HomeMy WebLinkAboutBuilding Permit 03-1563
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main Fil~t
(Please tvo~ or print and sign at bottom)
ADDRESS
1710'7~ejd'Drl'~ SL
File
City
Applicant
LEGAL DESCRIPTION (office use only)
LOT:lJYBLOCK / ADDITI~-eJd cr~
OWNER
(Name)
(Address)
(Phone)
Date Rec' d
I PERMIT NO. 03, 157D:J I
j I
ZONING (office use)
,Kd.-
PID ~ s=- 4-'00 - 0;), '10
I
~~;~~ 1<., ~u ,L >'):me . (Phon{jS::i.\ '18S'-78(jfJ
(Contact Nam,s,....nLI'f 0 _ t.P )~ ou::fAc. / .fr(-r2- 'E(tJWN(Phone?1~ (,,- tfZ=S"J.-
(Address) 2.0e(pO k',UA.6r.'d.,-e..o!-. <;;tl.lob ' - --/
JAJiL1A tlL. Nl'tJ t35n1.Jt/
TYPE OF WORK
~ew Construction
o Fireplace
PROJECTCOST/VALUE (exc1udingland) $ //c;:9fs1
Dutility Connection
o Misc.
DLower Level Finish
DDeck
DPorch
ORe-Roofing
ORe-Siding
I hereby certity 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
~~~1:~s;ctions ~("OO2)CoSI /(-b -O~
,- () - Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
13B/OotJ.{)OI
/ 2..0~. ~I
7?'1. ;U~ I
I..<'J. a 0 I
~ I
lao.oo t
lea .00 I
35", SO I
t.Ja,d 0 I
This Application Becomes Your Building Permit When Approved
~ :tu.il--
Building Official
Iz/z-h"?
r Date
DAddition
DAlteration
# $ ~a, a 0 I
# $ f'2...7S-.Qt:) I
$ ZSIJ.oo I
$ '-fs..Q 0 I
# $ 1"2.00,001
# $ 700,00 I
$ I
$
$ (,Jpsr-.3/
/1 .
I Receibt1<io. ~ O(p t-
Bv i /~
()
Th~ ~ to certify that the request in the above application and accompanying documen~ ~.in a. ccordance with the City ~g Ordinance and may proceed as requested. This document
~~::y ~e ;iry Plann~:mpo'MY cernfi;" of ~ning ;~liance!;n: allows construction to c ~eeoreMaiirpjIe must be
- Planning Directo, z/ 0 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
I Park Support Fee
I SAC ____
I Water Meter ~'; I";
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
/. 6 f J .J /
,'L,s.61
~
..
Job Address
.
Heating Contractor
Name of Tester
Dale
Percent 0,
Percent CO
Percent CO,
Stack Temp
,..~",..".,,,,..,.,,--_..
nl(~~ lkrj,'eJ./
M(:~~
~~
(P(7/oV
CO r -j ?cJ
-R~'*V
650 ~
Combustion air is adequately supplied per
UMC Sec. 606 Ve~
QfJJ~
input
I
.',
"':
/
See Main File
~ Building
\.. Cana!,,~nain....rina /'
.-,"1( - - Planning
Tltt'('pnlrrnf lilt' l,.kfCollnlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.. i
i()" '.,/1 I ,
if 1\' f./tJZC-b7 _.--
//.- / ,-3
I.' C;:<.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposeq at:
1,./ /1
j. n/JO rJ _ l/.. ,'1/1, I, ..-1./) ;( I
I' 7 I I_V '-<:-"/.< / \.. -(1.1/( {/ .1'.._..1-"/ /
/ i
I ./
Accepted
x
"
Accepted With Corrections
Denied
Reviewed By:
JYJ4R
~
5Ct" 117(;,,1", f-, It'
Date: /,2 -e2-0?
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."
@~
See Main File
r-1Vhite - Buildina~
Canary-~ Engineering
Pink - Planning
rhr ("tnlt. of tht L.kt ("ounlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
j) R 'IJ~
. - .
(1-- /c2~-3
The Building, Engineering, and Planning Departments have reviewed the building permit
.pp,;,";oo 1m oooolmct;oo "~;~:;~ ~P':""'l2J~ /~ctJ ;(J, /'
Accepted / Accepted With Corrections
Denied
Reviewed By:
~
~
Date: /d-,k):5
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."
~~
See Main File
White - Building
Canary - Engineering
~K - ~.ann~
-
The ernlr...f thr L.kr ('ounlry
BUILDING PERMIT APPLICATION DEPARTMI;NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
./
/) / />.~
" t{ I
//--
/ ~-3
, ,-:.'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposeq at:
/"/t!O 1- /( ;c>~--<' (,?( "/'
. )
, .
.-'> .
,/ .
Accepted
/
Accepted With Corrections
1
Denied
,
Reviewed By:
~ r
, ~p
.___m.._______________.--...____
Date:
12;b- /a:3
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."
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
_ C?lease tvD!: or orint and sien at bottom) ; )
/7:(07 ~~// M:::s-c-
LEGA~ Dl}SCRIPTION (office use only)
L~~LOCK/ ADDITION
OWNER D R HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
APPLICANT /1 0 /Z
(Name\ /-T'/.;::;-J'? /// -'/".-/tfZ.d/,.~
(Address)~ ~A.."AI ~ a
'2:Addres
(Contact Person) Ae?~ .. /ff~~
APPLICANT SIGNATURE ....... > . -. -.
Date Rec'd
I. Pink
2. Green
3. Yellow
;8/#7
~:~ I PERMIT NO. ~ -/'3 1- Ji
Applicant J ~
ZONING (oflkeuse)
PID
(phone)
(Phone) ~S-/- .;/..;r,?- ,/??.?5"
~4-A'4A' ~.s;~] l'
- (Cl1/iff - (Zip Code)
(Phone) ~/ - c:;/~ -J 77-2:
DATE H_
< APPLICANT PLEASE COMPLETE BELOW
~NEW CO~TRUCTION 0 REPLACEMENT. 0 ALTERATIONS '
FURNACEMAKEANDMOD~/r~J~. .?/~A~7~ FUEL ---LI.2 ..<,,;..:.-.e
FLUE SIZE..y'~...k~.A RETURN OPENINGS ~ ~UT ~ OUTPUT ~_~
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
~ir Conditioning
~ent_ System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additinns & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi.Family
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construclion)
$39.50
$39.50
$39.50
Estimated Cost $ .3sza c::z:> Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
$ ~/ .&,~/~
$ , .50
$ If'
i:iiJit-4/D W/7l.,
DING .::'1:' ,
. AlWrr
I Paid
I DalflEC 8 Z003
Receipt No.
By
if
------_._._._---_._~---- --."-~.- --~--_."._._.__._- ~~_._-'-_._~------"._--------~
~ 0 0 3 I ~ : 31 PM
GENZ RVAN PLUMBING AND HEATING
No 0411
P 16. 16
Date Rec'd
CITY OF PRIOR LAKE PLUMBlNG PERMIT
(P1=e type orP11Jlland= arbollO",)
ADDRESS ZONlNG (0_"")
i1L/07 /~Ii(ja!
~ ~~: ~~ I PERMIT l'iO. '2 _/ c:- J :+<,
:) Yellow Appl"lo'::W :/ J {P-V
LEGAL DESCRIPTION (office we only)
LO~LOCK / ADDmON !J.R;gheU qff-v
PlD
OWNER
(Name) DR Honon CUS1;om !lomes (phone)
%2 - q x F. -7'6lJC
(Address). 2.CSL;JD ~nD~1 J:Xe., Co Sre IDO
udu.vtllG lU/-.l 8C6l-J Lf
APPLICANT
(Name) ('''''T'''''_~:.''''''' 'O,.._\.....:'_g r, ~"''''''''-';;;
(Address) 14745 So Robert Trail
(phone). ~,1_1,?~_1'44
Rosemount
MN
55068
(Zip Code)
(Address) (City)
(Contact Person) OJ/) fJ jrtfi m/I L (phone)
APPLICANT SIGNATURE 0 ~) --=t;; LLAJ
Quantity
"
I
.:3
"Q
I
,~
651-423-1144
/ /-J1!iJ~
DATE
APPLICANT PLEASE COMPLETE BELOW
I Type olFitture I Quantity I Type of Fittu.-e
Bath Tub with or without shower I Rougb-.ins
I Dishwasher J - Watet Heater
i Floor Drain fLr I Water Sofiner
Lavatory (llathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (1 or 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
Sinks I Baokflow Assembly Test
I Bar Sink I Lawn Sprinkler
I Wate.- Closet (Toilet) I Other
FEE SCHEDULE
lnduslr1.I, Commercial & Muln.fanllly 1% of job co." WIth. .S39 50 minimum Resldennal, New One & Two-Fanllly S9950
Re!lide.ntiaJ, Additions &: Alterations $3950
(Offiu USIt Only)
Estlmated Cost $
&iJlt~/D W/J'"L-
DINO ~. ,
,..-l:'<Cf"f
. "-[;'J"
Building Penmt #I
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMaT FEE $
50
This AppliC2tion Becomes Your Building Permit When Approved
Building Oftidlll
I Pood
I Da!~
iJEC 8 ZMJ
24 hour notice for .lIln,pecllons (952) 447-9850, fax (952) 447-4245
C{
I-Receipt No_
iSy
I
Date
Noy.14. 2003 12:30PM
GENZ RVAN PLUMBING AND HEATING
No.0411
P i 2 i 6
Date Rec'd
CITY.OF PRIOR LAKE
SEWER AND WATER PERMJT
; ~~ ~\~ I PERMIT NO.3-/5 0'~
], Gold. NlPlJ_c '-1
q'Iease: ~ ornnnrand:IJiJ;Ulubonam)
ADDRESS
1'1401 li-aJ?i1dd [)/2 dE.
ZONlNG (ol'fic<>u.",)
LEGAL DESCRIPTION (office we Ollly)
LOTtL{ BLOCK / ADDITION Aa~ -he! d t(-fA
PID
OWNER
~rone) np ~~~~~~ ~~~t9m ~Qm::
(phon~) _ C1'52-Q8S-ii?rv',
(Address)
2.o&co ~ei<..\:t:6e Or Sn>.J!lr\
(Addn:,,)
La~\iille..,
(City)
'5ecJ-fl)
(Zip Code)
APPLICANT
~~~ Genz-Ryan Plumbing & Heating
(Phon~)
651-423-1144
(Address) 14745 So Robert Trail
() (A~) .
(cont. = '=00) . ",11 JI)(~ !ffb
. "JCANTSIGNATURE __f.~__)
Rosemount. MN
(City)
_ (phone)
~ f.//I DATE
55068
(Zip Cod<)
651-423-1144
/ I.--IJ/~
APPLICANT PLEASE COi\1PLETE 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
FEE SCHEDULE
ResIdential sewer and water Ime connection $35.50 Industrial, Com'l & Multi-family 1% of job cost wIth a $3950 minimum
Sewer connection only $1750 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
.$
$
$
.50
. PA
<':'()tt ~/D IA.
V)'. "In'!....
... :~,~l..." I .c;.
".:, ")... ~ ,,'
. '1tJ""
~ 'r~'l."
.,
(Office U" Only)
I This Application Becomes Y ollr Bllilding Permit When Approved
Paid
I Receipt No.
lEY (r
U
I.
I
.
':'-
Building otliciat
Da..
Date
DEe 8 2003
24 hour notice for 311 in.pections (952) 447-9850, fa,: (.952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or orint and sien at bottom)
ADDRESS
i: ~:~~nw JJ~icam I PERMIT NOd! .15'3
17407 RIVER BIRCH PLACE
ZONING (ollice use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name DR HORTON
(Phone)
(Address)
APPLICANT
(Name) AT J JRD FTRRSrDF DRA FTRRSTDF HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH FA1RVIEW AVENUE
(Address)
(Contact Person)
BRENDA HUSTON
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
APPLICANT SIGNATURE --PRfNDA HUSTON
DATE
1/22/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o 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
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
'..\""''!I'''~..
,-<~_ ,.1. J,'.N/ ;11 ,'_~:
'~IJ ~_" '.~ ~.;,; ~ ~'
"~).'..~~lt'(?~,:,? i'?~!~:
-'T
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
I Paid
I Date
FEB 1 ~ 7004
Receipt No.
Buildine: Official
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE DEPARTMENT OF See Main File
BUIL.DING AND INSPECTION
INSPECTION RECORD
SITEADDRESS ~O., ~~~LE) Dele,.; S'.~.
NATURE OF WORK tJSw ~ttu.a~
USE OF BUILDING '5ff\'~..
PERMIT NO. 03./5~3 DATE ISSUED lz.I'Z-/OJ
CONTRACTOR 't)Jl. ~,. PHONE~S~-2'2"-il?1L
NOTE: THIS IS NOT A PERMiTFQi!iANy OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I
I
I
I
I
I
I
, FOOTING
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
l/J/L
INSPECTOR
OATE
ff~ .
1,!w/
4-1'
Lj - t).. --c? vf
IIVY/
{@
!/7At'
1 -(G-()'-{
l;- qf
~
z "5~cY1
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding).
BUILDING ~/'"A C!l III
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
I
A';/A hk
6~t//oj/
6~//Pt/
. .
bflli"'1'
6/1t/~~
BEEN SIGNED
-
, \-ee
Ha
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.
FOR ALL INSPECTIONS (952) 447-9850
DATE
~y.L~
aerl2d 4
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ~;7~t'~
OWNER
nMe
PHONE NO.
CONTR.
PERMIT NO. t)?~ /r6...1
J ......., ~ ...
~J /",~_c ~T '.1'- ~ck.,
~~h9 'TO/ deck..
~ ...:'--l ,II / /J /
@ 4{<I2-et;I ~ -+ 7,.-~. q. r:r~-
..hn..,,/ ~..d'~ <<=~/flI''''', /
r'
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
~ MECH FINAL
COMMfNT.$: . ......... .
..R~/Ol/ h'h~
~..., / ~ -
//}'e>cA. /"/-;k~/ . aC. ,
/I1:c~(""'-c.d ~~r ~r
--
.... ,
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
0r~~
/
70
/; --.=- ""'"--
~<-~ ~ '"
~ %se ~/{ )
~RKSATISFACTORY.PROCEED .-/
~~~RRECT ACTION AND PROCEED
o CORRECT #?R REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
'NV<<>n
DAll!
~/J~~
t ,
,de e,-IJ~ 1.1 p;.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS /?.y'" 7
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 SEWER HOOKUP
~LUMBING FINAL
o MECH FINAL
COMMENTS:
//;;A<J~-t:fh--
" -,
rrs- /-
./
/:/ /
;r/,#e; (
_/
C/~
TIME
~..S-/o~
o EXIGRADfFlLLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
./
6~
~ORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
Inspector:
Owner/Contr:
CALL <147-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
JNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
II
(llrrfifiratr of Ql}rrupanrll
CITY OF PRIOR LAKE
@.rpntfmruf of ~uilMug 2'usprdiou
o Final Permitted ~onditional C.O. Expires --'7
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying
that at the time afissuance this structure was in compliance with the WIdow; ordinances althe City of Prior
Lake regulating building construction or use. For the following:
Use Classification
SINGLE FAMILY
Bldg. Permit No.
01-1 'iii1
Occupancy Type R3
Type Construction VN
Fire Zone
N/A
Zoning District
R2
Legal Description
L24, B1, DEERFIELD 9TH
Owner of Buildinl!
Site Address
17407 DEERFTFT.D DRTVF. S.l'..
Contractor's Name & AddresP. R.
ROBERT D. HUTCHINS
6ffY ~i~Official
/ ' ~ I
HORTON. INC..
~
20860 KENBRIDGE CT.. SUTTE 100. LAKF.VILLE
City Planner
DON RYE
Date:
Date: