HomeMy WebLinkAboutBuilding Permit 03-0671
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
Main File
I. White File
2_ Pink City
3. Yellow Applicant
6-3?8
I PERMIT NO. 03-@
q'lease!yo!: or orint and siRll at bottom)
ADDRESS
IfRf:J1 -n",,#a.. eb!sr DLnl€
ZONINGcofficeuse)
1J t<j)
LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK Pl. ADDITION -rt~~~i! ~ PAM&-
PID0l5-QOd- ~ 100-(, I
OWNER . J
(Name) !1J'-T~ Ht1/"lrE.!.
(Address) gl.r .A)o,rd<ws-r ~ ;_ )VI,e: /110 ,
BUILDER
(Name)
(Contact Name)
(Address)
(Phone) fiS-J-I(S-,l-S-~OO
~.' M'/ .n-JoJ/
>AJf1~ AS
AA,(o"/
A~DtlE
/l'tA-/t- I
(Phone) forl-l/r.2-.r.2oo
(Phone)~/:J- '/'10- i./.;J.2().
TYPE OF WORK
kew Construction
DLower Level Finish
ODeck
OPorch
o Fireplace
OAddition
ORe.Roofing
OAlteration
ORe.Siding
DUtility Connection
o Misc.
PROJECTCOSTlVALUE (excluding land) $ ~9, t/8R
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 confonn to all existing state and loca11aws 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
;ter~_prO~2eededinspectiOns ~-1?J7/ S-!,?.,!o:J
Signature Contractor's License No. . Date
I Permit Valuation (,lIMo.oo I Park Support Fee # $ I
I Permit Fee $ , 77/", 7S" I SAC # $ 1'27S.oo I
I Plan Check Fee $ $I:J'I. c;r~ I Water Meter Siz'" ". ,1/'2.,," $ ~'S.ao I
,
I State Surcharge $ ;3'1, SO I Pressure Reducer $ IfJCAC)o I
I Penalty $ I City SAC and WAC # $ 'z..oo. Dc) I
I Plumbing Permit Fee $ lbo.oO I Water Tower Fee # $ :bO,DO I
I Mechanical Permit Fee $ 100.00 I Builder's Deposit $ lSOt:), Dd
I Sewer & Water Permit Fee $ 3'5. '5""0 I Other $
I Gas Fireplace Permit Fee $ J{o,oa I TOTAL DUE $&. &/1. 1..4-
This Application Becomes Y our,l!ui1ding Permit When Approved I Paid~fj//. (;~ I Receip:f. -I- .5tJ<1f3
~r ~ fs,/tz/d3 I Date 7. :fl. OJ Bv ,
0
Building Official I Dare
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
::a:'d ::' ~:-1;Ji~mporary cmm~ /;~70;" and ~IZ-:i" to;;;". Befure oc~pan~, a cmfi~re ofO=pan~ must ~
- Planning Director -, Date Special Conditions
24 hour notice for all ill!".::' . ..4 (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
',.",
~~
Main File
..--v.c.l'JtI' - Bui~
Canary - Engineering
Pink - Planning
Tht ("tnltr nr Iht t.kt ('ounlry
IWILDING PERMIT APPLICATION DEPARTNlENT CHECKLIST
NAME OF APPLICANT
0LdlL ~
,~ 30-00
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
!1,l/;rCj 0t~~L4I-P~
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
~
/f~
'7 L-tLl /-- Date: 6//;;L/CJ 3
ad~,
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."
~1
Main File
ThtCtnltraflhll'l..krCounlry
~',.,;" ""..'p
White - Building
Canary . Engineering
qmK . t',annmQ .,
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHI;CKLlST
vJ21L A/..i.'l)V'ArL-/
APPLICATION RECEIVED
")-::; 0 - ()-3
;j;"Fhe Building, Engineering, and Planning Departments have reviewed the building permit
- application for construction activity which is proposed at: "
I&. If.rl-.q /'JJ';!:M>U//"'J/?.J f /J<-":7j2LrC"
Accepted
Accepted With Corrections
~
Denied
/~
,.
~ -=I.a..JJ t:-'
~~
~ ' 0
~
Date: ~ II Z/~ '3
~~.'.~
,
Reviewed By:
.;t..
Comments:
.
,
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be Ii 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 - pulldin!jl
....-...a~.... . En!'lineerir19)
Pink . . PIBrllllllY
Tilt ('"nltr of III.. I..k" ('outll..,. I
BUlLDIN4 PERMlIAPPUCATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/
::).,C(l/~~L A.:~_,(~7'Y"V_~'. 'J...-~./'
,t,~:~ "" ~,~ ".~) .,,> c.)~)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1//,-,,-;
I ,.::,- /~7"""'"1
,
::..:/)1
. .
, /,. L, -r
/ ..'\ A."~" ,."" ",' ..,.,
....."".-' .__n.."" p':..,.~::. / -''''''''''' ,.....€-....~._' _"
Accepted X
Accepted With Corrections
Denied
Reviewed By: ^1-~- _ Date: 1 (t:t. fO)
Comments: l=>AP. Reverse Side'for Addltkinallnf6rmat16rif
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
"The issuance br 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."
\
Jun 19 03 08:08a
METRO GENERAL SERVICES
783-428-2988
p.2
PEE.. - 'L1
Y~LLOW . APnlCANT
GOLD.. elT'I
F/>1..
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
'15).- 1ft( 7- if7.A-S'
SoWoNo.
3 -~ 7/
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLICANT:~ .w:o GEIJJ<:R..PL ~PHONE'7t:.9-4df-a..'t.3g>
lAm AVE. ~ DATE: JUN 1 9 20L
ii~ '!:IT. rn IcH" l;L,"""" /J. $'"S'.a.,.
~. BLDG. PERMIT II
. 3 s3.7tl.jl:tJ..7/5/~~_51PID#
FILL IN THE BLAN~~~
SIGNATURE:
1. Estimated length of water service ~"
feet.
2. Size of water service I"
inch(es).
3. Location of any couplings from structure_ (J feet.
4, Type of sewer pipe. ABS PVC~ Cast Iron
~
5. Estimated length of sewer line
s,.,
feet.
6.
Clean out
structure.
(if
required), located at
NjA
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This application becomes your permit when approved,
BY
DATE:
-------------~----------------------------------------------------
--------f7~7kJ-G;~i4---------------------------------------------
FEES: tJ 1,,'1 p.oC/I"f- Sewer and water line connection permit.
Surcharge
No Fee. TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
'-
Sewer an'~/fXrJ>~rmL~~'ssued for new construction must be
recorded ~ .. ~ L!b1WiW1'n ~ Jermi t card at the till!.e ~~issuance
to insurE hat no duel. ite sewer and wat~u~ 0 s are
issued. JUL 2 8 2003 Vfl(G
DATE PAID AMOUNT PAID PS'-9.tt,n..
By /' "
REC'D BY ~~
"'f
*
RECEIPT #
16200 Eagle Creek Avo SoBo, Prior Lake, Minnesota 55372/ Ph. (~s2) 447-4230 I FAX ('rS"2) 447-4245
An Equal Opponunity Employer
/
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CITY Ot PRIOR L-\K.E Puo:--IBC";G PER.\[IT
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A.?:.'LlCA:\T PLEASE COMPLETE BELOW
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[a,~u~::~~/. CO~r:':.:::-e::Lf & ~[l.llti..(.1r.tfly (% a(job (;:J~"t wit:1:1 S~9.50 minimu:-,
E:tim;.lte:.! Cu.:s: S
PL.UMBCNG PERMIT FEE
STATE SURCHARGE
TOTAL PER:.'IIT FEE
~om':l: CJC Onl:,)
,;,is ....pplicdon 8~orn= Your Buildia: P.rmit Wilen Approved
Buil4inc Official
D=lre
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PI RES IDE CORNER
#3459 P.004/005
l!'!.... ttl'!_or mIJII: lID. :lIml at bottoml
ADDRESS
CITY OF P: LAKE
HEATING/AIR CONDITI~ ,tfFJREPLACE PERMIT
FIRESIDE:- E:;_IPERMITNO. 3- tc,-1f I
Date Rec'd
HE ART H. ~ H. U M J~.
1.6429 TIMBERCREST DRIVE
7..oNlNG (offl.. USf)
J.J'..GAL DF..8CllIPTION (ollice u,. ollly)
T.oT BLOCK
ADDmON
PID
OWNER
(Name PULU HOMES
(Address)
(phone)
I APPUCANT
(Name) ALI..ffin FrRf!:lDF. DBA PlRESID.l3 Hl'ARTH" I-lOMF:
(Pbone)
Ii~ -633-2561
(Address)
~700NORTIiFAIRVJEW AVENUl
(Addreu)
5RENDA HUSTON
ROSEVJT.LP..
(O'l')
(phone) _651.633.2561
55113_
(Zip Cod.)
(Contact Penon)
APPLICANT SIGNATURE
B~r:NDA HUSTI'}N
DATE
9/M/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPI..ACEMENT 0 AI. TERA TIONS
FURNACE MAKE AND MODEL FUF..L
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSmM HF..ATlNG OllPuv..:.", PLANT
JWW1ll Air PllIIlts 0 StClll1l
:JGravity 0 Ho! Water
:J MochD.iCDl B Rlldi.Hon
JAir Conditioning Sp.cial Devices
.JVent SYSlcm 0 Other Device.
PLEASE NOTE:
Air Conditioner Units
CMnol Encroach in.1O
Requ.ired Side Yani
Setb~cJa;
FIREPLACE MAKE AND MODEL
HEAT N q.1Q.S1.550~-Sc-__
Indu!lJ'lfll, c."..._.;al & Mulll-Femily
ResidenrJol, Heating & Me (New Construction)
Residential, HCftljng Only (New ConSlTUedon)
FEE SCrmDUI.E
1% orjnb COst Resldenti.l, G.s Fireplace
$39.50 minimum
599.50
564.50
S39.SO
Residential, Addition. & Allcrations
Residential, AC Only
539.50
, A 539.50
8UJL(j~~ W/n.,
PE~Mrr
Estimat.d Cost $ Building Panni! /I
HEA TINa PE.RMIT FEE $
STATE SURCHARGE $ .50
(om..u..OoI,) TOTAL PERMIT FEE $ 'i~ ~~j !~ J UJ [c; ii]!1
Thl, Application Buomes Your Buildinll PJf'JlltqW..'lI! Ml-.oftflh~ ~1"1 ~t~~ 0 3 2003 11~cejPI N~
~ BlIild." DMsi.n J Dare ~ ~
.~ noildlD1! OlTWlIlIO ~3l!VJew Avenue Norr.n 1\_11<, MN ~~ 11.\ ~11I Jlh~51.633.2561 Fax 651 f631l.8884 '
n.UIl..l;lIltiCWi, JI:i.)U west t11g/"lWay J.j J::Jurnsvmc, fVJ.N J"JJ I l~noncI9S2At'9'flll ,':)Jl: -J!l&iK I)H_lii'ilR~408
24 boar .otiee f.u'lt.....ctloll..IOS1' "7.,-0"0;0. 'n. 10'11) 447..0.5
,.,...'W.rrn:,.f(I:II~~n -MN1:"Gnrr\li'ti', -':linillilf~
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-.. -----
~IOR LAKE
INSPECTION RECORD
SITE ADDRESS "1/) 9 LilIJ,~~~f ~
NATURE OF WORK IY-;rJ
USE OF BUILDING
PERMIT NO. . DATE ISSUED
CONTRACTOR eo ~~$. PHON~' q_~i
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTME'NT OF ~6 0 po
BUILDING AND INsPECTlelUatn lIe
INSPECTOR
DATE
I FOOTING kll IJv\,rt~ I V/~ s<--7--d]. I
I FOUNDATION (Prior to Backfill) I rPi/, IIJ;f" I .E~-n / q- 2f0-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGN'ED
ROUGH - INS
,
~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING .4""~ I~.~~li;
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
(I//)
-
wr
t1/y?
IO-IO-cD
I(rl'/-~
VJr1/
j/1I(/
1/1~
(0-(0-0
I(J ~{rJ--r/l
10 -11l--<!J.
GRADING (Prior to Sodding)
BUILDING' tf"...p UAH (
ELECTRICAL
PLUMBING
HEATING
DO NOT
9+O/-f
/(;..l-0,64-
~
.
/0/.22/0;/
-
J/'1f/
f1r7
OCCUpy UNTIL ABOVE HAS
NOTICE
I /-I-{J-(j(
fR- ]-6'J
BEEN SIGNED
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspecticms 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
~
~ntifirafr of @rrnpnurl!
CITY OF PRIOR LAKE
@tpndmtuf of '!iJ.uilbiug Jfusptdiou
~Final Pennitted D Conditional e.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 / A Zoning District
03-0671
Use Classification
SINGLE FAMILY
Occupancy Type
R3 Type Construction VN
PUD
Legal Descriptio"
L7, B2, TIMBER CREST PARK
Owner of Buildin8 Site Address 16429 TIMBER CREST DRIVE
Contractor's Name & Address PULTE HOMES, 815 NORTHWEST PKWY., SUITE 140, EAGAN
ROBERT D. HUTCHINS ~ City Planner DON RYE
/",,4jft~ial
r
55121
Date:
Date:
."t'
...
r
.t
"
OATE TIlle
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/tJ-ZVO"l
PHONE NO.
/~tt).9 Tt'y...4/'fJ'"td-IJr.
CONTR. .:td,Je.. ~Vf'VU
PERMIT NO. d-t 7/
ADDRESS
OWNER
[J FOOTING
o FOUNDATION
[J FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
[J WATER HOOKUP
[J SEWER HOOKUP
[J PLUMBING FINAL
o MECH FINAL
OifIiY~LUNG
o COM INT
[J FIREPLACE RI
o FIREPLACE FINAL
[J GASLINE AIR TST
[J
COMMENTS:
(;'n;,J,c- ~IL
Ct4b ~.kV D If..-
SfI=r
(JII..wDRK SATISFACTORY, PROCEED
o CORRECT ACTION ANO PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ ...::::::.. Owner/Contr.
CALL "7-9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTII '" SAFETYI
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
f.UJA. rt,,,,,,,'-w~,,_~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
. MECH FINAL
COMMENTS:
(i P,,,,, I ~....J.~
11 ~ oj. If-r-y'<
~) ~J C'u_a
DATE 1lIIE
"'1--03
-s-C?/
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
[J FIREPLACE FINAL
o GASLINE AIR TST
o
f"~~LI.-.
~~<::!~~
. ..
4u_"'" lfA h..d:to-tf-
I u.."r' eM1-! (
<;-~/-()<.f
[J WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ Owner/Contr.
CAll "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
tNSNO"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
DATE 1lIIE
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
( &t..ILtf
SCHEDULED /I-~
'{:/IVI b-trt.-cs +-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'l-C7/
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
'" PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS:
([) Y~fA,.UI.rl
Yllmf-~
[j WORK SATISFACTORY, PROCEED
V CORRECT ACTION AND PROCEED
o CORRECT ~RK","LL FOR REINSPECTION BEFORE COVERING
Inspector. Jll/f' Owner/Contr.
,
CALL "7.9850 FOR THE NEXT INSPI!CTlON 2. HOURS IN ADVANCI!.
CODE REQUIREMENTS ARE FOIl YOU II PE1ISONAL HEALTH & SAFETYI
"""""
B-.JRNSVILLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Isl4nd Ave S. Savage, MN 55378.952.894-0005
01'S1at Test Report for Jobl 5 (., L. 5'
Address I~'-I~~ 1""."",flx.~ c.,e~sr f)R Citv Ptz,o",- t../lICe
. Occupant
Dale of Install 10 :'1- 03
Type ()f HT. F/A )( HW Space HT Unit HT
Other
Make L~ 10100'.
Model G,SIMP- 2l.\~-0'-\s -01
Serial 5803 ::r ."n?S 3 0
Input 4'''\000 i":,Tl4'.\
Pilot Type HOT SURFACE IGNITOR
Pressure '3"5 11/1.''- CO2 <.,.::2-
Input CFH 1.-\y 02 9.9
Stack Temp lay CO Il.\ ~~""
Date Tested
Company
Technician
ll-I"-O:.
BURNSVILLE HEATING & AIR CONDITIONING
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