HomeMy WebLinkAboutBuilding Permit 03-0098
@~rfifitaf~ of @ttupanty
CITY OF PRIOR LAKE
~tparfttttuf of ~uil~iug J'uspttfiou
~Final Permitted D 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:
Use Classification
SINGLE FAMILY
Bldg. Permit No..
03-0098
Occupancy Type R3
Type Construction
VN
Fire Zone N / A
Zoning District
R2
Legal Description _ L6, Bl, DEERFIELD 9TH
Owner of Building
Site Address
5412 DEERFIELD CIRCLE S.E.
Contractor's Name & Address D. R. HORTON, 20860 KENBRIDGE CT., SUITE 100, LAKEVILLE
ROBERT D. HUTCHINS rZ1/ CityPlanne' DON RYE
Date:
Building Official
J / -1.- ()(
. . -
.,1
Date:
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
-I/~.cr;r
ADDRESS
st..[o...
(k,.-F(",-, &
OWNER
CONTR.
PHONE NO.
PERMIT NO.
s-qC
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.)2I"'FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADtFlLLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
-
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I L--k- LX;-C
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"-----.
o~/- 1?1c...-
rrWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~~ FOR REINSPECTION BEFORE COVERING
Inspector: J V r Owner/Contr:
CALL 447-9850 FOR THE NEXT IN~PECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!
INSNOTl
.
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
4-,I/-~
ADDRESS
r;-41 L
()~<('rh-r I d c.,-
OWNER
CONTR.
PHONE NO.
-:5-18'"
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
...-r'PLUMBING FINAL
o MECH FINAL
o EXIGRADtFlLLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
rf)J?~
-
_~5
~SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~ALL FOR REINSPECTION BEFORE COVERING
'...-oc f t( / ,q -( {~e'lCootc
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!
INSNOTI
.
''-''y
CITY OF PRIOR LAKE BUILDING PE ,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT / -to .- D3
(Please type or print and sign at bottom)
ADDRESS ~
XXXX'l.. ~r.1Pti rjr-dt
.,,6.
I. White File
2. Pink City
3 . Yellow Applicant
~~/~~
LEGAL DESCRIPTION (office use only)
, LOT 0 BLOCK ADDITION ~t{ elJ 4 ~
OWNER
(Name)
(Address)
BUILDER f\ Q i I ...L~ -^ -.
(Name) l..!)' .. -\tn(\lJ'{ \ \.JI.\ C. .
(contactName).~;Y~ ~P~l . '(M .
(Address) ~O,~O -:<tAAbv C*- 6te 100
~ \,R fYln ' 44
. ,
TYPE OF WORK Jfi.New Construction o Deck
OLower Level Finish 0 Fireplace
(Phone)
PERMIT NO.
Os~ocreL
ZONING (office use)
PID
(Phone) OJ52 ~ g~-{ 80B
(Phone) ~- 2:2~- I ~ ~ y.
I Park Support Fee
I SAC
I WaterMeter (gg:: 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
I Paid ,f~J/()" ~K
I Date r:;?/;J.a /IJ .3
, .
ORe-Siding
o Misc.
PROJECTCOST/VALUE (exc1udingland) $ ID~/lq,
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
sub itted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
e er on epropertytgP7:;;'~ ~ooo~7 1/8/0.3
I Signatu~ ~ Contractor's License No. I Date
V AI
I Permit Valuation .11/ t) ~ 000, rJo
I Permit Fee $ .I lJ"i,r, 55 .
I Plan Check Fee $ to75.oft; ,
I State Surcharge $ 5'l-j. 00
I Penalty $
I Plumbing Permit Fee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
I Ot), O~
I()d,() ()
..55. S-~
J./tJ, IJ t)
This Application Becomes Your Building Permit When Approved
~
-1~
-ffi7~
Date
Building Official
o Porch
ORe-Roofing
#
$ 1"5400
$ / i)... 7t;;;o 0
$ d-5cJ. () d
$ 'I Sroo
$ /~(),(J 0
$ 700, 00
$
$
o Addition
OAlteration
#
#
#
$ tv;.3 ~f / J I
I Receipt No. ~3 'f / I
I By g. ~.db-
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
~ f'~~
Planning Director
I P?;63
, 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
<.,. ~.eL 1YUr . ..~- ~
~ .A... ~ ..-..J
Thf' ("t>nle, or Ihr t.lu' Countf)'
White - Building
cl..n..'Y - Fnaineering
Pink - PlanninD
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
.' ~--r------
NAME OF APPLICANT
APPLICATION RECEIVED
,
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: (
( , ,. .c'
S'-/ / ;L--~\ ; ~
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:'
Accepted
\.....---'"
Accepted With Corrections
Denied
Reviewed By:
;jf(l~
0v
~
~~
Date: /,/;;""7 If :$
~
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."
The ('enter of Ih~ L.kf Countr)'
( .:...White - Building ~
canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT D 12- #&i~
APPLICATION RECEIVED I-(ro ~o3
The Building, Engineering, and Planning Departments have reviewed the building permit
app'icat5~ (OZ;ructio ctivity whicb is d)os~ ;: u;t.~ ~ 9tt
Accepted
Accepted With Corrections /'
Denied
Reviewed By:
~.~~
~ 7r1~
Date:
/47/b.?
, ,.
Comments:
:hZ
"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
~anary - Engln~:,~
Pink - Plannl'
The (""pIn of the l..ke Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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. I
f.......-'
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'~.I I /1'1, /(. ';"-""1 .
/. { (/ I.. :.,' ...,~' /,; t._......
APPLlCATIQN RECEIVED
/-..() ,.() 3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constructi,~(_~.,.i c, ti~J~t,Y..(. w,Z~,:.~) i~~~.,.,~Oo) o~~J a~: L-#~;:)\. J (. ,/ () IJ...' { L, I;,! (f() ('
&:/1/ ,. J .........~~ . _ . "\."" .. r (B Q -' J I ~" !r.:4.>'I...U.J....,,'"~.,...___~ '.,
l- /-1. ~ ,r'..,j "./".. ..", ( '; -/"._'.. '. _, ~ I.. .' , J.. I~-'-'~,"''' !;. :
{/
Accepted
x
.........
Accepted With Corrections
Denied
Reviewed By:
/)198
5-( e ,/J1tt I ~ t:'r'j c
Date:
1--; 0 --0'1
Comments:
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."
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Job Address . S-.I/I2.. ~.f
Heating Contractor ~ ~ p~
-AhhA <x
~hh3
?; Fl 7:
QJa'1U
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?7) - o.c.
.
"
/,
Name of Tester
Date
Percent 02
Percent CO
Percent C02
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606 _r/ZY
input !f4 ~~
\,
I
12: 14PM
GENZ RVAN PLUMBING AND HEATING
No.0986 p. 1621
Date Rec'd
CITY OF PRIOR LAKE PLUl\1BING PERMIT
;, ~~~~ ~i~ I PERMIT NO. ?-..-O v
3. Yoll"", App';<)lo1l! J -, 0
(Plc:asc t"{pc or prine and sign at bottom)
ADDRJ3S~5 1/; ~
I ZONrnG (office 11.~)
Dee/rhf2IJ rki.-. S.~
qtf2
LEGAL DESCRD?TION (office use only)
LOT 10 BLOCK I ADDITION D-r->r;:jrh f2J... d
PID
OWNER
(Name) DR Horton Custom Homes
(Address)
(phone)
962 - q ~ f) -7BDCJ
2-O~t.vD ~V/B~l DEL Co S.,-e !if..)
ud/~~ville.. j,LA rJ 5.~Lj LI
APPLrCANT
(Name)....G.e.,.,.,_'P.y~. l?)..,....."h.;T\c: .~. 'I:1"'''f--I'''-3
(Address) 14745 So Roben Trail
----r--fAddress)
(ConractPerson) !{L)~
APPLICANT SIGNATURE / r:JJtd2/..i...~
Quantity
I
J
J
r ::2..
I
'/
~~
(phone) _65) _I, ?~_ll 1,,1,.
Rosemount
(City)
HN
55068
(Zip Code)
. ""' (phone) 651-423-1144
~ljS DATE /--;ra--,-(Jy
APPLICANT PLEASE COlVll?LETE BELOW
, Type of Fixture
I Bath Tub with or without shower
I Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
I Laundry Tray (1 or 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
Quantity
,~
;/):r
/
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
BackfJow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other .
FEE SCBEDTJLE
Industrial, Commercial & Multt-famtly 1 % of job cost with a $3950 minimum Residenual, New One & Two-FamIly S9950
ResldentiaJ, Additions & Alterations $39.50
(Office Use Only)
, I, This Applioa'ioD Becomes Y 00' Buildiog Permit When Ap 1)1r [; il r.~ 11: l-
I Building Official . Dllte t. -1AN ~ B WG3- - w --
L _ IW)
24 hour noties for all inspectio lS (952) 447-9850, f:u (951)~ '_"'245
By
Estunated Cost $
Bul1ding Pemllt #
PLUlV.lBING PERNaT FEE
ST A IE SURCHARGE
TOTAL r.u<MIT FEE
$
$
$
, ,.
j'
.50
,~:~ 1;-- ~-J
-~
,
'"~; ,I ~ ,j U
Receipt No
By
r-
.
Jan.22. 2003 12:14PM
GEN2 RVAN PLUMBING AND HEATING
No.0986 P. 1721
Date Rec'd
CITY.OF PRIOR LAKE
SE'\VER AND WATER PERJVu l'
(Please type or print and si,l1JJ.1t bottom)
ADDRESS ~ /
o~/2r
n...
~. ~:;':'" ~~. 1 PERlVUT NO. 3- 1'0
3. G<M AI'I'IIQll'l
DfPer-f}p ~cI W
&F
ZONJNG (office use)
LEGAL DESCRIPTION (office use only) .............. I ()
LOT (0 :SLOCK' ADDITION ~A.fI j cI lfTFL..
Pro
'OWNER
(}Janle) TI'D u~~..~~ ,.........~_ u~_Q..
(phone) _ %.2 -q'65~ -18l'/\
(Addn:ss)
20 &,pO 'Ke,tnE)\<..\!:::I=e. C:r Sw .1 M
(Addn>.ss) ,.
La4\1111(0
(City)
c:jf;f;W4
(Zip Code)
APPUCANT
(N~~ Genz-Ryan Plumbing & Heating
(Phone)
651-423-1144
(Address) 1474;; ...Q.9 Raben 1rail Rosemount. MN 55068
~dIt:ss) (City) (Zip Code)
(ContaaP=on). . .I d ~ . J)(Phone) 651.-423-1144
'T.JCANTSrGNATURE~~D~TE l-~a'O-="?
APPLICANT PLEASE COMPLETE BELOW
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.
Residential sewer and water line connection
Sewer connectJon onJy
FEE SCHEDULE
$35.50 Industrial, Com'l & Mu.lti-famlly 1% of job cost with a $39.50 mJDlmUID
$17,50 Water connection only $17.50
Estunated Cost $
Budding Permit #
SEWER ..wD WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMlT FEE
$
.$'
$
.50
1(3)' , , , .
IEJn ";<i IT'.,' ,. .., ~
~~w~'~~ J-",'
- ~u_
(Offict Uu Only)
G:.:,'"
This Application Becomes Your Building Permit When Approved I I Paid
~ ~ @ fia~ ill. ~ ~
Dllte C: .
r JAN 2 H 2003 I. I
24 hour notice for all Inspections ~~) 447-9850, fax (932) 4llY245
Receipt No.
,'::
Building Official
I By
/Al
-//
By
11
I
CITY OF PRIOR LAKE
HEATING/AIR'CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~9t:;O
I. Pink File PERMIT NO
2. Green City . ,'J _ c:; 0
3. Yellow Applicant ~ ") I ()
(Please tvoe or mint and sign at bottom)
ADDRESS
3Wd L/~e/&/J_/?//"~ ~~
. ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT~BLOCK / ADDITION
PID
~~e~RD.~. HorTon Cusbm HomB~
(Address)~ ,J\..ecJbrido/'- (]J. )-o.kevi Lle M~
APPLICANT J\ , I. - . M h rflJ
(Name) t:111.r ar') e~. ,
(Address)3105c'J J<~bec...~. 5k. #j Ea3aY1
. [ (Address) (City) (Zip Code)
(Contact Person) ~f~r Z",mme_rrn &An (Phone) (P5/-45~, - ~77~
APPLICANT SIGNATU fij,-. 42~~ DATE
?1 . V .
APP ICANT PLEASE COMPLETE BELOW
0'NEW CONSTRUCTION o REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL ~~4n+ 3S3KA-vb2J.l.l)i 0 FUEL J\Jo..hA.m I
FLUE SIZE ~,..' cla.S4D "B.-. RETURN OPENINGS ~ INPUT "1 Da COO OUTPUT 6tD~ /)00
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone) 95t)... q ~ -7~7~
650~L.t
(Phone) ~/- 45..2- -c:?775'
55/.22
OWarm Air Plants
OGravity
o Mechanical .
~ Conditioning
[!Vent. 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
FEESCHEI>ULE
I % 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 #
HEATING PERMIT FEE $
STATE SURCHARGE $ ./ .50
TOTAL PERMIT FEE $ $
~~~~~ (-
This Application Becomes Your Building Permit When Appr' ~~ @ ~i~ 'ill ~ ~l
Building Official Date r _ rEa ~.~ 2003
24 hour notice for all inspections ()52) 447-9850, fax (952) 447-4 :45
By
'~H
Receipt No.
By
(:
'1)1&
I )
.
"~~~ @ [ 0 Vfl L~ 'II
CITY OF PRIOR LAKE 1\ 1 L 0 8D/I!@J<<L
HEATING/AIR CONDITIONING/FIREPLACE PERMl JU '
By
~.~:., ~::y. I PERMIT NO. O? ,^.I\ ao
3. Yellow Applicant ;> V V I D
(Please type or print and siltD at bottom)
ADDRESS ZONING (office use)
5412 DEERFIELD CIRCLE SE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
..............-~""~
OWNER
(Name) DR HORTON
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(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 HU.'jTON
DATE
7/8/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
INPUT
FUEL
OUTPUT
FURNACE MAKE AND MODEL
HEATINGORPO~RPLANT
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units'" ,.,..
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEATN 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 $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$_' n'\ f'p \~
lTj~ ~ ~,
.ictaiQJUL U M ZUUJ
()3 .. ooqCO ~\O~\~~,,^\~
f>> ~G \'€
i~g\17';"""--:"".' e\)\\..O~
,-I iJ LC, '!I
:1
(Office Use Only)
Buildine: Official
Date
Date
13y
r
. .iReceipt No,
I
~y
This Application Becomes Your Building Permit When Approved
.......__-========-=:-...:::: ::J
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
.:f.ti;..."'""'j-r....~
PRIOR LAKE
INSPECTION RECORD
~ J)4F1t, t
NATURE OF WORK AJEIJ ,.J
USE OF BUILDING ~ .s: F: . _ ~
PERMIT NO. ()3-o0~ J .~1~E ISSUED LD~ ~
CONTRACTOR 1JIt..IJNIT. fHS,. PH6NE -Z~''1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
.' J;..$~/"A/~ Jl;U"
DEPARTMENT -_ ~~ .JA.~
BUILDING AND INSPECTION
SITE ADDRESS
INSPECTOR
DATE
FOOTING 'M~VII I I
FOUNDATION (Prior to Backfill) J'v1tv\ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
..
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING 1!vf 7,,~/l.,1b
HEATING (if required) MJ 7~~r;vrh
FIREPLACE VVf 7- YC:;,UJ
GAS LINE AIR TEST t1IV /-- 1--5 -J)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
Mil 1\
LAtf
M/
1- )5 /~
7- 3D-U)
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
Y/;V'/
1(- C - ~
~/./ l\ -{ t-6}
I Y vy ~ I/-{, -OJ
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
I I