HomeMy WebLinkAboutPermits #03-0843 & 03-1159
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
is 0 INSULATION
FINAL
! SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
to SEWER HOOKUP
. L. PLUMBING FINAL
~ ~MECH FINAL
DATE
TIME
~\10
3 -~'!3
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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~K SATISFACTORY, PROCE~
o ~RRECT A-e1IUN ANl)PROCEED
~"'..-.. "'/i ~L~ FOR RElNSPECTION BEFORE CO._
Inspector: ~ Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
CITY OF PRIOR LAKE
HEA TINGI AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec' d
Cf. Z. 03
03-1184-..3
Frl/8 IN #OJ. 084-3
~. ~;e~n ~~~. I PERMIT NO. 03-//~ I
J. Yellow Applicant .." /
(Please type or print and sign at bottom)
ADDRESS )~c./')sk. Tr , fJf'l'rl) LK
,
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
OWNER ~ -\-\JY--~'\. 0..___ 1 - G
(Name) !LJlj7,)1IlI1 "H'l J row
(Address) PJJ. l5w- dd-d--ff7 r' QA fYlD.. \/\
~ ~
APPLICANT r\... 1fl/l"" -.I ^ I r ~~_
(Name) t+L~ r r rU1f4 ~ ~
(Address) ~ IL/Cffh sf: u) _ -tIDJ
1\ I (. (A1dress) ~ .
(Contact Person) l - JtJLA ~
APPLICANT SIGNATURE -- (~<L11"'..:::;4Jr'! C2",
ZONING (office use)
/GISD
J
PIDZ5. 040.02..0.0
(Phone) Jn1 ... cfS1.p. 7 ~Q
. .
~\12--c-
(Phone) ~'V:s/~ .)!t3~
Ilpd~ U()/f~ ~~
(Phone) !lo.. 3/. (.. Cig:)
_ DATE -r /d l; I(n
APPLICANT PLEASE COMPLETE BELOW
--
DNEW CONSTRUCTION 0 REPLACEMENT EfAL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
DGravity
o Mechanical
OAir Conditioning
OVent. System
HEATINGORPO~RPLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial. Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & AlC (New Construction)
Residential. Heating Only (New Construction)
Estimated Cost $
Building Permit # -E - /159
$ 30(.0J
$ .50
$ <./0. ill)
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid 4-0. (JO
Dateq z. as
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
~3~
$393lr--
t/ - CxJ sit r\Q.S
4-s~ly Av.~
1- ~ ~ tJud I A
{_ U~ ~1J.JttJ
Receipt N0152.b~
By p~
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
54-45
SIf'a1U3
L White File
2. Pink City
3 . Yellow Applicant
Date Rec' d
~.~.03
I PERMIT NO. 03-084-3.
'{/~/ L--
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
(Address)
~;;~Cbrns -hC-.t/'OLJ WiC
~;~Name) 2Sl t=-vE-
.....- P '\ '<
.1 . . U' ~..J~
~~E OF WORK
o Misc.
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
ZONING (office use)
,c::../ J 0
PID ?..5 -()4-0 - 02-0 -0
(Phone)
, ltt:: ~J.' (1)'""\
2-770-7 ~4"JA-0
I
~;:jJ'~S( "4S~ -- i5S,
(OS{ - 45to ~ ct559'
C ,&.2-. J6963: 3
o New Construction
OLower Level Finish
$
$
$
$
$
$
$
$
;~. I)~O, D () I
~,7sl
ttfF."~ I
z.. $". () 0 I
I
~tJ, ()O I
I
I
I
o Deck DPorch ORe-Roofing ORe-Siding
o Fireplace l1Addition DAlteration OUtility Connection
PROJECTCOST/VA~~ (excluding land) $ ~3' ,Sa (),C.)i) c:;"'-
/---- 1 ~ /
I hereby certify that I have furnished in oa . Ii on this plication 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-men . d operty an at all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware tha ilding 0 . can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~terupo~theprop:zetope.rf: '"C~hsP ons. I~;{}(P) c,AI D"3
q. ... .
/.. Contractor's License No. __ ~"PI"".
{ / /
Permit Valuation 1// f'
Permit Fee
This Application Becomes Your Building Permit When Approved
~~
Building Official
~p-"YA~
Date
(Y1 r0
I
(Phone)
Ss i 2-2-
$
$
$
$
$
$
$
$
$ /, /27. /q
,
,
I Park Support Fee
I SAC
Water Meter Size 5/8"; 1";
#
#
I Paid
I Date
I / ~'l, ;<1
(p , ;J.(/J " ~
Receipt No. tlt/ !{ ~
By 7f:--- --
0..04-.0"0
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9g50, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTALDUE ~ &.2-+,03
#
#
'lis 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
len 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
led.
White - Building
Canary - ~n9in~ering
~K ~nmng~
Tht C"rnlt>r of the' L.kt Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I~~ (iC;t" i :T{) L11(~O\V.,
(> 4- C)~? I
0.' . ~
, if
I ^, i ( J
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oJ~ oil
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~ '::1-<::..~ L:;; 'C: I~JC Ie, f:=- (I ~~'Jf\ I (
...
" 't
Accepted Y
Denied
Accepted With Corrections
f'l fr' \(0 117 ~
Reviewed By: ~/( "'< -~-. ~ DJ'
Date:
to .r:J > 0 b
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."
I
Cia:ute - !;WildinQ:>
Canary - Engineering
Pink - Planning
The Cenle' nf Ihe toke Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
ROOMS' 10 9ROV\!, I N0.
([;. 4- _ 03 '
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5 4-45 5Ho12-6 (t2A I (
Accepted
Accepted With Corrections
Denied
Reviewed By:
~
<"""
~~
Date:
d:,/;)--3~ "S
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 - ~lIiJrlino
~anarv -=-E.!!Sineeri~
tJink - Planning
Th~ Ctnltr of thr L.ke ('OU"lry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
k. {.....'l(" ~il C' .-(1''1 /:-~I I'.? 1/,.) I '\J I
I.. '. '-" -'! I ,...J U L..- i "- . V
rJ.;. 4-, [)3 . f
. \ j 11
II' I ~ .
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.0 4-'<~iLS-:St>-.I(J 12(~ "1-'"f;2A' { ~
Accepted
x
Accepted With Corrections
Denied
s:Ce!::bor Additionallnfo~~::ion~ (17 ( 03
Reviewed By:
Comments:
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
"...... 3)'.Erosion Control Plan .
"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."
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
8,5.03
I. Blue File PERMIT NO
2. Gold City . /1 ? ,- O. aA~J?
3_ Yellow Applicant ~ ~-
(Please type or print and sign at bottom)
ADDRESS
~'ftf~ 5Aolre/
.-
j rv\.,'
N~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2-!:J, 04-0. tJ Z.O , 0
OWNER
(Name)
(Phone)
. (Address)
~
APPLICANTL 1!\f\ 11 .I "rr. ^
(Name) r r r \.~V I UAJ \.
(Address) '3Q d- t lAJ
(Phone) q S- d .- 0-90' I fot., if-
5:AvcJ-L- ~3'7g
(Address) (City) (Zip Code)
...---.
J O-S 0 V' qS:-d-~ d-.er d -'d-;3S-S-
(Contact Person) . '\ \. \ _ Ii' f7 (Phone)
APPLICANT SIGNATURE J\.~ ~ ~ DATE g-s---o3
U APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
'"'
~ Jt~
\ L{3~
5uv
<:' .A-
../ r J
Quantity
Type of Fixture
\
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
I Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
R"id'"tiol, Additi,", & AIt~.ti,~~ 0$39.50.... j
E,t;mated Cost $ BoHd;og P"'"it # {).J - 0 B4-- n . P '1
PLUMBING PERMIT FEE $ / P, 0 V'
STATE SURCHARGE $$ __ ~O R~.
TOTAL PERMIT FEE.r V
(Office Use Only)
Building Official
Date
~~
Dater; .4-. v3
By
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
12/11/2003 03:19
9528911656
fax lLallSmittal
TO:
STEVE HORSMAN
From:
AIR MASTERS INC.
Ro:
AWLTA NeE PERFORMANCE TEST
THANK YOU,
BRIAN KUHN
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AIR MASTERS INC
PAGE 01
AIR MASTERS INe
.:I:r~'lllR4Jr.II'HI'lIIn']~lln~.
5885 149 ST W #101
APPLE VALLEY, MN 55124
952-431-5932 FAX 952-891-1656
W'\'AIW .airmastersiJ1COrporated ,com
Fax: 952-447-4245
Date: 1 ]/11103
PAGES: 1 INC COVER
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PRIOR LAKE
INSPIECTION RECORD
.
SITE ADDRESS ~ SHoU TAI/"
NATURE OF WORK ~.'"
USE OF BUILDING .t.E.J). _
PERMIT NO. {)3--084-3 DATE ISSUED ~-'
CONTRACTOR ~ ~p~' PHONE-'II.~.~'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
FOOTING ~ I '? J-? uYr5
FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
'\NYI
~
811~103
Blt3103
CO --~-V'1
;3t~3tD3
FRAMING
INSULATION
ELECTRICAL
PLUMBING
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
~ '- - --- FINALS
"- GR~DING (Prior to Sodding) \
BuiLDiNG -- 4A-
ELECTRICAL ~
PLUMBING
HEATING
DO NOT
It-/l~J~
~ Lz--It~i~
~ 11-- /lIL fe0
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
CITY OF PRIOR LAKE
INSPECnON NOTICE
SCHEDULED
ADDRESS
Sll'ls S40~ ry I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,~INAL
- 0 SlTE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~, f)f'
"'
DATE TIME
'I-IdOl-
()? .; Il/J
JIC.~IFILLlNG
OC~T
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
f::!!ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:l.7l~ ~
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPEcnON 24 HOURS IN ADVANCE.
INSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!