HomeMy WebLinkAboutBuilding Permit 03-0620
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Main File
q>lease ~ or orint and sim at bottom)
ADDRESS
//;~B5' -n~6(. OMn' PIU{t!
LEGAL DESCRIPTION (office use only)
Date Rec' d
5- ~Z.OJ
L White File I PERMIT NO I
2. P;"k c;~ . /13- / ..........
3. Yellow Applicant U (q~
LOT J BLOCK a2 ADDITION -r!MU.l.. (P.B;.Ir p~
OWNER
(Name) Pvt..T€ lI"""lF.$
I ZONING (office use) I
PUO
PIDZ5.,;foz,-6rY-cJ
(Phone) (,.>1- 1/.>;1- .>.:loa
(Address) 81s- Alo~r~rr ~tlloJl4Y S''''TE 11(0 I c.464Ai. /k,J rs-I,;l1
BlITLDER " ..
(Name) >,I/,IIf€,fS Ad"II~
(Contact Name) A4Lo"! MA-JC.I
(Address)
TYPE OF WORK
OM!sc.
~ New Construction
OLower Level Finish
(Phone) (,.>1- ~O - S'';'OO
(phone) fil') - tlfo -1{~8
ODed
OPorch
ORe-Roofing
o Fireplace OAddilion OAlteralion
PROJECTCOST/VALUE (excludiogland) $ ''1.'198
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 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~:roP::~~Z~eded inspections 1Je,- IJ 71 S"~!oJ
Signature Contractor's License No. bate
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
~9, ,1Od. 00
$ 77{". 7'5" .
$ 50 t./. '1' ,
$ 34. So
$ -
$
$
$
$
IOD.DO
lat). tJo
3S.So
90, IJO
. This Application Becomes Your Building Permit When Approved
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I Park Support Fee
I SAC
I Water Meter Size
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUE
I Paid 0(51/; u.y
I Date -?~~a.I -t,-'Zl
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$ -
$/2.. 75.00
$ g,,'$.oo
$ 1P,~.oo
$ 1200.00
$ 700. 00
$
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1500,00 I.
$ I
$ fP. 6/ I. 1&,4-
I ~~ceiDt 1- lit.{ II I cr-
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 documeJt
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to .y_.__.__.~. Before occupancy, a Certificate of Occupancy must'
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PlanoingDirector r Date' . SpeCial~
24 hour nolice for aU inspeclions (952) 447.9850, tax (952) 441-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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Main File
White - euitdin'l.
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Pink - P1anning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APpLICANT
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: .
/"1,. 3 ~/?~ -- ,"7L/~-0~ i~j;'~Cjj<vi- l~:,~~,/~'?/'_~~~"
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Accepted
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Accepted With Corrections
,
Denied
Reviewed By: "'-'20AL _. D~te: '7 (1-1-1 D"'J
Comments: See Reverse Side for Additional Information!
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See Att~hments: 1) Gradinq Plan. 2) Erosion Control Measures
3) Erosion Control Plan
"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 vali~."
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Main File
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White . Building
Canary . !=nqineering
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ThO' ("..nIO'. of lh.. L.kr <:ounlry
mHLPlNG PERMIT APPLICATION DeeARTMENT CHECKLIST
· NAME OF APPLICANT
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:
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. Accepted
Accepted With Corrections
L-
Denied
Reviewed By:
Comments:
~~~
Date:
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"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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C..Ylbim - Buildlna;
canary - tonglneering
Pink - Planning
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6.UlLPING P~RMIT APPLICATION DEPARTMENT CHECKLIST
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NAME OF APPLICANT
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:
J~3g:s-~ ~1~~~.
Accepted
Accepted With Corrections ~
Denied
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Reviewed By:
Comments:
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Date: g /1 / ,Ie, J
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"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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CITY Of" PR10R L.~.KE PLl:).[;::;>G
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AP"l.IC:~.';T PlE.-\SE CO,\[PlETE BEl()\V
r~p~ ,l( l~i.trur" I <)"~n,ic-.. I Typ~ "f fix::;,"
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I 8,1::: Tub ""'Iill I,r Wit:lr..H':C .ilic:\...~~ _1 RJu::n~lns
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I ::;;'OW~r $CJ.!I I SJckrl.,.... A.se:nbly
I Sinks I S<1cktlow Assembly T.osc
I S'I!' Sink I lawn Sprinkler
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Pllitl<[l3(NG PER.."UT FEE
STA IE SURCH.-\RGE
TOTAL PER."ur FEE
(om.-. (;xc OIl!) / "1f2
Ti:i. ,-\'pplic COlA. "'co Your BUildin~ir;:b~; Approved
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BUILpING PERMIT
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Jun 16 03 01:08p
METRO GENERAL SERVICES
763-428-2968
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GOLD. elT.
CITY OF PRIOR LAKE
SEWER' AND WATER PERMIT
Fp;j.. '/5.2...- J/ '/7- 'lz, ttr'
NOTE:
4.
Location of any couplings from structure ~ feet.
Type of sewer pipe. ABS PVC~ Cast Iron
Estimated length of sewer line ~ feet.
3.
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5.
6. Clean out (if required), located at feet from
structure. ~/ A:
==~==================-============================================
your permit when approved.
DATE: -/./',~l
This
BY
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FEES: (1 'd~ -.E-!-MY:';- Sewer and water line connection permit.
~ c~;. ) Surcharge
C/lf()~ TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
*
Sewer and water P!l' s issued for new construction must be
recc;))~~'it; 'I!1\l ~~\ii\:l~" 'n~ permit card at the time of ~ssuance
~o 1.1 J:'e\!Jttl.atiJ rlb IlJ I1.cate sewer and water perm1.ts are
1.SSUE
. .JIll 1 7 1003
DATE..PAI~UU AMOUNT PAID P~ID 'MlH
RECEIPT lI~ I RECIO BY lUll DING PERMJT.
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16200 Eag1e:Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. ("$2) 447-4230 I FAX ('1S2) 447-4245
An Equal Opportunity Employer
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PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS U,~3gS ~~ ~\--
NATURE OF WORK N c. eN
USE OF BUILDING ~ .
PERMIT NO. .J2.:J - (p ao DATE ISSUED . ... 0
CONTRACTOR ~ . PHON6J~-"4N"'9""
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF ~6n~ Fe}
BUILDING AND INSPECImIaln 1 e
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INSKCTSjR DATE
I FOOTING I vv( I '1-}/{, -{/) I
I FOUNDATION (Prior to Backfi\l) a,\\ I \ ]r.\~ VV1 f j ftr7 W ~ ~ G- q h -~~.1
PLACE NO CONCRETE UNTIL ABOVe HASIBEEN SIGNEtS -(y
ROUGH - INS
. SEWER I WATER I SEPTIC Ml u",b- vvy/ g-/7-O>
FRAMING (;11"/ Cf-:?S"--o
INSULATION /jflV? CfrJ.4---(/)
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ELECTRICAL - ,
PLUMBING. vt7( / ,wy?
HEATING (if required) pio/~
FIREPLACE
GAS LINE AIR TEST
(,( -t V7 j ~- %7:-
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
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GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING .
DO NOT
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OCCUpy 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.
11- 7r 07:>
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FOR ALL INSPECTIONS (952) 447-9850
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Ql~difttaf~ of <IDtntpantu
CITY OF PRIOR LAKE
~tparfturuf of ~uilMug JlusJlrdiou
~Final 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:
Occupancy Type
R3 Type Construction VN
Fire Zone
Bldg. Permit No. 03-0620
N / A Zooing District PUD
Use Classification
SINGLE FAMILY
Legal Description
L5, B2, TIMBER CREST PARK
Owner of Building
Site Address
16385 TIMBER CREST DRIVE
PKWY., SUITE 140. EAGAN
DON RYE
55121
Contractor's Name & Address PULTE HOMES, 8)5 NORTHWEST
ROBERT D. HUTCHINS ~ City Planner
Date: /...{~O~rcial _ Date:
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DATE nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
5 -GZO
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
~LUMBING FINAL
o MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
o (ekiM - r-~Otfl-?
o WORK SATISFACTORY, PROCEED
" CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. U Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION :u HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
utSIiUTl
DATE nile
CITY OF PRIOR LAKE
INSPECll0N NOTICE
SCHEDULED
(1)'10-0-/.
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PHONE NO.
1~38 S T;tJ;ercas'-I-- ])r.
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PERMIT NO. ^? .f,z;?)
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CONTR.
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
Cli4lNAL
o SITE INSPECll0N
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~LING
DC~T
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector4~ _. Owner/Conlr:
QALL "7.9850 FOR THE NEXT INSPECll0N 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSIiOn
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CITY DF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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DATE nIlE
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o EXlGRADlFIWNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
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o WORK SATISFACTORY, PROCEED
JI CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspeclor: tK
Owner!Contr.
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
......",
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!