HomeMy WebLinkAboutBuilding Permit 03-1097
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~.4-.0}
Main File
I. White File I PERMIT NO I
'Pi,k c"Y '1'1?-/OQ7
3. Yellow Applicant ( LJ
cr1ease .!VDC!. or mint and sUm at bottom)
ADDRESS
JfR4l.{Z
T/.^ARJ?2
r p E.... {- t:i12J \IF
I ZONING (office use) I
PUp
LEGAL DESCRIPTION (office use only)
LOT'tOBLOCK'3 ADDITION TfAJ..'R'E12. (,'RE<:r PA-Rt"
PID25. 4'02.. 1()re,.0
OWNER
(Name)
POLTE H-oAAE""'5
8/s- NOf!"t7f WF"'S{
(phone) to-S-/- 'fs7 - <;zon
(Address)
PI.::-Y-IV',
<)u 'IF /<0,
F.lr./'~';Lkll ^A /..1
BUILDER
(Name\ ~. E
(Contact Name) ("'Jl.'"r RI ~r/4.1!'1>
(Address)
(Phone)
(Phone)J,-,l Z-22J-L.{'fl5
TYPE OF WORK
~ew Construction
OLower Level Finish
oDeck
oPorch
ORe-Roofing
ORe-Siding
o Fireplace
oAddition
oAlteratioo
OUtility Connection
o Misc.
PROJECTCOST/VALUE (exc1uding1and) $
CJt). a"1~
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 r-wr-nJ and that all construction will conform to all existing state and local laws and will Proceed~' a~c r e 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 si ee may
en7?toperf,l'n~1eededinspe~ony J'~~
X ~~_'!.':.:,~ ~-f.nI ~. .?
Signature Contractor's License No. rtate
I Permit Valuation "''1 tJ. 6(JO, (J D I I Park Support Fee # $' -
I PermitFee $' '1Z3. 7>1 I SAC ~ # $ Iz.. 7'5.00
I Plan Check Fee $ {.,oo.~. I Water Meter ~1"; $ .P5tJ,oo
I State Surcharge $ Lf 50 Dol Pressure Reducer $ .l/ S. (3 0
I Penally $ I I City SAC aod WAC # $ J Z~)(). /) l)
I PlumbingPennitFee $ /(}(),OlJ I I Water Tower Fee # $ 7tJo. 0 IJ
I MechanicalPennitFee $ !Of).()O I I Builder's Deposit $ 150().Oo
I Sewer&WaterPennitFee $ 3S:~O I I Other $
I Gas Fireplace Pennit Fee $ 'ItJ,()f) I TOTALDUE /;101 81 t/.~'!
'7~O "MAr
~
~
~
.r1t9/ /03
I Paid LBA'/q.o"
I Date ? 2/..07
This Application Becomes Your Building Permit When Approved
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 .......}'........;,. Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. r- ~ A
2f/J....,:, ?~~ It./~/1'>AateO.3 /I.JU.JL.. ~ ~
Planning Director /- Special Conditions,At' any
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek~Vl!nue Plior Lake. MN 55372
l
Th.. ("""Ifr or 'h"I,IIt"COII'ury
\~\~ ~~
Main File
White - Buildinq
.. l..oBnarv ~ ~nolnee".--"'"
...... .. ~
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
PULlS
0.~.03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1& 4-4- "'L TJ tvl e 8t C,/{cST De_.
Accepted X Accepted With Corrections
Denied
Reviewed By:
Comments:
~
_ ~'\.... Date: ~(1 (O~
Se ReversE: Side for Additional Information!
..Driveway Must Have A Concrete Approach - h-L. U UJ tS
- -tvlaill File
See Attachments: l) 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
Tht ('C'nftfOf lht I..beounlry
White - Building
~n..'Y - ~naineering
,.:_Ink _ . Planning::>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKUSI
NAME OF APPLICANT
APPLICATION RECEIVED
Pu LTt:
91.4- .03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1& 4-4 z.. TJ /,'/ C FJ~. {~Jo:..=T De.
Accepted
Accepted With Corrections
/
Denied
,..
Date: tf.;./!o 3
,
.-<:lc:!~'" -~
Reviewed By:
~
K~ .;2S-'
v
~,LJ).J...;
Comments:
~
v
"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
c.wb1t.. - BuildinR)
Canary - Engineering
Pink - Planning
Tht'C't'olt'fof Iht' l.abC.'ounlry
BUILDING PERMIT APPLICATION DeeARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
PUL%
~ .4-- . 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1&4-4-2- T/MBa C~ST De.
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
~ "7~,4..J Date: ~I..Ia3
~a-d~
,..
Comments:
~~
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."
Au~ 20 03 09:21a
METRO GENERAL SERVICES
763-428-2968
1".2
GIllIN . PIlE
TELLOW - .",UCA.T
GOLD ~ CITf
Sewer and Water
contractors must
be registered
with the City.
APPLICANT:~O ~EJJs;R...AL ~PHONE~-4~-a.fij'.3!?
ADDRESS: 571~O tAm A~I!DATE:
'-rf' 0 !JT. Yl"lICH~CI.}--.~. !"5'.!!76 1
SIGNATURE: n-..(\()._ . BLDG. PERMIT .J)J-/oq
SITE ADDRESS: /t., 4- t/-;)..~k",J.M C2~.,;ib;'1J.t>PID#
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
rJ.1.. q 5J.- I( 'I 7- if 7.-1.f.5" NOTE:
S.W. No. .03 - / 017
FILL IN THE BLANKS
1. Estimated length of water service ~"
feet.
2. size of water service--1"
inch(es).
3. Location of any couplings from structure (j
4. Type of sewer pipe. ABS PVC~ Cast Iron
,-. 5. Estimated leng.th of sewer line 5"l feet.
feet.
6 .
Clean out
structure.
(if
required), located at
. NJA.
feet
from
=;=~========~==========~============================~=============
This~cation beco~es yo~ permit when approved.
BY ( fAN...Ll.l( E~Qrv.-v- ~p / DATE:---A1Jf, 20 2003
---=~===~==~r.-===~===========:====================================
P.....1. ed. (.J ,'1-4
FEES: l1!e1f FJ~e.".., f-
No ree.
Sewer and water line connection permit.
surcharge
TOTAL
lolbl:.... "-......'.
* 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 building permit card at the time of issuance
~o insure that no duplicate sewer and water ~~~re
~ssued. BUILDING PERMIT
DATE PAID fJZ.(). OJ AMOUNT PAID
RECEIPT # REC'O BY -tt
16200 Eagle Creek Av. S,E" Prior Lake, Minnesota 55372/ Ph. (~S'2) 447-4230/ FAX (!l!<2) 447-4245
An Equal Opponunity Employer
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CITY Of PRIOR LAKE PU::.rar;-.'c PER.\[IT
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AP?UC..l,......T PLEASE COMPLETE BELQI,V
Type 'j( Fi.nu"~
; Sa:" 'i\',b "'\rIch I,r w:(:'\Jur: .ihc\....t:::"
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I L~un~r:" rn:i {lor: ..;omt':J.r:r.-:':IC ilr::~
I .:5;'o\Ve,. Sc.:!lI '
I Sink:;
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I Ware,. Closer (TlJil,,:)
T"r7c!' nr' fi:;:ur:.!
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I a.:1c.~rl<Jw Asse:noly
I 8.:1ckrlow As=bl: T "st
I L.:!wn Sprinkle,.
I Otlte~
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FU ~CH.EDl.;LE.
tr.~uo:~~. Corr:l"i:C:-:::lf. J:. Mu.Jti..f;lr.1iiy t~I'I af.joo Cl:J.$C '....i~l :J S:;9,.30 minimut:J
\ (om~c L'JC Onl:r)
R<Siclc:\aoJ. N"w One.l T"'Q-F:llI1.ly S'"t9~O
fl==:e:::.,:~l. ."'-Jd::cns J: .o\1:'::-:::lJr:.:'i S~1...:tJ
E;...:imj.r~:.! CiJ$~S
a...llditllt Ollidat
e~ij~i:; Po::::ic$ ~~ '9,~
S .50 ~G' ~^
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Q[ @; [ ~ ~~-;::pc No. ~~J
1\1i{ ~ 'ill"-- -'-J
:. ho'.r ".QCC fur ~I:r~p.eo..j \?::, ~~-,~s~x :~:: ~~~:~:03 ~J( ~.-
PLtiMBCNG PER."UT FEE
STATE SURCHARGE
T07AL PER;.-.,rrr FEE
T~i. ...~plie:1tiQ" 8~eQm.. Yo"r 8"ilc:lin:: Perlllit When Approved
80/S0'd
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JNIOJ9NlaWnldA3ll~~
SZ :17, >:00i::-0>:-lrl[
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONlNG/FIREPLACE PERMIT
Date Ree'd
; =.. ~:~ I PERMIT NO. :3 -109""'"
3. Yellow Applicant II
~ ~ or vrlnt IDlI s1m at bottom)
ADDRESS
16442 TIMBERCREST DRIVE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name PUL TE HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLmn FTllF~maIlI!l\ FT1lF~~ 11TH,. HOMF
(phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
1l.0SEVILLE
(City)
(Phone) _651-633-256]
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BR€NDA J.lUSTON
DATE
Z.......I.~.LL..6 (office use)
PID
55113_
(Zip Code)
10/2&/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVen!. System
HEATING OR POWER PLANT
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
FIREPLACE MAKE AND MODEL
HEAT N GLO SL.550TRN.C
Industrial, Commercial & Multi.Fanti1y
FEE SCHEDULE
t % of job cost Residential, Gas Fireplace
$39.50 ntinimum
$99.50 Residential, Additions & Alterations
$64.50 Residential,.AC Only
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
IJ;. .~ [b [ ~ ,
. U teNDV 0,.1 ?DO~
I,ll .'
BuUdilll! Official
Date
24 hour notiee for aU inspections (952) 447.91 ~; fax (9~2)447-424~
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
PAID IA_ .
BUILDING";;;'"
, r;;'RMrr
Receipt No.
l'Y (;A
I
D~~N; OF Main File
PRIOR LAKE BUILDING AND INSPc", I ION
INSP,ECTION RECORD
.
SITE ADDRESS 1/."" 'IL ii.M811!- CJtDr 'l:>>lJ.u
NATURE OF WORK ~. ..., e,aN.r~nw
USE OF BUILDING . Slit: A.. .'.
PERMIT NO. ~1J'-1 DATE ISSUED ,S
CONTRACTOR ~cl&.T!: ~S PHONE -'f!IJIS
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING ;t;;'yCTOR _ ;:~, ~
, FOUNDATION (Prior to Backfill) I - Y ir . I ~,.. J'(-v)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
.
.
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (If required)
FIREPLACE
GAS LINt: AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
A/fJ (g. 20. 6-r
h:?- - ~/I~Mr ~ /~ftf
;/W/
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il-).{)/t/)
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'1r17-r/'7
/ ( r ).()-(/J
.
GRADING (Prior to Sodding)
BUILDING --r:-eIJ, W ?ho~ '"
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
-
!/Vl/ / /7_ ;A~-{) 'r-
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 approved, On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
QLrrfinrab of <IDrrupanrl,!
CITY OF PRIOR LAKE
~rparfturnf of ~1tilMng Jfnsprdion
IFinal Permitted D Conditional C.O. Expires _
This Cenificate issued pursuant to the requirements of Section 307 of the Uniform Building Code cenifying
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
Bldg. Permit No.
NIA Z . D' .
_ omng lStriCt
A3-/0?7
PUD
Occupancy Type
R3 Type Construction VN Fire Zone
L40. B3. TIMBER CREST PARK
Legal Description
Owner of Building Site Address 16442 TIMBER CREST DRIVE SE
C ' N & Add PUL TE HOMES. 815 NORTHWEST PKWY.. SUITE 140. EAGAN
ontractor s ame ress ~
ROBERT D. ~TCHINS ~ . CilyPlanner_ 'DON RYE
fi:)/ >>~yal
,
55121
Date:
Date:
~'
.
'.-,.4;./1;
,
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/t1ttl
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
COMMENTS:
DATE
11ME
SCHEDULED
1..-2D-P<I
T,~&r(' .ac.+ lJ.,..
CONTR, _fJ,Aff.- ~. ~
PERMIT NO. ~3 -{(;;Ii7
o PLUMBING Rl
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
r?1i~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/t'l"l1 (.,ff/B~-t!J(_
5x-
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpeclor:#~~_ ''"__ OwnerlContr.
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIRBMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETY!
".."."
ADDRESS
/ t,. tj ~ z...
DATE T1IIE
SCHEDULED ~y /..~O
T~~~.Jr iLl,
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO, 0 3" - I 0 iI#-~
lJ FOOTING lJ PLUMBING RI
lJ FOUNDATION lJ MECH RI
lJ FRAMING lJ WATER HOOKUP
lJ INSULAT:!.J~ lJ SEWER HOOKUP
__ FINAL ""/( lJ PLUMBING ~~
lJ SITE INS TlON .... MECH FINA'(!JJ
cpMMENTS:r{)) ~. ~ t1Jt.
([pJ .~~r.Jk.~-tr~
lJ EXlGRADlFIWNG
lJ COMPLAINT
A:9 FIREPLACE RI
{tv.! FIREPLACE FINAL
lJ GASUNE AIR TST
lJ
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~ ~""..~."",~.,.".".~I!,@lI!<<,);:!,~~i~">'~'"
lJ WORK SATISFACTORY, PROCEED
'f( CORRECT ACTION AND PROCEED
lJ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspeetor. ~
OWner/Contr.
CALL "7-11850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE.
CODE REQUIREMENTS AIlE FOR YOUR PERSONAL HEALTH ol SAFETY!
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