HomeMy WebLinkAboutBldg Permit 01-0864
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I. White File
2. Pink City
3. Yellow Applicant
(Please type or print and siJm at bottom)
ADDRESS
II ~ 1?J Q,...y-h,Jr!.. \Jr 5E
LEGAL DESCRIPTION (office use only)
LOT 1'-1 BLOCK 2. ADDITION ~fGQ~lfll..-n 2nL
"'>..
PI~5 - 312- O~1-()
OWNER
(Name)
(Phone)
(Address)
BUILDER ,\~ A _ fI
(Name) D. t::2. rTl'Y~11 L.
(Contact Name) _ ~ '7_ Y""l- ~s UVL-
(AddreSS)~()ll('O KU..,J7Y'!~~~. .;fe. 100
_"kc.'Jf/~~ /.,M.N ~
TYPE OF WORK ~New Construction o Deck
(Phone) qt;~--'1f5- "180B
(Phone) qs-~-~~c,"" J:3BY
o Porch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAddition
OAlteration
OUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
~~, 6 WI
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 the roperty to per!~.. . uee pections.
x
..qt>()t)g,~
Contractor's License No.
r;~ot
Date
8~oo.ool I Park Support Fee # $ 8 so. on
Permit Fee $ .7Sl I SAC # $ I,{~,O~
I Plan Check Fee $ \.&)I)'/'. e,p1 I I Water Meter Siz~; I"; $ , I as.oCJ
I State Surcharge $ 4:2 .:3> V I Pressure Reducer $ 46.ocJ
I Penalty $ I Sewer/Water Connection Fee # $ 1/200.~
Plumbing Permit Fee $ IDO.C)C) I Water Tower Fee # $ . 7tJo,~
Mechanical Permit Fee $ (a:;J.tX:J I Builder's Deposit $ -0 -
I Sewer & Water Permit Fee $ 35". ~ I Other DO~h/e- .51 W r~ $ I -qs, .$"D I
I Gas Fireplace Permit Fee $ qD .~O I TOTAL DUE $ S~<1'l, qL/ I
/'1 It .. "--~1 --II Receipt No. '/'U5d-l
~ P y"", Buil.... P,nni'When Appro"'" I Paid 6-. ...., ~if
. ~'2~~1 I Date }(" -30-(j I By ff-/
I
Building gfucial 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 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
7J.A_.~J.l.~D~ ~/~/9-t ~ sk1~ ~~s.
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
"
,
Thf Cfnlfr of Ihf Llkf Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
'j) t/
I-~) 10 - C) j
0'1.1- (~)'7''--''
APPLICATION RECEIVED
The Building, Engineering, and Planning Departmer.lts have reviewed the building permit
application for construction activity which is proposed at:
/"7J.73 f(1,U;{ (j;(({_ I.t..-/'
~
Accepted
Accepted With Corrections
..
Denied
Date:
;s/q /~ 1
Reviewed By:
Comments:
~ 1~~g~_(~<~~ !7~7/
"'" ,v&hJ-f> ----:(1 Jy- (lA~t~ t t7Y1,S ~
- --
"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. C.nl<< or th. tok. COllnlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ---P k N dC1 Q--r\.-I
APPLICATION RECEIVED 7 -~0-0 I
The Building, Engineering, and Planning Departmer.lts have' reviewed the building permit
application for cOi~;o7:;itY W70:::;;;?rP_ ~
Accepted)( Accepted With Corrections '
Denied
Reviewed By:
Nfl 13
DatJ:
~.-g-ol
Comments:
5 e e /11",'" F.' I ;'
. .
. .
~
"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."
Aug. 6. 2001 9:03AM
GENZ RVAN PLUMBING AND HEATING
No.9431 p. 10/13
Date Rec'd
CITY.OF PRIOR LAKE
SEWER AND W A.l~J( PEffi\;Ul
.~~O---
()
APPLIL'~T rLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings :from stIUcture 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.
...., ,:":"
(Please ~ i,r mmt and ~1\lJl-~:' ~__)
ADDRESS- .. . ;. ..
117_,~ ~er\}~
LEGAL DESCRlr HON (office II:ll! ouly)
LOT 14 BLOCK Z- ADDmON ~ p v"8 eJ 0
OWNER
(Name) :D~ Ilgr'CQR C"&tOJll :ROlll....
(Addr~) 3459 Washington Dr Ste 204
(Address)
APPLICANT
(Name) Genz~Ryan Plumbing & Heat:J..ng
(Awu~~ 14745 So Robert Trail
I ' (A.ddress)
I (Contact Per.~) Mary Olson
.. ..,uc~ SIGN'AroRE \1
, ~
, ,
~ =- E-6_1 PJL.t<MIT NO'OI-O rlt4-]
I ZONING (0._)
"\E K\
2~\)
PIDb2S- 3/~-O,-S-7-0
(phone)
65J-454-4"''J
55122
(Zip CoW:)
Eagan. MN
(Cicy)
(phone) 651-423-114.4,
" ~
R0gemoun~~ MN 55068
~~). (zip Code)
(phone) 651-423-1144
DATE ---E / I" I 0 I
I I
.If J!.Jii SL.J;IJLl)lJLE
Rcsidennal sewer and water line connection $35.50 Industrial, Com'} & Multi-family 1'Yo of job cost with a $39.50.min.i.xnum
Sewer connection only $17.50 Water CDDIlec:tion only $17.50
Estimated Cost S
Building ~ennit #
SEWER AND W A'fER PERMIT FEE
STATE SURCHARGE
TOTAL r.J!..l'MIT FEE
(Oalee Use Only)
I. This AppUcatloJl Becomes Y 0111' BIlUding Permit When Approv~ .
r
IJL.
BlIildi_, Official
Date
14 hOllr notice for all inspectioo.s (95,Z) 447~~*5(), rU (~5:Z) 447~45
$ ... . J. \,.... wrn"" ,-~
$ . t'J.~I~ pE.F\~J,\ \
S . B\l\\..~
l
Paid
Da1AUl:i- L 0 LUOI
I By
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
(Please type or print and siJm at bottom)
ADDRESS
\1'l.1~ /)eer.fJ~.ld 'D~~V'e 56.
~. ~:n ~!~ PERMIT NO()jrO cYl" I
3. Yellow Applicant 0 "" ~
ZONING (office use)
FR \
LEGAL DESCRIPTION (office use only)
LOT I'tBLOCK 2- ADDITION )}.PfA 1{1/CI2 ~ Ni
~~e~R1)~. Horfon Ouskm H;me~
(Address)d{)gloO K~ridC)p.- ~o.k~ Mk)
APPLICANTA I , . 1 M h r~
(Name) r Qr1T e<!.... .
(Address)3(o50 ~enl1ebec.-L:::r. 5+e. #j EaaQn 55/.2~
(Address) .J (City) (Zip Code)
(ContactPetson) ~r.pr~ Z;rnm. p.rfT') Q.n. (Phone) (P51-4~~. - ~77~
APPLICANTSIGNATU~nJ_a&-.:-~ DATIl SliP/ol
V () . v-
_ APPLICANT PLEASE COMPLETE BELOW
!0NEW CONSTRUCTION o REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL 1Jr~4n+ 3~A-VbVU>i 0 FUEL l\JCA.fum.1
FLUE SIZE ~I~ C(Q.S~ B..- RETURN OPENINGS '4- INPUT "10. 01)0 OUTPUT eo~ /)00
TYPE OF SYSTEM HEATING OR POWER PLANT
PID::J.C:\ ~11.. -05'7-C
- -
(Phone) C(5f)... q ~ -7:l7.2...
550A.{L.1
(Phone) 0/- 45:L -tf/775'
OWarm Air Plants
DGravity
o Mechanical
~ Conditioning
[!I'Vent. 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 & Ale (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 $
Building Penn it #
REA rING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
. )'~~l'A1'T
e\J\~" .
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
DateA8G 2 0 2001
Building Official
Date
I
:;1
--'-"l'
24 hour notice for all inspections (952) 447-9850, fax (952) 447....2~t"__
2001
9:02AM
GENZ RVAN PLUMBING AND HEATING
No.9431
p. 6/13
Date Rec'd
LJ.Tr OF PRIOR LAKE PLUMBING PEAAul
, ,
,
(Please ~ o?.pthJ.( ana sign 'acbQ~lI1)
ADDRESS' . ,
1-'~'1~ ~~'el0 ~
i::~ ~~ PERMIT NO. Ol-() ~ L A~
}. YoI"'''' ~ !) rc;..,..-,
>:.E=
ZONING (afflc:a~)
RI
. LEGAL DESCR.u:- uON (omt:e use only)
LOT\ L\ BLOCK '2- ADDmON V('J1 --R ~(J ~_IQ 2 k \()
PIDt~.7-3 7J,-()CJ9-0
OWNER
~~~ DR Hor~on Custom Homes
(phone) 651-454-4663
I (Addzess) 3459 Washington Dr St:e 204 Eagan. MN 55122
APPLICANT .
(Name)...G........_.~.~.. ~.f"'g ~ "R<>"~.f~
(Adliress) 14745 So Robert TX"ail
(Address)
(phone) I'i." 1-4 H_ 1 11..1.
Rosemount
MN
55068
. !." (Zip Code)
(City)
, /....:
\.
(Contact Person) Mary Olson L...... 1&' (fh.~e) 651-423-1144
APPLI~SIGNATURE \A J lLJk-it Cl--- .DATE €)Jto/Ol
APP~Pj"j~ASE COMPLETE ~LOW .
Type ofYUXlue QUBDtity Type ofFixtlll"e
Bath Tub with or without shower Rough-ins
I Dishwasher I , - W atJ:r H.;...{...~
I Floor Drain I Q I I I Water Softner
1 Lavatory (Bathroom Sink) I l I Stand Pipe (Washing Machine)
I Laundry Tray (1 or 2 compartment sink I I Sewage Ejector
I Shower Stall I I Backflow Assembly
I Sinks I I Backflow Assembly Test
I Bar Sink I I Lawn Sprinkler
? ~ I Water Closet (Toilet) j lather
QuaDtity
I
Z-
I
I
I
.1'.I!.;.I!.; S.....I:I..I!.JJ ULE
Industnal, Co~erclal &: Multl~famlly 1 % of job cost with It $39.50 minimwn .
Residential, New One &: Two-Pamily S99.50
Residential, Additions &: Alterations $39.50
Estimated Cost $
Building p~~ #
PLUMBING PERMIT 1'~ .$
STATE SURCHARGE $
TOTAL PERMIT FEE .$
.50
I.
.
"
(Omel Use Only)
r This Application Becomes Your Building Permit When Approved Paid
Building OUici..
Date
r DateAUG 2 0 2001
:Receipt No.
~y fa--
24 hour notice for aU inspections (952) 447~9850, fu <,51) 447-4145
15:08 651 633 8884
FIRESIDE CORNER
#4599 P.006/009
Date Rec'd
CITY OF PRIOR LAKE
REA TINGI AIR CONDITIONINGIFIREPLACE PERMIT
I. Pink ,.....
1. 0nlmI Cil1
1. Ylllow ...ppll....
PERMIT NO. I-Sip,!
CJ?lea8e Mle or orint aDd. sill:Jl. at. botltl m)
ADDRESS
J7J-73 D(;Prp'#~J6.
I ZONING (Qffic<: use)
'R \
T....EGAL DESCRJ.J:" ~,tON (I>ffll:e use only)
LOT /4BLOCK ~ ADDITION
~o~cQ
~IZ- ~ '-'
.~ ,JJ
p~5-3/-a- O!77-()
OWNER
(Name) .
(Address)
(phone)
V"
APPUCANT
(Name) ALLIED FIRESIDE DBA 11'IRESIDE CORNER
(Phone) 651"633-~61
(Address) 2700 N. FAIRVIEW ~
(Address)
(C P ) BRENDA HUSTON
onts.a erson
~PUCANT SIGNAT1JRE~ ~nMil. lluJi;....
RQSF.VU.~
(City)
(Phone) 651-633~2561
c;r;;1'~
(Zip O:Idc)
DATE
I L tl 01
APPLICANT PLEASE COMPLETE BELOW
~w CONSTRUCTION 0 REPLACEMENT 0 AJ., TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RE1URN OPENINGS TNPUT OUTPUT
TYPE Of' SYSTEM HEA TINO OR. POWER PLANT
OWBrm Air Plants
OGrnyjty
o Mechanical
DAir Conditioning
DVcnt. System
o Stearn
o Hot W~r
:J f'{adi~tlo"
:J Special Devices
:J Other Devjc;es
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
F1REPl..ACE MAKE AND MODEL ~d AJ ~ l.A Sl... 7.. \"rmZ..-
Industrial. Commercial &. Multi-Family
FEE SCHEDIJLE
1.% Dfjob cost Residential. OilS FireplllCe
539.50 minimum
$99.50 Residential. AddioDl1S IlL Alteration.s
$64.50 Residential, AC Only
$39.50
Re:sidcntioJ, Heating & Ale (Nc", Coolltnlcti"n)
Residentilll. Hea.ting Only (New Construction)
$39.50
$3!:t50
Estimat.ed Cost $
Building Pennit #
HEA UNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(omet: US!; Only)
This Application Bceomes Your Bulldlnl Permit When A.pproved
r,'!/.,
r~~.;.:, ," T
Paid
Receipt No.
.... ''t
<" ;.
BIIIl.,lng omcllll
DRtr.
Date 11-/3-/
'BY~
(/
14 hllur notlc.c rDr nil im'pCIl:tlons (952) 447-98SO, fu (9!l1) 447-4245
t \3~ ~ ~~'^ ~'\.Q
DEPARTMENT -0 __
PRIOR LAKE BUILDING AND I SP~TION .3
INSPECTION RECOR[{OI--Og'~'
SITE ADDRESS 'f"J~ '13 ~r h~ ~f11
NATURE OF WORK JJ~
USE OF BUILDING c.C,'f=A
PERMIT NO. ~/- () '8'to4 DATE ISSUED B-2 -'20c;(
CONTRACTOR :D. ((.. l~~ PHONE 9~2-...?.?-~- /~3 r
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
f FOOTING I f?:Jr/ I 1/670 I
f FOUNDATION (Prior to Backfill)fM~1 t# ~/~t,1 I~. ~/I~/IfJ/
PLACE NO CONCRETE UNTIL ABOVE HAS BEEi SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING P=r
INSULATION . ~.
ELECTRICAL
PLUMBING (,A,e". fJr, q /~/tJ I Id:r, J//~(, (t; (
I HEATING (if required)"(~ ~ ~. 't'f.!J...t f2:r( I ?/o:::l/6 I
FIREPLACE ~ tl!6$ 1~1
GAS LINE AIR TEST ~~Fl ~ II/;t.~,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
,Z!~ t3 !g I
v e
IUS/OJ
GRADING (Prior to Sodding)
BUILDING T:(..lJ. -tW 'irI,/o2...- / ~. //;J.'5/4z...
ELECTRICAL I - ~ I I
PLUMBING 1~1 1/\ \ 10 z..
HEATING ffn
,
DO NOT 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 inspections
FOR ALL INSPECTIONS (952) 447-9850
-
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 regulating building construction or use. For the following:
Use Classificatiol'
Bldg. Permit No._ 01-0864
Zoning District R 1
R3 VN
Occupancy Type Type Construction Fire Zone
LOT 14, BLOCK 2, DEERFIELD 2ND
Legal Description.
Site Address 17273 DEERFIELD DR SE
Owner of Building
Contraclor'sName&AddressD R HORTON, 20860 KENBRIDGE CT,
ROBERT D. HUTCHINS IA~ DON RYE
r /(r _ City Planner
STE 100, LAKEVILLE, 55044
Date:
Building Official
j-..,t-OLf
,
Date:
POST IN A CONSPICUOUS PLACE
'1IfIiliiiIlft
.........
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
J -1--0'- ~
ADDRESS
/72-73
O~t"rR'f (J 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
COMMENTS:
~c1 ./n-,,~S
01- g-t4
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
----
/ /" r
/ / / "')e
! (~lcpc...'.7'
" --------
-- --
c-/)
'-' .
~~K SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSliOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
(~~/c, 9J 30
ADDRESS
/? ~ 73
,& ~:tcf)
IJ
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~ 0 PLUMBING FINAL
II MECH FINAL
COMMENTsm ~ ~ I ~
_ ~_ A I- " 0
~~L -...~ ~
.__. (j~-~~~ -:~dY trr- I
~ i~'--:~~~,
~~~'~~V,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATI~
FINAL
~ SITE INSP CTlON
TeL, (),
,
~
~f~
01 -i~ 0/
o EX/GRAD/FILLING
o COMPLAINT
/Ari\S FIREPLACE RI
'<!!I~ FIREPLACE FINAL
o GASLlNE AIR TST
o
. ,
~/ I /Oz.-,
/ (
o WORK SATISFACTORY, PROCEED
J' CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~,
,/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
Owner/Contr:
INSNQTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/-/1- 0 Z. 2 r CfC)
ADDRESS
/7[,.73 LJ~fi3L,O
OWNER
CONTR.
PHONE NO.
PERMIT NO.
I - 9'4-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE lNSPECTlO
COMMENTS
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
)(PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
~~~
~~~(
~ -6\-v
o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
I..peolo" ~ Own."/Contr
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
J/'ISNOTl
.
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor ^ \ \ i ,,-\ Y\-e.f..1-.
Name of Tester \c..e ,.-+~
Date \- \ ~- C) ":L.
Job Address \, ~/) ~,.~ ad}. Or.
Heating Contractor A'\. -~ ~&.r '
Name of Tester \C.c..~\,~
Date ,- \0 - 0:1...
Percent 02 Co. l'
Percent CO
- o~-
Percent C02 ~ S-
Stack Temp l ~ eo
Combustion air is adequately supplied per
UMC Sec. 606 '( 4! )
input ~r... ~oO