HomeMy WebLinkAboutBuilding Permit #03-0251
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
2 '/3 -03
See ~ain f"4ile
I. White File
2. Pink City
3. Yellow Applicant
PERMIT NO.03 -ozs/
(Please type or print and sign at bottom)
ADDRESS
5~1.1 ~+tdJ... C-t(~ e, S&.
ZONING (office use)
1C2--
LEGAL DESCRIPTION (office use only)
LOT I D BLOCK 2.. ADDITION Jl,~ qrn-
PID ZS-~O---(J39-0
OWNER
(Name)
(Phone)
(Address)
BUILDE~ 1 ~_ _ -r.
(Name) r V.~. . \" orJUY 1 ..\,..Y\...L.
(Contact Name) 0 _.f V.,. &.~ ~~on
(Add ) 20'6(,0 .<~rt'a~t...-.C;J-. ~f'OO
ress ~\ v mf1JrasoYL..
~ ,
(Phone) ot52-~ ~-'1 'Coca
(Phone) '151:2'1...,-,~
TYPE OF WORK
~New Construction
DLower Level Finish
ODeck
o Porch
ORe-Roofing
ORe-Siding
o Misc.
o Fireplace o Addition DAlteration
PROJECT COSTlY ALUE (excluding land) $ 9z~
o Utility 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 aw th t building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
:te th propertx to eifi ed~~ c5l 0 DO'P(?f(;;1 2. -"2. -0 ~
Contractor's License No. Date
Permit Valuation 13. (J(){), 00 Park Support Fee # $ 8s-0 , 00
Pcuuit Fee $ " SAC # $
9l/'-/t 7:5 ~~~ (2... 7'5', 0 0
Plan Check Fee $ fDILf. {)'J VvaterMeter Qile5/81 I"; $ 2.-$0. Q 0
State Surcharge $ '-/tJ" 5" Pressure Reducer $ 'IS, 00
Penalty $ City SAC and WAC # $ L~, 00
Plumbing Permit Fee $ I tJo r i!)O \oVater Tower Fee # $ 700. DO
Mechanical Permit Fee $ 100, ~O Builder's Deposit $
Sewer & Water Permit Fee $ 3'5: 5'0 Other $
Gas Fireplace Permit Fee $ '10 t (J(!J TOTAL DUE $ (,~ ~OO .84-
This Application Becomes Your Building Permit When Approved Paid 0~(;' ~ Receipt No. tfttUdt?
~ 1~ ~'I/o3 Date' /" -' ~.~-~ By cr
Building Official Date
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
~ ~ c::Va.-ft03 4- ~ ~
Plann-ing Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
T ..
See ~ain ~'ile
The ('enter of the take Country
<:;"hitP. - BUil~
Cana'ry - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. .e, '-'DICl 00
?-'I3-Q3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
F54-27 DE6eHbLD ~I~
Accepted
Accepted With Corrections
/'
Denied
Reviewed By:
~
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Date:
d-/d~ /r; 3
Comments:
See~
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.1I
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... ......
See ~ain f"4ile
White - Building.-
Canary -Engineering
~k - Plann~
Thr ('rnlrr of Ihr tab Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. k~. HO~1 00
2~"3-03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.0427 OESt!r, E, LV elK-
Accepted
Accepted With Corrections
~
'"
Denied
Reviewed By:
~
r
~~~
Date: o</~'-/ /D3
,
, Comments:
See M,lin File
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. II
Job Address 5JfL 7 Dezr~(,(
"" Heating Contractor ~'AtJr h 'E<.,JL
Name of Tester /kn1l\.~
Date 1a/JP/o1
Percent 02 8(~7^
Percent CO ~
Percent CO2 7,~~)
Stack Temp Cl7c,O~
Combustion air is adequately supplied per
UMC Sec. 606 Y.,PS.'
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Mar. 7. ~003 11:38AM
GENZ RVAN PLUM8tNG AND HEATING
No.56~O P, ~O ~~
Date Rec'd
4PRl~
(€U~
:;E~
CITY ,OF PRIOR LAKE
SEWER AND vV A'lER PE:RM1'l
i. ~=w g~ PERMIT NO'3 _ ' C /
3. Oo.ld AllfIlIWlt c;;I- ...J
LEGAL DE,SCRIPTION (office: use only) ~ (1
{OT!OBLOCK b< ADDITION veer(7eld
(Please: type: onmn[ a:od sip,nat bottom)
ADD:!f,-/{YJ ':D~erheld GLY Sf:
q;/{
ZONJNG Wlke u~e)
PID
OWNER
(Name) _np B"'..-t.o..., (""~t.om HomQ""
(Address)
2c;&00 KeY1BR-\t'he.. 0- S;-p~/~
(.Addre~s)
(phone) _ g.E~ .-q85- J3.I~(\,
LaU\Ji tl~ .0CO-JU,
(Cit~') (Z.i.p Code) ,
APPLICANT
(Name) Genz-Ryan Plumbing & fleating
(phone) 651-423-1144
(Address) ,!..42~_.~2.".Robert Tl:ail
(Address)
(Contact Person)' - I aff)ef/a r
- t" .....-
''(IeANT SIGNATIJRE ~ _
Rosemount. ~rn 55068
(City) (Zip Code)
651-423jl144
~/~/()~
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. D .ABC D PVC 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
Residential sewer and watez:- Ime connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'! & :Multi-fam1ly 1 % of job cost WIth a $39.50 Dllntmum
$17.50 Water connection on Iy $17..50
Estimated Cost $
Building P,;,uuit #
SEWER AND WATER PER1\1IT FEE
STATE SURCHARGE
TOTAL PERl\tUl FEE
$
$
$
.50
PAID IA1rP. .
BU'LO'NG.PE~
(Office Use Only)
G,:
..
This Application Become.. Your Building Permit When Approved -~ ~'1]g.l[TYiJ .~., \ I Receipt No.
,"DMeAR '11 2003 By a.
_L '1i J
24 hour notl~e for alllnspectioDS (952) 447'9850, tax (952) 447-4245 {J
By
Building Officilll
Dare
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Mar. 7. 2003
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11 : 38AM
GEN2 RVAN PLUMBING AND HEATING
No.5620
P. 1 9
Date Rec'd
CITY OJ" PRIOR LAKE PLUMBlNG PERMIT
1 Blu. fil.
2. C'tOld City
J Yf:l1ow APllUc81\~
PERMIT NOji-9,SI
(please type or 'Pr1nC and s~ .:It bottotl1)
MJD5Lj~j
herf/pld (1'y ~E
q~
ZONING(~ffice u,e)
LEGAL DESCRll'TION (office use onJ.~) "" i:'
LOTIOBLOCK!2 ADDITION ~eme(c/
PID
OWNER
(Na.me) DR Horton Custom Homes
(Address)
(phone)
9S2:,q~F: -78DD
ZO'S.~?D ~B~~r:x;e.. CT S,e IDO
Ui.l~-LV( J JG M.-1 rJ EttL.l tJ
APPLICANT
(tJame) CAT'I"'-Rya'{"l P1 ".m~ h. ~~g (phone) h c; l-Ls.~q-11 ~~
(Address) 14745 So Robert Traj.l Rosemount NN 55068
~Address) (City) (Zip Code)
(contactperS,onl.__J amev-a .L...,'''''' _., In one) 651-423-1144
APPLICANT SIGNATURE ~ tL/ / ~ / ~ 8/ {e /c)3_
,
.~-- Q;';ntih
I
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_.~._;2.
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APPLICANT Pl..EASE COl\1PLETE BELO'W
Type of Fi~ture
Bath Tub \vith or without shower
Dlshwa~he.r
FIc'or Drain
. Lavatory (Bathroom Sink)
Laundry Tray (lor 2 comp3.& lUlent sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Quantity
Type of Fixture
/,-
Iel T-I
"1
I
Rough-ins
I Water HeAter
Water Softoer
Stand Pipe (Washing 1vfachine)
Sewage Ejector
Backflow Assembly
I Backflow Assembly Test
Lawn Sprinkler
I Other
FEESC.I:1.EDULE
Ind.u~tr]al, Commerc1al & Muln-family 1% of Job cost wlIh a $3950 minimum Resldenti:.lI, New One & Two-Famlly $9950
Residential, Additions & Alterations $3950
(Of(ic~ t]:'It 001)')
Estnnated Cost $
Building Permit #
Building Offiti21
PLUMBING PEJU..lIT FEE $
STATE SURCHARGE $.50
TOTAL PERlVm FEE S - B~ ~ IWrH
..:1 @ ~ '"f ~ 11.!e~ ~AfIT
Da" . -. are ~ 1 l1llD3 ]IY ~
14 hour notice for all inspecti(JQs (95~) 447-935~ f~x (952) 447-4245 Iv
By
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This Applic~tion Becomes Your Building Permit When Approved
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CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
#7CJ7~
I. Pink File PERMIT NO
2, Green City '~-:2._ ,-:) '.[-/
3, Yellow Applicant _). C?"- .:;
(Please type or print and sign at bottom)
ADDRESS
--7c/-P? aey~~/c/_C/G&
ZONING (office use)
~
LEGAL DESCRIPTION (office use only)
LOV aLOCK ~ ADDITION
PID
~~~RD.~, .- orion OJ.A.SOM ~ ome~
(Address)dOgtoo ,~eobridC:t- (};-, ~QkeVi lie. M~
APPLICANTA J " . M ,,....---
(Name) r Qr'f elL.I,...ldLx!.., (Phone) U 5/-~,z, - cf(775
(Address),3CoSO f\.e.nr1ebec..~, 5-'e, #j La.3Qf1 55tU.
(Address) (City) (Zip Code)
(Contact Person) ~f..prp-V' Z.'mm@_rm G\n (Phone) {P5/-4o~'- ~7'7~
.~'fj /l /}..'
APPLICANT SIGNA TURB- . A:j)~~h~~ { '. ~~ DATE
(/ {/{/ 77 · (/
APPt!CANT PLEASE COMPLETE BELOW
0'NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL ~rY4n+ 383KA-V~LO FUEL J\Jo.tlAf'O..
FLUE SIZE Lj.1'C((l,S~ "'2L RETURN OPENINGS ~ INPUT 11:>.000 OUTPUT 5lD..lJO 0
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone) ,95a- Qcg5 -7;<7~
550~.L1
OWarm Air Plants
o Gravity
o Mechanical
~r Conditioning
Qt'Vent. System
o Steam
o Hot Water
[] 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 & Ale (New Construction)
Residential, Heating Only (New Construction)
$39,50
$39,50
Estimated Cost $
Building Permit #
Building Official
Date
$ PAID WITH
$ ___'.~~~~'" .50 BUILDING PERMIT
$/ ,r.: " :,n.., 1'-'-
'nl) .s. LG 0 d L~ I i I
In PawPR 1 0 ' !. Receipt No.
A 2003) I
bate L....I By
BJ_
/r
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HEA TING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
(Office tlse Only)
This Application Becomes Your Building Permit When Approved
-
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
T --
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
L Pink File PERMIT NO
2. Green City · O:I - (I 2,5 /
3, Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS
5427 DEERFIELD CIRCLE S.E.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name D.R. 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 HUSTON
DATE
7/23/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
HEA.lll~G OR POWER PLANT
D Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
TYPE OF SYSTEM
FIREPLACE MAKE AND MODEL
HEAT N GLO SL-750TR
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
Huildine Official
Date
Building Permit #
$
$ .5<tiun.DlNG PERMIT
$ ~
'0 ~ lE r~ H1 ~ ~\I
\ L <'Paid' ~ J ~ II \ Receipt No.
\' r "'00" :, ,p
'\ \. Dad! It :t1) L J "By
UL: -,j,
PAlO WITH
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
~
24 hour notice for all inspections (952) 447,~O.~:f2).u"T...d.245 ,,-,- :d
T
~trfifitaft of @ttupantl!
CI'l'Y OF PRIOR LAKE
~eparfmenf nf ~uilbinB c1fnsperfinn
[SJ 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
Occupancy Type
SINGLE FAMILY
Bldg. Permit No,_
03-0251
R3
N/A
Zoning District
R2
VN
Type Construction
Fire Zone
Legal Descript~. 1,10, B2, DEERFIELD 9TH
Owner of Building Site Address 5427 DEERFIELD CIRCLE SE
Contractor's Name & Address D. R. HORTON, 2086Q/~ENBRIDGE COURT, LAKEVIL~_E 55044
ROBERT D. HUTCHINS 1/~I~:ity Planner DON RYE
Date: ,
"1 Bu},ldin9- Of~icial
{,,' /1 )~.../)/~(
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Date:
";..:.,1liIo.t
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
11 FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
/;4~ 7
()~~.~( J
CONTR.
PERMIT NO.
o PLUMBINl3 RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
jI MECH FINAL
.---
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DATE TIME
Z-!O,dj
3'-~
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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.----------
~ WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W7fA~L FOR REINSPEC'nON BEFORE COVERING
Inspector: r V r OwnE! rICo ntr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSliOl"l
i
PRIOR LAKE
INSPECTION RECORD
. .
SITE ADDRESS SI./L.., 1)E6~Fi'U) t!iat:l.E ~&.
NATURE OF WORK 'NeltJ--c,/J$fZlA~
USE OF BUILDING 3. Fr' A.
PERMIT NO. '~"02S1 DATE ISSUED '211,1/1,,:1
CONTRACTOR l).i:tt fo\oat~ ,.1"'C · PHON'E~~"&t..lI:S"C
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPA~M~NTOFSee ::.vlain .File
BUILDING AND INSPECTION
INSPECTOR
DATE
FOOTING
AA.~
FOUNDATION (Prior to Backfill) ~'^
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC ~'~ _
FRAMING VVY/
INSULATION /ll/}//
ELECTRICAL
PLUMBING VWJ _ <6/'_)-cI';;
HEATING (if required) lI'W'. x-14~J>
FIREPLACE VVf :I k-(&(-d)
GAS LINE AIR TEST {V'( ~-(lI'-O
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~--I 'tt>
X'-IC'f~
FINALS
GRADING (Prior to Sodding)
BUILDING
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.
W(/
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FOR ALL INSPECTIONS (952) 447-9850