HomeMy WebLinkAboutBuilding Permit 03-0100
_.~. ~____._.._________.___.__~_ _..._n ____._
t
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
S'-/((
OY'frh... /ri
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o I!'lSULATION
.2'1'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
)iil"1.iECH FINAL
DATE TIME
C/-({g
1~/()O
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
J'IA{,/ j":C;<:IH;
....,--..........
r/~ )
'/
./"
....-
---
/'
/ / \
("-,0- /1
pC-f
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: # t{-{(.-tJ';, Owner/Conlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4< SAFETY/
'-'>"
r-d- T
DATE TIMe
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~" 'z1-C7>
ADDRESS
I;4Jfo
p(rr~!d
OWNER
CONTR.
PHONE NO.
PERMIT NO.
s~(ut)
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 GASLINE AIR TST
o
COMMENTS:
v e f1It IJIrf
/;5;{ '005
o WORK SATISFACTORY, PROCEED
}II CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: )~.>5/ J-C{- V? Owner/Contr:
I '
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4< SAFETY/
IN""'"
T T
CITY OF PRIOR LAKE BUILDING PERMI ,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I-&-{)~
I. White
2. Pink
3. Yellow
File
City
Applicant
I PERMIT NO. 03 -0 /00
(Please ~e or print and sign at bottom)
I ADDRESS (I
tu-t-1:d.tL rJ ~.
C~~/r:)
I I ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK ADDITION fJw,..c;'etL t1f}-......-
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER r "\ n \ I
(Name)~. t-t1)L~ IVtJ
(ContactName)~+f\ IP. F:vi rk~/lY'I
(Address) '20cg<oO . (~J ~t GJ-~~" I DO
T~ YVII,( (V) ()
. . ,
(Phone) '152 -qgs-~\
(Phone).4hl- 22Lr 13 ?:i:t
TYPE OF WORK
~New Construction
DLower Level Finish
DDeck
DPorch
ORe. Roofing
DRe.Siding
o Fireplace
DAddition
DAlteration
DUtility Connection
o Misc.
PROJECT COST/VALUE (excluding laod) $ 1/6. Cf'flt
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
sub ed 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
en r u the prope~o p needed ifJPections.
U. ""'"Y\JVL cQoODf)(."S7 I-g-O~
- - -1 ature .., Contractor's License No. Date
v .-
I Permit Valuation c$1I(' 000. OeJ I I Park Support Fee # $ !f50,DOl
I Permit Fee $ /O.!3,3S I I SAC # $ 127t;:,oo
,
I Plan Check Fee $ ?ot..f. IIr I I Water Meter ( Sfze 5/8':;11"; $ ~d,(J(J
I State Surcharge $ 5K.oI I Pressure Reducer $ 'Is; () ()
I Penalty $ - I City SAC and WAC # $ / ZOO,(JO
I Plumbing Permit Fee $ 1()(),OeJ I Water Tower Fee # $ 700,00
I Mechanical Permit Fee $ 100. (J d I Builder's Deposit $
I Sewer & Water Permit Fee $ 35.50 I Other $
j Gas Fireplace Permit Fee $ o/tJ.O lJ I TOTAL DUE $ ,. ..f~1. Q3
This Application Becomes Your Building Permit When Approved I Paid ~7 IrQ.,)? ReceiPt No. 9$"91/
~ t I Date ~~/iJ1 &~~
7~r- ~;P7~3 Bv
Building Official ~ate
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
~s~ ~~~
Planning Director
;??As
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
----,--"'T-.-...---.-------.-....~-.~..
.
1.1
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Job Address S'tl ~ 1. ~....r'et;{
Heating Contractor -At'/"q""r ~ ~
Name of Tester ;-0
Date
Percent 02
9;
, I
~
(). 7 /..,
'?St.- ;c
Percent Co
Percent cO2
Stack Temp
Combustion air is adequately sUpplied per
UMc Sec, 606 1'-"3'
E?dcv-v
input
/
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ii~';;
::2'#-
1,-- 7~
Tilt ("tnltr of lhfl' I..h Counlry
fihite - Buil~in~
anary - L". _:. n(g"
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT --D r;;? tY--tJ YCo-r.-J
APPLICATION RECEIVED / - ~ ~ OG
The Building, Engineering, and Planning Departments have reviewed the building permit
aooII"'5:; i;"n>ctloo ctl,lIy which " pro~ al i;"z f I fjp1fJ4J yn-
~
Accepted
Accepted With Corrections
Denied
~
~
,..
.,/~
Date:
;j~7 ;&3
Reviewed By:
Comments:
/Yla..4-
::J~
"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,"
I I
-,------ ------...
~~~
- )
see ,KAi,.J NLE
Th~ ("tnlu of lht l..h Country
White - Building
<:::::"Canary - I:ngllleermg /
t"lnK - t"lannmg
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlRT
NAME OF APPLICANT
'j
,
1,.1 /; I"
1/ c~
, (" ";)
" ._ /r )"
" (..::.> ,- ,,~,
,
l. _
C ()"}\-)
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction pctivity which is ~roposed at:
, - '" ,"
SLf/ I.; '(' ..',.
i \! /,'i..( i'j,li {"i'-,J / {i;
?:> !j~ID:J'"""r' u.."l : '-~.A_
/;:;L.,..
j
/7 /} (~--;/j::
. .',' -1/ '"It,.f'
'.',I~ (t., r
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
MIs
5-ct' ,t11e,,'J, Fr'/(.
Date:
I~/o ..-([3
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."
II
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X PRIO...;>" ,.
~~
-'~~ /J1~~
Thr ('rntrr of Ihr l..kr ('aunlr)'
White - Building
Canarv - Enaineering
cPink . Planning;>
BUILDIN~MIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I r __
) C.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5~/(p '>
'-
)
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
(~ 'it- 2"" D"eJJ..~3
/~~~
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."
J a n 22 2001 I 2 14PM
GEN2 RVAN PLUMBING AND HEATING
No.0986 P. 21 21
Date Rec'd
CITY,OF PRIOR LAKE
SEWER AND WATER PERMJT
~ ;:;. ~:~ I PERl\tIIT NO. "< - /00
.3 Gold Ap~~Qllt ) (I
(p!,....3se typ~ Orlninc and S12I1 at bono-m)
ADDRESS {:i
54/ f...o f)pert7'v....c/ (I LA.'. ,S L
ZONlNG (oJIic< "")
LEGAL DESCRIPTION (ollice use only) 7""\. . () /\ ./'J
LOg- BLOCK I ADDmON cLJe em a j cl <-{1t\
PID
OWNER
(Namo) DP 119"(t"9" <'..__h_ "--0:
(phone) _ 0;62 -Q'65- -n:c.f\
(Address)
20 &tD KeYlPK\ b6e Or Sn,..I!Y\
(Ad4ress)
Lau~lll~
(City)
&JC:D-IU
(Zip Code)
APPLICANT
U'ame) Genz-Ryan Plumbing & Heating
(phone)
651-423-1144
(Address) 1474.5 So Roben Trail Rosemount. }IN
~dres') (City)
(Contact Person) .. I /) YYY'LP A.-a.. f\ (phone) 651-423-1144
'_lCA..'NTST.GNATURE ~1/YUJ....ilm~~DATE 1-6~
5,5068
(Zip Code)
APPLlCAt~T PLEASE COMJ,>LETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of sewer line feet.
Clean out (if required) located at _ feet from structure.
feet.
o Cast Iron
Residenllal sewer and water I1I1e connection
Sewer connection only
FEE SCHEDULE
$3550 Industrial, Com'] & Multi-family 1% ofjob cosl w,tb a $39 50 minimwn
$17.50 Water connection only $17,50
Estimated Cost $
BUIlding Permit #
SEWER AND WATER PElUvllT FEE $
STATE SURCHARGE $
TOTAL PEF.MIT FEE $
.50
~iZ;~~Ni77:! }
--!'~
I Receipt No. _
I By ( Iv
I
IOffi,e Use On'y)
I Tllis AppliC3tion Becomes Your Building Permit Wilen Appr '1if~ ~ ~~ ill ~ \
Bulidi.g om,i,I Dat. I ffi ,,'A~ ~(i\8 2003
~ Z4 hour notice for all inspections ~ 447.9850, fax (95;!) 44~t45
1.1
12: 14PM
GEN2 RVAN PLUMBING AND HEATING
No0986 P 20,21
Date Rec'd
CITY OF PRIOR LAKE PUJlIvffiING PERl\fiT
I BI..c Fila I PERlWIT NO
r ~::~w ~;;,,~,' :3 -100
(Ple..l..'re cy!?e oronnt and $ie;n at bottom)
ADDRESS 5> I
'1-) (p
~6Y-hUci
~~E
q;f?
LEGAL DESCRIPTION (ollice use only)
LOT >('BLOCK) ADDmON ()eerf/ J2l~
OWNER
(Name) DR Horcon Custom Homes
(Address)
(phone)
2C~(,pD Kel"1B~lDGe.. Co Sre IDO
ZONlNG (office",,)
PID
9&-,2 - q '2>=, -7'6DO
/A k/wiik.. tAAN 556Lj U
Rosemount
HN
(Phonc) ";,LI..?1-.LW
(City)
55068
(Zip Code)
~SS)
(Contact Person) - J () f'Yl1J. ~ ~,(Phone) 651-423-1144
APPLICANT SIGNATURE ~ '---Yr2~ = DATE _L-:;;o-cr153,
APPLICANT
lName)-,'c,-'_P;.,- "'..~ ' UM~..i.-3
(Address) 14745 So Robert Trail
Quantity
)
. I
/
;...}
J
, J
~
APPLICANT PLEASE COMPLETE BELOW
I Type of Fi;cture
I Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
I Type of Fixture
Rough-ins
I Watcr Heater
I Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
BackfJow Assembly
BacldJow Assembly Test
Lawn Sprinkler
OTher
Quantity
8;
I
P/7-
FEE SCHEDULE
IndusIrlaJ, CommercIal &; Mult,.ftllTJlly 1 % of job cost with. $39.50 minimum ResldcnnaJ, New Onc & Two-Family $99 SO
Re:.idential, Additions & Alterati,ms $39.50
Estimated Cost $
Buildmg PermIt Ii
PLUMBING PERlvITT FEE $
STATE SURCHARGE $
TO~~PERN.ITTFEE $
.50
(Olfic.c. U,t Only)
;,"~:: Application Becomes Your Building Perm~t When Approved I J ~id_. ., ,.
..; .. , ' ~orn(Gj~tiJlJj~ln)11
' IluUdmg Otll".1 . O.te I l I III
24 hour notice for all iaspections ) 4JM5~ tB. ~44~.45
By
I I
--
,
,~" I'AJD W,.,.;,
'~""',,... " ."
':';;! lFEZ;::}~~rr
..~'
I Receipt No. I
[BY ~ I
U
s~~
+INlfESO'\l'
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
-#c; f?~c;J
;:,;, ~:~ I PERMIT NO. ':) - /(J{)
3, Yellow Applicant 0 ! I
(Please ~e or Driiit and sign at bottom)
ADDRESS
.~~ a~~~/c/C/r/L? c5""e-
ZONING (ofliceuse)
LEGAL DESCRIPTION (office use only)
LOT ~LOCK / ADDITION
PID
~::e~RD,';\. Horton ()ucdom HomeJ'O.,
(Address)dOlftoo ~hric\~ QJ.; Lo.kevi IIp. Mk)
APPLICANT J\ II. 1 M h-
(Name) /illl Clt1T e~. J-.tf'tI , (Phone) 11J5/- ~5.2.. - ef<775
(Address)3<P50 fl.e.nr'li"be('J"'x,. S+.,e.#/ ~~Q_aQn 55/.J,2
(Address) v (City) (Zip Code)
(Contact Person) ..Je-F~rp~ Z;mmprrn Q,n (Phone) (P5/-A/5~- .17~~
APPLICANTSIGNATUk. JOJL""'-'J fl.&AH~~';;_';:'_ DATE
(/ VV (j '"7/
. APPLICANT PLEASE COMPLETE BELOW
0"NEW CONSTRUCTION o REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL 'Br~I1r\t.......3~A-Vb?illl" {'} FUEL J\.)o.{u..-n. I
FLUE SIZE tIJ'clQ.s~ "EL RETURN OPENINGS J..{- INPUT ,f>,OOO OUTPUT 6J.D.bO (;>
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone) C(5a - q'~5 -7~7.2....
,tj5o~L.1
DWarm Air Plants
DGravity
D Mechanical ,
~ Conditioning
[!Vent. System
o Steam
o Hol Waler
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannol Encroach into
Required Side Yard
Selbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % 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
Residential, Heating & A/C (New Construction)
Residential, Healing Only (New Construclion)
Estimated Cosl $
Building Permil #
$
";::.7,::", B~mm y,,, "''''"P"m'' w." Ao,,",,, :~~~~~5~p~ IT!B=::~ ~Vh
ODate U By (, ft../
8;- j U
24 hour nolicc for all inspc.lions (952) 447-9850, fax (952) 44'/-...,
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Official
Date
1:1
': D1lf lIE [~ U 1JJ U; I 11
CITY OF PRIOR LAKE I ~ I JUI 0 8>@DJe I~
HEATING/AIR CONDITIONING/FIREPLACE PERMllf b
IBy
1, Pink
2, Green
3, Yellow
~:;y I PERMIT NO. 03 - 0 I 00
ApphCllnt
(Please type or print and si2D at bottom)
ADDRESS
5416 DEERFIELD CIRCLE SE
ZONING (office use)
LEGAL DESCRIPTION (office use only)
..,,~......,......,...",-.-
LOT
BLOCK
ADDITION
PID
OWNER
(Name) DR HORTON
(Phone)
(Address)
APPLICANT
(Name) ALLTFn FTRFSTHR DRA FTRFSTDR HEARTH & HOME
(Phone)
t\'il.t\ll-~'it\1
(Contact Person)
BRENDA HUSTON
ROSEVILLE
(City)
(Phone) _651-633.2561
55II3_
(Zip Code)
(Address)
~700 NORTH F AIRVIEW AVENUE
(Address)
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
7/8/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
~.""."",.-~",.~,,-,
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Selbacks
FIREPLACE MAKE AND MODEL
HEATN GLO SL-750TR-C
Industrial, Commercial & Multi-Family
FEE 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 & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
(Olliee Use Only)
Building Permit #
$
$';0
~~ [E ~ l: 0.110 ~ ~
This Application Becomes Your Building Permit When Approved ~ ya,iftJl 0 8 2003 c~ Receipt No.
Dale . By
u.i
Estimated Cosl $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
63 JO 100 ,,~o~\"O'\ ..l~
~I" G ~~f\'r<'
e\J\\..O\N
.".~.-.....,,-..~,,-
HuUdinl! Official
Date
0;
24 hour nolice for all inspeclions (952) 447-9850, fax (952) 447-4245
I I
....__..~.,~'---_._--------_._..,,_.~..,
PRIOR LAKE
INSPECTION RECORD
.
SITE ADDRESS 5'i....JJA 1)EEIZ /~t:l.E ~6.
NATURE OF WORK NEIAJ Cl)t-JST r:rl'~
USE OF BUILDING 'S.F; A . '- . ,
PERMIT NO. 03 - 0 I 00 DATE ISSUED ~, 3
CONTRACTOR C . pHDNEBI., Z~.11~'1
NOTE: THIS IS NOT A PERMIT F R ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
'SEE ~/~1'11.8
",.;
DEPARTMENT
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING ~'1 I I 1
I FOUNDATION (Prior to Backfill) ~4W\ I I i
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I J
FINALS
I
I ~
I ~
UNTIL ABOVE HAS
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.
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
iM~i"
.wI
tlW
"7 - J../---rO
7""' }.Lhi,
~
f11/
7~ 17-0:7
,-JA-rI]
7~;'1-1)
~
l!1J1f/
4-l--(J),
BEEN
4-1/601
C{ -(~. {/J
SIGNED
FOR ALL INSPECTIONS (952) 447-9850
I I