HomeMy WebLinkAboutBuilding Permit 03-1568
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
Jl- 0.,3
(Please!VO~ornrintandsil!,l1atbottom) See Main File
ADDRESS
111/ 14~{yjcl1)(1\Je. ~
J. White
2. Pink
3, Yellow
File
City
AppliclUlt
PERMIT NO. tl3 ~ /S, ~
I I
ZONING (offic,u,,)
I<-~
LEGAL DESCRIPTION (office use only)
LOT;;U BLOCK 3 ADDITI~l'e.-ld q-t'---
PIWS- t(OO-Ob;l-O
OWNER
(Name)
(Phone)
(Address)
~~~,1<-, ~OY1rmCj'
(Contact Name) ~~ ~nNJ""l'V
~8~C K<.NJ,(';~"c.+. S+<. \V D
(Address) . I I
[ .,. A .~I t:')f:;r,</4
I
(Phone) '=t'5;}.. - '78S -700'('1
(Phone) qS"2-nlD~\3Y-f
TYPE OF WORK
~w Construction
DLower Level Finish
DDeck
DPorch
DAddition
ORe-Roofing
ORe-Siding
o Fireplace
DAlteration DUtility Connection
/O/L c./97
o Misc.
PROJECT COST IV ALUE (excluding land) S
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 that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~~pe'!:J:E::::;ons .d(x:t!)5~<;7 /I~f j-O?J
\ r r Signature Contractor's License No. Date
I Permit Valuation # /.38000. tlo I I Park Support Fee # $ 85CJ.l) 0
I Permit Fee $ /Z-oc..ss-I I SAC # $ Iz 7S,d fJ
,
I Plan Check Fee $ ?J"l/. Z--~ I Water Meter CSize 5/~-"; $ 'Z-Sa.O ()
I State Surcharge $ 14'7. () a I Pressure Reducer $ t{~()D
I Penalty $ I City SAC and WAC # $ l2ao.Do
I Plumbing Permit Fee $ /Oc.()O I Water Tower Fee # $ 700.00
I Mechanical Permit Fee $ /()C).OO Builder's Deposit $
I Sewer & Water Permit Fee $ :?'!>. Sa Other $
1 Gas Fireplace Permit Fee $ -1'0.00 I TOTAL DUE $lj,(P5S,3/
plication Becomes Your Building Permit When Approved I Paid 0~~:J/ Recci6'f N r#-f., ()G,J
. ~ o/fC~ Date /2- . r; 6? By' L-..
/ CJ
Building Official
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
=~Pl~'mpo,aryCffti;~fZo;mg;O;li,"C',"dallows'onSSeOemyam~Fikoccup,"~must~
Planning Di,ecto, 0 ~ Special Condilions, if any
24 hour notice for all inspections (952) 447-9850, fax (9S2) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
5~~
See Main File
<:::.loLwte - Buildiiia-:>
Canary - Engineering
Pink - Planning
The- ("C"nl.., of lhr I.Mk.. Countr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
11 f? a;~
/1- 1~-3
,
The Building, Engineering, and Planning Departments have reviewed the building permit
_ppll,,"oo to< OO"'tru'/:;~~Y:/'''IY~ d d ~
/'
Accepted
Accepted With Corrections
Denied
~
~~
Date: 1~~3
Reviewed By:
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."
+.~o~_x PR/0-? <'
.," "'7
_ 1'-
U ["!1
S White '.BUiId.irUL.
ee Mam" po ~anary - Engineeriii"g:,
" l1e . 1I1n. - ~ r"1i:lnnlny
Thf('tnltrnflM I..heounl""
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
,,'(
I
--,
,
/
.,. Z>:f'7',-_~-
APPLICATION RECEIVED
/ ! / ---j
l -' -- !:;;::...
, .
...--,
.0(
..,..,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is IfPposed at:, '.7 _ I
11"1'/ 1"')"1 ,/./ /I;A !
I' '/1 L ,/-L{:>L;-C..i:.'l(f '-><.-/ ,-/
/}
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
m4 /"S
5fl" /J1c./rI h'll'_
Date:
l-;)' ~ 1'11--63
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."
Nov.:O :003 5:41PM
GENZ RVAN PLUMBING AND HEAT!NG
No I W P 6 9
Date Rec'd
CITY.OF PRIOR LAKE
SEWER AND WATER PERMIT
i ~~w 8~ I PERMIT NO. 3-IL / C1-
J Oald AppIiClflt I':'; (:;:;' oj
f'P1e.1s~ [ypc or 'DnDt and sUmac hott01ll)
ADDRESS
11L/11 fupfl!~frL ))~rSE.
ZONJNG (olli<< ..e)
LEGAL DESCRIPTION (ojjjce u.. only)
LOTJJ BLOCK (3 ADDITION tJ.fJ2_flel ct tflh
PlD
OWNER
(Name). nt) l.1....X't"....... ,....':'-~- u__,.....:
(pholJe) _ o/..:J2 -Q85-i6,.,f\
(Address)
2o&rD KeY1I3\<..1D6e. Cr- S.....,i'r-,
(Addre")
La.~\J I \ Ie..
(City)
"5'E::{)L.1 U
(ZJ~ Code)
APPUCANT
(Name) Genz-Ryan P1umbinl; & Heating
(phone)
651-423-1144
(Address) 14745 So Robert Tra1l Rosemout't. MN 55068
(Address) (' _ (City) (Zip Code)
(ContactPer.on). f'!/1Mf7 m./~ .J (Phone) 651-423-1144
TJCANTSIGNATURE (J/ -u7AL) <-:fa -fA'./L DATE //~LJ-1Je
'",":L)
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 sew.,- and water Hne cOllnecrion
Sewer cOllllectiOn only
FEE SC'HEDULE
$35.50 Industrial, Com'! & Multi-family 1% of Job cost wIth a $39 50 minimum
$17,50 Water connection only $17.50
Estimated Cost $
Budding Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERlmr FEE
$
$
$
,50 PAID WITH
--, 'it DING Pv::RM/)f
(Office Use Only)
I Thi. Application Becomes Your :Building Permit Wben Approved
Building Ome/a'
D:ate:
I Paid
IDate .
D/=C
I R~ceipt No_
~
8 (UU-1
24 bour notice for all inspections (952) 447-9~50, fox (952) 447-4245
I By
r
Nov:O :001 541PM
GENZ RVAN PLUMBING AND HEATING
No,I247 P79
Date Rec'd
~i PRIO.p
till. <;
- \"
tJ Of
.,,-\..~r... Q'~
't0Wl~{t~:~( '. Has
~~\W~
'-11 'i OF PRIOR LAKE PLUMBING PERJ.\'IIT
I ",,,. F1'_ I PERMIT NO.
l. Gold Cif}'
J. Ydlow A.gpllc.w
3~/5~'2J
(Please tVl'Je or orin! and ~]R;D. at bottOm)
ADDRESS . -
! 1J/f./ .^{JJ/pp~/cl [JJ2 CI12.
ZONINGCoffi"''''''l I
LEGAl. DESCRIPTION (offiex use o11ly)
LOTti BLOCI<\R ADDInON !lt~-R-/ie( of tfltc
PID
OWNER
(Nxme) DR Horton Custom Homes (Phone)
q~2 - q ;u=, -,B[;O
(Address)
2O'StvD j(enB~l J:x;e.. Cr Sre IDG
ur!uvd!e.. P\AN5~Lj L/.
APPLICANT
(NaDae)~~lumbjpg ~ ~".'-3
(Addr~) 14745 So Robert trail
(A~dress) ,.-Jl I
(Comacl Person) fj/l Jf)f!; ~/(r
APPLICANT SIGNATURE (!! A .I ~.A;h)
(phone) J,51 _/,? <- 1 1 V,
Rosemount
MN
55068
(Zip Code)
(City)
~ (Phone) 651-423-1144
~du<J DATE /I~~-t\~
,,!~'" ,',
APPLICANT PLEASE COMPLETE BELOW
Quantity I Type of Fidllre Quantity I Rough-ins Type of Fixture I
N Bath Tub with or without shower I
7 I Dishwasher I - I Water Healer I
I I I Floor Drain 127 I Warer Softner I
I ,.:< 1 Lavatory (Bathroom Sink) ( I Stand Pipe (Washing Machine) I
I I LaundrY tray (1 or 2 compartrn enl sink Sewage Ejector I
i / I Shower Stali I Backflow Assembly I
I I Sinks I BackiIow AsseDably Test I
I I Bar Sink Lawn Sprinkler I
I <~ I Water Closet (Toilet) I Other I
FEE SCHEDULE
Industnlll, COl'1lml:!t:laI & Multi.tamdy ] % of Job cost wlth:l $39.50 minimum Re!lldennal. New One & Two-Family
Residential, Additions & Alterations
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
50
$99 SO
$:;.9,50
...',".
''1. Ii) "r'__
, 'vII'"
. ~.iVf'........... ':'"",j
""''''~
. I ~rfJ1ii,
i
EstJmated Cost $
Bulldmg PerInlt #
(orne. u,. Only)
This ApplicatioD Become$ Your :Building Permit When Approved
Bujlding Officisl
Dllte
I Paid
I Dale
DEe
8 7nni
I Receipt No
lEy
r
24 hour nntie. for allln'pection. (.952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
q'lease ~orDrint and sign at bottom)
ADDRESS 7
/7~/c/ ar'/-&/L a
,/ --:7
?40"
E!~;~ I PERMIT NO. 3- IC)G'6" I
I, Pink
2. Green
3. Yellow
5e-:
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LO~/BLOCK ~DDlTION
, OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
PID
(phone)
APPLICANT ./J 0 /L
(Name' /7'///L7.J' ~ r.../A4/r-/
(AddreSs)~ ~~~I~ 4:
(Addre, . -
(Contact Person) Ae?./~~
APPLICANT SIGNATURE -:A..~ ~~;__
(Phone) /:,,~/- 4~'?- -f' .?,?~
~-.AaL ~..s-..h?.-:?
(~ (Zip Code)
(Phone) ~/ - c;/-s'""".,7 - -177S
DATE
, APPLICANT PLEASE COMPLETE BELOW
~NEW CO~TRUCTION D REPLACEMENT DALTERA TIONS '
FURNACEMAKEANDMOD~/r,6~~ ::j1/oAA~4/r?70 FUEL 4..2 ~f~..e
FLUE SIZE,?", ~~~.A RETURN OPENINGS 4:/' INPUT ~ OUTPUT 6Z_ LA...oL...
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
OGravity
o Mechanical
~ir Conditioning
~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 & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Building Official
Estimated Cost $.J ~ c::l:) Building Permit #
$~/ ~~/~~d:/()~
$ 1.50 ~Q ,o7~
$? ~-'94t
~_~ ... V?,
'.lPBitl
.1 Dat6EC 2 2 2003
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
I Receipt No.
I By
24 hour notice for all inspections (952) 447-+850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please tvVe or orint and shoo at bottom)
ADDRESS
; ;;;,:" ~:~ I PERMIT N002. 'ICUI. -,
J,YellowApplicant ~
ZONING (office u,,)
17414 DEERFIELD DRIVE S.E.
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name DR HORTON
(Phone)
(Address)
APPLICANT
(Name) A1.T.1ED FTRESTT1E DBA FTRESTT1E HEARTH & HOME
(Phone)
651-633-256 ]
(Address)
2700 NORTH F AIRVIEW A VENUF
(Address)
(Contact Person)
BRENDA HUSTON
ROSEVILLE
(City)
(Phone) _65]-633-2561
55]13_
(Zip Code)
. 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
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
D Steam
D 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 & Aie (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEA TlNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
-,--
/ \r,I,_.,'
"".. ,,~. " ,
, ; So.1T'\,~,) '-'..,.."
1\-.. "I,' 'I J.'-"~":'"'~"""T
' "'0..,:-,,,;._,'-.,",
(Office Use Only)
Buildine: Official
Date
I Paid
I DfiB 1 Il 2004
Receipt No,
This Application Becomes Your Building Permit When Approved
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 17~/1I ~t:ICF/eLD ~" f;E.
NATURE OF WORK iJiiiJ C(JNsrKIleniIN
USE OF BUILDING s\':;A..,
PERMIT NO. 0:3. / .5~8 DATE ISSUED I Z/31S: '
CONTRACTOR D.e. H'''T/J~~ ,"'c. PHONE -te",-JUII
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main Fil~
BUILDING AND INSPECTION
'NSr~""lun
DATE
I FOOTING L
, FOUNDATION (Prior to Backfill) r- ,-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
1
I
r
.
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING tvV.J _ ~~ 1"1-0(.1
HEATING (if reqUired) r1/(r _ 'J-rS'---OG(
FIREPLACE 01/:> -IS- -0/-1
GAS LINE AIR TEST 1fi1;f' 2~(J-OL'(
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
. {\ee
~-
lr(Sr04
'1- / KvJLI
J
GRADING (Prior to Sodding)
BUILDING 'r(j'1I1,"~ I: 'i>"(..;J'1
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
__(r
/R'qA hie
~
dz~y
~ I
I I1.f I
.
UNTIL ABOVE HAS BEEN
NOTICE
~~I j,.rJL1
S'~(r(/l;'
SIGNED
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
@rrtifitafr of Q&t~patit1!'
CITY OF PRIOR LAKE
@.:epnrfm:enf of 'liuilMng ~nsp:edion
~inal Permitted 0 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
SINGLE FAMILY
. Bldg. Permit No.
03-1568
Occupancy Type R3 Type Construction VN
Legal Desc<iption L21. B3, DEERFIELD 9TH
Fire Zone
N / A _ Zoning District
R2
Owner of Building
Site Address
17414 DEERIFLE DRIVE S.E._
Contractor's Name & AddressD. R. HORTON, INC..
ROBERT D. ~UTCHINS ~
_ o' /. Buj)dingpffkial -
Date: X;//,z / O~
I I
20860 KENBRIDGE CT.. SUITE 100. LAKl\.VILLE
_ City Planner
DON RYE
Date;
.
'..,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
.s-~2!-()c(
ADDRESS
n'-1('-{ a,.~ Ie!
OWNER
CONTR.
PHONE NO.
PERMIT NO.
"3 (f:,~'if
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
e'FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
...er'MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
C!) t7"'d'W,HI""+ d.~~v
(7-) r-I ....'" I ~..-T< ~ / .yJ,?OI/u /
tf) <:;::, d ~fy..",.,.J
'r-{'&AI,)? vV' hi C;---;'"\Ai
!
o WORK SATISFACTORY, PROCEED
o C~ ACTION AND PROCEED
~RRECT ~O":K, .:~OR REINSPECTION BEFORE COVERING
Inspector: r V r Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
OATE
CITY OF PRIOR LAKE ~ /- /
INSPECTION NOTICE SCHEDULED P ~OV
/?#L/ &e/-4//d '
TIME
ADDRESS
OWNER
CONTR,
PHONE NO.
PERMIT NO.
aJ~/sbr
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS:
"'</
rrt~ .
?;l/
U/c.
----------
\
1..-/11 ~/
\( 'ICYs.e ~ r-e-;/
A~ /
, /
WORK SAT ACTORY. PROCEED /
o CORRECT ACTION 'U'" (,-'i\.ou,;;;;,':'~
//
//
-.
~
o CORRECT WO~~-;:AJ FOR REINSPECTION BEFORE COVERING
Inspector: /~/ Owner/Contr:
CALL ~7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY!
IJIISlWTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~-/2-o'i
ADDRESS
/71-/4
Oc"r~ /,..
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~- !~'3'
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o ~R HOOKUP
li!'1'LUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(}) r ("1-"1 (fvf
/oof e-a.f.5
o WORK SATISFACTORY. PROCEED
,1CORRECT ACTION AND PROCEED
o CORRECT W:R: 7 FOR REINSPECTlON BEFORE COVERING
Inspector: 1JL,r Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ