HomeMy WebLinkAboutBuilding Permit 03-0714
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CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
7 / ( /tC;;.>1
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CONTR.
PERMIT NO. '7 71LI
ADDRESS
jf ]7(
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
jZ"FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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.[J WORK SATISFACTORY, PROCEED
.sa CORRECT ACTION AND PROCEED
o CORRECT WORK,/LL FOR REINSPECTION BEFORE COVERING
Inspector: J Mi Owner/Contr:
V .
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn
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,I Y OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
It 114
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
o PLUMBING FINAL
riECH FINAL
COMMENTS:
DATE TIME
2-'?/~/
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
./
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W::K~L FOR REINSPECTION BEFORE COVERING
Inspector: -r V , Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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BVRN~ .".ILLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378 · 952-894-0005
Ors1at Test Report for Jobl 55 30
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Address jV_J <.. i 11'-11": i
Occupant
Date of Inslall ',.; !
Type of HT. F/A x
Other
City I [If' ,f\'/;.-
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HW
Space HT
Unit HT
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Make L l. },' /,( "
Model \ H ('7, H:' c,q ''') c; I
Serial :5 fa "3 t4 3 -~ I {)";)
Input 'H. c"",! "..i
Pilot Type
Pressure
Input CFH
Stack Temp
Date Tested 11 Ie
HOT SURFACE IGNITOR
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--i u 02
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Company BURNSVILLE HEATING & AIR CONDITIONING
Technician l..Q 0
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DATE TIMe
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS
/1, 17G(
('IIIAftu.r~ r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3- 7 Ii.{
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
..er"'PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~RK SATISFAC~Y, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT Wo;r~FOR REINSPECTION BEFORE COVERING
Inspector: -f f/ ( / Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn
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(Please type or print and si~ at bottom)
I ADDRESS
/6377'
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /}...
AND UTILITY CONNECTION PERMIT ~ ",'3.;1D J
See Main Fi~e LWhite File
2. Pink City PERMIT NO. (}j -71 J J
3. Yellow Applicant '1
fl'J13M
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LEGAL DESCRIPTION (office use only)
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LOT r7BLOCK.3 ADDITION
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OWNER
(Name)
fVJ- n- YOrf1lS
,$-/S- Mf2IJ(/()t;sr ~
(Address)
BUILDER C. .llAAA"'-
(Name) ~"'t:-
(Contact Name) ~12r J5t..4-::LH1<D
(Address)
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TYPE OF WORK
o Misc,
~ew Construction
DLower Level Finish
ZONING (office use)
P/LtJ
PID as- L/tJ~ -113-0
SWTL- J ~o
(Phone) ~5J-P5'2-S-Zc.O
,rA-6M1_ m~l
,
(Phone)
(Phone) b/Z- -27/- ~9~
DDeck
o Fireplace
o Porch
ORe-Roofing
DAddition
DAlteration
ORe-Siding
DUtility Connection
,t/q CJ9S-
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 0 cial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;"'UPQ'lopmormO''''''hM OM. p t- - /?'71 ~~~ ~
r~ Signature Contractor's License No. / / 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
PROJECT COST IV ALUE (excluding land) $
90 IO{)~--
$ f??3. 7S-
$ 600. 9-4--
$ 4-~.
$
$
$
$
$
/0 0 --
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35.W
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This Application Becomes Your Building Permit When Approved
~=1~
Building Official
ft:,/z,o J1, 3
,
'Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
6::J I Y .A.. ~
G."'L-'_Cil
# $ . -i
# $/ l7r I
$ r zSlJ. I
$ 4J. I
# $/ --- I
,UJO.
# $ '700 - I
$ .
$
$ 5,3/~. '9
-#
Rece"Bt No. m 7 'f
By I
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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
~:~by.: Ch, ;~;=' -~ C-;:;=~:P_~d _,ro,_ 'S"ee"Maiii'Pile mw'~
Planning Director ' t>ate Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See Main File
White - Building
Canary - EnQineering
~Pink - PlanninQ'"::>
-
Tht' C'f'ntf'r or Iht I.akt ('ounlr)'
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:
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Accepted ~
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Accepted With Corrections
Denied
Reviewed By:
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Date: ~ / w(d '5
Comments:
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"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
~hite - Build~
Canary - E:ngineering
Pink - Planning
Tht ('("nltr or Iht takt ('ouner..,'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ ~ ~
~-3-o3
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(&3/4 v~kW~r OR.
.
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
Comments:
~
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Date:
~/zO!lJ3
"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."
Jun 20 03 10:44a
METRO GENERAL SERVICES
763-428-2968
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WlUN . FlU
YlE1.1.0W . APPI.ICAMT
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CITY OF PRIOR LAKE
SEWER' AND WATER PERMIT
'15.:>.- 'I t( 7-' r.j '" L/~
s,w.No.3/!/lj
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLICANT:~1l:i: ,~" Gl!IJE:.R.Pl. SIrR.v',"~r:oc:PHONE~-4~f....a,'3~
ADDRESS: 5"lJo ~rAfW) AVE..., 10. IE . . DATE: itlN-J n ma~
~ 7.[,. '-rf/ 0 . ,~-= 5"f. m ICH ~ t; L :-m~, ~$ .3"'/;
SIGNATURE: ~ "'"^.~~ .' BlDG. PERMI'!' #
-. ,..., :Jf-:- 11 j ; -"? ." .'~
SITE ADDRESS: / ~ .> 1 L/- f .L,'7,'l-l~ft;, )('P:J~J" D;u. PID#
FILL IN THE BLANKS
1. Estimated length of water service ='C?
feet.
2. Size of water service--1'/
inch(es) .
3. Location of any couplings from structure ()
feet.
4. Type of sewer pipe. ABS
PVC 4-1/ Cast Iron
"-
5. Estimated length of sewer line
5~
feet.
6.
Clean out
structure.
(if
required), located at
NjA
feet
from
====;====;=~=;==~=;====;=====================;==========~======~=~
This application becomes your permit when approved.
BY
DATE:
========~:l.k:t=~~;4=============================================
FEES: ,G /c/.1 fJ..t/H r 7- Sewer and water 1 ine connection permit.
Surcharge
No Pee 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 nn~he building permit card at the time of issuance
~o ins\.~[f~~IffWcrn~ .. tcate sewer and water. permits are
lssued, LS ) rot
. rAID WITH
DATE PAID _. JUN 2 5 ?n03 . I AMOUNT PAID BUILDINQ PE
. ~ /1.,' RMI,
RECEIPT # 0\, REC' 0 BY LIfO-
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16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (152) 447.4230/ FAX ('t~2) 447-4245
An Equal Opportunity Employer
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CITY OF" PR.10R LAM PLC:-.f3r::'-'G PER.'dIT
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PLUMB!NG PER.\,UT FEE :s
STATE SURCHA.RGE :s
TOTAL P.E~"!IT FEE oS
.50
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"i1i;; App/i<:::lCIOCl 3ccr1me:; Y"ur Buildin;: Permit When Approved
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PRIOR LAKE
INSPECTION RECOBtMain File
l.fd-7 · ~r C tc.si- D",-
DEPARTMENT cSee Jlhiin~i~
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR
NOTE: THIS IS NOT A PERMIT FO ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
D J"E ISSUED .
PHO~'a.~'.&fP'"
INSPECTOR
DATE
FOOTING
I
FOUNDATION (Prior to Backfill) fM,,',..1 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
v\U.,,,
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SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
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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
M/
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ilVY' r 0 --I f.r V}
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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