I,sL,---J-"Y)N. 5.5376
SIGNATURE: . aJJo_'+'~ ~A 1.~JV BLOG. PERMIT #
SITE AODRESS~-;Io4-?'?'(bcin~.77.g3.87./d '15" PIO#
l~~~. ,
fILL IN THE BLANKS
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
'15~ 1('17-'/"], 1//
s.w. No.:;:? - ? 02S-
FAY--.
1. Estimated length of water service
Sf)
feet.
2. Size of water service
IY:z...
inch(es).
3. Location of any couplings from structure
() feet.
4. Type of sewer pipe. ABS
PVC ~il Cast Iron
'-
5. Estimated length of sewer line
5(')
feet.
6. Clean out
structure.
(if required),
located at
NIA-
feet
from
==;===============;~===========;~===~===~==========~=====;========
This application becomes your permit when approved.
BY
DATE:
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FEES: f] Jd4' P'?"-.'IP7- Sewer and water line connection permit.
~ ~ "\. Surcharge
( /tJ 0 Fe e......J TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge. --
* Sewer and water permits issued for new construction must be
recorded on the butrq~'~T rard at the time of issuance
1;:0 insure that no ,p.!Uil1L!ctt,t~ li.!1s~~.1 and water p~rm~ are
~ssued. . 1.'[ S 111' . ", :-:(~ 117
DATE..l'AID /'UIJ EP 0 5 2003 ~ iOUNT PAID ...,~"?;
. . ~~
RECEIPT # Isv=-=_______~fC'D BY ~.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (9'$2) 447-4230/ FAX ('Is2) 447-4245
An Eaual Opportunity Employer
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PLti!\.CBCNG PERI'-UT FEE S
STATE SURCHARGE S
TOTAL PER"1IT FEE S
Ti,is ....pplic:odo4 B.~om~ Your Suildin: PorlIlit Wben Approved
a....ldin( Of'1'iCU'
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PRIOR LAKE DEPARTMENT06ee Main File
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS IiDLlloq T~ ClV'Mt k
NATURE OF WORK ~ W
USE OF BUILDING .C:; t- A
PERMIT NO. 0 ~.. 8 ~ S- DATE ISSUED
CONTRACTOR -:? ~DntCS PHON~ I-a.- 4lJO- ~'t
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FOOTING Vwl.: l\ I
I FOUNDATION (Prior to Backfill) fttA\1l,\ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
V'V11li 1\
SEWER 1 WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
. -
<5ee ",4-k.,I;'~ ;:?/e ~
~q 7/.;0>/0/
I GRADING (Prior to SOdding)
I BUILDING 'l..(Wlf' v",~,1
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
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10 -}!. '7rC73
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UNTIL ABOVE HAS BEEN
NOTICE
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,
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SIGNED
FOR ALL INSPECTIONS (952) 447-9850
QIrrfifirafr of @rrnpanq!
CITY OF PRIOR LAKE
~rparfmrnt of ~uilMng ~nsprdion
j{Final 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:
SINGLE FAMILY 030825
.
Use Classification
-R3
VN
Bldg. Permit No
N/A
PUD
..
Occupancy Type
Type Construction
L9, B2, TIMBER CREST PARK
Fire Zone
Zoning District
Legal Descriptior
Owner of BuildilH'
PULTE HOMES, 815
Contractor's Name & Address , :c;. /
ROBERT D. HUTCHINS /~r .
9 /j378~
Site Address 16469 TIMBER CREST DRIVE
NORTHWEST PKWY., SUITE 140, EAGAN 55121
DON RYE
City Planner
"
Date:
Date:
,
DATE
~pty'
:T.l-- I<<v Ces/ A-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS /6' ~ 9
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FDUNDATION
o FRAMING
o INSULATION
,.rrFINAL
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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~/
/--; / ~
TIME
c's- ?...zS-
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. ~~; "2!"REINSPECTlON BEFORE COVERING
Inspector: 4'-i:fZ--- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY!
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.BIJRNSVILLE
Heating & Air Conditioning, L.L.C.
12481 Rhode lslond Ave S, Savage, MN 55378.952-894-0005
Orstat Test Report for JobI5"17 :3
Address J~tl~.(i -r;""J~{' 6t'b~ :t..City ~.~ ~
OCcupant
Dale oflnS1alI -
Type of HT. F1A ~w Space HT Unit HT
Other
Date Tested
Company
Technician
Make ~~
Model C-511*1;:>' ;;.f/13 ~/) '1'5' - 01
Serial
Input 1/1 DOO
i
/
PilotType
Pressure
Input CFH
Stack Temp
HOT SURFACE IGNITOR..
....-
3.~ C02
tJ4 02
9a"~ CO
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BURNSVILLE HEATING & AIR CONDITIONING
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/(, i.{(,q
T~,'t-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.....-FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
_ECH FINAL
COMMENTS:
DATE TIMe
Ii- ,/S-:C; 7
~ -~)..,~
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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t1I'Sa+ dlc
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
)i""CORRECT ~~R:~L FOR REINSPECTlON BEFORE COVERING
Inspector: ~/' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
DATE nMe
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/J--//-d.~
ADDRESS
/&.1./ (,If T(;""h.(~c red-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
x -~;..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
. PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
GJ Yew.QI~.
'~/-I(J-<
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~K, ~~OR RElNSPECTION BEFORE COVERING
Inspector: II V r OwnerlContr:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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