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Home My WebLink AboutBuilding Permit 03-0068 (Please'!vpe or orint and sism at bottom) ADDRESS 14-12Lo CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec'd IJ.-II-OY I PERMIT NO'03- oO(p ~ I L White File 2. Pink City J. Yellow Applicant o I2-C\-\ 'Cw.l-D c..\(2...c.,L~ LEGAL DESCRIPTION (office use only) LOT I BLOCK ZONING (office use) ~/JO ADDITION ~c:.:not-..J 30 I TOWY'lSh,p 'Seo1\- C~ Ou......\:\-1-, \\ 5 J 12-CY1C\ c- 2-1 I PlOdY Q3o-rYiO"'(j OWNER (Name) ~("\-a alYv::~t...J I-~r;w---. lAJ \-\ (",E::-L-E::fZ-.) (Address) (Phone) jd 2 ..'t~3 "'Z-a6 BUILDER (Name) (' 1>\\4'~L. ~\~ +-\D'<"n1' ~ (Contact Name) FJ':ld \ r=--,. --!. \ \ \\ A ()T-:;J.-~ (Address)'~ l .-a\L..;" lJl'd~13I\JnI TYPE OF WORK o Misc. J!New Construction DLower Level Finish DDeck (Phone) (Phone) La IL/.L'1\ LL- DPorch DRe.Roofing QS2-. \f/A. ld100 lm2.... 10105, 32lY1 Un ':5 S{) Li-L-I ORe-Siding o Fireplac" DAddition DAlteration DUtility Connection PROJECTCOSTIVALUE (exc1udingland) $ '1 D1..: em.-- tf'lO?'-,fJD/h OD I $ Z (PSt.{. 'Is ~ $ 17lfS.Z-2.1 $ 2.01.00 r $ $ $ $ $ /00.00 100, tld 35. So t/4.0(J This Application Becomes Your Building Permit When Approved ~ -7tJr /~/i(P/dZ-- Date I Paid I Date 7 Z.OI. (., 7 '1-1S--Q3 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 y.vy.....) and that all construction will conform to all existing state and local laws and will proceed in accordance with d plans I am awar t the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may ( enterupo the pet;lyto erfo neededinspectiOn)s. ~5 ~ X r7_ae::) / IF Contrdctor's License No. Dat Permit Valuation Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee Building Official I Park Support Fee I SAC I Water Meter Siz(jJ9.I"; I Pressure Reducer I Sewer/Water Connection Fee 1 Water Tower Fee I Builder's Deposit I Other \(2.e€ bcPoSIT I TOTALDUE~O 1-/3'03 # # # # 1 I Rece~o, Bv "L . U $ $ $ $ $ $ $ $ 'Z-6o.oo "I~OfJ I~OC, Of!) 500.D() $'7.201. (p7 -, -1..591P .5 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 . :~~=~crtifi'"t;~fZ:~:o~li~emdallOW,cO=toco=:::;;=ateofoccupm~mu,,~ /-. Pl~niJ\g r~ctoJ' - '"U Date Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 SOLTON &. ~ENK, Consulting Engineers & Surveyors 1515 East Highway 13 · Burnsville, MN 55337-6857 Phone (952) 890-0509' FAX (952) 890-8065 INC. March 25, 2003 Mr. Dana Wheeler 14259 Shady Beach Trail Prior Lake, MN 55372 Re: Part of Government Lot I, Section 30, Township 115, Range 21, Scott County, MN Dear Mr. Wheeler: By this letter, and on behalf of Bolton & Menk, Inc" I hereby certi!y that on March 21, 2003, under my supervision, the elevation of the lowest floor of the house at 14126 Orchard Circle, in Prior Lake, Minnesota, was measured to be 915.2 feet (NGVD-1929). Thank you for allowing Bolton & Menk to assist you with this project. If we can assist you in any other way, please don't hesitate to call. Sincerely, I :\Y2002-1075X\T I 220899\E1cvation cen doc MANKATO . FAIRMONT . SLEEPY EYE . BURNSVILLE . WILLMAR . CHASKA AMES, IA . LIBERTY, MO An Equal Opportunity Emplover FEDERAL EMERGENCY MANAGEMENT AGENCY APPLICATION FORM FOR SINGLE RESIDENTIAL LOT OR STRUCTURE AMENDMENTS TO NATIONAL FLOOD INSURANCE PROGRAM MAPS O.M.B. NO. 3067-0257 Expires May 31,2005 PAPERWORK REDUCTION ACT Public reporting burden for this form is estimated to average 2.4 hours per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the needed data, and completing, reviewing, and submitting the form. You are not required to respond to this collection of information unless a valid OMS control number is displayed in the upper right comer of this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing this burden to: Information Collections Management, Federal Emergency Management Agency, 500 C Street, S,W., Washington DC 20472, Paperwork Reduction Proiect (3067-D257). Submission of this form is required to obtain or retain benefits under the National Flood Insurance ProQram. This form should be used to request that the Federal Emergency Management Agency (FEMA) remove a single structure or legally recorded parcel of land or portions thereof, described by metes and bounds, certified by a registered professional engineer or licensed land surveyor, from a designated Special Flood Hazard Area (SFHA), an area that would be inundated by the flood having a 1 %-chance of being equaled or exceeded in any given year (base flood), via Letter of Map Amendment {LaMA}. It shall not be used for requests submitted by developers, for requests involving multiple structures or lots, for property in alluvial fan areas or coastal high hazard areas (V zones), or requests involving the placement of fill. (NOTE: Use MT-1 forms for such requests). Fill is defined as material placed to raise the grade to or above the Base Flood Elevation (BFE). The common construction practice of removing unsuitable existing material (topsoil) and backfilling with select structural material is not considered the placement of fill if the practice does not alter the existing {natural grade} elevation, which is at or above the BFE. Also, fill that is placed before the date of the first National Flood Insurance Program CNFIP) map showing the area in an SFHA is considered natural grade. LOMA: I A letter from FEMA stating that an existing structure or parcel of land that has not been elevated bv fill would not be inundated bv the base flood. A - This section may be completed by the property owner or by the property owner's agent. 1. Has fill been placed on your property? ~ No D Yes-If Yes, STOP!! - You must complete the MT-1 application forms; visit http://www.fema.gov/mit1tsd/dl_mt~1.htm or call the FEMA Map Assistance Cente, toll free: (877-FEMA MAP) (877.338-2627) 2. Legal description of Property (Lot, Block, Subdivision) and street address of the Property (if different from mailing address): 3. Are you requesting that the flood zone designation be removed from (check one): D Your entire legally recorded property? D A portion of your legally recorded property? (a metes and bounds description and map of the area to be removed, certified by a registered professional engineer or licensed land surveyor are required) orA structure on your property? What is the date of construction? C::, - If - 03 All documents submitted in support of this request are correct to the best of my knowledge. I understand that any false statement may be punishable by fine or imprisonment under Title 18 of the United States Code, Section 1001. Applicant's Name: D \ . I f I t:lNa. V\J nee... er Company: Mailing Address: 1'I'~1v 19r<'-h..r'd. C;rcJe AJE Prior ["ke, HtV S5372. tbO-9~3-:25b6 ./ _ . \ I _ I " f' I + ' Fax No.: oal\Ja. wrw.€-IE'I@LrSrQM; y,AkI Daytime Telephone No.: E-mail address: (;,5/ - 77J{-qS7~ Signature of ApPV=d)LJ IwAu Date 5-'1-03 End of Section A FEMA Form 81-92, MAY 02 MT -EZ Form Page 1 of3 B - This section must be completed by a registered professional engineer or licensed land surveyor. NOTE: If an NFIP Elevation Certificate has already been completed for this property, it may be submitted in addition to this form. Applicable Regulations The regulations pertaining to LOMAs are presented in the National Flood Insurance Program (NFIP) regulations under Title 44, Chapter I, Parts 70 and 72, Code of Federal Regulations. The purpose of Part 70 is to provide an administrative procedure whereby FEMA will review information submitted by an owner or lessee of property who believes that his or her property has been inadvertently included in a designated SFHA. The necessity of Part 70 is due in part to the technical difficulty of accurately delineating the SFHA boundary on an NFIP map. Part 70 procedures shall not apply if the topography has been altered since the effective date of the first NFIP map [e.g.. a Flood Insurance Rate Map (FIRM) or Flood Hazard Boundary Map (FHBM)] showing the property to be within the SFHA. Basis of Determination FEMA's detennination as to whether a structure or legally recorded parcel 01' land, or portions thereof, described by metes and bounds, may be removed from the SFHA will be based upon a comparison of the Base (1%.annual-chance) Flood Elevation (BFE) with certain elevation information. For Zone A, with no BFE determined, refer to Managing Floodplain Development in Approximate Zone A Areas. A Guide for Obtaining and Developing Base (100. Year) Flood Elevations. The elevatiOn information required is dependent on whether a structure. or a legally recorded parcel of land, is to be removed from the SFHA. Item to be Removed from the SFHA: Icheck onel ~ Structure located on natural grade (LOMA) 1. What is the type of construction? (check one) Elevation Information Reauired: CcomDlete Item 4l Lowest Adjacent Grade to the structure (the elevation of the lowest ground touching the structure including attached decks or garage) Elevation of the lowest ground on the parcel or within the portion of land to be removed from the SFHA (skip to Item 2) D crawl space D slab on grade .Q!I.basemenUenclosure o Undeveloped legally recorded parcel of land (LOMA) o other (explain) 2. BUILDING INFORMATION Building Street Address (including Apt. Unit, Suite, andfor Bldg. No.): 1'1\:2." Or(h4.rd. C;.rc..le !-lE. Pr;Oi L..,ke, MN 55372. Property Description (Lot and Block Number, Tax Parcel Number, Legal Description, etc.): 3. FLOOD INSURANCE RATE MAP (FIRM) INFORMATION NFIP .community Number: I Map & Panel Nu~ber: I a 7 0 ":J.J. OOe> ~ C OOO;{ C ratJe- 4. ELEVATION INFORMATION (SURVEY REQUIRED) ;;! .,f' 'I I Base Flood Elevation'Nd /wa;/6/k . Lowest Adjacent Grade (LAG) to the structure ft. (m) Elevation of the lowest grade on the property; or, metes and hnl mri~rea 1o!t.o Indicate the datum (and datum conversion if different fro~GVD 2~ NAVD 88) Has FEMA identified this area as subject to land subsidenc..:. v. ...,........? 0 Yes II No If Yes, what is the date of the current releveling? (3)(m) . . . . This certification is to be signed and sealed by a licensed land surveyor, registered professional engineer, or architect authorized by law to certify elevation information. All documents submitted in support of this request are correct to the best of my knowledge. I understand that any false statement may be punishable by fine or imprisonment under Title 18 of the United States Code, Section 1001. Certifier's Name: ~'c.."'-ci :s ,It..)', ,I.,........ . ~".. License No.: \<\MO -~"" Expiration Date: If~~-#:'~ ,PV11.L!S / _? . ( ........ ",,- ~C> - Oy II ~ ...... ..... F. # !:I... ..~ ax No.. ~ ct'.. REGlS'T'EftED .. ~ '\'51..- f\"lO-~: ._.... t 1)\ ~: Io:P'nU'P lona: . Date: ~ . ~ . ,.. ~..1.&-o~ ~ ,-",!JR\'EYC!-l : ~ . ", 11840 ,I ~ ~ In '. ....;::;: ~ ~<>~"- ~...~A...." ~ ~<Ii': ..;<....' -.......4..... ~ , ~'I.t) . ~ Company Name: ~\~~~"- \.11\.'- . Signat . ......... '- J.-J . .'-. (See attached a~ listing for LOMAs)'~ Telephone No.: "\'b1.-<c,..o-oroc, I ----' . FEMA Form 81.92, MAY 02 MT-EZ Form Page 2 013 ~ 13'39 ULTEIG MPLS ULTEIG ENGINEERS, INC. 7635711168 P.02/05 iYJ'HI-:JoI q.t:"I['~.:1i. FARGO. NO BISMARCK, NO SIOUX FALLS, SO 52{Jl EAST RIvER ROAO, SUITE 306 PHONE: 763.-571-2500 MINNeAPOLIS, MN 55421 FAX: 7$3-S71-'16e WEB SITE: www.ulleiQ_com February 14, 2003 REVISED February 28, 2003 D & S Cement Company, Inc. 8091 Bagley Avenue Northfield, MN 55057 Attn: Mick Re: Residence under Construction 14126 Orchard Circle NE Prior Lake, MN Project No. 03-6456 To Whom It May Concern: The purpose of this letter is to report the findings of a structural engineering review of the surface imperfections in the foundation wall at this residence under construction. ASSIGNMENT Ulteig Engineers, Inc. has been retained to provide a structural engineering review of surface imperfections observed on the foundation wall of the residence under construction located at 14126 Orchard Circle NE in Prior Lake, MN as directed by Mick of D & S Cement Company, Inc. DESCRIPTION The structure is a single-family residence with a walkout basement and an attached garage. The foundation is constructed of cast-in-place concrete and the above grade structure is wood framed, The garage area is unexcavated with a slab-on-grade. BACKGROUND During the City Building Inspections Department's foundation inspection, several honeycombing conditions were observed. The City Building Inspections Department is requesting an independent structural engineering review ofthese conditions. EQUAL OPPORTUNITY EMPLOYER ..) 13:39 ULTEIG MPLS 7635711168 P . 03/0.5 oJ<:<:[ # 03-6456 <ebruary 14, 2003 OBSERVATIONS AND COMMENTS 1. A site visit was conducted by Craig Oswell of Ulteig Engineers, Inc. on February 13, 2003 to review the existing conditions. The following items were noted: a. The foundation walls and strip footings were in place at the time of the visit. The foundation walls were 8" thick cast-in-place concrete. The front and side walls of the basement were nine feet high, while the rear walkout and garage frost walls were four feet high. b. The concrete contractor reported that the foundation was constructed in accordance with UEl's 2003 cast-in-place concrete foundation wall master drawings. c. Preparation for backfilling was complete, but backfilling had not yet begun. d. The slab on grade had yet to be placed. e. Temporary shores were in place at approximately eight feet on center over the length of the foundation. f. At the full height basement wall along the front of the house, a diagonal line of minor honeycombing was observed. The area of honeycombing varied between Y:z" wide and 1" wide, with a maximum depth of approximately y.". The diagonal line was approximately 15 long. The aggregate was partial visible, but could not be removed by hand or by scraping. The honeycombing was more visible on the interior face than on the exterior face. g. At the interior face of the full height basement wall along the front of the house, a small void was observed next to a metal form tie location. The void was approximately 2" in diameter and about 4" deep. The void appeared to have been caused by concrete which fell out when the forms were stripped. The concrete contractor stated that the forms were removed approximately 24 hours after the wall was placed. h. At the full height basement side wall, opposite the garage, the base of an interior corner was spa lied off. The spa lied pieces were on the ground nearby. The spall was triangular in shape and approximately 6" long on each side. Some ice was present on top of the footing below the spall area. I. At the rear of the structure on the inside face of the wall, an area of severe honeycombing exists above the footing step between the full height wall and the rear walkout. The area of honeycombing was concentrated at the wall corner near the base of the wall. The honeycombing covered an area of approximately fifteen square feet. The honeycombing varied between %" and 1.5" deep. Pieces of aggregate could be easily observed and removed by hand. j. The site soil and proposed backfill soil are both sand. k. No significant imperfections were observed on the exterior surface of tile foundation walls. 2 .J 13:39 ULTE I G r1PLS 7635711168 P.04/05 \,..eIUClj~ .ojecl # 03-6456 February 14, 2003 2. The following comments are made in regard to the observed wall imperfections: a. The diagonal line of honeycombing is the result of extended time between loads of concrete. The honeycombing is minor and does not affect the structural integrity of the foundation wall. No corrective measures are required, b. The void is the result of prying of the form tie during the removal of the forms. It is possible that the concrete at this location was not cured sufficiently at the time the forms were removed. The void is non-structural, but should be filled as outlined in corrective measures below. c. The spall location appears to be the result of water or snow in the bottom of the forms which froze and "popped" the corner of the wall base off. The spall is large, but is non-structural due to the grade height and wall corner conditions at this location. The spall should be filled as outlined in corrective measures below. d. The honeycombing near the rear footing step is most likely the result of extended time between pours and inadequate vibration. The concrete contractor reported that the walkout wall was the first one placed and that the area above the honeycombing was the last These pours were separated by approximately 75 minutes. This was done so that the walkout would "stiffen" slightly and allow the higher elevation walls to be placed without the concrete overflowing the forms. While severe, this honeycombing is non-structural due to the grade height and loading at this area. The honeycombing is to be repaired as outlined in corrective measures below. CORRECTIVE MEASURES 3. The following corrective measures are required: a. The void and the spall are to be filled with either a non-shrink grout or an approved concrete patching material. b. The severe honeycombing is to be ground until aggregate can no longer be removed by hand. The area is to then be patched and resurfaced with either a non-shrink grout or an approved concrete patching material. PROFESSIONAL OPINION 4. It is my professional engineering opinion that: a. The observed foundation imperfections are non-structural. b. The foundation walls are structurally adequate and will meet the requirements of the Code once the corrective measures listed above are completed. 3 J.3 13: 40 Jjcct # 03.6456 February 14,2003 ULTE I G r'IPLS 7635711168 P.05/05 GENERAL 5. The information, observations, and opinions stated in this report are based on an inspection made by Craig Oswell. The inspection consisted of a visual walk-through observing exposed elements and those accessible without the removal of finished materials. 6. The observations and opinions expressed in this report are based on my professional engineering judgment and professional practice. 7. All construction and repair work is to be done in accordance with standard industry practice and the requirements of the Code. 8, No additional engineering was performed or requested for this project. 9. Please contact UEI if further distress occurs or is observed. 10, It is respectfully requested that the City Building Inspections Department perform an inspection to verify the corrective measures described above are performed. If you have any questions, please call me. Sincerely, UL TEIG ENGINEERS, INC. C~)O:~ Craig Oswell, PE I hereby certify that this plan, specification or report was prepared by me or under my direct supervision and that I am a duly Licensed Professional Engineer under the laws of the State of Minnesota. A Craig Oswe'tf Minnesota Registration No. 42341 ';?/'2-f-. /D;3 Date: 4 TOTAL P.05 .35 ULTEIG MPL5 7635711168 P.02/02 .~UL TING ENGINEERS SINCE 1944 .1 ULTEIG ENGINEERS, INC. OTHER OFFICES. FAP.GO, NO BISMAP.CK. NO SIOUX FALLS. SO 5201 EAST FINER ROAD,$UITE 505 PHON!:: 7G3.571.2500 MINNEI\POLI$. Ml><l $S421 FAX: 7G3.57,.,1S8 wee SITE: WIAfw.uJtaig,cor'l INSPECTION RECORD Date of Inspection: Client: Project: Project Number: Inspected By: March 20, 2003 o & S Cement Company, Inc. RUC, 14126 Orchard Lane, Prior Lake, MN 03-6456 Craig Oswell (jJ Craig Oswell, of Ulteig Engineers, Inc. (UEI) visited the site for a general inspection of corrective measures performed at this residence under construction located at 14126 Orchard Lane in Prior Lake, MN. Construction is to be done in accordance with the review report created by UEI dated 2-14-03 and revised on 2-28-03. The following specific items were noted: 1. The basement level is in place and the above grade wood frame construction is nearing completion. Interior finishing work was in progress at the time of the site visit. Backfilling has been performed. The basement slab-on-grade was not yet in place. 2. Three areas required corrective measures per the review report. a. The corner "pop-out" was filled with grout as detailed in the corrective measure report. b. The rear wall honey-combing was patched as detailed in the corrective measure report. c. The wall void next to the form tie on the front basement wall was filled as detailed in the corrective measure report. 3. This report is based on visual observation of the items specifically mentioned above. No claim, stated or implied, is made that all conditions were observed. EQUAL OPPORTUNITY EMPLOYER TOTAL P.02 ~~ White . Building Canary - E;nQ.ineering < "'lnK - ...,an",ng,-::> Thf ("tnlft of the L.kr ('ounll")' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED / ",,./ ......) The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /1/ '- Accepted V Accepted With Corrections Denied Reviewed By: Q..f<~ Date: \'19-02:> Comments: ,/~ J .~ ~ ~(~~~ tf-n~ CtfDV._-NiV ~~~ Ln /yL..nt'- ~ h~ INL p~~ p~ ~. "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," $~'?; CWhiie - 8ui~ Canary . EngIneering Pink - Planning Tht ('foler of thf I.akf ('ountry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ~/ / f/ti~ (f!/-!-u / . 1 I::J..--/I-OP 1/ {) I'J1 eS The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /1/I;;-fo //rcharrl a rrcl'e../ Accepted Accepted With Corrections t../ Denied Reviewed By: Comments: L0 Kr~ SSE: \'1 <?"fL/lrJ $ i (;;::J , 'St12-VfC-E: c::;HALL- ~ (U,pp~ , . /IIA- ( N I l"\ lNI\I\-' Ce ,..;T72.-CJ L- 1<3 s~ K-z> uS E: . /N f1ct.<:..C fJ~fO t2-c T~ -ou:r- 'Ptu>JeGf". AtJ1 f})(C-~ ,I A ,,'tJ,j ":30 1/ AL L . ~. rJ....Pr,'tJ '77\: N f'5.) (3p..,fU YpClTS. "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 "Buildin!,!_ ~anarv - t:ngilllferlng J Pink - PlanrullY Th..C..n'trof lh..l..b{'ounln' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED _/(.' ! -:- I, I , () ;)/ /_., .' '. .;1,-/ I; ) ,~..J..-" . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: J" ".- , ill ,J f L-" ~".... '~.'.' i-I i ! l'-e__/ Accepted )(. Accepted With Corrections Denied Reviewed By: ~J3 Date: I;} -/,f-O 2- Comments: See RevF!r!;F! Side for Adrlitinn::jllnformation! &L"n,'t)c, Vv4/1s r~V1 . J , J ' t.n." n '&LJ" Ert!J(ld... CI!>/l/,,,1 P.<- Il.o h'i)hi/ v Yl{i/I !xxl IS .J.1",,^ L.J 14.- - , /.... ~/t;/ t'. . See Attachmp.nt~. 1) Grac1ing Plan, 7) Fro~ion C:ontrol Measures "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." . .. jqll.6 ord.~ Gr Heating Contractor 0n'lt-;t"''''/1 ~/t;o7 29 g 7,/ /;?O 0 Job Address Name of Tester Date Percent O2 Percent CO ~ Percent C02 Stack Temp. Combustion air. is adequately supplied per UMC Sec. 606 Input ~ ~ 9:09AM No,6204 P, 39/39 Date Rec'd GENZ RVAN PLUMBING AND HEATING CITY OF PRIOR LAKE PLUMBING PERMIT ~ ~t... ;,..., I PERMIT NOv3 - &g I f?leue hp: or mint and si2n at bottom) ADDRESS; 4-1 &? &1 OVfLhayd ZONING\OfficcUfC) &-jr LEGAL DESCRIPTION (olllce use only) ,A,J....luON LOT BLOCK PID . ~=R ~ &i~ ~J0, (Phone)~c9-%P-foq6() (AddresS)!) q 9:..8 L Q fL( 1 Ii / (p, 87 Lld!- ~ JrLL~ ~~~ b(;.nz-- (~ (Phone) MEJ--.(-!o3--1IYV (Address) /Lj/)L/ ~ ,~18)~ 7?1 I:Dsc/ntJU-d- S~r; _(Address) (City) (Zip Code) (Contact Person) ~ / CLYne1/l:L IY) APPLICANT SIGNATURE .:: ~ I d-l --0 a QUaDtity .q I Q i.;- I ) ~r I ~-? APPLICANT PLEASE COMPLETE BELOW Type of Fro...." Bath Tub with or without shower Dishwa.sher Floor Drain 1 Lavatory (Bathroom Sink) I Laundry Tray (lor 2 compartment sink I Shower Stall I Sinks I Bar Sink i Water Closet (Toilet) , 'Type ofFixtDr" Rough-ins I Water Heater Water Softner S1and Pipe (Washing Machine) Sewage Ejector I Baclctlow Assembly Baclctlow Assembl. rest Lawn Sprinkler Other QUaDtity 3 I 1 FEE S'-J:U!.uULE Industrial, Commercial & Multi-famJly 1% of job cost wjth a $39.50 minimum " ',; Estimared Cost $ Residential, Noow On. &: 'l'wo-Famlly $99.50 Residential, Additions &. AJ~QllS $3950 Building Penn it # .50 &!, ~~'D \ f;;,dJJft*:';"" (""t ....""" ./,~:> :." f' ! ~, PLUl'vlBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ . ~) ~ @ ~ U ill ~ -'ll [. id .. eceipt No. l JAN 2 1 2003 ; I' - "ly (In/ ~ (Office Use O'dly) I This Application Becomes Your Building Permit When Approved l7!!'J;~ - I BuUdlnr omctol Do" 5y 24 hour n.tico for oU 'nspedl.ns (!I52) 447-9 ;50, fax (957) ""7-4;<45 9:09AM GENZ RVAN PLUMBING AND HEATING No,6204 U.l i OF PRIOR LAKE HEATING/AIR CONDmONINGIFIREPLACE PERMIT P, 38/39 Date Rec'd ~~ E,~, ~PERMITNOn3-GYI Q'1$>e lYE< ormiDt""d sIm atb_ml ADDRESS 0 - A (j'; '/~ J '-I-/':), &; V(lJr)(LV CI /LA' I ZONINGroffl<:e...) I LEGAL DBSCRlPTION (omce... ooly) LOT BLOCK ADOmON PID ~=R (!r!Ulif- (~t>I<<nJk; (Phonelf.j5B--,-/(PQ-hO;to (Addnss) '7Qtx8 lalc;JI(/fe /Blvd, {ahu./l,(h IlLIG - - , , APPLICANT L'..., II'? _' / c' :;:), ( / { / (N01"~' ~J)? -(CAfJ!)4.J (phone) ~~Ya..:J --I / t '[ (Address) /'-//)45 8 Ko/aeAA- I vi r05ema2U..:i ~~Q0K) (A~) . (City) (Zip Code) (Contact Person) / IJ"yy)~ _ Yh APPLICANT SIGNATURE _Y7/; l d- -I-od / APPLICANT PLEASE COMPLETE BELOW '" ., .~W CONSTRUCTION 0 REPLACE~ 0 AL'ffiRA TraNS FUWNACE MAKE AW MonEL ( ()n n 6!,J:~ :;U.oQJ; t.j..-/ d ft;Q3-S0 FUEL n tUt t?J z:tL) FLUE SIZE RETITRN OPENINGS / 7 UT IRQ! Z2f) OllTPUT 9,]:)../y'l) _ TYPE OF SYSTEM HEATING OR POWE~ l./(Q/xj D ~ - j}(Wann Alr Plaot$ 0 Steam PLEASE NOTE; ~Vity 0 Hot Water Air Conditioner Units :lMech8l)jcal 0 ~iatjon CllIIIIot Encroach into a- ~ir Conditiomng 0 Speci.l Devices Required Side Yard , ::JVcnt. System 0 Other Deviees Setbaek. FIREPLACE MAKE AND MODEL Industrial, CommercIal & Multj-P=ily FEE SCHEDULE ',', 1 % of job cost Rll$idontial. Gas Fireplace $39,50 minimum $99.50 Residential, Additions & Alteratlons $64.50 Residential, AC Only $39..50 Res.donllal, Heating & Ale (New Construction) Residential, Heating Only (New Construction) $39,50 $39.50 Estimatal Cost $ Building Permit # , HEATING PERMIT FEE .STATE SURCHARGE TOTAL }>ERMlT FEE $ $ if> /'>' 1.Q{r., ': .50 ~(fM!ice',Uu .on"') ~f~'~'~0i~.t~ . s:,;;<'i,>'/i$ AppJlcatlon Becomes Y OUl" BuUdiog l'el'1Dlt When A. e' " ~ Ie rl If; r~ if I Paid ate I -I Reeeipt No, 1I.lId.... OlIIei.1 Dllte . . la~_ . 24 hour notice for.1I in,pectiolllls (951) oN ...t~Dt I..... ~!:>4} 'I By !IV --'f ~l/LLIL~~j !!:~r ~~rf~~~~~~ .~ Z~~ .~.v~ r~~ OI'~~I~~~) ~~Ul'~r-: t:...'_'._ \. \ 4 \ vr rrt.l.l.,jl'l L..../\.t. '. ~ I~..\ I: (.,. 1;- . \.. .. ~/........'~ !u~"'Al't:. ~JJ. "''''' .-........ Luul ~J (~~p.ta R~:d ~'-In~ LO~OO 3-b&- ,...;.... IP~' ~) 1 '.1... C.", .', ,,' ;~Ai"~. ' . ' l~"'~ ""'.""" ',' '~"",:, CITY OF PRIOR LAKE SEWER AND WATER PERMIT F!Ye or "'., ~ atllocroml ADDlUISS \'-tld-L. Orc.hc.rJ C I'd ~ IlON1l'lCr~"",-;;;); I L.ECAL Dl!SCIUP'110N ,.IlI..... QOj~) I lOT BLOCK ADDITlO:-I T L'-fc;S l,st AJJ I -h"ry---..J PID IOWNl!It. , (Name) I (Adell..., ~y~H-v~ ( c; ;).() /....c...J:- ~ t::, l u ('...( CA4chul I APPLlCAm:. ,.. . : (N.m.). hc.dcv L. r.x ru.L.JC.Ju../,,,,' U . i (^d~.) f5~7 S- L,0 7o~ ..3tr ~ I (",,"",,( ( (Con..", !'eflon) S C. (\C.lL, ",\, tY\~ ! /o.1PllCANTS10NA'tL'Rf ~~ ~~ (Pr.one) J. ")(,, (.)1 (re fClt'/') qS..l...-Y'9~' YOU )- 'S Uy'-( cz;. C"l (phonc) ~v~7-7Y'-( - SS'S- L-C/7'I'f/c'%> .sS-c.J'-f6, '0,>,) (Il,~) (phone) / <-fl{ - ,'V 7/ DATI! _ r-.St.';)...-03 APPLICANT PLEASE COMPLETE BELOW Size of waCOJ socvie.o !:i.!:.- incMs, Location of Uly couplini' from l\r\Il;l\Il~ -==. roet. Typo of s.....er pipe. 0 ABC Q(PVC 0 Cut lroll E.:stimatod l.nilh of ocwo. lino SO feet CI.1Ill OUt (ifrequir.d) located 11_ feel fTom structure. Rnidcntb,J uw.r Il\~ WitIT' Il.n' ooMcatlon _~~,:rt<!!1\e'Crio" ~)' FEE SCHEDULE $J!..I0 Indu.tri.1. eM'1 '" Multi-family 1% of Job e<>JI willi. $39JO millmwn 317.50 W''''rGonncctlon ..Iy $17.10 ~~ .i:) ~(). ~t> ~Q ~>> ~-'Y ~~ IOmC'1t l.. 0.1,) . I _ _ I~>- Thl. "ppllml.. .e...... Yo.. Bulldln. r,""it ~.n App.o..d ~ ".~ ~ U~<iri ? I ....,.,..otlI.o., p...}! IYt'f-l ; 4 J,jSJ.~.rnlNLr/,...- - I 14 IInr n.Uc.. for 11Iln.p.cIiCln. ('S%) ;~;~91SO, ru (' '51) "q....IlERMIT ;/ 8f I V Estimated CoSt S 1).,00--- SEWER AND W ^ TER PERMIT PEE StATBSlJRCHARGE TOTAL PlRMrT nt W 3:'\;ld JX3 d390\;ll:l Bulldiol Porrnlt II -.. . s s s .ll! /"') SgsSt>t>LL0S ,1':" E00~/50/90 PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS NATURE OF WORK NfW ~1Lul' USE OF BUILDING S'L.jl.. PERMIT NO. 03-00;;: ~~~EISSUED ~"'L CONTRACTOR (,DU..E(,C C 1: t-r PHONE--"" . '8S.J 20' NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING VJK ~~ ~/'bCD3 * ~ ,. t/JBle3 I FOUNDATION (Prior to Backfill) I lNf' I y S-(f3 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS fI/~ 0"/,<.,'""' ~ SEWER I WATER I SEPTIC FRAMING ~~ INSULATION ELECTRICAL ~ PLUMBING t~~~~.,- HEATING (if required) ')<K \- '1-..JL~y FIREPLACE ~ - . GAS LINE AIR TEST \~~ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ISTIA(.(/JltATH~/~~lta rn~ I , , FINALS /AI (/ "1 , OJ 7- tJ.:]' . /J11~ 1c:1 /J!i ~ leG /"~A /r"" ' Z:;'~ t.-ill"l--It/ 2, t:f;'l.-k73 GRADING (Prior to Sodding) BUILDING V\~I',~"i;'.MA L '- - ELECTRICAL rtlU PLUMBING ~ . HEATING I!\NAM~ r9v1 ~ ~ DO ,NOT OCCUpy UNTIL ABOVE HAS NOTICE (,tft(;~ at i~till 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 ~- QI:etfificab of @cmpancl! CITY OF PRIOR LAKE ~tpZtdmtuf of ~ltilMug Jlusptdiou iXFinal Permitted C Conditional C.O. Expires _ This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the CityafPrior Lake regulating building construction or use. For the following: Use Classification SINGLE FAMILY Bldg. Permit No. Occupancy Type R3 Type Construction VN _ Fire Zone :,( A _ Zoning District 03-0068 RISD Legal Description Ll. SECTION 30. TOWNSdIP 115, RANGE 21, SCOTT COUNTY 14126 ORCHARD CIRCLE Site Address Owner of Building Conttactm',Name&Addcess COLLEGE CIT): t19)jES, 7920 LAKEV1LI.E BLVD.. ROBERT D. HUTCHINSV J/I/r . City Plann,,_ DON RYE (!1~il'tng/;'ftal Oat" LAKEVILLE 55044 I Date: CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS /4/2-(,; (Yc!cv,} L~ 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 COMMENTS: ~ <t1~ - at' - Irff t:; r';J1 rhe"..-!- r; ~-{~':S ---- /' /" / J-- \. L......-l .:>~ "--- DATE (O -~ .Clf "J- ()) ''i' o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ff1A<..s~v......d.. 7~0 r t \U ) ~ a-WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL F REINSPECTION BEFORE COVERING Inspector. OwnerfContr. CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! fJ, f efri ~ S~EOULEO ~/b/l13 t:~o I,L--/I:w ("'")I/t ~'\.A/'A ('J~ It . CITYe.!' PRIOR LAKE ",INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~ FINAL 16 SITE INSPECTION DATE TIME CONTR. PERMIT NO. :=5 -(;., f0 o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ~ MECH FINAL o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS: ~ ~;vn.Ll='vv...V r~ +-412f<- - ~O,-U~ :.?-v ~"?l/~. . c.. t-F),. - /-t- ~. -< J.O- C~G~ ,- ~~ (- ~qk~~~\~~ 1o{:.~~O_ ~<r ..-dl_~ It^ A''f)~. l~lI\; .' .,.". dr7';;;"~ /'J-v\ - fA '2 Rj{~~' ~.J- ..- ~ %< v1~.r .. 'If.t.:~~. _ v.\,U.A ~ .", ~ vt~ . - . ~Vt ~~/ .7'. ~e",'1.otl r2-. .u/\ ~. ^ o WORK SATISFACTORY. PROCEED -, \\,'tev~V\V\.~..&... [J CORRECT ACTION AND PROCEED ~ORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING. .KU Inspector ~AJ..P_ -Owner/Contc ~ i1...~ t>'->\ CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. K ~jC:;;::ON~:r;i~5 t.?/~/83 &rhvJ, ~ r ~ .?--' ti 6- CITY ,OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS l LLL 1k OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING ~INSULATION ~ FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL if MECH FINAL DATE nilE tLl.o ----'~-f9C6 o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: 38. r(,Wk ~~t<.. /"~ ~~ IM~ . / d- ~~/'\D &e~kc:::.. V. -/~.IV~<- M FWI<- ~ _ .I~/\~W\O~..~_ / Cl&' P ~h.<' L,J:1,~ . _ ~ --~/ f.lu&1u ",,/1.0 ~1'(- ~YL;-;~I*~~~ 1.'V1 / ,/~JL.I ,..,__ ~- ,;~ - ~v .<"rVl"..u.>e-1 '1 ~&t.d / 1 . &f../~ _ ()/J/"kjV . :<;~ ~,,~ p.~ . ~~. C~~ f~:u:~ ~(' t?_ ~/( ~t9t'W\ /7 r 1~.~~.(~LM0\. W ~.uQO r~AA.<: A-1/\ ~Q o WORKSATISFACTORV, PROCEED- . . ~~ o ;:ORRECT ACTION AND PROCEED IIlf CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector~JWf' Owner/Contr: I{Lf7~ '1~7)'/ CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! j'~~~ b t, ~~J 'L1 ~ ~ ~t$~ tKo' ~V" '1I11-'S ~ ) , _ DATE t 11.:/63 ~~~~ CITY-OF PRIOR LAKE _ INSPECTION NOTICE SCHEDULED ADDRESS ?L/121o OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ;1' FINAL Ib SITE INSPECTION o PLUMBING RI o MECH Rl o WATER HOOKUP o SEWER HOOKUP ~ ~MBING FINAL rECH FINAL TIME ;?-(..,f) o EXlGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: / ./1 ^ ---- 3!!J?L ry\.C~~~ \IR~' ~ \ (\, Vi-1../LA1-\. ('~ f..i.~ - ~L~~AJ /' ~n,.,il>{-~4y- c.- ~, Se~ +- fA ~ fJe/v1A.iY /~r'/.~ 5-Mt"~ /~ M~~~' ~~-_ ~ ~ ""Sf 1f::l~i'~ ~LJ.ilA-~' LL.c~ C4->/"n~L-'~ b1 ~J..I!~ (~!~!"~ at). ~~t ~-.dL ~ <f*L-~ t- O WORK SATISFACTORY, PROCEED ~ ~S .- o CORRECT ACTION AND PROCEED ~ORRECT WORK, CALL FOR REINSP~'7Ll7~ f;6t{ Inspector: ~ Owlr/contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. ''''".m CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETYI ADDRESS f,L{LZ-<t DATE TillE SCHEDULED ~ /,3 ! 0 s ~~'.ft ~-tM.D CITY OF PRIOR LAKE INSPECTION NOTICE OWNER CONTR. PHONE NO. PERMIT NO. ') -tJ<cf., o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP k 0 SEWER HOOKUP ,II! PLUMBING FINAL o MECH FINAL o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: cz>,~ Owner/Contr: CAll 447-9850 FOR THE NEXT INSPI'CTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY! uaNOTI DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED WJ7/aJ ::;:00 ADDRESS / 'i I J(, 0 re,k.rtl c,rd ( OWNER CONTR. Co!l:a, C, 'j. ( 1-10/11(') PHONE NO. PERMIT NO. (j 3 - 00 b ~ o FOOTING o FOUNDATION o FRAMING o INSULATION O!I"PINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL :JTE.Y~ILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: bruAfJ - of( Lulb !2,,,;.- nit , ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspedor:$~- OWner/Contr: ..- - CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME SCHEDULED ~l'u~t):5 (~('I J;;' 00 ADDRESS fHL~ OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING A INSULATION FINAL o SITE INSPECTION CONTR. PERMIT NO. ~~~g o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ;I MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: ~(' AI ~re.,,;-/~~-t:-U~ ./--. -tA n . ' :5 ~. I:M~ - )/"'I1A~- ~1~~~-' f>~t',,,,,"- L.,f - 'A1.1 t~ (Ur-,s (Y~~8?l ~. ~_ (~_~. .J '0\'~ /A_ - , ve-v\ tJ! ~t L to Uhr-rr - ~..if'~ o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED 00RRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~/1 Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI lNS/iOTJ