HomeMy WebLinkAboutBuilding Permit #03-0300
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
J 7 J43
t, (N,b,;r.h
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o I!!-SULA TION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PI,!.lMBING FINAL
~CH FINAL !)
COMMENTS:
(l ~ c.. a ( <j;.ss eN' c-1
DATE TIllE
q-/~"C13
5" 306
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ q-I(}~owner/contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIllE
SCHEDULED
g..--f
ADDRESS
/1J'f3, ~1"V~V/t.1-,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'7,- JPD
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 EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
((WptA..t
rCtf L-A05,
"
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORREC~ ;fi CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~ 75'( -0) OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
T'-----....-...nT".-......
,
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
(Please.!VUe or mint and sign at bottom)
ADDRESS
11~4~K\\J(r B;,vhLa.'"h.t ~,
). White
2. Pink
3. Yellow
File
City
Applicant
I PERMIT NO.
LerAL DESCRIPTION (office use only)
LO~7 ~CK 1 ADDITIONDer-h.lU ~ fi1"v
OWNER
(Name)
(Address)
BUlLDER'-T"'YI) II ~
(Name) .l./.1"'\. TTDrTon ~
(Contact Name) K-.te. fA')Qhl"\~
(Address) Z-D'6G?O K<AA.bnJej~ ~ ,lO 0
I ~1~ II (.. v'V\ JC:'l '5"=ntJ- LJ
TYPE OF WORK
o Misc.
or New Construction
Date Rec'd
;,I-?-7-3
-
Q~030DI
ZONING (office use)
K''d.-
PID.'~5-3 9~- [)3-5-C
(Phone)
(Phone) 0S2---qgt;-7 eog
(Phone) 962. '271/J- L{73"2
ODeck
OPorch
ORe-Roofing
OLower Level Finish
o Fireplace DAddition DAlteration
PROJECTCOST/VALUE (excluding land) $ RC>, M I
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-mentioned ya'"'y';"'J and that all construction will conform to all existing state and local laws and will proceed in accordance with
submi lans. I am awar at e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter pon e property to pe 0 d inspections.
x
/
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Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
87 (lOt). 00 I
'102.75'1
,C,P,(". ,ar
L{- 3. So
100.00
100.00
-
40.00
This Application Becomes Your Building Permit When Approved
,~4~
Building Official
~ 1'-/ /(J :3
Date
cX()OO~5;1
Contractor's License No.
Park Support Fee
SAC
#
#
02~~/ 0 3
, Date'
$ Rso. 00
$ 12.7'5.00
$ ~
$
$ 12.00.00
$ 700,00
$
$
$~/qf3 .04-
WO / :J
r;
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. r "
~ -::;~ 3/1~/03 ~ -M".::J 7'~
Planning Director
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
L.,- '7 €if u'i
-::<'-~t? 0.3
#
#
I Paid
I Date
Receipt No.
Bv
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
-...............
?'~O~' PR/O~
u 1:..
,,".
White - Building
Canarv - Enaineering
Uin~ . Planni~
Th~ (.~nl~r of lh~ I..k~ Counlry
BUILDING PERMIT APPLICATION nFPA~TMFNT r.J..IFr.1C1 I!=:T
NAME OF APPLICANT
APPLICATION RECEIVED
-'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~,
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
~
,=/-1 ....f) f..J
Date:
3// '-/ /0:5
-,
Comments:
See Main ~ile
"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."
Thl' C'l'nll'f of Itll' I..IoI'COllnlry
White - Buildlnq
f "",Cil~:;""" Enqinee~
Pfnk ". - Planning ,
BUILDING PERMIT APPLICATION DefARTMENT CHECKLIST
NAME OF APPLICANT
,
""'\ ,.") -ii/... .~. ~"" ': / " : .~
Lj 1\. ~'/::') 1,~,""j/1~/._-i-'/L,i(___1
APPLICATION RECEIVED
- .' J_)__ ' J.:.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~7 -,") ,,! /
~ ~ <'J
,,,.--
I ._.r ,(..
f ~, (~
;
1/\.' C~
Accepted
x
Accepted With Corrections
Denied
Reviewed By: ./YfJ f3
Comments: .5 (<L m4/M F, . 11'
Date:
'5 - /L/-o3
"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."
--------.--T--,.--
~\
~~hite - BuildlnS::>
Canary - Engineering
Pink . Planning
Thr ernlr. of Ihr L.kr ('ounlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
j) R f/.{Jrb:JAJ~o
,;{ -(J-j -03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/r;3~/3 72;uev!3/-rcJI LoNe."
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
~
~
'=i fL- ~
Date: /f/I L/!tJ 3
Comments:
See Main File
"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,"
Mar. 7 :00311:31AM
GENZ RVAN PLUMBING AND HEATING
No 56: i
P i 3 : 5
Date R"c'd
CITY OF PRIOR LAKE PLUMBING PER1\11T
i ~~ ~:~ I PERMIT NO. :::> - 3 .<\-?' I
J. Yellow AppllCUll "7 U L/
fPl.p.ase t'pe orODn,t an.d .~jAA ,tr.hottom)
I ADDrr3L{~ ~l V~Q 81 V2Ch lJ1, ~ e .
ZONING (oflic::usc)
LOT
LEGAL DESCRIPTION (o/lio.e '= only)
BLOCK
ADDITION
~c~-Fi € (ul 1-fh
PID
OWNER
~~e) DR Horton Custom Homes
(AddrEss)
(phone)
962-Q'2Fi-7'2M
2-OSiPO K.enp)i'tI bGe., Co Sre IDD
udu.vdlG J.\AN 560qLi
APPLICANT
iNarnEtGeIl.z~.an-P_k,\:" ~ 0.;;
(Address) 14745 So
(Contact Person)
'''. 'Qg.,t-.;''r'\,-o
.~
(l'hone)
t:.r:: 1_/,"1_11/,1.
Robert Trail
(Address)
C.l11~i,5-h MDs
(') 1 ~ ~
Rose-mount
}IN
55068
(Zip Code)
(Ciry)
(Phone)
651-423-1144
3-1'- - () 3
APPLICANT SIGNATURE
DATE
Quantity
I
I
I
:{
OJ.
APPLICANT PLEASE COMPLETE BELOW
I
I
I
I
I
I
I
I
1
I
QWlOtity
I Type of Fixture
Rough-ins
Water Heater
Water SOMer
Stand Pipe (Washing Machine)
I Sewage Ejector
Backflow' Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
I TypeOfF'i;ttu,.e
Bath Tub with or without sbower
I Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (l or 2 comp3rtrnent sink
Shower Stall
I Sinks
Bar Sink
I Water Closet (Toilet)
I '
l2..-j:
. I
FEE SCHEDULE
Jndustn:d, CommcrC:131 & Mulll-famllY l~"o of Job cost Wlth a $3950 minimwn RCSldcntJal. New One & Two-Fanllly $9950
Re,ui",tial, Additions Ik Alterations $39 ~O
Estlrnated Cost ,$
B\l1Jdmg Permit #
PLUMBING PERlvIIT FEE
STATE SURCHARGE
TOTAL PERl\-llT FEE
$
$ 50
$ PAID wrTH
BUILDING PERMrr,
~d@ ~ 0 m ~~ Recel)ltNo I
Date JJ By
)-
(Offi<< u.. Only)
This Application Becom es Your Building Permit When Approved
Building Official
Dll(e
ct
24 hour notICe for.1I in<pe<tio", (952) 44~ ,9850, fux (952) 447-4245
,By
Mar, 7, =003 11:3iAM
GEN= RYAN PLUMBING AND HEATING
No 56=1
P I =: 5
~,
~@<r
",:::,:~
,"-',,"" ..".\~\<.. , ""
"\":";"'S'\'\'~'r~i' "'~.. 0<
""'(:;,':))'\' "
Date Rec'd
CITy.oF PRIOR LAKE
SEWER AND WATER PERMIT
; ~,~, ~.1~ I PERJ.'V1IT NO'3 _ -::J/"r7'
) Gold AP'Il(Ie.tll ::Ju U
~tase t\1:lc:: or Prol[ and U~at bottOm)
ADDRESS
Il ~)-f?:> elll~ttZ 61 ~.d1 LiII
Se
I ZONlNG (olli""")
LEGAL DESCRJPTION (offico 050 only)
LOT
BLOCK
ADDITION ~i1LA f[ d, 71V'
PID
OWNER
(Name) -D,t? u.............o.... ("'..~<:.om l:l0me:
(phone) _ qQ2 .Q85- 7.B,t/',
(Address)
2o&DQ KeY1PK\t:6e Cr Sn;>if\0.
(Add",,,)
LalwJ,lIe...
(ei!)')
0C{).-fLJ
(Zip Code)
APPLlCANT
0N~e) Genz-Ryan Plumbing & Heating
(phone) 651-423-1144
(Address) 14745 So Robert TTail
(AWlr<,,)
(Contact Person). ~ VIle I.~-h- f0.uS
".ICANT STGNATURE ~)-~alVJ
Rosemount. l1N 55068
(Ci!)') (Zip Cede)
(1'hone) 651-423-J.l44
DATE IJ B -07 -06
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches,
Location of any couplings from structure
Type of sewer pipe, D .ABC D PVC
Estimated length of sewer line feet.
Clean out (if required) located at _ feet from strUcture.
feet.
D Cast Iron
ReSldenual sewer and water line 'connectIOn
Sewer connection only .
FEE SCHEDULE
$35.50 Industrial, Com'] & Multi-famIly 1% of Job costwtth. $39.50 millIDJUUl
$ J 7,50 Water connection only $17.50
Estimated Cost $
BUIlding Peront #
SEWER AND W A TIR PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
,50
,
f
Building Offi(ial
I Paid
r:~e@,~ U \!J LGI'
D:\tf
24 hour nuclc. for .lIln'pectlons (952) 44, o,~\lIs1) &~ GI
PAID w..... .
BU/lO/t.JG'." ,.,
Receipt No. PE:/iMrr I
By ~ I
(Office U:\t Only)
I This Application Becomes Your Building Permit When Apprnved
'-
By
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Re
#' 7c:J 7(,
;~~:" ~:~y I PERMIT NO. 3 -3odl
3. Yellow Apphcsnt
(Please We or Print and sign at bottom)
ADDRESS
/73~ d~ ~<:L- ~ ~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LO~LOCK ~DDITION
PID
~':e~Ru.~. Horton {lusbm Home.",
(AddreSS)d()g&'OK.....&1bridc:t_ QJ.; LCAkevi /(F>_ Mi'0
APPLICANTA I' ' + M h--
(Name) 1I GIn e<!... ,.~, (Phone) 11J5/- -</5:L -C:<775
(Address)3&5<J ~e.ny'l"'be(''br, 5+", #/ /---:o.OQYJ .1"5[,22
(Address) V(Ctty) (Zip Code)
(Contact Person) Jef~e.V Z;mmpr.rn Gln (Phone) (P5/-4Sc9- c177~
APPLICANT SIGNATURE-.. J 0 f~"'fZ (? 4? __~tL7~ DATE
V t/U V
. APP ICANT PLEASE COMPLETE BELOW
0NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL "Br'1~~A-V~" (') FUEL ,uCl.tUo'b. I
FLUESIZE4-IICI(l.S~"B- RETURN OPENINGS J.4. INPUT IO,bOO OUTPUT 6lD.tJOD
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone) 95~ - 4 <??5 -7;(7.2-
!55oJ..p-1
OWarm Air Plants
DGravily
o Mechanical
~r 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
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 $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$.
$
...50
G?1
~ INr.... .
BtJI1..0fNG -;;:,.,
'E/iMIt
(Office llseOnly)
Building Officifll
Jm~ ag ~ 0
Dftte ooe APR 1 0 7003
24 hour notice for all inspections (952) 447-98: 0, fax (952) 447-4245
By
,
I:D 'u; ,fitceiPI No,
I r~
L/
cr
J
This Application Becomes Your Building Permit When Approved
CITY OF PRIOR LAKE ~ [E @ [E ~ m.t~ ~ d
HEATING/AIRCONDITIONING/FIREPLACEPEm~J JUN 062003 J
(Please tvve or print and shoo at bottom)
ADDRESS
17343 RIVER BIRCH LANE S.E.
By
; :;,:. ~::, I PERMIT NO,?:-"",^l
J. Yellow Applicant 2- ~
ZONING (office use)
LEGAL DESCRIPTION (ollice use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) DR HORTON
(Phone)
(Address)
APPLICANT
(Name) AT.T.TRDFTRRSTDE DRA FTRRSTDR HEARTH & HOMF
(Phone)
/\51-/\33-25/\1
(Address)
?700 NORTH F AIRVIEW A VENUP
(Address)
~OSEVILLE
(City)
55II3_
(Zip Code)
(Contact Person)
FlRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRFNDA HUSTON
DATE
/\//\/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent 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
Setbacks
TYPE OF SYSTEM
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
$64.50
$39.50
Residential, Heating & NC (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 #
$
$
$
,50
~ID WITH
BUILDING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildin2 Official
Date
I Paid
I Date
Receipt No.
By
24 hour notice Cor all inspections (952) 447-9850, Cax (952) 4474245
PRIOR LAKE
INSPECTION RECORD
.
SITE ADDRESS ~ ~ltlEIL 'ai(Utf LA.tJ' S.E.
NATURE OF WORK New C(J~'S.-rw.IAL:l'IMl
USE OF BUILDING ~.Ir. ~ .
PERMIT NO. 03 -Q -5 CO DATE ISSUED .3111{/..
CONTRACTOR 'IMl. H.oftrOrJ J ,.t.X. PHdNE'Sz.-22/. -1.1712"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main Fil(
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING 1M!},'" 1 I
, FOUNDATION (Prior to Backfill) (1\':"1 1 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
"
SEWER I WATER I SEPTIC WIb,.,....
FRAMING rw
INSULATION /IVf'
ELECTRICAL
PLUMBING vvrO G/ 10 t/\
HEATING (if required) v1;10 ~_ t.'f-dJ
FIREPLACE ;1;y:7 (,~ /-L(- O?
GAS LINE AIR TEST ~ Co, P1dJJ
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I 1
FINALS
{;., }..I.HJ?
(~~ U/ v>
'.
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
.
DO NOT OCCUPY UNTIL ABOVE HAS BEEN
NOTICE
M/
a,-ro"d'7
vw.....
f/J/Y/
ff ''fr03>
l' "/1 ~t:J1
SIGNED
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
. .,.. ........---..--.------.-.--..r-.-.---,------. .