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Home My WebLink AboutBuilding Permit 01-0045CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please type or print and sign at bottom) ADDRESS Date Rec'd tz- 7- O0 PERMIT NO. ZONING (otnce use) LEGAL DESCRIPTION (otlice use only) LOT BLOCK ADDITION PiD 7~5 - 370 - OWNER (Name) (Address) (Phone) BUILDER (Name) (Address) ~,.9',5~'~ TYPE OF WORK gNew Construction [~Deck [-]Porch ~]Lower Level Finish [] Fireplace []Addition ~]Re-Roofing []Alteration [-]Re-Siding 7-]Utility Connection [] Misc. PROJECT COST/VALUE (excluding land) I hereby certify that I have fi~rnished 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 ail 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 '~ Signature Contractor's License No. Date -Permit Fee Plan Check Fee State Surcharge -P enalty Plumbing Permit Fee -Mechanical Permit Fee Sewer & Water Permit Gas Fireplace Permit Fee Park Support Fee # $ ' ~r~C~. ~ SAC t,I Water Meter Size 5/8"! 1"; $ I ~'. 1~ Pressure Reducer $ /~'1 OD Sewer/Water Connection Fee # $ [, ~2{D~.~ Water Tower Fee # $ ~ qO0 Builder's Deposit $ I . .l~"O{~),{~{~ I Other $ TOTAL DUE /~'Zi,'~/ $ Zq This Applicat}on Becomes Your Building Permit When Approved /t..~fl'~](N-" 12'11-2~ Paid ~'//~ j~. ~ Receip t]x]jt~ .~J"~;~ "rB~j~ingOfficial Date Date /-3t~-,O] By /q~v"~ This is to cerfif~ that the request in the ahove application and accompanying documents is )1 accordance with the City Zoning Ordinance alld may ~oleed 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~~ . ~ 24 hour notice for all inspections (952) 447-9850, fax (952) 4474245 White - B-ilding Canary - Engineering Pink - Planning 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: Accepted Accepted With Corrections Denied Reviewed By: Date: 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." ~hit~ - Building ~anar~ - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST APPLICATION RECEIVED / ~"-- 7'- O O The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted Denied Reviewed By: Comments: Accepted With Corrections Date: / Z. - / / - 2o~-.~ "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." 01-oo4~ Whit~ - B-ilding Canary - Engineering Pink - Planning BU~LO~.G .ERU~ A.PUCAT~O. ~EP^.TME.~ C.EC,~UST NAME OF APPLICANT /~). APPLICATION RECEIVED / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: _ ¢-;7 Accepted V' Accepted With Corrections Denied Reviewed By: L/---/-- Comments: ~ ~(~/~::~- Date: /- / "7-¢/ "The ~ssuance 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." DEC.80.8000 1:~IPM GENZ RYRN 6513225147 J CITY OF PRIOR LAKE · PLUMBING PERMIT N0.640 P,3/5 Building Pemlit # O.I- ~)~ ~'~ PID# NOTE: This pen~it w. ill not be pro=essed w~thout complete information. FIXTURE UNITS QuanlJty Type of Fixture Quantity Type of F'~ture ~.. Bath Tub with ot without shower ~ Rough-ins ~ Dishwasher I Water Heater I ~or Drain Water Soltner t~ Lavatory (bathroom sink) I Stand Pipe (washing machine) .., 1 L~undry Tr~y (1 or 2 compartment sink) Sewage E']ector Shower Stall Bac~ow Assembly (RPZ, Double Check, PVB) ~ Sinks Beck'flow Assembly Test Bar Sink Lawn Sprinkler i ~ Water Closet (toilet) Other FEE SCHEDULE .. Industrial, Commercial & Multi-Family {1% of job cost, $.39.50 minimum) Residential, New One & Two Family Reslder~tiaJ, Additions & Alterations State Surcharge Of thc S~ ~umbing C~~dmen~ ~cr~f. C~I for ~1 i~c OhS 24 houri in advance. 16200 Eagle Creek Ay. S,E., Prior Lake, Minnesota 55372 / Bb. (612) 447-4230 / FAX (612) 447-42~5 An Equal 0p~onuait7 Employer SEWER AND WATER PERMIT NOTE .' Sewer and Water contractors must be .registered with the City. ADDRESS :lq~U~ ~ ~-~T ~- ~r ~ DATE: SI~AT~ tl 1~~, .,~BLDG' PE~IT $~7 PILL 1. Zstimate~ length of water 2 Size of water service 3. Location of any couplings from s~ru=ture 4. Type of sewer pipe. ABS~ PVC ~. Estimated length of sewer line_~__ 6. Clean out (if required), located at structure. feet from FEES: $ 3S.O0 Sewer and water line connection permit. $ .S0 Surcharge $ 35.50 TOTAL Fee for either sewer o__r water individually is $~0.00 plus $ .50 surcharge. DATE PAID RECEIPT ~ Sewer and water permits issued for new construction ~ust be recorded on the buildin~ permit card at the time of issuance to insure that no duplicate sewer and water permits are issued. AMOUNT PAID o~\~ ~ ~ ,,, . · 4629 D~em S~ S£., P~or r~ M~n~om 55372 I ~h. (612) ¢474230 / F~x (612) 4474245 CITY OF PRIOR LAKE Prier Lake, MN 55372 HEATING APPLICATION/P.E.R M_IT HeatrngC~n~"aciet ALLT~D FIRESIDE dba 'FIRSSZDE CORffER Telephone # 651-633-2561 FIREPLACE ~.a~ Make & k, todel Model Sf'z~ ~' (-.- Conn. Lead Fuel ~1~ Flue Size Supply Openk]g~, ~ _, Return Openlege t. output Ed~. Cfm. TYPE OF SYSTEM Warm Air Plaints Gravity Mechaoical /~' Cond~ieaing Van1, System. HEATING OR POWER PLAr'~T lbeam .. . Hot Wats! Special Oevica s Other Devices A[terMione . Repair. Est. Cast $ HF_ATIN~ PERMIT FEE $. STAFF_ SURCHARGE $. TOTAL PERMIT FEES $. TYPE OF WORK Rephcemenl New Construction co,.p. Oats //-q- al .5O Race[pi # Pa, ID WITH .BUILDING PERMIT TYPE OF STRUCTURE Slngte Family Two-Fam~ Commem~l lnu~eJ MullI-Fam~/ Public Olher Fee Schedule 1~% el job cost (S39.50 mh'~'mum) $99.50 $84.60 $39.50 $39.50 .$39.50 Remember to add [he Slate Surcharge on the b~tlem el Ibis appr,~ca[fi~. H ~e p~ al ~ heal~g ~ I~s O~ ~ and ~e ~1 ~ m~ House Heat[ag Tesl Record must be submiUad with J~ ~ lng cerEEcate el accupancy ~ ~ ~u~ H~T ~LCU~TtON~ ~ w~h ~e~ o1 s~ a~ ~m mom w~ CFM's ~r ~e~ N~ st~ ~r ~e e~d ~ plan ~d tatum t~a~nt e~. H~T LOG8 CALCU~TIONS, PA~E~ APPLI~TIO~ MAY BE ~ILED ~THE CI~ OF PRIOR ~KE, t~ ~GLE CREEK AV~ ~. P~ ~E, MN ~, C~ly H~I bus~n~ h~rs am B a.m. - 4~0 p.m. ALL WORK MUST 8E INSPECTED [ROUG~IN ~D RNA~ · C~[ C~ HALL 4~e I hereby appiy lot a mechanical systems pe~i~ a~ I ~c~o~l~ge th~ the ~formalion abo~ ~ comp~ele and accusals; Ihat Ih~ work ~[I wilh Ihs o;~nancas ~nd cedes of Ihs cIW and ~th Ihs stole bui~glmecha~l~ cedes; that this ~rm does not become a peril until si~ed by the BUILDIN(- OFFICIAL; that the w~N w~l be In acco~=nce wilh ~e approved plan /~:pprfcant's Signature B~d~ng Olfica~a Signature CiTY OF PRIOR LAKE Mc 0 J ~ 00~'~ 16200 Eagle CreekAv. S.E. Permit No. Prior Lake, MN 55372 HEAT1NG APPLICATION / PERMIT Single Family i./' Two-Farn~y Commercial. Industrial Fee Schedule Industrial, Commercial & Multi-Family ResidentS. FI~ & AC MultkFamlly Public Other Residential, Healing Only & Model ~'~ Furnace Make / Model Size ,/~ ~'., ,~ ~. ~. ~, Conn. Load Fuel Supply Openings Ralum Openings Edt. job cost (~q9.50 minimum) c ~ PLEASE NOTE: ~64.5o Air Conditioner Unim Cra'race Setbacks. $39.5C The price of yom heating permit includes one rcugh-in and one final inspection. Additional inspections will be blued at $35.00 each. .House Healing Te..~ Record must be submitted with buildiqg oermil number before build- mg cerlilicate of occupancy will be issued. HEAT ~ J~;.(ZUJE[~,D, with number of supply and return openings tiered per room with CFM's per opening. New structures or addillens send floor plan wiih supply and return Iocailoes shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CiTY OF PRIOR LAKE, 16200 EAGLE CREEK AVE. S.E. PRIOR LA~E, MN 55372. City Hall businans hours am 8 am. - 4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL Output. T~PE OF SYSTEM Warm Air Plants ~ Ca'evb/ Mechanical Ai; Conditio~g Vent. 6ystam HEA'rING OR POWER PLANT Steam Hm Water RadietJon Spec, lei Devices Other Devices TYPE OF WORK Aileralions Replacement New Coast ruction Repair E~ Comp. Oale ,;T//// Est. Cost $ ~ o~ o, ~ Bulcrmg Permit It / STATE SURCHARGE S. .50 'r pAID. ~W~_.~_. ,., 6LItLDtNG r TOTAL PEF rr $ R, sip, It I hereby apply for a mechanical system; permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes o! the city and with Ihe state building/mechanical codes; that this form does not become a permit until signed by the BUILDING OFFICIAL; that the work will be in accordance with the approved plan in the case of ail work which requb'es review and approval of plans. Date PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD NATURE OF WORK ,~1 USE OF BUILDING PERMIT NO. 0(- 00~ DATE ISSUED CONTRACTOR ~. ~ ~r~ PHONE NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPE~OR DATE ~oo,,,~ . , ~ ~.': ~/ ,. IFOUNDAT'ON(Pr'°rt°aacUm)~ I~. ~//d~' I~. ROUGH INS SEWER~W^TER/SEPTIC ~"~"'"° '"su~'o" ELECTRICAL PLUMBING HEATING (if required) ~,.;~CE COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS GRADING (Prior to ,Sodding) BUILDING "¥£.O."r.,.~J ~'/I/c~ ~ ELECTRICAL PLUMBING HEATING 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 hav~ ~eeq approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. Call between 8:00 and 9:00 A.M. for ail inspections FOR ALL INSPECTIO,',]S (952) ,,"~.?-9850 OCCUPANT HOUSE HEATING TEST RECORD TYPE OF NEAT GA FA X~ HW--STEAM APT. FLOOR__CITY OWNER F? / GAS DESIGN INPUT , /! CONTROLS THERMOSTAT /7-/~)/// Heat Plug V.,v. (,__~ ,~. Limit .~.~ ~) Limit ~inj Fan ~ing Pilot Ty~ Pilot ~ke Pilot Model Pilot Timing L.W. Cut Off Pressu.e , ' J ~ Input CFH Percent 0 Stack Temp. /(~'/~ Percent CO Form 235 INSTALLED BY ~//'a~?~-- Gas Line By SPACE HTR. UNIT HTR. --OTHER CONVERSION MAKE OF BURNER } .~ Model Max. BTU Rating MAKE OF FURNACE Model KIND OF LINER / SIZE__--NONE Draft Hood Regulator // Fi Iters Size .Number Chimney Location inside Outside Smoke Bomb ~,- Wiring Draft Test Tag Door Pressure Lighting Inst. Company Testing FD~eri~cson Heating & A/C, 3650 Kennebec Dr., Eagan, MN 55122 Name of Tester ~" (~rtifkat~ af CITY OF PRIOR LAKE ~partmtnt az ~uil~ing ~n~p~ttian ~F~ Pe~d ~ Conditio~ C.O. Expires ~is Ce~cate ~s~d purser to the require~nts of Secaon 307 of ce~i~in8 t~t at the ~ of issue th~ st~c~re w~ in co~l~nce ~th the va~o~ o~i~ce~ of the Ci~ of P~or ~e regu~ng buiMing co~tmcaon or ~e, For the following: u~ ~sifica~ SINGLE F~ILY Bldg. P~t No 01-0045 R3 ~ N/A Zo~g ~s~ R1 ~u~y Ty~ .Ty~ C~ction Fi~ ~ne ~g~ion L5, B1, DEERFIELD 17237 WILDERNESS TRAIL Owner of Building Site Address Coatractor,sNamo&Addre~D.R. HORTON, 3459 WASHINGTON DR., SUITE 204, EAGAN 55122 ROBERT D. HUTCHINS ~-'~ CieyPl~r DON RYE POST IN A CONSPICUOUS PLACE CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. [] FOOTING r't FOUNDATION [] FRAMING [] INSULATION [] SITE INSPECTION COMMENTS: SCHEDULED 1725 7 W, Ide CONTR. PERMIT NO. [] PLUMBING RI [] MECH RI [] WATER HOOKUP [] SEWER HOOKUP [] PLUMBING FINAL [] MECH FINAL DATE TIME {/GRAD/FILLING MPLAINT [] FIREPLACE RI [] FIREPLACE FINAL [] GASLINE AIR TST [] ~I~WORKSATISFACTORY, PROCEED [] CORRECT ACTIONANDPROCEED [] CORRECT WORK, CALLFOR REINSPECTION BEFORE COVERING Inspector:'~~er/Contr: CALL 447~9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ~-/~- ADDRESS OWNER PHONE NO. CONTR. PERMIT NO. [] FOOTING [] FOUNDATION [] FRAMING [] INSULATION ( / /~// ,/~ FINAL [] SITE INSPECTION [] PLUMBING RI [] MECH RI [] WATER HOOKUP [] SEWER HOOKUP [] PLUMBING FINAL [] MECH FINAL [] EX/GRAD/FILLING [] COMPLAINT [] FIREPLACE RI [] FIREPLACE FINAL [] GASLINE AIR TST [] COMMENTS: ,i~ WORK SATISFACTORY. PROCEED /[] CORRECTACTION AND PROCEED [] 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! CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS /7a3-7 DATE TIME SCHEDULED OWNER CONTR. PHONE NO. PERMIT NO. [] FOOTING [] PLUMBING RI [] FOUNDATION ~ [] MECH RI [] FRAMING / I~ [] WATER HOOKUP [] INSULAT ON /I '-~A-~ [] -SEWER HOOKUP [] FINAL ~ [/t~,~) ~,~PLUMBING FINAL [] SITE INSPECTION\ ~' [] MECH FINAL COMMENTSi (~ ~ ~ [] EX/GRAD/FiLLING [] COMPLAINT [] FIREPLACE RI [] FIREPLACE FINAL [] GASLINE AIR TST [] [] WORK SATISFACTORY, PROCEED /~ CORRECT ACTION AND PROCEED CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ c~ I Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/