HomeMy WebLinkAboutBuilding Permit 13. 1367 A-
A 4� �fC F � K A' h ..
�i r..Pi rc VY „'„„, ,:.:J.,,:',.:;,,,, w.0_.tr..i ✓� p ' ' Nry, C�5 1� j:
ci rr 1rr ri ia�V1�.,M� M r � rYV�fP�.�i., i_`V nf., ❑..ri•:i..i�_. ��
CITY OF PRIOR LAKE
)(-,, 'I Prjaarfittrtif of otitritt ciittsprrfitin
r-p , (- ,.... , ,
C Final Permitted ❑ Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential l 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 �+ pp
R3 J I N G L E FAM M I�_V Bldg.Permit No. 13—1 3 6 7
Occupancy Type R3 Type Construction Y 1r Zoning District P3 '
Legal Description [22 , R i W M A O P T A Tt n
Owner of Building 7 RWATERFALL WAY
M Site Address
Contractor's Name&Address C F,'!T R A HOME
ROBERT f 4H(iTCH I�► C
ir
City Planner
f Date: 1 i
Building Official \, v „
I f I ' ( Date:
POST IN”CONSPICUOUSPLACE
§ / / o ��
ui
j �2re
§§v § <
.4. O WWU, < 'V
K
o....
\I�k 2 §
%
, oOooQO § z
c 2
° = m
L o
LU » d aa � 6
o v
a / e XM
tu o o 44
§ § 0- 9927 z o 0 -.
co , u z0I- = 0 ILI n3 m et Le n3 ri:
\ \
§ §
jThio 41
1 2 W L
OOCQOo w w I k
•
0 0 Z %
z
LU � 4 wow
k Le Z k re
o
re o o z .
7 § § § k � L co
� q
�2 Co $ 2k2wse.
\\ /
/\ k Uj k /0CZV<1- E XCC r 0
� %
U � 2 0 a oOoe 0 0 co
re \ Ct 0 2 E
O O /
0 J
w z _ 1 �
N., li6i14Q z
�-- ) 25552 v.
>` M 0o � � a z a
I LU
w v G 0LLLL0 aZ i,,,000000 >
cc
M C) cn
o
CC X
N
Ci aaQ m .L Z Col
o
O a Z a OYu. J 0 LC
O U V g
t=i O w Z — ZSZ ? , 0 c a
co 0 a. m = W a' m = �� a Q Z O
W a W 0 G Z O
a3E3Na2 W W W w rwy'
0000'❑ •� 0 0 r,
a Z aC
,I] 0
a a _
ce
W W O Q V ..
Y V z
.0 `g 0
� p N z p r
~ � o
z v a
� ao ykl
u. W -- ce cc WZ00NZ0 tLu. u. = �Zu � a a a'
Si 0 = Ow
U = 4 0 a 000000 C) ❑ O 5
Cli pR/Al '4Y � CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
f` il, AND UTILITY CONNECTION PERMIT
t) Mfr t tr,
S
��Hxssot� Filer
Fite PERMIT NO. 13� 13 6-7
.>'e^,,,. Cily
3 *flow Apptitant
(Please type or print and sign at bottom)
ADDRESS z s s t A�, eP uL w,-y ,vw ZONING(once use)
Vi' /VYp 12'
LEGAL DESCRIPTION,f__ (office use only) ,,/ / � 1
LOT�BLOCK `r ADDITION WE/v 5NA NA/ 77 PID 25. 4-19. ago. 0
OWNER
(Name) (Phone)
(Address) _
BUILDER C El w�►TI 1( ge t ti S (Phone) 7-33. 721. /000
(Company Name) M
(Contact Name) % Oi 5 U L-O C cm/50A/ (Phone) (012 . Z41 . 5
046
(Address) //1"60 Rog/ /SO,I O . 4/WI l M0 0V 6/9 PO las 5 433
TYPE OF WORK XNew Construction ❑Deck DPorch DRe•Rooting ❑Re-Siding ❑Lower Level Finish ❑Fireplace
Addition DAlteration DUtility Connection
CODE: (LR.C. DI.B.C, ❑Misc.
Type of Construction: I II III IV V A B PROJECT COST/VALUE $ 131,063,71
Occupancy Group: A B E F H I M R S U (excluding Iand)
Division; 1 2 3 4 5
t 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 ant aware that the building
official can revoke this permit for just cause. Funhemtore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections
X �
2., i b‘'(,:i 11-26-2013
Signature Contractor's License No. Date
Permit Valuation /f/r/ r0 — Park Support Fee # $ .—
r,..,n� SAC # $�.,/ �'�/,Z'7
Permit Fee $ /4j W‘i j' /
Plan Check Fee $ ,,-- ��,�3 Water Meter Size,-57/8:; I"; $ 9Or r),(')
State Surcharge $ /., h L, Pressure Reducer $ /*/
/() p()
Penalty $ ---- Sewer/Water Connection Fee # $ /j/•e). (ea
Plumbing Permit Fee $ %j S-0 Water Tower Fee # $ Me( (e'J
. Mechanical Permit Fee $ /17771`
) Builder's Deposit $ 2/'; -r;
•
Sewer&Water Permit Fee $ �� Other -� ,C.-- ',y46,sioi $ /J/j/. sr
Gas Fireplace Permit Fee $ /9 s TOTAL DUE , VC /7l0. is
This Appli ati Becomes Your Building Permit WI n Ap' oved Paid /r�f //�'. Or- Rea' t No. ( ' Z' 7
��/', t / _ Date /1c,. , ( 3_ 3 By`
�4,00 7 l
Building• D[ e
This rs to certify that the request in the above application and accompanying documents is in ccord. ce with the City Zoning Ordinance and may proceed as requested. This document
when signed by tit' Pia' constitutes a temporary Certificate of Zoning compliance d alit s consbuctiun to commence. Before occupancy,a Certdicate of Occupancy mutt be
issued. /
1•46._ (2- /
Planning Direr:"""Oftionm._ Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372
Date Rec'd
it'i@al
i PR/04,
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
SN'"
*NE s° 3 . (34
— 1 Greenw FileCny PERMIT NO.Yello
3 Gold Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
6#` s— YR tItirty . 1,1 Wen( kilA) 1 PO4,v LckYit , iiti tki
LEGAL DESCRIPTION(office use only) / (� {�,�
LOT a2Z W
BLOCK 4 ADDITION etk s 1/11.4N 1 4 V) t ril i ba V) PID
OWNERE"_.�TI Vf � F`5 76 7 77— 18/ 0
(Name) C (Phone)
(Address) 1ILAC0 lI»Sdh bR• /U k1 CC6 N RA P)13 ) <M s3--Y33
(Address) (City) (Zip Code)
APPLICANT L.Gd Ih Q t(? F� - Fl
(Name) / OcCettet b , Svc-
(Phone)���/
(Address) P o. fox (05---- /"fOYt SL ,m f1! =A,3
(Address) (City) (Zip Code)
(Contact Person) R 'U'\ S vrrte (Phone) 6/e)--°`F'2—s 11
APPLICANT SIGNATURE DATE /-q/6 //3
APPLICANT PLEASE COMPLETE BELOW
Size of water service t inches.
Location of any couplings from structure feet.
Type of sewer pipe. (l ABC [ PVC Li Cast Iron
Estimated length of sewer line 3O feet.
Clean out(if required) located at feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $51.50 Industrial,Corn'l&Multi-family 1%of job cost with a$51.50 minimum
Sewer connection only $25.50 Water connection only $25.50
Estimated Cost $ Building Permit#
• SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $ .50 PAID Wifli
TOTAL PERMIT FEE $ ```U R.i l',!`t-' `' t:'k 14 T
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Buildin¢Official Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
Rro�P Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
INIv>soon
Bluea p,ir PERMIT NO.� I3G
z.gala�Y
3.Ycllow Applicann
(Please type or print and sign at bottom)
ADDRESS 1���\1kf �' LZONING once use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
(Name)OR \ QT r G�- (Phone)
(Address)
APPLICANT
(Name) GENZ RYAN (Phone) 952-767-1000
(Address) 2200 W HIGHWAY 13 BURNSVILLE 55337
(Address) (City) (Zip Code)
(Contact Person) LONI PETERSON (Phone) 952-767-1000
APPLICANT SIGNATURE li-, DATE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Future
2. Bath Tub with or without shower Rough-ins
Dishwasher I Water Heater
[ Floor Drain Water Softener
Lavatory(Bathroom Sink) Stand Pipe(Washing Machine)
Laundry Tray(1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet(Toilet) _ (p Other
FEE SCHEDULE
Industrial,Commercial&Multi-family 1%of job cost with a$49.50 minimum Residential,New One&Two-Family $149.50
Residential,Additions&Alterations $49.50
00
The Minnesota Statutes§32613.148 est $ f 11`1 9-1Building Permit#
"SURCHARGE"has been changed for one PAID "Th
year effective PLUMBING PERMIT FEE $ a
.July 1,2010.until June 30,2011. STATE SURCHARGE $ 50 p p I{
The minimum surcharge for a"fixed fee"permit TOTAL PERMIT FEE ,�.9 "
$
is xS_5,beginning July 1,2010
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
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
4 pRtO CITY OF PRIOR LAKE Date Rec'd
O ic-, ,�
,�,�;�: ; _,,�� HEATING/AIR CONDITIONING/FIREPLACE PERMIT
V 1-4 rin�,'h+7
'e4 t:""'` r'le PERMIT NO. I3. I3( %
1NNE5� z.Cncen Cny
3,Yellow Applecenl
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
a6S LO -PA,1\ 0°
LLEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER Cie,inoL_
r � G -e-
(Name) (Phone)
(Address)
(�N1e)ANT
GENZ RYAN (Phone) 952-767-1000
(Address) 2 2 0 0 W HWY 13 BURN SV I LLE 5 5 3 3 7
(Address) (City) (Zip Code)
(Contact Person)
LONI PETERSON (Phone) 952-767-1 $6 1%61
APPLICANT SIGNATURE . \.QDATE_ -3—
APPLICANT PLEASE COMPLETE BELOW
KNEW CONSTRUCTION El REPLACEMENT ❑ALTERATIONS
ik FURNACE MAKE AND MODEL octYAX\ 'tG'Ks 90705PXA FUEL 0 4c4r '9.-
FLUE
FLUE SIZE RETURN OPENINGS INPUT 741000 OUTPUT `S 0
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Mr Conditioner
DWarm Air Plants ❑Steam Units and Fireplaces Cannot Encroach
❑Gravity 0 Hot Water into Required Side Yard Setbacks.
;Mechanical ❑Radiation Fireplaces with Box Additions or
Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings
(Went.System ❑Other Devices Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial,Commercial&Multi-Family 1%of job cost Residential,Gas Fireplace $49.50
$49.50 minimum
Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations $49.50
Residential,Heating Only(New Construction) $64.50 Residential,AC Only PAID Willi,i $49'50
Estimated Cost$ 67-10 Building Permit # BUILD\!G PERMIT
The Minnesota Statutes§32613.148
"St!WI URGE"has been changed for one
HEATING PERMIT FEE $ year of eetlse
STATE SURCHARGE $ .50 .1111y 1,2)110,ontO.tone 30,2011.
TOTAL PERMIT FEE $ W The minilntun surcharge for a"fixed fee"permit
is 5S beginning July 1,2010
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Building Official Date 1
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
o� PR1o� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
I. ��
14-
AND UTILITY CONNECTION PERMIT
/3. 1.3(.G
y,N osP
I White ie PERMIT NO. /3 j3 ,7
NES 2 Pink City
3 Yellow Applicant •
(Please type or print and sign at bottom) ,,r„ ,'
ADDRESS
a5<'( 9(7 2 1/4)(= ec q 8( W
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWE(Name) ce
I(✓G ,-1-0.t-, (Phone)
(Address)
BUILDER
(Company Name) %r1--)".0-7//- F-16'C- 4O/e r4 rcr (Phone) S---/-2 5-/
(Contact Name) i::; -lc(' '5 (Phone)
(Address) S7 (n ric 4q 4, di.,e, u.i. J/ ea..4 11'f J 6-570
TYPE OF WORK ❑New Construction ['Deck ❑Porch ❑Re-Roofing ORe-Siding ❑Lower Level Finish ❑Fireplace
['Addition ['Alteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. � ( Misc. !'+re 5p,-,,/L Ley-
o 0
Type of Construction: I II III IV () B PROJECT COST/VALUE $ 9 7l 6)
Occupancy Group: ABE F HI M a) S U (excluding land)
Division: 1 2 3 4 5
I heieby 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 pro. rty 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 t i permit for just cau.e urtherm.re,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections
-- 0 ?S--- Z3- /r
X Contractor's License No. Date
Signature
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee _ $ Water Meter Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other *frpri „'
Gas Fireplace Permit Fee $ TOTAL DUE tIOA 1
�ReCei t No.
411/....-
p)
' a'.p Becomes Your Building Permit When Approved Paid p
/ Date By
But . ig Official 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 Ccihficate of Occupancy must be
issued
Planning Director 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
04 1?RIo Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT /v
C.3
.>rNsoD f 3—/3 7
GolBlued FCity de PERMIT NO. `3 -13 1
2.
3 Yellow Applicant
(Please type or print and sign at bottom) / 3_ 1 3 6 e
ADDRESS ZONING(office use)
2-5.0 -zsqL (Airy'
67
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
APPLICANT
(Name) .5e.°c)-r i / r✓i 5 (5.-f- 5 / (Phone) 763 -� �1cp //7
(Address) / r�3 f A LIA>49,--- SP-5
(Address) (City) (Zip Code)
(Contact Person) T y—` (Phone) 7, -5 '_ C t/7
APPLICANT SIGNATURE ..� /.,.-�"' DATE ✓
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softener
Lavatory(Bathroom Sink) Stand Pipe(Washing Machine)
Laundry Tray(1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet(Toilet) Other
FEE SCHEDULE
Industrial,Commercial&Multi-family 1%of job cost with a$49.50 minimum Residential,New One&Two-Family $149.50
Residential,Additions&Alterations $49.50
Estimated Cost $ Building Permit#
PLUMBING PERMIT FEE $
STATE SURCHARGE $ .50s, ,, PAlD WM ..�
TOTAL PERMIT FEE $ �. 0 jl"
(Office Use O ly -r141 f
This App 'J tion Becomes Your Building Permit When Approved Paid Receipt No.
(6 . 1 Date By
ine 1 'dal Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
CONTRACTORS MATERIAL&TEST CERTIFICATE FOR ABOVEGROUND PIPING
PROCEDURE:
Upon completion or work,inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall
be left in service before contractor's personnel finally leave the job
A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities,owners,and contractor. It is understood
the owner's representative's signature in no way prejudices any claim for faulty material,poor workmanship,or failure to comply with approving authority's
requirements or local ordinances.
PROPERTY NAME: Approach at the Wilds DATE: 5-28-14
PROPERTY ADDRESS:Z.s 'f;Waterfall Way
ACCEPTED BY APPROVING AUTHORITIES(NAMES)
PLANS ADDRESS
INSTALLATION CONFORMS TO ACCEPTED PLANS • YES 0 NO
EQUIPMENT USED IS APPROVED II YES ❑ NO
IF NO,EXPLAIN DEVIATIONS
HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION YES 0 NO
OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT
IF NO,EXPLAIN
INSTRUCTIONSYES 0 NO
HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES III YES ❑ NO
1 SYSTEM COMPONENTS INSTRUCTIONS • YES ❑ NO
2 CARE AND MAINTENANCE INSTRUCTIONS • YES 0 NO
3 NFPA 25
LOCATION OF SUPPLIES BUILDINGS
SYSTEM ENTIRE BUILDING
DESCRIPTION MODEL YEAR ORIFICE SIZE TEMPERATURE QUANTITY
Reliable S W Fl 58 2014 1/2" 155 16
Reliable Pend
Fl 58 2014 1/2" 155 32
Reliable Dry
F3 QR 2014 1/2" 155 4
SPRINKLERS
CPVC with CPVC Slip fittings
PIPE&FITTINGS
ALARM DEVICE MAXIMUM TIME TO OPERATE THROUGH TEST
GONNIC1 ION
ALARM VALVE SECONDS
OR FLOW TYPE MAKE MODEL MINUTES 421-4INDICATOR Vane Potter VFS-R 0
DRY VALVE QOD
MAKE MODEL SERIAL NO MAKE MODEL SERIAL NO
TIME TO TRIP* WATER AIR TRIP POINT TIME WATER REACHED ALARM OPERATED
THROUGH TEST CONNECTION PRESSURE PRESSURE AIR PRESSURE TEST OUTLET* PROPERLY
MINUTES SECONDS PSI PSI PSI MINUTES SECONDS YES NO
DRY PIPE WITHOUT
OPERATING Q O D
TEST WITH
QOD
IF NO,EXPLAIN
MEASURED FROM THE TIME THE INSPECTOR'S TEST CONNECTION IS OPENED
OPERATION
0 PNEUMATIC 0 ELECTRIC 0 HYDRAULIC
DEPARTMENT OF
PRIOR LAKE BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ii
NATURE OF WOS i, Ara, ' ", - &. D c/ LG /n
USE OF BUILDING0i � A ' ti's e✓CP1
PERMIT NO. - /?�i7 DATE •SUED
CONTRACTOF�� if 4 Bois PHONr163 q .. moo
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
FOOTING
FOUNDATION (Prior To Backfill)
RADON RETARDER
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER/WATER/SEPTIC
FRAMING tocRADV i
6.,/
INSULATION 'r ,._46 /i..
ELECTRICAL
PLUMBING (1,•5 06 Re' els Z`Z.c �
HEATING ,
-'
FIREPLACE
*7 f t (b
GAS LINE AIR TEST
RADON RETARDER
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
HOUSEWRAP LATH
<., a. D lit,:" FINALS Pi Ll`'�JtIGRADING ( PRIOR TOSDING)
BUILDING (9r) )JJ/I'.-(
', ELECTRICAL
PLUMBING -4.) C-
e ze / V
HEATING 1 ill) f4,
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGN D 1
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