HomeMy WebLinkAboutBuilding Permit 03-1525
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
Date Rec'd
IO.V.O]
I. White File
2_ Pink City
J. Yellow Applicant
I PERMIT NO. 03 -/Szsl
(Please nye or print and siJm at bottom)
I ADDRESS
EbqG ~_S-+ rni?+.DrlLJe- 2E:
ZONING (office u,,)
Q/
LEGAL DESCRIPTION (office use only)
LOTU BLOC~ ADDITIO~;'JJ /0+
OWNER
(Name)
(Address)
PID zS.4-0/. tJl.(P. 0
(Phone)
BUILD~ 'j) I ,__ 't .
(Name) J-J. I) I rPI"IOV\.,L e....
(ContactName~k..L UJo-Amu..-tk, _"-
IOBLPO KDyJon'd~C;t; & ='/00
(Address) J r. 10 ( 1" {LJ: f'VLN ~s; OJ] (/
,
(PhOl<tt5~)9?fS-7 tdJ
(Phoneli'4J..t5<:l1o - </732
- ---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 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
~~e~7~e~ons d/COo5US'1 S'-/h-6~
J G Signature Contractor's License No. Date
I Permit Valuation ~/S(" OOD,ool I Park Support Fee # $ R5"o.on I
!PermitFee $ /.~07.351 I SAC # $1'Z-7~.DO I
I Plan Check Fee $ 84't 7~ I I Water Meter (Size5/~1"; $ "ZSo.Oo 1
I State Surcharge $? fJ, . 0 f) I I Pressure Reducer $ '1S" .0 0 I
I Penalty $ I I City SAC and WAC # $ 1200.00 I
I Plumbing Permit Fee $ / ot). () 0 I I Water Tower Fee # $ 70 (J . 00 1
I Mechanical Permit Fee $ / {JO . 0 0 I I Builder's Deposit $ I
I Sewer & Water Permit Fee $ 3s, SO I I Other $ I
I Gas Fireplace Permit Fee $ ~O ,tJO I I TOTAL DUE $ ft" .136_ ~ 3 I
I
I
TYPE OF WORK
DMisc.
~ew Construction
DLower Level Finish
Dporch
ORe-Roofing
ORe-Siding
DDeck
PROJECTCOST/VALUE (excluding land) S
OUtility Connection
J B5 97:J"
D Fireplace
DAddition
DAlteration
This Application Becomes Your Building Permit When Approved
~~~
:/~ /CJ/;-,/tJ7
, Dat~
I Paid
I Date
(,rJO..../
17 _I_~J
I ~~cei~ 41.V.r,
d
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
~P~~xmpomYcm~~:O~~O;limCemdallOWSCOnss;;mm~focrupm~mustbe
Planning Director 7-- Date . - Special Conditions, if any
24 hour notice for all inspectinns (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
.
.,
Job Address .5?J'?(&7I2~
Heating Contraclor ~ ~~
Name of Tester ~..... ~
,
31/'Zf~
~.S~
~.-J
(P. 3 ?i
97o.F
Dale
Percent 0,
Percent CO
Percent CO,
Slack Temp
Combustion air is adequately supplied per
UMC Sec_ 606 t;(' j
input QJ.@ 1-.:;'L
i'
,
5~~
See
-=s 5-b M Al f'J
rWhite _- BUildinv
Canary - t=-ngoneering
Pink - Planning
rhC<('l'nl.-, "Ilhe' !.lk..Coun""l
aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. 1<-. HORTON
10. 2:3. D3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5()qfo EAST OAI~ 1-' l Di2-
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~
Comments:
~LJ
Date: /~~3
"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_
,
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White - Building
~'!lI~' I=noineering
in~ -=--Planninv
Thr (-rnlrr or fhr I.lIkr (.ounu,..
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
i/
~.
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;.
!/
L__
Accepted
/
Accepted With Corrections
Denied
r
.
Reviewed By:
~
,
?~
Date:
ICJh-9~3
Comments:
See Main File
"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."
I
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
.,~.",-./~,.
-_._"---,-/-'-'_. ....-/..-
White - Buildin9
(\,;.anarv - cnQineer'fI9>
Pink - Planning
NAME OF APPLICANT
APPLICATION RECEIVED
D,
, '
,-
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H 0 12((/) {\ !
,"
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C__.' .~/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/- ,..' i
C i / (:: E/\. j! / f\ jc:.:" P-j-
r.!2-
'-'---
Accepted
><---
Accepted With Corrections
Denied
Reviewed By:
IYff-B
5l<- /J1c.,I~
Date:
/()~ 3CJ~ Q~
Comments:
F//(.
"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
REA TING/AIR CONDITIONlNG/FIREPLACE PERMIT
Date Rec'd
(Please ~ or orint and sie:n at bottom)
ADDRESS d
,40~ /~ r:k-/'C' /'h/~
#~t:/
~:~ I PERMIT NO':::>./5 d
Apphcant c-.:>';JJ J
L Pink:
2. Green
3. Yellow
d cu56-
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LO~BLOCK .-/ADDITION
Pill
OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
(phone)
APPLICANT /1, /. /1, _
(Name) ./7'///~'" ~ //LL/..-/~./'a./
(Address) ,. ~~ ~"c., A" p /2-:
~AddreS
(Contact Person) A ~ '6 ~
APPLICANT SIGNATURE 5 ..~ ~__
(Phone) ~~~ 45"'/- ~/.?5"
~ ~~ 5".5"/,:;/...-:1
(~ (Zip Code)
(Phone) /'~/- ~<-;:?-J77-S-
DATE
, APPLICANT PLEASE COMPLETE BELOW
~NEW CO~TRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MOD~/r,b~ -' ::?/OAA~7r? FUEL /1.2 .4-..... ~- .(
FLUE SIZE~~.hz~.~ RETURN OPENINGS 4 INPUT ~ OUTPUT S"Z, ~
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plants
OGravity
o Mechanical
~ir Conditioning
lJiLYent. 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
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & NC (New Construction) $99.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
Estimated Cost $ -' ~a::>Buildingpennit #
.../ L? ,j _ PAIOWITH
$ ~ ~.//~BUILOING PERMIT
$ _ .50
$ t?
Industrial, Commercial & Multi-Family
$39.50
$39.50
$3950
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
Date
NQV 2 6 200.1
By
ex
u
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
€(@~
;,/~~j'~NJ;:S01:t-
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Oc t .3 i. i 0 0 3
3: i I PM
GENZ RVAN PLUMBING AND HEATING
No 8526
p. 9/41
Date Rec'd
CITY OF PRIOR LAKE PLUMJHNG PERMIT
I Blll'!- File
:!-,Geld CIty
l. ytllo.... APVJl~1
I PERMIT NO. 3 . I 5 ,;251
q?lea.<e ~ or Ilrlllt ItIld '1J'.ll,rborb:>m)
ADDRESS
VITJt11 0
ft.4\t nak /1)1V1+ hv.c\\f.
I ZONmG(offi"",<) I
LEGAL DESCRIPTION (offle< as< o"ly)
LOT I 0 BLOCK 1- ADDmON ~ 17 t Lti J i'fJ11lJ
Pro
OWNER
(Name) DR Horton Custom Homes (phone)
(Address)
CJtS2-Cl':{f1-7'6DC
2O'S~D K:b1BIC.1DGe. Co Sre. IDO
Lc,UVIIIG Vl..uJ Eful..! t.J
Al'PLICA..^JT
(Name) CL\T'\7-'Ry"'''' 1)1 t1""bir~J ~, u~.t.....::,:
(Address) 14745 So Robert 'Irail
(Contact Pason)
(phone) ~"_I. '~_1 \i.!.
Rosemount}!1l 55068
(City) (Zip Code)
Ii \
uStfl '-/!aJ.; /)
(phone)
651-423-1144
DATE
/O/7fl / ()~
APPLICANT SIGNATURE __.
1
I
I
r
I
I
I
I
Quantity
01
i
1
4
)
1.-
I
,'oS
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixtun Quantity
Bath Tub with or without shower Rough-ins
Dishwa~ber I Water Heater
Floor Drain ( Water Softner
La"atory (Bathroom Sink) I Stand Pipe (Washing Machine)
Laundry Tray (l or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Baekflow Assembly Test
I Bar Sink Lawn Sprinkler
I Water Closet (Toilet) Other
I
I
I
I
I
I
I
I
Type of Fixture
FEE SLJ:lLvULE
lnduolnal, Commercial & MultI-famIly 1% of .lob cost wIth a $3950 minimum R<SJdenlial, New One & Two-P.zmly $99.50
Rcsldenti11l, Additions &- Alterations $3950
(Oftic.c Ust Only)
Estimated Cost $
Butlding Pennlt #
PLUlMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
,
PAID WITH
BlJ!IJ)!!\!G Pl:RMIT
Building Oflicisl
Date
I Paid
I Date
Reeeipt No.
This Application Becomes Your Building Permit When Approved
-,_..--, --
NOV 26 ZO('!"!
L,1
{j
24 hour Dotice for ,II inspections (952) 447-9850, r.. (952) 447-4245
Oct3i.2003 3:11PM
GENZ RVAN PLUMBING AND HEATING
No.8526 p. 8'41
~ffi'i PRlo.p
... ~
.. ?
_ :0:
Q\\i,f/b~'i*Y<' . '"
~~~Y~rJ;~N"'Eso1;
Date Rec'd
CITY .OF PRIOR LAKE
SEWER AND WATER PERMIT
(please .~e or W1nr:u1d Si2Ilal: bottom.)
ADDRESS
lJDqlg ~(t- Ott!2.- Wi Y\t h'L~'f-
; ~.:. ~~; I PERMIT NO. ::') - / C;;..5!'
3 Geld ApPjla.nt V J
ZON1NG (o!Dc,,,,,)
LEGAL DESCRIPTION (ollke use only)
LOT lu BLOCK 1- ADDITION Ix_ue.___..f1 e.J cI... IO+v1
PID
OWNER
(Name) j))l 110:1:-'.- f'..~.~ U,_.^
(phone) _ g.62-91B- ,E;,,(\
(Address)
20&.00 ~PR..\!X::e. Or s"".IfV"\
(Address)
Lau,I.J I \ Ie.,
(GoJ)
~f.:0WLL
(Zro Codt)
APPLICANT
(N~\ Genz-Ryan Plumbin~ & Heating
(phone)
651-423-1144
(Address) 14745 30 Robert Trail
(Address)
(COntact Person). ~Wi S~I ~ .
'JCANT SIGNATURE -.-.ft) 1/ fA5J ~ 1.-<)
Rosemount ~ 'M}:1'
(City)
55068
(Zip Codt)
(Phone)
._ DATE
651-423-1144
JD/7J/(~
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
FEE SCHEDULE
R<sldential sewer and water lme connection $35.50 Industrial, Com'l & Multi-family 1% of job COSt WIth a $39.50 minimum
Sewer conlJectJolJ only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PE:RMIT FEE
$
$'
$
50
PA\O W\TH ,-
BUILOING PEPMI
!
,
(Offie' U" Only)
I This Application Becomes Your Building Permit When Approved
,
,-
Building Official
Date
I Paid
I Date -
NOV 2 6 Z88iJ
Receipt No.
By
f
/;'
1/
24 hour notice ror ,lIln'pettio,,-, (9S2) 447-98~50, f..~ 1'952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
OI~]04
(Please type or Print and SiEOl at bottom)
ADDRESS
~: ~~~w ~l~iCanl I PERMIT NO.O./5Z!!1
ZONING (office use)
5096 E. OAK POINT DRIVE S.E.
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name DR HORTON
(Phone)
(Address)
APPLICANT
(Name) AIJJFDFTRFSTDF. DRA FIRFSIDE HEARTH & HOMF
(Phone)
1i51-1i33-251i 1
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633.2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
1 /22/ 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
OWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o 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-750TRN-C X 2
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 & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
~ 8UI[~~~~MIT
(Office Use Only)
Date
I Paid
I Date
,.., "
, I'
. Receipt No.
This Application Becomes Your Building Permit When Approved
Buildine Official
6)lllT1\iil
By
24 hour notice fur all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS ~9'" tAsr ~~ P~r 11t;tltS:~.
NATURE OF WORK NEJU (!JJNSTItU~/d~
USE OF BUILDING :s.,J:; A.. .
PERMIT NO. ()3- DATE ISSUED ID/2. ~/()3
CONTRACTOR . · PHONc~2.-ZZ~-W~L
NOTE: THIS IS NOT A PERMIT F ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OFSee Main File
BUILDING AND INSPECTION
INSPECTOR
OATE
I FOOTING vWt i", I
I FOUNDATION (Prior to Backfill) IMI '...1 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SiGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMiNG 4,...~." tf1;{/ f r h (.(j-I
INSULATION .
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
-
t/W'/
y[jp
j/~.
-//1/
~
). - 1-&0L-/
J.. -).L1---oCf
1
J- -1-1JL:/
2--to-o'--i
'&~t-{)- (X f
COVER NO WORK UNTiL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADiNG (Prior to Soddins)
BUILDING ~ q-l-o~\
ELECTRICAL
PLUMBING
HEATING
DO NOT
~~~.;
~
'11W/
1/V0'
OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
;;'/l""
/6p/a~
tr{...-G4t(
L--VV(ft/
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
([rdifir~b of @rrup~nq!
CITY OF PRIOR LAKE
@-~parfm~nf of ~uilMng Jfnsp~dion
,~inal Permitted 121)' Conditional C.O. Expires
This Certificate issued pursuant to the requirements afSection 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-J525
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
R1
Legal Description
L6. B2. DEERFIELD 10TH
Owner of Buildin~
Site Addre" 5096 EAST OAK POINT DRIVE S. E.
CT., SUITE 100, LAKEVILLE
Contractm's Name & Address D. R. HORTON; _I!:IS-' 20860 KENBRIDGE
ROBERT D. HUTCHINV',", _ City Planner DON
BJildinyOfficial
/0// /0,/ Date,
, .
RYE
Date:
...." "
,."......
~
-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~~~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..a1'iNAL
o SITE INSPECTION
COMMENTS:
.....-., ./'
L--- /05 e
nME
DATE
/~k
&S/CJ'?~ //,d-
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
....-f/
r/e_
6?-/S~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/WORKSATISFACTORV, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR 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/
uaNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
Srf/fo e.,~.t fJ1k
OWNER
CONTR.
PHONE NO.
PERMIT NO.
lJ FOOTING
lJ FOUNDATION
lJ FRAMING
lJ IJjSULA TION
.a<FINAL
lJ SITE INSPECTION
lJ PLUMBING RI
lJ MECH RI
lJ WATER HOOKUP
=R HOOKUP
PLUMBING FINAL
ECH FINAL
COMMENTS:
DATE nMe
t../ -)..(, en- (
Pr
Z -f.D-~
lJ EltIGRADIFILLlNG
lJ COMPLAINT
lJ FIREPLACE RI
lJ FIREPLACE FINAL
lJ GASLlNE AIR TST
lJ
~14_",,<-I('d_....Ik , clr~~..-
Fr"'-<1 f ~. 6<(l'/-'71Vb1 I /
1) C,.Jc-l '<- 1)....~., ,12_ d~=/af?~ r
/~ 0-1/-'-; 4-!-eJL-{
o WORK SATISFACTORY, PROCEED
lJ CORRECT ACTION AND PROCEED
~RRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
u<sNO"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ,I SAFETY!