HomeMy WebLinkAboutBuilding Permit 03-1561
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT I { - (J _ 0 3
See Main Filehi~ FH. I PERMIT NO
2. P;.k CHy . /1? _ /' e:-/_ ....'1
3. Yellow Applicant L,.L..;>. ~ ~
(j'lease ~ or orint and silOl at bottom)
ADDRESS
I'" 103 ~1e.1d ~'ve 3;::
ZOR~fficeu~) I
LEGAL DESCRIPTION (office u~ only)
LOT~BLOCK I ADDITIO~''€..,lci ~
pro;;? 5- t/tit?- tJ ~ J.. -:h
OWNER
(Name)
(phone)
(Address)
~~~~. tb'd-~~nL
(ContaClName~k.o. l J~,~ou::l:kGL./fr 1~^,1Y\....-
. (Address) ~~ii1t~~I~~J~~/OO
(Phonefrz:::;i;'I93 S -l?JOR
(Phone{"15~ ~1kt/73Z.
- .J
TYPE OF WORK
~~Consttuction
OLower Level Finish
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Misc.
o Fireplace OAddition OAlteration OUtility Connection
PROmCfCOSTIVALUE (exc1udingland) $ 108\ Lj 97
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 1'4W,.._hJ and that all construction will conform to all existing s~. .'locallaws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore;'1'h~h~"y agree that the city official or a designee may
~~~::.t.:t:;C:;ctions" OlCO05bSl -: J I~/O-(J~
J f \ Signature Contractor's License No. - - Dale
I Permit Valuation .'3~ooo,oo I I par~ee # . $ 8'50,f)el
.',~'."~._.
Permit Fee $ . 'iJ. $
J 2.()~. r,;;S I SAC.., . 12.7s.00
Plan Check Fee $ 7fJl.(. Z-b I Water Meter ~l"; $ 2..'SO,O~
I State Surcharge $ ",,,,00 1 Pressure Reducer $ '-t~,ElO
I Penalty $ I City SAC and WAC # $ I~O.o~
I Plumbing Permit Fee 1$ lO(J . a Q I Water Tower Fee #. $ 700.00
: , ~.
Mechanical Permit Fee $ I Builder', Deposit -.. $
'00.0 II . -
Sewer & Water Permit Fee $ 3!>.S-o I Other $
I Gas Fireplace Permit Fee $ 40,00 I TOTAL DUE $(,,(,55.3/
/l
This Application B_......__.. Your Building Permit When Approved I Paid ~ (.Jr...sf I ReceiptHo. 9t.~ r-f6-
~ ,.. /Z-/z.../t:J ::r I Date I? .I_O/ Bv /1_
~ rJ
Building Official , Date
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
3€e:b::~ p;; :o~:~ a ......-.-, c~;; ~:;, c:mpu.nce md allows comttuction to ___.__.___. Befure ~P:~' a C~cate Ofeoccupancy must be
Planning Director ~ 'Jtia~ Speci
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
.... ".,~ i~.
~1
See Main File
CV;hitA --~ RIIU";;;gv
Canary . Engineering
Pink - Planning
Th. C.nl.rof lh. I.lbCountry
BUilDING PERMIT APPLICATION D~RTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
fj f? .;.h%I~
1/- I ~- (3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity wh~c~ proposed at: . 1 f\
/ /7/-fCJ a U_ LJVz./
/
Accepted
Accepted With Corrections
Denied
Reviewed By:
~
r-
~~I)~
Date: )~~J
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."
~1
See Main File
White - Building
Canary - ~naineering
~ink . PlllDn~ '/;i I
Thr C'rnlnof lhrL.kr(.'ounlr)
BUILDING PERMIT APPLICATION DEEARTMENT C~CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
/9 f,( I/O&! [)X
1/- Jd-.-3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity WhiCy proposed at: .
//7/./03 /- I'~~r& Il)/;./
/
,
. Accepted
Accepted With Corrections
.'
..
Denied
i
Reviewed By:
~ ~./.J
Date: / z.4h J
I
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."
,-.---
See Main File
The- ('ifni", of lhr 1..It.. COile.".
White - ~uildin!{
~narv - t::nalneeriii/t)
Pink - Planning
BUILDING P~MIT APPLICATION DEPARTMENT CHECKLI~
NAME OF APPLICANT
APPLICATION RECEIVED
,<(1
)'j
r""
!-<(
1/-
, :[;;-
, ,
/fI ,~ O/)---v
< F7../'-' . '....~..
?
) .;t - '-...)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity Wh!Ctyff proposed at: '. . i (:
//'7.1./(,) 3 /',-Y'::'Q./(:J(a~.e Ly./J.."I
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
Comments:
m'li3
~a_ ~, h t'd f'
Date:
/1-;)-03
"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 ,4tf,itt7 ,.,~
Name atTester ~.3
Date 617//)1/
Job Address j)f6j ~.J!-<,:(<f
Heating Contractor ,d(I,'1fP7 ~c.JI_
NameofTester A~n Z
h/rBl"
/. f'~
Jt,r JIoJ
7."~
3A7o/'
Date
Percent 0,'
Percent CO
Percent CO,
r.
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606 CV.s
input Ba diD
,
'\
200312:31PM
GENZ RVAN PLUMBING AND HEATING
No.0411 P 14/16
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERlVllT
I IIN" Fih: I PERMIT NO t,
~ Gol' c." .--:::2 _Ire:: /
.1. Y.no- MoPIICIAl: ~ ...-/
~ka.Ie ltI!e or 1>fiJlt and sipJl At bottom,)
I ADDRE/S1S J I N'J
~lZ? ~~!il'r,l
fJf2 I) E-
ZONJNG (olIiee ,,'e)
rLEGAL DESCRlPTION (olliee we OJl!y)
LOT~LOCK I ADDmON
!luRh'ei cl t/fIfu
PlD
OWNER
(Name) DR Ilorton Custom Homes
(Address)
i APPLICANT
(phone)
qt:,2-C/'lf,r:, -ifSDC
:2.C'SLoD ~B~lDGe'_ C, Sre./DO
LA UVIlIG iUN 1560i.jl.J
(Nam.e)t;""""''''_'tl.......- 'In.._1...I_Q: .t, 'Uo.~t':id:lij
. ~ ~
MN
(Address) 14745 So Robert Trail
(Address)
(Contact Person) _ ('y;J2/.2fiiiL/iY F7
APPLICANT SIGNATURE -rr;;;~) ~
,'.~,.. ,
Quantity
0I-
I
I
4
.:;z.
I
o
(phone) ~~1-1.?'-114J.
Rosemount
55068
(Zip Code)
(City)
(phone)
651-423-1144
DA TF..
APPLICANT PLEASE COMPLETE BELOW
I . Type of Fixture I Quantity I
Bath Tub with or without shower I Rough-ins
I Dishwasher I 1, I Water Heater
j Floor Drain I :er I Water Softner
Lavatory (Bathroom Sink) I I Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink I I Sewage Ejector
Shower Stall I Backflow Assembly
Sinks I Backflow Assembly Test
I Bar Sink Lawn Sprinkler
I Water Closet (Toilet) I Other
I
I
I
I
I
I
I
I
I
I
Type of Fixture
FEE SCHEDULE
Industnal, CommercIal &; MuIo-family 1% of job cost wtth a $39.s0 minimum Rosldcnual. New One &; Tw<>-Pamlly $99..50
Residential, Additions &; Altcnltions $3950
EstJmated CoSt S
Building Pel1))jl #
PLUMBING PERMIT FEE S
STATE SURCHARGE S
TOTAL PE:RMIT FEE S
PAID W,
8lJILDING .~7'H
. 'E:RMrr
so
(Orne. Use Only)
I This Application Becomes Your Building Permit When Approved
Builc1ing Oflicial
.r,.~eipt No.
Ij
. t' Illy .
8 200Li ~
LJ'
24 hour notice for .11 inspections (952) 447-9'50; fax (952) 447-4245
r
ll-Pailt -,
I ~Date
I
r'll:~
'-'~ ,.
/"'
Dsl1:
-----
,,~..,,--~..,~
CITY OF PRIOR LAKE
HEATING/AIR CONDffiONINGIFIREPLACE PERMIT
Date Rec'd
I. Pink
~ 2.""'"
J. Yellow
7~;"'a/7~/./ .". .~-
. ..
#737/t?
~;_I PERMIT NO. .-:s.-16lo II
ZONING (a_we)
LEGAL DESCRIPTION (ofllce use only)
L~LOCK I ADDmON
. OWNER DR HORTON
(Name)~20860 KENBRIDGE CT
(Ac\4re$~) LAKEVILLE, MN 55044
PID
(phone)
APPLICANT /'J:0 A.,
(Name'/7'/. L/'L ~ .. ..r...LAJ7./''''~
(Acldress) ,~~ ~~ ~.. ~ ~
I (Addrt'
(ContactPetson) A~~
APPLICANT SIGNATURE '-Z--~~. !_~ v __
(phone) ~5T..,t. .t;/.f-i'- ~ .?7~
~U'~ ~~.??
( . (Zip Code)
(Phone)~/- ~~--f7~
DATE
< APPLICANT PLEASE COMPLETE ijELOW
.3INEW CO~TRUCTION 0 REPLACEMENT. . DALTERATI9NS J
FURNACE~ANDMOD~/r-"'~ ;?/~~~07~ FUEL ~4,,~';".e
FLUESIZE.y:~~.A RETURN OPENINGS . ... INPUT&~~ OUTPUT 6'Z_~
. . .
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants 0 Steam
DGravity 0 Hot Water
o Mechanieal 0 Radiation
~ir Conditioning 0 SjlecilllDevices
~ent System 0 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 Residentilll, AC Only
$39.50
$39.50
$39.50
Residential, Heating & AlC (New Construction)
Residentilll, Heating Only (New Construction)
Estimated Cost $ ~ a:::> Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$-";;/A.,,,/~
$ ~ .50
$ ~
8(JlL~j~~ WI."., .
PeFlMrr
(Olliee Use Only)
This Application Becomes Your Building Permit When Approved [ p~:rU' !! '\:1 lG I ~~celpt No. 1
BuildingOmcia' Dale I At~e DEe 8 2003 I~~ ;;;
24 hour notice for all inspections (952) 447-98~0, fax (952) 447-4245 U
Nov,14, 2003 12:30PM
GENZ RVAN PLUMBING AND HEATING
No.0411 P 10/16
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
i =-~.;. I PERMlTNO'3-/S'I
1_ GGJd A,ppUuac I'
rn.... tV1>O or mim and si2Jlar bottom)
ADDRESS
11L/o.~ ~Adcl
tk cfE.
ZONlN'G (Qllico Il5C)
LEGAL DESCRIPTION (o.8ic."'" only)
LOT2.1BLOCK I ADDITION
b-l7e1 J t/ftA
PID
OWNER
(Name) ~i. li9rt~Q Cystss Bom'--
(Address)
20&()() ~Yle~\t::6e Cr- Sr...Jf\r'\
r.Addl...)
(phon~) _ '152 -'ns- --zt..t:,,..,
La41j 11Ie..&?pouLL
(City) (;;!:ipCocle)'
APPLICANT
~~~ Genz-Ryan Plumb1n~ & Heating
(phone) 651-423-1144
(Addr~) 14745 So Robert Trail
--)~
(ComactPerson). j>J/JJfJrti /It -
'JCANT SIGNATURI! (I) A.J-l '-=16 /.bo
RoseDloupt. MN
(City)
55068
(Zip COOe)
(phone) 651-423-1144
DATE. 11-lt/rJ?;
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of sewer line feet.
CleaJ) out (if required) located at feet from structure.
feet.
o Cast Iron
FEES~J:1.IL.uULE
Resldenllal sewer and water line connection $35.50 Industrial, Com'l 8< Multi-family I % of job cost witb a $39.50 mJnimum
Sewer connection only $17..50 Water connection only $17.50
Estimated Cost $
Building Pennit #
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $ .
TOTAL PERMIT FEE $
.50
PAID W,
BUILDIN 7TH
G P!:RMtr
J.
(omce U.. Only)
I This Application Becom.. Your Building Permit When Approved I p;~y;-~"-'----. lRC<,ipt No.
~ Buil~.gomci.l Dat. rn~ ~EC ~ 8 2~~f~)1 (f
:t4 bour notice for .11 iDspee<io.s (9~) 447-98S~";I( ~) ~:'245 J
I'
I
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
L Pink
2. Green
3. Yellow
~:~ I PERMIT NOO.... '&rL'
Applicant ~
(Please nye or orint and sin at bottom)
ADDRESS
17403 RIVER BIRCH PLACE
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name DR HORTON
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDe m>AR1'H,. HOMe
(Phone)
/\,1-/\33-25/\ 1
(Address)
2700 NORTH F AIRVIEW A VENUF
(Address)
(Contact Person)
BRENDA HUSTON
~OSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
1/22/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
OGravity
D Mechanical
DAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
D 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 Constructioo)
$39.50
$39.50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
I:lAilO WJriH
~iNG [!:J!:~:[I,~IT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildine: Official
Date
"I'l><!id 'I
I Ili!B 1 8 2004
Receipt No.
By
"
,
24 hnur notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /?'1,3 tab "k2ife nE ,
NATURE OF WORK
USE OF BUILDING S. F; A .
PERMIT NO. 03- /5ft:> / DATE ISSUED ~Z./1Jz
CONTRACTOR ~~D,.J. ,~. PH NE - .~. 4{LrL
NOTE: THIS IS NOT A PERMIT'FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT oSee Main File
BUILDING AND INSPECTION
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
v1,t
FRAMING If r L/-.7
INSULATION I//JYI 4-I~f
ELECTRICAL
PLUMBING j,/'l/J// S ~ .2c'-7JVf
HEATING (if requlred)f/~ ~ 4.-/
FIREPLACE JhL- ~j7
GAS LINE AIR TEST ~ - ~..... ?-OV/
. COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding) .... )t'e ~,;', A/~.. /
BUILDING ~H, C{C/, ".~/-"'t/ ~ 7/7/or
ELECTRICAL'. . _ i//1'~
PLUMBING ~~',UN Mu a-: ~///#
HEATING ~ ?~Ay
DO NOT 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
i
-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/7#3
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.-'3"fINAL
o SITE INSPECTION
DATE
mk
dee.r/!'// ~
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
-a'MECH FINAL
C~E~$: .C:-
de4'nCc, ( /'i~1:/ A~
4A~ce
;
TIllIE
~-/s6 ~
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
....e-FIREPLACE FINAL
o GASLlNE AIR TST
o
, .
t4//" /w
--
~k / C?.(c:.
A~d: /;k~/ J 6'A ~
~C~'c.;-c.j CJr.!"Qr- firrT-
a ~:~c/ 00<( r 7Ye~s QI--/~-
-fI~1 9'yc..dt' q,Jfl.i/n:;CI~ /
....J '.I'
-7ii~#~ cO. ~1{l y~/:~;
, C~S~ ft1;;)
D WORKSATISF'"'...I...."y;~r"v.....I;O...
~ORRECT ACTION AND PROCEED
o CORRECT wo~..;;-~ REINSPECTION BEFORE COVERING
Inspedor: '0/""'---- Owner/Contr:
CALL "7.9850 FOR THE NEXT INSPECTION :u HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAl. HEALTH .t SAFETY!
"""""
" .~. "" '" '.
..... "..... ., ....
~,' ;, _'_.. ,,~~;'.~, 'M'" "~""~~""L";;il\i.;,,,...~-;,'; i";".-.~.. \, ';';;.':...,; ,,"" -.\':'i' .:;J.j,.~.l . ~ ~1 .'
".'".., ."',',
" . ~ ~ ~ ,:,L..-jj'; ~,'.;
.