HomeMy WebLinkAboutBuilding Permit 03-0372
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
[;- 2 ~
ADDRESS
SGrs- (jJ(~ /-I"" k tfh:.; i
v
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
"FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
-----
(' /ju~c
'\.
"'--
1M
:?- ~74
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
- -
')
/
~
~.
J.--r1 4>
I
-----
I WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~ - g- -~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
~ .b~~oo-Q
BVHNSV'~~E 14':-'0
Heating & Air Conditioning, L.L.c. ..,1 f"'
12481 Rhode lslan~vag~~, M~ 5~378. :~~-J~~O,O~5 ,: (. \ ' <:
Orslat Test Report for Jobl ..r-~ ~
Address ..r;-'OI5'"' 81... Cc ~ ~~ \ City~
Occupant
Dale of Install '7;' Jy~
Type of 1<<. F/A . ~ Space HT Unit HT
Other
Make
Model
Serial
Input
~nD~
h<::JnJ? ...~<:'LV~-I)I ' )
..
'S'r,<.-r:> F <'j ;~ Ir~
'1'1"'("'<>
HOT SURFA~E IGNITOR
Pilot Type
Pressure
Input CFH
StackTemp
?, I/"~ /0""";,
BuhNSVILLE HEATING & AIR CONDITIONING
5,,-~0>-"\
,~ CO2 .'
L( l 02 /,j
"
.' , CO ~ ','
(
Date Tested
Company
technician
\..~
, .--..-
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
~/,)
TIME
SCHEDULED
ADDRESS
S(y s- (!. It fi- t-+ <;
OWNER
CONTR.
PHONE NO.
PERMIT NO.
X -J/L
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
9'l'LUMBING FINAL
o MECH FINAL
o EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~
tit'Vl1dLK
~./?5
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 11/ f['S- --V':>Owner/contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lN$1lOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
?-C(m
ADDRESS
J;J(S fJfuf:r H45
OWNER
CONTR.
PHONE NO.
PERMIT NO.
"3-372
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
CJ ~vla~
?''''''''? l.i.?
o WORK SATISFACTORY, PROCEED
~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~7-q'07 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOn
1 _'_m___._ -~----,----..---..".-",. ...-
CITY OF PRIOR LAKE
INSPECTION NOTICE
'7~~~
SUI'S- R<.J1<-r ~ Ifr-
TillE
SCHEDULED
z~-~
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
<, - "3 -rz.-
o FOOTING
o FOUNDATION
~MING f<-
o INSULATION
o FINAL
o SITE INSPECTION
I
COMMENTS: I.
~UMBING R1~ 0 EXlGRADlFILLING
)IHIeCH RI N 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP SlI~PLACE FINAL
o PLUMBING FINAL ~LINE AIR TST
o ME~FINAL 0
(.1.- ) J.,..;, !AJ{.74/'~
....,
i--
~ '
'r_~ f'
~ =-
1'-",- - '-
. )
oi
/1J,C{jcA-l-t ~
o WORK SATISFACTORY, PROCEED
jRlCORRECT ACTION AND PROCEED
o CORRECT "f~CALL FOR REINSPECTION BEFORE COVERING
Inspector: F-.. ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Il'iSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
Date Rec'd
I. White
2. Pink
J, Yellow
File
City
Applicant
3-d$/3
I PERMIT NO. tJ 3- 3~~
ZONINclmceusc>
puD
(Please '!ype or print and sign at bottom)
ADDRESS
SOlS-
:.gU,{FF )J~/hNrs '/ tL+J L..
LEGAL DESCRIPTION (office use only)
LOT / BLOCK3 ADDITION -1Jmb4t 6u.sr A-PtJ/TlOit
PID/l5~- L/t?J- Ot/7~()
OWNER
(Name)
1t J...,.-E. )/OYYlGs
8/5' l/Jo/Z1llWlSl
~ P Y11H
lK/JAI
I
(Phone)
~sI-41S2--5Z0D
fYI", 651Z-1
(Address)
SuIrE.. /lID,
UbA-1'\.
BUILDER
(Name)
(Contact Name)
(Address)
SMI1 F-
e 1/ JZ.:r
1> U<V!U JLn
(Phone)
(Phone) j~J.z2..?/ - #9~
TYPE OF WORK
Oi(N ew Construction
DDeck
DPorch
DAddition
DRe.Roofing
ORe-Siding
DUtility Connection
DLower Level Finish
o Fireplace
DAlteration
DMisc,
PROJECTCOST/VALUE (excluding land) S
~q 09s-'
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
;teruPZP;r7ZdinSpeCti~ i3~ - /31/ shk
.# - ... 7 Sigrlature Contractor's License No. / lDate
I Permit Valuation 9~{ 00", 0 () I Park Support Fee # $ I
I Permit Fee $ t:JZ.3.7S I SAC # $ /;)"'7~"o I
~
I Plan Check Fee $ /(JCJ()'44 I Water Meter (Size 5'/82)1"; $ .,;l:$"'O, tJ 0 I
I State Surcharge $ 4.c;,oo I Pressure Reducer $ +'S-,OO I
I Penalty $ I City SAC and WAC # $ IZCJo.OO I
I Plumbing Permit Fee $ /174,(10 I Water Tower Fee # $ 7(M.O(J I
I Mechanical Permit Fee $ 1ff}{1. t!l 0 I Builder's Deposit $ I
I Sewer & Water Permit Fee $ 3S.5'tJ I Other $ I
I Gas Fireplace Permit Fee $ ~", 00 I TOTAL DUE . $53/~"~ I
I Paid 53 Il.j~ 69 /'1
This Application Becomes Yow Building Permit When Approved I Receipt No,t.tW_fff'j'
~ -:f~~ ~hiaJ LDate It__~.-',__ r~ Bv r"
I
Building Official
This is to certify that the request in the above application and accompanying documents is in accordance w2~ Z~minsr~ce atW may proceed as requested. This document
:;:~Plann?;:;;:omY C~fiC;;f;:Ao;liance and allows cons~em'IVlmnCY' PiIeoccupancy must be
- Planning DIrector 0 {Jate 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
White - EJ~!!~ng
c ""i:lI~at-v - I:IIYllleerln.a:-""
PlnY . f>lanning
Thf Cpnl..rnf Ihpl.ek.ColI'ury
BUILDING PERMIT APPLICATION DEPARTMENT CHeCKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
i) ! I /..f- (~.
r- I.,,'\.. J ........
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<.-,.(,)(- C,-<.__i
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
j) / i.( IF 1/ ..J-<::;. ,1;- -i::? i!.
" , i .,-,./' i, /. ~ .
,.,,,- I ,-,_
2.., ,/) J /,
"'=; _.-' i '___j
Accepted
Denied
~
Accepted With Corrections
Reviewed By:
Comments:
Im-IJ
~e.... tYlc",^ .h'tr
Date:
LI-J../-o3
"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."
~1
See Main File
~hite - Building '""J
-caria-ry - Engineering
Pink - Planning
Thf Crnlf. of Ihr L.k. ("ounll'l
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
{) I ~ 1+ e. I-/-() m e-S
.
3- /}..g- cJ3
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Sa/S :J< /u.ff III-s Trcv'!.
/'
Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments:
~
?~~
Date: ~/h'3
"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,"
..-=-...w."................~__ _
~~..
See MHln File
White - Building
Canary - Enqineering
cPir'lk -Plann~
TIIII' ClI'nlll'r of IIIII' L.h <-.ounlry
~
~
NAME OF APPLICANT
BUIL'DING PERMIT APPLICATION DEPARTMENT CHECIq,JSI
,
jJ
,J / (
/~f. //
I ~
j<ii
<:
I
"-
.'
< APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~'
i I I c
"
'.C'::>-
/
"I L
J';'.."
"
."".
........,
Accepted J
, ,
Accepted With Corrections
-----
,\;o;,~,~
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.v".
Denied
Reviewed By:
.~
r
~ ,.I}/-;
Date:
~/~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."
Apr 04 03 09:44a
METRO GENERAL SERVICES
783-428-2988
p.5
o~ PRIO~
,~/~E
GRUM - FI.E
VE.LlOW .. .,,\.IeuT
GOLD - ClT'"
NOTE: sewer and Water
contractors must
be registered
with the city.
APPLICANT:Yv\.o1fl'.o ~~~.PHONE: 7t,~ - tJ....a.5?-d;l.'}38
'rN s,r'YlICl-/i9ELlmi'fLJ:2"~
ADDRESS: ~CjO l-J.IL<lHVI IIL-1A.L }oJ1,=... s.STlb DATE:~3
SIGNATURE: \ ....'0,.., ~ p~, '.' ,B~DG. PERMIT #
SITE ADDRESS: Enl S tslu...~U-Q,:t:-r~
(; .
FILL, ~HE BLANKS .
1. Estimated length of water service ~~
2. size of water service [ If inch(es) .
CITY OF PRIOR LAKE
SEWER' AND WATER PERMIT
FAA 15';J.,r Jf '17-1/ ~ I/r
S.w. No.
8-31JA,
feet.
3 .
Location of any couplings
from structure c5 feet.
PVC~' Cast Iron_
4.
Type of sewer pipe. ABS
"-
5. Estimated length of sewer line
S?\
feet.
6. Clean out (if required). located at feet from
====::::::::::================~~~===============================
This application becomes your permit when approved.
DATE:
BY
~
========f7:lr~=~~~====~========================================
"", a tl1J5i- Sowo, and wato, Uno connoction pmit.
~ ~_. Surcharge
Ctlfo f-"ee- TOTAL
* Fee for either sewer or water individually is $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
I~s~"[@' {[f'.lJN~~J .t~~'['licate sewer and wate):' permits are
I:IUI/ ~~ Ifh.....
DATE~PAli AMOUNT PAID ~~~~
. RECEIPT REC' D BY 0/' ~~
\By' Y
.,.'
16200 Eagle,Creek Av. S.B., Prior Lake, Minnesota 55372/ Ph. ('151) 447-4230 / FAX ('152) 447-4245
An Equal Opportunity Employer
r0'd lIJ101
I
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CITY Of PR10R LAI<.E PLt').fEr:-:G pi::R..\IIT
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T.vpe tll' Fi.uurl.: J QIJ:Jnrir-.. I
c;:z~~ T,J{j ......\e:1 \;r WltlhJut jMI:I,....t:::'" I. '1 . j R,1U~n~jn~
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I i L,:n.ml.:.r;i T r~:.. i I rJr : 1.",t;!":-:r.:.:r.:7lo::::tt ;lr,:, i ::)~""l;;~ E,i~~:\1r
(' I ::ii1owe~ S,,,II I S:lckrlow Ass;':ncly
( ISink5 i 8Jckrlow Assembly Te~:
I BJl'Smk i L:lwn Sprinkle~
I "":leer Clo~eq Toil,,:1 I Ueh,,"
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(nt::I;':;,:-::L1. Comr.:e:::::1l &. ;\'{t.:.Jti..r'J.rnily t % ofjoc C:l:it ,....ic~ 3. SJ9.S0 minimur.1
R.:.sidc:1ti:1J. Nc:",v One: &: lWQ..F:unily S9':l~!)
K.::.::~.;:u:::ll. .""~c;;:cn.:i J.:. A::~:-:.::cr::o $;9;0
E;;~if':'l.ace:.! C~~~ S
er.:ii~i~;; P::illit.-::'
b/q~ ,o-fJD 1.0.
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PLU1v(B[NG PERMT FEE S
STATESURCK~GE S
TOTAL PER."ID FEE S
.50
r
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-
I Roo::pe No. - -!
IB~ ~
r0/rO'd
By
Jt..jIOJ8Nrt:1t~11 lc:lf',.:;j I IQII
i[:ST [00c-T0-AIJW
6- 6-03;10:57AM;
f~~
....IN'-ES01'"
;952 894
0925
"# 4/ 4
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
.
: ~:~, ~::, I PERMIT NO. 3 - 3 7",1
3Vellow Apphcalll ~
(Please'!ypc or print and silO1 at bottom)
ADDRESO /5 61llrr
Hfs.
fr.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
PILuJ::1 ,
'Suj-K IL( 0
(Phone) 05(- L/:;).-5;)CQ
(:iJf)(}.j(I, 111 rtl ';;51;2 (
)
APPLICANT
(Name)
(Phone)
Burnsville Heating 15< N.... lnG,
12481 Rhode Island Ave. So.
Sav1iI9111. MN:A9ILaiB-1122 (City) (Zip Code)
(Contact Person) '.-\\)'cL.\7 . (Phone) Lr'52-~7l(- ooos-
APPLICANT SIGNATURE ~\.~ Q ~ I" r--.. DATE ~ / to ! o.:s
, . APPLICANT PLEASE COMPLETE BELOW
, lXlNEW CONSTRUCTION 0 REPLAc;;,EMENT 0 ALTERATIONS ../
FURNACE MAKE AND MODEL L-0t0 f1;tJY b~ G Q~ -SO FUEL f\J OJ, qC{)'
FLUE SIZE RE1URN OPENINGS.5 INPUT 5'01 om OUTPUT L{ b ~ 6 DO
TYPE OF SYSTEM HEATING OR POWER PLANT
(Address)
.~
,
~
OWarm Air Plants
OGravity
o Mechanical
~ir Conditioning
OVen!. System
VA1'f1.%1-
Ibf\c..6;1..Y-
~\DN
o Steam
o Hal Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
I
FIREPLACE MAKE AND MODEL
Residential, Heating & AlC (New Construction)
Residential. Heating Only (New Construction)
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39,50 minimum
$99,50
$64.50
$39,50
Industrial. Commercial & Multi.Family
Building Omcial
Dati"
Building Penni! # I
.3~~5~JII1J. V)~
<-Ir;~D
~, I
I pai~) ~ \0 ~ U ~ 'ite t No.
I Dat~,m JUN 1 0 ZIWy j
$
$
$
~ A $39.50
~(), ':Ifl() $39.50
~G'11h....
,o~~
D\,Lrtb.r
,7(
Residential. Additions & Alterations
Residential, AC Only
,~
I
I
Estimated Cost $
L.j ,100,00
,
HEATING PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
(orne< Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447.9850, fa; ,\(952) 447-4245_,-----
Sv_----
It-.-
'1J
PRIOR LAKE DEPARTMENTOFSee Main File
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS StJlS 8/~~r )Irs T~a.jL
NATUREOFWORK .N1!..w GQ~S fl"uc..:t-ioA..J
USE OF BUILDlNG SF ,tI
PERMIT NO. 0 3 - :3 .., ;>.. . DATE ISSUED. .".
CONTRACTOR PlAJt.. ~ PHONr6aI:1... ,il;;U- tlfi'5
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, FOOTING Mo..", I l
, FOUNDATION (Prior to Backfill) ~ I j
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC ~l\1\ I ) /
FRAMING I I:r<.n. 7/1/&3
INSULATION, I M'/ '7~{{}U7 J)~..:.X
ELECTRICAL "f I I
PLUMBING /t!.,4- 11 It./o3
HEATING (if required) i-I..J...- 11hlt!13
FIREPLACE ,I
GAS LINE AIR TEST I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS ~_
GRADING (Prior to Sodding) I ~
BUILDING I f1/y/ &-l6-tIJ
ELECTRICAL 1_
PLUMBING I 1M./' <<;Sf ~ '-f)}
HEATING I VW s< _ /44I
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspection!
and maintained until all inspections have been approved. On buildings and addition
where no service cabinet is available. card shall be placed near main entrance.
INSPECTOR
DATE
FOR ALL INSPECTIONS (952) 447-9850