HomeMy WebLinkAboutBldg Permit 01-0758 & 02-0013
e or . t and si at bottom
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I.White File
2. Pink City
3. Yellow Applicant
I
w"d~
L
OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact N a
(Address)
o Misc.
I
Date ~ec' d
ADDITION
PID ;;}S~ 370
(Phone)
(Phone)
(Phone)
ew Construction
oDeck
o Fireplace
DAlteration
q f5"-7g(J~
1~~ -,;)a, f.p - /33 t./
ORe-Siding
DUtility Connection
I hereby certify at 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 b ilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upo pr petty to pe orm e inspections.
x
Permit Valuati n
Permit Fee
Plan Check Fe
State Surcharg
oPorch
oAddition
ORe-Roofing
DLower Level Finish
PROJECT COST IV ALUE (excluding land) $
I ~q f f
;?t)P/J J?, C '7
Contractor's License No.
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
Water Meter Si 5/ '; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
1/~L~ /
ate
$
$
$
$
$
$
$
$
$
7 -(? ~.2a::l
I Paid $/2-1 ~.~ '1
Date 7-2 - 1
I ~;c'Jft-
es Your Building Permit When Approved
Date
-1-0/1 <I-
This is to certify th t the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may 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
issued.
Ian ing lrector
'7 /14/0'1 ~~,_ A ~ ~:rteW,.,
Date Special Conditmns, if any
24 hour notice ror all inspections (952) 447-9850, rax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
Th~ C", In of Iht I.'.' ('ounlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
AME OF APPLICANT
PPLlCATION RECEIVED
[) j( cf-j~
7- s-o/
/
ccepted
x
. .'
Accepted With Corrections
enied
eviewed By:
p.J;1()
Date:
;-/2-01
omments: See Reverse Side for Additional Information!
ments: 1) rading Plan, 2) Erosion Control easures
'The issuance or granting of a permit or approval of plans, specifications and
omputations shall not be construed to be a permit for, or an approval of, any violation of
ny of the provisions of this code or of any other ordinance of the jurisdiction. Permits
resuming to give authority to violate or cancel the provisions of this code or other
rdinances of the jurisdiction shall not be valid."
651 633 8884
F I RES IDE CORNER
#4332 P.002/005
CITY OF PRIOR LAKE Date Rec'd
REA TING/AIR CONDITIONINGfFlREPLACE PERMIT
(PIe&se
ADDRESS
.t bOllmll
i =. ~::. I PERMIT NO. /- -? c;::-</ I
" VldlDW AAJlIQII , _ I J <3"
ZONING ,.lfia ..ej
-,; - J:'e.
ADDITION
~.
OWNER
(Name)
(Addn:ss)
rrYi?
(Phone)
APPUC
(Name)
(Address)
lED FIRESIDE DBA FIRESIDE ORNER
(phone) 651-633-:2 561
(Addre,,)
n) BRENDA bUSTON
SIGNATURE
(0'1')
651-633-2561
(Zip Code)
(Phone)
DATE
1/.5-01
FLUE SIZE
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 AL TEM TlONS
. KE AND MODEJ. fUEL
RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWotm.A;rPllIlIls 051"""
DOrav;')' 0 Hot Willer
o MechllDical 0 Radio.llon
DAir Conditioning 0 SpecloJ Device.
OVent System 0 Other Devie",.
PLEASE NOTE:
Afr Conditioner Units
COlllnDl Encroach into
Required Side Yard
SBlbacIcs
KE AND MODEL jJ(lf).! JJ ~t..
S'- 7.lb11Z.-
Indu.trlal. Com
FEESCHEDULK
I % of Jo~ "".t Residential. GO$ Fireph..,e
539.'0 minimum
$99.50 Residential, Addition. &. Altcl'lll;ons
$600 Residential, AC Only
539.50
Re,lden!,;a', H ling &. AIC (Now Conslruc.tion)
Resldent.ia', He ng Only (New ColL!truct.ion)
539.50
$39.50
ESlimated Cost $
Building Pennit #
HEATING PERMIT FEE
STATE SIJRCHARGE
TOTAL PERMIT FEE
$
$
S
(om", I)"" O.ly
This Applic tioD Becomes Your BuUdlDg!' mn;t When Approved
Paid
.50 r PAID WITH
~LDING PERMIT
Receipt o.
Date
1- {..- (
BY.C
JI,dld .( omd.'
po"
24 bo..r ..tlco ror .n '..portion. (952) "7-98511. r.. (9~2' 447-4245
08/21/01 TUE 09:0i FAX 6~244i4245
-...-,,--
CITY OF PRIOR UU(E
CITY OF PRIOR LAKE PLUMBING PERMIT
fIve: wi
15LD6j p~,,- 0 ( . 67S8
.1 ad Ii"", .1 bottom)
IgJ UUl
Date Ree'd
1- 3 -0 /
I.B'" ,;Ie ~TNO ~
l:~~ ~=""'" '02--0013
('1023
--!VI jdfl/ll?LSS
{Jr.
J
ZONING (ollie< "se)
LEGAL DE Cl' IPTlON (office ".. only)
LOT LO( :K ADDITION
OWNER
(Name)
(Address)
~~:;e~A T ; ,5 H"2:j,z. (O(~ kr
\ 0 ~-
(Address) :J 2.. 7--0 .
(Address)
t_____
PID25-370 .6 '2S-
(phone) q/'S;+ - 9'66],)..7
(City)
(Phone) ;)~
DATE I 2'-1 2-%10 J
T:L GNATURE
Type or Fixture
Bath Tu with or without shower
, Dishwasher
floor Drain
'\ LavatQry (Bathroom Sin )
.. Laundry Tray (1 Qr 2 compartment sink
" Shower Stall
Sinks
Bar Sin
. Water Closet (Toilet)
Qllantity
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
hd:.~\l ,.\, COli, nerclal & Multi.family 1% ofjob co,t wllh 0 $39.50 minimum
ESlimated Cost $ 1/1J()~
Type 0 Ixture
Rough-ins
Water Heater
Water Softner
Stand PI e (Washing Machine)
Sewage Ejector
Backflow A95erob y
Backflow Assero Iy. est
Lawn prinkler
Other
Residential, New One & Two-Family $99.50
Regidential, Addition. & Alti;fation. 539.50
Building Permit #
PLUMBING PERMIT fl:.E $
STATESURCHARGB $
TOTAL PERMIT FEl: $
. 1'<:' ..->:~;.').
our Building Permit When Approved
1- ~ -0 -z--
...
7;H SO
.50
1-/0 CO
Paid 40.6 ()
Date -.5 -02..-
,._~.'. ----
24 hour noli.. for all in.peetious (952) 447.98S0, fa! (952) 447-4245
By
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONING/FIREPLACE PERMIT
Date Rec'd
:~" ~:t~ I PERMIT NO. /- r1rl/1
3. Yellow Applicant '-L~
.-.--
Jr.
(Phone)
ZONING (offi" "50)
;:!,/s
PID~5- 70-0,)5-
/oitL
(Phone) ~5/-.45 01- 6(71'5
Cl. 65/ ,;2...
( (Zip Code)
(Phone)
<--DATE
APPLICANT PLEASE COMPLETE BELOW
FURNAC
FLUE SIZ
IXlNEW CONSTRUCTION
MAKE AND MODEL /3,r'j Clt. ",-f
o? Y2- pv'L RETURN OPENINGS
TYPE OF SYSTEM
OWanll Air Plants
OGravity
o Mechanical
&Air Conditioning
OVen!. System
HEATING OR POWER PLANT
,
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
o REPLACEMENT
9<>1 %
Of
o ALTERATIONS
FUEL ~O.t. GqS
OUTPUT 80, G>1HJ
INPUT 100,000
FIREPLA E MAKEAND MODEL
FEE SCHEDULE
t % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential. AC Only
Industrial, C mmercial & Multi.,.Family
Residential, eating & NC (New Construction)
Residential, eating Only (New Construction)
Estimated Cost $ 1000. 0-0
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(OfficellseO Iy)
This App ication Becomes Your Building Permit When Approved
Paid
B IIding Omclal
Date7,;<3-O/
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
_ BUlf6;WG ~TH ,
EF;,"v~IT
Recei t
Jul,17 200111l:49AM
GENZ RVAN PLUMBING AND HEATING
No,8062 P,4/11
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
" _.
~ :: ~ I PERMIT NO. /- 1:> co'
:1. Varo. AppliQflt .
l'
e e or rint ' d.;; ,atbodDm
ADDRtsS _ _
ZONING (alii"....)
I(ISD
LEGAL DES
ON (otli.'" = o.nly)
\ ADDmON
OWNER
(Name) DR Bo ton Custom Homes
(phone) 651-454-4663
(Ad~) 3459 Washington Dr SlOe 204 Eagan, MN 55122
APPUCANT
(Name)
(Address) 14745 So Robert Trail
(Address)
APPLI
Type of Fixture
ath Tub with or without s ower
ishwasher . .~
oar Drain
avatot)' (Bathroom Sink)
aundry Tray (lor 2 compartment sink
S ower Stall
S
(Phone) F; <; 1 _I.? <_ 1 1l.b.
Rosemoun!: MN 55068
(City) (Zip Code)
(Phone) 651-423-1144
DATE
CCon=tpexsbn) Mary Olson
, l
APPUC,AAfF S1 NATU:RB
Quantity
2-
,
\
ASE COMPLETE BELOW
Qqantity Type ot re
Rough-ins
I' Water Heater
WateT Softner
Stand lpe (Washing Machine)
Sewage E"ector
Backflow Assembly
Ba<;kflow Assembly Teat
Lawn Sprinkler
Other
FEE SCHEDULE
ial & Multi-fann]y I % of job oost "'jib. $39..50 ml..unutO ~idcntial. New One & T...o-Fanilly $99_50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.so
V
E3 PA!D 1/'/<
UILDING p",:. ..
EIIP/II j~
(omu: U5~ Qaly)
Tbis AppllcatioD Becomes Your Buildiug Permit When Approveil
IUd
Receipt No.
Date
Buildlag 0 dol
D.lo
24 bour Doli.. far .U 1Dspectjans (9g) 447-9830, t:u: (9g) 447-4245
.I111.17.200110:49AM
GENZ RVAN PLUMBING AND HEATING
No.8062 P.5/11
Date Rec:'d
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
i ~~. I pERl\fiT NO. .1- 1 cl?
1. dDld. ~pliCUlt J
Pka5e or
ADDRESS
\10
d "atbotmm.
LEGAL DES
ZONING (offic<...)
D(,~
ADDITION
:.-{)
PIDd:> -370-0;;(
OWNER
(Name)
(Address) 3459 Washington Dr Ste 204
(Add,,:ss)
(phone) t.':;'1_1..e:/, 1.t..t..1
Eagan. MN 55122
Ci . Colle)
APPUCANT
(Nam~ Gen -R an Plumbin & Heating
(Addr~~ 1474 So Robert Trail
(Add=o)
(ContactP~dn) Mar Olson
~UCANT SI NATURE
(phone)
MN
651-423-1144
55068
(Zip Cod.o)
(phone)
DATE
APPLIC ASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from s1roc:ture
Type of sewe( pipe. 0 ABC 0 PVC
Estimated length of sewer line feet.
Clean out (if required) located, at _ feet from structure.
feet.
o Cast IrOIl
FEE SCHEDULE
Residential sewer d water line cOlIDection $35.50 Indu.strial, Com'l &: Multi-fam.Uy 1% of job cost with a $39.50 minimUIII
ScwercollIlcction y $17.50 WatercollIlCcr:iOll only $17.50
Estimated Cost $
Building Pemlit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$ -
$
.50
. BUJ~~NID lI'i/{H }
Gp-;--.,.'
t:;f"l'l,jiT
(om.. u.. Oaly)
I This ApplicatiD
illite
ate 0~~b-O (
C--
Becom... Your Bllilding Permit Whcn ApprDv~
Paid
R~.' t
'--
:Bu,ildblg
Z4 haur natl~ for .n inspectfons (9:52) 447-9850, ra~ (ll:52) 447-4Z45
lOR LAKE
SPECTION RECORD
P
I
DEPARTMENT OF
BUII"DING AND INSPECTION
SIT ADDRESS J7()'A~ kJ;\~'S>S I' J'"Ct-.' I
NAT RE OF WORK 1J~
USE OF BUILDING S FO
PER IT NO. OJ~0756 DATE ISSUED 7-17-'200/
CON RACTOR :D.ILJb~ PHONE Cf5"2 -~~ - r~~Y
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
.
DATE
NDATION (Prior to Backfill) . f l) (
PLACE NO CONCRET UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
ER I WATER I SEPTIC
FR MING J I I" 0 I
INS LATION" r7 - ~.....
EL CTRICAL
PL MBING IA,Q".,
HE :rING (if required)
FIR PLACE
GA LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
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 haye.bceo:J 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
110Z3
OWNER
DATE TIME
SCHEDULED ~ kJl.
wluJeVl/555 re-V.
CONTR.
PHONE NO.
PERMIT NO.
1~15~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
5"0 O/77<E6 ;.JpI~
&.:tf..~~ -o/',d
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MEcH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MEcH FINAL
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION ANO PROCEED
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!
INSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
t(;-Ig-oz.-
ADDRESS / 70;)3 WI/~mess / r
OWNER CONTR. D. R- IhrM
PHONE NO. PERMIT NO. (') I - 7S&
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
- 0 SITE INSPECTION
o PLUMBING RI
o MEcH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
X~IIL1NG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(;~~-O~
{.'lIb f30,~~ CPt:
T ,Iv'(} -5..
A'ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPEcTION BEFORE COVERING
InSpect~~~ --:"Uwner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/"'7~23
tJ~ T,e,
DATE TIME
I /2. z/o1.- II.'$c
,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTIO
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
)i:: PLUMBING FINAL
o MEcH FINAL
COMMENT
~
0/ - 151
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ ;:iz:JJ' -~
J~~
o WORK SATISFACTORY. PROCEED
Xl CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 F THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
--'..-.--.. ....._--~-_..._--_._- - .__.~_.._.._.-.._----.~.-
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
2-1r".oz... 3;.,U?)
ADDRESS /7023 W10D6Je-1I/65S 17?<--
OWNER CONTR.
PERMIT NO.
() I - 758
PHONE NO.
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING ~ 0 WATER HOOKUP @D FIREPLACE RI
o INSULATIO 0 SEWER HOOKUP Jr;t" FIREPLACE FINAL
V FINAL ~ PLUMBING FINAL VrJ GASLINE AIR TST
/0 SITE INSPECTION '<.!:).!!1J MECH FINAL 0
COMMENTS: CQ p~ /AFrJ 0 Q. <L' -i ~
~~~:E ~ ~~-lo",.,Q.
~ ~~ e~~~~~1
(~)) ~~-~ ~~~~ ~
:.0 ~. -f~.,?Q~ PV.~~I)
T,~,O. T~ gl \ 10<"-
~~
b-k. to ~ ~~~ - vt.~(JOI.3
o WORK 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/
INSNOTl
Thr Crnlr nf thr l..kr ('Ounll')'
While - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
ME OF APPLICANT
PLICATION RECEIVED
/(
.....0..-
/__-7'
'L./'/-
.--> /.. //j
j- _ c.
.
T e Building, Engineering, and Planning Departments have reviewed the building permit
ap lication for construction activity which is proposed at:
/, 1
/ / /t.: i ,f: '_ ,""l7./I,.. 1...__
I~
Accepted With Corrections
viewed By:
~~~~---
__ __ .L...
Date:
7/18/&1.
~
k
"T e issuance or granting of a permit or approval of plans, specifications and
co putations shall not be construed to be a permit for, or an approval of, any violation of
an of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pr suming to give authority to violate or cancel the provisions of this code or other
or inances of the jurisdiction shall not be valid."
White - Building
Canary - Engineering
Pink - Planning
Tht'('rnuof ltlr I..llr ('Ollnlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
AME OF APPLICANT
PPLlCATION RECEIVED
.L) j( 1/~
7- S -0 I
.
ccepted
x
. ,
Accepted With Corrections
enied
eviewed By:
ft/fffJ
Date:
;-/2-01
omments: See Reverse Side for Additional Information!
rading Plan, 2) Erosion Control easures
"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."
~
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor t'\\ .~_\ M"-\.l...
Name of Tester \<..<<.; \~
Date \-~~-o.....
Job Address II e,::l::\ '--',\.1 ."~tS.s i"" I
Heating Contractor 1\\ \, _~'c M.....l......
Name of Tester Ie.... ,-\; '---
Date \ - .).1- <:>.;>...
<...~
Percent 0,
Percent co
.-"".-
Percent co,
'i'.'-{
\'7s"
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606 ,~..
input \tl D,'1C<::l I;hJ