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Home My WebLink AboutBldg Permit 04-0755 O~ PR/O<!' ... <' ... ., - :0: U '" ""NNESO'tt'- CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d (Please type or orint and sim at bottom) ADDRESS b ~ ;25-~6'/ See M'.l~n Fl.1Dl~i~:' ~:;, I PERMIT NO. Of-. 0755 I U"J. '-i Yellow Applicant 1.{f>7Z ALVPP fin &J4l'~ TIlAl'L ZONING (office use) pun LEGAL DESCRIPTION (office use only) LOT5'1 BLOCK DI ADDITION TXMI3ER C~.sr {J,1.eK _ PIDr15-UO,:).- XI-d OWNER (Name) fJ Vi. 7 F /It; II#? S g,~ AJ04:fiI.W/r.fT {JA.t~w"'Y (Phone) (,r-l~ 4b2- r-~i) (Address) ~NE jff) . ~A{J,(/;fIb, brlZI BUILDER (Company Name) (Contact Name) (Address) CMi.r 5/l- IJ.1F &:.A.Q_II~6 (Phone) (Phone) &/2 - 2Z1 - "9e.r TYPE OF WORK lWNew Constmction DDeck DPo"h ORe-Roofing OAddition DAlteration DUtility Connection 0 Misc. CODE: ~I.R.C. DI.B.c. Type o(S;'nstruction: I II III IV V A B Occnpancy Group: A B E F HIM R S U Division: 1 2 3 4 5 ORe-Siding DLower Level Finish o Fireplace PROJECT COSTlV ALUE $ (excluding land) ~&.C)t:Z) I hereby ccrtifY that I have fi.lrnished information on this application which is to the best of my knowledge true and correct I also certify that I am the owner or authonzcd agent fOf the above-mentIOned property and that aU 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 oke this ermit for Just c Furt more, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections &- /37/ 1J/2S7o~ Contractor's License No. Date x Permit Valuation '9~_ OOO.(}O I Park Support Fee # $ - Permit Fee $ , n~7.$O SAC # $ ,.S~.{)D Plan Check Fee $ a 7.& Water Meter ~1"; $ Z<;"Cl.OO State Surcharge $ t/f?'.t1CJ Pressure Reducer $ if5aa Penalty $ Sewer/Water Connection Fee # $ /20<:1. O~ Plumbing Permit Fee $ /M.~d Water Tower Fee # $ 70d. 00 Mechanical Permit Fee $ /tJt).{) 0 Builder's Deposit $ Sewer & Water Permit Fee $ -$S: s-a Other $ Gas Fireplace Permit Fee $ Lfo.(Jo TOTAL DUE $5;S('3. B~ This Application Becomes Your Building Permit When Approved Paid ~? -In -:1" K'?J- ReceiPt No. U 7~ 3l.1 :&~ .~ 71/5;:0/' Date -J- ?o - Y By C; 0-- l3uildillgOtlicial ' Date ThiS IS to certiry 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 I when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence Before occupancy, a Cefllficatc of Occupancy must be ;""'~~ ~ ~~~ . Planning Director Date peel 24 hour notice for all inspections (952) 447~9850. fax (952) 447.4245 16200 Eagle Creek Avenue Prior I.ake. MN 55372 ,i y e ~~ See Main File White . ~uildinq c::~analV - Enaineer.ntJ-. Pink - Planning Th.. emlPr of lh.. I.."" CnUn11")' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED I ) 1--" , IJA /L-i:.:.__i( Q. i V! /O,'h '", rt-.\, -,' ,.(..- J-:::,. / <,_," c.; - /V..I' / /? ~..- ./ .../ ~j The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /, //~.-:./'7 ,.,,7 _);,/i::'> ',/-/) /" ~/~//-;>,'" <:..::".., ,_.":,_.~/ (,,/ /~ .'- ,:>.... ;,.\...,..,. , ~C/, .' Accepted 'x: Accepted With Corrections Denied Reviewed By: /WJ~ ~( mc,t"-. F/{( Date: 7-/'i-(jLI 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 While - Building Canarv - ~!'lalneering ('" Pink - Planninlf::> TtI('C..nl('TOrlh..I..bCoun,11' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT J-/ /' ') , j I c. (. '- \,i it . '!/ APPLICATION RECEIVED /1" .~. S~ (y'./ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which ispr~posed at: //(/7 J _ / /- 1../- . /' t. /." ,......-t'.. _J' "J ,/1 I ) <.':".....-,/ ,--.-- - .. " , / , - ~ Accepted / Accepted With Corrections Denied Reviewed By: ~ - ~ Date: 7,;: s~cl 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 C:-White - Buildi~ canary - Engineering Pink - Planning -' lh~ ('rnln flf the L.lie ('ounlry NAME OF APPLICANT BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST (;) J/.t,Y-o. ~.P/J , c ~ ~:;)5-CY-I APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: t!P/Jc2- ~ iJt; ~ Accepted ~ Accepted With Corrections Denied Reviewed By: &/.,,~ ~ Date: ;;iI 3~tj 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," Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT (Please We or orint ~ at bottom) ADDRESS ,/ '\ Lf <;-70;/ :';87 ;1.)7'8' "7 <i '-t fF7 6 '-- ----~----. , LEGAL DESCRIPTION (office use only) '16$ ; ~~: ~::, I PERMIT NO. 7'51;, ). Yellow Applical11 7.::-1 tJl v. j)f) ),-e" C'J J.h,. :/ J;.,4 .1/ I ZONING (office use) LOT BLOCK ADDITION PID OWNER (Name) fu/I-<- (Phone) (Address) ~~;~~ANTV 4. (/-<j l?l- ~ ,-, (Address) f[wo ~ ....cue-e.- A/.r~ (Address) (Contact Person) Cl, or .'-< Mt>rr,'-5 _ (Phone) APPLICANT SIGNATU~tY7'~~, 7~') V APPLICANT PLEASE COMPLETE BELOW Quantity I Type of Fixture Quantity I Bath Tub with or without shower I Rough-ins Dishwasher I Water Heater Floor Drain I Water Softner Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (lor 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly I Sinks Backflow Assembly Test I Bar Sink Lawn Sprinkler Water Closet (Toilet) Other (Phone) '1~';;;-7'<;':;:' - 011;:;)/ "":r ~~--. /"'\ N SS 63,d;? (City) (Zip Code) ~L,400<-""'" DATE ~-~ 3'OL; Type of Fixture FEE SCHEDULE Industrial. Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential. New One & Two-Family $9950 Residential, Additions & Alterations $39.50 Estimated Cost $ Building Permit # PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ (Office Use Only) } I This Application Becomes Your Building Permit When Approved I Paid g""'- ;}-'jtf, I ReceIpt No, I Date /) I!.UJ By " Building Official Date p l/1 /J [,1-) 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 J 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372.1714 50 Jul 20 04 OB:24a METRO GENERAL SERVICES 763-42B-2S68 ,..2 oau".'1l1! VELLOW . A',lICANT GOLD. CIT't' NOTE: Sewer and Water contractors must be registered with the City. APPLICANT: In.efhJ) ...flfJIJJVll ,Senll~~oNE:lb3'1l2,(;/AJ'S~ ADDRESS: F/74b OJ lUl.rN lJue,. Ii? DATE: SIGNATURE: - ' lJJ j~ ih,,'l(.tH. . - BLDG. PERMIT # SITE ADDRESS: ~,f ZL;<,lfff 6~fit.L)'p- PID# . FILL,.IN THE BLANKS 1. Estimated length of water service ,I)'(} 2. Size of water service 1(' inch(es). CITY OF PRIOR LAKE SEWER' AND WATER PERMIT FAY- q5~ I/'I7-t/oz,.l/.r" s.w. No. O!/ fJ7SS" feet. 3. Location of any couplings from structure ('~ feet. . ...1 4. Type of sewer pipe. ADS pvc.i,J" Cast Iron_ '-- 5. Estimated length of sewer line !:;(J feet. 6. Clean out (if required), located at feet from structure. J {'4 /1/1f ==~==c=====;~~=========~=====================;==============~===== This application becomes your permit when approved. ,I BY DATE: "'i"'" ========f1;j~=~~====~~=-----======~=======-;================ FEES: l1/d,f P'l.-/.", 7-. . Sewer and water line connection permit. . . Surcharge No Fee.- TOTAL * Fee for either sewer or water individually is $20.00 plus $ .50 surcharge. ,-. .J ~- ,..':{),.:: -f}:' ~i';, :';'.(.~~~'~V/::'j . -:;. .~:i~::;~ '~:\:,. -5,....:",'\ ;~~:. ~... Sewer and water per~its issued for new construction must be recorded on the ~g permit card at the time of issuance to inS~~Vba~ n~ eP~11'icate' sewer and water permits are issued : l1 lID U;; \ . DATE. ;P.AX:P \Lill JUL 2 9 2004 J AMOUNT p~j.).l!l'2Y) ~1;iil1 .. , -',,-I :~""'I!\r:"'"\"'-l "Ii~ir."'::'I,.-. REC'DBY ,.., ...JJ, RECEIPT '# * tlY , "", "';"~-1:~;:: 1620<lEagl(l:CreekAv. S.E., Prior Lake, Minnesota 553721 Ph. (.,~2) 447-4230 1 FAX ('1;'2) 447-4245 An Equal Opportunity Employ~r _.-----~_..,._--- CITY VI" l'KlVI{ LAKlJ; HEATING/AIR CONDITIONING/FIREPLACE PERMIT ;952 894 0925 # 6/ 9 Date Rec'd q'lease tyPe or orint and sign. at bottom) ADDRESS Lf <;{ " d., ?,J (j (P I-HsTrt:u ".i- ; ~~, ~;, I PERMIT NO.I\A- O"'e:.~ J. Yellow Apphe.n! \11"""'. I~U ZONING (off", u,,) LEGAL DESCRIPTION (office we only) LOT BLOCK ADDITION PID OWNER (Name) '-nA. ,a.~C f!OOLC--Q 2/'5 (YJ/fhui(\"/ , !l1.ll/..<.)D,,, / , ?J II /L/o (phone)(OS/- L/..S25'20() f.(iC,(i/l ;J?/7 SS/?/ (phone) Q"),..) -RQc/-()(Y).S (Address) APPLICANT (Name) (Address) 3ttr,-.,:;,,,:1I,,, IlcQ~;ll~ U i-v'~, LL(, 12481 Rhode Island Ave. So. ':;o\'a~t::, iv'lld~tj-'ll~Z (City) (Zip Code) (Contact Person) APPLICANT SIGNATURE .!3r/2() / (phone) .!jiJ/l.LJfYf-llU,/] nATR / ,;;;, dd - (J V APPLICANT PLEASE COMPLETE BELOW ~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL /h JJ(t'/V (,.L/~ ((/-I ;;;(f.~()(/<:;" FUEL D((fC~f) FLUE SIZE RE1URNOPENINGS /I-otJfcfs INPUT i/-Df7f"5 OUTPUT ~/r:f) TYPE OF SYSTEM HEATIN,G OR POWER PLANT OWarm Air Plants OSteam OGrayity 0 Hot Water g l\olech;mical 0 R;idiation ~ir Conditioning 0 Special Devices OVenl. System 0 Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks I ~ FIREPLACE MAKE AND MODEL Industrial, Commercial & Multi-Family FEE SCHEDULE 1% of job cost Re.Sidentia,I, ~ firepl_&Cc $39,50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 $39.50 $39.50 }"::.':.",," i;j II , Residential, Heating & Ale (New Construction) Residential, Heating Only (New Constructioll) Estimated Cost $ Building Penn it # HEATING PERMIT STATESURC TOTALPE' $ s ;:Im. (Office Use Only) This Application Becomes Your Building Permit When Approved .: ,_,;;..:,.,C;";;;...,,,',. .~ ;c, ';", -, Building Official Date ~"p.'. . "'+mi" I Da1!lEC 2 I 2004 I Receipt No. . I By 24 hour notice for all Inspections (952) 44H850,f~(9~2) 4474245 16200 Engle Creek AVenUe, Prior Lakio, .MJ!!l5S372 PRIOR LAKE INSPECTION RECORD DEPARTMENT OF See Main File BUILDING AND INSPECTION SITE ADDRESS If'" 8(.~rr t7116ty ~ '11tI1li NATURE OF WORK NC,.J e,,~sr~Q7(J14 USE OF BUILDING ,s./=': A · - PERMIT NO. . 04.0755 DATE ISSUED '?(I~h" CONTRACTOR J'UL"{E ".-.IES PHONr:JI/J-za,- '/9I'S NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT I FOOTING I ;;;; I ?J;~i I FOUNDATION (Prior to Backfill) I.?:)~L'/ ov.,.//r,r~~ I ;f~%Of PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC / _ , FRAMING //1/ J /Jr? 10 s - INSULATION /'lid- ///O/.o~ ELECTRICAL /1/1-' Ie 5- PLUMBING (/. (j. J41 rM'; #f~ //?.r-/,'os- HEATING (if required) .P?1 / //d"'ftJ FIREPLACE. , GAS LINE AIR TEST~It, 'm ,t~~ /C~ -Y#s--- COVER NO WORK UNTr( ABOVE HAS BEEN SIGNED I' I I FINALS GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING I HEATING DO NOT OCCUpy UNTIL ABOVE HAS NOTICE -"> 1M / -:J - 2 J-- Os .2/73h..r J/t'/dS- BEEN SIGNED - ~ ft.q 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 DVHN~ ttTILLE Heating & Air Conditioning, L.L.c. 12481 Rhode Island Ave S, Savage, MN 55378.952-894-0005 Orntat Test Report for Jobl In q 1<: Address 1./81:l I3LUfr' j/U6'I/5 ~rf?- Citv f1;,o>,e LMC Occupant Dare of Ins1al1 Type of HT. F/A ,/ HW Space HT Unit HT OIher Make Model Serial Input LeNA1v,,: c''-I3W -2'-113-0<1') - Oi{ ::;C,O'-/IYl/ ~;2/ i./ '-14. 000 t3-rv. H Pilot Type HOT SURFACE IGNITOR Pressure 35 lWe. CO2 7./ Input CFH L\'-+ 02 /0.3 S1ackTemp /D'7 CO I ~ ffJYn Date Tested Company Technician 222,0<) BURNSVILLE HEATING & AIR CONDITIONING lio CITY OF PRIOR LAKE INSPECTION NOTICE DATE TillE J')..]~cJ[ SCHEDULED ADDRESS 4 n 1. afk (115 OWNER CONTR. PHONE NO. L{~ 7S-S- PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION .J'I"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 GASLlNE AIR TST o COMMENTS: ~(Vl",( I ~. ( / ~ I,J;;:., C. ~9 ~() </) /v-c ""1 ~K SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT wo.RK: ~ FOR REINSPECTION BEFORE COVERING Inspector: IIVV- Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAl HEALTH'" SAFETY/ 'NSNOT'