HomeMy WebLinkAboutBuilding Permit 01-0686
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please!VDC! or orint and sim at bottom)
ADDRESS
~a F4WY\tY\~_ ~
LEGAL DESCRIPTION (office use only)
LOT t. BLOCK I ADDITION
Bl.D&*' t
n,;t;fl f 1F:tn
OWNER
(Name)
(Address)
BUILDER 1\
(Name' e. \-\1y~ .
(Contact Name) lML\LL wlJh~+~ tv
(Address) 2oetA; I{.Cl\.lbrl~(' u-. g.k.IOO
I .. V"4 II, : IIV\ N "'ii?:1} U~
TYPE OF WORK
.New Construction
DLower Level Finish
Date Rec'd
~-Z-/'O/
I. White File
2. Pink City
3. Yellow Applicant
LJIt ~ +- 2J.I
~..-L.
(Phone)
(Phone)
(Phone)
ODeck
OPorch
ORe-Roofing
ZONING (office use)
,12-2.-
PID25-373-00~-O
q'iS-'7!ft)Q
q$'Z.--Zu. t.I~o2
o Misc.
PROJECTCOSTIVALUE (excluding land) S '1 a 10"
o Fireplace
OAddition
OAlteration
ORe-Siding
OUti1ity Connection
I hereby certifY that r have furnished information on this application which is to the best of my knowledge tnJe and comet. I also certifY that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the . ding official can revoke this permit for just cause. Furthermore, I bereby agree that the city official or a designee may
;teruponther~~:;ne . ections. ~~Il125J.~'7 C:rd 0-0'
. Si v Contractor's License No. Date
v
I Pennit Valuation
I Permit Fee S
I Plan Cbeck Fee S
I State Surcharge S
I Penalty S
I Plumbing Permit Fee SlOt) . 00
I Mechanical Permit Fee S I"~' 00
I Sewer & Water Permit Fee S 0 _
I Gas Fireplace Permit Fee S l/tJ . tJIJ
~/,1.') -
! (This A _ eco;t.YourBuilding~~~proved
. Building Offi~ Date
f
~~~CGl
'lqC). ?~
S/~ .$
sf... ob
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
6 !:)/ LJ'd. . fJ- Y
--7/-13";'U/r-..
#
#
S 86?:J. en
S /, J ::>tJ. ~
S
$
S I. ';to C) . Cl)
S 700' 00
S - 6- I
S I
SS4qz.29 I
I
I Recei1?tNo. //.../LJ//Ji
Bv~1 -
(J
#
#
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 t......!'u.....) Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
14 bour notiee for all inspections (951) 447-9850. fax (951) 447-4145
",. ., ". ""'""'" ~
Tht' ('.II"r or III. Lab CO".'ry
White - Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J) 1> .J4 0 r+60
L.. -d-i~OJ
The Building, Engineering, and Planning Departments have reviewed the building permit
application f5j)tOcti~ a~;;;;;J~~ ~
Accepted.")(
Denied
". . Ac:cepte<illVith CClrrec.tions
Reviewed By:
Comments:
IYnB
Date:
7 -~-o I
~G('fY14/~ F,'1t.-
"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
White - Building
Canary . Engineering
Pink - Planning
Th" ('"nl"rnf lh" ...bCOunlry
BUILDING PERMIT APPLICATION D,EeARTMENT CHECKLlSr
/ 'I '
NAME OF APPLICANT
APPLICATION RECEIVED
n"P
(~
~>( () I+G pJ
~/- 0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~. )JiB - ::::J-d./~.171.J. ~/J.va'iM.U (~.LI..uv'yf
~
l
Accepted I/'
Accepted With Corrections
Denied I ^
Reviewed By: ~ /~~~./..,-
?/J, _
Date: '7 /2 h I
ments:
D ~~l~ ~ r~~~~
u W P~Ut.6. ~~ ~ fjeP~
S.rJ ML1T8Yl 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."
6~{
White - Building
Canary - Engineering
Pink - Planning
Thr Crll1rr of thr I..kr C:ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CH~KLlST
NAME OF APPLICANT
APPLICATION RECEIVED
])1> .J+O~J
~. -;;J~OJ
The Building, Engineering, and Planning Departments have reviewed the building permit
application f5J1;octi~ a~;;:;;ov;~ (l~_.
Accepted
Y-
Accepted With Corrections
Denied /; );J I
Reviewed By: rr.r/j! ~ ~
I
Comments:
:k.. ~ N a.llI\. s;:?~ _
Date: ---P - 2 '7 ?b: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."
Jun.28. 2001 2:01PM
GENZ RYAN PLUMBING AND HEATING
No.6964 P.2/11
Date Rec'd
CITY OF PRIOR LAKE PLm.u:.u IG PERMIT
1.B1ue Pia.
~.... do)o
2;. v._ Appiaat
I PERMlT NO'/~0t"h
_./~
Z,?~G (-.usol..h
(- 0Sto /t.;t
rPleaoo tvD< w..-..ut..... arbollbml
.ADDRESS --- . .- -. .
..i5!JLtZ~ -~81.lJ-~) .'IUo-ft~ (7} J Je~ ~
LEGAL DESCRIPTION (oiIb:.... o.nly) _
LOT It? BLOCK / ADDmON h P..i (ir(O {)
?v?D
--
p~- =373 --0::;6 -t'
OWNER
(Name) DR Horton CUSt:Olll Homes
(Phone) 651-454-4663
(~) 3459 Washingt:on Dr See 204 Eagan, MN 55122
APPLICANT
(Nan:lI:l~-.....,.,-,_'t':"a.... 'P'1'f.~-1o.iR8 A.. ~",-":~-_.~
(:Phone) itIOi1_b."~_11A/.
(Addn:ss) 14745 So Robert Trail losemount:
(Adclress) (City)
(Contad: P~on) Mary Ol_on /1 (.pho:oe) 651-423-1144
. :"""'CA"\~,,,,^TO>E LA. . i~\.;( 0 DATS..."I 21'>10,
, '. .. '. . AP PLEASE CO:MPLETE BELOW
I Quantity J Type ofF-..,... - I Quantity
I I Bath Tub with or without shower Roilgh-ins
I I I Dishwasher I /. WaUor Heater
I I FloOJ: Drain I If I, Wa1llr Soflner
I 2- 1 Lavatory (Bl\throom Sink) I r . I Stand Pipe (Washing MachW,e)
I 1 I Laundry Tray (1 or 2 compartmCllt sink I I Sewage Ejector
1 I Shower Stall i Backtlow Assembly
I I I Sinks I Backtlow A.ssClD.bly Test
I I Bar Sink I Lawn Sprinkler
I '7- I Wa1Ilr Closet (Toilet) I Other
MN
55068
(Zip Code)
Type of FIxture
I
I
I
I
I
I
I
,
FEE S'-A.ILUuLE
Industnal, Conun...,,,,1 ~ Multl-family 1 % of job oust wltll a $3~.so minimum Rosidonllal, N_ Ono &; Two-Family $99.50'
Ilaidcntia1, Additions &. A/tmIti_ $39..50
Estunated Cost $
Building Petmit #
,.
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
..50
'~/~.qID r'
~/1\IG' 11,;"
f
(Olll.. USe Oldy)
I This Application Becomes Your Bnilding penoit When Approvoa
I
)'
Dolo
I Paid
I DatD
."O........v~...
I
BulIdbqr OlBdlI)
24 hour noli.. for aUlllSpectiolll (951) 447-9850. flu; 952) 447-4245
CITY OFrRlORLA:K:t
HEATING/A1:kCONDITIONtNGIFlREPLAClfpERMIT
Date Rec'd
i ~ ~:~I PERMIT NO. 1_./ (7/
i. 'Ylilll:iYi APfJ"cIInt . .. O(i <.0
(Please l'\'P~ or print and sian at bottom)
ADDRESS
5442.. H1Wn t-t
ZONING (Office us.)
R-p
LEGAL DESCRIPTION (office we only)
b I
LOT '2.'?>BLOCK l.t> ADDmON
~d
I'~ -~ 7 3-aJ b--()
~':'~R l)fZ. \iDYM
(Address) '3.L(t5q Wo.,<hkl~hM, AvL
~:;~~AN1AJ "l/ln+WltUltu'lICaJ
(Address) ~rnD W1neJxf-, '\)(
'f. (Addn!is) .
(Contact Person) . W1'rf~ .. .
APPLICANT SIGNATURE ~h f./ ~
10 u
APPLICANT pLEASE COMPLETE BELOW
~ .---
(BMEWCONSTRUC11UN OREPLACEMENT o ALTERATIONS
FURNACE MAI<.E AND MODEL 13I'~J-. .2,8?;lLltV 02.J.JOJD .FOEL =Klth.lra.1_
FLUE SIZE Yl\ t.ln.Sc;, B RETURN OPENINGS LJ- . INPUT ~D,orm. . OUTPUT 5//J.bDD
TYPE OF SYStEM HEATING oIt POWER PLANT
...-]
i I
v
,,~~
(phone)
.~. MtJ 5512-Z-
(phone) Jd31 452- -lTB'
Stilk \
(city) (Zip Code)
(phOne) " ./12.5 J '-15 Z. - 2-.'170
/.lJ1}f))bATE.."11 laiD I
OWatm Air Pllirits
OGravity
o Mechanical .
~ir Conditioning
GJ'f'enl. System
o Steam
o Itot Water
o Radiirtion
o Special DeViccs
o Other DeVices
PLEASE NOTE:
Ait Condit/oiler Units
Cannot Entirollcli lilto
Required Side Yard
Setbacks
FlREPLACEMAKEAND MODEL
FEESCHtbuLE
Industrial, Commercial & Mtilti-Family t% of job cost Rcsidentill,Gail FireplaCe
$39.50 minimum
Residential, Heatitig & Ale (New Conslitiction) $99.50 R.sidentillj Additions & Alterations
Residential, Henting Only (New ConSlrtJction) $64.50 Residentiol.ACOhIY
$39.5()
$39.50
$39.50
Estill1ated Cost $
I3tiildiitg PetlIIit #
HEAtING PERMIt fEE
StATE SURCHARGE
TOTAL PERMIT FEE
$-
$
$
.50
SUJL.~ikO W''rH
Gpt:,
RMJr
(Office lIse Only)
This Appllcatltjll Becomes Your Building Permit When Arr- _. d
liuildine; Officla.
DatI:
rl'~id
I Date
. . '7__:l-.3-:O/
.d Receipt No.
I By
?--
~t
14 hoor notice for oil inspections (951) 44Ms50. ta. (952)447-4245
#3556 P.003/006
uate J.<ec:'O
Q'1....guc llT_tlUUl.l"" at_'
ADDRESS
. .
:: =.. ~ r}iERMIT NO. t -(,f{~ I
" T.u- '-JlIII'''' I --
sz,./f",2 ~ ~ ~ Sr;.
LEGAL DESCRIPTION (otIl...... onl;y) '\.
LOT (, BLOCK / AlJlJwON dO/~~2
g,= tJ) e J.h,1ul-
(pboIIe)
(AddteP)
APPUCANT
{Name' ALLIED FIRESmE DBA FIRESIDE (:QTl.NER
ZONINGc_uIC) I
PXO ;)~- ?573-C06-6
(Pholle) ~-633-2561
(Address) 2700 !f _ FAUVl'F.'lIl AVElItJE
(Add.....)
(ContaCt Person) BRENDA HUSTC>>! ~
APPLICANT SIGNATURE ..(~
.
'Rll~P.\1TT .r~ yM
(City)
(Phon~ 651-633-Z561
~L..~
DATE
s~ l' ~
(ZIp Code)
/()H.A'/.:J1
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FWE SIZE RETURN OPBNlNGS INPUT OUTP1JT
TYPE OF ;) >.;). l>.,{ HEATING OR POWER PLANT
3wum Air I"I""lB ~ Slcom
OrIlvlly HOt Wat...
Mechonicel . &.dillion
JAlr Conditionlna 5JIecill Dcvlcos
JVent. SySlalt Other Devl...
FIREPLACE MAKE AND MODEL ~~ jJ t;; 6. A ?n>
fndullriol. Co",mOl'Ciol &. Multl.Fomlly
ResId<nthlJ. 1i_lng 8< Ale (New ConstruCllon)
Resld<ntial. !fOOling Only (New Conlltl'Uction)
FEESCHEDULI
I"" or Job cost Resldontll1l. Ou Firoplol;o
$39.50 minimum
$99.50 Rosldonllar. Addlllon. &: AItOl'lIto.,
$64.50 ll...idmlier. AC Only
Estimated Colli $
911ildlnl Permit II
HEATINO PERMIT FEE
STATE SURCHAIUlE
TOTAL PERMIT nit
$
$
S
.50
(om.. VI. On'J)
Thlt Appllcntlon kames Your BlIlIdllll Permit When Approved
Paid
".lId'nl Ollld.l
D... Drate / 6/ f:1 ) I
Z4 h.,r ..11.. r.,r .11 ...pcotto.'I'SZ) "7.,_ ra. ;;;;;:::;r:;.!
PLEASE NOTE,
Air Conditioner Unlb
CPJIIJlot Encroa~b into
RDquired Side YDld
Setblldcs
$J~.so
S39.,g
$39.50
r p.
bUlL :4/0 ,-
· DING .
.
Receipt No.
By If
PRIOR LAKE
INSPECTION RECORD
DEP~RTMENT Of
BU1LDING AND I"
SEE MAIN FILE
#Ql - 0&03
SITE ADDRESS 5ilL/':) &.v~) (>.. J~
NATURE OF WORK ...,M.... \
USE OF BUILDING SFD
PERMIT NO. d/-Q&fjU; DATE ISSUED (P-2?-~f
CONTRACTOR j). ~. I~. L^ PHONE ~;;u,- (/?3'2-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
tJ;;.ECfOR
I FOUNDATION (Prior to Backfill) I b I 'T}/::f / /isl
PLACE NO CONCRETE UNTIL ABOVE HAS BEE'N SIGNED
ROUGH - INS
IDATE
-
I FOOTING ~ f?t. "/~/oI
I 7// ?/dJ
SEWER I WATER I SEPTIC _
FRAMING . ~
INSULATION A-,
.
ELECTRICAL
PLUMBING . &.." !.D /""/61
HEATING (if requiredrr~ ~ ~/Lj/()I_' p;.. I%;' (plo I
, J!X'.J.., '..j,;
FIREPLACE IV 7 II 7'/. /J I
GAS LINE AIR TEST M ~ ~ f': e ~ 'i7dh I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I ~~ ~. /tpqk) I
J / FINALS
II/r,hr
I! /'7 h)}
GRADING (Prior to Sodding)
BUILDING I.t.O. tJJ t/ I /Oz.~. 1/:1/0 I
ELECTRICAL . I
PLUMBING
HEATING
,
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
4, r
t:h
f2/i(J /0/
/h/az.,
BEE/N . SIGNED
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have be," approved. On buildings and additions
where no service cabinet is available, cara shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
'f'
~trtiftrau' of ODrrupanry
ell i OF PRIOR LAKE
mtpartmtnt of .utlbing In'ptttion
VlI Final Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying tluJt at the time of issuance this structure was in compliance with the various ordinances of the
City of Prior lAke regulating building construction or use. For the following:
Use ClassificatiOfl
SINGLE FAMILY
Bldg. Permit No 01-0686
N / A Zoning Diatrict R2
(BLDG #6. UNIT #24)
Occupancy Type
R3
. Type ConslrUction VN Fire Zone
Bl. DEERFIELD THIRD ADDITION
LepI Desc:ription
L6.
Owner of Building
';;ire Address
5442 FAWN MEADOW; CURVE SE
LAKEVILLE
Contraclor'S NarneltAddreaaD. R. HORTON. 20860 KENBRIDGE CT. SUITE 100.
ROBERT D. HUTCHINS i1f7 CilyPlanner
Building omcial
t-I r j,.. 1- {T",
DON RYE
Dare:
Dare:
--
..........,.
i.
i~ (,
,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
'1-).1 '/13
ADDRESS
.544'''1 r oIIA 1
.A f-~ "'''''''~ t;y~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING RI
o MEcH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MEcH FINAL
t:;AJ / 1Jn.-H
(
- I
C~ (fJSL
.~
'l-7b
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
z:.wORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ftt1 t.-(r t-/-tlJ. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Il'iSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
'/.3/6 e..
}":70
ADDRESS 5
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MEcH RI
o FRAMING 0 WATER HOOKUP
o INSULA nON 0 SEWER HOOKUP
1lll FINAL 0 PLUMBING FINAL
tJ. SITE INSPECTION )l MEcH FINAL
~M~~ ~
f}iJ ~~.~.::)~' ~::JF
r ,
tJl-"P~
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
)it. FIREPLACE FINAL
o GASLINE AIR TST
o
.
T: ~.O,~ (glt/OL
I I
~~,
o WORK SATISFACTORY, PROCEED
j1I CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPEcTION BEFORE COVERING
Inspector: ~ OWner/Conlr:
CALL 447-98ZR THE NEXT INSPECTION 24 HOURS IN ADVANCE_
INSJ<OTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
5'-1 'f Z--
~
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
~ 0 SEWER HOOKUP
lLPLUMBING FINAL
'0 MECH FINAL
DATE nME
I~''ilol ./1: c9-O
~
01 -~Slc
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: ~ ~ TOr F ~
(\'3 \~ (1~'r .
~~~I
~-~
o WORK SATISFACTORY. PROCEED
)d CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPEcTION BEFORE COVERING
Inspector: ~, Owner/Contr:
CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOlI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
..
"--"
APPLIANCE
PERFORMANCE TEST
AIIach to gas line adjacent to regulator
Healing Contractor . ~~;F ~
Name ot Tester ~+t1Jlr~_
Date //~/
,
.'
,.
f .t,;~J'Wp4 M)
Heating Contractor ~AI!V"'IJ'At!.#
Name otTestar ~.R
Data //. 11/
. ~'9'~.,
./~-
0.-~cr;f)
Stack Temp .2 yf/ _
Combustion air is adequately, sueplied per
UMC Sec. 606 ~.
input / ,6,,/~
Percent 0,
Job Address
Percent CO
Percent Co,