HomeMy WebLinkAboutBuilding Permit 03-1090
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
Mam. File ; ~;~:.
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I PERMIT NO.OS -IOq 0
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File
City
Applicant
D"P/VE
LEGAL DESCRIPTION (office use only)
LOrt4 BLOCK 3 ADDITION
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I OWNER
(Name) =-n ~~': ::::::
I (Adlires~/_ ~/~ <<r
BUILDER
(Name)
(Contact Name)
(Address)
ZONING (office use)
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(Phone)
(Phone) (g/Z-2.;2/ - 4&J8s
TYPE OF WORK
DDeck
DRe.Siding
ew Construction
DLower Level Finish
o Fireplace
PROJECT COSTlY ALUE (excluding land) S
'100
o Misc.
DPorch
ORe. Roofing
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 0 ial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon roper:ty to 0 needed inspe 0
x
Signature
Permit Valuation
Permit Fee
Plan Check Fee
$
$
$
$
$
$
$
$
-
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~~~~
Building Offic[al
;;P~;07
Date
DAddition
DAlteration
4/~~o~
D te
$
$
$
$
$
$
$
$
$
-
-
,
/ ,b'1
?~ ;/- ~~ I Recr463)g
-1'-1 - By
_ RC-I."'>71
Contractor's License No.
Park Support Fee
SAC
#
#
Water Meter
Size 5/8"; 1 ";
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
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~OA.' 'L ~.w
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
Planning Director
7/.)-'-((1/3
, 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
TOTAL DUE
tPaid
Date
_____ X PR/OIi'
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Main File
While - Building
c \..anarv . En~:lIneermQ'"")
Pink - Planning
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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
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Accepted With Corrections
Denied
Reviewed By: ~-1l~ ~ Da~e: --1J1-'l( D'S
Comments: See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
"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.":
~~
Main File
White . Building
Canary. Engineering
C "Ink - PlannlnQC>
Thr Crotfr of thr L.kr ('OUoll')'
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
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Accepted With Corrections
Denied
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Date: 7pY~3
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Reyiewed By:
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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Thr ('rolfr of Ih. t.akt ('ounlrJ
Main File
.
~ vvnltp- ~ BuildinCI'"J
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
P LLih ~
6- 3()-03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/t390 J~r2t/A-;-~
Accepted
,./
Accepted With Corrections
Denied
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Date: 7p<( ,10 3
Reviewed By:
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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tl,';du~:f,:.i, Cor.'tr:-:::-::::ll &. '\(u.tti.(::!r.li[y 1~"'I o{job CO~:: 'Nit.'1 J. S39.50 minimur:1
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F'LtiMBrNCi PER-vaT FEE
ST.-\ TE SURCH.~GE
TOTAL PER;.'rrT FEE
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L~ APl'li<~"on 8<<0"''''' Your Bu"din~ Permit Wben Approved
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By
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Bel/TO'd
IN I OJ~I'~ I ElI,JrIld,\3lll:in
[c:t'T m0c-0[-ln.c
PRIOR LAKE-
.
INSPlECTION RECORD
t~ eoS
DEPARTMENT OF MSlin FI.Ie
. BUILDING AND INSPECTIO'lr
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. DATE ISSUED
CONTRACTOR PHON~~~. ~~ /- "'IS"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE
ROUGH - INS
SEWER / WATER I SEPTIC
FRAMING c-
INSULATION
ELECTRICAL
.PLUMBING 1-1""'>
HEATING if re
'FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
. I I I
FINALS
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GRADING (Prior to Sodding)
BUILDING ofv>' v'AH '(;,(-tJ"
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approyed. On buildings and additions
where no service cabinet is ayallable, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
@~rfifiratr of @rtuj;mnry
CITY OF PRIOR LAKE
.( ~rparfmrnf of 'liuilbing c3Jnsprdion
~ Final Permitted __J Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code cert(fying
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/allowing:
Use Classification
SINGLE FAMILY
Occupancy Type
R3
Type Construction
VN
Fire Zone
Bldg. Permit No.
N / A Zoning District
PUD
Legal Description
144, B3, TIMBER CREST PARK
Owner of Building
Contractor's Name & Address Put TE HOMES, B) 5
ROBERT O. HUTCHINS /;"ff:::j
/ Bu!J.ding .9fficial -
Date: ;/:/,2 .5 ~'L-
/ /
Site Address
16390 TIMBER CREST DRIVE SE
NORTHWEST PKWY., SUITE 140, EAGAN
55121
City Planner
DON RYE
Date:
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rgI'~LLlNG
VOCd'II'CAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,..oIFINAL
Vfi"'srrE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
lill f9l
.......
DATE nMe
()( WORK SATISFACTORY, PROCEED
'0 \ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector; ~('"(j , 'merlContr;
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNYJ<<)n
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY!
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/739D 0"fAb~""~S7
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o JtlSULA TION
ZFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RJ
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
5 -foro
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o
~
LAvllL a"lJvvtd -FvVVlf4 L/-(,Vf-b 01-1
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o WORK SATISFACTORY. PROCEED
o CO ACTION AND PROCEED
CORRECT;1.? REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
,.,,<<m
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/
~K SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CA OR REINSPECTION BEFORE COYERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
,IISNOTJ
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
1(; JqO
I
CONTR.
DATE TIME
3-; loq{)
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDA nON
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
'PLUMBING FINAL
o MECH FINAL
COMMENTS:
(f) rc atr1/rL-
roa(CA/?7
,
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o JPRK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WORK, FOR REINSPECTION BEFORE COYERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSN''''
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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BVBNSVILLE
Heating & Air Conditioning, LL.C.
12481 Rhode Island Ave S, Savage, MN 55378.952-894-0005
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OIStal Test Report for Jobl '5 ','v!
Address lI..t1C:o-r,v,Lu Ck":O~ bl City PI ~~. ~. 1c
Occupant
Date of Install
Type of HT. F1A ..,,/'" HW Space HT Unit HT
Other
ftnalGe ~","C,
ftnodel b-~'/I'1P- .J'fJj' ()'l' . {.",
Serial SgO?"\Z 9 W <-l5"7
Input I "Lv I.:oe.
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Pressure
Input CFH
S1ackTemp
HOT SURFACE IGNITOR
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Date Tested
Company
Technician
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BURNSVILLE HEATING & AIR CONDITIONING
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