HomeMy WebLinkAboutBuilding Permit 03-1361
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
Main File
I, White
2. Pink
3, Yellow
7- /t-c:J3
jPEaMITNO. 03-130 1 I
File
City
Applicant
(Please tvoe or orint and sign. at bottom)
ADDRESS
J7tfCO~J:.rr,cld 'Drive.. S;:
ZONING (officeu,,)
IZ.~
LEGAL DESCRIPTION (office use only)
L~~ B~K ADDITImj.)Oo ~ie.ld q'h..
PIDr1ytjO()-05~--{)
OWNER
(Name)
(Phone)
(Address)
BUILD~ 'l2 / J
(Name) U ~.~' I- OL"'SOYI
(Contact Na""<:L. c:::., ~~u..--,5 -,r)j~r~ ~._
(Address). ;.cae UJ 0 *y:nbr ;~ .
I Q k .'Vdl~ (htJ "3 IIt/
- I . I
~.>)-IOO
(Phon'9~ 'flBS -1008, /
(Phon<5'S~dc.- I,~~'L-
TYPE OF WORK
~ew Construction
DLower Level Finish
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Misc.
o Fireplace DAddition DAlteration DUtility Connection
PROJECT COST IV ALUE (excluding land) $ II~) '1 1) 7
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 buildmg offiCial can revoke thIS penn1t for Just cause Furthermore, I hereby agree that the City offiCial or a deSIgnee may
~~~~:JC:SPecbons /:JOto~c)~C:;7 9 -I&> .0 ~
- --- SIgnature" "./ Contractor's LIcense No Date
v
I Permit Valuation /35.000 Park Support Fee # $ g~ G.>- -
I Permit Fee $ 1189-'"15 I SAC # $ /d-.75. -
'-'
I Plan Check Fee $ '7'73.3Lf I I Water Meter sizt;i~'; I"; $ ,-;)5'0, .~
I State Surcharge $ /,1- s-o I I Pressure Reducer I $ ti"}-
I Penalty $ I City SAC and WAC # $ /;+00.-
I Plumbing Permit Fee I $ //}()-- I Water Tower Fee # $ '7W'----
I Mechanical Permit Fee I $ /O(),-- I I Builder's Deposit $ 1':')00.-
I Sewer & Water Permit Fee $ 35-~D I I Other $
I Gas Fireplace Permit Fee $ I I TOTAL DUE $f)Qf{6.01
f;oic', ../' I ~~cei;o. U,'J6'c(
This Application Becomes Your Building Permit When Approved I Paid UJ
~Offi~ /r?~J I Date ftY /~. ':::J
, ---"
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 '
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~ -;Li2;;
Planning Director
/d/Fhs . / .u...
Date Special <:onditiOns, if any
24 hour notice for all inspections (9S2) 447-98S0, fax (952) 447-424S
16200 Eagle Creek Avenue Prior Lake, MN 55372
~01/
,~
Job Address
Heating Contractor ~'YfIVT' ~~
~H6
zh~~
'1.0/:,
ffiA--'
(0,7%
34-1 0/
..
Name of Tester
Date
.
Percent 02
Percent CO
Percent C02
Stack Temp
_-/ J/t14-
/~ f.k[;df,
UMC Soc. 606
Combustion air is adequately supplied per
input
1/~.5
HtODO.3 ru
'-.
~~
Main File
White - Building
Canary - En!'l.ineering
~,"K - Plannlnlr::,
The ("..nltr of Ih..t..k.. ('ounll'l
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
---
; / ...._""-------
NAME OF APPLICANT 'I 1(/) /l!y~
/' .-.,
APPLICATION RECEIVED -.f- !.f-.;,:
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
//jlj('))'!(; ri //~.
'. -~
/
Accepted
/'
Accepted With Corrections
Denied
,.-...
Reviewed By:
~
~ L o.~
Date:
/t?/t5"'~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."
*
Th.. Ctnt.., ollht l.ak.. Country
.
<. VYhite . Buildi~
Canary - Engineering
Pink - Planning
Main File
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
I/Q J #-tJi~
tl-/g-~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activit~ whic . proposed at: i)
1/1t(~O , lcf2 I~
t
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
~
K~
~
~~ Date: /~/8'A3
d-fl ~~
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."
Main File
White . !'Iuil~ing
~"TY . cngmeern'l"!J-:::.
Pink - PlsnnJil!
Thll' ("fnl... of tht I..... Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
r~ ___...-'"
AI\) .' ,jJ 'I~'-' J-::'J
NAME OF APP~ICANT VI.' l .!17;, i A tT",'
APPLICATION RECEIVED
/1 ./f~' :-~
'.1_ :.-""-.....:::)
....''''l '
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:.
. l' /, "
/.I,/VC)() ,.;")i-1i(t!(;(~Y/ /(j/'~~
/J
Accepted DC
Accepted With Corrections
Denied
Reviewed By:
/lt14- {)
Date: /0-6-0.3
Comments: ~AA RAverse Side for Additic,"::!1 Inforrnatinnl
mOIl\. F, If,
See Attachments' 1) Graciine P1:m ?) Erosion rontrol Measures
"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."
Sepl9 200310:50AM
GENZ RVAN PLUMBING AND HEATING
No.2348 P. 5/7
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
1 BllUl Fil.
1, Gt.ltl City
3 Y.low AppliQ/lI
ru-RMlT NO. 3' (3e:, [ I
Q?1ease t'YFe Of print and sUm aJ: bottom)
IADI~co ~elJ DVL(~
I ZONJNG (oJik,"",)
, LEGAL DESCRIPTION (olllce use ooly) {,
LOT \ lO BLOCK (3 ADDITION Gue-A etd.
q(h
pm
OWNER
(N'~p\ DR Horton Custom Homes
(Add:ress)
(phone)
9S2-Q;;F, -7~M
"1 "'<;:1 -0, \J A
?-V.....,~ ~VlB~l1;:>Ge.. C.
,Sre. I DO
Lauvi lie.. i-\,\N 5E:t>Lj L/
APPLICANT
(Name) CCl.'I"I",,-'t';r.:l- "'..-"-.'1"'2; b 1:1<"':''':''::''3
(phone) ...J5..5.l..",t.?~-11M
(Add:re~) 14745 So Robert Trail
i (Contact P=on)
I
APPLICANT SIGNA TUlU
Quantity
I
I
I
fJ..
~
Rosemount
55068
(Zip Code)
HN
(A.dd:r~ss) .
n III ~ I S;t) fz:t {{ S
~~)~f(;<}
(City)
(phone)
651-423-1144
t1-(q-v..~
DATI
APPLICANT PLEASE COMPLETE BELOW
I Type of future I Quantity I Type of Fixture
I Bath Tub with or without shower .:<' I Rough-ins
Dishwasher I . Water Heater
Floor Drain 12-I. I Water Softner
Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
I Bar Sink I Lawn Sprinkler
I Water Closet (Toiler) I Other
I
I
I
I
I
I
I
I
I
I
FEE Sl..J:l.J!.lJULE
Industnat, Comrnerc..t &0 Mulu-famlly 1% of Job cost with a $39,50 minimum ReSldenaal, New One'" TWG-FMlIly $9950
R<>s.dential, Additions '" AI_ons $39.50
(Ofu", Us. Only)
This Application Becomes Your Building Permit When Approved
EstlIllated Cost $
Bmldmg Permit #
~
--- ,-\
1 ,,'
'l.' I
PLUNJBING PER.MIT FEE
STATE SURCHARGE
TOTAL PERMIT FE)!:
~~,
50 "I)
1\(\ OCT 1 ~
r'I'\IU VVII Ft U~\
~8rE
..J
$
$
$
r
7001
Datt
BV3ec~tNo.
I By( i-
(j
Buildi.ng Offic.ial
D...
24 hour notice for aU in'pectlons (952) 447-9850, fax (9S2) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
;/7L/c::J?
Q'lease tvp~.or orint andsim at bottom)
ADDRESS
i ;;,::.. ~:~ I PERMIT NO, 3- 13&( I
3. Yellow Applicant
/7t/CC)
/ku -4:;//
u'
ZONING (offic,use)
LEGAL DESCRIPTION (office use only)
LOTJt,BLOCK. .:s ADDITION
PID
OWNER DR HORTON ..
(Name) - 20860 K.ENBRIU~T
(Address) LAK.EVIL~f'\-l'v1N 55044
".:.'
APPLICANT /1, /. A
(Name) /-///./~ '1/".../AtA/''''~
(Address) ,~~ ~~ ~ '" t? /2,;:
~AddreS
(Contact Person) A . ~
APPLICANTSIGNATURE.~- - J~~ -.
(phone)
(Phone) /:'S./. 4',5",/- ,?.?7~
~...rAJ~
(~ (Zip Code)
(Phone) ~ - .e:,,(--Gi' - -? 77-5""
~... .,.., 7
~....'-*
DATE
< APPLICANT PLEASE COMPLETE BELOW
~NEW CO~TRUCTION 0 REPLACEMENT 0 ALTERATIC;>NS. J
FURNACEMAKEANDMOD~/r'-,;~' .?~AJ'~Y07l? FUEL --t!!l....b ~~.~
FLUE SIZE"""~~~.A REWRNOPENINGS .tV INPUT~ OU1PUT 6"Z_ ~ ~~-"
TYPE OF SYSTEM HEATING OR POWER PLANT
DWann Air Plants
DGravity
o Mechanical
gair Conditioning
}IilYent. 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
$39.50
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ . g~ a:::> Building Permit #
d;;;':_ _ 'l
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$~/&..//~"-ir
$ ~.50 . ,
$ ~
f" 7[(.
~,
(Office Use Only)
This Application Becomes Your Building Permit When Approved
P .d PAID WI";"I;R . tN
al BUILD' ecelp o.
,NO PI:'! !~~'T
. ...,.... ~.. ~
Date
By fj-
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
SBnI9, 2003 10:49AM
GENZ RVAN PLUMBING AND HEATING
No,2348 P. 27
Date Rec'd
CITY,OFPRIORLAKE
SEWER AND WATER PERMIT
;~w ~~ I PERMIT NO. 0,(3/-( I
], G,)ld Appll~1 '-.:) r,e-"
tPle33e tYPe or 1)rlDt and ~iJ!D at bottDm)
ADDRESS
174tV {J~;e.-fie(ce De rS,'E
ZONlNG (olli",,,,,,)
LEGAL DESCRIPTION (olll"" wo only) ,
LOTIIPBLOCK0 ADDmON &..il2..helJ'
C/-f0
PID
OWNER
~~e)-D&-RortQa ~ustQm R9mc:
(Address)
2D&nO ~B\<...\t:6e Cr-- yPJf'r\
(Addr.ss)
(Phone) _
La~\jllle..-
(City)
cy-,....2 -QS5- 78 Of',
"5(;fJUU
(Zip Code)
APPLICANT
ON~e) Genz-Ryan Plumbing & Heating
(Phono)
651-423-11.44
(AiliU~) 14745 So Robert Trail
(Addr",,) _,
(Contaot Person) _ ~~-11? i & ri f11 (I ~
".ICANTSIGNATURE (\RJ.bf~) ~j V1
Rose.mount. MN
(O!)')
55068
(Zip Code)
(phone) 651-423-1144
DATI _?LLq-o,?"
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 lme connection
Sewer cotllleetion only
FEE SCHEDULE
$35.50 Industr:i.~ Com'! & Multi.famdy 1% of job cost with a $39.50 mlUlmUl)]
$17.50 Water conneetion only $1750
Estimated Cost $
Building Pennit #
SEWER ANP WATER PERMIT FEE
STATE SURCHARGE
TOTAL PE.RMIT FEE
S
$
$
50
OCI 1 7 2003
i
r
(om" u.. Only)
I This Application Becomes Your Building Permit When Approved
Rcc:.-eipt No.
Date
By
cr
Building OOIdal
Date
24 hour nottce for all Inspections (952) 447-9850, fax (952) 4474245
PRIOR LAKE DEPARTMENT OF Main Fl'le
BUILDING AND INSPECTtdtt
INSPECTION RECORD
SITE ADDRESS 1'7I(()O ~~tr
NATURE OF WORK ~ -
USE OF BUILDING ~~"I' '
PERMIT NO. oa- /3(,/ DATE ISSUED
CONTRACTOR ~L)r-b-()A.J PHONE ~fD - , 3 '$(/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSP~CTOR __
DATE
I FOOTING J/j/yJ 10-24' ~
I FOUNDATION (Prior to Backfill) I M/ / ft1A IO.JI..cJ3 //J-7~
PLACE NO CONCRETE UNTIL AB0'VE HAS BEEN SIq-NED
ROUGH - INS __
//fA(>>
yvr
f/l,1/ ,/'
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
F'IRl!f _.:CE _
GAS LINE AIR TEST ~,/' J.2--Q-03
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
AIL> P P. oa
''d
II- r'"'03.
it- Z,Q-0
/) ...3I-d,J
.
-
rl/1/
f Vj/f"?
J/. -/7-en.
1)./).+01-,
GRADING (Prior to Sodding)
BUILDING 1-<:<</ q-(-o....\
ELECTRICAL
PLUMBING
HEATING
DO NOT
9/10r'
- -
i/W/_
/M//
OCCUpy UNTIL ABOVE HAS
NOTICE
BEEN
J.-- (. -0 v)
~ I? 'o~
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
... . . ..-
Qledifitafe of (@trnpauqz
CITY OF PRIOR LAKE
~rparttnruf of ~uilMug Jfusprdinu
;6' Final 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
Occupancy Type R3
SINGLE FAMILY
Bldg. Permit No.
03-1361
Legal Descriptior
Type Construction VN
LI6, B3, DEERFIELD 9TH
Fire Zone
N/A
Zoning District
1l.2
Owner of Buildillt'
Site Address 17400 DEERFIELD DRIVE S. E.
20860 KENBRIDGE CT., SUITE 100, LAKEVILLE
Contractor's Name & AdcirR~ R. HORTON, INC.,
ROBERT D. HUTCHINS .//;0/"
0c;.~:~ial
City Planne-'
DON RYE
Date:
Date:
D,erf,'(./J Dr.
1). tHo/in.,..
() 3 -13ln/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
1/'/&0
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
('fV't...(,.. /? J/
( Jib ~/~~
DATE TIME
g ~ 7-0"1
;)(~ILLlNG
o CO"DI5CAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
X WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTlON BEFORE COVERING
lnsped.Or~~ _ Owner/Contr:
.,~-
!=ALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOO
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
,2./.-t'J if
ADDRESS
f7l.{()() ~rh-eld {),--
OWNER
CONTR.
PHONE NO,
PERMIT NO.
s-/:?C; !
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
Jjf'"PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~
U,,/(t/lliOV-
/liJf-u,.t73
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~R:, '::;t FOR REINSPECTION BEFORE COVERING
Inspector: ~y -" Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
""""',
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
nl.{OO O""kU
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
8.. FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~
.rv
(Cj)
......,
DATE TIME
7- I?C'/
?'~/J~ I
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
Bfrr:.//. fh+rll ~r './"'~1 ( d-t-c.Ii /5 bmJ..:r
r::rflla ( ""'~ a L1t'/OI/d /
r?-e,-M...,,~.-'r ~'A/I"/ " s-frJr/O. $k'~".Hr&-
'Y)d .... 'I/~~, ,o-e- ~/J-d'~17 ;+1~-+-
C{-.-......o u//+,/
. v
t:7 - 1- &4
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
f CORRECT W~t~L FOR REINSPECTION BEFORE COVERtNG
Inspector: ~/..- Owner/Contr:
CALL 447-9850 FOR T>lF NEXT INSPECTION 24 HOURS IN ADVANCE.
'N!NOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
//1-60
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ rlNAL
o SITE INSPECTION
COMMENTS:
..--------
/_~ /'
~/OS-e
DATE TIME
SCHEDULED~O~
~eerlZ / d fJr-
CONTR.
PERMIT NO,
d~- /J~/
o PLUMBING RI
o MECH R1
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~
,~/ '\
h/~/
---
/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~ ~ Owner/Contr:
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY/
INSlWT.