HomeMy WebLinkAboutBuilding Permit 01-0326
_._~;-;:--~.-
CITY OF PRIOR LAKE BUILDING PERMIT, 'I. Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT APR - "
I. While
2 Pink
] Yellow
File
City
Applicant
(Please ~~ or print and sign at bottom)
ADDRESS
d"V/'<:? ~/1/ /??~ CZt'/f't/~ ~
BUILDER
(Name) ./2. Af/? /Vf:J"",,;7ZYV ~
.:?-v69 -
(Address) a/~N6->Z:VV <<. ~- o<'?'Y
,;
TYPE OF WORK
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 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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the y....y...L.j to perform needed inspections.
X ~~~~
LEGAL DESCRIPTION (office use only)
&.<Jf!:3 t:VV// //
-bQ=Fo "Dr 'lr'v
Lo+
OWNER
(Name)
U
I
ADQI:I;ION 16'~~
D'00/c..
(Address)
~
~ New Construction
ODeck
OLower Level Finish
o Fireplace
o Misc.
ZONING (office use)
1?-~
~
PID 85.... J1J3- 0 D3~D
(Phone)
(Phone) 657'-ol6l5'- '/7;3 ~
~ ~/.:?-:::<
OPorch
ORe-Roofing
ORe-Siding
OAddition
OUtility Connection
OAlteration
PROJECT COST IV ALUE (excluding land) $ ?"~ /'&'0
.-"~'6S7
~e::<S;-(7/,
Contractor's License No.
Date
7..L/600 .0::>
$5,#2. 1..1
J I ·
1 . .
I ~~c~p 7 1 S-eJ J,.
"/r
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and ~ proceed as requested. This document
:::en~[2r~::=O'~Cfflif:~eXZi;~Pli'n"'nd 'l1o~t~e~;:~ ~:"e~:;~~.
.... Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
I Permit Fee $ 70;7.7s- I
I Plan Check Fee $ ~ , ~ . ~-y. I
I State Surcharge $ 3(0.00 I
I Penalty $ I
I Plumbing Permit Fee $ I DO. 00 I
I Mechanical Permit Fee $ IOO.dt:/ I
I Sewer & Water Permit Fee $ - I
I Gas Fireplace Permit Fee $ '10, (DC) I
~on
BUlldm
omes Your Building Permit When Approved
<1-9- ??Y?(
Date
I Park Support Fee
[SAC
I Water Meter
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
$ BsD.D"'l
$ I. jg1. r'}Q
$ , f
$
$
$
$
$
Size 5/8"; 1";
~
#
#
I
I.. (on _ lYJ_
11~ -00
6 I
I
I
-
Paid
Date
~n?, . Vj
/-1/"01
61-0J~ro
Th. C.nln of Ih. L.b Counl!')'
White - Building
Canary - Engineering
Pink - Planning
.Erull.PING PERMIT APPLICATION DEPARTMENT CHECKLIST
,
I
NAME OF APPLICANT
APPLICATION RECEIVED
n R Norf-of-J
tj - 3-0 )
~
J-lV0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for c05u110c~ty w;-~:;siz~;~a d ()d) !&r{Je-{ E
Accepted
Denied
)(
Accepted With Corrections
Reviewed By:
Comments:
~6
5r.e fYi... /... F,' ft.
~
Date:
LJ - 0S--0 I
"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/ - 032 (p
Thf (:.nlff of lh. I..kf Counlry
White - Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
r.)
!
f"
I
,
.+"/. ,\..../i
I
-,. /0.....,..,
APPLICATION RECEIVED
( i
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~; I/I() - / . / j ! ...
, ,
ii/flu' . 1../ It I' i/- (, E
, ..,' (A ',-. .,/ [,,-.. L,.. "'---'- ,~ -_
Accepted
~.
Accepted With Corrections
Denied
Reviewed By: ~~
Comments:
f='t?Y ~t\ITEN\~ ~ AwbW~ ~...p ~
~. ~~P.<-( ~6liDB ~ V'1;p~ U/'/,^€-.
Date:
Lflb{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."
~~
01.637(0
Thf" Cfnltr of lhf L.kf Counlr}'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
j) R fIor-h;J
<{- 3--0 J
,---
J--^-1C--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for C051!DC~y W;;;:;:/M~adoiJ) !&u-()~ (E
Accepted
Accepted With Corrections X
Date: C( - '1- Z::c.{
/
Comments:
~tk. Ma.\v\.~lp
"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~'~
+'NNUO't"
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONINGfFlREPLACE PERMIT
Date Rec'd
I. Pink
2.Greetl
J. Yellow
~:~ I PERMIT NO""'/_ 3 --, ,b
Applicant U <:Y-....
(Please !:ype or print and sign at bottom)
ADDRESS
54/D H,lWYl ffifoJDvJ ~LLYVe)
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT i I BLOCK 3 ADDITION
PID
~':~Rl)rz \-\nyftt\
(Address) .?J~ W{t(AtLh~/lJ){ AvL
APPLICAN'J;/\/I. ,~L 1M cJ .. A A
(Name) K. IDA'n PIe flClfl/c(U'
(Address) _ .3fhD t(.LVIVlfbef..Jv( ...\u.I~ \
r. (Address) .
(Contact Person) ~.-hrt0 . (/ IAYYlJnp~~
APPLICANT SIGNATURE ~1", f." 7Jmm1Y/rItl/1
'11/ iJ
. APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACEMAKEANDMODEL BI'~J- ~8'?k.A-VD2J.JbID FUEL ~ttJ
FLUE SIZE L.\I\ C,.,\l,l SS e, RETURN OPENINGS Lf. INPUT 1D, Df)D OUTPUT 5Wt bbD
SW-lc 2nd
(Phone)
fo..M,n M(\J 55/2-2-
J
(Phone) ltfj{ 452--2-T15'
(City) (Zip Code)
(Phone) LaS I 45Z- 2,76
( J!JIJD) DATE Lf/23 f ()/
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
W-ir Conditioning
CiJ""ent. System
HEATING OR POWER PLANT
o Sleam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOtE:
Air Conditioner Ullits
Cannot Encroach illto
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job Cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New COl1struction)
$39.50
$39.50
Estimated Cost $
Building Pemlit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
au PAID \/In....
ILDIf\lC
(Office lIse Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Omchtl
Date
Datej_L(_() I
fAp.
U
24 hour .otice for all inspection, (952) 447"9850, fax (952) 4474245
Apr. 2. 2001 10:12AM
GENZ RVAN PLUMBING AND HEATING
No.0911
p. 2 1I/41
....EU~Fa.I!
1'EI.I.OW . ""'UCAwr
QOLD . aT?
CITY OF PRIOR LAKE NoOI- 03cJC,
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT:~';>- f?U,.:j nPIIJWlhl"""- ij:a;oA)r~ PHONE: I~OI-4?-~-IILlLl
ADDRESS: 14,LlE> Sn q...-.-z:r ..on 1G--Bb~It:J1J onr s-s-ot,Ji DATE: L/ /2 It! J
SIGNATURE: 11\ h~_D- _ BLDG. PERMIT it
f", r lVJiL SE:
SITE ADDRES'S :-.-f5-/r h:lJjJ~ v\l.oAQ5l,l) \""-"PIDit
FILL IN THE
L
Estimated length of water service
"
BLANKS
401
feet.
2_ Size of water service
inch(es).
3. Location of any couplings from $~ructure
feet.
4. Type o~'sewer pipe. ABS PVC X
/ Ir-.'
5. Estimated lengt~ o~ sewer lin'i'~_J
Cast Iron
feet.
6_ Clean out (if required), located at
structure.
feet
from
=============--~~~~======~~-=~~~--==------====~~==~~~-=====~~
This application becomes your permit when approved.
BY
DATE:
=~===============~=====--====~=~~----~========================
FEES:
~
~
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge,
*
Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of iSjuance
to insure that no duplicate sewer and water permits are
issued. BUILP~/D l~."
. ?j-l/-O/ D,~.I;:
I
AMOUNT PAID
REC'D BY r
DATE PAID
RECEIPT #
. 4629 Dakota St. S.E., Prior Lake, Minnesota 55372 I Ph. (612) 447-4230 I Fax (612) 447-4245
IIIN Fr"lrlal nppril7nTNrTV P4Pfnvr:t:;>
Apr. 1. 1001 10:13AM
GENZ RVAN PLUMBING AND HEATING
No.0911
p. 14/41
_.~
./
Quantity Type I'ltFixture Quantity , Type of Fixture
I 8am Tub with or withQut shower I Rough-ins
1 Dishwasher , I Water Heater
1 Roor Drain I I Water Sottner
3~ Lavatory (bathroom sink) I Stand Pipe (washing machine)
\ Laundry Tray (1 or 2 compartment sink) I Sewage Ejector
\ Shower Stall I I BacktIow Assembly (Rf'Z, Double Check, PV8)
l Sinks I I Backtlow Assembly Test
Bar Sink . . I , Lawn Sprinkler
.. z.-;: Water Closet (toilet) I I other
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: r-., J() Z. - k'--tr G..P I v.-r... iJ:n~
Address: ILHl.LS ~ ~Ia YlT \"1LI.
Signature: v.. 1 ~ '
Legal Desctfplion: Lot~ Block Sub
SiteAddress: ,<'4/0 Fn",u t/IJlQ.A-~
Building Permit /I PID It
NOTE: This permit wJII not be processed WIthout complete Informati.on.
FIXTURE UNITS
l":a\~ fjJe.
2. Gold COy
1. Yc1Iow Apptio;ul
0/-030Z-(,
#
nc Cm~ "I UIe l.aIu, '.......11:1
Phone: I "F--] - U 7 ~ -114'y"-
~.l,.V\T.~"rR
0.e.~Cdp ?a-D
C 1 JJ y? \/Q Cl.~
FEE SCHEDULE
> Industrial, Commerclai &. 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 pe.o;:nn: IS granted upon the eltpress condItion that 3ud
contractor, shaD comply in ail re:!p8Ct!I with the or:'~s
o( the State Plumbing Cod. and tit. amODdmonts jcrcof.
R.cu:an NO. .S-Lf-O DATE
0(" ./ AITEST
Call for all Inspections 24<ltours in advance.
SUJ~~~ ~[,I:f
'-" .~..
.,
16200 Eagle Cree~ Av. S.E., Pnor Lake, Minnesota 55372 I Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal Qpponwllty Employer
-.-.-. ~_.._-,--_..__.--~
651 633 BBB4
FIRESIDE CORNER
'""'.1....,1; ""... ... ........_...., ~........._
#0796 P.006/00B
HEATING/AIR c'u, ~.....nONINGIFIREPLACE PERMIT
1.,,*
, ....
f. -nn-
~_I PERMIT NO. 1- 73;?-?o I,
(Plea.. ~e '" prim 1014 tt\olt. at '-"',
ADDRESS
5'1/0 ~~ T'Nfi.~ (l'A.>e.
ZONlNG (-...1
l?-d.-
. LEGAL DESClUPTION Collin use ""17) '-
LOT3 BLOCK Au"',i..ON rJO (),?A--1Jd2rO
.~-
PW;)S- 37~-o
OWNER
(Name)
"D/2
'")~
I \
V
(PIl.one)
(Address)
APPLICANT
(Namel lU.LIEO URF.:SIDE DElA FIRESIDE CORNER
(Phone) _ 651-633-7.t:;hl
(AddIess) 2700 N. FAt:mn:EII AVENUE
tAdd....)
JORmDA BU5'l'Cl!l
(Con.tact Person)
AJ"PLICAN'T SIGNATURE fJ.-,.,.;L J-J ,"';--:"
ROSPYTT.T.P. Ml'l
COlY)
G51-633 -2 5Gl
(Phcme)
"_"1' ~
(ZiJlCode)
DATE
I/~OJ
APPUCANT PI.EASE COMPLETE BELOW
~W CONSTRUcnON 0 REPLACEMENT 0 ALTERATIONS
F'lJRNACE MAKE AND MODEL FUEL
FUJE SIZE :kEnJRN OPEltlll'lGS ll'Il'VT OUTPll1'
HEATING ORP...........PI..ANT
o Sleam
o Hol Wour
o ROllI.'lon
o Spe<:lol O...i...
o Other J:levj=
..s:L. 1.\!il'L-
'I'YPE OF ".".r.ror
OWlUTTI Air PI8lIts
JOr.lvily
J Mcchllllieal
JAirCQ..;:;,;.~
OVen~ SrSllm
LJ~.
PLEASE l'Ion:,
Ai, C""dir.i""er Units
ConnQt En.Cll>acb iIm>
Requinld Side Vent
Serbacks
FIREPLACE MAXE AND MODEL
AJ lnfD
IndlJSlJ'i.1. Commueial &I. Multi.Fwdl!,
FEE SCHEDUT.E
I'll. .(job <OS! Residential, 015 "''"'1'''''
$39.SO ",ioimvnl
5il'HlI R""id..lial, Addilions "'- A1lOtDtlon'
S&4_S3 Resld..liol, AC C>>lly
S39.SlI
Residen,ial. Heerjog"'- A/C (N~ Co.... ,..:,,_,
Re,idential. I-jeatiogOnly (NC\l( C......"'":tion)
S39.S0
539.50
Estimllll:ll COil! S
Building P"""il II
HEA1lNG PERMIT FF.E
STAlE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
,.
IB/JJL~~~?sIi!l'i .
"C"
Roeoipt NcI.
(Olliee I).. Only)
This AppUculian Become. Your 1IIn1ding l'Innll When Approved
lI"lIdiIl\lOfljel.1
Dm
I hill
I Dam cg --- ,J-/r-/
-
:14 ~.or noll.. ret 011 .e., ,..;.. .. (952) 447-9I1SIl, fig; l'5l) 447.a<lS
By 4----, Q..
(/
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS \St.//() ~'J~U, M~ 1 Corv 0
NATURE OF WORK .ucu.....J
USE OF BUILDING SFA
PERMIT NO. 01- 03'2.0 DATE ISSUED C(~ 7 - Zd>G) (
CONTRACTOR D. Q. t-b~ PHONE ~I - ?c;(,.,~7(3(p
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR J ,.DATE
'FOOTING '(r.IY..o ~ ~r'd"GkJ EN- 1'5' ~ /0)
, FOUNDATION (Prior to Backfill) I '1S~~, I tr;' lJ~o (
PLACE NO CONCRETE UNTIL ABO~E HAS BEEN S'IGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSOLATION ~. \.Ul ~. lo/~.Jol
ELECTRICAL
PLUMBING ~ IU.~. p,. fs, IS; (d7 tl". Y'J;X~/hJ
HEATING (ifrequired)'\ ~+4'~ m-, 5/ /J' /i; ( T ~. r~ ~ I~!e, J &:h ~h ,/D I
FIREPLACE ~ c;?/"/Ol
GAS LINE AIR TEST ~ '. F. f. 6,.', ~/ 3i / () ,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
,~ &-. ?1a-J../IIJ/ I I
v FINALS
GRADING (Prior to Sodding) nit?
BUILDING'fC.D. 1fJ1 1JJ 1 Jot.. 6:r, 10/:;'0/01
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
~ib-
8 (3(/0 (
, {q!lJ/
-
fJ-/6
11-(p~OI
q- f;).-C}-
r&r
tk,
16/1/0)
/o/;;~ 101
BEEN SIGNED
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections h...:! been approved. On buildings and additions
where no service cabinet is availe"~e. caru studl:ne placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
1Department of .uilbing )n~pedion
~inal Permitted 0 Conditional C.O. Expires .
, ~ Certificate issued pursuant to the requirements of Section 307 of t~ Uniform Building Code
certifying that at r~ time of issuance this structure was in compliance with the various ordilliJ1lCes of rhe
City of Prior I.oIu regulating building construction or use. For the following:
Use CJassificatimo SINGLE FAMILY 01-0326
Bldg. Permit No
R3 VN N/A R2
Occuponcy Type Type Construction Fire Zone Zoning District
Legal D _...:<~._. 1.3, Bl, DEERFlELD THIRD ADDITION (BLDG 3, UNIT II)
Owner of Building
Site Address 5410 FAWN ''!EADOW CURVE SE
DR HORTON, 3459 WASHINGTON DR., SUITE ~04, EAGAN 55122
Contractor's Nune A Address:
J) I') .
ROBERT D. HUTCHINS .' .- .CityPl....r
Buildiol9J'fiCial :::;
'"7-- I v - d-- Date:
DON RYE
Date:
DATE TI?:
CITY OF PRIOR LAKE / '1-0-'
INSPECTION NOTICE SCHEDULED tJ- 01-;;2., -,O'-.J-
.51/0 f- 10 ~rh m..to.,qg-W
. ADDRESS KL/(')c) -// '~(ir
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
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
Of -0 3d/./- 3;;'.s-
.5 ~(" - Qd-.-'i
o EXfGRAD/FlLLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
.srI
.
()/'/'
-
(l!t 5 fJ
f\ I /
r r I't:.-/
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
. ~\Ji~e'i'Wo,WI:CALL f'JR'R~ti!lIIt!c:~lciN e~8Wc.:
'...,.,. () PI .
---.....---.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
5---(/0
~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS: (f)
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
~ SEWER HOOKUP
, ~ PLUMBING FINAL
o MECH FINAL
DATE TIME
/0;'; j" I
, I
/ // 6tJ
t)t-:3,;:z.(;.
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~~
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTION BEFORE COVERING
~,
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
- -,
IIVSIVOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
.
-.--
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor
Name at Tester
Date
F(e.,cJc\( 1.1 <:"Cn
j\(,j)~ "" w" \"\
10.' \l - D \
Job Address
Heating Contractor
Name ot Tester
Date
~ L./ I 0 F<,w., f.1~,~cJ,,-
F,~c.Of'tc.4~o.') .
AdA....... U\ II .
10,\1'0\
1...5
o
"Zs. \
3..3lc
Percent 0,
Percent co
Percent co,
Stack Temp
Combustion air is adequately Supplied per
UMC Sec. 606 ~ ~, <..., .
input (n( r. (")00 l2ILt1~