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Home My WebLink AboutBuilding Permit #03-0716 (Please type or print and sign at bottom) ADDRESS /637Y CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT See Main Fil~~ ~~ 3. Yellow Applicant '1:111 BVL tttE$T f}ntllE-- Date Rec' d &-3- 3 PERMIT NO. 6 B - 71'" ZONING (office use) (Jt0D }{?"L DESCRIPTION (office use only) 1.0T'IIELOCK3 ADDITION '1:mJ?Ut wsr ~ A&/~ PI~S-I/t)J.-/jj-O ~ JI;>>1Lb (Address) flY' J1h~ ~ / OWNER (Name) BUILDER (Name) (Contact Name) (Address) .:Ym1 ~ Iidzr ~J45CH/o TYPE OF WORK o Misc. ~ew Construction OLower Level Finish (Phone) /.5"/- //SZ-5ZOO fi~,. 1J11A J;/T73 /4'tJ r (Phone) (Phone) ~Z-ZZl- f?J-5 ODeck o Porch ORe-Roofing PROJECT COST IV ALUE (excluding land) $ o Fireplace OAddition OAlteration ?~ {tJ-5 ORe-Siding OUtility Connection 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 sUbmitt~,; dn\ p~lans. I am,aware that the building official can revoke this permit for just ca,use. Furthermore, I hereby agree that the city official or a designee may ;ter?J~to~~7s. $C- /37/ ~ ~A$ / / r / - Signature Contractor's License No. / /TIate / Permit Valuation Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee I Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee qq~()o.- $ q23 '7..s $ o06.~ $ ~. ()() $ $ $ $ $ /00.- /dV. 3 f;".50 ~.()O This Application Becomes Your Building Permit When Approved ~9~ Building Official ~/kJ~3 f Date I Park Support Fee I SAC I WaterMeter 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 ~J) 'J, , ~ . 'l.b. 01 $ $ I{ 2 75:. $ ~C:;O.- $ 4-5:".- $1,2-0()_ - $'700.- $ $ $ 6; :3/4-. "r R:C~,' ~79 Bet # # # # This is to certify that the request in the. above application and accompanying documents is in accordance with the caning or.,din~ay Pjlceed as p ,-.~ This document when Signed by the C~ty Planner consu;Utes a temporary Cerl1ficate of Zonmg compliance and allows construcuon t ~ e~eflV.l ~fiC . ~I ~ must be ~ 7.L4fl1-' ~/UJA.3 - 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 ~ White - Building Cal'!arv - !;!"Qineering (""Pink - tJlanm~ The ('rnler of Ihr t.kr COUnll")' See Main File BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ;} - l[ Ii ( I~~~>~'j/:tj/ J APPLICATION RECEIVED / ::::z _ /) .::;:>. (,:.:: .) L/,......-j The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: , I:) 5? 1(.., -:;-,1 {) - l j' ./.; , /~) ~., .. 1.., I, J,t' t. . . ,. ('r- !. .. \~.../<.'/ ' ,. ~ j Accepted /' Accepted With Corrections Denied Reviewed By: ?3.L<An . :. -;z~ Date: ~h..t,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." See Main File r'WUle-- - Building::, Canary - Engineering Pink - Planning Thf' Cf'nlf'r of the t.kf' Country NAME OF APPLICANT BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST fJ~~ ~- 3-03 APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1~87J- ~~~, Accepted ~ Accepted With Corrections Denied r Reviewed By: ~ ? ~;..J Date: foh-(543 I ( 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." Jun 20 03 10:45a METRO GENERAL SERVICES 763-428-2968 10.5 GREEII - FIl..E YELLOW. APPLICANT GOLD - CIT't p~ CITY OF PRIOR LAKE SEWER AND WATER PERMIT f1S).- 'it( 7- t.j~ l/~ s.w. No. ~ ,7 (~ NOTE: Sewer and Water contractors must be registered with the city. APPLICANT :~g:rgO GE 1J1ttR..Al. S'fE'R.~PHONE ~ -4~f..... a.,q.3~ ADDRESS: 5"80 GUllA~ Ay~ _ ~IE , DATE: JU~ 2 ~ ~O~J ~PLJ '-J77~ '5"r. mlcH",e;L)-m~..siJjj"'4U LUU SIGNATURE:~~~ . BLDG. PERMI~-# SITE ADDRESS: /b37g ~ ~~PID# FILL IN THE BLANKS 1. Estimated length of water service ~C? feet. 2. Size of water service I" inch(es) . 3. Location of any couplings from structure (J feet. 4. Type of sewer pipe. ABS PVC~ Cast Iron ....... 5. Estimated length of sewer line ~ feet. 6. Clean out structure. (if required), located at NjA feet from =====~=================;===;=========~~=============~==~=======~== This application becomes your permit when approved. BY DATE: ============r=, ==================================================== P~l.le.d ~ ,'1-4 FEES: j] fc& P~'l_/H' 1- Sewer and water line connection permit. ~ Surcharge No ,ee. TOTAL '-- ~.~.. * Fee for either sewer or water individually is $20.00 plus $ .50 surcharge. * Sewer and water permits issued for new construction must be rec?rded ~~t~iLP1f1Iiwp@T\~errnit card at the time of ~ssuance to lnsurf ~tllia~ Jfu U atl}\):i i :.hte sewer and water perna ts are issued . ~ , PAID WITH DATE PAID JUN 2 5 2003 ~ AMOUNT PAID f!jU'LDING PEBM'T RECEIPT # By REC'D BY in ~ ~!- 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (1s2) 447-4230/ FAX ("'5"2) 447-4245 An Equal Opportunity Employer t'O'd ll?;LOl I \ ':... erry Of PRiOR L~h:1: PlC:-.f:cr:-'-G P ER.\rIT lJ .~ ~ c ~~~ t:~: . - \-__1 ',' '~," .~/{ lwo ... ~/ '''''~~~~~~'''' I }I>.., "'l.; PER. 'r{ iT .'d:23 ~71;)~- :.. "~f".l "..,'.', ~:'l:~-:.l: '-t"i.~ .')t '..r....-:~ \...;,~ ;;\~ tr "'t1r~,:~" .- ".i~ .;: .: . -- -- ; ""1,1100 \:,,,..:,,,, ---..---... //. ., () -1-- !J /f /.} ;. 0 / / lVI/v / r ;:J 1/1 11~',j. ( .4 I I ;7r " ,': :,-.---..........-- ..... ." :'.. :2 '.: .~..~. ::.:: ~ '.: ?~::"7: l: :.t '. IJ' ~.~: 1,~.: ;::i:J) '-...---- '----- ':" ',..,.: ,'::.'~ ,':':: c ~.:-:.: >: -~- ,-,., I '''-'".-..-. '-.r~:~ _'__ ", " ", '7'" 0..'......, ) ) : .' . '-" ./."fd:l:/...... ('~ ... 0'> ( . ,.' I , ....,.. . ',. .. __J ____...,_....__... '-~'--'--- '.----.--..... \ ?::\; :-.0;; ~ ....-...-.--..--,--... -:::",;" , ,. - ,.', /-~_.. f}D'-;--;"'--' . . -. -' . - / .,. /1 ''/J {} : . -.;' .. ..:"l..LtLJI..~. I,~/ / ( Q /..; , /.-' ^ . _..:':'~' ..._~cl(l) JIM tI (t.t -"-'-- r ~ ..:....::~;:;:. f/L /TI.J~ 4 .,'" /9' . " ,. , r "- /1'1 I ,.-::.;r.~' t>.2r ~, t;.'~'.i.::::...L___._ /i'-' h /. ,', j / Q/.'!L/ ~ '5_,j~-:1~l~.._ t'r:~:.'.l i..."; _.:.:.:. - - "~. ;',:':..: .' :::...:: I .. ??:. [;:"..~-\. -~ ,:- ~I.:-: '.,;', -:7___- ~~ /J' tl . I. ..1. 0/ ~..t(A/<4 if I ~. ~ ," .:': :':1.:) Jy(.tLM/0 c..;,. :-i:: f1L.dd/ / i/lLl v f ) 'J .l. i1 ,: [~j I :~~ __ I :~PF'L1C-\.'\T PlE.~SE CO,:-,,rPLETE BEl()\\' T:-,p..: III Fi;-:run: I Q'l~rttit'y I , 8~::l T'J:, '-'-:,:1 ,)r WIC:\CI.:[ ;i'1<':'.~I.::- I 1 I Dls:w..~:;h<:::- I Typ~ 'l( Fj:t=:.:C'~ J, '.-' / I L.:=.'. .1ccr' 18.JC11....:<ir:; )111,1.,;) L.1un.j;-:. rr::i ( I '~r : -.:(.);'-;:~r.;n~:lt ..In:~ Si1tJWe:- SC.:111 - Sinks Bar Sink W';J.ce:- Closet l T 0de:~) ! R..:Ju:;n-lns \'''J.r~:- H~:lre:- \Ii~c~:- ~ur.ne~ , $c.:1nli P:r:~ r '''\-;:;;:ll''~ :'-kchi:-::::I i ~C:'.VJ:;-: EJC::::Jr I 8a.ckrIQw A~semo(y ( Backtlow Assembly T ~$r I (...1.wn SprinkLe:" I Othc::- -*---""- l I ;':iLlI;r Or:lJj'; i / '._,-~ I ( 1- L .:; -.L I I I ...----'" -,-'."-- I -----I ! -' - f E..E SCH.ED li L.E: (rod!;;;;.-::!. Co~mr:::,c:i~ &. Mdtl.c::r.IlI;J I ~', ofj'Jb <:0:;[ ...ich \l Sj9.50 minimt.lr:t R<=:lid.e:lri~, Nr:".v One .x. Two-F:unil:' S::9.~O R.:"~:c:::lc::ll. ."Jc.j::cn~ J:. ..,::::-::.t:on:i 5:;9;0 E:;::::1~t..:;! C.l:,. S ~/ ~ .I:J ~() ~~ ~Q ~l>y (<:'~~ ~)- -'-- rn~ @ ~ 0 \!J~'t.,PtNQ. .. _j - g1 /IlL , 0 ,2003 :f1f a- --' :J h ,)U,. rl.J(!<:r: rl)" :>.U ;11$pcetions \~5:) ~7 .?:JS I, (ax (95:) .~...r;'.4: J: U By 2L.:ii..!i.-:;; P~::-:r;lr:;' (l'ITlc:c GJe O"'~) ! Tl1i;; .....ppli.~~tic)l1J B.:come:l Your BlJildin~ Permit Wben Approved PU.J1vLBQ-.fG PER..'vUT FEE STATE SURCHARGE TOTAL PER."rrrr FEE :s S :s .50 aliI/din\: Omei.:tl Due t'0/t'0'd Jr~ I m:Jr~ I 8~Jmd!.3lll?(1 ZZ :90 m0C:-0't-lrIL PRIOR LAKE INSPECTION RECORD SITE ADDRESS '-'.31r ~.,. C.".csr ~ NATURE OF WORK ~ USE OF BUILDI~_ 51=6: PERMIT NO. ~. ~ DATE ISSUED CONTRACTOR ~ PHON~/a.~a.I. ct9f'r NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF See Main File BUILDING AND INSPECTION INSPECTOR DATE FOOTING /WJ, V\ I FOUNDATION (Prior to Backfill) (IArJ.,,,, I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) 11_ .....LA1,;t: -aA~ LII~L ~IA l'-SJ WI). VI.. ... tIW j/l/V/ 1 ~ ~~rCl 4 - (()~r/) ~l~y /IV' q~ vtJ3 tJ( --,'& -0 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED . I I I FINALS GRADING (Prior to Sodding) BUILDING 1.evlA(l vA\--( I ELECTRICAL PLUMBING HEATING DO NOT " ' x;,vt; I \)-- (\)-O') (6- {(J -017 OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE I(Vf ~^tf 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 -....._ ~ f; ....... < " " :\' ',y,.,iiMii' ., "'''''Il..llIi. ~'., ~ BVRNSVILLE Heating & Air Conditioning, L.L.C. 12481 Rhode Island Ave S, Savage, MN 55378. 952-894-0005 Olo)tal Test Report for Jobl 55;)8 Address /&/378 7:MPxic' Cp,-sr I 'x:: , City PIt/tlf.' I All i.. Occupant Date of Install B. ? ::'1 . () .3 Type of HT. F/A ,X HW Other Space HT Unit HT Make L t.t-Jl-iO '. Model C,SI MY - '2 L\ t", . (> 7'\ Serial 5 C:;() ::, H J ':; . I 3 7 Input (~:11\..u Pilot Type Pressure Input CFH Stack Temp HOT SURFACE IGNITOR 3 5 I we:..... . C02 ~ . -;). I{I// no \1:\...c> .. 021 .., \ \ 5 CO I z.. fJPrn. Date Tested Company Technician ",," --t :~3 llr'l v BURNSVILLE HEATING & AIR CONDITIONING It-o ... DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED IIJ'/'~ ADDRESS Ie r:5 7St' 1; I"IJwI':~ ..-r OWNER CONTR. PHONE NO. PERMIT NO. 7 - 7(6 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 ~LUMBING FINAL o MECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ~ ~K SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT ~'/f;, ~OR REINSPECTION BEFORE COVERING Inspector: -JI V(/ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! INSIfOn CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS If, '37'r" 1i~h-vif'('-r OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION .. FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: (/) r;( Vl(A ( ~rL ~-4vlI / .- ZAP &-vi I:? v.... t; ( I DATE TIME ~o.n-c/? r 5-7/& o EXIGRADIFILUNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASUNE AIR TST o ~...c:I ff. '?O-t:J:!> o WORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED ~ORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: t/I/ /O/b 7-4f) Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. /NSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETY! 2- 5-~ 'Tr """ b-v- c~.J-r-' CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS Ie. 37 y 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 o MECH FINAL DATE TIME ~ - 7((, o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ~c-J -+- '1' Y""f'--r"5 .--- ~ /' /1 / (~Dx \.. - -- ._~--- ~ /1/\ ' " 7) \ r IGz ~ -------- o-waRKSA TIS FACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL F EINSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. /NINOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! DATE nME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED _/o-It-t/I; ADDRESS 1r.3-; YII """LA ,""'.f; r OWNER CONTR. PHONE NO. PERMIT NO. 5- 71 Go 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 ,..RPMECH FINAL o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ~RK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT W~~~LL FOR REINSPECTlON BEFORE COVERING Inspector: , V r Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! INSIiOn