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HomeMy WebLinkAboutBuilding Permit 03-1403 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d 9. z, Z.oJ Main File 1. White File I PERMIT NO 2. p;", Cj<y . 0 '? - /' 1.n.3 3. Yellow Appliflnt J "'"fV_ (Please wee or print and si2l1 at bottom) ADDRESS $lXJ'I Bw.fF J./ fi/~Hr5 1M-II.- ZONING (office use) PUO LEGAL DESCRIPTION (office use only) LOT ZDaLOCK J ADDITION /f:mEM. !!Iuif .AlJdlrlO/l'\ OWNER.? _ II (Name)~ HtJ1IES (Address) fj/5 tdJlT#tV,r:cg ~A'/,. PIDZ5.4-02. 02-0.0 s~ /41v. . , _ (Phone) p51-'15Z-~ CAMz1 $n ss-J 2./ BUILDER (Name) (Contact Name) (Address) 5A111&-- _ CPizr ,~IA,9;bKA (Phone) (Phone) (,IZ- 221- 419~ TYPE OF WORK Ii( New Construction DLower Level Finish oDeck oPorch oAddition oRe.Roofing oAlteration ORe-Siding o Fireplace DUtility Connection o Misc. PROJECT COST IV ALUE (excluding land) $ ?4 /J9S- 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 r'~r-"J' 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 ;teru:;Z;/O?L~ SC- /37/ 9 ~94~ _ ~- r Signature Contractor's License No. '/ ~ate I P.Y Val . 0 I P kS F # $ enmt ual10n q 0, 0 0 0 _ 0 ar upport ee I Permit Fee $ (72.3.75' I SAC # $ 1 Z 75.00 I Plan Check Fee $ 600,~ IWaterMeter Size5/S";1"; $ 25V,OO I State Surcharge $.tJ-5: 0 () I Pressure Reducer $ -Is: ()() I Penalty $ - I City SAC and WAC # $ /2-0 cJ . 00 I PlumbingPermitFee $ 100,00 I Water Tower Fee # $ 700.00 I Mechanical Permit Fee $ /00, O{) I Builder's Deposit $ / Co o. (){) I Sewer & Water Permit Fee $ .::35..57) I Other $ . I Gas Fireplace Permit Fee $ /I-{),()O ITOTALDUE$~,~/4-.('9 I II.. .' I Receio;il\[o. 4-r1U J Bv /1/ C , This Application Becomes Y~ur Building Permit When Approved ~ ~ -M/b:r Building Official Date I Paid I,I /~ I Date /d .l/lrP ) 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 .--.-r-....... Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be ~anni:Jrdf ' 1~/11.~J ~tL1{potOrrftt1Jf~an~ 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 '~1 Main File Tllr ('rdltrof 1M 1...tCOunlry White - Buildi~ O~.narv - t:nalnpert.,g) Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT L j:1/L. rc:- ,l-fc/'16S tf. 2 Z 03 APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ,5()O+ L1t.~ UFP //S/GflrS- T!2-t.---- Accepted x Accepted With Corrections Denied Reviewed By: ~ Date: Comments: ~.... RAverse Side for Additional Information! li1iA ,., f,' I{ ID- 11,-03 See Attllchment~. 1) ('-.rllrlin'! Pl"-n, 2) Erosion C;ontrol Measures "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." Main File White - Building CanarY - Fngin_ring ~nk - Planning:::::. Th~ Cfnlrr ", lhr L.h ('ounlry IruILDING PERMIT Aff).ICATION DEPARTMSNT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 1::Vt.- I t;...- HOI'/6S C/. 2 Z . G3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 500+- Lf(, UFP /-/6/6#0" 77~'- / Accepted With Corrections Accepted Denied " Reviewed By: ~ ~? Date: lelf1 ~ 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." ~~ Main File <::::Wbite - ~"g-. Canary . Eng neering Pink . Planning Tht ('tnlnof Ih, I..h<"ounll'}' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED PtJt, 76 /-frJ/'16S tf. Z,Z..03 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 500~ Lf~-(/PP /ff5/6ff73' ~ ~ Accepted With Corrections Accepted Denied Reviewed By: Comments: ;g~ ~I-- Date: Id;1~'J kL-.P o-U. ,~, "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." Sep 22 03 09:53a METRO GENERAL SERVICES 763-428-2968 p.2 DM.lM . PIlE ULLOW . APPUCAIfT GOLD . CIT., CITY OF PRIOR LAKE SEWER' AND WATER PERMIT Cj'~.2.,. 'I'I7-if1-- IIr S.W.No. 3~ /L{o3 FAy.. NOTE: Sewer and Water contractors must be registered with the City. APPLICANT: (h t:TRO (:!;ENERAi SER.I/UMONE:.7b3 -If-d-.fl-;;)''13g ADDRESS: 57Clo r.::J.uArIl AI/Ellie: ::r:7\JCOATE: SEP22Z003 ~ ,1\ .--Llr .-Jl\-- S-r. fYl JC!./1 f'lr=L -w)1V. ~5376 SIGNATURE: J. alJO.'+'(=_g>--1V BLDG. PERMIT # SITE ADDRESS: 50 () t./-ti-l:..(J.. U'h~:J/14...LPID# 'iV-~ FILL IN THE BLANKS 1. Estimated length of water service Sf) feet. 2. Size of water service.. I" inch(es). 3. Location of any couplings from structure () feet. 4. Type of sewer pipe. ABS PVC ~(I Cast Iron '--- 5. Estimated length of sewer line 5' () feet. 6. Clean out (if required), structure. located at NIA- feet from ====~================~===~===----~====================-==~=~====== This application becomes your permit when approved. BY DATE: ========f7=jT~=~~~============================== ~'-~Jf~.f~==.~~:_- o r ,c' i,_' ,--.... FEES: /J Id,j FJ~e..M' 1- . Sewer and water line conne on p mitt,! ! nil .... . 1 Surcharge OCT!:I II ~~fl,;:- TOTAL 1 'l 2003 I J / Fee for either sewer or water individually 'fBY_$20.0.0. Plu::;Pi $ .50 surcharge. -- , '. ~~. Sewer and water permits issued for new construction must be recorded on the building permit card at the.t~me of issuance to insure that no duplicate sewer andS' w.n!WB ~its are issued., UILO/NG PERMIT DATE..,~AIO . AMOUNT PAID * * 'REcEtPT 'j REC'DBY 0- .,',.;t.:'n. 16200 EaglQ:Creek Av. S.B., Prior Lake, Minnesota 55372/ Ph. (952) 447-4230/ FAX (~) 447-4245 An E<lUal Ouoortunilv Emolover 1-27-Q4;12:Q7PMi ;952 894 0925 # 1/ 3 . CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGfFlREPLACE PERMIT Date Rec'd q'1ease!'a!< o:wt md sim at bottom) ADDRESS 500 4 ~Iu.ff I-Hs, Ii. l: =. ~~ I PERMIT NO.A" IlL'" J. Yellow Appli-' ~ ZONING (ollice use) ~~~ '" ~ LEGAL DESCRIPTION (office use o.aIy) LOT BLOCK ADDmON PID , OWNER (Name) . (Address) O[A,\-\e . <=61S ~s r0 W pK-uJj , Sui~ 140, (phone) ft,5{- 452- 5200 z:a~ f\I1f\J ';;5"/.2./ J ~ if}. I APPLICANT (Name) Bumsville Heating & Ale, LL(; 12481 Rhod~ )sland Ave. So. SIIVlgl, MMdlNY8-1122 (City) (Zip Code) (Contact Person) ~ \LA1A:e (phone) q 52 - R9 C{~ 00 0 > APPLICANT SIGNATURE ~~ n. {~ DATE '(::2..,!e,t..f '-.J v , . APPLICANT PLEASE COMPLETE BELOW ~NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACEMAKEANDMODEL lMIUTK G'SI mP- ,?JoPr O'ln FUEL Mrl, ~ FLUE SIZE RETlJItNOPENINGS.s INPUT {~OM OUTPUTC,'-l/, t../-OO TYPE OF SYSTEM HEATING OR POWER PLANT OWonnAirPlants 0 Steam OGravity . A --.J" 0 Hot Water o Mechanical L-e,,(J f V'-''' . ,I 0 Radiation tEtl'tir Conditioning ID A c..L - a;:< "1 0 Special Devices OVent. System --'-0 N 0 Other Devices ;)..\ (Phone) (Address) PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks I ",II I' FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial, Commereial & Multi-Family I % of job cost Residential, Gas Fireplace $39.50 minimum Residential, Heating & AlC (New Construction) $99.50 Residential, Additions & Alterations Residential, Heating Only (New Construction) $64.50 Residential, AC Only Estimated Cost $ :). SOD, 00 Building Penn it # $39.50 , f,.: ;, $3950 $39.50 HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ s I~~ A L.! l<kr ~?\~ p~?~rPIl!. ~ O~ , lfJ;l (Omce Use Oaly) This Application Becomes Your Building Permit When Approved Paid I Receipt No. I By Buildin. omdat Date Date JAN 2 9 20m 24 hour notice ror all Inspections (952) 447.9$50, rax (952) 447-4245 16200 Eagle Creek Avenue, Prior LaIt..,MN 55372. m'"' . ~~ :% / DEPARTMEN; OF Main File BUILDING AND INSPECTION PRIOR LAKE INSPECTION RECORD SITE ADDRESS ScaLI ~ ~ ~/~ NATURE OF WORK AlEW ~/.JS'T ~c::r16'" USE OF BUILDING S' IF: A . PERMIT NO. 1J3./~3 DATE ISSUED /019Z; CONTRACTOR ...&.TE /./MtlES PHo"NE -zz~4'1aS" NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE , I FOUNDATION (Prior to Backfill) I v111f1/)IW1 J /-/tJ--OJ //J*ILI~g PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED / . ROUGH - INS I FOOTING \AlI ( ./ L . SEWER / 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 I FINALS GRADING (Prior to Soddlnfl) /V# /z ~(~ ~~ / I . BUILDING 1" -tw<' lII\~\ ~ 1/1\ ./%-H / ~~/dY ELECTRICAL PLUMBING IvY / L-t ~ if-Uti HEATING VV/./ <---I-t'r/V} DO NOT 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. /'1// !/vY / 1~/<J-tft1 ~ -/{-()i4 A /V/, '" //VT./ J. -I t-cJl1 <-/ /J~(}0 FOR ALL INSPECTIONS (952) 447-9850 CITY OF PRIOR LAKE INSPECTION NOTICE p7/~ TIME , , :500c/ 8X# ~ 7>/ SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. CJ S -/9'&.3 [] FOOTING [] FOUNDATION [] FRAMING [] INSULATION ..,..lI1'INAL [] SITE INSPECTION [] PI.UMBING RI [] MECH RI [] WATER HOOKUP [] SEWER HOOKUP [] PLUMBING FINAL [] MECH FINAL [] EXlGRADlFIWNG [J COMPLAINT [J FIREPLACE RI [] FIREPLACE FINAL [J GASUNE AIR TST [J COMMENTS: ~~/ tJ~ ~~ ~ /' - ',,", / /J/ F r / 1 ~ r _/o.>-e- ~ IP / "-.... ' - .--/' - - ~RKSATlSFACTORY.PROCEED [J CORRECT ACTION AND PROCEED [] CORRECT WORK, CALI. FOR REINSPECTlON BEFORE COVERING Inspector. ~ -- OwnerlConlr: CALL '.&7.9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE. CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH & SAFETYI ..."." BVRNSVILLE Heating & Air Conditioning, L.L.C. 12481 Rhode Island Ave 5, Savage, MN 55378.952-894-0005 0rs1at Test Report for JaW { ,,() +n l/HW I ...." t.\ t," (\ /n.nrlo/ (' :hi./!1.P - .:l;J~... 0 -:fa - 0 \ 5"rv4 f... 4-0,,<; '"1-4 Address '" rtlt./ Occupant Dale of Inslall Type of HT. F1A Other Make Model Serial Input PUot Type Pressure Input CFH S1ackTemp Date Tested Company Technician i~)',~~ ~ "'""\'(r.,"l City \)...;~ SpaceHT, \.~ UnitHT Inl. cx:9O , HOT SURFACE IGNITOR :s.~ CO~ /...f:.% [PIn 02 q.:.% QX' 0 CO----l1-fp- ,,111101 BUR~sviLLE HEATING & AIR CONDITIONING ::5~oro llA TE T1Ml! CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED /2-1-0,/ , ADDRESS G"o:;'I B/,$ f-/trf4l-J T / t OWNER CONTR. _P,/lfr.. I:i.~v PHONE NO. PERMIT NO. 1'). ~ -ll.JaJ [J FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH Rl o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL 'Jj(EX~UING ... d' COMPLAINT [J FIREPLACE Rl o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: hy~k ,("In ;;t"4f~ 2s D ~ r;( WORK SATISFACTORY, PROCEED . [J ~RRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING InspectOr.d,,~ "'- Owner/Contr. CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HIULTH & SAFETYI """'"' CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: @~ DATE TIllE SCHEDULED 4~'-/ , f)C(J4 {(Irk Iff> CONTR. PERMIT NO. "'$-/V-c::13 o PLUMBING RI o MECH RI o WATER HOOKUP 0. ~R HOOKUP p'pLUMBING FINAL o MECH FINAL o EXIGRADlFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o rz,o.f-~7 f o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WOR CALL EINSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HLUTH .. SAFETY! .-on