HomeMy WebLinkAboutBldg Permit 01-0557
(Please e or Tint and si
ADDRESS
110'/
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom
5-/'1-0/
Date Rec' d
1. While
2 Pink
J. Yellow
File
City
Applicanl
w\
LEGAL DESCRIPTION (office use only)
LOTOI I BLOCK
ADDITION
I.l;) 1&
1ST
PID d5- 370- ();)/-o
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name)
DQ
-
(Address)
TYPE OF WORK
o Misc.
OLower Level Finish
o Fireplace
(Phone)
Q5J. -qfi't)--
') fit) 7
tU 550'14
OAddition
OAlteration
ORe-Siding
OUtility Connection
c:J CX'X:) 5 (n '5 '0
Contractor's License No.
o
Park Support Fee
SAC
Water Meter
Size / '; 1";
OPorch
ORe-Roofing
I
PROJECT COST IV ALUE (excluding land) $
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 ns. 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 up e property to perform ne ed inspections.
x
Permit Fee
Plan Check Fee
State Surcharge
P~
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Sig ture
6C>.OO
t(:? ,eM
.J5"' S-O
l{d
ecomes Your Building Permit When Approved
q-- sf- ~I
Date ,
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
#
#
5-10-01
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 docum
~~~ty Plann" con""ut" , tempot<Uy C,rtifi,,,, of Zoning compli,"" ,nd ,How, ,0n'truClion to comm,n". B"m, o"opancy. , C'rtificate of O"up,n,y mu'
G-r'~~~ 6/31/6'\ ~ v~.? ~~6n,.J
PI~ming Director Date ~l Conditions. if~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
TOTAL DUE ~
ii~~
While - Building
Canary - Engineering
Pink - Planning
Thf ('tntr. of Ihr l.abCounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I' !
f.j /'1 <I I to' I .. <. 1/
::} -} /-c>1
THe Building, Engineering, and Planning Departments have reviewed the building permit
a~plication for construction activity which is proposed at:
;7/) 7/
1 ,:
",j ..:..~ . I
_/~
Adcepted
~
Accepted With Corrections
D~nied ~~
Reviewed By:
Date:
r/3t /.&1
Comments:
~FLL~~wm~~
' . ~ /(lOt '0 ~
C>>h.
"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
pr~suming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
'"te._. ",i;'
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~
~
~1
While ~H~<Ii;~
C~mary n meerm
Pmk - Panning
Th~ (.~nltr of lht I.,kt COllntry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT U J? +/0 VrO JJ
APPLICATION RECEIVED S - Q /-01
,.
The Building, Engineering, and Planning Departments have reJiewed the building permit
application for construction activity which is proposed at:
/70 7/ {)/~~.,t-/J/v
Accepted
()(
"
Accepted With Corrections
Denied
Reviewed By:
111#13
Date: (;-zt;-o I
CommentsSee Reverse Side for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
"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."
m
J un. 1 9. 2001 7 : 01 AM
GENZ RVAN PLUMBING AND HEATING
No.6220 p. 5/5
Date Rcc'd
CITY OF PRIOR LAKE PLUMBING PERMIT
{(.:
.
(PI.... <VI>O orprint/Pf,!,na, UbottD"'7
I ADD~~.~~~ .._.S;cl~frl?~~ Tr2.-L-
~:~ E..... I PERMIT NO_ I-55 7 I
Z/</sJJ--U<CJ
LEGAL DESCRIPTION (ollia: use rmly)
.. LOT Z\ BLOCK 1.- ADDITION 'l)?..ef~
P
- 3 /Ci-Odf )
OWNER
(N~~ DR Horton Custom Homes
(Address) 3459 W'asb:1ngcon Dr See 204 Eagan, MN 55122
(phone) 651-454-4663
APPUCANT
(Name:) ~g............llYQn 'P1it.......J.......-ng A. ~Q';ltjJ;1'g
(phone) /;~1_"?1 """
(Address) 14745 So Robert T:ta:1l
(Address)
Rosemol,lnt
MN
55068
(Zip Code)
(Oty)
(Contact Per.oon) Mary Olson
APPUCANT SIGNATu.RE
DATE
(Phone)
Quantity Type ofFirture Quantity Type of Fixture
"2- Bath Tub with or without shower .." Roulm-ins
( Dishwasher ..' ./ Water Heater
I Floor Drain - Warer Sofiner
U Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
f Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
?, Water Closet (Toilet) Other
PLEASE COMPLETE BELOW
FEE SCHEDULE
lndusmal, Comm""".1 /I; Multl-family 1 'Yo of job cost w,th. $39.50 mirilinum Reslllenua!, Ncw One & Two-FamJ!y $99.50
R..idontial, Additions & AltcratiollS $39.50
Estimated Cost $
Building Pennit H
.50
lJU//:,4ID 11,-'r ;i ~
ING P~':!.
I'"./t
PLUMBlNG PERMIT FEE $
STAlE SURCHARGE $
TOTAL PERMIT FEE $
(om.. u.. Only)
This Application Becomes Your Building Permit When Approved
,.
,\
BuOd1Dg OlOwl
u...
I P~d
~1/9;()1
I I
1~
~ hour Doti... for .n inap.'Uo"s ~) 447.~1lS0. tax (952) 4474245
J un. 1 g, 2001 7 : 01 AM
GENZ RVAN PLUMBING AND HEATING
No.6220 P. 4/5
Date Ree'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
;"'.'
~~.~~t~4=:) .
ADDRESS ,."" .. . .
I . 10'1\ .', )U'\D~
~ ~ S-., PERM1TNO./~ f)5'1 I
-
IV2...<-
ZONlNG (<6>! ...)
LSD
LEGAL DESCRIPTION (ollia: we oDly)
LOT 2.1 BLOCK 2- ADDmON
(s,r
P
OWNER
(Na.t:I:le) !';' T-l....:--f-gp ('HO.....~ l-i---w......
(Phone) 651 I. 5"-1.&:.~":l
(A~) 3459 Wasbing.on Dr S.e 204
(Atldtosr)
Eagan, MN
(Clly)
55122
[Zip Code)
APPUCANT
(Nwn~ Genz-Ryan Plumbin~ & Beating
cPhone)
651-423-1144
(A~~) 14745 So Robert Trail
(Atldtosr)
"LICANT SIGNATURE
Rosemount. MN
(City)
(phone)
DATE
55068
(Zip Cadtl)
(Contact Pemon) Ma
APPLICANT PLEASE COMPLETE BELOW
Size of wllter service _ inches.
Location of any couplings from sttucture
Type of sewer pipe, 0 ABC 0 PVC
Estimated length of sewer line feet
Clean out (if required) located at feet from strocture,
feet
o Ca.st Iron
FEE SCHEDULE
Residential sewer and water line =ection $35.50 Industrial. Com'l & Multi-fumily 1% of job eo.twlth a $39.50 lI1inJmum
Sewer connection only $17,50 Wat..,. cOllJlection only $1750
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
s
$.
$
.50
Bul~/D WITH} I ~
~/NG PE;'-'
f I'Vlii~
(OffiCII:: UIIC Only)
,
~
:BuildlDg OIIIel.1
I Pdd
n.te Date ~~fO /
14 bour .otice for .11 i..poctlo.s (951) 447-mo, fax (952.) 447-42.45
~'
Tbis Al'plialion Boc.In"" Your Buildl.g Permit WbeD Approved
-1;2
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONINGIFIREPLACE PERMIT
Date Rec'd
). Pink
2. Green
3. Yellow
~::y I PERMIT NO. J - 557
Appllcanl
Please e or riot and si 1 at bottom
ADDRESS
1D1/ Wild
ZONING (office use)
MISn
..--;-
Ir.
LEGAL DESCRIPTION (office use only)
LOi7' BLOCK I ADDITION
PID de; - 370- [i) /
(Phone)
(Address)
r 5/oi:L
APPLICANT
J:>r,
(Phone) u5/-.L/S 61- &J775
Lo..(x,an 66/ cJ ~
(~) (ZIp Code)
(Phone) X 6i.O I
U -Z-~/ D
LDATE
(Contact Person) ~
IXINEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL "Rr'j c>.....1' 9~% FUEL Ma.t. Gas
FLUE SIZE cl ~~ pIlL RETURN OPENINGS INPUT /CO,(iO () OUTPUT 80. G>1HJ
TYPE OF SYSTEM HEATrnGORPOWERPLANT
OWarl1! Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
stAir Conditioning o Special Devices Required Side Yard
OVen!. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
APPLICANT PLEASE COMPLETE BELOW
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
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ 1000. 0-0
Building Pennit #
HEA TrnG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
PAIDItV"
BUILDING p;:::,. ..
_fuliu(
(Office Use Only)
This Application Becomes Yonr Building Permit Wheu Approved
Paid
Receipt No.
Building Official
Date
Date' _.:?~ _/'j
~ <- L-/
By
24 hour notice for all inspeetions (952) 447-9850, fax (952) 447-4245
-~--~._-~,~,_._-------".._._.._"._--_.._----~--~._._..-.--
FI RES IDE CORNER
'-~ ~ I. UJ~ r ~I.U~ J.d\.hJl,
#1367 P.D02(D04
lJllte J.<eC'd
IlEA TING/AJR CONDITIONINGIFIREPLACE PERMIT
t ~d,si atbo'RDm
l't~ E~,....I PERMIT NO. /-571 I
ZONING (offit:o ",,)
r< (50
/701/ Uj;.e,r/,RAWJ 'l1iU S'E
LEGAL DESCRJPTION (ollle< u.. ""Jy)
WT J' BLOCK \ ADDmON
PID 95-2;'70{) ( -
OWNER
eN ame)
cpR- ')d-oll-t<>-
(Phone)
( Ad.d.ress)
APPUCANT
(Nam.e) ~LIED FIRESIDE DBA FIRESIDE CO~ER
(phone) 651-633-2561
(Address) 2 700
N. FAIRVIEW AVENUE
(Addns.)
BRENDA HTJSTON
(Cont.ac:t Person)
ROSEVT1.T.P. M'l\1
(Cicy)
651-633-2561
(phone)
r::;,~11 ';(
(ZIp Code)
APPLICANT SIGNATURE
DATE
'..ic..,/
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 At TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OW""" Air Plont, 0 St<3m
DOravity 0 Hol W.r.er
o Meeh..,icaI 0 Radi.tion
OAir Conditioning 0 Special Devices
OVenl. Sy'l<m 0 Otl1er D"vl.".
PLEASE NOTE;
Air Conditioner Units
CalUlOI Encro8ch into
Required Side YanI
Setbacks
FIREPLACE IMAKE AND MODEL
r;",
S'- .50'
JndllmrJ.J, Commerclal & Multi-Fomily
FEE SCHEDULE
I % of job cost R.,id"mial, O!L'l Fi't:jlloce
$39.S0 minimum
$99.S0 Ro,jdenf.iol. Additio", /II; Alcerations
$64.S0 Resjdential. AC Only
$39.S0
R"sidentio!. H.atlng& AlC (New Construction)
Re,idontlo!. Ho.t.i"8 Only (Now Construction)
539. SO
$39. SO
Estim;Jled Cost $
Building Perm.!.l II
.50
BUILbA.fD flt,7"
1IvG p H
E::f:;; "''J-
V~j I
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
10m., Us. Only)
This AppllcatiDn Becomes Your Building Permit When Approved
ndlldlll1l omel.,
( ~O I Recel~ 0
By
nole
24, hOllr notice for ill iaspeclions (952) 447-98!IJ. f.. (952) 447-4245
~
PRIOR LAKE
INSPECTION RECORD
DI:PARTMENT OF
BO:LDlNG AND INSPECTION
SITE ADDRESS /7~ W//Jot-NJS'3 ~j/'-,~
NATURE OF WORK ,~,!. )
USE OF BUILDING ~
PERMIT NO, 0 - DATE ISSUED s:: 31- ~
CONTRACTOR~ (- PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) "6 ~ .
PLACE NO CONCRETE UNTIL AB V.
ROUGH - I S
SEWER I WATER 1 SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLU\VIBING .c.,. 1... l,...
HEATING if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Soddin )
BUILDING .-rod.o, ~
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections haVe bElen 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
qrtrfiftcau of <mccupanry
CITY OF PRIOR LAKE
Department of liuilbing 3Jn~pection
if(Final Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various ordinances of the
City of Prior Lake rtfIu/aling building construction or use. For the following:
Use Classificatiol"
SINGLE FA'!ILY
Bldg. Permit No.
N/A
Zoning District
01-0557
R1SD
Occupancy Type
R3
Legal Description
VN
Type Construction Fire Zone
L21, B1, DEERFIELD FIRST ADDITION
Owner of Building
Site Address 17071 WILDERNESS TRAIL
Con_tor's Name &: Address D. R. HORTON, 20860 KENBRIDGE CT., SUITE 100. LAKEVILLE
ROBERT D. HUTCHINS '~ CityPlanner DON RYE
Building Official
1/ I Ie,l (' 1..-
Date:
Date:
POST IN A CONSPICUOUS PLACE
.
.
..
HOUSE HEATING TEST RECORD
\.J .\Jt'~c.!.S ,\t'c-_..'\ APT._FLOOR_CITY
OWNER
JOB #
ADDRESS \( 071
OCCUPANT
HEAT LOSS DATE HTG. INST.
SOLD BY tNSTALLED BY
Electrical Work By Gos line By
TYPE OF HEAT GA_FA~HW _STEAM_SPACE HTR. _UNIT HTR. _OTHER
l1 GAS DESIGN CONVERSION
\)fr'-~ MAKE OF BURNER
') SO '''\A\J t>'-li' \00 of Model
::>"''10 \ A i '-\" \ :.>... Mox. BTU Rating
\ ~ f'I, "'n 0 MAKE OF FURNACE
SUBURB
MAKE
Model
Serial
INPUT
Model
CONTROLS
TH E RMOS TAT ~Q-.e7 --, \\ Heat PI U9
Valve
Limit
Limit Setting
Fon Setting
Pilot Type
Pi lot Make
Pilot Model
Vent Size
')' f' \I <-
KIND OF LINER
Draft Hood
Filters Size \(.)fJ,.S-XI
Chimney Location Inside:
Chimney Construction
SIZE
Regulator
Number
NONE
\
Outside
Smoke Bomb
Draft
Wiring
Test Tog
Lighting Insf.
Pilot Timing _
L.W. Cut Off
). S-
Door Pressure
{i.J
,.S-
-0-
Date Tested
\\-"1_0\
Company Testing Alliant Mechanical, 3650 Kennebec Dr., Eagan, MN 55122
Nome of T est.r )(e. ; lrt.............
Form 235
DATE TIME
CITY OF PRIOR LAKE ,{ /
INSPECTION NOTICE SCHEDULED 7{ {la(6 ~ ~ ,T':
ADDRESS /707/ WI WE /2-IJ6SS ~.
,
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
OOFINAL
b SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
SOD/ TK-05
COMMENTS:
---1-557
o EX/GRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
{.,h\.J
~
I
kJ1.~ ~<'t: 4'~ .
A WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~. Owner/Contr:
CALL 447,985 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4< SAFETY!
OA TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
S--g-oZ-
ADDRESS /7t:J7/ W/ldUYJI'..s,{ Tr/
OWNER CONTR. J).R. fI~rIa..,
PHONE NO. PERMIT NO. ()I -S-~7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
lIl"FINAL
, 6'SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)ltEXI~LlING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
ClJlb 801-1')!-
breJ< ~ CP K-
xt WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:4.~
Owner/Contr:
CALL 447,9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
l!'fSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1/- IS'-or aOD
ADDRESS t 7 CJ!!f( WI' Id.erMS,S. '1r ,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
{ -507
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING @ 0 WATER HOOKUP ~FIREPLACERI
o )NSULA TIO 0 SEWER HOOKUP FIREPLACE FINAL
jlf FINAL IfJL 0, PLUMBING FINAL 0 GASLINE AIR TST
o SITE INSPECT N ~~ MECH FINAL 0
=N"~':t: ~~~
~~1f:;:4;:::;
2-
~~
o WORK SATISFACTORY, PROCEED
l! CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH of SAFETY!
INSNOTl
ADDRESS
J ~o 7 (
DATE TIME
SCHEDULED I~ A. T(
W~ -rlZ-,
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
CJ( ~ 5;17
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION @
o FINAL
o SITE INSPECTION
b PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~ PLUMBING FINAL
b' MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~~OJI
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~L 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 & SAFETYI
l!'1SNOTl