HomeMy WebLinkAboutBldg Permit 04-0347
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
tf. e.~~
See Main File
I. White File I PERMIT NO
2';,k C;,y 'OA_, D'?A7
3, Yellow Applicam T ~
(Please type or Drint and sign at bottom)
ADDRESS
505Q Fci (JaiL 'POUl +- b t~ 31;
I I
ZONING (office use)
~I
LEGAL DESCRIPTION (office use only)
LO'J),Y BLOCK'L ADDITIO~(e_U. lci\-.....
OWNER
(Name)
(Address)
~~~~~~ .1--101-10-" ::u. ('
(Contact Name) ml~._l JlJ~kA...
(Address)
TYPE OF WORK
~ew Construction
o Misc.
DLower Level Finish
/, t5.c,
PROJECTCOST/VALUE (excluding land) $ /5'1 1'9;.~
I
PID z..!i. 4-t;f. 0.4-4-.0
(Phone)
.
(Phone~'9S1lJN q BS-lf5S~
(Phone jo{~ ~d.. (rLJ732..
---'
DDeck
DPorch
ORe-Roofing
ORe-Siding
o Fireplace
DAddition
DAlteration
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-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
;tern\ ontheprop~o~~~ctions dlffi2kS'7 '-/-7 -Oc/
~ \ Signature Contractor's License No. Date
I Permit Valuation
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
$
1$
$
$
$
$
$
$
/"79,o(J()
lL/m,,5'tJ
4/4, \S'S(
/79 ' ~5'()
lOt) > 00
/l') 0 (001
,;t'5" ,5QJ
Lf(i, -=l
This Application Becomes Your Building Permit When Approved
~ if,. :J2~
Building Official
1/2-7/0 if
Date
I Park Support Fee
I SAC
I WaterMetert SiZe5/i;vl";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
1 TOTAL DUE
#
#
#
I Paid
I Date
ISI' 'N. 7'
s: '7/,,<{
I ReceiotNo. ~'7oo ~\ I
By ~.<J91-' I
This is to cmify that the "quest in the above application and accompanying documen~ ~ in accordance with l:1ity Zoning ~:Z and may pmceed as "quested. This document
~Plan~mpnc~Certific:;~;~p;ceandallowsconstru ~ee--'lVJama Fjlecupancymu"be
Planning ~irector Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~
See Main File
White . Building
Canary - I;n!l.ineering
.,-f"ffik - Ylannm9:)
-
The ('en'..r of lh.-I...... Counlrl
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
'"
NAME OF APPLICANT
APPLICATION RECEIVED
L L
{ Irk i
!'.,
,.
.:-- . /1-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
r
,-
"
" 1,--
l i.._~.
'\..
Accepted
-' /
/
Accepted With Corrections
Denied
...
Reviewed By:
~
~
~~
Date:
L//z 7 kt.{
, ,
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."
,
Tht' (",,"In of lht' l..kt' ('ollllln
Whit~ . Building
~an;u:y - EI''''n.....'''~
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'l' ,
.
~ i ( ,
I ! "-- r:~
'" I
-
"t-
()"
, '
, 'I
' - ,', ---
, ,- ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i'i
_.J ,
I
",',-,-,'T-
L.h
(,r-\ Ie
L'
Accepted
P<
Accepted With Corrections
Denied
Reviewed By:
Comments:
A1J5
~~f' /J1Ott^
Date:
4-2j-OL/
I
f"tl(
"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."
~~
See Main File
C White . Building)
Canary . Engine..ring
Pink . Planning
rhr ('..nln of th.. 1-.1<... ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D.e. Ho/:::::/ ON
4-. S. 04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
50SQ SA5T OAiG ~...... I
.
De......
Accepted
/
Accepted With Corrections
Denied
~
~
-::f" , 1) f--J
Date: 'Ill. 7;; t{
Reviewed By:
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."
Apr.16. 2004 10:30AM
GENZ RVAN PLUMBING AND HEATING
No.l577
p. 4/5
Date Rec'd
.>.~~i PR/0-!,('
I- "
~ '"
i':;!.~~~li..\i\-.:j'\ III
"'-$..,:i'tN'!lso"tt'-
CITY,OF PRIOR LAKE
SEWER AND WATER PERMIT
CPi.... ~ or U1'Ult and sUm. at bOllDml
ADDRESS .
1)/)c;t( t~+ Da k.. Po I fl t
; ~~. ~ I PERMIT No.ou-."dIf
l. Gold Applb.nt -, "'., T ,
ZONING(~"",)
D r2- ~e:
LEGAL DESCRlPTION (oilice me only)
LOT 14 BLOCK 1-. ADDmON heu'2--fi f.. Cd I /)+t1
PID
OWNER
(Name) ""
(Adrlress)
wtiDO KeY113i<..\t:L--e. Cr Sr-P.lf\.r\
(Add=.)
(phone) _
~~i\Ie..,
(Ciry)
gs2 --QRS----'8M
.Cj~U
(Zip Code) .
U.':':':''':':'~.(''''':''''''''''' ~:--:
APPLICANT
(Namel Genz-Ryan Plumbing & Hea"ing
(phone)
651-423-1144
(Addr~) 14745 So Robert Trail
'.!CANT SIGNATURE
(Addrw)
r/fl14.ASh ~I ( ~ _
o A J~ '---{r;i!k:l
Rosemaunt~ 'MN
(City)
(Phone)
55068
(Zip Cade)
651-423-1144 ,--
J/:{' / () () t/-
(Contact Person) _
DATE
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe_ 0 ABC 0 PVC
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
feet_
o Cast Iron
Residenllal sewer and water !ine connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi--family 1% of job cost WIth a $39.50 llll.Dimurn
$17.50 Water connection only S17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
,
r
I
(Oro.c~ U3C Only)
Thi. Application Becomes Your Building Perm.it Whe" Approved
\' .
Building Officjs)
Dale
I Paid
I Daty,~AY 0 5 2004
Receipt No.
By
24 hour ootle< for sJl inspection.< (952) 447-9850, fax (952) 447-4245
APr,16, 2004 10:30AM
~~:
."':".~s~: Mi~''''N'!so'\'"
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~W>"
GENZ RVAN PLUMBING AND HEATING
No 1577
P, 5/5
.va", rtee'd
CITY OF PRIOR LAKE PLUMBlNG PERMIT
I Blu.e Fil.
2. GaJ.,d City
] YtHow ApPfie:am:
IPERMITNUO~?
I
q?lca$c.!'.:Fe or Print and silitD at bottom)
ADDRESS
07)'~) q Fas+ Oa K
POi JIlt
])/'2. ,\f
ZONING (office",.) ,
LEGAL DESCRlJ?TION (ojfice "'" oIl1y)
LOT;1.4 BLOCK 2- WlJluON 1Y~t2..h e Lei. I ():f-v. PID
OWNER
(Name) DR Horton Custom !lames (phone) Q&S2.qS;,c, -"'7'6D()
APPLICANT
(Nam,e) ~&>T'\'7_~;"::: ~~.J;V"'':'''g ~",,~"'.I-:3
(Address) 14745 So Roben Trail
(Address)
(Contact Person)
'2-O'i:.loO lLeV1B~1 t::>G.e.. Co Ste I CO
Lt.:du.vrIJ~ M-lN EfuLJ LJ
(Fhone)
t:.c;,'_L.."J':l_11b.L.
Rosemount
55068
(Zip Code)
MN
(Address) (City)
r.J1 ptl~tl fA II~ r\ (Fhone)
r / 1'-(:';:t) ~ PI/7 DATE
651-423-1144 ,
L/~ ((; -otf
APPLICANT SIGNATURE
I
I
r
I
I
I
I
I
I
I
Quantity
Jd.,
J
I
.~
i
I
I
:J.
APPLICANT PLEASE COMPLETE BELOW
Type of Fi:rtuX'e Quantity
Bath Tub with or without shower 3
Dishwasher r -
Floor Drain I2L
Lavatory (Bathroom Sink) I
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
I Bar Sink
Water Closet (Toilet)
Type of Fixture
Rough-ins
Water Heater
I Water Softner
I Stand Pille (Washing Machine)
I Sewap;e Ejector
I Bacldiow'Assembly
I Bacldlow Assembly Test
I Lawn Sprinkler
I Other
FEE S.....I::U!o.lJULE
InduslTl.I, Commerclal & Muln-fam.ly 1% of Job cost wIth. $39.50 minimum Residential. New One & Two-Family $99.50
Residential, Addllions & Alteration' $3950
Est)lnated Co.t $
BUIlding Permit II
PLUMBING PERlvfIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$ 50
$
I
r
(Office: US~ Only)
I This Application Becomes Your BuUding Permit When Approved
,.,...:,
1-
Building OtJjci:t1
Pat<
r Paid
I Daf\~AY 0 5 2004
I Rece:ipt No_
I By
24 hour notice for aU inspectlons (952) 447.9~O. fax (952) 4474245
. ,
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
(Please ~ or DIint and sien at bottom)
ADDRESS
_~5'7 /~5/ ~~"d
LEGAL DESCRIPTION (office use only)
L~~LOCK,.,;? ADDITION
OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
APPLICANT ./J, /. ~
(Name) /~///~r.-/A.A/."~
(Address)~ ~~AI ~ ~
.~A~J
(Contact Person) A4/<;:y.-:.6~
APPLICANT SIGNATURE ""5' ,- Le. - __
Date Rec'd
1. Pink
2. Green
J. Yellow
;/ ////
~:~ I PERMITNOAI1_~~1>>)
Applicant ~
4,~e-
ZONING (office use)
PID
(phone)
(phone) ~/.- 4/5"''?-''p;??~
~ .ol2A7aA 5"'.5: L.-: ~
- (C1ll1ff (Zip Code)
(Phone) ~ - c;/~ -~ 77~
DATE
APPLICANT PLEASE COMPLETE BELOW
.3!'NEW CO~TRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACEMAKEANDMOD~/rpJ ~. :?/L:>AA~o/070 FUEL,d.2 ,.4.J.:..---e
FLUESIzE~M...AmUruIOPENINGS # INPUT6~ ~ OUTPUT ~_"I'~
TYPE OF SYSTEM HEATING OR POWER PLANT
FEE SCHEDULE
1 % of job cost Residential. Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
OWann Air Plants
OGravity
o Mechanical
~ir Conditioning
~ent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi~Family
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Estimated Cost $ ~ a::> Building Penn it #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-98$0, fax (952) 447-4245
$ &....// ~-"/~
$ , .50
$ t7
,
Paid
Receipt No.
Date t,~AY 0 5 2004 By
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or print and siltll at bottom)
ADDRESS
t~~onw JJ~icanl I PERMITNO"".'?l/~
ZONING (oflkeusel
5059 E. OAK POINT DRIVE S.B.
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name DR HORTON
(Phone)
(Address)
APPLICANT
(Name) ATJ.TRD FTR,ESTDR DRA FIRESIDE HEARTH & HOME
(Address)
noo NORTH FAIRVIEW A VENUF
(Address)
(Phone)
ROSEVILLE
(City)
651-633-2561
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
6/14/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVen!. System
D Steam
D Hot Water
D Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEATN GLO SL-750TR-D
Industrial, Commercial & Mu1ti~Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.'\0
$39.50
p.' , $39.50
!:c""/![' ~,0Jn"r.,..,
\J ;f.D~It7G .1I"lIJ!
C,::r1lrlilf1t
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
(Office Use Only)
BuUdin!! Official
Pff~ LE l~ IE U If] ~ ffltipt No.
".,"' '"~, ,. ::,.~..."'" ,",...;e (:~::4:~OO41 ~~
This Application Becomes Your Building Permit When Approved
I
if I
u
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS SI).sq E tf"J4k- ~ 1)""
NATURE OF WORK. ";. K ...:...... U~l
USE OF BUILDING SeP IVI i11.1.L.J..:l e
PERMIT NO. JtJ DATE ISSUED
CONTRACTOR PHON a."." ' W'1~,...
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DePARTMENT ~ .
BUILDING ANDmNcMain File
INSPECTOR
DATE
I FOOTING
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
-
FRAMING~itW4//-49ft':T ~ 6~~-/ ,r ~/~ftY
INSULATION ,iff 1:/ zS" ~ 'i
ELECTRICAL ,~//?~ T
.. PLUMBING Vi}J~ <J:.~~G /fa ~P)'I"'f
.HEATING (if required) ~ ~/4I'~c/
,FIREPLACE 1 ~ 6/..z-J~c/
GAS LINE AIR TEST 4,,).. rr;/. ~ ~/M,/6C/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Soddin~)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
~
;/YY?
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.
8/t7/~r
{;.,{,.()S-
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850
\
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
$?)S'"q
IE /Ytk f? r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
ZH"INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o ~MBING FINAL
~ECH FINAL
COMMENTS:
--------
/' /"" 1__') r
~ ~ V 2)'L
---
C-j
...t--
DATE nMe
(,,-cot>
L.-( - 34')
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
--
1(/ '\
(, (c- )
.--/'
r ..-- ">
("..vA'"
~ SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
1/1/
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
S O~$7
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
CATE TIME
SCHEDULED 0 ;;.Ioy'
~src7e;-~ /,L
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
........ PLUMBING FINAL
/0 MECH FINAL
COMMENTS:
.4'/ /"
- /' /"'/-e"10P"t';<O-~"-
--- ,
/-e,r T
/'5'~ - . ?<;/7
- -
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
./
r-' / tC-.
.~ /" / '/"
U/ /Y€"t""d /ij/,C/ /;,<~ ~/~d
'" ,.
/ft6 ~r I
./
o/H
,
~
~km~
/ ".
/'
~
/ I /-, er
~/ /' _ /7 . /,
L/C~ ~ (?../ .{-"'5V/./ d..Ac;:.
- -"'"
o WORK SATISFACTORY, PROCEED
.,....a-coRRECT ACTION AND PROCEED
o CORRECT WO~~ C~L~ REINSPECTION BEFORE COVERING
Inspector. /U/ ~ Owner/Contr:
~
/
cY~-
".
~/
/7' .L-t <p
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
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