HomeMy WebLinkAboutBuilding Permit 03-0371
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12481 Rhode Island Ave S, Savage.,.MN,',"n~. 952-894-0005
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Ors1at Test Report for Job# ;; ) ) eO
Address t; c I 'I)
Occupant
Date of Install
Type of HT, F/A
Other
01 L<~.c ~(~\~ fL City f;:. 6L
i h/r;?.;
j ~w
Space HT
UnitHT
Make J 11 ""V'\l"'.V
Model r. JnjC?- jl7/, ,( </\', (I
Serial /:c. I -c,. I" "i Q J (,).
Input </</ (CO
50/~ Ll\,~lt:/,I~ '1,
PilotType HOT SURFACE IGNITOR
Pressure 2; S C02 ')
Input CFH dJ ,02 ~/
S1ackTemp If) ';; . CO--l5'
,
Date Tested . \ \' . )
Company BURNSVILLE HEATING & AIR CONDITIONING
Technician 'y,' . .
Ii,
"- \,'
k-)"~
,('or> {jfurf' 1>1~ 1'/,,<, I
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)il' FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
----
( (j()5c
"'--
DATE TIME
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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)
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~~ALL FOR REINSPECTION BEFORE COVERING
Inspector: . f1vr/ &,. ~~tf5. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE nile
SCHEDULED
K> 1"3
ADDRESS
J7){ '}
(!J vf( Itt5
OWNER
CONTR.
PHONE NO.
PERMIT NO.
5.<>-71
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
W' PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
I r'l HIllA
rOJ?tAR<::;
i -
o ~ATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: M 8-1 J, - cf)Owner/contr:
CALL 447-9850 FOR THE NEXT INRPECTlON 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOn
(Please.!VEe or orint and sign at bottom)
I ADDRESS
SOl3 ZUJ.r=~
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
HP/61-fr5
/ tlIt-l L
Date Rec'd
Q/)
S-ifO
I PERMIT NO. tJ .~ - 3 7/ I
I. White
2. Pink
3. Yellow
File
City
Applicant
LEGAL DESCRIPTION (office use only)
LOT Z BLOCK3 ADDITION 'hmBCI1. fACSr /!t;/JITlOY\.
ZONING F'fflce use)
put
PID' 05'- LfoJ.- 00s>J
OWNER 1,}).. r& }../om es IJ~ Il7n
(Name) (Phone) e6/- ~.s2- S20a
(Address) 815 IJ!o!Z1tlWa:r ?,<,wy : .5lJlrc- II/O( 5'Af,A-11 /J1n, .5S/Z1
-.
, BUILDER \~/t1J?&-
(Name) (Phone)
(Contact Name) f!uJ2F ZIASCHUD (Phone) 6/2- ZZ/ - WJ-5
(Address)
TYPE OF WORK
/
~New Construction
o Misc.
DLower Level Finish
PROJECT COST IV ALUE (excluding land) $
o Fireplace
DAddition
DAlteration
DDeck
DPorch
ORe-Roofing
9~ &.s-
ORe-Siding
DUtility Connection
I hereby certity that I have furnished information on this application which is to the best of my knowledge true and correct. I also certity that I am the owner or
authorized agent for the above-mentioned y.vy....~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
;te,~pO~/:?7~::::?; JX- /371 3,~td~
. "" Signature Contractor's License No.7/.. /Date
,
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
I $
$
$
$
$
$
$
$
9tJ,lJdd .(jo
9.:J.3.7S
ft;tJ(!)'~f
~5'.OO
/00. DO
II!JO.,.,O
.35'. S"d
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This Application Becomes Your Building Permit When Approved
Building Official
~t.3
I Park Support Fee
I SAC --==-
I Water Meter ~";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
~",., / /'f
I Paid ;-;J -.J ,t::, / I.P-
I Date II ~ .:::2;;t..-?,
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1
$ sY'i4- ~y
I Receipt No. Uf/:J-/'1 I
By ~, I
J
#
#
#
#
$
$ /27S.0()
$ #<:0. (} (J
$ LIt;;; 0 lJ
$ 12.00.00
$ 76d, tJc
$
$
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
~~y :h: Ci~ P1i:;;: tempo'~ ceru~::nm:o;limce and allows cons~eemeMain' Pileccupan~ must be
- Planning Di,ector ~ ~ Special Conditions. if my
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
6- 6-03;10 57AM;
;952 894 0925
# 3/ 4
.
CITY OF PRIOR LAKE
HEA TINGI AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
;~:::. ~::y. I PERMIT NO. . ^ - -:2. -If
3. YellDw Apphcull ~ V I,
(Please!Y:E:e or print and sj'!Il at bottom)
ADDRESO 13 BJu-rr
HIs.
----
I r.
ZONING (ollk. use)
LOT
BLOCK
ADDITION
PID
:i
I
LEGAL DESCRIPTION (ollie. use only)
PILuJ'J
'Sw-k /L{O
(phone) (0 '5 ( - LIC;,) - 5;;;CO
C;-'f1;jQ.;'l'7/ 111 rtJ ~51 ;) I
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APPLICANT
(Name)
(Phone)
Burnsville Heating & All.;, mc.
12481 Rhode Island Ave. So.
SavElge, Mt-tAlil5aJtl-1122
(Contact Person) ......\ \A L...\ 'Z
APPLICANT SIGNATURE _kvj..G.. Q ~ . ".""'""
"--J '.
, . APPLICANT PLEASE COMPLETE BELOW
1l!O.NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL Lf-1/lfVf5'( (:?;l r9 Q~ -SO FUEL Novl-. qas
FLUE SIZE RETURN OPENINGS 5 INPUT 50. O()Q OUTPUT L{ b ~ 6 DO
(
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants 0 Steam
OGravity .A c-I 0 Hot Water
o Mechanical . ~'UJ f' , L 0 Radiation
agU.ir Conditioning I b Pt c... 6 ;;2..'1 0 Special Devices
OVen!. System ()... TO N 0 Other Devices
(Address)
(City) (Zip Code)
. (Phone) q)2 - ~9 tf - 000 >"
to (lolo~
t
DATE
I
;''i[
PLEASE NOTE:
Air Conditioner Unils
Cannot Encroach into
Required Side Yard
Setbacks
I
FIREPLACE MAKE AND MODEL
Industrial. Commercial &. Multi.FamHy
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
,.~
Date
Residential, Additions & Alteration, SU,o"'l $39.50
Residential, AC Only ~ "0 ,}39.50
~ 'V"fll
Building Pennit # , G' ;O~ It
3\ 85~ "'1J, .~ bl~ttckr
'-H/~D
~~~~:ceiPtNo,
e JUN 1 0 2003 ~.
$
$
$
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It!
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II
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Residential, Heating & AIC (New Construction)
Residential. Heating Only (New Construction)
Estimated Cost $
Li.100. CO
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Orticial
I
tt _..I
I
I
(Office Use Only)
This Application Becomes Your Building Permit When Approved
;i
24 hour notice for all inspections (952) 447-985 ~; ~~447-4245----=
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Th.. c.......'Qr .,...1..... ("aOllllry
See Main File
Whit~ . Building
C_ ~:an:arv .. Enaineerlna::"'
"Pink . Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
r()I' { i i _
'r!' "./ , - ...- .-;;J ''.J f "j ,,\ '\ ,.;...;.......
. iJ.! C ~~. '''';''7/) j' ii" /.._.J
APPLICATION RECEIVED
<;..:' -
,
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0'~J-' v' -~'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
, r).. ;".
~--,) ,.' :~ ,-_,~ _-(-. . -' --.J-.
~ ;J.' I.~__. {- ,', l,(, j' .'1-.;--/
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Accepted
x
Accepted With Corrections
Denied
Reviewed By:
~
S'C:e /fZ,t'y" F,i,._
Date: "I-::J./-03
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 - Building
Canary - Engineering
cfIln"k - I'lanm~
The Ctnlu of Ihr L.kr ("ount!'}'
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:
,;
/ -'
,._,
~
II I
./ /
L....
,
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
~
..
~
Date:
q ~/ /07
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
C:::::White - t1uilOlnQ )
"t:anary . Engineering
Pink - Planning
TIl..C-..nl..,oflhpl..hCounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
P tLl+t> / ~ VV\ L.S
,~- C)?-f/3
The Building, Engineering, and Planning Departments have reviewed the building permit
appUcation for construction activity which is proposed at:
~tJ/3 R/iu-FF I/-ts r m/L
/
Accepted With Corrections
Accepted
Denied
Reviewed By:
~ :;;~f.J
Date: c//r I ~ ~
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."
Apr 04 03 08:44a
METRO GENERAL SERVICES
763-428-2868
p.4
,
GIIEE.. JlII..l.
'fELLOW - a.",UCAIiIT
QOlD . elT"
Sewer and Water
contractors must
be registered
with the City.
APPLICANT: Y'Y\.o1M ~o~~~I&~PHONE~ 71, ~ - t./xi~-d..93g
. /NSj,VYl/CI-lAI":L.;YllN 111:1."_
ADDRESS: ~'1() (.:JU~HV\ {)L"7AR. lJE.. 55311" DATE:~3
SIGNATURE: \. 1lo~;:S2 (Z.# BLDG. PERMIT ~
SITE ADDRESS:_51l 1-;;'W~'lf-J14~~
.FILV'IN THE BLANKS
1. Estimated length of water service ~~ feet.
( II
2. Size of water service I inch(es) .
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
FAA '75.1...- 'I'I7-'1'1Ar
S.W.No. 3- 3 7(
NOTE:
3.
Location of any couplings
Type of sewer pipe. ABS
from structure c3 feet.
PVC~' Cast Iron
4.
'--
5. Estimated length of sewer line
5?\
feet.
6. Clean out (if required), located at feet from
====::::::~::~================~~~===============================
This application becomes your permit when approved.
DATE:
BY
(
========f7~/r~=~~~=============================================
FEES~' (1 Id P-,"_e-M ,i- sewer and water 1 ine connection permit.
~ ~~;) Surcharge
NtJ~ TOTAL
* Fee for either sewer or water individually is $20.00 pluS
$ .50 surcharge.
* Sewer and.water permits' issued for new construction must be
record.eQ-:::: '::1:: ="L:.~~~g permit card at the time of issuance
r:,"~::~lE~~ ~~ ~'~Iic.te "ewer .nd w.ter permit" .re
DATE,~EAID UU APR 0 7 Z003 ~I AMOUNT PAID A
'RECEIPT ~
6y_--=--
REC'D BY
'16200 Eagle; Creek Av, S.E., Prior Lake, Minnesota 55372 (Ph. (952) 447-4230 I FAX (~52) 447-4245
An EqualOpportunity Employer
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AP?LIC~."'T PLEASE CO.'dPLETE BELO\V
T:---pt: I)f F'i:l::t'urc I r)'J:.:.nnr"1 I
eJ:~ '("'JI) '."r:: 'Jr Wlt;\'.l,j( 5~':"e~ I' .'7 i R.JU~~-Ir.~
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I LJ. un...: r:. Tr.:.:i r. I '.jr: ';::'r.:i::.:.r:~~:I[ ;lr,:, ; ~c:..\lJ.;;': E.:~~:::'r
S;,owec 5(:1/1 I Aack,law Ass~:nb(v
5inksi Backrlow A;se:n~I~ ~es,
Bar Sink I lawn Spnnklec
W:lCec Clcse: IT 011,,:1 I Orh"c .. ,
T'pe of Fi~:"c':
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tr:CU.:i':~:'!, C.-:I":1:7::::"~:Jl &.:-V(ultj~f:'r."1dy I % or" joo >:O$t 'NiL' ,1 S::i9.50 minimu:-a
romc:c:t:lo:Or:ly)
Rc:.sidc:tn::1L New One & TIWc.r::unily S99.;'0
?.'::>:~:::l8.!. A-.tc.i::cn,:,:.!=. ..t::':::'~:ur..:; $':'1 ;:G
E;j~ir:1;,H':~ c.J::~ :$
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F'lti~CBING PER.'-UT FEE :s
STATE SURCH.AJtGE :s
TOT.-'.L PERl'tIIT FEE :s
.50
This Applit:Hioll B..:'Corr:.c:s You.\'" Buildin:; Permit Wh~n Approved
Rec::p< t-io.
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al.lildin~ omd.:r.'
1713/Z0 . d
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By
Jt"~ I OJ SIN I e:wrr 10f",.::I I lor-I
~~,~, Z00c-,0-^~W
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS .s (J I J BIIA.. -F F tJ+s r trtt i L
NATURE OF WORK Nt.Jtu c,oAJS "'t*UC + j oAJ .
USE OF BUILDING .s F 14
PERMIT NO. ~ - 3? J . DATE ISSUED
CONTRACTOR f!./A",/'/-e. !-'lJ,...$ PHONE'-I^-...::ll LItIS'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMEf~T ~e Main File
BUilDING AND INSPECTION
IN5PECTDR
DATE
, FOOTING Na~ I i
I FOUNDATION (Prior to Backfill) i"-'v""- I I j
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING .,Jew cc...c'"
INSULATION
ELECTRICAL
PLUMBING
.
HEATING (if required)
""' FIFlEPLACE
GAS LINE AIR TEST
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
NOTICE
This card must be pDsted near an electrical service cabinet prior tD rough-in inspections
and maintained until all inspections have been apprDved. On buildings and additiDns
where nD service cabinet is available, card shall be placed near main entrance.
~
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HAS BEEN
?f-lL-{-ib
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SIGNED
FOR All INSPECTIONS (952) 447-9850