HomeMy WebLinkAboutBuilding Permit 01-0693
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
], White File
2. Pink City
3. Yellow Applicant
(Please type or orint and sie.n at bottom)
ADDRESS SC.J" L. ~n fY1 WIfW t.uvw., SG
LOT 1 BLOCK I
LEGAL DESCRIPTION (office use only)
~LI)C:l~ l\ UVl\.+Q...
\)eex--h,J,l ~.A...
PID ZS -373 -007-V
OWNER
(Name)
(Address)
ADDITION
BUILDER D.;'l I I A _
(Name) _I.t-. f!l'Y'1'Y v
(Contact Name) rYll~ Woht\,d'~{ ~^"
(Add ) ZO~. ~l:>v1J~< vi .S4-G 100
ress lA JIl, Mtl -~L./I.-(
TYPE OF WORK
~ew Construction
o Misc.
DLower Level Finish
PROJECfCOST/YALUE (excludiogland) $ '1J.I/J()
OAddition
(Phone)
(Phone) q((b~1 BUr
(Phone)_q~4-'IoI -]..."1oe
ODeck
OPorch
ORe-Roofiug
ORe-Siding
OUtility Connection
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
. oned property and that all construction will conform to aU existing state and local laws and will proceed in accordance with
e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
eded inspections.
x
'/
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
72 ./XlO . t'lt'"J
19'1 . ,'"
518 . f'\4
I
3€J,.oo
100.00
/00.00
(;)
40.00
C!)~tion ecomes Yom BUil:.P;;t ::;roved
Bud g Official Date
$ 8&:l. CD
$ 1,ISo.O')_
$ to
$ c:f>
$ 11)..00.00
$ 700.00
$ C)
$
$ SLJ9;),;)..,/
I Receim:No.I/D/O ':;
Bv l.,1&-. .
V
o Fireplace
OAlteration
(,-dP ~ D I
Date
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 allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issu ~
Plannmg Director
~()Cbflf
Contractor's License No.
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
#
#
#
#
7/3Let ~ ~~~f~~M.4
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
I Paid
I Date
IJIjCfd-,d'1
---7~/3-Llb
~~
White - Building
Canary - Engineering
Pink - Planning
Tht Ctnltrof tht l..bCountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. 12. H (LTl~r-J
if Z I. ( I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.1)<'--1-((2- F-t\\\f\J li[;\U(\\.'/ ..li-'v'C ~jt:..
''"
Accepted
~
Accepted With Corrections
" ...,.
Denied _
Reviewed By: q ~"'-~_ .~d, .f-f?~ .
:A~b.AfJ ~u1,U'\<fO <MD (' -{lYVb~hl.A( ~
~. {;" LJ /~'~_- ~ i~ ~ ~~l
~j I+u'{~ ~
Date:
7 /2- /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."
~1
While - Building
Canary - Engineering
Pink - Planning
l"h(' ('~nll'r of lh~ 1,lllt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. r2-. ~OIGI UN
(I)' -z..-l . 0 (
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5402- PAW l\f M5ADOvV C-;UR.-VG So
Accepted -;I
Accepted With Corrections
Denied ~ 1/-;7 Q
Reviewed B~L(9)~
Comments:
~ ~ !-1ur'0-
Date:
h-;) 7-Cex::J(
t:(~
"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,"
~\
ol-~7-)
White - Building
Canary - Engineering
Pink - Planning
Tht(-..nfnof Ihfl.8kf COUnl1')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. /2.. ~ 01<::' I ON
(0. --z.1. 0 I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
c'54tcz- F/wJ N ~lfJ\DOV\f GUt2.Vb ss
Accepted
'x
Accepted With Corrections
Denied
Reviewed By:
1VJ4-^
Date:
), (, -0 I
Comments:
S<-< Ill...,.", r:..!{
"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 2:03PM
GENZ RVAN PLUMBING AND HEATING
No.6964 P. 8/11
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
l(:.
/'Please [VI:)l; crtn::intcm( sUm E bot1Dm)
Aj)nEtEsS .,'~~ . .
~ ..
h~~~?-. p~ V\J...Q~ (\ t v? \10 . (~~
I. Slull TlI. I PERMIT NO
~r:::... Z':-. --. /-h93
ZONING (oI!co...)
JD- ..
LEGAL DESCRIPTION (olIice use OIIiy) ,
LOT 17 BLOCK / ADDmON]).(1 c2.( ~'elJ 0 0rt..j::J
PIDd7~ J ~- 0 01-0 ..
i OWNER . .
. (Name) DR Bo;rt:on Cust:om Homes
(phone) 651-454-4663
(A~ess) 3459 Washing"on Dr Ste 204 Eagan. MN 55122
APPUCANT
(Name) r-An.,._Jl:...,._ 'O'1'Jtllbi-l:lG ~ u.--....~-,3
(phone) Ii" _l.?<_llM
(A~ess) 14745 So Robert Trail
(Address)
Rosemount:
MN
55068
(Zip Code)
(City)
(ContactPex:io~) Mary Olson CPhone:) 651-423-1144
APPUCA*}~iGNATURE f A. O~ 0_ -- DA~. \ eLm!nl
i, .,., AP~ PLEASE COMPLETE BELOW
Quantity I Type ofFixtnre I Quantity I Type of Fixtn.-e
I I Bath Tub w:ith or without show.'r Rough-ins
I' I DishwllSher l I Water H::a:tflr
, j Floor Drain r? J I I Wawr Softner
z- Lavato(j' (Bathroom Sink) r . I Stand Pip" (WllShing Machine:)
I I Laundry Tray (I or 2 compartment sink I Sl;Wage Ejector
J I Shower Stall I BackfIow Assembly
J I Sinks I Backt10w Assembly Test
I Bar Sink I Lawn SpriDkler
9- I Water Closet (Toilet) I Other
I
I
I
I
I
FEES,-~u.a.E
InduslnaJ, ColIlDlCItlial... Mwti-fiu:nily l% of job eost,.,;th. $39.~O m.inimwo RcsidClltial, New One'" Two-FomiIy $99,~O
RosidOlltiaJ, Additions &; Al_ens $39.50
Estimated Cost $
Building Pmmit 1/
PLUMBING pERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
tJUIL~~ t/ .
!,>fG/:J.
1::.;
:lffiu: tJac Only)
. ,
This Applio:ation Be1;OIDe$ Your Building Pennit When Appro'Veil
Baijdillg om",,,,
I PIIid
n.t. I Date 7//Off) /
24 hour aulle.lVr all iMpeelioD' (!lS2) dd7-9850, flli (/s,.) ~-4:J.41
, Rcoe~No.
.:..
IBY~
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREl'LACE PERMIT
Date Rec'd
I. Pink
2. Green
J. Yl!lIow
~::, I PERMIT NO'/_I 0-::2
Applicllnt I l.:? i.~.J
(Please tv'Ee or Dwt aiid sim at bottOm)
ADDRESS
. ~4w'Z..
H,lWY1 fi\PMDW ~LLyvt;
,0 ~1fJct!. :3 vd
ZONING (offic~ us~)
h?---
LEGAL DESCRIPTION (office use only)
...., I
LOT5lDBLOCK I ADDITION
,
PID .']5 '31.3- 007-C
~'::~R ""})~ \1Dy-lri\
(Address) 3~ W II <JkLn01m1, PrvL
~;~~;4\t I.IOM VYkthtU1/ctL!
(Address) 3rhD l(ffH1fbef./l)( \.~til-k, I
r. (Address) . (City) (Zip Code)
(Contact Person) ,)ft-nt0 .l1dmm~ (Pho~e) [d'S I 15'2-- Z776
APPLICANT SIGNATURE ~h f/ l1m.tTl1Ytna/I (A'lI1Q)OATE ~~/{)I
. IJ /)
, APPLICANT PLEASE COMPLETE BELOW
[9I'ltW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL g,,~t.n J.. ?:18 '?kJ\V D't4 b 1 0 FuEL. f\h;/-uxaJ
FLUE SIZE L-\l\ C\a. ss e, RETURN OPENINGS 4- INPUT1D, DnD OUTPUT 61t7. bbD
TYPE OF SYSTEM tIEAl1NG OR POWER PLANT
SJAik 1JJU
(Phone)
Ea.tt1h Mf\J 55/ ~ 'L
j
(Phone) Id3/ 452--lT15"
DWarm Air Plants
DGravity
o Mechanical .
~lr Conditioning
[lXOnt. System
o Steam
o Hot Water
o ll.adilltion
o Specllll DeviceS
o Other Devices
pLEASE NOTE:
Air Conditioner Dnits
Cannot Enttollch into
Required Side Yard
Setbllcks
FIREPLACE MAKEAND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job tost Residential,. Gas. Fireplace
$39.50 minimum
$99.50 ReSidential, Additions & Alterlltions
$64.50 Residential, At Only
$39.50
$39.50
$39.50
Residentia.I, Heating & Ale (New Construction)
Residentilll, Heating Only (New construction)
Estimated Cost $ Building J>eJ1llit #
HEATING PERMIT FE); $
STATE SDRCHARGE $ .50
TOTAL PERMIT FEE $
i:1U,/6;!l? WIll-!
'vGl"!:...
(omce Use Only)
This Appliciltion Becomes Y 0111' BUilding Permit When Approved
Building Offichll
~
1
I
Date
I Paid
I Dat7_? .3-0 I
Receipt No.
24 hour notice for llll inspections (952) 441'9850, fax (952) 441-4245
NOV.09'2001 15:07 651 633 8884
FIRESIDE CORNER
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONJ.NGIFIREPLACE PERMIT
#4599 P.002(009
Date Rec'd
(Please tvpt: <1f" Print llJld !iftD at botIom)
ADDRESS
5c.;~.:J. dl~ lhn;.d.l}l~ 4vwc S€
J-~:;1:::::1J/N ::;~:) r ~ gM~ 2,Q
OWNER ~ ---:-, f J -
(Name) ',+;.J. I~. ~
(Addtess)
APPT..J.CANT
(Name) ALLIED FIRESIDE; DBA li"_IRESIDE CORNER
(Address) 2700 N. FAIRV!EW ;j,vmll~
(....dd,.")
(C P ) BRENDA mS'l'ON
ontact . erson
APPLICANT SIGNATURE ~/lI.Q. iJ,~
: =., ~:~ I PERMIT NO'1-I., q3
" Tello.- AppIkltl'l~
(phone)
ZONING (ollict:u""
r<-~
PID ,::)5- 3Fr-6{)7-?
(Phone) 651-633-2561
1;lf")SEVTT ,r ,r.;: 'J!nol
(City)
(Phone) 651-633-2561.
DATE. fl.t;.o\
APPLICANT PLEASE COMPLETE BELOW
~w CONSTRUCTION
FIJRNAC6 MAKE AND MODEL
FLlJE SI:ZE REnJRN OPENINGS
TYPE OF SYSTEM
OW""" Air Plants
DO",vil)'
o Mech",icaL
DAlr Candhionlng
DVent. SYS<erD
FIREPLACE MAKE AND MODEL._~ jo.) G (....
o REPLACEMENT
5,r:..' 1 ';I
(Zip Code)
o ALTERATIONS
FUEL
OUTPUT
INPUT
HBATING OR POWER PLANT
OSr.e1lfll
o Hot Waler
o Rodilltion
o Special De.ice,
OWer Devi=
s... 7s'"
FEE SCHEDULE
1% of Job cost R..i~""tiIL. 0.. Fin:place
$39.50 minimum
$99.S0 Re,i~cnt[8I, AddLtions &. Alrmalions
$64.5" Ilcsldcn.lill, AC Only
Industrial. Commerciel &. MuLt!-FamUy
Ilesidontiol. Heating &. Ale (Ne.., ConSll\lction)
Residenli.I, H..ting Only (New Consl",..lon)
E8timated Cost $
HEATING PERMIT FEE
8T ATE SURCHARGE
TOTAL PERMIT FEE
(om" tJ.e Only)
Thi. Applh:ation Btcomes Your BuUdlng Permit When Approved
Bllilding Pennit #
$
$
$
.50
I Paid
I Date 4/ /1dJ I
(
14 hoor notl.., ror allln,peetlo". (951) 447-9850, roo (951) 447-4245
II.lIdlng Omd,l
D.,.
. ~_.._"_."._.-..~.,_..._,,._--_._-_. .-.-
PLEASE NOTE:
Air Conditioner Units
eMUOl EDtrollCh into
Required Side Vard
Setb.cks
$39.50
539.50
$39.50
Cu.., I;j/l)
'C), !... ,
IAI - [,-1/.
I'I"=,,, v)';,
~ f:>~ If
,,-.
, .
I Receipt No.
IB:~
'Ii'
PRIOR LAKE DEPARTMENTt SEE MAIN FILE
.BUIL-DING AND # Q1 - () &0 y
,.
INSPECTION RECORD
SITE ADDRESS ,C)t../(nr;).. -F;; WV\ M.e~ ~
NATURE OF WORK /I., OllJ
USE OF BUILDING S!="A- .
PERMIT NO. tf? j - (# q-3 DATE ISSUED (,.2e-~(
CONTRACTOR DJL. /-i..-.,....~ PHONE 79. -QJl.:29otp)
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
'FOOTINGYV\0^" f'rA, QJ(i'/'lI ~ U~ 17/r~!Ir( l
'FOUNDATION(PriortoBackfill) "tJ1c.. I~ ~!'ClJ~, ~, ~'tL 4-8'J~~/OI
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER / WATER / SEPTIC
FRAMING P::r I
INSULATION A.... \Ul & r lz)t;(o/ ~. ,.zI~.LJJo"
ELECTRICAL , ,
PLUMBING ~ U. C" r th- .'8"/ {,,/ t7 ~. /f/;;-?/tJ I
HEATING (if required) f ~ , 'tJa. J;)-- f"/ WFi ti:t- 'i{/ ''d/ 0) ffir, /2/ If; J
FIREPLACE 6 I tl '-1ft; I I .,
GAS LINE AIR TEST ~ ~I r:; P. 4 12l~/tJl
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
'M,~. I/o. ///7ItJ, I I
- .
FINALS
GRADING (Prior to Sodding) /1/ ;.;;)
BUILDINGL.c...~. tij 'iShfh2.-- ~. )/7 IDZ--
ELECTRICAL
PLUMBING
HEATING
.
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
/2--/ 'iIOJ
vvP
I ,
/O/d-L{P;)-
}J,t.11-'((.L
2
\/17 In 1,
);)/7j{)~
BEEN SIGNED
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 be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850
Qrtrtifirau at OOrrupanry
CITY OF PRIOR LAKE
J)tpartmtnt of Jluilbing 3Jnsptdion
~ Final Permitted D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of isslUJnce this structure was in compliance with the various ordinances of the
City of Prior Lake regulating building construction or use. For the following:
Use Classificatiop
Bldg. PermiIN'. 01-0693
Occupancy Type
R3
C . VN
Type _.__ .._._..
BLOCK I, DEERFIELD
_Fire Zone
3RD (BLDG 11,
R2
~ Zoning District
UNIT 56)
LOT 7,
Legal Desctiption
Owner of Building
~il<Addres. 5462 FAWN MEADOW CURVE SE
ROBERT D HUTCHINS
Building Official
J/)..IOJ....
D R HORTON. 208fiO
/1.N./
, t I rity Planner
KENBRIDGE CT. STE. 100. LAKEVILLE 55044
Contractor's Name &. Address.
DON RYE
Oal<:
Oal<:
POST IN A CONSPICUOUS PLACE
,
I
,
i
,
1
_i
ADDRESS
,5'1h2
OA TE TIME
SCHEDULED ~ JtJ:o-o
~ Y'\.4~~
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
eJ{ - ~ 7'3
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH Rl
o FRAMING 0 WATER HOOKUP
o INSULATION (@ 0 SEWER HOOKUP
o FINAL 'vi PLUMBING FINAL
o SITE INSPECTlO to MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTSm (/IJ ~
-
~ r I~;)
~-~
/""WORK SATISFACTORY. PROCEED
)I CORRECT ACTION AND PROCEED
f CORRECT l.RK. ~LL FOR REINSPECTION BEFORE COVERING
Inspector: ~ 1 Owner/Conte
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IIVSNOTJ
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
~7fz- 1/30
/5 ~ (,. 2.. ~ t1.ruJl;-uJ ~
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
01-6'13
o FOOTING 0 PLUMBING RI
o FOUNDATlON~ 0 MECH Rl
o FRAMING 0 WATER HOOKUP
o INSULATION N 0 SEWER HOOKUP
J.l! FINAL j(jy:J PLUMBING FINAL
o SITE INSPECTION WJff MECH FINAL
COMMENTS(JJ ~~, ~
~..t......~ A-,_<...../er" ~.
t!J U ~-,C. .;~. U
(3)~ . ~
[11~:C ~~~ '~dJ",f~___L-I-
~)~ ~-~~
~
o EX/GRAD/FILLING
o COMPLAINT
~ 0 FIREPLACE RI
r f..E{J )I FIREPLACE FINAL
o GASLlNE AIR TST
o
IJ~_,O ,
8t I /0 '--
~~,'
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.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ
A
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor ^" .'-"-\ ''''.J-
Name otTester '( It: 't'- 3"".
\.:l.' lv-o,\
Date
Job Address S'IU f"~_~_~_.\...> LV',,-
Heating Contractor ...., I i L~" M,~......
NameotTester Kt.;-\-\-.. J.
,~- IS' -"',
Date
Percent 0, TJ..
Percent CO -0-
Percent CO, 'is "
Stack Temp Jl \ ..
Combustion air is adequately supplied per
UMC Sec. 606 'f "
c.t.,.,~
input