HomeMy WebLinkAboutBuilding Permit 03-016
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1.
DATE nMe
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7-Jrr
ADDRESS
-S'-fOD
,~/~K / cd (,..,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
7-- {C
o FOOTING
o FOUNDATION
o FRAMING
o I.!jSULA TION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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I'C-t r; / ,:,.!J
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.:css IH'ed,
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-'o;I5a...f { c>Ut-Vot .1 <; ~ T () K
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: $ 7..:J z" (J ~ner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOn
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1b1 ~
ADDRESS ~CO ~ S--\e5L, 5404; St..(.O(s> OG.t:~ 8un Ut'A(
OWNER CONTR.
PHONE NO.
PERMIT NO. l'f'\~.L> ~ O~ -00 l Co
o PLUMBING RI 0 I:Y/~LLING
o MECHRI 0 ~~
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
o MECH FINAL 0
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
t(j'SITE INSPECTION
COMMENTS:
64cY-l ~ eg; M1'.. 'b~ U-xr:> 91'oP
~,(~'(J.... ~ ,.OY\
r &~G "'0""
~ 1"~4 C, r)/.... SoI\
o WORK SATISFACTORY, PROCEED
')( CORRECT ACTION AND PROCEED
o CORRECT WORK, ALL FOR REINSPECTION BEFORE COVERING
Inspector:
A Owner/Contr:
"-
THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOn
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
r:.-2'~
ADDRESS
..5400 D~~/,.i u/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3-1(,
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
",PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(j) ret1,f~
Y1J1Jr ~ S
~~K SATISFACTORY, PROCEED
~RECT ACTION AND PROCEED
o CORRECT WO~ALL ~OR REINSPECTION BEFORE COVERING
Inspector: f f( / G .1.(,o'()7 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
.J
ate Rec'd
I. White File
2, Pink City
), Yellow Applicant
/1- ~b-O~
I PERMIT NO. 03 -oo/~ I
(Please type or print and sign at bottom)
ADDRESS \ 6 rfI DO
X x)( XX Meld., (jrJL '66.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT I BLOCK I ADDITION f\:>U.-Q P .\J < ~.
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER '" () \ 1 A
(Name) lW< A :rl~::tny\_ ~_c.
(Contact Name) ~Ye- &I'r~~
(Address) -20g<O~~\~hr~ ~,~ (\.J.. ~. \00
L.A,g/L(I\'n~J W\(\~ ~~-
(Phone) ~~"2--~ ~S- 4IfQdl9,
(Phone) q5'2:1J~(;,"" 1"1,'?j<.J
TYPE OF WORK
'J'iNew Construction
OLower Level Finish
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Misc.
o Fireplace OAddition o Alteration
PROJECT COST IV ALUE (excluding land) $ r r t;', q r1
OUtiIity 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_ 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
~t:n=Sft5~~ons. aJO()Oq/,~7 uJ?~/()2-
I if' Signature Contractor's License No. Date
I Permit Valuation tlHoJOoo,ool I Park Support Fee # $ 85"O,dO
I Permit Fee $ '/013. 3S I SAC # $ / z.f'/6:oa
I Plan Check Fee $' 701./,IL I Water Meter Siz~ I"; $ ZSQrd tJ
I State Surcharge $ as, () fj I Pressure Reducer $ "'fS,. 0 ()
I Penalty $ I City SAC and WAC # $ I ZtJa, ()(J
I Plurnbing Permit Fee $ !(J(),OO I Water Tower Fee # $ .7ao,(jtJ
I Mechanical Permit Fee $ /() 0, {)CJ I Builder's Deposit $ /S"ao.otJ
I Sewer&WaterPermitFee $ 35.'50 lather $
I Gas Fireplace Permit Fee $ ~(J,Od I TOTAL DUE $'l.Q4/.0.3....
- ,
/ j- ""~./
ReceiptNp. l/1 -0'1 J <.0 I
By {/.'./' I
V-
~':j~~
l,2p/~L---
I Paid
I Date
rVl.f4/ ,{)3
'1'-/
This Application Becomes Your Building Permit When Approved
Building Official
Date
, 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 I
1 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
S~ '"I~~
Planning Director
/~~/.1:t:- ,f~ ~pec~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
HEA TINGI AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
I. Pink File
2, Green City
3 . Yellow Applicant
~9~-<
PERMIT N0 ~ r \ ~~-l
(Please type or print and sign at bottom)
ADDRESS
$00 //~h//~O/LU c5E
ZONING (office use)
LEGAL DESCRtJ:' nON (office use only)
LOT I BLOCK / ADDITION
PID
~~e~RD.~. Horfor1 O_uslom Home~
(Address)dl2ZJpo ~rickf- QJ'I Lo.kevi l1e M~
APPLICANTAII' .. M h ~
(Name) ,Qr1 e~ ..~. (Phone) ~-~-cfI775
(Address)3VJS() J.<e.m:ua.hec.... ~ 5.h-- #j ~~aaQn 55/.22
, [ (Address) J (City) (Zip Code)
(Contact Person) ~f'.rr Z;mmp_rtn Gln (Phone) ~-.q..s..~- ~77~
. .~~~ DATE
(Phone) ((of)., q~ -7~7~
.5 50kf L.t
APPLICANT SIGNATU
V
APP ICANT PLEASE COMPLETE BELOW
~NEW CONSTRUCTION o REPLACEMENT 0 AL W:RA nONS
FURNACE MAKE AND MODEL 1>r~4n+ 3~A-Vb2J.LD" 0 FUEL WQ.tlAm. ,
FLUE SIZE ~"clQ.Sft, "B- RETURN OPENINGS 11- INPUT 10.1>1>0 OUTPUT 6LD~/)O (:)
TYPE OF SYSTEM REA TING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical .
~Jr Conditioning
~ent. 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
Residential, Heating & A/C (New Construction)
Residential. Heating Only (New Construction)
FtE SCHEDULE
I % of job cost Residential. Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Industrial, Commercial & Multi-Family
Estimated Cost $
Building Penn it #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ l
$ ~ /jnr,
\\i~ ~ ~- ~~ uc~C
~ ~ \P'~~ll \\4 2003 ! Rec,ipt No
UUDMe By
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
-;::~
I!.
(/4/
(J
By --:::::: ~-
24 hour notice for all inspections (952) 447- u, laX(952) 447-4245
Feb. 6. 2003 2:35PM
GENZ RVAN PLUMBING AND HEATING
No.2654 P. 17 19
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERlVul
" ,.
i. $:;., ~\; I PERl\'llr NO'OJ? -00/'''''
J Gold AppU_t '../ W
(Please: type or pJjnr;m,d s.i~~t "ouom)
ADDRESS
T/iIIOD t\ A. - i/) ro.., (of C c of-
I')l l.J.tLr,n~ 1~. 6t:-.
I ZONJNG (office u~c)
':1 '
LEGAL. DESCRIPTION (office w~ only)
LOT \ BLOCK \ ADDITION (lQ tf, e r J qth
PID
OWNER
(Name) ......DL'I.l'~~i-';l:D.-f',,':'i-~- ~"'C
(Phone) _ 95.2 -q as- f g 61\
(Address)
2c) &,00 )(fl!)~i<..\ !:X-:-Z Or- Sl~ _I N1
(Addrees)
La~\il lie.,
(City)
:?~
(Zip Code)
APPLICANT
~anl~ Genz-Ryan Plumbing & Reatin~
, (phone)
651-423-1144
(Address) 14745 So Robert Trail
f\ 1 ~1~~e~L L
(Contact Person). l :ILt.LU1_I~~L( I S
T_.ICANTSIGNATURE Q..fA..(A~ ~lli
Rosemount. MN
(City)
55068
(lIp Code:)
(Pbone)
651.-423-1144
DATE
;) "//J,{J?:'
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at _ feet from structure.
Re~ident1al sewer and water lme: connectlon
Sewer connection only .
li.lLESCHEDULE
$35.50 Industrial, Com'l & Multi-famJly 1% of job cost W1th a $39 50 minimum
$1750 Water connection only $17.50
Estimated Cost $
Building PE.-rmit #
SEWER AND WATER PERMIT 1:'.t..t.
STATE SURCHARGE
TOT.U PERMIT FEE
$
$.
$
~
PAlU W III-J
BUlLDING
1~~Il'
I D.. J,
,-- ~
u
(Office U5C Only)
This Application Becomes Your Building Permit When Approved
Paid
'-
Building Ollic:isl
Dttc
pate
FEB - 6
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Feb. 6, ~003
~
. .\/;,;~:;...::;J
.'. ',\,:~::~~;;~,..~I'.s<:
2: 34PM
GENZ RVAN PLUMBING AND HEATING
No,~654 P, i6 i9
Da.te Rec'd
CITY OF PRIOR LAKE PLUMBING PERlVllT
1. Blu. File I PERMIT NO
2, Gold Cil)' ,. 'Q)? - 00 1/-
3. Ycllo,,!, A.ppaCAIlI ~ I (tI
(Plc:.asc typc or 1)rlnC and sien at bottotl'l)
AD15r&J llttai ~(~: O( ~. &F.
ZONlli" G (office use)
,
~d -
LEGAL DESCRIPTION (office use only)
LOT I BLOCK (ADDITION 'f>u.~-he(d C1.-f'V1
PID
OWNER
(Name) DR H.orton Custom Homes , (phone)
(Address)
962.' q 5.?,1=) -72tC
'1 r'""'C' I _ -
~...)U.'U
JLeng~l~ Co- Sre. JDD
i.(I LtvdlG J.1),'-.J .5&;,Li tj
APPLICANT
(Name) G"'T\7 "Q)r~~ '0' "m...-1.....g &....l:1.Q:':'':'~_r'-z
(phone:) k " , _I.. ? ~_ 1 1 /,/,
(Address) 14745 So Robert Trail
Rosemount
(City)
NN
55068
(Zip Code)
(Contact Person)
n (A4dress) -.
l ~ fl ~j ~h . ~ ( ( \"
t~^) '-fj~
(J?hone)
651-423-1144
d r~::.Q~.__
DATE
A.PPLICANT SIGNA TORE .
Quantity
;L
;
I
.:)
I
1
2.
APPLICANT PLEASE COMPLETE BELOW
I
I
~
I
I
I
I
I
1
Type of Fixture
Bath Tub with or without shower
I Dishwasher
I Floor Drain
1 Lavatory (Bathroom Sink)
Laundry Tray (l or 2 compartment sink
Shower Stall '
Sinks
Bar Sink
I Water Closet (Toilet)
Quantity
g
j .
JL- .L
Type of Fixture
Rough-ins
j Water Heater
I Warer Softoer
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Ba.ckflow Assembly
I Bac.ktlow Assembly Test
I Lawn Sprinkler
I Other
FEE SCHEDULE
Industrial, CommercIal & Multi-famIly 1 % of Job coSt with a $39.50 minimum Residentlal, Ne.w One: & Two-f3!mly $99..50
Re1identiaJ, Additions & Alterations $3950
Estlmated Cost $
Building PermIt #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PER1mT FEE
$
$
$
soPAlU WIllI
BUiLDING
1~~Il'
"' By ~ _ \
{/
(OfficI'. USt Only)
This Application Becomes Your Building Permit When Approved
Paid
Bujldjn~ omcilll
Date
~-6
24 hour notice for all in.'p~c.tions (952) 447-9850, fu (952) 447.4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~e:n ~:~y. I PERMIT NO.3-I /-
), Yellow Applicant \C"
(Please type or print and sip at bottom)
ADDRESS ZONING (office use)
5400 DEERFIELD CIRCLE S.E.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) DR HORTON
(Address)
(Phone)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
5/2/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
INPUT
HEATING OR POWER PLANT
D Steam
D Hot Water
o Radiation
o Special Devices
D Other Devices
OUTPUT
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEATN GLO SL-750TR-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (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 PERMIT
(Office Use Only)
Buildin!!: Official
:m ~ ~ ~eiPtNo..
Jfll~ ~} / /f-/~
Date - .~ MAY - 6 2003 Ti lI-J
24 hour notice for all inspections (952) 447-98~ a, fax (952) 447-4245 ..J
By.
This Application Becomes Your Building Permit When Approved
-~~~
.'!If
\"'*"':~
..' -
Thf' C"nlf'r of Ihf' tab ('ounlry
03 -00/ ~
White - Building
Canary - Engineering
Pink - Planning
aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT,
APPLICATION RECEIVED
I) P !'/o r'to ;-)
j/- :;L t -. ()d-~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction a~!~~ity which is~ropo~ed~t:, l" !?~'
/ ) f J a L I I VP( I (J I (AJ 9 I f.~ jLi ,-I /\'"._d-.f "., "
I A., . J f , ) ~ /- r"....., '.\:, I I ..' "
. ) , '/ )/ AA,J<l.
<,~.-/'r -'."0
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/l1)4 h
Date:
)2 -30 -o?
-----
Comments: Ree Reverse Side for Arfrfitinn~1 Infnrm~tinnl
!J1{;ffh ("."f_
}--.C -( ~.\. f c") cf-... c? Cd)
.
See Attachments: 1) ['tl"adin~ Phm~ 1) Frn~inn rnntrnl Mp.::l~nrp.~
"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."
--.".....,.,., .,....,..,
h'LE'
The ('en.n of 'he L.kr Counlry
~ - BUil~
Cal1~lry - Engineering
Pink - Planning
.BUILDING PERMIT APPLICATION DEPARTMENT CHECK~IST
NAME OF APPLICANT
APPLICATION RECEIVED
() P Norbi)
!/_ d-~_()r~
The Building, Engineering, and Planning Departments have reviewed the building permit.
application for construction activity which is propose~ I.i2 ~
tor/I f3 L- I ~~d!Cf ~;1'
U ~~~
Accepted
Denied
~
Accepted With Corrections
Reviewed By:
Comments:
~,: ,'=I~ Date: /~/~I ~z.-
f ,
;f~ oJ-{ ~ ~-~,
"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."
-~
FtLE
Tht ("rnter of Ihr takt ('ountry
White - Building
CanarY -...Enaineering
(lSink - Plannin~
.BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT.
APPLICATION RECEIVED
I
I_
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I
i I
/.-'
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~ -:I',~ Date: I~//o'-
'.::t;. J"" +-.'",
~a.-<<-y . .":) .,-(J-'" I~ ~_Mt"~
J '
A' fit ~ A/7 ~ A A..""'" (J .
I ' -rT"<-un.., ~
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."
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS StitJD 1:>eeA. R~LD C, Q.C.L€ S.;.
NATURE OF WORK N t!a,..) ~ ~\TI.\UrT,C~
USE OF BUILDING ~ ,.. . &.t1r , -al" l
PERMIT NO. _ Q;3 - 00/ to DATE ISSUED '2.11 , 101-
CONTRACTOR ]2IZ.1 ~O ~ 'MC.. PHONE~. ''D''
NOTE: THIS IS NOT A PERMIT FOFt ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPART;"ENT o~Ntt-J ~ }"l ~'- -
BUILDING AND INSPECTION
INSPECTOR
DATE
, FOOTING l...\ Uf\i-\-~ l/l,h'l']..- ).../
, FOUNDATION (Prior to Backfill) I ~ I :2 - J.. a- - ~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING Ul0- M' t1-~\
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
/I lip
lA,y/1
YV1f
.{n/.
rvY/
Jr-, J-O- (()
.s'- ~ L( -<?2
S'11 )/c!7
r~U-~
s- - J.-rJ -~~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
COVER NO WORK UNTIL ABOVE HAS BEEN SiGNED
I I
FINALS
~ 1- {. !)C'
.~
7-{r~
VW" (r L(, U7
VVY 7-lf
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