HomeMy WebLinkAboutBldg Permit 05-1178
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
11,10.05
See Main File
White File I PER
~~~~w ~~t;licant MIT NO. 05, 1/7fJ
(Please tyoe or orint and sip at bottom)
ADDRESS
\15\'2:>
~cJ~
ADDITION ~ f d~
u
ZONING (office use)
f2."Z-
PID ?~. 4-z4-. 0 IS. C
OWNER
(Name)
(Phone)
(Address)
BUILDER ~l J .L
(Company Name ... , r\ tt!n\ly.r... -f!.j') { -'
(Contact Name) W~~
(Address)c80~ ~~J)~tOv~ C'j-qFloo
"
TYPE OF WORK ~ew Construction ODeck o Porch ORe-Roofing
OAddition o Alteration OUtility Connection
(Phone) ~.t1(6'J <&12:,
(PhOne)~' ':J-l.rJo- L[)6~
LcJ)Luhlli Jr>Jn ~~
ORe-Siding OLower Level Finish 0 Fireplace
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
1
III IV
H I
2 3
V
M
4
A
R
5
B
S U
PROJECT COST /V ALUE $
(excluding land)
, at, lot{ \
I hereby certity that I have h,mished mformation on this application which is to the best of my knowledge true and correct I also certity that I am the owner or authonzed agent for the
above entlOned 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 building
officia an revoke t~s P~~I~. ;;h;l~y agree that the CIty offi . lor a designee may enter '5 ~roperty to perform nYd\e' \"Or~
Signature Contractor's License No. l 'Date
Permit Valuation ~icf(}l()oo. Do I Park Support Fee # $
Permit Fee $ li9~.5D I SAC _ _ # $ /4~O_Of)
Plan Check Fee $ 24tJ. 78' I Water Meter (Size 5Y?1"; $ Z~O, 0 f)
State Surcharge $ ?O#DO I Pressure Reducer- $ ~O# 00
Penalty $ I Sewer/Water Connection Fee # $ /500 , 0 ~
Plumbing Permit Fee $/00,00 I Water Tower Fee # $ looa,oD
Mechanical Permit Fee $'OtJ.OIfJ I Builder's Deposit $ ..
Sewer & Water Permit Fee $ 3s: 5"0 I Other $
Gas Fireplace Permit Fee $ 'Yo, 00 I TOTAL DUE $ f.J 72/1-78
/' R=i,{:o
This Application Becomes Your Building Permit When Approved Paid to 7 Z &:J. ~/X. Jj() YO'Z-
,.
~,Otf::iP-- 11/~(os Date II 70.01- By /
C
ThIS IS to certity 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
~ c: -~pm>ry C~rlk'''m;iz;;:;d """,ro'~ID'see BMalnrt'Fne'~ m""~
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 ~ain File
White . Building
~ . F: . eering
rPink . Plannin
- , .
.BUU..DING PERMIT APPLl..C.ATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
" .1
~:~.: APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I.....
- I i-
//f.....
_.
t .~
Accepted
/
Accepted With Corrections
4,t_
Denied
~..:,!"
Reviewed By:
r
~~~
Date:
11/2r/c;~
, .
Comments:
See Iviain 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 Y1ain File
~i~ - ijvll~
Canary - Engineering
Pink - Planning
BUILDING PeRMIT APPuc.ATION DI;fARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D.I2. H()~()N
I ! 10. OS-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 7 5/.3 .0 f:/ E/2F/6LLJ LJ /L.
Accepted
/
Accepted With Corrections
Denied ~
q A ... -7' '/7 L-
Reviewed By: ~ ~r-
Date:
II/U /a s--
t
Comments:
SeelVlainWe
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."
NAUIt&l('AflPL,ICANT
~"'!'~~t~
A~Ll6ATION~RECE1VED
~.;;, _-Building
- Englneerln(l)
Pink - r.llhnrng
T~Bt,tif~...~irteering,and Planning Departments have reviewed the building permit
applic$tionfQteonstructionactivity which is proposed at:
/.75/3. .D66Iq/t::-L-O O/L.
Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments:
I/IH>
See...- (J1e,/~ F: I(
Date:
lH)-~0
liThe issuance or granting of a permit or approval of plans, specifications and
computations shaH not be construed to be a permit for, or an approval of, any violation of
any .ofthe, provi$ions of this code or of any other ordinance of the jurisdiction. Permits
preSllmin9.t'lg~, authority to, violate or cancel the provisions of this code or other
ordinancesoltbejurisdiction shall not be valid."
11/18/2005 FRI 9:54 FAX 952 767 1900 GENZ-RYAN
14I 004/005
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(please type or priDt and sign at bottom)
ADDRESS
\.1 013 D{(t2-fl" e{c:G b J2..
LEGAL DESCRIPTION (office use only)
LOT (;J BLOCK .~ ADDITION )f ith e (f:{ /'2fh
~=e~R Dr< \-tfJVlOY\
(Address) :J())(( O() .k(x\ \c)LI\(JqC &'. sit: lCD
(Address) ,
I ~~;~~ANT 0l(1~1,- DA1tfVl
(Address) 'tWO VJ. I ~-hf\.rU /,~
('- (Address)")
(Contact Person) /~1.t!U~tih4J ( <:; . '
;LICANTSIGNATURE (Cil.;.Jt-tr) '-~
I. Gr.en F~I. I PERMIT NO ~ " r/I
2. Vellow cuy .
J. Gold Applicant .
ZONING (office use) .
pm
(Phone) Cf 5'cA - q x-5 - '7 K"ttJ
(/cucivd leJ 550L/ L/
(City) (Zip Code)
(Phone) fJfi'Z - 7lf7-- (DD{) \.,
f3J.A J1J/I \. 11 i II-t" MN '7:3:./7 \
(CitY) (Zip Code) (,J
(Phone)
DATE
i I-Il-OS
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.
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industria~ 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 $
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PEMnT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Uuilding Official
Date
Building Pennit #
$
$
$
.50
r~'ID WITH
BUILDING PERMIT
,~ 'tIfKi Receipt No.
i J.'
iDl#.- ' By
, Ute 0 1 200,
24 hour notice for all inspections (952) 44t9850, fax (952) 447-4245
IL
- ,
11/18/2005 FRI 9:54 FAX 952 767 1900 GENZ-RYAN
~ 005/005
Date Rcc'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Blue File , PERMIT NO.~
2. Gold City .
), y.lIow Arplicrnl
(Please type. or print and sign at bottom)
ADDRESS
\.1 V) \.~ IXCrl.h e( cL Dtt '
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT (0 BLOCK .1- ADDITION Detf21t Ie ( (f"
~~;R [) P '\~'-Dlj\-()y)
(Address) \~Ol5CoD ~-<CV\b\/1C!0C (0* ~~-e. i()()
. APPLICANT /}. 011 11 & /{ r
(Name) Uv. 2.. - r-- J~" ~ \
(Address) 21lJO \N. 1-h,'\J u L3
. (Address) J
(Contact Person) (~(!11i.( &ti FC{ t \S
( If (~..,X:l --p ~ (. ,
APPLICANT SIGNATURE ~.'...}{/\.tJ J -tf1 .,/\
Quantity
I
\
I
j.,-
\
I
.~
( 2ft.1 PID
(Phone) yCS), -q VL-)- (!~7\l)
LOJ<.eYi 11'r:J 55[) L-I L/
(phone) C[r:JL:-/(f}1 -- {aDU "-
BIAJlt1C,\( 0 Ie., M N '~:-;~~-537 \
(City) (Zip Code) e!
(Phone)
DATE
i \-ll-{Y5
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture
I I?~t!l Tub with or without shower
I DIshwasher
I Floor Drain
I Lavatory (Bathroom Sink)
I LaundlY Tray (1 or 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
Type of Fixture
Quantity
/)
I
Rough. ins
Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
I Other
FEE SCHEDULE
Industrial, Commercial & M\llti.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
BtlILDING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
. :.f-eceipt No.
~y
i
Dale
L____'
24 honr notice for all inspections (952) 447,\9850, fax (952) 447-4245
.',"~'.'-.< ":_'.\..' '.'-:-'.' ',I'
_ .' :: i ~ .....
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..... .
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.... . ,':~":;. ~::, '.' . . .. '.' ...1 . "::.:. "--:.,1. "~...' ":...-=
.' '".'. · '., /:'1;;,i;Jt'1;';~." " '." .....; ::..l~,~t~j\{~\:;tj].:~t~;;~:,;:', '.
'. - -. ':: ~.:'. '.. .... ....~~.:~.. :~~}~~?~)~:.~:~""" ..... ':; (..~;:.? .~..'> :~. :':~~ .?:~.~:~. :: (;:: .~_:::'~>!~;i~',;':~;.~.r:~':...'~~::';;~ ;'; ;.~: ~'" ",'
., '. "
-;i. ,,: _ ._.
,
.
:' .:'~.:
~~:{.
~ " ~
.~ \-
.":-;:
...:,'
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i,:
.1 % of jo~ coSt,
. $~950'iniriin'1um
$9;9.50
$6450
I:."
.. - ..'
,',
.'.
. }.-: .-.
... -. -- : -::
HEATING PERMIT FEE
StATE SURCHARGE
TOTAL'r.l!.:KMIT FEE
Bu~.ldiri~ ~t?~ft' #,
. :;: _'. :.: _ { ~. I -:". - ..
,$','t0~~,'\1~~:,
$:. .50
$".;
..:....
.f.....
.." ,.
(Otlicel!se Only).
:' 'Tliis.~ppli,cation ~~~,iD6:'Y.9ul: B.uilding Permit When Approved'
Building Official.
Date
Paid Receipt No. "
Date By
,.
, '24'hour notice for all insp~tions (952)447":9850, ~ax(952) 4474245
_ . - '. _' - L~ ' '_ -_:_ ... '.
CITY OF PRIOR LAKE
ItEAl11~G/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
t F.~w ~~icant PERMIT NO:5. II '1'
(please type or print and sign at bottom)
ADDRESS
17513 DEERFIELD DRIVE SE
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name D.R. HORTON
(Phone)
(Address)
APPLICANT
(Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone)
2561
651-633-
(Address)
2700NORTHFAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
1/27/06
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
OWarm Air Plants
o Gravity
o Mechanical
OAir Conditioning
OVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o 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
REA TN GLO 6000TR-OAK
liEE 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 $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
By
Buildin2 Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
.
SITE ADDRESS /lSIJ [)tTI2.F7e-l/J
NATURE OF WORK /!!.61;J ~~srlUtcrilNfJ
USE OF BUILDING ..s,~~.
PERMIT NO. (25 /17f3 I DATE ISSUED II/l,/.r
CONTRACTOR D.Il. Ho~""fJ, INC.. PHo"NE"" ....- 1/1"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main Fl
BUILDING AND INSPECTION
.
/)1( , ~a;
N~ I..~.
I~C;' DATE, /
I FOOTING /~d-- j~/cJ/dS"
..
I FOUNDATION (Prior to Backfill) /Jvv-rJ! t.V,,// ~ /.zh"l~~s-I M /.2?~S
PLACE NO CONCRETE UNTIL ABOVE H'AS BEEN SIGNED
ROUGH - INS
SEWER/WATER/SEPTIC ~.. /~/~O/~5
FRAMING ,,"" f .. ,1 I ~/~j,
INSULATION ~' ~l/ 5/zJ6
ELECTRICAL" . , / .. ;1/Q/o"..
PLUMBING tit ~~ JIt'f ~/~5'l"~ , )~ ~/d'/O,6
. ~ r '(
HEATING (if requiredi(" I 1I"/1/z6/" Ifo/- . ....2-/9#-,
FIREPLACE tnlf ;L/IJ/tjfo
I GAS LINE AIR TEST ~ -j- ;:/;/. /fi?- "z/9I4l,
COVER NO WORK UNTlL ABOVE HAS BEEN SIGN~D
li~/JIC 11t()IJS6"~j1J I IVf I ;z/ulcb
,. ,
FINALS
Se l'- ~ h~<::
3/~J/b'
fin- j~
~ J!/y/l~
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
.
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
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
QCertificate of <!&ccupancp
CITY OF PRIOR LAKE
11Bepartment of ~uiIbing 3fnilpedion
DFinal Permitted
DConditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the DResidential
Dlnternational 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/J.I~/.;E F~MILY Building Permit No. oS'. //78
Occupancy Type te:J Type Construction VN Zoning District R 2-
Legal Description L(P ~ t$ 2. I /)~P;teFlC:;~J:) /Z TH
OwnerofBuilding . SiteAddress~/..3 .()ee~/eL,t:) L)~/cJe
Contractor's Name & Address --2? Je. H{)~7l) ~ zaP;,o VF..A/I1'/2,/L)6F~1 LA-L6v'Il.lE'
~6JCT n. #t/7t:H1 AlS
Building Official
City Planner
J A /J 6 ICA Ai r/e:.te...
Date:
Date:
POST IN CONSPICUOUS PLACE
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/7S7J
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED -'~~
4-1"r4// dr
CONTR.
PERMIT NO.
~'--//7?
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o ~EWER HOOKUP
....a'P(UMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
J#~~;;~ *r- /
(~tf
.1.- /'
77'6'/
~/ /
/-/h.,/
r .
/
C9/c
~ SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~~ y.v R~INSPECTION BEFORE COVERING
Inspector: /V-- r Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSI'IOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED ~~,
4~eA/rt' d
ADDRESS / ~~;I~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~H FINAL
COM>>EN18: ~ ~
~e--Tn~e;/ /7~.y/
,LA":
.r'
h~../
.-
//~/
(
/"
e-' I"c
nME
J- //? r
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
~EPLACE FINAL
o GASLINE AIR TST
o
~ /
.3/Ai/~
#
i
G)~
--------_._-'----------_?__.~
(/C~ ".r~ h/~" ')
~ 'hOftK~ORY. PROCEED ~
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~er/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY/
IN$NOTI