HomeMy WebLinkAboutBldg Permit 04-1232
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
1'- . c. . · 4-
See Main File
While
Pink
Yellow
File
City
Applicant
I PERMIT NO. 04-./2-32- I
(Please type or orint and siltll at bottom)
ADDRESS
1I'-I-7b ~""~-C,,,-l~ 'p.-. S.L
ZONING (office use)
;CZ-
LEGAL DESCRIPTION (office use only)
LO-bll BLOCK,;;J ADDITION -o..~~~ldL I \~
I OWNER
(Name)
(Address)
PID z.5. -ten. 0#. 0
(Phone)
BUILDER -..,.."....,
(Company Name) U. f.-.
(Contact Name) hAi~-.:... l.LlOh",,"=Lk+IL.""'---'
80'3{..LJ K",,~b....,~ c--;-. ~lOO
J 611__,"\;l\.- / ukl c::~~t.\
(Address)
+bv+O~ ::L"-r
(Phone) Cl~ - <=i8'S- -, ~
(Phone) ~ ~ '-\--I~
TYPE OF WORK KNew Construction DDeck DPorch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
"'1JAcidition DAlteration DUtility ConnectIOn 0 Misc.
CODE: DI.R.C. MI.B.C.
Type of Constnlctio.c-
Occupancy Group: A B
Division:
I II
Erb
III IV &;> A G:>
HIM@SU
2 3 4 5
PROJECT COST/VALUE $
(excluding land)
11/...,338~
I hereby certily that I have furnished infurmation 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 prope 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 buildmg
official can revoke t permit ust cause FUlthermore, I hereby agree that the cICy offiCial or a deSignee may enter upon the property to perform needed mspeetlOns
X f)u-. If", t? / ';;;'D=SI..S~. 7 (d-.-l..-o4
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Signature
'.
I 'If! 'fl. oao .00
$ / t.. 99, s-2>
$ ?'ft./, lD?
$ 70. :5'0
$
$ IDa .00
$ 100 . CJ <:l
$ 3~. S"'d
$ Jf() .co
This Application Becomes Your Building Permit When Approved
~~
Buildl11!.!. OHicial
P4(o.t/
Contractor's License No.
Date
I Park Support Fee
I SAC
I Water Meter (s'fe~ I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUE
#
#
/<;5'O.OC!)
z..S-O. t:lO
t..fS.OO
I'UJ<J .00
700,00
#
#
/
Paid r"" 035. I J'
Date IZ. Z. Z. .04-
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
~~ p],"~mpo"ry C"tifi"tcOfzon~comPI;2d']]OW'CO"st~"iO"tOCSeecfO'MaICnC"fiIem'stb,
PbAAing Directa' ~rYate Y Special Conditio". 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
".---while - BuildiOQ--,
t;anary--;; 1:ngmeering
Pink - Planning
iheC.nle,nllh.l.gk..Cnuflln'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
D. f2.. HOrc.ACJA/
APPLICATION RECEIVED
12-.0.04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/74--70 .ob~(~D 0/Z1t/6
Accepted
/"
Accepted With Corrections
Denied
Reviewed By:
~
~
0. J () I-J
Date: I~~~V
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."
~~
~-_.//
lhf('fnlf' nllh.I,lkrCountn
See Main File
White - Building
Canary - Engineering
c:.!::lnK ~ r-'Ianl-ilil~ :J
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
',.1
NAME OF APPLICANT
APPLICATION RECEIVED
"
/ ,~ // I
, 'J
i'.
, '
/ c- (, C C/---
. The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ / -7 --I ( /( /~_ t / {, ( / -' 1./ /. / L t~
Accepted
.......-
Accepted With Corrections
.
Denied
~
"
Reviewed By:
~.
~
Date:
/;J--f/~ ~
I'
.
Comments:
See lVlainFile
\
..
'.
j
"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."
/-
;;../
~~
ue~
~~-
.JYhite . Buildinq
(C"narv . Enqineering/
Pink - Planning
Thr Cutrr of Iht I..kr Country
BUILDING PFRMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Ie
/-/O/c'TD/I.j
/-(? (c (; 4--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ .'.;.) J I l
l f t...-
/)r5-~!;:7c:,,~-/ L>? I~
VI/( vt:.
Accepted
X'.-
"
Accepted With Corrections
Denied
Reviewed By:
Comments:
~
~
5(,~ a/;r, hi (
Date:
IrJ-J/; -0'/
"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."
1'lAi-12-2ljO.5rrHUi 16: 02
P. 003/004
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-;,~'_~ '~~~:,: ~:':': ~~.' ;~~~.,~~:'~:J,t~:~~?fr~;~~~~:~: .....~ ~. . ". , 'FEE ~~.6jf(~'~~~~}~~;f~X,:~~::~y~;?~?:~<:r;~:??~.!.~F;7.~:.~:~~~"~~:}\\~~~:;:.~'l.~~T:;.:::
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',. ....':;:.,'=".J:.';l :..:":...:\!i.:~;:,>::),;l~?:z~.\,~,l;-.,.. S39:S0'ininimum' .'":,l::":"<.'~,:;:;_..::.~'.)iii"'(.">' . " . ;'_,,",~,:_: i'. ,.:,:~~~:.:\:.:.,..
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. ..' R:i~iiTIti~: H~??rY.\~'GtJm:.~......~a..."J!:..e'd:iicOOOJ<1 '$ . $64.50 R<:sld'c:;,ti4~d0'li . '. .' ,. '<~~2~:~;:
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I-iEAmid PERMIT fEE
STATE SURCHARGE
'. TOTALPER..'YfiT FEE
(O,mc'cU.3C Only).
This.APPlic.ation']~~~p~~."V'~'lr D~.i.~ding Per~it When Approved'
Plid
Receipt No.
'D<ltc,
By
~
U
lluihlinc OfGcl:d.
0.1<
'. ~ .
'24 hour Roti", for .Uln'pcclion, (9SZ) ~7-98?O, {n (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
1. Pink
2. Green
3. Yellow
~:~ I PERMIT NO.A... 17"i1\~
Apphcant -r,..
q'l..ease tV]H! or Print and sian at bottom)
ADDRESS
ZONING (office use)
17470 DEERFIELD DRIVE S,E,
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name n.R.HORTON
(Phone)
(Address)
APPLICANT
(Name) AJ.J.lFDWRsmRDRA Iilll.RSmRHR~&HOMR
(phone)
051-633-2561
(Contact Person)
RRENDA HUSTON
ROSEVILLE
(City)
(phone) _651-633-2561
55113_
(Zip Code)
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
1/24/05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
OAir Conditioning
DVent, System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
D Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Industrial, Commercial & Multi-Family
HEATNGLO SL-750TR-D
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39,50
$39,50
$39,50
FIREPLACE MAKE AND MODEL
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
REA TlNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
$
$
$
so PAlO WtTH T
. aU\LDING PERMI
(Office Use Only)
This Application Becomes Y onr Building Permit When Approved
Paid
, Receipt No.
Buildine: Official
Date
Dat~ fl ~
.JAN " I 2005
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
12/14/2004 TUE 16:45 FAX 6513226147 GENZ-RYAN
Ii!J 006/009
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
i ~;:. ~\~ I PERMIT NO,AA_ I" -:Z'l7
3. GQld Apl'liCUlI \IIr". ~~
q>'Iease tvp!: ororint and si,gnatbottom)
ADDRESS
11LhOhfn<..f7 eCct, tm ~
I ZONING(ollk....) I
LEGAL DESCRIPTION (olllcouse only)
LOT :J [ BLOCK r9... ADDITION iwefl e( ci
11-t1;l.,
PID
OWNER
(Name) DR lIQrtgtl C"it--. ,,-::-:
(Address)
2oUoO Kevli3i<-Ib6e Cr- SwIN\
(Address)
(phone) _
. La~~ i lie..
(CiIY)
0/...)2 -q~5- II? /..,(\
.0f::;QW U
(ZipCodl:)
APPLICANT
(Nam~ Genz-Ryan Plumbing & Heating
(Phone)
651-423-1144
(Address) 14745 So Robert Trail
Rosemount... MN
(City)
55068
(Zip Code)
(Addr.,,)
(Contact Person) . 0A1 RIS tifa If S ~'
-..rCANTSIGNATURE J1!.,~rnfl/i
(Phone)
DATE
651-423-1144 .
/62 -{Ll -04- .
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
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family
$17.50 Water connection only
1% of job cost with a $39.50 minimum
$17,50
Estimated Cost $
Building Pennit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
,.MID WITH
QULtMNG ..c.nMIT
(ornec Use Only)
I This Application Becomes Your Building Permit Wben Approved
Paid
I Receipt No.
L
Building Official
Date
DaleOEC 2 7 2004 I By
24 hour notice for all inspections (952) 447-9.50, fax (952) 447-4245
12/14/2004 TUE 16:45 FAX 6513226147 GENZ-RYAN
I4i 007/009
~<;
~/"'NI!So1r-
I
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
i: ~~ i!!~ I PERMIT NO'~.I '7 -;;I.r~
1 Yellow Applicant ~ ~....
(Please .!YD~ or print and siRn at bottom)
I ADDRESS .
11 Li, 0 OOVZ.i1!? (Ck> bn SsE--
'1 ZONING(officcUS'j
LEGAL DESCRIPTION (office use only)
, LOT 7/ BLOCK J- ADDlTIONtu-f2t1 e (&. [Itvl
PID
OWNER
(Name) DR Horton Custom Homes
(phone)
%2, q i? Fi -78M
(Address)
2.O'SwD K.enB~l i)Ge:.. Co S.,-e IDO
Lalu.vflle.. .UN .55bLJ LI
APPLICANT
(Name) CQV7-l1yn- ", "~: <. UM><_:
(Address) 14745 So Robert Trail
(Phone) < <, _t. ,,_, 1 bl.
(Contact Person)
(Address)
rl11rV stiw (( S
CI Aj~ '---fh. 1 JI./\
Rosemount
(City)
MN
55068
(Zip Code)
APPLICANT SIGNATURE
(phon~ 651-423-1144
DATE I J--( iJ,'-oif
APPLICANT PLEASE COMPLETE BELOW
~ Quantity I Type of Fixture I Quantity TYlle of Fixture I
I Bath Tub with or without shower Rough-ins I
~ f Dishwasher I Water Heater I
I Floor Drain iZ..T I Water Softner I
~ ~0 Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine) I
I Laundry Tray (lor 2 compartment sink I Sewage Ejector I
I r2 Shower Stall I Backflow Assembly ]
I i I Sinks I Backflow Assembly Test I
I I Bar Sink I Lawn Sprinkler I
I <3 I Water Closet (Toilet) Other I
FEE SCHEDULE
Industrial, Cnmmercial 8< Multi.family 1 % of job cost with a $39.50 minimum Residential, New One 8< Two-Family $99.50
Residential, Additions 8< Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
~~
(Offict Use Only)
r This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Datt
Date .
DEe 2 7 2004
By
i
I
24 hour notice for all inspections (952) 447+-9850, fax (952) 4474245
i~3 ..
~..---~.-
PRIOR LAKE
INSPECTION RECORD
~'7Lf~o ~Jt-fle-u> t>rt. S.E.
NATURE OF WORK ~""ST~{O~
USE OF BUILDING ~ f:'; A. .
PERMIT NO. Otf-. /z32- DATE ISSUED 12.1'&4 iOI{
CONTRACTOR :D. 2.. ""~tt."'~ I .e.Jc.. P~" 2.'Zc..-'47.rZ.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
SITE ADDRESS
lNSP~:../ ,o.A-ry
I FOOTING ./#7 //0".16-
, FOUNDATION (Prior to Backfill) I d4 I / /f/(/(){../
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN S'IGNED
ROUGH. INS _
I SEWER / WATER / SEPTIC I /~t ,,/ / j; f/~ 5-
FRAMING I //~. :7 //~AJ
INSULATION I JIt/7. ..?//,r /-' .5 -
ELECTRICAL I. J//,-/qs./
PLUMBING i/(/. //#,'~pJk I $~. J/~~~
HEATING (if required) '~J//6/fiS-
FIREPLACE I J'ff-r I JPI/O.r
GAS LINE AIR TEST~.~ rQ I ~---'/ I ...?Pi'~.r
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I ~"E.I _ 0 I
~c.r k)-e/"J/fJus e FINALS
GRADING (Prior to Sodding) ~ee ~..L:... ~,(e
BUILDING " , ~ --? ~AS'/'
ELECTRICAL -Y' P//~' '.. . rlC- ~
PLUMBING YM--- V ( 1-/ / ~
HEATING ~ ,~/df
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-In inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
ADDRESS
/7Y/C)
DATE TIME
SCHEDULED ~~~
~er j}-JI d,
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
oft' - /-2..32.
o FOOTING
o FOUNDATION
o FRAMING
D~LATION
~FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o ~UMBING FINAL
.;&rMECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
~REPLACE FINAL
o GAS LINE AIR TST
o
~~r-
~C?:h~ M.:;./ ~/ .r-
A'~/"~/I/vtE' cI d)/:r~ -/- T-es;
COMMENTS: / . ,.-:- / /'
'/o"--/,..r T.r, Cc; / ~.hQ / d;;He,
ri~/~cc- hA~ (/: c9K~
t41''': >::- (";;) ~~/ ~ / d
~~<E/
/
Gte....
---.-
:::::----
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A/~ )
--------
~
~/?'
1"/&:'5 e.....
SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IN$JtIOTl
DATE TIME
SCHEDULED ~~ ,,--'
Lk<e//)t?lcf fl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/771'70
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
o SEWER HOOKUP
,....a15luMBING FINAL
o MECH FINAL
COMMENTS:
/ /'t/f(J frt e-i"
Z /
j-ecST
~
,~---I,
/' / r" 'Z"
/
~,/
L//L
CJ~- /.232..
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RJ
o FIREPLACE FINAL
o GASLINE AIR TST
o
(--;; L
"
,/..:,.
{5/
/ / -:J - /' / /
///4"""01 ~/u /Z'.h.sr.y/~ d,
o WORK SATISFACTORY, PROCEED
J'l""CORRECT ACTION AND PROCEED
/ d CORRECT WO~K~ C!'.fFOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
v '
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor .A2 Ar1 Ao€d'
A-... [1
'r.4' r
Job Address ~ ~
Heating Contractor ~L/"7 ~
Name ofTester ~/H13
--- ), ,r
5, "0'~
'7.9 ~i1
~%
.371 d,c
Name of Tester
Date
Date
Percent 02
Percent CO
Percent C02
Stack Temp
Combustion air is adequately supplied per
UMC See, 606
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