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