HomeMy WebLinkAboutBuilding Permit 03-0827
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
q>lease .!U>c:. or print and sign at bottom)
ADDRESS
/~L/77 -riMdf5L c:Lesr f)Jlfl/lE
Date Rec'd
(,,2.-0,03
; ~;~;~ ~:~y I PERMIT NO.A.:! - () 1 n
J. Yellow Applicant U-:/ ?S/7t I
LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK ;Z ADDITION -rlA1IJ€tL Ce€rr p~
OWNER {)
(Name) rvi- n~
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gr.r- #v"e.'1#MFlr
(Address)
BUILDER
(Name)
(Contact Name)
ZONING (offic,u,,)
pun
PID2,5"'- 4lJ2 -tJbZ ~o
(Phone) 6r(-'!s;J-S-;WO
No . ~A6A,J ,/I1-v f"n.J./
P/J1C-J:wA~ I S'v I"r€
,
1SA-P1E ;4r A-~oIlE I(
A4MN MA7C-1
(Address)
TYPE OF WORK
KNew Construction
DLower Level Finish
o Fireplace DAddition DAlteration
PROJECTCOST/VALUE (exc1udingland) $ r;, 'I. hr-8
o Misc.
(Phone) (;j-(-I{ S-,) - r,,)oo
(Phone) ~ (..z - 1[9'0 - 1f,).;J 8
DDeck
DPorch
ORe-Roofing
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
enter upon the y.....y......) to perform needed inspections.
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I Permit Valuation
I Permit Fee
I Plan Check Fee
! State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
Signature
$
$
$
$
$
$
$
$
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Building Official
This Application Becomes Your Building Permit When Approved
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Date
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
'-/10 '6 d. - ~ '-I
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#
#
#
#
Date
I $ I
$ 1275,- I
$ I
$ I
$ I. 2-60, (fl.::7 I
$ 761),- I
$ I
$ I
$ t1hg';)..44 I
I ReceiptNo,~_~ -:511
By t
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin~dinance and ;~'c2ceed as requested. This document
::: sign,d by th, Ci~ Plmncr constitutes ~ tempo'"", C,rtificat, of Zoning compliance md ,"ows cons!turtion to comm.:) eoeccul V j atcfif must b,
~ 1-'-"-'1/--' 7 /d).~ /b 3 1 e
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
~~
See Main File
White - Building
Canary - I;nllineering
The (rnlrr of the L.kr Coun..., ,..--plnw: . tI~annlng..::>
BUILDING PERMIT APPLICATION DEPARTMENT CHE;K~ST
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:
/ . / / 1/ /) _
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Accepted /' Accepted With Corrections
.
Denied
S ~
Reviewed By: ' d <--.Q... -1~ Date: 7Py4'3
,',. .
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,"
~1
See Main File
rWhile - Buildinu
Canary - Engineering
Pink - Planning
Th~ C..nl... nf lh.. I..k.. Count.,
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
PhflL~
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
,
Reviewed By:
~
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Date:
7~ij~?
, ' .
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,"
~~
uern
See Main File
White - ~uil!t'[lq
d!.nary - t:nglneerin1f")
Pink - I'lanmng
Tht ('rnl'" of Iht' I..k" COllnll'}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSl:
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
Denied
Reviewed By: ~L~
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Accepted With Corrections
Date: '1 ('L'L f 01
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."
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Pl.UM13rNG PER.\UT FEE S
STATESURCK~GE S
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T~i...t ^pplic:xdon Bc:cOrTlC Your Suildia; PC:r'Ulic Whell Approved
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Sep 02 03 03:40p
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METRO GENERRL SERVICES
763-428-2968
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GRU,'" "..E
Y!.LLOW . AP"lICANT
GOLD. en'"
FAy...,
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Cf'52,r 'I'I7-tfJ, L/L)" NOTE:
s.w, No. 6' -.f c;;[ '7
Sewer and Water
contractors must
be registered
SEP 0 2 2003 with the City.
APPLICANT: (h E-iR() (~E^JERAI S~/(V/t.EfuoNE: rb3 -4-d-,fj -d,'13g
ADDRESS: 5'iCj 0 N uAr/1 AJiE NE :c;vCDATE:
. ..---:-\ "f\ .~r ~ 51. n1 IQ.I' "':F- L ~ >J, .0,5"376
SIGNATURE: iZYo_.+' _.^'~. BLDG. PERMIT #
SITE ADDRESS;)Io4-h,c".f::"c1.7 .7'1 ?3.g7.cW15'" PID#
-r~~~ -,'
.FILL IN THE BLANKS
Estimated length of water service
E)tJ
feet.
size of water service---LY;L
inch(es) .
Location of any couplings from structure
() feet.
Type of sewer pipe. ABS PVC LJ- fl Cast Iron
Estimated length of sewer line 5" () feet.
Clean out (if required),
structure,
feet
from
located at
tV/IT
--------------------------------------------------~---------------
------------------------------------------------------------------
This application becomes your permit when approved.
BY
DATE:
========~~7~=~~~=======================================A=====
FEES: f] Id", P<e.M' 1- Sewer and water line connection /JIJtl!jJJIO l1ri"
~ _~) Surcharge JVG ~ 1'(
( IJ" h? e.. TOTAL . 'l2f:1ft.
'vll.,.
individually is $20.00 plus
*
Fee for either sewer or water
$ .50 surcharge,
Sewer and watE~~~~i~~U~~~~~jlfor new constr~ction ~ust be
recorded on th~ooUDUi~dlng pern~ card at the tlme of lssuance
~o insure that 0 S&16l&~~f U ewer and water permits are
lssued. 'J
*
DATE..PAID
17"
-.I--~-
AMOUNT PAID
-
" RECEIPT #
~.
REC/D BY
(l'/
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16200 Eagle Creek Av, S,E" Prior Lake, Minnesota 553721 Ph, (95'2) 447-42301 FAX ('ls2) 447-4245
An Eoual Oooortunity Employer
~ee Main Filt
DEPARTMENT OF
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD I
SITE ADDRESS )~L./11 ~~~-r ~
NATURE OF WORK JV~ tLl
USE OF BUILDING ~ F J4
PERMIT NO, ~. ~;l. '1 DATE ISSUED
CONTRACTOR-P...u.Lt;.. AJ-~ PHON~ I~ - '-I~O. ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING ~.;" I
I FOUNDATION (Prior to Backfill) lJ1.\b.",\ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER r WATER r SEPTIC
FRAMING
INSULATION
ELECTRICAL
I PLUMBING
I HEATING (if required)
I FIREPLACE
I GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
GRADING (Prior to SOdding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN
NOTICE
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FINALS
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SIGNED
This card must be posted near an electrical service call1inet prier te reu!lh-in insftectiens
and maintained until all inspections have been ajatlrevei. en lIIuiliin!ls ani a....iti.ns
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
QTrrtifieatr of <IDetupanel!
CITY OF PRIOR LAKE
@,tparfmtnf of ~uilMng J1nsptdion
.e{ Final Permitted D Conditional CO, 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. Pennit No. 03-0827
Occupancy Type
R3
Type Construction VN
Fire Zone
N I A _ Zoning District
PUD
Legal Description
L9. B2. TIMBER CREST PARK
Site Address 16477 TtMBER CREST DRIVE
Owner of Building
Date:
ROBERT D. HUTCHINS
9/1;~y
HOMES. 81..5
~.
NORTHWEST PKWY.. SUITE 140. EAGAN
55121
t'
Contractor's Name & Address YUL TE
City Planner
DON RYE
if
Date:
DA.TE TIME
?>>/~
, -,
/61/'77 ~~,.C~s/ /Jr
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.,.r;rt'lNAL
C SITE INSPECTION
COMMENTS:
-'"' /'
C--l t:JS.e
SCHEDULED
CONTR,
PERMIT NO,
~S-9.;z7
o PLUMBING RI
o MECH R1
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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r.;/.(L
Jd""WORK SATISFACTORY, PROCEED
/0 CORRECT ACTION AND PROCEED
o CORRECT WORK, C:~~R REINSPECTION BEFORE COVERING
Inspector: .//~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOIl YOUR PERSONAL HEALTH I< SAFETY!
INSNOT'
DATI! nil.
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED I), -/~V7
ADDRESS If-UtI 1'....I.w/,r A!.?>r
OWNER CONTR.
PHONE NO, PERMIT NO, "1-8")-7
o FOOTING o PLUMBING RI o EXlGRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING [J WATER HOOKUP o FIREPLACE Rl
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
J1!'FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION _ECH FINAL 0
COMMENTS:
(iJ r:;Ivtl<;"'- tJVkicJA vW1-L.. /'M +C/Vn~LL
i5-) ('11M. 1 ;,Y"'<h op/JrlllhA1
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"1'(:",,";7 ffi1./-r/
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/7YS4 +- ~lL
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTION BEFORE COVERING
Inspector: 11# Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
OOI<<)n
Address~ .,.-;", bfr Cet} ~
Occupant
Dale of Ins1all
Type of HT. F1A
Other
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Make
Model
Serial
Input
BVRlWSVILLE
Heating & Air Conditioning, L.L.c.
12481 Rhode Island AveS, Savage, MN 55378.952.894-0005
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PUotType HOT SURFACE IGNITOR
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Pressure ~,,:> CO2
Input CFH l.j,J 02 II.' ",.(.
S1aCkTemp 'iE"'''' CO IO.~
Date Tested
Company
Technician
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BURNSVILLE HEATING & AIR CONQITIONING
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