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HomeMy WebLinkAboutBuilding Permit #03-0015 0.u- ~ ~ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please type or print and sign at bottom) I 1 ~ ).P ADDRESS i\ ~ \ \ v X '/.'1'1-1 Leeft(~ l,'~ ,~# ~. ~i~i~e ~:;y I PERMIT NO.f)'? .....0 /'JILl 3. Yellow Applicant .....) vlJ I LEGAL DESCRIPTION (office use only) LOT ~ BLOCK j ADDITION ~rAel.tL qtlv OWNER (Name) (Address) PID (Phone) l-brt~. ~~~.'DO G'~ N\.~U ~l.Jt.J BUILDER (Name) (Contact Name) (Address) LbAfnfj. Lt.lf(l V, TYPE OF WORK }i(New Construction DLower Level Finish o Misc. ZONING (office use) (Phone) E52-Qgro-1PDS (Phone) .9Ez..:- Z-~-/3?;ti o Deck o Porch ORe-Roofing PROJECT COST IV ALUE (excluding land) $ \ \ S I q~1 o Fireplace DAddition DAlteration 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 property and that all construction will conform to all existing state and local laws and will proceed in accordance with . ing official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may inspe '0 s. olwt;h,<:;7 /D ~I {,~ Conttactor's License No. ,~ BSo, DO I ILtJ5. (J 0 1 . r.)SO. 00 I 45, 00 I /;;00, {)o 7atJ, () lJ x I J I Permit Valuation I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee I Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee $ $ $ $ $ $ $ $ , IS, Cj 77 I !O8- 3, :?s-I 7tJ 4. 1f'1 58'. 0 t) 1 / tJo, ()tJ 100,00 3S,5o ra. f) () This Application Becomes Your Building Permit When Approved Z?~~ Building Official /d~3"h L-- f Date I Park Support Fee I SAC _ I Water Meter Siz~ 1"; I Pressure Reducer City SAC and WAC Water Tower Fee # # # # $ $ $ $ $ $ $ $ I Paid I Date (~ Ljt..-f I~ r)3 1- ~ ~O ~ $ fo ~ 4-.f'/. 03 I . Receipt No. l1 ':) 7 ~ 9 By c.r./ U- 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 ~~~~ Planning Director Builder's Deposit Other I TOTAL DUE 1/~/tJ3 Af~ ~ ~~-) , "Date Special Conditions, f(any 24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake. MN 55372 See /flA,'N hLg Th. Ctnltr nf Ih. t.k. ('ounlry White - Buildin~ <.. Canary - Engineerinq:s Pink ~ ~ Pla'iii'iing BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT !) /?' . , i . r, () F-t-C ~,J ...... APPLICATION RECEIVED , I /.~, I /) ...,.- l ( :~- ,~ ) / 1'.. ./ '~~. t......-... ...-:,4-, The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity Which is proposed at: I (), /) ,! t) I' ,/1 /)/1('''\) /'), ,/ /1 J... / I /~3/ ~~.jl l~ .).(~...l.('~<.,../{..--;-\.-""~,,x......i(_~. -.:./ / ___.I J (__.l/ ,.. -- ',' / 1 C." .....' ........... I' X /) Accepted Wfth Corrections j Accepted Denied Reviewed By: Comments: IYlA ~ S,<- e ;J1 '71~ r:f'l f Date: /2 -2 7-() 2- "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 Cenler or Ihe I..kr Counlry White - Building Can~ny - Engineering ~k __ - Planning ~ BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT / " I ; / / j -f-c p.j APPLICATION RECEIVED ( / - ; The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity yvhich is proposed at: I { ) / / -.....",/ \ r.) Accepted ~ Accepted With Corrections Denied Reviewed By: ~ A ..... ':7~p ~a . ~~ Date: ~~ s =;t~) 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." .. ... ,. APPLIANCE PERFORMANCE TEST Attach to gas line adjacent to regulator Heating Contractor ~ ~1'7f: 4toG!c.. . '\ Name of Tester JJv/j) Date 'r'.8~ ~ ~s:c Job Address /7s~#~ .,. Heating Contractor ~/t~' Name of Tester Date ~~ Percent 02 9,b~ Percent CO O.d.LJ~ Percent CO2 tI, ~ ~ Stack Temp :I 10 ";F" Combustion air is adeqU~ supplied per UMC Sec. 606 ~ input ~ \ Tht> Ct>ntt>r of Iht> L.kf Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 0 (? f/ C) vf-o -0 APPLICATION RECEIVED If)"'" /lj-O J.. , The Building, Engineering, and Planning Departments have reviewed the building permit application f07~:d;~hiD; propose~f Lf/ fJ L 3 / Accepted /' Accepted With Corrections Denied Reviewed By: ;" ~ ':i~1-.J ~~ Date: /;2/31/0'1-- Comments: .-' ~ 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." CITY OF PRIOR LAKE REA TING/ AIR CONDITIONING/FIREPLACE PERMIT / tb95?/ I Date Rec'd 1. Pink 2. Green J. Yellow ~~~. I PERMIT NO. 3 - IS Apphcant (Please type or print and sign at bottom) ADDRESS / 73~& a-b'h// a 5c ZONING (office use) LEGAL DESCRIPTION (office use only) LOT ~BLOC~ ADDITION PID ~~e~RD~. Horfon custom Ho(Yl~ (Address)~ ~ri~_ ~o.kev11le.. MI\) APPLICANT J\ J ,. - . M h --- . (Name) l:111r Qt1 eC!.....~ . (Phone) u_5J- ~- rJ/775 (Address)3Jp5cJ Ke.nne bee.. ~ 5:I:.e. #/ /: aaon 55/.2cZ L (Address) oJ (City) (Zip Code) (Contact Person) ..Jef.prf4( Z"rnm~.rrn Qn (Phone) (P5/-/../5~- ~77~ . APPUCANTSIGNA.)i~tW.<.I r14~ DATE tlV (J . V. - APPLICANT PLEASE COMPLETE BELOW 0NEW CONSTRUCTION o REPLACEMENT 0 AL J'eRA TIONS FURNACE MAKE AND MODEL 1>r~4n+ 3S3KA-vb2.1Un 0 FUEL J\Jo..fum \ FLUE SIZE 41' cla.scz. 'EL RETURN OPENINGS ~ INPUT ., C. Oeo OUTPUT 6tD.. /:)0 (:) TYPE OF SYSTEM HEATING OR POWER PLANT (Phone) C(5a... q~-7~7oZ, S50~J..1 DWarm Air Plants o Gravity o Mechanical . ~)r 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 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 Residential, Heating & A/C (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ Building Permit # REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ ~~~I F~idt)..4 2003 ,....~ 1#4/;"- _ /~~{O g"Yh;~ '-__,__ \.f:),; _ ~~,.., ~ '-t; lPi~~ ~'" (Office Use Only) This Application Becomes Your Building Permit When Approve Receipt No. ,.J Date By Building Official Date B\ 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 h_"~ . .._."._~~__'i..__ Fe b. 6. €fW~ ~~r"HI!"O~" \\: ~i~:~;\~:~i~\"'~~; 2003 2:32PM GENZ RVAN PLUMBING AND HEATING P 0' 9 ' ... I Date Rec'd No.2654 CITY O~F PRlOR LAKE PLUMBING PERMIT 1 6h.c Fa. 2. Gold City 3. Y.ll~'~ Apflllc>l1/ PERMIT NO. 03 - (j 0/51 (Pleast: type: or pnnt a:c.d s:i$m :;.t bottom) ADDRESS 1131.0&7 tw fef/eld D~- JE- - ZONING (office 'J."e) l '. . LEGAL DESClUPTION (office: use only) LOT 1 BLOCK 3 ADDrnON 1\..u/lE. -nerd q-h-- PID OWNER (Name) DR Horton Custom Homes APPLICANT (Narne)-C"~:-l):'6.R Plumbitlg 5- F"",HT"'{'; (Address) 14745 So Robert Trail (Address) (Contact Person) (phone) 902~q~.~ -7<6D6 ZO'SL;() KeL1P.,~.lJ)Ge.. Co S,e.. /DO Lt;du~vd lG i-\). N .6 E:bL{ I-J (phone) ~"1_/.. ?":\_1 1 /,/, Rosemount MN 55068 (Zip Code) (Address) C,,~ K?{,Sfi fa. { (\ (1^,~ ~/J (City) (}?hone) 6.51-423-1144 APPLICANT SIGNATURE . DATE ;2 - &- .Q3 Quantity ;:)..... \ I !l t " .., -4 APPLICANT PLEASE COMPLETE BELOW I Type of Fixture Bath Tub with or without shower Dishwasher , Floor Drain 1 Lavatory (Bathroom Sink) Laundry Tray (l or 2 compartment sink Shower Stali . Sinks I Bar Sink I Water Closet (Toilet) Quantit)- I Type of Fixture Rough-ins Water Heater I Water Softner I Stand Pipe (Washing lVIachine) I Sewage Ejector I Backflow Assembly I Backflow Assembly Test Lawn Sprinkler Other J . Q-.J. FEE SCHEDULE IndustTJaJ, Comme:rc.1a1 & Multi-family J% of Job eost wlth a $39.50 minimum Restdentlal, New One: & Two-FamIly $99.50 Residential, Additions & Alterations $3950 Estlmated Cost $ Building Pernllt # PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE I PAlU WIllI 50 . BUiLDING IE~Rtlv-V 1 By o~ $ $ $ (Office U.~e Only) Th.is AppHcation Becomes Your Building Permit When Approved Paid Building Offici21 Due D~_6 24 hour Dotiu for all. inspections (952) 447-9850, fax (952) 447-4245 Feh. 6. :003 ::3:PM GENZ RVAN PLUMBING AND HEATING No.:654 p. 319 ~\'RI0~ ~CW~ :\\::,j:~~~~,::;:'~~,\?~JVI5 s 0 ~ \ll- Date Rec'd CITf.OFPRIORLAKE SEWER AND WATER PERM.1T 1 a..<':lt file 2. YoI";", CitY. ). Gold AJIph....., PER!.HT NO. 03 --0015 (P:le1Se type: or print ;u:!d m~n at bono:m ) ADDRESS 113b& b<<ehC(a n~ Sf; . ~,i t ZONlNG (office').!e) LEGAL DESCRIPTION (office use only) tOrt BLOCK 3 ADDITION ~12:he((/( ~.th PID OWNER (Name)...,J;''D UOJ:.t,or. ""r:"~':"' Uo:m.~c (phone) _ Cf52 -Q8.5- i 8..",A (Addrl!:ss) 2c:;. &,pO KeY'Ii3~\ 't:(::z. Cr SIP _ j f\r'., (Address) La~~\j 1 \ I~ (City) .06'"'..l:}U (Zip CClde) APPLICANT (Name) Genz-Ryan Plumbing & Heatin~ (phone) 651-423-1144 (Address) 14745 So Robert Trail (Ad~s~) (Contact P"",on) . 0:11 Ie (~i7 fa I ( ') ~ T_ICANT STGNATURE J.dlA.mJ 'k:J Rosemount. MN (City) (Phone) 55068 (Zip Code:) 651-423-1144 DATE :J - frD 3 APPLICANT 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. ResidentIal sewer and water line connectlon Sewer cOIUlection only FEE SCHEDULE S35.50 Industrial, Com'I & MuIti-famJly 1% of Job cost Wlth a $39 SO minimum $1750 Water co.nnection only $17.50 Estimated Cost $ , Building Permit # SEWER AND WATER PERlvITT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ "n Building OtricisJ Daft DalES - 6 PAlO W 111-1 BUILDING 11'~ItMr l' ;l] } -- () (Ofnce Use Only) This Application Becomes Your Building Permit When Approved Paid 24 bour notice for all inspections (952) 441-9850, r;ax (952) 447-4245 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd ~. ~e~n ~:~y I PERMIT NO. 3/'/5 3 . Yellow Apphcant (Please true or llrint and si~ at bottom) ADDRESS ZONING (office use) 17366 DEERFIELD DRIVE S.B. 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 APPLICANT SIGNATURE BRENDA HUSTON DATE 3/24/03 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS FURNACE MAKE AND MODEL FUEL OWarm Air Plants OGravity o Mechanical OAir Conditioning OVent. System INPUT HEATING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices o Other Devices OUTPUT FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM 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 & NC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 (Office Use Only) Building Pennit # $ $ &-. ! r'i' l!'" ! It i !~l!.) This Application Becomes Your Building Permit When Approved I' 1'\ Paid : 'U. MAR 2 5 2n03 tl Date -../ Estimated Cost $ REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE .50 PAID WITH BUILDING PERMIT UW~ Receipt No. By ~ () Buildine Official Date By 24 hour notice for all inspections (952) 447-9lS5U, lax (9::1:lJ 44/-4"'1::1 PRIOR LAKE INSPECTION RECORD ~~~M DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS J:;>cbf<- Ffii; 1-D J)/ZJJ6 s.~~ L,'/ 8-5 NATURE OF WORK r--..)Ev..J Ql)Ns~ioN ./ USE OF BUILDING :s h A. PERMIT NO. It? --OOIC DATE ISSUED JO/;;>'3/0'"L- , , . . CONTRACTOR :1), e, ~{J ~~~ .' lNG, PHONE--Z5z ->>Co-/33,-/ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING 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 f1,to.iV.. 4- Pf . ,IVY MJ L-./r- 3 -d) 4-(.-d) 1I1/Y/ V1;f. l/V{ / /lLIY.J' "] /" ) '7 -03 '-1 - 1- 03 '-1- J' <J) 1-- J)) COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS GRADING (Prior to Sodding) BUILDING 1--t~ tJA\-' I ELECTRICAL PLUMBING HEATING DO NOT <j..(~ M nr? OCCUpy UNTIL ABOVE HAS NOTICE ~((;-d) ~-I1--U> 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 " ~ f"t' CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS !I3f;. G O~(tI 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 o PLUMBING FINAL o MECH FINAL ~d / COMMENTS: - ~ ,r / /' / AS' ( C-1 U -c \ "--- DATE TIME j- 21-d'/ '5~/5~ o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o T~~'\' - ~ y'/ . \ (-rl.o ) / ------- ~K SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED R REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INmOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY/ CITY OF PRIOR LAKE INSPECTION NonCE ADDRESS 17~ OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION jilf'FINAL o SITE INSPECTION COMMENTS: r:1"1&<t ( 'D~J,. 7"1/,,7' I) 0',.- rM tt+ , ,tl<-l~ { OA TE TIME SCHEDULED &((-~ () ((,/}1'1 d CONTR. PERMIT NO. ~-()t)(~ o PLUMBING RI o MECH RI o WATER HOOKUP o S~R HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~/.'Z'Jr~/ 7'J"...-., ~ttJ--+- ;;., IN trIJ W/-M q- . - r 1..( tA1,(,/ VIA 1- ; / ~-I- /3 . ~ o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING /iVJI /) IIa. {P-I ( ~ cf1;? Inspector: (I l" ~ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! /NSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: ~5 fe-cia r re -f} fqt( . DATE TIME SCHEDULED .$7C /7 3" aJ"t'vh-rlrJ CONTR. PERMIT NO. ~--$i;~ 1-1,) o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP ;;rPLUMBING FINAL o MECH FINAL o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o c'nlj Y\5hrr~ r 113(/la + ff/IA. -h,!"r hi J ~(' (( ud( / - o WORK SATISFACTORY, PROCEED ftCORRECT ACTION AND PROCEED o CORREC~X~ ~LL FOR REINSPECTION BEFORE COVERING Inspector: ! VI /~ ..../~ -0) Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI