HomeMy WebLinkAboutBldg Permit 01-0954
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'-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(P'=''''' .'1"">' md 7botlO:
I ADDRESS
lID L.J 1 .tJ,ld h.(M T(7LtaL
LEGAL DESCRIPTION (office use only)
LO~; BLOCK I ADDITION
I OWNER
(Name)
(Address)
Date Rec' d
I. White File
2. Pink City
3. Yellow Applicant
PID
- 02.3-.0
(Phone)
BUILDER ~
(Name)=--t). ((. WI
(Contact Name) S:te~ ~;J<~tlYJ
-
(Address~"~O
(Phone) H qB<;;-J~
(Phonel( I 3'}~- 2
TYPE OF WORK
ORe-Siding
2rNew Construction
ODeck
o Misc.
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
OPorch
ORe-Roofing
OAlteration
OUti1ity Connection
---
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 plans. I am aware that e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the roperty to p ded inspections.
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
00,
100 . DO
~.50
0.00
8,.. '3lJ,. ~ I
Date
OAddition
d()~O~5'7
Contractor's License No.
Park Support Fee
SAC
#
#
3//5/01
f Date
$
$
$
$
$
$
$
$
$
Water Meter Siz 5/8' 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
I ~~~ ~ $~'tj- 11
I ~;ooPtNO.r%fY'
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may ptoceed as requested. This document
when s' by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issue
~t~
TOTAL DUE
~/~~~
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
Th. ('.nt.. of lh. "ok. ('ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVE;Q.
D. J2. )-/O/2,TVW
73~ 17- 0/
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7() 4-7
Accepted ,X
.
tVIG06/Z..!J6SS 7J2A1L,
/
Acd~pted With Corrections
Denied
Reviewed By: JftB i. Date: ~-dJ-or
.
.,.._."._'_ 'f. . .
Comments:---See Reverse Side for Additional Information! .
USf! LCfV.(...,'vl'\ whe", >(}/'4.1'1,'''3 c;,rOvV\r.{ rrur"ho[(.
Ct~ ErJ. p;~,
E .O.~ IYIv&f k..f.. Ot f ",. r
\ ~ .
. ! ~AIo...U,.'
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Cqntrol Plan
liThe 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. II
.......~--_._---,.._-~_.."-,.__........._~..............,,.,-_.......~"'"-'~,-'-'"---~-",,'-+-~~"'"
The ('enlef of Ihe take Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D.,e. I-IO~TOtJ
fj-/7-o1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7() 4-7 WIW6IZ-N65S 7J2/l/L."
Accepted
Accepted With Corrections ~
Denied L
Reviewed ~ ~ Date: r!? < ~ -7l?o/
~ts:
a2Q a H<tcW L-ck..,.! (
"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."
Th, Ctot" or lh, I..k. Country
White - Building
Canary - Engineering
Pink - Planning
,
,.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. k'. H (/2_ TV 1"-/
? /7- (//
p
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/../ () 1- --7 I V I L./) EA.::-IV[; S: J ;;1..:../ 1/ L,
,
Accepted ~ Accepted With Corrections
Denied
Reviewed By: Date: ~ / l 0 18 I
Comments: ~ M ~ ~20ff Z
~c/~t95, ~~ OW-eA {d.'Jl/--e',/0-;92-..
At ~~~~~r
~~~ ~~W6-z9y- ~~ r-v~('
liThe 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
Aug,27. 2001 3:38PM
GENZ RVAN PLUMBING AND HEATING
No.0949 P, 3/15
Date Rec'd
CITY OF PRIOR LAKE PLUlVIBING PERMIT
1. ~Iuc FiI.
1. Gold City
3. V.11ow Appliaont
~~~;_d~
IADDi~ 1 -[1 'il~YYH~ T~~SE
jPERMITN?_/_ 9rrl/ I
I
ZONlNG (officcU$C:)
R ( s4J
LEGAL DESCRIPTION (ofiice use only)
LOT
LOCK \ ADDmON
Pill' S-~ 70- Od3' a
O'WNER
~~e) . DR Horton CU6com Homes
(phone) 651-454-4663
(Address) 3459 Washingcon Dr Ste 204 Eagan. MN 55122
APPUCANT
(Name) r....n?_l?.y"'n J?l11111P:i~g ~ 1:T.....p-!ng
(Address) 14745 So Robert:. Trail
(Address)
(phone) 6'; 1_~? ~_ll 44
Rosemount MN
(City)
.55068
(Zip Code)
(Contact Person)
.
.o\PPLICANT SIGNATURE
I Quantity Type of Fixture Quantity Type of Fixture
, 2- Bath Tub with or without shower .~ ;R.ough- ins
1 Dishwasher I WatJi::r Heater
I Floor Drain - Water Softner
~e::., Lavatory (Bathroom Sink) , Stand Pipe (Washiog Mat;;hine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector-
Shower Stall Badcflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
?, Water Closet (Toilet) Other
LEASE COMPLETE BELOW
FEE SCHEDULE
Indlismal, CommerCIal & Multi-family 1% of job co:stwltb a $39.50 minimum Residentral, New One: & Two-F~Hy $9950
Residential, Additions At Alterations $39.50
Estimated Cost $
Building Pcnn1t #
.50
PAID IA.-
aU/LOIN vvlTH
. j G PERft1JT
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Offic~ Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
-
,Building omeaI
Date
-01
By
24 hour notice for all bJ.spe~tioP5 (954) 447-9S50, fax (952) 447-4245
Aug.27, 2001 3:38PM
GENZ RVAN PLUMBING AND HEATING
No,0949 P, 2/15
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERlWT
. . ~ ~ ~_t lPERMITNO. r.. fl5'/
:-7'~~'m4~.t~ .
I ADDRES~ Lj.. ~ d~rf)eS,.'::,> ~eJtlL- c~ I ZRNfN~r;""
LEGAL DBSCRJPTION (omclll.lStil only)
LOTZDBLOCK
OWNER
(Name) :DR HQrtoQ ('ustgm. Hom.as
(Ad.drt::ss) 3459 Washington Dr Ste 204
. (~s)
(phone)
f,51 454 4603
55122
(Zip Code:)
Eagan, MN
(City)
APPLICANT
~~q Genz-Ryan Plumbing & Heating
(Phone)
651-423-1144 -
.
(Address) 14745 So Robert Trail
, (Addu!ss)
r
(Contact Penlon) Mar Olson
'.
Rosemount. MN
,~)
(phone)
DATE
55068
(zip Code)
EASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
Residential sewer and water line connection
SewC( cOllUoction only
FEESCBEDULE
$35.50 Industrial, Com'} & Multi-family 1% of job cost with a $39.50 minimum
$11.50 Water cODl1ec:tion only $11.50
Estimated Cost .$
Building Pennit #
.50
l3uI, P,q'D
' ~{)i'lVG 14~.,.f.t
A;.,....
- .'Fri//.,..,....
" VJi I
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
S
$'
$
(Office Use DDly)
-'
Receipt No.
This App.licatioD, :BecOlI1es Your Building Permit When Approve~
Paid
,
L-.
Building Oftici:d
Date
24 hour Dati..1II fo.- .11 illllpec:tions (952) 447-9850, fa" (952) 447-4,4!
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMITSEP 2. 12001
I. Pink
2. Green
J. Yellow
File
City
Applicant
ZONING (office use)
RrsD
ADDRESS
l1D~1 W,lo!UnL~S. IV-
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK
ADDITION
PID (),. -
(Phone)
(Address)
5/ot~
(Address)
(Contact Person) -J e, r t
APPLICANT SIGNATU
(Phone) 1.15/- ,tj 5 01 - 6? 775
0. 66/ ~
(Ct (Zip Code)
(Phone)
APPLICANT PLEASE COMPLETE BELOW
IX)NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL tsr<<j~Y\-f 9~% FUEL ~O.t. Gq~
FLUE SIZE o? %.... pv'L RETURN OPENINGS INPUT /001000 OUTPUT 80, o-e-o
TYPE OF SYSTEM REA TlNG OR POWER PLANT
OWarl1J Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
EJ.A,ir Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial, Commercial & Multi-Family
$39.50
$39.50
Estimated Cost $ 1 () 00 . a-v
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$-
.50
'^'" ..6
I!!'I All 't.. , ..<,;
g"ll r<.:<.J !/;/.,,'/,)
~. fJ1lt"DlNG r'" .... /'1.
,.. '- !~ /1';
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Dat
~;; 7- I
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
_"_,_~,_"".__~",_,~,_,,,,,,,,,__,,,""_.w.,,,,,'_"~P~~_,___'ri"~"",~,,--_,,,,,,___"""'~_+"'_~"._"""~"""~
FIRESIDE CORNER
#5206 P.00l/002
Date Rec::'d
CITY OF PRIOR LAKE
HEA TINGI AlR CONDITIONINGIFIREPLACE PERMIT
I. PI.k I'll.. PERMIT NO -/l r--i
t::.. ~~ico"' . ~. . .. , . I 7:JC.
/10Y7 W~.r ~
ZONING (Ql'fla: use)
K/5D
OWNER
(Nam,e)
(Ad.dress)
Plo?5 - 70- 0).3
LEGAL DESCRIPTION (olf1ce use only)
LOT ~LOCK \ ADOJ.TION
(Phone)
APPUCANT
~ame) Ar~~IED FIRESIDE DBA FIRES!DE CORNER
(Phone) 6S1-633-256J.
(Add,less) 2700 ~. FAIRVIEW AV~J:JE
(Ad.d.ress)
BRENDA HUSTON
(Con.r.act Person)
ROSE:)TTT ,T.E -MN
(CIty)
651"'633-2561
(Phon.e)
DATE
5S11~
(Zip Code)
APPLICANT SIGNATIJRE
~EW CONSTRUCTION o REPLACEMENT o AI... TEM TrONS
FURNACE MAKE AND MODEL FUEl..
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWBrnI Air Plants o Steam PLEASE NOTE;
DGr3Vi1;y o Hot Wllter Air Conditioner Units
o Mechanical o Rlldhuion Can.nm Encroacll into
OAfr COl"ldidon,ing o Specilll Devl.ces Required Side Yard
DVent. System JJ~r.I1 JJ Gr.... o Other Devioes Setbad;s
FI.REPLACE MAKE AND MODEL cSG.- 1Sl1 12-.
APPLICANT PLEASE COMPLETE BEJ...OW
FEE SCliEDULE
Industrial. Commerelal & Multi-Family 1% of job cost Residential. VJJS Fireplace
$39.50 minimum
Resld.ential, He3.ring & Ale (New CcnstJlJcr.lon) $99.50 R~slden~jllJ, Additions & Alt.ct"EIdons
Resid.c:ntia,I, Hell.ring Only (New Construction) $64.50 Residential, AC Only
$39.50
Estimated Cost $ B1JiJding Permit #:
$39.S0
,...._ $39.50
e~~h Di:'4.'D r".
... '1" d '''rl
'::; (~ l~-'~.) .,-.-!
'"l'i- .
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(omclll1Jt: Only)
This Applh:atlon Becomes Your Building Permit When Approved
Paid
ReceIpt N'o.
Bulldlnr; omrJ.'
.,,.,.,
Da~// :?-0 /' () I
'Z4 hOllr notice fDr All 'nspectlon~ (9!!i2) 44.7-9$.50, fill[ (952) 447..4%45
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~O
NATURE OF WORK
USE OF BUILDING
PERMIT NO. c~ -~cr -0 (
CONTRACTOR ~ PHONE &l'2- ~u.,-4aS~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
.
FOOTING
FOUNDATION (Prior to Backfill) ~ - 14, D I (J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - NS
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING \)" ' I tj~.
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~ ~ ~ z.., DS fJ I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING C .iJ,--till
ELECTRICAL
PLUMBING
HEATING
DO NOT
02 (!) 2.,
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 sb.&1I bf;"placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
__"._-..o.,""",_,~_____,,'"-_~_._~_"""_'-.~~____^"~____~~""""""-'_.~-~--._.~.^~~"--~~.:....._..__._-~_.~~-,...~..-...
QLtrtificat.e at 'cmpanry
CITY OF PRIOR LAKE
Ji'tpartmtnt of _uUlIing Jnlptttion
~ 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 issUilnce this structure was in compliance with the various ordinances of the
City of Prior lAke regulating building construction or use. For the following:
SINGLE FAT\1ILY
Use Classification
Bldg. Permit No.
01-0954
Occupancy Type
R3
Type Construction
VN
Fire Zone N / A
Zoning District R 1 SD
Legal Descripcion
L23, Bl, DEERFIELD
Owner of Building
ContractOr's Name &: AddresP. . R.
SiteAddress 17047 WILDH.blJlSS TRAIl.
20860 KENBR
ROBERT D. HUTCHINS City PlanDer DON RYE
Buil1ing o~9-1
7/ ,:} q / () c.-- Date:
, f
POST IN A CONSPICUOUS PLACE
Dale:
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ur-07- 3:30
ADDRESS /'iCJ4--7 hJ/LlJ6~g.J ~
SCHEDULED
OWNER CONTR.
PHONE NO.
PERMIT NO.
I - 1Sf
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING @ 0 WATER HOOKUP
o INSULATION .. 0 SEWER HOOKUP
'rJ FINAL 0 PLUMBING FINAL
/DSITE INSPECTION (!iJ'/4 MECH FINAL
COMMENTSQ) ~ ~ , ~
f~) ~I ~~~~
@$~~~'
~C\Of
~ 91ft (Q?-
~
I~~
o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ Owner/Con.
CALL 447-9850 F R T~E NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
17{)o/l
SCHEDULED ~'I(.'- 'j,.'3d
~ .rJ<-.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
t)1 - qs~
o EX/GRAD/FilliNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION !(&) 0 SEWER HOOKUP
o FINAL 'I tsr1 PLUMBING FINAL
o SITE INSPECTION ~h MECH FINAL
COMMENTS:
~~~
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~ 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 & SAFETY/
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7(L~(JV Aa-~
ADDRESS
/704-7 WIt-06eNE:ss ~
OWNER
CONTR.
PERMIT NO.
J-' ~~ 4--
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASlINE AIR TST
o
COMMENTS:
50.o/77U56 ~~
L1z::. ~ ,{J1~-Jl
jlWORK 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 & SAFETYl
INSNOTl
DATE TIME
o FOOTING
CI ~OUNDA TION
o FRAMING
o INSULATION
)!(aNAL
o SITE INSPECTION
o PLUMBING RI
D MI;CI-I RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
XEXlGRAD/FILLlNG
D COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Gf'if/~ t-
Cvfh ~ i- "rJ IL
T y/lJv 5,
~ORK 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 & SAFETYl
INSNOTI
-
a
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Date
1\.\\ \'-.....""- "'\eU-.
\~;-\ ~
~ - \, - t);)'"
Heating Contractor
Name of Tester
Job Address \f()'-\'1 V i\~ -tr_,,> > " i'l.':' \
Heat~gContractor A\\,....-\ \-4\ e....L
'<....z.. : \-'-
':).-l\, C')......,
Name of Tester
Date
Stack Temp
'-..c...t
-0-
%. S-
\ ~"J...~
Percent 02
Percent CO
Percent C02
Combustion air is adequately supplied per
UMC Sec. 606 '(~..:>
input -, 100,00(;) ~""'\J