HomeMy WebLinkAboutBldg Permit 01-0863
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT ?-
M ~i \f\ ~\C2-
PERMIT NO. ()
(Please tYPe or,print and sign at bottom)
ADDRESS
/1J.1 J ~'-r-ht!-lcL ().,.. S#1
LEGAL DESCRIPTION (office use only)
1. White File
2. Pink City
3. Yellow Applicant
LOT J?/ BLOCK.a ADDITION I\u.fldtl. /l r.~
OWNER
(Name)
(Address)
(Phone)
BUILDER ^
(Name) 1),~. ~--'.
{Contact Name) ----&..vt. t;;n~t:.~_
(Address) fb fjt,() K~Y1 on M-L d. ok. I p()
~,dGf f/t II < /JAl\P ~LI<!
TYPE OF WORK KNew Construction o Deck
o Misc.
OLower Level Finish
PROJECT COST/VALUE (excluding land) $ Y~I ~5a
OUtility Connection
Date Rec'd
J
PIDd- 5- 37:1.- ()~g'-c
(Phone) &G"CilJ q B~ 1 e 08
(PhOne)rJ~) ga.~-lfJ3tf
OPorch
ORe-Roofing
ORe-Siding
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 the b . ing official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon operty to perf-.., , "ee e 'nspections.
x
v
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
/J
rlPFP" Yom ;~; ~_t When AWO"d
~ttffici& ~
$
$
$
$
$
$
$
$
EI:;~ooo. c>O .
888 .1<
67'1 . ~,
t.tQ . ~-O
I Park Support Fee
I SAC
I Water Meter Siz~; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other DtJub I~Fe-e-.SI!AI
I TOTAL DUE
o Fireplace
OAlteration
?/~5lDI
Date
#
$ ~SO.C1)
$ I,ISO.~
$ /25,C)i:)
$ 45.00
$ IJa~(J ~~ I
$ . '7tJ{) . c>c) I
$ I . ,nn . ~
$ I 3S~ 5D
$ '73gQ ,q4
,/
Receipt No:VfO) d-I
By ~
/bO- ()>O
100.00
$, S-O
ct{) - 00
OAddition
dI O()t) ~S-'7
Contractor's License No.
I Paid
I Date
'jjlS0~ qi!
'6,- ~())
#
#
#
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 document
~..:J~'~City Planner constitutes a temporary Certificat.e of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~{;~'\~--~ ~/~/~ ~~~~~.(>
Planning Director - Date . - Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
/''', , ~.
, '. ~.. '1', 1: ':." ~:.,; '. .
'-'.f"-.
~
White - Building
. Canary - Engineering'
Pink - Planning
The- Cfft'fr of Ihf l..kf Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
b 12- N~
-J~ ~0-0 /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for cons~;;n;~~itY l~:=;;' d ISbu
Accepted _
x
..
Accepted With Corrections
Denied
Reviewed By:
tf! II i3
'. 1 'AI..;.:...J,.....
Date:
,
g - 9t~o I
Comments: . See Reverse Side for Additional Information!
If}c"',, F,'/<.-
. .
.
3cc ALiachmems: 1) ljraolng Plan, 2) I::roslon Control Measures
. 3) Erosion Control 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."
G PR/O~
,~
The Cenle' 01 the !.oke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
LJ I~
--J'" .~.
,.
(A., \...-/"'
'...,.A_/ I
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ '//./.) /7/- /f ( / If. I i //(. /' ./
.' . ..." \~. /0.. , '. . '-.,
)
Accepted
~
Accepted With Corrections
Denied
~
Date: ~/1/{) I
/,,,.j /7
Reviewed By:
Comments:
N.r> ~~ ~ ~vJ~! ~
r-kk< l ~{Q ~Lrt~.k lty~'i
~~.<'b
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~~.. .~r"x..TD ~J,p ~~NI~
%.I~' ~ {)LI)/~ +- \JUj--~~ ~
.~~ . t J
"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
HEA TINGI AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
I. "ink File
2 Green Cily
3 . Yellow Applicant
PERMIT NO. 1_ ~"3
(Please type or print and siWl at bottom)
ADDRESS
11 '2.., \
I) eer +l CAJJ
'Dr; ve Se..
ZONING (office use)
K\
LEGAL DESCRIPTION (office use only) "
LOT 13 BLOCK 1- ADDITION UtLO/lHiI1 d,.;1
~~e~R D.~. Horf 0 Y1 ('I_lJ.. slam /-iome ~
(Address)d~ Ke.rJbridcy-- af. ~o.k evi Lle. M~
APPLICANT A II' M ~
(Name) r Qr;' e<!... 1. ,J.,.~. (Phone) ll_SJ- ~ - tfl775'
(Address)~O ~e.nrJehec- ~ 51e. #/ Eaaan 55/.22
(Address) .J (City) (ZiP Code)
(Contact Person) ~ t'i;,.;;~ mpr (T) IAn (Phone) &5/- A./5.9 - ~77~
APPLICANTSIGNATU (l.f?~ DATE_ 8/ltJ/ol
tJv (J'
APPLICANT PLEASE COMPLETE BELO"V
[0'NEW CONSTRUCTION o REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL ~~4n+ 3S3KA-vb2J,U)'O FUEL t0o.~lAm. ,
FLUE SIZE ""'~cla.s~ "B.- RETURN OPENINGS 4 INPut 11>.ODO OUTPUT 6lD..OO /:)
TYPE OF SYSTEM HEATING OR POWER PLANT
PID;)S-- ~f)d."()J.w
1/ \
(Phone) C(5:J.... q 50 - 7';}'7.2....
.5 5o~.p..1
DWarm Air Plants
OGravity
o Mechanical .
~ Conditioning
[!V ent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Residential, Heating & A1C (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
$39.50
$39.50
Industrial, Commercial & Multi-Family
Estimated Cost $
Building Penn it #
HEArING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.so
PAID W
BUiLDlNG ITH
pc-,-". "1
L;;;rllli,7"
(Office Use Only)
This Application Becomes Your BUilding Permit When Approved
Paid
Receipt No.
Building Official
Date
DaK" fJ.- 9,. 0 /
BY~. ~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
.> _.,......_.. -.-.-._~...."..~...~...___...~,,_......_ _....,._.,.....~~~.~_._~..._~_____~'.m...,,"....."_"
Aug. 6. 2001 9:03AM
GENZ RVAN PLUMBING AND HEATING
No.9431 p. 9/13
Date Rec'd
C11 i ,OF PRIOR LAKE
SEWER AND WATER PERlVll.l
,.. ..- -
..~':" :"
,. ,,"
(Please ~e orpriDt and :sign "ill: bcrrtom)
ADDRESS' .
r ,2- I \ ~ ,to ~- S~-
, ,
I. <nou 'U~ I PERMIT NO - .
z. YoIlDw CRy. . / V / '2
3. GDW Appti_- IJ <:::7 : )
ZONING (9f1kellll:)
P.. {
LEGAL DESCRu- HON (office use only)
LOT t3aLOCK .~Al?DmON ~,qeJ 0 2~
OWNER
(Name) D~ liIgrt:oa ('....t":m J:J"II1"'':'
C~~) 3459 Washington Dr Ste 204
(Address)
APPLICANT
(Nmn~ Genz-Ryan Plumbing & Heatin~
(Address) 14745 So Robert Trail
, I (Address)
PIn ;)~-37d.- -D~Q'-1.)
)
(Phon~ 651-454-4Of~
Eagan. MN 55122
(City) (Zip Qx:le)
(phone:) 651-423-114.4-
~. '
Rosemount. MN 55068
~~} (Zip Code)
~one) 651-423-1144
DATE _A lli/ (\ I
, -.
I (Contact :r~) - Marv 01StO~ h"" \ I
, ""LICANTSIGNATURE ~~_
;, ~ j
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings :a.......... stru.cture , feet..
Type of sewer pipe. D ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet
Clean out (if required) located at feet from structure.
Jf.&E Sl..:.I1.IliDULE
Residential sewer and water Hne c;onnec;tion $35.50 Industrial. Com'l &. Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 WaterCDJ1Dection only $17.50
Estimated Cost $
Bui1~g ~ermit #
r
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Ofiice Use Only)
/. This ApplicatioD Becomes You.. Building Permit When Approvc~ '
( '.. BlIildill~ OftieiaJ
u,...
:Dm
J4 bour Dotice for all iDllpectiOa.J (9S) 441-9850, :fie" (9SZ) 447-4245
$
$'
$
.50
l /J1I1! ':..A.ID l1'
604J1tvG p~~
. ,
. ~, l t
Paid
Receipt No.
..-
. Date t:' ~C;-O J
By gv
2001
9:02AM
GENZ RVAN PLUMBING AND HEATING
No.9431
P. 7/13
Date Rec'd
t.:Jl"Y OF PRIOR LAKE PLUMBING PERMIT
, ,
~ t'fpe atPrint a.u.d ~ 'at ~...;.;..._)
. ADDRESS' .. .~-. , '
" .
11'Z- .." \:'yJ! /~, ~ v-
i:: ~~ I PERMIT NO,O I~o V'3
1, VoIlaw Appliclnt I1lP
~E: -".
.- --
ZONl;NG (o.l&euse)
RI
I LEGAL PBSCRIPTION (office Use: only)
LOT I.3BLocK k-ADDmON va v~ I Q n ~0.-
PID ;(5' ~ 3r'J;;.. -C6~()
OWNER
~~~ DR Ho~ton Cuscom Homes
(phone) 651-454-4663
(A~e~) 3459 Wash1~g~on Dr Ste 204 Eagan, MN 55122
APPUCANT
~wn~~~~~_~.a" ~\um9iR8 ~ p~~~~~
(Ad~~) 14745 So Rober~ Trail
(Address)
(phone) f..~ 1_1. ?~_11 ~
Rosemount MN
(City)
55068
. t T
.. . (Zip Code)
(ContacrPersbn) Mary Olson t Cf.ne) 651-423-1144
. ~PLleA:bIT ~IGNATURE ~A _ ~ ~- - " ~~Tl! ""'+w-b '..
I t A.P~~ PLEASE COMPLETE BELOW
Q..antity Type of Fixture Quantity I Type of Fixture
1 Bath Tub with or without shower j Rough-ins
\ I Dishwasher I ,. I Water Heater
I I Floor Drain I ~, I I Water Softner
2- ~ 1 Lavatory (Ba.tb.room Sink) I I I Stand Pipe (Washing Machine)
I I Laundry Tray (l or 2 compartment sink I I Sewage Ejector
, I Shower Stall I I Backflow Assembly
I Sinks I I Bac:k:flow Assembly Test
BMSmk / t~s~~
2- I Water Closet erotiet) I Other
.IfJLJL S~,D.J!..DULE
Industnal. COIIl;blcrcial &: Multi4amtly 1% of job cost with a $39.50 Illinimwn .
Estimated Cost $
Residential, New One &. Two.family $99.50
Rcsidc:otiaI, Add.itions &. Alterations $39.50
Builc!ing Permit #
PLUMBING PERMIT FEE $
STAlE SURCHARGE $
TOTAL .rERMIT FEE $
~~~~M\l
F
(Ofticc Use OJlly)
I This Application Becomes Your Building Permit When Approved Piid
i~
j
8uildiac OfBclal
D..~
DateAUG 2 0 2001
I keceipt N;_
I By -JJt(
r.
:2.4 hour Dotfc:o for allln'~Uo'Ul ~) 441-9850, fo: (952) 447-4~4S
NOV.D9'2DD1 15:09 651 633 8884
FIRESIDE CORNER
Cl J. i OF PRIOR LAKE
REA TINGI AJR CONDITIONlNGIFIREPLACE PERMI: 1
#4599 P.DD8/DD9
)late Rec'd
~::;':.. ~I~ I PERMIT NO. I - g ro ~ I
,. y........ "PI'IiCtlll '-.)
rPleue tnle Qr Print and. ,ip. at boI:D:lm)
ADDRESS
11).11 ~dJ~. s:~_
J...EGAL DESCRlr 1 J,ON (DffiCl: use only) ," ( j '-
LOT /3BJ_OCK 'd---AoOlTION \lY~cQ
OWNER ~~ J I
(Name). . +-' re::.. ~~
(Address)
~,vd
(Phone)
APPUCANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
ZONING (office,,")
1</
pro;;25 37J.. 65&,-(:)
(Phone) 651-633-2561
(Address) 2700 N. FA.,IRVT..EW .AYImTIE
(Address)
BRENDA HUSTON
(Contact Person)
. r ,:;; -
APPUCANT SIGNATURE '_/~
R,pSEVILT.1O' ':W
(City)
651-633-256J,
(Pbone)
./J~
DATE
r.:. "-l.l3
(Zip Co~e)
I )-tl..CJ
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 AL lEU TrONS
FURNACE MAKE ANb MODEL FT.1E.L
FLTJE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEA TINO OR POWER PLANT
OWarm Alr Plll1lt.s 0 Steam
DGmvity 0 Hot W.lcr
o Mech81ll~al a RadiatiDn
ClAir Condltion.ing J Specilll Dcylces
DVent. System ] other Devices
FIJ,tEPJ..ACEMAKEANDMODEL ~ iJ (;0 U 7.m
Industrial. Commerc.ill1 &. Multi-Family
FEE SCHEDUJ..E
I % Dr job l;ost Re:sidcntieJ, Oas Fireplace
$39.50 mlnimllm
$99.50 Residential. Additions & Ala:raltons
$64.50 Residential, AC Only
Rl:Sldcn.~inJ, Heating &:. NC (New Con:;trUc:tlt.ln)
Residcndlll, Heating Only (New Construction)
E..'ltlmau::d Co~ $
Building Permit #
REA nNG PERMIT FEE
STATE SURCHARGE
TOTAl.. PERMIT FEE
$
$
5
.50
(omce Use: Only)
This Application Becomell YOllr Building Permit When Approved
I Paid
Date 1/- / 3 - /
".."dine Omc:iRI
D.tI:
14 hQur no~ice for .If iIJllpectioll1 ('51) 447-9850, fall (95:) 44704245
PLEASE NOTE:
Air Conditioner Un,it5
Clmll.ot B,~..........h mto
Required Side Yard
S~a'ks
539.50
$39.50
$39.50
,. .
:"',:~,Ir'\ ,t'~i:r:
'..:i 1"J,r-. At
4.......~.. 'l
Receipt No,
tjl1/~'')...
'I I
By (J c....-
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i
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'1
......
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M4\V\ ~ le
PRIOR LAKE DEPARTMENT 0 ."-
BUILDING AND INSPECTION -SE':e /4Js g
()/- 8'0 Cf, ?05
INSPECTION RECORD gb~
DeeJi~\d
~
-A-__
I I I _
SITE ADDRESS , t'fa.. r-u
NATURE OF WORK ~
USE OF BUILDING _~FA
PERMIT NO, t>l- 0 Yk.l;) DATE ISSUED .8-2 -2ao/
CONTRACTOR D-~. Ho~ PHONE ~~G,- I.~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
.
DATE
1NS1ECTOR
~.
~ FOUNDATION (Prior to Backfillr^t~ I ~I W'~I I ~. ?IJ9/d/
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIG'NED
ROUGH - INS
FOOTING
I 'i/5'/c1
-, .
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING L\.~.!Pr CJ/d-'5IDI 711M 1/~J9~JJ'
HEATING (if required)1"'~~ bra '1//1/tJf _ ~. II!;;J-' It:> /
FIREPLACE . ~. ,; / I!a-~ /0 /
GAS LINE AIR TEST ~~, 'Y/f, ~ / lI/~cJo.,
COVER NO WORK UNTIL A'BOVE HAS BEEN SIGNED
I I
FINALS
#/3 '/2.. Z,'3
?6
<ii'
~'/1
~
II tp.., /0 I
11-13h J
GRADING (Prior to Sodding)
, BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
/-/(,
f1q /Ol-
I-rv
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 shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inSDections
~,,'.
.'.'.. _,__,'_'-,-',~.,_.>,_.,_,.".'I",: L1."I:,'.....,~'.Iljd'L,'I',II~ ',',A
'<' """-"""_!..',._".!,'I.J'AI.,*~
.!L,_ u'
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
nLil
fkerf'r--c ! d
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
o PLUMBING FINAL
o MECH FINAL
DATE TIME
I ~i -0"1
O(-~3
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASlINE AIR TST
o
COMMENTS:
.5} cl /!>-r-r: - 5
--
/ _ t
I /' Ir\~_
\ ~ \ J'-"~
"'--
~
~
C. I_~
( r~ /
~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~RK, ~ FOR REINSPECTION BEFORE COVERING
Inspector: f/L/)/ Owner/Contr:
CALL 447-9850 F(lR, THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
12 -:!2,-oJ
l.J:t~I'{)e 1/ D"
CONTR, -1), R_ 1-I/'J1'1v.,..
6/- st ")
~~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
ADDRESS D). 71
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
cS-E1NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
A-/ /-/9 K-
. - . ,
DATE TIME
~RK 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.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/,t/.fjZ- , : o-V
ADDRESS
II 2.. 7 I
DEEJeFI Gu:?
OWNER
CONTR.
PHONE NO.
/- 81P :3
PERMIT NO,
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING ~ 0 WATER HOOKUP
~NSULATION 0 EWER HOOKUP
PLUMBING FINAL
o SITE INSPECTlO
COMMENTS~ ~ W ('A-1J4- r
o . ,
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~~~-
~~ _ ,t W.d,e, _~
o WORK SATISFACTORY, PROCEED
!! CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ , Owner/Contr:
CALL 447-9~O-'OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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~