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Home My WebLink AboutBldg Permit 05-1054 (Please me or print and sip at bottom) ADDRESS Vj ElJG' CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT S M. F.... '" ee.' . atn 1~e5~ew ~ Date Rec' d File City Applicant 1 PERMIT NO. 05./054-1 fr.~ LEGAL DESCRIPTION (office use only) ~ LOT~LOCK ~ ADDmON ~ (s; OWNER (Name) (Address) BUILDER f't'.() \ J (Company Name~ n. , '" l ( (Contact Name) .A- I; (Address~VL0 "' J-tta t-~fLn ZONING (office use) ~2.. PID 2.5. +24-. 012... () (Phone) (Phone?f9.t1~f( g/~ _ (Phonef1~--~to-l(l.2>~ t aJ}a (i11; 1,lYln EQ)l{(j l. TYPE OF WORK ~ew Construction ODeck o Porch ORe-Roofing ORe-Siding /DAddition o Alteration OUtility Connection 0 Mise, CODE: ~T.R.C. DI.B.C. Type of E;;stn1ction: Occupancy Group: A B Division: I E III IV V HIM 234 OLower Level Finish A R 5 PROJECT COST /V ALUE (excluding land) o Fireplace $ tf2, ct (X( , 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 authof1zed agent for the above-mentIOned properry 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 building :cial n evoke t . s p~t fr::tt caus Furthermore, I hereby agree that the Clry offic~.F;7operty to perform neq ;:'7&;0S' Signature Contractor's License No. Date Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee II F I /3.~~ot:J,OO $ I~~,s-a $~S-..I'i' $ ~ r. 00 $ $ /00.06 $ 1"<::).. () () $ 35.. 5"'0 $ "fa.co This Application Becomes Your Building Pennit When Approved ~ ~ la~s/o$" Building Otlicial ' Dale' B S U I Park Support Fee I SAC I WaterMeter (Sr;5/~I"; I Pressure Reducer I Sewer/Water Connection Fee I Water Tower Fee I Builder's Deposit Other TOTAL DUE Paid Date .......-/ ,/ (, ("I'.Y J J' Ie>. J1 . ,,- # # # # /l Receirli No. By J_ r! $ $ IlfSO,OlJ $ 2"50.00 $ C;;-O.Od $ tS-OlJ.tUo $ I OOD , 0 e $ .. $ $'.'88. Ie nj]/i This IS to certifY that the request in the above application and accompanying documents is in accordance with the Ciry Zoning Ordinance and may proceed as requested. This document ~~en si ned by the Ci; Planner:n;m~orary Certificate of ;;:4;?~; allows construction to SeeefoMa1ilcFlIe must be Planning"Director {Date Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 ~ See Main File White . Building <::1ifI!8IV .I:nal"""~ PInk . Planning f;\WII.DING PER~ll' APPLlCATlO~ DePAI'I I "ENT CHEC~LlST NAMI! OF APPLICANT APPUCATlON RECEIVED D. K.. f-IO/~ feN The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /7 C, 05' t) E E IGF (El-O DI'L. '. Accepted 0<. Accepted With Corrections Denied Reviewed By: Comments: A I1IJA ... ~ 1Yl.1'V\ t=; tv Date: -'.to - f.$ - a ~ 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 vio~of any of the provisions of this code or of any other ordinance of the jurisdiction.~its prfJSuming to. give authority to violate or cancel the provisions of this code or other ordinances of tha jurisdiction shall not be valid. II See Main File White - Building Canary - !;!1qineering ~I!,_K ~ Plannln!p BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED (..... ',-" " , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: i ,.- ,,.-.- ,. ;' !:. C i../ / j, ., Accepted / Accepted With Corrections .. Denied Reviewed By: ~ ~p Date: / /.) /s-;:, ~ I ." Comments: See Main File , .' 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." See Main File c:--White . ~lJlI~ Canary - Engineering Pink . Planning BUILDltiG PI;fWIIT APPUCATION DEPARTMENT CJf.E.CKLlST NAME OF APPLICANT APPLICATION RECEIVED D.,e. H()te-TOAI The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 17S oS Oeel'lF"f"ELO OIL. / Accepted Accepted With Corrections Denied Reviewed By: ~ (" ~~ Date: I~/)~s / Comments: See Main File 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 10/06/2005 THU 14:53 FAX 952 767 1900 GENZ-RYAN ~ 007/009 Date Ree'd CITY OF PRIOR LAKE PLUMBING PERMIT 1. Slue File 2. Oold City 3. Yellow Appliean' PERMIT NOS-I'5+- (Please type or print and sign at bottom) 'ADDRESS C " . - . I r150C) 'DeeY~-i e d Dv'-. ZONING {office use) LEGAL DESCRIPTION (office use only) LOT,3 BLOCK c9. ADDITION D'fev r, fl C( ( J 1.1:- PID ~~e~R D i:? +-+U(+()V~ (Address) ~O g( flD ~ CV! \) ~'1 Gl {~f (b*, >: ~-C, j nfJ ~;;~~ANT G~- ~LjaV\ (Address) 21-00 \N . HI/'ll [.( L3 (Address) ) (Contact Person) L e QJr\ APPLICANT SIGNATURE t4:1'l\ .)~ j }UUJ fJ (Phone) el'5') .- q ? t=).. f K(n L-OJ<fVlII'f.-.r 550 L-I L/ '--'" , '-- (Phone) QZ:;'2--,li1 ' (ODO BL{tl~1C,if (( Ie., M N 55337 (City) (Zip Code) (Phone)Q5J ..7(1/1- lul) DATE ~ I {jJ 1(~5 Quantity 1 I I i~ I I I APPLICANT PLEASE COMPLETE BELOW Type of Fixture I Quantity Bath Tub with or without shower I I Dishwasher I I Floor Drain I I Lavatory (Bathroom Sink) I I Laundry Tray (lor 2 compartment sink I I Shower Stall I I Sinks I I Bar Sink I :J. I Water Closet (Toilet) I Type of Fixture J \ l Rough-ins Water Heater Water Softner Stand Pipe (Washing Machine) Sewage Ejector Backflow Assembly Backflow Assembly Test Lawn Sprinkler I Other FEE SCHEDULE Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 , Estimated Cost $ Building Permit # PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ .50 PAID WlTH 8UIlDING PERMIT (Office Use Only) This Application Becomes Your Building Permit When Approved : L~ \,J I Receipt No, By - . ~lCfF>~ . Building Official Date \: 'Date ! OCT 2 0 2OD~ 24 hour notice for all inspections (952) 441=9850, fax (95Z) 447-4245 , 10/06/2005 THU 14:53 FAX 952 767 1900 GENZ-RYAN !4l 006/009 Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT (please type or print and sign at bottom) rPftJC6' ;: ~I~-:" ~\~ I PERMIT NO.S .~A"""""- 3, Gold AppliClll' ..,~ LEGAL DESCRIPTION (office use only) LOT') BLOCK ~ ADDITION , OeJ!)rM tl ct 'Deer,{i el vi .Dv', ZONING (offiCI! use) I ~ -f!J PID OWNER 'r\ 'I) . -\ '~_ (Name) L) k \ 1)\/ i u if) t}(Y/f '(" I)p '\f1l' C\ "'i,P /1; (Address) 1'7"/}?'., l iJ J t"\LV"I J /\ > l/ll-- CA- , (Address) J sh: itD (phone) Q5d,- C(x-5" -7 gO:') (-A)JCLVr flej /350 Y L) (City) (Zip Code) , APPLICANT (l. n (Name) t:l(1~1,- Il,)vf a III (Address) 1-1/)0 vv. I HVV11 (,~ . If:drfSS) I (Contact Person) L- e l~ . "LICANTSIGNATURE~1~\ j P/jIJ)Jj;; , "-.. APPLICANT PLEASE COMPLETE BELOW (Phone) fjt7t - 7 &1- ({)O{) BJA J!J/i " V / II{" flvn.N C.J-:;337 '(CitY) - (Zip Code) . (Phone) 46 ;)-:707- (OC{) .~ (, I ."-- DAT~r'l/(rJ.d)~ 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. FEE SCHEDULE Residential sewer and water line connection $35.50 Industrial, Com'} & Multi-family 1% of job cost with a $39.50 minimum 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 PAID W1TH BUIlDING Pt:t1MIT (Office Use Only) I This Application Becomes Your Building Permit When Approved Date I~~~ [' 1-.' j i ratter 2 0 2005 ~ceipt No. BuildiDg Official By tL:L Z4 hour notice for all inspections (952) 447.+20, fax (952) 447-4245 t,:::::'"' L.-..;.:.._~ CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd I. Pink 2. Green 3. Yellow File City Applicant PERMIT NO-6j /)!14- (Please me or print and sip at bottom) ADDRESS 17505 DEERFIELD DRIVE SE ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name CENTEX HOME (Phone) (Address) APPLICANT (Name);HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone) 2561 651-633- (Address) 2700 NORTH F AIRVIEW AVENUE (Address) ROSEVILLE (City) 55113 (Zip Code) (Contact Person) BRENDA HUSTON (Phone) 651-633-2561 APPLICANT SIGNATURE BRENDA HUSTON DATE 12/20/05 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL FUEL DWarm Air Plants DGravity D Mechanical DAir Conditioning DVent. System INPUT HEATING OR POWER PLANT o Steam D Hot Water D Radiation o Special Devices D Other Devices OUTPUT FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks Industrial, Commercial & Multi-Family HEAT N GLO SL-550 FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 FIREPLACE MAKE AND MODEL Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ PAID WITH .5~UILDING PERMIT (Office Use Only) This Application Becomes Your Building Permit When Approved P(iid . Receipt No. BuildiDl~ Official , Date Date: uEC ! 6 2005 , 24 hour notice for all inspections (952) 4.1..?850, fax (952) 447-4245~- By ~pbd.9 . . . .' .' q'.: . "'CITYOFPRIORI~~ ;:l:fJiJ~,:*':QS~(.MR CONDlil ON1NG/~'i.KItPLACE .PERlVul .., . .". '. :'<.; .". .' :,' .'~:~ I P~~T.N().r/IA:.~.q' . Applicant '. ,'. ,:. '<, > ...,.,:."..;~ , . "":'. .','.:' \' ~.:: ~".':.:f;'.:t;>P:::;;::~;'~~!.:..\..::/ ' .;' . . :.'. :;~~~:~.(~~~;~~~ ()~. . .' . :;':':' ~ :. '.~ .: .. :. _-\J~e~ ~~~~-'+:Q'C~\l~:' :f;,': ......fud~~,,~~in~~#;~~j~~(i;~.. .... ... . RtsidentiaJ; Heatirig&:NQ;lli~WiC'ohstiiiction) , . . ~~si~e~ti~; H;eatlng 6'~ir;W~Wrf~~ti:ii~iiOn) . iEstim.atedCost $ .....:..:.:,.. :'. , .' REA TING PERMiT FEE STATE SURCHARGE TOTAL PERMIT FEE '.$fu/'c\~~e~PAID'WITH:'" . .... $ 50,' '. ." .' $' . . . . BUflOtNG PERMIT. (Office Use Only) . . This Application ~ec~irlts:Your Building Permit When Approved Paid .... Building Official Date . DaYAN 1 9 2006 ~... CJ '. ; . "24 hour notice for all inspections (952) 447~9~~O, fax (952) 447-4245 PRIOR LAKE INSPECTION RECORD . . SITE ADDRESS JlSoS 1:) t: c: IC..FI e:LO b~ I tiE $. E . NATURE OF WORK New c:.6~TVlY(..Ti.~ (~ L....) USE OF BUILDING S. F=: er..... . PERMIT NO. 05./0..54- DATE ISSUED 10 (S(Dr . CONTRACTOR t).rL. "'01&.111,. PHONE 15"2. ..~ac.'" Cf?,! NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR _ . DA}'E FOOTING /YkY I /~/()S- . I FOUNDATION (Prior to BaCkfill)N~lj~<<// ~ //,4hs/ I /FPI I/frJ-/oS'". PLACE NO CONCRET"E UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS / . '" SEWER I WATER I SEPTIC fU"Y' 1/1/6(OS;-: FRAMING IPt-: 1/1. 7/9 t: INSULATION //PI- / /!,i Irb ELECTRICAL / /Iz/,?b PLUMBING l ) &, vvfJ {~. JA-v( ~ 1117 /(/6 HEATING (if required) ~).~. ILr3c>o-{ ,lV'y /IJI/fJl, i FIREPLACE / _ ~ 111//06 GAS LINE AIR TEST 1If" Ih. r (~/1 /lfJ1/ /1//1 / 0 ~ . . . COVER NO WORK UNTIL A~OVE HAS/B9EN SIGNED LA"r:hG I1-IASe-w1lNl 11f)..'; /#/t; 117/vbl FINALS I GRADING (Prior to Sodding) S~e., ~:;. h2. , BUILDING ~ 6/2~,_ ELECTRICAL ,zLzq-p,.. PLUMBING (tvY) b7/()~~ HEATING .1 ~ JpV~' 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. FOR ALL INSPECTIONS (952) 447-9850 or~ttifitat~ lIf Ol}ttupantu CITY OF PRIOR LAKE ~tparfmtnf nf ~uilbing Jlnspttfinn ~inal Permitted D Conditional e.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 International 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 Classification S/;!CiL 13 ;::,;-1/''//'-1./ Bldg.PermiINo. (,5. I (J 64- , Occupancy Type IC 3 Type Construction V IV Zoning District ;e z- Legal Description L2, 13 Z ! OEEIC...f1 G- /.... .0 I Z rH = , Contractor's Name & Address D. ;c', II uk f?)rJ, /f/41/ Site Address _ 17.5{)S .LJE5.ILHELLJ 1)/'- 268C-D 1c.c/'JCIOUC:c e.:r, LrI/L.6VIl..-~ Owner of Building City Planner_ Date: _ / Buil9ihg Official _ <? /-2,:;/ /d;:' / r Date: ADDRESS / ?-S'"2?S"- DATE TillE SCHEDULED ~~~ ~e/4// Lfr CITY OF PRIOR LAKE INSPECTION NOTICE OWNER CONTR. PHONE NO. PERMIT NO. 0:" /~Sy o FOOTING o FOUNDATION o FRAMING o INSULATION ~~NSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ~CH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE Rl ~ rln.EPLACE FINAL o GASLINE AIR TST o COMWleNTSi1 ~~-rrt~/ , ~ h7r:.'t/ i ,; ~/..zs:"fi, . - ~ ~~-k. A h,k/ J ~C~&~ ~r- " efe ~/- 4./- ,/ c9/c --- ~';~ / ~ ( /'.;:/'" s -e.. H ~ ') ~~CTORy.PROCEE~ ~ 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 & SAFETY! INSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS /7-.sOS- OWNER PHONE NO. DATE TIME SCHEDULED .....z.hA c.... dee/I! e/J M--- CONTR. PERMIT NO. s- /flr~ 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 .)!'1SlUMBING FINAL o MECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COM AM ,NT :. . ~ /- /(Jh/o/~.y V ~.44/ /.r /-e~ ~. rc,..- ./ ~r / 71f/Zt::it '" - // / /7hA / .-I-- 7 ~,., /. ~ ,/'7:!?d~/ {J r ~ ~ / H~ u/l. ~SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WOR,;,fyp,6R R~CTION BEFORE COVERING Inspector: /U/ ~ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY! INSNOTl IIIIIIIF cA APPLIANCE PERFORMANCE TEST Attach to gas line adjacent to regulator Heating Contractor Name of Tester ~M~ .!k.1" -t)" Date Percent CO \~ D.llir~ ~,~uJL e~J ~ -IS-be. __ !2..~% ~II~ 4/1'u ~/~ Job Address Heating Contractor Name of Tester Date Percent 02 Percent C02 Stack Temp Combustion air is adeq~telY supplied per UMC Sec. 606 \LS ~~()~ input