HomeMy WebLinkAboutBuilding Permit 03-0223
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'. DATE TIME
CITY OF PRIOR LAKE cti&
INSPECTION NOTICE SCHEDULED
ADDRESS t718' ).. Dt"~r (,../d Dr
OWNER CONTR.
PHONE NO. PERMIT NO. 1- JJ.. 71
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
D FRAMING o WATER HOOKUP D FIREPLACE RI
D INSULATION o SEWER HOOKUP o FIREPLACE FINAL
..wl'INAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION .Ii' MECH FINAL 0
COMMENIS~
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~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT Wo;~LL FOR REINSPECTION BEFORE COVERING
Inspector: lIL-.!1:/ ,-()] Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS
/11. ~).
SCHEDULED ~~~<-
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
~ -Ll ~
o FOOTING
D FOUNDATION
o FRAMING
o INSULATION
D FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
D COMPLAINT
D FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
D
COMMENTS:
ra'll/~I/'I r-Ol)(f6Q!7<;
p;. (}v\ f).uk '....
f'/" WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~'i,? CALL FOR REINSPECTION BEFORE COVERING
Inspector: tl r Z - )f-rI7Owner/contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please'!ype or print and si211 at bottom)
ADDRESS
11?>~2 ~"')..l\;"~ SE::.
Date Rec'd
J,y]
~-
I PERMIT NO. o3"'ozz3 I
]. White File
2. Pink City
J. Yellow Applicant
LEGAL DESCRIPTION (office use only)
LOT\OBLOCK 3 ADDITION'D,AtptA qrr-
OWNER
(Name)
(Address)
(Phone)
I ZONR~ffi'euse) I
PID l.f') - 400 -OSI - 0
BUILDEIr."'\'7) \, .L.. _ -r .
(Name) -V"". t'W""-\lJYl .J.V\(... (Phone)"'lC;'l~~S-1~09,
(Contact Name) TXGve. Lv,t.-ICslh\ (Phone) '1 Sz.-2.2./", \.~~~
(Address)Zon 1/ \_, \ _,....L 1 ,,, ',1,
, I')t.O~l..cA.I',rlcJC' ex. ..:ne..I\)() ~~\,U.jV\r'\ 'O9:)'l4
TYPE OF WORK ?fNew Construction ODeck OPorch ORe-Roofing ORe-Siding
DLower Level Finish 0 Fireplace DAddition DAlteration DUtility Connection
o Miso. PROJECTCOST/VALUE (excluding land) $ lot/fet'?
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 loca11aws and will proceed in accordance with
sub plans. I am aware that . ding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
ent upa r.~t'-.~J to P 0 neede spections.
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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
! Gas Fireplace Permit Fee
II tJR IJOa, Of)
$ /tJ~Y.5S
$ Id 7~,(JfJJ .
$ 5'/. (JO
I $
$
$
$
$
/00,00
/00. 00
35. So
~(),O()
~
This Application Becomes Your Building Permit When Approved
1~p
e2p 1/0..3
IJ!rte
Building Official
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Contractor's License No.
I Park Support Fee
I SAC ",.---,.
I Water Meter (Size5LB1'; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
I Paid t., 7&> 5. I /
I Date 3. z-V~.:J"
#
#
#
#
""-7-03
Date
$ ?50,Oa
$ 12. 7S-, 00
$ d1.')0, 00
$ ~S' 0 0
$ /'2ao.oo
$ 7tJo, () a
$
$
$ (,3&3. / /
I ReceiPt/t\1o. "17 ere, L-
By ""':T.-
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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
:~ :zt~J-.)
Planning Director
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SpeCial Conditions, i~;
24 hour notice for all inspections (952) 447-9850, tax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
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Job Address
Heating Contractor &~r *&K
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7:36'
31nrJ '7
Name of Tester
Date
Percent 02
Percent CO
Percent CO,
Stack Temp
.//382 ~J.t:.w1
Combustion air is adequately supplied per
UMC Sec. 606 j:P5
input SC1aJlJ Is 7U
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See Main File
White . Building
Canary . Engineering
<""pink . j51annl~
Thr ('rntrr of Ihr Lab ('ounlry
.6.!.ULDING 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:
i --/3 2' 2- i C L t is Li) D i( i '\; t:
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
~ :f,;,p-;J
Date: #;./ A3
,
Comments:
,
See Main ~'11e
"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
a..narv - EnalneerlncL:>
Pink . Planning
Thll' ('lI'lIu~r..1 th..I..1r.lr Cltalllr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
[) 2 H OkTo~"j
Z- - 12._- 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i ---, "/ ,,....',. ....-.\ .~ --., ~_. ':-~' .-_.' '--. L :-..... .... - . --
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I } _" (../ ~ .-' \ r"c' K--: \,./ 1 .~- _I -) re:. \ \/ L./
Accepted
><-.
Accepted With Corrections
Denied
Reviewed By:
IY /-N3
See. !l1C,I'r1
Date:
'1. -) 7-0 J
Comments:
(;'1e
"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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F8b.17 20iJ3 li4iAM
GENZ RVAN PLUMBiNG AND HEATING
No.1670 P 4.11
Date Rec'd
~~ PIUO<t
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~(A{"ESO~"
CITY.OF PRIOR LAKE
SEWER AND WATER PERl\UT
; ~:;,;::.,~:;.. I PERMIT NO'A3_0"" '<-I'
~,Oold Appllc.w U ~
(Pl~#!. ~e: or print lmd sjJ.tll at bottOlll)
IA7~3J~ &dLfeJd
iJl€. &;.
ZONJNG (offi<:, we)
LEGAL DESCRlP'TION (olli" u', only)
LOT fO BLOCK . ~ ADDITION
~f;elJ f)~ St:.
PID
OWNER,
(Name) l'll;' J.1'n.....-t-....n-C...'?":'':':':':'. ~.':'~
(Phone) _ q(~.q.'15-13r"/\
(Address)
2oUllO KeVli~i<..\lX:e C:r Sr-,..Jf\r\
(Addx'm) -
/.fJ.'LL~ I lie....
(C;ty)
Vj6"j..j Ll
(ZIP Cod.)
. APPLICANT
(Name', Genz-Ryan Plumbing & HeatinJ;
(phone) 651-423-1144
(Address) 14745 So Robert Trail
(Address)
Rosemount. !IN 55068
(C,ty) (Z;p Code)
".!CANT SIGNATURE
-
(YLt't;[J~yglt-o
(paone) 651-423-1144
DATE _.....02 ~/</-~3
(Contace Person) .
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of sewer line feet.
Clean oul (if required) located at ._ feet from. structure.
feet.
o Cast Iron
ResJdential sewer and water hne CODJlectJOn
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & MuleHamliy 1% of job cost WIth a $39.50 mlDuuum
$17.50 Water connection only SI750
Estim ated Cost $
Building Permit #
SEWER ANP WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
5o~WITH
BJI.DING PERMrr
(Offi,e Us. Only)
, This Application Becomes Your Building Penult When Approved
'-...:;,
Building Official
Dateo
.
~;rd(~ Ie,' I)
Ur i DMf'lR"l' 3
liJ II: ~!l11 Receipt No.
c'003 ii !~ By
L~
24 hour notice for all Inspections (952) 44~~f,x.i2S2)~7-4245
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hh 17 2003
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11 : 41 AM
GENZ RVAN PLUMBING AND HEATING
No 3670
P 5. i 1
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. all.... Fij.,
1. (iQld C,ty
J. Yellow AppJ\a.nt
I PERMIT NO'03 -ozz31
(,p~3~e rype. or PriDE: and S1?,I1 at bottom)
I ADDRE/-';;3 0L1
.., D~ ~.fje(d LJe of.
ZONING (,Ilie: ",oj
LEGAL DESCRIPTION (ollice u'e only)
LOT 10 BLOCK3 ADDmON
~eY qA.
PJJJ
OWNER
(Name) DR Hon:on Custom Homes
(phone) _.3.E;,7.-Q91i:::...iI:fD()
. (Address)
"")"'',1:;, ~
?-v:;.\.ou
lUViBi'tl Y;>~ CO"
Sre. ! DO
U'V..-Lvdk: VUN .66cl-jLl
APPLICANT
(Name)....c..*\_...~tly"'- P'''m'h.ing.....&......a......,,..~.V'o:
(Address) lJ,745 So Robert Trail
(Address)
(:Phone) . "" Lt.? <_ 11 t.t.
Rosemount ~rn
(City)
55068
(Zip Code)
(Contact PeTSon)
APPLICANT STGNA1VR.E _~.~ b./1
(phone)
65J.-423-1144
DATE
O?::./'J tJ3,____
A.PPLICANT PLEASE COMPLETE BELOW
I Quantitv .;.". Type of ljhture Quantity Type ofFhture '~-1
I ) Bath Tub with or without shower 3 Routili-ins
I Dishwasher ( Water Heater I
I I Floor Drain /2.-"':. Water Softner I
I ~ Lavatory (Balhroom Sink) Stand Pipe (Washing Machine) I
Laundry Tray (I or 2 compartment sink Sewage E,jcctor I
I I Shower Stall Backflow Assembly I
! I Sinks BackfJow Assembly Test j
I Bar Sink Lawn Sprinkler 1
I ~ Water Closet (Toilet) Other I
FEE SCHEDUJ,E
InduSlnal, CommercIal & MullJ-family 1% of job cost With a $3950 minimum R""denn.I, New One & Two-F!Ul1ily 59950
Residential, Additions & Alterations $39 50
EstJmared Cost $
BUll ding Perm,t #
PLUMJ3D\fG PERMIT FEE
STATE SURCHARGE
TOTAL PE.Rl\fiT FEE
$
$
PAID WITH .
50 BUIlDING PERMIT ;
Building Oll1ciol
'OJ L! Wi (" 1J-w R ~
,rf)aid ~~ eceiptNo
I Hta~ v i VlI,j ry
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y-
24 hour noilce for nil inspections (952) 447-985 , . - ._
Do"
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lOCtic!: U~C Only)
This Application Becomes Your Build.illg Permit When Approved
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
#70/7
i~, ~:~ I PERMIT NO. .~ //").. ,,-] I
J. Yellow Apphcant J 0 4__
(Please.!VUe or orint and sign at bottom)
ADDRESS
/73Z-2
Ot'./k/-/ U
ZONING (offioeuse)
<6--
LEGAL DESCRIPTION (office use only)
L01/0BLoc0 ADDITION
PID
g,":e~R D. ';\. Hor+on (l LI Jam
(Address)d()g{P() ~hric\cy- QJ.;
APPLICANT II II. + M h-
(Name) /iLl' Clr1 e~. .lJCt1
(Addressl,3&J5{) J<"'....""~ bee... fro 5+4=>. IF/
.~. (Address)
(Contact Person) ~.r..prp- Z;mmp_r.m.Gl.n
f (l .
Homp,,,,--
Lo..kevi IfF>.
(Phone) C(5f) ~ q <??5 -7..17..l.
Mf\) /5 50J..l 1-/
APPLICANT SIGNATU
(Phone) Ip5/-45:L-,f?7'l5
E Q80Y'J .~5/-22
(City) (Zip Code)
(Phone) (o5/-.l../5~- ~77!'J
DATE
V
APP ICANT PLEASE COMPLETE BELOW
!0NEW CONSTRUCTION 0 REPLACEMENT 0 ALTJ;:RATIONS
FURNACE MAKE AND MODEL 'BrU/1.n+ ~~A-Vb2lJ.D' ('} FUEL l'Ja.tum. I
FLUESIZEtj.IICIa.S% 'EL RETURN OPENINGS A.4- INPUT IO,OCO OUTPUT 6lD.()() 0
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Piants
DGravity
o Mechanical
~ Conditioning
[]!"Vent. System
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
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Penn it #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$ "" .50
$ c::;.'
PAID WInf
BUILDING PERMIT
(Office lIse Only)
This Application Becomes Your Building Permit When Approved r:) L": i@pr~ 0 \fi il! JI
Building Official Date I U Jf.W '2 3 Z003 j J
24 hour notice for all inspections (952) i~y-9850, ~~,<952) 447.4245
I Receipt No.
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PRIOR LAKE
INSPECTION RECORD
SITEADDRESS n~A' ~E!.2.F'i~~ brU"E S'.~
NATURE OF WORK ~W ~~--
USE OF BUILDING ~.F; J.. -
PERMIT NO. {J5 --0 ZZ~ "3 DATE ISSUED AA' OJ
CONTRACTOR 1).". MCUoiJ..tJe,. PHONE _ · ...
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPA~TM'ENT OF See Main Fih
BUILDING AND INSPECTION
INSPECTOR
DAnE
I FOOTING
I\A~;II\ I
i
.
1
I
I FOUNDATION (Prior to Backfill) 'M./).;" I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
1M,:", _
rVr
VJ;( /
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
7~ /'-'1-05
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7(7Ld7
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GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
flIP
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(.;- J-{" ~6
Cf-(G (/1
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
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