HomeMy WebLinkAboutBuilding Permit #03-0715
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
/b37&
See Main File
..-:"
/Jr11RUt
Ctusr f),uuc--
LEGAL DESCRIPTION (office use only)
LOT ftBLOCK.3 ADDITION 'l: mf3b11.
OWNER
(Name)
IvtT& J/cm~~
ff/-r $m/7/War ?A-;l~
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
JA1nt=--
WI2r^
~-Htb
ODeck
TYPE OF WORK
o New Construction
o Fireplace
PROJECT COST IV ALUE (excluding land) $
o Misc.
OLower Level Finish
I. White File
2. Pink City
3 . Yellow Applicant
(J~
ClU:.s7 ~///TlVh
vt~ 3'd
~./
PERMITNO'03- 7/st
ZONING (office use)
fUIJ
PIrb<S - L/o~ - / / J.- -6
(Phone) ~ / - fsz - sZt::O
/1'0 %4M-n~ /J1y;
Sell;$-
(Phone)
(Phone)
o Porch
OAddition
ORe-Roofing
OAlteration
"/z- ZZI- tJf~
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
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 upon the property to perform needed inspections.
x
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
Signature
$
$
$
$
$
$
$
$
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(:;23. '1~ I
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~OO I
I
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This Application Becomes Your Building Permit When Approved
~-7~
Building Official
~IPI03
. Date
Contractor's License No.
Park Support Fee
SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
I Paid
I Date
~JJ c/ c, 'J
U ' u,. 02,
~
#
#
#
#
Date
~
$
$ //&75-
$ L5lJ .
$ 4-S- . -
$ I, Z() 0-"'- I
$ '/ 7d?J. -I
$ I
$ I
$ S;3J4-. '1 I
;ru '1 Cj
()
ReceiJ,f No.
BC<0
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 occupanCj' a Certificate of Occupancy must be
iss~ ~ ~/UJ~3 See MaIn File
Planning Director f D'ate 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
-See Main File
White - Building
Canary - EnQineering
CP.ink - Plannin~
The Crn.er or Ihe Lab ('ounCr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/~C"j"..
././t i, (
/.. - ::;;;> --.0' "3
(:? /'
, .,' .
.....~ -'
,
- ;
APPLICATION RECEIVED
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ I /) I . '.. III /') i 1'- \^', -.
I (,I!JJ I {o ,.j~/} / /J.(/1./ (_,., (:"l. lJ \'
/,
~
,.
I
.
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~
,.
7f~
Date:
0/UJ!a3'
f ,
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
rWhite - Building ""':)
--CanarY - EngIneering
Pink - Planning
Thr C'f'nlrr of Ihe Lakr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
jJ.uh;~ ~
t:, -- 3-0::3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I~B1' dkJx.v~ ny-
/'
Accepted With Corrections
Accepted
Denied
,.....
Reviewed By:
~
'?~ /J
Date:
&/.M~.7
,
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 10:45B
METRO GENERAL SERVICES
7S3-428-29S8
p.4
GAEE. . FILE
YEllOW - ""UC...T
GOLD. CITY
F~
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
"15).- 'it! 7_.'1z,l/~
S.w. No.
3.... 7l5'"
NOTE:
Sewer and Water
contractors must
be registered
with the city.
APPLICANT:~~O GlElJE.R..AL ~PHONli7b..3'...4~f....a,cr3f?
ADDRESS: 5"80 Gu. tAfY) ~ VI!. # JUIE . . DATE: ~II~. .~
~U:/J "-Y ~ ~m,,~.HA~LJ-mtJol'~53 .
SIGNATURE:~ "^ ~.-. . BLDG. PERMI #
SITE ADDRESS :/.'~' ?/"{,-;'" "TC.";t[\..C:) C"l .";'0,;,;.;" D~,J PID#
FILL IN THE BLANKS
1. Estimated length of water service
.50
feet.
2. Size of water service III
inch(es) .
3. Location of any couplings from structure ()
feet.
4. Type of sewer pipe. ABS
PVC 4-" Cast Iron
5. Estimated length of sewer line
~
feet.
6.
Clean out
structure.
(if
required), located at
N/A
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This application becomes your permit when approved.
BY
DATE:
========f7~7k:1=~~;4=============================================
FEES: /1/c/.:/ P..e.,/I'I i 7- Sewer and water line connection permit.
Surcharge
N () ree. 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 on the b11ilding permit card at the time of issuance
r~s~~~~~ ~~D~ ~U~licate sewer and water permits are
PAID WITH
DATE PAID JUN 2 5 2003 AMOUNT PAlreUILDIN~ ~ERMIT
RECEIPT # L .-Ij REC'O BY ;/f!l..-/
'-- ,tly /
16200 Eagle CreelcAv. S.E'1 Prior Lakel Minnesota 55372/ Ph. (152) 447-4230/ FAX (fj'S'2) 447-4245
An Equal Opportunity Employer
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:.. lluur ~I"cj<:::: iv. JiI in~pccCJo:IrI.$ 19:::) ....;_'.ti~. (:I.t (~:5:) ....-;-....:J.; tI
PCtiMBNG PER.\.UT FEE
STATE SURCHARGE
TOT.U PE~"m fEE
s
S
S
.50
(O(fice: r.'u Only)
T:lis ^Pp!k:1Cion B~came:s Your Buddin:; Permit When Approved
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[[ : 90 [00~ -01-lrl[
AUG.27'2003 06:30 651 633 8884 FIRESIDE CORNER #1999 P.013
CITY OF ~~R LAKE
HEATING/AIR CONDITI~ l' GIFlREPLACE PERMIT
J:4'IR~' 'SIDBJ.~'::" ~~. I PERMIT NO. ~ -~/~
. .no... ^",,"eAtlt ----.) /---"1
(PJellAle ty.,e or rmJJt lInd ~fF" at bottom) ..:.J .
ADDRESS HEARTH&HOME'"
1.6376 TIMBERCREST DRIVE
Date Rec'd
ZONJNG (oroce u~e)
1-,.EGAJ~ DESCRJPTION (office u~e only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name PTJr.1E HOMES
(Address)
(Phone)
APPLICANT
(Name) AIJ-rJID..EIB.f...sJJJE DBA J'lIRESfPF. HF.6EJJ:J & nOMIT
(Phone)
651.633..:6.16 J
(Address)
2700 NORTH FAIRVTEW AVENUE
(AddwA)
ROSEVILLE
(City)
55J 13
(Zip Code)
(Contact Persoll)
BRENDA HUSTON
(Phone)
6S 1-63.3-256 I
APPLJCANT SIGNATURE
BReNDA HUSTON
DATE.
8m/O,}
APPLICANT PLEASE COMPLETE BEl.OW
I xD NEW CONSTRUCTION 0 REPLACEMENT 0 AtTERA TrONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE REllJRN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PJ~ANT
DWllm1 Air Pt:lnt~
:JOravir.y
:J Mechanical
DAir Condil;fJOing
OVenr. S~tem
:J Ste.:lm
:J Hot Water
o Radilllion
o Sp~Cil,1 Devices
o Other Devices
PLEASE NOTE:
A ir Conditioner Units
Cannot Encroach into
Required Side Yard
Setba.cks
FIREPLACE MAKE AND MODEL
HEA T--.N 01.0 SL-550TR-C
FEE SCHEDTJJ..E
!ndustrial, Commercial & Multi-Pamily J% of job co~t Residenl.lll.!, G:lS Fireplace $39.50
5139.50 minimum
Residential, Heating & NC (New Con~tnJcrion) $99.50 Re$iden!;j~r. Additions & Alteratjons $39.50
Rcsidential, I'll~atins Only (Nc:w ConSTrucTion) $64.50 Residentlol, AC Only $39.50
Estimated Cost $ , Buildin~~i[ ..# ...... 13U,ic::~G ~TH
HBATINGPERMITfEE $ ../,11 rS.~'-rln __.. ERMIT
STATE SURCHARGE $) Ii) Ii, Ii; @11 rtm
TOT AT... PERMIT FEE $" Ii) n
(Office JJ5t Only) ~: ill AttG Z I 2003 I/J
ThIs Application Becomes Your Building Permit When ApDrllYcd .. ...p....aid. . d LJ! Receipt No.
A Hearth &; lTt1"'~ rec7JnI' ~~ 7/1'11/7
~t RWJR..(.:rJ)j'!M"r1 ... b8~e .. ~ By
Ii L ~ nlllMint: O~1~!J Fnirvicw MDuc Nortl, Ro~~ 55) 13 ~'hOl.c..65.b6.3.3a2.5.6! J:::lY 611i.J.3~4
3850 West l-~~~wa~ J.rl:i~'f0"91t~i 'I'T~,MJtj/)~~H~2r~1flf-9~~~79g311. t~l225 2 -8 90-5408
"",.,..nlUld~IJ(1I..tnm /lot N CIlI.lroelhr l.,<':n.~ . 20D"'!"l
PRIOR LAKE
INSP1ECTION RECORD
SITEADDRESS. '-'-37' TlilIJ&r G~es1- 1)~
NATURE OF WORK -A/ew
USE OF BUILDING ~
PERMIT NO. 0 i - '7'" DATE ISSUED - . tl......
CONTRACTOR PHOt6-1.\- aa... II ~
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
t FOOTING "w.~""'" I
t FOUNDATION (Prior to Backfill) ~t"' I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
""'Ii. \ '^
1111/'
j/I/P
,;1/tP
t/11~
q,_. to-~
q -;r-,O>
~-~""CD
0(-; to'?
GRADING (Prior to Sodding)
BUILDING (ItMf f\: ~D' tIJ
ELECTRICAL
PLUMBING
HEATING
DO NOT
~
yW'
vvr'
OCCUPY UNTIL ABOVE HAS
NOTICE
ID--IG-tf3
( 0- ( /" {().
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
IiIiiiiIiilii.
"1"".ll
~-'-""'-~'-,
,',oioON .
~"~LB'- -i..ri.:;.. I:-';"~':':'~.'-'~'
j
......;..j
BVRNSVILLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378. 952-894-0005
c
O,~IoL Test Report for Jobl 55;;;' 1
Address 1&:3'7#0 ~1-'It"' rrt. 1<
Occupant
Date of Inslall (1,' i c~"3
Type ofHT. F/A v HW
Other
City ji! f r:R
;
LA e >::"
12....<,7"
Space HT
Unit HT
Make
Model
Serial
Input
L f U l, \~) ..~
(~'';)I~,r ;;h\f)~' oY"~ . 01
SgD3 ~ 3"3<09)7 !.
q\--\ (IF', 01\(.'\\
. .." "'1..-.
./ /'
Pilot Type HOT SURFACE IGNITOR
Pressure ~c... , y".,\ c. CO2 5.'-/
",-,.,..., ~ ..~~,.,..
Input CFH \.\ll 02 !f.t./
S1ackTemp tni CO I Z IN711'"1
. ..
Date Tested
Company
Technician
\'.\ u =s
BURNSVILLE HEATING & AIR CONDITIONING
~,-.-'? 0
:1
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
1(37(;
I
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
0... TE TIME
2- '5-01-1
</, 1"lA t,~,;' CYI""S r
f
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
5d~
~
/ ,,/
( /' / OS:-
\ ~l l
~
~ - JJ<-
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
-L T~~'\
~
- \~
'/--J 7. )
/ , tv /
/
~
dWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: y1~
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOT'
DATE TIME
CITY OF PRIOR LAKE J{)...~?-V7
INSPECTION NonCE SCHEDULED
ADDRESS /~ '37(, T 1NI h.-/..;.eYl-
OWNER CONTR.
PHONE NO. PERMIT NO. ~-7(r
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
S6 FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
hVl.f.( ( C&Y7lL qf)/J/()VII ( ~~d.,rI
7 ~"'1t1 u..... f-; (
11'"':1 d;-"3.
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~RRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: _ ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
-
-iF (litl/f;t//I--
DATE TIME
SCHEDULED
I{)-Itr~
I ~37 ~
1: thf~Y-G rl:< I-
CONTR.
PERMIT NO.
3-7/S-
o PLUMBING RI
o MECH RI
o WATERHOO~KP
o .JEWER HOOKUP
ZPLUMBING FIN
ZMECH FINAL 11"'
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~1/5
....
za/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~O~~LL FOR REINSPECTlON BEFORE COVERING
Inspector: -K-IJ...r' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn