HomeMy WebLinkAboutBuilding Permit 03-0099
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
S"J-/ '1
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,1!!1 FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED /f~iO~
f*~/d- (fJr
CONTR,
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
,-e: MECH FINAL
~
/' I
/ /- IO(~
~ l ~ 0'-
----
3--00'/4f
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~ w;,R~OR REINSPECTION BEFORE COVERING
Inspector: f-lLI- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
.
INSNOTl
-~--'--,._._-_..-. ~
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
q-c;-
ADDRESS
,(4ILf
D~~~/r! L <I"C/'"
OWNER
CONTR,
PHONE NO,
PERMIT NO,
3-()()4fq
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 GASLlNE AIR TST
o
COMMENTS:
e) .ft- JMmA
//JI).{". u,,'15
o _ w~ SATISFACTORY, PROCEED
pORRECT ACTION AND PROCEED
o CORRECT ~~RK,~L~ FOR REINSPECTION BEFORE COVERING
Inspector: r V{" 1- y~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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CITY OF PRIOR LAKE BUILDING PERMI ,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
I~tu '-{)3
1. White File
2. Pink City
3. Yellow Applicant
I PERMIT NO. 03-0 {)9CJ I
/
ZONING (office use)
~,. ~
(StiLi)
LEGAL DESCRLr uON (office use only) f\ n --
LOT 7 BLOCK I ADDITION \.~.rti~ q1h../
~~e.ld~r~vd-L ~b
OWNER
(Name)
(Address)
, BUILDER"\. R
(Name)_ ..2. {-
(Contact Name) ~..~.....v~
(AddreSS)~~~~
I
PID
(Phone)
TYPE OF WORK
,mNew Construction
OLower Level Finish
o Fireplace o Addition o Alteration OUtility Connection
PROJECT COST IV ALUE (excluding land) $ lOR /-fot I
o Misc,
(Phone) 46c '19S-/~e
(Phone) CiS 2- "'2-Z<:a - 1 ~ ~ <.f
ODeck
o Porch
ORe-Roofing
ORe-Siding
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 plans, I am aware that th building official can revoke this permit for just cause, Furthermore, I hereby agree that the city official or a designee may
~~/ the opertytoPe orm spections c-Y ()~~'\ 7 /,/0/0::3
l.., ~ I Contractor's License No, Date
V-
I Permit Valuation
I Permit Fee
I Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
<1/ at () ()(), ()O
$ 1(/3? ~~
$ 1tJ7S': (J (,
$ S~,CJ~
$
$
$
$
$
IOd, dO
Idf1, () 0
35". -so
'/tJ, dO
This Application Becomes Your Building Permit When Approved
..
~ :;t~f-
Building Official
/~7ft3
, Dare
I Park Support Fee
SAC
Water Meter 1;....~6p-~ 1";
#
#
$
$
$
$
$
$
$
$
RSo, 00
I~ 7"-; 00
~S(J,o (J
~5.(J 0
I e:JtJ(J, 0 0
7fJIJ, (J "
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
#
#
$~,3"3 II
i
Paid 11 ,J2 -7/ OS.~
Date ~/~O,W
Receipt No. ~5'1 /1
.,
By g. ~Pw
/o7h..s
/ - ()ate 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
I 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
iSS~ ~r
Planning Director
.
.f/(/ ,M~ T~
Thr ("rnlr, of Ihr tokr Counlry
C White - Building>
Can'ary - Englneerang
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
b 12 #orf177/LJ
I-G:,~ D3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: . \
;W7,gLI/~9"R ,?JilL/" J~~c(7~
Accepted Accepted With Corrections /
Denied
Reviewed By:
~ 41?~
.xb 'Jr1~
Date:
(1/ 7 ~
Comments:
"1~
"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
~ja~~
Thr Crnlrf of Ihr takt Counlry
White - Building
Canary - Ename..ering
C Pink - Plarinino
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
L / I 5'1/'-/ i ../
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~~
~
Date: //.:;2. 7/t:;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."
'r
CS~b' PrA.JiJ ALe
C:{A~~
Th, C'.I.. 01 lh, "ok< ('ounlry
White - Building.
( ~';~J - cngmeermg ::>
Pink - Plarmmg
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.~hich is proposed at: ,.
'/':,.),' ".,,~',.-;i/,~.' ./://' L",,(1-:'/):::1' {,~" 5L11" J /i/),)(} / :1 ;; /Ii{~) //1/.:1/
~ .r ..~- . Lil\;- r v , '/, 7 It ',,~,.A~ jt'j......,!/( :.....1(..-( .",.;.. ,( . . __,.,.'
- ' .. I. . , ...., .
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/J?JD
.5t:~mtff';,
Date:
1-/0--03
Comments:
I
F, Ie.
'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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1 2: 14PM
GENZ RVAN PLUMBING AND HEATING
No,0986 P. 1821
Date Rec'd
CiTY OF PRIOR LAla PLUlYWlN"G PERlVuT
-
i ~~~ ~!~ , PERl\nT NO~ _ f'A a
J, Y<ll~w Appli= of.. '""/ (
(PIca:;", tVPe or print ,and siWJ at bottom)
ADDREsS5L1it/-- Dc?er-//vfl (J;;LS;C
ZONING (offi~ u.~e)
LEGAL PESCRIl'TJON (office use only) '^-- } 0
LOTI/BLOCK I ADDITION ))P~rff()l d Gt70
PlD
OWNER
(Name) DR Hort:on Custom Homes
(Address)' ~:'S!.oD )(eVlB~l DGe.. CO" S,e, IDO
(phone)
9t:S?-.-Q?6 -78D6
l~lluvll Ie, llVl N ESbL-l t..J
APPLlCANT
eN ame)...G.e.'" .,._'t'~."".. 'P] HIP"'; 1'" g .Qr..,.R,o "'.. .;..ng
(Phone:) h" 1 -L.. 7 ':1_1 1L..6.
(Address) 14745 So Robert Trail Rosemount ~lli 55068
(Address) (City) (Zip Code)
(COJ1racrPetSon) -r ~ a. - ./7~) 651-423-1144
APPLICANT SIGNATURE m'YLJiL_c/7/Y7a j~ 'DATE !-;j-d-1J3
Quantity
/
'/
'J _
,~
/
/
,.q-
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture
Bath Tub with or without shower
I Dishwasher
I Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (l or 2 compartment sink
Shower Stall .
Sinks
I Bar Sink
, Watet Closet (Toilet)
Quantity
-:S
I '
(;:'/-1-
- j
I
Rough-ins
I Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Ass em bly
I Baclcflow Assembly Test
Lawn Sprinkler
Other
Type of Fixture
FEE SCHE.DULE
Industrial, Commercial & Multi-family 1 % of Job cost wIth 9. $39,50 minimum ResldennaJ, New One & Two-Family $9950
Re5idential, Addirions & Alrerations $:39 50
(Offlte Use Only)
I This Application Be:comes Your Building Permit When Approved. I ?;Ud
.~' I~~r~
I BuUdlng omtial . Date _,
/ JAN 2 ~ 2001 I V I'
24 hour notice for all in~pcction~ (952) 1>1. -9850, fax (952) 44741.4[)/
By I
!
EstImated Cost $
BuJldmg permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AI.. PERl\fiT FEE $
50
e:iD:~!(J pk~3 ~J"'j!s
----_ cc,lJl.iu ~'ij' ~
..
Receipt No,
By
UF
()
.
.Jan,~~, ~003 1~:14PM
GENZ RVAN PLUMBING AND HEATING
No,0986 p, 19 ~I
Date R.ec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
i ~,Io.c' ~~', . I PERl\fiTNO. tJ.....q q
3. Gold AppU......t c:>t...
(Plea.~e tYPe or pont and sign at bottom)
, ADDRESS 5
_ ~_5!l1 q
O(perli'w f~'S~
, ZONJ}.J"G (office U5C)
lEGAL DESCRIPTION (office use Ollly) /1 ,n
lOT') BLOCK I ADDITION )).pprhaJ. ,cl v~
PID
OWNER
~~e) ~~ u~~~~~
r1',r--~,....,",,' l,:!',.."n\t"\,..
(Phone) _ %2 ,qgS- IR,')A
(Address)
2D&co Kev1i?>K\bCe Cr S1~ il"'J:'\
(Address) .',
Lav~.-Ij 1\ Ie..
(City)
,t5eD-! U
(Zip Code:)
I APPLICANT
(Name) Genz-Ryan Plumbing & Heating;
(phone)
651-423-1144
(Address) 14745 So Robert Trail Rosemount. 1-1:N
~Addn::s~) (City)
(Coo..otPcrson). III ~ R Yh '" (phone) 6.51-423-1144
T,JCANT SIGNATURE CfJLrnJ) (), 'tJttf;::(al.U~ATE J -a--a-03
55068
(Zip Code)
APPLICA.NT PLEASE COMPLETE BELO'W
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. D.ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at _ feet from structure.
FEE S(;.llliDULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-famIly 1% of job cost wIth a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
BuDding P~it #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
,50
,
f
(Offite Use Only)
}
1....:::.
This Application Becomes Your Building Permit When Approved I I Paid
~) ~I ~t~ G ill ~~'
DATt :r
24 bOUT notice for alllnspectlons (93'2 ~'! 7-~a~(~2?QW.1U
Receipt No.
Building Omclal
By (~
I
By
-. .1
IT
I
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PEAAul.
Date Rec'd
). Pink
2. Green
], Yellow
~!~. I PERMIT NO. :z ---q 1
Applicant ~
~~?~C)
I
(Please type or print and sil!;l1 at bottom)
. ADDRESS
S9/~ a~/#~/J"O/C& -q;-
ZONING (office use)
LEGAL DESCRi.t' lION (office use only)
LOT ~LOCK / ADDITION
PID
~~e~RD,~. Horfon ('IJJ..sbm HO(Yl~
(Address)~ ~rid')~- QJ. I ~o.KeviLle Mf\}
APPLICANTA II' 1 M h--
(Name) f Qt1T e~. .:..L::a., .
(Address)3(QSO ~en()ehec.."tr. 5fe. #/ E:aaan
(Address) J (City) (Zip Code)
(ContactPerson) '];f'-Pr,_ Z'.',mmp.rrn,Qn. (phone) ~-~~. - ~77~
APPLICANT SIGNA~~'!t"'4J...(! 4J,__~ DATE
~ (j '0 . "
APPLICANT PLEASE COMPLETE BELOW
~NEW CONSTRUCTION o REPLACEMENT 0 ALTeRATIONS
FURNACE MAKE AND MODEL 1Jr~4n+ 383KA-V/r2UD'10 FUEL l'J<AflAm. ,
FLUE SIZE 41'cla.S'i, 'EL RETURN OPENINGS ~ INPUT "1C.OI>O OUTPUT 6lD~t>O 0
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone) q5~'" q ~ -7017~
S5o~L.1
(Phone) 0/-4~ -efl775
55/.22
OWarm Air Plants
o Gravity
o Mechanical .
~ Conditioning
[!V 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
t % 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 $
Building pennit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
p'
PAlO WIl't!
.s<BUlLDING
PERMIl'
(Office Use Only)
Building Official
Date
Da~EB - 6
J\.t::\;t::lpL ~.;;u.
By /
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U
This Application Becomes Your Building Permit When Approved Paid
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
1 1
I
CITY OF PRIOR LAKE ill
HEATING/AIR CONDITIONING/FIREPLACE PERMrr
By
Jill v 8D,ffJ~J~.ec'd
1_-
,
~j
~: ~~w ~~icant I PERMIT N?03 ~OO,~q...".,
(Please tr1Je or 1lrint and silOl at bottom)
ADDRESS
5414 DEERFIELD CIRCLE SE
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
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)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
.~..;,;...lt!olj,r...)I. olJ
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
7/8/03
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
OWarm Air Plants
o Gravity
o Mechanical
OAir Conditioning
OVent. System
INPUT
HEATING OR POWER PLANT
OUTPUT
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
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
$39,50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
BUil~ingpennit # 63 ~009'1 t>~O~~~I1'''---
~ "~_1I\l\\..O\l'lG
$~~@~D~[E 1
1 Pajfll 0 8 2003 Ujl Receipt No.
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildine Official
Date
Date
Sf
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
11
.
.
-4,
Job Address
Heating Contractor
Name of Tester
Date
Percent 02
Percent CO
Percent C02
Stack Temp
S- /f If f:-rkfcll
A7ti9-.v,r ~/Pt'/Y'
&hvt. (l
1;'/ t7/,
flf%
~dJV
1t~
3S() cJr
Combustion air is adequately supplied per
UMC Sec. 606 1/l'5
input '8 ~ till) v7u
~.I
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PRIOR LAKE DEPARrMENT~1I~"~~1
BUILDING AND INSPECTION - - -
INSPECTION RECORD
SITE ADDRESS ~ T::eFIl.F7EL" C,M"J,F !':E.
NATURE OF WORK N c4J a ~sr1tl.tcrlDAl
USE OF BUILDING s,!:'. A. ...
PERMIT NO. rB - 009 9 D~TE ISSUED l/2 "11.
CONTRACTOR 1hrl. +t.Ia'o~ I ~uc... PHONE_.~C(
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING I
FOUNDATION (Prior to Backfill) 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
FINALS
tIV(./
vw/
7-), 2 '"(}3
7 -;.s,o~
W
/IVY""
YVV'
'1-(7r-~
7- '" 1 -03
-,-t) -(/3
GRADING (Prior to S~~~ing)
BUILDING vvr
ELECTRICAL
PLUMBING
HEATING
DO NOT
11W~
(l;( /
OCCUpy UNTIL ABOVE HAS
NOTICE
~5'..ry
11- IJrtJ ""?
BEEN 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
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