HomeMy WebLinkAboutBuilding Permit 01-0440
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT S - ~ -0 I
(Please 1VDe or orint and sign at bottom)
ADDRESS
5 Y3c" "L-Pa,
"n
(VI. {ndnll)
I. White File
2. Pink City
), Yellow Applicant
I PERMIT NO. Ol-Ot/-f() I
I ZR~G (offi" use)
() 1_ I r't J...R
~
LEGAL DESCRIPTION (office use only)
'~
LOT 6 ~ BLOCK.:l ADDITION
12>\ d.<a-. <} l.L1" I +- ~~
b_,_u-C~~Jd ,7,rq
PIDQ!:> - ":1,1)'1-01 t.,-O
OWNER
(Name'
(Address)
BUILDER r-.... ^
(Name )----!,)...J/
l.Lor-+on b Inr
(Address) d DR' lc.Cl ~I\ hr " r'~ (e
. - U
ODeck
(Phone)
, ,
(Phone) &; 51 - rJ5f~ - "7 13 ('"
(1+. ~~, 1Gb: ~ n Y flU/'ll tf1. 111JO 540dd
TYPE OF WORK
~ew Construction
OLower Level Finish
o Fireplace
o Misc,
OPorch
ORe-Roofing
ORe-Siding
OAddition OAlteration OUtility Connection
PROJECTCOST/\T~I,UE (excludin~~and) $ I,,! f/ll)C)
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 loca11aws 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
~ter~e0~eede~:c:~ .:JQ(V'),i(?, i(rJ S~,;)-Ol
V Signature - - C~ntract~r's License No. Date
$ S; #'1-.09
,
t;: f-~/ I Paid s-cIt/4.a 7 I ReceipJU:79 '>7'1
Date I Date c:- -/ '!, Il ( By, j,"fi/C
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and m~ 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'7' I "A
~li.../a.t'~A.
Planning Director
108 t ~. 00
7c.t-x-$ -~~.CA?I
$ '.~. Sc/,
$ :rq. ou I
$ I
$ 100,-cro I
$ (00.00 I
$ 6 I
$ '(6. Cb I
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
/l
T sAp'
~9'\
I Park Support Fee
,
#
#
$ BSn .c1:>1
$ /. I 50 .c:e>1
$ } I
$ I
$ 1'7.t:Jd.~1
$ . 700.60 I
$ ~ I
$ I
I
I 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
Size 5/8"; 1 ";
#
#
~"e..
. >~~
White - Building
Canary - Engineering
Pink - Planning
Th~ Clenlu of lh~ L.b Counlry
;(t'~,
BUILDING PERMIT APPLlCAI/ON DEPARTMENT CIiECKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
D R f/or/oN ~
L)-J-o)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5'13(.,. 1-:M/10 nuClchur0~0~
t/'
Accepted With Corrections
Accepted
Denied \ _ f
Reviewed By: a..A--o~
~ '" -
Date: 6 /t/?(e I
Comments:
~ ~.~ 8-(P 5'4:S~ h .vV'.. ~
rJ~~ ~f{'Km-5 ~.~;JIV~'"
"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
Th~ Cenle, of 1M L.ke COUnl1')'
BUILDING PERMIT APPLICATION DEeARTMENT CHI;CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
o R floy-l-oN ~
5- ;). -0 }
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5L/3~ ~Oh~ metJchw-~.$~
,
X
Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments:
1VYf-/3
5 a rr1C1/ '^ r.:// e
Date:
6"'- lj-o 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."
White . Building
Canary . Engineering
Pink . Planning
Th. C.nlrr 0' lh<r uk. COllnlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
o 1<. /J-tlY-fotJ ~
~-;)-O }
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
51/"3~ ~nu ~~b
Accepted
Denied
Accepted With Corrections
Reviewed By:
Comments:
Date:
"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."
MaY,I4,2001 2:10PM
GENZ RYAN PLUMBING AND HEATING
No,3810 P, 11/13
Date Rec'd
0n 'L O~,~~:.f.AKE PLUMBING P~RMIT
io ~. . -
,,~ ~.=..:
.., '..
.-
i:: ~ I PERMIT NO.
< ,. T...." AppIi.- i1I-
l/L/O
q'1eut "!p! or mlI!'-md si",! atbolmiu)
ADDRESS. . ..,'.
hU~Lo.,FAI-;~~\ Il\ f\Q~A'\ (\UC\.\(J. &
. ,
ZONING (olIico-l
R~
. LEGAL DESClUPTION (o1Ike ...llSI!y)
LOT ~t~oCK -d-. AJJ,LnHON "'"Jl?" t1~~O D ~ \.Ii \ \0..."
pm;/S-373" Dff,-O
Il~
2-
I
I
I
~~.~~.")
(Address),~ l A l~i l ~"" ""\ ~f'- ~ 2d-.\.
I APPLICANT
(NUJJ.e)_r..-Q 107- ~JI) (Phene) {"F,i - lrz~- 114u.
(Address) lW",Ua:::.... ~ ~JLr 'T"Y! 1 _ VI. rM~ ~~
- (Ad~) (City) (Zip Code) -
(Contact PeDen) ':f... AM ).1 f'J \~~_ (Phone)
APPLICANT SIGNATURE.J.l....J:::S ., ~ DATE A \ I Li \1\1
APPLI~E COMPLETE BELOW
I Type of Fixture I Qulllltity
Bath Tub with or without shO'Mll" Rough-iDs
I Dishwasher I I Water Heater
I Floor Drain I .:2./1 I Wa1ior Saftner
1 L..,,.,;..; (Batbraam Sink) i J I Stand Pipe (Washing Machine)
I Lamldxy Tray (lor 2 compartment sink I I Sew'T' ejector. .
I Shower Stall . I I BacldIow Assembly..
I Sinks I I Baold1ow Assembly Test
I BuSink I IUwnS~q
::z.. Water Closet (Toilet) I I Other
(Phone) W - u.c::-u.- WI A.~"'::l..
~fl (~.f' ~('2.Z
Type of FixtIlre
FEE S....u.uULE
Industrial, Comm,e,rc,aJ 4t Mula-family 1 % of job coot wI1I1. 539,50 minimum Rosi_oI, New 0... k Two-Family $99..50
Rosi<leolial, Adclltlons & AJtendioos 539.50
Esdma:! CO$t S
Building Permit #
PLUMBJNGPERMlTFEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
B(J/~1J5> W''''H
G PEA,'.;:,.,.
(om.. u.. Oldy)
l This ApplicatloD Becomes Your Buildillll'Cl"IIlit Wheu Apprond
1hliIdJ.. OIIcie.
-
I Paid
I Date 5-/$;-/
I RcceiptNo.
I By "ffC
V .
24 boor Qod"" [or .,llupoocdoos (952) 447-9850, fu; (952) 0147..4;245
CITY OF PRIOR LA:t(E
HEATING/AIR CONDITIONlNGIFIREPLACE PERMIT
Date Rec'd
i;':' Z~,,,", I PERMIT NO. /-~<( ()
q'lcase ~e or Drint and si'lJl at bottOm)
ADDRESS IZONTiNG
. 64-3l.P H1WYl ffifMDVV 011YVRJ I<~;;., (offine)
LEGAL DESCRIPTION (office use only) ,( )
LOT ~BLOCK d-ADDmON l.X~~frtJ 3rd PID:)Y:313-C;Ic,-6
I I
~':~R l)~ \1D(1tI\
(Address) '31}sq WOtFltu~j11Yt Aw/
. ~~~~A~ll)llnf vYltcJf)CU'1JCa)
(Address) ~D W1nfber./ 1)r ..\ui-k I
(AddreSs) . (City) (Zip Code)
(Contact Person) -.Jpf.ftt0 .l ~ (Phone) /125 I 45'2--2.-776
APPLICANT SIGNATURE ./!lJlJh,n;A~ f/ 11tYlll11Y1r1aI1 (f(l/#))OATE tf-/Z3/DI
~~
. APPLICANT PLEASE COMPLETE BELOW
. [BKEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL Br~ J-. '?J8~k.AV D2-4b1 D . FUEL f\h;hurtLR
FLUE SIZE L.\l\ C.\(tS~ ~ RETURN OPENINGS L/- INPUT1D, DnD OUTPUT5Wl DbD
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air plants 0 Steam
OGravity 0 Hot Water
o Mechanical . 0 Radiation
@ir Conditioning 0 Special Devices
ij}Ir'Ont. System 0 Other Devices
~
(phone)
i)JAik 1JJi/ ~ MI0 551~'L
(Phone) 1d5/ 452.-l115'
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi.;Farnily t % of job cost ReSidential, Gas Fireplace
$39,50 minimum
Residential, Heating & NC (New Construction) $99.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64,50 Residential. AC Only
$39.50
. $39.50
$39,50
Estimated Cost $
Building pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
BI.JJ~A,/D 11'lr,
1N(3 Ps H
A41rT
(Office Use Only)
This Application Becomes Your Building Permit When A...... .11
Paid
I Receint Nn...-~
Bulldlag Official
Date
Dat~t::,-,;).f~OI
BY~
24 hour notice for oil inspectian. (952) 447.9850. fax (952) 447-4245
14:14 651 633 8884
FIRESIDE CORNER
CITY OF PRIOR LAKE
HEATING/AIR CONDITtoNlNGfFlREPLACE PERMIT
#2954 P.004/004
Pale IUlC'G
OCT - 8 2001
I. Pink
I. a.-
,. Ylll....
'i.
, V/
.... L~...-.~- "1-' !
~ I
ci_1 t.s.""".mNO.e-l_~
tl'1oase ""'. or orint 1JIAl1li... .. botrDml
ADDRESS
5~~ ~ ~AW_
ZONING (0_.")
LeOAL DESCRIPTION (alii"" UK only)
LOT
BLOCI'
ADOmON
PlD
OWNER
(Name)
r:!)7(. ~
(Phone)
(Address)
. APPUCANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone) EoSl-633-2561
(Ac!d.Iu$) 2700 N. FAIRVIEW IWImTIF
(Addms.)
BRENtlA lltl5'rON
(Contact Person) /J I
~ g--=,
.. '-.
Rn'::P'!\TTT.T.'A! M'M'
(Cily)
651-633-2561
S~l' ?
(Zip Code)
APPLICANT SIGNATURE
(phone)
OATB
10/1'"
AJ>PLICANT PLEASE COMPLETE BELOW
SlJf"Ew CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL .
FLUE SIZE RETIJRN OPENINGS INPUT OUTPUT
TYPE Oli' SYSTEM HBATING OR POWER PLANT
::JWarm Air PI...ts
JO",vity
:J Mechan.h:al
JAir Condilioning
OVcn~ System
FIREPLACE MAKE AND MODEL J),"f)J ~f-o
3Stl:lll11
Hal Water
Radiation
::J Sp<ei81 Devi""a
:J other Devi<es
PLEASE NOTE:
Air Conditioner Unlu
Cannot Enc:toach into
Required Side YanI
Setbacks
5(.......JflJ _
"-
"-" ,--
IndusuiaJ. C..""., .. .:.1 /I; Mulli'Pl!lllily
FEE SCHEDULE
1% of job cost Re,id..,liaJ, Gas Fireplace
539,SD minimum
$99.50 Rcsid...ij.I, Additio.." A1terationa
$64.50 Resid""llaJ. AC Only
$)9.50
$39.50
$)9,50
Ruidential, HEltins 4r. Ale (New Con5Ullcllon)
Residential. Homing Only (Now Construction)
Elstimaled Cost $ Bulld!nl Permit 1/
0/- 044-0
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
. PAID WITH
.Sll}UIt.OING PERMIT,
(Offiec v.. OnlY)
Thl. ApplicatloD BecoIlle5 YOllr Blllldlnl PermIt WIIon Appra"od
BIIlJdl1ll/ omd.1
o.k:
~
'D,O.,e, ,0 I
Receipt No.
By
14 hoor .od.. ror 011 i..pedla.. (95%) "7-11151I, r..l'!3,"7-4:u5
PRIOR LAKE
.
INSPECTION RECORD
DEPARTMENT OF
~UIL~ING AND INSPECTION
SITEADDRESS .54JlD r;;..""" M.p(>~\ Ouu.A
NATURE OF WORK <<~
USE OF BUILDING SPA,
PERMIT NO. DATE ISSUED 5"-9'-3.:/
CONTRACTOR M (;5/- 25"c:;.~?1.:rC.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELO'"
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR / DATE
I FOOTING ~ I/Jr. (')/Ifh/ ~ 7/1Z/oll!l+~ I ~)O/ I
'FOUNDATION (Prior to Backfill) I~, ,,/r/DJ fW:'f(~. 'uti
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH. INS
SEWER I WATER I SEPTIC
FRAMING k-, /7 ;fj fa. ~JO(
INSULATION ~.~ ~I . ~I :/Db..J/~,
ELECTRICAL ~
. PLUMBIN~ ~t6-',~. tbr. ~(f:/~.(J.a. 1h:..1,!J/cr l
HEATING (If reqUlred)1-t-.~ ,t.,//?/N. ~. joJ;J3/01
FIREPLACE h-z l~fc)3/(J ( ,
I GAS LINE AIR TEST ..N:->~, F;P, t}:;., J(J/~3!o1
. 'I '
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
,
IJIIMllI~r.oD ~ ~. !()/f}/61 ~ A, lI/olD/
./ FINALS' ,
. GRADING (Prior to Sodding)
BUILDING \':t.o,rA B(1/6l.. ~
ELECTRICAL \
PLUMBING
HEATING
DO NOT
(J. " . hJ!iI!-.'
~~ov
tb.. IZil./. iOI
LIJ4 illl J'JO(
-
OCCUpy UNTIL ABOVE. HAS BEEN SIGNED
NOTICE
/.2;II/(DI
I .
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 (612) 447-9850
Itrtifirau of (J-.,,~ty
eLl. r OF PRIOR LAKE
~tpattmtnt of .uilbitti Jn~ptttion
~Final Permitted 0 Conditional C.O. Expires
11W CertiJlcate issued pumumt /0 1M requ;remenlS of SectiOll 307 of 1M UnijOrm Building CDfh
certifying rh4t at the time ofis$U/l1lCe this .rrucrure ..... in ~/ituu:e wirh the various ordilltJ1lCes of the
City of Prior LoIct regulating building colUtrUction or lISe. For 1M jOllowing:
SINGLE FAMILY
U..CIaui_
BIdg,PermiINo
01-0440
0ccup0Dcy Typo R3 Typo _" VN _ Fin: Zone N I A _ ZollitI8 District R 2
LeplDesc:ription L 5 & 6, B2, DEERFIELD THIRD ADDITION
'liteAddress 5436 FAWN MEADOW CURVE SE
D.R. HORTON, 20860 KENBRIDGE CT., SUITE 100, LAKEVILLE
c.. ., ." '.NameAAddress
ROBERT D~ HU.TCHINS~-':""City~
~: r;;; . Date: .
, POST IN A CONSPICUOUS PlACE
0wMr oflluilcfin.
DON RYE
Date:
- .
CITY OF PRIOR LAKE
INSPECTION NOTICE
OA TE TIME
Iz!/ff/ 2!m
SCHEDULED
ADDRESS
6''fS0 ~
OWNER
CONTR.
PHONE NO.
PERMIT NO. I'J ( - ~ '-f 0 ,
o FOOTING 0 PLUMBING RI
o FOUNDATIO~ 0 MECHRI
o FRAMING ,,\ 0 WATER HOOKUP
o INSULATIO I~ 0 SEWER HOOKUP
5 FINAL (Ji:). 0 PLUMBING FINAL
o SITE INSPECTION ll!)l ~ MECH FINAL
COMME,NTS:tfl) ~ ~ ~ IJ1 n-;- ~
~ ~ w".J-r V~~ <5J....V~
(!jl ~~.~ ~~. 0
o EXIGRAD/FILLING
o COMPLAINT
.r.i\ 0 FIREPLACE RI
'lJJI g FIREPLACE FINAL
o GASLINE AIR TST
o
'~"""'''-''''''J'!!tt_"
.",,;:;:};~i':;2({m~:"~,..~,',,:::' "<~;~q
"j';(!",p;'M 'i?/ '!O<--- '0
.(.,~. t
MA..;,..:{- ~
o WORK SATISFACTORY. PROCEED
"fill CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
h.
Inspector.
OWner/Contr:
CALL "7-_ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
-,
-
.
'--~
APPLIAN~E
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor fr~, \(. \<.&OV\
Name 01 Tester ~ Q: \\
tI-o\-OI
Date
.'
Job Address ~ 3t. fr...::;'f\ )1~
Heating Contractor f"~fI t;, \<.;:.on
Name 01 TeSler ~ bl"\. ~ a,
Date .l.L:O I -() I
Percent 0, G. , ~
Percent CO C)
Percent Co, 51 . 1
Stack Temp ~~o
Combustion air is adequately supplied per
UMC See, 606 I tf. ~ _
input ~.<X:D'B-ru~