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HomeMy WebLinkAboutBldg Permit 05-1055 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT See Main File 1 White File I PERMIT NO I 2 Pink City . ()S. I () 55" 3 Yellow Applicant (Please type or print and si2Jl at bottom) ADDRESS " l/~ 'QQ.oL~& Or% LEGAL DESCRIPTION (office use only) LOT Cf BLOCKg.., ADDITION ~J OWNER (Name) (Address) I~ (Phone) ZONING (office use) PID ZS'.4-z,4f'. ~J3.. 0 . (Phonc6tS()....Q ~5 ./~2> J _ I'^. (Phone)Q5(;).#<J..'rXo"'4'7[!)Q... Ct- 4fjOO lfWU 01[, ,,!hl) I;'-'~ TYPE OF WORK ~ew Construction ODeck OPorch ORe-Roofing ORe-Siding OAddition o Alteration OUtility Connection 0 Misc. CODE: "hll"I.R.C. DI.B.c. Type of &struction: Occupancy Group: A B Division: I E II F I V M 4 A R 5 OLower Level Finish B S U PROJECT COST IV ALUE (excluding land) o Fireplace $lfXt{7~1 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- entlOned property and hat <all constr ction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official c rerOhJ;t \ ~ :use h~ee that the City 0~57n the property to perform CJ~7r;;0!5 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 III IV H I 2 3 ~ /..Sfo . OfJO ,.O~ $ led ~9, COO $ SZS./Y $ (.g.tJO $ $ $ $ $ /IJO.()(J tOO.DO 35. -So 40..00 ~ 7~ This Application Becomes Your Building Permit When Approved Building Otllcial I~ ~S~r , Date Park Support Fee SAC ~ - Water Meter ( SizeS/8Y1"; Pressure Reducer Sewer/Water Connection Fee Water Tower Fee Builder's Deposit Other TOTAL DUE " Paid Date /at'1II. / J" liJ,JI . ~ ,--- # # $ $ /?'So .Ot) $ ,,250,00 $ 50. 00 $ / Soo~Ot!J $/o()()~()e $ - $ $ # # Receipt).Jo. By A'. I ~-/ {, 81t ffi I I f'lJ17 d 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 conSl1tutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be i~ Planning Director 10 /(J S~S Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN S5372 ~ Special Conditions, if any See Main File White - Building ....-r..l'larv - c._",'neerlha:> Pink - Planning BlIlL,plfllGP&R"~ ApPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED D. K 1-1 ()12... TON The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /7507 DEEI~;-16C-O De Accepted Denied ~ Accepted With Corrections Reviewed By: /IIIJJ!> ~ t:: /Yl""',,, h'/ ( Date: lo-(~-o s- Comments: liThe issuance or granting of a permit or approval of plans, specifications and comPlltiltlonfJ shall not be construed to be a permit for, or an approval of, any violation of any ofl" provisions of this code or of any other ordinance of the jurisdiction. Permits presUft'ling to . give . authority to violate or cancel the provisions of this code or other ordinances of the jul't$diCtion shall not be valid." t .. t .. ~ ~ PRI~ t;"~ U"-1~ ~NNES:V See Main File White - Building Canary - Engineering c::::.t"mK - t"lannlft9;:> BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED / / / / f i,..... The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I --;' ~~~ / 7~ t I~ / /.:- Ie L Ij ~/ I.- Accepted / Accepted With Corrections Denied Reviewed By: ~ # ~ Date: /0./ ~&- Comments: Ser Main File "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." See Main File (White - l:hJilding ~ Canary - Engineering Pink - Planning .BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED D. ~. H()~I tJN The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /7507 Deete-F16W De.. Accepted ~ Accepted With Corrections Denied Reviewed By: ~ Comments: f~ Date: !()/ Sjos , See Main File "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." 10/06/2005 THO 14:53 FAX 952 767 1900 GENZ-RYAN ~ 009/009 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT (Please type Of print and siAA at bottom) I ADDRESS i If 50'7 'f)Pelf~-j e) C1 I. Blue File I PERMIT NO~' 2. Gold City . 3. Yellow Applicant 'j)' 'r \ / \ . ZONING (office use) LEGAL DESCRIPTION (office use only) LOT .Lf BLOCK a ADDITION D-Pef ~~i fJ (1' I A tb - I . PID &~~R L) P -\fuj/+O(l (Address) d-O ~(fl () ~ Cn b ~'1 Cl0 f (0 + , APPLICANT ('; _ 1). (Name) t::le1.1? - ~iJ{U1 "l <'/ I"l -, \ ^ / j.J.. I 3 (Address) f-t-UU ; Ii. IIV'; [,( '... (Address) ) (Contact Person) f-e{Aj/\ ) APPLICANT SIGNATURE -LlizVG ..;:..... ~ - ..&......~.._.. $:-{f, Inn (phone) C15.~ - q Y f-).- 7 f( '1> Lclkf.V111 fj 5501-1 Lf Quantity t i I c;:> I [ I (Phone) Qr.;7_- {[PI - (DDc) BUtlt1C,V/fle.. MN ~337 (City) (Zip Code) . (phone) q5t~ -7(ul~ aD kBi)jJjp DATE JI!i!W{O'5 '''- APPLICANT PLEASE COMPLETE BELOW Type of Fixture I Quantity I Bath Tub with or without shower I I Rough-ins I Dishwasher I I I Water Heater I Floor Drain I \ I Water Softner Lavatory (Bathroom Sink) I J Stand Pipe (Washing Machine) Laundry Tray (lor 2 compartment sink I I Sewage Ejector I Shower Stall I I Backflow Assembly I Sinks I J Backflow Assembly Test I Bar Sink I I Lawn Sprinkler ~ I Water Closet (Toilet) I I Other Type of Fixture 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 $ PAID WITH '~ILD'NG PERMIT (Office Use Only) I This Application Becomes Your Building Permit When Approved Building Official Date l~eceipt No. By , 24 hour notice for all inspections (952) 447L~850) fax (952) 447-4245 10/06/2005 THU 14:53 FAX 952 767 1900 GENZ-RYAN ~ 008/009 Date Ree'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT (Please tvoe or orint and sil!;O. at bottom) ADDRESS r,. /'7.5'Of] ./)-eef/j},idc{ Dv. ~: ~w g; I PERMITNO.~ ~~Jr" 3. Gold AppJiconl ~ ~ ZONING (office use) LEGAL DESCRIPTION (office use only) LOT..I--f BLOCK <..9- ADDITION \){tr(ifJc( I~'~ ,.../ Pill OWNER f)'R iJ.-r ,(...\..-r--.'.,r-. (Name) /""'. I \ I ) \ t LJ I I <)('(;1 , (" '}p 1\ 'In\ ." cle po n: (Address) r?'i )f,. (IJ ) '\,I..J I ).' I .IL.. l_;;I. . (Address) oJ sh:llD Q5'1'", 0(,,;:::::. 4()hr~. (phone) /', d, -. .1'1 X j - I be.. ) L"OJC1.v11 fr. 55uLJ L/ (City) (Zip Code) . AP(NamPLIeC)ANT 0.,(iVr./I'2.. ._ 12. {' 1/1.11\ fJF)"l 7 //'l1 (f Dr'" t: I ....c.L1- 'I (.II ' I (phone) . l '7 I- - lf! I - l) ) . . I (Address) two \rJ. HVVI) I.~ 67AJfJI/S. virr~ tV'vN (7;33-'7 (Contact Person) LFo~SS) . l _ .' (~::~e) OJ 5~ 7(j7 [[rude) ~LICANTSIGNATURE (N21~UILA/t1.JZ; DATE lD/LO!U:; "---'" ' ~ . APPLICANT PLEASE 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, J:l.Klt SCHEDULE Residential sewer and water line connection $35.50 Industrial, Com'l & 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 WITH BUILDING PERMIT (Office Use Only) I This Application Becomes Your Building Permit When Approved [' -~-gwr.' " Receipt No. Building Official Date Date OCT 2 0 2005 iBy I 24 hour notice for all inspections (952) 44'~9850, fax (952) 447-4245 J I I CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd (Please type or print and sign at b" .."...) , ADDRESS 17507 DEERFIELD DRIVE SE ~. ~:n ~~:y PERMIT NO.'- I A~' 3. Yellow Applicant W ~ 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 D REPLACEMENT D AL TERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM INPUT HEATING OR POWER PLANT OUTPUT DWarm Air Plants o Gravity o Mechanical DAir Conditioning DVent. 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 HEATN GLO SL-550 FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.S0 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.S0 Industrial, Commercial & Multi-Family Residential, Heating & A/C (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ 5(L PAID WITH . BUILDING PERMIT (Office Use Only) This Application Becomes Your Building Permit When Approved Date ii\ ~a~<l:, ill i..' ' ~C 2 0 2005 Receipt No. Buildin2 Official By , 24 hour notice for all inspections (952) 4t~~850, fax (952) 447-4245 :%:~Sd-q ..: .'. h' . ... ... .. CITY OF PRIOR~~:. .. .. d, :';~~J.;;ING/Am. eONDI l'lONlNGI~'~.PLACE PERlVuT ,: ; ... ':'1'- ...File . City. , Applicant .PERMI.TNO. .......:_.:....,'.. . 6:"1' (J,... . ...../ ..::,~:.:...,....''''' .j,>.:. h!' ,......... . . ". t. : ~'.: '.:.... :?;:;~:":.~::;;:'~;'}:;,.!.. ":.:,: , ...~O~~.{~~ci:;~~>,' ; Estim.kted Cost $ Buildmg ~etnlit # . ". ....,...... ", :,,', '. (Office Use Only) This Application Bec~inesYour Building Permit When Approved Paid HEATING PERMiT FEE STATE SURCHARGE ..;'..' TOTAL PERMIT FEE ". " . - . .~ .W^,,- '~~l3blli~:G~~1T $ .. . '. . .... Building Official Date DaJAN 1 9 2006 By '. (. ., .24 hour notice for all inspections (952) 447~9850, fax (952) 447-4245 PRIOR LAKE DEPARTM~NTOF BUILDING AND INSPECTION ~ INSPECTION RECORD . . SITE ADDRESS 17~d 7 ./)€E1tF}ao /)1./14' s:E. NATURE OF WORK}JSIAJ ~~srIfIqT/i;:J (t.JO '.L. ~ USE OF BUILDING 5. ,... A · -- PERMIT NO. 05/CJ55 _ DATE ISSUED Ifj~S CONTRACTOR .1), f(. /1DfLnfJ l , #J(. PHONE~"- "" 73~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSP!"CTpR DATE, FOOTING I Y1/Y I / J / J / ~-.-J , I FOUNDATION (Prior to BaCkfill),ltY~~/1' /K/ //h~r I //VI 1@~/gJ- PLACE NO CONCRET~ UNTIL ABOVE 'HAS BEEN SIGNED ROUGH - INS /A;A:'" ryo; /: l-q;:.~~ ~ / / - p-. SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING l I (,-. "M? (t.. >o-o( HEATING (if required) i). (,. JI'v'fJ /J.,.J-lt<< FIREPLACE _ GAS LINE AIR TEST //~/h f ~ 1< . IAtv I JWt-. /#'r /~v/ , / &6,('~ / JJ.J/~ J/lllc~ J////DF' / / t. ~. L'S:- '//I,i/or I 113 /c6 / /f~fI COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED . IJtTfjE maSElUllAfJ I H~~ 1#1IhJ4A , I . FINALS GRADING (Prior to Sodding) BUILDiNG ELECT~ICAL ,,~ PLUMBING HEATING DO NOT OCCUpy _ --(_-I ~ee .#k/, /i /~, /1# g;f~b ~ ;:z /2/ ~~ ,2/~~~ y/?~ ~ UNTIL ABOVE HAS BEEN SIGNED NOTICE II(/j., -~ 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 @erfifitafe nf Q1}ttupantl! CITY OF PRIOR LAKE ~tptttfmtuf of ~uil~iug Jluspttfiou ~Fina1 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 Classification5/lvtEh.E: ,rr/rJ I L V Bldg. Permit No. (j 5:. I ().6::;- , Occupancy Type k'3 L 4-. Type Construction V/II Zoning District /<;:'2- Legal Description CZ-. VEEk'/::/6LV 12TH Site Address 1756L[)6.C/~/c:.L{) DK-. Owner of Building Contractor's Name & Address /..). k.. ~ , / ~ilding Official v Date: ;7 /9' (::JP::; ~'. 2- ( 8(;, 0 IC-{;NLtc'../ vt!'E ~-;-:I LrI;o:;c.i I L.eE: City Planner Date: CITY OF PRIOR LAKE - L / INSPECTION NOTICE SCHEDULED -y'9/()6 /7S0;7 ~t:,.Ii// 4- TIME ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. -5'- - ./ a.Y...r o FOOTING o FOUNDATION o FRAMING o INSULATION ~NSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ~H FINAL o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMJ4.F~TS: /' ?-/~,~/ --- hh~/ " / ~>>~~ " ~~ ~~eiVe , /" ~Aq I ~ ~rc<e / " ~r- --- ~ ./ ,r; P14 r / 0/,-- ~ (/ U~, r~ ~/~) ~KSA~OCE~ o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FO 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! 1NSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME '7177~~ /75-07 ~~/a/j 4 SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. s- -/d?J'J""- 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 ~. t'LUMBING FINAL o MECH FINAL o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMM.,ENTS: / / ~",~~~~ ~J,-.. ... ' t1!J A tf/ ~ 1/ / . - . / -"~ /' /,) /f/~I!d. ~{/ /J"15~//ed r;;77 ~y~~ (&J s/-Y'7-Yd?"f-' -r-/~ r'/~~/ - /- /' -J ~A:fI' // ~ / (' ~~ ~ ~-V' '/ cL~-h:.s. /74+. / d / ?C/c o WORK SATISFACTORY, PROCEED ~RRECT ACTION AND PROCEED o CORRECT W~~;:~ 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! lNSItOTl - APPLIANCE PERFORMANCE TEST Attach to gas line adjacent to regulator Heating Contractor. A (I: to.. +- H ~c/f Name of Tester (' .b.. cD Date tJ....,'~Oh Job Address 17~") \)tef' r:J.1 Heating Contractor ~ 1I; C4 ~ 1\11 ttll. . Name of Tester ~ o~. Date 1. -IS- .'04 Lt><G ,,~ ~f/~ ~.60te -S;z.o 6 ;. Percent 02 Percent CO Percent C02 Stack Temp Combustion air is adequately supplied per UMC Sec. 606 y, S input WtOtJt\ B'W-