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Home My WebLink AboutBuilding Permit 04-0449 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please t\p~ or print and sign. at bottom) ADDRESS See Main File:t File City Applicant /f'fOf $jQff }/Pl6A'T> l/VtTL- LEGAL DESCRIPTION (office use only) LOT2; BLOCK -3 ADDITION ?:mElJ.t CU.J5r.~ At:;/J1170Yl OWNER (Name) R.!J.dJ?- f,/J>>1F5=;. .J-IS- AhU7r1lltS/ .~A7, (Address) Date Rec'd Lj- 0bo~ I PERMIT NO. 0 f .o44Q I , I Zp;/ifficeuse1 I LfG8. - c:.?/7 ~ PIuaS' _ -..-, Sill r L- A/o " (Phone) ,J.s7-~z.-cQOO .~4# ~ S,s12J BUILDER (Name) S4:wJiE... (Contact Name) ~~I7..r- j:/~ (Address) (Phone) (Phone) TYPE OF WORK , ;2('New Construction ORe-Roofing ODeck DPorch o Mise /. It.C. DLower Level Finish DAlteration PROJECTCOST/YALUE (exc1udingland) $ ~~,m'J 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 subnutted plan; I am aware that the buildmg OffiCi I can revoke thIS permIt for Just cause Furthermore, I hereby agree that the CIty OffiCIal or a deSIgnee may e~nterupon r_ur~rtytoP:ro~eededmspe S _-'~ / X .,~ q....&;.,"'~ gC-- /57/ -o/-!/pl/ ~ ,- /" SIgnature Contractor's LIcense No /Date' PermitYaluation qC" rYJIJ.-' 1 Park Support Fee # $ ih)./l- 5'0 1 SAC .--.,. # $ ~0'},)i/? I 1 Water Meter CSize5/S"?I"; $ '-Iff. - I 1 Pressure Reducer $ I City SAC and WAC # $ I Water Tower Fee # $ I Builder's Deposit $ 1 Other $ 1 TOTAL DUE Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee \ Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee D Fireplace OAddition $ $ $ $ $ $ $ $ lOt) - / I?I? . 35.5"0 UO,- This Application Becomes Your Building Permit When Approved Paid Date // ~! wf,JtJ I. V _1/ ?-- ~'~ Building Official 6//0/0 s/ Date I klZ -Z7/ \.- 9'ff5" \ ORe.Siding 1 / 3.C::;() .-1 dS1),-1 LIt;: -I /200, -I '700 -I I 1 I I - $5sh3. BlJ II A I Receipt J/li6. ~(J \ r l(; By .A/- () 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 ~:t:;~Pl~"mpOtMYcmifi,;:;:~m;ceWdillows'o",nuSeOe'nMaiiiEik'UP'nqmu"be 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 :-.. ~~ See Main File White - Building Canarl' - I=n~ng ~ink - Plannina::> Ih~ ('to In of thr 1..kr ("ountr}' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED / 1/ , , i i./ t-) . , ':--/ ;:,l -( /1 ~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .i/ / . / - . , II (' :' .' ,. Accepted ~ Accepted With Corrections Denied Reviewed By: ~ ~I-J Date: Ie -5/;O /0 'i 1 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 CWhitp. ~ Rui1c::Ji'iiCi-:> Canary -l::ngineering Pink - Planning -- lh~ C~nIU nf lh~ L.kf {'ounlr~. BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 0~~ . 4- 30 -ot'l . . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ij9t:J9-~ ~ d~ / Accepted With Corrections Accepted Denied Reviewed By: ~ r ~~ Date: S~C)~y 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 - Buildin~ Cdr,anarv - Enqlneeriill!-, Pink - Planning Th"ClI'nll!'rn'lhll'l..bC<Jllnlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED I ,If,,i'.! ."'_.', ." J t-. W:/'l-L r7-t,"~j//'_J/-"~ J-/- 3'0' -(.! if The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: J.j /' , 1;_ '/7' J... ,c, /- ~....., ~~},': I ", _'" (1 't J - ,l:/ 71:'j"f"-I;:"''-':;:(~'i:/'. '.Aj...t..d\",L4~' , I' I Accepted ex: Accepted With Corrections Denied Reviewed By: Il/'rJA Date: :5:-/3-0,/ 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 GENERRL SERVICES 763-428-2968 p.4 GIIEU. 'k.!. YELLOW. A'PlICANY GOLD. ell" NOTE: Sewer and Water contractors must be registered with the City. APPLICANT: J1J.~'fhl) : f!t.nJJY) f Sej'v/~ONE: 71 J3-11lJ:~)J13f; ADDRESS: J::;IJCl)J ~/HU:J:r 11VL.!1~ DATE:_ ,"5-, //.,/Kt _ SIGNATURE: l../() II .~/r;/, .. B~DG. PERMIT # SITE ADDHSS:_~/qOt1 /Ij?: Ju'fAClbr:I?.PI1I FILL,~~HE BLANKS . /:;0 feet. CITY OF PRIOR LAKE SEWER. AND WATER PERMIT FAY-. 95~ 'It( 7-1/-z-l/r S.w. No. "". .d~ 1. Estir.ated length of water service . 'I size of water service / inch(es) . 2. 3. Loca'.ion of any couplings from structure (] feet. J ,/ Type of sewer pipe. ABS PVC~ Cast Iron Estinated length of sewer lineL)() feet. 4. "--- 5 . 6. Clea, out (if required), located at feet. from ====:~:::::::~======================Jt~i1========================= This ap~lication becomes your permit when approved. ./ BY DATE: ~',,',"; ,; =======~~===T===================================================== Pu.-J/ed 1V''Hr. . . . FEES:. aid,! P4/...1I'<,f-. Sewer and water line connection permit. 'C" ... surcharge IJ~ ree- TOT1>L * Fee for either sewer or water individually is $20.00 plus $ .;0 surcharge. Sew':rand water permits issued for new construction must be rec)rded on the building permit card at the time of issuance are AMOUNT PArD eM)V'~ REC'D BY ~~~;l An EQual Opponunity Employer * .' . ,. :'~~'~-~;, <,!,.' 'C, '., .t~~f,':.", '-''':. --------- -'--~--.- €~~ .....'NlVESO""" CITY OF PRIOR LAKE PLUMBING PERMIT Date Rec'd (Please.!\'Pe or print and sign at bottom) ADDRESS L/ q ~ 3 - OS--07 -0'1 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION OWNER (Name) - :/-{d;:t: ~ (Address) APPLICANT (Name) Va II-<-<j PI........... b,c:'j (Address) %~V 0-"'0..1<...<./ Av~ (Address) '-'" ~r I. Blue File I PERMIT NO a 'Gold eily I 'O//_/$If 3. Yellow Applicant -r ..., -, . / jJin ~ ZONING (offi,(usoll ~. ''--):( rL L/~ (L;q t) PID (Phone) (Phone) 0o"olc.-...-- (City) 9 C;;.?-- Lf9;;-~/~ I ~<'35.;l~ (Zip Code) (Contact Person) C~J'l-<;' 1"10"",-5 APPLICANT SIGNATURE~1Y1' ........,~~&. (/ APPLICANT PLEASE COMPLETE BELOW Type of Fixture Quantity Bath Tub with or without shower Dishwasher Floor Drain Lavatory (Bathroom Sink) Laundry Tray (lor 2 compartment sink Shower Stall Sinks Bar Sink Water Closet (Toilet) Quantity (Phone) ;"0"'" ~ . DATE t., -:7,9 --0--(. Type of Fixture Rough-ins Water Heater Water Softner Stand Pipe (Washing Machine) Sewage Ejector Backflow Assembly Backflow Assembly Test Lawn Sprinkler Other 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 $ PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE (Office Use Only) This Application Becomes Your Building Permit When Approved Building Official Date Building Permit # $ $ .50 , "';'D-I f)k~ Dai r: / ~ ?--oL..r Receipt No. By 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 # 8/ 9 ............................. ""'......... '-'A. ......__....._..........--... HEATING/AIR CONDITIONING/FIREPLACE PERMIT I. Pillk ]..GrICII J. Yellow '11 rr-'- "ttJJ9 c;,~ rJ!.KJVIIT NO. Apphcant ~ ZONING (office use) I [,j ~lease!yp!= or >>rint and sim at bottom) ADDRESS 44()g ~\l J cr \-\-~\((~ fL W J':" LOT BLOCK ADDITION PID I I LEGAL DESCRIPTION (ollice use only) OWNER , (Name) \=>, k O:*c... ~ rY\f' S (AddresS)~\S ~,+h \t:JD~+ .\W..~ APPUCANT (Name) ~IL(O (phone) lO"\ - Us-.7. -c::::,7 (;0 fOC(lCl. ~, SSl.21 (Address) &ilFAS':iIIe HeatiRfj &. 1>/"", I I ,... 12481 Rhode Island Ave, So. SlMIg8, MN S;i'{~,r22 (phone) 9S~-K"CrU,(X)C1S d ;~ .~ ~ (City) (Contact Person) (phone) (" APPLICANT SIGNATURE )U?O,-""Prl OA1(i.lla./i DATE (Zip Code) ';1 f{-;)-Dl./ APPLICANT PLEASE COMPLETE BELOW ~NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL U2nnn'l. (.;,c;r Iv, ,9-dlj(2;,-Ol/S- FUEL JYJ.. j c.D00 FLUE SIZE RETURN OPENINGS -=) INPUT ,-/,,>. ()OO OUTPUT L( i Lf(XJ TYPE OF SYSTEM HEATING OR POWER PLANT r~ t.. l;'\j . OWarm Air Plants OGravity ~ Mechanical Air Conditioning Vent. System o Steam. o Hot Water o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL Industrial, Commercial &. Multi-Family FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace 539.50 minimum 599.50 564.50 Residenti""al, Additions & Alterations Residential, AC Only 539.50 539.50 539.50 Residential, Heating &. NC (New Construction) Residential, Heating Only (New Construction) Estimated Cost S Building Pennit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE ~'v/ ,.8"''''- " - ~ \ Dif~~~\TI~ Date ate61\r. 0 2 2004 16200 Eagle Creek Avenue, Prior L e, MN 55372 Bv .50 t>~~ (omCt Vse Only) This Application Becomell Your Building Permit When Approved eceipt No. .1 I y Building Official ...~~W1TH ~PSlMlt DEPARTMENT OF See Main FilE. BUILDING AND INSPECTION PRIOR LAKE INSPECTION RECORD SITE ADDRESS 49~9 ./i2b~ N,r;~ 7ZA/~ NATURE OF WORK NT~ ~rllJleTliiJ USE OF BUILDING S!F:' A.. . PERMIT NO. itJ.~rr DATE ISSUED ~'()~ il.Jl'!>" CONTRACTOR t!/41Nn' PHONE O/~ p z.tV-~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR gATE I FOOTING /7@ 4"/7 /cxf - ..- .. r'" I FOUNDATION (Prior to Backfill~~ %;J$ I ~1'ff7 PLACE NO CONCRET1: UNTIL ABOVE HAS BEEN SIG-NED ROUGH - INS ~ ~ /#~ , A'~ SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL . PLUMBING t/& /# 7/t/o,! HEATING (if required) FIREPLACE GAS LINE AIR TEST ~t, JfJ-/~' I 711 ~Pt-- // / ?/# ~ / / . COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS .# I", GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT ~/i/~ ~6/of ' 9 //' /df 9 //~/#' 9Att~;/. f?//6A~ , W/7 ~ .&4. // /"?~c/ OCCUpy UNTIL ABOVE HAS BEEN 'Sr'GNED NOTICE . , /lhf/oc{ , . , ///~/o/ This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all inspections haye been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9860 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 1'ttfi '3(Jt +fS OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION j! FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: DATE I~ TIME c{ - eN? o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ~RK SATISFACTORY, PROCEED o CORRE~T N AND PROCEED o CORRE;(l ' CALL FOR REINSPECTION BEFORE COVERING Inspector: I Owner/Conlr: CALIlU. 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. / CODE REQU/REMEms ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS ~fCf OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: //hL A ~~& el ~"Z'. DATE TillE SCHEDULED f{/~7 fi;:'// /-/~ ;?:7/ CONTR. PERMIT NO. ~~ ~~ '1 o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ~H FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o /' d ..-:' / r4....<; (J1'.s.., I /f'J / . J I ,,/1 ~~pt Co f-rv _ '7c.cJ~' j-r7r r;::;;~~J.."C_ ~,/-r/ #7r r ~k (fJ~ /' / / ;r;: H 4" / U/c. lz(' WORK SATISFACTORY, PROCEED /6 CORRECT ACTION AND PROCEED o CORRECT WO~')...9fY FOR 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! INSNOTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE /~~$I' . 41909 A'h/Ji! /&/ "tr/ SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. ~]/.. E/~? 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 .,.s--PLUMBING FINAL o MECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE Rl o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: .."7 / /.//-c'40/4e /e/ 7'" ;:;;r- 0/ ./ ~ , /~ I/C? / ;=)/ ( //C /1 (!;/ ../ I" ~ / , / /)'iCPri /U/'U / JA-S':he /' /e~ _ /' / ---I /7 . /~ / / f "/t (> c /c (g/ ,f"/u,/d/hC; r.H<;; I o o WORK SATISFACTORY, PROCEED ~ / C ~CORRECT ACTION AND PROCEED . / 0 ~ORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING }Rx Inspector: Owner/Contr: r CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! lNSNO" .~":"'~-_. BUHN~.v.L~., Heating & Air Conditioning, L.L.e. . u_".. 12481 Rhode Island Ave S, Savage, MN 55378.952:894-0005 Orstat Test Report for Job# (p 611 I Address i../Q09 bw rr IlL ,I:, IlfS //1 Citv J=k'Dr? L(lKL Occupant Date oflnslall \0' l\- 0<.4 Type of HT. F/A v HW Space HT Unit HT Other Make ModeJ Serial Input Lt.I0l..)()" G,S\rYII) 1"16 .0'1') or 5"1 0 <{H t. 2'6'1 '-N, (lOO 671.1. H Pilot Type HOT SURFACE IGNITOR Pressure 35 ,u~)r... CO2 6.'1 Input CFH C\'\ O~ \c.q Stack Temp \&-1 CO \?.. ?9>'Y'-... Date Tested Company Technician \\_77,.0'! BURNSVILLE HEATING & AIR CONDITIONING ~O ,~