HomeMy WebLinkAboutBuilding Permit 03-0250
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
,("0~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o IIjllULATION
,wfINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o P~MBING FINAL
.Id'1iIECH FINAL
COMMENTS:
-----
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((' (O~ c.
\. -----
--
DATE nME
:J-~S-{)
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~
r'j \
'-If c.. J
/
---
ii'\'YoRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~ 10- (.5""C{2ner/Contr: _
CALL 447.9850 FOR TilE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETYI
IN>NOn
. ._-- ----~~...._-_._._---_._.._-_.~.__...- -.--.-----... .----..-.--.....--.---..-. .
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
,~l..-/t-r
f2.(", h~ lei
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
....PLUMBING FINAL
o MECH FINAL
COMMENTS:
(Y'''- WOlrC-
vd71Pc- /?.,
DATE TIllE
4- )A!-v'3
c.r-
"3 - 2--S()
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o WORK SATISFACTORY, PROCEED
tlCORRECT ACTION AND PROCEED
o CORRECT Wif?,RK' CA FOR REINSPECTION BEFORE COVERING
/.L)t( -OJ.
Inspector: ~ I Owner/Contr:
, .
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY!
IN>NOn
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
2 - /3-{) Z.
See Main File
(Please .!VP~ or print and sign at bottom)
ADDRESS
JOl.ll~ \J.li~flA~;jL 1M.
J. White File I PERMIT NO I
2 P;"k c;" . /J?-O"~O
),Yellow Applicant (.,(...> ~'
ZONING (office use)
,ez..
LEGAL DESCRIPTION (office use only) ~
LOT q BLOCK :J.. ADDITION,. ~..a J Jv Cf1h-
OWNER
(Name)
(Address)
PID 2S 4t;IJ -II sA' -0
(Phone)
BUILDERl'~ 1\ -r
(NameL_~' J.R. -n^c.:hn ~ c....
(ConlactNa~e) R..V.D_ ;-~;~l.VI
(Address) :/.b '8l, 0 }<'./'.AA.1." ~ ~:.' d. St".1 Of) L..k,,.;. Il I; 1YIf1 15fjf,..jif
TYPE OF WORK
~ New Construction
DDeck
(Phone) C\s2-'iB~~I~"O.R
(Phone) 952'2-u.,~ I~:>J.I..
DPorch
ORe-Roofing
ORe-Siding
DUtility Connection
o Misc.
DLower Level Finish
o Fireplace DAddition DAlteration
PROJECTCOST/VALUE (exdudinglandl $ q2:9'!?'
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 Ioca11aws 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
enter upo property to perfo De inspections.
x
I
V
Permit Valuation
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
$
$
$
$
$
$
$
$
9.$tiotJ,lJo I
9~Lj, 7 oS
(,/'1.(:)1 I
4(,.,5'0 I
I
I
I
I
I
-
ItJo, Of)
loo.oD
35....0
-fa,ao
This Application Becomes Your Building Permit When Approved
~-1~
Building Official
,;; J d- ..; !tJ.1
Date
~oc 5{,,5" 7
Contractor's License No.
";;-/;;2- () 3
Date
Park Support Fee
#
~, DO
/27::;.00
2.5"0. 00
~S.oa
IZOO,ao
700. vo
SAC
#
I Water Meter ~'~l";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
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
~ ':f.v.J2'-'
Planning Director
.;lj.J<{ /0 ~
...k
~t7I?'
-~~'-
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
..
,. Job Address ~.r /)"rk//
Heating Contractor $4)w7 .....~~
Name of Tester ~##7 a
Date /e1/~k-"
Percent 0, ~ ~ 2'"..,
Percent CO &r_N'
Percent CO, 7-6 /t
Stack Temp 3~~
Combustion air is adequately supplied per ,f
UMC Sec. 606 I/-,S
input kAld !S'7'<.J
.~
~~
See Main File
Th {'fnlrr of lhr Lakr(.'ounll'}'
White . Building
Can"rv - Enaineering
<:Pink - Planni~
BUilDING PERMIT APPlICAT.\ON DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1) - 12 _ He L. , u rJ
2-13-63
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.C")425 Ot E ~ rl t/ L-LJ L-l/cC,L,6
/"
Accepted With Corrections
Accepted
Denied
.
Reviewed By:
~
1~
Date:
~/.;. Lj ~ ~
,
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."
See Main File
qypite - Building>
C:anary . I:ngineering
Pink - Planning
Th..('C'nlf'rollh..I..hCounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~I
NAME OF APPLICANT
D- yC, Hoe.: I oN
2.-/3-03
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.G4z5 Oe.~~FISLO GIt2-CL6
Accepted
Accepted With Corrections .......---
Denied
Reviewed By:
~
~p
Date: .-d/.;J. V~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."
Mar, 7, :003 i i :37AM
GENZ RVAN PLUMBiNG AND HEATING
No,56:0 p, i7 ::
Date Rec'd
;tJT\\" p~:~ ~
u~~
'~;'NN'E50~"
CITY OF PRIOR LAKE
SEWER AND WATER PERMlT
I '""'" <11- 11>'O"''''''''T NO .
2, Y.lI,,. Ci<r x. ..,.",.,u . 3 -., e:=-{)
] GaJd Appli~t U'--) I
(pleas.:: tYDe OTPnnt!lJ)d .'li$l:l'1,a.tbottoD:l1
ADDRES:c-r I
Q~d5
De'er-fJ e f rI
O/r S't:
qJR
ZONING (office use)
LEGAL DESCRJPTION (office use only) Ii
LOT q BLOCK cQ ADDmON :})PC: r17'e f e:.J
PID
OWNER
(Name) lYR i-1''''''~-+-''''T"1 rllC"+-r"P'-..,~::::
(phone) _ ctS2 -q '65- I R ,,(\
(Addres.<)
.2.c:: &nO KeYloK..\ t:6e Cr- S:"" .ll\r,
(Ao.drl!:~i.~)
LaVL~ I I. Ie...
(City)
"50')1-11)
(Zip Code:)
APPLICANT
(Name) Genz-Ryan Plu1l1bing & Heati.ng
(phone)
651-423-1144
(Address) J.4745 So Robert Trail Rosemount. l1N 55068
c"-dare") (City) (Zip Code)
(ConractpersonJ. - j tlj'i7~ J. ,a. .--... (l'hone) 651-423-1144
T_lCANTSTGNATURE r;~UY2J.J i7Yltt/KaI.JJSDATE ~7/c;J03
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
ReSidential sewer and waret:' hnc connectIon
Sewer connection only
FEE SCHEDULE
$3550 Industrial, Com'l & Multi-famIly J% of Job cost with a $39.50!lllll!llIUlll
$17.50 Water connection only $17.50
Estimated Cost $
Building Pennit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERlVUT FEE
$
$
$
.50
PAID i
(Office U" Only) BUILDING ~
I This ApplicatIOn llecnDle.< Ynur Building Permit Whco Approved I Paid Receipt No. RMfr I'
i~ ,N BUlldl.g Oflidsl Date ~ ~ U \1f~ rl By ()-, J
24 hour notio. for alllnspecttons (9521 44' lo~M9!) ~4?S~~5 ~ ()
By
Mar, ), :003 i i :38AM
€~:
'-'~'~llV,.,P'SO"''''
GENZ RVAN PLUMBING AND HEATING
No 56:0
P i 8 ~ ~
Date Rec'd
CITY OF PRIOR LAKE PLUM:BlNG PERMIT
i~: Z:~ IPERMlTNO. -:>-2501
J y"I"'.... A~h<:=1 ""I
(Pk:).~c: .t'1.l'e otonn[ and StEll arbottom)
ADDRE~Lj 6fS Dc='erlie/nI
ZONJNG (cfficeu<<)
&"r S'~
q;A
LEGAL DESCRIPTION (office use only) '?\ ;0-
LOT 0BLOCK {;( ADDITION ,veern'C' / d
PID
OWNER
aqame) DR Bor.ton Custom Homes
, (Address)
(phone)
902- q ';c:, -19M
2.O:(;lPD kb-JP,iR.l~" C, Sre!DO
/...r., lu-vi lie:. M.A N SiSOl-i t.J
APPLICANT
(Name.)..G.c........_'Or-:."" 'P111'Mbiug f.. ~n?""{T"lf;j
(phone) ~ < Lu ,,_, Hu
(Address) 14745 So Robert Trail Rosernount MN 55068
-'A4dress) (City) (Zip Code)
(Contact Person) _.__ J (t~~ t .../Vl ~ ./~(Phone) 651-423..,1144.
APPLICANTSIGNATVRE _ __'.L4~A. RDATE 8~/)/()~
Quantity
1
/
1
...:2
/
I
...::2.
APPLICANT PLEASE C.oMPLETE BELOW
l)'pe of Fixture I Q'lantity I
Bath Tub with or without shower I Rough-ins
Dishwasher /. I Water Heater
Floor Drain e i..L - r Water Somer
Lavatory (Eathroom Sink) , I Stand Pipe (Washing Machine)
Laundry Tray (l or 2 compartment sink Sewage Ejector
I Shower Stall' EacJdlow Assembly
I Sinks Backflow Assembly Test
Bar Sink I Lavro Sprinkler
I Wdter Closet (Toilet) Other '
Type of Fixture
FEE SCHEDULE
Jndu~tnall CommerCIaJ & Mulrt.famiiy 1 % o{job cost With a $3950 minimum ResIdentIal, NeW One & Two-Family $9950
Reoidential. Additions & Alterations $39 50
(Offiu lJu Only)
=
I, T,~,~;S AppHc"tion Becomes Your Building Permit When APproved\\
I Build,ng Olliei.1 ,Dote ,
EstutUred Cost ,$
Building Pennlt #
PLillvJJ3ING PERMIT FEE
STATE SURCHARGE
TOTAL PE:RMJT FEE
$
$ 50
$
i:l~\: ~u~\~
,
!'
31J"~~WITH
Rece1p. "PEHMI I '
By (J-.,
-f/
24 hour noti", for .11 i.,p<etion. (952) 4 7-9850, fax (952
'~
CITY OF PRIOR LAKE
REA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
#'707:1
; ~,::" ~::, I PERMIT NO. 3- _ .., ,..- ,l
J. Yellow Applicant ry,J LV
(Please ~e or orint and sign at bottom)
ADDRESS
,0--z/d5 ~e/h/J /?'.r~/...
- .
.,c--./. -
~/-
ZONING (office use) I
LEGAL DESCRIPTION (office use only)
LOT 7IBLOCK dADDlTION
PID
~':~RD.~. Hor+on (\~~m Home"'-
(AddreSs)d()7{{I)O~hridc:t. CU" LCAKe.vi I{p_ Mi'0
APPLlCANTA II' t M h--
(Name) I GIrl e<!... .~LtfKl. (Phone)!,,51-.J5:L-,;(775
(Addressh.?f.oS{j ke.rll'"lebe('_l),.. 5+p.#/ ,Fc(ao~ ,1""5/:),2
. L (Address) V (City) (Zip Code)
(Contact Person) ~ Z;mmprf'l') I2ln (Phone) iP..5/-~S{)- ~7~6
APPLICANT SIGNATU~ Of~iI'f-'d (! 4AM~'<IJ'/w;-~ DATE
(/(/ () . V
APPLICANT PLEASE COMPLETE BELOW
!0NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL 'Br'14nt- 3~A-VI12JlD'1 () FUEL J\Jo.tlAro..\
FLUE SIZE Lj.11c!a.Scz. "EL RETURN OPENINGS 1..{. INPUT 10.000 OUTPUT61.o.00D
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone) q5~ - 4 '??5 -7,;(7,2
350~J..f
DWarm Air Plants
DGravity
o Mechanical
~ Conditioning
QYVent. 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 & Ale (New Construction)
Residential. Heating Only (New Construction)
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64,50 Residential, AC Only
$39.50
Industrial, Commercial & Multi-Family
$39,50
$39,50
Estimated Cost $
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~
~ ~ig:; ~ C
,
l ~~R 1 0
8lJ11.6~D W1"f1t
G PI:FlMrr
(OfficellseOnl)')
This Application Becomes Your Building Permit When Approved
Building Official
Date
(~ Lqjji
:Id
Z003 II By
L~
Receipt No.
24 hour notice for .11 inspections (952) 44 B<yl50, f.x (952) 4~::~~4~._ .
/4-'
'i/
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
;~':." ~:;, I PERMITNO'O.s_(l?c;O I
3. Yellow Applicant c--J
(Please tvDe or nrint and sim at bottoml
ADDRESS
5425 DEERFIELD CIRCLE S.E.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
I LOT
BLOCK
ADDITION
PID
OWNER
(Name_ n.R. HORTON
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESTDE DRA FTRRSTDF HEARTH & HOME
(Phone)
651.633-2561
(Contact Person)
RRENDA HUSTON
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
7/23/03
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
OAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
D 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
HEAT N GLO SL-750TR
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Industrial, Commercial & Multi-Family
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
!I;
$
PAID WITH
.5~UILDING PERMIT
(Office Use Only) r---'~,--,,-_~
This Application Becomes Your Building Permit When Approved I~~i~ [;; ;c; U mv~~'~'-'r~eceiPt No.
~teJlJl 3 0 2003 i *Y
Buildine Official Date '--' : I , ;
24 hour notice for all inspections (952) 4~7-J~52l-44Z.,42~~ '. J
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~5' .])EE1tnittJ I'J"~~E S.E.
NATURE OF WORK ~AJtrllM~
USE OF BUILDING ~1:'A..
PERMIT NO. a5 - 02.5V DATE ISSUED ~3
CONTRACTOR 1)JZ. ~ nJe, PHONE - -1C(
NOTE: THIS IS NOT A PERMIT FOR lNY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~
DEPARTMENT OF See Main Fill
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING V\.lAlv'l I
I FOUNDATION (Prior to Backfill) """t..,' I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING rw/ )<---{,.f--o)
HEATING (if required)VVV' <if'IL-~
FIREPLACE /;"1IV" '6 - I ~.-o:,
GAS LINE AIR TEST Y'l.# <6"rJ).4J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
MUI'"
JIlt"
. P1IV
g-. 1),-0>
S(" - ('), r/)
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
111/f/
I()- /S-- {/J
-
I/VV/
v1~
tl- j..v( -ff1,
I {)-'/-J-rD
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 INSPECTJ(''\!S (952) 447-9850