HomeMy WebLinkAboutBldg Permit 01-1367
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/7 () 5" bU,lJ.eKflRA<J -r~1 i
LEGAL DESCRIPTION (office use only)
LOT /q BLOCK I
ADDITION
I OWNER
(Name)
(Address)
~l!r-hJ V
Date Rec'd
JI-//1'tJ(
I PERMIT NO. 01- ('3h7 I
I. White File
2. Pink City
3. Vellow Applicant
PID
(Phone)
TYPE OF WORK
)zfNew Construction
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $ /
o Misc.
o Deck
ZONING (office use)
5-370-011-
(Phone) ~D6 - 7J)of!
(Phone) 9SJ-"~;y, -I?>~<I
o Porch
ORe-Roofing
ORe-Siding
.(
OAddition
OAlteration
OUtiIity 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 constroction 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 upo property to,..perfo eded inspections.
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Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
omes Your Building Permit When Approved
.if "30 -of
Date
dlJOb5lt67
Contractor's License No.
Park Support Fee
SAC
#
#
/~/,} 7 if!
I~: Jlttt1-~
372.83
I ~~ 4/104-'
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
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Da ~ ~itionS,ifaliy
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Water Meter Si e 5/ ; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
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Ql;:: '1I!i1~n~ 7
Canary - Engineering
Pink - Planning
Th. ('.n... of th. Lob Country
BUILDING PERMIT APPUGA'tION\DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'7) 7( tio vtb,J
II-d '7-0/
~.; ~~iidi~.~~iJ'eri~g. ~~~, Pi.tnnlng b~6a~!!nfs1have reviewed the building permit
appUcation .tor GpnAtrlACtion activ~y which is proposed at:
. . #llfj;?q5' W~~J/L~
Accepted
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Accepted With Corrections
~'......
.~
Denied
~ ....,....
Reviewed By:
,54M
Date: ~Ol
Comments: See Reverse Side for Additional Information!
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See Anachments: 1) Grading Plan, 2) Erosion Control Measures ~
3) Erosion ControLelan .
"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."
.... ' '~~.. j.'
Thf ('f. If' 01 thf t.kf ('oonlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
. '''., "'j'"
NAME OF APPLICANT
L./' 1\~'f'.1 () ;,. t~ 6 ,,)
11- c/ 17-0/
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
""" /J ~/J _ ' 1
/ '7 () C; (:; ~J -"'-.K (t.e>t/'rLJ1J.~c-;/>7 '
Accepted With Corrections
~
Accepted
Date:
t~/s /0 I
'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 othe
ordinances of the jurisdiction shall not be valid."
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
~. ~~~w Jl~ic.ntl PERMIT NO. OeJ3(P 71
ZONING (office use)
'11JA~ V\J i \ ol-er nes S J( SE
LEGAL DESCRIPTION (office use only)
LOT l~ BLOCK \ ADDITION
PID
OWNER ~ ----:>
(Name) L). K. (Phone)
(Address) :J5 0 J.jJ.j
~
APPLICANT
(Contact Person) ~ e.. r r
APPLICANT SIGNA TV
(Phone) u5/- ~ 561- 6? 7'75
[CAQ1Qn 66/0l~
(C~) (ZIp Code)
(Phone) X c2.0 I
~I
lXINEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL ~r'jo.t\-r 9~% FUEL ~OJ. Gq~
FLUE SIZE o? Y2- pvL RETURN OPENINGS INPUT /tl?,t'O () OUTPUT 80, 0'-9-0
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarrI:! Air Plants o Steam PLEASE NOTE:
o Gravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
8lAir Conditioning o Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE MAKEAND MODEL
APPLICANT PLEASE COMPLETE BELOW
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ 1000. (}-D
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
,...... 1'1'\0 W\~_:,:
.~iU\UJ~NG P '..
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
I Pmd
Date
I ::eeiP' No
l
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~
..... J...
".c
16:34 651 633 8884 _......... _p~E..s..!P~_C2.0!,I;!~~_ #1521 p.005/006
IlEA TING/AIR CONDITIONINGIFJREPLACE PERMIT
7A.. ~ .re.
~:=- ~:.,_I PERMITNO.OJ-/3~7l
I ZONlNG(-~ I
~:~_n"E.~
I ADDRESS /70 'ls: _ J;:(Jl.uLCI
LBGAL DESCRJPTION (Dlftel!l UN cmly)
LOT BLOCK
ADDITION
PID
I~=~ 7>12 ;/.~
(Address)
(Phone)
APPLICANT
(Namt) ALLIED FIimSIDE DBA FIRESIDE CORNE:R
(Address) 2700 N. FAIRVIEW AVENUE
(AddJ'fln)
(C . p ) BItENCA HUS'l'ON
ontac:t 1:J'30"
(phone) 651-63:3-2561
APPLICANT SIGNATURE '
ROS~,.1 .!.E {?l
(CIty)
(phone) e.Sl-633-2561
DATE
1:;1:;1 1 ~
(Zip Code)
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
'IYPB OF SYSTEM HBATING OR POWER PLANT
CJSte8IJ1
D Hoe WatDr
o Ra.diati01l
B Spr:claJ Oevjces
Other Devices
DWflIm Air Plants
DGravi1:y
B Mechanical .
Air Candltioning
Vent. System
PLEASE NOTE:
Air Conditil:mer Units
Canaot Encroach into
P.equ/red. Side YanI
Sctbaacks
FIREPLACE MAK2 AND MODEL
6.
~
[/ldustrial. Commercial &: Multl.PlIftllly
FEE9CHEDVLE
1 % of Jpb cost Itcsld~tl.l, Ou firepJace
$39,50 mt.n.lrnllm
$99.50 RlIls/dentillJ, Addldons &:. AltIIlra1lons
564.50 Rellidelltial, AC Only
$39.50
539.50
$39.'0
bsidentiaJ, Hcatlna &:. AlC (New Con8bu.cdml)
Raidm1.ti.I, HlIuing Only ('New Construction)
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE S
01- /3&7
~,..\OW\\\--\ ,..-
ft\ '\\..O\tlG pERiJI\ \
.50 pv
Estimated Cost $ Building Pennit #
(Onll:e rJ.~ On!)')
Thill ^ppll~tIOll. Deco...... Your BalJdlnl Permit Wilen Approved
Dire
8ulldlnl omd,"
2,4 htur notice for 1Illln.pecttonl (95%) 447-9850, ru <"2) 447.....345
1 : 59PM
GENZ RVAN PLUMBING AND HEATING
No.7996 P, 4/21
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
\
I~~~:r;~ei~'~~'
I BIu. l'ilo
:l. GoI4 Cit;y
3. 1101.... ;.p,I1_
I PERMIT NO. 01' t'M17'
I
ZONIN'G (oIJiQWC)
LEGAL DESCRIPTION (o1lic~ U$C ouly)
LOT BLOCK I ADDITION
PID ~5~ 370-- 0 Ie;-
OWNER
~~~ DR Horton Cus~om Homes
(phone) 651-454-4663
(Ad~s) 3459 Washingcon Dr Ste 204 Eagan. MN 55122
. APPLICANT
(Nalnc) G.,...."-Fy'" 1?1t1;lJl'bi:g.g ~ U''i',HnS
(A~~s) 14745 So Rober~ Trail
(Address)
(phone) h'i1-471. 11t.t.
Rosemount MN
(City)
55068
(Zip Code)
(Contact Person) Ma
(phone)
651-423-1144
APPLICANT SIGNATURE
DATE
SE COMPLETE BELOW
QUBUtity Type of F~tul"e
Rough-ins
W atcr Heater
Wa.ter So&er
Stand Pipe (Washing Machine)
Sewage Ejector
Bacldlow Assembly
Backflow Assembly Test
Lawn S~er
Other
FEE SCHEDULE
Industrial, Commerctal &. Multl-famiJy 1% of Job CDst with a $39.50 minimum Residenual. New One &:. Two~Family $99...50
Residential, Additions &:. Alterations $39,..50
Estunated Cost $
Building Per.mrt #
PLm.1BING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
~~~t~'}H
___ ERMJr
(Offite Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
-'G-d-.
:By
B~diDg Oftidal
D.~
24 hour 1I.otice for all inspKtions (952) 4'7~9850, fax (951) 447-4145
Dec.10.2001 2:00PM
GENZ RVAN PLUMBING AND HEATING
No.7996 p. 5/21
Date Rec'd
CITY .OF PRIOR LAKE
SEWER AND WATER PERMIT
se
~. =.. ~~'. I PERMIT NO. Df-I?. ~1 I
3. 0..14 Appl_ ~
I ZONlNG(__J I
I~~;~;:~D De
LEGAL DESCRIPTION (office use DJlly)
LOT
ADDmON
PID~5"', 70- bl1
OWNER
(Name) p~ BOr~gR C1.![:'1;QJa W9m-'"
(phone) oS-1-45L..-4';~':l.
Eagan, MN 55122
(City) (ZiP Code)
(Address) 3459 Washington Dr Ste 204
(Address)
APPliCANT
(N~~ Genz-Ryan Plumb~ng & Hea~1ng
(phone) 651-423-1144
(Address) 14745 So Robert Trail
(Ad.dte3s) 1
I
Rosemount. MN 55068
(Oty) (Zip Co~)
(Phone:)
TE
(Contact Person) Ma
ASE CO:MPLETE BELOW
Size of water service inches_
Location of any couplings from stnlcture 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.
ReSldent181 sewer IIJ;l.d water Hne connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, COJ;J;l.'! & Multi-family 1% of job cost with a $39..50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Buildmg Pennit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE .
TOTAL PERMIT FEE
$
$'
$
.50
r
~UIt:fjW W![i~1
G Pl::.iI1"ViJT
(Office:: VIC Ollly)
This AppUation Becomes Yau.- Building Penuit WheD' Approve~
I-
lIulldba8 omcisa
Date
t:
."3--~- ~
l:;O
L-
:24 hour Dotiell! fur aU h.spectloas (~) 447-9850, fo: (95%) 4474245
PRIOR LAKE DEPARTMENT OF
, ' BUILDING AND INSPECTION
INSPECTION RECORD
\...~1
SITE ADDRESS J!16js W I' (J.-e.r-(\~~~ It.
NATURE OF WORK -JJeuJ
USE OF BUILDING~F
PERMIT NO. -.fR.::'L DATE ISSUED 1\ - ~() -of
CONTRACTOR -. --=r~ PHONE..J.l-~-O{
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) ~ 0
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING lA. L-.
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~ci f=7 Pc
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I~L/~ 4~ d/~JJ I ~ -~. 'f';)'fiJ"l-
~ FINALS
GRADING (Prior to Sodding) G /;
BUILDING r. C.O . ~ I z..
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HA
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 additionf
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
,........, ,t';..i '/i./'.'
QLtrtifuau of ODcrupanry
CITY OF PRIOR LAKE
1atpartment ofJluilbing In'pettion
)14 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 issuance this structure was in compliance with the various ordi1fQ1lCes. of the
City of prior lAJce regulating building construction or use. For the following:
SINGLE FAMILY
Use C1usificaliOP
Bldg. Permit No.
01-1367
0ccupIncy Type R3
Type Construction
VN 1 if Fire Zorre N / A
Zoning District R1 SD
LepI Description L 19, B 1, DEERFI ELD
Owner of Building Site Address 1 7095
D.R. HORTON, 20860 KENBRIDGE CT.,
ContractOr's Name a: Address
ROBERT D. HUT.CHINS ~City~
Buildin Official
b 1;) LI/ () l,- Date:
POST IN A CONSPICUOUS PLACE
WILDERNESS TRAIL
SUITE 100, LAKEVILLE
DON RYE
Date:
~-Z'{d2- A.:r:
/7()95 fv'10{)@2N6S..5' ~/v
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
DATE TIME
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
SOD/r;eo~
/
COMMENTS:
01-/3''1
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~. J:(f~~,
P WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~LL FOR REINSPECTION BEFORE COVERING
Inspector: 4' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TillE
C -/$ ~Z-
PHONE NO.
/7C>c;6 W, '/oIe~IJ~S5 -,;
CONTR. D. R. fk;rfol1
PERMIT NO. 0' ~ 1367
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
iX.f!.NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Gh:it~ -t!) {(
Cv tIo &> .,c,-O ~
!'rrT
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
,nspecto4~ ..... Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSliOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
TIME ~
...5.-/0.... ~ IO~~
DATE
SCHEDULED
,
ADDRESS
/7tJerr;- f{)~~/V
OWNER
CONTR.
PHONE NO.
PERMIT NO.
I-/~ fa 7
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING @ 0 WATER HOOKUP
o INSULA TIO ..\ 0 SEWER HOOKUP
,...;8(FINAL ,.. ~PLUMBING FINAL
o SITE INSPECTION ~MECH FINAL
.
COMMENT
o EXlGRADfFILLlNG
o COMPLAINT
o FIREPLACE RI
~FIREPLACE FINAL
'Ctf GASLlNE AIR TST
o
~
'-
T~ ~ r 0, {;Ji 'iI, l ~ .:!.-
(--tf
8--.~ QG~~
o WORK SATISFACTORY, PROCEED
-r CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR 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!
INSNOTl
,
/
/
5/'/1)1- /tJ:3o
tJ~ <-. - ~ Tk.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/749s-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
~ 0 WATER HOOKUP
o SEWER HOOKUP
~ PLUMBING FINAL
o MECH FINAL
DATE TIME
01 -/3' "7
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:~
~ ~ O~1 -~
yv~ U-
~~~
'l!bWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InspedO" ~ ( Qwne,lContc
CALL 447-9850 R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSlVOTI
.
',---",
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Date
~
=A=
Heating Contractor
Name of Tester
Job Address
Heating Contractor
Name of Tester
Date
Percent 02
Percent CO
Percent C02
Stack Temp
Combustion air is adequately 3j~ied per
UMC Sec. 606 ~
input ~