HomeMy WebLinkAboutBldg Permit 01-0558
(Please e or rint and si
ADDRESS
IIII
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec 'd
at bottom
5-17-01
] White
Pink
3 Yellow
File
City
Applicant
LOT
LEGAL DESCRIPTION (office use only)
PID
ADDITION
Id
J :)r
(Phone)
IOWNeR
(Name)
(Address)
BUILDER. (\
(Name) \2:> 1"--
(Address)
TYPE OF WORK
o Misc.
lto~
, --c..-.r
(Phone)
QS;J,-9''?;5-r go07
,
II #0 S5D
L-oJUz.. LJ
ODeck
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAddition
OAlteration
OUtility Connection
PROJECT COST /V ALUE (excluding land) $
1
..
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 pIa 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 upon th p. operty to perfo..rm needed in ections.
x
Date
v~
Permit Fee
Plan Check Fee
State Surcharge
~
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
.).. fXr'J 5to5 7
'5-i1-()/
,
Signature
Contractor's License No.
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
Water Meter
Siz
'; 1";
Pressure Reducer
B
lao. ~O
tOt) .
'Ss: ~--o
c(6.<<}
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
roes Your Building Permit When Approved
TOTAL DUE
1-= X> 7Rx:J(
Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and m 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
i"~_~_,- ~l 513</Bt
J'ranningDirector . Date ~"'D ~Q:;ti:n~~~~ '
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
"-~x PR10lj> (
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White - Building
Canary - Engineering
Pink - Planning
Thf ('tnln of tht L.kt <.'oUntrl
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT D P M 0 rf-ol-/'
APPLICATION RECEIVED .6-- Oll-Ol
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
//J//!" ~~ S ~
Accepted Accepted With Corrections ~
,
D,";oo ~
Reviewed By: . 57 Date: G,.- ~~
~ ~
c<-rljJ a ~~U. ~~_~
"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."
.
, 'l.~X PRIGii' (
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Tht' ('t'nl..r of lh.. t.kf Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
, '
. ;'.1
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/ . C.,/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
j/' / / ' /
/,/( '/-/'(,' ..<J
[
Accepted
v
Accepted With Corrections
Denied ~
Reviewed By: ~ '
Comments:
r
)
Date:
,~/3( / t!Y(
~Y&F~ C./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,"
./
~~
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,
Th~(-~ft'rlllflht' l..kf Country
01 ~ SS~
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 7) ,J?}J u r -I-O,u
APPLICATION RECEIVED .:;- - d / - 0/
(
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
FJ I! r !1JIfi:llZ/J1Y<A ~--;J~/ S t:
Accepted
D<-
.
Accepted With Corrections
Denied
Reviewed By:
#;4D
\,
\,
Date:
6- =1'1-01
Comments:
See Reverse Side for Additionallnformationl
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y
. ,
,I;'''' /r .a::;;::>
~ee 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."
J un. 1 9. 2 a a 1 7 : a 1 AM
GENZ RVAN PLUMBING AND HEATING
Na.ma p. 3/~
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
t:
(Pl....lypeor~ID4UanatbottQm: .
I ADD7~ I '-' Wi,' riLS&
:. ~~. I PERMIT NO. ( )53 I
1. 0lJ11I Appl.. -- L
IrLL
S=.
I I ZO~j<9ffi<e_) I
LEGAL DESCRlPTION (oJlio, rUe only)
LOT ID .BLOCK
ADDmON
f'Sr
PID
- 37{) -tJ!/fo
OWNER
(N"ame) nv 'R"....,..i--........ ("'..0.......... HQ1I.QS
(phone) 1>51 454 41>1>3
Eagan, MN 55122
(City) (Zlo Code)
(Address) 3459 Washington Dr Ste 204
(Addless)
APPUCANT
(Nwm~ Genz-Ryan Plumbing & Hearing
(Addrros.) 14745 So Robert Trail
(Add=s)
(pho".,) 651-423-1144
Rosemount. MN 55068
(City) (Zip Cod.<:)
(phone) 651-423-1144
DATE I
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches_
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PYC
Estimated length of sewer line _ feet.
Clean out (if required) located at feet from structure.
feet.
o Cast Iron
FEE SCHEDULE
ResidentIal sewer ond water line connection $35.50 Jndusttial, Com'l & Multi-tinnily 1% of job costwrth a $39_50 minixnum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$'
$
.50
BUlttlD WITH I: ~
ING P€F>-r
Il v.. I
Oalce Un Daly)
llu~djll1l 0llirW
I P~d
Date ;;//q/{) /
I I
:!4 hour non"" for aU In.pectio.. (951) 441-9850. fax (951) 447....245
I~~
I
This Application Become> You.. BUilding Permit When .Approved
D.te
Jun.19.2001 7:01AM
GENZ RVAN PLUMBING AND HEATING
No.6220 P. 2/5
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERl\fiT
l i~
IRl
.~
~ aw ~~"-d I PERMIT NO. ( ~ 5 ,<:) ~ I
I I Z~(('-UM) I
:I_.~a:~:~~~m~
I AD~~S~ '~;:~ ~-,'-/'-~' ~~
LEGAL DESCRIPTION (allioo..., only)
LOT 10 BLOCK '-I- ADDmON ~
\~I
OWNER
(Name) DR Hort:on Custom Homes
(phone) 651-454-4663
(A~s) 3459 Washington Dr Ste 204 Eagan, MN 55122
APPLlCANT
(Name) ~A""7_l1y~~ 1'1'J~jJ;;JB t.. 'R"'!II+--f~g
(phone) /; <; 1_1. ? ~-11 hi.
(A~s) 14745 So Robert: Trail
(Address)
(ContaCl:Person) Mary Olson
Rosemount
. (City)
(phone)
MN
55068
(Zip Code)
APPLICANT SIGNATURE
DATE
Quantity . Type of Fixture Quantity Type ofFixtnre
2- Bath Tub with or without shower ,;z, Rough-ins
r Dishwasher ,- Water Heater
, Floor Drain - , Water Softner
<-f Lavatory (Bathroom Sink) , Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink Sewage Ejector
I Shower Stall Baclct10w Assembly
I Sinks Bacldlow Assembly Test
lfar Sink Lawn SDrinkler
-;z, Water Closet (Toilet) Other
APPLI
PLEASE COMPLETE BELOW
FEE SCHEDULE
Indu3tnal, Cornrnerclal & Mulo.-family 1% of job cost with a $39.:S0 minimum RcsidcntJal, New One &. Two-Family $99__50
Residential. AdditiOllS &0 AltEnltion. $39.50
Estunated Cost S
BuildlDg Permit #
50
I3UIL~1~DGIIov'I'H }i;
PI2r:. ..
'iv..i ,-
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(om.. Us. Only)
Tbis AppllcatioD Becomes Y oor Building Permit When Approved
Paid
Rec -
Build'.g 016c:i.~
v...
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONING/FIREPLACE PERMIT
Date Rec'd
~. ~jr:~ ~~~ I PERMIT NO.
3. Yellow ApplicaRI ,
~r;f
( --s<<
Wild
--=-
Ir.
ZONING (office use)
P-
LEGAL DESCRIPTION (office use only)
LOT !f) BLOCK ADDITIO
PID
CiLlfo' ,
OWNER,/,-- -;)
(Name) U. t<,.
(Phone)
(Address)
5/ottL
APPLICANT
(Contact Person) .j
(Phone)
LDATE
(Phone) ~5/ - ,q 5 ~ - &J 775
Lo..&an 66/cJ!2..
( ) (ZIp Code)
X cQO I
'Zz../ D
APPLICANT PLEASE COMPLETE BELOW
!XlNEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL '"BrjQ.l"-t 9~% FUEL t-..Jo.t. Gqe,
FLUE SIZE o? $1'2- eve. RETURN OPENINGS INPUT /00,000 OUTPUT 80, G>1o-O
,
TYPE OF SYSTEM HE~TlNGORPOWERPLANT
OWal11l Air Plants o Steam PLEASE NOTE:
OGrBvity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
8l.Air Conditioning o Special Devices Required Side Yard
OVen!. System o Dther Devices Setbacks
FIREPLACE MAKE AND 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
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ 1000. 0-0
Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
BUlzZi~G WITH
Receipt No.
(Office Use Only)
This Application Becomes Your Building Permit Wheu Approved Paid
Building Official
Date
Date &--:J~ -01
By
24 hour uotice for all inspections (952) 447-9850, fa. (952) 447-4245
OCT.3l'20Dl 08:46 651 633 8884
F I RES IDE CORNER
#4106 P.001/008
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
/1//8' tJ;..t.r~J
.J.E.
,
i. ~ E:,,,,,, I PERMIT NO. I ~ s5'Y
ZONING (alii", """
I?!
(Pl.... . or r1Dt .~d s' at bellom
ADDRESS
LEGAL DESCRIPTION (office us. onl.y)
LOT 10 BWCK i( ADDITION.
PIDC)s--370~ OLfb-
OWNER
(Name)
(Address)
o IZ ~dtii.
(phone)
APPLICANT
(Na~) ALLI~D FIRESIDE DBA FIRESIDE CORNEa
(Phone) 651-633-2561
(Address) 2700
N. FAIRVIEW AVENUE
(Add....)
BRENDA HUST
ROSF.VTT.T.1=': MN'
(cUy)
(phone) 651-633-2561
DATE
<;'ill'1
(Zip Code)
(Conrac:t Per$on)
APPLICANT SIGNAl1JRE
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION 0 RF-PLACEMENT 0 AI. rEM TIONS
FURNACE MAKE AND MODEl. FUEL
FLUE SIZE RE11JRN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATJNG OR POWER PLANT
DWsnnAirPlanu
DGmyit)'
D Mechonioal
OAir Conditlonlng
DV."t. Systom
D Sleam
D Hot War..r
D Radiation
D Sped"' Dcyices
D Olher Devices
PLEASE NOTE:
Air Conditioner Units
Cann.ot Encroach into
Rcqu.ired Sid. Yard
Sethacks
FIREPLACE MAKE AND MODEL
m....
lnduslriar, Commercial & Mul!i.Family
FEE SCHEDULE
I % of Job cast Residential, G,., Firepl.ce
$39.50 minimum
$99.50 R""ldentioJ, Addillons & Alter.tions
$64.50 R""ideodal, AC Only
$39.50
Residenti.l. Healing & NC (New Co"StlUcli.n)
Rcsidentia,I., Heating Only (New Construction)
$39.50
$39.50
Estimated Cast $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAl. PERMIT FEE
$
$
S
.50
,.. P",...,
""UII D~;'~ I/!//"'H
~ .NG I,
"1:2"'"
1"";1
Recetpt No.
(om" Use Only)
This Application BecomeS Your Building Permit When Approved
Paid
8trHdln, omcl.'
DlIte
Dale
(o^3/-oj
By
~4 ~,"r n.'.I.. f.r .lIln,pcctlo",(9S2) 447-1.1850, fn (952) 447-4245
I'
PRIOR LAKE.
INSPECTION RECORD
i-ro.ll
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS l1l/8 \"t/t'I.d-f't"Vl-f>'==>Q.
NATURE OF WORK t...l"....,
USE OF BUILDING ---5..E:D
PERMIT NO. OJ-OOSB DATE ISSUED S--2CY-~1
CONTRACTOR D PHONE crS-2 -98)...7A()/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) """" Zel 'OJ
PLACE NO CONCRETE UNTIL ABOVE HAS BE
ROUGH - INS
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING U.~. I,...\....
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST e. ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING Prior to Soddin )
BUILDING I -tJj B 0 z.
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
This card must be posted near an e-lectric.!I1 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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
., ~... ,<
"J \\1 U\\".-_w
HOUSE
Or.
ADDRESS
OCCUPANT
HEAT LOSS
SOLD BY
Electrical Work By
TYPE OF HEA T
H EA TlNG TEST RECORD
JOB #
DATE HTG. INST.
APT. _FLOOR _CITY
OWNER
SUBURB
INSTALLED BY
Gas line By
GA_FA~HW _STEAM_SPACE HTR. _UNIT HTR. _OTHER
MAKE
Model
Serial
INPUT
GAS DESIGN
~3 ("7'.-T
'1 S-1:::>l'" "'V e.'-I 1< I 0" f:'
;)"'901,a. \'-'\l.."C-
I t:>O. =C\
.
CONTROLS
THERMOSTAT~O--,_.c1\ Heat Plug
Valve
L1mH :),':1.0"
Limit Setting
Fan Setting
Pdo. Type \-\5 i:.
Pilot Make
Pilot Model
Pilot Timing _~
L.W. Cut Off
-
Pressure ~,~ Percent CO g; '1
Input CFH__ Percent O~ (... C)
Stack Temp. ~J d-.1llS ~ Percent CO .- C) =--_
Form 235
MAK E OF BURNER
Model
Max. BTU Rating
MAKE OF FURNACE
Model
CONVERSION
Vent Size
)" five
KIND OF LINER
Draft Hood
Fi Iters Size Ie... Y-;a.S-X \
Chimney Location Inside
Chimney Construction
SIZE
Regulator
_Humber
NONE
Outs i d.
Smoke Bomb
Draft
Wiring
Test Tag
Lighting Inst.
Door Pressure
\ 0 ~ 1"\ - c \
Date Tested
Company Testing
Name of Tester
Alliant Mechanical, 3650 Kennebec Dr., Eagan, MN 55122
16:..,'1\.-. ~
--~.__.._-,----"------_.__.._,-----------_.._..__.+------
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
17111"
SCHEDULED lofti/tJ/ 11:30
uJ!Mf....... ..J~.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
t) ( - ~t;;p'
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
~ PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
;1' WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~K, ALL FOR REINSPECTlON BEFORE COVERING
Inspector: r ~ _ Owner/Contr:
CALL 447-9850 FOR T E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/1-- J.S -ol
17J1q Wilr1al1(~ Tro/
CONTR. D. i? Hor 10'15
PERMIT NO. (') I -C)~$
D
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
tR::.FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)2l:..E~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
lfJ1 ~ 0 t.-
.
S J-,.
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTlON 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OA TE TIME
liJ/;nlq
, ,
//:00
ADDRESS
17fl??
tJ~ Tt<,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
~ FINAL ~ ~LUMBING FINAL
o SITE INSPECTION ~ECH FINAL
COMMENTS: 15 fr!J '
tJ( - :;;<:>2
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
:..to ,
@)~~,1:"Qk, ~ ~pk,
T CO, -ti.lQ
Bft!o'l--
I I
~~.
o WORK SATISFACTORY, PROCEED
"\l) CORRECT ACTION AND PROCEED
10 CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
DATE
/1/ I>?
,
TIME
/(-).-'-O~
/1) ;' /denuC35
SCHEDULED
fir
CONTR.
PHONE NO.
PERMIT NO.
01- 5s?
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
".5,ry ~
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
LJ C>S~
F~f'~
.z"WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: IN J I-L7-<JJ- Owner/Contr:
f
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
JNSNOTJ