HomeMy WebLinkAboutBuilding Permit 03-0828
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
S ANn.U~LIlY CONNECTION PERMIT
ee IVlaln File
Date Rec' d
t. ZO,03
I. White
2, Pink
3, Yellow
File
City
Applicant
I PERMIT NO.og - OJ. S-
(Please ~ or print and sign. at bottom)
ADDRESS
/~ 183
-rI tI1./J~/L
C/l.eJT
!JlIVrC
I I
ZONING (office u,,)
lVo
LEGAL DESCRIPTION (office use only)
LOT /0 BLOCK.2 ADDITION -r;~E'~ c..lcsr F'.+te~
PID ?.K -4dz..cJ{.;f - 0
OWNER
(Name)
Pc/I.. r~ #O,-,e-.f
(Phone) (PI/ -I/r,) - r.;oo
r.j/aJ{
(Address) illS- No~rHt./e-.rr P~Av} SVlr~ 1'10
f
1:14('..,4---1. M"..}
BUILDER
(Name)
ft'rAJV/~ Ar A6oi/~1t
A-l1hJ,J MkM
(Phone) 6J I - 'I r;> -r uJ.OO
(Phone)_(,I.l-'I9o -tf.,l.)B
(Contact Name)
(Address)
TYPE OF WORK
~ew Construction
DLower Level Finish
DDeck
DPorch
ORe-Roofing
ORe-Siding
o Misc.
o Fireplace DAddition DAlteration
PROJECT COST IV ALUE (excluding land) $ tt/. (".)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
;ter upoa:;~o :::;;.:c:~spections Ik ~ I J7 I t (/(.,103
Signature Contractor's License No. Date
Permit Valuation In c5', () (J C> ,- I Park Support Fee # $ I
I
Permit Fee $ , '74$1. 75 I SAC # $ 1.27'5.~ I
Plan Check Fee $ ?-f3c'. t:,q I Water Meter Size 5/8"; 1"; $ I
State Surcharge $ 32. ..57) I Pressure Reducer $ I
Penalty $ I City SAC and WAC # $ I. Z.6V, I
I Plumbing Permit Fee $ /00.- I Water Tower Fee # $ 7()D. ~
I Mechanical Permit Fee $ /6l.J.- I Builder's Deposit $ I
I Sewer & Water Permit Fee $ I Other $ I
I Gas Fireplace Permit Fee $ e?O. dO I TOTAL DUE $ Lib ~;}., Y( L/ I
This Application Becomes Your Building Permit When Approved Paid Uli!} '6 ',.J, . '-1 '-( Receipt No. 1-15,:,)1'/ I
~ r Date ~- I.~ -,~ By g
?.ed2/J 1"~~~7
\-
Buildiug Official Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zon~dinance and may proceed as requested. This document
~~'=~n~::ru~a;:po,~ cmifiO;;:;;G~ance and allow, oon,uucrion to oomm~eeOCMaiirFiletb'
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
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See Main File
White - Buildin!!
(Canarv - EnQineering...)
Pink - Planning
Tht ("tnltr of Iht 1.lb ('ounl.,.
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 propo$ed at:
"-/:; 2>
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Accepted X
Accepted With Corrections
Denied
Reviewed By: ;(~~4 ~
Comments:
Date: '7 kl-! 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."
~~
See Main File
~ite - Building""")
Canary - Engineering
Pink - Planning
rhr('rnlrrorlhr 1..krCounlrl
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building,Eermit
application for construction activity which is propoE\ed at:
!&>J-/g3 v'1uYnhvzj~f- I~
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~~
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Date:~o//& J>
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 - Engineering
(1"1n~ - Pla,;nln~
Thr ern In of thr L.kr ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments h~e reviewed the building permit
application for construction activity which is proposed at: -
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Accepted
/
Accepted With Corrections
I
Denied
Reviewed By:
~
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Date:
7/~~3
.
.
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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."
Sep 02 03 03:401"
~PR~
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METRO GENERAL SERVICES
763-428-2968
1".2
GIIl~~N . "IlE
Y~LLO" . APP.lICANT
GOLD. elT '(
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
cr ~2..r If'l 7- if], I/r
S.W. No. -3 - [?;?-lJ
1-
2.
3 .
4.
"-- 5 .
6 .
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FAY--
NOTE: Sewer and Water
contractors must
be registered
SEP f] t 2D03 with the City.
APPLICANT: (h ciR0 (';aJERAi SER.VJc.E.W.ONE: (f,3 -4-d-.?J -d,'138'
ADDRESS: 57(;10 NuAIYl Ave. Ne: XivC.DATE:
. ~ '\r ......L),r ~ $1. j'Y) IC-H "r;L --,....,1\.1. 5-'0376
SIGNATURE: \ aVo..+-( /A1~' / BLDG. PERMIT #
SITE ADDRESS~-;t:,tJ-bC;.,. bCf,7g.77f'83\S7 ell qS- PIO#
I~~~ .......!I ~,
FILL IN THE BLANKS
Estimated length of water service 5/') feet.
Size of water service---LY~ .inch(es).
Location of any couplings from structure () feet.
Type of sewer pipe. ABS PVC ~(J Cast Iron____
Estimated length of sewer line 5' (') feet.
Clean out (if required),
structure.
feet
from
located at
IV/A-
===========~=======================~===================~==========
This application becomes your permit when approved.
BY
DATE:
========??~/Te:l=~~~=============================================
FEES: f] lei" P<!.-M:i- Sewer and water I ine connection permit.
~ ~ surcharge
( N" (==-e e..) TOT AL ~~ .0"/1()
Fee for either sewer or water individually is $20~G~NS
$ .50 surcharge. .o':'Y
''.~1
Sewer and water permits issued for new construction must b'~~
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
*
*
DATE ,'l'AID
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~ il. I:~ (iJ r [-I" '-1;
. · u) l'o l'!.J L lAI-iO#NT PAID
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U~ . SEP 0 5 200]REC/ D BY
18Y~
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RECEIPT #
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16200 EagJeCreek Av. S.E., Prior Lake, Minnesota 55372 / Ph. ('l~2) 447-4230/ FAX ('?s2) 447-4245
An EQual OooortunitY Employer
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CITY OF PRJ02 L..J..,e..:.E PLC..rZ,:,-G pc:.R-\IIT
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A'??UCAI'IT PLEASE COMPLETE 8ELO'.V
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I Sink:; I 8ackrlow A~se:noly res:
I 8:u- Sink I Lawn Sorinkfe~
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E.:;ttG'I;;c~": C iJj~ ;S
PU.rMBCNG PER.\UT FEE S
STATESURCK~GE S
TOTAL PER.i'rm FEE S
rOmce t:se OlllrJ
Tili.s Applic':1Ciall 8ccortle:s YOUr" Stlild:i.a:: Permit When Approyed
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PRIOR LAKE
INSPECTION RECORD
.
){,""3 /-Um~ ~+ D".
NATURE OF WORK A/LW -
USE OF BUILDING -.S~}4
PERMIT NO. ~i' l- DATE ISSUED
CONTRACTOR 1~ t/fJm~~ PHON~/,-,'l/qO.II>>t
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT1app l\/{ lJl~n pel
BUILDING ANo-J~EClf6t\l 1 e
SITE ADDRESS
INSPECTOR
DATE
I FOOTING Mu~J I
, FOUNDATION (Prior to Backfill) iW.....1 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
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(f-7-dJ
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
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l/l/Y/
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GRADING (Prior to Soddin~)
BUILDING ''\('''1(;' ()~h I ~",()'-I
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
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?/Q/t?~
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( i--{'hD
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
Ql:erfifieat:e of @etttpanqz
CITY OF PRIOR LAKE
@,eparfmellt of ~uilMllg c3fllspedioll
~inal Permitted D Conditional e.O. Expires
I
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 Classificatior
SINGLE FAl<fILY
Bldg. Permit No.
03-0828
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
PUD
Legal Descriptior
L10, B2, TIMBER CREST PARK
Owner of Building
Site Address
]6483 TIMBER CREST DRIVE
.
Contractor'sName&Address PULTE HOMES, 81~ NORTHWEST PKWY" SUITE 140. EAGAN
_ ROBERT D. HUTCHINS /~1f!7' C;tyPlanner DON RYE
Date t h~~7ial Date
55121.
.
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ADDRESS
/6~5
OATE
~~~
/ - .
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TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~?-?2Y
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
o EXIGRADfFlLLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
.
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~ORK SATISFACTORY. PROCEED
(0 -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!
,.-n
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
It. 'ia--3 7/"'-1~~sr
OWNER
CONlR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
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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Ct) .~d~
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DATE Tille
J 2-)..2 -r7?
? ~ If- ).-Y
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
rI~~r
€--(-()C{
I
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ORRECT W~RK, ~ FOR REINSPECTlON BEFORE COVERING
Inspector: j/ if'" Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INS/'IOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
ADDRESS
/(, If'("J,
DATE TI".
SCHEDULED jL::JHn
,.
7i"",b~..y:~s-r
CONTR.
PERMIT NO. ~ - 8-2C
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
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
..it' PLUMBING FINAL
..lIf"MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
E) r e v1t Ow..
~f5
o WORK SATISFACTORY. PROCEED
p-CORRECT ACTION AND PROCEED
o CORRECT W~RK~ ~ FOR REINSPECTlON BEFORE COVERING
Inspector: //W Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
,....,.,
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B-.JHfNSVILLE
Heating & Air Conditioning, L.L.C.
12481 Rhode I,land Ave S, Savage, MN 55378.951-894-0005
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Ors1atTest Report for JobI .t;'-7"l-/r
Address ) \0 t.\.t'3 T '0' \", G;e(:'''= :r:. City f::bt>c i-<<L,,--
OccUpant
Date of IlI$1aIl -----
Type of HT. FIt. ./ ~W Space HT Unit HT
(Other
Make
Model
Serial
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phil PilotType
Pressure
Input CFH
SlackTemp
"7 s'
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CO2
02
CO
1./4
7'10
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Date Tllsted
Company
Technician
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SURNSVILLE HEATING & AIR CONDITIONING
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