HomeMy WebLinkAboutBuilding Permit 03-0830
(Please type or print and sign at bottom)
ADDRESS
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
~ST
j),i..tvc
Date Rec'd
6.u.OJ
1. White File
2 Pink City
J. Yellow Applicant
I PERMIT NO'03- If 3D
LEGAL DESCRIPTION (office use only)
LOT 10 BLOCK:2 ADDITION -riMIJeL. &sr ~~
OWNER J
(Name) P"'L7"€ Ht)Me'J
ZONING (offi" use)
I'UO
PID 7S~4-0L . () " ~ - cJ
_ (Phone) (,'>1 ~tf J'; --S" ol-oO
(Address) Il/r "v,,~7"J{wEJr PR#VA'f'1 JI/lrE' Ir'o I €A6A-,.) . /<'I"v Jrl"L{
,
BUILDER
(Namei
~.4,.,..e- Af Al.JovE"
A A L.o -J /11A1c--1
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
J!!New Construction
DLower Level Finish
ODeck
(Phone)
(Phone)
~JI ~f(r~-r02oo
y,!.J - </<jO - tf.}.,l. g
OPorch
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 y.....y....~) 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 th~erty to perform needed inspections. /
X ~_~~ ,8t1-- Inl ",t/glo>
Signature Contractor's License No. TIate
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
\ Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
o Fireplace DAddition DAlteration
PROJECTCOST/VALUE (exdudingland) $ ;:;tf,6.s-8
/., 5, 06 () .__L
$ '74&.7S
$ ~(;.t.,cj
$ 32. 5D
$
$
$
$
$
10 tJ.
Ie) o.
40.00
This Application Becomes Your Building Permit When Approved
~9~
Building Official
7/~ifjd3 _
f Date
$
$ 1.27500
$
$
$
$
$
$
$ If(,, RJ. ffLl I
,
I Receipt No. 45 0 1'7
By 0 .....
I Park Support Fee
I SAC
I Water Meter SizeS/SOl; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
l TOTAL DUE
Paid tifoi d. r g <-i
Date R- f3- ~
#
#
#
#
I
I
I
I
1,200.001
700.00 I
I
I
This is to certifY that the reques.t in the above application and accompanying documents is in accordance with the City Zon~rdinance and may proceed as requested. This document
~::ili~ ~~ PWn",:?::;;PO'My Ccrti;/;;Am;,"" and allows construction to com ~ee o'Mainor FJ.letbe
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 - 8uildin!!
<:.Jdnary - Engineering )
Jtlnk - Planning
Thr ('tnl... of lht I.";t <:ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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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
x
Accepted With Corrections
Denied
Reviewed By: -17- 1-1,-
Comments:
Date: I (L-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."
~~
See Main File
rWhite - Buildinq:,
CanarY - Engineering
Pink - Planning
Th~ ('..nIt'. of IhO' t..k.. ("nunt.,.,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(9)w:JJ.. ~
c; - 8-evo6
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I~qql JL/m~&~ ~
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~
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Date:
~oL~~S
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
lhr ("rnlrr of tht l..kr('ounll1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
" f
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APPLICATION RECEIVED
"
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The Building, Engineering, an,d 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:
~
r
';Z .I2.4IP
Date:~'/'~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."
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PWMBrNG PER.\ITT FEE
STATE SURCHARGE
TOTAL P!~.IIT FEE
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Tili. >..ppliccion Becom<:l Your Sui/din;: Pentlic When Approvea
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Sep 02 03 03:40p
METRO GENERAL SERVICES
763-428-2968
p.2
~"UIIII.f"E
'rUl,OW . APPLICANT
GOlD - C1T1'
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
9S2.r 'Ii! 7-'/~ I/.tr
S.W.No.
3- ??30
FAY--
NOTE:
sewer and Water
contractors must
be registered
with the City.
SEP 0 t 2003
APPLICANT: (h E:.iR() (:;EtlJERFlI, SER.VIt.E.fHoNE: (f::,3 -4-d.8-d..~3g
ADDRESS: .57(70 r:;;. wAIYl A,!E Nc: .J...iVCOATE:
...-----:-\ ,\" -....L.-(' 1\\ ST. P11c..1-jf-1~L,""""""" 55"376
SIGNATURE: (jJ)O.-+- ~~1~,'\I _ BLDG. PERMIT #
SITE AOOREss~;Io4-?"c:'. (",q,7~.7'1.83.gWJ}1S- PID#
..,-~~~ .
FILL IN THE BLANKS
1. Estimated length of water service .s,..,
feet.
2. Size of water service
'y2.
inch(es) .
3. Location of any couplings from structure
() feet.
". Type of sewer pipe. ASS PVC L./-il Cast Iron
'-- 5. Estimated length of sewer line :5 () feet.
6, Clean out (if required),
structure.
located at
NIA-
feet
from
===========~==~==========~==~==:===~========================~=~===
This application becomes your permit when approved.
BY
DATE:
========fJ~/~==~~~=============================================
FEES: f] IJ.. FJ-e.M" f- Sewer and water line connection permit.
~ F'~ ') ~~~~~arge
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge. --
*
Sewer and water -PEtl'l!l.tts__i.s~).ted. for new construction must be
rec,?rded on t~1"IpU~lJ;diFnfl! \f!e[:pt)i t card at the time of ~ssuance
to ~nsure tha1:jllJC>" '-du~lli&it'e ('!::J,ewer and water ~,.t!.1:IIllts are
:l.ssued. .. 'i "I BUI' ""u WITH
I' 'i! SEP 0 5 Z003 1 !,i r..DIN8pc:....
I~U . L;' AMOUNT PAID - . "1M!T
i'L~c..~__.___..__ REC'D BY (0..
c - ---~_.._----- '1
DATE.:l'AID
"
\....,..
--
RECEIPT ~
16200 Eagle Creek Av. S.B., Prior Lake, Minnesota 55372 / Ph. (952) 447-4230/ FAX ('?52) 447-4245
An Eaual Opportunity Employer
-~-------
------ -----~------------_.__..
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ---l ~ ~~ I -r ~1tNv ~.i:-D ~
NATURE OF WORK jJ) t!. W .
USE OF BUILDING ~FJ4.
PERMIT NO. 0'3" T$o DATE ISSUED
CONTRACTOR P ~ JJ.~ PHON'-/~. "191)- V>>t
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ee MaIn ~'11e
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING f'A.al~ I
I FOUNDATION (Prior to Backfill) v'h4:...1 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
lI'A.'It~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
I HEATING (if required)
I FIREPLACE
I GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~ee
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GRADING (Prior to Sodding)
BUILDING1<lM(1 vv\+-;/ fr-(il'!
ELECTRICAL
PLUMBING
HEATING
DO NOT
~~d['.h~ -"
~ 9/..u~y
!/IA//
/'/Zr~
occupy UNTIL ABOVE HAS BEEN
NOTICE
fl- ( 7'u'5,
1~-r7-{)?,
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
Ctlrrtifiratr of <IDrrnpanq!
CITY OF PRIOR LAKE
~rpa:dmrnf of ~uilMug Jlusprdinu
"zJ'Final Permitted D Conditional C.O. Expires _
This Certificate issued pursuant to the requirements of Section 307 of the Unifonn 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. 03-0830
N / A _ Zoning District pun
Legal Description
LI0, B2, TIMBER CREST PARK
Site Address 16491 TIMBER CREST DRIVE
NORTHWEST PKWY., SUITE 140, EAGAN
55121
Owner of Building
Contractot's Name & Adw-ess PULTE HOMES, 8Y-i
ROBERT D. HUTCHINS ~
/ B~ild~ifi9<"
'7/Z?/O<-;/
/
_ City Planner_
DON RYE
,
.,
Date:
Date:
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~w TIME
ADDRESS
/6~?/ ~ie/ &eSr 4-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
C>3 - J'3CJ
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 EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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"'-------------
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, C~~~EINSPECTION BEFORE COVERING
Inspector: /'",Pt:./ r Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INV<<>n
DATE TIME
CITY OF PRIOR LAKE }~- )I.,-cC1
INSPECTION NOTICE SCHEDULED
ADDRESS IC, l.jq I If ~I.;,~C:;_S--r
OWNER CONTR.
PHONE NO. PERMIT NO. (---~J ?i
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
~AL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
~(
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o .--o.L ~nfI.Jz>l
~ T.....,....., fl-'- "'/"('h.q"d"f~
'l-o'"1~
0/.-1 +.(
x-I ~'Lf
o WORK SATISFACTORY, PROCEED
o C~ECT ACTION AND PROCEED
~RRECT W~,.C~OR REINSPECTION BEFORE COVERING
Inspector: Y ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IMNOn
DAle TIMe
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/l.-jq'<-()-S
ADDRESS
/ C [PI I tJi ..,b..-I' .-,-:+--
OWNER
CONTR,
PHONE NO,
PERMIT NO,
7-'lS-3n
o FOOTING
o FOUNDATION
a FRAMING
a INSULATION
a FINAL
a SITE INSPECTION
o PLUMBING RI
a MECH RI
o WATER HOOKUP
o SEWER HOOKUP
6PLUMBING FINAL
)7MECH FINAL
a EXIGRAD/FILLING
IJ COMPLAINT
IJ FIREPLACE RI
IJ FIREPLACE FINAL
o GASLlNE AIR TST
a
COMMENTS:
.(j)
J'1eWt(fl/c-
~r.a,{.7s
.
o ~RK SATISFACTORY. PROCEED
)!I'" CORRECT ACTION AND PROCEED
o CORRECT WO~K:;~OR REINSPECTION BEFORE COVERING
Inspector: /I VI Owner/Contr:
CALL 447-9850 FOR TH': N,:n INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
'''''"'''
BVRNSV.LLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Is14nd Ave S,.Savage, MN 55378.952-894-0005
01'Slat Test Report for Jobl 57i7<!
Address Ild.r\\ --r:"..,\:u, (I,e,,;\-tx CiW_t:?,t;I. ~....J.~
Occupant
Dale of Inslall
TypeofHT. F1A/ HW SpaceHT UnitHT
Other
Make
Model
Serial
Input
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PUotType
Pressure
Input CFH
SlackTemp
,
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Date Tested
Company
Technician
BURNSVIL.LE HEATING & AIR CONDITIONING
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HOT SURFACE IGNITOR
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