HomeMy WebLinkAboutBuilding Permit #03-0013
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tvDe or orint and sil!ll at L~;...~.) I /" 7../ ~ 7 /'
ADDRESS \ ...)~,....
X 'I XY.X"pPftu,1 d IJr"VG (St;.
I. White File
2. Pink City
3. Yellow Applicant
PERMIT NO'03 - 00 13
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT :< BLOCK t3 ADDITION ~er4et&. CfTh-
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER '\""\1) I t
(Name) t;LJ.;~. no(~ Le.
(Contact Name) ~Ve. b, 'c.ban
w.e loa I<et1.br~\cJt'Jl.: C;t. ~Q. roo
(Address) ~,Jle. MN V f;i;Dt/<J
(Phone) '162-'1 rat;, ,90B
(Phone) C1f)2-- 21h>- I"?:>'W
, -
TYPE OF WORK
~New Construction
DLower Level Finish
ODeck
o Porch
ORe-Roofing
ORe-Siding
o Misc.
o Fireplace DAddition OAlteration
PROJECTCOST/VALUE (excIudingland) S \ \)~I ~ti1
OUtility Connection
I08,L./97
$ ,
/IJ~'-I. IS
$ fo78. 7tJ
$ $~,~~
$ -
$ lao. Qt)
$ /O~, DQ
$ 35,50
$ 4(), ~O
~o, 190
/,;1//5, () 0
OJ5tJ,oo
~S;o~
/d}-OtJ , EJ(J
?()tJ . {)~
Building Official
/tJ~3~~
f Date
I Paid ft? '.oS '/d- A(5
I Date I - ?.. --, ~
,
Receipt No. Lr:S r I eJ---::;
By
7[--/
This Application Becomes Your Building Permit When Approved
~ :j~?
This is to certilY 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
is~ +~
Planning Director
/ /~;d~ tf~ aJL{ ~., - ~
~ , Date Special Condif(ons, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
S~/f/N l-iL-E
,/
Tht" Cf'nlrr or 'hr "Ike- Counlrl
<::Wbil:e - Building)
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT jr') '1(' 41,)1--I-::o;..J
, ,
APPLICATION RECEIVED /a-Ilf-Ocr-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for con ruction activity which is proposed at:
· {)y- C:Aot d-( I3L;3 ~
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
~
/(~
if~p Date: IdhlJ,t.--
f '
/LU~~
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."
. SSE"" flI\ ~ i ~ fl'Le
Thf' ern't'r of tht L.kt ('aunt"
White - Buildinq
~anarv - Enaineeriri1P
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
-"'.'-.
NAME OF APPLICANT ? j' :-;. i / / ;..-
APPLICATION. RECEIVED //) .- j.../)"rt-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for co~struction activity which is proposed at:
,- : , /'
i i ;. i.
1. , 1
.j y'
t.
..,
....;
I
....
Accepted
rX
"
Accepted With Corrections
Denied
Reviewed By:
Comments:
/J/J{}B
Date: ()-;) 7- OL
!J e e. rY74/f\ F,' 1-<.
"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."
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~:7:;o/
~::y. I PERMIT NO.2 -/'2 I
Apphcant c) \.j
I. Pink
2. Green
3. Yellow
(Please type or print and sign at bottom)
ADDRESS
/75&2 a~~/J a ,S-~--
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT~BLOCK3 ADDITION
PID
~~e~RD.~. Horfon G-u.sbm Home~
,(Address)~ K.enbrid~. QJ'I Lo.kevi 11e Mk)
APPLICANT 1\ , I . - . M ---
(Name) l:UlrQr1 et!..1..j,.~. (Phone) 0/-45:L-cfl775
(Address) 3~5cJ J< e.tJ.O ~ h ec..~. Sfe. #/ ~-: a a an 55/ .2.r:L
. [ (Address) J (City) (Zip Code)
(Contact Person) ~t'.pr Z;mmp.r.rn Q,n (Phone) ~-45..~- ;l'l7~
,4?~ DATE
(Phone) q5a~ q~~ -7~7:L
550~L.t
APPLICANT SIGNA TU
ti'1
APP ICANT PLEASE COMPLETE BELOW
[g'NEW CONSTRUCTION o REPLACEMENT 0 AL n:RA TIONS
FURNACE MAKE AND MODEL ~~4n+ 3~A-vtmU>; 0 FUEL f\Jo..tu.m.1
FLUE SIZE ~"c1CLS'D "B..-.- RETURN OPENINGS ~ INPUT "1().000 OUTPUT 61.D~l>O 0
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
o Gravity
o Mechanical .
~ Conditioning
[1l'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
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 & A/C (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
REA TING PERMIT FEE $
;~iiS~~R~:E J /;[ .50
(0;;::, U~:::::~tion Ilecome, Y onr Bnllding Permit When APProVedn~ ~pg II [/I [E ~i
. U J 1 ~e {)4 Z003 I U II
Building Official Date I LJI
jl:tv. '
24 hour notice for all inspections (952t4"t~ PII'A fllx (911\'-) 4474245
. -=..
Receipt No.
By
If/
Fe b, 6,
~
/~.tp\
... '\ ~
;.. ,,7
~~ .; ~
':'\{:~~~~,W';;,i E S
2003
2:33PM
GENZ RVAN PLUMBING AND HEATING
No,2654
p. 6 1 9
Date Rere'd
CITY OF PRlOR LAKE PLUMBING PERlVlll
- ,.
1 BJutt lile
2. Gold Ci<r
3. "(~jlow AppUr.w
I PERMIT NO'03 -00/3 J
<Please tvtle or llnnt <Uld Sllm .n oottoUl)
ADDRESS ' .
\ 730:2.. D-a rZ.+ lelo{
'!)~ ~.
ZONJNG (office U~f\)
L'
LEGAL DESCRll'TION (office use only)
LOT J BLOCK ,~ ADDITION f}af<..frdd q~
PID
OWNER
(Name) DR Horton Custom Homes (phone)
APPUCANT
(N ame).G.e.nz......R.y.a.t1.-~ i.1"' C to, 'R M..ti....-a
(Address) 14745 So Robert Trail
(Address)
e V\~l$fi fct,l I ~
0AA l~_~
(Address)
(Contact Person)
952 ~ q ~ 6 -7glX')
2-O<f.(,oo K.enp;iCl ~ Co ST'e IDO
Ut./L.tvd /(.. j.01.~ .5 SbLi'-_.f.
(Phone) ~"1 _I.? ".-1 1 b.L.
Rosemount
MN
55068
(Zip Code)
(City)
(phone)
651-423-1144
APPLICANT SIGNATURE
DATE
rl--{p/03
I
I
I
I
I
I
!
I
Quantity
I
I
'I
'1-
1-
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture
Ba.th Tub with or without shower
Dishwasher
I Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (l or 2 compartment sink
I Shower Stall
Sinks
Bar Sink
, Water Closet (Toilet)
Quantity
?>
,.
t-~
I Type of Fix.ture
I Rough-ins
I Water Heater
I Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
BackfJow Assembly
BackfJow Assembly Test
I Lawn Sprinkler
I Other
1'..t.,I:!; SCHEDULE
InduslJlal, Commercial & Multi-falD.lJy 1% of Job cost Wtth a $39,50 minimum Residamal, New One & Two-Fanuly $9950
Residential, Additions &. Alterations $3950
Estlmated Cost $
BuIlding Permit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
PAW WIllI
50
BUILDING
I~~nl
By ~_
(/)
(Of lice Use Only)
This Application "8ecomes Your Building Permit ~'hen Approved
Paid
Building OClidal
Dat'"
rt.D - 6
Dsre
24 hour notice for lllllhspections (95.2) 447-9850, fax: (952) 447-4.245
Feh, 6. ~003 ~:33PM
GENZ RVAN PLUMBING AND HEATING
No.2654 P. 7 i9 ~ .~.
.~~~
i'\<:':':.1'l>.~~?";:~"~:',~!N"P. s 0-( ""
Date Rec' d
Cl.l i ,OF PRIOR LAKE
SEWER AND WATER PERM1T
, .
i. $~ ~.. I PERMIT NO. 113-00 /"?
). Go~ Appho.w: U"":>
(I'Jea.se type or pr1nt and sil!.Jlu bottDm)
ADDRESS
if3lo~ D€e~h'c(d ~~. St.
I ,
~,
ZONlN"G (office ~.e)
LEGAL DESCRIPTION (office \lsc:o:nly)
LOT 2 BLOCK 3 ADDmON W~-f/~(o( qfvl
PID
OWNER
(Name) I'!', l-=!~.n._f"..'=,,;oa l:lgme::
(Address)
2f.:>EtDO ~BR..\b6e C:r SW.l{\0
(Addw:,~)
(phone) _
~_\J I lie.,
(City)
C152 -q~- fM,i\
.06)L1U
(Zi~ Code)
APPLICANT
(N"ame) Genz-Ryan Plumbim: & Tieatin~
(phone)
651-423-1144
(Contact Person) .
(Adm~s) 14745 So R9bert Trail
(Add.tes$ )
0/~ 1Q'18h' ~ lIS
0J~_~
Rosemount. MN
(City)
cPhone)
55068
(Zip Code)
651-423-1144
'-JIC.A.NT SIGNATURE
DATE
;;. , (p-03
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 IrOD.
Estimated length of sewer line feet.
Clean out (if required) located at __ feet from structure.
Rc;sident.1al sewer and water line connection
Sewer connection only
}-"EE SCHEDULE
$35.50 Industrial, Com'] & Multi-fwJlly 1% of job cost W1th a $3950 minllnum
$17.50 Water connection only $17.50
Estmlated Cost $
Building Pennit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PE~ FEE
$
$
$
.=3
L
Building Official
DUt
Dar-rn-
rm-6
--"'gy
PAlU Wll'n
BUiLDING
PERMIT
I
~
0-)
(Offict U.,2 Only)
This Application Becomes Your Building Permit When Appr<Jved
Paid
24 hour DOnee for slllnspectiol1!l (952) 447.9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or lJrint and sip at bottom)
ADDRESS
~. ~::n ~:;y I PERMIT NO. !i-t3
3. YeUow Applicant ....,/
17362 DEERFIELD DRIVE S.E.
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNER
(Name)
DR HORTON
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW A VENUE
(Address)
ROSEVILLE
(City)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
ZONING (office use)
PID
55113
(Zip Code)
3/24/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
D Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
HEAT N GLO SL750TR-C
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
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approvf ~ ~i~ 0 ill ~
Buildin!!: Official Date' Mffft~ 5 Z003
.-/
24 hour notice for all inspections (95~ 447-9850, fax (952) 447-4245
~y ~
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39,50
$39.50
$39.50
PAID WITH
BUILDING PERMIT
Receipt No.
By
{h
U
,.
..
Job Address
H~ating Contractor
.
Name of Tester
Date
Percent 02
Percent CO
Percent C02
Stack Temp
...
. J ds-t',
/7:?~~to"'~
~I:A~.
d;;~, rj)
<///~/ n)<
~7;scf~
~
"?/')/~
Combustion air is adequ~t9lY supplied per
UMC Sec. 606 '(PO
input ~~ 000
/
"
"
DEPARTMENT 0 ~ ~ ~
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~~ReLO DlLllft;:: S,E, loZ 6.3
NATURE OF WORK Neu..J ~r--.j~T f2u.a-tON
USE OF BUILDING 5 . r-:--. /l.-..
PERMIT NO. f} 5 -()O 13 DATE ISSUED to /~J /0 L
CONTRACTOR J).Q., ~R..TOI0 I l,..Je. PHONE<fS2. - zzto -/3S<{
, I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I
FOUNDATION (Prior to Backfill) *,~\"'" I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
/11#
r1tP -
jIVY/
FOOTING
~~(PN\ I
,
L
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING VI.>. {IL(? 1Yr-rI':J
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST (~-I- pe
INSPECTOR
DATE
1- (0 -0)
'-(-ll.l-O?
Q-/7-o;r
Mi
t/l1'" /
lItf/ 1-- J-f)
t-I- 3~03
4-/4~~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING <\ <.M f 0'1\\\\ 6.A4J
ELECTRICAL
PLUMBING
HEATING
tI/;'V
vVlP
r:- t(-{f/
'7 -- I r -tJ1-;
SIGNED
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
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
(tlerfifirafe of @rrupanrll
CITY OF PRIOR LAKE
~tparfmtnf nf ~uilbing ~ nspttflnn
I4l Final Permitted 0 Conditional e.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 FAJ.'fILY
Bldg. Permit No, 03-0013
Occupancy Type
R3
Type Construction
VN
Fire Zone
Zoning District _
Legal Description
LOT 2, BLOCK 3, DEERFIELD 9TH
Owner of Building, Site Address 1'7!1l1- DEERFI ELD 9TB
Contractor's Name & Address D R HORTON, ?086Q.,.;{ENBRIDGE CT. #100, LAKEVILLE, 55044
ROBERT D HUTCHINS la:~, City Planner DON RYE
/ Bui\di~ OOffi(i,r
Date: _ 1-- Date:
. I
~
j'
,
,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
t:1XL
f*6~ (d
CONTR.
PHONE NO.
PERMIT NO.
DATE TIME
(-),q-oy
'-r-/:]
o PLUMBING RI 0 EXIGRADIFILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
Sd~ /~~J
t'
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
-
--------
/ /
( /j()S-t'
"" L-
"----
.~
/!-~
f ' )
!--7 (p
~/
-------
.Bf'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL EINSPECTION BEFORE COVERING
Inspeclor:
L
OwnerfContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7-/r
ADDRESS
/71Cj. ()t'-er~/d
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1-(J
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
A-'F1ffA.L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL
o EXIGRADIFllllNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
0F~lif ~~ ~ .r_:~ ~~S ~
flt.'Jr.(1Y?~.-I-
"". .
f~/? U~; I q-/~c.J7
..~
(}YS",f- ye(..f~Ld J
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
'7 -- / f(;-tlJ
Owner/Contr:
CAll 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH &: SAFETY!
l/tSNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
l7~ C .2, 1J2", r~ Ie}
OWNER
CONTR.
PHONE NO.
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 f{)
..;rpLUMBING FINAL
o MECH FINAL
COMMENTS:
1J~~
I'"f] yfullS
I
DATE TIME
~ - t.,(
I
'5-(}
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o ~RK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT ~~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: Y V~ / U -lJ...-{f} Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
~~,
Th. e.nltr of Ih. !.ok. ('ounlry
White - Building
Canary - Engineering
Qink ~Iannin~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 7
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'--
.../
Accepted
...............
Accepted With Corrections
Denied
Comments:
xiu ~ -. --:~
~~~
+~
Date:
/ P~3-
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."