HomeMy WebLinkAboutBuilding 02-0438
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~trtificat.e of (JDccupanry
CITY OF PRIOR LAKE
11\tpartmtnt of J1luilbing Jn~ptttion
lD 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 ordinances of the
City of Prior lAke regulating building construction or use. For the following:
SINGLE FAMILY
Use Classification
Bldg. Permit No.
0:)-0438
Occupancy Type
R3
Type Construction
VN Fire Zone N/A Zoning District R2
FIFTH VILLAS
Site Address 17353 WILDERNESS CIRCtE SE
Legal Description
Ll, B6, DEERFIELD
Owner of Building
Contractor'sNameclAddress D.R. HORTON,) ~~0860 KENBRIDGE CT.. SUITE 100. T,Al<EVTL:"E
1 ," "
ROBERT D. HUTCHINS ! j I " City Planner
Building Official
,r ,J.L
DON RYE
Date:
Date:
I
i
I
I
I
I
I
I
I
'----
POST IN A CONSPICUOUS PLACE
OA TE TIME
CITY OF PRIOR LAKE
INSPEcnON NOTICW SCHEDULED f> :r.
ADDRESS /735/- 17.354-- WI f-DEtZ/\.J65J' C/ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO. (; z.. - 0 Lf3& - o~ -o'-fJ> J
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GAS LINE AIR TST
o MECH FINAL 0
@
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SOP /TlEt5
I
/
C(Oy
hk
I7WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: f11? ({- 6' ...{)L Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
.
[See ~ f\\OJ'^-+r~
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
Lj-IL~~
~i~i~e ~:~y I PERMIT NO.OZ -0 A;?Ot I
Yellow Applicant ~ -..::> u
ZONING (office use)
1?
LEGAL DESCRIPTION (office use only)
PID 0;5- .3 f! - 0;2..;)-
OWNER
(Name)
(Phone)
(Address)
(Phone) %L-Ofg5"'" 7EfO'd
(Phone) qb2 -1Z/p-t(73 L
TYPE OF WORK
'jitNew Construction
OLower Level Finish
ODeck
o Porch
ORe-Roofing
ORe-Siding
o Misc.
o Fireplace OAddition OAlteration
PROJECT COST/VALUE (exc1udingland) $ '/'5101D
,
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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter up the property to per r eded inspections.
'-1/1 ~ I d 1-
Date
x dOdO s~.s-7
Contractor's License No.
Permit Valuation Park Support Fee
Permit Fee $ SAC
Plan Check Fee $ Water Meter S'
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
$ TOTAL DUE
#
#
#
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 si d by th City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issue .
~
--4PUn(o'L ~O ~M ~)~~~
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
g Director
Apr .29. 2002 1 :03PM
GENZ RVAN PLUMBING AND HEATING
No. 21 43 p. 2 II /27
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
,
: ~
'i:~(.\\.1 ,.,....,
J alue ~ile
2. Gold City
J. Y..Jlow Appliaont
I PERMIT NO. ;0 - 1/3 '6 ~]
I I ZONING (-~) I
t~~Qd3b~~
G~ SE-
LEGAL DESCRIPTION (otlicc= u;>c= only)
LOT
BLOCK
ADDITION
-t!:J.
PID
OWNER
~ame) DR Horton Custom aomes
'.
(Phone)
9S2-Q'i6 -7SlJD
;oJ b6bL-/ W
(Address)
ZO'Sl..9D Ken8~l~ Co Sre IDO
APPLICANT
(Name) C"'T1~-By"'" Pl~mbi;g,8 S It,,"t-iT"1g
(Phone) nSl tfZ3-11ts.?
(Address) ~4745 So Robert Trail
(Address)
Rosemount
MN
55068
(Zip Code)
(City)
(Contact Pason) Mary Olson
APPLICANT SIGNATURE
DATE
(phone)
ASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
I Bath Tub with or without shower Rough. ins
I Dishwasher , 0 . Water Heater - o'
J Floor Drain - tL' , Water Softner
~. Lavatory (Bathroom Sink) , Stand Pipe (Washing Machine)
I Laundry Tray (l or 2 compartment sink Sewage Ejector
Shower Sta,ll Baddlow Assembly
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
'1~ Water Closet (Toila) Other
FEE SCHEDULE
Industnal, Commercjal& Multl.flllmly 1 % of job cost WIth a $3950 minimum Residential, New One & Two~Fam.lly $~9.50
Residential, Additions &, Alterations $3950
Estimated Cost $
Building Permlt #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
,;
(Offic.e Use ani)')
This Application Becomes YOl.lJ" Bl.lilding Pennit When Approved
'"
_. r' "
paid
Receipt No.
Date
By
Bllilding Off.ici...l
Date
(
24 hour notice for all inspection, (952) 447-9850, f_x (9S~) 447-4245
Apf .29. 2002 1 :03PM
GENZ RVAN PLUMBING AND HEATING
No.2143 p. 21/27
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER.AND WATER PERMIT
,
. ,
~. ~~i:"w ~~. I PERM!.. T NO. '7, --- ~/3 ~
l. Go>lo M>1>1l"qt
~~;m4:;i~ G~e .~ I ZONING(,~~,) I
LEGAL DESCRIPTION (office USe only)
LOT
BLOCK
ADDJTION
PID
f OWNER
(Name) DR IJ>-.,+,.,n r....(:QBl 1I9HU'lS
'.
(l'hone) _ cr52 -q 85- (8 t,C,
(Address)
20&00 Keine>i<..~"t6e Cr Slt."'_/l'D
(Adlke33)
LaU\J I \ I~
(City)
t5COLl4
(Zip Code)
APPLICANT
l~illm~ Genz-Ryan Plumbing & Hea~ing
(phon~ 651-423-1144
'UCANT SIGNATURE
Rosemount. MN 55068
(CjM (zip Code)
(Phone)
DATE
(Address) 14745 So Robert Trail
(Adckc:s~ )
ASE COMPLETE BELOW
Size of water se1Vice 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.
Cle~ out (if required) located at feet from structure.
FEE SCHEDULE
Residentlal sewer and water line connection $35,50 Industrial, Com'l &. Multi-family 1% of job cost with a $39.50 minimum.
Sewer connection only $17.50 Watr5T connection only $17.50
Estimated Cost $
Building Pennit #
SEWER .AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$'
$
,50
I
.t
(Office Use Only)
Thi:l Application Becomes Your Bllilding Permit When Approved
:Paid
~
'---..
Receipt No.
I
'~, r.:
'-.~
.,
Date
ri
By
~~.
:a1.li!ding Officjal
l)a~
:Z4 bOl.lr notice for all iJ:lSpection3 (9SZ) 447-.9850, fa); (952) 447-42.45
v
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~",V I 5 .
~. ~::n ~:~y. I PERMIT NO. '=> _ / J~ 2:1
3. Yellow Applicant , C/") '-1 0 ,
ZONING (office use)
WIl
YltS S_~
LEGAL DESCRIPTION (office use only)
'1 ADDITION
PID
(Address)
(Phone) q5~ - q ~ 5 - 7o? 7 ~
50 Lt
(Address) 3(P50
55/.22
(Zip Code)
0NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL ~a.n.+ 383KA-vb2&.lD'1 0 FUEL rJQ.tu.ftA. I
FLUE SIZE tf-1\clClS~ B RETURN OPENINGS ~ INPUT 10.1>00 OUTPUT 6lD~~Oo
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
~r Conditioning o Special Devices Required Side Yard
ent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
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 & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
ST A IE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
,.....
PArD \~
!SUi '-D ,''', f"'
-~, '" ~l ,\.:;.
(Office llse Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
Date MAY I 5 .
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~~n ~~~y I PERMIT NO~Z_O J L? y" I
3. Yellow Applicant v,...;) t) ,
ZONING (office use)
17353 WILDERNESS TRAIL
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
D R HORTON
(Phone)
(Address)
APPLICANT
(Name)_ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone) _651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
6/5/02
APPLICANT PLEASE COMPLETE BELOW
X NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NOTE:
o Gravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEA TN GLO SL-750TR-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % 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 $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
Building Official
Date
By
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~,}
.
White - Building
Canary - Engineering
Pink - Planning
Tht ("tnl.. "I Iht ...k< ('oonlry
..
.
... '4'
BUILDINq)>>ERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
DR
i'-( -
Y/O/~toAJ
/t::::,-OO\
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whi~h)S propos~? at: /5)' \_
/'735"3 tv!' /aerlJC::::S5' ~ r-
.
Accepted
;(
Accepted With Corrections .
Denied
Reviewed By:
/11 Ft i3
Se(. /Y}c,r'"" Ft'/(_
Date: '1- ')i./-(!) L
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."
".
White - Building
Canary - Engineering
Pink - Planning
Tht Ctnlt>r of 'he t.kf Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'\
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ .
\-..
f /
/
Accepted
~
Accepted With Corrections
..
Denied
~~
Date:
L( 176(6 2-
Reviewed By:
...
"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."
.., ..r .
. .
White - Building
Canary - Engineering
Pink - Planning
Tht' ('("nler of the Lab Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
DR
L-(--
'I/o I~f oAJ
//o-~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/?3~3 tol: Icier-vaS a; ~
Accepted X
Accepted With Corrections
Denied r:2.
Reviewed By: - ~.f ~ h
I
Date:
if-27~Oc
Comments:
~~ i-lL M o..~ V\. f( (-e
"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."
~~RIOR LAKE.
INSPECTION RECORD
L Se..e. ~ \M.cdV'- -t";-le
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS Ji35s ~J d A oTV\t''5>S (\r
NATU RE OF WORK -"J-e.~
USE OF BUILDING SFA-
PERMIT NO. {)2 -04..3<8 DATE ISSUED L-/ -21-07
CONTRACTOR D\ R, ~~ PHONE CO2 - '2?&- 4752-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING ~ ~I -Sf7/i(ov f/7:r I S/c1/~
FOUNDATION (Prior to Backfill) ,'5 'Zrl D(......; ~. !-, ' 5~Bi d'"l...-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING U,G.t .51 Z-l. Ol- ~. H,
HEATING (if required) ~~:r"J,....
FIREPLACE
GAS LINE AIR TEST ~ ~ rf I
COVER NO WORK UNTIL ABOVE HAS BEEN- SIGNED
~ ~. -?/,-S/o-z,- I ~I ta/a7/ot----
FINALS
GRADING (Prior to Sodding)
BUILDIN ~ l'l"~ \ - (.,..0 (JVI J/~t;
ELECTRICAL
PLUMBING
HEATING
DO NOT
()Z--
-f.
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. beer.; 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