HomeMy WebLinkAboutBuilding Permit 13. 0529 u q:i Y.a,_. ., ..n __ .ii.. ..n_. .. _.r __u. .'I ,_ _,o.n.. ._i➢,uY.. .:?I�Vdll_ i �'__ i.fl.,t Etl,__ r__i..n..,,.a,.. _
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CITY O
F PRIOR LAKE
ro. 4, • ,--
Pqnrfittruf of nitbing 4itsjartfilitt =.. -".
1z.Final Permitted ❑ Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the ❑Residential/❑International
Building Code certifying that at the time of issuance this structure was in compliance with the various
e ordinances of the City of Prior Lake regulating building construction or use. For the following:
Use Classification
S i NGI F FA''l I LY Bldg.Permit No. 13-0529
:. y PUSH
Occupancy Type Type Construction Zoning District
f
Legal Description 162 , R1 , JFFFFRS WATFRERIlNT
Owner of Building Site Address
14305 PARKS I OE COURT `''
K ,
.7
Contractor's Name&Address �4'.A TT 41`,1Y Il O M,F S
ROBERT P . II l)TCH I NS "�/ City Planner
C Building Official i j
Date: ,( 11 Date:
POST IN CONSPICUOUS PLACE
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'r L11 Y or YKIOK LAhH 15LILI)CVl.r YItKMI1, U L' �' u llt 4 i d
/wv TEMPORARY- CERTIFICATE OF ZONING COMPLI_�r MAY _ 3 2013
)11
See T�,►.�1i ° We
TIYPERMIT ,•iimi
4rVVE� Nr.,,, ,i,'.,-,i.,':_:.:, ?
By
C1') " 3 l Wtute File PERMIT NO. 527
45,2` Pork Applicant •
(Please type or print and sign at bottom)
ADDRESS r,Li,3 O5 P&,_11_1'- t D E < ZONING(office use)
P051)
LEGAL DESCRIPTION(office use only)
LOTC 2 BLOCK ADDITION C--1 e- E-2-S ki'.--- p -(2--t)i- ri- PID 2s 410ra 2,.0
OWNER
(Name) 1-1 A T i P.M`t' -I4 U MES (Phone)
(Address)'12a 1 IN A S 14 I tJ l i t-s t ,,E 5 S 2a i l.o I tai 4s, H Ni S S t4 3
BUILDER
(Company Name) 1-14-7- "v +C)fri ES (Phone)
(Contact Name) S U a- B\ (Phone)
(Address) 12.E t 1..r v S t-k 11-.1 C,-rv(...J Av v1=3 S"ls ' <,I 7-O I >v Ac H 1.-1 SSLI39
TYPE OF WORK ,Ef New Construction S.Deck Porch ORe-Roofing ORe-Siding ❑Lower Level Finish 0 Fireplace
['Addition DAlteration ['Utility Connection
CODE: I.R.C. ❑I.B.C. 0 Misc:
Type of C nstruction: I II III IV V A B
Occupancy Group: ABE F HI MRSU PROJECT COST/VALUE $ 13 0 t 00 0 .00
Division: 1 2 3 4 5 (excluding land)
I hereby cerufy 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 the building
official can revoke this permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections
XC ,,`....___...1 cl aoC...-- 2 31 Saga - I -It3
Signature Contractor's License No. Date
Permit Valuation000. oo Park Support Fee # $
X32
Permit Fee $ l! ,7 S-41 SAC # $ ,�J r- ' OD
Plan Check Fee $ ,5—g)
g' Water Meter Size 5/8"; 1"; $ f `T4 £90
/'
State Surcharge $ .414 . 0 a Pressure Reducer $ /R/l/ 0 0
Penalty $ _ Sewer,'Water Connection Fee # $
/-C716 de)
Plumbing Permit Fee $ /517/
`1/ S d Water Tower Fee # $ C,��e, 00
Mechanical Permit Fee $ /31/,
y 5--e) Builder's Deposit $ 00. OL)
Sewer&Water Permit Fee $ .ce S e Other-,,ems 5j,, ill r $
Gas Fireplace Permit Fee $ S7` ,S-6 TOTAL DUE $f4 13c)y 5f
ek
This A.plication Becomes Your Building Permit When Approved Paid ! c' / 7_5t , 56 Recekipt�i o. ��/ 3 l
Date L. Li ,7 By
_j
c/5/5
B 7ng 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
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
issued.
Planning Director Date Spec:al Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E-,Prior Lake,Minnesota 55372
VV
p CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
-.64(1/0200)\ TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
lNNBs° I.vitae Fite I PERMIT NO 52,cp
2. Pink City a (43
3.Yellow Applicant a
(Please type or print and sign at bottom) ZONING(office use)
ADDRESS . /rA 3.}2�"K1tl
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER k AK MY trtb � (Phone) qr✓Z'2r17—Zi oc�
(Name)
(Address) 72o( 6.)A5 t-t tt LO Gts kt) • 6-17 ILA , 1 N 5.54'/
liblimmt �o c�IJ SF�Z.� 65 1-2-e...., (Phone) 7 �1(o d
(Company Name 6 Fav l�P P .<6 t 17 lip g -2 7
(Contact Name)
.. /150t�
! 1 (-9 NiTF RI. (Phone)
SU t'W yrs-vE 1fri i.3 3v
(Address)///!D 0 us-ret A �I�
TYPE OF WORK '❑New Construction ['Deck ['Porch ORe-Roofing ['Re-Siding ['Lower Level Finish 0 Fireplace
Addition ['Alteration ['Utility Connection
CODE: 1L 0 Misc:R.C. DI.B.C. �2 �. b0Type of Construction: I II III IV V A B PROJECT COST/VALUE $
OccupancyGroup: A B E F 2 f 4 1 S U 5 (excluding land)
Divivision::
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 the building
official ca evoke this permit r just cause. Furthermore,I hereby agree that the city official or a designee mayenter upon the property to perform needed inspections.
X `(4 ✓ �'� Contractor's License No. 8 21Date
Signature
Permit Valuation q
Park Support Fee # $
pd O . 00 # $
$ I SAC
Permit Fee 103 .06 $
Plan Check Fee $ 6 Co-q 5 Water Meter Size 5/8"; 1";
$
State Surcharge 2.00 Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
$ Water Tower Fee # $
Plumbing Permit Fee
Builder's Deposit $
Mechanical Permit Fee $ $
Sewer&Water Permit Fee $ Other
Gas Fireplace Permit Fee $
TOTAL DUE $
40,,,...c ..Your Building Pe When Approved Paid Receipt No. J
,.., F tz„, �p f Date y vi
PAID W1 �� �
Building•'�tcial Dat BUILDING
th the
ity Zoning
nce and may
ent
This
signed by that the the City Planner constitutes a temporary Certificate of Zoning complon and accompanying iance s is tn andcallows connce struction to commence. Before occupancy,proceed ertifica e o of be
issued.
Planning Director
Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
From:Genz-Ryan 952 767 1900 09/10/2013 13:53 #596 P.003/0&.7
yxip Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMITii:ttq, ii2. i�
4-4NBso�� 1.slue Wla
z.Call sly [PERMIT NO. l? j
3.Yellow Appfk,uI (00
_(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
/ 3o_5 4,/k) r)c,, j___
LEGAL DESCRIPTION(office use only)
LOT LOCK / ADDITION i g1-5 1al �-cyte %2444 PH),,F.),-L/'7 062-e,
OWNER c]An ex CDL c y) (Phone)
(Address)
APPLICANT µMW
(Name) GENZ RYAN (Phone) 952-767-1000
(Address) 2200 W HIGHWAY 13 BURNSVILLE 55337
(Address) (City) (Zip Code)
(Contact Person) LONI PE�4.ON A (Phone) 952-767-1000
l / r
APPLICANT SIGN r DATE �O 9
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower / Rough-ins
Dishwasher / Water Heater
/ Floor Drain Water Softener
3 Lavatory(Bathroom Sink) Stand Pipe(Washing Machine)
/ Laundry Tray(I or 2 compartment sink Sewage Ejector
QQ. Shower Stall Backflow Assembly
/ Sinks , Backflow Assembly Test
Bar Sink Lawn Sprinkler
L 9 Water Closet(Toilet) / Other fr , q 44d
FEE SCHEDULE G'
Industrial,Commercial&Multi-family 1%of job cost with a$49.50 minimum Residential,New One&Two-Family $149.50
Residential,Additions&Alterations $49.50
The Minnesota Statutes 326B.148 • ..1st 69901. Building Permit#�_
"SURCIlAROJdill.
year effective PLUMBING PERMIT FEE $ 1 9"% gaLIILDING PERI, ,
July 1,2010,until June 30,2011. STATE SURCHARGE $
The minimum surcharge for a"fixed fee"permit TOTAL PERMIT FEE $ /4-1/ 5-0
is LI,beginning July 1,2010
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Building Official Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
From:Genz-Ryan 952 767 1900 09/10/2013 13:54 #596 P.004/0C'
R;r CITY OF PRIOR LAKE Date Rec'd
o9, / ,) , 0 .
" HEATING/AIR CONDITIONING/FIREPLACE PERMIT
. p.5i
citiiiin'
`t1N]vE5aCR
I,stink Flit PERMIT NO. /3 57 /
2.iTh,k City '
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS 1 ZONING(office use)
4x0.5" Pkik C4. A7t ) :A
LEGAL DESCRIPTION(office use only)
LOTZALOCK / ADDITION --Tr-r:4', f L-4/0'41M-'
j41 MZL A /,,414( PID 25 `/ 06. - 0
•
OWNER
(Name) 441 ! tL ll .,/a (Phone)
(Address) .
—
APPLICANT
(Name) GENZ RYAN (phone) 952-767-1000
(Address) 2200 W HWY 13 BURNSVILLE 55337
(Address) (City) (Zip Code)
(Contact Person) LONI P ii RSON (Phone) 952-767-1000
Ai 'APPLICANT SIGNATURE14114011i ' �' CYL. DATE 2--7/0-1,_
APPLICANT PLEASE COMPLETE BELOW ,
VIEW CON'TRUCTION ❑REPLACEMENT 0 ALTERATIONS •
FURNACE MAKE AND MODEL r ,,,.1L ',/ SB(MO l2 OS / 7 FUEL Mai-
fiel-4•-'
FLUE SIZE RET '4 OPENINGS t INPUT000 W_- OUTPUTS:354,0
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
OWarm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑Hot Water into Required Side Yard Setbacks.
Mechanical 0 Radiation Fireplaces with Box Additions or
ir Conditioning 0 Special Devices
' Cantilevers to the Outside of Buildings
F,'„,. ent.System 0 Other Devices lI
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial,Commercial&Multi-Family 1%of job cost Residential,Gas Fireplace $49.50 '
$49.50 minimum
Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations $49.50
Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50
Estimated Cost$C'47 9 „.,CO* Building Permit #
The Minnesota Statutes fi 32613.148
HEATING PERMIT FEE $ "SURCHARGE"has been chanced lilr one
year effective
STATE SURCHARGE $ .50 .July I,ZllIll.until June 30,21111.
TOTAL PERMIT FEE $ The minimum eurelrarge far a"fixed fee"permit
(Office Use duly) r71.1
1 �- July 1,2010
� .
This Application Becomes Your Building Permit When Approved Paid BU LD ' ' RMI
T
Date By
Baildine Official Date •
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
4 P Rro CITY QF PRIOR LAKE Date Rec'd
° -4 'r HEATING/AIR CONDITIONING/FIREPLACE PERMIT
t
A- o t. 1 Pink File
`CIES 2.Cneen
City PERMIT NO. /3�C1 52-9
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
itt3 06--- piptiv),4:Aof /pa/
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNE' ,S /2-4a-,(Name) (Phone) ` y
(Address)7/19/ WAG 4'�C, S 4 t ,t. 7 3 9
APPLICANT HEARTH & HOME TECHNOLOG..
(Name) .... • a _O� �sue)
tic 662656 '
(Address) 2700 FAIRVIEW AVENUE N
(Address) ROSEVILLE, MN 55113 (City) (Zip Code)
(Contact Person) 651,633.2561 (Phone) p 2
APPLICANT SIGNATURE Pa4/161/Y/A2e17----- DATE 7�' Z 3-13
APPLICANT PLEASE COMPLETE BELOW
TP EW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS •
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Watnn Air Plants ❑Steam Units and Fireplaces Cannot Encroach
['Gravity ❑Hot Water into Required Side Yard Setbacks.
0 Mechanical El Radiation Fireplaces with Box Additions or
DAir Conditioning 0 Special Devices
['Vent.System ❑Other Devices Cantilevers to the Outside of Buildings
n Require a Building Permit.
FIREPLACE MAKE AND MODEL /V SL- Seo 7-i2 2P2 V/_7YCi'
FEE SCHEDULE
Industrial,Commercial&Multi-Family 1%of job cost Residential,Gas Fireplace $49.50
$49.50 minimum
Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Altepitto NTH
$49.50
Residential,Heating Only(New Construction) $64.50 Residential,AC Only v V� $49.50
,,,I
BUILDING PERMIT
Estimated Cost$ 0 9' Cl/ Building Permit #
The Minnesota Statutes§32613.148
HEATING PERMIT FEE $ "SURCI-TARGE"has been changed For one
year effectise
STATE SURCHARGE $ .50 Jals• 1,24110,until,June 30,2011.
TOTAL PERMIT FEE $ The minimum sill-clime for a"filed fee"permit
(Office Use only) is ,.5,beginning July 1.2010
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Building Official Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
Contractor's Material & Test Certificate for Aboveground Piping
PROCEDURE
Upon completion of work,inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall
be corrected and system left in service before contractor's personnel finally leave the job.
A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities,owners,and contractor. It is
understood the owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship,or failure to
comply with approving authority's requirements or local ordinances.
PROPERTY NAME: JEFFERS POND DATE / 0 -//—/.
PROPERTY ADDRESS: 14305 PARKSIDE COURT
ACCEPTED BY APPROVING AUTHORITIES: CITY OF WOODBURY
ADDRESS:
PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS EYES ONO
EQUIPMENT USED IS APPROVED ®YES ONO
IF NO,EXPLAIN DEVIATIONS
HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS ®YES ONO
TO LOCATION OF CONTROL VALVES AND CARE AND MAINTENANCE
OF THIS NEW EQUIPMENT?
IF NO,EXPLAIN
INSTRUCTIONS HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: ®YES ONO
1. SYSTEM COMPONENTS INSTRUCTIONS EYES ONO
2. CARE AND MAINTENANCE INSTRUCTIONS EYES ONO
3. NFPA 25 ®YES ONO
LOCATION ENTIRE BULDING
YEAR OF TEMPERATURE
MAKE MODEL MANUFACTURE SIZE QTY. RATING
RELIABLE RES 49 2013 1/2 10 155
SPRINKLERS RELIABLE RES 44HSW 2013 1/2 13 155
RELIABLE F3QR 2013 1/2 1 155
PIPE AND Type of Pipe BLAZEMASTER
FITTINGS Type of Fitting CPVC
MAXIMUM TIME TO OPERATE
ALARM DEVICE THROUGH TEST CONNECTION
ALARM VALVE OR
FLOW INDICATOR TYPE MAKE MODEL MIN SEC
FLOW INDICATOR POTTER VSR-F S`
DRY VALVE Q.O.D.
MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
DRY PIPE TIME TO TRIP TIME WATER ALARM
OPERATING TEST THROUGH TEST WATER AIR TRIP POINT REACHED OPERATED
CONNNECTION` PRESSURE PRESSURE AIR PRESSURE TEST OUTLET* PROPERLY
MIN SEC PSI PSI PSI MIN SEC YES NO
W/O
Q.O.D.
WITH
Q.O.D.
IF NO,EXPLAIN
LOCATION MAKE& SETTING STATIC PRESSURE RESIDUAL PRESSURE FLOW RATE
&FLOOR MODEL (FLOWING)
PRESSURE
REDUCING INLET(PSI) OUTLET(PSI) INLET(PSI) OUTLET(PSI) FLOW(GPM)
VALVE TEST
N/A
. ,-,,daed2a0/- v‹-d-(1,
•
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /17`�O / I'51[Ye &U& NOL- h No &&Vc h
NATURE OF WORK P 9 _
USE OF BUILDING9'k,b� G� e4 w/DECD y- i F/p
PERMIT NO. /f3, Cal DATE ISSUED
CONTRACTOR , 77'Yn 25 PHONE
INSTALL EROSIONCONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
FOOTING l'r L -k.7 - i
FOUNDATION (Prior To Backfill)
RADON RETARDER
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER/WATER/SEPTIC
FRAMING Li, 4, 2 LL %/io//�
INSULATION /— 1-r , 3
ELECTRICAL dd
PLUMBING '' - -,
HEATING itt411- `1/(0/4
FIREPLACE
GAS LINE AIR TEST m N, r.p. wf}. p4L W/413
RADON RETARDER " 4ir e --
COVER NOWORK UNTIL THE ABOVE HAS BEEN SIGNED
HOUSEWRAP .{''\ (4• 13-c°3 LATH
-- -Z1 k r1 INALS F' 6 SUPP 4di4*L lol /3
GRADING ( PRIOR TO SODCI G)
_
-WILDING 19/2) 6fr,/i /
ELECTRICAL �
PLUMBING ��. it
HEATING 12.14 . ti1 h ti3
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