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Home My WebLink AboutBuilding Permit 04-0447 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d See Main Fil~t Lf-30-(Xf I PERMIT NO. 64- _ 04411 File City Applicant (Please type or print and sign at bottom) ADDRESS 1"?~ $LII/P #~6/r'T5 '/;1.4--/ L- ZONING (office use) Pu-/) LEGAL DESCRIPTION (office use only) LOTZ:$BLOCK"'? ADDITION -J;J11g (;;f t;u-s/ ~_ ,4;/kT7{)J-1. PlOd,)"- .L/(U' ()&'1J OWNER (Name) (Address) ;/vw&.- MdJ::-5 8-Js- M/2/R'IVESr (Phone) ~5/ - Ys.,? -SZoD fA./2I{ 4bu I / < ~r~ /!/O , --- L::#M1 , PJu ,"Ys/z/ , BUILDER (Name) (Contact Name) (Address) SAm$- ~q:r- iKLAsC#~ ..- - (Phone) (Phone) ">Z~ZZ/- 4/9,r.s- . TYPE OF WORK ./ /' ~ew Construction ODeck OPorch OAddition ORe-Roofing ORe-Siding DLower Level Finish o Fireplace OAlteration DUtility Connection o Mise. l It. c. PROJECT COST IV ALUE (excluding land) $ 9,? .a?O I hereby certify that I have furnished information on this application which is to the best of my knowledge b11e 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 budding OffiCIal can revoke thiS permIt for Just cause Furthermore, I hereby agree that the CIty offiCial or a deSIgnee may ;terupo~~~~~~ $?-/37/ ~~~?/ //'--:; ", Sumatute Contractor's LIcense No '/ %:~ I Permit Valuation I q t, ()OO, - I I Park Support Fee # $ I Permit Fee 1 $ !:,d- ~_ 50 1 I SAC # $ - 1 Plan Check Fee $ /~~"/'A?R'I 1 Water Meter ~1"; $ I State Surcharge $ ~K"'.. -I 1 Pressure Reducer $ 1 Penalty $ 1 I City SAC and WAC # $ I Plumbing Permit Fee $ ( (5 0 I --- I Water Tower Fee # $ Mechanical Permit Fee $ /tlt?, _ Builder's Deposit $ Sewer & Water Permit Fee $ 35#-50 Other $ $ 40,--' , 1 I I I , / ri-OO,-I /J(!)(J, -I -- 1 1 $6;St,3. BflJ J I Receipt N/d. r ~ 'fi/"iP I I By -":;:1--7 I U /3 S-t) ,-- c;56,- Lie;, - I Gas Fireplace Permit Fee TOTAL DUE ~ Uf-- 5//o/a t/ :Date I Paid I Date .$ S r.,.s, j'tr (,. r ,0 j:-- This Application Becomes Your Building Permit When Approved Building Official 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 ~:~;Ci~ Pli:;~' "mpo"~ cenill;;:mg;~Plim" md illowsconstrUction to cOSee" Nlmn'" F{k:' Planning Di"ctor ' t Special Conditions, if any 24 hour notice fur all inspections (952) 447.9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 ~ o.{ See Main File While - Building ~n=-~ _ Fl1aineering ink - Planning--:> Tile ("~nler "Llh.. l.ak.. ('ounlrl BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED . ,I "..; / .I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted / Accepted With Corrections Denied Reviewed By: Comments: ~ ~ Date: ~ko;&V "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 c:-_ White - Buildin~ <..am"~ -"I!n!lll'leo!!t-,"g Pink - Planning rhe ('enlrr "f the L_kf ('ounlrJ BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT (y~ ~ APPLICATION RECEIVED L1- ~6-0'-/ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: L/9rJS- .e~~ J.k; ~ Accepted / Accepted With Corrections Denied Reviewed By: ~~ ~tJ Date: S ~a;0i 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." ~ 0" PRIOR ~1 See Main File White - Building <" ~or-.:~' - t:nglneerlnp Pink - Planning Tht ("tnln of lftll' I..kr Co..ncl'')' NAME OF APPLICANT BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST ,/ --\. J, . /'.'.(-.. , I j" " ! A,,)C.C ,i ." ~..ld'J.-.1 J- -', .'.1 j/ APPLICATION RECEIVED 1_../. .:;.:, ..; ,/", I , c:;:.J (." '--.i'Ll The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .(/ ./ t.~) ::;-.. - ~' '. . /_t-. ,/t~)(' ! ....'-! .:~ ~~-~ .. J Accepted x Accepted With Corrections Denied Reviewed By: m4/S Date: S'-f3-6,/ 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 p.l GAEEII. FM.f. YELI,.OW . .....PU(:ANT OO\.D _ erT't , , , NOTE: Sewer and Water contractors must be registered with the city, nl ,..J..d--r----.U.' "l APPLICANT:~, v'ffn1JvJl ~YfVl~ONE: 1iJ1,3-iI2x~xrz;~ ADDRESS: ArJf1rJ a lil01{ 1Ju.f_ lit DATE:. -')- /..1>04 SIGNATURE: - . jj,zif /b/iI.f'j./, -- BLDG. PERMIT; SITE ADDFESS:~qU')~ /;"7//./_C' fA PID# =;n{,{{N THE BLANKS /:;() feet. CITY OF PRIOR LAKE SEWER. AND WATER PERMIT FA 1. C) 5k' 'I if 7-,/']..1/.$'" S.W.NO.~ 1. EstiI,ated length of water service ,/ It size of water service I inch(es) . 2. 3. Loca-;ion of any couplings from structure (] feet. /} Ii Type of sewer pipe. ABS PVC""; Cast Iron_ 4. '--- 5. Estinated length of sewer line, !1{) feet. 6. Clea1 out (if required), located at feet from stru;ture. ;1J~ ~~==========~~==================================================== This apFlication becomes your permit when approved. .1 BY DATE: =======::===r=.==================================================== P wi /ed I.> ''Ht . FEES: [Jld.j fJ~t.."H7- ..Sewer and water line connection permit. .. , Surcharge /tIo Fe.e.. TOTAL Fee for either sewer or._ water individually i~ $~: 00 plus $ 'jO surcharge. .. 'f/)"1.'O * Sew 'r . and water permits issued for new constructiO~~. be rec rded on the buil . g permit card at the time of nee , t.o... .n. sure. ~ .. .. .icate sewer and water permi " are . issle. ~.\ffi~. . \. . 'ii, ::::.~c::L~ ~ jU . 4 :~~:T~~~ '16200 Eogl<'puk:: ::::=~,.. 55372/ Ph, (,,2) 447-4230/ FAX ,G' U"0424' An Equal Opportunity Employer -u= * Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT L./ q tJ :3 - 05--07 -0"1 I. Blue File I PERMIT NO B 2 Gold C"y 'O/I-IHP,_. J. Yellow Applicant '-1::f.-::I..J / / j' ) ~<<rI~ I ZONINC;;t1/ LfLfCj (Please type or print and sign at bottom) ADDRESS . LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) - //jui& ~ (Phone) (Address) APPLICANT .-.. (Name) vall-:j p/~/",:j. ..J.-.. r (Address) q)(.,c) O-"'a.k--</ A-V-L (Address) (Contact Person) Ch. "'''So Moo" 0",-5 APPLICANT SIGNATURE~M ....,N~A (/ APPLICANT PLEASE COMPLETE BELOW Type of Fixture Quantity I Bath Tub with or without shower Rough-ins Dishwasher Water Heater Floor Drain Water Softner Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector Shower Stall I Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet (Toilet) Other (Phone) 9C:;;}.-49~-~/"iJ.- J 0or-ol~ ~<3S.;J (City) (Zip Code) (Phone) ..4-6"'(J~ DATE t.., -(?~-o<I. Quantity Type of Fixture FEE SCHEDULE Industrial, Commercial & Multi~family 1 % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 Estimated Cost $ Building Permit # Building Official Date $ $ .50 $ " ULQ;V I Paid fy\ fY I Receipt No. I' Da:" ., 11-""). I ~ I By 1 L !J.7 '-{)'-1 I PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE (Office Use Only) This Application Becomes Your Building Permit When Approved 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Ave., S.E.! Prior Lake, MN 55372~1714 ;952 894 0925 # 4/ 9 HEATING/AIR CONDITIONING/FIREPLACE PERMIT I, Pink 2. Grt~ll ), YllIow ~~,~ I PERMIT NO. I J fJI19 ~. Appliclllt ",-,"" '" " (Please type or orint and sien at bottom) I ADDRESS 40(05 ~\ \ 1 C{:' W-~\({~ JL I ZONING (olf"" use) ~ " ~ LEGAL DESCRIPTION (office use only) LOT BLOCK ~ ADDITION Pro OWNER (Name) ~"- Q k \--\niYIE" S (Address) '?s \e:.., "-.Jo,m 'I-. )O~ ~ll ~ :l!. I LI() (phone) I o~1 - Us,?" -c::.7 (;() PClO(r.n ~- 55/.2/ APPUCANT (Name) (Address) BllFfl!l':iIIe H83liRS & NC, l' ,... 12481 Rhode Island Ave. So. .. ...' '"OW"" 1."" J';"'I~'::-'.~ "(Aaciiess)-~ (phone) 9:'S~-f;C,U.COOS il~ f:jj 5!t 'i!i ~ "0 (City) (Zip Code) (Contact Person) (phone) APPLICANT SIGNATURE _ ()(f11:L ]){)O/Y)OftQ// DATE 6'-,;2 -0<./ APPLICANT PLEASE COMPLETE BELOW QQNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACEMAKEANDM:ODEL jQf)nn->< (.;SIM '?-';)W& o'-lS- FUEL ('YI. -+ GrOD FLUE SIZE RETURN OPENINGS '5 INPUT 4<::, ()OO OUTPUT 1../ /. ~ 00 TYPE OF SYSTEM OWarm Air Plants OGravity ~ Mechanical Air Conditioning Vent. System HEATING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units CaJll)ot Encroach into Required Side Yard Setbacks I :;:1..:. Ii .' f i0 I ~ ~;;r-: If' ~IREPLACE MAKE AND MODEL nduslrial. Commercial & Multi-Family FEE SCHEDULE 1% of job cost Residential. Gas Fireplace $39.50 minimum $99_50 $64.50 Residcnti~. Additions &, Alterations Residential, AC Only $3950 $3950 $39.50 ;",,,,' ,~:,. ,;. , ,-c:sidential, Heating & NC (New Construction) ,c:sidential. Heating Only (New Construction) Estimated Cost $ Building Pennit # Building Official Dalt ~/ .50 b~~ !~~~ ~ ~o~ ~ R='~N' \~~ate I y HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE i"mce Use Only) fI'his Application Becomes Your Building Permit When Approved - . ---= --- 24 hour notice for aU inspections (952) 447. 16200 Eagle Creek Avenue, PrIor Lake, MN 55J72 ..... t~t;Sl \'~1i'~ ""'''INf: .......-, "'woi~"" ~ ~='...,.., ,~'~ii.' PRIOR LAKE g~~t~~~~JD~~~,.Main File INSPECTION RECORD SITE ADDRESS #t.~~ i3LJ~ #'fs Tr NATURE OF WORK' ~:i~ USE OF BUILDING ~.p j4 PERMIT NO. Oq- (J~7 1;;;1 DATE ISSUED ,r-"" CONTRACTOR YlA.~ u~,.e.s PHON~I- ~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR OpE , I FOOTING $F ~/l71r.71 , FOUNDATION (Prior to Backfill) ,u:a::J'luhd ~ I ./1'~;(./,,4 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS ~- /TV/ _ /#1t' SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL - PLUMBING f), &; /Itf 7jIJ/o'f HE;ATING (if required) FIREPLACE GAS LINE AIR TESTII4.( f},itr f '1t ~ / . COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINA~S ~ ~ bl.~ ffD I 'b.ll"'~ w.\,~ GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUpy ~ h/; , / &/,r/o{. ?/2J/c7 7'/..2 7/0/' ?/.:yl# q/.;vyetf - <;>/...$/ /or' #?/- 7J'h~</ / . I l/ / /1/'dt./ I I ' - . .&4 dd UNTIL ABOVE HAS NOTICE /,/,b/c-( ///?~</ SIGNED BEEN 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 SCHEDULED DATE u/n- TIME ADDRESS q f O~ ~(>~ U-to; OWNER PHONE NO. CONTR. PERMIT No( - C) if q 7 o FOOTING o FOUNDATION o FRAMING o INSULATION ~ FINAL 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: .--/ ~RK SATISFACTORY, PROCEED o CORRECT AND PROCEED o CORRE , CALL FOR REINSPECTION BEFORE COVERING Inspector I Owner/Contr: I CALL 447-9 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. COD~UIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ INSlWTI DATE TIME CITY OF PRIOR LAKE -.,./ INSPECTION NOTICE SCHEDULED. /~~~ ADDRESS rf~) /?~j4f"/ffi #/ OWNER CONTR. PHONE NO. PERMIT NO. 4'</- ~f/7 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 o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: /"J /'7 _/ _____ J /' /"4:,,,h. h/.<; / ;f' / I /" ,;t:ccd "G~"( O/S~ Y- ~,r- ,n~#1'r~r:~ /~ -,L- /:;0 ~hh-.:S ~~~ ~>4'r- / f- ~/// / r5/rc ~WORK SATISFACTORY, PROCEED ~- CORRECT ACTION AND PROCEEO 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 & SAFETYI uaNO" DATE TIME CITY OF PRIOR LAKE. /. INSPECTION NOTICE SCHEDULED /'#~ ~9os- $(;// 1#' ~; ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. CJe/-- 9'L/7 o FOOTING o PLUMBING RI o EXIGRADlFILLlNG o FOUNDATION o MECH RI o COMPLAINT o FRAMING o WATER HOOKUP o FIREPLACE RI o INSULATION o SEWER HOOKUP o FIREPLACE FINAL o FINAL -eH"LUMBING FINAL o GASLlNE AIR TST o SITE INSPECTION o MECH FINAL 0 COMMENTS: /&hO~t:.~ Nsl U;( ~ .; ?I ht!il' / r0~ (f7 / / /f/.,t',ed /H'Tt/ ~,,~/4/ (/fcCl/ (~ dn//y ~q,/ o WORK SATISFACTORY, PROCEED ,,)(CORRECT ACTION AND PROCEED o CORRECT WOR~~~~JR 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/ """"" BVRNSVILLE Heating & Air(!onditirming,-L~LT.---- 12481 Rhode Island Ave S, Savage, MN 55378.952-894.0005 ii Orstat Test Report for Jobl Ir"' ! ,,- Address L/io5 /3Lu,{ i;o i(");', Occupant Date of Inslall iO- 1 - 0 d Type of HT. F/A./ HW Other -Tf' i~ tP IOI? , LI1i"c.- Cily Space HT UnitHT Make LLNUO' Model G,51mP ijClfj -0'1501 Serial 5,,/6'-/ H 22. '-Ie 0 Input </'1000 .!'i-,iA ...j Pilot Type Pressure Input CFH Stack Temp HOT SURFACE IGNITOR 3s (We C02 '..d --Id 02 '1. '1 101 CO~_ Date Tested l ( - " - 0 cJ /' Company Technician BURNSVILLE HEATING & AIR CONDITIONING ~o