HomeMy WebLinkAboutBuilding Permit 03-0826
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
(Please type or print and sil!I1 at bottom)
ADDRESS
/1.:,'173 -nM~a CU~ 1J-tlve
Date Rec' d
&.20.01
I. White
2. Pink
J, Yellow
File
City
Applicant
I PERMIT NO.t'l'3- f?J.to
LEGAL DESCRIPTION (office use only)
LOT if BLOCK,;z ADDITION -r;MAe:.L &ST ~
OWNER
(Name) PI.I/..Te #oneJ
(Address) 8/ r Ncu-rH/.eJr Pkjl:./t-vAV , ).., ,n: 1'10
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BUILDER
(Name)
(Contact Name)
(Address)
#SRM€ /H A-&ol/(;' /I
,,4,4 AJ,J frtl1'/t--1
TYPE OF WORK
o Misc.
ptN ew Construction
DLower Level Finish
ODeck
ZONING (office u,,)
I'UO
PID 7._~~ ;fdZ- -()~l--O
(Phone) ~r/ ~ ,!s;J.-S-;loO
/H,.,) rrl.J./
€A6AAJ
(Phone) fcr/- 'Ij,,). -r.,2oo
(Phone) II; 1,,2 -t(JO - <{,,)028
DPorch
ORe-Roofing
o Fireplace DAddition DAlteration
PROJECTCOSTIVALUE (excluding land) $ ;;,t/,t"S8
ORe-Siding
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
:terud:roperty~~dinSpectiOns Be -Ii 71 6/lIp/03
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
I Gas Fireplace Permit Fee
(?I.5d) 0 0 I
$ ''14g7b I
$ 4f36.fA I
$ J2,5D I
$ I
$ /00,- I
$ /0 v.- I
$
$ 4v, .-0
This Application Becomes Your Building Permit When Approved
Q . r
~ "9.LuPP
Building Official
7#-1" ;;~
, Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Ciry SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
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#
#
#
#
$
$ /; Z 7:;- u (,
$
$
$ I ZOO.-
$ , 7(7)-
$
$
$ Lf 0 '6d.,/jl../ I
I ReceiptNo. tit:::; Jlrj
By J -
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
~::;Ci~ Pl1-::;:mpo'~ c'~fi";:;1;ce and ,llow, oo..ttuction rO cS'ee'-I\Iaiii"Filemu" b,
Planning Di"ctor . ~!, Sp,ci,l Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
~
:e~
See Main File
While -Building
'('" ~a.'1irv - Enqineerinll,
Pink - PlannIng
Th~ ('rnlff of Ih..I..... Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T
NAME OF APPLICANT
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APPLICATION RECEIVED
/i / l -7 .3
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
....:...7<::.
Accepted
Denied
Reviewed By: ~~l-"
x
Accepted With Corrections
Date: 7/1.-.1..- ( 6)
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-White - B~
Canary - Engineering
Pink - Planning
Th~ C~nlfr of lh~ l..h ('oun..,.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~,j.LEG.... ~
APPLICATION RECEIVED /&'47"3~.(;.eu ~+ ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i - 86-03
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
~
'::/ u t-/
Date:
7?~~3'
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
~ - "'paineering
r Pink ---=..PlanniiiQ)
lhr('fnltrnfthfl.akf('ountr,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L
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The Building, Engineering, and Planning Departments have reviewed the building permit"
application for construction activity which is proposed at:
.'
. '
,~I'"
, - ,
.. /
.
.
,
.^
.
Accepted
~
Accepted With Corrections
.
Denied
Reviewed By: ~
Comments: ______
r-
"7-.eA..tf-l--'
Date:
7/~4^.7
;if.-
,...~
"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,"
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A,PPUCANT PLEASE COMPLETE 8ELO'>'
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I B.1t'Sink I L.1wn S?rinkl~~
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FEE. :iCEiEDl;U:
,t1cu.:i::-:.:L COi.:r.-:c:-::::U &. MLJlti..t~il:, t ~'-f Q{ job C;)it wit:1 J. 3:j9.50 minimuc:1.
rom.:e l'.:I.c' On1rl
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PLur.fBCNG PER1\.CIT fEE S
STATE SURCHARGE S
TOTAL PER.;.'HIT .FEE S
.50
8l.1iJdil'l~ omd~1
fQiL! r2 ' . I" I-,j t1.ec::p~ ~o_
!~n~iIt~I;:p II f.i 700~ ;' 'i B~ 1-' ~::
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-ri,i:; APpiiC::Hioa Bc:c:omc::s Your BtllldiD'~ Permit Wben APru.oved
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S"p 02 03 03:40p
Sewer and water permits issued for new constructio~ must be
recorded on the building permit card at the time o~~~' ance
~o insllre that no duplicate sewer and !~e_L per ~ Are
~ssued. 'r r -- !J?^
' [I) G L,I L:;; u' b' 1- flS"'1Y
DATE, PAID AMOUNT P ,n ~ I i ~4f,
'. BY u':U' :iEP 05 20.?t3 "J'" 'I'Jo
RECEIPT # REC'D
~y
16200 Eagle Creek Av, S,E" Prior Lake, Minnesota 55372 / Ph. ('10:2) 447-4230/ FAX (~) 447-4245
An Eaual Oooortunity Employer
1-
2.
3 .
4.
'--- 5.
6.
~.
METRO GENERAL SERVICES
763-428-2968
p.2
G"I[~N - '1l.E
yt.UOw - A.PPLlCANT
GOLD. tiT '(
FAy...
CITY OF PRIOR LARE
SEWER AND WATER PERMIT
9S2..r 'It! 7-t/'2- L/~
S.W, No. 5'- R.9-6
NOTE: Sewer and Water
contractors must
be registered
SEP 0 ! 2003 with the City.
APPLICANT: (h c.,RrJ (2;EilIERAi Sr=R.V;CEP:HONE: It:, 3 -4-d,S -:?!''13,?
5 ...L-iVC.
ADDRESS: 7CJo NuAiY1 A,/E. Ne: DATE:
, .------;-\ '\r\ .-....L.J,r Ih $1" (rllc..rl '1SL ""'}'Y"}JoJ, 5.'037""
SIGNATURE: allo..+-( ~L",IV . BLDG. PERMIT # .
SITE ADDRESS ;/fc, 4-h~, r.::,cI,2fd'77.g3.'t7 CjI.'15" PID#
-r~~~' . +-,
FILL IN THE BLANKS
Estimated length of water service
!6{)
feet.
Size of water service
tY:3-
inch(es) .
Location of any cOllplings from structure () feet,
Type of sewer pipe. ABS PVC Lf- f/ Cast Iron
Estimated length of sewer line
5()
feet.
Clean out (if required),
structure.
located at
/'J/A:
feet
from
==============~====================================~==============
This application becomes your permit when approved.
BY
DATE:
========}?:j~:r=~~~=============================================
FEES: (] /dq P'LM, 1-- Sewer and water 1 ine connection permit.
~ ..::~" Surcharge
( No f-ee.-) TOTAL
* Fee far either sewer or water individually is $20.00 plus
$ .50 surcharge, --
*
w.... -.-_____..~_u... ....___,._, _~... '_'m.. U' ,_.".
DEPARTMENT C5f:~e IVlaln f111e
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS )(,~"3' / ~6~...- CPuu"t D".iUf:-,
NATURE OF WORK fl e ~
USE OF BUILDING ~ F JII
PERMIT NO. t) g .. ~ t... DATE ISSUED
CONTRACTOR .J!.J,JZL - J.l.twUo PHONE-'=' I~- L/'O-l.(~~'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I
I FOUNDATION (Prior to Backfill) vv...n.v.1 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
jf.A...;"
I FOOTING
f\l...o..:.v. I
SEWER / WATER / SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
INSPECTOR
DATE
VV('/
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1(-~~0
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
J:,'ee //rc,,,;, .
A?/
GRADING (Prior to Sodding)
BUILDING f\-c....p U~I-,\ ~.{-oL\
ELECTRICAL
PLUMBING
, HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN
NOTICE
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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
QIrrfifiratr of <IDrrnpanrl1
CITY OF PRIOR LAKE
;!Ehparfmtnf of ~uilMng Jlnsptdiou
~Final Permitted D Conditional C,Q, 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
Occupancy Type
R3
Type Construction
VN
Fire Zone
Bldg. Permit No,
N/A
Zoning District
03-0826
PUD
Legal Descriptior
1.9, B2, TIMBER CREST PARK
Owne, of Building SileAddre" 16473 TIMBER CREST DRIVE
Contractoc'sName&Address PULTE HOMES,,~7' NORTHWEST PKWY., SUITE 140, EAGAN
ROBERT D. HUTCHINS /~ CityPlanne, DON RYE
,
55121
..
Date:
~b~?im
Date:
.,
'l~
DATE
?hY~
, . ,
7:~~r ~s/ #,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/b'-Y'/'J
OWNER
CONlR.
PHONE NO,
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
TIllE
oS - 8'~b
o EXIGRADfFlLLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
U\J
I~-;:S-e.. 4 ~
-----
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CA':,L.F' REINSPECTION BEFORE COVERING
Inspector: ~~ Owner/Contr:
CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
,,,,,,,,n
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
OA TE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
f[,L/T~
SCHEDULED l)l-/~~
1't ~ l;;.,. -' CJ.V7!<.-fr
OWNER
CONlR,
PHONE NO,
PERMIT NO.
1- lr,M
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
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
D
COMMENTS:
~; ,.;;f. aQ/,j.J--- ..r::,"""~t- lH...I~
~.-.r)~ lrl \j7t!",fr.,r~
ty 5'/)...(. +- 1>ffS fh- rI~,~~""'''''''':::r---
1=r VI" /J cJ>1rlil
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IJ tll/ +- ",jr_
o WORK SATISFACTORY, PROCEED
Ii! CORRECT ACTION AND PROCEED
D CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: . wr Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
I~Lr71
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
:\
{f; /ttMrM.-
DATE T1ME
SCHEDULED J~JJ-~
-1'> I+tbv I' /'t::5,.,r
. .
CONTR,
PERMIT NO,
3,-~~
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
J<l' PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
rtofcl(tf/7
.
~RK SATISFACTORY, PROCEED
p" CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: !/l/P Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSJ<<)Tl
r
BUHN~ "'ILLE
Heating & Air Conditioning, LL.C.
12481 Rhode IslandAJle S, Savage, MN 55378. 952~894.000S
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P
t Orslat Test Report for Job# S"'+- f- L;
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t Address~1J \:"" 6 t"'~t- brCitv ?ric'l" L.J..t....
Occupant
Date of Inslall 1/ ii/tJ 'l
Type of HT, F/A V"Hw Space HT Unit HT
Other
Malee
Model firs-'I pi? w' ~ 'IJI~-/)I
serial i~i::.u ~ \( l"V)C,r>!
Input tJlI C<:lO
. . ~ ,'";-;;1L. ,..1 .1'
tlfb'l ~}#:l.fs~RF~CE IGNITOR
Pressure S . ~:; CO2 '1 [ ';1-
Input CFH '1tl 02
S1ackTemp qcJ<' CO
1-...,1'1 e-y
I"',' '"
I,JJ. 11"
IV'. '..
+ ' .
Date Tested
Company
Technician
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BURNSVILLE HEATING & AIR CONDITIONING
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