HomeMy WebLinkAboutBuilding Permit 03-1493
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File, Whl"
2. Pink
Date Rec'd
/O-)1~o3
3, Yellow
File
City
Applicant
jPERMITNO. 03-/#:>
(Please type or vrint and sign. at bottom)
ADDRESS
113Lu~ <R\lXrOlrtA ~EE
I I ZONING (office",,)
LEGAL DESCRIPTION (office use only) ~
LOTj BLOCKS- ADDITIONUru+ /69 ~d6d6~\'e..ld PID~C;- ~qf-{;fJj-O
OWNER
(Name)
(Phone)
(Address)
BUILD~ 'j) I 1 '"\.
(Name) 0>~, N<;:))TOvI. ~0-
(ContactName~-~{)LA:kp_ U)~ a I;.T~
(Address) ~~ff:hff,r~~~re (otJ
,
(Phon.(93'd,) 985- ID~
(Phone;r9~ ~;),jQ - </7 3;(_
TYPE OF WORK
'~ew Construction
DDeck
DPorch
ORe-Roofing
ORe-Siding
D Fireplace DAddition DAlteration DUtility Connection
PROJECT COST IV ALUE (excluding land) $ B (p) l...o q I
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
~::~~ctions __!]C:C:OrC){12S:J /().;;{t/-o~
^ . ,-' (J Signature - Contractor's License No. Date
DLower Level Finish
DMisc.
I Permit Valuation W .". I Park Support Fee # $
.oan P;;-O.OO
I Permit Fee $ 40d.,7S I SAC # $ 'Z7~, De
I Plan Check Fee $ .5F0' 79 I Water Meter Size 5/8"; 1"; $
I State Surcharge $ L/3 .-:::>() I Pressure Reducer $
I Penalty $ I City SAC and WAC # $ 12-00,00
I Plumbing Permit Fee $ /00, 00 I Water Tower Fee # $ 700,00
I Mechanical Permit Fee $ 100.00 I Builder's Deposit $
I Sewer & Water Permit Fee $ I Other $ I
I Gas Fireplace Permit Fee $ L/O.(}O I TOTAL DUE $5;7'18.04-4,
. I Receipt No. t.;<.,i.:Ji-
This Application Becomes Your Building Permit When Approved I Paid ,'Z1 7 fi '>( -' (}<-f
~~ l Date ~h-l;i- ::{ Bv ff-- ~
::k,l)j-J -11Afo ~
Building Official
I 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
~c~~:'''mpO'~C'rti7;;;;mPli~ce~d'"owsconsttuctiOSee MalrtJ~lIe'nq mustb,
Planning Director I Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
..
."
,
Job Address /7 3&'1 f7~;,,/ t;rd./-+-..
Heating Contractor ~ ;~/r fl.1F-f'#
Name atTester ~i2.
Date '1 I I-
Percent 0, .2. <i.
I)J/'I' JoA-
7. ~'?A
3~7or
Percent co
Percent co,
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606 l'....s
input I ~ qAa' BT<./
~
5~~
See Main File
White - Building
Canary - En ineering
,...--pink - Pla""mQ
ThO' C..nll" nllhfl.ak.. COUnll")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED ,J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
C/
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~~
Date: /(/y03
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
~Ie - Bllildiii"ii--,
Cana,.y-. Engineering
Pink - Planning
Th~ C~nl~r nf Ih~ l..kf COUnlr1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
IJR~
/0' -;)7-00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construe;; a;:y ~hiCh &::: at~ Lf..../
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~
-:P .Il J-;
Date:
/f/S-/o3
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."
Th.. ('..n.I.., nr th..l..k, Country
See Main File
White .- Buildinll
,-canary - Enllineer1iUr)
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1/; I. 7...{':~, .
. ".ll.' !.-
~:? . v. ...-71 - {)-.::
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
....'c i/
. .,-",,:".. '(-.' ~....._.. ,.' .'.. ,~./
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/YJ4 /~
Se~ /J1c,,/n F/IL
Date:
/ /_LJ-Q3
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."
.c.::......___
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
#22J7
; ~m ~:~ I PERMIT NO. 3~ 1/ /tJ ::;:>I
3_ Yellow Applicant /~7...../1
17g~;;ih~/~d / ~_ ~
LEGAL DESCRIPTION (office use only)
LOvilJ~OC~ADDITION
OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
APPLICANT /J 0 /L
(Name) /-////~ r.-/AA/'''a./
(AddreSS)~ ~~~,~ ~
~~A~
(ContaetPerson) A~~4,:;:f/
APPLICANT SIGNATURE ~ ,- ." __
ZONING (officense)
PID
(phone)
(Phone)h.5/- 45"..?- -...? /;?~
~~~ "'7~.L.J' 7
- (ClliIJ'f (Zip Code)
(phone) ~ - c;./~ --'77'S
DATE
, APPLICANT PLEASE COMPLETE BELOW
j!lNEW CO~TRUCTION 0 REPLACEMENT o ALTERATIONS
FURNACEMAKEANDMOD~/r.b';~ .?/CU9r'Y'07l? FUEL.I(~ -k.;j.-..(
FLUE SIZEii' 'h....{z~.A RETURN OPENINGS INPUT U /.AA/ OUTPUT 6"Z_~
TYPE OF SYSTEM HEATING OR POWER PLANT
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residenlial, AC Only
DWann Air Plants
DGravity
o Mechanical
~ir Conditioning
JIilYent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi.Family
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Estimated Cost $ . _ ~ a::> Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
I P;lld
I paMOV 1 2 Z003
aut/-4ID W/h.
tJII\t;G.~ . i
'~~lvIrr
,
:'.'N'f(
$~/ .&..-"/~
$ ~ .50
$ ?
24 hour notice for all inspections (952) 447.\1850, fax (952) 447-4~4S
L-_._.....___.___.
'.,,\'I,J" ........... ... .....' '"
GENZ RVAN PLUMBING AND HEATING
<- ""'" '.. v"'_' '.. . _ .
/"-
t:.::\:,._~'""
Na.2221
P 4/17 i
Fehl7. 2004 12:35PM
Date Rec'd
CITY.OF PRIOR LAI<E
SEWER AND WATER PE:RJ.V1lT
r by JjJWl-
~
I TDD~i1r3;~boacmQ-'Vi~ m'~. 1Y1 \\t-
3 ..I I/q3
l c,..., Filo 11'''''''''''''''''' NO
1, Y6llQW Cl*' ~VJ..l.'"
J, l';oJd "~~lic;W
ZONING r.~tf<<<...)
LEGAL DESc:PJPTION (ollie: US<: only)
LOT BLOCK ADPmON IlJ Id q tF"1.-0 ~-P7' .e(/l,- PID
OWNER.
(Name) DP
(Address)
2D&cO '~QK\t:6e G- Sf?? .IN,
(.Addr"'lSl
(Phone)_
La~\jI\le~
(City)
<:152 -Q8S- -w.ci\
&JC0-JU
(Zip Codo)
\i~,"'?~ r...t'.."'_....H.o:I; --
APPLICANT
(Name) Genz-Rvan Plutnbinl; & Heatlnl!;
(J."hOllC)
651-423-1144
(Addrols) )4745 So Roberc Trail
r ;~~') r~
(COJJtactP~Qn) . A/IW,l,~i1 W)J ~ ~
~.ICANTSIGNATUFB~ .Lfl./l
Rosemo11.n't. Ml.:J'
(CiOYl
55068
(Zip (:oct.)
(Phone)
PATE
651-42.1-1144
ff)/'31 JD3; _-'.:
APPLICANT PLEASE COMPLETE .BELOW
Size ofwatl:!" service inches.
Location of any couplings from strucrure
Type of sewer pipe. 0 ABC DFVC
Estimated length of sewer line feet.
Clean out (if required) located at feet from S'tIUcture.
feer.
o Cast Iron
R.e!lidentJaJ sewer and water Ime connecOon
Sewer COllflOCtiOJJ only
-
FEE SCBEDl.JLE
$35.50 lndu.trial, COl)'l'] & Muln-family 1% o(job cost wIth a $39.50 minimum
$17.50 Water conn.ecoon only $17.50
&timated Cost $
Bui! dillg PefJ))).f #
SEWER AND WATER. PERNfiT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
"
,M..~AID WITH.
~"ill:.OjNG PERMIT
(OlTic. u.. Only)
I Tbi. ,~pplieation Becomes YOI.\I Buildin; Ptrmlt When Appro...d
,
-
BuildiUi: OOi.cisl
D.J.tt
r;.."'~--. ---,--'.'-
:. >.1' f~ri.-
. L l -~ ,-,'
I ~ -
Ul D}fu V '0 5 (003
R.""iJ?lNo.
By
,
24 hour notice 1\)r allln.pectiolJ$ (~5;) '14\?~50, in (952) +17-4245
~'..:::::':._.
Febl7 200412:35PM
GEN~ RVAN PLUMBING AND HEATING
I .
...~:"i:,:t.)'
No,2W P 5.171
Date Rec'd
r;>lc.."lVM ornriDt..d <(RlI arbotlllJlll
A1JPRESS .
I T~4?Lf ~ W l-- &i rQilkl.
CITY OF PRIOR LAKE PLU1VIBING PERMIT
\R)3--lJ:A^
D~m
I !II.,. 1.1.
J.('~j <::icv
, YeU". A~lir:znt
8-11/(/3
I PERMIT N
1.%\ 6&
ZONING (otE"",,) I
LEGAL DESCRD?TION (otlice we oDly) d
LOT BLOCK: ADDITION ~;#-2.0 beuzf1.elo\...
OWNER
~~e) DR Horton Custom aomes
,(Address) :?o'&vD ~BliZ..ltxse... C. Sre iDO
PID
(phone) 952-Q'?F,-iRlJD
Lcduydlr".. iM.>J5C6/-i W.
APPLIC.i\NT
(Name) r:QM-Pr"~ Y::'-:W--g "- U~g
(Address) 14745 So Robert trail.
(Ad~IeSg)
(Contact Pffion) _, nV1Y21Sn GjJ S ,
APPLICANT SIG~;\ .A. J. 7/\'t.. ), '-:fa1./J/l
_ (Phone) _~ ~ 1 _I. ? <_ 1 1 'd,
Roseroount
!iN
55068
(Zip Code)
(City)
(phone)
651-423-1144
10/?;1 / tP)
r, 1/
DATE
I
I
I
I
I
I
I
I
I
Q=.n ti-ty
I .
\
_\
APPLICANT PLEASE COl\fl'LETE BELOW
I Type of Fi;ltmre I Quantity
Bath Tub with or without shower Rough-ins
I Dishwasher I l' Water Heater
I Floor Drain I TL:t. Water Softner
1 Lavatory (Bathroom SiJJJ,:) \' Stand Pipe (Washinl; Machine)
I Lalllldry Tray (1 01" 2 compartment sink Sewage Ejector
I Shower Stall I Baokflow'Assembly
SiD.ks I BacldJow Assembly Test
I Bar Sink '... Lawn Sprinkler
Water Closet (Toiler) I other -
Type of Fixture
I
I
I
I
I
I
I
I
I
'..,;.
1....
FEE SCHEDULE
rndu!mal, CommerCIal &: Multl-{=I1y 1% of job Cost wllb a $;)9 50 minimum ReSIdential, Hew One &: '[\uo-Fam.ly ~9~ 50
Rrndentia!, Addition. &: ,.lJlCl<\tions S39 50
EstnDated Cost oS
BllJlding Pennlt,.
PLUMBlNG PERlvlIT mE. $
STATE SURCHARGE $
TOTAL 1':€;RMIT FEE $
PAID WITH
5Q3iJiLDiNG PFERMrr !
(Office Un Only)
Thu Application a.comes Your Bu.iJdlng Permit When Approved
Building: OUic:-isl
PI"
r:" --~-- .,.-....----".-.^'--..~
,~;:;,..\ i":~ ;;:.~ .. ,
',:/-l1aj,:r; ,- .
~ ,I TNtW u, /) ZU03 ,_,
Receipt No.
By
14 hour Dotiee for all inspections (952) 4~'t9Ssa.b%.(951) ~47,-4Z~S_
. .._~,_.__,. ".__~..". __h"". '...,
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS -1".3 (. II B:-ve. r 13,',d. LJ-
NATURE OF WORK 1Ic:..1A.J .
USE OF BUILDING c.. ~ 14 .
PERMIT NO. ('> ~ - PP?..3- pATE ISSUED II. /d. 03 _
CONTRACTOR ~YH'- PHONE~"L/?'iJ-
NOTE: THIS IS N~FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ee lVlaUl rll~
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECtOR
DATE
I FOOTING V\Au;V\ I
I FOUNDATION (Prior to Backfill) #OM I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC \M<J.~\
FRAMING ~],.- IICOv)
INSULATION yip '). -J.D--oq
ELECTRICAL
PLUMBING U.(p t-'1/ U-O-o<-( hr, #111/01
HEATING (ifrequired) M ')..;IIf;-n'\
FIREPLACE vir?' l-I<tc 0&\
GAS LINE AIR TEST flrP 'L~ It' 06\
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I I
FINALS
Gt:lADING (Prior to Sodding)
BUILDING /'\-tw uftH
~
ELECTRICAL
PLUMBING
HEATING
DO NOT
q-{t/
~
. .
7//5'/oy
t. -l3---d1J
f/lIYJ
///;1//
OCCUpy UNTIL ABOVE HAS
NOTICE
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 shail be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
QIrrtifirdr of OOrrnpanqf -.,~ .
CITY OF PRIOR LAKE
~rparfrtt1mf nf ~uilMug Jlusprtfinu
L/ 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
~T_Nr.TF. J<:AMll.V
Bldg. Permit No.
nl-.1 b.Ql
Occupancy Type
Rl
Type Construction
VN
Fire Zone
N/A
Zoning District
R?
Legal Description
:.? 'R.l:\. llFFRFTFT.n 7TH
Owner of Building
Site Address --.l13114. RTV~TRrH T.ANF
Date:
RORFR'I' 11. !l1!'I'..GliTN~
. / Buil~g OJficial
'7// ,C- /r"./
'l -/ '
1-!()R'I'ON. TNr
}///L
"nRhO KFNRRTnr.F r'l'.
~Tn'T'lO' l(}O
Contractor's Name & Address _n. R _
City Planner
nON RVF
,.L.~ Date:
'.
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
? - ).{,rJ'f
ADDRESS
n?J:; })
01/<.- bvc ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
-3 -/t{f!>
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
I"t FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
"P"MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
CPt ~"-v<1.,~
\iJ C-m01 ( Ov~J ..
IJl <;'J I -/.-
"!/"-"UAAoJ -?- S; fc/-Cu,.af/t
;
a~..4~
- 'fh.".'J ,I.J~ d.rl~(a~~.-/-
~
t tenrr(? t.M;" (
q-( '0'-(
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~RRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
:g--LJ,-CJC/
ADDRESS
!'},<ell
(!; /,Ie- h:~ It
OWNER
CONTR.
PHONE NO.
PERMIT NO.
""Z -/u9-'1
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
fil' PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(])(L fA1/! tJ1A.
,r; 'l/J r:- Cd P::;
o WORK SATISFACTORY, PROCEED
KCORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: -or Owner/Conlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IN9N0n