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HomeMy WebLinkAboutBuillding Pemrit 04-0077 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT See Main File Date Rec' d 2-, '2..-.04- I, White File 2. Pink City ), Yellow Applicant I PERMIT NO,O+, 0077 I (Please '!ype or print and sign at bottom) ADDRESS 11~ Jl~~ldbn.'ue. dE LEGAL DESCRIPTION (office use only) LOT20 BLOCK ( ADDITI~d q-tv- IJ OWNER (Name) (Phone) <Address) ZONING (office use) PIDZ5". 400. OU;. 0 ~~~;~'~l ~aUcJY1 JY1c- , (ContactNam~'~ ~a1..LtJ.sc<'- <Address) ~~~~~ ~q:,%t-~ /00 (PhonlCJ52-.J 18 5-7808 (PhOne~~da;/ ~-1732 o Fireplace DAddition DAlteration DUtility Connection PROJECTCOST/VALUE (exc1udingland) $ /2/. 6S0 f 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 can revoke this permit for just cause. Furthermore, I hereby agree that the city fficial or a designee may -:teru~ontheywy<,", to~er~fu~::s c!l:vO~SI ' J ~ Signature Contractor's License No. I Permit Valuation ....r/4.//. tJOO.()tJ I I Park Support Fee I Permit Fee $' 1~'19. S'a I I SAC I Plan Check Fee $ Ro/~ C,8 I I Water Meter (Siz~ I"; I State Surcharge $ ~tJ. ,e:;(J I Pressure Reducer I Penalty $ I City SAC and WAC I PlumhingPermitFee $ 100.ot) I Water Tower Fee 1 Mechanical Permit Fee $ / () () ~ 0 tJ I Builder's Deposit I Sewer & Water Permit Fee $ 3~. 5""0 I Other I Gas Fireplace Permit Fee $ ~tl, 00 I TOTAL DUE TYPE OF WORK ~ew Construction DDeck OPorch ORe-Roofing DLower Level Finish OMisc.I,g.<:.,. Cac>es (l-3 i:B This Application Becomes Your Building Permit When Approved t., pyr-;/j' .....J..~)_(/ JC.--' 3o~ ~ oi/9~~ Date Paid Date Building Official # # # # ORe,Siding $ ~a.t:Jo $ /3<So.Oo $ d<:'rl.Oo $ f'!> . 0 " $ / 2-0t:J. 00 $ 700,"1' $ $ f. $ ~I ~~S, /0 I R~Ct::O' rtPdJ<JI BY~X ~ ol/9 fr '/ 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. Jhis 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 ~ ~ 1~1-- See MaiaEile / /[)ate 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 Planning Director ~==- ..~~ See Main File White - Building ~qarv - t:.nQmeenn~ Pink - Planning rh~ ('~nl" nf Ih~ I..kf ('ounlfy BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 11 r~' He-, '-,7\. ) '/. '-. / C, I V 1',_ ....., '; .:... . -' ('4-- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1'74/7 D Et k~,FI c.Le) C)L., Accepted ,x Accepted With Corrections Denied Reviewed By: /h4'B 5ee. /fled/.. f,' {r Date: 2-ro.-oi{ 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." ~ry> ~~ See Main File --Whit.. - Buildinv Canary - Engineering Pink - Planning lll~ (.-nlrr of lhf takr ('ollnlr,- BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED D. e . H()/Gt ut0 2,2-.64- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: J74- 17 D StA2...Ft ELO DE- Accepted / Accepted With Corrections Denied Reviewed By: ~ ~ Date: d/9/o'l' . I ' Comments: See Main File "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." t~1 See Main File White - Building Canarv - Enaineering ~- . - ::-.:: Plannli3J> lh~ Cenlrr of the I..ke COUnlr) BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 1 I 1'-. ) ~. / -~, - ,- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I /'~r 17 I CLi___ 1/,_. Accepted ...-/ Accepted With Corrections - Denied Reviewed By: ~ ~ Date: d/ q I () <I . 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." .. Job Address /7Jf/7 ~1~rJ ^ ( Heating Contractor ~AJ7' ikR;v Name ofTester ";7a~ _~ Date ' 7 /yq~ Percent 0, 7, { 11'6 ,., t2k",JC- ~;96 -::?SL:PF Percent CO Percent CO, Stack Temp . Combustion air is adequately supplied per UMC Sec. 606 ,V..,- 5 input ~~ 19,acou \ CITY OF PRIOR LAKE tl1(;~)- HEATING/AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'd i ~~ ~:~ I PERMIT NO.AI ^~ 3. Yellow Apphcant 1.fIIIII'.1.III 11 , (?lease type or orint and sign at bottom) I A/;;~ '1 1> p pr C # I d --- ()r, - ZONING (ofliceuse) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER DR HORTON (Name) - 20860 KENBRIDGE CT (Address) LAKEVILLE, MN 55044 (phone) APPLICANT /10 /L (Name) /7'/-'i4'..L~ ~.-/AA,/;-a.../ (Address)~ ~"'-'~~ ~ a: ;3Addre' (Contact Person) A ez.;-. , ~ - /< APPLICANT SIGNATURE -::., ,- 1.;' - ___ (phone)~~/- 4.5'''/-.-? .??5 ~~ru>..L ~..s-.h?~ - " ' (dJiIr (Zip Code) (phone) ~ - c:;/~ -~ 77~ DATE , APPLICANT PLEASE COMPLETE BELOW .I!lNEW CO~TRUCTION 0 REPLACEMENT .DALTERATI<;>NS J FURNACE MAKE AND MOD~/r'-,; ~, :?/CJA,,4~qc?7c? FUEL.-( 4? .<.-..... >-1 FLUESIZE~~k...A RETURN OPENINGS 4:/, INPUTU ~ OUTPUT ~_/~ . TYPE OF SYSTEM HEATING OR POWER PLANT DWarrn Air Plants 0 Steam DGravity 0 Hot Water o Mechanical 0 Radiation ~ir Conditioning [J SpeciaIDevices ~enl. System 0 DtherDevices 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 Ooly $39.50 Residential, Heating & Ale (New Construction) Residential. Heating Only (New Construction) $39.50 $39.50 (Office Use Only) Estimated Cost $ ~ ~a::>BuildingPermit # $ ~/~/c4/ $ -' .50 r1JS?J; ~~~r.jTl~ $ /' ~ ~_c_-; -"~~0 r.~""'1 ~'T c.J' _ ,. . "~<';;-"'_'~ ,..,:.. , HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Official Date I Paid I D'f'EB 2 4 2004 Receipt This Application Becomes Your Building Permit When Approved By . 24 hour notice for all inspectioos (952) 447'9850, fax (952) 447-4245 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd I,Pink 2. Green J. Yellow File City Applicant I PERMIT NO. w''7'J (Please type or lJrint and sism at bottom) ADDRESS ZONING (office use) 17417 DEERFIELD DRIVE SE LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PlD OWNER (Nacre T) 1< U01<TOl'J (Phone) (Address) APPLICANT (Name) ATUED FIRESIDE DBA FIRESIDE HEARTH & HOME (Phone) 651-633-2561 (Address) 2700 NORTH F AIRVIEW AVENUE (Address) (Contact Person) RRENDA HUSTON lWSEVILLE (City) (Phone) _651-633-2561 55113_ (Zip Code) APPLICANT SIGNATURE BRENDA HUSTON DATE 4/21/04 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT DWarm Air Plants OGravity o Mechanical DAir Conditioning OVent, System o Steam o Hot Water D Radiation D Special Devices D Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL HEAT N GLO SL-750TR-D Industrial, Commercial & Multi-Family FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 $64.50 $39,50 Residential, Heating & Aie (New Construction) Residential, Heating Only (New Construction) Residential, Additions & Alterations Residential, AC Only $39.50 $39.50 Estimated Cost $ HEA TlNG PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50 -:-1\"CJM"'1'::'L i-del \l~UU6-D ~rr"~r,,\!,~,..,...~ . ., oJ- .\\,., L~'~I",i:I~1 , ..... I.tV'UU lJ (Office Use Only) Buildin!! Official Date I Paid I IMlR 2 7 2004 Receipt No. This Application Becomes Your Building Permit When Approved By rr 24 hour notice for all inspections (952) 4~7'-~850, fax (952) 447-4245 FeblO 200410:19AM GENZ RVAN PLUMBING AND HEATING No, I 198 P, 8'9 "'~Z~F~O~~ .. I\? - I \ " (,J '~~ ,. .,:..,,,\,-:.).',,,.0, ;""'\.~'\~,"(",1\;\';.'\-" ~'~~~\~~~NJltEtO~ tIo Date Rec'd CITY.OF PRIOR LAKE SEWER AND WATER PERMIT (.I?1euc: _type or p1'iI:lt and :l1J':D.<l't bottom) ADDRESS n1(7 ~efd M -ffi l. ~w ~~, I PERMITNOA.I. "D-r1 3, Galt!. AppliCUlc ~A~I ZONING (Qflic:<uot) LEGAL DESCRIl'TION (otlice "'" o!liy) LOr.t6BLOCK I ADDITION ~-h'pj J Cf-U1 PlD OWNER (}Tame)~:D u....Y"............ f"',,"".......... u.........o.~ (phone) _ O/~ -q85- 18 tV" (Address) 2ofuO Kev\i3K\b6e C:r Sr? l!1r, (Address) Lau~'llIe.., (Ciry) ,~i.-JU (Zip Code) APPUCANT O'~~ Genz-Ryan Plumbing & Heating (phone) 651-42.3-1144 (Address) 14745 So Robere Trail Rosemount. MN 55068 (Addt:esl (:;, (City) (Zip Code) (Contact Person). C.III JJ j/;f1 Izd { \ '-... C _, (phone) 651-423-1144 . I ".ICA.NTSIGNATURE (lJjl~ ~/l DATE 2--(D-O,+ APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from stru~-ture Type of sewer pipe. 0 ABC 0 PVC Estimated length of sewer line feet. Clean out (if required) located at feet from structure. feet. o Cast Iron ReSidentIal sewer and water Ime cOlUlection Sewer connection only FEE SCHEDULE S3S.50 Industrial, Com'l & MullJ-fanllly 1% of Job cost WIth a $39.50 mmimUlJ1 $1750 Water connection only $17.50 Estimated Cost $ Building Pennit # SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ ~D WDYH Bf!.OfiIL~G [O':r':)AIT , I 10m" u,. Only) I This Application Becomes Your Building Permit When Apprq".d Paid Receipt No. . ~- Buildiag Offici!! D... L"f11I:B 1 8 2004 By 24 hOQT ootic. foc.1I in'p.ction, (952) 447-9850, fax (952) 44'42~5 Feb,iO 200410:19AM ~ (€~1 .~.,.~tlV 0"'''" ',?~~~:!~:i~~h,,: HE; ""\~:\\\!';;~'" GENZ RVAN PLUMBING AND HEATING No,1198 P 9/9 Date Rec'd CITY OF PRIOR LAKE PLUlVIBlNG PERMIT I la1ue 'fi1. 2. Geld Cicy 3.YtllQ.... A.ppr~1 (.Please tV'Oe ortmnt and si9.n at'bottonJ:) AD/1LJ11 tJmd? fJd ~,(\ b- I PERMIT NO()tl1-. Om I ZONIN'G (office use) LEGAL DESc:RIPTION (office use only) LOT ~LOCK I ADDITION MfK-H (j J ~' PID . OWNER (N"ame) DR Ho):"ton CU6t:om 110mes (phone) (Address) %24<;?r:; -i8M 2.01;(,00 ~>1i3~1 b&:,. Co SI'::' iDe Lcdu_vrlk:.. HAN S6ci-! lJ APPLICANT (Name)-G......=Ji:e,"- P',,~,,<_g "--Ha.'<-~ (phone) <<;'_"'0_' 'L.b (Address) 14745 So Robert Trail Rosemount MN 55068 (j (Address) (' ~ (City) (Zip Code) (ConractPersOlJ) \//0 '}(j~ml L';. (Phone) 651-423-1144 r APPLlCANTSIGNATURE (1j~~~_ DATE Z.~/O-{)<I I Quantity I :;;L , I I I. I 4- I I .;z J I I. ~ APPLICANT PLEASE COlVIPLETE BELOW I Type of Fi.x:ture I Quantity I I Bath Tub with or without shower Rough-ins Dishwasher I I Water Heater I Floor Drain I ILr Water Softner 1 Lavatory (Bathroom Sink) . I' Stand Pipe (Washing Machine) Lauodry Tray (J or 2 compartment sink I Sewage Ejector Shower Stall I Backfiow Assembly Sinks BackfJow Assembly Test Bar Sink I Lawn Sprinkler Water Closet (Toilet) Other Type of Fixture FEE SLJ::UL.uULE Iodu,trl.l, Commerelal &; Mulo.famlly 1 % of Job eoS! with. $39.50 minimum ReSldennal, New One &; Two-Fanuly $99 SO Residential, Additions & Alterations $39.50 (Offic:e t1u Only) EstlJllated Cost .$ BUlldmg PermIt If PLUMBING PERJv1JT FEE $ STATE SURCHARGE $ TOTAL PERMIT FF..E $ 50~ADEl Wmi ~:y .';~ 'i1~,~r1':l r;:):r-r:'";~,~'.:l~T . . ___,"~\;...:' -':1'-,- ',;, D... I Paid I DflfB 1 8 2004 Receipt No. This Applic"t!on Becomes Your Building Permit When Approved By Building 0tl1ci41 24 hour notice for all inspections (952) #1-9&50, fa., (952) 447-4245 J J I I I I 1 I I -............--...-,"'"'.""'... PRIOR LAKE INSPECTION RECORD DEPARTMENT oSee Main File BUILDING AND INSPECTION SITE ADDRESS J 74 17 ~1::1f!_F::"'E1 J) ~ S".E'. NATURE OF WORK NEAl ('IJNrrltl,u:"r~6~ USE OF BUILDING Sot:":A... PERMIT NO. 04. 007 7 DATE ISSUED ~I/ CONTRACTOR D,~. ~IZD"). 1t.>C. PHONEm- 22~2.. . NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE , FOOTING : FOUNDATION (Prior to Backfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER 1 WATER 1 SEPTIC FRAMING INSULATION ELECTRICAL - PLUMBING YW/ _ L(~ 230(/ HEATING (if required) 1M!, '~/l C-I'3-v<-/ FIREPLACE '/L{ / h ~17 'Ill' GAS LINE AIR TEST . /1/ .~~-I)-(.,<., COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS YlIP (2. 11- [;- /S--CA- r 5,)7A<t GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUpy . , \~ e t?'~'~h k /-c . ~~ 7h~/Q,/, , 7/~~'/ M 7/9~y'. . d# 7/.?O/"'~ , 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 ______ CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS /7t((? fJc<,,()~1d OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: CONTR. PERMIT NO. .a PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL 4 C; IJ. Iy /)f DATE TIMe Li - :n-Cft/ 4-r7 o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o P WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector:<< Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ /NSNO" DATE nME CITY OF PRIOR LAKE f{'-/S-t:A1 INSPECTION NOTICE SCHEDULED I ADDRESS l7L./n 0t-r, ;;',:1 ,J. OWNER CONTR. PHONE NO. PERMIT NO. 1-f-7i o FOOTING o PLUMBING RI o EXIGRAD/FILLING o FOUNDATION )7MECH RI o COMPLAINT ~RAMING o WATER HOOKUP ~IREPLACE RI o INSULATION o SEWER HOOKUP o FIREPLACE FINAL o FINAL o PLUMBING FINAL ~SLlNEAIR TST o SITE INSPECTION o MECH FINAL COMMENTS: ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WO REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL 447-98 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! JNSNOTJ ADDRESS /7'1'/7 ,TE TillE SCHEDULED ~~~~ A~/;J~/d -d CITY OF PRIOR LAKE INSPECTION NOTICE OWNER CONTR. PHONE NO. PERMIT NO. c:P~/.-> 77 o FOOTING o FOUNDATION o FRAMING o INSULATION .".gFlNAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP ~~UMBING FINAL ~ECH FINAL o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI ~REPLACE FINAL o GASLINE AIR TST o COMMEN'JlS: / f/""Gf7lcCcI r~'l /4h-<- ;:b/dY' ~ //4-d 17:.; / LJi kc~e\c/~ eJ/:.C"c;- -(- 7-t:;S'~ - -- /jf/?kce.. hj.~/ ~, U'At e.- tZ? A"4",! -h;/ A ~) /f/;~i ~TU /'}.n ~r:r~;;;'- ~k -- --------~---.__...._--. ~ /7 ( .,..,..--~_'e. ~ORK SATIS~RY, PRoCEEll /ri ~ORRECT ACTION AND PROCEED o CORRECT W~RK' CALL OR REINSPECTION BEFORE COVERING Inspector: ~ ~ OWner/Contr: v CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. ~~ r;'/e_ ) -------- CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! """"', CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS /7Y/7 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION DATE TIME SCHEDULED ~~ /JPt?/ ~ // - d-- CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP :!~R HOOKUP ~~~~BING FINAL o MECH FINAL COMMENTS: /1/ / /",/6 p:.r 6/ "'9 "./ ex/'- 1'7 o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ~ / ~"->Gj7/ j,/ /' ~~.,____e ~/ / ? T?.s r- /'"1/ c./('-- 0/ ~K SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING ~ Inspector: OWner/Contr: CALL 447.985Q FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY! Il'ISNOTJ