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Home My WebLink AboutBuilding Permit 03-1093 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT See Main Fil~ ~;~~e ~:~y 3. Yellow Applicant Please or rint and si ADDRESS It, 3 OJ(p at bottom LEGAL DESCRIPTION (office use only) LOT"'T, BLOCK '3 ADDITION Date Rec'd b-3o v{) 3 I PERMIT NO'OJ /01.3 I ZONING (office use) pUP I OWNER :::::~P~;;:/~::~ ~~t::: ~V\V, -4 YrF 14?l (p:n: ~A:-4D -~ I?l..r. A. I, BUILDER (Name) ~ E (Contact Name) C'-'K1- BL.4sr t.l ,.,-" (Address) (Phone) (Phone) V>/2-- 22./-4q~ TYPE OF WORK ORe.Siding ew Construction ODeck o Misc. OLower Level Finish o Fireplace PROJECT COST IV ALUE (excluding land) $ OPorch ORe-Roofing DAddition DAlteration 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 enter upon the erty to perform nee inspections. x Permit Valuation Permit Fee $ Plan Check Fee $ State Surcharge $ Penalty $ Plumbing Permit Fee $ Mechanical Permit Fee $ Sewer & Water Permit Fee $ Gas Fireplace Permit Fee $ This Application Becomes Your Building Permit When Approved This is to certify that the request in the above application and accompanying documents is in accordance wi h when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows constructIOn t ~~ .~'- ~ ~ 0S3 Planning Director ~ ~ ~~I- Building Official 7p~~3' Date 13r-:. n7 ( Contractor's License No. 4A~J ate Park Support Fee # $ SAC # $ IGl75.- Water Meter Size 5/8"; 1"; $ ;),50,- Pressure Reducer $ LlS.- City SAC and WAC # $ /"?"'OO,- Water Tower Fee # $ 700.- Builder's Deposit $ Other $ TOTAL DUE $ 6 '3/1.--1... lot! ~~~ "}/'1q/::13 I Receipt NO.;:; ~I !I By c3 . oc a 1_. This document ~cupancy must be 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 --:~~ ue~ See Main File While - Building .----€ana. v - engineering:, Pink - PlannIng ThO' ernlt. of lh.. L.kf COlUllry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT _c...-" _~~l:'-(:,_,.t' -:':_ --- - '" '"'- APPLICATION RECEIVED . , -~-'; ,-~) .- <"-) The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: //'".- . / ,",' -" ,~; / l (-;J! ---- -,~_....... , , . / .j.. J;.,_ ~".....,~,-,,------.- 1 J../ Accepted X Accepted With Corrections Denied ~ ~ Date: 1-( 01- ( 0) Reviewed By: 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 Th~ ('fnln of lhfl' l..kf Counlry C:::--White - Buildiiig:> Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED PdE- ~ ~- 3o~o J The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /&39&- (.PJ?1~ ~+ ~ / Accepted Accepted With Corrections Denied ~ ~ Reviewed By: 7vz.d2 p , Date: ?p-~.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." ~~ See Main File White - Building Canary - Engineering ---:- "'ink - Planning :> - rh"("..nl.., nrlh.. 1.....Counll')' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ! ' ~ .J/i {i ~ '_"1 j J The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: . ,/" -::. / (? .-' ~'" "----..," ! , I , ~ Accepted Accepted With Corrections Denied ,... 7~/JL\ Date: p~-.? Reviewed By: ~ 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." - '" .' ...... . :'_ ' ,I r "\ ... ~ .' r 1 ~ ~ '--(-' "/ ~.._",-' i ~ / . ... ,,...' \.<~' l.. .;,~~ C "1-1 '\.' " ::- p!':' r 0" L.J. ~ - r p' l'~ .,.,' - p - ..., \ [ 1 T . ~ \").l. .l.'-i r... .. J.--.......t;;.. L.... .... r 1.:0 C 1 (J t:... t',- .. JI,... ,'-'.r PEF-'-fiT :'d)3~ '- ."".r ..;'. '-"q... '~:r,,~,"r :"..'.r" .1,- ~"',-;t ~..': ,l~ It 'l~r.r.r:-- .... - ~=:-:-::--- _jf:~i~~ ~IY' I^f sl J)f' -~---._- ,.------ :..~ ,:'.:'.:" :: ::":'~:::..:?T:C'~; J\)i~..:: .I;:': ;:ti:,) '-'---.- ._ . ~ ~_; l::'~ .".,--.--'-- ,:..:: C [7~.: ~,; ::r:"": .---- --:--:--, . ';:;-1::.'. " ) ,/:'. . . "--- I_I( .... C' " ._.':..Jd ! J ' ------- I :='::.,,;,-: = ~ --------~- ----.--- --~.~:c~~:? ) n 1/,9 l,. . JlI/~ (1 .;-:" _-.d.u...J. ':((?-) r '..' / _Ru (~) '(- 'IA.O l if /' II '.: ~l::: . .:CO..: -.-:c.. Co. ('Kf;d A{n ,- __:.~' :.~:.';' -;- .::: '.: >, 77., '?-~ ..J./ll~ A .~ )f . --"-- / tU{JiA M 9. '} tj/I> 2' -7 I ..-.c~.c". J....- '7(-..-/(....' --:;;/~,rv (C:::-,'\ \.-:~;'"J 9:;;-;;.- tlCjJ~ )clt/'~_._. c .~.~:; (luAfl; 5-j/.I5 :?...- l '_ /1/) 'f , \ _.::'_:'.:.::: -:J1 /7/)( ~-=::== .-'..1'2UC\.....T PlE....SE CO,\(PlETE BELOW T.vp< 'Jf 1'i.trur, I Qt.,,""'.... I T~p. (lr 1'i.""Jro 8;;~:~ Tub \"trh iJr '.vlC:10ut .l"~\"~:'" 1:1' I K..Ju:;n.\['t$ OISfl\I..-,J;;'.::=:- / l Iyi,'-.::lc:?:", t-:",::,c~:- f;';i;;r Or:/,Ln I ~V.::lc':;", :iur::;,c::- _._ LJ'i;'J.(,::r-, (8,Hh:-r:11i.1 SIr:.l..:l I I S(.Jr:~ P;r:"': (\.\,'~:t!n~ ,'vr'!C~'Ir:~__.___ I tJ(,;rt-...:r:. Tr:.:" ( 1 ur : ~:~~r;-;c:.:.r::;:e:!C .il!":;'; ; SO:'N:t;;-: Ejc:o:.::or ..~_. Si10wec SC:11J I 8'lckrll-lw A~;;":noly ._ SInk" I Backrlow Assembly T <S~ __ eMSmk I L:1wn Sorinlde~ _ W2~er Closet (Tv,lc:l I Otllc~ __ ! ;)IJ;';., t:("'.-' . . "--~T '____..J;::..... , ~_~__,--1-_. ? __......l-. I ( i.____._.L L.. ~' HE :::i<:H..EDJ.;U rr:du~:~~:' CiHr.~'::-::.J.1 J; "~!u!(i.r~i1y (% or'job C:Jsc wir~ .1 Sj9,10 minimu~ Rc.sidc:::td.:J.'. New One ~ rwo..FJ.tnif:-- S;~.:O R:::.tiG;::u:~J. ,-\Jc;:.::cns .I:: .4.:::.--:::cn$ !;:i) '::0 E:;t:m:.u.:-.lCl,).:i:' :s e~iilli:::;; Pe:-:-:-:ic.# _ -.2Q. ~~% ~blA.e> J.... 'VG' ~~ ~ ~ ---I c~::P' No. 'r" ---1 _.-! .- PLtJf-,lBrNG ?E&\-(IT FEE STATE SURCHARGE TOTAL PERi',m FEE s :s :s tOf!ie!: [.'Jo(' O"f~' Ti:ds Apptic::2don B':COffie:l YQur 8uildi11: Pcra1~c When Approved Sui/dine Omci~J t... O:r.~ Ii I~: I 'U ~~....~~~J ~))I ;-llt"., "U,,", ,or,U '.'p<e,,"". \7:::) ....~-7" 8~r>" \~~:)_~ JI~ I OJ91~ I 8fJnldt.3lllj(, \7c :\7~ Z00c:-m::-lm 8EV~'0 . d PRIOR LAKE INSPECTION RECORD /1,391.- T~~~D~ ~ 1V1. FOl DEPARTMENT OF ee aIn 1 e BUILDING AND INSPECTION SITE ADDRESS NATURE OF WORK USE OF BUILDING PERMIT NO. t) S - DATE ISSUED CONTRACTOR PHON'-.J ~. ,;~ ~tJ4fS NOTE: THIS IS N T A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING ~",I I FOUNDATION (Prior to Backfill) -.fv..t<... I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS I/INJtv^ SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING '&- yt,.n HEATING if re uired) FIREPLACE GAS LINE AIR TEST t(~n0 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS GRADING (Prior to Soddin ) BUILDING ",.. l}V\h1 f;-I<1I-\ ELECTRICAL PLUMBING HEATING DO NOt ~ -:.z3- /1- '~'fD ~L1- SIGNED OCCUpy UNTIL ABOVE HAS BEEN 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 ALL INSPECTIONS (952) 447-9850 ..,' ... '. ,,,. .. CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME f:Mt/ /6J;76 ;?"~~C5/ ~;- SCHEDULED ADDRESS OWNER CONTR. ()J' -/09.3 PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION "..J'IH'I1'IAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: ~WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WOR~REINSPECTION BEFORE COVERING Inspector: A Owner/Conlr: , CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! lNSNOTJ DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED /t-~"'cr:> ADDRESS I' '11[, 7- V'f ~--.:-..sr OWNER CONTR. PHONE NO. PERMIT NO. '"$ ~/tJ'1> 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 ..wl'LUMBING FINAL o MECH FINAL o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: (~~Ifk r~~J5 Ii!" WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CA R 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! """"" -;ST\~ ,^Q JI't,'5\:st-tllf(1 BVRNSV''L~E,,~\A Heating & Air Conditioning, L.L.C. 12481 Rhode Island Ave S, Savage, MN 55378.952.894.0005 '5 - (M3 0rs1at Test Report for Jobl S '1 '-3 g Address t (" :?,' \ '." Tn.' ('\c l< C' V '-- -;"\ 'D(..: ..--, Cm.. \ ' "'1, ,1" ,<::(::, I j.\" _' V .,;, .,,~ Occupant Dale of Install \0 Z''', ,Y:>, Type of HT. F/A '" HW Other ! i i I I I l , , i I Space HT UnitHT Make Model Serial Input Pilot Type Pressure Input CFH Stack Temp . L.L ~ l ,.,>':, '::-'1 '^S \ ...(, r 2l.\f\ t)-1 C~ () i 5"96""3 If ;;;-; 7-5"& {,. l\~ C'!C~'Cl e~~'1...t. \.~ HOT SURFACE IGNITOR .:'::.3 \\1oJC t ( 'J,"'~ C02 i./ y ~~ 02 \).' c/o CO_' 0 fP'" 1'4 Date Tested Company Technician J] /3/o~, .~ BURNS~/LLE HEATING & AIR CONDITIONING :5:-l Sc. '1' ... '1 9: "