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Home My WebLink AboutBldg Permit 05-1046 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE SAND l1lI!JTY CONNECTION PERMIT ee IVlain File I. White File PERMIT NO. 0'./ 04-i(p 2. Pink City 3 . Yellow Applicant (Please type or print and sign at bottom) ADDRESS 1'144g ~cJ (Jr.1:E ZONING (office use) LEGAL DESCRIPTION (office use only) LOT G..BLOCK I ADDITION ~ I'd- 'ft., OWNER (Name) PIDZS. J- z4'. O(Jt.-. cJ (Phone) (Address) BUlLDE~() (Name)~1 J~ (Contact N (Address) (Phone) q& ,.q ~- ~ <6J...~ (Phone)850-~..qrl~ o Misc. ,. e... c.. , ~ Construction ~ower Level Finish ]SlDeck o Porch ORe-Roofing ORe-Siding TYPE OF WORK I) Fireplace OAddition OAlteration PROJECT COST IV ALUE (excluding land) $ /15/1.2:(:) 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 the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter on the ~7I~ns. ~67 Qr-/(t1r-D5 Signature Contractor's License No. Date Permit Valuation 'I, ~(). OO(), 00 I Park Support Fee # $ Permit Fee $ /'/73. s-o I SAC # $ /1so.()(J -- I Plan Check Fee $ ~~7. 7? I WaterMeter~ize S/~l"; $ ci)~d."O I State Surcharge $ S's. ~ 0 Pressure Reducer $ Sa."" I Penalty $ City SAC and WAC # $ /'StJO. t1 tJ I Plumbing Permit Fee $ 10 t!J. tJ tJ Water Tower Fee # $/OO8..fJt) Mechanical Permit Fee $ lOt)" ()d I Builder's Deposit $ Sewer & Water Permit Fee $ 3'5: 5"0 lather $ I Gas Fireplace Permit Fee $ Y'O.l)(J I TOTAL DUE $ 704*/.1'11 - , ~ II This Application Becomes Your Building Permit When Approved I Paid 7~'" /. 7 r Rece;t,tNo. J ().J2L, ~ ~ /0/-=>(05 I Date /4~/1/. 6r' 7f Building Official , Date 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 ~~;~ PO;:' -"'C""7;h-;;'~Wd-'=-See1\faiii'~lle="'" =.~ Planning Director ( Date Special Conditions, if any 24 hour notice for all inspections (952) 447-9g50, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 /' See Main File G,White . Bulldinj) t..:anary~ t:ngineering Pink . Planning BUILDING PeRMIT APPLICATION DE.eART~NT CHECKLIST NAME OF APPLICANT D. If?. H()!2. TDN APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 174-CfP; f)66R-F/6LO [)(L . I Accepted / Accepted With Corrections Denied Reviewed By: ~ ,n ~ Date: / l) Is-idS"" Comments: "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 - Building ~rv - Enclineerlng ~ - Plannl~ , BUILDING PEmIIIT APPUCATIONDEP,ARTMENT CHECKLIST .. NAME OF APPLICANT APPLICATION RECEIVED f,~' . I I ( T .~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 171.1/ rJ f i [ L 0 I) / C . / ~ Accepted Accepted With Corrections 't Denied Rev.iewed By: ~ ,... ~ Date: Jc1/S-#5 -'4 Comments: See Main-We t. ~ "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." White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLlC,ATION DEfARTII.teNT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED D. Ie". I/o/c -rr:/.,,/ Reviewed By: /J/J4Il.. -- ~e-~ /...... P:;' It:-. Date: /C)-1]~S- Comments: 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 10/31/2005 MON 9:53 FAX 952 767 1900 GENZ-RYAN 14J 003/008 /--- Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT (Pleue we or 'Print md si2ll at :. w"""'",) . ADDRESS (} ./1 /I !17L-/Cff( I/e1rn'fJ/d Ovi v'C ~ ~ ~ I PERMIT NO.r' I~ J. Gold AppIIOln. ~ . ZONING (office use) LEGAL DESCRIPTION (office use only) LOT~LOCK J ADDmON Deahel[1 Idlli PID &:R DR \+DV+Of) (phone) q5~-- Qx-5 -/~Ct) (Address) :J()0, O() keVI \f)V\CIOC ~. '5tc lto C-OJC!lJlf/r I55QYLI . (Address) J (City~ (Zip Code) ~~~ANT ~l1a1.~ !2i1 a III (phone) I1Vj2 - 71f1-- IOoD (Address) l1J)() W. 81/\1 I j I?) B1A ftil/ S. Vii !-t" rv\N (7:;33 7_ , l (Address) ~ (City) (Zip Code) (Contact Person) . < I in . (phone) q5~r7{iJl" [(Jj) ~ ;LICANTSIGNATUREL!111J1 1~J/U)j)ltl DATE 1()/Si/iP 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. lI'EJj; S\,;.tLIiiDULE 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 (Office Use Only) I This Application Becomes Your Building Permit When Approved Paid Receipt No. ~ Date By Building Omclal Date 14 hour notice for all inspections (951) 447-9850, fax (952) 447-4145 FAX 952 767 1900 GENZ-RYAN ~ 004/008 Date Ree'd CITY OF PRIOR LAKE PLUMBlNG PERMIT r (please ~ or print and sign at b~"M..) ADDRESS / rJ ~/Cjg I. Ill.e fll. 2. Gold Chy 3. Yellow AppliClRl PERl\'llT lSO'5JIJ!/IJ ZONING (office use) LEGAL DESCRIPTION (office use only) LOT O\BLOCK J ADDITION {)eerl1.pJ!c/ ~1v[ O-eerti tJl d I.dt1J PID &=~ D 17 -rtvvlon (Address) ().,O~UO kcv,b~'1 (lOre (0.* ~ ~t. !(j(j . , ..; . APPLICANT (1_ n I (Name) C1~ - ~JaV\ (Address) 211).0 VV . HLv fA "-3 P>lA.tlJ1 ~v j - ( if,. M N ~:IJ6-:J7 ) . (Addresb ) . . (City) '. . . (~ip Code) (Contact Penon) ~<'I m . ~v1118 1 . , (P/IDrre/f57r707-IQ!! APPLICANT SIGNATURE i 9S//j}(,~ MOilALf!;7 DATE ((12>/10.:> "'-"'" _..J.___ . '- ' (phone) C1t=).~ - q q~-7 fry, L,.Oj<fVI II f, 5:'5D L/ L~ - . . (phone) qc:iu,l.ti1 ... (ODO .---. APPLICANT PLEASE COMPLETE BELOW Quantity I Type of Fixture I Quantity I l Bath Tub with or without shower I ~ 1 I Dishwasher I I f Floor Drain I I ~ Lavatory (Bathroom Sink) I I i I Laundry Tray (lor 2 compartment sink I I I Shower Stall I I I Sinks I I Bar Sink I h2.. I Water Closet (Toilet) I Type of Fixture Rough-ins I Water Heater I Water Softner I Stand Pipe (Washing Machine) I Sewage Ejector A I Backflow Assembly I Backflow Assembly Test I Lawn Sprinkler I Other .l'J!,J!, SCHEDutE Industria~ 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 (Office Use Only) I This Application Becomes Your Building Permit When Approved Paid Receipt No. ,.--- Date By Building Official Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd 1. Pink 2. Green 3. Yellow ~:~y I PERMITNO.~ ~~ Apphcant ~ .. I ~ (Please type or print and sign at bottom) ADDRESS 17498 DEERFIELD DRIVE SE LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION OWNER (Name DR HORTON (Phone) (Address) APPLICANT (Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone) 2561 (Address) 2700 NORTH FAIRVIEW AVENUE (Address) ROSEVILLE (City) (Contact Person) BRENDA HUSTON (Phone) 651-633-2561 APPLICANT SIGNATURE BRENDA HUSTON DATE ZONING (office use) PID 651-633- 55113 (Zip Code) 1/16/06 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM DWarm Air Plants DGravity D Mechanical DAir Conditioning DVent. System INPUT HEATING OR POWER PLANT D Steam D Hot Water D Radiation D Special Devices D Other Devices FIREPLACE MAKE AND MODEL HEAT N GLO SL-750TR-D FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only Industrial, Commercial & Multi-Family Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) Estimated Cost $ REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50 PAID WITH BUILDING PERMIT (Office Use Only) This Application Becomes Your Building Permit When Approved 1.-.... =-~ ~;t'M9 ~:~.--i.-.'n , I; ~ ! l" I.LJ I" ! I ~ t. . '\ Date i Buildinl! Official Date I', \..11\' ~ 1 9--2Dnh Ii · \_\~ -,I I 24 hour notice for all inspections (952) 147-9850, fax (952) 447-4245: 1',") '1--n. __oj OUTPUT PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks $39.50 $39.50 $39.50 Receipt ff. By I ~ , ,.. V . ,~~5l9. . ';I>ate':R~c'd ", :.:. ';:'.':.". ..".'. ',.,:' :", . . . - , Resid~iiiii;Additions &. AlteratiOl~s Re~ideniiaf; AC O"ly . . (Office Use Only) HEATINGPERNrrTFEE . ... STATE SURCHARGE . TOTAL PERMIT FEE Buildirig p'emiit # . .~J.0~liAID\NllH... . $. . BUILDING PERMIT This Application BecomtsYluJr Building Permit When Approved. '-,,\lfijdW I l..-':::; , . , Receipt ~o. I Building OffiCial .. : ,. iDate;. ! i : JAN J 9 2006 _f' '.f . . 1!.....Jt....'. . .. 24 hour notice for all inspections (952) 44'f9850; fax (952) 447-4245 . @}: :: ._~ ~ -. Date By 0' J PRIOR LAKE , INSPECTION RECORD . . SITE ADDRESS J 7"1'1 r l)t-i;/l..FICUJ J)~/K s: C'. NATURE OF WORK ~ CtfMlSr/&Ud)JJ,) (,.,,/ ,.1., FiI'l'.lIIQJ) USE OF BUILDING S; F:"A . . .. . PERMIT NO. OS: /04(;, DATE ISSUED .III/s;t;;S" CONTRACTOR I),fl. HdtQ81J . PHONE -Z't. -1fZl~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT M. ~".l DEPARTMENT OF See aID I e BUILDING AND INSPECTION l FOOTING I 1NSM- I / / /f7:5 ( ~ l FOUNDATION (Prior to Backfill~~~J~~ ~ ///~t- JI:If. WI/OJ ~, PLACE NO CONCRE"r'E UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER/WATER/SEPTIC .~ /1/~/o.5 FRAMING ~. //Z7~,6 INSULATION j/~ IIJI/6l~ ELECTRICAL ~ .. I // ~~ PLUMBING U,U. /IIId I J{/of" pr 1/,24/,06 HEATING (if required) #t1-, / J.J/o{, FIREPLACE , ~-- '$ ?/O-6 GAS LINE AIR TEST )/t"A ff:(~ #LF I/~/ob COYER NO WORK UNTIL A~pVE HAS B~E~ SIGNED It,.rHE / /'fd/l$~~ Ibft/ ; ~ .-j//'/?f~ , FINALS ,...,~ ~~e ~t'~ ~1 ~ , ~ -s7~ :! /1 file- J>/! /~-{) . .f/ -uP,' \ BEEN SIGNED .. GRADING (Prior to Sodding) .. BUILDIN~ , ELECTRICAL PLUMBING HEATING DO NOT OCCUpy /Jf#- I ".tt:Pt UNTIL ABOVE HAS 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 Ql~rfifiraf~ of (f)rrnpanry CITY OF PRIOR LAKE ~tpatfmtnf of ~uilbing Jlnspttfinn ;m;inal Pennitted D Conditional C.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/NG L-e; ;::-.-.11"'111.- j Bldg. Permit No. (;~. I Q4-ft- L.... ?, VN /../ '7 Occupancy Type r- -- Type Construction_ Zoning District /. ~ '-- { '.". . . ~.,.... I. f Legal Description ~ Z: If / Owner of Building UtE/~ I€. L V /2 77-1 Site Address I 74- ? ~ u C6/e./' /6 W V IC- Contractor's Name & Address D. Ii... 1-/ Ole... 72J;...J D,m r~~Offici&~ / #' _ City Planner_ Date: j CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS /7 {/9r OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~L . 0 SITE INSPECTION C?~ENljS: ~~l'7';~;"'.a. / _~ TIME SCHEDULED ~~~ /JeedZl"d ~ CONTR. PERMIT NO. ~- /&'~, o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o ~MBING FINAL ..,.B"MECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ~/ 4 /' .... ~,.,A. .h-~/ _ k,.,~ i-L"~~ / {-::.)rr-c_~ .fh~ to - - ~A.~ t7ecrr . - ~ / /7~ c:;-/ , /' c?J{c ----- - ~ .~ / ~/ ~7 "'\ ( ,- /~.e /? /-e- ) ~' '-...... - WORK SATISr-A~. PROCEED o ORRECT ACTION AND PROCEED =CT~RSNS:"::FORECOVERING , -- CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ INSIIOn ADDRESS /7'11rf DATE SCHEDULED ~~ &erMU /J~ TIllE CITY OF PRIOR LAKE INSPECTION NOTICE OWNER CONTR. PHONE NO. PERMIT NO. ~ -/tJ'16 [J FOOTING [J FOUNDATION [J FRAMING [J INSULATION [J FINAL [J SITE INSPECTION [J PLUMBING RI o MECH RI [J WATER HOOKUP [J SEWER HOOKUP .A!P"'JSLUMBING FINAL [J MECH FINAL [J EXIGRADIFILLING o COMPLAINT [J FIREPLACE RI [J FIREPLACE FINAL [J GASLINE AIR TST [J COMMENTS: ~ /' ~ / //~/C/.-.6;y /~ / J~/ ~.../' rr _ 72- ./ K6/'LR ~t/ VT~ /r'u./ ~ /, L-//~ .J' ~ ~~ / ~ /' { ~/ C-/ ( \...., ~~ATISFACTORY. PROCEED [J CORRECT ACTION AND PROCEED [J CORRECT we F, 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! . APPLIANCE PERFORMANCE TEST Attach to gas line adjacent to regulator Heating Contractor .ALJ;.;r- ~ Name of Tester t" ~ Date '3/' ~ !fJ' Percent CO2 Job Address 1M$' t~fJ,JJ ~ Heating Contractor ~ . Name of Tester Cl.. ~ >- - . "1/ flit) , \~.c.& -(&/1 .3./,<;" t!> ; Date Percent 02 Percent CO Stack Temp Combustion air is adequately supplied per UMC Sec. 606 y~~ input 1h9.LfJdJ &lv .