HomeMy WebLinkAboutBuilding Permit 03-0252
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICAtE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
2-/3-03
Date Rec' d
See Ylain ~ile
~: ~i~i~e ~:~ PERMIT NO. Ol? -OI?~2-
3. Yellow Applicant 'J L:;/.
(please type or print and si~ at bottom)
ADDRESS
6'12'1 Jeef-Af~ (A('Je., 'tS.
ZONING (office use)
e?
LEGAL DESCRIPTION (office use only)
LOT \ \ BLOCK 2- ADDITION ~~dd.-- ~
OWNER
(Name)
. (Address)
PID Z5 -4{j()- ().J 7-0
(Phone)
BmLDE~ J_ \ ..
(Name) ~1"""l. T\Qf ()('\ \ "'-<. .
(Contact Name) E;\c.ve- &'~ lV\
(Add ) 2-o8(p~ ~:~~.5>~.lD6
ress ~l\~. 1Y')y\-\j- 5;:;f)#
,
(Phone) qlO2..~~~-l8De
(Phone) 95'2..-2.-21,-, o~
TYPE OF WORK
I)(N ew Construction
OLower Level Finish
OUtility Connection
I 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 tb~. tbe~. . g O.fficial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
:terUR eR pertylOPerfo ne~~ dr;OO6l..<"-7 2..htt/() &
( / Signa re Contractor's License No. , '?'~
Permit Valuation CJq tJ f) tJ, IJ 0 I Park Support Fee # $ S S~, tJ 0
19J'iI. 75 SAC __ ~ # $ /Z7Srf)fJ
~'11. 75 Water Meter( Size Sit; I"; $ ,e).S'(),t90
Lf q · t> tJ Pressure Reducer $ ~s-: (J tJ
City SAC and WAC # $ I ZOCJ.DO
Water Tower Fee # $ 74)t!J . () D
$ 4 ----
$
$ ~Z,'73_ /4-
I Pai~ U25f'J3,)'-I ReceiPtNolI'VOc;0
I Dater ~ .:J.~...~ By ~,
o Misc.
P~uuit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing PC~U1it Fee
Mechanical P.:.uuit Fee
Sewer & Water Permit Fee
Gas Fireplace P~uuit Fee
o Deck
o Porch
ORe-Roofing
ORe-Siding
o Fireplace o Addition OAlteration
PROJECT COST IV ALUE (excluding land) $ 1 ~ z, 7 J
$
$
$
$
$
$
$
$
Jt}t)rOO
/Ot1. I.)~
S. s: So
~t)#f)O
I Builder's Deposit
lather
TOTAL DUE
This Application Becomes Your Building Permit When Approved
~~
Building Official
~/~'-I/d.3
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
issued. "-
~ ~ ~/..2cfA,3 k ~ ~
- Planning Director ' Date Special Conditions, if any
24 hour notice for all inspections (952) 447-985(), tax (9~2) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
..,....:-:
. "...
...
.,..... ..
:' ,
.'
,.
.(>
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor d/;wur rJ/II.@1
Name of Tester I/z:;f4f1". ~ .
Date (4~/,""
I ,
9/';'7 ~
Job Address
Heating Contractor -I1i1,~;H.I{ 1/A.liLJ(
Name of Tester /kt1'fJ'1/I ~
m
~
7,~10
~op
Date
Percent 02
Percent CO
Percent C02
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606
r~)
to {J if!'f () (U
J
input
See ~ain ~ile
The ("tnler of the t.1It Counlry
C-White - Buildini::>
Canary ~ Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
) _ e.. tiD/2;.1 0 tJ
2-/3 -03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5' 4-2-1 05b16PI6LtD ~(T2-.
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
~
,..
~
Date: ~/.;1-~ /a~
, . ,
Comments:
See :Y{ain 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."
~
. . .,...",*,
See Main }-4ile
White .. Building
Canary .. Engineering
(~mk .. ~ianmng;,
Tht ("toltr of tht tab Country
';:~",...,,~.,.#
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
') _ J2 . t/.Dt2, I 0 rJ
2-/3-03
~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5 fz,q 066JLPIECO C-t 12- ·
I
"
.~
Accepted
Denied
Accepted With Corrections
~
..
Reviewed By:
~
..
~~ /!-I
Date: ~/~ ~ /01
If':
~',>~';
Comments:
"
j
See =vIain rile
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
H. 7.2003 11:38AM
GENZ RVAN PLUMBING AND HEATING
No.5620 P,2L/22
Z\))
~E5;;
Date Rec'd
Cl'l' i ,OF PRIOR LAKE
SEWER AND W A'!'ER PERlVJXl'
\ <3r'IIG fa.
1. yelJOoa., Citf.
J. Gold A,DP'tAAOC
PERl\uT NO.3-d5~
(pleas&: typ~ or punt and ~)Rn"at bOttO.m)
AJ)D~6L/ ~ q :Deerllr:: lei 0}- S't:
ZONIN'G (Qfflcc: use)
LEGAL DESCRfiYTION (office: U$C only) .
LOT// BJ,OCK ~ AJ)DmON Jj ee rf)(? lei CJ1f2..
PIn
OWNER
(Name)....D.'D t!or.tQn r"ii-l"I1Jl HQ~s
(Address)
2c ~;l.f.)O ~BiC:'. t;6e C:r Sr~. J Cl's
(Addrt.~~)
(phone) _ g62...q 85-18 (")0
~\Ji He... ,?tt~Ll-
(City) (Zip Co~)
APPLICANT
ON~~ Genz-Rvan Plumbing & HQatin~
(phone)
651-423-1144
(Ad~~s) 14745 So Robert Trail Rosemount. MN 55068
(Ad.dress) (City) (Zip Code)
(con.tactperson) _ 1 ~~ r. ~~ _ 6~;.:423-1l44
'~_lCANTSrGNATURE ~~a..~;:~ ~~
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. D ABC 0 PVC 0 Cast Iron
. Estimated length of sewer line feet.
Clean out (if required) located at _ feet from structure.
,trEE Sc.tiJO)UL.E
ResIdentIal sewer and wate1;' hnc connection $3550 Industrial, Com'l & Multi-faml1y 1% of job cost wlth a S3950 minimum
Sewer cOlUlection only $17 .50 Water connection only $17.50
Estimated Cost $
Building Pt.ul"it #
801 PAlo *"Hi
LOING PEFlMIT
;,,:: Application Becomes Y ollr Bllilding Permit When Apprnved i.~~! ~ llJl ~ )" :CeiPt No.
G:.J~' Building 016cisl 14 hour nottoe for :I:r~..pectlo.. ~)... T.g~ ~~ .;~s:::; - ~
,By
SEWER AND W A J..t..t<. PElUvIIT FEE
STATE SURCHARGE
TOTAL PJi,.KlVU.1 J,(J!,,J!.,
$
$'
$
.50
(Offict 'Use Only)
11 : 38AM
GENZ RVAN PLUMB!NG AND HEAT!NG
No.5620 P. 22/22
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERlVu'l'
l. BI...* pije
2. Gold City
3. Vel1O\a1 AppllClllt
PERMIT NO. 3~ t::;Cf~
(.Plea..~ tyPe or p,r,inr IpJd s.)p;Jl at bon-om)
ADDS 4~ q
keme/rI (]iv S"r
Ot/R
ZONlNG (office use)
LEGAL DESCRIPTION (office: we only) "0. /l
WT ) / BLOCK ~ ADDnJ.ON J...) ee vrie Id
PID
OWNER
~~~ DR Horto~ Custom Homes
(Address)
(phone)
Cf,!?1-:-' q r? n -78DD
'2-o~1 -^ \/ A -...o..1J1 \"'-..;,:0 CT" S~ 1"0
wv ;r.....evl~ ~ II .",""', e. w
Ut!l.A..VI I 1<::, M tJ E fuLl L/
APP1.ICANT
(Name)..Ge.n.g.r-...ay.a~_ ~l"~Q;'"g r. ~A~f'iP-a (phone) .-h~1-4?~_1lA11
(Address) 14745 So Robert Trail Rosemount MN 55068
(Address) (City) (Zip Code)
(Contact Person) / CLI"n erz:r ( '1/"1 _ ~ ~ne). 651-423-1144
APPUCANTSIGNATURE {c:);(/I:Jf~L(}/1 ~~ 3/&! /Q3
Quantity
I
f
,.
.~
/
I
,
;,L
APPLICANT PLEASE C.OMPLETE BELOW
Type of Fixture
Bath Tub with or without shower
I Dishwasher
I Floor Drain
1 Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 oompa! uuent sink
I Shower Stall
Sinks
Bar Sink
I Water Closet (Toilet)
Quantity I Type ofFixtllre
I Rough-ins
I.: . I Water Heater
relj..;' I Water Softner
I 'I Stand Pipe (Washing 1vlachine)
I Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other .
FEE SCHEDULE
IndustrIal. CommercIal & Multi-farnxly 1% of job cost with a S39..S0 minimum Residential, New One & Two-Family $99.50
ReSidential, Additions & Alt...""nltions $3950
~ .
PAID WITH r
BUILDING PERMIT
This Application Becomes Your Building Permit When Approved D I~rrl ;;fn=-li~, Receipt No
:;~~ IlWldlllgOtl;ci.1 D.... ,.. ~R l1?OM j By {'jl
24 hoqr notice for all inspections (952) 44' -"'98"50, fax (95Z) 447-4Z45
By .,_'
(Onlte Use Only)
EstUnated Cost oS
Buildmg PeJ'Dlit #
PLUMBING PERMIT :,J::,J::, .$
STATE SURCHARGE $
TOTAL PERl\'lll .r~E S
.50
~
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec' d
#7075
I. Pink File PERMIT NO~
2. Green City . · . - ~ 5" ~
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS
~o?9 ae/~/J {5a:L, 5E
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT/ ~LOCK~ ADDITION
PID
~~~RD.~. Horfon CJJ.s'om ~om~
(Address)~ .J\..enbrida.t- (l~o.kewLe Mt\)
APPLICANTA J' . M h ~ .
(Name) I Q(f eeL. .~ .
(Addressh3&JS,y ~r1ebec.. L::r. '5fe. #/ .E;aaarJ
(Address) J (City) (Zip Code)
(Contact Person) ~f.pr Z;mmp~r(r\ Q.n (Phone) {P5/-45~" ;l77~
APPLICANTSIGNATU~ · .&~ DATE .
~ .~ .
APP ICANT PLEASE COMPLETE BELOW
0NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL 1Jr~4n~ 3.S'3KA-VIQ~' 0 FUEL J\JC4.~lAOA
FLUE SIZE ~'CICLSc;, ~ RETURN OPENINGS ~ INPUT 10.01>0 OUTPUT 6I.D..l>O 0
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone) c;5()'4~-7~7:L
-5 50k( J..I
(Phone) USJ- ~ - rf(775
55/.22
DWarm Air Plants
o Gravity
o Mechanical .
~ Conditioning
[!V 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 #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERl\illl FEE
$
$
$
50 PAID WITH
~. BUILDING PERM"
~#-&- ~: -!t- fTlteceipt No.
~~t.APR I II Z003}Y !J-.
, 0
(Office lIse Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-~= fJll".(952~7-4~
~)
~
CITY OF PRIOR LAKE
ItEATING/AIR CONDIIIONING/.141.KEPLALE PERMI.'
Date Rec'd
1. Pink File
2. Green City PERMI.l NO. 0]-- () Zt5 2-
3. Yellow Applicant
(Please type or print and sip. at bot .om)
ADDRESS ZONING (office use)
5429 DEERFIELD LlKCLE S.E.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDIII0N
PID
OWNER
(Name D.R. HORTON
(Phone)
(Address)
APPLICANT
(Name). ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
S5113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
6S1-633-2S61
APPLICANT SIGNATURE
BR~Nl)A HUSTON
DATE
7/29/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OlJ l.t"UT
TI.l".r, OF SYSTEM
DWann Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. System
IU.A.l.lLiG 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
HEATN 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
$39.50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
BuUdin!! OOidal
Date
Building P~uu.it #
$
$
S
~ ~ft lE r~lE
r~ D.t\,J1 S 0 200J
PAID WITH
.5oBUILDING PERMIT
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PE~J..l.l .l4EE
This Application Becomes Your Building Permit When Approved
....~
\ \
I:
\;
Receipt No.
(Office Use Only)
By
}
24 hour notice for all inspections (952) 44~r8'S07 fax W~) .w~~24S~d
PRIOR LAKE DEPARTMENTOFSee Ylain .f:'tile
BUILDING AND INSPECTION
.
INSPECTION RECORD
SITE ADDRESS .s~, Z>EE'1f.l9iLtJ ell!&.l J. &.
NATURE OF WORK g6Jl,j -(AJ.j~~
USE OF BUILDING s.JII1:A.
PERMIT NO. 03 -07 ?"2 DATE ISSUED vz~Jt
CONTRACTOR 1). ",. ~ILTo,.a pHQNEBi". ZZ& -11.1Cf
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
.:
..
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING fW/ ~-<-t~
HEATING (if required) Y11J ~--1(-rJ3
FIREPLACE 11i1 ~ /l( ..{fJ
GAS LINE'AIR TEST M' ~-'1(4)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
rvr
0/Y/
7)~II-d3
8' -/0- if1::>
'"
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
FINALS
11
~ ~;~..
6;~;'
C\.. }~-(J)
41~~r
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
Wi
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) 4~7-9850
QIttfifitaft of Q) l-l-upantl!
CITY OF PRIOR LAK~
~tparfmtnf nf ~uilbing J(nspttfinn
~inal 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:
Occupancy Type
R3
Type Construction VN
Fire Zone
Bldg. Permit No.
N/A
. Zoning District
03-0252
R2
Use Classification
SINGLE FAMILY
Legal Description
L11, B2, DEERFIELD 9TH
Owner of Building Site Address 5429 DEERFIELD CIRCLE SE
Contractor's Name & Address D. R. HORTON, 20860 KENBRIDGE COURT, LAKEVILLE 55044
ROBERT D. mITCHINS ~ City Pl.nner DON RYE
Date: 6.h ~~fficial '
r . /'
Date:
r
',' ".: "":l~~,""~~~\": ~:'I '~II :,'1'~.': I;' /'1
;.~i>"'r":I'I'II"'HI /~l';;"~',:;':;~' :.t:...~;;',~'rY' '~\".:.ci,.:~:,<i',:>"}'-~,;,,:':,\~,,,:('->~'~:,,?, .&.':l:,,~'<!l." ;". -A-,;.~J,:"'- ,~,),,':-..' ,':-iii~,,<";
1i>~'1~:""-t'J'~ .- "'\"" 'k I~'_. I' d":' ~~'..:t,:i: ,,~.-.. '[At,(,j ',d.
i
~
DATE TillE
CITY OF PRIOR LAKE ,. /.L/
INSPECTION NonCE SCHEDULED WDf....
ADDRESS s-.V? .#eel" !:i/d Cf-
OWNER CONTR.
PHONE NO.
PERMIT NO.
~J-,2f.2
[] FOOTING
o FOUNDATION
o FRAMING
~NSULATION
FINAL
o SITE INSPECTION
[] PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ MECH FINAL
[] EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COM Ml;,NTS: ... A ~
~~~1../ /iJJ,~/ ~ ~~/4J
/~t't.~<j ~~ ~V~-p~ czcI
~&~:. ,g-~/~ .~ -
~ ~ ~ U~ J. c;}rSt:;- -r "/ ~ r
rj / .. /"
c.J.~ .,z- '/r-e~-S ",.~ /~,('\~/ /~
~'YcY~y ~~ / ~~
--'
.-/
C'ks~
,AORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK~~~ ;O~EINSPECTION BEFORE COVERING
Inspector. /0/' OwnedContr.
CALL 447-9850 F9~ THE; Nt;XT IN~PECTION 24 HOURS IN ADVANCE.
l~/
~./e
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
df - J.L(
ADDRESS
b'1b1
D~rh-,.I J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~)..
D FOOTING
o FOUNDATION
o FRAMING
o INSULATION
[] FINAL
D SITE INSPECTION
o PLUMBING RI
D MECH Rl
o WATER HOOKUP
o !JiWER HOOKUP
~LUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
[] FIREPLACE RI
D FIREPLACE FINAL
o GASLlNE AIR TST
D
COMMENTS:
(tlM(Jw
~'7
D WORK SATISFACTORY. PROCEED
~. CORRECT ACTION AND PROCEED
[] CORREWCK, LL FOR REINSPECnON BEFORE COVERING
Inspector. 4- J.t[~;krK;ontr.
~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
.J .lij III/ j J