HomeMy WebLinkAboutBuilding Permit 03-0989
7 - / -3
PERMIT NO. 05' ,ore-r
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File
2 Pink City
3_ Yellow Applicant
Please e or rint and si at bottom
ADDRESS
n 2 7 ?'J L0, Ide, fl<'J'S
LEGAL DESCRIPTION (office use only)
-1
LOT LBLOCK ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
Date Rec'd
ZONING (office use)
jqJ
5"~ 310' (A
BUILDER \l) 8, ~ d "L\.
(Name) _ O. 0(\ c.
(Contact Name) ..(! v-.t/ e ~ ,'l-/(! W\
(Address) 2-0'2><00 k.'r-Io"'~~M- Hz. (DO
A.. A't. 7l
(Phone) Cj C;7--'l Il!<;-t eu'il
(Phone) qr;,Z-Z-zk-13?,<{
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 official or a designee may
ente on the property ,to perfo eded in pections.
X ./~
TYPE OF WORK
~ew Construction
ORe-Roofing
ODeck
OPo,ch
DLower Level Finish
D Fireplace DAddition DAlteration
PROJECTCOST/VALUE (excluding land) $ I X
o Misc.
~')llo9PC;-7
Contractor's License No.
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $ -
Sewer & Water Permit Fee $ -Sl>
Gas Fireplace Permit Fee $ -
Park Support Fee
SAC
#
#
Water Meter Si 5/8 ;1";
Pressure Reducer
City SAC and WAC
Water Tower Fee
#
#
Builder's Deposit
Other
TOTAL DUE
ORe.Siding
DUtility Connection
~z.~-t'a
Date
$
$ /
$
$
$
$
$
$
$
--
~.f'7
I Paid
Date
f?flf] . c; ~
17<CJ;
I Re(}.
By ,
omes Your Building Permit When Approved
7- ))-03
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
'hen sign y e Ci P er constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
ued.
7-l-J.--n /lc.c! 4f( Yld~'~ <oJ f-}...dooJfs
Date 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
~~
~e .B~J
anary . Engineering
Pink . Planning
Th~ C.ol.. of th. L.k. ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
b R Norh,J
1- /-tJ3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
//}d73- JL/~~
v---
Accepted
Accepted With Corrections
Denied
!Ia fl-f~
R"'4~ ed/ lIo1.s
Date: 7-),2-07
I-/-.f.-,.,J tJ.J+ ~
Reviewed By:
Comments:
..L
"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."
~~
White - Building
Can...y ~ IiRg;n~g
(pink - Planning
Thr Crnln of lhr I..kf ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L 1\
c/... -j..-/., /
( . '-- 1"../
?- / - ()--~.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/)
.
.. -
!
I i
.' -:../. / <-~.
Accepted
Accepted With Corrections
~
Denied
tI11~
R-t'42 q 1/ IIdtr '.5
Date: 7-)J.-()7
..L ~JtJ~1',
Reviewed By:
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."
White - Building
r ..~n..o:y ;;~~~;;:~ jng.-::>
Pmk -
Thill ClI'ntn af Chf I.ab COu.lry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L) /,-,,'
. , .
,. ,,' .' / /
.' '7 (.' {'rU )L.-'
I. I ~
",.._ _ ,/1 -'0
. ' ~,"^-,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
//777 ~' -
/ )' ~7 i.1
, .
"~.. . .
'... / i ..iA:~~::C...
" "f
,-
-i ,-)<., 'l,{l 4/ <::~~> 2--::::.u..-~:~
Accepted X
Denied
Accepted With Corrections
~4+ Date: ~fo~
See Reverse Side for Additional Information!
Reviewed By:
Comments:
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
"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
..
Heating Contractor
Name of Tester
Date
Percent 0,
Percent CO
Percent CO,
Stack Temp
. ,,,..-.,,^. ,..,.-..-..---.,..-...............,
~ \ kIlD..I ~
J 71.73 IV- (.
A~ \ ,.;,j: ~ aA
V't \1en. ~
1\/r~
q.t.:>o/O
~ pr~
~ . S- 6~
-407 0 F
Combustion air is adequately supplied per
.
UMC Sec. 606
input
tOO K. .
"
Jul. J. 2DDJ 3: iJAM
GENZ RVAN PLUMBING AND HEATING
No.0405 P. J J.
€~:
(;.t.~.~)i,,\"~.'N~'E..SO"" I"-
--~~l~~~~~w,~
_*,,:IM~..
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERlVIIT
] BIlle File
1. G,:,id City
). Y~m- Ap"IlCll.I:U
I PERMIT NO. ~~ CJ6-Gfi
I
ZONING (olEw",o)
le~e e or t and ~ie:a at hottOE1l.__
ADDRESS
3--16 WdriLYLVleSS Tl2J.
-.
LEGAL DESCRll'TION (office use only)
LOT.;z BLOCK ADDITION /k),j(.n dd
Pro
OWNER
(Name) DR Hort:on Cust:om Homes
.
(Address). 2.Oi,wo V-eV)J?,It'~I1)&... C, Sre /DO
(phone) 902 - q i] f.) --7'2DD
udu.villG MAN 5coLl L/
APPLICANT
(Name) C^lH Pl'nl PJ"lIlr;~::-: " "'A.,ti~B
(Address) 14745 So Robert Trail
(Address)
(Conract Person) ~ v.L/~tJ ~~
APPLICANTSIGNAT'URE 0A~ '-fah/1
(Phone) !;,'_h1< 1144
Rosemount
(City)
HN
55068
---
(Zip Code)
_ (phone) 651-423-1144
DATE tJt.- 7 ~ ';:3<0 '3
Quantity Type of Fixture .-~- T)'pe of Fixture
Quantity .-
"A Bath Tub with or without shower :5 Rough-ins
I Dishwasher I Watf:r Heater
I Floor Drain 1 Water Softner
i'5 Lavatory (Bathroom Sink) I Stan.d Pipe (Washing Machine)
I Laundry Tray (1 or 2 compar1ment sink Sewage Ejector -
I Shower Stall Backflow Assembly -
I Sjnks Backflow Assembly Test
--- IBar Sink - Lawn Sprinkler -
'I) Other
- Warer Closet (Toilet)
APPLICANT PLEASE COMPLETE BELOW
FEESCBEDULE
Indu.snial. Commercial & MultJ.-farmly 1% of job cost wIth a $39.50 mjnimurn Re.-;identia1, New One &. Two-Family $.9950
Residential, Additions & Altorations $39 50
estimated Cost $
Building Pefll1lt #
PLUlYJJ3JNG PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
50
,.
PAID WITH
BUILDING PERMIT
(Office US( Only)
This Application Becomes YOUr Building Permit When Approved
Buildlng Omcitl
Dnt(!
- ,-;' I Receipt No
\li It
24 honr notice for.J! in'pcotions (952) 447- 850. fllJ( (952) 447A24S
By
m No 0405 _m"p
J II!. J. : 0 0 J
9i6Aif'GEIE RYAll PLUMBlljG AND HEATIIIG"
Wy~R10.p
€ LJ~<~
:,~,~""'"
~,'!\\"'\\',\'!:~:l'. .
',!i(:'.\i'f,\":: .'
\'';t~~~W}'ilj(.tr,.,~, 0
, 1
" J
Date Ree'd
CITy.oF PRIOR LAKE
SEWER AND WATER PERMIT
lea::e e or . ta.ndSl
ADDRESS
arbotIXlJD
/,'""/ Y1 I .
tIll Ss JVl
l ~w g~.~- I PERlYllT NO. j - Cf 8'1
J, ("..:lid Apt\!Jeaoc
ZONJNG (~ffie<: uu)
LEGAL DESCRIPTION (office use only)
LOT ,;L.BLOCK I ADDITION ~ dd...
Pro
OWNER
(Name) nJ? l;lort?p (".tom lloJll~.
(Address)
20&00 kinBK\1X::e Cr Sr... It\l\
(Adshess)
APPLICANT
(N~~ Genz-Ryan Plumbi~g & Heating
(Address) 14745 So Robert Trail
(Address)
t01~(,,-h
(Contact Person) '.
~.ICANT SIGNATURE
(phone) _
La~\jllle.-
(City)
952-QgS-i8Ofj
'SW-J4 I
(Zip Code) =J
(phone)
651-423-1144
Rosemount. MN
(City)
(phonc)
55068
(Zip Cod<)
DATE
651-423-1144
,- 3-0:2:,
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of allY couplings from structure _ feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line _ Jeet.
Clean out (if required) located at feet from structure.
Remdential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Jndustrial, Com'J & Multi-family ] % of job cost wl!h a $3950 minimum
$17.50 Water connection only $1750
Estimated Cost S
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office U1l!: Only)
This Application Becomes Your Building Permit When Approved
Buildin,g Official
Date:
--'-""
$
S
$
PAID WITH
BUILDING PERMIT
.50
Receipt No.
!\~ [g L~ U ~U lL,\n\
. ate ,.[ By
l
24 hour Dotiee for all in,pcction, (95:!) 447- 50, fax (952) 447-4245
By
SEP.ll'2003 06:14 651 633 8884
FIRESIDE CORNER
#2692 P.002/006
Date :Rec'd
CITY OF PO~ LAKE
HEATING/Am CONDm~ " GIFIIlEPLACE PERMIT
FIRESIDJ9:w ~~ium I PERMJTNO:~_ root I
HEARTH&-
17273 WJJ.DERNESS TRAIL SE
nt and si at botrom
ZO~G (offio: u,.)
I.BGAT. DESCRIPTION (office",. O1Ily)
LOT
BLOCl<
ADDITlON
PID
OWNER
(Name D RHORTON
(Address)
(Phone)
APPUCANT
(Na.me)..-ll~.JJ1illW2f ORA FlRRSlP1UjFARTH & HOME
(phone)
651-633-2561
(Address)
2700 NORTH FAIR VIEW AVENUE
(Add"'..)
ROSEVIT-T_E
(City)
55113_
(Zip Code)
(Contact Penlon)
BRENDA HUSTON
(Phone) _651-633-2561
APPT-lCANT SIGNATURE
BRENDA HUSTON
DATE
9/11/03
APPLlCANT PLEASE COMPLETE BELOW
xO NEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE STZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM BEATING OR POWER PLANT
DWllInl Air PJaJ'lt!< DStcOlTl PLEASE NOTE:
DGr~viry o Hot W3tcr Air Condit.ioner Units
o Mechanic,] o Radiation Cannot Encroach into
OAir Conditioning o Speci,1 Dcvices R!:quired Sidc Yard
Ov cnt. SystCTl1 o Other Devices Setbacks
FIREPLACE MAKE AND MODEl. HEAT 1'1 GLO SI.-750TR-C
Industrial. Cl)mmcrcial & Multi-Famil)'
FEE ScrfEDUl.E
I % of job cost Residcnti~l, 0.. Flreploce
$39.50 minimum
$99.50 Rcsldent;.I, Additions & AI""tions
$64.50 Residentia.l, AC Only
Residential, Heating & NC (Ncw ConslnJC1jon)
Residentia.l, HC$I[ing Only (New Construction)
r::sr.imatctl COSt $
HEA TfNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit II
$
$ C'
$
(om" f)'e Only)
Thi, Application Becomes Your Building fJi'tlllidrw,l\J!ItNml'f'i/i9", /0
Builder Dlvisi Y
'( euildln.om<lilO Fa.irview Avenue North RoQuijle, MN 55 J 13 ho c 65 J -63 - -. -8884
3850 West J Ij~hway I Bumsvll e, MN 337 P ,onc 952-890-0758 Fnx 952-890-54{)8
2~ ho"r notice for allln'Deel;o., (952) 447-9850. f~. (951) 447-<1245
l'"O'I'w,jjMlr:lc:"~n.~"'nl M~ ("'l'II'h"il~!tlr Ut,eD'~ ~ '16iJ~lJ'11
$39.50
$39.50
$]9.50
SU;I.~-4ID ~
1'I1IG' 77"1.;
,o~
'9411.,.
eceipt No.
PRIOR LAKE
INSP,ECTION RECORD
SITE ADDRESS I~ Wi/J:le~r~e.SS ~
NATURE OF WORK
USE OF BUILDING
PERMIT NO. ~-()~1 ~ DA!~ISSUED "
CONTRACTOR --LJ.Ji~"" PHONE ~-- _ - (;31(
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
I FOOTING \Iv{> f " J-q- r&
I FOUNDATION (Prior to Backfill) I Vl;V/ I ~r 7-11)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING l(J, '0' /(,r!"> -!9-dJ
HEATING (if required) -L.-~-U3
FIREPLACE q-Lf'-(I)
GAS LINE AIR TEST ~ -l.-~-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~7.XI-
&"Ai-d)
,i=d3
q -)j1~C13
GRADING (Prior to Sodding)
BUILDING 11 I &,~/-D"\
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
~\; \~ tift?;
1l.rC"V
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
DATE TIME
SCHEDULED
/7273 W/u:JGIVl/GSJ 77(.,V.
OWNER
CONTR_
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
COMMENTS:
PERMIT NO.
3 - 98 9
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
5/'
I
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
e/
--~--
~ORK 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!
INSNtm
DATE TIME
CITY OF PRIOR LAKE ->~ /
INSPECTION NOTICE SCHEDULED 1''-7''- y
ADDRESS /7,2;7.3 t.-c/; .,u;"x ~..lT fr
OWNER
CONTR.
PHONE NO.
PERMIT NO.
O? .. ?ff
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
FINAL. .
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADtFlLLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
c12 ;/0 ji ~
I ~ d f;h~ ( rPci.
~
~~A..)te /
~~~, c:o t'J'l-;!/~ q~
/
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~RECT 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/
uaNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
/)-f-03
ADDRESS
nJ- 73 tN-;/~J.,.rrl"'~ 1-- I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
fiT FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
ji"1ftECH FINAL
3-qg-q
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~ ~~~ I ~~ ",-OVA ~
J.-) 'C( ~ ".....~.~ 'r',... ~ ".,lcp~'-1T-
rj rlA1p ()Aj-,-/ g--_/-,.')~_
o WORK SATISFACTORY, PROCEED
;/# CORRECT ACTION AND PROCEED
o CORRECT ~OR REINSPECTION BEFORE COVERING
Inspector: OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
uaNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE Tille
CI1Y OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 7 -Zt)-()'j
ADDRESS / 7 Z 7 ~ 'vt///d,vlU. f 5 jd
OWNER CONTR. D. ;? H,v/o-,
PHONE NO. PERMIT NO. 6 ~- Dq ~l\
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~L1NG
o CO/lill:AiNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
6r~- r9K-
c.ft"~ ,'S(J;L - c:> lC--
~RK 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!
"""""