HomeMy WebLinkAboutBuilding Permit 03-0114
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1-~-3
~. ~i:i~e ~::y I PERMIT NO.03 J, ( I A ~ I
3. Yellow Applicant - V ~
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
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I to 32.-1
t t
rr ~Ber6 C~ ])t2n/G s: C
LEGAL DESCRIPTION (office use only)
LOT / BLOCK Z- ADDITION (0 :i)
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'1: m BUt tz<5f" .4t;,th n(,~ PID
OWNER :? J J
(Name) I ilLTH"70111r.c;
IJF
/J1 Y1
JI./O
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U6A--n. mY1
(Phone) 65/ - lJS;'z - ~ZOO
(Address) fI5IJoIl11-lW(t;.T lJ(w,/: .SJlr/
BUILDER
(N ame) Qr>> fE;-
(Contact Name) &uz..r "6ASC-#t{,{;
(Address)
TYPE OF WORK
J1!New Construction
OLower Level Finish
DDeck
o Misc.
SSJ 2J
(Phone)
(Phone) 6tJ2- ZZ/- ~'9rS-
DPorch
ORe-Roofing
ORe-Siding
D Fireplace DAddition o Alteration OUtiIity Connection
PROJECTCOST/VALUE (excluding land) $ /Jt: ?5Y
.' CoC;;. 0 0 a,Ba
$ '7~'f', %
$ 4P31a, fa L
$ 3l.r S""Q
$
$
$
$
$.
100.00
t Bl) .00
This Application Becomes Your Building Permit When Approved
IF '7"t'ALT
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 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.upon-~roperty ~/eede~ ~. J /
x_&~~/.~~~~ ,Ce.,- /371 JZ;/.30/PZ-
/;7 . , Signature Contractor's License No. D'Ilte
//
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
~~~
Building Official
4~,{f!
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 Paid
I Date
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1- JI- &':7
#
#
#
#
$
$ Iz:c5,OlJ
$
$
$
$
$
$
$
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700,Oi)
Rf3ecei~t . o.
By .
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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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Plannmg Duector
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Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
~-LY
ADDRESS
IG 3k1 11J11t ~ CI"tS~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(2)~~BING RI ~ .
~ECH RI
o WATER HOOK
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
3- (/<../
o FOOTING
o FOUNDATION
)i3""FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o EX/GRAD/FILLING
@ 0 COMPLAINT
Id"'FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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o WORK SATISFACTORY, PROCEED
~RRECT ACTION AND PROCEED
o CORRECT W05'1 CALL FOR REINSPECTION BEFORE COVERING
Inspector: (fI./ Ll-l..?- ~wner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSJ{OTI
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HI] ftN ~ wILLE. --\--,
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Heating & Air Conditioning, L.L.c.
12481 Rhode Island Ave S, Savage, MN 55378 · 952-894-0005
Orstat Test Report for Jobl 5D lOti
Address Jft, 3:1' -rlMM.t7 cKt <;7 De City ?121b~ ~A~
Occupant
Date of Install L{ - /8 - 03
Type of HT. F/A X HW Space HT. Unit HT
Other
Make 1 E I-HJO x
Model G;;uu Gd - SD - (."
Serial ~O~DOZ05"3
Input 50, 000 ~/l-A.tI
Pilot Type
Pressure
Input CFH
Stack Temp
HOT SURFACE IGNITOR
3. S I wC C02
50 02
ctB CO
lo.i
R.(P
.v
Date Tested {p , (, - D 3
Company BURNSVILLE HEATING & AIR CONDITIONING
Technician lu>
DATE TIME
CITY OF PRIOR LAKE G~/6~
INSPECTION NOTICE SCHEDULED
ADDRESS ---it ~2.! T~.t~r
OWNER CONTR.
PHONE NO. PERMIT NO. 7 -- (It..;
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
ZFINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
f0d.- .p. ~-c l~ Ok
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~-,
(~ <e
ri WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: /AlP ( .,'" l~ -cr, Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETYI
INSNOTl
'rd
,/
DATE TIME
ADDRESS
1~3l3
(,-IZ-c~
Tim'?t~('f't.s+ DrJ
. CONTR. ~t' rbs t11t )
PERMIT NO. (') .~.... J J z....
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
PHONE NO.
---.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~1\ltiI4L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~E~LING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
/ (; 3 i 3 &cuI-<. - r;.2K
1& 3 i ~ (.,ra..lt..... t.JlL
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1& 3) j - (,rr;v(~- o,K:.- CvA:) .~ - 0 t:.....
3)'WElRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ;?'I(~/ ------ ......."''' :,"_:~
~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
J ~ )35- &lC:tdo(, 01::- INSNOTI
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See Main File
~hite - Build~
Canary - Engineering
Pink - Planning
Tht Crnlrr or the t.kr Countr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~f IJ "'.-c ~
APPLICATION RECEIVED /- d., - 3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: !:I>of- I '~
/(P,$f~1 -r/;nI1e7GCR-Esr7X-ltlE S:~L ~ ~~ . T
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Accepted
Accepted With Corrections
........--
Denied
Reviewed By:
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4~
Date:
/ b~/:JJ
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Comments:
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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."
See Main File
~ ~i~:Ary : ;~~;~ln9
Th. r,n..r or tho l.ak. ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
, . / "~7"'.' /:
NAME OF APPLICANT )..j.../ ./ J {/ A~ '7:-/()7/l'Z,;1.4)........
:,..l ".... _'!.._-{__oJ __' . "'" " c;..
, 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: U c+ ,
I / 32 I bit d.. / /.-?'1/1'!-.idr C/:;'{.f.;'<'It
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Accepted
x
Accepted With Corrections
Denied
Reviewed By: fYJf 6
Comments: 5 t.<- 1Yle, ,\,/1
Date:
1- ~ 5-03
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 authority to violate or qancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
M/lA-/~ Fi'Le'
Thf' C"rnlrr or the- l..kr ('ountr)'
White - Building
~. - Engineering
<'Pink - t'lanmny ...J
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/l
( C ~/--c:rrn.~)~
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: ./ ..f- /
/1032/ /IMdE7zC/de-:rr X>IlIY€ s: E, //1-,
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Accepted
Accepted With Corrections ~
.-y
Denied
Reviewed By:
~
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Date: //~~A.,
f
Comments:
'~"4f!ll':rt..
"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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STATe: StJRCH.-\..R.GE
TOTAL PER."rlIT FEE
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8[:91 [OOc-~O-83d
PRIOR LAKE DEPARTMENTO~~~~-~~
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS Ic.!l.1 T,MIISt.cusrb(ljaJ' ~.
NATURE OF WORK - ~ CC~\T CUCt'Itjir
USE OF BUILDING ~-".. - _
PERMIT NO. lIJ.. Dlt DATE ISSUED 3/1.~ .
CONTRACTOR ~af' KaMa ~F ~W. PHONEJ.'lt- UJ-_~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
J FOOTING 1
J FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
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GAS LINE AIR TEST
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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J1yO (;-G-fJ;)
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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.
FOR ALL INSPECTIONS (952) 447-9850