HomeMy WebLinkAboutBuilding Permit 03-0118
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please'!vp~ or print and sign at bottom)
I ADDRESS ~IJ 11o 83 9
l~;)- 3
I PERMIT NO. 03 ,0/ J (J I
1. White File
2 Pink City
J. Yellow Applicant
Ti'~~ Cksc
mi JF,<). b .I
LEGAL DESCRIPTION (office use only)
LOT Z. BLOCK Z- ADDITIONM 7 ) 1: mfl..?n &lJS;- ~iJlTifn7 PID
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OWNER 0 . J
(Name) /!/l.~ HtW/e5 ~r
(Address) ~J~ tfolldllf/ts/
J1Jn
?it /(/y ,
BUILDER
(Name)
(Contact Name)
(Address)
SA1J1~
tuJUr 6lA-~
TYPE OF WORK
~ew Construction
DLower Level Finish
o Fireplace
PROJECTCOST/VALUE (exc1udingland) S ~ ~V
DUtility Connection
ODeck
o Misc.
..,,"/~,~
This Application Becomes Your Building Permit When Approved
~ =1~1--
Building Official
!j..1-;>/U
Date
ZONING (office use)
.5tlrc
(Phone) .?0'/ - //~:? -S-~O
[;{";/,-," /J/n<r/?-/
/11J
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(Phone)
(Phone) !//Z--ZZ/-~7J-S-
DPorch
ORe-Roofing
#
#
#
#
ORe-Siding
$
$ 12-75.00
$
$
$
$
$
$
. $4;l,l3z.'14-1
~
-
1~, ()o
700.00
Receipt 6\. ~7~7(P
By....'
o
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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 I'.~I'-.~J 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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter up~n the operty to~erform n eded inspections /
X . Uir ~ _~ hI! - /g7/ /z- /3.r./t? z..
A Signature Contractor's License No. 7 ~ I){te
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I Permit Valuation <Iii !oS;600,D-U1
I Permit Fee $ 7tf'l. J.S' I
I Plan Check Fee $ 4gro, ~ 1 I
I State Surcharge $ ;gZ,. ~o I
I Penalty $ --- I
I Plumbing Permit Fee $ 100, () () I
I Mechanical Permit Fee $ /00,00 I
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
DAddition
DAlteration
Planning Director
//~e3
This is to certify that the request in the above application and accompanying document~ 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
issued. .....
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Park Support Fee
SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
Paid
Date
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, /- J/- ".:7
9Ji,
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
~~
See Main File
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building perrJlit
application for construction activity which is proposed at: ~-~,:I- :' 7.-:l11/)6-C.'L-.:;':'>Ll..j;O-
If~ 33 i - L- ,:)
Accepted
x
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Accepted With Corrections
Denied
Reviewed By: /YJ4 13
Comments: I).,. ~ /Yl." '1'1
Date:
1- ~ '7-03
F;tt
"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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The Ctnlfr of the I..kt Counlry
White - Building
Canan' - Ennineering
(!-'mk . Planni~
aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
"
NAME OF APPLICANT V ! I t;
..../
APPLICATION RECEIVED
_ "::'1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: I.. ;r.~
/ C:, ~-:r9 71111 tfb7l.- ~r- ,fJaid5' 5,e, . ,r
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Accepted
Accepted With Corrections ~
.
Denied
Reviewed By:
~ ::7~
-
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Date:/,/ Z2../~~,~
~
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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a'ul"',,< Oale." 0", fill ~ 12 20m Ii]ij I 8:' /7 /
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PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ''3'M :..'blj~s S,E,
NATURE OF WORK ~ ~~f~-
USE OF BUILDING - S.I=:' ~I -.
PERMIT NO. DATE ISSUED J}11.{"'2 .
CONTRACTOR , PHbNEj.'l- ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~~E.. MN~ FiLE
DEPARTMENT 0 ~ ~ -v-' ~ ....-
BUILDING AND INSPECTION
INSPECTOR
DATE
, FOOTING 1IAaI" I
I FOUNDATION (Prior to Backfill) v\\.~'" I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
IMO-~
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
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Vlff
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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 la available, card aha II be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
. ..,,-
<tlrrtifiratr of OOrrupanry
CITY OF PRIOR LAKE
~rp&rfmrut of ~uilbiug Jlusprdiou
~Final Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Un(form 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 follo\'ving:
Use Classification
SINGLE FA-ilLY
Bldg. Permit No.
03-0118
Occupancy Type
R3
Type Construction VN
_ Fire Zone
N/A
_ Zoning District PUD
Legal Description
1.2, B2., TIMBER CREST ADDTTIO'l
Owner of Building
Contractor's Name & Addre~~L TE
Site Address
16339 TIMBER CREST DRIVE S.E.
ROBERT D. HUTCHINS
( B~ilding Official
" - ;.. 5. {\ rJ
HOMES, 815
Jll{ I
NORTm,EST PKWY., SUITE 140, EAGAN
DON RYE
55121
City Planner
Date:
D.IIf.... _
POST IN CONSPICUO~PLA
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
It 331
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
D)NSULATION
2f FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~c1 / ~-('1 IlIt
f
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L--l V.....-
DATE TIME
:l-mr
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
y-~
MLi?
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: VLf? L - J, J-{)J Owner/Contr:
CALL 447-985Q FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNO"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
f.-((
ADDRESS
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OWNER
CONlR_
PHONE NO.
PERMIT NO.
~ - (('is
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
f!f1'LUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
rfY\10~ '- ~o'rE-c'fl1l5
o WORK SATISFACTORY, PROCEED
Ii' CORRECT ACTION AND PROCEED
o CORRECTV:O~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: i/'vi / (p- 1\ -cJ) Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IJ<SNOn
BIJHNSVILLE
Heating & Air Conditioning, L.L.e.
12481 Rhode Island Ave 5, Savage, MN 55378.952-894.0005
Orstat Test Report for Job# 50(,,6
Address II.o33ot \Iu&;'I<..C('LSI bi<-City -T:f<loR LA'?t:.-
Occupant
Date of Install,S - '1- 03
Type of HT. F/A 'J/. HW Space HT Unit HT
Other
Make U_I0t00X.
Model G.d<OOd - c,o - (.,
Serial 5.8LY~ 021-z..SA
Input :::0 ,DnO p.;,-u.1-\;
Pilot Type
Pressure
Input CFH
Stack Temp
HOT SURFACE IGNITOR
35 \ we..... C02 I~?'"
'::;'0
-' 02 gt"
9P) cn <<
Date Tested 1.0- 'I- 03
Company BURNSVILLE HEATING & AIR CONDITIONING
Technician Le 0