HomeMy WebLinkAboutBuilding Permit #03-0660
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
L 0- :J.. -:! -c/3.
ADDRESS
(7373
e. ~ fJ,~ t.,.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
5-C;,,-: ~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
"-CH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
-------
~
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~
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{ / U:...J.3 ~ /
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Ov'S4t- C>l(
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~OR~LL FOR REINSPECTION BEFORE COVERING
Inspector: W Owner/Contr:
CALL 447-98~O FOR, TH~, NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY/
/NSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
Jo-1-dJ
ADDRESS
11'7.. 7/
ILI~~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
s -C~ /)
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/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
"
(!) /"( ~ tJV(.
rvE-u"p .$
o WORK SATISFACTORY, PROCEED
, CORRECT ACTION AND PROCEED
o CORRECT ~~R~LL FOR REINSPECTION BEFORE COVERING
Inspector: yv r' (O- >-0:) Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
iNSNOn
.
.~
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File White File
2. Pink City
3. Yellow Applicant
(Please type or print and sign at bVLLv",)
ADDRESS
Il313~~ \J~.rElrriL ~/l(-e~.
Date Rec' d
5- ~c;-03
PERMIT NO.03- {o end
LEGAL DESCRIPTION (office use only)
LOT \ ~ BLOCK ~ ADDITION ~~ li'--'
OWNER
(Name)
(Address)
BUILDER '""'" ~ ' \ -h... _ ~
(Name) _ \I t:<\. +\1> ( I dY' ..l V\ ( ,
(Contact Na~e)- M /~. ~. kJp~n~ ~~/.l_ ./
(Address) ~~~ ~~IOU
,
TYPE OF WORK
~New Construction
OLower Level Finish
o Fireplace OAddition OAlteration
PROJECTCOST/VALUE (exc1udingland) $ 510, (/11
o Misc.
(Phone)
ZONING (office use)
f2;;.
PID~5'" :39~' OJ.{J-(.)
(Phone) qSZ~er; -71500
(Phone) q [)2- ZZtp-L/-73L
ODeck
OPorch
ORe-Roofing
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 lans. I am aware ~at the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~ter up _ e property to perfor~ ~spectiolY ;;(00 0 5"0<; 7 E) / Z 71 () 3
I Sign~ ~ Contractor's License No. I Date
l/
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
$
$
$
$
$
$
$
$
?;"1 OOfJ.O CJ
, I/tJ z,. 75'
SPJ&. 71
~3.Q)
)tJV.
Irv.
----
~. tJ[)
This Application Becomes Your Building Permit When Approved
,
~ 9.-LJ}.t-
Building Official
6/rz/a3
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid ~IICf-'iJ ,04
I Date f..:. - / 5?.- -5
#
#
$ ~SlJ.
$ I. "1-75. '
$"
$
$
$
$
$ 1
$~ 79~ . t>4-1
Receipt No. Lji..;''io1 I
By qr____ . I
#
#
j WO. 00
7r.Il? 00
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
~7~P
Planning Director
~ltz/a3
, bate
Seeiti~flin File
24 hour notice for all inspections (952) 447-9g50, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See :Main File
White - Building
Canary - Enaineering
(Dink.- - Plannincb
The C"rntf'r or ChI!' tab ('ountr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
I) 12
-----
! /)/'7 7r- .
f U (/. (/-:K---
?- - ../J. /' /)~
'::"J .-"">1' U - V V
(::;/ '"./ I
APPLICATION RECEIVED
-
.,.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3 J .,1 'L'
/' /7 3 ? - /1// :1/ I~ y I Y (' I)
I
-<It'
Accepted
~
Accepted With Corrections
<1>, .. Denied
Reviewed By:
~ -:fa.Jp
Date: -.b( (2- /0'3
. .' 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."
~
,.
Job Address
Heating Contractor
Name of Tester
Date
Percent 02
Percent CO
Percent C02
Stack Temp
/7JD twlJizlli
.~#7A4?d/
A~#'l~
la/~
r.~
_~~IV
U~
~ Ol.P~
Combustion air is adequately supplied per
UMC Sec. 606 j'<,.5
input I;. 0 ~ rY
See Main File
CWhite - Buildiii9:>
Canary - Engmeermg
Pink - Planning
Tht" ("("nfer of .he' Like' ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
DR ~
~
5- 021-oG
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: () I
/'7373- <"" M//cy15/rc~ rL
,
Accepted V'
Accepted With Corrections
Denied
,..
Reviewed By:
~
7~
Date:
~ /,-2,/0 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 Fij~e
White - Buildina....-....
(Canary - ~ngineering..J
Pink - tltdnmllY
Thl' Cf'nlt'r of Ihl' 1.8kt' <:ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
l"'-'~~
I i
. ..-,/
.. .""06<'......~
/ ...)
t"
//cJ,tii7<--,j
i5' -- 6? 'f1.-aG
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at~ . ..-__
/''l :3 /7.3 - jr:~)/ ;!/ c riD) J r c' ,~ f/iL
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/IInJJ
.5 'C t'
Date:
~- 9-d~
Comments:
j(/c,l ~
F,-Ic
"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." .
,Jun. 2. 2003 12:10PM
GENZ RVAN PLUMBING AND HEATING
No.5677 p. 3336
Date Rec'd
CITY.OF PRIOR LAKE
SEWER AND WATER PERlVlil'
1 Gcem File
1. YelJb". CitY,
1_ Gold .\.pplicw:
PERMIT NO. 3... fo~._~1
(please type: orprinr aud siltnar bottOm)
ADDRESS .
/1373. !ZlV~ 8JPCh PI cYL.
ZONING (office-=)
LEGAL DESCRIPTION (office use ol11y) . _ 'fh.
LOT BLOCK ADDmON ~/1. Cf 11 3<J /~~ 7 Pill
, \~. /
OWNER
(Name) T\~_
(Address)
20SlpQ ~e~\CL--e. C::r- SIP.lm
(Adlhss)
(phone) _ qs2 -q85- ~^
La~lJnle... .&J(:t)Ulj
(City) (Zip Code) .
~~~~.,:,,~ ,,:,.,~.,..,,:,~, ~.,~~::
APPLICANT
(Name) Genz-Ryan Plumbing & Heating
(phone)
651-423-1144
(Address) 14745 So Robert Trail
(Address) 11
(Contact Person) , 0LJ.rigf7'" .ru.JiJ
~JCANT SIGNATURE C,- l (..~ it! (~
,~. "11
Rosemount. MN
(City)
5.5068
(Zip Code)
(Phone)
DATE
651-423-1144
II r J.-/) :2
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. D ABC 0 PVC D Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at _ feet from structure.
ReSIdential sewer and water line connection
Sewer connection only
.1iJj.Jj.SCHEDULE
$35.50 Industrial, Com'! &: Multi-family 1% of job cost WIth a $3950 minimum
$17.50 Water connection only $17.50
Estimated Cost S
Building Permit # _
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL r J1,.KMIT FEE
$
.$'
.$
.50
PAID WITI;f
BUILDING PEAMIT
(Office Use ODly)
"---; ,,,....
This Application Becomes Your Building Permit Whf:D Approved I f~ rc; -:;\ ReceIpt No
~ ~ rE, ~ ~ \' By .
Dare ~ I J\:!N 0 4. 20n1 J-
24 hour notice for all iDspectiollS (952) J~-~8501 fax (952) 447-4245
By
Building Official
qzv
Jun, 2, 2003 12:10PM
GENZ RVAN PLUMBING AND HEATING
No,5677 p, 34/36
Date Rec'd
"-
CITY OF PRIOR L.AKE PLUM:BING PERMIT
l. ~~~!:. J PERMIT NO.S- / roo
1. y o/Jo.., Applil2ll1 {O
(P1ease type: or p:r:ll1t and si.l'J1 at botto.m)
ADDn~13 ~I LICe /!Jlf(!j'l, fl eft:. ZONlNG("",i~)
LOT
LEGAL DESCRIPTION (office use only)
BLOCK
ADDITION
Rd8.. ~fidc11fY'
PID
OWNER
~~e) DR Ho~ton Custom Homes
,(Address)' ZO'S(QD UV1B~l DG.e.. Cr Sre IDO
APPLICANT
(Name)-C^....:-tl~ 'I)~.""''''''; '"'s--&--!l"" ".. 't.n.a
(Address) 14745 So Robert Trail
(Address)
(Contact Person) CVllttSh fa);( S
APPLICANT SIGNATURE ~M
,,0.:-:'-
Quantity
1
I
I
;<
~
(phone)
q62-q~h--t2DD
udu...vlllG MAN .5C6LPJ
(phone) -6t; 1_/, ?':l_l..l/.I.
Rosemount
MN
55068
(Zip Code)
(City)
(phone)
651-423-1144
( ; - / -- r/?;
DATE
APPLIC.ANT PL:F.ASE COM:PLETE BELOW
Type of Fi.dure
Bath Tub with or without shower
Dishwasher
I Floor Drain
1 Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink.
I Shower Stall
Sinks
Bar Sink
I Water Closet (Toilet)
Quantity
I Type of Fixture
I Rough-ins
I Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
Lawn Sprinkler
Other '
I .
f---- ~.
I
.l'J!;J!iSL.t:1tiDULE
Indusmal, Commercial &: Mult1-famlly 1 % of job cost with a S39.50 minimum Resldenll3l, New One & Two-Family $99.50
Residc::ntiaJ, Additions &: Altcrlltions $39.50
(omCt Use Only)
I. ,:~~ Application Becomes Your Building Permit When Approved ~.) Lr~d ~ 0 \fl ~ \' 1\
'\ Date J
I ',-~ BuildlngOmtial Dan: JUN 0 4 2003 .
L _ J
24 hour notice for all inspections (952) ~7-9850. ru (952) 447-4245
By
f
Est:nnate!i Cost $
Building PermIt #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
50
J'
PAID WITH
BUILDING PERMIT
Receipt No.
By (~
I
CITY OF PRIOR LAKE
HEA 111~G/ AIRCONDITIONINGfFlREPLACE PERMIT
Date Rec'd
..d7/r?
~:~:n ~:~_ I PERMIT NO.3 _/ (p 0 I
3 _ Yellow Applicant \0
(Please type or orint and si2ll at bottom)
ADDRESS
./7375 g~ &/d Au ,5e
I ZONING (office use)
LEGAL DESCRl.t' uON (office use only)
LolJ';f;LOCK ~ ADDITION
PID
OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
(phone)
APPLICANT A; /. _ . / ~
(Name) /~/~ . ./"~~4,/.",.g/
(Address) &~ h4~1 t? a
I (Addre~
(ContactPe..on) A~4!~
APPLICANTSIGN~TURE~" ~-- )/ ~ __
(Phone). ~5/-. 4f"'?-~?72
6""<A~ ~A:;.i1~
- (ClwIf (Zip Code)
(Phone) ~- .;/~-~77S.
DATE
APPLICANT PLEASE. COMPLETE BELOW
- ~
.'tJNEW CO~TRUCTION. .0 REPLACEMENT . . EIALTERATI<;lNS. J
FURNACEMAKEANDMOD~/~"..;~._~~~t'27~ FUEL ~ ~;,..~
FLUESIZE~~~RETURNOPENINGS if 'lNPUT&~~ OUTPUT 6Z-,~
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
OGravity
o Mechanical
)li\ir Conditioning
~ent. System
.0 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
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ ~ a::> Building Permit #
HEATING PERMIT FEE $~/~~
STATE SURCHARGE $ "" .50
TOTAL PERMIT FEE $ (7 B PAID WI
(Office Use Only) lJlLDING .,.,.,
This Applieation Becomes Yonr Building Permit When Approved 1~' "J':tJl II. D \IJ lE~ Receipt No. PSi!.;/T
B.lldl.,om"., D... \~ IJt!N 2 3 2003 ~ By {)---
24 hour notice for all inspections (952) 4l~~850, fax (952) 447-4.;~5 \
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~.~:.. ~::y I PERMIT NO. '2_ J 6 6
3_ Yellow ApplIcant J U:?
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
17373 RIVER BIRCH LANE S.E.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name DR HORTON
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRfN/)A HUSTON
DATE
PID
55113
(Zip Code)
8/6/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
D Mechanical
DAir Conditioning
DVent. System
INPUT
HEATING OR POWER PLANT
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
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 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Building Permit #
$
$
$
(O;::s U~::::::tion Becomes Your Building Permit When Approved 1'- '; ~a~ ~ 8 m ~ r~i
i ~ I
Jl IJmG 2 1 LUUj ~)
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
.50
Buildinl!: Official
Date
24 hour notice for all inspections (952) 4<rijl.~8SQ. fax (951) 447 4145
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
13UI. PJC1'd~?50
~DIAIi VV,,,,J..j
Gp~p
ri4trr
Receipt No.
By
(j
PRIOR LAKE
INSPECTION .REC9RnNain File
SITE ADDRESS /..!l...3!ZJ ~ I II e. ... 13 I ~\; j:l r.
NATURE OF WORK ~
USE OF BUILDING ~
PERMIT NO. 0 :I, DATE ISSUED _
CONTRACTOR C> It PHONE ~a '- II 1('13)-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING \M~
I FOUNDATION (Prior to Backfill) MtA~141 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING I ytt'/ ~, J,!rr:f'1.;;
HEATING (if required)"1~' i>J", fk, '1 )'V/63 ~ Ilty? oj...2--V?
FIREPLACE V1/P, tf... t-fA
GAS LINE AIR TEST ~ q..-1,...try
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
,^^(J.I'~
M
//J/V'
t{- J.-f/3'
q... ~/-~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
(j(
~
( ()-- (2. 'I--</)
,
/IJ/)# _ I ()... :J-d3
~ {()-~
OCCUpy 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