HomeMy WebLinkAboutBuilding Permit 03-0500
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
sr-tu
p.1',fh. / d
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
O..,.$EWER HOOKUP
j!4 PLUMBING FINAL
o MECH FINAL
COMMENTS:
f)uftf~
. rd>!riff/7
DATE nilE
(O-IO-(7J
r./y
'3 - .s-cro
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/'
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~R;>>LL FOR REINSPECTION BEFORE COVERING
Inspector: f V r Owner/Contr:
CALL 447-9850 FQR. THJ:; NEXT IN~PECTION 24 HOURS IN ADVANCE.
INSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
DATE TIME
CITY OF PRIOR LAKE I ~ -:1 '(j ?,
INSPECTION NOTICE SCHEDULED
ADDRESS SC-/1-C OC-~,..p~ I ~ L..s:-
OWNER CONTR.
PHONE NO. PERMIT NO. 5-S-0eJ
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
)l!l' FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION ,a:..MECH FINAL 0
COMMENTS:
~r)J +- t~ ~ ~<...
<1~
/1
~I uSe
r~ I
!-tCe
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: /t-P Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
(Please tvDe or orint and sign at bottom)
ADDRESS
;4~{, 1)eer+: JJ. C..Ar-J e
sF.
I. White File
2, Pink Cily
3. Yellow Applicant
LEGAL DESCRIPTION (office use only)
LOT I Z- BLOCK ADDITION Der -h eJ&, q'P\...-
OWNER
(Name)
(Address)
BUILDER ~\ '-:J II A '
(Name) ~. ~. ~1"""W\ \ IAL,
(Contact Name) s-\-e. vL & l t:.Y-A' I/Y'--
(Address) 7_D ~Hob 1<-~.~'VJOY; d~~ d. 'Gte.IDO
~tlte. '^^"I'<. I:::bO~
TYPE OF WORK
o Misc.
}d.New Construction
~Lower Level Finish
(Phone)
Date Rec' d
4<>0 /(f)
PERMIT NO. 03 -' 05D 0
ZONING (office use)
PID ZS -LfUO - 6/ Z. -0
(Phone) q.Sf- ~ Q)~ - '""l 9J0$3
(Phone) tqS7.../2.-2&- 1~~Lt
ODeck
o Porch
ORe-Roofing
o Fireplace DAddition OAlteration
PROJECT COST/VALUE (excluding land) S 1/5,1 B I
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 plans, I am aware~at e building official can revoke this permit for just cause, Furthermore, I hereby agree that the city official or a designee may
enter u~~ property to ~erfi ~ed inlI?,ections,
X t......~l.-A fi.J?--y- ~boc)g,r-1 tj-Zq-()?-,
~ (J Signatu;e Contractor's License No, Date-
v
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
\1echanical Permit Fee
ewer & Water Permit Fee
as Fireplace Permit Fee
1/1//, 000. ~O I
$ l063~351
$ '7() c/. If; I
$ SP3. 00 I
$ I
$ /00. ()O I
$ 10 0 _ 0 0 I
$ ,35.5V I
$ 40- 0 U I
his Application Becomes Your Building Permit When Approved
~ -7~ S7s~.?
Building Official
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 fc ~/, () J
I Date ..r..z,f-b ~
#
#
#
#
$ ASV-Ol>
$ j, 27~_ 00
$ f 250.00
$ 45.00
$ 1,7,00.00
$ r ?()O.OO
$
$
$ fs" 44/. 03
fJ )-
R,eceiPt/N:. r4 z.r J
Bv ~
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'0 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
:ned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be
)~ ~~ _S/:)"~-:3 ~~ ~ ~
Planning Director . bate 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
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Tht" ("t"nln of Ihr L.kr COunll")'
White - Building
~a~ary - ~~gin~ering
(' tJlr1~_- ~Ianning -::>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~; Ie", /-I{/r:.~ Il/\.,,/
4 '_~C) - ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-
51' Z/c D t:-E i::-/~/ [, LO (! lie (~ (l:::;-
Accepted ~
Accepted With Corrections
Denied
Reviewed By:
';3~
..
9.J I--
Date: 5/s-/o::?
Comments:
t
. ..........._......'''"."...-~,,'''.....-'.......
"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."
-=-'"
The ('rnl.r of 'he l.ake ('ounlry
White - Buildin9-
(canary - Enqine~
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,
/..,) j./, j-I()/(:-jTO/~./
4. _.?CJ- r-j'~
.---~. '-""........,-.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-"
5'4-- Z-h DEE~Jc:F/6 1-0 Cl/c (!~,.Lt/
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/JIJ4'f>
~{C- tYllt/Y'\
Date: S-- s: OJ
Comments:
~t'I(.
liThe 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."
-IT
n
I
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<lihi~,= - ~~~i~
Canary - Engineering
Pink - Planning
Tht> Ct"ntt"r or the t.kt Countr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
o /2. )-/O~/CJ;J
4- ,-30 - a3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-
S 1- 2-b DwU/6 LD (!A /Z ~
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
Comments:
~
r-
9~~
Date:
o/5~.3
,
"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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Job Address ~.y,)Cp k"gd
Heating Contractor ~~.M/~
Name of Tester &-fl;g
Date /~fJd:l
Percent 02 /t'"S'?.o .f
Percent CO ar~.k.I
/. - .
Percent CO2 5" 1 ;?;
Stack Temp .3/IP of
Combustion air is adequately supplied per
UMC Sec. 606 }I;;
input ;&q no {S-TV
-
MaY,12. 2003 12:13PM
GEN2 RVAN PLUMBING AND HEATING
No.2964 p, 8 II
',.
Date Ree'd
CITY,OF PRIOR LAKE
SEWER AND WATER PERlVliT
I Green Pile I PERl' ,ITT NO
2,YoflQW Cl,y. Iv..u.'3 _ C:::-A-{')
3, Geld ....ppllGll11 ~ '-'
(Ple:\Se type or Pt1J:1t and ~ie:n at bottom)
ADDRESS t\ _ r
'7- h l~'-lc(J 0lQ.. Sf...
ZONlNG (otf.ause)
LEGAL DESCRlFTION (office use oply)
LOT I J-BLOCK
ADDITION
~e{ut qth
Pill
OWNER
(Name). ,,:,p Hr-"'+-~~ f'''~''9T'l FalllCs
(Phone) _ Cf52 -qgs- -,g.{'.J/\
(.Addxess)
2.o&t;O ~ei<.\t:6e Or- S,eJ{\f"\
(Addre~s)
La'a\JiUe...
(City)
,?)Cf'J...H-l,
(Zip Code)
APPLICANT
(Name) Genz-Ryan Plumbing & Heating
(phone)
651-423-1144
(Contact Person) ,
(Address) 14745 So Robert:: Trail
(Address)
r~fLUUfu fttJj r
(Y)A' /~) ~
Rosemount. MN
(City)
55068
(Zil' Code)
(Phone)
651-423-1144
"!',ICANT SIGNATURE
DATE
c; - 1'2- --0 =<.
APPLICAl'iT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
FEE SL.I:1EDULE
ResIdential sewer and water Jjne connectIon $35.50 Industrial, Com'! &: Multi-f.aroJly 1% of job cost with a $39.50 mm1mum
Sewer connection only $17.50 Water coonecti.on only $J7.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERl\fiT FEE
$
$
$
50
PAID WITH
BUILDIN~ PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved I Paid
~~~ ~-O \IJ ~ r
L . Buildlog OfficisJ D:dc I _ I
24 hour notice for all inspections'(952) ..~'- s!dA'tx hsa) .wAh4~
Receipt No.
By
~
VI '\
. By
I I
Ii
~,.j
(:..l.. 7 \ ~ .
= . '\ ~
WI'"
>~ -<r,1V .. '"
'.i~~;:~\\~~J:!j~;{ HUO
Mav,12. 2003 12:13PM
GEN2 RVAN PLUMBING AND HEATING
No,2964 P.9ii
Date Rec'd
CITY bF PRIOR LAKE PLUlVmING PERMIT
~: ~% ~~ PERMIT NO. ? - C-06
3. Yellow Al'!'licul 0 J ~
IPlca3e l1:Pe: or tmIJl and s~~ 3.I bot1om)
ADDRES;~~ '~n.J{ ~ C,(R.SZ.
ZONrnG (office we)
LEGAL DESCRlPTION (officr.: use o]lly)
LOT l;lBLOCK} ADDITION 'b.et~.fld C{ trt
PID
OWNER
(Name) DR Horton Custom Homes
(Address)
(Phone)
952' q ~ f) -7f;lJ()
ZO'SI.o 0 'K.bl B~lJ?C:.e.. Co Sre:. IlJO
Ut U v i j Ie... HA N .5 Ei::.Lf LJ
APPLICANT
(Namc)...c;...,.,.,.-'I:1;,,,,... 'Ptumb..iae, J,;. ij"';lH."Z
(Address) 14745 So Robert Trail Rosemount
(Address) (City)
(Contact Person) -1MtJlt1~-fa.J{ f (Phone)
APPLICANT SIGNATURE (J(.ifi7t[;)~~-,{)__
Quantity
2-
r
,
4
.1-
~,
,1)
(phone) 65-1_L.?<_111.f,
HN
55068
(Zip Code)
651-42.'3-1144
DATE
6- J2--D~
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture
I Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (1 or 2 compartment sink
Shower Stall
I Sinks
l:Bar SinR
I Water Closet (Toilet)
Quantity
I Type of Fixture
I Rough-ins
Water Heater
Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backfiow Assembly
, Backflow Assembly Test
I Lawn Sprinkler
1 Other ..
I .
y(l -:t:
, \
FEE SCHEDULE
Indl.lstTlaJ, Commercial &. Multi-fan-illy 1% of Job cost With a $3950 minimum Rr.:sldenl.1al, New One & Two-FarrHl)' $99.50
Residential, Additions & Alterations $39,50
Estunated Cost $
Building PermJt #
PLUMBD'JG PER1\1IT FEE $
STATE SURCHARGE $
TOTAl. PER1vfiT FEE $
.50
\
PAID WITH
BUILDING PERMIT
(Ortiec: Uu Only)
I This Application Becomes Your Building Permjt When Approved I Paid I. Receipt No.
Dsn: 1,1;- L:",! liJJ,~l ,~'-c- I'~~'~ By
r Date " II
I . . Building Otlicial ' ',. LO,
24 hour notice for all in3pl.!ctit)P!l (952) 447~?~~O, M~~s~ A72JlQS !J
Cih
1/
I I
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
(Pleasetvveor print and si~ at bottom)
ADDRESS
6Yd~ a~~/J'O/L~
LEGAL DESCRll'nON (office use only)
LOT
BLOCK
ADDITION
OWNER DR HORTON
(Name)_ 20860 KENBRIDGE CT
(Adcltess) LAKEVILLE, MN 55044
APPLICANT /J ~ /, - . / /2..,
(Name) /7/~ ./'"~/'az./'
(Address) ~6ZJ ~~, (? a:
.~A~J ~
AtlZ/4'::.... ~
APPLICANT SIGNATURE ",;:;,. 1'-;- /,/-....--......
(Contact Person)
Date Rec'd
1. Pink
2, Green
3. Vellow
P/7/5V
~!~, I PERMIT NO. 'L -:s-()C> I
Applicant :::::>
ZONING (office use)
PID
(phone)
(Phone) ~5~ 4.:r"?..~??.:r
~)lG'a:..<__ ~5/Q?"'?
(~ (Zip Code)
(Phone) ~ - ~~ - Pi' 77..:5:
DATE
_ ~ APPBI€ANTPLEASECOMPLETElJELQW
,3lNEW CO~TRUCTION o REPLACEMENT , EIALTERA TIQNS , J
FURNACE MAKE AND MOD~/r-~"". q/~~~t07~ FUEL ~-4? ~ ~~
FLUE SIZEo/M~ RETURN OPENINGS ' " ." '>,' 'INPUT6~,'.~ OUTPUT tS"Z,,~
TYPE OF SYSTEM HEATING OR POWER PLANT
DWann Air Plants 0 Steam
o Gravity 0 HotWater
o Mechanical 0 Radiation
~ir Conditioning 0 Special Devices
~ent. System 0 Other Devices
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Estimated Cost $ ~ a::> Building Permit # ft
, ' ,JA/O WITH
HEATING PERMIT FEE $~/ ~/a4:..rEJU'LD'NG PERMIT
STATE SURCHARGE $ " .50
TOTAL PERMIT FEE $ ?
f?)i1 @ ~ U ill ~ 7' ~eceipt NO~
Date l3y
Date _ _ JillJ 0 4 WOL ~J
24 hour notice for all inspections (952) 447-~ ':50, fax (952) 447-4245
By
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
..
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
qu
FIRESIDE CORNER
#1999 P.002
CITY OF P lOR LAKE
HEATING/AIR CONDITIO GIFIREPLACE PERMIT
Date Rec'd
(PIC'Be type or print 1IJ'1I! Ai"" 11' )l>otJoml
ADDRESS
}4'IRESID~:W
~:~7 I PERMIT NO. 3 -50)1
Ap,Jic.,n!
HEARTH&HOME'"
5426 DEERFIELD CIRCLE S.E.
ZONlNG (offiCI:! Il~e)
LEGAL DESCRJPTION (office u~e only)
LOT
BLOCK
ADDITION
PID
OWNER
(N:!me DR HORTON
(Phone)
(Addr~s)
APPLICANT
(Name) AlJ..l.E12..EI.l3.ESI.I:2E,l'BA FIRF,SIDE HEARTH III HQMF:
(Phone)
651-633.2561
(Addws)
2700 NORTH FATRVJEW AVENUE
(Addre~)
ROSEVILLE
(City)
55J13
(Zip Code)
(Conraa Person)
BRENDA HUSTON
(Phone)
651-633-256 )
APPLICANT SIGNATURE
BRfNDA HlJSTqN
DATE
8/25/03
APPLICANT PLEASE COMPJ...ETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 At TERA TrONS
fURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEA TJNG OR POWER PLANT
OWarm Air Plants 0 StC3lTI
o GrElvHy 0 Hot Water
o Mecha.nleJll :J RlldJlltion
DAir Conditloning ] Special De'o'iccs
DVenl. System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO 6000TR-OAK
Industrial, Commercial & MIJ,lti-F~m.ily
FEE SCHEDULE
1% of job cos1. Residenl.ial. Gas FireplAce
$39.50 minimum
$99,50 Re~jdenti81, AddirJons & Ah.er:Jljons
$64 ,50 Rc~jdcntial, AC Only
$39.50
Residential. He:lting & NC (New Construction)
Re5idc:n1.;.nl. Heating Only (New ConstJ1Jclirln)
$39.50
$39.50
Estimated Cost $ Building Permit #
HEATING PERMlT FEE $
STATE SURCHARGE $
TOT AJ... PERMIT FEE $ f-
(omCI! Use Only) II ~ 1.!g (~ r~ n [P I~; r~
This Appllcntion BC!~omC!!l Your Building P~rJJlit When..L\ppr/Wed , ~d?Wf - ~I '-"J ;1 ecc;pt No.
A Iteartlr 6: J{(!"u: lecT,n; , off ',IJ' I I
. Cfl~- II ~
~ Build" DM..i," are " · LUUj . y 1l.,~'J
g'(, Dulldint!O'2~f>Fnirview~ven\JeNorth Ro~~le.MN55113 I'ho - ':1<.'''6] ~.Y . - .8~4 ~~
IIll1J,lll\Jli 1;:1.u". 3850 Wes( Fi.p:hwllV JJ..13l1rnsy.,Llle. MNt 553372Phan -a 2-X90, 54-OS ~'~J~~FfS.'l.l'1ipC~~mr:
1:_ h/:Iu,. nt"'lce lor 11 IIn~pec 10051.'95 ) <147. . .
1lIww.n/'lllldolll..CQm MN C41lrra(tQr I.ll'tMC # :l)Il'H)!l11
.50
l:JUll. t>"'ID ,...
DING FY/'1"/j
t>.s
7:1411'1"
PRIOR LAKE
INSPECTION RECORD
~.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~
NATURE O~ WORK s.FJ
USE OF BUILDING J"FI'I
PERMIT NO. '!Ii ~ DATE ISSUED
CONTRACTOR ~Q# PHONE
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) #.o.~tj'\1 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~()." '"
W\o.\~ I
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING \A,~. Uw. I1J:r 7(2-/03 l/lr_ 8'- ~-'V?
HEATING (if required) t~ 'f - y dJ
FIREPLACE tYW" q ~ ~ -d>
, GAS LINE AIR TEST ~ q -1---<1)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
//1//// ~
tiVv
'{..3-d>
q- ~,O$
GRADING (Prior to Sodding)
BUILDING {\
ELECTRICAL
PLUMBING
HEATING
DO NOT
YVy'/
MJ
ny
OCCUpy UNTIL ABOVE HAS
NOTICE
, I (..1-~
I () rfO/!/7
II!" :7-~
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 I
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850