HomeMy WebLinkAboutBuilding Permit 04-0109
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
See Main File
1. White
2. Pink
J. Yellow
File
City
Applicant
;2- [{-o ~
I PERMIT NO. 04-. 0 I oq I
I
ZONING (officeuso)
,e..!
(Please ..!VP~ or print and sign at bottom)
ADDRESS
5 j laB
t~ rnk 'PoVct ~1'l>L
LEGAL DESCRIPTION (office use only)
LOTI5 BLOC~ ADDITIO~'~kJ IO-ft---
PIDZS_ 4-0 J. ()3S _ ()
OWNER
(Name)
(Phone)
(Address)
BUlLD~ "'i'I / f I -r_
(Namel- LJ. Ie, NuL.u..Jv1 ....ul~_ ,
(Contact Name~{:{~ ti~kc<".
(Address) ;;P.6(aO ~-..hA-<"'-'/1.' c!:t; i!5~~/O(j
J t"'I-<l(!l.J );rC~ I VhN .EF,o'fLf
TYPE OF WORK ~ew Construction DDeck DPorch
(PhonrJ1.~1J8s -7.?CA
(Phone) ~ (p - </13,^--
ORe-Roofing
ORe-Siding
DLower Level Finish
o Fireplace DAddition DAlteration OUtility Connection
PROJECT COST IV ALUE (exclnding land) S 151} / f) '?:>
o Mise I.BG.r u.B.c:.~ CeDes.
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 that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;te::Jn the ",~~~~~c::,ons ~CXDElnS'7 ') &, /~ t/
~ ~ Signature Contractor's License No. ~re
.
I Permit Valuation ii}!59 OtJtJ.OO I Park Support Fee # $ 8"50.00 1
I Permit Fee $ IL/(J 7.50 I SAC # $ 13C;;;:0.vc I
I Plan Check Fee $ f:J 1'-/ .9S I WaterMeter0~1"; $ z..CS;o.ot) I
I State Surcharge $ 7"1,50 I Pressure Reducer $ 45.00 1
I Penalty $ I City SAC and WAC # $ I ZOO. 00 I
I Plumbing Permit Fee $ 100.00 I Water Tower Fee # $ 700. 00 I
I Mechanical Permit Fee $ 100. OD I Builder's Deposit $ I
I Sewer & Water Permit Fee $ 3.:>. 9:> IOrher $ I
I Gas Fireplace Permit Fee $ Ifo . () tl I TOTAL DUE $1 tJ 72.~ f' I
~q/ ,. :/ {; .:/ c;-/
This Application Becomes Your Building Permit When Approved I Paid" /?/'7d.. - Y - I Receipt No.
.~ ~ c5? /18 /0<1 I Date ~-/~-oU Bv /.
I ()
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
~=i~ p~:a t<mpo'M> cm~~;~o~:mPlian" and ~OW, '"SeeOMiiiifFileOfo,oopanq mu",b,
Planning Director . TJate Special Conditions, if any
24 bour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
D~~
See Main File
While - Building
Canary - Engineering
,..-F-m K - p"lnn.n,Q>
rh~ (-~nt~r or Ihf I.akf (-ounlrJ
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J
I
. ,'.....
II
(
I L.._____
I
'--.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/
I.. / .,_ (h ~ I ! I 1\ 1/- 1'-
Accepted
........---
Accepted With Corrections
Denied
r
Date: .;2,;/ F ~ t/
Reviewed By:
~
~
Comments:
See Main File
,
"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."
@~x PK/O:?.:-
-" '
Q ~?;
See Main File
,..--white - BlJildina~
Cana'ry - Engineering
Pink - Planning
rhr ('~n(rr of Ihf I.akt ('ounlr~'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D . t2.. . f-fOYA () f.J
2.. (p',-O 4-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5/ft;eJ E-A~l OA~ POI IV I Di2....
Accepted
/
Accepted With Corrections
Denied
~
Reviewed By:
~,
'd.LJ1t)
Date: rq!t;;/O'/
Comments:
See Main File
"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."
@XPR/O"'(
t ~
u [T1
~te. - Rllilding
C ary - Engineering )
Pml< - Plannong
ThC'(-n'f'rOrlhf'l..bCounny
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D.I,j
Hc vJU ~
, .
-~ 4-
c:::.. (r:. () -
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
:=: Ie t;.1 C A<:-r cr\ ~ j=> 0 I luT I) 12- .
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/YJ4- /s
,C;a~ ~/j,.,
Date:
';(- Z,<""-O/f
Comments:
h/~
"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."
.
.
~
G'/fp'& E~
Heating Contractor .4-//'-'1'91'-1 I'<-u//
~'B
7/Zo/al"
Jo,vi"o
a
->~
,>,$9",
en of
Job Address
Name of Tester
Date
Percent 02
Percent CO
Percent C02
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606 lips
tft.< a7il t3T J
input
,
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
#1f.,'/3
Date Rec'd
: ~~ ~:~ I PERMIT NO./7U J _ u'lD
3. Yellow Apphcant f,/.., ,V-,
(!'lease .!;'Pe or orint and si2D at bottom)
ADDRESS
5/ lo~
L. O~k
~o ;/11 +
/)r.
ZONING (office",,)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER D R HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
(phone)
APPLICANT /J . / ./
(Name) /7///""'~,./- ~'.AA-"/~_~
(Address). ~~ .b.-?~6~~ /?/.
- /'1 (Addre;S~
(Contact Person) /7 ..a:./~~~~ /
APPLICANT SIGNATUP- _ ___ .'---, -1-- ~ ~
(phone) ~. "7/- </'-2/- -:?7 7<<;'
~q~ .-::;-5/-i'-7
(~ (Zip Code)
(Phone) &5"/~ s/~-.-?7?~
DATE
, APPLICANT PLEASE COMPLETE BELOW
~W CONSTR)lI7ION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL /-1/~~ 9~% FUE~ Lf..J-.A ~~
FLUE SIZE '_ =? P'Vt'oL RE~OP{NINGS INPUT /~ ~ OUTPUT ~ ~)
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plants
~raVity
echanical
. ,if Conditioni~g
nt. 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 & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
7~ a;>Building Permit #
V:.& ~')n ,. CM10
. '.;"'I/"'ll.J~JJW
$~ ~ '!~')~~7""~<
$ 50 '," "- <J
-'. ", f"J,~~,
$ ~ "it'<9u?-
Estimated Cost $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
IWd
: Rieceipt No.
Building Official
Date
-Pat"MAR 4 2004
.~
0-
J
24 hour notice for all inspections (952) 447-9 'p,0, fax (952) 447-4245
l-..1y___ _ _
Marl1, 2004 12:33PM
GENZ RYAN PLUMBING AND HEATING
No,5763 P, 31/31
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
LEGAL DESCRIPTION (office ase only)
WTlt::) BLOCt: 1..-- ADDITION ~ r1 IO-Vh
I OWNER
~~e) DR Horton Custom Homes
:201;(.00 ~n5~1 DGe_ CoSte. IDO
APPUCANT
(N'aJnet,:,~.....:-P~...."....... '01 "...,1-....;.....: r. u""...+-".....{:
Rosemount
\ Blwr Fih
2. G:lld Cl~
J. ......Jlr.:ru- AP9h=!
I PERMIT NO. 4-1 D.:n
(please tvll~ or ulint and siltn at bottom)
ADDRESS .
V51(qX' Ga1f 0(1/[ 'Dnj YLf ~ ,\/;
, (Address)
(Address) 14745 So
(Contact Person)
ZONING (Olli<<,,,)
Pill
(phone)
%Z-q"},C:; -721)6
W ILL 1ft! ie- ~lV,J ,5i56Ll 4
(phone) ~,,_/, ,,-, , /, /,
MN
55068
(Zip Code)
(City)
,., (phone) 651-423-1144 t
~,-.i.fAJDATE ~/J1)LJ
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
I Quantity
I 'l.-
I ,
, ,
I ,~
, I
L I
I
'2
I Type of Fixture
I Bath Tub with or without shower
Dishwasher
I Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (l or 2 compartment sink
Shower Sull
I Sinks
I Bar Sink
Water Closet (Toilet)
Quantity
'1
I '
/2.I.
J
I Type of Fixture
I Rough-ins
I Water Heater
Water SofllJer
Stand Pipe (Washing Mach;ne)
Sewage Ejector
Backflow Assembly
BackfIow Assern bly Test
Lavm Sprinkler
Other
]
I
I
)
I
]
I
I
I
j
FEE SCHEDULE
Industnal, Commercial & Muln-fumily 1'10 of Job cost WIth a $39.50 minimum Resldeoo.l, New One & Two-FamIly 59950
R031dcntial, AddjIions & Alteration, $3950
(Of!i(:1! U!le Only)
EstJmated Cost $
BuIlding Pe!lJlit it
PLu.MBING PERJ.\1lT FEE
STATE SLJ1l.CHARGE
tOTAL l'ERl"\1IT FEE
$
$
$
This Application Becomes Your Building Permit When Approved
Building Of11titl
Dll:ce
24 hour non"" for all ,,,peotion. (952) 447-9850, r"" (952i ~47-1245
50
". :~Al,
c:.'t_f'.j/!)"'J/f) !ht.J
'';''I}fl,Jg -:.; J})
~~}.l7'
I
I
Paid
I Rcceipt No
I
i Ii LUUi By
Date
MAH
Mar.12. 2004 1238PM
GENZ RVAN PLUMBING AND HEATING
No 5768 P 28/31
~~ PR10.p
f 2J\ ~~
"-.'.'.;;....1
I':.'\"""'h\'.i.;',. l'"
:'\\~~~~~\\;i'NN"E 5 O~
Date Rec'd
CITY OF PRIOR LAKE
SE'WER AND WATER PERMIT
l ~w~: I PERMIT NO.1 IJ~
), Gold Aptlll~ "'7V-'
(Pkssc= type aT 'Prinr;;nd silt!l 3.t bottom)
ADDRESS
i:J1 {Oy fot<\+ VaIL. PDl vd- DV2- Se-
ZONJNG (0&''''')
LEGAL DESCRIPTION (office \l"only)
LOT I ') BLOCK 2. ADDITION T1R P Jlh ~ Ld
!ot0
PID
OWNER
(Name) no tl'_____ ~..~--- li-,,:-~
(Address)
20&110 KeJ,liOf<-lt::te.. C:r Sn? Jiy",
(Ad_.)
(phone) _
La~~III!G
(City)
c,s2-Qg5-iXIV\
,
0a-:JLlLi
(Zij>Cod,) .
APPLICANT
(Name) Genz-Ryan Plumbing & Heating
(Phone)
651-423-1144
(A~~) 14745 So Robert Trail
-.JCANT SIGNATURE
Rosemount. MN
r vJ'~1\41 Fa I ( S' ~::~e)
('Jjl~) ~VJ~ DATE
55068
(Zip Code)
(Contact Person) ,
651-423-11.44
,'3- 0- - tx.J
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
feet.
o Cast Iron
ResjdennaJ sewer and water lIne connectlon
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'1 & Multi'UlIluly 1 % of Job cost With a $39.50 minunum
$1750 Water connection only $17.50
Estimated Cost $
Building Pennit #
SEWER AND W A TERPER.MlT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
50
Da,.
I Paid
I Date
Recelpt No.
~. ~
'~ ~,~'l!.!b..r
- "L1 -:2:7).;
~~~
I
(Office Use Only)
I This Application Becomes Your Building Permit When Approved
L-
Building Official
'Mf.,R 1 tl LUU lay
24 hour notic. for aUm.pe:ti.., (95~) 447-9850. f~", (952) 447-4245
~~E
.t,; ",""
",vNESO
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or print and siJtll at bottom)
ADDRESS
~: ~~o~ Jl~icanl I PERMIT NO."""" /tI t
5168 E. OAK POINT DR SE
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
OWNER
(Name DR HORTON
(Phone)
(Address)
APPLICANT
(Name) ATIJED FJRESTDE DRA FJRESTDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
7100 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRFNDA HUSTON
DATE
ZONING (office use)
PID
55Il3_
(Zip Code)
4/26/04
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
OVen!. Syslem
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
HEATNGLO SL-750TR-D
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $
HEATING PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
I Paid
I IJl\~R 2 7 2004
Buildine Official
Date
24 honr notice for all inspections (952) 447-9850, fax (952) 447-4245
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
.,
- -:: '..'j en.
....~I..n:--...
. '. VvjJ,]
!",,-;-;~ I:.:,:.JJ
').'_'~'~
.~1~
"~_IJJ U
Receipt No.
ByO--
(I
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 51 ~ ~ ~AST OA"- Pc I'''' r 1)tt,IIe SE" I
NATURE OF WORK NfiJAJ ~7'R.t. m4~
USE OF BUILDING S I ~ A . .
PERMIT NO, Q4-_0/09 QATEISSUED-'-II,/dt( -
CONTRACTOR ~r'2., ~l p~-22.(".ml..
NOTE: THIS IS NOT A PERMIT FOR -ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FOOTING I J
I FOUNDATION (Prior to Backfill) I I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING 1/V f/
INSULATION l/\J1P
,
ELECTRICAL
PLUMBING ~y J.... 3-01-(
HEATING (if required) JI If . t.; - hy\
FIREPLACE VVy.! ~-I-o"\
GAS LINE AIR TEST ('v{J [,- '/-f>\
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
(')ee ~~,,~
~4
5-t--15l-1
S-~ 7- oq
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY
h/e .
7P6ft~.
~/~</
t: -Sd-dj'"
7~~~
BEEN SIGNED
J#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.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
?d-P
,r .,
_'YhJ" h,"/ aA'- Pr'.d-
ADDRESS
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~UMBING FINAL
/" MECH FINAL
CO~r.u:NT~: _ __ / /
~d-~).. I hk //~ ~
hh_.4~<~
'y~~..-
/
l!!J~ /09
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
~EPLACE FINAL
o GASLlNE AIR TST
o
h/b~</
I
--
r;-~- /' ex,. /
~ ~,.,~ '.-/c:/ri
- - -
~cA, /7)..-. I ~/.:
)j'",-;,~,'u~d OrS.:;7- ?eJI-
~ j / // /' "
(i.:.) $oe-cc! A,,-ot<'t.....~cc ,,&hkl./'t!;- V
~ ~J" (c'L ~ ~eP'-' .-oA>...- /
'Wh4- /q~ "u1/l'o.....; / .
..., ,/ "
. ./ /
(\" ~~. _~....h k '/1"
~.s~~e ~7e~~
o WORK S SFACTORY, PiroCEED ~
.)tCORRECT ACTIO c"
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~
Owner/Contr:
CALL 0&47-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
H<SH,m
.
QIrrfifirztfr of @rrupanry
CITY OF PRIOR LAKE
@.rpadmtnf of ~uilMng Jlnsptdion
cl1Final Permitted D Conditional C.O, Expires
/
This Certificate issued pursuant to the requirements of Section J 10 of the D Residential / D International
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:
SINGLE FA1-1II,y 04-0109
Use Classification
Bldg. Permit Nr,
R3
VN
Rl
Occupancy Type
Type Construction
LIS, B2, DEERFIELD 10TH
Zoning District
Legal Description
Owner of Building
Site Address
5168 EAST OAK POINT DRIVE
CT., SUITE 100, LAKEVILLE
DON RYE
D,R. HORTON, 20860 KENBRtDGE
Contractor's Name & Address ....
ROBERT D. HUTCHINS #/"I/
/~ City Planner
Date: -;?61~ Official . v Date: