HomeMy WebLinkAboutBuilding Permit 03-0113
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
i- ~-3
See Main File
I. White File
2. Pink City
l Yellow Applicant
PERMIT NO. 03-0 113
(Please type or print and sign at bottom)
ADDRESS
ZONING (office use)
{o3'7 lfr'~6eYU ~51
1JitV6
S~r
LEGAL DESCRIPTION (office use only)
'}; VJ1J3U1 CftLs.r klnVn.
LOT / BLOCKJ.. ADDITION C02)
OWNER )
(N ame) J U L1J2.
PID
~s
<2F t22.tJ_
6<w l/
,
?5/- ~5Z -5"Z-OD
I JJ1Yl
(Phone)
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(Address) f?/~ /J~/2I71W[sr
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BUILDER
(Name)
(Contact Name)
(Address)
SA711e
f!t.t1lf- ''&A5M-/JU)
(Phone)
(Phone) ~/Z -Zy -I/~.f-S-
jilNew Construction
OLower Level Finish
TYPE OF WORK
ODeck
o Porch
ORe-Roofing
ORe-Siding
OUtility Connection
o Fireplace
OAddition
OAlteration
~~~
PROJECT COST/VALUE (excluding land) $ 6~!" ~,f"
o Misc.
I hereby certify that 1 have furnished information on this application which is to the best of my knowledge true and correct. 1 also certify that 1 am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. am aware that the building official can revoke this permit for just cause. Furthermore, 1 hereby agree that the city official or a designee may
~terupon;~?w~% ;DC,- 1~7/ /z~~z.
// Signature Contractor's License No. / /Date
i IPS. 000, Ob
$ '7'11. 75.
$ L( Sf.. ft:/J
$ '6t., $"0
$
$
$
$
$
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I
I
I
I
I
I
I
I
$ ~ ,ez. 94-1
~.71' '7 fR I
I
$
$
$
$
$
$
$
$
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I z... 75.0 0
-
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I ZOO ,l>O
700, ~o
(CO. 00
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Receipt po.
By :L-,
U
I Paid
I Date
~ye2 J/4-
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This Application Becomes Your Building Permit When Approved
~ =1'~
Building Official
/1;.;;!d .f
, .
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
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, , 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
Planning Director
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
fG'1(7 T vf-Vtt~J:+
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
D FRAMING
D INSULATION
ViNAL
D SITE INSPECTION
o PLUMBING RI
o MECH RI
D WATER HOOKUP
D SEWER HOOKUP
D PLUMBING FINAL
o MECH FINAL
COMMENTS:
C:::;c:rJ "- 1>.'1'< >
(jf<-
/- J~
~'\...-""'.,-
DATE TIME
(;- / c,
(2" u..
~ -II?
o EXIGRADIFILLING
o COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
o GASLINE AIR TST
D
l-.
h<e
~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: yf/f ~ - I G -0 ") Owner/Contr:
~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
,----
BVHN~".LLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378. 952-894-0005
Ors1at Test Report for JoW .5.Xo3
Address lLo3'11 Ilr..f()!:.rZ. Ch~-r i)~. City -;:P,oR t-A'Ic..
Otcupant 1
Date of Inslall 4 - 18 -03
Type of HT. F/A x HW Space HT Unit HT
Other
Make LE.~L\O K
Model (~ d <0 c.l) , SO . l.o
Serial 5303.1,2-1 t:.L/LI
Input SO. OOC\ blV. H
Pilot Type HOT SURFACE IGNITOR
Pressure 3.5 \ we.... CO2 in '3
Input CFH SO 02 8.'1
Stack Temp \0 \ co g
Date Tested 5 - j' 2: r.) 3
Company BURNSVILLE HEATING & AIR CONDITIONING
Technician kR ()
........... ~
,
HiE
See Main File
f'White - BUild~
~m:ll y - "!.Il~;n~\:..ring
Pink - Planning
Tht Crnlrr of .he' t.lllr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Y Ala cf! ~
APPLICATION RECEIVED 1- d.. - 3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ~+ I
/~3/7 Ti'rn($C7e.eJ!Esr ~/f/e ~e.. 01- ~ ~/}4ubU2-r
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Accepted
Accepted With Corrections
~
Denied
Reviewed By:
~
~
,...
=7~1-
?r2a....r) 7~
Date:
1/ ;;la-/6.3
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."
See Main File
White - !!~!!!;
~;;,n:ry: nglneerin~.
Tho ('on.or of Ibo I..'" Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ,j-/l -// tJ h.. i~-~./
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: ,>7~u7- /
{' 7( '7 v.::. -;
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Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/J11/3
Date:
!-}7-o3
Comments:
5-?- -L /YICt (~ f:'/'l <
"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 authocity to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
Thr Crnlrr of thr L.kt Counlr)'
White - Building
Canary - Enqineering
~ -Plan~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST.
NAME OF APPLICANT
APPLICATION RECEIVED
./ I
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: l-
.-
j ft,.5 /7 / I M/J67Z &<..err (j)e;ve-- S€'".,;- ~,
Accepted
Denied
Accepted With Corrections
~
r-
Reviewed By: ~ y~
Comments: ~ '/1/l~ -'"' )
Date: 1/..2.;L/().3
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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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DEPARTMENT~~ ~~
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS t.lo.-3.D Ti M.8acam- .~,. SE.
NATURE OF WORK N~ CD"~n&LaCT.M
USE OF BUILDING - - ~~, _
PERMIT NO. ~-(Jta DATE ISSUED ~
CONTRACTOR~I ~S GF ~ p~~2'.'fJ8S
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I
J FOUNDATION (Prior to Backfill) I,MD-llI\ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
, SEWER I WATER I SEPTIC iflIW'lA
FRAMING vJk-
INSULATION ..,/ ~. ~.
ELECTRICAL
PLUMBING
HEATING (if required)
J FOOTING
'ND1V\.. I
w~~
INSPECTOR
DATE
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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
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(,- ((,-(}3
yVfI
V1If'
OCCUpy UNTIL ABOVE HAS
NOTICE
r;-~-03
{;-{O..~
BEEN 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