HomeMy WebLinkAboutBuilding Permit 03-0121
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BVftNSVILLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378.952-894-0005
Ors1at Test Report for Jobl 563'-1
Address.5D5;t &urr 11t-/4/tl5 /12 City (J:to.R t.A ICe'
Occupant
Date of Install 4-/t> - 03
Type of HT. F/A X HW Space HT Unit HT
Other
Make
Model
Serial
Input
Pilot Type
Pressure
Input CFH
Stack Temp
UNA/DX
(;;)&:-o;) - so k..
5'g'O~D z I 2..':; Y.
50 I ODD 81u H'
It
HOT SURFACE IGNITOR
3. S , wc. C02 ~ ' '3
S:J 02 (3. -r
98 co ?
Date Tested .5 27.03
Company BURNSVILLE HEATING & AIR CONDITIONING
Technician Le 0
&-1'), -(;) )
S052- B/vr+ ~~+ ti1
CONTR. P vI J '(.f{otNIt)
03-121
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
,)05 Z. -
{,/'~ CJ L
C,"d~ &1'--&.[
5'054 -
t~ - 0 (L
Cu/~ B~- elL
S{J~- ~.- &~- c!) IL
Cvrb ~- e tL
50,~~
GI'bt~ C9 tL
Curb ~ all--
DATE TIME
~~ILLlNG
o COMMlNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
IV/) S
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~~ ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
(~-), "?>
ADDRESS
SDS2. (J/Jr-'f ft1.s
OWNER
CONTR.
PHONE NO.
PERMIT NO.
s. -/L I
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
J!l' FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
5KJd d 1/'! ~!> (lk
/1'
L.AO~
r~
/'-74
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: vVf7 (,. 't 1 /rf7 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
S~t7
ADDRESS
.:. /)52
6/vfC- {.-t~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3- /2 J
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
.. PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(iJ (~
17J1Jf- Ut!}S
o WORK SATISFACTORY, PROCEED
'CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: . fV(} S ' f'l' 0) Owner/Contr:
I I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNon
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and siJtll at bottom)
ADDRESS
Main File
I. White File
2. Pink City
3. Yellow Applicant
-1M 8;5'L l?:>LllfF 1f8?
LEGAL DESCRIPTION (office use only)
\ 'f!.A;c S,E"
LOT f BLOCK /
,
ADDITION 1':mBlI1 tAIS} ~/JI'TJ'41'1
OWNER /J . I
(Name) YJ/J-'1'& H6m ~S ~F milt
(Address) flj5 /}f)JVfJI/AJ!~r pKWY,
BUILDER ,.....LVH
(Name) .:::::rr //J&-
(Contact Name) ----'lu?r ~h~#k.t)
(Address)
TYPE OF WORK
o Mise,
(Phone)
,~1I1J'"&. J l/ tJ _
- ,
/fA6h1 .
.
y(New Construction
OLower Level Finish
ODeck
o Fireplace
PROJECT COST IV ALUE (excluding land) $
DAddition
Date Rec' d
9~ CJ'?5"
PID
tnn.
~. -O/Z/ I
!'I
,}' ()NING (office use)
/j ,1
);
r
55/2-1
(Phone)
(Phone) J / z- - 2~J - /l9Y~
ORe-Siding
OUtility 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 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
~terup~to~~ $t:, ~ /37/ /~/sDA>L
/;/ / Signature Contractor's License No, / Dltte
$
$
$
$
$
$
$
$
'I". tJo 0.. s() I
'q,;!. ,,~.I
- (,O(), L/~ .
</5; 00
I Permit Valuation
I Permit Fee
I Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
-
100, () 0
100. DO
35. s-a
"/() . f) 0
This Application Becomes Your Building Permit When Approved
~~~
Building Official
/ /,;J-7/o '3
,
Date
OPorch
ORe-Roofing
OAlteration
#
#
#
#
I Park Support Fee
I SAC _...
I Water Meterc....Siz('5/8'jJ";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUE ~-3/~ $,,-, fJ/4. ~
I Paid tc, 'i I Lj, to / ' Receipt No. Ji'0 i ;;;--
I Date ~- I..J- '?, By fj
$
$
$
$
$
$
$
$
! 2--7$;, () 0
z,S'o.o 0
4$00
1 ZLJo. 00
7tJo, E)O
/50tJ ~ l) 0
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
isSu~ =1~~ 1~7j:J A dLf' ~, ~~
Planning Director f' Date < 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
.'
Main Fi_e
,.
Tht Ctn.rr of the- L.ke- ('ountry
White - Building
CanarY - FnOi"',:"~g
~ - Planni~
aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED.
! j
/
,.-/
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I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5D52.. BLu..fF H8~/'-f, ~iL 5.S.
L ;'
Accepted
Accepted With Corrections
~
Denied
~~ --
I
C, D:, ~,,, Q t.Md-J ~ ~ ~
,
f~ ~o.ptl ~ ~ ~ ~Jeo ~ ~- ~()SeAp:',\ I ~
(~ Pf~. 111~..:J ~' ~~ -4~P~~~,
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Reviewed By: .
Comments: NO
D~te:
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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."
CITY OF PRIOR LAKE
.
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink File
2. Green City
3. Yellow Applicant
PERMITNO';?3 /d- /
...
(Please type or print and si~ at bottom)
ADDRES-05;( ~\l.l(f ~'g"'<\S IflLil
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Address)
Esurnsville Mealing 6 Ale, inc;,
12481 Rhode Island Ave. So.
SfilVliilge, MN f)C)~~ls1:C:~
(Contact Person) ~ U...,L\. ~ (Phone)
APPLICANT SIGNATURE ~ ~,~ DATE
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION -p REPLACEMENT 0 AL TERA TIO~S I~. I
FURNACEMAKEANDMODEL ~ G~~Q;)- 50 FUEL 'V~~ gaS'.
FLUE SIZE RETURN OPENINGS 6 INPUT ~ I 00-0 OUTPUT {jj(;, ODD
, (
HEATlNGORPO~RPLANT
~\\e _ \\-0 m.D (Phone) &51-L/5i- )Z2oo
~\'5 Nw ~o..I\AJUjI $'vu'k IYO J 'l:~ {}..,/1! t'V\t\J S51;2,1
(Phone) q~-Rq 4-,000 S-
OWNER
(Name)
(Address)
APPLICANT
(Name)
(City)
(Zip Code)
?J~I 10.3
, ~
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
~ir Conditioning
OVent. System
L-e-Il (\N"f.
\O~~~\
;} -\Df"
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AIC (New Construction) $99,50
Residential, Heating Only (New Construction) $64,50
Estimated Cost $ 5 '5'O\.) \ o'T::>
$39.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
'1Q.50
.50 A )
IOO.Di) 'fiJ}/
Poid ~/!J ReoeiptNo
Date3_~~ B'()--)
(/
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Jan 21 03 09:49a
METRO GENERAL SERVICES
763-428-2968
p. 1
w~
~NE~
GREEII . fK.E
YELLOW. APPLICANT
GOLD - CIT'l'
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(,,~)-t(t/ 7- tjz-l/~
s,w. No. f) 3 -/02--/
FA'i.
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLICANT:~
ADDRESS: ~q1P
SIGNATURE: ~
SITE ADDRESS: 505a.
~ ~ONE: tJb3)4a~-d-.43~
'--" ' ....-c- .
~ NE.. DATE: 1!~l/o3
- c:;.,T.~;-rnN'S5'3'b
BLDG. PERMIT #
l-LAFF \-h:'(Gu PID#
I r 7's1l
FILL IN THE BLANKS AIL S.t:.
1. Estimated length of water service
so
feet.
2. Size of water service
171
inch (es) .
3. Location of any couplings from structure
o
feet.
4. Type of sewer pipe. ABS PVC~ Cast Iron
5. Estimated length of sewer line ~~ feet.
6. Clean out (if required), located at
structure. N/Jr-
feet
from
==============================================;===================
This application becomes your permit when approved.
BY
DATE:
========~:{k:t=:;~;4=============================================
FEES: /11c1..t P"tm I i- Sewer and water 1 i ne connection permit.
Surcharge
NtJ Fpe- TOTAL
* Fee for either sewer or water individually 1S $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
to insure that no duplicate sewer and water permits are
issued.
'~ .
AMOUNT Fri~~
REC'O BY' r 1,;tV'
~ [8 84 lUUj [!j (
95' By ....,j5
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (&2 44"/-4:LjU rf'Pr.:< ~~;' 147-4245
An Equal Opportunity Employer
DATE PAID
RECEIPT #
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This Applic:lciol1 s.:comc::> Your Buildin:;; Permit Wbcl1 Approved _ ~_ I Roee::pc r-io.
~~it IfII~;~~'k-1 Byr
:.L 11'11.11" 11lJ1C:lo.:~ iiJ~,:IU insp<<tJons \9:::) !:..j~~u~'r~~~'~5~/~.Q9J:ti jI .
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(Office Use Oftl!l
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Main Fi_e
Thr ("("nIN of tht" L.kt> Counl'1"
~ite - Buildins.::>
nary - Engmeering
Pink - Planning
BUILDING PERMIT APPLLCATION DEPARTMENT CHeCKLIST
NAME OF APPLICANT
(JAJJI'~ ~
1- ;)..- 3
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: L-o-f f? ,
sa 5 2- ~ ~ TiL, J',E, 6L I (~~.~+-
/V U
Accepted
Accepted With Corrections
v
Denied
Reviewed By: ~ yt~~ Date: //~7~3
Comments: ~ ~ MI'l,.y.5 err- ~ 7-;-~ &.'t1~
1_, ~ J ' / J
~ ~ ~ ./P~~JoI dl ~~
I / ~ ~ () 1ft Uo c;::
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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."
!J ,.. ~___
Main File
Tho ('onlor of Iho tab ('Qunlry
~e - I3.uiJdinQ
~anary - Engineerih"9)
Pink - t"larullllY
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: ;
5l9SL l3/v?t H (.,ft, hf.s Tf'M''1 '~~:~;l. ;:
"
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Accepted X
Accepted With Corrections
Denied
Reviewed By: /J?7/S
Date: / -:<5 -03
Comments: .Bpp Rp.\(p.r~e Sidp. for Addition;:!1 Informat'f'\n~
!Ylq"t'\ F; I-!-
,
See Attachments: 1) 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 vjolate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS
..,--
. Surface storm water drainage flowing to the perimeter of this lot to and from
adjoining properties must be conveyed to the roadway and/or to the rear of the lot
in drainage swales within the drainage easements.
. All bare soiFareas must be protec;ted from eroding into neighboring properties
through the property insta:lled-and maintained si1(fenc~-or bales.' ,.'
. The silt fence required by the erosion control plan'must be installed pripr to any
earthwork bdng started.
. The builder is respqnsible for maintaining the erosion control measures until the
turf is established.' - '
. '
. The rock construction entrance must be installed at the time of back,filii~g of the
foundation. , '
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'.
.
PRIOR LAKE DEPART";ENTO'rMAj~ fiLE
BUILDING AND I~TION~ ~~.... .- J
INSPECTION RECOfigain File
SITE ADDRESS ~ict'tts ~iL. S.€',
NATURE OF WORK .t3ST~
USE OF BUILDING _ ",
PERMIT NO. O;S~-'~ J~! DATE,I~S~iD ~'I
CONTRACTOR ?UL.~F ~,p~.ft-'.~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING 1.J1&, vtf L.-l vV\i b
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
INSPECTOR
~ I
FOUNDATION (Prior to Backfill) I VW / ~ I ~ -/~-I)
PLACE NO CONCRETE UNTIL ABOVE/HAS BEEN SIGNED
ROUGH - INS
all Li \J~t'~ 'VW
fJ~
DATE
I FOOTING
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GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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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