HomeMy WebLinkAboutBldg Permit 01-0812
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT '7- / q - 0
1. White File
2. Pink City
3. Yellow Applicant
(please type or print and sign at b.u..u ~)
ADDRESS
5 i;fiJf F<<u;Vl ~owCtww. us
LEGAL DESCRl.t'uON (office use only) 'BLt) (;, ~ t'L U~ ,,+ (PC? ,.,
LOT L1 BLOCK 1 ADDITION Il&Gr...cu;\ J. ~.J. Vi \ \ti~ PIDd.5-- 31J?-,/ 0Cf1-0
OWNER
(Name) (Phone)
(Address)
BUILDER IJ
(Name) O.Q. ~ .ln~ '
(Contact Na~e) _M, l(L lA1.a.n0ttu.-+~a j
(Address) dt> !J&:JO J<<Nl bn ~ d. f>-h..1 00 ~ 1)6) ..AA kJ
TYPE OF WORK
~New Construction
OLower Level Finish
(Phone) . t:"~ - t:!fg t;"-i B tJ a
(Phone) i:tQX - aa. It:, ~ 4102.
'-hut..J c.)
ODeck
OPorch
OAddition
ORe-Roofing
OAlteration
o Misc.
PROJEcrCOSTIVALUE (excluding land) $ '7~.lno
o Fireplace
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 t'.u_..~d in accordance with
SUb~'tte ans. I am aware that th uilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter up, n e property to ~rform n d inspections.
X dIJOO'=>7,p5'~ '7-IGr-ot
.A Si Contractor's License No. Date
V
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
tz 2 _~ 000 .~\-i
$ ??7. 7S-
$ 5flJ. SC/
$ ~. 00
$
$
$
$
$
l/'\O . 0-0
I ~o · 00
0-
'10.00
//iJ1J::!;:WB-';~~;;;
~~~cial Date
;
Park Support Fee
#
ORe-Siding
OUtility Connection
$ S525 .aC>
$ I . ISO. a::J
$-.0 -
$- <::> -
$ J~t:rJ.6C
$ 7~.(!)~
$ - 0
$
$/:;t./ Q;). ,d q
,---
ReceiDthi, 1103 s;7J
Bv~
I'
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may r......l as requested. This document
~~ Ci<y """"" """'""~ · k__"" """""" or z...m, - "'" """";-- ..~. 7'~" C.....k or""""", -"
\.~ '?/a()~ l -:>~ _I'H{~ ~A..vQ..." ~,~_
l'na1ning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
SAC
#
Water Meter
Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
I Paid
I Date
!)~~;J-. ~
(/-/1,01
Tht ('tolt' of Iht Lab Counlry
White .. Building
Canary .~fiI~J
.Plnk . P'ihnlng
BUILDING PE8MIT APpt16~11't>~RT~NT CHECKLIST
NAME OF APPLICANT () k) 'I/O) -t 0 #-J
APPLICATION RECEIVED j- /1-() /
;~
The Building, Engineering, and Planning Departments have reviewed the buildiRg permit
application for construction activity which is proposed at: ,
51!5LJ -:;~ /1/7ILtrltiVT (~
:~
H
Accepted
Accepted With Corrections
1.1..
. .~
Denied / /) I A
Reviewed By: ~.1x'\~.-/~ Date:
7/Jp(p/
.
Comments:
~..e- ~) ~lkM~ 'i6 ~ f2.L(P
~~SS &is.~ ~ !~ ~_o
...
"".
"."""
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construea 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
Tht" C"f'nlt"r or Ihe tab ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT [) P i/or---C00
APPLICATION RECEIVED j- j1-() I
Accepted
Accepted With Corrections
Denied
~^
y
Date: t') - UJ - 2e1ert
Reviewed By:
Comments:
~ ~ ~CL~lA.r 1~. ~
"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
Tht' Ct'nlt'r of the L.kr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 7) k) 'i 10)- -t 0 u
, -
APPLICATION RECEIVED j- /1-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5' LI5 Lj --l- tUU11 ,J11/ Lldff1A-/ (l~
~
Accepted
Accepted With Corrections
Denied
Reviewed By:
NiJ- fJ
Date:
Comments:
Xt' Me-I';. F. '/~.
"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."
CITY OF PRIOR LAKE
~A TING/AIR CONDITIONlNG/lflKEPLACE PERl\tUI
Date Rec'd
~:~ ~~icant I PERMITNOr7_g/~
(Please type or Drint and silUl at bottom)
ADDRESS
5Lf54 H1WYlffip1lL~DW 01LyV~
LEGAL DESCRIPTION (office use only)
LOT l..eO BtJck /2, ADDITION
/t~ ;Jrd-
ZONING (office use)
1<--d-..
I '
PID O)!)- 373--{)(Jj-<. I
OWNER ~() ,L,
(Name) V K.. not ti\
(Address) '3t'5Cf W~F~hm AwJ SillkJJJt./
i .,
~;;~~~l 1aM vYltthtutlcaJ (phone) Jt,6/
(Address)~D l(f.nne.bf0 '1)r S{il~ \
) C. (Address) . (City) (Zip Code)
(Contact Person) -.Jp,~ '1"r~ . (.; 1t~ (pho~e) -.1;5 1.1-5 Z- 2-/76
APPLICANTSIGNATURE~f./ 11~ lmlJD)DATE "71'3D101
/ APPLICANT PLEASE COMPLETE BELOW
(BlImw CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL g,r'Jtni-- ?;g~lLA-VD2JlblDFUEL ~a.1
FLUE SIZE 4l\ UQSc;, e, RETURN OPENINGS 4- INPUT JD. DnD OUTPUT5117~btlD
'-.-/
(phone)
~ M1\J 55/27-
452--l1751
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
W-ir Conditioning
GJXCnt. System
HEATINGORPO~RPLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKEAND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost . Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64,50 Residential, AC Only
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ Building Penn it #
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Building Official
Date l?,,-S -{) /
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PLEASE NOTE:
AirConditioner Units
Cannot Encroach into
Required Side Yard
Setbacks .
$39.50
$39.50
$39.50
lJlJ/{~4/l) 11
'IlvG ~l'lt
/:J~
11/''1I}'-
ReceiDt No. ~
By <;: ~
Iv
J u I ' 25, 200 1 6 : 57 AM
GENZ RVAN PLUMBING AND HEATING
No,8621 P, 29/30
Lll r OF PRIOR LAKE PLUMBlNG PED.I..l.l
~.~e Ree'd
,
,I
JUL 2 4 2001
-
Cl'kur ~ ar..xini: awl silul at1$,aDml.
AOPRBSS . '~."'. - '
I t;LJ~"_'-._ .. :FA~)l LJAJ ~ ~
,.. ".... l'Il-
1.lJDW CI9"
S, y...... AfIpIicInt
1 ~-NO. }={?/o:-_./
Q)l~ \E
ZONlNG (06zIlR)
lC~ ,
I LEGAL DESCR..u- uON co.mcc'lJIC cmq-)
, LOT tf BLOCK. I ADDmON (\u ~rB.p 0 ()~
," PID;Jt;",-3?,3-()D9 -t..,> ..
OWNER
~~~ DR Bo~ton Cus~om B~es
(phone) 651-454-4663
(~) 3459 Washing~o~ D~ Ste 204 Eagan, HN 55122
APPLICANT
(Name) C"'l1~_Vy.." ""U.1m'bil'lS ~ p'u".f_,:J
(Address) 14745 So Robert! Trail
(Phone)
Ii Ii 1 _"- ? ~_ 1 1 AI.
. ~S.S068
... ,... .
(Address) (City), . r. (Zip Co~)
(ContactPeIS~) :Mary Olson II ~~,~) 651-423-1144
~~kGNATIJRE I ~ (~ \~~ft'TI! -r 26/D /
\ Ax:.: ~ICANT PLEASE COMPLETE BELOW
QuaDtRy Type ot Fixtu.re I QUlUltity
I . Bath Tub with or without shower I
( I Dishwasher I
J I Floor Drain
.~ ' 1 Lavatoly (Batbroom Sink)
t I Laundry Tray (lor 2 compartment sink
I Sbower Stall
I Sinks
I BIJl' Sink
Z- I Water Closet (Toilet)
Rosemount
:MN
Type of Fixture
\ ..
rLJ,
J
Rough-ins
I WlI:ter Heater
I Wamr Sotblcr
Stand Pipe (Washing Machine)
Sewage Ejector
I Backf10w Assembly' ..
I Bacld10w &~__bly Test
I Lawn Sprinkler'
l~r
,If'J!,,J!,, S\..l:ULJ.IULE
IndusttJaJ. Commercial &. Mu.ltl-faauly 1% of job QOst wrtb. $39.50 minimlC Rcsidc:nt1ll1, Now One &: two-Family $99..~
J:C~ Additioo.s &: &..,..,,"':DDS $39.50
Estmled Cost $
BuildUlg Permit #
)ftil:l: tlllC Oaly)
This Application Becoaaes Your Building Penait When AppJ;'Ovea
Paid
R....4..t1ll:r-
--
J3lJll~~/D 4'
~IIvG ;;"/7
~/)/'V:I""
J_
PLUMBlNG .t"r.J.<.MIT FEE. S
STATE SURCHARGE S
TOTAL PERMIT FEE $
.50
-lIiltllol Qmdlll
Data
Datil X> 3 -() I
By
~
() .
Z4 h...... Dotie. for .11 bPpec:tiOJ15 (9S2) ~7-9850, fu (951) .447-4245
Jul,25. 2001 6:53AM
GENZ RVAN PLUMBING AND HEATING
No.B621 p. 16/30
L~~ 'L OF PRIOR LAKE
. , ,
SEWER AND W A'.lJ!il( PE~.1l1
p_te Rec' cI
"
\ Jl. 2. 4 2001
/
-----. ----~~' i
I
. ..
-
--
i ~ ~ I P~l' NO. . '1- &) ~"
3. ~ HPI"'!'I' IJ f 0'
C1'1caK tYPe O1'm:iDr.ailh~Rln~t~':. '"..,.,)
ADDRESS . .;: .:.: ,
5~5,g, -' .. '-.c:-AW~
M..o A1aJlD C 11 ~ ,Sr;:,-
ZONING (9fIiat->
f<J
LEGAL DESCRIPTION (cdce use 0Dly) .
. Lorq BLOC[{ ,f ADDmON U i.f~rl_Q.o3po
p~ C)5 .rJ~9 --aR~,J
OWNER.
(Name) :tW 1tQ~"''''.'''' t",.o>-tQa Jiomec
(Phone) 651-454 ~,,~~_
Eagan, MN 5.5122
(CIty) , (~ Code)
(Address) 3459 Washington Dr Ste 204
(A:ddraI)
APPUCANT
(Nwmel Genz-Ryan Plumb~g & Hea~ins
(phone) 651-423-114.4. i ;;
I . .
(~) 14745 So Robert Trail
I I (A4~"""'1
ROSelllo~~MN
~.'J:
j."
~r' .. \ -- ~>.' 651-423-1144
~\.U ,_ ~~! ,.,,12u\O(
APPLI~E COMPLETE BELOW
.5,5068
(ZIp 0:ldB)
(Contact l'~ Mary Olson
" "'LI~ SIGNA1UR.B \ k
i
\
Size of water service inches.
Lo~ation of any couplings ~U~ structure feet
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
EsM~~ length of sewer line fe.et.'
Clean out (if required) located at ' feet flUUoL structure.
.FEE SLt....hULE
:t.esldential sewer and water line Q)DJ1ection $35.50 Industrial, Com'l &: Multi..&u:Wy lCYO of job cost with a $39.50 minimum
:It:wer ccmnection only $17.50 Water ~Om1ect:ion 011ly $11.50
Estimated Cost S
Building Permit ,.
SEWER AND WATER rlll\MIT r r.r.
STATE SURCHARGE
TOTAL PERMIT ~.LI!.
$
S -
$
..so,
I3UI1..6~/D (t'l~
ING'p '7-1
l2A/V/rr
)Ilia: U.. Oaly)
This Application Becomes Your BuildiDC Permit WIleR Apprcw~
1hiIdUIc O.Qldal
D...
o.te .~ -3-0'(
I Receipt ~o. _
IBy~
V
, Paid
14 holU' DoUce for aU iIIoIpec:tioDl (952) ....,.mOo fax (!ISZ) 441-4246
PRIOR LAKE
INSPECTION
Se~ +k MA:~ ~~'l-e
DEPARTMENT Of
BUiLDING AND INSPECTlO~ of'lf
RECORD ~
SITE ADDRESS 64'S'I- &.uv\..J1.ecJL~ CU~
NATURE OF WORK J\J~
USE OF BUILDING Sf: A-
PERMIT NO. tfJ(-O ?I:J..... DATE ISSUED t')..~ ..'2.tz,C1(
CONTRACTOR lLlL ~ PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
-
.
INSPE""..n DATE
, FOOTING ~o' I )(/'D/O /
I FOUNDATION (Prior to Backfill) I ~ /~j;.~/1 ~.T; ~. Ic'/caJd II
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC ,
FRAMING A /f7;- / / / I/O 2-
INSULATION ~ ( tJ 0, //(/02- ~ ~,;i/I!//
ELECTRICAL I ., .
I PLUMBING ~ U.G. ~. loftl /Ot ~ .fI:t.-. (6 III/I)J ,v~?_;> ^
HEATING (if required)1"'~ .0.,.," ~ /Dlg/4 L --r~ ~dlrlol ;&;."tjg//Jo
FIREPLACE ~ . '. '
GAS LINE AIR TEST ~,~ F.- P. 4. 1//1 /~ z.. ~ 1
I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ 6-, /#11101 I ~ (~I 1/31/07"
-11" -- -. V FINALS
GRADING (Prior to Sodding) \V~ \ ~ ~
BUILDING,\:C..O , Tw flit /01, fn 3/5 r~ 2-
.
ELECTRICAL
PLUMBING
HEATING
DO NOT
pp
t\ " t d.." at---. ) K
q:- I~"';)- , rI, y
,~- cY 1(1'
J '<:~ ·
, ,~
~/~,l)()'
~/ 1Jl"
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
Pi-d-j
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 b, place~ 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 NOTI]!i":
$LI?3 -
ADDRESS , -5~ 00
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIllE
SCHEDULED qleJ- t);4..
::?-cuun IJ1Lcdm/)~/~
CONTR. - ., c,~
01- IY/; If/O<~j;?;/Y .
PERMIT NO. Pt..:r-,l Q/ (,., , g:1. . ...
o PLUMBING RI 0 EXIGRADlFILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GAS LINE AIR TST
o MECH FINAL 0
df-r
ulf-
1\ ;1 A~ 3111 .,/
( 0 I (/.JlL 7
~/'
c
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ..&:i!J OwnerlContr:
CALL{J7.~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.')
CODE REQUIREMENTS ARE FOR fOUR PERSONAL HEALTH & SAFETY!
~l.. I' OJ
I
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ~-> -0 '1....,.... /: I S>-
ADDRESS 54-54- ~rJ
OWNER CONTR.
PHONE NO. PERMIT NO. /-g/2-
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING@L..-DWATERHOOKUPDFIREPLACERI
o INSULA TI t'" I" 0 SEWER HOOKUP 0 FIREPLACE FINAL
~FINAL ~ 0 PLUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION ~tir:lMECH FINAL 0
'( - /", j I "
COMMENTtl) ~ ~, )f',,~...10
@)P~~.~~
, ~
~
y / ~ ,0, -1:;1.Q at l ( tJ '2-
~~
[J WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
[J CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ OwnerlContr:
CALL 44709lo'FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETY!
1/iS/iOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
:z-~r..o~ 10 ~30
ADDRESS S-~ ~4 ~Wr\
OWNER CONTR.
PHONE NO.
PERMIT NO.
I-B/~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
[J(:o SEWER HOOKUP
J;f PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: \
_ lIV\a.uOM.P~ ()~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, C~ L FOR REINSPECTION BEFORE COVERING
Inspector: <R.... Owner/Contr:
CALL 447~9850 FOR THE NE T INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSlVOrJ
J 1
.~
DATE
nME
CITY OF PRIOR LAKE
INSPEcnON NonCE
SCHEDULED
ADDRESS
SLf53 Fc,WYl lY/{fA/owLu/vt'.
CONTR. D.~ Ho/-!-n."
PERMIT NO. 6 I - ?/ I
I
OWNER
PHONE NO.
[J FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
[J FINAL
[J SITE INSPECTION
o PLUMBING RI
o MECH RI
[J W", TER HOOKUP
o SEWER HOOKUP
[J PLUMBING FINAL
[J MECH FINAL
[J EXIGRADIFILLING
[J COMPLAINT
[J FIREPLACE RI
[J FIREPLACE FINAL
[J GASLINE AIR TST
[J
J
COMMENTS:
5'153 - L()("'/I IA/l:1{1 Ut1(l/t ()iJ~A ~Jlf~S!!d
'ii1 c; '1- hlc(~' f2 It-
.
5Lf55 - &F~/t'-()'L.
-
/'.
) I ( I
O ( . I)
L. 0'-
,\0 /
V-~ 0 .'
U V ~ .1
u ~/l ..
SL/F;v':- b'I-1J1- vK
S~5 /- [,,&11'0 {'lit-
s 'is 3- hrc,tfr. &1<-
J
.
S4S t-&c.,{(-of<-
/' I _ I"
5'1" ().,.- Diet"" -vc...
[J WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED...
. X CORRECT WORK, CALL. FOR REINSPECTION. BeFO~ COVERING
Inspector:~' Owner/Contr.
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
IIUNOTl
-",
.
-
APPLIANCE
PERFORMANCE TEST
Attach tQjas Hne adjacent to regulator
Heating Contractor A \ I ; --~ ~
Name of Tester ~4-~
Date 1. - I ... <:) iiL
Job Address SCiS-'1 ~ ~ -..... ~"'-
Heating Contractor A \ llo..-.\ M~~
I~~
:l.-) -C)~
~. b
Name of Tester
Date
Percent 02
Percent CO
Percent CO2
---0-
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606 '< 0
input t. f.r ~~
t.~
. -.J9 o.