HomeMy WebLinkAboutBuilding Permit 03-0117
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CITY OF PRIOR LAKE BUILDING PERMIT';-< ..-'\ . ua,,,'~c a --'
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please .!']>e or print and sign at bottom)
ADDRESS
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I. White
2. Pink
3. Yellow
File
City
Applicant
1 PERMIT NO. U3 -0/111
T6YJ
I fo 33 S Ti M.f3e1UCfte?7 Txt;~r/6
LEGAL DESCRIPTION (office use only)
LOT L.. BLOCK Z ADDITION lot" )
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OWNER
(Name)
(vLrE- iIm1JE5 4r /JJh
rf/ s- /J?; 12111 tr!tsj /kwy "
BUILDER
(Name)
(Contact Name)
(Address)
SE.
PID
I ZONING (office ",,) I
(Phone) .?5I - ~5Z- -~ZOO
7:A-un #In. 55/2-/
(Address)
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TYPE OF WORK
~ew Construction
DLower Level Finish
ODeck
o Fireplace
(Phone)
(Phone) h/Z-ZZ/- ~,ps-
OPorch
OAddition
ORe-Roofing
DAlteration
ORe-Siding
DMisc.
PROJECTCOST/VALUE (excluding land) $ ~'9: kSY
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 J.am aware that the bUlldmg OffiCIal can revoke thiS permit for Just cause Furthermore, I hereby agree that the CIty OffiCIal or a deSignee may
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/ - ~~ature P . Contractor's License No / o:rte
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I Permit Valuation 'ff' 6::;. tJo 0.00
I Permit Fee $' 74 i, ?s
$ 'IR't,.t.?
$ 32.52:>
$
$
$
$
$
Plan Check Fee
State Surcharge
Penalty
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Plumbing Permit Fee
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/00. 00
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
-
This Application Becomes Your Building Permit When Approved
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Building Official
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Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid 47&-t>Z,Q?-
I Date /-3/-0'J
#
#
#
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$
$ /Z- 75:60
$
$
$
$
$
$
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I $4. blJZ.. '14- I
12.OtJ,oo
700. () ()
ReceipM. 4'.74-76
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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 temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
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Planning Director
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See Main File
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ./ / . j__;
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Accepted
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Accepted With Corrections
Denied
Reviewed By: /YJIl [)
Comments: 5 ~l-. (J1e".~
Date: 1- ;) 5-03
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"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."
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l'hr C'rnlrrof Ihr l.akrCouflll1'
White - Building
Canary - 5pqineering
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
IlLJ '3 3S 1l1"'\.B~ C-f2.t;:,.1 ~ 116 s: E; ,
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Accepted
Accepted With Corrections
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Denied
Reviewed By: ~ =/~
Comments: J Ov /711'".~.
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Date: ?~/d~
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'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_"
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2~:.., Tub .,\'1(:1 'Jr Wt~~ll;'IJC :;,'\C'.\"~:- I. ? ! R,~u~n~!n:j
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Sinks I SJ.c:krlow Assernaly T<sr
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SV.TE SVRCH:."-RGE
TOT.-\L PER.'rm FEE
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CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONING/FIREPLACE PERMIT
Date Rec'd
; :i;.:, ~::y I PERMIT NO. ,::2- II n
J. Yellow Applicant ::) I
(Please tvoe or orint and sign at bottom)
ADDRESS
ZONING (office use)
16335 TIMBERCREST DRIVE
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name) PUL TE HOMES
(Phone)
(Address)
APPLICANT
(Name) ATJ.TFDFTRFSTDF DRA FTRFSTDF HEARTH & HOMF
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
(Phone)
ROSEVILLE
(City)
651-633-2561
<;5113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
4/17/OJ
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVen!. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
D Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEATN GLO SL550TR-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
PAID WITH
BUILDING pliRUIT
(Office Use Only)
Buildine: Official
paiUD rf! (G; fe n m ~- f' ,No.
D. ill
- APR 1 B 2BB .
24 hour notice for all inspections (952) 447-9850, rax (952) 447-4245
.By
Date
This Application Becomes Your Building Permit When Approved
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS llA 'J"c. 1"t M.~~r. 'bat Jl' ~ I
NATUREOFWORK ~EW af-lV~~
USE OF BUILDING S. i=': ....
PERMIT NO. ~ DATE ISSUED ~
CONTRACTOR ~- H~ OF M.AI. PHONE1fi&.- lit · 'fISS
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
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DEPARTMENT OF ..... - ,-,~
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING IAM.l'" I
, FOUNDATION (Prior to Backfill) /f.,w..... I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
JIIO'"
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if re uiredl
YVrV
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t.-(- :Jtl-<1)
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
GRADING (Prior to SOdding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN
NOTICE
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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
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BVRNsVILLE'
Heating & Air Conditioning, L.L.e.
11481 Rhode Island Ave S, Savage, MN 55378.952-894-0005
Ors1at Test Report for Jobl SO{p1....
Address I to '3 '3S -ri ... .1tJ?
Occupant
Date of Install 5.. (p - 03
Type of HT. F/A X HW
Other
(/lhS7 1)(;> City ~IO~ LnlLc.-
Space HT
UnitHT
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Make Lt.. tJ jJi> '<
Model G?c"Q;;>- <;0.("
Serial 566300 2.C le>S
Input '50. ODD 6T\.< M:
Pilot Type
Pressure
Input CFH
Stack Temp
HOT SURFACE IGNITOR
3~ ,wc- C02 (" ~
'50 02 8 <;
Cje, CO kY
Date Tested &r ~ 03
Company BURNSVILLE HEATING & AIR CONDITIONING
Technician Go
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED r;, ~2,o
ADDRESS InJS- Y VI-<1 ~rC,....d' D,.
OWNER CONTR.
PHONE NO. PERMIT NO. '"1.~/fl
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~SULATION o SEWER HOOKUP o FIREPLACE FINAL
FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
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;?WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: t1;f? (~- t 1 ~ Owner/Contr:
CALL oU7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"""''''
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
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o FOOTING
o FOUNDATION
o FRAMING
o INSULA TIDN
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o UWER HOOKUP
~LUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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, WORK SATISFACTORY, PROCEED
o CORRECT ACTION ANO PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ytf G,- (1-0'). Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY/
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