HomeMy WebLinkAboutBuilding Permit 01-0290
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
3-~J-O /
\, While
2 Pink
J. Yellow
File
City
Applicant
I PERMiT NO. 0/- oz'10
(Please .!Yee or print and sign at bottom)
ADDRESS
0"o/"Y"9 ~ ~ ~).....:- ~c:-
I I
ZONING (office",,)
/!!.2-
LEGAL DESCRIPTION (office use only)
. ~/t!) ~/T
~1 IlLOCK;;f ADDITION ~~ ...3'~<J
-
PID zc::; ~,'<;J3-{)J1-0
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name) >/1.~. ~?Z:I"..-v, ~.
(Phone)
6"57- .?i'575 - "'~.G
(Address) J".y"6""9 ~/ ~ $=
. -/'
..::..o<u ~'"
""-.--...:'-<0,.1/
~.;;:>;;>,
,
TYPE OF WORK IfI New Construction ODeck
OLower Level Finish 0 Fireplace
OPorch
OAddition
ORe-Roofing
ORe-Siding
OAlteration
OUtility Connection
o Misc.
PROJECT COST/VALUE (excluding land) $ A;:? /~
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'''p'''') 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
enter upon the property to perform needed inspections.
X ~2 ~.~~ e>?~~.s-;7 ..::?'...v---<:7 /
" Signature Contractor's License No. Date
I Permit Fee $ ~ln~ .t-zc;- I Park Support Fee # $ 8so.~
I Plan Check Fee $ 500.3'1 I SAC # $ I. '50.00 I
I State Surcharge $ s~. 00 I Water Meter Size 5/8"; I'" $ I
,
I Penalty $ I Pressure Reducer $ I
I Plumbing Permit Fee $ I 00 . 4") I Sewer/Water Connection Fee # $ I."-od -enl
I Mechanical Permit Fee $ 100 . 0() I Water Tower Fee # $ . ~OZ) . QJ I
I Sewer & Water Permit Fee $ - 0- I I Builder's Deposit $ -0 I
I Gas Fireplace Permit Fee $ 40 .od I I Other $ I
~~~?\ YOUrBuildin(;:9~;;;proved I TOTAL DUE $~.4#.r)Cf I
I I
Paid ~4./}q I Rec:JJf/3q3~ I
..., BUi1din~Cial Date Date -/? -tJ/ ' BVh
II
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
~rL,]p"nn'=mpor~cmifi~A;I;tce'ndS;,"U"iontOCO~~'"M~f(j;J~(
_ ~"tor Date ~ia] Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~1
(;) ( - ),9t/)
Th~ Ceon.... of Ih.. L.k.. Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKlJ.SI
NAME OF APPLICANT
APPLICATION RECEIVED
D 12 - HokTDIJ
3'28-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5450 Ft-IvltJ !v/CPtD() I/J CAJNE:
Accepted
x
,
Accepted With Corrections
Denied
Reviewed By:
/IIIIt3
Date:
s-c. ~- 0 I
Comments:
~ U /f7,",,'/II F/ Ie.
"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
Canary - Engineering
Pink - Planning
Thf Ct'nl.,. of tht' I,akt' Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D- K. 11-0::_10/ i
:':2(::;CI
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,,-S-441 ;=--;-111/) 1'/OI{)((V GG/-uf:
I
Accepted
Accepted With Corrections
~
Denied _
ReviewedB~-r~~
...
Date:
L{/ple (
Comments:
~ ~ F~-~~ ~ ,L)[!L/<.
~11A_ v'IAoJ~/'M.fP_ ~C./lY1~~<-
"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
Canary - Engineering
Pink - Planning
Thr C'tnlrr of thr L.kt Countl')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. e~ HtJk.-/ v;J
3- ZB-OI
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5#Cl plfWrJ I'1EYtDOW WW6
I
Accepted y...
Accepted With Corrections
Denied '/}~(l I ~
Reviewed By: (.f.d/~,,~
Comments:
Date:
c-! - f -7~1
,
~ it fV\~",- ~i Le
v - ~
"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."
~f PRIO<$>
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At-'I\'IVES01.t-
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FlREPLACE PERMIT
Date Rec'd
~. ~:,:" ~:~y I PERMIT NO",/ _ L:) 0
J. Yellow Apphcnnt VI. ;:]-/
(Please type or vrint and sign at bottom)
ADDRESS
544Cf K,lWn ffifMDW ~LLY vt;
ZONING (office use)
LEGAL DESCRIPTION (office use only) d-
LOI 'J BLOCK'~ ADDITION n e.,U -Pi c- / J :j r
PID
~~:~Rl){Z \-tDVM
(Address) j45Gl WOlctitln~hm_ A1Jf~/
~~;;~~AN~t1lajl}+ Y'r1ethlLfUCtU
(Address) .~I/)D k'Oll1f ber..;'l)( ,\'Ltl-k, \
fi C (Addres.J (City) (ZiP Code)
(Contact Person) Jftlrt0.l iAYnJ~V~ (Phone) (115 I 4'51.- 2-,76
APPLICANT SIGNATURE * (}/ 1JmmenYltlfl 6YlI1f2)DATE t/IZ3/D I
APPLICANT PLEASE COMPLETE BELOW
. [Bl<ffiW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACEMAKE~NDMODEL B"iJWl-- 3g?JIU'tVD2Jlb7D FUEL f\tbhuttJ
FLUE SIZE L.P\ GlQ';i'S PJ RETURN OPENINGS Lj. INPUT 1D, ODD OUTPUT 51.0. bD~
TYPE OF SYSTEM HEATING OR POWER PLANT
Sliu-k lD~
(Phone)
~) MIU 55/2-1-
J
(Phone) lif.51 452-- l T76 '
DWarm Air Plants
OGravity
o Mechanical
lBf\ir Conditioning
Upreot. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOtE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & MuJti~Family
FEE SCHEDULE
1% of job cOst Residential, Gas FiI'eplace
$39,50 minitnmll
$99.50 Residential, Additions & Alterations
$64.50 Residential. AC Only
$39.50
ResidentiaL Heating & Ale (Ne\v Construction)
Residential, Heating Only (New COilstrtlction)
$39.50
$39.50
Estimated Cost $
Building Penrtit #
HEATING PERMIT FEE
STATESURCI-lARGE
TOTAL PERMIT FEE
$
$
$
.50
PAID WITH
BUILDING PERMIT
(Office lf~e Only)
This Application Becomes Your Building Permit When Approved
. Paid
Receipt No.
BliildirigOffitiiil
Ollte
Datelj_;).s -0 I
By Cc-
V
24 hour notice for all inspections (952) 447'9850, fax (952) 447-4245
"l'1I..c.:.~..rrtw.l.llbC_I""
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Quantity
I
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0'080-
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APr. 2. 2001 10:09AM
GENZ RVAN PLUMBING AND HEATING
No. 0911
P, 8/41
L Blue. ffll;
.. Gol~ Clty
3.)'cIJow AwU""
# 0/- 0- 70
Phone; I nF-J - "-I 7~ -II '-1-0
12 (f::LyY''l"'LLV\.T ~,~
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant r;.-...rn 2- - t2~ -PI \r)...... iJ:rh
Address: \U-, l Lc:::.... ~ ~ YlT \""'It.J.
Signature: \A. 1. ~
Legal Description: Lot~ 7 Slock ~ _ _Sub i-X-t4'aD 3a..D
Site Address: 5y-LA E!:uuu vvle.A-~ (\1 vg....:~N ' ~
Building Permit # PID # d t7 -
NOTE: This permit w.'ll not be processed without complete information_
FIXTURE UNITS
-~
-'"
Type otRxture
Bath Tub with or withol.ll shower
I
I Rough-Ins
I
I
I
I
Quantity
Type of Fixture
Dishwasher
I
,
I
I
I
I
I
I
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Water Heater
Roar Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
Water Saftner
Stand Pipe (washing machine)
Sewage Ejector
FEE SCHEDULE
. Industrial, Commercial & Multi-Family
(1~ of job cOSt, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$
$
_50
GRANO TOTAL
~
1bis pemut IS grant=d upon the express c.ond'tion r.haf 5a1d
CO~......____.. shall comply in all respects with the otdinao.c~$
o( lbo State Plumbillg Codo lIIld tho 1l)1I000~n\'ltb.recf.
, RECEIPT No'{L' ~ d( DATE
, ATIEST
Call far all inspections 24 outS in advan~e.
{JiJi1..
'-"IVI.:; [1'"' '
I::.R;IIi',
16200 Eagle Creek Av, S,E., Prior Lake, Minnesota 55372 f Ph_ (612) 447-4230 / FAX (612) 447-4245
AD. Equal OpportunIty Employor
FIRESIDE CORNER #7298 P.004/006
LUX Ui" l"KlUJ.<. LAO Dllte Rec'd
HEA TlNG/AIR CONDITIONINGIFIREPLACE PERMIT
(PlhIC M:Je Dr mint IW1 lim 11 bottDm)
I AD;~ Y Rlw()
~ ~ ~::, I PERMIT NO. / -,0. 0
,. 'hllli'W ApphClInf; ~r;I---1
~_rl'lcc...> .
GnlHL
".. -
S~
I ZOT;;(O~_' I
LEGAL DESCRIPTION (om", use only) (
LOT I BLOCK;:+- ADDITION) 00 v ~ () frO
/ \
De., ~~ ~
3rc/r
pIW5-j(3-0/7-0
OWNER
(Name)
(phone)
(Addn:ss)
, APPLICANT
(Namel ALLIED FI~SIDE DBA FIRESIDE CORNER
(Pbon~ 651-633-2561
(Addxess)_2700 N. FAIRVIEW AVENU\. ""'C:;EVH.LE_
(Addre08) (CIty)
(Contact Person) BRENDA ~ON (Phone) 651-633-2561
APPLICANTSIGNATIJ~ ~~~ \ 1. lL.., ,,lOl >ok DATE 1- 1'1-01
<.. --:;'PLICANT PLiA);E COMPLETE BELOW
~NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS, \ I
FURNACE MAKE: AND MODEL FUEL N '<>A'"
FLUE SIZE RETURN OPENINGS INPUT orJTPUT,.:)~ } N. ~ ')
TYPE OF SYSTEM HEATING OR POWER PLANT
OW",", Air Plants 0 Steam
DOro.i!)' [] Hor Worer
o Me.lwli..l 0 Radianon
BAir Conditioning 0 SpccioJ Dc.;... .
Vent System [] 0Ihcr De.i...
FIREPLACE MAKE AND MODEL ~ ~ \~ O~ \ ~ l~ "liC.-C-
S."..1.'
(Zip Cod.)
PLEASE NOTE:
Air Conditioner Unit;
C!IlInCll Encroach into
Roquired Side Y.rd
Selbaclcs
FEE SCHEDULE
rQdu~"lal. CommercioJ &. Multi-Fomily 1% ofjeb co,l Ro.id,,"iol. 0.. Fireplaco
$39,50 minimum
Residendal. Healing'" Ale (New Construellon) $99.50 Resld.,,'loJ, Addl.lions &. Ah.,.ations
Residential, Heetinc Only (Now Construction) $64.50 R.o.~id""tl.I. AC Only
EstimaTEd Cost $ ! I ro ,Cl:) Building Penni! #
$]9.50
539.50
$39,50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMlT FEE
$
$
$
r
.50
BU/LoPA1D \I\.t//,II
, INGpp-
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(om.. lJ.. Oolyl
This Applleatlon Becomc. Your Building Permit WIlen Approved
DaOdlnlOmel.,
Date
I Paid
I DOle
1-).-3-0/
Receipt No.
--.,
:z4 hnur 0.'1.. f.r nil inlpee"... (9S%) 447-9S50. ra. (95%) "7-4245
By
~
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PRIOR LAKE DEPARTMENT OF
. . BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ,t::;L.J49. FaWV\ M"o.4m '\ (\,tU--lI. .
NATURE OF WORK ~
USE OF BUILDING SF".4 ,
PERMIT NO. 01-1) Z.1P DATE ISSUED '-1- tt~?rx:,(
CONTRACTOR f).~ ~~)y\ PHONE-.C6:"/-7~ro-7/3'"(O
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
.
I FOOTING ~ I~, ;.j1/141f(,;t'~IJJ~f
I FOUNDATION (Prior to Backfill)V1:pB f%J l!-'{h1fJ Yo/", I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION.w-.. ~,~/171'f
.
ELECTRICAL. ...
PLUMBING tAb-- ~\\{Fll( I ")IPtUr\sWiq/ol 121, 10-3/61
HEATING (if required) lA fr K\) Is- II ~ r6 J5r 7/"3/ lo} .
FIREPLACE . ~1e. ~ ~ 7/;;- 5,0; #.17 Is) /OJ
GAS LINE AIR TEST ~~?;r/~. ~ /!'3{/~/ ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
. -
I#~ ~ 7/J-7~1 ~"'~ ~.9/,;9C;>/l)/
"J FINALS
~
fJe;t
7/?//OJ
e -t - OJ
GRADING (Prior to Sodding)
BUILDING r:C,I1, 1iJ} /Dfwlo, 1!7t. ~b./'I()I I
ELECTRICAL . .
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
Nb
trv
/I-fo-O\
q- 1;;1.-CJ(7-,
tr,
. &:...
Q/7/0(
~/Jl.i.~
BEEN SIGNED
This card must be posted near an electri,"al. s.eryice 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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
~ -'.-::;-.~.~-~=--=-.
I....,:j '.. ' :..,' -'.i:"
......r.~....I:._.I" ..1. ,d...I",-~'I:..I,.....r.,.
" ",".', ,....i't--~"~"."~r... '.,
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~ - _,-","':~-" h___ ~'tfTJ .~.
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(ti !. QLtrtiftcutt of ~cnqtanry
;~_~i_ ell i OF PRIOR LAKE
i~. i ~ 1Department of .utllling )n~pettion
~: inal Pennitted 0 Conditional C.O. Expires
"..: ~
~. .! This Certificate issued pursUD1lt to the requirements of Section 307 of the Uniform Building Code
certifying thai at the time of issUQ1lCe this structure was in complitJ1lCe with the various ordi1lD1lces of the
City of Prior Loke regulating building construction or use. For the following:
UscC1assificaliOl' Single Family
Bldg. PenniIN" 01-0290
Occuponcy Type R 1
_ Fire Zone
Zoning District F?
Type Construction ~m
LegolDacriplion Lot 7, Block 2, Deerfield 3rd (Bldo; lO, Unit 49)
Owner of BuildinB
Contractor'sName&:AddressDR Horton Inc
SiteAddress 5449 Fawn Meadow Curve SE .
3459 Washin~ton Dr. Ste Jn~ Ra~an ,,]22
Robert D. Hutchins
Buildin Official
C1 / \ d- -'i-
\ ~~ily Planner Don Rve
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEOULEO
ADDRESS
SI/,/Cj
rl2.lLln
OWNER
CONTR.
PHONE NO.
PERMIT NO.
DATE TIME
cf- ~-13/^3()
f}1
1- d-- 90
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING~ 0 WATER HOOKUP
Cl)NSULA TI 0 SEWER HOOKUP
~ ~INAL ' 0 PLUMBING FINAL
o SITE INSPE ON f1)!) ~MECH FINAL
COMMENT~~..~ ~ -'21.
&J ~ .;. -(A1Jl .1'0 ....,.
,
I
7,L. [) I "ti:t..j Id/'f%l
I
~~/
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~J
Inspector:
OwnerlContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS . I-J 4'-11
FaurxJ
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
/t'\\ 0 SEWER HOOKUP
,(l!:IA"f'LUMBING FINAL
o MECH FINAL
(?-1(1~
COMMENTS:
~
-~
DATE TIME
9- 7-01 Lit-at)
/-::;,.-9 (J
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK~LL FOR REINSPECTION BEFORE COVERING
Inspector: ,/I))n Owner/Contr:
.. J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
q- j;).-J...
Fcuu7V
/lJU.a.dcnu ~~
,ff" 4/4'3 - </'1- L.r"5=L./t
ADDRESS 5L/Llj- I..ff- qq- 50
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~ - d- Cjo
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
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
.:sV I
I
/)t-
/1 /u,e
l)V'
CI')-(
I
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~RK, CALL FOR REINSPECTlON BEFORE COVERING
InSpecto~\ ~h..-- Owner/Contr:
v,...-
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH.l SAFETY!
IIUNUn
..
~
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjaE.ent to regulator
Heating Contractor .A \ \ \ ,'^- -\
~u..
'1-\~-a\
Name of Tester
Date
~
Job Address S L.\ .....\'1 ~
Heating Contractor At \i. ~ -..t \
Name of Tester ~r-~
Date '1 ~ l'?f -0 \
'"?J-c-<)
6
(..,'""\
0. L..~
Percent 0,
Percent co
Percent co,
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606 VIe. ":>
input ~c..., C':J~l:m..f{