HomeMy WebLinkAboutBuilding Permit 03-1569
(Please type or vrint and sign at bottom)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~~e Main
File~i~i~e ~~;y
- Yellow Applicant
I PERMIT NO.
ADDRESS
, '7 Lj I L, ~'e-Id "brt 'ut. ..sE
, LEGAL DESCRIPTION (office use only)
W6lrl,BLOCK3 ADDITIO~-eJd q-fl-
OWNER
(Name)
(Address)
(Phone)
, ~~~~FD~. HC5L~;mc.-<
(ContactNamel_-!r,'-t-L ~~-
OO<.PO rl lA., '>Q</OCJ
(Address) ~<Lu~Vh ssoW
I
TYPE OF WORK
o Misc.
~ew Construction
Date Rec'd
11- /;)- 3
03. /5'(/;,'11
I zoRm~",U") I
PID as- - '100.003-,')
(Phone) 95d-.. - /5S-7edJ .
(Phone).?;")':;/' ~~fo-I 33Y
DDeck
DPorch
ORe-Roofing
ORe-Siding
o Fireplace OAddition OAlteration OUtility Connection
PROJECTCOST/VALUE (exc1udingland) $ 11'5/151
OLower Level Finish
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
~rtytoJ1er~~~.::~ns ~SCo5'7 If - (I-o~
, if Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
Plan Check Fee
State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
,
~15~,O()o.O{) I
$ ,-ioe" ,55
$ 7gL{, ZCo
$ "''1. (Jo
$
$
$
$
$
-
/00,00
IO(). 0 {)
5 $". 5()
..fa, 0 Q
This Application Becomes Your Building Permit When Approved
~~
Buildiog Official
l2hh~
bate
I Park Support Fee
I SAC
~
I Water Meter ~";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
t"S.i .J}
/Z..L01
#
#
#
#
I Rect\Pt No,
ByL.
U
This is to certify that the request in the above application and accompanying documents is in accordance with the ~oning Or~ ~ may
~hen signed by the City Planner constitu;es a temporary Certificate of Zoning compliance and allows construction Oee BJ.. V l~
~~ ~ Izb./(J:?
Planning Director ' Date Special Conditions. if any
24 hour notice for all inspections (952) 447.9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
850,00
127S.00
Z-So, dO
4'5'.00
J 200.00
700,00
$
$
$
$
$
$
$
$
,$(P,f,55.31
GfUOc,)
roceed as requested. This document
,a ccrtiFuency mu<t b,
.. / 7,tf/G:. /)rzl~J
Job Address ~
Heating Contractor /lflA-,rr,..gp
Name atTester .&-.., 'C:'l
Date S-/J/aV
Percent 0, 7,J7tl
Percent CO ~~N
,
Percent CQ2 '7, 'I 7.0
Stack Temp ?'/( d;::
. Combustion air is adequately supplied per
UMC Sec, 606 ",R5
.
inpul r'dia:'JItlt""<l
.
"
Thr Cmlr."f lhr I,.kr Country
See Main File
Whit..-~
rca.;f'ry - Engineerinp
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I!
r,\, Ie
/1-
I - ~-----. -",-.,
" /
/\l{::r1f"'" ~}-r--1.___
I,] >.r .....-
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is pJpposed at:
I /1/' 1/ /' } :, OJ /'1; /)
,'- '\0 l~-":.,:- ,~e/..t~....1' I{(':": l_J<~A.j
/';'
, I
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Comments:
/Y14 /3
Sa. !i1c,,'.., r,fl
Date: I:J.. ... ~ -() '5
"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."
~~
See Main File
White - Building
Canary - En ineering
...---rinK . r-Ianning
ThO' ('..nt..r or 'h..l.ak.. ('olln1l1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
1/1 (c,'
;," \
/I' .,
II
i/(, Z/'/; .YL--'
/)-")
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: \
1/ III I C::, / ' ' eJ_j / (>y;il,./\.-.J
"
Accepted
~
Accepted With Corrections
..
Denied
Reviewed By:
~
~
7!j /1-0
Date:
I~~;?
./
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,"
Ii~~
The Cfnlfr of Ih..I..k.. Country
See Main File
(\A/hite. _ ~uildii1g::;,
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T
NAME OF APPLICANT
APPLICATION RECEIVED
yJ(C ~.
11- /;)- 3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construclii :;~j ~hiCh iW.--1' ~~
()
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~,~
Date: /~~ j'
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."
Nov20 2001 5:41PM
GENZ RVAN PLUMBING AND HEATING
No 1247 P 89
~i PRI0~
fZ~~
~\.":..\1{~,,,,>
-;~\;.~':;'~{J:i:"\"'~;\" ,.
. "'\~'S.~~ ~~'''''''''E::50'(
. I!:"t.\ ,~...,
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
Q.'lea.se type OT l)Iint lUld sign at bottom)
ADDRESS
11L(( b I)t7P tdie1.rI. 7)p (~,F:.
i ; ~~, I PERMIT NO. 3 - 1'5' b 0
J. OoId ""licInt "I
ZONING (ollk, u<<)
LEGAL DESCRIPTION (office UlIe only)
LOT 12BLOq~ ADDmON ~f2:h (J( ,f/ Cffi;v
PID
OWNER
(Name) 1\1) U,rt9R C'lrt9rA ~9m-::
(Address)
2D&tJo KeY1BK\t:>C:;e C:r Sn,. ,II'I'
(AddI",)
(phone) _
Lo..~\i I \ Ie..,
(City)
ct62-Q85-/8N\
&jf.:i'J-I U
(Zip Code) ,
APPLICANT
(Name) Genz-Ryan Plumbing & Heatinl!;
(Phonc:) 651-42,3-1144
(Address) 14745 So
',ICANT SIGNATURE
Rosemount" MN 55068
(City) (Zip Code)
(Phone) 651-423-1144
DATE .f t- VJ-M
(Contact Person) ,
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
ReSIdential sewer and water line connection
Sewer connection only
FEE SCHEDULE
S35.50 Industrial. Com'I & Multi-family 1% of job cost with. $39,.50 minimum
$17,50 Water connection only S17,50
Estimated Cost $
BUJIding Pennit #
SEWER AND WATER PERIvUT FEE
STATE SURCHARGE
TOTAL PERj\fi'T FE.E
$
$
$
.50
. , PAID lA,
i::f(JILDiA' vvl"f?,
IvG;)~k
' " '~,"f'"
"t'hf
(ORiec Use Only)
I Thi. Application Becomes Your Building Permit Wheu Approved
'--
Building OfJitiaJ
I Paid
I Date .
Dm C-r-
'-l. II ,an3
24 hour nooce for all in'pectioDS (952) 447-9850, i:IX (952) 447-4243'
I Receipt No.
I By
_____I
fAr I
u
Noy~O ~001
e(~)]
'""'iii4r'~""E'.V
,J)",l>';\/:'~iiI'
~i_~E\~
5: 41 PM
GEN2 RVAN PLUMBING AND HEATING
No, I ~ 4 7
P, 9/9
Date Rec'd
CITY OF PRIOR LAKE PLT..JJ.v.[BING PERMIT
(Ple.1.Se !'(De or P:O.Dt -1.nd :tien at bottom)
ADDRESS
,IlL! /10
,
'!vIP.-ft fl (1 M, (\ [; .
I Bl\l. fill'
1_G:lld City
J.,ycl!o.... ~~t
I PERMIT NO. :3 -/56 'T
I ZON1NG(Ofli""""J I
I LEGAL DESCRIPTION (0= use only)
LOTtlBLOCK?' ADDmON 'r1Pj.RJ7~fcl qfW
Pill
OWNER
(N'amel, DR Horton Custom Homes (phone)
(Address)' '2o'Sll:oO iLenB~l~ C, Sre 100
APPLICANT
(Na:roe)-Li.~._"r= ", "-'>.;k-g .. u. "~..i.;-g
(Address) 14745 So Robert Trail
n (Address) (City)
(Comact Person) \ jvm 1<..\ -jj ,-G. II S (phone)
APPLICANT SIGNATURE e,{....{j ~~MJ~/)
,."'.
I
I
[
I
[
I
I
I
I
Quantity
CI
I
);
.z.
I
d
Rosemount
%2 - q f{c, - ,'6DO
Let uviJlG HAN .550L-l LJ
(phone) ,,<, ./,01.1 1/, /,
MN
55068
(Zip Code)
651-423-1144
DATE
/ J-1.-O-0(~
Quantity
APPLICANT PLEASE COJ\-.Il'LETE BELOW
I Type of Fixtul"e
Bath Tub with or without shower
I Disbwasher
Floor Drain
1 Lavatory (Bathroom Sink)
[ Laundry Tray (lor 2 compartment sink
I Shower Stalj
I Sinks
[ Bar Sink
I Water Closet (Toilet)
j.
!2]:
/
I Type of Fatul"e
Rough-ins
I Water Heater
I Water Softo,er
Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
[Lawn Sprinkler
I Other
FEE SCHED'Ul..E
Indllstrlal, CommerCIal & Multl-fuonly 1% of job COst WIth. $3950 minimum Residentlal. New One & Twn-Famlly $9950
Residential. Additions & AlteratiOllS $39.50
(Offtee Use Only)
Estlmared Cost $
Building Perrott #
PLUJ\.1J3lNG PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
This Application Becomes Your Building Permit When Approved
I Paid
I Datt
L;,t:1:: HfrJ:i
24 hour notiee (or _11 ;..peetio.. (952) 447-9850, fax (952) 447-4245
Building Om,j,1
Date'
.50
" PAiD "r
!:Jult ,'),., 'Vvlf.....
-'''~G'::';:t''
,AMir
--- Receipt No,
/
(A
IJ
By
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
!?lease ~e ororint and sim at bottom)
ADDRESS
/7W? V~&/,/ d
LEGAL DESCRIPTION (office use only)
LOT~OC0ADDITION
, OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
APPLICANT A 0 ~
(Name) /7'///h~ ~ //T~r./~4./r-/
(AddreSS)~ ~~AI~ a
(Addre"
(Contact Person) Aer/~_~~
APPLICANT SIGNATURE ::zd-- -__
Date Rec'd
/'75Z-S
l ~ Eii;_ I PERMIT NO. ::s -IS 0 Cj ]
,52-
ZONING (o,"",u,,)
PID
(phone)
(phone) ~S-/- d~"'?- ..I'.?75
~ ~4A' ~.5:"r...? ?
- (<1ls/f'f (Zip Code)
(Phone) ~- q~-J.?7~
DATE
, APPLICANT PLEASE COMPLETE BELOW
.3lNEW CO~1RUCTION 0 REPLACEMENT 0 AL TERA TH?NS '
FURNACEMAKEANDMOD~/r""'~~' :?/~A~4/070 FUEL"t.2 N,...':"-..(
FLUE SIZE<SI'~.hz~.A RETURN OPENINGS . 4 INPUT ~ ~ OUTPUT ~_~
TYPE OF SYSTEM HEATING OR POWER PLANT
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39,50 minimum
$99.50 Residential, Additions & Alterations
$64,50 Residential, AC Only
OWarm Air Plants
OGravity
o Mechanical
~ir Conditioning
jIil\!ent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39,50
$39,50
Estimated Cost $ .....3sza a::> Building Penn it #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour nutice for all inspeetions (952) 447-9850, fax (952) 447-4245
$--"2/ ~....../~ .<)q'D
$ , .50 D/~ If?,..
$? G ,()~ 'Y
'9~/'"
Receipt No, '
I Paid
I Date
DEe 2 2 2003 By
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
l,Pink
2, Green
3. Yellow
File
City
Applicant
1 PERMIT NOO3J.5fl
ZONING (office u,")
(!'lease type or urint and siJtD at bottom)
ADDRESS
17416 DEERFIELD DRIVE S,E,
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name DR HORTON
(Phone)
(Address)
APPLICANT
(Name) AU.JED FIRESIDE DRA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
?700NORTHFAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
';5113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
2/19/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
OGravity
D Mechanical
DAir Conditioning
OVen\. System
o Steam
o Hot Water
D Radiation
D Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO SL-750TR-C
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 & Ale (New Construction)
Residential. Heating Only (New Construction)
$39,50
$39,50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
~
$
I',' ,_
:::-':;:hl '''''YI:'\~,,,,\ "......'~,..
.!JU..,.., '.....-, .-.~-,.I"'T
(Office Use Only)
Date
I Paid
I DajeE8 1 R 2004
Receipt No,
This Application Becomes Your Building Permit When Approved
Buildine Official
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
S M e Fe.
DEPARTMENT OF ee aID I e
BUILDING AND INSPECTION
SITE ADDRESS -.l!l!iJ I.. .p,c I
NATURE OF WORK E.IIJ c.eN~A.utr10
USE OF BUILDING J1F:' A . . . _ .
PERMIT NO. tJ3. /~~9 DATE ISSUED m.llH
CONTRACTOR 1l.~. ~. PHONE~-ZZl.-13Jf
NOTE: THIS IS NOT A PERMiTFQRANy OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
GRADING (Prior to Sodding)
BUILDING 1..{f u'Ih ( <6/('JlI
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
......
PLUMBING rff / J.. - Itail
HEATING (if required) 1M 3~(S''-OL-1
FIREPLACE M Y(~~al
GAS LINE AIR TEST ~ J.. -(.r Ol- I '
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
I 0ee ~;~
~
~
A
l/Vf/
. t/IIY/
1 -15'-01
'/7h. ,.-
cfP-0>y"
I
I
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.
I
I
BEEN
q- il--(/L{
e;> t.~I-D'{
SIGNED
'\
FOR ALL INSPECTIONS (952) 447-9850
Qlertifiratr of G)rrupanq! .
CITY OF PRIOR'LAKE
~epztdmeuf of ~uilMug c3fuspediou
$ Final Permitted D Conditional CO. 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
SINGl.E FAMIl.Y
Bldg, Pennit No, 03-1569
Occupancy Type R3
Type Construction
VN
Fire Zone
N/A
_ Zoning District
R2
Legal Description
LV, B3, DEERFTELlJ 9TH
Owner of Building
Contractor's Name & AddreJ;l ~ R.
Site Add"" 17416 DEERFTELD DRIVE S.Ec
ROBERT D. HUTCHINS
-0.2~~ffiCial
HORTON, INC....
~
20860 KENBRIDGE CT.. SUITE 100. T.AKE'lILLE
_ City Planner_
DON RYE
Date:
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/79/6
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o ..)NSULA TION
~INAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED ~~~
&ey411 U
CONTR.
PERMIT NO.
CJ..r - /-56?
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/'
/" /
r//1<l
-------
/'
I ./'J/
\!::iOS---e..-
/1/
C/ (e..
.-
/
,./ \ /
- -
/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: M ' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH.t SAFETY!
""'""'
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
r7t(/G O-t'<'r/k/r!
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 jlBYER HOOKUP
.l1I'" PLUMBING FINAL
o MECH FINAL
COMMENTS:
1f'S- air- rY!
DATE TIME
$-/).-0'/
3 -/!..-c tt
,
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o WORK SATISFACTORY. PROCEED
j!' CORRECT ACTION AND PROCEED
o CORRECT.W~K. ~OR REINSPECTlON BEFORE COVERING
Inspector: V 1/'(- Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNon
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
DATE TIME
CITY OF PRIOR LAKE .s - J./-a;
INSPECTION NOTICE SCHEDULED
ADDRESS /7{.,f(, lJk~rR</d- f)~
OWNER CONTR.
PHONE NO. PERMIT NO. S-I>~
o FOOTING o PLUMBING RI o EXlGRAD/FILLlNG
o FOUNOATlON o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
IjI"'FINAL ~UMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION MECH FINAL 0
COMMENTS:
fA (J~",,~
.rh ~/'l/.{I
ff) ~~ld d-
~
rJr11rt0L..'t/"j I
o rii J___ /':"OfJ'1l'<S,-(
1..--'> r cl-~/n:'~ +
1 ~ ov(l vI/? fr /
is -f -(.Af
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
~ORRECT ~O~K, C~OR 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
INSNOTJ