HomeMy WebLinkAboutBuilding 05-0410
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS
'(f' '1 !J/
,4 'ff1lA.M..f ) "3
I
CONTR.
OWNER
PHONE NO.
PERMIT NO.
S:-4/1./
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o ~R HOOKUP
j;il'PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
CD
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WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
If CORRECT WORK, C 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!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE ~
INSPECTION NOTICE SCHEDULED
ADDRESS I tJJ 731 H~I~
OWNER CONTR.
PHONE NO. PERMIT NO. ~/<t/O
,
o FOOTING o PLUMBING RI o EXlGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
t FINAL o PLUMBING FINAL o GASLINE AIR TST
SITE INSPECTION o MECH FINAL 0
COMMENTS:
I. Q~l\ ~r- P\ \oJ ~ ~~t
~ :: f!~J~t~4;, ~'~~.
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
X.CORRE RK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto . Owner/Contr:
447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
S-lv-qJ
SCHEDULED
ADDRESS
IL 7JI
If IAA./ I)
(
OWNER
CONTR.
PHONE NO.
PERMIT NO.
s- q/tJ
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
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
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.
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o WORK SATISFACTORY, PROCEED
';CORRECT ACTION AND PROCEED
o CORRECT ~ 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
~/
~RK SATISFACTORY, PROCEED
o CORR~CT ACTION AND PROCEED
o CORRECT W RK, C 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!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
/-(1 Ci In //0Y
/&-;><3/
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNER
(Name)
Date Rec' d
1/-. z 1: a~
White
Pink
Yellow
File
City
Applicant
PERMIT NO. () 5.04-10
ZONING (office use)
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j'1,e-1 tJ /<:,01'1'-6
~_ Lie V/ t-irtC",G:
-
PID 2-"=> . 9li2. t,iZ-I. 0
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
TYPE OF WORK
X ItA "-
(Phone)
&, ()., :J <f ~ ~- 151)
...., 1 ~J7.)? OI.Y7
eck OPorch ORe-Roofing
OUtility ConnectIOn ~iSC.
~alJ ~
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V A
I M R
3 4 5
B
S U
ORe-Siding OLower Level Finish
Jl7v'/fi../I I'll\;'/JH
PROJECT COST IV ALUE $
(excluding land)
Jrmation on thi,j 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
o ru wi conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
u er ore, I hereby agree that the CIty official or a deSIgnee may enter upon the property to perform needed mspectlllns
L( ;)(/,0" .~-
Contractor's License No. Da~
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
ecomes Your Building Pennit When Approved
.{'"--q-o:;-
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE 5.9. ()S'" $
Paid 'Z 7;/ (;.3
Date :;.Lt (,1 j
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
Issued
~-(() d
tftj, UJYf d,'frQ"'-J
a 1f4('~ ;.}
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
(whit~-~;un~i~
Canary - Engmeering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
?/ZE/'1/QZ GEJJ67G/IL CA;)/l./77GA e/TI/\/7
4-. 21. 05~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(v 7,3 / Hl(jHlvl4 SOt.Fi7f L-rr!t(5 0Gt/1(j6 0';)
~
Accepted
Accepted With Corrections
Denied
rU (21;-:.
Date:
i-t -Or
Reviewed By:
Comments:
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1111 VI 1'/-(50 .~ O-cp ~ +- ~ !+"Ut I TJ-7 ,
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Se~ I-t
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(2,"--(101 ,1-
"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."
White
Pink
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:
/
/ i
/ .
, ,/
I
,-/
Accepted
~
Accepted With Corrections
Denied C
Reviewed By. ~fYJ. ~L Date: S /2 / OS
~mments: ~ .JJ......:t.. -tk ~ ~ :
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~ ~ ~ ""~... ~.f) ~ ~D oQ he. ()~ ~us:h..J A.o
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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."
MINNESOTA DEPARTMENT OF HEALTH
Division of Environmental Health
REPORT ON PLANS
Plans and specifications on plumbing: Dry Cleaning Station, 16731 Highway 13 South, Suite 107 A, Prior Lake,
Scott County, Minnesota, Plan No. 053643
OWNERSHIP:
Mr. Todd Schyansberg, 824 Bridle Creek Lane, Jordan, Minnesota 55352
SUBMITTER(S): Premier General Contracting, 6609 Kingsview Lane North, Maple Grove, Minnesota 55311
Plans Dated:
Date Received: May 4, 2005
Date Reviewed: May 12, 2005
SCOPE: This review is limited to the design of this particular project only insofar as the provisions of the
Minnesota Plumbing Code, as amended, apply, and does not cover the water supply or sewerage system to which
this plumbing system is connected. The review is based upon the supposition that the data on which the design is
based are correct, and that necessary legal authority has been obtained to construct the project. The
responsibility for the design of structural features and the efficiency of equipment must be taken by the project
designer. Approval is contingent upon satisfactory disposition of any requirements included in this report.
Special care should be taken to insure that the material and installation of the plumbing system are in accordance
with the provisions of the Minnesota Plumbing Code. A copy of the approved plans and specifications should
be retained at the project location for future reference.
A set of the identified plans and specifications is being returned to Premier General Contracting.
INSPECTIONS: All plumbing installations must be tested and inspected in accordance with the requirements of
the Minnesota Plumbing Code. As specified in Minnesota Rules, part 4715.2830, no plumbing work may be
covered prior to completing the required tests and inspections. Provisions must be made for applying an air test
at the time of the roughing-in inspection as outlined in Minnesota Rules, part 4715.2820, subpart 2, of the code.
A manometer test, as specified in Minnesota Rules, part 4715.2820, subpart 3, is required at the time of the
finished plumbing inspection. It is the responsibility of the contractor/installer to notify the Minnesota
Department of Health when an installation for a state contract job, licensed facility, or project in an area where
there is no local administrative authority is ready for an inspection and test. To schedule inspections, contact the
state plumbing standards representative for your region, or call the metro office inspection hotline at 1-800-926-
6216 (7:30 a.m to 9 a.m), or 651/215-0836 (8 a.m to 9 a.m) on Monday, Wednesday or Friday.
REQUIREMENT(S):
1. Verify that the existing %-inch water distribution branch is adequately sized to serve the existing and new
fixtures (see Minnesota Rules, part 4715.3800). The new cold water distribution branch must be at least %-
inch in size up to the branch serving the water heater.
2. A full-way valve must be provided on the cold water supply line to the water heater (see Minnesota Rules,
part 4715.1800). Equipment used for heating water or storing hot water shall be protected by approved
safety devices in accordance with Minnesota Rules, part 4715.2210 and part 4715.2230.
3. A water heater with a tank capacity of 6 gallons or less may be concealed in a ceiling space provided the
water heater has been set in an overflow pan. The overflow pan must be constructed of a corrosion resistant
material, have side walls extending at least 4 inches upward, and have an outlet size that is not less than the
Dry Cleaning Station
Plumbing
Plan No. 053643
Page 3
May 12, 2005
Approved:
~L
Public Health Engineer
Environmental Health Services Section
P.o. Box 64975
St. Paul, Minnesota 55164-0975
651/215-0853
BCE:lss
Enclosure
cc: Premier General Contracting
Mr. Todd Schyansberg /
Mr. Robert Hutchins, Plumbing Inspector V
File
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS .-1' 7 31 ~
NATUREOFWORK J~II~"r F~""s"
USE OF BUILDING
PERMIT NO. 05.04-10 DATE ISSUED 5 9. 05
CONTRACTOR -p",~IIU"'" PHONE "J.. liT- "~,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
.... - - -
FRAMING ! 1/J~ YI/-a.5
INSULATION v
ELECTRICAL
PLUMBING IM'p .{"~ I ~~.~
HEATING (if required)
~
..
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~_ Ir
. 3(".';5'
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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