HomeMy WebLinkAboutBuilding Permit 03-1120
(Please type or print and sign at bottom)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Main Filewhi<O F;I,
, . ," i. ~~~I:w ~~~licant
Date Rec' d
g _ 7-03
I PERMIT NO. 03 - /12-0
ADDRESS '\
11310 ~ \)(h~'Jj
i\1~\i'7.
ZONING (officeu,,>
R::J....
LEGAL DESCRIPTION (office use only)
LOT 1 BLOCK 1- ADDITION Deu.g elL q1}../
PID.,2,~- L/O{)- 1)3&- ')
OWNER
(Name)
(Phone)
(Address)
BUILDER ~ R --LL..1 ---r' _
(Name) 1\. .1 \ 0YlT'R ..J--& t C
(Contact Name) .\'+-Pv-Q 'cv-~ JCS~
(AddreSS)~~~d~~' J~'iOO
(Phone)
(Phone)
l\C;2"'l ~~ -7<(JO 8
q t;1/z..Uo - 13?J'-f
TYPE OF WORK
~New Construction
DDeck
DPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace OAddition OAlteration
PROJECT COST IV ALUE (excluding land) $ q q I 2- II
OUtility Connection
o Misc.
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 t'.'"'Y-.~i 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
exnter u n e property t'lt pe't'~ed in'H~ctions.
~ l~tI\h c2fJOf)t::u>(, 1'~O-{)J..
" Signature Contractor's License No. Date .::;..-
v
I Permit Valuation qQOm.-1 I Park Support Fee # $ gSO-- I
I Permit Fee $ 98~. 75 I I SAC # $ /c1/5.-1
~
I Plan Check Fee $ to tI/ - 39 I I Water Meter Si't~;l"; $ dSO.-1
I State Surcharge $ lIfi.50 I I Pressure Reducer $ t/~.-
I Penalty $ I City SAC and WAC # $ /~f!)-:-
\ Plumbing Permit Fee $ lOa. - j Water Tower Fee # $ '1tJtJ .-
I Mechanical Permit Fee $ ItJtJ.- I Builder's Deposit $ /500. --
I Sewer & Water Permit Fee $ . 3S..so I Other $
\ Gas Fireplace Permit Fee $ un- I TOTAL DUE $ 7??:; ./4
I Paid '1777 L.I' /]
This Application Becomes Your Building Permit When Approved I Rece1r;No. ~.YP'..+-
~ r liIe?a/,j 3 I Date 4 .r .c)( By _
~ ,- O~
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
",u~ f-~
Planning Director
;&-z cd-( ~
I Dale Special ConditTons, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
PJ;;.;r~ :J
.
..
,
Job Address lZ;3h3 _ ~FI~J<:f'
Heating Contractor J)? v"'~ h..wt\
-I. S'--Y-rvvV
Name of Tester ~J\IU. .
Date l '2..!( 0 (0 ...,
Percenl 0, . 0. (J P (:) "..,
"" 0/0'
Percent CO ...,. I
. J 0/0
Percenl CO, "" ('
Stack Temp '3(',0 "p
Combuslion air is adequately Supplied per
UMC Sec. 606
input
~ b (fJ9cD RiU.
t
"
~~
Main File
~l1lte - Bu~
CanarY -:-engIneering
Pink - Planning
Th.. ("..nlt't nf Ih..l..k.. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
,Q ,(J ~
e-7-03
APPLICATION RECEIVED
The Building. Engineering, and Planning Departments have reviewed the building permit
app"aN," fo, ""'tru;~;~ct;~ wh;oh ~: P'rI? 10-..
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
~~p
p~ aL{ ..A~~.
Date:
Y~~3
- 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."
~~
Maih File
Th~ ('eo In of lhf I....f COUnlT)'
.' .
White - Building
~ring
<J'in~ - Planninlt'::>
......
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
r--
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:
"""
./ "./ .-::/.,'-- -.-' - ....
J ../
/
..L.z...
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
Comments:
. ~ '=1 ~ I-- Date: .9f72/~ 7
I!~ ad ~~
I
"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~ ("..nlfl'r (If lnt' I..kr ('ounlry l
~~ File
White - t;!uildinq
r-t;anarv - Fnaineerino
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
"
./ V
-......-
.-. /
/,'"})1.--_."
s;.- .-;
. /.,1:.:2
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which isproposed at:
//) ~,}t/:. ,3'"
,..l -~. /t~( /.~ :;~(~..-;;
./
i/ 1
.' '.< l ft
I" ~-r--- V
Accepted "X
Accepted With Corrections
Denied
Reviewed By: /r",....-'4'1L _ Date: 75! 1310 '3
~~U ' .
Comments: See Reverse Side for Additional Information!
D~ v...;N{ L....6f l
(OI~:Fb-OA. ~
'-"'"
See Attachments: I) Grading Plan, 2) Erosion Control 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."
#735'7
~. E:w J!~;~, I PERMIT NO. ~'-II 2-01
ZONING (oflke use)
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONlNG/FIREPLACE PERMIT
(Please tvp~ or orint and sign at bottom)
ADDRESS
/75~~
ar'/&/r/ /2
~E
LEGAL DESCRIPTION (office use only)
LOT 7BLOCK ~ ADDITION
OWNER DR HORTON
(Name) - 20860 KENBRlDGE CT
(Address) LAKEVILLE, MN 55044
(phone)
APPLICANT ./J 0 A
(Name) /7'/-'/ffZ.~ '.1r.../A.A./,~
(Address)~ ~..It..I~1 ~ a:
~AddieS
(Contact Person) A _~"'<~
APPLICANT SIGNATURE ~ ~ .' - ___
Date Rec'd
PID
(phone) ~5fi q~,?- .p/?..!r
~4A'a..t' ":!F.$:~} ?
- (alirf (Zip Code)
(phone) . I'A~/ - if~ -~ ?7-S
DATE
. , APPLICANT PLEASE COMPLETE BELOW
~NEW CO~TRUCTION 0 REPLACEMENT 0 ALTERA nONS ,
FURNACE MAKE AND MOD~/r"",; ~ _ :?/~~.v07;,,? FUEL -11 .h. ~.......:..,...e
FLUE SIZE~~houA RETURN OPENINGS INPUT ~ OUTPUT 6'Z.;,~
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical 0 Radiation
~ir Conditioning 0 Special Devices
~ent. System 0 Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $ ~a:>BuildingPermit #
HEATING PERMIT FEE $ ~/..&......./~
STATE SURCHARGE r $_ .... ~ .50
TOTAL PERMIT FEE I.,)!$, ":'9'"" -. ,
(Office Use Only) I ~/;, L:'" \. ::t ',' ;::J i:?
I ~ c. L:.: / nil
This Application Becomes Your Building Permit When APprofC/?J1 AU,J'~d7 1';I,II{
LJ!J 1'J.. 2003
I Date L./{
Building Official Date ~bv_
24 hour notice fo'r ~II i~spectio~S (95;;747.9850, t:;;;'<'/5i;~;/....!45
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
A $39.50
SUllO ~/O~.50
:t;tlG 7"l"/-j
,o~
!Y1I4/l'
I Receipt No. _
I By / }r
V
kug. 1:. :003 3:03AM
GEN2 RVAN PLUMBING AND HEATING
N0.6474
P "1 C;
. ... ..J
Date Rec'd
CITy.oF PRIOR LAKE
SEWER AND WATER PERMIT
~ ~~~~~.;, I PERMIT NO. C}. /1-2.;1
J. Gold AppJicmt , --; lfV
(Please tlT~ 01 print and S1,e;ntlt bottom)
ADDRESS
/73(;8 iJalefi erd. iJ!Z Clli
ZONING (ofli" us,)
LEGAL DESCRIPTION (ollice use oJJly)
LOT / BLOCK ~ ADDmON kfJdd 4 4th
PID
OWNER
(Name) DP RQrtQ~ (><"n", "n._ao
(Phone) _ q52 -Q'85- -/F;,..,{\
(Address)
2.o&ooI<ev1BiC..\b6e Or Snt-H'i\
(Addr.,,)
La~\IllIe...
(CIty)
"5~
(Zip Code) .
I APPLICANT
(Narn":\ Genz-Ryan Plumbing & Heating
I
I (Address) 14745 So Robert Trail
(Add=,)
I (Conract Person). (Y1 ;er.sfi &fJ.~
'. 'YJCANT SIGNATURE. ()( A .{,);:sJ5}
(Phone)
651-423-1144
Rosemount> UN
(City)
~ (phone)
~__ DATE
55068
(Zip Code)
651-423-1144
rf-/r? -03
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from sttucture
Type of sewer pipe. 0 ABC 0 PVc
Estimated length of sewer line feet.
Clean out (if required) located at _ feet from sttucture.
feet.
o Cast hon
Residenoal sewer md water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 mmimum
$17.50 Water connection only $17.50
EstImated Cost $
Building Permit #
Building Oll1ciaJ
Date
$
$ .50
,---" .s-- ., -. --
: "J" il: U ~ Ii: i,i
" ~ II,
~UI p~~r, 2 7 7nnl i:
B y ~-Dme---'--
f I
81.11/ P,qID 'A.
4.DIIltG "1I'1'l'Jy
P12t:1AttI'l'
!
SEWeR AND WATER PERivllT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(OrGel: Use Only)
This Application Becomes Your Building Perm.it When Approved
Receipt No
By
t{
24 hour notic. for.1I insp..tion, (952) 447-9850, f.l. (952) 4474245
~~ PRJO.p
"'2Ji\ ('
t- 1\""
- :0:
c; .!~m
:",~.,'~/(II o~f"
'(~ll"V\.\"'\"" NES
~"i'"':,*'WfiJ
'1'.I!:~\::\\SrNl'
AUI.! 2. 2003 9:04AM
GENZ RVAN PLUMBING AND HEATING
Date Rec'd
No.6474 p. 1 9
CITY OF PRIOR LAKE PLUMBING PERMIT
; ~~: ~!~ rPERMIT NO. 3-/I-Lol
3 Yellow AppJiQnt cr ~
CPleue C'(pe n.rtrrint;m.d sim. a[bOttOm.)
ADDRESS .
J7'3lf'6 ilet/2:hdL fJ,e de
ZONING (office",,)
LEGAL DESCRIPTION (oJfu:e we only)
LOT 7 BWcrd ADDITION ~ MP r;/ J q1Jv
PID
OWNER
(Name) DR Horton CU51:0m Homes (phone)
(Address)
2O'bl.JD lL&JB~II;lGe.., CT S/e. IDO
APPI.1CANT
(Name.) r:,Q'r"l"-~~""_:r' l?] n<mb.:i.r3 .c. u.Q..,..,...,i....:::
(Address) 14745 So Robert Trail
(Addrps) JJ
(ContactPe-rson) ()f;;;e;<:sfi m!(,:;
APPLICANT SIGNATURE (!{I.~ ~~y'J
APPLICANT PLEASE COMPLETE BELOW
Type of future Quantity I Type of Fixture
Bath Tub with or withOUt shower I Rough-ins
Dishwasher ) . I WarerHeater
Floor Drain fL -- r. I Water Softner
Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink I Sewage Ejector
Shower Stall BackfJow Assembly
Sinks BackfJow Assembly Test
Bar Sink Lawn Sorinkler
Water Closet (Toilet) Other
Quantity
(
I
I
d..
I
I
r1
9S2.Q)]Fi-7SDCJ
Ut.uvi IIG H.A N bm/..j L.J.
(Phone) -6..<; 1 _A? ~- 1.1.4,1.
Rosemount
MN
55068
(Zip Code)
(City)
(Phone)
651-423-1144
?/C)06
DAtE
I
I
I
I
I
I
I
I
I
I
E"EE SCHEDULE
Industrial, CommercIal & MuJt1-famlly 1% of Job cost with a $3950 minimum
Estimated Cost $
PLUMBING PERMIT FEE
STATE SlJRCHARGE
TOTAL PERMIT FEE
(Office Use Only)
Thi< ApptiClltiO)l Becomes Your Building Permit When Approved
Building Official
DAte
24 hour Dotice f~r.n iDspections (952) 447-9850, f.x (952) .147-1245
Resldenl1al, New One & Two-Family $9950
ReSIdential, Additions & Altenltions $3p50
SUIJ ,,'XlID /tv,
'UII\'G "l"/y
p~
) . J:iA4Il"
BuildIng Pelmlt #
3f-~:~;"'- ...
:.' i" ,,6Ir: '-,
.1' 'j ", LI [" :.~I.c.:
'\' >oJ L...:;;:J ,IJ
ili!. AUG ~ 7 ,~!
'Paid .--- Li eceipt No.
- :4 By
fir'
{;
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
2.""""
3, Yellow
~:~ I PERMIT NO/",_ 1/'.-0 I
Applicant <.J If 0 .
(Please tvDe or orint and sip at bottom)
ADDRESS
17363 DEERFIELD DRIVE S.E.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name DR HORTON
(Phone)
(Address)
APPLICANT
(Name~ AT.T J,ED FIRESIDE Ql!A FIRESIDE HEARTH IV HOME
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW A VENUF
(Address)
uROSEVILLE
(City)
(Phone) _651-633-2561
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BRENDA J./USTON
DATE
ZONING (office use)
PID
"5113_
(Zip Code)
10/2ll103
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
D Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
HEATN GLO SL.750TR-C
Industrial, Commercial & Multi~Fami1y
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & AJC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
I,Pai.d
ii!patNOV 0,.3 2003
HuUdinl!: Official
Date
I
24 hour notice for all inspections (952) 447-ejaso. fax (952) #7-4245 .
f_, . -_..-- ___._______...._
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
PAID WITH
BiJllDING PERMIT
. Receipt No.
/!
By {I-
/
PRIOR LAKE DEPARTMENT OF Main File
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 1~.3' 3r[J r
NATURE OF WORK ~
USE OF BUILDING .J.~j: ~
PERMIT NO. ~ - 1/ 2/) DATE ISSUED .
CONTRACTOR---.:D R Hf)~t-f)N PHON~- ~31.1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
'Ns~iCfo;11 /, f'
I FOOTING I ~ 1/ jf/ I III -q - () ') I
'FOUNDATION (Prior to Backfill) I W / fVV/ I Q-/fft)'5 / 1-P1~
PLACE NO CONCRETE UNTIL ABk>VE HAS BEEN SIGNED
ROUGH - INS
DATE
SEWER I WATER I SEPTIC
FRAMING lA/ / L- ~
INSULATION ~
ELECTRICAL .. _
f
PLUMBING jI//Y.//11/ q- 2:J-.8/ro-lJ1A.
I HEATING (if required) . J1/PI /1- 3-cJ <.>' '/
I FIREPLACE 0# 11- ;J-o '?
I GAS LINE AIR TEST ~ II-J-eJ ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
;{JLJ (,./~.ol- 4
~ /q///"~
/1- yOf
II/' ~ 0 ~
GRADING (Prior to Sodding)
BUILDING ""--k~ tJ'v\hl CI,/{-Oll
ELECTRICAL
PLUMBING
HEATING
DO NOT
, ,
-
f/f,1" /'
fll#
OCCUpy UNTIL ABOVE HAS
NOTICE
/). - / /.,- o:::r
'3,/2->-0'1
BEEN 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
<rrtrfifitaft of @trnpant1!
CITY OF PRIOR LAKE
~tpadmtnf of ~uil~iug J1uSptdillU
'Final Permitted 0 Conditional C.O. Expires.
/
This Certificate issued pursuant to the requirements of Section 307 of the Unifonn 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._ 03-1120
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
R2
Legal Description
L7, B2, DEERFIELD 9TH
Owner of Buildinl!'
Site Address
17363
DEERFIELD DRIVE S.E.
CT.. SUITE 100, LAKEVILLE
RYE
Cont"ctm', Name ~ Admess D. R. HORTON. /r;.7' 20860 KENBRIDGE
ROBERT D. HUTCHINS ~~ _ City Planner. DON
/0 // ~i~in.10fficial
Date: /l .;/ / /0 Y Date:
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
t-/?<;If
PHONE NO.
173'-3 Du.~'{;'r.U Dr"
CONTR. D ./<. fIn;~lI\
PERMIT NO. () 3. , I z.. 0
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~LLING
DC~T
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
br.",ckl- f) f'
L,/I/6 ~N r -oy
tl(' WORK SATISFACTORY. PROCEED
j/ D\coRRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
lnspector~ OwneriContr:
CALL 447-9850 FOR TH,= "USXT INSPECTION 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/7-:JCs
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
f).~~/,.(
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
)Ilt' PLUMBING FINAL
o MECH FINAL
(!) (~ /rXkr..f71
OA TE TIME
/2.-/C<J7
/T)....
3-1/k;
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
"CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~
Owner/Conlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOU/I PERSONAL HEALTH'" SAFETY!
INfNOTl