HomeMy WebLinkAboutBuilding Permit 03-772
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 5- OL 9-03
Please
ADDRESS .
12 '16 W.'IdutVj J(-ttlL
LEGAL DESCRIPTION (ollice use only)
LOT I BLOCK
ADDITION
I OWNER
(Name)
(Address)
l. While File I PERMIT NO 2a
2. P;,k C;" . Ol? ~O-1-1
3. Yellow Applicant ',;) I ,_
ZONING (olliceu..)
I
PIDflS-37o-001 ()
(Phone)
BUILD~~
(Name) L. (phone). "'9BS"-, gOO
(Contact Name) r~~~ (Phone)~'z:zt/.r I~?~
(Address) 2o\';{poM..,' '*' 8ie.-ltJo).4U\i{k,~w'?S6tf4
~New Construction
DLower Level Finish
TYPE OF WORK
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace OAddition OAlteration OUtility Connection
PROJECTCOST/VALUE (exc1udingland) $ ,q (I z.e 7
o Misco
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 loca11aws and will proceed in accordance with
submitted 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
enter n the property Do p 0 inspe . ons.
o
x
Signature
Pennit Valuation
Pennit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Pennit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
!Ol),-
/00.-
J)cati~YOmBuildmgp~t_;:;oved
Building Ollicial Date
~)()O f,-, 1,:K7 ..
Contractor's License No.
Park Support Fee
SAC
#
#
~2.a/ 0 '3
r 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 s' by the Ci P er constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
,-S-.UI
$
$
$
$
$
$
$
$
$<6~ 7 ,56
I ~;ceiPt~~ %18
Water Meter Si
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
~
Date Special Conditions, if any
:l4 hour notice Cor all inspections (952) 447.!ili50, tax (95i) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
#
g~"!~~;
I pOd
D~te
fl-md
npf-c s
.J
<lito - BU~dlna
ary - En ineerlng)
nk - Planning
Thll'C'rnl...nfIHI..ll.rCo1lnlry
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECK~IST
I (7 N ,f:;./t'J~-t.JL,l-1(:"/'
..~ . .
,..::;-- ;:::) '1~ _/Jp
~ (,/' C/."
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.,.. <:" , ~ ......,---
,./. x' I. . .. / ,
/ / J- (..,1.5 i...tJ...t... __'(2~t?-~4-. i r
Accepted
Denied
X'
Accepted With Corrections
Reviewed By:
!V1fj3
Date:
(,-ti-os
Comments: See Reverse Side fm Aclclitinn::JI'nfnrm::Jtinnl
See Attachments: 1) Grading Plan. 2) Erosion Control Measures
"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."
~1
White - Building
~F1' ElIlJllI..;)g
Ink - Planning
Tht'("t'nluof Iht' I.lkt("ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
LON tJ()-c/~
".5- 89-()"d
'-
The Building, Engineering, and Planning Departments have reviewed the building permit,
application for construction activity which is proposed at:
(17:;" 3'5 UJ~Lcft?~~ If.-
Accepted
Accepted With Corrections
I./"
Denied
(/1Jf2L
~q~ t1o~s c4-
Date:
c- rt-d3
.,........
Reviewed By:
Comments:
If-:}()v7
"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."
~1
White . Building
ary - Ing
Pink - Planning
The- ('..nln nf Ihe- l.."'co (.'ollnll'}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I}p~
S-Cl9-tJB
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(Pj;J.. ~o uJ~6)~ /7J.-
Accepted Accepted With Corrections t---
Denied i/1d f/L
Reviewed By: Date: { - Q-Cl3
Comments: e~d. t1d~'.; ..t- !-f,.,.c! ,,;+ r
"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."
..
..
Job Address ~,t.J.-r
Heating Contractor ~:r ~
Name otTester ~-
/~(P~
1:~
~c
JllJd,P'
Date
Percent 0,
Percent CO
Percent CO,
Slack Temp
Combustion air Is adequately supplied per
input
GCJl)~
UMC Sec. 606
'\
Jun.20. 2003 8:51AM
GENZ RVAN PLUMBING AND HEATING
No.8786 P. 2/3
Date Rec'd
CITY.oF PRIOR LAKE
SEWER AND WATER PERMIT
i ;. ~....I PERMIT NO. 3-,1?- I
I ZONING (001",,,,,,> I
~~~bS Tv
LEGAL DESCRlPTION (oBia "'" Oll!y)
toT \ BLOCK I ADDITION ~fielJ
PID
OWNER
(Address)
20&00 . kY1Bi<.\ t::6e Or Sr7 -' f\r\
(Ad<I:<ss)
<.J'hone) _ q6:;. .q8,S- IBM
. LaU\JllIe... ."5e044
(City) (Zip Code)
(Name) no 'R.........,..... t;:'dSt:91B li.9m9Q
NPLICANT
O'am~ Genz-Ryan Plumbing & Hea"ing
(phone)
651-423-1144
(Contact Person) .
Roselllount , MN
(City)
(phone)
DATE
55068
(Zip Code)
UCANT SIGNATURE
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_
FEE SCHEDULE
RcsideJ:ttlal sewer and water line eopneotion $35.50 Industrial, Com'l &. Multi-famlly --1% of job coot with aS39.50 minimum
Sewer connection only $17 .50 Water connection only $17.50
Estimated Cost S
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERl\D.T FEE
$
S
$
.50
8lJ/~-4JO kn-
11'/G ~' I,.,
'l2Fi41rr
(Ollie. Us. Ooly)
This Application .Becomes Your Building Permit When Approved
~
\.-,. . BuildiDII O/llcisJ
~.,-
Date
Rece\pl No.
,..". "
By
24 hour notice for .1I1n.pectlo", (95%) -9850, f:cc (95%) 447~24
By
Jun.20. 2003 8:51AM
GENZ RVAN PLUMBING AND HEATING
No.8786 P. 3/3
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
t~: ~~ I PERMIT NOr:A//J~ 1 '1
J. Y.Uow App(~ , J ' / d
tr-r~~~and~~;~YlR~S IV).
-<""
I ZONlNG (oftic<:"'t) I
LEGAL DESCRIPTION (ollice use only)
LOT I BLOCK , ADDmON
Pro
OWNER
(N~e) DR Horton Custom Homes
(Address)' :2-oS(c,D IUnB lDGe... Ct" Sre IDO
(phone) 962-Q'fifJ-76DC>
\ \.
N E6bLj LJ
APPUCANT
(Name) G~R:l-.PY2~ 'PJn~""'-I'''''g: J:. u.::,OOf'"-!....8
(Ad~~) 14745 So Robert Trail
(Address)
,
(phone) ,; <; 1_1. ? ~_ 1 lid,
(Contact PeISon)
Rosemount MN 55068
(City) (Zip Code)
(phone)
651-423-1144
APPLICANT SIGNATURE
DATE
- 1-IJ~ 03
Quantity Type of Fil;:ture Quantity Type of Fixture
",...L Bath Tub with or without shower :1 Rough- ins
I Dishwasher ,- Wa~r Heater
I Floor Drain )('.-:"\ Water Softner
P') Lav;rtory (Bathroom Sink) I Stand Pipe (Washing Machine)
'1 Laundry Tray (1 or 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
; Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Q., Wa~r Closet (Toilet) Other ..
APPLICANT PLEASE COMPLETE BELOW
FE:E SCREl>ULE
Industnal, Commercial '" MuJu-f,,,"ly 1% of job cost With a $39.50 minimum Reoidennal, New One '" Two-rUllily $99.50
Residential, Additi""" &: AJt<ralionS $39.50
Estimated Cost $
Building Permit #
.50
~-4Jl) W- }.
'1\tG:'" , ,.,
P~Ji4t.
Receipt No.
--
PLUMBJNG PERMIT FEE $
STAlE SURCHARGE $
TOTAL PERMIT FEE $
....:......'
DuUdi.g.Ollldal
D...
(omce Use O1lly)
This Application Becomes Your BuildiDg Permit When Approved
,~" ~
1:.'
L
24 h.ur notice for an i..petti.... (932)
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~7'3
17~;~/cb~55.
l ~ S.... I PERMIT NO'3 /7'1 ;)-1
I I ZONING(oftkeu",,) I
7/,c./ / . .
LEGAL DESCRIPTION (office use only)
LOT I BLOCK / ADDITION
PID
OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
(phone)
~~;~~ANT A/hAJ~ ~,.A44;'~-/
.
(Address) . ~ ~ b ~A.I h" ~ ./:?/.
- (Addn:..)
(Contact Person)
APPLICANT SIGNA
(phone)
~9-< 55/...?-?
(ai/of1' (Zip Code)
(phone) c,S'/~Y~--?7<.<"
DATE
APPLICANT PLEASECOMPI,ETE BELOW
WCONSTR~. ON OREPLACEME. NT. OALTERATI.9NS
FURNACE MAKE AND MODEL. ~.A,.t . 9c:? ~ FUEL ~"-
FLUE SIZE 3 ~v~- RETURNOPlNrNoS . .... INPUT /~,.,..,..., OuTPUT ..
TYl'E OF SYstEM HEATING OR POWER PLANT
DWarmAitl'lants 0 St-'
lravlty 0 Hot Water
. ec~8Ilical 0 Radiation
... ir Conditioni~g 0 Special Devices
nt_ System 0 Other Devices
PLEASE NOTE:
Air Cottditiotler Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
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 $ 7~ a;>Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ /~?/ b".n"/~ PAID WITH
$ .....50 BUilDING PERMIT
$ ~
f@
By
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
ate
JUN 1 8 2003
24 hour notice for all inspections (952) 447. 850, fax (952) 447-4245
By
CORNER
#1999 P.012
FIRESIDE
CITY OF P
HEA TING/AIR CONDITIO
(PJe3W or :nt 1Dd' sf at botto
ADDRESS
FIRESIDB~
.OR LAKE
G/F1REPLACE PERMIT
Date Rcc'd
HE ART H {,. H 0 M E'"
17285 WILDERNESS TRAIL S.E.
5.- I PERMlT NO'3 -77;2j
I ZONING (ollie<: DOC) ,
LEGAL DESCJUl>TION (o/!ice U$<! only)
I.OT BLOCK
ADDITION
PID
IOWNER
(Name
(Address)
DRHORTON
(Phone)
APPLICANT
(Name)---Af.l:.)1;D FIRP.~lDPJ!JiA FlRESrDp. HF.^&:W It. HOME
(Phone)
651-633.2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Addrr:..)
ROSEVILT.E
(Cicy)
(phone) _651-633.2561
55113_
(Zip Code)
(Con.tact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
8122/03
xO NEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODET. FUEL
FWE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM IiEA'l"lNG OR POWER PJ.ANT
gWonn Air Planl' OSt1)lllD PLEASE NOTE:
Orovil)l o Hot W..", Aif Conditione!" Units
o Mechanical 8 Radiation Cannot Encroach into
OAif Conditioning Special Devices [U,quired Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEA TN GI..O SL-750TR.C
APPUCANT nEASE COMPLETE BEI.OW
IndUSTrial, COntm<TCial &. Multl-Fwnily
FEE SCHEDIJI.E
J % ofjob co.. Residential, Gas Fil'eJlloce
$39.50 minimum
599.50 Re~identi,J. Addition, &: AJt""".;on,
$64.50 ltesidenrJoJ. AC Only
$39.50
539.50
539.50
Residential. Hc:ating &. NC (New C>nstnlClion)
Residential, Heeling Only (Ncw Ccn'trnc~on)
Estimoted Co,t $
'i-IEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
B I~ Jl~i~ II{I bY
......--..
nUII.I)" S r.I.UIII,
55 0
3850 West r-ljj~1l'i/;V J.di~'MP~~j116!~~H!%r.llPP-'~-~~~~21M~2~2-890-5408
WIol,t.rrl'1:lllrlt1'".~l)m MN COJt(~tbtr li~nM # 2'1""" 1
L Ii,
~
PAlO IAJrp, .
BUILO/NG.p"'''''
'ERMrr
(omcc Us< Only)
This AppliCAtIon Bet"mOll Y"ur Building 1)7J'J,rw.hj.nA-J',g:"le~1rn In
Receipt No.
, Rand'n!!
By
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS J~~'~~~li ~JUe&S
NATURE OF WORK ~
USE OF BUILDING
PERMIT NO. DATE ISSUED
CONTRACTOR ~ PHONE~'" IUy
NOTE: THIS IS NOT A PER IT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
L~ECTOR
I FOUNDATION (Prior to Backfill) I ~ I 7~f?4J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DEPARTMENT OF
BUILDING AND INSPECTION
r~
I FOOTING
DATE
16-m
,
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING If re uired)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING Prior to Soddin )
BUILDING V"", If'1Jj-D
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN
NOTICE
This card must be posted near an eiectrlcal 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
DATE TIllE
CITY OF PRIOR LAKE '7 L ) /'
INSPECTION NOTICE SCHEDULED -?r-+"6?
ADDRESS /7.2~-- U/, /)er/(~S :z::.
OWNER
CONTR.
c:8- ?7 ;Z
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
~~NAL
o SITE INSPECTION
o PLUMBING Rl
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS:
(~//~~
~WORK SATISFACTORY, PROCEEO
o CORRECT ACTION AND PROCEED
o CORRECT ~REINSPECTION BEFORE COVERING
Inspector. Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
"""'"'
CITY OF PRIOR LAKE
INSPECTION NOTICE
'.
SCHEDULED
ADDRESS
17Jtt; f..1.",jJ"","~S$
OWNER
CONTR.
DATE 11ME
1/ ~o:J
1J..-/
.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.rr FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
.;or'MECH FINAL
COMMENTS:
"3-772
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ F/~:~ fJ....4cl1-, t{iep...-o~/
) ~ d.- ,..."C"~ S p.,....
p::;;'ch ~
d. ~i-'f..,1-
7 ---c H?"7 V'1l-d
~/-C)?j
oY5af-- Y-eCH'-~, I.
o WORK SATISFACTORY, PROCEED
'FJ CORRECT ACTION AND PROCEED
.JJ,CORREC~ FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
"""'"'
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
-
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIllE
SCHEDULED
1'2-2-o~
ADDRESS 17 J.w" VV/Id-01.tH ,,,I
OWNER CONTR, /). R.. H,.,/ ir9""
PHONE NO. PERMIT NO. 0 ~- 77l
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING Rl
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~GBIDlFILUNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS:
~,/'(b' ISO)"C- e K.
V WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspectord~ Owner/Contr.
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INIINOn
IO-J- r~
vt,,;/cl.hN Tv I
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/)J.-8-~
.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
[J FOOTING
[J FOUNDATION
[J FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
[J PLUMBING Rl
[J MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
""'LUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
s-77L
o EXlGRADlFIWNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASUNE AIR TST
o
Yth1tJv<- I'l1I?-GI/f?~
o ~RK SATISFACTORY, PROCEED
I!l"CORRECT ACTION AND PROCEED
o CORRE~OR REINSPECTION BEFORE COVERING
Inspector: OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
U<$NOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
QIrrfinrafr of @rtUpaurU'
CITY OF PRIOR LAKE
~tparfmtuf of ~uilMug Jlusptdiou
Ii Final Permitted D 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
03-0772
Rl
Use Classification
SINGLE FAMILY
Legal Description
Ll, Bl, DEERFIELD
Owner of Building
Site Address 17285 WILDERNESS TRAIL
D.R. HORTON, INC., 20860 KENBRIDGE CT., SUITE 100,
Contractor's Name & Address
ROBERT D. HUTCHINS City Planner
\ l l:!Uilding Official 4C
110 Date:
t.. . POST IN CONSPICUOUS PLACE
DON RYE
Date:
_"",_",-,,,,,~ ,<.."~,.,~......t'...,.'~'~ .~ '._.~." . ~..,".""",..,;. ~ .,.,~.,,,,,,"-,.,.-^',,
,....."'. "'~""""'''"~':'_~'''"''' ~""";,,"-_~.,.",....,..,~..,,,.\.,.......,,~..k..... ~""...J1i...!l>...." ..." ,...,."""'....'. "~" .....