HomeMy WebLinkAboutBldg Permit 01-1402
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
12,,- 4- 0/
LEGAL DESCRIPTION (office use only)
LOTI (p BLOCK
ADDITION
I. White File
2. Pink City
3 . Yellow Applicant
R-/
PID zS-370 -0/'='-0
I OWNER
(Name)
(Address)
(Phone)
TYPE OF WORK
o Deck
OLower Level Finish
(Phone) qt;~, q Bt:;-7YJ O~
(Phone) q5a\ ..~~t,- /1J?> Y
o Porch
ORe-Roofing
o Fireplace OAddition OAlteration
PROJECT COST IV ALUE (excluding land) $ /17;
o Misc.
ORe-Siding
OUtility Connection
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 . ing official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon th operty to perlo n nspections.
x
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ 100 . ~O
Mechanical Permit Fee $ 100 .00
Sewer & Water Permit Fee $ 3S'. SO
Gas Fireplace Permit Fee $ liD .(;b
J~-l-ol
Date
$
$
$
$
$
$
$
$
$ 8 4- 7'1.
I ~? "'I/I~
d()oo~ !;7
Contractor's License No.
Park Support Fee
SAC
#
#
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
::en si ed by the C" Planner constitutes a temporary Certificate of Zoning compliance and allows construction to A=' Before occupancy, a Certificate of Occupancy must be
~tty~{- ~~",-w. ~
irector 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
Water Meter Size /8 ; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
Builder's Deposit
Other
#
TOTAL DUE
I Paid ff4-7f'. ~~
Date /'1//1'!
. 1 '~
y ;....1
l,.
Tht ("tnle. or Iht "Ike Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. e. Hn~TON
12-4--0/
The Building, Engineering, and Planning Departments have reviewed the building p~rmit
application for construction activity which is proposed at: .
III 33 WI LaE eN 55S -n2A ( G-
Accepted
^-
Accepted With Corrections
Denied
Reviewed By:
1IJJ1 i3
Date: /2 -( / -0 I
Comments: See Reverse Side for Additionallnformationl
See Attachments: 1) Grading Plan. 2) Erosion Control Measures
3) Erosion Control PI;:)n
"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."
qv^
White - Building
Canary - Engineering
Pink - Planning
Th. e.nlr. nllh. Llk. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. e. 1-to~-roN
12,-4-- 0 I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
III 33 W ( COE eN S5S --rl2A I L---
Accepted Accepted With Corrections ><-
Denied FJ-n
Reviewed By: ~ ~~
Comments:
~oJl ail aJJacld ~J 4
Date:
/2 -1-01
"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."
Th. ("mlr. of Ih. tlkr Couolry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. ~. HOR-TON
12 - 4- - (j I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
11 , 33 Vv I L 1)( 1210 E,S5' I~A ( l.,-
Accepted
Accepted With Corrections
~
Denied ~
ReVieWedBY~ ~
Date:
/;?-/l2-/ B 1
"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."
-~-~-~-,--- ~_.~-_.'- - - -.,.-- .,'~
Dee.18. 2001 8:43AM
GENZ RVAN PLUMBING AND HEATING
No.8699 P, 2/9
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
'Ill.... Fil.
:l.. GaloS ClJ;y
3. V_low Appli.....
I PERMIT NO. 0L::.14oZ-1
I I ZONING(~~ I
[_M:~:U~
ADDRllSS . . ~ :
1\::; :j\ .~ 1'-
LEGAL DESClUPTION (o1!ice use only)
LOT
BLOCK \ ADDmON
PID
OWNER
(Name) DR Ho:rt:on Custom Homes
~one) . 651-454-4663
(Ad~~s) 3459 Washington Dr S~e 204 Eagan, MN 55122
APPUCANT
(Name) CQRZ i..Y2P 1""....1..1'1"18 & };1<>"'i--f....S
(phon~ ~~l_fi?~ 1144
(AdM~S) 14745 So Robert Trail
(Address)
Rosemoun~
(City)
MN
55066
(Zip Code)
A..PP
Type of .
Bath Tub with or without sower
Dishwasher
Floor Drain
Lavatory Bathroom Sink)
Laundry Tray (1 or 2 compartment sink
Shower Stall
Sinks
Bar Sink
. Water Closet (Toilet
(Phone)
D1
(Contac;:t Person)
Ai'PUCANT SIGNATURE
DATE
Quantity
'J-
,
I
Type offuture
Rough-ins
ater Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commucial &: Multi-family ] % of job cost with a $39.50 minimum Rl;Sidential, New One &: Two-Family $9950
RC3idclDtial, Additions & Altcntions $3950
EstJInat~d Cost $
Building Permit #
,
fif' ',NI"TI:l_. '\""
,;V fEheJ,ol1
:. '1 .." 6~,G
\j;~)-"" .'
r
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(OfDce UIe O~ly)
This Application Becomes Your Bllilding Permit When Appro:ved
~j
Building Official
.Date
I PQd
Date
j ~;Pt No
"',
24 hOUI" Dotice for all iDspections (95%) 447-9850, fax (9S~) 447-4245
',.
Dec.18,2001 8:44AM
GENZ RVAN PLUMBING AND HEATING
No.8699 p. 3/9
Date Rec'd
CITY ,OF PRIOR LAKE
. ~~:-wER AND WATER PERMIT
~~.~:~rt_~
I AD~~; \ }..ll 'Q[.ri\.~ =r (2 ~\ L.
~ 5'w ~~_I PERMIT NO. 0/-/4-02-1
I ZONING,_..., ]
LEGAL DESCRIPUON (ollke use only)
LOT 1\0 :BLOCK
ADDmON \
Pro
OWNER
(Name) :DR 14........""".... CU8'tOlll }lQ1Ulli7
(Address) 3459 Washington D:r Ste 204
(A~s)
Eagan. MN
(Cit:y)
(phone) '.51-4 5L.. 4~h 3
55122
(Zio Code)
APPLICANT
(N~e) Genz-Ryan Plumb~ng & Heatin~
(PhoD~)
651~423-1144
Rosemount:. MN
(City)
(phone)
PATE
55068
(Zip CadIl)
(Address) 14745 So Rob~rt T:rail
(Address)
"LICAN'T SIGNAlURE
APPLIC EASE COlVIPLETE 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 ~wer and water Jigc connection $35.50 Industrial. Com 'I &: Multi-family 1% of job cost with a $39.50 minimum
Sewer connection ouly $17.50 Water connection only $17.50
Estima.ted Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL p~ FEE
$
$'
$
~\~~~;J(~
l ,s~~~ ~r;:t -
~~~ <<
"
!
/.-
(OfficI: Use Only)
This Application Becomes Y Dllr Bllilding Permit When Approved
r
L-..
BaildiDg Oflicial
D.te
In
0:..
I:~ No.
14 hour notice for all inspedlon$ (952) 447~lJ8S0, fllx (952) 447-4145
".
FIRESIDE CORNER
.............. ... .....,... ..... .......""'~, ....".......~
#2534 P.002/002
...........~... ............ ...
REA TINGI AIR CONDITIONINGIFlREPLACE PERMIT
~~or_",.",,_,
I A.DDRESS ~
. \ ~;- '00\ \fu.e..n~ Ie.
i: =- !;IOInl [ PERMIT NO. 6 /- 14 0 ~
[ ZONING 1""""'1
LEGAL DESCR.J.PTION (olflce u.se Droy)
LOT I6sLOCI< ..?:DDmON
OWNER n \ \ _ "......._
(Name) D~ ~~\;)
PID
-370-016-<
(Phone)
(Address
APPUCANT
(Name) ALLIED FIRESI'DE DBA FIRESIDE CORNEa
(Phone) 651-633-2561
(Address) 2700 N. FAIRV'IEW A~QE
(Addtess)
. BRENDA HUSTON
(Contact Per.lon)
RQSE'JTT.I.E MN'
(City)
(Ph.one) 651-633...2561
~r:;ll':t
(Zip Co~)
APPLICANT SIGNA TIJRE
DATE
~-l \-<.)d-
APPLICANT PLEA COMPLETE BELOW
WCONSTRUCTIC;>N 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL ~ .\oQ,o
FLUE SIZE RETtJRN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWIll'ttI Air Plan~
o Gmvlty
o MechllJliclli
DAlr Condl~oninl
OVenr.. System
FIREPLACE MAKE AND MODEL
~
~ Steom
Hot Wllter
Radiation
o Special Devices
o O~cr Devices
~ l.c~ - ~l-/~-rfZ...-
PLEASE NOTE:
Air Conditioner Units
Cannot Encroacb into
Jlequired Side Yard
Setbacks
lndUSlTial, Commercial 8l. Multi-FlIITli11
FEE SCHEDULE
1% ofjeb cost Residential. Gas fIreplace
539.:50 minimum
$99.50 Residential, AcldltJons 8r. Alteration.
$64.50 RBsidential, AC Onl)'
5139.50
Residential. Hepdng.t Ale (New Consmac1ion)
RC9ldential, Heating Only (New ConstructiDn)
$39.50
$39,50
Estimllted Cost $ Buildfnl Permit #
,.....
~BUr~~i{~G~r~, .
J:::.j IjliJr
~
HEATING PERMIT FEE $
STATE ST..1RCHAAGE S ,SO
TOTAL PERMIT FEE $
(Omrc Vir Only'
This Appl~.tfon Becomes YOI.T BuJJdtng Perm,t When Approved
Bldldfnr Offtdn'
Datil
I PNd
0&:3/1-'-- ~
!~O.
24 hour notice fl)r lIIJ1lnlpedion. ('51) 447~9850, r.. (952) 4474245
P R 10 R LA KE DEPARTMENT OF
'. BUILDING AND INSPECTION
INSPECTION RECORD
SITEADDRESS JI[I:5~ W,'\chM.~~ T'r--~
NATURE OF WORK ~\,J
USE OF BUILDING ~
PERMIT NO. :1{- L ~ DATE ISSUED J 2 - :1 -Q I
CONTRACTOR J> . \::\0 PHONE q6~~G, ...t3~
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 AB
ROUGH - I
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ,eb, 0 1--
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST . ~ F..I>, . ~;;..o N-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I~ /?r co/~4 I
FINALS
GRADING (Prior to Sodding)
BUILDING 1: Q.f) .
ELECTRICAL
PLUMBING
HEATING
DO NOT
7. /7'0z..
€\ - rt- O~
OCCUPY UNTIL ABOVE
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections h~ve be"n 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
TIME ...--'
b -;)l, .- d-- I LJ 5
"
DATE
ADDRESS
/ '1/3"6 U).)Qep~ fJ--L,
OWNER
CONTR.
/- /,-/0 d-,
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATlO~
o FRAMING
o JNSULA TlON
fi FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
~ 0 FIREPLACE RI
'l5I)(FIREPLACE FINAL
o GAS LINE AIR TST
o
f;(!,t), ~ J/I/tJ 1/
o WORK SATISFACTORY, PROCEED
A CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~ I Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYl
lNSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
C-'1.-tJ-GlZ- If:~
ADDRESS
17135' LuIc.."p@UVG::rJ ~
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
COMMENTS:~ ~ ~,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
01- ItfOZ-
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~~.
~~~
'0 WORK SATISFACTORY, PROCEED
Jt!... CORRECT ACTION AND PROCEED
o CORRECT WO CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
:4n-
Jll ~ ~ \tJ~~J..J~~<S 1'f<.fr\!L
CONTR. ~ HO~OA. \
PERMIT NO. 0 l - lj o'"'L
)i(E~/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~ INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
Co(.<. ~t.. .. n ~~
C"up...~60X' (J V-v
5&--r
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR
Inspector:.
Owner/Contr:
R 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
Name of Tester
Date
Job Address
Heating Contractor
Name of Tester
Date
Percent 02
Percent CO
Percent C02
Stack Temp
1// ":JJ i./: tJ. ..,,l.
~ )ru, r ~#eI.(
~\;
'/1.)7./2 ~
/0. {~!n
i1'p"~
I
S' 8- '10
/()'Z ~~
Combustion air is adequately supplied per
UMC Sec. 606 f,J
input (~(Jf)-o J-r'"