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
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.' .,_..,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!
"""'"'