HomeMy WebLinkAboutBuilding Permit 03-1099
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
g.4-, OJ
See Main File
j. While File
2 Pink City
3. Yellow Applicant
I PERMIT NO,W_ / oqq I
(Please tvP<;. or print and siJUl at bottom)
ADDRESS
__if-. /.jf/(,
TiIlA RF72
CP &-r
.,.,72 I V/=
ZONING (officeu,,)
t?UD
LEGAL DESCRIPTION (office use only)
LOT3B BLOCK 3 ADDITION IIM.:Ri-oY ("<PC..,..... ~k> Ie
PlD?5' 4-o~. IOil-- ()
OWNER
(Name) ~UI ~
f-I.r.. AAF 'S
(Phone)
~ 5(-4:5Z- $"-2Do
.' MIJ
(Address) B/-c;- A/o,?,/H-INE.,.".
fK-lAtV
SuITE
/40
EA&l~ ~I
BUILDER
(Name)
:SA ^^ F
(Contact Name) r,>"'-r
(Address)
AI 4<'~ l.p..."
(Phone)
(Phone)~/z-2/ /-~qjll~
TYPE OF WORK
~ew Construction
DDeck
DPorch
DLower Level Finish
o Fireplace
DAddition
ORe-Roofing
DAlteration
ORe-Siding
OUtility Connection
o Misc.
PROJECTCOST/VALUE (exc1udingland) $ 90, 005
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 .....~t'_nJ 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 budding offiCial can revoke thIS permit for Just cause Furthermore, I hereby agree that the City offiCial or de ee may
enter upon property to ~..;.rfo~eeded mspectiony 8; ~ (:?...s
X '-'~/ '?~-'.... ~~ PL..-/37/ _ ~
r .,L" ~ -- SIgnature - Contractor's License No tSate
..
I Permit Valuation $. 'ft), dao, 80 I I Park Support Fee # $
I Permit Fee $ 'tJZ3, 75" I I SAC # $ 1;).75'-00
---=-
I Plan Check Fee $ lAoo. IN I I Water Meter( Size 5/!2l1"; $ .;lSD,lit)
I State Surcharge $ 15 tJ() I I Pressure Reducer $ L/5:tJo
I Penalty $ -- I City SAC and WAC # $ /200,00
I Plumbing Permit Fee $ lOt), Of) I Water Tower Fee # $ 700.00 I
I Mechanical Permit Fee $ 100.00 I Builder's Deposit $ I
I Sewer & Water Permit Fee $ .35. So I Other $ I
I Gas Fireplace Permit Fee $ '-If). {)O I TOTAL DUE $Q3Jt.I raq I
, JJ, I . j
This Application Becomes Your Building Permit When Approved I Paid 5.Jj ~/(P 7 I ~;",;r .qn >7
~ 7-W~ ?fuld7 I Date rU.tJ]
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
GSU~ 1~ ?/Z-IIo:? 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
---..
~1
~ y{\~ f~
See Main File
White - Buildin~
~anary - Engineerl~
. ...0. - ....""'.......~
ThO' C-..nr..rof lh.. L.b("ou,,,,,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT
APPLICATION RECEIVED
PUlIS
jj. -f (, ?
YJ . 4"" . U....;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I ~ 4--4 (0 Tit I 1> l=- f(.. (1./ LE~;f
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
~~
Date:
<6h (o~
Comments:
See Main Eile
"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
Canary _ I;roqineeriJl(l i I
~k - "'lanm~?, ,.'.,i!~.,.
;"f/
Th~ C..nlt" of Ih..l..k.. Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
PUlIS
Y! . 4 . 6::'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I V 4-4(( Tit I Lt:::- f~ (IAI S ~
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
~
7'~~
Date:
r41'A3
Comments:
"
. ,
Il
I .
"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
c-wFiite - Buildinv
Canary:. Engineering
Pink - Planning
The (rnln of lhr L.kr ('Oll"lry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
PU~TG
0.4-.63
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I ~ 4-4-0 TIn 1> t:, rc (l Jl...E~
Accepted
Accepted With Corrections ,,~
Denied
~
"
::;Lo, iJp
Date:
c?t.../ };3
r
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."
Aue:; 20 03 08:21a
METRO GENERAL SERVICES
783-428-2888
p.4
GREll. - FM..E:
YELLOW. "....'lICA..T
GOLD- cn.,
CITY OF PRIOR LAKE
SEWER'AND WATER PERMIT
951.J.. "'I7-'1-z,'-I~
S.w.No.03 -IOqq
FAY--.
NOTE:
Sewer and Water
contractors must
be registered
with the city.
APPLICANT: fh ETRr) (2;i=-AIERAL SEkiflCJi:.w.ONE:'Jb3 -4-dSJ -~'1..3g
.5 Ii\! C.
ADDRESS: 7Cfo f.J.uAr/1 AvE !\IE DATE:
SIGNATURE:----T GWO_X('~^~ S-r: rn lc;..ri":L~G--:'1>~RM'i~~F6t'??-I09q
SITE ADDRESS~--- /fcL/ifc~ {)/:.,~~/U (lU!..:J-t~~
FILL, IN THE BLANKS
1. Estimated length of water service
bf'>
feet,
2, Size of water service
I't
inch(es),
3, Location of any couplings from structure
() feet.
4. Type of sewer pipe. ABS PVC L/- II Cast Iron
'-.....- 5, Estimated length of sewer line 5' (') feet.
6, Clean out (if required),
structure.
located at
NIIt-
feet
from
========================~========================~================
This a~ion be~~~es y~ permit when approved.
BY ( .-: l~ E~.v' 6<Ui__{/ DATE: AIIF 2 n wn~
'-- U "oj
========f7~JI~=~~~=============================================
FEES: I1ld.j P'tJI",,1-- Sewer and water line connection permit.
Surcharge
NtJ Fee...- TOTAL
* 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 buildin~ permit card at the time of issuance
to insure that nodupl~cate sewer and water permits are
issued.
8 PAID W,
AMOUNT PAID ~/^iC" 1iJot
"'t::fiI6
REC/D BY '~/i
~
9J.20.0Y
DATE.;I'AID
,
RECEIPT #
. .4 .
16200 Eagle Creek Av. S.B., Prior Lake, Minnesota 553721 Ph. ('152) 447-42301 FAX ('lS2) 447-4245
An Eoual Oooortunitv Emoloyer
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PAID IAI
BUILDIN vv'11H
.50 G PEFlMIT
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PL!J}.(B(NG PER.\UT FEE :s
STATE SURCH....RGE S
TOT.-U. P.ER.)UT FEE S
U..llhlinc Offid.:aJ
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Tili:/. .....pplic:lCion B~eQme:i Your BlIildin; P~rmit When Approyed
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9;:: p, [00;:-0[-lrlf
PRIOR LAKE ~~~tD~~~~NNTD~~S~Id\1ain File
INSPECTION RECORD
SITE ADDRESS /~ 4/4' 7iiHSE1C. CIle.". 'D"illl
NATURE OF WORK fWE,~ OIJ#Jsr~aioA
USE OF BUILDING S. J;: A.
PERMIT NO. 03 - /1)" DATE ISSUED -BJ Z , 107
CONTRACTOR~ ~n PHO~E~.Z.2/-~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I'Wl i.1 I
, FOUNDATION (Prior to Backfill) 1ft,lQ~ 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
I I
FINALS
1,I\Nl' ,,-
rw./
vVJj?
y I1/J
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1/-11./ -t/)
} I~/}"- tIJ
II~ /).- f/)
GRADING (Prior to Sodding)
BUILDING ' i (..(I VAt.' ~'1'01
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN
NOTICE
See .#14-~~, h~ /
#a/ ?/AJ/~
~
110/;
YVr
u...,- 1 ~ -() 3
I ~ ). l-t:J"'>
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
~rdifiratr of @rtUpanqz
CITY OF PRIOR LAKE
~rparfment of ~uilMng Jlnspedion
IciJ Final Permitted D Conditional e.O. Expires _
This Certificate issued pursuant to the requirements ~f 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 FAMEY
Occupancy Type R3 Type Construction VN Fire Zone
Legal Description L38, B3, TIMBER CREST PARK
Owner of Building
Site Address
Bldg. Peemi! No. 03 - 1091
N I A_Zoning District pun
16446 TIMBER CREST DRIVE SE
,...
Contractor's Name & Address PULTE HOMES, 8J5
ROBERT D. ~UTCHINS~~
~-f~rfiCial
City Planner
NORTHWEST P~NY" SUITE 140, EAGAN
DOli RYE
,
.,'
I'
Date:
olIJ.,;."
55121
"
Date:
/
>..~/
ADDRESS
DATE
?/2.~/
/67"'9'( z:ler- C~S I'- d
nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
CJ.3 - /09J?
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..-rf1!rNAL
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 RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
/"""
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~1'G'5 e
~
A~)
---------
/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W07;;/d REINSPECTION BEFORE COVERING
Inspector: / ~ r- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
mv<<>"
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/1.44 ("
1f.->10..v<.:~->1"'"
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o !!:JllULATION
,J'l"l'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SeweR HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE nMe
/i-h!-n
~
7-(OQ4(
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(J Fi,,~( <;,_J.,. 1#/?;dva/
0:...) S;t'Jd.... -I- TI-..GS ,tiJ- c:k.J.-/A1P~
-je""f?
VvlTl1
XJ(-()t....j
o WORK SATISFACTORY. PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WO~~," 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 TIMe
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
f.2 -,/s V'S
ADDRESS
f:LJtlt.
7i..,~,~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3-/tJf1
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
E:..,PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(JJ
Y f vlAtflJ
,
Y1J('}.(.:r A(/O<::;
D...~ SATISFACTORY, PROCEED
!,CORRECT ACTION AND PROCEED
o CORRECT WORK, ~ FOR REINSPECTION BEFORE COVERING
Inspector: 1/1/Y' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <I SAFETY!
"'SHDn
BVHN;!) ~.LLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave 5, Savage, MN 55378.952-894-0005
Orslat Test Report for Jobl 5 7'1.8
Address 11o<4"H...'fIMP.!R (ft",
OccuP8Jlt
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Dale of Inslall f I, 0:>
TypeofHT. F1A )( HW
Other
Make
Model
Serial
Input
; Pilot Type
Pressure
Input CFH
S1ackTemp
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Citv \ i? ",/Z l.." \<..';-
Space HT
UnitHT
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(:. 5' \ J...( f - '2 '4 (-; . 0 L\ ", ,,\
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HOT SURFACE IGNITOR
:S:5 \",-K... C02
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Date Tested
Company
Technician
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BURNSVILLE HEATING & AIR CONDITIONING
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