HomeMy WebLinkAboutBldg Permit 01-1056
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT (]_ j J.-O
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
I. White File
2. Pink City
3. Yellow Applicant
ZONING (office use)
V11
PIDZ- 370'Ol/;;-O
I OWNER
(Name)
(Address)
TYPE OF WORK.
ld New Constroction
ODeck
OLower Level Finish
o Fireplace
PROJECTCOST/VALUE (exc1udingland) $
o Misc.
(Phone)
(Phone) q'5,J..., q'dt? -1 B oe
(Phone) q~a - J.Cl&- I~?l'"
o Porch
ORe-Roofing
ORe-Siding
OAddition
OAlteration
OUtility Connection
I hereby certifY that I have furnished information on this application which is to the best of my knowledge troe and correct. I also certifY that I am the owner or
authorized agent for the above-mentioned property and that all constroction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the b . ding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the 0 erty to perform e ctions.
.
x
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
7-1?- ~I
Date
;( lil) 1)I:;lp~~
Contractor's License No.
1 ft~Lbl
Park Support Fee
SAC
$
$
$
$
$
$
$
$
$
#
#
Water Meter
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
I Paid
Date
'~-o7
'0 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 docul'"
'ned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy rr
~....-"..... Q/2c/ct _~ ~ Ct~~(
lanning Director Date - Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
.
The ('enler of the hke Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /....J 1\ I'J (J?I()7-'~
f
APPLICATION RECEIVED ;'f - /.:+ -'(') /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is,proposed at:
A 1 ry
,Ii; tieL);,) .,..;,}
//-!//~l()
Accepted
v
Accepted With Corrections
Denied
L'~ 4~~
Date:
'1/20 ca L
Reviewed By:
c
"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."
The Center of Ihe Like Country
C9 (- to S~
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLlCANTU R tJ (H~
I
APPLICATION RECEIVED q--Id- -0 /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is,proposed at:
/7/?(J Ii); IdJM~ Ii'
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Nf/B
Date:
9-~o-o I
Comments:
See Reverse Side for Additional Information!
L, /
__ " l
D.,.,"r-(" ~y ~(/~+- h4vt (-o(lc... Aprofl.
y
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."
White - Building
Canary - Engineering
Pink - Planning
The ('('nfer of the tlk(' ('ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 7) R ~1/i--rJ
APPLICATION RECEIVED q-Id- -0, /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7/'l() M~/Y
;><
Accepted
Accepted With Corrections
Denied ~ A..
Reviewed By: ( /
Comments:
Date:
q -It; ,..0/
C<€O~ al { a/hcW
~c:JrJ{. ~
.
"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."
SeP,Z5, ZOOl 9:37AM
GENZ RVAN PLUMBING AND HEATING
No,Z757 P, Z/3
Date Rec'd
CITY OF PRIOR LAKE PLUMBlNG PERMIT
I;.
I. Blue File I PERMIT NO
~,Gold City . / '- (t) ~ b
3. Yellow Ajll>II_ .
\\IID
ZONING ((lffla:1ISl!)
IL A I
LEGAL DESCRIPTION (office use only)
LOT U BLOCK
ADDITION
do
PID
10- 0 llJ-.-
OWNER
~~~ DR Horton Custom Homes
(phone) 651-454-4663
(Ad~~s) 3459 Washington Dr S~e 204 Eagan. MN 55122
APPUCANT
(Name) C~R~ :PY;ln p1",mlo.ins 4- llQilt'i:g,g
(Address) 14745 So Robert Trail
(Address)
(phone) Ii. <; 1 _lL 7 3 1 1 6.lL
Rosemount MN ?5068
(City) (Zip Code)
(Contact Person) Mary Olson
(phone)
651-423-1144
APPLICANT SIGNATURE
DATE
PLEASE COMPLETE BELOW
r Quantity Type of Fixture Quantity Type of Fixture
I 2.. Bath Tub with or without shower :3 Rough-ins
\ Dishwasher ,. Watr.r Heatef
, Floor Drain - W. ater Softner
.t; Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (1 or 2 compartment sink Sewage Ejector
I Shower Stall Backtlow Assembly
I Sinks Backflow Assembly Test
Bar Sink Lawn Spriokler
~ Warer Closet (Toilet) Other
FEESCBEDULE
lndust:r:tal, Commercial & Mu.lti-family 1 % of job cost wIth a S39..S0 minimum
PLTnv1BING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
Residential. New One & Two-Family $99..50
Resiclcntial, Additions & Alterations $39,.50
""-
. iJ~~i()
'/t~ l1.l
'G.\ ,..47":/
..., I',' ,I
EstlDlated Cost $
Building Permit #
_50
(Office U~1: Quly)
This Appliclltion Becomes Your Building Pe"lllit When Approved
;..
Paid
Receipt No.
lIujldiuC om~al
Date
-J-s-oI
By
Date
24 bOQr notice for aJl inspections (952) 447-9850, fax (952) 447-4245
SeP,Z5, Z001 9:37AM
GENZ RVAN PLUMBING AND HEATING
No,Z757 P, 3/3
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
[~-:;~;- .........,.......)
1/// 0 ~,I J)t.r~~r:s J7;Lf}I1.-
~ ~ ~;;". I PERMIT NO. / I ' I
3. Gc.Id ILppb-" - O::? b
ZONING (olJbuse)
RI
LEGAL DESCRIPTION (omce use only)
Lor lo :BLOCK L.\ ADDmON
eLo
P~~5"- 370- Ol/
OWNER
(Name) '{).1l J:r......t-""...... Calilt.gm li.om98.
(phone:) 65] 45't-Q663
(Admes~ 3459 Yashington Dr Ste 204
(A~s)
Eagan. MN
Cict
APPLICANT
~mn~ Genz-Ryan Plumb~ng & Heating
(phone) 651-423-1144
(Address) 14745 $0 Robert; Trail
CAdd=s)
~UCANT SIGNATURE
Rosemount, MN 55068
(City) (Zip Code)
(Phone)
DATE
PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type ot sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at~ feet from structure.
FEE SCHEDULE
ReSIQential sewer and water line conne.ction $35.50 Indwtrial, Com'l & Multi-family 1% of job cost with a $39.50 minilnum
Sewer connection only $17.50 Water connection only $11.50
Estimated Cost .$
Building Permit #
.50
--------
, IJU1t.':..41l) 'A#
v/A/(:\ vlq'rf-./
'? p ,
'-J
SEWER AND W A'ffiR PERMIT FEE $
STATE SURCHARGE $ .
TOTAL PERMIT FEE S
(Omec U~C Ouly)
This Application BecoD1e~ Your Building Perlll.it When Approv~
Paid
-
Receipt No.
lluihUng OOidal
Date
Dftte tl-- :;-.5-6 I .
By
14 hour Doti4:11 fo.- aU ilJapediOlls (9SZ) 447-91.50, fax (9.5Z) 447-4:245
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~:n ~~:y I PERMIT NO. 1-1/) rLI
3. Yellow Applicant , _l/ .7-1 .
ZONING (office use)
AI
-
'"
LEGAL DESCRIPTION (office use only)
LOT b BLOCK J1ADDITION"
(Address)
(Contact Person) ~ e.. r r
APPLICANT SIGNATU
!1oY'foV)
" n certo n
PID
-- 370- 01 0
OWNER ~ --;)
(Name) l.). I~.
(Address) .31../.5 q
fr.
(Phone)
Ste. ffc:l() Aj .[ Q9Q n -55/ c2:L
(Phone) 1.15/-.t./ 501- cf.J 7'15
a. 66/ !)....
(C (Zip Code)
APPLICANT
(Name)
(Phone)
l-DATE _
APPLICANT PLEASE COMPLETE BELOW
/XlNEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL '"Br'jo.l'\1' 9~% FUEL ~O.t. GqS
FLUE SIZE o? y".. pvL RETURN OPENINGS INPUT /OOtO() 0 OUTPUT 80, 01H)
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarl'Q Air Plants o Stearn PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
&Air Conditioning o Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE I\1AKE 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
$39.50
$39,50
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ 1000. ()-f)
Building Permit #
HEATING PERMIT FEE $
ST A IE SURCHARGE $
TOTAL PERMIT FEE $
/'"
.50 . ~L. j::,A
1'::'.: ~ ~VtrJ!./('.
.1-' .~J~v47
~~___- ~ A 7'-1y
Receipt 1.::!.2:-' <...",
~I l
(Office lIse Only)
This Application Becomes Your Building Permit When Approved Paid
DlIte
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~""""""",,,_'._.4',,.,___~~,_~_,,,,,.,_,,>,_~_"_,,"_,_....,............._~"'_.~_.~_.....,~
NOV.16'2001 07:56 651 633 8884
FIRESIDE CORNER
#4907 P.001/o02
Date Rec'd
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
~:=.. ~ {PERMlTNO. !-I05b!
,. '1'""_ "'P!>lio:o~l . .
(Pk... "'" "I"!!!'" ": .Ilt. bottmn)
I ADDRESS
illla. W;I~ T~
ZONJNG (offio;. U~)
LEGAJ. DESCRlPTION (affi.ce use Drily)
LOT BT.OCK ADOITION
PID. c;- 370* CJLf. -
OWNER J I J
(Nam.e) rr::;iL ~)o....
(Ad.d.ress)
(Phone)
APPUCANT
~ame) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone) 651-633-2561
(Add.ress) 2700 N. JfA1.RVIEW AVENU.E
<A<<k1:tesc)
BRENDA HUSTON
(Contact PersoIJ)
APPLICANT SIGNATURE
ROSEVILLE ~
(Ci~)
(Phone) 651-633-25Gl
5-61 ] ':\
(Zip CDde)
DATE
APPJ...JCANT Pl..EASE COMPLETE BELOW
lSP-'iEW CONSTRUCTION D REPLACEMENT OAt TERA TIONS
FURNACE MAKE AND MODEL FlJEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PI.ANT
OWsnn Air Plonts o StelUTl PLEASE NOTE;
o Gro.vi./:y o Het Wllt.er Air Conditioner Unib
o Mecl1anlclll o RadlllIll)n CBTlJJOt En.c:roacb into
OAir Condidoninll o Spr::~ll11 Devices Required Side Yar.d
DVerlt, Systml o Other Devices Setl:lac.ks
FIREPLACE MAKE AND MbDEL ~ fJ GcP S,- "IJl>'TY-.
rndu5tri~.I. Commercial & Multi.Fllmily
FEE SCHEDULE
1% Of)Db cost Residential, Oas Fireplace
$39.50 minimum
$99,50 Resident.ial. Additions &. Alterations
$/54.,50 Residt:l'll.till.l, AC Only
$39.50
Residen.tiIlJ. Heating /!l. Ale (New Con5tructlon)
Residentilll Hea.ting Only (New Canstrur.tioo)
$39,50
53950
Est.imated Cost $
Building Permit #
HEA TJNO PERMIT FEE $
STATE SURCHARGE $
TOTAl.. PERMIT FEE $
.so
l" . /"';.~ f
"~L"'" /)'11'
. .o!...\::/(;/ VJ!ft
Receipt No. I ';:;tr
(om!:\: 11se Only)
Thitl AppUcatfrm Becomes Your Bollding Permit When Approved Plti
8l.lIdinl: om~11l1
l)Rre
Date"
//-/
BY0
~ ~
.,/.~
C/
Z( hOllr notic.e for nil inspections (9!2) 44,.9850, fnJ: (9S~) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUiLDING AND INSPECTION
SITE ADDRESS flJ ~ 0 W..(~s-' ~ ~
NATURE OF WORK NetA)
USE OF BUILDING SFD
PERMIT NO. ~~ DATE ISSUED !i-If] -Zoo' ,
CONTRACTOR. too ~, PHONE ':l~- Is~r
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABO
ROUGH - IN
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING U/:1. V j/./ICj.61
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST , f.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
J
GRADING (Prior to Sodding)
BUILDING T.c. o. -tiJ..( 8 ,
ELECTRICAL
PLUMBING
HEATING
DO NOT
( - ?-J-,.b d--..
/0 if'
c7 tJ ();-.
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. boe", 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
<<trlifira1e of QDcmpanry
CITY OF PRIOR LAKE
Department of _uilbing Inspection
~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 regulating building construction or use. For the following:
SINGLE FAMILY BId .... 'N 01-1056
Use Classification g. ....'nmt o.
Occupancy Type R3 Type Construction VN Fire Zone N/A Zoning District Rl
Legal Description L6, B4, DEERFIELD
Owner of Building Site Address 17170 WILDERNESS TRAIL
20860 KENBRIDGE CT., SUITE 100, LAKEVILLE
City Planner
Date:
DON RYE
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED 7/ t "'I ()1- ,4.v"rr
t1//l-0b~f3SS ~.
ADDRESS
/7/7D
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/-I05(P
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
.sOD/~6 ~~
# I
(i,)~_u -' ~~ -w' OiL
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
')(JORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
CALL 447-98 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
Z-lO.Oz.. 4:cl c)
/717 (j WI0j)C~ll/e.:;;S ~
ADDRESS
OWNER
CONTR.
/- 105 G.
PHONE NO.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL
COMMENTSCD f>~ ~) ~
~ 1t14r--"-~~~ ~)
~~)~+o~,
~e~!~~~~'
o FOOTING
o FOUNDATION
o FRAMING
.~NSULA TION
~ ~INAL
o SITE INSPECTION
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,..
t~.OI ~
~) I
/J (0'--'
I
~ ~-dJ
o WORK SATISFACTORY, PROCEED
1! CORRECT ACTIO~ND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
lnspectoc ~ ' Owner~
CALL 447-9850 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
;J.!~/o z... 91~ O"D
ADDRESS
/ 'l17~
,
~ t..4IJ " __- V 7h...l.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
t)/~/a5~
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
J5 PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENT@ ~ rl-ovfi (I ~
~~~
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WO K, 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 & SAFETY!
INSIIOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/7/70 tv / Iltt'n(~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
It JI () I(
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
/I-/J~
Trl
D. R - H()~IoV)
() {-lOst
~X1~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
s rl
X WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspectorlll..~ ~.
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
..
.-
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor ~\'i_+ '""'~J.......
Name ofTester \~...~.-
';)- I-(:)~
Date
Job Address nil" v, \ '......c.~ 1....:.;)
Heating Contractor 1\, \ ;.......~ ~~
~
Name of Tester
Date ':). - 1- '0.03..
Percent 02 (,.3
Percent co - l:;:)-
Percent CO2 Y.;).
Stack Temp lcrJO
Combustion air is adequately supplied per
UMC Sec. 606 'i<e...s
input \()O. O~c