HomeMy WebLinkAboutBldg Permit 06-0015
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
White File
Pink City
Yellow Applicant
(Please type or print and si2l1 at bottom)
ADDRESS .
112Di Decrhe1d
7r ivc
LOTto BLOCK \
LEGAL DESCRIPTION (office use only)
ADDITION lKcrfidc
\1Jh
OWNER
(Name)
(Address)
(Phone)
~~~~~Nametj)~ Hnrph I \nc.
(Contact Name) tv1\~/ WO 1m...{~
(Address) 10f?td) 'KevJk7r KAqo rit,-t laD WJ~(>;\/il\c I N~
Date Rec' d
/2., If, 105
I PERMIT NO. 00. 00/5
ZONING (office use)
RZ-
PID 25.4-2.4-. ()(JfD. ()
(Phone) 0)5~ - 4~ 5 -191,
(Phone) ~ -1-w - 41iJ....
55M4
TYPE OF WORK ~ Construction DDeck o Porch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
OAddition o Alteration DUtility Connection
CODE: hdi.R.C. DI.B.c.
Type of ~struction:
Occupancy Group: A B
Division:
o Misc
I
E
III IV
H I
2 3
PROJECT COST IV ALUE
(excluding land)
$ \].{J) rn 1,.,
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 authoflzed agent for the
above-menl1oned propelty 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 can revoke this rmit for Jllst cause FlIIthermore, I hereby agree that the Ctty official or a designee may enter upon the property to perform needed Inspections.
X fl.,oov 5lP 51 12.. 110 J f15
Contractor's License No. ~ate
V
M
4
A
R
5
B
S U
II
F
1
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
'/70, 000, 1)'1)
$ /473, S'D
$95'- 7~
$ ~_ tI 0
$
$
$
$
$
Park Support Fee
SAC
- ~
Water Meter (S"iz(~"5/~I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
100,01)
100. 0 D
.3~,so
'10, ()O
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Paid
Date
71 Cf/, '7~
/ 4--. () {fl
~~
Building Otlicial
/z/z..s/o'S
. Date
# $
# $
$ z.S'O, fJ D
$ SO, 0 0
# $ I<J:"OtJ. 0 0
# $ lOco, 00
$
$
$ f('f1.7e
Ii
RecfNo. SlJ f)J /
By ,/,
d
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
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
iS~ ~ /z/U/trS 1\11 C1l~-n V~lo
Planning Director DlI:te See .ls~~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See IVIain File
White - Building
ca~rv - F eering
<:pin - Planning
BUII.DING PERMIT APPUCATIQN DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L " I / / I .. f /' lij
__.. "-. . / ., ," c.
/-;. // {,--
L. .'~ , '_.
"', ..
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ /'~;- y {/ {/L /f E LL./
/ ,/,/
f-/ -~ .
Accepted
Denied
/'
Accepted With Corrections
Reviewed By:
~
. c,
,.
~
Date: J z.../ z.. 7/0 S-
Comments:
'~llln,n File
See l~
(0'.
"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 lVlain File
Lwbite . Building:)
canary . Engrneering
Pink - Planning
BUILDING PERMIT APPLICATION QEfARTMI;NT CI::IECKLlSr
NAME OF APPLICANT
D. e. HOJeAu rJ
12. /fp '- OS
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
/7508
/
[)661eFf 61-0
()te- .
Accepted With Corrections
Denied
.-;< ~
Reviewed By: ~
~
Date:
/~/'Z-765
/
Comments:
See ~\1ain 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."
ain File
White - Building
rein_ry - ti:nuiWK~Ia.~
prnk' ,. - "1dV'lH-'y
~UILDING pe~"ITAPPlICATION DEPARTMENT CHECKLIST
<~"
NAME OF APPLICANT
APPLlCATfONRECEtVED
D. t!, 1-/O/24ulv
12. 1(P . OS
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7508 06E-fl4C/c LV PI<.-.
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
Comments:
~
~tfl.:", f; it..-
Date:
l2.::-l ~-a.s-
.~~
UThe issuance or granting of a permit or approval of plans, specifications.. and
computatipns shall not be construed to be a permit for, or an approval of, any violafiooof
any..ol,the provision$ of this, code or of any other ordinance of the jurisdiction. Permits
PlltSurmng,~ogjveauthority to violate or cancel the provisions of this code or other
ordimtnees"of,thEijurisdiction shall not be valid~u
01/05/2006 THU 10:28 FAX 952 767 1900 GENZ-RYAN
~ 004/009
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(Please type or print and sign at bottom)
ADDRESS
I. Blue file I PERMIT NO.O" . OOfS' ,
2. Gold City
J. Yollo", Applicant
iI50'i)
Du/r fr'e (d
J).r i'lj e
ZONING (Ofliceuse)
LEGAL DESCRIPTION (office use only)
LOT (/) BLOCK 1 ADDmON Uef/f J-lQ fd f J-{~
. - ~.. ,
OWNER D Ir'\ L1-- ~
(Name) I -< T I UYl ()()
(Address) ~OS(flD +<:CV\\')~1a0f e+ $:.-ft. i(l(')
, APPLICANT ('. _' n
(Name) Clfl1l. - ~LJ ~~ '\
(Address) 21-00 VV. HVv &1 L'3
(Address) )
(Contact Person) 1\J I 'r rJ LP (/J Ir1 r' { 1b1./.L
APPLICANTSIGNATU~ ~~
. U
APPLICANT PLEASE COMPLETE BELOW
Quantity I Type of Fixture I Quantity
I Bath Tub with or without shower i <;
I Dishwasher /
I Floor Drain I? l)lil~IJI1 - i trt
I Lavatory (Bathroom Sink) ,'.' '1
I Laundry Tray (lor 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
PID
(phone) yt:) ,). - q ? t:) - 7 t(( n
LRkt,{/t II f-/ 550'-1 L/
- ,
. (Phone) 1CJ2-/lf7 -- {DDG
BL'{tlt1 ~V d ff_, M N %337
(City) (Zip Code)
(phone) ij ,5J - 76 7 - I <;?L/ '7
DATE -1/5LQ.C?
Type of Fixture
I
(
.~)
i
j
I
?-
Rough-ins
I Water Heater
Water Softner
Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
~
FEES\,.;.I;:U!;DULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
(Office Use Only)
This Application Becomes Your Building Permit When Approved
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50 PAID WITH
.... ~BUlLDlt-.G PERMIT
Paid
Building Official
Date
!
i
\
fA~ 0 9 2006 t-, \1 By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
01/05/2006 THU 10:28 FAX 952 767 1900 GENZ-RYAN
~ 005/009
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
(Please t\;De or olint and sign at bottom)
ADDRESS
i 1J7()"t;, f)p ~Ar f/.p /d f)v iVf_
LEGAL DESCRIPTION (office use only)
LOT 0 BLOCK ADDITION 'De&(' f;'t fd lOti,
OWNER D'I:J \ ~'('to-
(Name) ./ ,-<;, 'l ( ; \' I }~
(Address) d{)K( IJt) \~CVI \f)ltiCtOC: (;t, stClto
(Address) .J
i: =w ~;; PERMIT NO.A~_.. AA I~ .
3. Gold Appli..... ~
ZONING (Office use)
Pill
(Phone) Q5'J.- Cff5 -/~ti)
L)l)OJ;t'f {(/ 5fjOLJ Lj
(City) (Zip Code)
, APPLICANT (1 12 .
(Name) t:l.Li1l- 1.1 a III
'N I
/] .,,, i 1 .
(Address) L,4JfJ \ . ~ 1,3
(Address)
(COnlactp,,,oolNI(O!..a- !,..In I'ti . .
"JLICANT SIGNATURE f)~ '~'1-
, (J
APPLICANT PLEASE COMPLETE BELOW
(phone) ~N?2 - 7 If! - ({)DO
B14 ffjlJ S' V / I r-tr ~f\fi r:;;337
(City) (Zip Code)
(Phone) o/J7d" - 7h '7..lgQ?
lis/of::,
DATE
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 Industrial, Com'] & Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $] 7.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50 PAID WITH
~UILDING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
",
Paiq
Recei t No,
Building Official
Date
Ii:: D~ 0 9 2006
L-iL
24 hour notice for all inspections (952) 44 z,,9850, fax (952) 447-4245
L[)Y.'- _:..........~... .
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~:ir~~n ~~~ PERMITNO~. 00'5
3 . Yellow Applicant , 4
(Please type or print and siJUl at bottom)
ADDRESS
17508 DEERFIELD DRIVE SE
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
OWNER
(Name D.R. HORTON
(Phone)
(Address)
APPLICANT
(Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone)
2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BREND-!I HUSTON
DATE
ZONING (office use)
PID
651-633-
_55113
(Zip Code)
2/28/06
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
HEAT N GLO SL-750
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Industrial, Commercial & Multi-Family
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
Building Permit #
$
$
$
.50
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
~so
@~
/.
/'
Paid ~ I Receipt NO~
~. 2.Gb I By
.;
This Application Becomes Your Building Permit When Approved
Buildin!!: Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
<E~~~teci,Cost $ .
Bu~ldirig ~e!ID.it # .
....
" .
. HEA'I'lNG PERMiT FEE
STATE StJRCHARGE
. TOTAL PERMIT FEE
$JD^,~~D\^!rT.H.', -.
r, .',,' S{!JILDING ~ERMIT
(Office Use Only)
TliisAppUcation Bec,o.iri~s'Your B.ulIding Permit When Approved.
Building Official
'Paid
Receipt No. ,
Date
: IM~R 0 1 2006 I. By
. .. 24 hour notice for all inspections (952) 447-9~50. fax (952) 4474245 .
MAR-14-2006(TIJE)
1,),,>:'
'- . '::""..J
F', 001/001
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'. .:. STATE StJRCHARGE
'. TOTAL' P~RMlT FEE
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(omte U~e Only).
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i'~1 IfJ~R 0 1 2006 'I J Ii By
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. , '2.. h~ur notice for "II i",p~ctiolU (952) 4~;,;;,!~~~~~~.X(9S:) 44?-424? _~; ~..'
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, ....
. 'TI;IS:Ap~licatlon ~.e,~t?,iri.~::Y.~~~ ~u'-lding Permit When Approved'
I"! I.'~ Il\}
Receipt No.
PRIOR LAKE
INSPECTION RECORD
DEPARTMENTOFSee Main File
BUILDING AND INSPECTION
SITE ADDRESS J7S08 1)Eat..FIE""LO _ D~,\JE . _
NATURE OF WORK ~ (.O~~""OH Wjlw.'t- L.L. Filli~"
USE OF BUILDING ..s; FiA . .
PERMIT NO. o&:. oQl~ DATE ISSUED ''''(''''''1.$ -
CONTRACTOR 1),Q... HOC....., L~C. · PHON~... 2"'''.~
J
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR J:1ATE.
I FOOTING I ft~ I ~ q/b6 I
,II .,
I FOUNDATION (Prior to Backfill) (ll'rr ~....1jUl".(1 ~ L ;j-=t~ ~ / O~~
PLACE NO CONCRETE/UNTIL ABOVE HAs BEEN SIGN'ED
ROUGH - INS
SEWER I WATER I SEPTIC ~ / /U/:r6,
FRAMING ?It.N. ~.#9' A1"
INSULATION 7,vr J/lt~k
ELECTRICAL _ . ., Jpcft6
PLUMBING (J,~. /I#f gf/~ )jff- J//~b
HEATING (if required) ~d J//'/o6
FIREPLACE / ~ /r~ J//r~6/'
GAS LINE AIR TEST ,,/Ibrz .f r /~ )ttY- 3/q /6~
, <
CO":ER NO WORK UNTIL ABOVE HAS BEEN SIG~EDI
tJlc7Wc I H'IiKIAJAA1I I ~. I J,h~/U,
, FINALS.~.-'
GRADING (Prior to Soddin~l. ~ e ~, A h /~ /
BUILDING ~ S-~p~
ELEC"tRICAL -.. I Y;/...u/~
PLUMBING /M I '//.J.'YOf)
HEATING ,~ I -0 ftb
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
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
<tterfifirafe of @rrupanru
CITY OF PRIOR LAKE
~tflatfmtnf nf ~uil~ing JInSflttfinn
~inal Permitted n Conditional C.O. Expires '
. This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D 1nternational
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 ..5/;v'G Lt;. ,L"j/lrJ I L- Y Bldg. Permit No. O~, (; 0 IS"'
Occupancy Type 1:::.:: Type Construction V AI Zoning District ;::: Z-
,
"
Legal Description
L&, LJ II
D6C/?fC16~O /2- TIt
Site Address /7!:;)Vb D6E)LI)t;;;l-O {)(2.......'
Owner of Building
Contractor's Name & Address D. /C. 1-161<.. IV ,
/2tJI;'t:.7t,7,{), JlV7C/71NS
S~ ~j~ffiCial
t' F
JfIN[. Ullvf/6K-
Date:
Date:
ADDRESS
/ ?3?;J~
~~ TillE
SCHEDULED JJv'~
Aer /4// /1r
't..
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
t< - /.5-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..,...IH1RAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
.,...a-MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
~PLACE FINAL
o GASLlNE AIR TST
o
CQMMENT~ /' r-: -
p~c(//C7:/ r-zk /
//
~~~
,
/ '" - ...
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~~r&~~: . c'r.rca. //
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4'
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qC
r~ / _/<
~ ,,/?~~,. C/hC /'
~~-&::.L-cI,/ ~f'~ c0L~";,~,
,f'.~t-",llc T ,,<;~~ (_~~
o WORK SATISFACTORY, PROCEED
~T ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ..-----o:;;;er/Contr:
/
y~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
/NSNOTI
SCHEDULED 7:2~~IME
paeA;/ LJ,
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/7J-OY
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
o WATER HOOKUP
o SEWER HOOKUP
~MBING FINAL
o MECH FINAL
COMMENTS:
.# /
// ~ 4041' 't? / / "..,....-
('t/ ~
~
7 ~.
r-/ /1~..
/
/
/
/
6,-/S-
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ //'
/"e// ~
I
~L
///L,
~.SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FO INSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
/ ,
9ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor ~~ ~
Name of Tester ~ .
Date 5'//h~
,
Job Address /75'0 X ~
Heat;n. Cont..cto, ~./ f<
Name of Tester
~J//d~ '
13. "2'~
~~A^,
, ~ y-?",
3 2-2- ' ,c-
Date
Percent 02
Percent CO
Percent C02
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606
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