HomeMy WebLinkAboutBuilding Permit 03-0829
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
&.2.0.03
See Main File :~;~:' ~::,
3. Yellow Applicant
I PERMIT NOt)3 - g d-- q
~lease .!'(pe or print and siJm at bottom)
ADDRESS
It:. '1&7
-r; /l'fiJ €'L
cL€sr
oil It/~
ZONING (office use)
PtJO
LEGAL DESCRIPTION (office use only)
LOT /0 BLOCK r2 ADDITION -r/#f&iC'<" Ctl.E>r p~
PID?S . ~ -z... 0'-3 -0
OWNER
(Name)
f?vl. r~ 1Io;-r~J
(Phone) (PJ/-I.fS-,)-J~OO
(Address) !1/r- k7'~we-s"'- ~MJ J S..II7'€ /'10 . t::'4t:.A-;oJ ..MtAl S-..rf,)..(
I
BUILDER
(Name) $A-tvl~,A.J A-&()t/~
(Contact Name) AI1UlN MM-I
(Address)
(Phone)
(Phone)
(pr ( A( r;J - .r .,)cO
(PI.) -(('To -'1.2.1- '0
TYPE OF WORK
.)g:New Construction
DLower Level Finish
ODeck
DPorch
ORe.Roofing
ORe-Siding
o Misc.
o Fireplace DAddition DAlteration
PROJECTCOST/VALUE (exdudingland) $ tt/. ~Je
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
;teruPa;:~:~dedinSpeCtions Be _ /37/ r,;/b!oJ
Signature Contractor's License No. Date
I Permit Valuation /.. 5"00 0 I I Park Support Fee # $ ~
I Permit Fee $' , ?4M3. 7S I SAC # $ 1.2 75.tJ 0
I Plan Check Fee $ 4-~c'. b q I Water Meter Size 5/8"; 1"; $
I State Surcharge $ ..32-.SO I I Pressure Reducer $
I Penalty $ I I City SAC and WAC # $ I. Z()(). () 0
\ Plumbing Permit Fee $ I I Water Tower Fee # $ , 700.00
/oa .-
I Mechanical Permit Fee $ /07;>. - I I Builder's Deposit $
I Sewer & Water Permit Fee $ I Other $
I Gas Fireplace Permit Fee $ 40. 6'V I TOTAL DUE I $I/I~?:J..,q4
This Application Becomes Your Building Pennit When Approved I Paid Vb '6 d._ '1 </1 ReceiptNo. '1./7" ::>/1
~ ':t.Rd2t:J 7 /pl~/a.3 I Date K't'i(3 ' Bv (j-
- 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
~ P~;:~i~empcrary Certillc;;:n;~~mceand allows consburnon 10 mmSeeoc1Vlalii Ofpfie'be
Planning Director ' Date Special Conditions, if any
24 hour notice ror all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~
See Main File
~ite-~
Canary - Engmeering
Pink - Planning
rh..(-..n'... "rlh.. 1.ak..Countrl
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
(J dft ~
v
APPLICATION RECEIVED
to - C;2.O -0 2>
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construc~: :;;~ which :::h:: ~ 124 + ) ~
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
~
.
7~1-
Date: 7/~~A,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
C~ - Entlin.eering
.....-Pink - Planning ~
Thr ('.,nu'r of Ihr I..k.. ('ountr,.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
~
APPLICATION RECEIVED
-::>
.
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
. ; . / / / l Jj
/'
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Accepted
Accepted With Corrections
,
Denied
.
Reviewed By:
~
9~~
Date:
}~rA'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
~ - Rllilding
Ca ary - Engineerinj)
Ink - t'lannlng
Tht' C..nlt'f of Iht' 1..11,., ("OUIUry
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
t<
Accepted With Corrections
Denied
Reviewed By:
Comments:
Date: '/1-'L./O')
~
"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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8U PA.ID 1M
.50 1l.DIN rvrrJ.j
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T';li~ AppHcco.n BC::l;:ome::s YDl.i~ SUifdi.a:Pet"Ulit When Approved P:ltd. " ,-- ~' i 11'11 Ele:::ipc ~o.
O.'e r pa:si:p~ 5 LOO; i i:]'jiI8Y tr~:
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':.;j, I1.JC.lr' nuch:r. f'u," all in.s:pll!ctions l'::) "-"':"~9~~;,~_~_~9::i:)_:'-'"";'~:~____. '
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(Offic.e t;"c Onl!l
80/80'd
PWMBCNG PERMIT FEE
STATE SURCHARGE
TOTAL PER"rrr FEE
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IN I OJ'JI'4 I ElWnid,\3lltin
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S"p 02 03 03:401'
METRO GENERAL SERVICES
763-428-2968
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GIlUM -"llE
YULOW . AP"'lleANT
GOLD. en...
NOTE: Sewer and Water
contractors must
be registered
SEP 0 Z 2D03 with the city,
APPLICANT: (h CiR() (~E^.IERAf" SE:IZVJc..EW.ONE: (~,3 -4-d-,S-d,'13g
ADDRESS: SIC! 0 n wArn A,/ e. NE: rive "DATE:
~\ 'f\ ~r ~ $1. I'Y) tQ.H"'.F-L,--'W)IV, !';,.'J".376
SIGNATURE: aJ)O~'+'\ ~ ;~_ I3LDG. PERMIT #
SITE ADDRESS~-;Iot.J-b~7_'83f!J-qI9S- PID#
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FILL IN THE BLANKS .
1. Estimated length of water service fJ~
2. Size of water service---LY2- inch(es).
3. Location of any couplings from structure
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
"fS;<.r tf'/7-tf-z, t./.r
5-g~9
S.W,No.
FA'/-..
feet.
()
feet.
4, Type of sewer pipe. AilS
PVC ~il Cast Iron
'-
5. Estimated length of sewer line
5()
feet.
6, Clean out
structure.
(if required),
located at
IV/A-
feet
from
------------------------------------------------------------------
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This application becomes your permit when approved,
BY
DATE;
=~======f7:/Tc;JF=~~~=============================================
FEES: f] Id., P'/.-M' 1- Sewer and water I ine connection permit,
(Na (~e.- ') ~~~~~arge
* 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 building permit card at the time of issuance
to insure that no duplicate sewer and water ~~~ts are
issued, au U WItH
I"') ",~- lLDING
DATE.:PAID Iv ~ (0 u 1~'1~f PAID ., PPRMI.,.
\....-,., RECEIPT # . . ~l1 SEP 0 5 ZofjJCL:~ BY Cr'
16200 Eagle Creek Av. S,E., Prior Lake:~inn-;sota 55372 / Ph-:-)'i$2) 447-4230/ FAX (~) 447-4245
An Eoual Oooortunitv Employer
"-~'--._.---------,-_._--".
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ;/,,,,,, .;J..IAM~ &u:r ~
NATURE OF WORK' ~
USE OF BUILDING S>J!: If
PERMIT NO. D 'a - tl;..~ . L- DATE ISSUED
CONTRACTOR fJ I~~'b. IV I'YMJ'" PHON~/~. I./'Ia... LI ;'d-'i
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ee lVlaln ~.11e
DEPARTMENT OF .I. .
BUilDING AND INSPECTION
INSPECTOR
DATE
I FOOTING Vv1a~.1
I FOUNDATION (Prior to Backfill) 1Ma1,,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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(/, 7-03
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((~ )" ~03
GRADING (Prior to Sodding)
BUILDING 1<..(' tJ;\!t,1 fi+c~\
ELECTRICAL
PLUMBING
HEATING
DO NOT
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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ftC~
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t./l1/1
OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
1t-/7-tr?
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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
(11rrfifitafr nf @trnpanqz
CITY OF PRIOR LAKE
~rparfmruf of 1JjuilMuB J1usprdiou
f4 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 afissuance this structure was in compliance with the various ordinances of the City of Prior
Lake regulating building construction or use. For the following:
Occupancy Type
R3
Type Construction
VN
Fire Zone
Bldg. Pennit No.
N/A
Zoning District
03-0829
PUD
Use Classification
SINGLE FAMILY
Legal Description
Ll0, B2, TIMBER CREST PARK
Owner of Building
Site Address
16487 TIMBER CREST DRIVE
."'-
Contractor's Name & Address PUL TE HOMES, 8 L5
_ ROBERT D. HUTCHINS /4#
~B?i/2y
NORTHWEST PKWY., SUITE 140, EAGAN
DON RYE
55 J:21
.,
City PlanoPT
Date:
Date:
~/~ TIME
/6 rtf'/' ~~r Ces7 /J-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR,
PHONE NO.
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,.JiI"FlflAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
----
~
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~ L--/ C1 s-e.
------
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-----
C8-JY29'
o EltIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
'-~
"\~
~
./
>>ORK SATISFACTORY, PROCEED
o 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,
,.->n
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
iZ-?J..--o\
ADDRESS
Ire t{'r 7
ff,v.?/ b -trt-rr.>1'
OWNER
CONTR,
PHONE NO,
PERMIT NO.
'Z'-'r)....Cf
o FOOTING
o FOUNDATION
o FRAMING
o n~.$ULA TION
.JlI"fINAL
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 Rl
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
~3
h"1e1.1
~rbL
OJrfld..
'* <'(,-.,,'" "
a /?,(1rQVt:( /
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~Ic,f~ V.1f:l ~-I-04
,
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
MORRECT WCJ,RK, ~L FOR REINSPECTION BEFORE COVERING
Inspector: 11 W/ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAlTH'" SAFETY!
t_,m
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/~4Fn 7,,,J,-,,__J-
OWNER
CONlR,
PHONE NO,
PERMIT 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
)l'l')>LUMBING FINAL
SI MECH FINAL
COMMENTS:
(!)f61'./liA- ~S
DATE TIME
/1.. -/tl-tJ'?
--
3. -8"J..q
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o WORK SATISFACTORY. PROCEED
Jlf6'ORRECT ACTION AND PROCEED
o CORRECT ~R~ ~OR REINSPECTION BEFORE COVERING
Inspector: r y r Owner/Conlr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
lNSI<<)n
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <l SAFETY!
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DVRNSVILLE
Heating & Air Conditioning, L.L.c.
12481 Rhode Island Ave S, Savage, MN 55378.952..894..0005
Ors1at Test Report for JobI
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Addre&Cl it, C\i -~ \; ,\ .
,-\, -ti Cily 'r~, . \', i'
Occupant
Dale of Install
TypeofHT, FlA /'HW
Olhe.'
Space HT
UnitHT
Make \ ;. , , ,
Model
Serial
Input
('~'7 {rd'.'::-.. ,..)~ i\ . {.dS- '_'
I Vt/~1
~D~ .rnl" 7."
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#41,{:(,.:;
Pilot Type HOT SURFACE IGNITOR
Pressure ',' > ~ CO2 /"
Input CFH Lf ' 02 Ji , /.
f..(
SlackTemp ~'(j " CO. I:;' f'lt..,
Date Tested f) i I cI '-' :0
Company BURNSVILLE HEATING & AIR CONDITIONING
T~chnician ~< ., .,.. ,