HomeMy WebLinkAboutBuilding Permit 03-1092
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tvDe or Print and SilID at bottom)
ADDRESS
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See Main Fil&:t
File
City
Applicant
1 PERMIT NO. {)J' -/09z-1
TIM-PFJ< ('~r f)k>(V~
Date Rec' d
k,- 30 -L)3
I ZONING (oJlk,use) I
LEGAL DESCRIPTION (olliee use only)
LOT4.2BLOCK ~ ADDITION T1MBE1? (~t:="'iT P4~ Aromq.fIDg5....!Jo)...... 1)8.....0
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BI-<;--Av~tf\l((~ 7>~nN.JI,~ f <v,':rt=
OWNER
(Name)
(Address)
BUILDER
(Name) :S.l.AA F
(Contact Name) ( u/?-r- R.J A.'"'V LIla:>
(Address)
TYPE OF WORK
o Misc.
~ Construction
DDeek
(Phone) &$1- 45""? - ~
~Aj.I/MN
/4y)
(Phone)
(Phone) -Ld.? - '2:1-1 - 4- C) .A ~
DPorch
ORe-Roofing
DAlteration
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 0 ial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
en'erupo prope~neededinS s.
,/ SignafUre
p
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
1 Gas Fireplace Permit Fee
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
CjO,OCJs-
$
$
$
$
$
$
$
$
90; 000 I
Q::;..3.75 I
"00.44 I
liE ,- I
I
/00.- I
/00.- I
~sSDI
LJO.- I
This Application Becomes Your Building Permit When Approved
~l~
Building Official
?pf./a3
Date
$ 1
$ /;),"7 &J:- 1
$ :350..-- I
$ 4S.-- I
$ /;)06'- I
$ 700,- I
$ I
$ 5-~/tf-&9 I
$ I
_ v---::::J J'V'"
I ReceiPt No. "Tv v' ()
IBy (f).
tJ'
DAddition
~-QZ/
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
1 City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
Paid 5" -l:0~ ti 1
Date k' _ /'-1- ~
#
#
#
#
c:Ph7/t0 <
Dafe
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
~ 7~ 749'/03 See Main File
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
~
~~
6hite - BujJdi~
Canary - Engineering
rhr {'rolr. of thr L.kr ('ounlry Pink - Planning
BUILDING PERSc;~LM&UBik~JT CHECKLIST
NAME OF APPLICANT P ~~
(p ~ 30 --() 3
~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
110 BCJt/ --rL/J11~~~AT ~
, . /
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~
,....
9~ Date: pd3
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 qr 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 - En",ineering
....--l'ink :-eIaRnlng:::>
The' ('('nl... of lhl" 1.lkf COUnlF)
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:
, '
, /
/ ---; A.
'-",..'
----------
I
Accepted
~
Accepted With Corrections
",
Denied
Reviewed By:
~
7-~
Date:
7b4/~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 - !,!uilding
~anary - t::ngineermg ...J
Pink - Planning
lhf' Cf'nlrr Bt th.. L..Ir... COunll')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Lt~
-'
i
:.~:? _ ~~<:i ._<_;' r":j
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/_/~ ';?,:
I /
c/-
~--
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/<_-<>1;/
,~~:>_.~,_.....
Accepted
;<
Accepted With Corrections
Denied
Reviewed By:
y~~-
Date:
1/~l...../03
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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PLtJ"!vI:BCfG PER."'UT FEE
STA TE SURCHARGE
TOT.U. PER.c"m FEE
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Toi" Applic.cion B~com.. Your Buildinz Pcrmit Wbcn Approved
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17<:: :vT mO<::-OS-Tlf
PRIOR LAKE. DEPARTMENToBee Main File
BUILDING AND INSPECTION
INSPECTION RECORD
.
SITE ADDRESS "3QL/. ~ ~+ D~
NATURE OF WORK ~
USE OF BUILDIt-.!G --5.~ "
PERMIT NO. ~- - /QCj2- DATE ISSUED
CONTRACTOR PI4.E# ~ PHOr4Q... ~':l.I- ".,S
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING "'\lJ.\~ I
, FOUNDATION (Prior to Backfill) IJINA"", I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I SEWER I WATER I SEPTIC {i{o..w.
FRAMING
INSULATION
ELECTRICAL
PLUMBING v,er ytj7 1-q. rI'7
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
11/!?
IMI/
10- >O-c7
1I~'3-o3
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In-~
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
GRADING (Prior to Sodding)
BUILDING '\.f."y' *il ~,(-o'1
ELECTRICAL
PLUMBING
HEATING
DO NOT
,\~ .#~rJ h/~ ~
-4~~ 'TPJ/ac/
~
111<<
f/}/j/"
OCCUPY UNTIL ABOVE HAS
NOTICE
BEEN
n- ~/ef1?
Il~ 4-0--->
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
QIrrfifirafr of <IDrrupanr\!
CITY OF PRIOR LAKE
~epadmenf of 'lJiuilMng Jlnspedion
.0:1/Pinal Permitted L Conditional C.O. 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
Occupancy Type
R3
Type Construction
VN
Fire Zone
Bldg. Permit No.
N / A _ Zoning District
PUD
Legal Description
L42, B3, TIMBER CREST PARK
Owner of Building
Site Address
16394 TIMBER CREST DRIVE SE
Contractor's Name & Address PUL TE HOMES, 815
ROBERT D. ;UTCHINS //7f!/'
90 -l~:7icial
City Planner
'~ORTHWEST PKWY., SUITE 140, EAGAN
DON RYE
55121
Date:
Date:
~.
~kTIME
/63'9~ ~~" ~s~ ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
COMMENTS:
(/~/
(~ /~\e
SCHEDULED
CONTR.
PERMIT NO.
1"'/ < ~/o9.2-
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADfFlLLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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rORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK;~~~ REINSPECTION BEFORE COVERING
Inspector: /~...L.--- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
'N!Nt1n
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
Jl-~'ff3
ADDRESS
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([''''~~.-_r,.r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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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
;;r'PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
-IL~tAItI'U
F~"7
o )Y6RK SATISFACTORY, PROCEED
Ii!t""CORRECT ACTION AND PROCEED
o CORRECT W~R~ ~ FOR REINSPECTION BEFORE COVERING
Inspector: I/VT Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
UUNO"
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BlJftNSVILLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Aye 5, Savage, MN 55378.952-894.0005
Ors1at Test Report for JobI K-; 3"1
Address ~ -r;~f".A.. City fr;a.. kl. .
Occupant .
Dale of Ins1aIl to,b. r fc ~
Type of HT. F/A ............... HW Space HT Unit HT
t Other
t .'
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Malee
Model
Serial
Input
J n .#"1,10)(
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(},. $' Ilni?,:a4~ . 071J=.11
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Pilot Type
Pressure
Input CFH
S1ackTemp
HOT SURFACE IGNITOR
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t 01., 02
IO':~"'. CO
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Dale Tested
Company
Technician
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BURNSVILLE HEATING & AIR CONDITIONING
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