HomeMy WebLinkAboutBuilding Permit 03-019
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
(-r'(
ADDRESS
.sY()G,
D~/{'H"I<:!
C,,,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
:J-ICf
o FOOTING
o FOUNDATION
o FRAMING
o ~LATION
J7FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
Jl'ltECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
-
f- i~{) I 1 ~>I/7".J
--- ........ ---
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....
&?WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ 7- f 7 ~ner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
lNSNon
DATE TIME
CITY OF PRIOR LAKE 7-1/
INSPECTION NOTICE SCHEDULED
ADDRESS ('10~ Ot"r-r r,~/,4 CI-
OWNER CONTR.
PHONE NO. PERMIT NO. ~ rA:1 q
\
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL 'PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
(Dn~
Y/J1JC::r t/.JS
.
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~~~L FOR REINSPECTION BEFORE COVERING
Inspector: r V r '7- ( l-W Owner/Contr:
.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
..
l"
:rEo tr1Ai,.J 'FiLe-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
t::;-.
(7L.j()~
~etJ ~;de. ~.
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK I
ADDITION ~{q1J\.
OWNER
(Name)
(Address)
BUILDER f\ f\ ~~ '
(N ame)----.U. K...
(Contact Name) . 8- )JR~ I Lk( Iiv')
(Address) 2l)~(,.,q ke.-vJof1dtie..- e{7 E;.-k. tOO
~'k, t'Y) {) ~r-,(}LI '-f
TYPE OF WORK
"'jiNew Construction
OLower Level Finish
o Deck
1. White File
2. Pink City
3. Ye\low Applicant
J/./ ~k--O;)
I PERMIT NO'03- 001 c; I
PID
(Phone)
ZONING (office use)
(Phone) Cf.fjt. -4.gt:;-781lG
(Phone) 9C;"'2-- ~2.L.r I ~~
o Porch
ORe-Roofing
o Fireplace OAddition o Alteration
PROJECTCOST/VALUE (exdudingland) $ liS, 191
o Mise,
ORe-Siding
OUtility 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 ans, 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 up th roperty to'pe or ed inspections,
x
/
\./
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
~ / l(p _ {)()d, ()O
$ //)'3,;35
$ . 7oif,li'
$ sa. ()tJ
$
$
$
$
$
/00, [) tJ
10 (),tJa
35.5'a
4~, It}
This Application Becomes Your Building Permit When Approved
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/~~/~L-
Date
Building Official
o1OQ.0.50<"
.Contractor's License No.
u/ 2?;fO-Z
Date
?So,oa
~u,Ju
Z50. 0 D
~5. Oa
/2.CJo , d 0
7tJo, 0 tJ
I Park Support Fee
I SAC
I Water Meter Siz("5"l8') 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
# 1$
';:I-7sf~
$
$
$
$
$
$
$ ~.
#
#
I
I
I
I
I
44 t. a3J
I Paid
I Date
/ /7tJ t-I ( ,( )...--)
/- -}':?)- 0
,
) :-...,~'
Receipt No. (..1 ~ / Jc)
By P
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,
~ ':/.I/dlp
Planning Director
/,,;J..P 1;:2..-
, Date 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
~
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Job Address
Heating Contractor
Name of Tester
Date
,.
Percent 02
Percent CO
Percent C02
Stack Temp
.5W~ D.ez.;&,lGr
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7#~3
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Combustion air is adequately supplied per
UMC See, 606 jt:!:2S
JaM)
input
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Th(' Crnlrr of 'he' Llkr Coun.,,'
QVhite - Buildina)
Canary - engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
DR~
//-d-.(p -0 ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: I I 17 I
Lo j- L/; B L I J f} eerP,- e I d 9-0'- /)eer-f:' e Id . (11 j/c~
/
Accepted
Accepted With Corrections
Denied
Reviewed By:
~
xf4
=j11.jJ ~
/7?~
Date: IC) Ie; I ~ '--
r '
72~
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."
C~b rt7A/~ FfU5-'
^~
The ('enlrr of Ihe L.kr ('ounlry
White - Building
CanarY - Fn"~rcc;g
<:f!.Ok - Plannin
BUILDING P~RMIT 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:
" ',;;
/ . /. /,1 . I : '\ / ~/
, " I I
'-_c, I '--. (, . , -;
I ... ,
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Accepted
~
Accepted With Corrections
.
Denied
..
Reviewed By:
Comments:
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A 77?tfl . .~--.J
Date: /eJ-Ja4 L--
7'.iLL '
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."
~€ tv\~J N hLE
Th. c..,.. 01 tn. "ok. Coun'ry
White - Building
r ~anarv - En~ineeran.s..>
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
.,/
NAME OF APPLICANT
APPLICATION RECEIVED
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f"_.." / " -.,.._ ._~ ,_...... ':...-<",1 r f r ~ .J>O-'
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.;......
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I r j-' L./ l? / n.." d' p /17.,,1,..
,_-0 i/ Cl'- / / !.~/ecf/'-! c. '1
,.
7'.\ _ o.L . . ",
/ .{,;;:J P y-! 1 ,~~
~~~,,'/"-'.'~ _....,-
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\......:.... /'( ,-..:..
Accepted
X'
Accepted With Corrections
Denied
Reviewed By:
m1-~
fJ,.( .( ;y! c" ,. V\,
Date:
/1- 3 () ,,07-....
Comments:
F,' I-c...
"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."
CITY OF PRIOR LAKE
tlEATING/AIR CONDITIONING/FlREPLACE PERMIT
Date Rec'd
~f?5~
I. Pink File PERMIT NO a / cr
2. Green City . .-
3. Yellow Applicant
(Please type or print and si~ at bottom)
ADPRESS
:5Z/0~ aC!/h/d 0/C/L se
ZONING (office use)
LEGAL DJSCRIPTION (office use only)
LOT ~ BLOCK I ADDITION
PID
~~e~RD.~. Horron ~lJsbm Home~
(Address)~ KecJbrid~. QJ., Lo.kevJJ.1e MI\)
APPLICANT J\ , I . M h---
(Name) l:lll-' CU,' e<L..:.ldm .
(Address)3~50 K~hec..~. :sk. #/ Eaaan
, C (Address) J (City) (Zip Code)
(Contact Person) ~.r~r Z"mm. p.rfY') Qn (Phone) (P51-~O!)- t:l77~
APPLICANTSIGNATU I _ (J.4{~ DATE
t/(/ (j . C/'
APPLICANT PLEASE COMPLETE BELOW
0NEW CONSTRUCTION o REPLACEMENT 0 AL n;RA TIONS
FURNACE MAKE AND MODEL ~~4n+ 3.~A-Vb2J.Ll>; 0 FUEL 1'JQ..h.A.t"n. ,
FLUESIZE'tI'cla.S4D"B- RETURN OPENINGS 4 INPut 10,000 OUTPUT6LD../)OO
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone) 95t).-. q ~ -7:l7:L
S5o~L.l
(Phone) /.&../-.<.Iff:L - cfI775
55/.22
DWarm Air Plants
o Gravity
o Mechanical .
~ Conditioning
Ql'Vent. 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
Industrial, Commercial & Multi-Family
F~E 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 & A/C (New Construction)
Residential, Heating Only (New Construction)
$39,50
$39.50
Estimated Cost $
Building Permit #
(Office Use Only)
$
$
$ _ /ZJ
~fL~
This Application Becomes Your Building Permit When Approved . raiQ @j !l~
~ ~ . (y j}-
L 0"
i3' .~ lOO
24 hour notice for all inspections (952) 0, fax (952) 447-~
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
~ .50
J'!',
(&~ ~.:/!'.1..''J
~~~""
-"""'" "'" i..:,'
. Receipt No.
Building Official
Date
By
tff/
Feb, 6, 2003 2:34PM
GEN2 RVAN PLUMBING AND HEATING
No,2654 P, il 19
.l.~7~ P~\10~;\
I- \ '7
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<..) I \ trl
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',.\;,,<:t;:;,i)':';:i~\'IYN E s 0 ~ l'-
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERL'dIT
(~k.1SC: type or 'Cnnt ;md ~Wl at bouom)
ADDRESS
fjLD~ ~~fl'e(J c,,~ , ~.
~. ~::w ~~~: I PEIDrllT NO. 1"-1 ? -0 6 19
J. Gold .-."plrQlOt (.)...::>
,
ZONlli' G (office use)
: .
"
LEGAL DESCRJPTION (office use only)
LOT l' BLOCK I ADDITION '~-4J qf'11
PID
OWNER
(NameL D~ l;"'....t-on Ct'~"'':''':'~''''::'
(Phone) _ C}E;2 -q gS- ! g l'j')
(Address)
2o~O ~iOi<-\!'.J::e Cr .SIP .I (''of')
(Address)
La~\j i \ Ie..,
(City)
,06:Y-l U.
(Zip Code)
APPLlCANT
O'J'ame') Genz-Ryan Plumbing & Heating
(J?hone)
651-423-1144
(Address) 14745 So Robert Trail
(Address)
(Contact Person), C h ~(& tl ~ Ii $
T_JCANTSIGNATURE_-0Lu~ ~Qi/.J
Rosemount, ~1N
(Cit:)')
55068
(Zip Cede:)
(Phone)
651-423-1144
PATE
d- -fo-D3
APPLICANT PLEASE COlVlPLETE BELOW
Size of water service inches.
Location of any couplings from stnlcrure 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.
ResidentIal sewer and water hne coooectio.n
Sewer connection only
FEE SCHEDULE
$35.50 Industrial., Com'! & Multi-family 1% of Job cost w1th a $39,50 miwmum
$11.50 Water connection only $17.50
Estimated Cost $
Budding Permit # ,
SEWER AND WATER PERi\1IT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.:0
L
Building Official
Dstt
Date FEB - 6
PAlU WIl]:l
i
BUiLDING
IPE~Il'
I~Y M
UI
(Offiel: Use Only)
This Application Becomes Your Building Permit When Approved Paid
24 hour notice for all inspections (95Z) 447-9850, fax (952) 447-4245
r.Ple~e t'(Pe orp.nnr and S1e!l at bottom)
ADDRESS
6~Dlp
Fe b, 6,
~\
~~<~
\., ''', ~r-
. "';"Fs::;,~,,:,;;iNE!lO
2003
2:33PM
P. I 0, I 9
l>ate Rec' d
GENZ RVAN PLUMBING AND HEATING
No,2654
CITY OF PRIOR LAKE PLUMBING PERMlT
I Blue fiJ.
l, (k>l4 City
3, Yol.,w AppliClllI
I PEIDiITT NO;03 - 00 Iq I
,
ZONmG (offiC~U$~)
~~ficIJ Cit~. 8'~.
lkRt7frJ} q-fh
1 ,
.:,
LEGAL DESCRIPTION (office use only)
LOT 1 BLOCK I ADPmON
PID
OWNER
(Name) DR Horton Custom Homes
(Add.ress)
(Phone)
'16.2 - q 2 ,I; -l?5lX)
'2-0~t.J7D J(.enB~l 'l)~ Co' Sre. !f)C',
u( iv_velIe:.. 1:LA1-J .656i..i t.J
APPLICANT
(Nallle)-Ge,...?_Oy.,... 'tI1".,.b~G t. t:I,,~..~...,.;:;
(Phone:) f:. C;, _I... ')~_, , at...
(Address) 14745 So Robert Tra.il
Rosemount
MN
55068
(Zip Code)
(Contact Person)
(Address) ...... (City)
r,Y}\Q l\n . 'V(~U S (Phone) 651-423-1144
01J~~ ~__ DATE
APPLICANT SIGNATURE
;2 - :r - D3
Quantity
\
1
I
'~
:::A
I
.~
APPLICANT PLEASE COlVlPLETE BELOW
Type of Fixture I Quantity I Type of Fixture
Bath Tub with or without shower I I Rough-ins
I Dishwasher Ii, I Water Heater
Floor Drain I i2:- :r. I Water Softner
Lavatory (Bathroom Sink) , I Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compa.rtment sink I I Sewage Ejector
Shower Stall I I Bacldlow Assembly
Sinks I' Backflow Assembly Test
I Bar Sink I I Lawn Sprir.lkJer
I Water Closet (Toilet) 1 1 Other .
FEE SClJEDUl..E
Industrlal, Commercial & Multl-fannly 1 % of Job cost With a $39.50 minimum Residentlal, New One & Two-Family $9950
Re:-:idential, Additions & Alterations $39 50
cstunated Cost $
Buildin,g Permit #
PLUMBING PElUvITr FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
50PAlU WIl'l!
BUlLDING
r:e~Il'
IBY ~,
U
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
DafiEB - 0
Building Official
Date
24 hour notice (or 8/1 in.\pf:ctions (951,) 447-9850, fax (952) 4474245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~e~n ~::y I PERMIT NO.3 - )0.
3. Yellow Apphcant ~
(Please type or print and sip at bottom)
ADDRESS ZONING (office use)
5406 DEERFIELD CIRCLE S.E.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) DR HORTON
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HU/jTOty
DATE
5/2/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACE~NT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO SL-750TR-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 & A/C (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39,50
$39,50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
BUt::~
'ERMn-
.50
(Office Use Only)
BuiIdine Official
Date
~~ @ ~ ~ ill ~ -;.ceiPtNo
fl1e MAY - 6 2003 l3
(fY/
~
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-98~}fllY (90;2) 447-4245
, ~~K ~AIAI Fill
DEPARTMENT --..... -- -- -oil ~ ~
BUILDING AND INSPECTION - --
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ,!{t!00 HC~~ ~G:
NATURE OF WORK ~ M.J fTll~~rltJtJ
USE OF BUILDING ~ . A. IJlr I.( . _ ~ I
PERMIT NO. tY3-()()jQ DATE ISSUED -'l.I_IJiJ
CONTRACTOR Jb.&. t-\otTeN I UJc.. PHON · · "I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FOOTING T)-rG{l (OO~ )/ir~ G~5'wl().\^ I
, FOUNDATION (Prior to Backfill) ~v\. I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~bAlJ\.
~/ 1)--07
6~(L.'1f7
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
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G - t(-dl:?
/-11
tILr"./
--Z~I 7 ~
i/1IY" -'7 - ( ~ ,-~
I ~ 7-iyv0
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