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HomeMy WebLinkAboutBuilding Permit 03-0406 DA. TE nile CITY OF PRIOR LAKE J INSPECTION NOTICE SCHEDULED k2I & t tJ3 ADDRESS 3Lf:CJb~. <r'V'tJ. OWNER CONTR. PHONE NO. 3..Lfob o FOOTING o FOUNDATION o FRAMING k 0 INSULATION FINAL ..{ SITE INSPECTION PERMIT NO. COMMENTS: o PLUMBING RI o MECH Rl o WATER HOOKUP o ..aEWER HOOKUP A 17 PLUMBING FINAL /~ ,II MECH FINAL o EXIGRADlFILLING o COMPLAINT to FIREPLACE RI FIREPLACE FINAL ~ GASLINE AIR TST o co~ hCe YWORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ Owner/Contr. . - CALL 4<17.9850 FOR THE NEXT INSPECTIO!'U4 HOURS IN ADVANCJg, CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOn "--~-""'-"'-'" ._......._~,---_.- ',~:. \,"";~'.:.,::' .,,, ,."!., .: 01>. -\.,~, ADOllESS OCC:OPANT HEAT LOU SPLDBY. E.....I..I .w","By tyPE OF HEAT ,~.--'" ,:..,j..'"..~...~---;, "'< ",;"",,,,,,,,,,,.., "".' .' .,_..,r.'..'""",~...' ~ '1-,~...,.~.......~ ., .:'.-.'f":':>:""I""!"'-v"-,......C'~ ,.'.'f,..-b-.:...:'I",.~~~." ",_.~:"..... HOUSE H EA TlNG TEST RECORD DATE HTG. IN$T. APT. _FLOOR ?WNER .IN$TALLED BY CITY SUBURB 1';0. Line By GA~FA_HW_$TEAM _SPACEHTR. _UNITHTR. _OTHER GAS DESIGN CONVERSION "" MAKE I PYlnDK Mod.l Q"!i/IVli>' 3'- t3 - 0 v'> - D I S..I.I ~-J'03,.c::: oV~ 7Y INPUT ---JI,L'" -JoU . r THERMOSTAT Va.'''. LIMit LI..1t S."I~I /frtJ - FQn s.ttin-' Pilot T,l'O /1r/O~ $. I Pilot Mob PiI", Mod.1 PiJt:"'Tl~n. L... C.t 011 P'....r. ::l. -'!i N (' Inp., CFK ~~,va S....~ T_.' "/J"(r For.. 235 COHTROLS Heat Plug Percent CO2 Percent O2 Percent CO -;7 110 "'/0 {)'Y, MAKE OF BURNER Model Max. BTU Rating MAKE OF FURN"'''c Model Vent Size KIND OF LINEP Draft Hood Filte,. Size Chimney Location Inside Chimney Conatruction Smolee. Bomb Draft SIZE Regularor Number NONC Outside Wiring Test Tv" Lighting Inst. Door Pressure I D.t. T.st.d~b~ /'J -~1 ~.", Company'Testin ...J _ ~ /l , Nam.ofTes~r ~/~ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d 3 -I'J" 3 I. White 2. Pink 3. Yellow File City Applicant I PERMIT NO. n'? -0+0& (Please.!.VJ>e_ or orint and sign. at bottom) ADDRESS 3'-10' :SU("Q >>1(') re..> - I Tr ZONING (office use) RISD LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION RL.S rrt:<d b -It= /0 r PIrV,S-- ';2./'i-OO q-Q ~n"nzoo.~ ~ 0(4 rfS' +Fl! 11-F,c--l.. +f' ,0 J9.b-2) {N'} ~ "3 toW - s '5~) '? J- (Address) 3'1c1(j" )''1 ('[JM,-"" e "'y- ,-' ! , ..... r.~ I~' ,.... L.t,// E IN .1_/ I 10 ' II! j /11'11-< '- a J\l:J"'~ ( z) ~JbIZ) 7J.7.'"56",s'/ Y?> - '31--6 ? )"tl/'LS, /1<)",) ~YLf r? TYPE OF WORK o New Construction DLower Level Finish DDeck DPorch ORe-Roofing o Fireplace ~dditiOn oAIteration PROJECT COST /V ALUE (excluding land) S ORe-Siding Dutility Connection o Misc. 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- entioned y.~y""~J and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plan. am awar at e bUil~. g offi ial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may ente~_~ lIte pe ro p or needed inspecti s. /. . ,/ X', ~1L' . .,- ')-.03 bfof~() ~11/J-()d ~.~~u.lC; ~eontractor's LtcenseNo. -, ." Date ;: Permit Valuation 50.000.00 I Park Support Pee # $ Permit Fee $ .. I SAC # $ ~t.../7,. 7~ Plan Check Pee $ 4{H'. 4t..( I Water Meter Size 5/8"; I"; $ State Surcharge $ Z5.00 I Pressure Reducer $ Penalty $ I City SAC and WAC # $ Plumbing Permit Fee $ I Water Tower Fee # $ I Mechanical Permit Fee $ j Builder's Deposit $ I I Sewer & Water Permit Fee $ I Other $ I I Gas Fireplace Permit Fee $ 1./0,00 I TOTAL DUE ClV!ARX) 4-...0-(> ~ $/- / Z 7. /7 I 1 ' This Application Becomes Your Building Permit When Approved Paid /127.17 I Receitll'No. 4,J'7J{p I ~ :(~ J/d-?/o3 Date -Ff-tl? Byj . I U Building Official Date 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 issued. 4-.7.0n Date 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 "" ~\ White - Building Canarv . Enail'!eering (!Sink - Plann~ Th~ ('~nlf'r of lh~ I..k, Counlry 6U1LDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED / ,,/ .~<;..' '._,/ ./) " -< /j':~ . "".- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ---",. ..~ Accepted 't. Accepted With Corrections Denied Reviewed By: ~\L- Date: ip 7 - 00 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." <White - Buildinv Canary - I:nglne&nng Pink - Planning ThO' (-,.n.... of ,h.. I..k.. Coun_ry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ILl~~ f/ '- ~.- J?-03 APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3 /-Io~ '--~/U-0M02fL- ~ Accepted Accepted With Corrections Denied ~ aU (I~, " 73~~ I?~ a.1.P _~ ~ cn....Q ~-~, P, ~ ~ Atb~, m~....') ~ I Date: .~ of/.). ':1/6 g Reviewed By: 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." ~~ ....Yl!!!te - Buildin~ (" Canary - I:ngineeri~ "'11I1\ - r'IIIIUIIUY Thl!'C'l!'nluof I,", 1..kIl'Co,ulIl1' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT . .?'~. ,.. { II ~.' . /,r-- ..:i" ._/' ~" ' .I '/; /G.t.~-f~r.~~J/~' k"- j,J:/"'1',,:i..-(J'?'''-'~ _/'6 _~_.A:,..lI'''' ' APPLICATION RECEIVED :::: - J ?-03 /.;,- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .::_7 1/' I///~ ,-) ~, ("..0 ,,'-;.<.> - ~:"~'I"I./- ,/'',;./''"" /./"::r7 r- ", ._J't~~"- />--/- ,.-", Accepted x Accepted With Corrections Denied Reviewed By: AJJ4 r, Date: Lj-3-03 Comments: See Reverse Side for Additionallnfnrm;:!tinnl ~"'''' A. ttll~hm"'nt>:. 1) Grarl;ng Plan. :;1) Rro>:ion rontrnl Mp",,","P" "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." PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITEADDRESS ,3I{OI. Su~ttE _ T~~/L NATURE OF WORK ,,~ Aj)J)J TliJ~ USE OF BUILDING ~. ~ 0. . PERMIT NO. /23 -{)4.C?7 DATE ISSUED 31.., /0 J CONTRACTOR T"Jli~ CJTv IIttn..-<!eN~n~~-C/AI-~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE:'INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING ~ ---::::'~t I if / 2s.- {Q3 'FOUNDATION (Prior to Backfill) V()~\O-lI~~} 5-(-0"7 / (l~, I 7~1'1>) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN ~IGNED ROUGH - INS ~ 4k- 7/7U<:3 -, II tAfJ3 EATING (if required) 7;J+. & 11- I (/:) FIREPLACE ~ 717 t?3 GAS LINE AIR TEST ~ 7/7 U>3 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS ILDING ELECTRICAL ~'T-.- i HEATING DO NOT ~ tJ;r/~ te3 ~ OJ bOld). ~ ,p/~L03 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 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED /~f~ ADDRESS "f,'ltJ6 5 VtJIfVItJy't OWNER CONTR. fA/; Ilk m :rol..uo"" PHONE NO. PERMIT NO. ('X'r i/t).h o FOOTING o FOUNDATION o FRAMING o INSULATION ~ ","L o Sm: INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL vI!!'" EXIORADIFIWNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASUNE AIR TST o COMMENTS: G,<U:iL j - t9 r /0 ') /~~'V / I ~ {/ ~ f 7/ t)(,WORKSATISFAcTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING Inspector'# ~ --.. Owner/Conlr. CALL ...7-11850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! """'"'