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Home My WebLink AboutBuilding Permit 04-0446 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Main File I. White File 2. Pink City 3. Yellow Applicant I PERMIT NO'(J4. (j4+b I (Please tVQe or orint and sign at bottom) I ADDRESS 4I9~ f0Lff /lF16M5 TMI L-. LEGAL DESCRIPTION (office use ouly) L01';1YBLOCK_ ~ ADDITION 7/mBiA tIu.ar ~ ~JJ/F1011 . 1uL:Je- )/Oma:. tf/S- d~tv~r ~1UA#, '-' OWNER (Name) (Address) BUILDER (Name) (Contact Name) (Address) SAm/!-- ~gl&:6C#JuJ TYPE OF WORK ~ [JrNew Construction OLower Level Finish o Misc. II!.. c . Date Rec'd /jr i]6?)L! ZONING (officeu,,) fJtktIJ PID.Yf' L//);J. - or ()-() (Phone) t!f5/-Y'..>i!- -S-~ .5l1/rr /~o. EAf.A4f _ ;11, (Phone) (Phone) 65/ z-I h?-O/- 'Hs--r- ODeck OPorch ORe-Roofing 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 coofann to all existing state and local laws and will proceed in accordance with submitted plans am aware that the butldmg offiCIal can revoke thIS perma for Just cause Furthermore, I hereby agree that the CIty offiCIal or a deSIgnee may enter upon the operty to pe~eeded in~ons 71 / x ~ '23.,::~ $?-/57/ ~,-5/tJy r / .",- SIgnarore Contractor's LIcense No flate' ! Permit Valuation I Permit Fee I Plan Check Fee I State Surcharge 1 Penalty I Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee PROJECTCOST/VALUE (excluding land) $ Y"~/.lJcJ , o Fireplace DAddition DAlteration $ $ $ $ $ $ $ $ CJh,O{)').____: /O,.?'-1 '''1 D 00~' ~ Lift ,- /o"TJ- I/)(,,). - :35',.5-0 tI/'L - This Application Becomes Your Building Permit When Approved ~ r;;:~~J Building Official S/lt1~o/ Dare I Park Support Fee I SAC I WaterMeter~ze~"; I Pressure Reducer I City SAC and WAC I Water Tower Fee I Builder's Deposit I Other I TOTAL DUE # # # # I /656. -I d50,~ I Jf6-. - I (,;u;JO. - I -'?al. - I /5'~o, - I $ I $'7 {;~3. 8f3 1 $ $ $ $ $ $ $ - , ? Paid Date 70r,ZJ'( (.., rJ/ I'- I Receip~o. Bv 1..,,-, (/ p n?r& This is to certify that the request in the atmve 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 "'"~ ~ Planning Director JId-, .s/l~(:Y: ,.fl~ ~CO~ 24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 tf~, uet Main File White . BulldinL ~ l:'aR.4l"V - Enqineeri~ Pink - Pla-nmng Th~ C~nl..r of thO' I..".. ('o..nl'1' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT . .- .~.. /"i'. , . /'~\-/-7!J--;7.:tCJ2.</ . APPLICATION RECEIVED .~-\ -..'; ~,/..\ /f' t'_~./ '-~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1/?;c:J3 - " (;' , . -'.j( /,...-/1'/ /" ':" J ./'1 ,. (1~..L.' '''/..--- i,/ Accepted ,X' .... Accepted With Corrections Denied Reviewed By: #1t~ Date: -5--/3-0'/ - Comments: !'=:pp Rpvpr~e Side for Addition:::!1 Inform;:!tionl See Attachments: ]) Grading Plan, 2) Rro~ion Control Measurp,~ "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 Can::lry - Fnaineering Qink - Plannimr;, Ih~ Crnlr. of thr 1.lIkt ("ountrl BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ,/ " ,,,,-; , ( / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I fV::;'- I t_j "w , . ." / , ) , " ,,' Accepted Accepted With Corrections / Denied ~::;~ Date: 5//~1a~ Comments: ~~ k"'u:...-:; ~ ~~ /j '''7e>~Jl. ,,, ' Reviewed By: ~ "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," ~ 0.~ Main File ~hite - BuildiiiQ:::> Canary - Engineering Pink - Planning lh~ Cenln of lhf L.kr (-ounlr)' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ~J/; I/;/~ , . L/_ 3c:r 0 Lf The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /-IcJo3- M{f6 ~ ~ Accepted Accepted With Corrections .,.- Denied ~~ ~.i;J Date: 6/1 f) /0 'I f.u..Jl o-U ..k-fl ~ . 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." Ma~ 27 04 08:48a METRO GENERAL SERVICES 763~428-2968 ",.2 aRUM - n..r YELlOW . ."UCa.NT GOLD ~ CITY NOTE: Sewer and Water contractors must be registered with the City. APPLICANT: ftt('Jlll).. ~ HeyVJ\{il,y.wI{~oNE:JiiJ,3-lj2f:~1I'5&' ADDRESS: ,i-.,r74b (JjJl1.nrJIv.L n:F DATE: .-s-:'? (....,-(ly SIGNATURE: i)o j,_ f'Zv'if.lrI - l SITE ADDFESS:_I]~~ 1!y'h/j IJelf)d;-1A PID# FIri,~N THE BLANKS. /10 CITY OF PRIOR LAKE SEWER AND WATER PERMIT FAy.. '15~- "~7-if'2-t/r" S.W.No. O"'.d~ BLDG. PERMIT # 1. Estill,ated length of water service . I'I Size:of water service' inch(es). feet. 2. 3. Loca'~ion of any couplings from structure rj feet. I /J II Type I of sewer pipe. ABS pvc"'i Cast Iron Estinated length of sewer line ~() feet. "- 4. 5 . 6. Clea~ out (if required), located at feet from stru~ture, /1)11 :====~=~===~:~~======~~;=======================================:== I This ap~I'lication becomes your permit when approved. BY DATE: I --=---~----------------=--------------=-------------------------- =-- ----fJ~7T~-:;~i%--- ~~~----------- -------------------------- FEES:. J1"d.j fJ.t-/IH1- . . Sewer and water line connection permit. r-:- . , Surcharge Aft:! n'?e-TOTAL * Fee for either sewer or. water individually is $20.00 plus $ ,~O surcharge. * sewtr and water permits' issued for new construction must be recDrded on .the buildin~ permit card at the time of issuance , to in. s 11!1~ pllcate sewer and water permits are . iS5 J r ~ @ If, \~J U; ~ :~;:'j . "'4 .~ ::~T ~ 16200 ""'" ~.E' Pri:' :~~'''''" 55372/ Ph. ("') 4474230 I FAX (;;"'4245 An Boual Opportunity Employer ~"~-_._-- ------.--.._..~ _w_._ CITY OF PRIOR LAKE PLUMBING PERMIT Date Rec'd (Please !vpe or orint and sign at bottom) ADDRESS L-/ q tJ 3- OS--07 -0'1 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION OWNER (Name) - //-)uft: ~ (Address) APPLICANT (Name) va[/;j Pl..........t.,'"::j (Address) 't5Cev O-v...o..k.....r hv-c... (Address) 7'e.. r I. Blue File 2. Gold Cily J. Yellow Applicant I PERMiT NO, OL/-f/lf i:J / J t.L.r. ZONING (offi~ i/L! tJ ~;:( rL I . lf46f PID (Phone) (Phone) 9 C:;;}.- l-f9.9 -,tl-/-a.. I "00....010--. 5 ~ S.;;j. (City) (Zip Code) (Contact Person) (;.1,. /'.~.... MOrr-,'" APPLICANT SIGNATURE~""",~~A. (/. . APPLICANT PLEASE COMPLETE BELOW Type of Fixture Quautity I Bath Tub with or without shower Rough-ins Dishwasher I Water Heater Floor Drain I Water Softner Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine) I Laundry Tray (lor 2 compartment sink I Sewage Ejector I Shower Stall I Backtlow Assembly I Sinks Backtlow Assembly Test I Bar Sink Lawn Sprinkler Water Closet (Toilet) Other Quantity FEE SCHEDULE Industrial. Commercial & Multi-family 1 % of job cost with a $39.50 minimum Estimated Cost $ PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE (Office Use Only) This Application Becomes Your Building Permit When Approved Building Official Date (Phone) ......bo-u ..., DATE to -&iJ.t;J-crl, Type of Fixture Residential. New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 Building Permit # $ $ .50 $ r: (),V : ::;~ ~Lf ::ceiPt No / 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714 ~1 ~I~ I PERMIT NO. '.." J.' Applicant ... ZONING (office.se) .~ if ii~ T' j!~i 8- 3-Q4;11:27AM; f~~ ~/1tNn01.'" ;952 894 0925 HEATING/AIR CONDITIONING/FIREPLACE PERMIT I. Pink 2. Gn~" J. Ydlow (!'Iease tv..:Et: or print and sim at bottom) ADDRESS LlQ03 '\?,\Il C(' W-~\({~ I LEGAL DESCRIPTION (office use only) .LOT BLOCK ADDITION Pill OWNER (Name) ~.... 0 k MnIY\~ S (Address) ?s'~ l'Jo,m '" )O,~+ -\tii~ :;l1L/(") (phone) t 0:::'\ - uQ -<;:'7 t'Y) P Qo/Hl ~. SS12/ I APPLICANT (Name.) (phone) _ C;S ;;>-r;G LJ -COOS" 81:1msville ~ealiR9 & /1/(:. LL" 12481 Rhode Island Ave, So, ~8~'Il~e. MN ~~~r23 (City) (Zip Code) (Address) (Contact Person) (phone) APPLICANT SIGNATURE (~cm }){'dl::!}J/1J1Q//_ DATE t-,;}. -oy APPLICANT PLEASE COMPLETE BELOW ItQNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACEMAKEANDMODEL !Qflnnx (.;,SIM (J-,;>U& OC./5" FUEL l'Yl-J- C,Oto FLUE SIZE RE~RN OPENINGS 5 INPUT 'IS) fX)O OUTPUT L/ t.'ift)() TYPE OF SYSTEM DWarrn Air Plants DGravity ~ Mechanical Air Conditioning Vent. System HEATING OR POWER PLANT o Steam o Hot Waler o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks 'IREPLACE MAKE AND MODEL ldustriaJ, Commercial & Multi-Family FEE SCHEDULE 1% of job cost Residential, Gas Fireplace $39.50 minimum $99.50 $64.50 $39.50 $39.50 $39.50 ;csidcntiaJ. Heating & Ale (New Construction) esidcntial, Heating Only (New Conslruction) Rcsidcnti;.J. Additions & Alterations Residential, AC Only Estimated Cost $ Building Permit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE 'B~*~ e~h .50 )JJJV/~ , ~ 1I i!l ~ t.~ N. ,mee Use Only) This Application Becomes Your Building Permit When Approved Buildin~ Officill Datl: 24 hour notice for aU Inspections (952) 441-9 ~ fax (952) 441.4245 16200 Eagle Creek Avenue, Prior La'Ke~ lVll" ;,..,""~ PAID WITH BUILDING PERMIT # 2/ 9 ..~ l~ 'I~ I ~:li:')$ I ,,'C" '~ - " '-'''-.." " ~ ----.. PRIOR LAKE~ DEPARTMENTOF Main File BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 1.f9lJ3. BJ tL# en r".. NATURE OF WORK -.NJ!,W USE OF BUILDING .-J: F " PERMIT NO. - tJ <f& DATE ISSUED ,..1' CONTRACTOR PHON..i\ I- -,l.f ~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DAT~ l.FO~!It."GJ d/.$.I h~?~~tJ ,I , FOUNDATION (Prior to Backfill) L,.J(~//... ~~ I ~/...u~</' 7 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS _ ~. ~ ~ N4 #4 , ~/~ 1h;7~1 . j1/..2.Y/a/ SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING /It flf.t/1/6/o 1 HEATING (if required) FIREPLACE . GAS LINE AIR TEST~~ ,d.,ttF f t. 1/ ft/J //hfiy' COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS . I ?jAJfto/. 7' /~7/(jr , I ' ~,..J. Uk.~"~ GRADING (Prior to Sodding) BUIL.DING ~ ELECTRICAL PLUMlJING HEATING DO NOT OCCUpy UNTIL ABOVE HAS NOTICE f/{1 ~. It ! \ ~ l&>J / ~..z,h r' #/r"l 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 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. D FOOTING o FOUNDATION o FRAMING D INSULATION D FINAL D SITE INSPECTION COMMENTS: DATE TIME SCHEDULED /y/q0q ,(j'/V H //A 7/ / 1"70..5> CONTR. PERMIT NO. D PLUMBING RI o MECH RI o WATER HOOKUP D SEWER HOOKUP ~LUMBING FINAL o MECH FINAL "' ? / #'t'r'(l~ -e ft,-- /-eV / ./ / /'j-'l"T I (;J /J;( / / /Y.e ~ J ft'i'TV /~s-;t.//e/ e;L/- ~~t. D EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI D FIREPLACE FINAL D GASLlNE AIR TST D 0/ -/ / ~. /. C'/C-C!'C /c.. -@..:J 0(// /cl "'9- -< / D WORK SATISFACTORY, PROCEED ~/ C ~CORRECT ACTION AND PROCEED :'::O:ECT ~7R REINS:::::n::FORE COVERING ,./f' ? .r:-- nq / CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTl DATE TIME f/~t/' ~f'o5 g/vq R fr/ CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. 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 o PLUMBING FINAL ~CH FINAL COMMENTS: C'~- 9' S/b o EXlGRADIFIUING o COMPLAINT o FIREPLACE Rl o FIREPLACE FINAL o GAS LINE AIR TST o n::Ci / c:!JJ~ d GSa-r '7?,s- /- ~~d~-C h,- /-.,J;L' ,:;;J; r / ~chh..,.,s ~,:....) d-~.v -/'-'/.# ri"J /C. / / ~/~ d,r~,vC' , )C WORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WO~K. CAL~ "R REINSPECTION BEFORE COVERING InSpeclOr:~__ Owner/Contr. , r CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. IIiSliOn CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH of SAFETY! CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 4<jC3 13fuIT' Uk OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~FINAL o SITE INSPECTION o PLUMBING RI o MECH RJ o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: I. r:,.....J. G~ l'k~'eIvL <fS'2 - t{Cl? - 'U13o -r I' (\ J () t's9.J,u lWt- TillE 4 - "Ltc. o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RJ o FIREPLACE FINAL o GAS LINE AIR TST o ~RK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRE~ WflRK. CALL FOR REINSPECTION BEFORE COVERING Inspector: "n Owner/Contr: CAL ~J.1a50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! BURNSVILLE Heating & Air Conditioning, L,L,C. 12481 Rhode Island Ave 8, Savage, MN 55378.952-894-0005 Orstat Test Report for Job# (p 51 '-I- Address 4Cf03 !3LU/r IfUl"'1i 5 Te. Citv Pnrotl LAIL:" "". Occupant Date of Ins1al1 Ie - '.2,. C <4 Type of HT. F/A ./ HW Space HT Unit HT Other Make Model Serial Input L L 10..."..',0" G,'5\"I1(?~ 2'it3- 0,-/<;0' -Sil>'-i 14 7(.0-. I "-/'1 000 (J, Tu H Pilot Type HOT SURFACE IGNITOR Pressure ~s I we. CO2 (..;;\ Input CFH L\W 02 q. '1 / Slack Temp 10'-1 CO Il{p~ / Date Tested Company Technician 1\- '3.... 0'-1 BURNSVILLE HEATING & AIR CONDITIONING Go