HomeMy WebLinkAboutBuilding Permit 03-0154
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/7'1. 72-
f)'wh4c!- 0".
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
COMMENTS:
{--r",,"1 r ~ [;>swc{
DATE TIME
q - rs ~cI].
-s ~ I F-(
o EXfGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: I~ C(-r;:o:;, Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
UttNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
[?--<--f
ADDRESS
/7] 7 L
fh.~ Ril
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'J-It:tI
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o )lEWER HOOKUP
.Ji!I"'PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
reIMOvt.
ro'fJ?tAI75
o WORK SATISFACTORY. PROCEED
~ORRECT ACTION AND PROCEED
o CORRECTIiif/WORK CALL FOR REINSPECTION BEFORE COVERING
(/ -1",/.-vJ.
Inspector; D . Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn
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.see TAe ;14a 1/[/ I-~I 'I... e..)
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 1- ('3 - '3
See Main File
(Please tvp~ or print and sign at bottom)
ADDRESS (\
i7J!) UQ~~pl L f1~\~.
" .
I. White File I PERMIT NO I
2 Pi"' Ci<y '07 _ 01'C./1-
J. Yellow Applicant -- ~~
LEGAL DESCRIPTION (office use only)
LOT (., BLOCK .3 ADDITION f}.f--<~l.tA _ C{n'L..--
OWNER
(Name)
(Address)
BUILDER\ '\ Q LL /L -r _
(Name) <! j ., \LN'T(JY\ LJI\f
(contacnlame\~V\N~- .s~lciL<)t1\ _,
(Address) LeyR~~m~' ~U'5~~Jl(f'
TYPE OF WORK
}il New Construction
DLower Level Finish
o Fireplace DAddition DAlteration
PROJECTCOST/VALUE (excluding land) $ I D g,l-f4 7
o Misc.
I I ZR';G(OffioeUSOJ I
PID d ~ ~ 1-/00 - () '17-0
(Phone)
(Phone) CtC,2€1 Q<; -7 t:,3[:f:,
(Phone) .5 C; /_, '2 71P- I-?;'-~ t.j
ODeck
Dporch
ORe-Roofing
ORe-Siding
DUtility 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-me ed property and that all construction will conform to all existing state and local laws and will proceed in accordance with
sub plans. I am aware th . ding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
roperty to p 0 inspe
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Permitvaluation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
of / 0R'./)0 lJ.O 01
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3S'".50
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This Application Becomes Your Building Permit When Approved
~~
Building Official
I;I?O 10.7
Date
1
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/2.00.0-01
700.00 1
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/ft,,3fp0_ /1 I
I ReceiptJNo. .::r J QY/l I
By /-A--.
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cJlJh u9&.]
Contractor's License No.
1 Park Support Fee
1 SAC
I Water Meter ~;l";
1 Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
1 Other
1 TOTAL DUE
#
#
- ,
#
#
1-7-(jo
Date
$
$
$
$
$
$
$
$
8'50.00
'Z75.0~
~5CJ, 00
Paid (,? J {; ~. , I
Date -7. (, , " )
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
"SU~;ngt.~p {lT01.;; /~peCi~:~
24 bour notice for all inspections (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
.....
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See Main File
Th~ ("f'nll'r of lhl' t.h Counlry
White - BUild~
S:lln:ll~ - ~nrlineE\ring ",,~
C Pink - Plannina'S>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/., . ,,'\
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Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~
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Date: ~/j>~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."
See Main File
White - Building
(Canary - Enq,"eef,"~
Pink - Pla'''''"9
Th~ ernlp, of flip I.... Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whictris proposed at:
//~;'7~~: "7.-1- / L ) ):L/\,,~,,/~'(_2-.{;:,.~t'.} l;:J ~~-
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Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/YJ4-iS
Se ( /fLy..,
Date:
J -.30 -() 3>
Comments:
h'/e
"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."
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See Main File
Th~ ('~nl..r ollh.. 1.8kf Counlrl
(Whit.. - Buildin""
Canary - Engfneering
Pink - Planning
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
[j)R- ~
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The Building, Engineering, and Planning Departments have reviewed the building permit
'pp';~t;oo fo"'"";;~ ;~ 7~:~r:e Il ~
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
Comments:
~ 1~ Date: ~S~3'
.-f.eM d.f td-r~ ~ e'~
"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."
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Jc:>b Address /n7~ ~\J
Heating Cc:>ntractor ~7 1N1!2t"~
. Name of Tester ~k-~
Date ~O3
Percent 02 , ~
Percent CO ~RYv
Percenl CO2 /;'
,tr- Z
Stack Temp ~d-~r
Combust;c:>n air is adequaleiy supplied per
UMC Sec. 606 VRS
Input f BLJ aJQ ;'
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONING/FIREPLACE PERMIT
Date Rec'd
? ;:2/c;.
~:~ I PERMIT NO. --::J - / ~ L/' I
Appheant ---..) -...)
I, Pink
2. Green
3. Yellow
(Please tvJ.?e or orint and sil!Il at bottom)
ADDRESS
/732::2 il~~h;;'/c./ ~,:.-~,-)~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT~ BLOC~ADDITION
PID
~':e~RD,'A. Horfon CuJom HO(Yle~....
(Address),:)Olitoo K.en6rictOj- OJ.; Lo..kevi IIp_ M~
APPLICANT II II. t M h-
(Name) /111ICII1 ell...~tm. (Phone) I,S/-45:L-rf(775
(Address) 3<050 J<Le.nne bee... fro 5+e. #/ ,i--: apQn 55/.22
(Address) v (City) (Zip Code)
(Contact Person) ~.r..pr...~ Z;mmpr.rn Glln (Phone) (P5/-A/5~- bl'l'l!5
APPLICANTSIGNATU~ (l.~~.--... DATE
. 1/ ~~Pf{CANT PLEASE COMPLETE BELOW
~NEW CONSTRUCTION DREPLACEMENT D ALTf:RA nONS
FURNACE MAKE AND MODEL 1>ru~~A-V~" ('j FUEL ,uQ.hAin. I
FLUESIZEtt-'lc!a.S9. "'B- RETURN OPENINGS I.{. INPUT ,0.000 OUTPUT 6uJ.l>OO
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone) q5~ - q'??5 -7017..2..
/550J../J...[
OWarm Air Plants
OGravily
o Mechanical
~ Conditioning
Ql'Vent. Syslem
o Steam
o Hot Water
D 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
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 & AIC (New Construction)
Residential. Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Buiiding Permit #
HEA TINO PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
( ./.50
.-
r~ [E 0 W lE ~Ij Receipt ~~.
U~*AR 06 2003 I ~,' By ( M
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8UlinAID WJ7"H
1NGo
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_ -'.).}i'....
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 44~ !!l~O, fax (952) 4474245
r r
Mir. ]. 2001 11 :29AM
GENZ RVAN PLUMBING AND HEATING
No 5621
P. 4 ~ 5
Date Rec
CITY OF PRIOR LAKE PLUMBING PER1VllT
I 9""~ !'iJII
,1. Geld Cit;"
~,"el~ Appli.:::mt
I PERMIT NO. 3 - 15 LII
(Plca~e rvpe Ofvnnt and 1.l9J1 at boaom.)
ADDRE}/;~S/)b2 heerRe/d Dr- SF
ZONJNG (,i!ic-, u<<j
LEGAL DESCRJJ'TION (office we only) '>- /::J
LOTfp BLOCY;.3 ADDmQN <veey=ri r I rJ
0f<
PID
OWNER
(Name) DR Horton CU6tom Homes
(phone)
9S2 - q 'X fi -7'2M
(Address)
2obL.::D lUV1BvZ.l i)Ge.. CoSte I DO
wlu..vi/Je... MAN S6t.)I~ L!
APPLICAJ-.iT
(Name)~~- t>,:._\.,<_:: " "",dD;:; (phone) ~<:;1_1,?~_11l",
(Address) 14745 So Robert Trail Rosemount MN 55068
(Address) (City) (Zip Code)
--- / t:Z,//,)./ ~ _ 1/1...... _ (p~e) 651-423-1144
APPUCANTSIGNATURE ~a -j" yt.tJCjrL(}.A~~ < ::r/(LJ /(J3
(Comact Person)
APPLICANT PLEASE COMPLETE BELOW
I Quantity Type of Fixture Quantity I Rough-ins Type of Fixture I
I I Bath Tub with or without shower I
I I Dishwasher I' I Water Heater I
I' Floor Drain IP I r - ! I Water Softoer I
I '..2 Lavatorv (Bathroom Sink) . / Stand Pipe (Washing Machine) I
I Laundry Tray (lor 2 compartment sink I Sewage Ejector I
I Shower Stall Backflow Assembly 1
I I Sinks I Backflow Assembly Test I
I Bar Sink I Lawn Sprinkler I
I ;r Waler Closet (Toilet) I Other I
FEE SCffiDlJL.E
Tndusn'lal. Commercial & Mulh-famliy I % of Job cost wIth. $39 SO minimum R.sldentlal. New One & Two-FamIly $99 50
Re~jdentiaJ, Additions & Alter.rinDs $39.50
Est,mated Cost $
BuiJdmg Permit #
PLutvfBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERJ".IIT FEE $
50
PAlO WITH
BUILOING PE '
RMrr
(Office Use Oaly)
Building Official
Date
l ~ ~M~R I: : ;';O~ ~~ No
(
-f
This Application Becomes Your Building Permit When Approved
t.,
24 hour notiee for.1I inspection, (952) 447-9851 ~'(952) H7-4245
Mar. ). :003 I 1:30AM
GENZ RVAN PLUMBING AND HEATING
No 56: i
P 5 :\
~
€\~~
~"""/II~so"(t-
Date Rec'd
ClTy.oF PRIOR LAKE
SEWER AND WATER PERMIT
, c""" .". I PERMIT N' 0 7~
1. Yellow ellf-" ~ - / ('C-, I
] Gold Applltllt\t ,J '-f
(Plea:;e.!Vt'e or print 3I:Id ~ie:1a.t bolIOzn)
ADD?:?l:Jr;/1 IJeerNeld 'by SE
ZONmG (o1li.ee 'l.~~)
LEGAL DESCRIPTION (office we oDly) l'\ ('l ~
, LOT("BLOCK ,qADDmoN J..)-pern'eld V; (f1
PID
~
OWNER
(Name) PF H=t<>Il C"'.tQ~, "~-^~
(l'hone) _ Cf62 -qg5~ 1.&,0(\
(Address)
.2OuoO ~B~\DL-e C:r- S,P_IfV\
(Address)
LL:l.lL',III.Ie...
(Cicy)
0b'Y....JL/.
(ZjpC(}~)
APPLICANT
(Name', Genz-Ryan Plumbing & Heating
(phone)
651-423-1144
(Addres.) 14745 So Robert Trail Rosemount. l1N 55068
~dre") (City) (Zip Code)
(ConractPerson) , / a ~~ A a "..- m _ I JfJone) ......,( 651-423-1144
'"ICANT SIGNATURE ~fY71)fJ- ~ 3/{p / ():S'
APPLICANT PLEASE COMPLETE 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
ResJdential sewer and water. line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% ofJoh cost w1th a $39 50 minimum
$17.50 Water connection only $1750
Estim<rted Cost $
BUIlding Pennit #
SEWER AND WATER PERlVIlT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
50
PAlO WITH
BUILO/NG PERMIT
(Offiee Use Only)
Building Official
ff~ @ C~ 0 ill ~ mceipt No.
WeMAR 07 ~
14 hour notice for all inspections (952) 447-9~ 50, fax (952) 447-4245
By_
Ollte
qf1
This Application Becomes Your Building Perm,it Wben Approved
I I
CITY OF PRIOR LAKE r~\ ~ l~ ~ ~ Wa~1 ~ld
HEATING/AIR CONDITIONING/FIREPLACE PERl\ttr JUN 06 2003 J}
I. Pink
2. Green
3 Yellow
~::, I PER ~ri:'Fji;O:"7 _ I~~
Applicant ~
ZONING (office use)
(Please tvve or 'Print and sip at bottom)
ADDRESS
17372 DEERFIELD DRIVE SE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) DR HORTON
(Phone)
(Address)
APPLICANT
(Name) A TJ .TED FTRFSTDR DRA FTRRSTDR HRA RTH & HOME
(Phone)
65]-633-2561
(Address)
2700 NORTH F AIRVIEW A VENUE
(Address)
ROSEVILLE
(City)
55]13_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
6/6/03
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
HEATING OR POWER PLANT
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
D Other Devices
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
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
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
r'AID WITH
BUILDING PERMIT
(Ornee Use Only)
This Application Becomes Your Building Permit When Approved
BuUdine: Official
Date
I Paid
I Date
Receipt No.
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
I d
PRIOR LAI'--= ~~e~M*ifisml9NF' L~
INSPECTION RECORD
SITEADDRESS ./'1 s')~ Ueer.fieJd Dr
NATURE OF WORK ftt
USE OF BUILDING ~ '
PERMIT NO. D9..: Q1~ DATE ISSUED
CONTRACTOR ~ ~'TtJW PHoNf;S.:\-~-lny
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING
l'\A.<Liv\ I
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
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(, ,~(/tro>
(....r30
(,(~ ~ifJ
Co - (~ -0
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING M/
ELECTRICAL
PLUMBING wr
HEATING /1/(/
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
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.
4-~-d1
SrvL-{....q)
q -s-, CT1
SIGNED
FOR ALL INSPECTIONS (952) 447-9850
II