HomeMy WebLinkAboutBuilding Permit 01-0291
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please .!VD~ or Drint and sign at bottom)
ADDRESS
Date Rec'd
3~U-OI
I. While
Pink
J. Yellow
File
City
Applicant
I PERMIT NO.O/_ OZ-Cj /
6"V.?'O ~/V /n~ Ll<<.....p~ ~
ZONING (office ">oj
te.-L
LEGAL DESCRIPTION (office use only)
~ /tP Pf'V./T..yR"
~ BLOCK ADDITION ~_-;~~a ~
OWNER
(Name)
(Address)
BUILDER
(Name) V7 oR. .A/~~'
(Address) o..:!-'Y09 ~ ~
,
TYPE OF WORK ~ New Construction ODeck
OLower Level Finish 0 Fireplace
o Misc.
x
Signature
I 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
/t90.OCJ
(00.0;::;:>
--0
Ifo '0('
PID 2b-373-org'"-()
(Phone)
'-'~~
(Phone)
~ --
.6"57" e.75G' :;:>-/d"~
. . "?~ 3::5Y;<;;Z
OPorch
ORe-Roofing
ORe-Siding
OAddition
OAlteration
OUtility Connection
PROJECT COST/VALUE (exc1udingland) $ 7.;2//~
=-",.. J.%S'7
Contractor's License No.
..7 ...<_- <:7/
Date
I Park Support Fee
I SAC
I Water Meter
I Pressure Reducer
I
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
Size 5/8"; 1";
~
~
Sewer/Water Connection Fee
#
(,'20C> ..t) 0
700.00
-0
#
$ 5; l/.'N. 09
Paid
Date
'1- 444-. () 0/
4--.'},O/"
d.
I ~;fIlo ~&j.3('1
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and mly proceed as requested. This document
when si oed by the City lanner constitutes a temporary Certificate of Zoning compliance and allows consnuction to commence, Before occupancy, a Certificate of Occupancy must be
issu
..~A
nning Director
'-!JW/Bl ~~('~fl9v~1$
7 Date ' Special Conditions, if any 0
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
&~~
White . Building
Canary - Engineering
Pink - Planning
The- C~nlu of the- L.kf Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T
NAME OF APPLICANT
APPLICATION RECEIVED
D. 12. HOI2.../ UN
3 -21?-OI
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
54-SO p;qwN Mt:ftDOW c,uN6
Accepted ~
Denied f)
Reviewed By: l tt: 1/
Accepted With Corrections
rlA-
Date:
r- 9-?a::Jr
,
Comments:
~ J!j~ M~.iA. ~.-'c.e
,
"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."
~~
o l - ~90
White . Building
Canary - Engineering
Pink - Planning
The Ctnlu of tht L.kt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D.~. Ho/cro;J
3. 2B- 01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
::Pf41 (::-11 ~J N ;VI D-1DO fA) v.;WE:
I
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
NAI3
Date:
?'-2.9-01
, .
Comments:
S.u /Y1w'", Fifo(
"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
ThIPC,.nleroflh,. I..k,.COunlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
I
L j..: f1C/-TCpj
APPLICATION RECEIVED
;,
" / I
./1 ;_, _' (
<-.-.. t J ......"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,r-,4 r:;c: FlJ I Vf\J lief I ur t,.'./:"",!jf-vl C
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
L3t;;: /il-/~
c.--
Date:
l.-{ de> r0 (
"
,-
Comments: _
~ ~ ~~~ ~e-~< ~ 6!ft.{,<
~Nu~) /jM~ ~('~~\~
"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 TINGI AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'
; ~~:" ~:~ I PERMIT NO,,/_ /l -.,0/ I
3. Ydlow AppllcRnt C/ { (./ ,-r
_ (Please type or print and sign at bottom)
ADDRESS
5450 HlWn ffiPLViDW tLLVVfJ
ZONING (office u>o)
LEGAL DESCRJPTfON (office use ooly)
LOT \?OCK.;), ADDITION
-'---.-'-
~~~~Rl) Q \iuV--ttil
(Address) '345Q W~,ykLh~hJJIL AvL
I ~~;;~;ANl\!IILlrl+ YYl~cJf}OvrllcaJ
(Address) .~IJf)D t((Vmd)ff;'l)( Stilk \
p (~ (Address) . (City) (Zip Code)
(Contact Person) . )Pi1T-t0 . (J IAffiI?1fVmLU'L, (Phone) I.t>5 I 45Z. 2/76
APPLICANT SIGNATURE ~ ()/ 1JtnmlYJ11g.I1 (ffJ!}f))DATE L/-JZ3/DI
APPLtCANT PLEASE COMPLETE BELOW
. [gI<11JW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MA~E 0N~cr;rODEL g"ljtn I- ?'i6'JILA-V D2Jibl /) FUEL tJ:thurttJ
FLUE SIZE ~\ Gln.):;J l:L RETURN OPENINGS if INPUT 1D. DnD OUTPUT 51.0, bDD
TYPE OF SYSTEM HEATING OR POWER PLANT
D e..e y--\, 1 e. ld. L ~ ;. j- J
PID
Swfc 2nL/
(Phone)
Eaitul Mf0 55"LL
J
(Phone) f1f.5/ 45 z. - l1"'-3" '
OWaim Air Plants
OGravity
o Mechanical
[BAir COl1ditioning
[j},rent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOn:
Air Conditioner Units
Cannot Encroach ifito
Required Side Yard
Setbacks
fIREPLACE MAKE AND MODEL
Resideiltial, Heating & Ale (New Construction)
Residential. Heating Only (New Construction)
FEE SCHEDULE
l% orjob cost Residential, Gas Fireplace
~39.50 minirnl1m
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Industrial, Commercial & Multi-family
Estimated Cost $
Building Permit #
HEATfNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
PAID WITH
BUILDING PERMIT
...
(Oflice Use Only)
This Application Becomes Your Building Permit When Approved
Bliilding Officilil
Dflte
I Paid
I Date
<",/-;)5-01
I Receipt No.
IB~L
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Apr. 2. 2001 10:09AM
GENZ RYAN PLUMBING AND HEATING
No.0911
p. 9/41
11M ~..r... L..kc c..u.11'J
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant ~ Z. - ~ PIlrr-+- Lkt-7~
Address; \ Lh Ll.S ~ ~ ",... ---nu >
Signature: 1A.....l ~
Legal Descrlptlon: Lot"----.J Y Block -::;:z Sub ~e..4,\t...fD 3,-u':)
Site Address; . ~ '4f) H11l11.. ) ifi..JvL ~ (' t , v? , 1(7 q t==-
Building Permit 41 . PID #. d r, -
NOTE: This permit ~II not be processed without complete information.
RXTURE UNITS
#
Phone:. I nF-l- 07 b -11l.j.!j
Ilr-.."-I ~..LIr\T ';-~J.-%
1.. :B11.E PIIe
2 Gald. Ocr
3.. y...... Appli_
Ol-C), 91
~~?
Quantity I Type e>tFiXiure Quantity Type of Fixture I
\ I Bath Tub with or without shower L _ROUgh-ins
\ I Dishwasher I I Water Heater
1 I Floor Drain I I Water Sollner
.3 'Q.,. I Lavatory (bathroom sink) I I Stand Pipe (washing machine)
\ I Laundry Tray (1 or 2 compartment sink) I I Sewage Ejector
\ I Shower Stall I I 8ackflow Assembly (RP2, Double Ched(, PV8)
l I Sinks I Backflow Assembly Test
I Bar Sink I Lawn Sprinkler
?.--:: I Water Closet (toilet) I Other
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
GRAND TOTAL:.
$
This pernut is granted upon Illl; c~press condioon that sa~d
L:.ODtIllCtor, shall comply in aU teSpcI;.b ....,jd:l the ordinances
of the S_ Plumbini Cod. md th.*~u tl1~=f.
. &ECElPTNO. - /<1 ~)f DATE
..>,./ ATTEST
Call for all inspections 24 h~ in advance.
BUI!liiWG WITH
PERMIT
16200 Eagle CreekAv. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal OppOltWllty Employer
651 633 BBB4 ___ ]Ijl!<S:!.D_E.C.ORNER #2B41 P.OOl/OOl
BEATING/AIR CONDITJ....,l.~.LJ.\G/FIREPLACE PERMIT
(P~t\I1:Jeotmm.tandtril!lllltbad:l::rl'rl\
ADDRESS
5 q,5i:l ~t4<J), f'Na.~ avrAJ<,.
.....n\~j\'\
\. ' Ir\.l/:)'=J., \..~)
10~~lPCfi" ;:<rd-
~ ~ S,_I PERl\uJ. J.~O. l-,J crt
--.
z.....'Alo.....,'...:t(Dl'fta=.,
(2-::2.,
LEGAL DESCR1PTION (.Ilia: "'" orn,)
LOT g- BLOCK g."ADDmON
PID,;;?5-3R- G/g~?
OWNER ,...-,..,.,., 1"""\ I
(Name) ..jJC- lbJiJ~
(phone)
(Address)
APPLICANT
(Name) llLT.IW FIRESIDE DBll FnESIDE -.u"",,,",,
(phone) 651-631-251'1
(Address) 2 700 N. FADlVIEW llVERlJE
~)
13ll.!lNllA lilJS'1'aII..
(Contact Person) /.~l
APPLICANT SIGNA'l'"lJRE J:;;p.,..IJ... ~
T -
QQ~W.TT.T.1:; ~
(City)
(phone) 651-633-2561
5~1 ,~
(ZlpCodc)
DATE
iLwaJ
APPLICANT PLEASE COMPLETE BELOW
~F.:WCONSTRL"""",,~ o REPLACEMENT DALTERATlONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETUJlN...,.....,JGS INPUT OUTPUT
TYPE OF", t.>.uol HEATJNG OR POWER PlANT
OW""" Air Pllllll.< J Stellm
OOr..;., J HOl W_
o McdlllDlcIl . J RadillllOll
DAirC...,:;,....ll JSpecialDevIc:e,
OV..L S,...". J OIher o..vi.",
PLEASE 1'f01'E:
Air ConJ:~___. Units
Cannot ~ into
Required Side Yard
Setbaeks
FIREPLACE MAKE AND MODEL ~. jJ to IJ ...sL ?S1;)~
RE SCHEDULE
lndustri.l, Comm.",ial &; Multi-Pamily ,% of job tDsl Jll::Iidentio~ Gas FlrepJiltO
539,'0 minilDUlll
Roe,idemi.t, Heating &; AJC (Now Cunslr\lCli..) $99,'0 lb=oidenllol, Additions /It. A1lel1lllons
Re,ideneioJ. Heating Only (New ConouuCllon) $fi4.SO Rmid",tilll, AC Only
539,SQ
S39,SQ
SJ9,SQ
Eslimlted Cosr S
Bllilding Permit #
HEATING PER.M1T FEE
STATE SURCHARGE
TOTAL PERMIT BE
s
S
5
Dafl
I Paid
I Date
.50
PAID WITH
~gUILoING PI;F.'f'T
' Receipt No;
(Om.. v.. Only)
This AppllcatiDn BecDmes Yo., BnIJclIRl: Permit Whon AJlPnw""
Bwldln. Offldol
IcrLf-01
B~
:u hno. olJdft fit. olllnspodion. (952) ,"7~I!!O. r.. ('51) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ,&:jc/Sc/ ~lU ~,.,~~
NATURE OF WORK rVw
USE OF BUILDING Sf='A
PERMIT NO. 0/- O;;.q I DATE ISSUED <t-Cf-~
CONTRACTOR ..Dll. t{,..~ PHONE' Cp'J/~ ~ ~ '?R~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
... r'" INSPECTOR DATE
I FOOTING <~ cl2-. 4//ql11 1 r~ I~l" 1
I FOUNDATION (Prior to Backfill)/)f ,85k;;J/ eq;/~If'*1 I
PLACE NO CONCRETE UNT'IL ABOVE His BEEN SIGNED
ROUGH - INS
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
d.. 7!~~k.P1 12r/ ~ ~~/o,
FINALS
fl(f!)
t%r- It 13/"1
GRADING (Prior to Sodding)
BUILDINGi:c..c. ('iJ.J /o!1r!(J/
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
SEWER I WATER I SEPTIC
FRAMING
INSULATION ~. ~ ~1/7/o I
ELECTRICAL .
PLUMBING I P b- ~ ~ lsi l( .
HEATING (if required) U (y ~\\ I s11\
FIREPLACE
GAS LINE AIR TEST
~>
/!?r
B~5
'/(/7/DI
,
, )1Jf \A~ fj) ~ ~ 01
?J5
if
-
/~, 7/2J.J,.J
~-~
;:7-5"
18--3
P6
if-Iou \
q-ld-Q0
-1
f2::r ,4
/fr,
7/I'?Av
!tJ(t /0 (
. ,
BEEN SIGNED
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have be!!~ a.pp'roved. 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
~~;"~~.'" ,....~;~.;.~..~. ;~~~""Y~'.:!"'F-I' .~I.~, ......, ....'l":,.... ,.r~ ~I.." ,.....~
~ -T('-~J.I)....'1&.,,:l...il~.;.(i" . ...~:. .... 'V' ...~.. ........>";.l
::~ 4L<<Iiflmu of ~ :~ :
:i~! CITY OF PRIOR LAKE ~:..;
:~.~.f....li J.. 1Bepartment of .uilbing 3Jn~pedion -
(~t 'K.. Final Permitted 0 Conditional C.O. Expires
l'r.(" ,
1 ' ~ This CertiJicale issued purswmt to the requirements of Section 307 of the Uniform Building Code
,~. '!/ certifying that at the time of issuana this structure was in compliance with the various ordiTla1lCes of the
'" -~1 City of Prior Lake regulating building construction or use. For the following:
:t". u..aassificlllior Sillll:le Familv Bldg. PenniIN<' 01-0291
~--(
;~~ OccuponcyType L:: BT:c:~~::e~eld ~:i;~Rln~ 10. n:::g:ct R?
.1..' Legal L._ :r~'"
I?: 8.
Ji_
:t:
-,- -
r'"",-_
.~
(..' .
1':;-
l~'~':
u' ,
(. .
r'"
Owner of Building
C;ile Addre3s
5450 F1Wll Meadow Curve SE
Contractor's Name &.Address DR Hnrton4 Tne
Rob~rt D. Hutchins{\) 0-\
Dullding ()ffi(:ial V iJ)
0) I ~).. - -::+-. .
14~q W~~hing~nn nr_ ~~~ ?n~.
l<'.::.g,:ln
55122
rity Planner
Don Rve
o.te:
o.te: .
POST IN A CONSPICUOUS PLACE
ADDRESS 5450
OCCUPANT
HEAT LOSS
SOLD BY
Electrical Work By
TYPE OF HEAT
".:....., (\
HOUSE HEATING TEST RECORD
(1;.,(4::; &,,;:;, r-\.lf \ '> "'-
SUBURB
.IOB#.
APT._FLOOR
'1WNER
CITY .
DA TE HTG. INST
INSTALLED BY
'';as Line By
GA _ F~ HW _STEAM _SPACE HTR. _UNIT HTR. _OTHER_
(") ...L GAS DESIGN
MAKE \.:)C~ '\ Y\",
Model .:7\Jr"<'1<l\L)0~40'lc--,
5"';01 _~;;L\::> \ f'i,""-(i_O"
INPUT 10<'" ,ocr, ~ n...l. '"
THERMOSTAT
Va Iv'"
Limit
Limit Setting
Fan Setting ~
Pilot Type
Pilot Make
Pilot Model _
Pilot Timing
L.W. Cu. Off
Ptessur..' '5) S
Input CFH
Stock Temp. .;;;l ")5<""
Form 235
CONVERSION
.MAKE OF BURNER
Mod.l
Max. BTU Rating
MAKE OF FURNACE.
Model
CONTROLS
Heat Plug
Vent Size L\ \-....
KIND OF LINER
SIZE
NONe
Draft Hood
Filters
Regulator
Size I ( .... -.(:, 2C> .Number
Chimney Location
Chimney Construction
Insid..,
Outside
Smoke Bomb
o,oft .
Wiring.
Test Tog
Lighting Inst.
Percent CO2 J_". s
Percent O. .c:o-. L
Percent CO'" f\
Door Pressur..
Do.. Tes..d ~ - , -, - 0,
Company Tuting/freQerickson Heating & A/C, 3650 Kennebec Dr., Eagan, MN 55122
Name of Test.r }-\OGf"-"\.. (~\
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
c;-/7-61
2:00
ADDRESS
.5 4-5?)
F/llA/ tJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING Rl
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION rr;::).. 0 SEWER HOOKUP
o FINAL ~ 'rE PLUMBING FINAL
o SITE INSPECTION /D MECH FINAL
COMMENTS(] ~ ~
6
~-~
/-2.91
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
o WORK SATISFACTORY, PROCEED
)(1CORRECT ACTION AND PROCEED
(0 CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ r Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
../'
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/o-,;J-/ /"/36
ADDRESS
sL/SQ
~at..u7U ~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/-d--9/
o FOOTING 0 PLUMBING Rl
o FOUNDATION@) 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
)iI'"l'INAL ~ PLUMBING FINAL
o SITE INSPECTION J~ MECH FINAL
- COMMENTS:(1)l ~ ~ - OJI
()>> Jh.&. ~-f1:o.u. V
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
T' E:.( 0 I
({J/3/1l7/
f
./
..oJ
.r
~~
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 6... Owner/Contr:
J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
llVSNOTl
DATE nME
CIiY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
q- p,-:l.,
Fcuu7U
1-1Ua.dow ~~
ff" q~3 - </'1- if'S-Qb
ADDRESS 5/./'1-'7 - '-If - t./9- 50
OWNER CONTR.
PHONE NO. PERMIT NO. ;J,-a.0J
o FOOTING o PLUMBING Rl o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: ..:s y- -r
I
/) r--
(), /i/i~
LY'
(\ , I /!
-i-- I I~
I
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR(;lT RK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector:' ~..--, Qwner/Contr.
y
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
oaNOn