HomeMy WebLinkAboutBuilding Permit 03-1560
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
Main File
I. While
2. Pink
J. Yellow
1/-1 d/rJ3
I PERMIT NO. 03 -/5&0 I
File
City
Applicant
(Please.!'lPe or orint and si2l1 at bottom)
I ADDRESS
/1 ~O rDeQr{i'eJfbrt'ocSb
ZONING (office use)
;2'2-
LEGAL DESCRIPTION (office use only)
LOTP<-/ BLOCK ( ADDITIO~ eJd q1k
35-1../00- OJ/~
PID
OWNER
(Name)
(Phone)
(Address)
BUILD~~ 11 '\
(Name) 1 ),1""'\, <NmTOYI=rnC--_
(contactNam~i~ (uch.J,_ Q<4kCA-.- ff;-'+2.~f\-
(Addr ) a.O!3(Q() r.b"..~ct. ~q;Q.ll><IOO
ess - Lo...k..U.lt' k.... rnW SSJj7}
,
(Phoneft5~') cr85-783~
(Phone196~ ~ Lr'l73 2.
TYPE OF WORK
)s(New Construction
ODeck
DPorch
ORe-Roofing
ORe-Siding
DLower Level Finish
o Fireplace DAddition OAlteration DUtiIity Connection
PROJECT COST IV ALUE (excluding land) $ 115 '167
o Mise_
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'WY"-HJ 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
~~:~{he:::;ections dCX:X;);5/PS, //-/o-()3
I J (~ Signature Contractor's License No. Date
I Permit Valuation '4/~_oooIOO I Park Support Fee # $ ~~O.cO 0 I
I Permit Fee $ { 2 0,".5>" SAC # $ I 2.-7S. 00 I
I Plan Check Fee $ 7~4.Z~ Water Meter (Size SIB}: I"; $ ZSO. 00 I
I State Surcharge $ "'''t.OO ! Pressure Reducer $ '/S .00 I
I Penalty $ I City SAC and WAC # $ I L-Q") . 00 I
I Plumbing Permit Fee I $ /Cy1J. DO I Water Tower Fee # $ 7o(').f)(!) I
I Mechanical Permit Fee $ /0&.00 I Builder's Deposit $ IStJo,OO I
I Sewer & Water Permit Fee $ 3~.50 I I Other $ I
I Gas Fireplace Permit Fee $ 'fO.C;O I I TOTAL DUE $;;/55.3/ I
This Application Becomes Your Building Permit When Approved I Paid )f'iS (] .61 I Rec~o_ ~ 0(., ~
~' I Date 1.;).- ...\,:-O ) BeJ_-
::te.4J t ) 1l,/LIo~ -/
Building Official Date
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
~~nin;S? 12/2-~e 1 /f~ ~cii:n-i:,s.iian;~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
.
.,
~
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor AifJ.A+J'"r ~
Name otTester ~ ~
Date G/7/M
Job Address
Heating Contractor
Name of Tester
I YdJl ~ilr:W
/Jtl(~ ...a-dL
/knVl. B
~/7Aw
'7. 9 9'1)
~,........
7.3 'oJ.!)
H1..0/-
Date
Percent 0,
Percent CO
Percent CO,
Stack Temp
Combustion air is adequateiy supplied per
UMC Sec. 606 yP-->
input <9cz e:(J?J J-roi
,
~~
Main File
~ite - Bllil~
Canary - Engineering
Pink - Planning
The ('rnlrr of lhr L.kf COUnl11'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
-
NAME OF APPLICANT
APPLICATION RECEIVED
_OR~
Ij- /d.--O'3
The Building, Engineering, and Planning Departments have reviewed the building permit
appl;,"U" fO"~~~; ;'I";IY;~;d iflAJ
Accepted
Accepted With Corrections ...-/
Denied
Reviewed By:
~~
J&;J ~ .~~
Date:
1..2;6-/0 :?
nvJ)~
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."
~~
Main File
White "Building
Canary - En!l.ineering
,-- PinK __" _~Iannlng ..J
Th~ ('fnlfr of lhl' L.kr ("ounlry
BUILDING PERMIT APPLICATION-DEPARTMENT CHECKLIST
----
NAME OF APPLICANT
APPLICATION RECEIVED
;'.'/7/,.:' 11.,- //'. ',d /
I ,.. /' (t...-/' '--
.//'_ / 1 - /) ?
."" ,--,.oJ '''_."
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~/}
./ //
. (
/'i (/'1/
, '
,
,\
/ ,_I
..:,,:
Accepted
Accepted With Corrections
/'
Denied
Reviewed By: ~
Comments: ~
::t. ~(J;., Date: /d?/03
, J ~/J.-
dS- ~-'--:J
-
~~
"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 - Building
~an~rv- t:.nQlneennQ :;>>
ink - Planning
Thr Cf'"rr of lh. L.kt (:ou"lry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
0...' ,.-,
. 'v'
/ f(
~~_..--'-
, I .-
("-.4-.1/ k--'d /
/' / I,.... ",-~,(j .r ....--'
/1.
. -
"
J '- ,-..,. ?
ci- C/ '~,.J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whi.ch is proposed at:
I .....,,~
/ l' f/ () / .r ,i,i!!.12 - ..~~("t);>f/
i
'>.....-A..._)
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
/YJ4fl>
Date:
/J-:J.-o3
Comments: See Reverse Side for Additional Information!
/fIa.'" fif (
See Attachments' 1) Gr:liling Pl:ln_ 71 Erosion Control. Mel\Sl1Tf~"
"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."
No v' 1 4,
.~
€~E
, ,"'~,~,~.>V;~llt1fE50~"
'.,~;~'r('1l\\i'~",
;'li'itl.q!;,
2003 12 30PM
GEN: RVAN PLUMBING AND HEATING
No, 0411
P 1 3. 16
Date Rec'd
en " OF PRIOR LAKE PLUMBING PERMIT
l Bl~ ~il.!: I PERMIT NO
,. Gold Ci~ ':2_
:), Yellow AppUQllt :,J
Is-foOl
('please type or'PJ1!l.t.tnd.'W'JJ, acbortOm)
ADDRESS
11L/Oi ~ -he/o{ !J12 ~ lliv
ZONJNG (of5"'Il"')
LEGAL DESCRlPTION (otlice use only)
LOTti BLOCK.tI./ADDITION fjVkJ-ie (d. q~
Pro
O\VNER
(Name) DR Horton Guscom Homes
(Address) 2.o~D ~B~lJ:;x;e. Co Sre ILO
(phone) QC,2 - q X Fi -7'i:D()
udu_lidlc:.. VU,'-.J .5SCL-i LJ
APPLICANT
(Name)~:.-~:_'9r=:-: '?",,~'h.fT"lg~: t~::::~~-;:C
(phone) ~"1_1,?~_11""
Rosemount
MN
55068
(Zip Code)
(Address) 14745 So Robert Trail
(Contact Person)
(Address)
(l,It) teJcr fi fa I ( S
(lj A.d]:E)~ J/L)
(City)
(phone)
651-423-1144
DATE
/ 1- /~ 4..~
APPLICANT SIGNATURE
Quantity
I
I
f
,q
1
,.Q.
::<
APPLlCANT PLEASE COMl'LETE BELOW
I Type of Fixture
Bath Tub with or without shower
I Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
I LaWldry Tray (J or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Quantity
I Type of Fixture
I Rough-ins
I Water Heater
I Warer Softner
I Stand Pipe (Wasb.ing Machine)
Sewage Ejector
I BackiJow Assembly
BackiJow Assembly Test
I Lawn Sprinkler
I Other ..
1-
U
I
FEE SCHEDULE
lndusmal, Commercial &. Mula-fanuly 1% of job co,! w,th. $3950 minimum ReSldennal, New One &. Two-Famdy $99 SO
Residential, Additions &. Alterations $3950
(Office U.5C Only)
Estnnated Cost $
BUOOUlg Pemnr #
PLUMBING PERlvITT FEE $
STATE SURCHARGE $
TOTAL PER.l\1IT FEE $
50
,
,f
Building 01llti.1
I Paid ~t1ted"IA~~ I V!T
I Date. By I .If
. gEe ~ Zfl~~ sr-)
14 hour nntlce for an inspections (JlSZl447-98S0,)r*x.(9S2) 447-4245 ' 'J
,
Thi. Application Becomes Your Building Permit When Approved
D.te
l.______
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
2.~n
3. Yellow
#7;#7
~:~ I PERMIT NO. '7 ~/!J -bf)
Apphcant J I
crleasetvD~ororintandsiJmatbottom) (... An
/?0/ ~ftc/c/ V:5e
LEGAL DESCRIPTION (office use only)
. LO~ IBLOCK / ADDITION
OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
APPLICANT A, /. A
(Name) ./-f///ttZL"? . J'''~~A/'r.q,,/
(Address) L-~~ ~~~'" P ~
-5iAddreS
(Contact Person) A~ ... 6r~
APPLlCANTSIGNATURE.- ....---
ZONING (office use>
PID
(phone)
(phone) Z,Sfi 4'~,?"p?7~
~~~ ~.5;-:..}7_
(CllP/f (Zip Code)
(Phone) ~- ~<9?-dl77S
DATE _
-------
. , APPLICANT PLEASE COMPLETE BELOW
~NEW CO~TRUCTION 0 REPLACEMENT. DAL TERA TIONS
FURNACE MAKE AND MOD~~ _,_~ ;?(04~.y070 FUEL -LI .J. .4-"..:..-..e
FLUESIZE~~.k~RETURNOPENlNGS. INPUT?~ ~ OUTPUT 6"Z_u_ "
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
gair Conditioning
~ent. System
o Steam
o Hol Water
o Radiation
D Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
1 % of job cost Residential. Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & Afe (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
$39.50
Estimated Cost $ . .::?<?'Y'2 a::> Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
$~/ ~,../c:4.r
$ ~ .50
$ ~AIf) WITH
BIlII DINS -
Paid P~HM"1{eceipt No.
/1
Date
DEe 8 2003
/Jr
Ii
By
24 hour notiee ror aU inspections (952) 447-f850, rax (952) 447-4245
, ~ - '-'
l_.
Novl4 200312:30PM
GENZ RVAN PLUMBING AND HEATING
No 0411 P 3. 16
Date Rec'd
CITY _OF PRIOR LAKE
SEWER AND WATER PERMIT
(Plea...!Yi>~orpnn["'dsJ,ex1atbo""m) .1 '
ADDRESS rll j./'lJ
11L(v ( f.1euz Re/ r1 1!Hi oE-
1 O~M .". I PERMIT NO
2. Vello..... Cit)- .
3, CkI1d "-PPUc.nt
ZONING ~',IIi,::~'c)
3 -1r:;fcL/
LEGAL DESCRIPTION (office use only)
LOT2J BLOCK I ADDITION ~fie.(J qfh-
PID
OWNER
(Name) ];IR Ii"r"'~ r..".~_ u__.~
(pbone) _ %2.Q85-iISLV\
(AddrdS)
2ot:L'D~\3i<..\!:6e Or Sip_)M
(Address)
La-u..~11Ie-
(ei<,-)
&JGD-l U
(Zip Code)
APPLlCANT
O'am~) Genz-Rvan Plumbin2 & Heating
(Phone)
651-423-1144
(Addre~) 14745 So Robert Trail
(Add..",)
(Contact Person) _ CIrJ I4.icPh .If f! J ~ 0
~JCANT SIGNATURE f/.;A I ,~ ~ ..f.P<:l
Rosemount~ MN
(City)
(phone)
DATE
55068
(Zip Code)
651-423-1144
/ I-14M
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. D ABC 0 PVC
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
feet
o Cast Iron
ReSldenI1al sewer and water Hne connectton
Sewer connection only
FEE SCHEDULE
$3550 Industrial, Com'l & Multi-fll1luly 1% ofjob cost with a $3950 minimum
$17.50 Water connection only $17_50
Estimated Cost $
Budding Permit #
SEWER AND WATER PERlvfiT FEE
STATE SURCHARGE
TOTAL PE:RMIT FEE
.$
$.
$
.50
,
~
Budding Official
I Paid
I Date
;)L:~ :J :cm
24 hour notic< for all in.peelion, (952) 447-9S5O,fsx (952) 447-4245
PAID WITh
Ai 11/ DIN'" '~-:-:,;n,;,;:;
. -. '"Il.!"",!",No.
(Office Use Only)
I This Application Becomes Y our Building Permit When Approved
By
r
Date
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
2. Green
J. Yellow
~:;, I PERMIT NO"'-:t I ..&~
Applicant ~
(Please ttpe or Vrint and sip at bottom)
ADDRESS
ZONING (office use)
17401 DEERFIELD DRIVE SE
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name 0 R HORTON
(Phone)
(Address)
APPLICANT
(Name) ATJJ'ED FIRESIDE DRA FTRRSTDF HEARTH & HOME
(Phone)
651-633-256]
(Contact Person)
BRENDA HUSTON
ROSEVILLE
(City)
(Phone) _65]-633-256]
55113_
(Zip Code)
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
3/30/04
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
o Mechanical
OAir Conditioning
DVent. 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
HEATN GLO SL-750TR-C
Industrial, Commercial & Multi~Fami1y
FEE SCHEDULE
I % 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 #
$
$
$
PA~!i)~,'
';"fi', ""'~,,,.. p_"_
:.:.:-rt --J'~.i :;.",,\.-":""~~f~'ldl,' l'
(Office Use Only)
Buildine: Official
Date
I Paid
I ~"R 0 1 2004
I Receipt No.
I By
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspeetions (952) 447-9850, fax (952) 447-4245
Main File
PRIOR LAKE
INSPECTION RECORD
",E.
DEPARTMENT OF
BUIlDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK NE a,J ~"'T
USE OF BUILDING -SO. s:= fi. . .
PERMIT NO. 1(1.'5jSlPlJ DATE ISSUED
CONTRACTOR 1:>. k. ~a~~~ I~. PHON - ... ~L
NOTE: THIS IS NOT A PERMIT FdR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
/2- 19-03 I,
I FOUNDATION (Prior to Backfill) I Y/I// I#' /). -1/-nl Il/-/y-..
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED- I .
ROUGH - INS
--
kfl u>lrf5 /W/'
t/q/7
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRlCAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~ y- ~-C14
I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
/1/.5 j>;/Z; ~
, FOOTING
INSyilr~
DATE
1-/2-0c/
t.( 1- O(l
i/}/r'
~-.2 !.--O-J
GRADING (Prior to Sodding)
BUILDlNG/~~. {'-: {J. P#
ELECTRICAL ._
PLUMBING /.-~J ,11/'/0
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
/t!7/:/pf/
qJi!7/a1"
t1;; /"'-
~~/
BEEN SIGNED
~;l~ ~
4if
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.
FO-:O~.LL INSPECTIONS (952) 447-9850
Qletfifitab of' <IDttupanql
CITY OF PRIOR LAKE
~rparfmruf of ~uil~iug Jfitsprdiou
~inal Permitted D 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:
SINGLE FAMILY
03-1560
Occupancy Type
Fire Zone
Bldg. Permit No.
N/A
R2
Use Classification
R3
VN
Type Construction _
L21, Bl, DEERFIELD 9TH
Zoning District
Legal Description
171,01 DEERFIELD DRIVE S. E.
D.R. HORTON, INC.,
Contractor's Name & Address /'
ROBERT D. HUTCHINS /g~
-0- -:: 1?~il!Jj1lg Official
Date: /,V/,/oy
_ Site Address
20860 KEN BRIDGE CT., SUITE 100, LAKEVILLE
DON RYE
Owner of Buildinl!
City Planner
Date:
,.
M~...
-
DATE TIME
7ft'~~
/7#1 ~L'rJ?~/d 4-
CllY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o I~ULATION
-a1'\NAL
o SITE INSPECTION
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
....JH"ECH FINAL
...o.? -/S6,O
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
~IREPLACE FINAL
o GASLINE AIR TST
o
CQMJ4ENT~ ".--
~~r~r hh't/d~~
-
hJ..-(';O~c~
~
...-
h;{.;, ./
~b7~~
c:V~
;"
~~CkL ht.~ /. Ore
kce/(., u[ Cl/.SlO;.r- ~S7-
eJ ~ec/ 00j -r /rt!/l{ q P-H-
l~/ Q?/c;dt!'.- 0-#'/1/'0'-''''' /'
V //
~P!
,
c-: 0.
-
/ /
up. 7.-'/
/ /
~///O~
~RK SATISFACTORY, PROCEED
CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FO 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!
umw"
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~-/7-o'-/
ADDRESS
17'101
DU,,((lJl
OWNER
CONTR.
Dr
D, R. Hor-/t,1I'I
PERMIT NO. {., 1, - /S'/'o
~~ILLING
o coMilLAiNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
[] )NSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH R1
o WATER HOOKUP
[] SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
G J/ tt/.I< ~
AJ/
[)t(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~ -'a= Owner/Contr:
"-
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
IN$NOTI