HomeMy WebLinkAboutBuilding Permit 03-1098
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
Date Rec' d
X'tr. OJ
I. While File
2. Pink City
3, Yellow Applicant
I PERMIT NOt)..?--:- I Oq~ J
(Please ~ or print and sign at bottom)
ADDRESS
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T/MPpc> r PF:'>T
Di2J VF
ZONING (office use)
PU .0
LEGAL DESCRIPTION (office use only)
LOT 3; BLOCK 3 ADDITION Tff..AP-F p r;;;> i=-<:-r
~kr
PID ZS. t:/tJ?-.. IdS, 0
OWNER
(Name) PUL-n:-
HCl..A j;:S
(Phone) &-S-/-4"'-2 - ;5..200
E... ('~.<\"l , ^"N
(Address) 8/5"' NDKTrflN~, f*-wV <"'!TF- M.
BUILDER
(Name)<;6.!<.(\. E
(Contact Name) ('u7?-T P.LL<r J.L~/'>
(Address)
(Phone)
(Phone) w/z-zz/-Lf98~
TYPE OF WORK
~ew Construction
DDeck
DPorch
ORe. Roofing
ORe-Siding
DLower Level Finish
o Fireplace DAddition DAlteration DUtility Connection
PROJECTCOST/YALUE (exc1udingland) $ CJO. 0'1 ~
o Misc.
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
authonzed agent for the above-mentIOned property and that all constructIon will conform to all eXIstmg state and local laws and Wlll proceed In acc~rd ce With
submItted plans I am aware that the budding offiCial can revoke thIS permit for Just cause Furthermore, I hereby agree that the CIty offiCial or eSI ee may
en7property to perform needed IOspectionV Q:;; r; 0.3
X "",/ Z""~-;_~~ Bf-/37/ ~
-, r SIgnature - Contractor's LIcense No Date
I Permit Valuation ., t:#. t700 . d tJ I I Park Support Fee # $
I Permit Fee $ . 9.).3. 75 I I SAC # $ };;'?S.OO
~
I Plan Check Fee $ t,()(). ~N I I Water Meter ~ 1"; $ d.-S"a ,D a
I State Surcharge $ IfS.(J 0 I I Pressure Reducer $ L/S-.(J(J
I Penalty $ I I City SAC and WAC # $ /~O.()O
I Plumbing Permit Fee $ 100,1)0 I I Water Tower Fee # $ 70t}. 00
\ Mechanical Permit Fee $ LOd.oll I I Builder's Deposit $
I Sewer & Water Permit Fee $ 3'5. 50 I lather $
I Gas Fireplace Permit Fee $ ~.oo I I TOTAL DUE $_~3/t./ ~q
/J
This Application Becomes Y oll!.. Building Permit When Approved Paid bSXu7 I ReceiPr- ~(.'11f
~ -::jd~ t?/p21/03 Date tf . tJ ( By I,
7
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
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
~lanni::~ ~/1.-:: S~}ly File
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 . Building
r ~.~"I!'." _ ~1.""I"~I"..p
Pink . ~liiii\i1ig
Th~ Cfnlrr of lht I..k, Counlry
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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I-"'UL- (r~
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:
Ic444- -rrr~ieL!? C.AU'S; I Dte:::..
Accepted )<
Accepted With Corrections
Denied
Reviewed By:
~j~-1,.l,
. ~ . ,'-
Date:
'611 (0"'\
Comments:
See Main Fiie
"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."
~
..
5~~
See Main File
Th.. ('rol.., or lhrl.."" ('ountr)'
White - Building
Canary - En<1ineerfng.
ri"mK -"laQP~II(
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
F:)L' l~. I r_
~\ /-(..)
, +-. \.' .)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/(1444- -II Jlll.';l.. ,.(' I { - ,
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Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~
Date:
7~
Comments:
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"The issuance or granting of a permit or approyal 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
Th~ ("..nl.., of lh..l.ak.. Counlr,'
C Whit.. . Buildin9:)
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
PUG I rJ
B ~.O?
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I to 444- 11M BEl? CJLI:::S' I D rz.
Accepted
Accepted With Corrections
/'
Denied
Reviewed By:
~
7~
Date:
?/ZI /a '?
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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PLtJ1v03lNG PER-"UT FEE
STATE SURCHARGE
TOTAL PER"LIT FEE
Ruil<Jinl; OCJjCUJ
Rl::Sidc::1ti:.l. NC".v One:.t TWQ-F..,.il~ 5;':1.:0
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METRO GENERAL SERVICES
763-428-2968
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YELLOW - "P"L1CANT
GOLD - cn.,
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CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Cf5:z.,. t{,/7-'I-,,1/,r
S.W.No. 05 -IOqg
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLICANT: fh E:iR(') (~E.J\JFRAI SERVJcEW.ONE: rb3-L{-dS/-d..'13g
ADDRESS: 57Qo f.:luArIl AvE !liE riVe'DATE:
......---:-\ ~r\ ~r .....JA--... s-r: PllC!../1 ",=L, ""1"1/V' 55376
SIGNATURE: alJo.ri-l ~^Q..IV BLDG. PERMIT # o']-I09e>
SITE ADDRESS~- If Lji..PI1t.".Jk./ (i7c.d-~'V. P10#
FILL.IN THE BLANKS
Estimated length of water service
5,..,
feet.
size of water service I"
inch(es).
Location of any couplings from structure () feet.
Type of sewer pipe. ABS PVC Lj..f! Cast Iron
Estimated length of sewer line
5()
feet.
Clean out (if required),
structure.
feet
from
located at
/'JIlT
==================~===============================================
This (r.ication be.comes yo~ permit when approved.
\.... Sc'l" ~
BY /1 )7~ r...Jd2c "M./Y p.<y:, DATE: AUG 20 2003
-----. u --- -
============r=====================================================
p wiled ~ ''f1t
FEES: 11 /d,j P'~M' f- Sewer and water line connection permit.
Surcharge
Na Fee- TOTAL
* Fe& 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 permits are
issued. PAID
DATE"J;>AID ti .~O. 0] AMOUNT PAID aU/WINg WITH
REC'D BY ~ ~rr
*
-
RECEIPT #
16200 Eagl",Creek Ay. S.B., Prior Lake, Minnesota 55372/ Ph. ('152) 447-4230 / FAX ('1s2) 447-4245
An Eaual Ooportunity Employer
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /t.!I~ r;~dDL~rr ~
NATURE OF WORK ~IIJ c.tN~t:rI"~
USE OF BUILDING S.':;-A. .
PERMIT NO. .Q/-ItJf' DATE ISSUED RI'I/"
CONTRACTOR 1!Jur4' ".,.,,. pHdNE'-IZ.~II. ~S-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ j)1. P'l
DEPARTMENT OF e
BUILDING AND IN ~~I N aln 1
INSPECTOR
DATE
I FOOTING ftM:,,,,- I
I FOUNDATION (Prior to Backfill) ~~(V\ I 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
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
(wl',^
/W'
;/I/Y'/
/(~(C( --cO
//-IYVS
f117
tI/Ir./
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I/--(t..(-d)
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
, HEATING
DO NOT
/1~a-,h
~
A
ytp..
~/
OCCUPY UNTIL ABOVE HAS
NOTICE
I
FINALS
~.ee
h'/e .
9'Pj/~
(fV
I L- .2-::1-0 "]
/L-b'Hr}
BEEN 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
QItdifiraft of @rmpanru
CITY OF PRIOR LAKE
@.rpadmrnf nf 'lJiuilbing Jlnsprdinn
l!fi.inal Permitted D 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:
Fire Zone
Bldg. Permit No.
N I A Zoning District
03- /{jqf;
Use Classificatior
SINGLE FAHI:.Y
Occupancy Type
R3 Type Construction VN
PUD
Legal Description
1.39, B3, TIMBER CREST PARK
S;teAddress 16444 Tlt1BER CREST DRIVE SE
.,
'.
Owner of Building
Contractor's Name & Address PULTE HOMES, 8.tS
ROBERT D. HUTCHINS.//~~?1"
~~~rficial
NORTHWEST P~I;Y., SUITE 140, EAGAN
55121
City Planner
DON RYE
Date:
Date:
.
OA TE nilE
~Y:y
/br7/';/~/ey &4/ d-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.,..e1'fNAL
o SITE INSPECTION
COMMENTS:
.-----
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SCHEDULED
CONTR.
PERMIT NO.
cJ? ~,rC'9~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
'~
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/~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR EINSPECTlON BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
""'<<'"
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
I L -!:2.2 r)7,
ADDRESS
If, 444 1, ""'~t~~s1"
OWNER
CONTR.
PHONE NO.
PERMIT NO.
s-(cyt?f
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUPI
MLUMBING FINAL
..::e:rMECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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o W~K SATISFACTORY, PROCEED
...er'CORRECT ACTION AND PROCEED
o CORRECT ~RK:~OR REINSPECTION BEFORE COVERING
Inspector: /vt'./ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
'-'1n
BVHN~.v.LLE
Heating & Air Conditioning, L.L.c.
12481 Rhode Isu.nd Ave S, Savage, MN 55378' 952-894.0005
0rs1at Test Report for Job# 57 cf 7
Address li"ql/tj 'Ii...,(';><:1':
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Occupant H'1v 1.0
Dale of Install II- 1. '.:) . 0"'"
Type of HT. F/A ~<. HW
Other
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Stack Temp Il''''> CO , p""""
Date Tested
Company
Technician
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BURNSVILLE HEATING & AIR CONDITIONING
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