HomeMy WebLinkAboutBuilding Permit 01-0442
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 5- J, -oj
(Please !ype or print and si2Il at bottom)
ADDRESS
-5 L\ A_"K
- ~
P 0.1... ~ \ C")
I. White
2. Pink
3, Yellow
~::y I PERMIT NO. O\.O"JI.-? I
Applicant ~
.~ (::.
fI^ o Gr>l.r-1, 1) Q; t NL
L-LV"\ ;+ 44
Id 3rct.
LEGAL DESCRIPTION (ollice use only)
LOP ~(PBLOCK rl. ADDITION
fbld,&. q
1)"0 rC,.p
OWNER
(Name)
(Address)
BUILD~D (l
(Name)
(Address) .)0% ( 0(")
If/;r:fdl i .J-f11'1
lunhrir,lff
(li:.
TYPE OF WORK ~ew Construction ODeck
OLower Level Finish 0 Fireplace
o Misc.
I Permit Fee 7 (, 1. 'lS-
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
/J /"l J
T 5 Ap . es Your Building Permit When Approved
S7-2a;JI
ZONING (office use)
f<~
PID J5- 31J3-Qlk-O
(Phone)
(Phone) to 5/ - rl C7~ - 7/2.("
~ Of) , LQjltLu it (It ,.Jh1J <; < CXI!L
OPorch
ORe-Roofing
OAddition
OAlteration
PROJECT COST /V ALUE (exclUding land) $ I) rl.. ) /J l:J
OUtility Connection
I Park Support Fee
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
#
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
;terup:nj~ t::::need~=o1 J 0c05&5 r; ~ - ~ -0 I
IX Signature' Contractor's License No. Date
fp!!3tt!)CO.OO
$ iP13, eOC.~ .
$ ~. -SIr
$ 3i.~1
$ I
$ I t:t:J . C!J67 I
$ //2(J./J(J I
$ c) I
$ '1/1. OJ I
$
$
$
$ I
$ I. 2bJ . ex; I
$ , ~".onl
$ ~ I
$ I
$s;~4.cql
. I
I Paid o~ . (j ., I ReceinlJJ. 3 'lL7 7
Ulldi lIiCla1 Date I Date ~ _ /'f- D! By _~
ThIS 1S to certify that the request Ul the above application and accompanymg documents 15 10 accordance With the City Zonmg Ordinance and ~oceed as requested This document
when s' ed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
Woe ~ S-/tV)9~ /00 J\~A~~(~~._
PI~ning Director Date -' 1~ ~onditions, if any.lf . ~-=
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 ~ ~
Size 5/8"; 1";
ORe-Siding
#
~c:n rY91
1./1!5n.CJC)
,
#
#
;:;.@XPRIOR<,,,,
- '1-
u '"
~
Tbf Crnlrr of lhr L.kr Counlry
White - Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTNlfNT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D rz N rNtT'A-,dJ-tv'_.
5- ;J-o/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ~
S 1./38' -q.-CV>>71 )12/ ar/our ~d _ ~ F
Accepted
~
Accepted With Corrections
-ri,
Denied
c:L L~ ~___~
r V--'"
Date:
5~/e (
Reviewed By:
Comments:
~ ~ <h--~ ,<(L/,?? nWlA
(' ---l.V~ ~ ~~Jz-Yl< r~ Affvc
"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. Pennits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
Tht Ctnttr of tht ukt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPABIMENT ~HECKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
D rz N o-JLT'r\-~.
5- ~--ol
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
S '-/ 38' '=J-tUU71. J1U tiduur ~ _~F
Accepted
Denied
"A..
Accepted With Corrections
Reviewed By:
Comments:
IV It 13
5<. <- fY/o, (~
Date:
5 -'{-(} I
{:; I 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."
~~
White - Building
Canary - Engineering
Pink - Planning
Th~ ernl.. of lhr LIob COlinII',.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
o rz ~~f
5- ~-oJ
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
SLf.38' ~ J"JU4duur~~~;;-
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
Comments:
"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.14.2001 2:11PM
GENZ RVAN PLUMBING AND HEATING
No.3810 p. 13/13
Date Rel:'c!
\..,U i OF ~1f9~;LAKE PLUMBJNG PERMIT
tf,. .
.. ~. " \
~ .~'~ ; . ..
.......
.. ',.
.fl.'1easo ~ or l>riDt and. sWI at boUDmi
ADDRESS - .. ~, .. _
~W~ ~o.\l~~\ \1\.1\Q~.A '\
I.... PU. -
::=.., ~ I PERMIT NO.O/_ tff";2, I
......;.
(' L\fC-\. Ie ~ ~
ZONING ('-"'J
~-~
. LEGAL DESCIUPllON (olIk:e.... oaIy)
LOTit:. BLOCK ~ AvU1UON "JJ?" p~pO D ~ \.Ii \ \0."'- pm)S-:;'73--cJ/"-o
OWNER....
(Name).\~- ~~
(Address),~ LA )~\~ ~ ." ~ . ~_?.cU
(.Phone) ~ ~ ~- U\ A."'~
~n(""",,^ ~17_7,
APPUCANT
(Name)_r....o ~
(Address) lUlU~ ~. VlJ>k2Rn,T
- (Address)
(Contact Person) '/I. J. Ml ",I..( (') ~ ""\
APPLICANT SIGNATURE
'T"Yl I
-~
(.Phone) -4"",1- I.J'"Z:'-.- /lu.u.
~
(City)
~
(Zip Code) -
(.Phone)
DATE --'~ \ I L\.ltl\
APPLIC SE COMPLETE BELOW
I Qu....tity I Type of J!'iJ;tQ1'e I Q_tlty Type of Fixture
I I Bath Tub with or without shower Rough-iDs
I , I Dishwasher I I WateJ: Heater
I , I Floor Drain I 12.11 I Water Softner
:z. j Lavatory (Bathroom Sink) i , I Stand Pipe (Washing Machine)
I I I Laundry Tray (l or 2 compartment sink I I Sewage Ejectcr
I I I Shower StaU I I Backf10w Assembly
I , I SinIu I I Backflow Assembly Test
I I Bar Sink I I !-awn Sprinkler
I z.. I Water Closet (Toilet) I Other
FEE S~ULE
Industrial, Co"""",,,lal '" Mulo-family 1 % of job cost wilb a $39.50 minimum Residential, New One &: Two-Family $99.50
ResicleDliaI, AddiliOllll & Almatio"" $39..50
Estimated Cost $
Bulldiiii Pennit 1#
PLUMBING PERMIT FEE S
STATE SUR.CHARGE S
TOTAL PERMIT FEE S
.so
e/J!1.6j~~ W''rH
P~Fi"I4''r
(Offi.. u.. Only)
I Thill Application Becomes Your Buildinl Permit When ~proved
Bailoti,. Otlidal
II...
I Paid
I Date 5-/S-/
Receipt No.
\;
24 hour Dotiu lOr oil i..pectiou C'S') 447-'asO, en <'52) 447-4245
By Yc-
u
CITY OF PRIOR LAKE
REA TING/Affi cONDmONlNGIFIREPLACE PERMI'l'
Date Rec'd
(Please tvDe or Drint and siRri at bottom)
I ADDRESS
5~8 H1Wn ffipMDW r/U/YVf.l
i ~ S;"", I PERMIT NO. 1- tit{;;- I
ZONING (0_ use)
p:.,-~
LEGAL DESCRIPTION (ollice use only) ,n ~ /J./1 ref.--.
LOT Y BLOCK ~DDITION ~-%-
v
. "-~L' ---- - -
~':e~R -pQ. \1otttil
(Address) ~tB:f WOt4~hfJk ~ -Sillk, 1j)J
~;~~~AN1~HI)an+ Y'r'\U,htU1lCaJ
(Address) ~D j(.fflnfDev \)( S{il~ \
'r. (Address) .
(Contact Person) ~-rrf~ ' (", ~'
APPLICANT SIGNATURE
PID~'313-61(,~l)
(phone)
Etwan M/IJ '551"2:Z-
J
(Phone) J.t:iL 4'5 z. - ll"15 !
(City) (Zip Code)
(Phone) .-J;5 I %1..- 2-/76
fBJDJDATE 4-1231 () I
. It! U
, APPLICANT PLEASE COMPLETE BELOW
[!3KEW CONSTRUCTION 0 REPLACEMENT 0 ALTERA nONS
FURNACE MAKE AND MODEL &~J- ~&:'JltA'V DtYb1 D FUEL f\l1Jtura.1
FLUE SIZE 41\ dtlS';, ~ RETURN OPENINGS 4- INPUT '7D, DOD OUTPUT 51D.bDD
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical . 0 Radiation
~ir Conditioning 0 Special Devices
GJlfent System 0 Other Devices
FIREPLACE MAkE AND MODEL
FEESCIIEDULE
Industrial, Commercial & Multi-Family 1% of job cost Re;iderttial, Gas Fireplace
$39.50 minimum
Residential, Heating & AlC (New Construction) $99.50 Residential, Additions &. Alterations
Residential, Heating Only (New ConstrUction) $64.50 Residential, AC Only
Estimated COst $
Building Perniit #
REA TING PERMIT FEE
STATE SURCHARGE
'fO'fAL PERMIT FEE
$
$
$
.50
(Office tile Only)
This Application Become; Your Building Permit When Approved
Building Officio.
I Paid
I Date !cl/(Iu(
I I
14 hour notice for aU in.pection. (952) 447-9850. fax (952) 4474245
Date
I'LEASEl NOtE:
Air Conditioner Units
Cannot Encroach ilIto
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
tJull ~,qIO 1.1,'
, '-4J1NG l"rf..!
/:>12'
r^lty
.,
KCkeipt No,
BY~
FIRESIDE CORNER
#2584 P.0041005
Date Kcc'Q
1]?I....~CIt_t"""oIl!Il..""_1
ADDRESS
.5'1.3J< m~ ~ ~e.
;: =- SO-I I r J!.NtUT NO. I -l.f41..1
ZONING (-11ft)
~
LEGAL DESClUP'I'ION (a!llco use only)
LOT Ie BLOCK ~ADDlTION
OWNER
(Name)
I)J..P*~fJ;{) 3~ pIPJS--:313-0/b-Q
r--n'K. ..Jo.;.:I.n.-
(Phone)
(Addn:ssl
APPLICANT
(Name) lILt-IED FIRESIDE DBA FIRESIO)!l CORNER
(Phone) 651-633-2561
(Ac1dress) 2700 N. FllTRV1:lr.W AVENUE
(Addreo.)
(Conlad: Person) ElJ.U:NDA HUST~
APPLICANT SIGNATURE ~
,
iJ~
ROStw't1.T..'I:'. MIa
(CllyJ
(pb.one) 651-633-2561
,::,~,~
(Zip Coile)
DATE
Q/,;1/."
. APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FlJRNACE MAKE AND MODEL . FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPEOF..l...l..,.M HEAnNG OR POWER PLANT
DWlIlm Air PllU\ls 0 Stcom
DGra.vlt)I 0 Hat W*r
o M.ehonioal . 0 Radlallon
OAir Candill.ltlnl Cl Spocial Devi....
OVen~ Sysllcm Cl 0IIIcr Dcvlceo
FIREPLACE MAKE AND MODEL aAI- IJ ~/.I>
PLEASl NOTE:
Air Conditiom:r UnilS
Cannot Encroach into
R.equired Side Yard
SetbllCka
.,k. 7,r1I '1ll_
In4US1rial. Commercial 8L Multl-Femily
FEE SCHEDULE
I,. of Job colli Resfdcnllal. Go.. fin:p!oa:
53',50 minimum
599.'0 Residential, Additions I< Alterodon.
$64.50 1Ie.ldenlfo!. AC Only
53'.50
539.50
$39.'0
Rosidcnlilll. HOJdng &. Ale (New ConslNCtfonl
Jl.esi4cntlaJ, Heating 0Il1)' (New ConslnJClionl
!stlmated Ca~ S
Building Permit II
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
:5
$
.50
r-
. BUIL~1~~ ~'/!H
I a=elp! N'};;t";'il7'
IBY~.....-
u.
(ome. u.. Only)
This Appllcatlon Bo~"m. Your Build'.., Permit Wben Approved
Pall!
Bulldlo. Mdo'
DllfI
Da~_~_I
~ hOll. notl.. for aUlnspectlo.. ("52) 441.!l8SO, ra. ('51) '"7.-42045
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
.
SITE ADDRESS ~')I./.~ h;
NATURE OF WORK /l)l!J...J
USE OF BUILDING (~FA.
PERMIT NO. 01- 0 lW-Z- DATE ISSUED ~9- ~I
CONTRACTOR --D R Hd~ t?"/- 2st.-7/3C.
NOTE~ THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, FOOTING /10M 4-. ~ / &:i;'it> 'KfI~ s ~ ;;~ I
I FOUNDATION (Prior to Backfill) I f?;r., ~11r/olfJ;, t1" ~ 'rtr/~1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER / WATER / SEPTIC
FRAMING ;f)5
INSULATION ~. ~ &.r. t I/t./a,
ELECTRICAL J
PLUMBING ~ /,{.&. ~. (e/J.!J.ili ~. li.61.
HEATING (if required)"-~ :{U.Q~ (;, !/~~ 'l
FIREPLACE . ' . t<'P
GAS LINE AIR TEST ffJJ
HA-l.
... \ la -I)-a/'
tf-.\. toll v 't>'
I '
4, /~1. ~6I~'
..,.
fP20 -/7
) tJ -/7 -tJ.J .
/{J- If - "J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~DA.4.r~ I~. /t;/.?j", ~ ~. ///5'~/
" v FINALS
GRADING (Prior to Sodding)
BUILDING'f.~DI Tltl Bfl/oz..
ELECTRICAL . I
PLUMBING
HEATING
DO NOT
&.
1}/6/M
f?
~
~4 -'lIni Ipll
fbr 'i~ ~~A11
. 121'f(al ..--.....-l
17.iJj,ft, ,
BEEN SIGNED
.
OCCUpy UNTIL ABOVE HAS
NOTICE .
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
Irrtffirau ~ (Jrmpanry
Cllr OF PRIOR LAKE
J)tpattmtnt of .uilbing In'ptdion
~inal Permitted 0 Conditional C.O. Expires
~ Cenificale issued punuant to tM requ;remenl.r of Section 307 of the Uniform Building Code
certifying tlutt tJI tM lime of issUJUICe this stl'UCture was in comp/iQnce with tM various ordiflJl1lCes of the
City of Prior LoIce regulating building constl'UCtion or use. For tM following:
SINGLE FAMILY 01-0442
R3
VN
Bldl. I'ermil N'.
N/A
R2
U.. Clusific:alior
Lepl[ _.,:..
Owner of Bui1ding
Type Conslruction _ Fire Zone
L 5 & 6, B 2, DEERFIELD THIRD ADDITION
S. 5438 FAWN MEADOW CURVE SE
... Address
Zoning DiIIri<I
Oc:cuponcy Type
Contndm.,NameAAddressD.R. HORTON. 20860 KENBRIDGE CT.. SUITE 100. LAKEVILI_E
c"'y_
Dote:
DON RYE
ADDRESS S"L\ 3> <r
OCCUPANT _
HEAT LOSS _
SOLD BY
Electrical Work By
TYPE OF HEAT
rc:-..._
HOUSE HEATING TEST RECORD
'""~....)....... c.""",~
JOB #
APT. _FLOOR
OWNER
CITY
~UBURB
DATE HTG. INST..
INSTALLED BY
Ga. Line By
GA _ FAXHW _STEAM _SPACE HTR. _UNIT HTR. _OTHER
GAS DESIGN CONVERSION
MAKE _ (\...., ..-"
Model ~'J "-A." ~~'H"O
Serial _ 1"\ I:) \ 1trc....1'3 \ <(-
INPUT -''-,-o,,"o6T\)
CONTROLS
THERMOSTAT ~~.-"-~ Heat Plug
Valve _
Limit
Limit Setting
Fon Setting
Pilot Type
Pilot Make
Pilot Model
Pilot Timing
L.W. Cut Off
Pressure '"\.. S-
Input C FH
Stack Tem.. _ 11~-o
Form 235
MAKE OF BURNER
Model
Max. BTU Roting
MAKE OF FURNAce
Model
Vent Size
q" ~-\t__~
KIND OF LINER
SIZE
_NONE
Draft Hood
Filters
ReguloTor
Size. \Co..r: ).0,," , Numbe,
Chimney Locotion Inside
Chimney Construction
Outside
Smoke Bomb
Droft
Door Pressure
Wiring
Test Ta~
I igh.ing Inst.
Percent CO. ~. '-i
Po,cont O~~. C;
Percent CO - C:; q-
\-:l-.~ '-\ -<:>\
/lIIianl Mechanical. ~650 Kennebec Dr., Eagan, MN 55122
\( ., :l.___ '"' _J.'L~,..,)
Oat. Tested
Company Testing
Nome of Tester
OATE TIME:
CllY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1t'\.OI ,):10
ADDRESS
5438 ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1- 4-tf2-
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~MECH FINAL
COMMENTS:11') ~ ~ tn- ~
c:> nip',,,, r-h~:~ if
~ i. -rAL'.,,) ..u-. '. '110"- . .J-;
, .
o FOOTING
o FOUNDAnON
o FRAMING
o INSULATION
bi'FINAL
16- SITE INSPEcnON
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
~ FIREPLACE FINAL
o GASLlNE AIR TST
o
'7\"
o C-.Of -w;>;7':t~
-....' ,J.. ... '""
~
&.~ ':~_J
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
a CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspeelor.. ~ Owner/Contr:
CALL "7.9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
""""Tl