HomeMy WebLinkAboutBldg Permit 01-1170
,..--
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
17D5
LEGAL DESCRIPTION (office use only)
LOT~ BLOCK I' ADDITION Duv=
Date Rec' d
1. White File
2. Pink City
3 . Yellow Applicant
ZONING (office use)
R IS])
PID
I OWNER
(Name)
(Address)
BUILDER .k
(Name) D. R... ~ .
(Contact Name) ~~ G-t l.-U..~ IIYl-
(Addressy?oBt;D ~bvt . ~ e;f-r J-k 100
TYPE OF WORK
9!'New Construction
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $ J 1 S
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' . g official can revoke this permit f<y just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the pr rty to perform e . ections. \ , J
X ' c9001)sc.5i ~z..7/{)1
Contractor's License No. mte
Park Support Fee # $ 8
SAC # $
Water Meter $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
o Deck
o Misc.
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Becomes Your Building Permit When Approved
16-l0-?tJo(
Date
(Phone)
(Phone)
(Phone)
q?~", QQc,-190e
~ - aaG,-1 ~3'"
o Porch
OAddition
ORe-Roofing
OAlteration
ORe-Siding
OUtility Connection
TOTAL DUE
$ 8';}. 75, L/ a
1~t/t1/]~~1
I ~~~ l{~o~~ i~f
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
~ed by tr ~ity Planner constitutes a temporary Certificate of Zoning compliance and allows construction~ence. Before occupancy, a Certificate of Occupancy must be
~1J.l-~e_ -. t() l~te1 ~~%t-J1t..-l r~~
Planning Director Date Sp~itionS~y
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Th. (".nlt, 0' Ih. t..k. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1) R JlOY-to~
"'
q- d-f-oj
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
17059 tL)~~
K
Accepted
Accepted With Corrections
Denied
Reviewed By: ! IIIIJ.B . ~ Date: /O-18-0(
I
Comments: See Reverse Side for Additional Information!
See Attachmenls:1.) Grading r(an/ 2) Erosion Control Measures
3) Erosion Conlrol Plan
./
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."
White - Building
Canary - Engineering
Pink - Planning
The ('en'f'r of Ihr take ('ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1) R j./Oy-to~
q--'j.p-oj
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is Ploposed at:
17osC} tL~~
X
Accepted
Accepted With Corrections
Denied ~ A
Reviewed BY~ /
Comments:
Date: In-IO--~
~~~~
"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 or the Like Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/) A
..- ,
//2)' /()y
APPLICATION RECEIVED
(~ ':;) f --0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i . //;?, . '1,.. ......./ t ./'
.... / ,J ",,l.t. (.('/~i . L./ /~j,o....- '\",.....;--....-..,--
~ .-
I' !eJ '-;- '7
Accepted
~
Accepted With Corrections
Denied ~
Reviewed By: - . ~ ~C"~
Com ents:
Date:
t9/nl.9 (
l
"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."
Oct.16.2001 9:22AM
GENZ RVAN PLUMBING AND HEATING
No.4290 P, 2/3
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
( (
. ~ ".' \r."
I II.... PIle
:J. IJaId Cil7
3. Vella", ~
I JJERMIT NO.Oj_ll? () I
I
ZONING (c&euse).
K/s-D
__[~_"':-J
I ADDRESS . ::
1'1D~ '. '"hxr
~L
Sr=
LEGAL'DESCRIPTtON (office use only)
LOT ~ocr l ADDmON
PIDC} S-
OWNER
~~~ DR Ror~on Cus~om Homes
(Phone) 651-454-4663
(Address) 3459 Washington Dr Ste 204 Eagan. MN 55122
APPLICANT
~ame) r-"""""-ilY_ll }lJ"wl,';""g ,;. 17.....,..,.,.,S
(phone) I; Ii 1 _6., ":l- 1 at..
(Address) 14745 So Robert Trail
(Address)
Rosemount:
MN
55068
(Zip Code)
(City)
(Contact Person) Mary Olson
APP ICANT PL ASE COMPLETE BELOW
Type of Fix QuaD~ty
Bath Tub with or without shower
Dishwasher
Floor Drain
. Lavatory (Bathroom Sink:)
Laundry Tray (1 or 2 compartnient sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
(phone)
651-423-1144
.A.PPLICANT SIGNATURE
DATE
Type of Fixture
Rough-ins
Water Heater
Water So:ftner
Stand Pipe (Washio. MaGhine)
Sewage Ejector
BaGkflow Assemb
Backtlow Assembly Test
Lawn S rinkler
Other
FEE SCHEDULE
Industnal, Commet'Clal & Muiti~famlly 1 % of job cost with a $39..50 minimum Residential, New ODe &. Two-Family $99..50
Residential, Additions &. Alteratjons $39.,.50
,50
1:'0 p,' "" '..
i..J11', 'O', """,
.... I "
. -"""<...:;j f-
'-p'
I tli...- i
Buildfng Permit #
Estimated Cost $
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(om"",, UStl Oo.ly)
This Application BecomesY our Building Permit When Approved
Paid
-...
~eJE No,
JJuildiJIl OOil:ial
:Oaa:
Date .
lO-ICf-
24 hour notice foJ;' aU Inspections (9S2) 447-9850,.fn (952) 447-4245
Oct.16.2001 9:22AM
GENZ RVAN PLUMBING AND HEATING
No.4290 P, 3/3
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
~s--~-~
~..~ lni 1D'.u:~ trLL
~ ;W i-. { PERMIT NO'OI- / /761
~
ZONING (~1IR:)
P ISD
LEGAL DESCRIPTION (oma: ~ 0*)
LOT 'ZlBLOCX
Pro S - 370- O'J- --C>
OWNER
(Name) D~ liox""'Q1) I"'nm+-.....Y' :g....'W~E'
(phone) 951-1'54-"663
(Address) 3459 Washingcon Dr Sce 204
(.Address)
Eagan, MN
(City)
55122
(23p Coda)
APPUCANT
~wn~ Genz-Ryan Plumb,ing & Heating
(A~es~ 14745 So Robert Trail
(Addr1=ss)
(Phone)
651-423-1144
Rosemount. MN
(City)
(Phone)
:DATE
~5068
(Zip Code)
LEASE COMPLETE BELOW
Size of water service inches.
-
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 PVC 0 CastIron
Estimated length of sewer line feet.
Clean out (if required) located at _ feet from structure.
FEE SCHEDULE
Residentla.l sewer and water lme connection $35.50 Industrial, Com'} & Multi-family 1% of job cost with a $.39.50 minimum
Sewer connection only $17.50 Watct connection only $17.50
Estimated Cost $
Building Pe.rmit #
~
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL 'PERMIT FEE
s
S.
S
.50
'" Pr~ ,,..,
iljL'lr . '. U fA "fj
....l...; 1,\, ,If.!, 1.,
., G _'"7
iti.::. '-",
T f."..,..
... v., i
(OffiCI: Use Only)
This Application Bccl)mltS Your BuildiDg Pcrmit WhCD Approve~
31
eceipt No.
I
~
BuUdlDg Omd:IJ
')a~
Date -
0-- Ie, -- I
By a
24 hour Rodel! for all i..,pediou <'52) 447-9850,1ax (952) 447-4,245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~~;v ~l~icant I PERMIT NO. 01- 11761
~1Q51 WHdtrness Jr-SE..
ZONING (office use)
SD
LEGAL DESCRIPTION (office use only)
LOT ~LOCK
ADDITION
~
OWNER"" --:l
(Name) L). K.
(Contact Person) ~ e.. r r
APPLICANT SIGNATUR
(Phone)
l"1L~. 5/ c2 tL
(Phone) 1.15/- "-./561- & 7'75
[o..a.Qn 66/ OJ ~
(~) (ZIp Code)
(Phone) X c2 0 I
ID
(Address)
IXINEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL ~("<<j~Y\-t 9~% FUEL ~a.t. GqS
FLUE SIZE o? $12- pilL RETURN OPENINGS INPUT //X),()O () OUTPUT 80, 0,,-0
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarl1:! Air Plants o Steam PLEASE NOTE:
DGravity 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 MAKE AND MODEL I
APPLICANT PLEASE COMPLETE BELOW
Industrial, Commercial & Multi"Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
---
Residential, Additions & Alterations $39.50
Residential, AC Only !:" '! f?It,'") I $39.50
""~",.L, , '''*.1'{-I
I, il
......j I
........
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ 1000. ()-D
Building Permit #
-'i
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Office lIse Only)
This Application Becomes Your Building Pel'mit When Approved
Paid
Recei t
Date
Dat~
(0-/0-/
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
n.~.u~ ~uu, l,:jb 651 633 8884
__~ 't1'S'B4
FI RES IDE CORNER
rn.!SIP! CORNER
#3636 P.002/002
#6920 P.C02/004 .
CITY OF PRlOR LAKE
BEATING/A.lR CONDITIONINGIFIREPJ",ACE PERMIT
DqfJJ 11!:"!f
J, ",.,.
2. ".....
J. 'l'fI/IrM
~ ~~NO
~.,nk '. 0.'-/ L7,Q .l
I ~1.ONtNG_~ L
L . I
~
qr--~~~~.:::
AD~/?o.s . U . ~..~
I T-eol'oL PB:;CJm"l!OI'l (..... .....0,)
Lor Br..oCK ADDITION
I O~5&
G!i am<)
(Ad.rb:e'IJ~
Pro
'7)~ ~
c.Pbclnc)
J.tJ!PUCAl'1T
(Nsmr:} ALL1.E.D FUESICE P/3,A Fr.a.eS%PE CQ_Z3:\
(~) ~ 1D" N. P.Amvn:~ AWNIJE
(Joddm.)
(C D , SR2!:NDA Kl'JS't'ON
C10lal:t "l:1:Son
(Pbone)
6S1-63-~-2~61
JIOS7!YTTU "M!\l
(ClIy)
(pJtoN!) 651-633-2561'
DA'1'E
~5";
(%1.11 o,rk)
APPUCAN1" SIGN~
,u-r1...1CANT PLltASE.COMPLETE BELOW
EW <<;::cNS'J1tUCnor-r 0 UPL.ACSMENT 0 AL 1E&ATlONS
fT,IRNAQ; MAKE A~D MO"~L. FfJEL
FT..JJE SIZE JU;1'fJ7.tN OpeNINGS rNPUT OTl'T.'PtrT
'tYPE OF SYSTEM HE.4.'llNO PIt POWElt PLANT
o SI'.cIl/'l
8 HDt "''''
StalllaU,",
CI Specf.'l)cv/lilQ
o other DIIV~
C/WIII7II AIrM~
[JOl'1lV;ty
~ Me.d\llfthllll ,
AU C"ndJefenhtft
V~/'IT. ~''1~
PLEASE fl'otE:
Air CrmdJriflfJl:t' Units
Ca.ru:J.,t ]!JlCr'l'lIf;fJ, iJua
B.eqrlfced Side Yard
ScrbllCJr:1l
FIRF-PJ'.,ACE ~ AND MODa
FItE SCHBDULE
'ndJl~bJ/. Cl)tJlmJ!fl:IJlI A r-mltf-Fllmfl1 l"- of j"'HD/ll Roe.ldem/IlI,OIII F'rep'llCe
539.5fJ m/ni,,",lJI
Tb:rldClltllJ, H=Uog & Ale (11'.- C""rftflJ:tloff) $99.'D ~idcntl". Aoddld.al:J.. Al~
~1:1li4mtrJaJ. liev.r.irJ.S Oftl,. (NfNII CanalnlC!l""' $64.'17 1Us/.cf1ln"''''' AC Only
$39.341
S!9,~C
$!'.,a.
Estlrrt*d Cost. $ J!1J.Ud'nc PlCt'lrLb: II
'~""""~"'Io...
aEA TING PERMIT FE~
STATE SURCHARGE
TOTAL PERMIT FEE
s
S
$
. - ,'IJ \ f\-'~ .-.
.' J -...11., ~
S^ ,\. J~~~~'lb I
I "'~..fJ..'.
r.om~ JJ~f,I """1
Tlrl6 J..pplJclftlqn BeaJmell Y"'ll" Ivfl4f",g Perm'r ~.IJ App~t!ff
...
J
a""4'", am"",
DIll:
/=
J?NO.
:z4 ,.,..,. ",n'l:r rltr ,," "'lIpad1PIt. (953) "1"'511. Ilt:r r952) ~"oo4245
PRIOR LAKE
INSPECTION RECORD
~/{dnVU15 'S. Tr-
DEPARTMENT OF
. .
BUILDING AND INSPECTION
SITE ADDRESS 1'70 S't
NATURE OF WORK N~w
USE OF BUILDING SFD
PERMIT NO. O~ DATE ISSUED IO""IO~2b::J(
CONTRACTOR ~~ PHONE 'i5:J.. A~"-133 Y
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
INSPECTOR
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING . ~ ,
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~ r-,p, l... (7 (J(
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I ~ ~ g/P/tJ-V I I
FINALS
GRf'DING (Prior to Sodding) f/.}:)
BUilDING T.C"o, d1 K/
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
1705't
Lv ,Ie:! e/ J1~ .$5
OWNER
CONTR.
DATE TIME
q - J.s ..0 2..
7"..0. i )
PHONE NO.
PERMIT NO.
6/-1170
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
$:' oc! / 1'-~-c 's
c
COMMENTS:
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
@)
c~"^.. ~i~
IifWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: JIl;P q "'2-r--OJ- Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~-It-(j2
ADDRESS /705"Cf. W/b!e/()e56 r;.
OWNER CONTR. D. R. J-/ty-/oi1
PHONE NO. PERMIT NO. b' - 1/70
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
XE~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
Grce&- CP IL
Cu(6 Po~~C9K
/fIo .;n-
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpecto~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
ADDRESS
17~6~
DATE TIME "'\
SCHEDULED Lj-:J.--(!)NO? 00
--
fL/ddlA/rLM~~
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PERMIT NO.
01-1/70
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
FINAL L
. 0 TE INeECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ &..00
~,
~
I
T:C!..., 0, tJLf 57 I ,I 0 z....
~
-..
o WORK SATISFACTORY, PROCEED
)ii# CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'OSpectoc ~ Qwne,lComc
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Il'ISNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE Th..
3. ZO, 0'-- 3: .3<)
ADDRESS
/7059 Wlu06Ie..N6SS ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION ~ SEWER HOOKUP
o FINAL PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
W~
...
,
1- 1/70
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~-.~
o WORK SATISFACTORY, PROCEED
PORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
'"
Owner/Contr:
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
QLtrtificau of fecmpanry
CITY OF PRIOR LAKE
1Btpartmtnt of JBuilbing Jn~ptttion
r>>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 issUlJllCe this structure was in compliance with the various ordi1llJ1lCes. of the
City of Prior Lalce regulating building construction or use. For the following:
Use Classification Bldg. Permit No. 01-11 70
Legal Description
R3 Type Construction VN Fire Zone
LOT 22, BLOCK 1, DEERFIELD
Zoning District
R1SD
Occ:upancy Type
Owner of Building
Site Address
17059 WILDERNESS TR
Contnlc:tOr's Name &: Address D R HORTON,
VW
ROBERT D HUTCHINS
Building Official
q - ).. ~ ~a J-
20860 KENBRIDGE CT, #100, LAKEVILLE
55044
City Planner
Date:
DON RYE
Dale:
All
-
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor
Name of Tester
Date
f\ \ \ ~ ......"t h.. c.L.
,< < : >>--
'") ~ ~ c; _ \;)~
Job Address \ 7 os, \'...L \l . 1 n
Heating Contractor A' , ; ,,-4 M ~ e~
Name of Tester \ LC-.;+-'-
Date J ~~, - (:)-;).....
Percent 02 ~ . g
Percent CO
Percent CO2
-0-
<6.c.
t ~7"
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606 '( .....)
input f 00 I C) Q 0