HomeMy WebLinkAboutBuilding 02-0087
<<ertiftcate of ODcrnpanry
CITY OF PRIOR LAKE
jDepartment of Jiuilbing Jn~pettion
'~\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 o/issuance this structure was in compliance with the various ordinances o/the
City of Prior Lake regulating building construction or use. For the following:
SINGLE FAMILY
Use Classification
Bldg. Permit No.
02-0087
Occupancy Type R3
Type Construction
VN
Fire Zone N i A
Zoning District
R2
Legal Description
L2, B2, DEERFIELD FOURTH ADDTTTC1~;'
Owner of Building Site Address 17253 >lARSHFIELD LANE SE
D.R. HORTON, 20860 KENBRIDGE CT., SUITE 100, LAKEVTLLE
Contractor's Name & Address
ROBERT D. HUTCHINS
\ I. Building Official
{J~ (I' t 1 . (z.-'
City Planner nON RYE
Date:
Date:
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CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
DATE TIME
ADDRESS /725 I ;vI/!.eJ11;Cf E20
'::P",t'-c/ /7257
OWNER CONTR.
PHONE NO.
PERMIT NO.
Z-oobfo - 0087
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
o PLUMBING FINAL
o MECH FINAL
s.OO /~
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
./
/
~ORK SATISFACTORY, PROCEED
o CORREC ION AND PROCEED
o CORREC RK, CALL FOR REINSPECTION BEFORE COVERING
tnspeJ(. Owner/Contr.
:QLL' 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETY!
INSNOTl
l See ~ l\o.\I^J:'~' k-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/-//~O2-
~i~i~e ~:~y I PERMIT NO. O"trOOCl.]
Yellow Applicant 0 _
ZONING (office use)
R2-
LEGAL DESCRIPTION (office use only)
LOT 2. BLOCK 2- ADDITION Deer~.e.fd.. tf'th
PIDz5'-38o- Oz.-O-V
OWNER
(Name)
(Phone)
(Address)
BUILDER
(N ame)
TYPE OF WORK
New Construction
OLower Level Finish
o Mise.
. roO
ODeck
o Fireplace
(Phone) 052.,'1 85-7 ~08
(Phone) CfS2-- 2:Z.~-1 '334
DPorch
ORe-Roofing
OAddition
OAlteration
PROJECT COST IV ALUE (excluding land) $
ORe-Siding
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 'lding official can revoke this permit for just cause, Furthermore, I hereby agree that the city official or a designee may
enter upon roperty to pef,for inspections,
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $ LR
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
'wer & Water Permit Fee $
, Fireplace Permit Fee $
<\~lication Becomes Your Building Permit When Approved
~ J-,}.;;A-6d-.
dl g OffiCial Date
~(}()O~~I
Contractor's License No,
Park Support Fee
SAC
#
#
r[~. l>~
. ate
$
$
$
$
$
$
$
$
$
Water Meter Size /
1 H,
,
--
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
'hat the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested, This document
~ City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
A ----- - [, (?J-tJ/tJb- S-ee-1Ur~ Ct.~~
r ~~ Dare Special Conditions, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
TOTAL DUE
Paid
Date
fI!-~~'j
11 : 35AM
GENZ RVAN PLUMBING AND HEATING
No.188ll P,7/13
Date Rec'd
CITY OF PRIOR LAKE PLUMBl;NG PERMIT
t;i~;~-~~\idD
IQ%JJ2 :
\~f
JAN 2 5 2002
I PERMlTNO.02-~0087 )
I
ZONING (office Wie)
I., III.., Pil.
l. Gold Cit'!
J, ye,llQw Appficanl
LEGAL DESCRIP110N (ofiice use only)
LO'r 2-BLOCK 2.. ADDITION . .
~
-
PID
OWNER .
(Name) DR Horton Custom Homes
(phone) 651-454-4663
(Ad~ess) 3459 Washington Dr See 204 Eagan, MN 55122
APPUCANT
(Name) C~n:!: ~'i1:g -Pl mT)l-.-J....g & Rlililt:ing
(phone) ~ t; 1 -4 'B- 11 44
(Address) 14745 So Robert Trail
(AddJ:ess)
Rosemount
(City)
MN
55068
(Zip Code)
leA
Type of FixtUre
Bath Tub with or without shower
, ,,; ; Dishwasher 'M',
. 1 FloOT Drain
<;2. Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compariment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
(phone)
(Contact Person) Mary
APPLICANT SIGNATURE
DATE
PLEASE COMPLETE BELOW
Quantity
/..
. Type of Fixture
I
Rough-ins
i W <iter H~-At~~
Water Softnet
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEESCBEDULE
IndustnaJ, Conuncfl;aal & Muln.fan111y 1 % of job cost with a $39,50 minimum Rcsidenna1, New One:: &- TWo~Fa.mlly $99 50
Re::sidential, Additions & Alterations $39..50
Estimated Cost $ ,
Building Permit #
PLUlVfBlNG PERl'vlIT FEE $.
STATE SURCHARGE $
TOTAL PERMIT FEE $
.-"'- ,.,0 wrn"', . <
V fll'\ G pE.F,~II' }
50 ~\J\\,.O~N,_
~----
(Office Us!: Only)
This Appliclltion Becomes Y Qur Building Permit When Approved
Paid
Receipt No.
Da,te
D~ 2 5 2002
:By
:9uilding OOid:d
z4 hour nodce for aU inspectjons (952) 447~98S0, fax (95:Z) 4474:Z4S
J an. 25, 2002 11: 35 AM
GENZ RVAN PLUMBING AND HEATING
No.1880 p. f1/13
Date Rec'd
CITY .OF PRIOR LAKE
SEWER AND WATER PERMIT
JAN 2 5 2002
i, ~ ~\;. I PERMIT NO.O':;1 - Of) 0.7' ]
J, Gold Apphunt. ~ v_
ffi~~~-""~Sh8 &0 lQn o. 5f~1 I ZONlNG(_~]
LEGAL DESCRIPTION (office: use: ol:l1y)
LOT Z :BLOCK ADDITION
I OWNER
I (Name) '[)'t' R.......i-,...." r''''ii'i-ntl;l H9iII.QS
--tv,
PID
(phone)
651 (,5(1 q~3
55122
(Ziti Code)
(Address) 3459 Washington Dr S1:e. 204
(Address)
Eagan, MN
(City)
APPLICANT
(Nrom~ Genz-Ryan Plumbing & Heating
(Phone)
651-423-1144
~T.JCANT SIGNATURE
Rosemount. MN
(City)
(phone)
DATE
55068
(Zip Code)
(Ad~es~ 14745 go Robert Trail
(A.dd:J;e:s,)
LEASE COMPLETE BELOW
Size of water serVice inches., ,-J , .~,."'< .' ,'.~::..-,,;';'
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.
Restdential sewer and water line: Conncctlon
Sewer connection only
FEESCBEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with ~ $39.50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SuRCHARGE
TOTAL PERMIT FEE
$
$'
$
56 PAID \
. eU\'...D\NG P'-'
---.
I
"
i'
(Offict Use Only)
This Application Become, Your Building Permit When Approved
Paid
Receipt No-
L
BuildlJlg Of!idaJ
pate
DateJAN 2 5 2002
By
24 hour notice for all inspections (952) 447~9850, fax (!J52) 447-4245
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
FEB - , LUUL
I. Pink
2, Green
3. Yellow
~!~. I.PERMIT NO. AZ-OfJ 0.7
Apphcant. . (/ . 0
ZONING (office use)
j ol LrrS~
LEGAL DESCRlPTION (office use only)
LOT 1-BLOCK '1.- ADDITION
PID
OWNER '\1 () \ J....
(Name) ~"- Y' I (){\
(Address) '~L(5q W lA. 'kLYL . . . AvL-
~~;~~~ANUlLLu1+ vYl e.CJ1 ttlltl CaJ
(Address)~D f(tnnebeu .'1)r
r r.. (Address) .
(Contact Person) :f1'rtl-
Mf\J 55i22-
lk61 4-52-- ll"75 \
&t'I-k \
(Phone)
(City)
(Zip Code)
APPLICANT PLEASE COMPLETE BELOW
W CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MA~AN~cMODEL ~Jt(J J.-- . 38;JkJtV D2J/bl D .. .. '. FUEL~~,ra.1
FLUE SIZE L-\ \ ("la.):;J fL RETURN OPENINGS Lf. INPUT1D,DDD OUTPUT 5l.o, DDD
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
lE'f\ir Conditioning
[jJJ('ent. System
o Steam
o Hot Water
o Radiation
o 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
FEE SCHEDlJLE
1% of job COst . Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ Building penrtit #
62-0087
REA TING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
I'~,->' _^
r~",n\; ....,\~\
1"'1"',\..1 pt.-,., ..
.5, n\~.G
e\j\~
(Office Use Only)
This Application Becomes Your Building Permit When Approved
...
Building Official
Date
24 hour notice for all inspections (952) 447"9850, fax (952) 447-4245
FIRESIDE CORNER
#5514 P.004/0D5
CITY OF PRIOR LAKE
HEATING/AJR CONDITIONINGfFIREPLACE PERMIT
Dub: Ret'd
i: =..~: I PERMIT NO. -j -- D .7 ]
,. VaU"'" AppHCIln' . '.':>1-..- \$,. _ _
I =::S~::.;::;~ 4
LEGAL DESCRIP.l1.0N (Qm~ use onJ.y)
ZONING (I)/fi~ UoIe)
s-~.
LOT' . BLOCK
ADDITION
PID
I OWNER ~
(Nam.e)
(Address)
~
(phone)
- -
J
APPLICANT
~wme) AT~JJ.ED FIRESIDE DBA FIRESIDE CORNER
(phone) 651-633-:'.561
(Address) 2700 N. FAIRVIEW AVENUE
(Address)
BRENDA HUSTON
(Conr.1lC1: PersoD)
ROSEVrI..LE ~
(City)
65J.-633-2561
(phone)
~r;;11~
(Zip Code)
APPLICANT SIGNATURE
DATE
.;;, " L.
APPLICANT PJ..EASE COMPJ...ETE BELOW
EW CONSTRUCTION 0 REPLACEMENT 0 At TERA nONS
FURNACE MAKE AND MODEL FUEL
FIREPtACE MAKE AND MODEL
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Wall:l'
o RBdlath;ln
o SpeclaJ Devices
o O~her Devices
ounUT
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air PIBJ:lts
DOravi/y
o MCl;/lIl1'1jcal .
OAtr C~Jndf.r.loning
OVent. S)'~,
PJ..EASE NotE:
Aft CotJditlm1m' Units
CaJ1l]ot Encroach into
Required Side Yard
SeTbacks
Cto
$L ?.)~
Industrial. Commerc::l,.J & M11Iti-FlVllily
FEE SCItEDVJ..E
,% of Job cost Residentia.f. Gas FlrcplltCe
$39.50 minimum
$99.50 Residential. Acldirions & Altenrti.C1ns
$64.S0 Residential. AC Ol'lly
$39.5D
Residentinl, Heating & Ale (New Ccnsu1JCT.ion)
Residential, Hl:3ting Only (New Con.wuc;tlQ!I)
$39.'0
$39.S0
Estimated Cost $
BllUding PermIt #
HEATING PERMIT FEE
STATE STJRCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(orner: rJ8e Only)
Thill Applicotjo~ Becomes Your Building Permit When Approved
Paid
Receipt . o.
Blllldlng OfDcfnl
Date
By j ,
Dore
%4 hour ..odell for ." ,",pet:tlons (951) 447.!>1I5f), fu (95%) 447-4245
White - Building
Canary - Engineering
Pink - Planning
The ('fOler 01 th. t.k. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
D.~, Ho~TV'f\J
1-11-02-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J7?~5~ MAr251-tE(bLO LtJ
Accepted
x
Accepted With Corrections
Denied
~g~
Date:
i- ~^~o.:(
Reviewed By:
Comments:
Se.Q. ~ t'\o..\V\ ~ ~
"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."
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pUB SUO!lB:::>!JP8ds 'SUBld JO IB^OJddB JO l!WJ8d B JO 6U!lUBJ6 JO 8:::>UBnSS! 84J...
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6uluueld - >IUld
6UIJaaUl6u3 - ~Jeue::>
6Ulpl!"a - allLlM
.(lIunO,) ~'1"1 .1111 JU JJIU",.) .lll.l
The Crnlrr or rhr I..kr Counlr)'
~~e- ~~I~~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1\ 1;1
V.F-.
H()~TC r0
1-11-0'2-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
)77_5;;; rv/Ak?~f-i r-( b~O LtJ
)\
"
Accepted
Accepted With Corrections
Denied
Reviewed By:
IIIfIB
5 c. c- /J1 '1 r' y\ Fd <.
Date:
1- 2. 2.-()?-
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."
PRIOR LAKE.
INSPECTION RECORD
\::)-ee' ~ \\o.l.V'\- ~\.z
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS I Tt?,~3 I"to.K~ he-let ~ .
NATURE OF WORK ~)~)
USE OF BUILDING St=",t+.
PERMIT NO. 02 -~ DATE ISSUED 1-~- a-L
CONTRACTOR --.DJ( b-b PHONE qSd -~(o-I~SY
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
;gOR
I FOOTING ., 2 ~ '12-
FOUNDATION (Prior to Backfill ~ I ~ 6 1-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SI
ROUGH - INS
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ,~. VlA
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
.
....
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I~ 6:r 6/17/C7-- I I
FINALS
GRADING (Prior to Sodding)
r
BUILDING '(:~ ~ a
ELECTRICAL
PLUMBING
HEATING
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850