HomeMy WebLinkAboutBuilding Permit 03-1153
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
q'lease tvt>t;.. or vrint and siJm at bottom)
ADDRESS
See Mao FOl I.Wh;" r;!,
2. Pink City
In 1 e 3, Yellow Applicant
~ / &-'D3
I PERMIT NO. Q)-IIt)~
ZONING (office use)
-I!iii:f5 / c"Lf7Lf Ti If.. ~ r 'i? Fsr
rfY1:>/~
p~tJ
LEGAL DESCRIPTION (office use only)
LOT 3L{BLOCK:3 ADDITION
77MB~ ~
PID d. 5- L/DJ.. - J 00-0
OWNER
(Name)
'Pu ttJIi #oIJ,F'-:<
Bl~ No?,"f-II\/.-';",
,
(Phone) (;<:1- ~- ~
(Address)
Pk.W If
Sf )'XF
146
51-6-?A-A./ MU
,
BUILDER
(Name)
(Contact Name)
(Address)
S4-AAE
CU'e.T
j<.LMc HfD
(Phone)
(Phone) &/2-- ZZl- Lf'18~
TYPE OF WORK
/'
D"N ew Construction
ODeck
OPorch
OAddition
ORe-Roofing
ORe-Siding
DLower Level Finish
o Fireplace
DAlteration
DUtility Connection
DMisc.
PROJECTCOST/VALUE (excluding land) $
C'Jo, oq~
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
submltted plans j...am aware that the budding offiCial can revoke thIS permit for Just cause Furthermore, I hereby agree that the CIty OffiClal or a designee may
:~terupo~~ !3r-/<.,7/ .5/"
Signature Contractor's License No '7 ;:~ate
>-
I Permit Valuation (j(') I 000 ~ I I Park Support Fee # $
I Permit Fee $ (;::J3.15" I I SAC # $ /~ 7~ --
I Plan Check Fee $ (,,00,4t.J I Water Meter Size 5/8"; 1"; $
I State Surcharge $ 45)- /- I Pressure Reducer $
I Penalty $ I Cily SAC and WAC # $
I Plumbing Permit Fee $ 106.-- I WaterTowerFee # $
I Mechanical Permit Fee $ 100. _ I Builder's Deposit $
I Sewer & Water Permit Fee $ ;35.5D I I Other $
I Gas Fireplace Permit Fee $ 40 I ---- I I TOTALDUE $
This Application Becomes Your Building Permit When Approved
~ '1~~
~~'S
I Paid
I Date
#
J:;3/"_ , 7
'l/-F JJ 1
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l(5,- I
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700. -" I
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C:;~JLI-lA q I
I Receipt -to. ;1 ..;yj tb
Bv A
t!
Building Official
Date
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 occupancy, a Certificate of Occupancy must be
~ningZ~f-J ~c3j3 _ SS~ialconditionS'ifanYO 0
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
.
.
-'
~~
See Main File
While . Building
Canary - Engineering
<!,nK - Planning-,
rhr erntr' of Ihr L.kr {~ounlrl
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,0-
1<-
7 "
3
The Building, Engineering, and Planning Departments have reviewed the building permit-
application for construction activity which is proposed at:
///}!'/ I (
,/ / . I. i :...<<.-'
.
Accepted
/
.
Accepted With Corrections
Denied
Reviewed By: ~tZ.(..oy~ :
r
'-::t~
Date:
~~3
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."
~1
See Main File
r-- ~h;t.. - auil~
Canary -=-Engineering
Pink - Planning
Th~ C.nrn of th. I..kr ('ounlrl
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
jJ~~
O~ u,-CF3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
It /j'J tj 6Jht-L;U/ ih.u-t- ~
/
Accepted
Accepted With Corrections
Denied
Reviewed By:
~
':;te-JJ~
Date:
xt..?43
{
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."
-'.~:< PRIOt? <:
!::: ~
U en
See Main File
White . BUild!,:,!l.
.r-Lanw - cnglfluurln!t;>
Pink - Planning
Thr ("rlltrr of thr L.kf ("ounll')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
If,.r--
,.ti!t.-Ac
,;;::'V~T-;>)' ;'
-,
-,
APPLICATION RECEIVED
/<::- ":3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at" ' "
J ,~ ' ,
" ' J I- '
,(Jk-.,,-,,~:~. :""'Lv.,:':' - j; ) :.>.:/-"-'"
/ ", ;1.1"'" .I I
" &, I <I-
i (.~-
Accepted
x
Accepted With Corrections
Denied
Reviewed By: ~~4 ~
Comments:
Date: ghfo')
"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,"
Sel" 03 03 09:56a
METRO GENERAL SERVICES
763-428-2968
1".4
GAEl. . n.1E
YELLOW . A''''lI~''T
GOLD - ClT.
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
95...... 'I'I7-ilz..l/r
s.w No.3-I (5-3
FAy...
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLICANT: fh ETR() (.jEI,JERRi SER.VUW.ONE: (t:,3 -4-';)''i!-.;l.'13,S'
ADDRESS: 571:ID (:)uAm AvE- NE.: ...LiVe'DATE: SEP 0 32003
~\ "\fi--LJn --!I+---., $'- j'Y) iQ..l-I r1/:; L, -rY)/J. S5 37 b
SIGNATURE: ~ avOJ~\~ftl\11 BLDG. PERMIT #
SITE ADDRESS: / /"47 LF ~k.J ~ PID#
. ~
FILL. IN THE BLANKS
1. Estimated length of water service
5fl
feet.
2. Size of water service
, 'I
inch(es).
3. Location of any couplings from structure
() feet.
4. Type of sewer pipe. ABS
PVC ~({ Cast Iron
"---
5. Estimated length of sewer line
5()
feet.
6. Clean out (if required),
structure.
located at
N/A-
feet
from
=~==========================;===========~==~=====~============~===
This application becomes your permit when approved.
BY
DATE:
========fJ:i~:t=~~~=============================================
FEES: ~~A P'~M'~ Sewer and water line connection permit.
~ .~.~ Surcharge
~ No Fe~ 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 building permit card at the timeEf ~euance
to insure that no duplicate sewer and water ~~~M~e
issued. r - ,-- ,. -.. V(I\J(:) 'VI rlj
~ I I r I I '"l /:)/::.
I ,I cJ.b tylt4.
DATE,I'AID I - ~, AM~~rT PAID - '17'
RECEIPT # '~ SEP 0 5 20~~ BY q
(J
J '~'J
L.:- ~ ~. _ _____= .--'-...'-..:.:_-="
16200 Eagle.Creek Av, S.E., Prior Lake, Minnesota 55372/ Ph. ('1$'2) 447-4230 / FAX ('ls2) 447-4245
An Eoua! Oooortunity Employer
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CITY OF ?R10R U-..KE PLC:-.l.3I="-c; p~R-\IIT
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3-//53
PllJ1v'-BrNG PER.."UT FEE S
STA TE SURCHARGE S
-rOT.-U. PERo.\UI FEE S
~ID WITH
~U1L.LlING PERMIT
rOiTict't.:Jr.On/:",l
eUlhJln( Of1lwl
rr1 F~IIG." I.e., r fill Ii' -;;\. \ ' Roc,:?, !'io,
I ~ I i l ,I"....llw i \,~~ LS ~ I
I_Date . \. III By
0"., I ~ ~J:'P II 4 7nnl ~)
:.. ""or no"". ior ,il 'nsp<coansl'::)....; ~h~, (3_< (9:5:) ....7....:"; -J
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Thi.\ Applit.:Icion B<:comes Your BuHdin; Permit When Approye!:!
FO/FO'd
JI~ I OJ91~ I afJnldc\3lll:lri
zz:st ZOOZ-SO-9nl:!
, 1-' 1-03; 4:29PM;
;952 894 0925
# 4/ 4
CITY OF PRIOR LAKE
REA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please ~e or Drint and sim at bottom)
Alt~7L{ ffmb--ty Cfe,=:>+
; ~~ ~I~_ I PERMIT NO. -;z J{ ?-, 3/
), Yellow Apphunl U (I J
tJr:
ZONING (office use)
LEGAL DESCRIPTION (offic. use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
'Qvv\,~
<6\C)
\-\:b~'S (phone) (()Sf - 1/5 Z - 5'200
1\J10 ~CwLj. 5u..ik (cfO) F.~_ fl~rJC;:;I:l1
_ (Address)
APPLICANT
(Name)
~~:-r.S,_/~o~tin':.11(, A/C. Inc.
12481 Rhode Island Ave. So.
- ___ ...,....} i:::~":l:7$L11??
\ V". ..".-, (Add"ss) (City) (Zip Cod.)
(Contact Person) .J\)\. I t (Phone) g ") 2 - ?;~L( - 0005
APPLICANT SIGNATURE 6~ U, ~ I U Y\ DATE ll- II -03
APPLICANT PLEASE COMPLETE BELOW
,
I ~NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACEMAKEAl'{D'MODEL L€4I1UrJr GC7/t'V}f-:;<c-/f3--oL(5 FUEL /Ja;f qa)
FLUE SIZE RETURN OPENINGS S INPUT L-/C;, 00 0 OUTPUT /
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants 0 Steam
OGravily L0f1 (WI( 0 Hot Water
o Mechanical 0 Radiation
E}Air Conditioning /0 /J-G.!3 :;< t..f 0 Special Dcvices
OVent System ;? {ON 0 Other DeVICes
(Phone)
(Address)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
I
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace $39.50
S39,50 minimum PAID 1M
Residential, Heating & AlC (New Construction) S9950 Residential, Additions & AlterationsBUlLO ''FHo
Residential, Heating Only (New Construction) $64,50 Residential, AC Only ING F1ERNAIT
00
Estimated Cost $ 5,900 I
Industrial, Commercial & Multi.Family
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
Njll
,50 AU J btJ &~i Ib--y
(Office. Us!: Only)
This Application Becomes Your Building Permit When Approved r- --Paid------------
i. mie.
Dat.,,> NOV 1 2 znn':l
24 hour notice for all inspections (952) 447-~~~, fax (952) 441-4245
16200 Eagle Creek Avenue, Prinr ~ke, MN 55312
Building Officinl
-
il\ Receipt No.
.1
\'.il[IBY ~
!", ~/j
LJ (/
PRIOR LAKE
.
INSPECTION RECORD
-u,,;,~ ~+ ~.
.
DEPARTMENT ~ee Main File
BUILDING AND INSPECTION
i
SITE ADDRESS L' 'l?L/
NATURE OF WORK -4/..I::J1;'
USE OF BUILDING ~E ~
PERMIT NO. ~ - //5-=3 DATE ISSUED
CONTRACTOR P ~ PHON"'~ - ~~ t. '-'191S"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH. INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (it required)
FIREPLACE
GAS LINE AIR TEST
.->
II/!/
-J1/J//
12 - .~ a
/ L - 5'"- cT';?
-.
rYr/
J/I#'~
II-if.. 6~
12, :1- d '5
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding) J. _ I ~ee ~.r:
BUILDING -r (' ,(),{;j.P X"fjlJ/~{ If", /111/0'; ~
ELECTRICAL I I
PLUMBING
HEATING
DO NOT
hk
9~;~:Y
, ,
1t / i..
~ i/l~/&'-I
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 AI I IN~p!:f"Tlnt.IC In"'''' """7 ^"'"^
;;-~~; "".....
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE T1ME
~~~
" ;
/br'/~Pk~/ 04/ d
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
()] - //55
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,l!!M'DlAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~
~/ ')
A /e ..-/
~
/"-----
( I'_~se
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~______ Owner/Contr:
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH.l SAFETY!
INSNOTl
BUHNSVILLE
Heating & Air Conditioning, L.L.c.
12481 Rhode Island Ave S, Savage, MN 55378.952-894-0005
Orstat Test Report for Jobl. 58/ I
Address IGl.\I'4 t;"-'I'he <::'f1tSl OR Citll~\cl1' l,All-G-
Occupant
Date of Install \ l- '2.0 - 0 q
Type of HT. F/A )< HW Space HT Unit HT
Other
Make LE 1--),,-,0)(
Model G.5 I Hr - :z. L\ f:, - OLt<S' - 0 I
Serial 5 Ro3 L :> '---I do :l t-J
Input I.I'-\.DOO 0.>"\\..1-+1
Pilot Type
Pressure
Input CFH
SlaCk Temp
HOT SURFACE IGNITOR
3 '5 I\,-K. C02
1.\'-\ 02
10-:1 CO
5'1
lb.')
Lt> P pfh
Date Tested \ - '6- Ol~
Company BURNSVILLE HEATING & AIR CONDITIONING
Technician ~b
ADDRESS
/~ L17'-1
DATE TIME
SCHEDULED .7./' VD'i 2.; 3 Cl
T~ &,
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
CONTR.
PERMIT NO. 0 -3 - I f 53
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
IlIOFINAL
o SITE INSPECTION
COMMENTS: (rJ)
C0 ,^wJ~<;: -~
o PLUMBING Rl 0 EXIGRADlFILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP )II FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
~ MECH FINAL 0 .
C(~, ~ zrU
? ":b-~, Ii iJ
.,.,-'''.....,-"'';'''','.,.,."._..'''''''>;'.%:;'~~..:r~;,;.~
lO"""'f +0
'BI'3CJ (fII..!
{ I I
o WORK SATISFACTORY, PROCEED
,tCORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~l Owner/Contr:
CALL 447-9!s~'J~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
""""T>
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TillE
I~ /":3'0
ADDRESS
J &; <-i? L-j
I
I~e"-"'A"~ J..>
OWNER
CONTR.
PHONE NO.
PERMIT NO. o=< -; I S.3
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
fil PLUMBING FINAL
t( MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
C.QMMENTS:U.Lf2o..,1_~ / ~ J-Ufl,
~) 1lQ~ en-- I~ ~,
~~:~9-< ." (I~,.~ ~
~~~~
~~ .-~I
o WORK SATISFACTORY, PROCEED
)OcORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTION BEFORE COVERING
Inspectoc ~. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNOTl