HomeMy WebLinkAboutBuilding Permit 01-0680
1. White File
2. Pink City
3. Yellow Applicant
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLI
AND UTILITY CONNECTION PERMIT
LEGAL DESCRIPTION (office use only)
LOT 5' BLOCK t./ ADDITION De
I ZRIG(O_URJ I
P
..s-3/&-c:J I-a
I OWNER
(Name)
(Addre,~)
(Phone)
"
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BUILDERl) ~
(Name) Q
(Contact Name) ~C'c4 I .f."rglA''''
(Address) z.oal..o ~I::>....j,\~ c:.+
(Phone) q~-180'1
(phone) 3 lfC;. 1 BD"1
~~. \ OC
TYPE OF WORK
~New Construction
OLower Level Finish
ODeck
o Fireplace
OPorch
OAddition
ORe-Siding
ORe-Roofing
OAlteration
OUtilitj> Connection
o Misc.
PROJECTCOSTIVALUE (excluding land) $
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and cOITeCt. I also certify that I am the owner or
authorized agent for the above-mentioned property and that all construction will confonn to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware the building official can revoke this pennit for just came. Furthermore, I hereby agree that the city official or a designee may
enter upon property t. eeded inspections,
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
(r{g../~
Date
':?tJO/J SC,S1
Contractor's License No.
'--'7-0 I
Date
Park Support Fee
SAC
WaterMeter Siz 5/8 ; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
# $
# $
$
$
# $
# $
$
$
$ O. .3
I ~~?n~
I Paid f'a;.o.:5l;
Date ./0'
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 allOW$ construction to commence. Before occupancy, a Certificate of Occupancy must be
~~- I--
PI ning Director
7/~gf ~< '~~O~~if~~ct~~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~-
,.
ThtC"'"IUaflhtl.lktCounlry
White - Building
Canary - Englnearing
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT D g I-l () 'r t o;J
APPLICATION RECEIVED ~ - / /- () /
.
The Bu,i1ding, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.. /?/?d-. (V~~0/v
D(
Accepted
Accepted With Corrections
Denied
Reviewed By:
"
Comments:
/l!td-&
Date:
'-1r,o/
S"'A RAverse Side for Additional Information!
kup ~P1 \.resf
~;t< t'~~('nj e {lr/Oft/a",!
(' C)rtU, rY f IHcpIl-v qf
, r-
~ee Attachments: 1) Gtading 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."
Th., C".,nl.,ror lh., L....., C:ollnlry
White . BUilding
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 0 g 4-0 rtorJ
APPLICATION RECEIVED t;.-//-() /
The Building, Engineering, and Planning Departments have reviewed the bUilding permit
application for construction activity which is proposed at:
j 71 ? d.. ! d ~A/>U~<~;}.Jv r
+
Accepted
Accepted With Corrections
Denied -A-rYJ j
Reviewed By: ~/....~ Date: (P-IB-200(
Comments:
J~oJ 4-(1 4.ttot"4J. tfr.-J. o-~
"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."
,~1
Th~ Ornl..!' of .ht' L.kr Counlr}'
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 0 f2 I-f 0 r t. urJ
APPLICATION RECEIVED t;, -11- () /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
. -1
/7/ ,f J. (/./1.tu%,1/)(.a",~ v.Iv
V
Accepted With Corrections
Accepted
Denied
Reviewed BY:~ ~<~~~
Comments:
~1~ ~tf F\~JAl'&)ru7 {AJ~~
~!;~r~:r i~t r~
Date:
7./5""' / ~ J
"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,"
-.
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
:::. ~::y I PERMIT NO. 1-/ 9"0 I
,. Yellow AppllclIlIt , t.- (0 ,
..-.--:
Ir.
ZONING (office u,,)
LEGAL DESCRIPTION (office use only)
LOT hLOCK H ADDITION
(
PID
:; --37o-oij/
(Address)
APPLICANT
(Contact Person) -J
(phone)
l.DATE
(Phone) (.,51, ~s a - &775
Lo.~pn 661cJtl...
( ) (ZIp Code)
X 620 I
~/'2-UtJ
Yr.
IXlNEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL "R,.~o.....-t 9..1 ~ FUEL "-.)0,+. G'QS
FLUE SIZE c? %- 0'/<:' RETURN OPENINGS INPUT ItJO, tJo () OUTPUT 80, G>lHl
.
TYPE OF SYSTEM HEATING OR POWER PLANT
. ' $,. PLEASE NOTE:
OWllI11! Air Plants o Steam
DGtavity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot EnCroach into
&Air Conditioning o Special Devices Required Side Yard
OVen!. System o Other Devices Setbacks
FIREPLACE MAKEAND MOPEL ~;,
APPLICANT PLEASE COMPLETE BELOW
Industrial, Commercial & Multi.,.Family
FEE SCHEDULE
t % of job cost . Residential. Gas Fireplace
$39.50 minimum
$99.50 Residential. Additions & Alterations
$6450 Residential, AC Only
$39.50
$39.50
$39.50
Residential, Heating & AJC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ 1 () 00 . 0-0
Building Permit #
~
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
" eu/~/{) 11
~/YG ,..,'1/'1-.. '
~t2:.
"4>.,
(Omce Use Only)
This Application Becomes Y our B~Uding P~rmitWhen Approved
Paid
Recei tNo
Building Official
Dllte
Datej _ /.). -0 l
24 hour notice Cor an inspeetions (952) 447-9850, Cax (952) 447....245
4:30PM GENZ RVAN PLUMBING AND HEATING ," -*11.6668,
; 'I
CITY OF PRIOR LAKE PLUMBING PERMJ'Ii .
: II JUN 2 5 2001
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pate Ree'd
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ADD "_'_ _ __
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~a S--I PEKMITNO'l;t,-~--I'
I I ZORI (.~-) I
LEGAL DESCRIPTION (alike... 0DIy)
LOT5 BLOCK LJ ADDmON
PID ~5-370-otJl
OWNl!R
(Nattle) DR Hotton Custom Homes
(Addross) 3459 Washington Dr see 204 Eagan. MN 55122
Ofhone) 651-454-4663
APPUCANT
(Name) I'!o...., 'Dj""'U i'J"'m~-I'''''g ~ llAar-r1l8
(P.honc) ':;'Cil 1..'1_111.1.
(A~.)1474S So Robert Trail
(Address)
RoselllOunt
MN
55068
(Zip Code)
cety)
(Contact PerSon) Ma
APPUCAWr~SrGNATURE
(Phc>ne)
DATE
. ,
PLEASE COMPLETE BELOW
Qwmtity T e olllbtDre
Rough-ins
Wmr
Water So er
Stand pj bine)
Sewage Ejector
Baek:t1ow Assembly
Back:t1ow Assem y est
LawnS er
ar
FEE SCHEDULE
Industrial, CollllllOfOjaj & Muln-flImjJy 1% a{job cast with. $39.50 minimum lUslclmtial, Now On. ell; Two-l'amlIy S99.~O
Rosidonllal. Additiom ell; AIIetmi_ S39.~0
Estimated Cast $
Buildlng Penoit II
.50
flU PA.ID
ILDlA. WI7"/J
'V(3 A ''7
.' ~All4tr
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(011I.. U.. Ollly)
This Appllcatioll Becom.. Y ou~ Bnildlllg Permit Wheu Appl"Oved
BuUdbII om.laJ
II...
I~d
D~_ /d,-f)}
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14 h.ur n.d... I\lr all In.pKti.... (JS1) 447-.9850, ru C151) 447-4145
Jun,25. 2001 4:31PM
GENZ RVAN PLUMBING AND HEATING
No.6668 P, 3/7
'-.
Date 'R<<'a-:
CITY .OF PRIOR LAKE
SEWER AND WATER PERMIT
! "
1.\; JUN 2 5 2001
Ii
.,
~-~e~;i~'::
I ADDH " ',:. . ",/ ~rJ(c~s.
I"i
~ E'- a_I P~~~~;=r:;gD"~r'
I ZO~I G(~...) I
7/U.- ,)F . 1'- .
, ,
LEGAL DESCRIPTION (aIBalusellllly)
LOT5 BLOCK ADDmON
OWNER
ON~~ D~ S-~~~A ~~~T? B-m-~
(Phone) '':1 ~.~/.-,.~h'3
Eagan. MN 55122
rol;y) (Zip Code)
(Address) 3459 Washington Dr Ste 204
(Addo<D)
APPUCANT
~~) Genz-Ryan Plumbing & Heating
(l'houe) 651-423-1144
(~~) 14745 So Robert Trail
Ii (Addrea)
(Contact :r~c)u) Mar Olson
;=tl.:
'UCANT SIGNATURE
. .
,
Rosemount, MN 55068
(City) (ZIp Code)
(I'booc) 651-423-1144
DATE /
, '
',..'"
APPUCANT PLEASE COMPLETE BELOW
Size of ~ service inches.
Location of any coupHng:< from stlUcture
Type of sewer pipe. 0 ABC 0 PVC
EsMmaied length of sewer line feet.
Clean out (if required) located at feet from strUCtUre.
feet
o Cast Iroll
FEE SCHEDULE
Residential sew... and water line ~omu'ction $3550 Judu5tria.l, C_ '1 &: MuItl-lilmily 1 % of job ~ast witb . 53950 minimum
SewerconnectioD only $17.$0 Watcr~lIIIDediOD only 517.50
Estimated Cost $
Building Panni! #
SEWER AND WATER PERMIT F.EE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$'
5
.50
8Ul PA,ID
, 'l.DIN. f,t'l.,..!~:.
Gpo:- i
""
(011I<0 u.. Oaly)
This Appl~tioll Jlec:oDloo Your BuildiJIg Permit Wlaall Approv~
L
Bdd.., OIIIdol
Dole
1 :7~/d-~~}
I:~'
I'
:l4 bour .oti.. for .U "..peedo.. (m) 441.98SO, to (952) 447-4245
l. PI,,~
1 "'-
:t,Y,,"'"
I =:;S~ Print md Jim IItbollDlIl)
/I/Id. ~....I'6.f.s ""-;'41 J!:'
ZONING (alIlcc ."1
72. (
LEGAL OESCRIPTION (ollicc _ oaly)
SLOdJ
LOT
ADomoN
PID
- ~/O- 04
OWNER
(Name)
~~
(Phone)
(Adcln:ss
APPLICANT
(Name) ALLIED FIRES IDS OBA FIRESIDE CORNER
(Phone) 651-633-2561
(Alklress) 2700 N. F AIllV:Ill:ilI7 AVENUE
(AddIo..)
(C '._p ) !ORENDA IlDST
Oil....... erson
APPLICANT SIGNATURE
ROSTro'T'T.T.F. MN'
(Cily)
(phone) 651-633-2561
Cr.!::.' 1~
(Zlp Cod.o)
DATE
q. -<l
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION 0 REPLACBMENT 0 ALTllMTIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINOS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWBR PT.ANT
CJWotm Air PI...", ~ 51.....
CJOnJ.vily HOI W"""
o M..h..,iCll! Radillllon
8AI' Conditioning Special Dovi"".
VetiL SyBlom 0lIler Deviw
PLEASE NOTE:
Air ConditiDllOl' Unilll
ClUIDOI Encroach into
keqP.ired. Side Yard
Selb"k:I
F1REPLACE MAKE AND MODEL
FEE SCHEDULE
Ind.SlriaJ. Commercial & Mulli.Fll.mily )% of Job c:rm Rosldenllal. 011I Pircpl"""
$39.'0 minimum
Residendol, H<o.ling &. Ale (New Con.lnll:tion) 599.'0 RC$ldCDlial. Addition" &: Allel2lion"
R.sid.nliol. Hming Only (New Con.tructton) 564.'0 RcJidcnlial, AC Only
539.50
Estimated Cost $ Buikling Permit If
$39.'0
539.50
13UIl.DP-4ID :',~
"A, -'it, f;
'VGp:
L:..,
'.
HEATINO PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT 1i'E:t
$
is
$
.50
r-.
SU PAID \~:'~,
IlDII\'..
(Office VI' Onlf)
Tltls Appll~dlon El.~omCII Your Bulldllll Pennlt When Approved
Ball~I.J OffldoJ
D.k
1:9-;-1
I~
:u ho~r noUce ror alllnspeellonll.,52) 441"""SIJ, r.. <,$1) 441-4:u5
PRIOR LAKE
.
INSPECTION RECORD
DEPARTMENT OF
BUiLDING AND INSPECTION
"
SITE ADDRESS flj e~1 i lJu- ......~ t;;.., \
NATURE OF WORK ..N~",'
USE OF BUILDING Sf"D
PERMIT NO. () ( ,() h ro DATE ISSUED f.s, - I <?J - ? ---I
CONTRACTOR .D.J-:.. /::IoTb. PHONE 9R~- '?SO?
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING 0 )
FOUNDATION (Prior to Backfill) J ~ ~ (
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - I S
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING &,
HEATING if required)
FIREPLACE
GAS LINE AIR TEST ~'~p.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING Prior to Soddin
BUILDING\'.(.(;l. -iJJ <&
ELECTRICAL
PLUMBING
HEATING
DO NOT
Dv
OCCUpy UNTIL ABOVE HAS
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in Inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet Is available, card shall pe placed near main entrance.
. .
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEOULED
'1-1'1-65
ADDRESS /7/9J W,'!rIerntjS It'
OWNER CONTR. _D.t. Her/o...
PHONE NO. PERMIT NO. -.aJ- ~$lo
o FOOTING
o FOUNDA nON
o FRAMING
o INSULA nON
~INAL
-0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
.x~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
((~tI~J Bof--t:)/(...
&etll( -( - c)!.
c..oJl'lc..rd( !,,'rh ",Iet/K.- () t
.
X WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT 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 & SAFETY!
INSNOTI
7 -6-0'1
W.<lL r~ \If
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS fll R?J
OWNER
CONTR.
-,-W'
PHONE NO.
PERMIT NO.
[] FOOTING
[] FOUNDATION
[] FRAMING
~~ULATION
/!"~~L
[] SITE INSPECTION
[] PLUMBING RI
[] MECH RI
[] WATER HOOKUP
[] SEWER HOOKUP
[] PLUMBING FINAL
[] MECH FINAL
COMMENTS:
DATE TIllE
o EXIGRADlFILUNG
[] COMPLAINT
[] FIREPLACE RI
[J FIREPLACE FINAL
[J GASLINE AIR TST
[J
~(~
o~
,
ck~,,- c..lp
~ WORK SATISFACTORY, PROCEED
/;; CORRECT ACTION AND PROCEED
[] CORREC RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Conlr:
-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
-,
CODE REQUlREMEN18 ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
5'ZI.oZ- )1 \.$
ADDRESS
/'7/82- WI{,/)~J 7lZR1 C--
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING @ 0 WATER HOOKUP
~NSULATIO 0 SEWER HOOKUP
INAL 0 PLUMBING FINAL
o SITE INSPECTION ~ }B\ MECH FINAL
r <
COMMENTS
~
0/ - Oc.eo
o EXlGRADIFILLlNG
o COMPLAINT
@1>.HFIREPLACERI
!PL FIREPLACE FINAL
0' GASLINE AIR TST
o
'f:c , 0 ~ --tiJI 'i? 1'1 D 7-
~~
o WORK SATISFACTORY, PROCEED
~ 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.
IJIISNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
l'll"~
SCHEDULED 1!d~(~1
tJ!J Jl". . · --> n.
ICW~o
OWNER
CONTR.
PHONE NO.
Of - &ttlJ
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH Rl
o FRAMING ~ WATER HOOKUP
o INSULATION SEWER HOOKUP
o FINAL PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS:~ ~ J
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
W~~~
~-
o WORK SATISFACTORY. PROCEED
Ii CORRECT ACTION AND PROCEED
o CORRECT WORK CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ Owner/Contr:
CALL 447.9850 F R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
U<SNtJ.,
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APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
HeatingContractor A\\;..._4- t'\~~I....
Name otTester \<'e.;~'- ~.
Date \:1. - ,~- co I
.'
"
Job Address a '1'U.,",;1ol~
Heating Contractor /!>..\ \; _It l"'\u.\... .
Name otTester \(e.;~'- :3,
Date
Percent 0,
Percent CO
Percent Co,
Stack Temp
\:l-\~-O\
'.3
-c:::.-
~.J
\,iu
Combustion air is adequately supplied per
, .'
UMC Sec. 606 ..
input
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