HomeMy WebLinkAboutBuilding Permit 01-0694
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
L White File
2. Pink City
J. Yellow Applicant
q'lease ~e or vrint and sign at bottom)
ADDRESS ?JL/f,3 Fa,WYl fY1$OW ~ 06
LEGAL DESCRIPTION (office use only) \; LOG" \I UNIT
LOT' BLOCK I ADDITION D€6',lf IGll) 3.-L
OWNER
(Name)
(Address)
BUILDER f1
(Name) D. Q. l~ k....
(Contact Name) r'Yl,16 {'voh 1\Ul<l' ~
(Address) 2f;S(,O IC~b"".u.l U. !1-<./DO
Lit I/IAA III Mnv ,~)4. t.{
TYPE OF WORK
~ew Construction
o Fireplace
PROJECT COST IV ALUE (excluding land) $ 1~ IOf)
,
ODeck
o Misc.
DLower Level Finish
(Phone)
Date Rec'd
~ ~Zr/~OJ
j-O(Pq4- I
ZONING (olliceuse)
Je2--
PID ze; -373~0CJ7- 0
(Phone) Cftb ~ '180ft
(Phone)Jc-a-- ~I ~'10!J
OPorch
OAddition
ORe-Roofing
DAlteration
ORe-Siding
DUtility 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
authorized agent for the above- entioned y~vy...nJ and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware t the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter up ey......y...~) to e needed inspections.
x
v
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
1 Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
,.,...., (J
((P
$
$
$
$
$
$
$
$
T).. 000 .r<Y'1 I
T)'JI(,/~ I
SIA .S'l I
3(.,.(')0 I
I
lOO.O1 I
I (){J . cJC)
o
'10.00
Building Permit When Approved
&,,49 ''lcb(
Date
:2f1/lIJ5V!:7
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
1 Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
..-: -
I Paid..::l. ~9'~. ~ '-1
I Date 7-/:::(-1/,4
#
#
#
#
--.1J')-ao;{) /
Date
$ ~S-O.OO I
$ I. L5.r-.J.60 I
$ . 0 I
$ (...I I
$ I. ~QCJ. a:> I
$ loO.co
$ 0
$
$SJf9.J.. J-q
I Receipt N~.t.fOI/) '-7
Bv c;;;c..../
U
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 sign by the CIty lanner constitutes a temporary Certificate of Zonmg compliance and allows constructlOn to commence Before occupancy, a Certificate of Occupancy must be
issued Planning Director ?/3!f!1 ~'t:~,~an9~f\~
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
~%
White - Building
Canary - Engineering
Pink - Planning
Th~ Cfnln of tht L.kr <:ounlr}
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
, '/"
NAME OF APPLICANT
APPLICATION RECEIVED
D. 12, He I~TDtJ
([-21-[1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~J 4 ('r 3 F f\ W f~ i I E {-\ 0 c V'J "I ie V 5
Accepted
~
Accepted With Corrections
t
Denied
.
Reviewed By: ? {.:1~/,~~
Vj~_~~/"\{"{(Q ~-C~~5
'1.\ - PpUo () ~' {J~ ~ if\eev~~~O
~/~ M~"f"'~ .t
Date:
7/2..//)1
~
. .
"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
ThO' C"fnlfr of lhO' L.k.. ('ounlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. 12-. HORJ UN
Co-ZI- 0 I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
54&3 FAWN H5ADow C-,UiC-VS
Accepted
)<
Accepted With Corrections
Denied /J/2~ K.
Reviewed By: (Ji/~ "">
Comments:
geo ~ MR~U rLo
Date: Co.2 7 -~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."
@t
01-~('/
While . Building
Canary - Engineering
Pink - Planning
Thf ('rnln of thr L.kr ('ounln'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. K. Hor2-1 UN
c.o-Z/-Ol
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
54-&;3 FAWN ~I SADovV ~LJf~V5
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
I/AI3
Date:
7-,"-0 I
Comments:
Set M..,'y, f:,'/{
"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 2:02PM
GENZ RVAN PLUMBING AND HEATING
N0.6964 P,7/11
Date Rec'd
LU 'L OF PRIOR LAKE PLUMBING PERMIT
; ,
, '
~E_ E..../ PERMlTNO'(_09L{
J
~d tvJ:le OJ:'w1At,aa:d Jbtn R.I:'botDml)
IAD~;~,' -~~~
fl~lJl~W ("I
I€...tJ(? , ,'\F_
ZONING ("""'"->
R-~
LEGAL PESCRlPTION (o1IIce DSe only) .
ADDmON J); (J( (ie1J D
LOT
llLOCK
3rL.O
PIDOI ')-3 '73- () 07- 0
1 OWNER '
eN"""c::) DR H01't:on Cust:om Homes
(phone) 651-454-4663
(Addrc:::ss) 3459 Washingcon Dr Ste 204 Eagan. MN 55122
APPLICANT
(Name)J;:.FM~l>l'o~
(Address) 14745 So
'P1.~i...:: $" 1l.lr-......:~,g
(phoIU:)
~r;,1_f17":l_11hA
Robert Trail Rosemount:
(Add:l:c::ss) (City)
(ContactPerso~) ~ry Olson , (phonc::) 651-423-1144
r"CAJ<t~GNATURE [ ,\~ 0 - DA~ ,ol mini
, , ' AP PLEASE COMPLETE BELOW
Quantity I Type of Fixture I Quantity I
/ I Bldh Tub with or without sbower I Rough-ins
I I Dishwasher I" Wamr Heater
, Floor Drain I I? I ( Wat.er Softner
;z.. 1 Lavatory (Bathroom Sink) / I Stand Pipe (Washing Machine)
t I Laundry Tray (lor 2 cO.lllpar1ment sink I Sewage Ejector
1 I Shower Stall I Backtlow Assembly
I Sinks I Bacld10w Assembly Test
I Bar Sink I Lawn SprinlQer
'7-- I Water Closet (Toilet) Other
MN
55068
(ZIp Codc:)
Type of Fi.ntu:e
I
I
I
I
I
I
FEE SCHEDULE
lndusOiaJ, CommorciaJ8< Mu.lti-oomly 1% of job cost \With a $39.50 mlni:mum Rcoida>tial, N_ One 8< Two-Family $9950
lUsidential, Additions 8< AJtoration. $3950
,
,
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TO'l'AL PERMIT FEE $
.50
" 490~'%.o h;r,l< '
Gpl,f..
<S'l<
'lIt.,
:l8ie:c Use a.dy)
This Appli...tion Betom,es Y o"r Buildillg Permit When Approvea
lhlil<liJlg OlIieioJ
I Paid
- ,))01< I ~/)/oI 0/
24 "o"r noti.. I\Ir .11 iD'podions (952) 447-9850, fu ~S~) J,-424~
-
1 F~II."l'l- -40
JBY ~/
(1-
CITY OF PRIOR LAKE
HEATING/Am CON:DITIONtNGIFlREPLACE PERMIT
g.~Rl)lZ. \1-oY'M
(Address) -3tJ5q WOl~At~n~hrM. AvL
~;;~~ANttUlnM (tkCJUlf1lCa)
(Address)~D I(.fJllnrbfr/l)r ,\lilk. \
r. (Address) . (City) (Zip Code)
(Contact Person) Jt-rrf.0 . C ~. (phone) ',15/ t/5l~2./76
APPLICANT SIGNATURE ../lIpfuOij~ f", 7JmnUnna./1 (JYJ/H)JOATE '1//8101
~
. APPLICANT PLEASE COMPLETE:BELQW
. [!3NtW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL g,,~J-. '3g?JILliVDZ,4blD ..Fl.JEL .~.41
FLUE SIZE l-\ll t.\ct SS & RETURN OPENINGS 4- INPut .70. DDD OUTPUT 5w,bD()
TYPE OF SYSTEM HEATING OR POWER PLANT
I. Pink
2. Green
3. Yellow
(Please ~e or print aiid sism at bottom)
ADDRESS
5~U8
K1wn ffiPMDW tLlr vt;
iYcPjJA/~jJ r:c? rJ
LEGAL DEIfRlPTIOf (office use only)
LOT~BLOCK l ADDITION
'-/
Date Rec'd
~~~ ../ PERMIT NO,./_ / q .c
AppllCllnt . .. (f) 'J,-ff
I
ZONING (blli,e use)
1<;).,
PID d:5-3'?3-C(J7-C
(phone)
~ Mf0 55/27-
(PhOne) lP3/ % 2- ~ l T15 '
Swk 2nd
DWann Air Plants
DGravity
o Mechanical
l0Air Conditioning
GJ't'Ont. Syslem
o Stenm
o Hot Water
o Radiation
o Special Devices
o Olher Devices
FIREPLACE MAKE AND MODEL
I PLEASE NOTE:
Air Conditioner tJnils
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHli:Dl1U:
1 % of job cost Residential; Gas Fireplace
$39.50 minimum
$99.50
$64.50
Industrial, Commercial &. Multi-Family
$39.50
Residential, Heating & A/C (NeW Construclioh)
Residential, Heating Only (New construction)
Residential, Additions & Aiterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building I'entiit #
I-lEA ttNG PERMIT FEE
STATE SURCHARGE
TotAL Pl!:RMIT FEl!:
$
$
$
(OfficI.':UsI.':Oi1ly)
This Al'plication Becomes Y otit Building Permit When Al'l'roved
.so
~iJILf')\![) L' .
, 'DiNG'
- f.'
1..,,;.
I Receipt No,
Paid ........
/.- --
Date
7--...)..3,,-() /
Building Officio I.
nftte
24 hOur ootiee for .11 iospeed"as (9~2) 447'98~O, f.. (9~2) 447-4245
I~
NOV.09'2001 15:07 651 633 8884
FIRESIDE CORNER
#4599 P.003/009
Date Rec:'d
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONINGIFIREPLACE PERMIT
1.P1rn:.
,. "'-
J. Y_lfouo'
~,"''' I PERMIT NO. / -0 qL(
I ZONING (.tn,,..,,)
K-~
(Pl.ensP. tvDc: or mint and rltl!:n. at buanml
ADDRESS
;:;'lfb3
~ (hhlk~ (J~ cJ?
LEGAL DESCRlPTION (alike Uac only)
, LOT 1 SLOCK I ADDITION ttJUJ.... ~.oJ? (O
3;rd
pro ,] 5 - 373-067-0
OWNER
(Nanuo)
r-]:) fl .tk. r7"'""'
(Phone)
(AdMes$)
APPLICANT
(Name) llJ.LIED fIRESIDE DBA FIRESIDE CORNIlR
(Phone) 651-633-2561
(Address) 2700
N. FAIRITTErN lWmJ,1F;
(Addre..)
BRDlDA hlISTON
~,nc:"1:i!t1Tf.~.~ ~
(City)
651-63~-2561
~1;,1.):
(Zip Co<b:)
(ConlaCt Petson)
APPLICANT SIGNATURE ('
~.o..
.Ll~
(Phone)
DATE ->> q-ql
gWatm Air Plants
OravilY
J M.ohanicoJ
JAir Condi~onln.g
J Vent Sys"""
FlREPJ.ACE MAKE AND MODET. ..bled A.l
APPLICANT PLEASE COMPLETE BF.LOW
~W CONSTRUCTION 0 REPLACEMENT 0 AI. TER.ATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
:J Sleam
:J Hot Woter
J Il.o.diatian
o Special Devices
o Other Devices
PLEASE NOTE:
Air Condftioner Units
CllJInot Encroach into
Required Side Yard
Setbacks
;:;6:,
~ 7.1'1l1lz..-
Industri,l. Commc",;,1 & Molti-Famlly
FJl.ESCHEDULE
I % of jop COSt Rosidential. 0.. Firepl.ce
$l9.S0minimum
$99.50 ResidentloJ. AddUlons & Alterations
$64,50 Il.esidential, AC Only
539.50
Residential. Heating & Ale (New Construction)
Residenti.l. Heating Only (New Constnlcllon)
$39.51)
$39.50
Estimated Cost $
!3ullding Permit #
,..
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PF.:RMIT FEE
s
S
$
.so
. 1)/ '. />.~
\.:/.. ., I
,,~~,,'.0t
"(' A.,
'r, / '!-
\,) /..., './
(om,,, VI. OrIly)
This Appllcltlo~ B.<ome~ Your Building Permit When Approved
B.lldjn~ Officio!
D.~t
I Paid
I Date 11/1 '3 II
I R.eceipt No.
I By
o
I
24 hour .otice for IUlnspocllnns (951) 447--9UlI, fa< (951) 447-4245
_'.m_..____
---_...__.~-
IJ
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT
BUILDING AN[
SEE MAIN FILE
#li - {>0~r '.:j,.
SITE ADDRESS 5cf {o<, :r;; {.W\I\ M~~ '\ Cc.JJ"-~
NATURE OF WORK ~
USE OF BUILDING SPA-,
PERMIT NO. 1/ (- {,., 9'1 DATE ISSUED (.,. . ~ - ~/
CONTRACTOR /') 12... ' ~ PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
'FOOTING~ fR-, 1/'5/01 I f?v~ 17/cBlEl
. ,
I FOUNDATION (Prior to Backfill) ~/c- I ~ 711ol/) I I 't~ fT. ~ ~~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION 1~!fA, /2./?.01o,
ELECTRICAL . I
PLUMBING JYup it Ot, ff?:r, 8'11' fi.. f?:r 11/;. 7 t,1J I '
HEATING (if required)f~ --t..k.- j; ~ ' 81, t...fe I ~. 8/~/() I ti- f / If; J
FIREPLACE '_ @=r, 11jrl-8""/" I
~GAS LINE AIR TEST ~. ~p:.p, ~ ' 1{/;}-7~1
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
L ,~I {?;r. Ilh~1 I I
., I FINALS
GRADING (Prior to Sodding) f/) 13
BUILDINGf.c.o, t1l ~/~/D't- 6r .;17(02.-
ELECTRICAL ' I
PLUMBING
HEATING
DO NOT
A ~
~.
11/a..P/dI
Ii b,/"
VW1
/0 ~ J (I-(),~
/),-/), )- (f2...
U I-Floc .
4. ~/7f'J-.
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections IUIve 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
riif>-;;illlii':;~"'~"~~~"'.;"~~",,--,,--~, - . ...;.w.-
.,':.J .;:~. ..'~; .'~~. ~;'., .,.'. "-."",',.,,. .,.:>'!:i" ,....~,. 'i', '.;., ..t,~'." ,~t', '",I':'~ ''';I'~' ;.itt,... ,.(ie. ,~I'.. ..:
(,." , ' " .' ',' ";_~_,:''''_'';l' ,-r... 10...... " .........,'. ":"oi",:"",:,."~~'.'~"".d~OI'~~.'.M~i)';
\ . ' , .... ._ , . ',J".
(, ~, 1 '~:~
( . - . ~trtift(au at (0(mpanry :~
.'
CITY OF PRIOR LAKE :T)
Department of lSuilbinlJ 3Jnspedion ~~'~
o Final Permitted $.l Conditional C.O. Expires _ /." I \ / u 2-- .
{ .
I.!
This Certificate issued pursuant to tM requirements of Section 307 of tM Uniform Building Code
certifying that at the time of issuance this structure was in, compliance with the various ordinances of the
City of Prior lAke regulating building construction o'r""e. For the following:
Use ClassificatiOl"
Bldg, PennitNn 01-.0694
R3
Occupancy Type
LOT 7,
T . VN
ype Constructlon
BLOCK 1, DEERFIELD
_ Fire: Zone Zoning District
3RD (BLDG 11, UNIT 54)
R2
Legal Description
Owner of Building
Contractor', Name & AddressDR HORTON.. 20860 KENBRIDGE CT, STE 100.. LAKEVILLE 55041,
ROBERT D HUTCHINS ~ "~ily Planner DON RYE
iildiDi Official
;). I 1)7--
Site Address
5463 FAWN MEADOW CURVE SE
Date:
Date:
;,,, ,........" 0li00iI,
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
i-I>.}.D2- 2.:30
ADDRESS
5Ma '3 FAv~rJ
OWNER
CONTR.
PHONE NO.
PERMIT NO,
\ -ee,4k-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MEcH RI
o WATER HOOKUP
VEWER HOOKUP
~~LUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~ /t~ ~<-
o -'ORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o cOR~ 9K, CALL FOR REINSPECTION BEFORE COVERING
InSpec\O~ / ~ '--J Owner/Contr:
CALL 44~....ts50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE !:QUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
..
~
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor ^\ \ ;...-... ,...,,, ~\.-.... .
Name of Tester \Lc.-: -10'-. T
\.). - 1<C--o \
Date
Job Address S"l~') f......-~.....'..... C"N<:...
Heating Contractor A.I I ; ..-~, h. ~ ,
Percent 0,
Percent CO
Percent Co,
\~C: t\..... 3'.
1::2.- Ir-<=>\
1. ;?..
Name of Tester
Date
_ o~
Stack Temp
Combustion air is adequa,tejy supplied per
UMC Sec. 606 ~ ~5
input c..e..ooo
8'.,3
"].:lC-
DATE TIME
SCHEDULED ~! }:J 0
~ /11~1 ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
5" <I ~3
OWNER
CONTR.
PHONE NO.
PERMIT NO.
O{ - 11 94
o EXIGRAD/FILLING
o COMPLAINT
~ FIREPLACE RI
I~FIREPLAC:E FINAL
o GASLlNE AIR TST
o
o FOOTING 0 PLUMBING RI
o FOUNDA nON 0 MECH RI
o FRAMING cill 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
'\ill FINAL ~ PLUMBING FINAL
b SITE INSPECTION '\.!,Y( MECH FINAL
COMMENTS:(\) ~~ ~ ~
.f~~ . · 0 I
~'-9 'J~ ~-ff}/,
(1);) ~ ~ ~- y v'v
T C, 0, ffflf 7 J I / 07.-
/
,
~ ;e-- .~v-4/
o WORK SATISFACTORY, PROCEED
)t 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.
lNSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!