HomeMy WebLinkAboutBuilding Permit 03-0119
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
I,White File
2 Pink City
3, Yellow Applicant
Date
f ~;L---:0
I PERMIT NO. 03 -0 J /q
(Please.!VD~ or print and sign at bottom)
ADDRESS
I ZONINGCofficeuse)
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IIM.B6l'l.- C1l.tST
lfa 3L.f~
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LEGAL DESCRIPTION (office use only)
J:fJJBEh tl7c~r -4/Jj77~
LOT Z BLOCK Z. ADDITIONtP.?)
PID
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,9/5 /Z6;U;WI1/f5,T /;rUl'-/
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OWNER
(Name)
t/5:!-41SZ -s-U'o
Pt, ~/z/
(Phone)
U6#?,
.5# flL /#0.
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
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W<12r
(Phone)
(Phone)
/S AsC~
~/Z-- ZZV-I/y,fg:-
l1lNew Construction
DLower Level Finish
ORe-Roofing
TYPE OF WORK
ODeck
OPorch
OAddition
ORe-Siding
DAlteration
DUtiHty Connection
o Fireplace
6? 4-"~
o Misc.
PROJECT COST IV ALUE (excluding land) $
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
autUorized 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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon th roperty to perform need . inspectio"/ ~
X ,/~;L ~~ %t!'- /37/
;j - / Signature
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I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
/~~L
Contractor's License No.
~70.000.DU
$
$
$
$
$
$
$
$
"1A--o'? $,5: <2-3.r;, '1_
I
I Receirt!No, ~ ~ 7 {/l I
By "q-, , [
U
Park Support Fee
#
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7~3. 75
5l)'t. LfL(
35.00
$
$
$
$
$
$
$
$
SAC
#
1"l"7'S.o (')
3(,,$,00
18o.DO
I''Z.DO. 0 0
700.f)O
lit."
I'~"
#
I Water Meter '(~~~5,'::;H, :",
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE MARi1J
#
/00.00
/00.00
3S'.5""0
40.00
-
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
.s323. (" C,
/-)-/-&17
I Paid
I Date
This Application Becomes Your Building Permit When Approved
~
1/2-"2/03
Date
~~
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
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of O~cupancy must be
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Planning Director 'I . 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
5~~
See Main File
(" ~lA~ .r-/~
Th.. ("..nl..r or lh.. 1..1<.. Counlry
cWille - BU~
Canary - t:ngmeering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(;)"jflJ ~
/-;) -"3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: Ci?t ,;)-- \.
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Accepted
Accepted With Corrections /
Denied
~ "=7-..e.:Il~ Date: //~d-I03
, .
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Reviewed By:
Comments: I,)
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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."
See Main File
Thl!'('pnll'r<lfI~I..""<!Co..,ury
~. ......:1-1=_-
~nar" - Engineeri~
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IDJll.D1NG 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:
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Accepted
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Accepted With Corrections
Denied
Reviewed By:
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5t~ /Yl",/vt F//.<.
Date:
/-~ 7...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,"
~~
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Thr{'t'ntrroftht'l.lbCountr}'
White - Building
C~n~ry 1f"9i~
(pink . Planni
,BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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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: '.
(to 3L/ 3 11MBGTl-CR.E-sI '7)fqJe-<;:'a,
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Accepted
Accepted With Corrections
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Denied
Reviewed By:
Date: / / 2-z./a3
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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,"
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or Print and silUl at bottom)
ADDRESS
; ;;;,:, ~::y I PERMIT NO. .--:) -/ , q
3. Yellow Applicant -::>
16343 TIMBERCREST DRIVE
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
PUL TE HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FTRESTDE DBA FTRRSTnF HEARTH &. HOME
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW A VENUF
(Address)
ROSEVILLE
(City)
55113
(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 D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SlZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVen!. System
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
HEAT N GLO SL550TR-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99,50
$64,50
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
,50
PAID WITH
BUILDJNG PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Receipt No,
I
BuUdin!! Official
Date
24 hour notice for all inspections (952) 447-9B! J x ~rz~ 417_~21J103
iJy
PRIOR LAKE
INSPECTION RECORD
" 3&f3 "'.M aa-UUST' _bIl.hJ~ ~
NATURE OF WORK WCW CO~~I~
USE OF BUILDING -s,F:'~.
PERMIT NO. ~. eJllq DATE ISSUED 111.2/0! _
CONTRACTOR ~GM.tS' ~ PHONEJ.o..t'lI.~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
't..N.A.iN F11.. )
DEPARTMENT OF 10." ~... ..... . ...
BUILDING AND INSPECTION
SITE ADDRESS
INSPECTOR
DATE
I FOOTING 'lA1l1I^ I I
I FOUNDATION (Prior to Backfill) ,^,~'\A I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC iA.\fJ.1I"
FRAMING //VI L
INSULATION
ELECTRICAL
PLUMBING
HE;ATING (if required)
FIREPLACE
GAS LINE AIR TEST
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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
yVy7
(- 1.."\-0)
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(~~ 1).-0)
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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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
1& 3,4 ~
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNOA TlON
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
.;pLUMBING FINAL
o MECH FINAL
COMMENTS:
r .e V1. rJvt
rvv{rt.;?/'
DATE TIME
c; II
?- 1/4
~
o EXIGRAO/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o ~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: M~. 11,rf7 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
INSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
If. 343 7("'1b+-cH"~r
OWNER
CONTR,
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNOA TION
o FRAMING
o '''!JiULATION
Z1'iNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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C- ( Cr<: ..
DATE TIME
c; -~O
"3 - (/1
o EXIGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
~-
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION ANO PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto~ ~ L - ).3 -03 Owner!Cont~
CALL 0147-9850 FOR THE NEXT INSPECTION 24 HOURS IN AOVANCE.
"""""
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
BVRN~~.LLE
Heating & Air Conditioning, L.L.C.
12481 Rhode ls/ond Ave S, Savage, MN 55378.952.894-0005
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Ors1at Test Report for JobI JI..JI.? I
Address 1(..343 -f\"'H~C(\:sr lW Cill1-'~W(' LA\<i
Occupant
Date 01ln81311 5.\ 03
Type of HT. F1A 'I( HW . Space HT Unit HT
Other
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Make Lt. ".~ ,,){) ,
Model C;dI[,Q;;; SO &
Serial ~3t'):Z l2.<;""
Input ~':,O.' ,.'," '.' (J.. !Ii , i
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Pilot Type
Pressure
Input CFH
S1aCkTemp
HOT SURFACE IGNITOR
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':jq CO
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Date Tested (" q - 0 3
Company
Technician
BURNSVILLE HEATING & AIR CONDITIONING
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