HomeMy WebLinkAboutBuilding Permit 03-0624
(Please ~e or print and sign at bottom)
ADDRESS
Date Rec' d
S:1" L ,OJ
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main Filewhi" FiI,
2. Pi"k Cil, I PERMIT NO. /J7_/ ...,./.11
J, Yellow Applicant U.::/ (p~-,
/IP'Io3 -n.IVIM~ CIJf~7' D~"'~
LEGAL DESCRIPTION (office use only)
LOT fR BLOCK;l ADDITION -ri/l'l~,(" C<<-~I PMlL
OWNER
(Name)
PvL.1'iiE I/o....e->
(Address) e ( S- AJo~,:n-lwf!I, P~.4",
,
BUILDER ff "
(Name) SA?1~ AS MtJlk
(Contact Name) A-~,J /VIAIC-I
(Address)
TYPE OF WORK
o Misc.
.%" New Construction
DLower Level Finish
DDeck
ZONING (offic,use)
Pup
PID ~r ~ Ac~ ,O~-o
(Phone) W.rt - 'I J"'; ~ S";l 00
€'~ .;H"J ST(,J'I
S"/~ /lIo
(Phone)
(Phone)
DPorch
DRe,Roofing
(,.j' /- 'IS' .) ~ r .,l00
(PI,}, ~1/'1()-1/,l.,]8
o Fireplace DAddition DAlteration
PROJECT COST IV ALUE (excluding land) $ (p If . ff9S-8
ORe-Siding
DUtility 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
~t:ru~~t(::;;lainSpectiOns 13~ _ 137 ( r /.UJOl
Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
/.
ff //J6IJoo.oo I
$ '/'1/1'. 7S I
I $ ~R'~
$ 32.u~
$ -- I
$ IDO. <,0 I
$ 100. 00
$
$
~tJ,tJa
This Application Becomes Your Building Permit When Approved
~if~
&'//1 /tJ3
I Park Support Fee
I SAC
I Water Meter 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
'-tho~' Lief
#
#
#
#
$
$
$
$
$ /2CO,OCl
$ 7aa, 00
$
See MainEile
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
~ 1~/-J (;,11 ( /03 u
Planning Director 'Date 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
Building Official
Date
/i
0-
~x PRIOIi' (.
,"'- '7
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See Main File
White - Building
~?na.!i-' i'-'Y'(l~en~
Pink - rld..nll.~
Thr C~nltc (If thO' l.a.... COUAII'}
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:,
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Accepted. X
Accepted With Corrections
Denied
Reviewed By:
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Date: 1 f At.,-A<-I o~
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
White - Building
CanarY - Engineering
('PInk - Planning:)
Th.. ('..nl.., "Ilh.. I..k.. Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT :.-' J.(1 It
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APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:,
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Accepted
Denied
/'
Accepted With Corrections
Reviewed By:
Comments:
.~
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7'.L41f ~
Date:
(.,,//1/03
"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
CJ.Vi!it,? - Eluildiiiq)
Canary - Engineering
Pink - Planning
Tht ('folfr of Ihf I..kf ("ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHI;CKLlST
NAME OF APPLICANT (j) 1).~ ~
APPLICATION RECEIVED li - a d- -0 \3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:.
1~L103- ~J~~ Dv
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
r;8~
r-
=;- LJJf.-J
Date: (all I k3
-, ,
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."
FIRESIDE GORNER
#3255 P,002/003
(preue tt:PJ: l')I' lIrbrr; ..lid sian lit hott.om)
ADDRESS
CITY OF P~R LAKE
HEATING/AIR CONDITI(t "GfFIREPLACE PERMIT
FIRESIDE~ S.- I PERMIT NO. 3- bd41
Date Rcc'd
-J-iBA RTH6-H 6M E'.
1.6403 TIMJ3ERCREST DRIVE
I ZONING (ofI"",'...,j
J.EGAT. Dr::.sCRJPTION (office u'c O11ly)
LOT
aLOCK
ADDITION
PID
VWI'lr..Ji.
(Name PULTE H01:dES___
(Phone)
(Address)
APPLICANT
(Name) AUJP-P PIRF..~IPF. ORA F1RF.SlDE T~AJj.QME
(Phone)
651-633-256 J
(Address)
2700 NORTH F AIRVIEW A YENUF
(Moress)
(Contact Person)
BRENDA HUSTON
ROSEVJJ.LE
(ei,>,)
(Phone) _651-633.2561
55113_
(Zip Code)
APPUCANT SIGNATURE
BRENDA HlJSTON
DATE
9/22/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AI. TERA nONS
FURNACE MAKE AND MODEL FUEL
FLOE SIZE RETURN OPENINGS INPUT OUTPUT
TYPP.. OF SYSmM HF..ATlNG OR POWER PLANT
OW.nn Air J'lant'
OOn>vity
o Meehani...,
OAJ, Conditioning
OVent System
o Steam
o 110t Ware,
Brtadilltion
Special Devices
o Other Devi.ce~
PI,EASE NOTE:
Air Conditioner Unil3
C,,"not Encronch ;nlo
Rcquired Side Yard
Setbacks
FIREPLACE MAKE AND MODEJ.
HEATN GLO SL-55oTR
lndumi.I, Commercial & Mult/-family
FEE SCHEDULE
I % of job cnst Residenrial, Ga. Fjrcplace
539.50 minimum
$99.50 Re,identi3J, Addition, & AIter3riono
$64.50 Re,identi.l, AC Only
Estimated Co,( $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
S
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$39.50
$39.50
<5>&, ~S39,50
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Rcsiden-ri.3.l, lic3ling &:. NC (New Con9Lmctir.m)
Residential, Heating Only (New COnsTrucr,ion)
(,om" UIlC Only) U I 'J' . 3
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Tbis AppliCAtion Becomes YOllr Building ~JlrPJi"'WA'11' h1JJlfI''IE~/m ~/"1iJ;.i'WrQnd . rRrceiPI No. f{ I
~c Builder Divi.'; In I Date ..j. By i ! /'~,
roI,Ar~Ik.;hJ;n'lJf~lf) Fairvicw Avenue North RdlOUiilc. MN 55113 IPhuhe 651-633.2561 Fox 651 613-8884 r_~ r
.un,"~.; '-",un. 3850 We,t H'J:hwoy 13 Burn,,"'.. MN 55337 Phnne 952-890-0758 Fox 952-890-5408 ~!"~1".~~I'i'.'1l'l
Z"-ho., notlee rnr RIIIR'pectlnn. (952) 447-985D, fn (952) 447-4245
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PAID WITH
~ILDING PERMIT
PLUMBrNG PER.\,UT FEE S
STATE SURCHARGE S
TOT_-U. p.ER;..~m FEE S
Ti'l,i4. A.ppli-c:lcio.\1 BoCt::ornes Your BUl1din;: :Permit When Approved
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[c: : 60 m0C:-60-lnf
PRIOR LAKE
INSPECTION RECORD
~ <.~eS"" ])..".
DEPARTMENT-OF See Main File
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK ~
USE OF BUILDING EFII
PERMIT NO. ~&.I _ DATE ISSUED .
CONTRACTOR ~ H01f6 . , PHol\6/~ 1./_. ~,.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING lA-I,,,;,,1
, FOUNDATION (Prior to Backfill) '1M;, I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC rw;.....
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
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GRADING (Prior to Sodding)
BUILDING t)'u.v{l vwh 1 ~>lrOL(
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
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/1-111-03
fl'!7 -0'].
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 piaced near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
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CITY OF PRIOR LAKE
INSPECTION NOTICE
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TIllE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO,
(,'J3-62-/'
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
A-FINAL
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 GAS LINE AIR TST
o
COMMENTS:
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~ WORK SA TISFACTO~~. PR<X:EED
o CORRECT ACTION AND PROCEED
:S::O:ECT wo;;;;;R REINS::::::::FORE COVERING
----
~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
uaNOn
BVRNSVILLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378.952-894-0005
Ors1at Test Report for JaW _n..,J.~
Address 11..JD3 ~;" ~(~~+ ~ City~.~ uk
OccupanL-~~~( k....n
Date of Inslall iO!i.ID '!S
Type of HT, FlA I Aw Space HT Unit HT
Other
Make '---;'1tJ y
Model &'5'1 jil ;>- ,;J,/(1-C':</~ --CI
Serial '. :'1.": -? li~ -. 7"'.<.1
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1N'fP3 ""/..'(tJtj;t J;'tt?1 1'10,' /'? .~ J: OJ
Pilot Type
Pressure
Input CFH
Slack Temp
Date Tested
Company
Technician
HOT SURFACE IGNITOR
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,
BURNSVILLE HEATING & AIR CONDITIONING
-:-iA'bC'~"""
DATE TIME
CITY OF PRIOR LAKE .lI- )l.f-rfS
INSPECTION NOTICE SCHEDULED
ADDRESS f(,1.(0 3:. T~,(f
OWNER CONTR,
PHONE NO. PERMIT NO. Z - Cz-'-(
o FOOTING o PLUMBING RI o EXfGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
G"'FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
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o WORK SATISFACTORY, PROCEED
c?f!ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECT'ON BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
UUNOT<
DATE TIMe
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
I f-/t,lrcf]
ADDRESS
/(.L{03
qrwr J:H'-Cre..s,.f-
OWNER
CONTR,
PHONE NO,
PERMIT NO,
3 -(24
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 EXfGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
r r vLttA-t
/!!'11f-t4O 5
o ~ SATISFACTORY, PROCEED
#CORRECT ACTION AND PROCEED
o CORRECT, ";1~LL FOR REINSPECTION BEFORE COVERING
Inspector: 1-lf,' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
'N'I<<Jn