HomeMy WebLinkAboutBuilding Permit 01-0455
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
(Please ~ or orint and sim at bottom)
ADDRESS
I. White File
2_ Pink City
3. Yellow Applicant
ZONING (office use)
1l ~.;J..
5c:.}~rl.
( (L v(l
N\Pfl/'il)u) {lJLY'LlR
<:~
LEGAL DESCRIPTION (office use only) 6 t dzt. 6 u m r I Cf
LOTJ')BLOCK I ADDITION O"''''.....S-I.p)rJ :2jral
PlrY)5'-.3'l3 -(XJS- d
OWNER
(Name)
(Phone)
(Address)
BUILDER r-.... f'\
(Name) V 1<-
(Contact Name) I
(Address) J. D% <..D
\ + D r- -\-CJ'A . -r:::,., (I
n'Lr,'O Prl'l'lr
llR..n'Or,clCte (l,!-. <=\~, IDO
v
(phone) (05/ -~~...,-"/I Ac..
(phone)
UJJl.auI/lP WI l') IjSOl.)U
TYPE OF WORK
~ew Consb11ction
DLower Level Finish
DDeck
Dporch
DRe.Roofing
DRe-Siding
DMisc.
D Fireplace DAddition DAlteration DUtility Connection
PROJECfCOST/VALUE (exdudingland) $ I) ()... }OO
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 u9.. y'"y-', to pe,rform nee~ insp~ons.
X (11lA.JJ. V, AJa'/(JncoG(o'57 -< -;)-6/
SignatUre - Contractor's License No. Date
I Permit Valuation 7a.ooo.(!J~ I I Park Support Fee # $ Pm.OtJ
I Permit Fee $ r-z1~.7~ SAC # $ II.YJ.oC!
I Plan Check Fee $ S"lR . 5cf Water Meter Size 5/8"; 1"; $ ,
I State Surcharge $ '3(". f) 0 I Pressure Reducer $ --
I Penalty $ I Sewer/Water Connection Fee # $ 1.2Q? 00
I Plumbing Permit Fee $ I fJO. 0" I Water Tower Fee # $ . '7tJO. 00
I Mechanical Permit Fee $ I tJO . 02' I Builder's Deposit $
I Sewer & Water Permit Fee $ - I Other $
Gas Fireplace Permit Fee $ qtJ .00 I TOTAL DUE $ S. 4-'1Z. 2,9
.-
I Paid Sff."l ~ . d.:J. I Receipt N<Q ''??'f' <j 1
I Date -/'1-t"l1 Bv (fC/
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
%ed by the C' PIann" constitutes a .....y.._1 Certifica;/:;: k:uance and ~truCti;;;:d:fore _occupancy, a Certificate of Occupancy must be
~ . Date .... , Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
MaY,I4,2001 2:09PM
No,3810 P, 7/13
GENZ RVAN PLUMBING AND HEATING
Date Rec'd
CTI:Y QF p~,.l;AKE PLUMBE"<<; P~RMIT
.:;.,~
"~/"""1" ..
.:,'; ..
..
..:""':':.
1P1As...". or1>llllt1lllCl_ at ball''''')
ADDRESS . . . ~~.' . _'
nLl ~ z.:.: ; 't::A\ 1 \r.. \
1._ A.
,1.GDAd a.,y
].Y"~ AppII_
./
I PERMIT NO. )- 1./55 J
~ ~.JJAAJL---
I ZONING {.....-l I
rpo--. .
0.';"
. ,
LEGAL DESCRlPTION (alike... ouly)
LOT BLOCK .. ADDmON'""]')? P IC? ~ &n ~ \J,'i If::t:'\ PlD X 3 /3 005--<)
OWNER
(Name):DP ~ Tf""'I... )
(Address) ?,;,U,So. l ).")~, I.. 'JC~ ~ ~p_ 2cU
APPUCANT
(Name] ~f 1117.- (2 ~)f>l (')
(Address) \~..,u.c:-.... 9-r, (l ~n:r -m I ~
{A"dch-c:ss)
(CoutactP=on) V-A12--L(
APPLICANT SIGNATIJ:R.E
n~
(.0 A
PLEASE COMPLETE BELOW
Type of FIxture
Quutity
I
,
I
2
I
I
,
c
I Type of .Futore
Bath Tub with or without shower
Dishwasher'
Floor Drain
1 Lavatory (Bathroom Sink)
I Laundry tray (1 or 2 compartlIlent siDk
I Shower Stall
I Sinks
I Bar SiDk
I Walm" Closet (T oilct)
'2-
(Phone) ~'SI-l.lEA -1.l\d.6~
~-A. ""'
<::l::::n::/
(Phone) ~~ -\.Y7.=,"" - \ \ U. U
'Ilr'/.(J rretJ.f1r ~"k
(City) (Zip Code)
(Phone)
hllL\ \0\
DATE
I ' Qaantity
I
I
I
I
I
I
J
f
I
I Rough-ins
I Water Heater
I Water Soflner
I StandPipe (Washing Machine)
I Sewage ~jector
. I BackflowAssemblv
I Backflow AssemblY Test
I Lawu SPrinkler
I Other
"
"."
I
FEE S....a.lU.lu.....E
1ndu.mi.J, Commercial 8< MuIli-ea.nlly 1% of job cost willi L S39.S0 minimum R=dcuuaI, New One 01: Two-FlIl1Iily S99.S0
R=dOQ1jal, Iulditiom &: ~0lIS $39.50
Estm:IlWld Cn.l S
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(om.t U.. ODI,)
I This AppllClltiOll Becomes Your BuiIdlDg Permit Whell Approved
,
JloWdw. Ottidal
D...
14 hDlII' Deate for .U 1D'~e... (95:Z) 447-98S0. r.,. CI~) 447-4145
BlIilding Peroiil #
.50
, aUIi5;~Gvvn>-i
PEp,.,-
no,
I Paid ----
I Doll! &-I-() I
ReceiIrt No.
aycr~
May,14. 2001 2:02PM GENZ RVAN PLUMBING AND HEATING
No,3810 P,7/13
CITY Q::r:}AKE PLUMBE'<<; P~T
. .
Date Rec'd
,.
..!"~:':.
~".!'<>" or1>llSltllW1sll1ll a<bom>m)
ADDRESS . . . ~,,':' '. _
flL.( ~ z.:.: ~. t"'a,l \t-.
,-.)0'
- - .
LEGAL DESCRIPTION (ollla: _ DIlly)
C- / \'0 \\ OD '?_- V.'llr..Jlt..
LOT .J BLOCK.. ADDmON ~. IJ If? '\\ t? Jfu' ) _ _!....!.....)
I
PIDd~- 373-D0s--tb
{j W H.c.L<.
(Name):tJP I...~ TQl- '\
(Addtess) ?-'~So. l.l.)~\I.--{'~ ~ ~L 20u
(Phone) \.o~' -46(. -lI\d.o ~
~("--A '1""'\
<:"C'n :7
I .APPUCANT ,..,
(Name) {'?P
(Address) \~-"\L\~
r'"'\ , (Ph~) J.g~ -4Z.:.." ~ - \ \ \..l. \.1.
~ (} --m 1 - (l.c:JI' ~ 1 nr ~'"\~...,~
(Ad<hess) (City) (Zip Code)
(Contact P<:rSOJ1) . \1.. ). PrfU-i q""i~ (PhOJ1e)
.~PLlCANTSIGNATUREv... ~ 0 A DATE h\1g~O\
ktcJ;; PLEASE COMPLETE BELOW
QUlUltitv I Type ofFD;tnre /'Q1wlti1y I Type aaL;~~
I -,-, Bath Tub with or without shower . Rou~-ins
, I Dishwasher' I I Water Heater
1 . ;~~~~_...___ '''_1-' t2..JI I-::'~;'~~T'."'MU..;.;~_)
I
I
I
J
.
. 13U/~~ V<v'ITJ.J
PEFi'.:/T
0-1-0/
~0
CITY OF PRIOR LAKE
HEATING/Am. CONDmONlNGJFlREPLACEPERMIT
Date Rec'd
(Please Me or orint and sUm at bottom)
ADDRESS
6Lt~'2- H1Wn 8re~w
1. P1'.k FII. I PERMIT NO. . <:
2. ""'" ell, ,/ ~ //;:::-
'3. Yellow Applicant , ~,_.J_
ADDmON
~
/f~JM~rc{
I z.ONIN... ~(DItice:r")
k!-~ .
LEGAL DESCRIPTION (office use only)
LOT $BLOCK )
I
PID~5-37:Kco5-{)
~~~R 1)(( \1DY1til (phone)
(Address) '3U5cf Wtl9kL~hM_ A-vej ,,'\LJj-k, 2n~ ~. M.fJ 55/~'Z-
. ~;;~~ANnILlQd vYltchtu1lcaJ (phone) 1d3/4'5t~lT15'
(Address) -3tt6D /(fJ}neJ)fu '1)( &ilk I
r. (AddJo..) .
(Contact Person) Jttrl0 .
. APPLICANT SIGNATURE
tV
_ APPLICANT PLEASE COMPLETE BELOW
/BMEWCONSTRUCTION OREPLACEMENT OALTERATlONS
FURNACE MAKE AND MODEL _ B/-lttnJ- 2>8?JkAVD2Jlb10POEL. ~a.1.
FLUE SIZE l-\l\ t,1a.sc;, & RE~OPENINGS L/- INPOt10,.()f)D OOTPUT51u}bbD .
TYPE OF SYSTEM HEATING OR POWER PLANT
(City) (Zip Code)
(phone) --1;t3 I 45t- 2.77(5
f.nJnD)DATF. 4-lz3/0 I
DWatm Air Plants
DOravity
o Mechanical .
@ir Conditioning
UJ'f'enl. System
FIREPLACE MAKE AND MODEL
o Steom
o Hot Water
o Radiation
o Special DeVices
o Other DeVices
I'LEAS11:NO'fE:
Air Conditioner Units
Catlnot Encroach into
Required Side YlU'd
Setbacks.
Industrial, Commercial & Multi-Fafuily
Residential, Heating & AfC (New Constiuction)
Residential, Heating Only (New Constiuction)
FEE SCIffiDULE
t % of job cost ReSidential. Gas Fiieplace
$39.50 minimum
$99.50 ReSidential; Addiiions8t Alterations
$64.50 Residential, At Oidy
$39.50
$39.50
$39.50
Estimated Cost $ Building Permit #
HEAtING peRMIT F'Ee $
STATE SURCHARGE $ .50
tOTAL PERlIttr FtE $
&U;/"'-'i;D I.
DIIV($ 1J7"1y
'/2f:?,'t1;7"
(Office Use Ooly)
This Application Becomes YOur 8uildIng Permil When Ajlproved
Building ,Officia'
Date
I Paid
I Date 6 - r3!-:O!
-
J-Receirit Nn"'J
I By QV-
(/
1
I
24 hour notice ror all inspections (952) 447"9850, lax. (952) 441-4245
~1
CJ{- L-f5'i"
White - Building
Canary - Engineering
Pink - Planning
Thr ('rnlu of Ih.. La..... Count!')'
BUILDING PERMIT APPLICATION DEPARTMl:NT CHECKUSI
NAME OF APPLICANT
APPLICATION RECEIVED
b R Mor*O~
5- 3-0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.s L.j gC}... r 17../-1 IN /J1 eQC/ 0 tv a~l/c.... s. E
Accepted
^
Accepted With Corrections
Denied
Reviewed By:
111ft>
Date: S--7-01
Comments:
5 c ( MIA/,. r:,. /~
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a pennit 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."
Th. C.nln of Ih. La". COUnl1'}
White . Building
Canary . Engineering
Pink - Planning
. .)i;',~'~
BUILDING PERMIT APPLICATION DEfARTM~NT CHECKLIST
NAME OF APPLICANT
b /< fl-OJ-f-o~
5 - "3 -01
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-5LI-~d-- ;:->jj/JN ;J1eCcdo?u (j!t<:-;r t/L.-':;.t:::.
Accepted
,/
Accepted With Corrections
Denied
~
~AA-~~
Date:
6"/lA/e1
,
"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."
Th., (".,111.,. of Ih., Lab Counl.,..
White . Building
Canary - Engineering
Pink - Planning
BlJILDING PERMIT APPLICATION DEPARTMENT CIiECKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
b R W-c:;r*O~
5- 3-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
SL/3J-- P/UlJ!V /Ilecdotu atU-rL/C- S.E
Accepted
Accepted With Corrections
Denied r-J ~ ~ _______
Reviewed By: (~!)t::..- ~ 1S
;-
~.p ~ Mo.:",- ~ L.
::><-
Date: 5 Ie. - 240 (
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."
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
~
INSPECTION RECORD
SITE ADDRESS 5l../:;5_~ t=a~lJ\. M.QI'> ~ 1 (l, "I"'\A..A..
NATURE OF WORK }.Jet..']_
USE OF BUILDING ~ 1=="4
PERMIT NO. () {- 04-55' DATE ISSUED S:=-t (~- c-:. (
CONTRACTOR '1112 ~ l~ VI. PHONE (,.5'"/_ ~-7/3(,.
- .
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~SPECTOR DATE
'FOOTING ~ ~ 7/~/ol I l;);r. 16/5//~1
, FOUNDATION (Prior to Backfill) I .- ~ ~ I t:, J:l~ ) 0 L
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ~ aa.. Pr. ~~'7/vt',~. fl.(J Ij,.. 7/rJ/"/ {~ /IJrolol
HEATING{ifrequired)~.lrU d...... t,1;7/t)/~,~r'3/"/ ~.1I!t4h/
~ .. r
GAS LINE AIR TESTy"P. ~,~ br I{/Ii(~'
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I("d; ~ rltJ.r. q 11r,1o, ~ ~ V~/31 /4/
, FINA(S
, GRADING (Prior to Sodding) f1/f3 / pfI
BUILDING Tie..o. ~ rJ \ lof,. fi? /11/ ~ "t- m
ELECTRICAL
PLUMBING
I HEATING
DO NOT
~
/1/11/~1
11/IS'nl
, .
q- I,J.-;)...
1'- /-::;/ (J.
tk.,
/~c
J
OCCUPY UNTIL ABOVE HAS
NOTICE
If~/()t.
'Ii 9 /,{Z.
, ,
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
."
lertiftrau Jlf' (lJ)crupanry
Lll r OF PRIOR LAKE
k Jbpartment of .uilbing Jn~pedion
1'\ Final Pennitted 0 Conditional C.O. Expires
This Certificate issued punuanl to 1M require1M1l1s of SectiOll 307 of the Uniform Building Code
certifying t/uJI at the tiJM of issuance this stT'IICtIlre was in compliance with the various ordinonces of the
City of Prior Lake reguJailng building ConstruCtiOll or ....e. For the following:
SINGLE FAMILY
R3
BIdI.PonniIN<"'
VN N/A
. Type Ccmstruction FIre Zone :zonu., District
B1, BLDG 5, UNIT 19, DEERFIELD THIRD ADDITION
01-0455
R2
u.. Clasaifk:ali.-
Oc:cupon<y Type
Leplllelcriptir "
L5,
D.R. HORTON,
Con_'s Name.t Addret'
ROBERT D. HUTCHIN~)~,
Buildi.. OIIlciol I"jA./
t; - /;) -tJ C).../
~iIcAddress 5432 FAWN MEADOW CURVE SE
20860 KENBRIDGE COURT, LAKEVILLE 55044
Owner of Bullding
city Planner
Dote:
DON RYE
Dote:
POST IN A CONSPICUOUS PLACE
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
51./-30
ADDRESS ~~~~
SCHEDULED
FfilN'J
/ -f-() z..
I~I~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~
I - ..d. ~c;-
,
o PLUMBING RI 0 EXIGRADIFILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP //n 0 FIREPLACE RI
o SEWER HOOKUP (<J!f~ FIREPLACE FINAL
flU 0 PLUMBING FINAL 0 GASLINE AIR TST
~.!- MECH FINAL 0
. COMMENTs(ru ~ -ek-~. ,l,_"-,,I'!'_-_,- . ~
(z.~ ~ ~-mk ~QIL
~] 'SJ..() ~ ~ U </... ..rdJr/- , ...$-.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATlO~
~INAL 1!9
o SITE INSPECTION
~~
\. 5":12... ~ f,.)o
~c...o. ~ 81t1o'Z-
I . ,
~f.4.(.'''''l.r.[) - .e;t/'3fl. 1> Stf3L
1 .
o WORK SATISFACTORY, PROCEED
)tCORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
"""""
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
5"i3L
~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~ SEWER HOOKUP
. PLUMBING FINAL
o MECH FINAL
DATE TIME
I!.v.n.- l/:JO
01 -l/ss
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS(() l:4J...-~ ~
~ ~ ~ I iIAU-" ......Jh... ~~
~~ 1"""'--
(~~ 'rktrl (~.
o '
~-rrL
o WORK SATISFACTORY, PROCEED
'/II CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR RElNSPECTION BEFORE COVERING
Inspector: ~. Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
I/'iSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY/
DATE TillE
CITY OF PRIOR LAKE t""J
INSPECTION NOTICE SCHEglII-ED 7 -I,). - d..... ,
Giq~ 301- rat-J71 YlJ:.ep clem)
ADDRESS' :;;,'1.;1.9-51 ~~
OWNER
PHONE NO.
CONTR. ~(_
0;'- f.{5OJ. 5;;) 6~ VU
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI 0 EXlGRADIFILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
DMS~r- ~: a
J 1 - 0/1 ~
/ J Cl,?-e- IJ
'-"""
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: (j)h OwnerlContr.
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
H<$NOTJ
..
~"
APPLIANCE
PERFORMANCE TeST
Attach to gas line adjacent to regulator
Heating Contractor "',' ......."1 ~
Name 01 Tester \le', \..... ~ .
Date
ll-~ ,s,- 01
,.
"
Job Address
Heating Contractor ~\; -" t--,-<-c '"-
Name 01 Tester ~,,'- ~.
Date ':l.-\\--lIll\
~.C
S'I.)J. f'.... _ ~ C"......
Percent 0.
PlI;cent CO
Percent Co.
-0-
Stack Temp
Combustion air Is adequately supplied per
UMC Sec, 606 'X 4
Input <..<.-.()Oo a
<t. l.f
~o