HomeMy WebLinkAboutBldg Permit 06-0016
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/z./(p.OS
See rVlain }~ile
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. o~. 00/& I
(Please type or print and siltn at bottom)
ADDRESS
11S-ID ()PO~~ Dri\t,
ZONING (office use)
~2-
LEGAL DESCRIPTION (office use only)
LOT1 BLOCK I ADDITION (eur,flb1 d
! 7/tvl
PID2S: +zA.. O()7.~
OWNER
(Name)
(Phone)
(Address)
~C~~~~~ Name) D~ ~y ton I \ nC . (Phone) q~t, q ~5 -101 ~
(Contact Name) J\A\~.e- \cl)\nn(iAk\Ul (Phone) 111~..... k2Jp- ~
(Address) 1Dfh~O '~VltJyicto//rJL 1flO() \llKfM\\( 1\V1N ~D+t
TYPE OF WORK ~w Construction ODeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: ~I.R.C. DI.B.c.
Type of &nstmction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
III IV V
HIM
234
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
$~D
I hereby certify that I have filrnished mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed 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 thatthc buildmg
:ticia an revoi~is peTf ;~c, I hereby agree that the City offirwoone~m~e61on the property to perform nee\f2:7rl;To5
· ~ Signature Contractor's License No. I D!te
Permit Valuation /~()_ DOO,I) 0 Park Support Fee # $ ---
Permit Fee $/1'/73,S-O SAC # $
Plan Check Fee $ '157. 7 ~ Water Meter ~)l"; $ ,;J.t;;" . f) <)
State Surcharge $ Q S"r GhO Pressure Reducer $ 5~. lJC)
Penalty $ Sewer/Water Connection Fee # $ /5"0 . D 0
Plumbing Permit Fee $ IDO. aD Water Tower Fee # $ 1000, fJO
Mechanical Permit Fee $ l(Jo, Of Builder's Deposit $
Sewer & Water Permit Fee $ "gs-r ';-0 Other $
Gas Fireplace Permit Fee $ 4() ,00 TOTAL DUE /11 $ '1 ( +f. 78
This Application Becomes Your Building Permit When Approved Paid -7/ 1-1. 7~ RecellNo. JOI. ~-/
~ ~ I,;/:M" /0 S Date ). l". {j (" By A / \
Q
Buildlllg Ollicial , 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
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Planning Director , Date ~~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See.Main File
White - Building
Canary - EnQineering
('" Pink - Plann~
'-
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L'. /..:
/~c
j-/ / ' 1...../
I / /
f (r' . i
r-
...J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ /- I ( i_ L i . ! /-- / '
. ---' I. ',- Co lof I (... L!.J
lj /<...- .
..
Accepted
/
Accepted With Corrections
Denied
,.
Reviewed By:
r;B~
~
Date:
/~7~~
Comments:
......
.~
.'
."
See:VIain File
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
See Main File
c- WhitA .--auild~
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. 12. H0te40N
/2, (('.Ob
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/75/0 D66t2F16LO DIG.
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~~
Date: /2/:2 710r
Comments:
See Main 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."
'::'....IF'.--"t'-.~
, -
See Main File
~, - :u=,~, e, n,-
ry- n....A9.)
plilac. · - ftlaMlng
BUILDING PERMIT APPLICATION DEPARTII4-=NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. Id. HO/~I oN
/2. I (p .0 S-
The Building. Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/75/0 DEE/2F/ELO DtZ.-.
Accepted
^
Accepted With Corrections
Denied
Reviewed By: MIh
Comments: )1;l IY/c,/" F,'/(.
Date:
12-P.'-~J
-
..
. f<:~
liThe issuance or granting of a permit or approval of plans..~pecificatio", and!
comPutations shall not b~construed to be a permit for, or an approval oft any'viOl.ion of.
any Of the provisions of this code or of any other ordinance of the j.urfsa~iQn. Permits
presut;Oingto give authority to violate or cancel the provisions of this ~ or other
ordinamC8softhe jurisdiction shall not be valid. H . , .
01/05/2006 THU 10:29 FAX 952 767 1900 GENZ-RYAN
~ 006/009
Date Ree' d
CITY OF PRIOR LAKE PLUMBING PERl\'Ul
(Please type or print and sil:Il at bottom)
ADDRESS
}'10/0' iJeu-helcl l)(,'V-L
!
LEGAL pESCRIPTION (office use only)
LOT .,. BLOCK ( ADDITION ().p jJ 4 ~['ff I d J a~
-.' 1- .
i::~ ~:y I PERMlTNON_. A O.IJIA
3, Yellow AppJican. \N....!...Y ."
ZONING (office use)
PID
OWNER D I') 1...1/,,\, A..
(Nan1e) ~ I IUYlfJ\fj
(Address) ~O~l pD KCV'I \')~'l a~rC (~*' ~ -ft. ,('Xl
APPLICANT (1_ n
(Name) C1e11?-- ~[laV'
(Address) 2'200 \N. Hi,,) CI L3
(Address) )
(Contact Person) f\) I '(0 Ii i;J 0 I\(~.. (
APPLICANT SIGNATURE ~ffuc!rCt. f<~./?f7
u
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower .~
I Dishwasher ;
I Floor Drain rOf,<4Vl - 1'1'1
I Lavatory (Bathroom Sink) v,
I Laundry Tray (1 or 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
(phone) C1S::S,) -q vt)- (frY)
LoJ<.f,vi Ilf~. :i5()LI Lj
(Phone) Of. C}7-..-, {fT1 ... ! DDQ
B(A.t2j1~V I' ( If. M N ~S337
(City) (Zip Code)
(phone) !J 6;; - 7 h "7 ... } g,.{)
I/?;/(){..,
DATE
Quantity
I
j
!
/1
I
I
l
Type of Fixture
'J-
Rough-ins
I Water Heater
I Water Softner
I Stand Pipe (W ashing Machine)
I Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
';?
FEE SCHEDULE
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 Pennit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
50 PAID WITH
'9U'LD'NG PERMIT
(Office Use Only)
Building Official
Date
o 9 2006
This Application Becomes Your Building Permit When Approved ~ -- -fa~"
l' ~iAN
1 : \
24 hour notice for aU inspections (952) ....7~98S0, fax (952) 447-4245
01/05/2006 THU 10:29 FAX 952 767 1900 GENZ-RYAN
~ 007/009
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(Please type or print and sign at bottom)
ADDRESS
} 1 Cj J () r;yJVf .f' e rei Drr v.(
LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK ADDITION D-P.J'/ f.l'f rd I.'J'-rh
~ - l . .
~=R D)< \+()V+Oy")
(Address) /9{)Ri On KO''l !t)V\[\Clc &. stc. (to
(Address) J
i =w ~Ii~ I PERMIT NO.ai/_ O,AIIA
3. Gold Applicant ". ULY
ZONING (office use)
Pill
(phone) qSd,- q95-/~M
L)lJUlJi"flc 1350YW
(City) (Zip Code)
APPLICANT (i n I
(Name) 0l(f!l1.- Ib1A a /11
(Address) 1- W () VV, I tfl,f\fJ A I ,'2,
(Address) I
(Contact Person) tV 1>:6 le. JA.)h,'(I./A4
;[VI ',,, j/ I UJ t .::. /)
"'LICANT SIGNATURE .11' Uf I.fItA',,fllf'/ A1W!,,{,Vt/!
.._-. U
APPLICANT PLEASE COMPLETE BELOW
(phone) f{ Vi? - 71P7 - (DDD
B7A JtJI1 S' V / { (-t- fiAN {:r:33 7
(City) (Zip Code)
(Phone) _q58 - 70 7 - /?L/7
DATE i 1.5!OG
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 PVC D 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 $17.50
Estimated Cost $
Building Pennit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50pA\O W\TH
BU\l.PlNG PERMIT
(Office Use Only)
Building Official
Date
I:D~N 6:} 200G
Rece;t No.
By ,
. .
G
This Application Becomes Your Building Permit When Approved Paid
24 hour notice for all inspections (952) 447~,~9.~~ax (9~2) 447-4245
.':" .'
. . .
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.1,............ .
. .....;....::.:...
- '.." .' .
:' '.;>,>~i"./ .' _:.
". .,' -"'- .
.<., :; ~':: ::...~_::.t;~f:'-::-::::~\::'.:~':':{."':::: , '.
:_:,.:' ,
. HEATING PERMIT FEE
STATE ~tJRCHARGE
. '. TOTAL PERMIT FEE
Buildmg Penriit # .' '. .;. . .... '.:
: .,...'.>..... . .' . PAIDWITH:: :,:
.$ U)~~-nLDING'PERMIT
$' '. . .50 DU~ . : '," . .
$
(Office l!se Only).
. This Appli.cation ~ec.~mes'.Y~ur BulJding Permit When Approved'
'.'
.- . :J:laid
Receipt No.
Building Official
Date
Date
MAR 0 1 2006
By
, .' .
. . . .
. . . .' " '2,fhour notice for all insp~ctions (952) 447=9~~O! fa.x(952) 4474245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink File
2. Green City
3. Yellow Applicant
-
PERMIT NO~ - l..It:L-
(Please type or llrint and sip at bottom)
ADDRESS
17510 DEERFIELD DRIVE SE
ZONING (office use)
LEGAL DESCRu .uON (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name D.R. HORTON
(Phone)
(Address)
APPLICANT
(Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone)
2561
651-633-
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVlLLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
3/8/06
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
D Steam
o Hot Water
o Radiation
D Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
HEATN GLO SL-750TR-D
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Residential, Additions & Alterations $39.50
PAID Wrrlf9.50
eUILDING PERMIT
Residential, AC Only
Building Permit #
$
$
$
.50
(Office Use Only)--------.--
This Application Becomes Your Building Permit When Approved ~~~r--.-~ II '\ ~~ceiPt No.
Date ~.' ~1\1..e, MAR 0 li Z006 ,~,:l,
Duildin!!: Official -- ~
24 hour notice for all inspections (952) 447-98~t:aX(95?!:441.-4245
PRIOR LAKE
INSPECTION RECORD
t .
SITE ADDRESS 17510 1:)EEa...Fil:LO ~I"E '-
NATURE OF WORK ~c-W CG...:u 1fc:JAc.TIO~ W(...-r c..c.. Fi...,s,.,
USE OF BUILDING ~-=-,A . _ .
PERMIT NO. 0 (c- .00/& . DATE ISSUED ,~ Z7'~S"
CONTRACTOR 1>.1.. ".<<TIN JllC. PHON~-22'''113Z
NOTE: THIS IS NOT A PERMIT f!OR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
.
INSPECTOR DATE
.. .
I FOOTING I M / ~?/"6
; ;
, FOUNDATION (Prior to Backfill) ,1U1/TY' Yw"q #1 tt ~ ~r I /lt4 I /,t~/()b
PLACE NO CONCRETE UNTIL ABOVE 'HA/S BEEN SIGNED
ROUGH - INS
. ,
SEWER I WATER I SEPTIC ~ . / /2J".h b
FRAMING /U/t-_ 3P7/o~
INSULATION r~ 3/e:?//~
ELECTRICAL ~ , . .? / /7 /d,
PLUMBING V. (P, 11M- J/~/tJ? J<<//- J'//!/o6
HEATING (if required) f"q- J / 1.7 /t6
FIREPLACE / /l Jf/4- 4///),6
GAS LINE AIR TEST IfIlltit.1-- r: j/~, Y'ltf- 1/ q /~.h
J/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
IiATHE/' Ht..rrlJ~AP I ~ I 3~7/P~
FINALS...... -". _I-
jee Af'u1 ~ej
~ ~~
t1~ Ljfltf/{!)b/
, ~ dpcAG
~
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
t
\
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
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
Qttrfifiraft of <IDrrnpauru
CITY OF PRIOR LAKE
~tpZltfmtuf of ~uil~iug Jfuspttfiou
~inaJ Permitted D Conditional C.O. Expires.
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D International ~ i
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:' ,
a
Use Classification SIN6L6 FrJ/"1IL.Y Bldg. Permit No. Ou.,OO/(P
//' .3 V AI ;.:: 2-
Occupancy Type _ I"- Type Construction Zoning District
Legal Description _
L 7
15 I
iJt:6k-//6Lf) 12 TH
Owner of Building
Site Address
175/0 06616rl C;.L.O DIG.
Contractor's Name & Address
D. R. ;-;O/L---TlJtJ
/C() tJ 6 leT 0 r--1{/71rll~1$ City Planner
. ~~UiIdprg9ffiCiaI ~
?:.o y{)h ,/6/Y' Date:
/' POST IN CONSPICUOUS PLACE
:r /I N E fr:A'-J /11 fl t5K-
Date:
-' iTE / TIME
SCHEDULED 'J/pL ~
de~,-lJle~/ dr-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/7.s7c:J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~H FINAL
COMMENTS;,r? A /J
~/~r~~ ( r-7~ /:
~/ / 4 ",
~~?-, _//~ /
~ .., ~ I :/....L { O/,~ --t::-
, .. ~
. .
c::!:?
~// ot1/
&; - /-6
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~/ /
~~C
". /
"
~r~
, - /
~ATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL F. R REINSPECTION BEFORE COVERING
Inspector: ~'
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETYI
nME
~
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ,(/';"6
/ /.)/C) ~6?r4// fi-
ADDRESS
OWNER
PHONE NO.
D FOOTING
D FOUNDATION
D FRAMING
o INSULATION
D FINAL
D SITE INSPECTION
COMMENTS:
/~t?~?
CONTR.
PERMIT NO.
J7-/b
D PLUMBING RI
D MECH RI
D WATER HOOKUP
o SEWER HOOKUP
.;u' r"L.'-'MBING FINAL
D MECH FINAL
D EXIGRADIFILLlNG
D COMPLAINT
D FIREPLACE RI
o FIREPLACE FINAL
D GASLINE AIR TST
D
/~ t/' /'
~ 1~r
./
,a
~ /'
T//7 q- /
/?
~>/'_.
u/(
, ,
~ SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT W~.7./~ 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/
.JI~ I.."
-
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Job Address /7.J7() ~
Heating Contractor _ ~lh-? ~
C~
~/y;(,
1.3~ ZZo
.'*'" ;...t
S:O?,
<t3~
Heating Contractor
Name of Tester
Date
Name of Tester
Date
Percent 02
Percent CO
Percent C02
Stack Temp
~h6~r
~#~~
Combustion air is adequately supplied per
UMC Sec, 606 V~5
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input 7~_ ~ lJ.-rcJ