HomeMy WebLinkAboutBuilding Permit 03-0503
@ttfifitaft of (0ttupant\!
CITY OF PRIOR LAKE
~tpatfmtuf of ~uil~iug Jluspttfiou
~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 F AMIL Y _ Bldg. Permit No. 03-0503
Occupancy Type R3 Type Construction VN Fire Zone N/A Zoning District R2
Legal Description Ll, B2, DEERFIELD 9TH
Owner of Building .
Site Address 17389 DEERFIELD DRIVE S.E.
Contractor's Name & AddresP. R. HORTON, INC., 20860 KENBRIDGE CT., SUITE 100, LAKEVILLE
11' Ai;?
ROBERT D. HUTCHINS '/ I _ City Planner
DON RYE
Date:
Building Official
11- 2- (Xl..
.,,--
Date:
--
, .~ 1t
..
..,.......
",'
DATE TIME
CITY OF PRIOR LAKE / tJ- J();;J
INSPECTION NOTICE SCHEDULED
ADDRESS JJ~g-q O~~/.J O~
, . -
OWNER CONTR.
PHONE NO.
PERMIT NO.
s -SO'S
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)P1=INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
SrJi c1 ~//'~ "s
I
/ I /')S~
( .;lV ~
. -
L;/
I ('-C
jVWORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ri/ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTI
-
II
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/ OJO -t/J
ADDRESS
/J1~1
Df'~~ I d f),
OWNER
CONTR.
PHONE NO.
PERMIT NO.
:s - S-d '1
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
JiI' PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Y'e1\1D1A- r~s
o WORK SATISFACTORY, PROCEED
JI CORRECT ACTION AND PROCEED
o CORRECT ~X~ALL FOR REINSPECTION BEFORE COVERING
Inspector: Y V r I D1 O....b'tner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
_on
..
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
(Please type or print and sign at bottom)
ADDRESS
J1~86f ~l)()Of~ J1ll-1 ~
.<'0:.
LEGAL DESCRIPTION (office use OnlY~
LOT I BLOCK L ADDITION j)J'()(~~~..J
OWNER
(Name)
(Address)
BUILDER ~~ \ \ L. . I "_
(Name) cl/. -1<.. CIYT?IY\ ..,J.-Jr\..L .
(Contact Name) .s+t.v-L E nc..tv1/"\.
(Address) 2-p9(tO I<~bn ~,,<.. ct,Qh .lOO
~}4/1/1 'I ~.} Mrv 5~O"'4
TYPE OF WORK
o Misc.
~New Construction
Date Rec' d
4" JO/ OJ
I. White File I PERMIT NO
2. Pink City . O? ~ () .c:" r:>
3. Yellow Applicant -> O~
~
ZONING (office use)
R. '2-
PID 25- 1'00 -Ci30 - 0
(Phone)
(Phone) 'iCC;-z - '1 ~c;-- 1808
(Phone) QSZ'"'2Zt.' 1?>?4
DDeck
o Porch
ORe-Roofing
OLower Level Finish
o Fireplace DAddition o Alteration
PROJECT COST IV ALUE (excluding land) $ 4 'f! 21 ,
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
SU[jbi ed plans. I am aware th the building official can revoke this permit for just cause. FUrtherm. ore, I hereby agree that the city official or a designee may
~t up nth~~~:ope 0 dedinspections. ,..!)OOOt;;G,Ci 1'2--9/0~
Signature Contractor's License No. ~ Date -
"
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
CJ9 000.00 I
$ / ~~ w. 7S I
$ !t;;f!. 3q I
$ 44. -.77) I
$
$
$
$
$
/O().oo
jO(),() 0
.35,SO
..fO. 0 ()
Z::~~WWIDg;j;:-
Building Official
Date
$
$
$
$
$
$
$
$
$ (PI z...73./4-
ReceiPt No. LltI~~~
Byr/ '
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
#
#
f3W.OD
I Z- 75" .00
I
250.00
4{;.oO I
I ?Q..tL..O 0 I
1'7/)0.601
;
. 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
%...c:p~::;~.m~ c~;~:mp,,"remd -~:;;: 'O~3ocroP?:z"mo_m~ ~.~
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
I Paid
I Date
(~CJ- -; 3- if-(
0" ,Z/- D3
White - Building
Canary - Engineering
,Pink - P~,annu'i'9.:>
Tht> Ctnftr or the Lake ("oun'r)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
. ! < . f \ C Ie I ( " r
j( - (~
"
'--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/]
/
r' .... -.
C,-k.~ll LU
I.. Ie.
Accepted
Accepted With Corrections
Denied
Reviewed By:
~
,.
q.~1--
Date: 6/2.-~3
'"
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."
""~
Th. Crnl.. 0' Ih. \.ok< Counlry
~ - 8uildinL-
<;;.Qinarv - EnQineeri"9:)
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
i ~-:,)
. ,\..~.
i I r f"J' -t7-\ i
r" I 'r II / 1\ i
. i \,j.......- \...-.. i ....,...../
~,1
Li..-
I
..;? C" (.-;:;
....~ ! - ) "'")
.....-.~ -'~ '-....----"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.~~. ?, 11") F. E Ie r: f t:" I . () t) Ie.
Accepted
.x.
Accepted With Corrections
Denied
Reviewed By:
Comments:
/WI- /3
S(e__ IY/&'t'v-\ h'/C
Date:
6-- 6--03
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."
[ [
..
~ - RuildinA::>
Canary - Engineering
Pink - Planning
The ("enlt'r of Ihe take ('ounlry
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. r<- . HOf2-1 () f\J
4--3o-n~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1/39J1 Df;E;T2-Flb L.o DtL,
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~ ?-Ld2P
Date:
5/2/03
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:'
~I I
~.
..
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
.#' 7/<-<?
I. Pink File PERMIT NO
2. Green City . 2_~ / I J
3. Yellow Applicant ..:J ~ <...r-.:J
(Please type or print and sign at bottom)
ADDRESS
/73/9'
UUk/../ /2--
ZONING (office use)
~&
LEGAL DESCRIPTION (office use only)
LOT / BLOCK ~ADDITION
PID
~~e~RD.~. Horfon OJJ.sbm Home~
(Address)d!.f&1oO ,~ridc:r' Qt. I LUk evilf.e j\,1~J
1~:~~~ANT A II; Qr'lt M el.h. .r~ . (Phone) /.&1- 45:1... - ~775
(Address)~O ~nebec.- L::r. 5+e. #j ~-:Qa,Qn 55/.22
(Address) V (City) (Zip Code)
(Contact Person) ~f.preV Z"mm~.rm Qn (Phone) {P5/-J..Io~- ~77~
APPLICANT SIGNA~ J yt"Ad r? 4J~ DATE
V (j . C/
APPLICANT PLEASE COMPLETE BELOW
[g'NEW CONSTRUCTION DREPLACEMENT D AL TeRA TIONS
FURNACE MAKE AND MODEL 'Br~4n+- 3~A-vtr2J.l.D., t) FUEL J\JQ.fum. I
FLUE SIZE Lj.1'cla.S'i, "2L RETURN OPENINGS ~ INPUT lb. 1>1)0 OUTPUT 6lD~l>O 0
TYPE OF SYSTEM REA TING OR POWER PLANT
(Phone) 95b1.... q ~5 -7c:l7r2..
550~L.1
OWarm Air Plants
OGravity
o Mechanical
~ Conditioning
~ 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 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 #
$p/ ~//~
: ~.50
'---~--;in IT) ~
~\~ \\ \~ II:" II
~ ~~ ~0 ,-" ~ 0 \ eceipt No.
\~I: t1J.~'( 'L 1 l\\\L Y /r'
'\' I ( ./,
u (,
24 hour notice for all inspections (952) 447-98 0, fax (952) 4
B'J
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
'''1:~
G IJS'/3
rfA,ftr
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
I I
..
May. 2. 2003 11:15AM
GENZ RVAN PLUMBING AND HEATING
No.1881 p. 10 il
~PRl~
i~7~~
\
;I~" .;. '.',
'.1.:......\,....;.,...
^...ii~S..\.."\,'". I"
fo\.~~t:;~~~~~'~~\:(-' NAtE 5 0 ~
Date Ree'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
~. ~~~; 1 PERl\'llT NO. -;}. d- D."2..
1. Gul4 A~?IiOO1l' ~)- ~ ~
(pl~e type oTllnnc <lIId s:ip:n.a~ borrom)
ADDRESS
11?:>~q \tLiZ--hcfot ~1q ~S
ZONING (ome: =)
LEGAL DESCR..lI:' uON (office use only)
LOT \ BLOCK~ ADDITION ~.~ ebt qnn
Pro
OWNER
(Name) !':'?_ ~::'1'''''-~_ r"C:-"'-~l :U~~,:,,.:
(phone) _ crS2 -Q85-,8L"!\
(Address)
2o~O ~13f<...\~ G- Si17.IM
(Addre$s)
La~\J \ \ Ie..
(City)
C:)'8fJ-lU
(Zip Code) .
, APPLICANT
(Name) Genz-Ryan Plumbing & Heating
(phone)
651-423-1144
(Adclre.,s) 14745 So Robert Trail
(\ (Ac!dress) '\
(CODlaCt Person). . vf;] ~l ~ f1 -71 AA \,
~JCANT SIGNATURE OJ A ~ --<FzrJiAl
Rosemount. MN
(City)
55068
(Zip Code)
(Phone)
651-423-1144
DATE
t:=) -- ;:;L -0 ~
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 CastIron
Estimated length of sewer line feet.
Clean out (if required) located at feet from stru.cture.
FF....E SCHEDULE
RcsldentJaJ ~ewer and water line connection S35.50 Industrial, Com'l & Multi-family I % of job cost with a $3950 minimum
Sewer connection only $17.50 Water connection. only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$'
$
.50
~~~)
"'~4/i?-
(Office Use Only)
This Application Becomes Your Building Permit When Approved
I..- "
Building Omtjlll
Due
/;.'
f/'
24 hour notice for all ill3pectioo3 (952) 447-9850,
11
,f. ~. 2003 i 1: 15AM
GENZ RVAN PLUMBING AND HEATING
No . 1 881
p. 11 1 i
Date Rec'd
CITY 'OF PRIOR LAKE PLT.JlVfBING PERMIT
~,~~ ~1~ I PERl\'llT NO.?-..-5{]~
1 Yell""" Applie>ol J '-.J
IPkase r:ype 01' pnnt and sj$:n ar bottOm)
ADDRESS 1(/60 ~(fd7ef(L k SF-. ZONJNG,_~)
LEGAL DESCR.l.t'uON (office: US!! only)
LOT t BLOCK 0\ ADDITION J)ee tcf1.eltJf
~th
PID
OWNER
(Name) DR Haxton Custom HOll\es
(Address)
(phone)
952 - q.~ ,'l -1BDO
2O~(PO Kb1P)R~1!X:e... CO' S,e!DO
udu~v;UG IUN ..6c6Li LJ
APPLICANT
(.Name:) r...,.,.,._'Ry<n~ "Pl"~'~ t. J;I~":::rG
(phone) (,'\ 1_11 ?':1._1 16.6.
(Address) 14745 So Robert Trail Rosemount MN 55068
(Address) 1"". (City) (Zip Code)
(ContactPetson) C11 ~L\ll --V"CLL-SQ?honc:) 651-423-1144
APPLICANTSIGNArURE~JA~;)'-fa~ DATE '5-d---6~
t.
Quantity
l
I
I
:;;.....
\
(
a..
APPLICA.L~T PLEASE COlVIPLETE BELOvV
Type of Fixture Quantity
Bath Tub with or without shower
I Dishwasher
I Floor Drain
1 Lavatory (Bathroom Sillk)
I Laundry Tray (l or 2 compartment sink
I Shower Stall
Sinks
Bar Sink
I Water Closet (Toilet)
Type of Fixture
I
l2---r.
,
Rough-ins
I Water Heater
Water Softner
Stand Pipe (Washing Machine)
, Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
Lawn Sprinkler
Other
lIEJ!,; Sl-J:1.t;DUI.E
Industrtal, Commercial & Multi-family 1 % of job cost with a $39.50 minimum ResidCll.tjal, New One & Two-fslmly S9950
Resldential, Additions &: Alterations $39.50
Estlmated Cost $
Building Permlt #
PLUNfBTINGPERNITTFEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
Q ~.
~^ "()~ 1
v~ "
&,o~
~4th-
.50
(Offitc Use Only)
I This Application Becomes Your Building Permit When Approved Paid
Receipt No
Building Omcilll .
I Date I By
.. DR~ ,
24 hour notica for all inspection.. (952) 447- ~"l{j5~4llJY4J1; --:'
OJ
MAY - 5 2003
L__ ~
I
I
CITY OF PRIOR LAKE
HEA TINGI AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. :~n ~::y. I PERMIT NO. --< .-e::-/~3
3. Yellow Applicant V -..;) L..I
(Please tr1Je orprint and sip at b, ."..)
ADDRESS ZONING (office use)
17389 DEERFIELD DRIVE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name DR HORTON
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESTl]13l]~A .....~:RE~~l)13 ~13ARTH & 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 HUSTON
DATE
8/18/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
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
HEAT N GLO SL-750TRC
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
$39.50
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
By, P'-1ID
1l.D/~ Wrr;.;
G P/2.
. ~A,f/,,.
.50
Buildine: Official
Date
fF~.~\ i:::J
"I .\ I ' L..,
:~~
~Jte AUG 2 i ZOUJ
~,~ U
LJ! :..S
,
;.:1
R.~ceipt No.
, :i
I
(Office Use Only)
This Application Becomes Your Building Permit When Approved
'fJ'y
/)-
l
, r
24 hour notice for all inspections (952) 447-9~ fax (952) 4474:145--. ---
""
.
/ ")1117 ~r'c{Jl
Job Address
Heating Contractor ~/t~f" 14~
Anh3
~
~I'\J
7. "Z-h)
~t7d OF
Name of Tester
Date
Percent 02
Percent CO
Percent C02
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606 Vl">
input & q (717J l~
.,
\
PRIOR LAKE
INSPECTION RECORD
. .
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /'/.369 t:JEEJt.F/6ZtD OIL.
NATURE OF WOR~
USE OF BUILDING rBf
PERMIT NO. DAT ISSUED ,~~
CONTRACTOR PHONE~~ ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FOOTING
fv\~\~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
II/ff
<; ., to- tj-. tCl
tttr' '
1IYf./
~
W'(/
?>-(C(~dJ,
gr- ,J.-l-t(J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
tiL
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
iff
/ !--s-o >
lItJV
11/f//
UNTIL ABOVE HAS
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.
/0,. (0/ Lf1;?
/f- J-U1,
BEEN SIGNED
J
FOR ALL INSPECTIONS (952) 447-9850
'.
I