HomeMy WebLinkAboutBuilding Permit #03-0328
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DATE TIlle
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
tY~~
tt.{J,$ ( ~ ~\1s
SCHEDULED
OWNER
CONTR.
PHONE NO.
3.B~~
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
9f INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: ~ Q:> (' ~ ~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: he
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE 1WE
~tlctllJ:3 t( ~'5'"""'
ADDRESS
tlf2-~ ( ~ ~U~
OWNER
PHONE NO.
CONTR.
PERMIT NO.
3-3~f1
o FOOTING
o FOUNDATION
o FRAMING
9/'INSULATION
II FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADlFIWNG
o COMPLAINT
o ...N:" ..ACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
I. ~v0 ,\w~ v~v~"",-,
h ~.Q;_~, ~u~_
~. vl,;'"~~ ~~.lbM1NI
u 4 ~v)~ ./~ ~ ~VPtO~S,
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U D '1 ~ .50"03 .
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o WORK SATISFACTORY, PROCEED
t!J j:8AAECT ACTION AND PROCEED
'1J CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
, . ...
II
I '\
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IJII8IIIOr1
CITY OF PRIOR LAKE
INSPECTION NonCE
DATE
ej\fJ f)3
~~. fA-ttk
TIllE
SCHEDULED
\
t
ADDRESS
~~(
OWNER
CONTR.
PHONE NO.
_2.; s ~ 2f3
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
[] INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
[] WATER HOOKUP
A1EWER HOOKUP
PLUMBING FINAL
[] MECH FINAL
o EXlGRADlFIWNG
o COMPLAINT
o FIREPLACE RI
[] FIREPLACE FINAL
o GASLlNE AIR TST
[]
COMMENTS:
t ~
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,
~ (jb ~ yttf tuffe__5~ ~
~h,~H> \J~~,
fl ~K SATISFACTORY, PROCEED
p-'"CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
\\1
CALL 447.9850 EQ~ THE NEXT IN~PECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONALHE.4LTH & SAI'l'.l 1'1
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File L White File
2, Pink City
3 , Yellow Applicant
Date Rec' d
"\ \-- 3
'3 ,C7
I PERMIT N003 -' 3~9
(Please type or print and siltl1 at L" ..__)
ADDRESS
/t..{z,31
F'OUIJI.Ar IV
WilJ,S
-
t/r: IV ~ [; .
ZONING (office use)
~~
LEGAL DESCRIPTION (office use only)
LOT Z3BLOCK;2... ADDITION k:,UtJ7..A'~ l-i/IA~
'Z/'J"b
PID !1~" 3Cf () -0 '21- 0
OWNER
(Name) fA )~N~,,^ AN ,J
L~s
(Phone)
~r/-f./O~- t/LI~D
~d.:J..
(Address) ti9~
etAJfl
~~
uP-
~~ ~01;)
-
.t:::'".A c; tV..,)
,
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK.
III New Consttuction
ODeck
OPorch
OAddition
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAlteration
OUtility Connection
-. .cO Mise,
PROJECT COST IV ALUE (excluding land) $
I hereby certify that I have furnished information on this application which is to the best of my knowledge ttue and correct, I also certify that I am the owner or
authorized agent for the above-mentioned property and that all consttuction will conform to all existing state and local laws and will proceed in accordance with
submitted plans, I am aware that the building official can revoke this permit for just cause, Furthermore, I hereby agree that the city official or a designee may
enter~ut'.:..~~ections,
X .- _~. ~_~ /~~ 3-7-(7;]
~ , ~I S~ Contractor's License No. Date
I Permit Valuation //~ (J V tJ.07) Park Support Fee # $ ~5D.CfD
I Permit Fee $ JI ~ft2~. 6~ SAC # $ I. z. 7'5. (J 0
I Plan Check Fee $ t,93.U Water Meter Size 5/8"; I"; $ , ~ c;;D ~ (f()
I State Surcharge $ blo .51) Pressure Reducer $ 46. fID
I Penalty $ City SAC and WAC # $ ~~2-00~O 0
Plumbing Permit Fee $ /rv . (7) Water Tower Fee # $ '/tJO,ffV
Mechanical Permit Fee $ /f?),tJ7) I Builder's Deposit $ --
Sewer & Water Permit Fee $ .:55 ,57) lather $
I Gas Fireplace Permit Fee $ 4-D. 01) I TOTAL DUE A $ (p,4--/I. 81
. ( I _
This Application Becomes Your Building Permit When Approved Paid '~/I.j' ( Rece~o. ~-;
~ ~ 3/gf!tJ3 Date ~ -//-~ 7 By .
-' 0
' .
Building Official Date
This is to certify that the request in the above application and a~~u...yanying documents is in accordance with the City Zoning Ordinance and may proceed as requested, This document
~~'~C-;/;i:-md'-~eervram'Pire=~-~
Planning Director . Date 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
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Tht ('tnlt' of lht tob ('ountry
See Main File
White - Building
Canary - EnQineering
..,-- P\Dk. - Plannln~
'-
\ -"
aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /.J.).P..A1<1//1"/I../j <1;1/C ,,"
APPLICATION RECEIVED r,3"~")1-(::)3
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!\i(J11ta~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.:~ w<<. / 1~9 3/- -:::;c:.Jt.?1lZ;ft~1J' 1J-2~:,jr
11.,
Accepted
~
Accepted With Corrections
'~'"
~
Denied ,..
~ .."..." n'#.
Reviewed By: ~ ~
Date:
'5/?/;t;3
Comments:
\\-
liThe 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. II
II .
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See Main File
t"'1vhite - BUild~
Cana~Er.glneering
Pink - Planning
lh. ('.nl.. of lh. "ok. ('ounlFY
BUILDING PEflMIT APPLICATION DEPARTMENT CHe.CKlIST
NAME OF APPLICANT /LJ~~ ~
- -
APPLICATION RECEIVED 2- dJ-03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
11/;)3/- ~. ~ d:r
,
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~
'=;Z ~I!-
Date:
3/31/03
Comments:
liThe 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. II
ill I
See Main File
~U~~i~~ :'w~
. Pink - ~'ann.ng
T~. (""l.r of l~' I..... COII"I.,
BUILDING PERMIT. APPYCATION c.EfARTMfNT CHECKLIST
NAME OF APPLICANT /L..U2.4k:tjJ1.(.(/J/!/VL.- /It;71t2~
APPLICATION RECEIVED Z- (~;2/-G)3
The Building, Engineering, and Planning Departments have rev,iewed the building permit
application for construction activity which is proposed at:
. .-
/j/~ 3/'--- '~:;7Jt~.,;Z;~ ~ d:;f-
, Accepted
x
Accepted With Corrections
Denied
Reviewed By:
~13
5~ ~ /J1&tf ~ F/ I ~
Date: t-I-- ,3'-0.3
Comments:
liThe 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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FILE No .174 05/09 '03 06: 41 In: PL YMOUTH PLUMB HJG
FAX:7635331121
PAGE 5/ 13
/"iPR/O
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...-----'
CrTY OF PRIOR LAKE PLUJVIBING PER1\llT
Dale Rec'd
(PII:iU~ 1\'Tl~ 01 pm\[ ~d 111'0 0\ pon'om I
ADDRE~S
; ~~I: ~~:l I PERMIT NO, 3- 3-L.-~
1 \'(11.0\0." Al)llli~1 c:::r
20NrNG l'II1'ICI~ 1'1(;1-
\L.\ ~"h(
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r () (J t.'\. t';:v{ 1,/1, ~ ( \ '-->
r LEGAl. DESCRIPTION ('llliel use on!)',
LOT
BLOCK
A,D[l]T'ION
rm
i OWt~'E~ '\ L
O~ar7le' ,..f vi S i~1jj.n i''\ fTLi WJj ~
(Addl'c:si:1 f~c{ ~ P (?J -r~ (\C, ~ \.,'1 +e
d.-,t{) 7--afl NA
/ ,I /
~
(Phune) A -rl Q -.tf4(Y)
l--{~) '1 Cil ~3..
A?PL1CANT /)'
("Iam~) q__ P I'J \A^-.('J <..:''1 \,...\ y I L..l tl'\,\''\ I,^,O (Phone) ('J (C ~J ~)'~)~'.(r85 f
I A,(Jdn:,it; I ((l q () q \" ) I 1"\ 1', ( ,. Ie. ;::; ~ \ '>-I' ' k J fL)r ( (( \ k \ V\,/1.. f-~4\( r) S L( ~,'7)
I A Cldre:i::: I (City),) (21r Cnde)
,C(\mitel P.:rson) 5; l ~ ~L'\\ VI,J. ttDLJ.l LI of {(....:f..1- (P~'Clne:J /7( ft'~) C-,'~~) - L/3'7 '7
~. 'O} /~ .)/1// '- -./,/ - , .,
I Af'i'LJU.NTSIGNAT\J~:E.~J! (-'Vvv\'~~11AjW~~L DATE FJ q -f) ~
IJ APPLlCANT PLEASE COMPLETE BELOW
TYPl'MFixture QU'lntil)!
Bnth Tub witll Or without sht'lwtr :)
Disl1wllsh~r \
Floor Drain '
Lavatory (BathrClC11ll Sink) l
I Laundry Tr!l~1 1') or : wmpartrnent smk
Shower St~11
Sinks
'I
I
Qu:ultity
'0\
,
a.
t.\
T:VIH: ur Fi:mm:
--""1
Rmlgh-ins
W lJ.t~r Heater
I Water Sonner
I Stand Pipe t'Jh.slllng Machine)
Sewage: E:iectclr
Backflo\.\i Assembly
B<.lckflow Assembly Test
-)
I .&..I...., ....,,,j\.
I Watt:rCI~)sc\ (T"ikt)
I O~J~~I~ ~I" ......-.
FEE SCHED ULE
In'ItIWI;11. C:ommercl;j1 .I:: MlIlll.r.lll1i1y I U"lI(jlll'> ~1I~1 Wlth;l 5;3(1.50 minimum
Rt:sidential, N~"" Oll~ &. '1'w(I,Ful11l1v $(;)4.511
R<:$ldc;rllijjl. .,\drJllillll;, &. ^1lC:I:lli,m~ ,l;3Y:ill
E~\lim:llt:d C(lSl $ ILl tit.{ . dl
I:luilding Pem1il #
I
~ . -.
li"ii,T;;;\: (,,'1''''1:01
IlaLl'
-I
PLUMBING PERMlT FEE
STA n SURCHARGe
TOTAL PERMlT FEE
Illrn~l' U~t (lIlIl'1
This ApP)Il.:lJtiun 13ccunlC:~ \'0111 Buildin~ PCI'IYlil WllI:n AppruI'C:c1
~.;j hnLllllulit:(;. 'hi ;jlllll~jJ~Cli"ll~ ",1:;:, ~4;-'IH:;(I. '.11. (1)::>-1
1<.::11" f',lI\d" ;"""I,k <\".... ~"F.., I'l'i'll' I..,h, \1" ~",~~.Pl;j
illi .
CITY OF PRIOR LAKE
I1EATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
L Pink File PERMIT NO. 3- '3 .,.., c:v
2, Green City C1JL-t)
3 , Yellow Applicant
(Please type or print and sip at bottom)
ADDRESS
14231 FOUNTAIN HILLS COURT
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name) WENSMANN HOMES
(Address)
(Phone)
APPLICANT
(Name) ALLIED FIR,E,,'>IDE DBA FIRESIDE HEARTH & HOME
(phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
QRfNDA Hfj.5TON
DATE
ZONING (office use)
PID
55113
(Zip Code)
5/21/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
INPUT
HEATING OR POWER PLANT
D Steam
o Hot Water
o Radiation
D Special Devices
D Other Devices
FIREPLACE MAKE AND MODEL
HEAT N GLO SL 750TRN-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
B..ba.~1!Dt~
~~
$
Estimated Cost $
HEArING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Date
Buildin2 Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
In .
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
~~M~~~~O~]
By
Receipt No.
By
9-'
CITY OF PRIOR LAKE
H..EAI1f~G/AIR CONDIIIONlNG/lil1<EPLACE PEAAul
Date Rec'd
(Please~ororinuDd siRD att. w....I...)
ADDRESS
/~~,;'/h~ifU.Ad/~ a~'?-
#7/e/r
~: ~ Sic:onl I PERMIT NO. 3 -3 ~ I
ZONING (offtceuse)
LBGAL DESCR.1r UON(office use only)
LOT
BLOCK
ADDmON
PID
J
OWNBR~ J //
(Nllrtle) , U-/~$/W~Jf'7L · ._~D~.~ (phone)
,,(~gdi'ess) ./Ji'9$ .#~2~ a e c-.-Jt- -<-
....,
%;;~~A/~~~~~,.,-.-~ (phone) C-~/- t!/S...I-.:?7;1$.
(Address) L ~~7) //"-'7At.16~~ ~- e~~ S-S/d'~
(Address) . (CitrV (Zip Code)
(Con\adP_n) . A~~~l(;,-<, (PhOJ1e)~5/- ~ -,:?7b-
AfPLICANTSIGNATURE., ,...,.. ~ DATE... 6~h"':3
. .
. ~JjlJl€AN17.PLE~$:E~(i)MREEl'EBEL(i)W
. QI'H;W CONSTRUCTION . []REPLACEMENT . EIAI..TERA TIQNS
FURNACEMAKEANDMODEL~h-- ~"Z1-I~ FUEL NA. GA~
h.. .' .. . ....,. ...,.., "
FLUB SIZE 2- 'Ale-.. RETURN OPENINGS S INPUT 6o/C1:X) OUTPUT >>_ ;eon
- -
TYPE OFSY'STEM HEATING OR POWER PLANT
.d." Warm Air Plants 0. :s....t.e&m......,..
lI5<jravity [JHotWat~
itre~:~:~ni~g B=1~Obevices
OVent. System [JOtherDevices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEESCllEl>ULE
1 % of job COst Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Pennit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$~~~' ~~
$ .50
$
8lJILP14ID 1M,-. _ .
DING "P.' , ,..,
~F141rr
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
m~ @ ~ 0 \Yl ~
Date . d~~ 1 4) 7001
24 hour notice for all inspections (952) 447-98 iO, fax (952) 447-4245
By
-, ~ceipt No.
~{ a-
-:J t7
r
iU: I
~
-
Job Address /+?-31 F: #,;'nJ
Heating Contractor .&/~1I!Iv7 ~
.~
7/H~3"
..J:2-,7?a
~./
.If.' ~ ?o
Itb D;=-
Name of Tester
Date
Percent 02
Percent CO
Percent C02
Stack Temp
Combustion air is adeouately supplied per
UMC Sec. 606 V..P)
,
input (,.tT ~
.
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.. .'~ U '-"\..I 1 v.! alII r 11 e
P R I 0 R LA KE DEPARTMENT OF
.. . ... . BUILDING AND SSeeMN .. .
INSPECTION RECORD aIn Fde
SITE ADDRESS II/"~I FtJ~f4J~ #JJ"/s ~+
NATURE OF WORK ~ (;t'JN.sT' u.G f-I (JIJ
USE OF BUILDING ~ PI/: '
PERMIT NO. rL3 - :=? ~ g DATE ISSUED
CONTRACTOR. /Ql!iiqSIIf/fUJ H~~1' PHONEW- ~- t./1/at:J
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT.
[ ~
I FOOTING ~ ~ ~I'
· I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
..
SEWER I WATER I SEPTIC
FRAMING -tV t~ -"?c
INSULATION
ELECTRICAL ~,
PLUMBING f.o,t ~t8:l
HEATING (if required) It
FIREPLACE "'-
GAS LINE AIR TEST 4
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~
Co L L~tLr<.
~A:J\l
GRADING (Prior to Sodding)
BUILDING W/e- T~~~ c. -f} 0 'lI?JtJ.1:i*-
ELECTRICAL f9.L
PLUMBING fA) It- ,~itfpk;3, ~
HEATING </ ~
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
'6"'1t' 1.;;1-c ;tq ,. 03
fblt~/D3
BEEN 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
II .