HomeMy WebLinkAboutBuilding Permit 03-1417
,o/1~3
I PERMIT NO. 03 -/4 (1
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main
PI. Ie'. ,;,::'
Yellow
File
City
Applicant
(Please ~e or Print and sign at bottom)
ADDRESS
5444~idd CJrxJ't'-
LEGAL DESCRIPTION (office use only)
LOT Icr BLOCK I ADDITIO~i'Cjd q-tJr-.-
OWNER
(Name)
(Phane)
(Address)
Date Rec' d
ZONING (office use)
R:l-
PID :J5-t(Ot)- C IC?-C
BUILQER,.... \,') I 11
(Name) \" I ",. l I-->L ~ I
(Canlacl Name) ~D~ 1= ('l'~ Frt1-z 73rolJ.,.JJ'\...J
~~b-I't+,pC:t ~ ~t'OO~1
(Address,. ~,'lLL -:m/V 550tllt
(Phan(Cf59J )78S-IE30b
(PhaneC9~{D - ) 3.3tf
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 l-'.v!-'....) 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
..::ter~ onthey.vy:;pe4o~ctions ;;;J.a:::os<PS, 10/'7 h.a()te:'
6 Signature Contractor's License No. ~
?t5Gl-
dS?J-
I fJ-7S,-
L/S-
J;:x;tJ. -
'1~tJ, --
$ &0 35'"/13
.x- ~ I ReceiptNa. L/'") i~L/
By (~ .
~
TYPE OF WORK
~ew Construction
DLower Level Finish
DAlteration
DDeck
DPorch
ORe-Roofing
o Fireplace
DAddition
o Misc.
/r.JA
PROJECT COST IV ALUE (excluding laod) $
I Permit Valuation J".j(pl~ I Park Support Fee
I Permit Fee $ /(qZ;,35I SAC
Plan Check Fee $ /7". r.;g I I Water Meter Size 5/8"; 1";
State Surcharge $ ~C{,- I I Pressure Reducer
I Penalty $ I I City SAC and WAC
I Plumbing Permit Fee $ /OJ,,- I I Water Tower Fee
I Mechanical Permit Fee $ ICV,- I \ Builder's Deposit
I Sewer & Water Permit Fee $ 350""0 I I Other
I Gas Fireplace Permit Fee $ LJt),--- I I TOTAL DUE
This Application Becomes Your Building Permit When Approved
-3:::;ng'O~cial ~ _/ () Ita~/r; :1
~:;L ~5
Paid
Date
/-
o
ORe-Siding
DUtility Connection
197
#
$
~$
'- $
$
$
$
$
$
-
#
#
#
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
~::h' ~ity~lonn" :;::;~Po"ry C,rtifica~of ""nin~;onc' ond illow, constructS' effienCO B,foeo occup:n". a emilica:' of accupon" ffiUst '"
Pllll1ningDirector ~te speCial~e
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
..
.
Job Address ~ ~d"1/r.
Heating Contractor ~/AV7 //~.
;"'k/(JJ1 ,~
f;y14
)rc,;?
~~/
3&(P~
Name of Tester
Date
Percent 0,
Percent CO
Percent CO,
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606 It>
input ~~"'J
"<
~~
S~e Main File
White - Building
Canary - Engineering
Lr'101< . ;;iannirrq:,
Th~ ('Ul.-r 01 lh.. I.ab {'aURin'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
r i (~
,Ii 'y /,
I" i \.
/ /)'/01(/
,..) _ "-7. -~
i /./ - / _.,._1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
6//VL/ / ( (('/r( !~
/
Accepted
/
Accepted With Corrections
Denied
rJ5~ '-::&.dJp
Date: /tJ? 7~7
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."
~~
See Main File
rWhite . Buildin0
Canary . Engmeering
Pink . Planning
Th~ (.t'nlpr of Ihr I..kt' ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
tY-R rI~
,
APPLICATION RECEIVED
IO~/-'3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construct5 ~/'yiCh i~~ a-:-
Accepted
/
Accepted With Corrections
Denied
'"
Date: 1(1 (;: J'
Reviewed By:
-~
~f-
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
qa;;:;-v - t:ngmeer.nv
ink - Planning
Th~ C~nl~r of lh~ L.k~ COllolry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T
NAME OF APPLICANT
APPLICATION RECEIVED
.() -:
I/Y Jr.
/'"-- ;:-- \..
JI/7)(Y". /
/\!Ul UYl-/
It)-'i-,3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is pr~)posed at: " '..
./;/ /'-/L/ / !..}/014' 1/ ../1 tt-/i ; 'jl,; ~ ~.
-..I. / .-..-..,. j.;;:.X....'-~.i r~.-t...JC..-.r '---c. _~-
C/
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
jWJ-f>
.Lxf' 111&1/ 'vi
Date:
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,"
() ct. i O. 2003 II: 02AM
GEN2 RVAN PLUMBING AND HEATING
No 5363 P 39
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PER1mT
I Blu. FU. rPERMlT NO
; ~:~~ ~;,~ . 3-!Lf/7
(please me or 'Print and SJRll (It bottom)
ADDRE8~~ ~e)J f!lVC0J;- I ZONING(offl"usc)
. LEGAL DESCRIPTION (olliee use oDly)
LOT /,q BLOCK r ADDIDON
~d&. q+w
I OWNER
~ame) DR Horton Custom Homes
I (Address) 2o'Sl.PD keV1B~Il)Ge.. CoSTe IDO
APPLICANT
(Name) CQ~T-?Y"'" "1.......1-.iQ.g -1 l:l~~t.;':l,:
(Address) 14745 So Robert Trail
(Contact Person)
Rosemount
(Address)
QV1l{i~-h ftll<; _
rj~ ':=f!a/l/\
APPLICANT SIGNATURE
Quan tity
I
I
/
:J...
I
i
,jL
PlD
(l'hone) qe:,Z - q;r'i -!flDe
L,c, luvi/IG VUN 55bi-l L/
(l'hone) '" 1 _/,"_ 1 1!.!.
MN
55068
(Zip Code)
(City)
(Phone)
651-423-1144
DATE
/O-fO-1J1>
APPliCANT PLEASE COMPL.ETE BELOW
Estlmared COSt $
Building Permit #
I Type of Fixture
Bath Tub with or without shower
DishwMbe:r
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
I Showe:r Stall
I Sinks
I Bar Sink
Water Closet (Toilet)
Quantity
:-5
I
P..:r
7
I Type of Fi:rture
Rougll- ins
I Water Heater
Water Soflner
Stand Pipe (Washing Machine)
Sewage Ej eolor
I Backflow Assembly
Backilow Assembly Test
I Lawn Sprinkler -
Other
I
I
I
I
I
I
I
I
I
I
FEE SCHEDULE
[ndIlStTl..I, Commercial & Multi-famIly 1% of job co<l with. $39,50 minimum Res.dontlal, New One &; Two-FllITllly S99:00
Re.idontial, Addition. &; Alterations $39 50
rOf!le. Us. Only)
r
IP~
OftteoCT 2 8 2003 By
D2tt Ii I L","
24 hour notice for aUln'pectlon. (952) 447.~ ~Lr"~:2)~~7-42_45____1
PLUMJ3lNG PERlvlIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
This Application Becomes Your Building Permit When Approved
Building Ollicizl
50
B- . PAID III".. .
UiLOING ., i1
PERMIT
Receipt No.
fI
Oct 10, 2003 11:01AM
GENZ RVAN PLUMBING AND HEATING
No,5363 P 4/9
"~ffi~ \'R10~..
t. 7
-- "
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",:;'1
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,.~,\1~'Ct';"~';')~j'i.lJN o"\t-
"4"!,'~\~'~ NES
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
'. c,,~ r\" I PERMIT NO
, y,lIow Ci.;- .3 Ii i,/. 7
3. Gold AppllaAt - , J
q'lea.se tvDe orut.1nta:nd sum arhonnm)
ADDRESS6L{4~ ~ etcQ (j Q. ~'G-
ZONJNG (offl,:."",j
LEGAL DESCRIPTION (office use only) ~ _ ~,
LOT l~ BLOCK I ADDITION I J.UfC/1.elJ ct.+v--
PID
OWNER
(Name) "D U~~,:~_r"~H~ ~:
(phone) _ qs2-Q8S- ,!5{V\
(Address)
20E("O klnBi<..\t:6e Cr- S,,;>JM
(Add=,)
L.c1U\lIIIe-.
(CIty)
"JttJ-l U
(Zip Cod.<:) .
APPLICANT
(Name') G,mz-Ryan Plumbing & Heating
(phone)
651-423-1144
(Address) 1474.5 So Robert Trail Rosemount. MN 5.5068
(\ (Add"",) r (City) (Zip Code)
(conta.ctpe:tSon) . I.J j rl..lS-b -tzd (s ~ A (phone) 651-423-1144
I~JCANTSlGNATU~ _(\l A.~~ ~~DATE __{Q- (0- 0'3,
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe, D ABC D PVC D Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at _ feet from structure.
ReSldenual sewer and water line connection
Sewer cOIl1lection only
FEE SCHEDULE
$3550 Industrial, Com'J & Multi-family 1% of job cost with a $39,50 lDJllimum
$17,50 WaterconnectiononJy $1750
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
. . ^~A'D WI;TH
BUILDING PERMIT
(Otfiu: Use Only)
I This Application Becomes Your Building Permit When Approved
Building Offici>.!
'J~._-'^-------- .-;_~Receipt No,
~: c, '\ f'~::;' i' --" ; C' i
~i ILl: : r,j- ! " ' '.1' '. .-
r~iite- .. ... I fl,ry fj
Dm ',it OCT 2 8 2B8~ : ;H;
24 hnur notice for.1I inspections (952) ,t47-! :':.: (952) ^i47-424S~J
.~.~~~._, .~--------'
]
j
~ -
5~~
+1....lfES01....
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONINGIFIREPLACE PERMIT
(!'lease !\Pt:.or DImt and si2ll at bottom)
I ADDRESS //
~~qq'" ~~/h:;../J0rc/~
LEGAL DESCRIPTION (office use only)
LO'I/7?,LOCK I ADDITION
OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
APPLICANT /10 /Z
(Name) /~///~ //7-'~../A4./;",A /
(AddreSS)~ ~~AIt7 a
~
(Contact Person) A ez/i .. ~~
APPLICANT SIGNATURE . -'- ~__
Date Rec'd
#7C/9 ?
;~ E!~i=' I PERMIT N03- jtll~ I
ZONING (office use)
/ <)L!:- -
~
PID
(phone)
(phone)~5/.. 4~- .;w?/?~
~':t'~ ~$"A:.?..?
- ( (Zip Code)
(phone) ~- c;/9-~77S
DATE
, APPLICANT PLEASE COMPLETE BELOW
PJlNEW CO~TRUCTION 0 REPLACEMENT o ALTERATIONS )
FURNACEMAKEANDMOD~/rp,;~ :?/OAA~~('?7/) FUEL ~./p.,4-.;:--e
FLUESIZEilM~.ARETURNOPENINGS ~ INPUTU /~ OUTPUT 6Z~~
.
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants 0 Steam
DGravity 0 Hot Water
o Mechanical 0 Radiation
~ir Conditioning 0 Special Devices
~ent. System DOther Devices _
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi.Family
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach inlO
Required Side Yard
Setbacks
$39.50
$39.50
S39.50
ESlimated Cost $ _ q~a::>BuildingPennit #
$.Y// ~/4.r
$ _ .50
$ ?
,. ---~ ;-~\
I Paid ~;:~eiPl No.
n.t, I ~ate NOV 1 'l ZUUj ~\ qr-
24 hour notiee for all inspections (952) 447-985~~X_(95!) 447-424~.._ -.---. ()' . .
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Ollice Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
PAID WITH
'"' IILulNG PERM'''''
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
2_ Green
3_ Yellow
~::y I PERMIT NO.^2 II U-'
Applicant ~
(Please troe or Print and silro at bottom)
ADDRESS
5444 DEERFIELD CIRCLE SE
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name DR HORTON
(Phone)
(Address)
APPLICANT
(Name.' ATJJFJ) FTRFSTDF DRA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW A VENTlP
(Address)
ROSEVILLE
(City)
S5113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
2/6/04
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 HEATING OR POWER PLANT
DWarm Air Plants
OGravity
D Mechanical
DAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
D Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEATN GLO SL-750TR-C
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
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennil #
$
$
$
...5,Q PAID WITH
colLDING PERMIT
(Office Use Only)
Building; Official
Date
I Paid
I D~B 1 0 20rY/-
Receipt N cfJ
By ,
-. .
U
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE DEPARTMENTO~ee Main File
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS S~"l./ D4!.."A"e 1.1 (l;.,.
NATURE OF WORK NfJ!- ~
USE OF BUILDIN~ _- S Jq , .
PERMIT NO. ~ - / 11 DATE ISSUED
CONTRACTOR l2..P ~oAJ PHONii1~'. I ~, !L
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELdW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FOOTING I
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING 0. fT.
HEATING (if required)
FIREPLACE
GAS LINE AIR TESTVVV' } -1)... OLI
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding) , )e e ~ J:;
BUILDING l".tv(1 l.-\'I) QII ~
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
j
j
;11(' J. -IC)-i/'-[
~ ;2//~/;p cf
~ !'l/;O 1- 2-;2. -ell!
f/11/ J 2. -/0 '{)4
j
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./;' /' e... ,_
'?/I~~
. '"
//~(/
I II ./V/
UNTIL ABOVE HAS BEEN
NOTICE
~ Jf. -()CJ
q. n/~'
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
QIrdifitatr uf (@trnpanq!
CITY OF PRIOR LAKE
~epadntrnf af ~nilMng JInsprdian
~inal Permitted D Conditional e.O. Expires
This Certificale issued pursuanllo Ihe requiremenls of Seclion 307 of Ihe Uniform Building Code cerlifying
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
Occupancy Type R3
Type Construction
VN
Fire Zone
Bldg. Permit Nn
N/A
Zoning District
03-1417
R2
Legal Description
L19, B1, DEERFIELD 9TH
Owner of Buildim!'
Site Address
5444 DEERFIELD CIRCLE
Contracto,'s Name & Adme~' R. HORTON, j;'~C '/
ROBERT D. HUTCHINS ~~
/ Build~ Offj.cial
Date: X-//:J /6~
"/ -/ I'
20860 KENBRIDGE CT., SUITE 100, LAKEVILLE
City Plaum'--
DON RYE
Date:
~TE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED. W~
S;r'Y/r .#-ee/#e/j c;-
~ORK SATISFACTORY, PROCEED
o CORRECT ACTIDN AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
--
ADDRESS
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
COMMENTS:
.~
/-;/Z,,/
---
/'
0: hs~
~
Inspector:
TIME
CONTR.
PERMIT NO.
C) ..s - /'Y/7
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
;'
;'
~/C.
~
~,,-~~
/? /e- )
~
-
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
UUNOT<
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
ZLIu'l
f),.<,~fi-t:l)
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
W PLUMBING FINAL
ID MECH FINAL
COMMENTS:
~)Y'r01~
~ {:){rf-{a!!Jc
.>-
DATE TIME
::?X.ocr
I
'tiV/7
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
# CORRECT ACTION AND PROCEED
o CORRECT WOR~, CA';J?'R REINSPECTION BEFORE COVERING
Inspector: 1/ l/'}:;/ Owner/Contr:
v I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
Il'iSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI