HomeMy WebLinkAboutBuilding Permit 03-1494
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File,
Date Rec'd
/6 - ~ 7-63
2. Pink
3. Yellow
File
City
Applicant
r'li.:RMIT NO. 03 -j #14-1
(Please tvD~ or Print and sign at bottom)
ADDRESS
113LD~ ~lUu' D~rJv ~ ~.
ZONING (ofticeuse)
72;:}..-
7U- 0 .k
lOB Q~ :;2,0 ~Cl_rn'eJd PID d~-'39g- Ilj-r
LEGAL DESCRIPTION (office use only)
LOT J.. BLOCK t:) ADDITION Unti
OWNER
(Name)
(Address)
(Phone)
BUlLDE~ <j) I 1 l .
(Name)--L->, ,,-, 't-IOOan /...Iil(' -c'
(Contact Name) VY\.l kL L0~ cu.J:J.-<. CL
bPBloO ~I d'1t<- L!.;t. ~ ~(OO
(Address) I~o,,/\\..Q. ml\J:l R"'>Ol/fT
I
(Phone(1~) 985-7808
(PhoneftS~ &'-</732-
~ ../
TYPE OF WORK
~w Construction
DLower Level Finish
o Misc.
DDeck
DPorch
ORe-Roofing
ORe-Siding
o Fireplace DAddition DAlteration DUtility Connection
PROJECT COST IV ALUE (excluding land) S "8 (p J 0:/1/
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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
e r upon the prope~errorf needed inspections.
LX I V--i.. -tI'ttu'{-y ~Doo~CoSI /601t/~~
( j Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
V1.000
qO~, 7S"
,')g6.7C;
436'D
-
100.00
loa. 00
~.Clc)
This Application Becomes Your Building Permit When Approved
~~
Building Official
/1/S-167
( Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
..J - -'Pis<. dL!
1/- I~- "'l'
#
#
#
#
$ ~.s-Q, 00
$ 12.-75- 00
$
$ -
$ 1200.00
$ 700, 00
$ .--.
$
$ 6; 798 . 04-1
I Receipt No. ij~;>)::>6
By r.'
~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zo~rdinance an~..oceed as requested. This document
:~:: ': :~ Plmn~mpOrary cernfi"; ;/;~m;on" ond ,llows construction '0 com.creeD< Nlfilli o'Pi} e' be
Planning Director 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
.
>I
Job Address / 2ki,8/:/i.."l;:,J k, l
Heating Contractor L1:t.~ ~~~
~iS
-y~~
-:1. q h>
7.~i:
35A dF
Name of Tester
Date
Percent 0,
Percent CO
Percent CO,
~
Slack Temp
Combustion air is adequalely supplied per
UMC Sec. 606 ~"~
input 6AtUJ.l7lJ
,
~
~~
See Main File
White - Building
S!!wY - "n~ng
,/pink - Planninv
lhr('rnlnnfthr 1....t(.ounlT).
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T
NAME OF APPLICANT
APPLICATION RECEIVED
, l___F
'i)-
"7
~-.:)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;//;',( /
" ./ ,,- '0
l/ '-'J
, ':,(..,-/j
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~
~
~
Date:
rt/')/o "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,"
s~~
See Main File
CWhite . Buildiil9::>
Canary. Engineering
Pink - Planning
rhr C.nln of Ih. L.k. ('ounlrl
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
DR~
APPLICATION RECEIVED j(j - ~ I 0-3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which i~ propos::bat;.. .
1'73G~ 1011C/ ~ Lv
Accepted
/"
Accepted With Corrections
Denied
Reviewed By:
~
~
Date: 1~<)/~7
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
White . Suildin!!.
C-Canarv . Enaineerlnl1)
PiriK . Planning
Th.. ("..nt... <If Ih..I..k.. Coun.ry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
!
'1-"" '
It'- (.57. t.;. ~". Hy....-/'
//J .-
'-'..
-" "G" ~
-- " .:..._---"
..~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whic~!s proposed at:
/ /; :3 G I:c, /;;"~ i/( ;._.<".{.D~ ,'.-./.-)
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/Y1J /)
St- (..... 1Ylc,t'"" f//<.--
Date:
11-'-1-03
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,"
-'----'- ._,-=-._~...,-~._.....:.:.:..~--..: ..'~ .-....., ...~...,...-.~......----...........~.,.....,':"'"'.-
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONlNGIFIREPLACE PERMIT
Date Rec'd
;'/-;?3ZJ l
; ~~ ~:~ I PERMIT NO.:.::4_ /1 VJI I I
3_ Yellow Applicant ~ -'--1 '-I
(Please tv,pe or orint and silm at bottom)
. ADDRESS / ~
/ 75~& ~-/v<e/ /~/~ ~A-P_
ZONING (ofliceuse)
/~
LEGAL DESCRIPTION (office use only)
L~XLOCw?aDDlTION
PID
OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
(phone)
APPLICANT A, /. ~
(Name) /~///~ ///1/."//14/'-"''/
(Address)~ ~~Alt? a
.~A~J
(Contact Person) A4V'7.-:.4~
APPLICANT SIGNATURE::::;- I .-,- - - ___
(Phone) /':,5fi 4~..?- -P//~
~~~ ~.5:L.??
(allj'f (Zip Code)
(Phone) ~ - .;/~ --177..:2:
DATE
. APPLICANT PLEASE COMPLETE BELOW
~NEW CO~TRUCTION 0 REPLACEMENT o ALTERATIONS
FURNACEMAKEANDMOD~/Y'_J'..,t :?/oAA~~070 FUEL /1.2 -k1:'---l.
FLUEsIZE4}I'~k!S.ARETURNOPENINGS 4 INPUT<:::;~ ~ OUTPUT 6Z_~
TYPE OF SYSTEM HEATING OR POWER PLANT
DWann Air Plants
DGravity
o Mechanical
~ir Conditioning
~ent. System
o Steam
o Hol 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 & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ ~~ a:> Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$~/A,,//~
$ ~ .50
$ ~
"', "I ;O-"'D iA.,--
, )!N.G~"'l'J..
,~~
~~Ii4".
(Office Use Only)
Building Official
I:P~d
1,
']lD'tllbv 1 2 Z003
I~ -
24 hour notice for all inspections (952) 44?!-!l850, fax (952) 447-4245
.,
By
/1
t7j/ I
I
Date
, Receipt No.
This Application Becomes Your Building Permit When Approved
Fehl7 2004 12:35PM (~E~Z RVAN PLUI,IBING AND HEATING
Ul i OF PRI8R LAKE PLUMBlNG PERMIT
~ & ~/ fJJff1-
b'lW1
No,2221
P, 6 171
Dat~ Rec'd
1. nl.... File
~,~ C'llV
~. T.tlnw A,plieulC
g-II/fll
I PElU\fiT W' ,_ _ ___
ll'k:uc "(Ee or """" :lJld :Ilm at bottoll\l
ADDRESS
11 ~1JltJ RI \J{iL P1iyZJ,,!i\
I All
St-
ZONING (olli",..,) (
LEGAL DESCRU"rION (otlia ll.Ile cmq)
LOT BLOCK ADDIDON"'B1drt #" 1JJ
OWNER
~ame) DR Horton Custom Homes
~[€+if.tIJ ..
PID
(phone)
q62-Cl~f,-7gDC
. (Addr=)
2o'SLcC KeVl2'~i t:>Ge... C. ST~ /DC
LA !i.Lvi lie.. J.UN EiEoL.1 :J
, APPLICANT
(N'ame) ("....r-..~t'I~,...;LU....'l)'.._\...O\,....~ t Ji'" ?,.~~:
(Adduss) 14745 So Robert Trail
AI, (Addre -
(ContactPcrsaD) J1J~,\' IJJ_ jJ _ A
APPLICANT SlGNATUJU! ) ~ /\
I
APPLICANT PLEASE COMPLETE 'BELOW
(phone) ~"'_I,?":I._' 'tJ..
RoselUount MN 55068
(Cit'J) (Zip Code)
O?bone) 6S1-423-1144
DATE
!()/~I J I~
I
I
I
I
~
I
I
I
Quantity
i
I
I
,?,
I Type of Fixture
I Bath Tub With or without sbower
I Dishwasher
! Floor Drain
Lavatory (Bathroom Sink)
I LaU!ldry Tray (lor 2 compartment sink
Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
Quantity
I Type of 'Fixture
Rough-ins
I Waler Heater
I Water Soflner
I Stand Pipe (Washing Machine)
I Sewage Eiector
Backtlow' Assemblv
I BackiIow Assembly Test
I Lawn Sprinkler .
I Olher
I
I
I
t
I
I
I
I
I
1.--
I '
I 12..'1:.
I
lu
I
I
I
...
FEE SCmWULE
Indusma!, COmmor'lal &. Multi-family 1 % of jOb co::! will>. $39 SO minimum R"'ldenti.l, N"", One &. Two-FamIly 199 $0
Resident,,!, AddltiQn~.It Allerations $39,50
EsrImared Can $
Buuding Perm)! #
PLUM13ING PEJU.fiT FE.E $
3T A TE SURCHARGE $
TOTAL PER1\-ITJ FE:E $
PAID WiTH:
so2i;";ll..iJiNG P~RM1T }
(Olfo,. u.. Only)
,-:-::, -~", .'---
,
Tlli.\ Applicatlon BecODles Your Buildingl'ermit When Appro'ved 'J:'llj.fC; ,.~ "
i .(
'.
Receipt No
I
1
>>\JildinIil:Offici~J
D.t.:
fflW 0 6 2003
By
,"'-'
,
24 nour noUce tor.1I inspections ('5)) 4~J~_~!j_O,f:ax (952) ~47:"!.45,
'--'_.'--~-,.., -..,~.,-_....;:,"...,~ ~
Febl7 20041235PM
IJ "" .." ... " v '" ~.. ...' ..j
GENZ RVAN PLUMBING AND HEATING
_ ... _, 4 _
No.2221
P 7 171
Date Rec'd
(Pla."lC ~ I)TJ:r1"U1titld.siJtn,Mbo=m)
ADDRESS
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
~~ W~J-
1)1W1
3 -Ittf:i,-/
I Onm ,~. j PERMIT N" -
:.. ~1~ :--~ \ ---. .
1l3i 0 to
Qj Vi( JI2. i2JJ fWIA
ZONlNG (011)-''''''.)
tJ/1 ~f:.
. LEGAL DESCRIPTION (o1tice we only)
LOT BLOCK ADDITION "P1td ljI. :it 1...0 b.u~fi tld
,
PID
OWNER
(N3J]').e)~...~":"",,:,, r"r;:i:'"lIl..J:Lo.m""'.
(Adclres!) 20 &.ao \4Y1~i<..\ the Cr- 5.... J 1'0
(Add",.)
O'hone) _
La'iLl.Illle...
(City)
0/..;.;2 .q~5-lf; tv,
"5~U
(Zi'PCC'do;:)
. APPUCANT
(Name' Genz;-Ryan PlumJlinl!; & Heat1n::>;
(fhonc) 651-423-1144
(Addr.,,) 14745 So
Resemount:. ~IN 55068
(City) (Zip Cod.::)
(!'hone)
DATE
651-423-1144
I1'J~/lo.?'
APPLICANT PLEASE COM:PLETE BELOW
Size of water service in.ches.
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.
fect.
o Cast Iron
Re'ldenw.l sewer and water line connection
Sewer COll11ectlon only
~"
FEE SCHEDULE
$35.50 Industrial, Com'J.& Mulc.-fB1l).jJy 1% of job cQOtwtth aS39.50 mmJl)1Ul]j
S17.50 Water connection only $17.50
EstimAted Cost $
Building Permit /I
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAI.:P:E.RMlT :FEE
$
$'
$
PAID WITH
5~Jii,.viNG PERMiT
,
i'
fOffice: u.,t Only)
I This Application Becomes Y ollr Building Penn it Wb"ll Al'l'roved ....
p'OJd:
'_':0 <;".'
. Ree<il't No.
.8t&itding OfficiJl
0,..
.'. . I D~DV '0 5.2003
,d
By
-
_.-:
,
l~ bou, notice for.1I inspection, (ySZ) 441-9850, f>x (ll52) 0141-4245
, ':'"
- -_..__..~
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
2. Green
3. Yellow
-
~::y I PERMIT NO;.(' -1ut:J11,
Applicant ~ -,--~
(Please type or orint and sim at bottom)
ADDRESS
17366 RIVER BIRCH LANE
ZONING (olliceuse)
LEGAL DESCRIPTION (office nse only)
LOT BLOCK ADDITION
PID
OWNER
(Name DR HORTON
(Phone)
(Address)
APPLICANT
(Name) AT J .TED FTRESTDF DRA FIRESTDE HEARTH & HOME
(Phone)
/\51-/\33-25/\ 1
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
';5113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
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
OWarm Air Plants
OGravity
D Mechanical
DAir Conditioning
OVent System
o Steam
o Hot Water
D Radiation
D Special Devices
o Olher 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-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 #
$
$
$
,50
.'~)
'., W"\
"^1V~
1;\ /,;, .
.{'l",
',~/'f;~
. />.
,[', feceiPt No.!;;),\
\.fl$.Y /'.
+1 00
(Office Use Only)
Buildine: Official
Date
'i~ f'~ .~.
\, ~''-
I,' 'Aat<l\PR
U Z ZUU4
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9$:;0, fax (952) 447-4245
\dt' _
PRIOR LAKE DEPARTMENT OF See Main File
BUILDING AND INSPECTION
!'~A~~~C~~<?~ ~.~;2.~P u.
NATURE OF WORK ~ .
USE OF BUILDING S FI4 ,
PERMIT NO. t:J 3 - 14-9~ DATE ISSUED
CONTRACTOR ~,,+O~ PHONE;l~' · 47:J~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
OATE
, FOOTING V\M;AI
, FOUNDATION (Prior to Backfill) \tv, IliA I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ().~, II'P I~)-I-o(.( ~ df/7/otf
HEATING (if required) t/vp \ ). ~ J-l..(~()t1
FIREPLACE 11# r-J-4~o~1
GAS LINE AIR TEST //Vf" vJ.-Ll-o'1
I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
V\Arli/\
V');Y/
'1'0//
Z - J.-L1-0l4
,
).., J. 7-oLI
GRADING (Prior to Sodding)
BUILDING '1...l'1 'H-1Jt
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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.
~~
7//S/G'Y
/;;n
111$
3/3 t/ d1
, I
L.( 1'-<17.,
,
FOR ALL INSPECTIONS (952) 447-9850
QItrfifiraft of ~rrupanr\!
CITY OF PRIOR LAKE~"
./ ~rparfmruf lIf ~uilMug JlusprdilIu
.;fu Final Pennitted D Conditional e.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:
Legal Description
SINGLE FAMILY
R3 VN
Type Construction
L2, B5. DEERFIELD 7TH
Fire Zone
Bldg. Permit No.
N/A
03-1494
Use Classification
Occupancy Type
Zoning District
R2
Owner of Building
D.R. HORTON, INC~,
Contractor's Name & Address >d~P
ROBERT D. HUTCHINS/-r07
City Planner
~5~Offici,"
17366 RIVER BIRCH LANE
Site Address
20860 KENBRIDGE CT.. SUITE 100,
DON RYE
Date:
Date: ..
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..jPFINAL
o SITE INSPECTION
COMMENTS:
() Z,..w.uoo1~
(zj r-m<<f
"Y?J S d,~ ""
'-'"
SCHEDULED
i71a
(l,VVY 4i4?'
CONTR.
DATE TIME
L./- ~-UC(
?'-llf'1l/
o EXlGRADfFlLLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
dYilH ......,~..L S,~ '--1I/r
c;,,,J,, c!t7?.o7JI/a /
qr..,.~\'s
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
....MECH FINAL
< r:ev--'O I/>ffii
I
'1 ~(-O((
o WORK SATiSFACTORY, PROCEED
%"'~ECT ACTION AND PROCEED
'CORRECT ~r;1~'~ FOR REINSPECTION BEFORE COVERING
Inspector: Ii Iff Owner/Contr:
f/ _ I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH,{ SAFETY!
IN''''Jn
DATE TIllE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED ~(3 1/0'/ 9: ~o
f!t UeJl.- Dr ~c..H
ADDRESS I 7 3 ~ t:.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
Ll3 -/1.(9l../
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
(@lSEWERHOOKUP
PLUMBING FINAL
MECH FINAL
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(~FP. P~~.
en ~ Q~,
M.i~tA. -d~-
o WORK SATISFACTORY, PROCEED
It CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ I OwnetlContr:
CAL~. -"7-9850 FOR THE NEX.T INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETYI
uaNO"