HomeMy WebLinkAboutBuilding Permit 03-1495
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main Fil~~;~~~
Date Rec'd
/O:J, 7-03
File
City
Applicant
r'ERMIT NO. 03 . / 4-<J6 I
(Please typ~ or print and si2Il at bottom)
ADDRESS
//jLuB ~lu('/b;d ~S-E
ZONING (office use)
l:. ),
LEGAL DESCRIPTION (office use only)
LOT ~BLOCK r; ADDITIO~ldd ~O ~+ IOl""'bw.r,'-e..1d l+t--pID;)l:;~ ]qg- ()/Lf-C
OWNER
(Name)
(Phone)
(Address)
~~~~, 1<., t-b1"- OY"1I:::IJI('-
(ContactNam~LkL W~CL.~
~(PO ~brl 'dtj<.. Q:i:. oR ~ /Du
. (Address,..- 'T~Lfi.U \1 (Q _ I vYl Y\\I' S@Ljlf
(Phorl.95d-,) 785 -780<;)
(Phonlq~da,Io- t./73'2-
- -'/
TYPE OF WORK
~ew Construction
DDeck
DPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace DAddition DAlteration OUtility Connection
PROJECT COST IY ALUE (excluding land) $ q I J 1 SQ
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 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
;ter teprope~~o~~ections c:9CO06lo:'S, /0 ~~(03
(\ 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
-
I Park Support Fee # $
I SAC # $
I Water Meter Size 5/8"; 1"; $
I Pressure Reducer $
I City SAC and WAC # $
I Water Tower Fee # $
I Builder's Deposit $
I Other $
I TOTAL DUE _ $ 6: PJ s-g Z/l
I Paid O~', ;)'-11 Receipt No. ~.~ tj' B-61
I Date ! / - J a-- ~') By 8""'----
85"0.00
/2-75,00
IDD.OO
100,00
1"2-00.00
700.00
J/(J,oo
This Application Becomes Your Building Permit When Approved
_~ .:kAJt.- J/5"'/O 7
Building Official f Date
Th~ ~ to ecrtitY thot the <equest in the above application and accompanying documen~ ~ in accordan" with the Citytring Ordin:'L~~ay prQ"ed as rm. This document
:~n signed by the C~ty Planner consti~tes a temporary Certificate of Zoning compliance and allows construction to ~ttef< IV 1 a1ttficar lt~ must be
~ning~ /1;!5~:r Special Conditions, if any
24 hour notice for all iuspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
..
Job Address /73& ~ e.w ~'<1.:" t....
Heating Contractor A--l1 ;~ ",,[3'01
Name of Tester ~""""- ~
~/(B/~4
_7.1111'J
Of,r7/...)
1 -
_17~
313 CJp
Date
Percent A'
Percent CO
Percent CO,
Stack Temp
Combustion air is adequately supplied per
.
UMC Sec. 606
v~s
~o, OllOBTd
input
"
~~
See Main File
White - Building
Canary - !;ngineering
~ "In", - t',anniilb
Th~ Crnlrr of Ihr L.kt (-ounlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT !
, ^
I
APPLICATION RECEIVED I !)
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,/ ,I /
J,.... . -~' >r:".-- -\. , /' 't _./ >'C~
Accepted
~
Accepted With Corrections
,
Denied
Reviewed By:
Comments:
~
~ L~I-J
Date:
j{/S-~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."
$~~
See Main File
~jte - Buildinli;::)
Canary - Engineering
Pink - Planning
-'
The Crnlrr <>f lh..l..kt Coun..,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ) Q
APPLICATION RECEIVED
P f>.IOv&v--
!tJ-;;27-3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
//736P~~~~~o
Accepted
v"
Accepted With Corrections
Denied
Reviewed By:
~
~
Date:
///5~3"
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."
Thf C-,nlfrof Ihf l.ak,COllnl'1'
See Main File
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
White . Buildin!l
UOiIParv - cnqlOeerlog"
Pink - Planning
NAME OF APPLICANT .I
.' /.
-I...... ,... .,' r.
1.[ (, !~.,()j". '-_
APPLICATION RECEIVED ;' tJ
""'\....., ~
I 1- ~
;,7' '-.)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,. /,' .-
/....,-; ,/ ./'\ - - j
/1 .,!) y' .-" .~ / /""i; A / .-"'24-1<-
.' "../ - "._~,~~~''1''-'-;'<-P J\____c__....-'c-r.:.- ,~_",-. ,../~ -
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Comments:
Mtf-o
!>ec. n/C,(A
Date:
/ /-'1-03
Fr '( t' _
,
"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."
,
.'".. ~--'--"'''- -.--_..,-,.~._-
Dc t .3 i 2003 3 22PM
GENZ RVAN PLUMBING AND HEATING
No.8526 p. 37 4i
Date Rec'd
CITY OF PRIOR LAKE PLUM:BING PERMIT
1 RIlle. P\le I PEn".rTT NO
2. Gold Ci~ ~y.u . >2.~fl j n c.....:1
) YclIO\L" Appllan; & . -/ ~( ,.J I
fP!el3E: Et:ee or pri.l:J,t and S1~ a[ bonom)
ADDR:ESS -
17 3lef ~[Wht ~ Ml1 LvL Sf.
I ZONJNG (otlloe,,,,)
LEGAL DESCRIPTION' (office use only) _ fl
LOT BLOCK ADDITION' ltt.d.cy.::ff1..O ~+uluV
PID
OWNER
(N~~ DR Horton Custom Homes
(Adclre"" )
(l'hone)
gc:,z-q')f:, -i'6lJO
'2O'bLoD lUnB~l 'i)6e.. CO S,t': IDD
udu.vi JIG vU"J E601..! L!-
APPUCANT
(N'ame)-GO.....~_t1~7.",., P~."".,'h.f.....': ~. l':l'o:>~~
(A~~s) 14745 So Robert Trail
(Address)
(Contact Person) ~V1 vU s t1 ~IL ~
APPLICANT SIGNATURE ~~ '-fa h--"
I
I
I
I
I
I
I
I
I
I
Quantity
I
I
I
1--
2
(phone) ~"1-fi? 1_1 1/'/,
Rosemount
(City)
MN
55068
(Zip Code)
(l'hone)
651-423-1144
/D/31 /02>
,
DATE
APPLlCANT PLEASE COMl'LETE BELOW
Type of Firture Quantity I Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher I Water Heater
i Floor Drain e..:r Water Softner
byatory (Bathroom Sink) St:md Pipe (Wasbing Machine)
Laundry Tray (I or 2 compartment sink I Sewage Ejector
Shower Stall Backflow Assembly
Sinks I BackfJow Assembly Test
I Bar Sink La\vt) Sprinkler
Water Closet (Toilet) I Other
FEESCHEDDU:
Tndusmal, Comnwrclal & Mulfi-famlly 1 % of Job C05t wIth. S39 SO minimum Resldenual, New One & Two-Famlly $99 50
Re<:identiaJ, Additions & Alterations $39.50
EstJmated Cost $
BuJldmg Pernllt #
PL~~GPERlvrrTFEE
STATE SURCHARGE
TOTAL PERLmT FEE
$
$
$
Building 01lidal
nm
I Paid
I Date
,
}
W\11-'-
PA\O ~'~''''',<l'''-
;;;",,,_.)\"'G .,--
ReeeiptNo. _ I
NUV 6" LOU.i By Irl
<-1/
50
(Office. USt Only)
This Application Becomes Y OQr Building Permit When Approved
24 hour notice for ,II in'p.tilon, (952) 447-9850. fax (952) 441-4245
OctJ1.200J J:20PM
GENZ RVAN PLUMBING AND HEATING
No.1526 P. 29 41
~lli~ FRIO<\,
.. -('
/0 7
- :<
u '"
, . .'~;;
i:;:;~,:~\;*'~\~} r--
~~~~: "'N'E!.O"i
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
i ~i:w ~l~ I PERMIT NOO _IL,IOL I
J. Gold AppilGlllt ( '") 7 J
q>1e3JC tyP~ or otint ~d slJtllat bottom)
ADDRESS
n:? Io.~
12-\ \! ~Jt P71 t2(1)1l I A1 1\12.
ZONlNG(~JliC<\It.)
LEGAL DESCRIPTION (olli"" use only)
LOT
BLOCK
ADDITION Wq-:/tv)
b-Lu~R d~L
PID
OWNER
(Name) DF ll"n;~~ ~,,~.~- u~_O"
(Address)
20&00 ~P~\t:J6e. Or $17_11'1'
(Address)
(phone) _
La~~ille..
(City)
Cf52 -Q8S-iF;.'v,
&JQ':iLlU
(Zi" Code)
APPLICANT
(Name) Genz-Ryan Plumbing " Heating
(phone)
651-423-1144
~~ddre~) 14745 So Robert Trail
(Contact Person) . 0~/1 r .
"JCANT SIGNATURE ('J J J ~ Wl/J
- -
Rosemount. }IN
(City)
(Phone)
DATE
55068
(Zip Code)
651-423-ll.l+4
JDj-~1102.
I
APPLlCA.NT 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
Rcsidential sewer and water Une connectIon
Sewer connection only
FEE SCHEDULE
$35.50 Industria!, Com'! & MllIti-farrllly 1% of job cost With a $39 50 minimum
$17.50 Water cOJ\llection only $17.50
Estimated Cost $
Building Pennit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
.$
$
50
(Omee U". Only)
I This Application Becomes Your Building Permit When Approved
PA\O W\TE
~~~~, !'I'"
h' 'H)IM!:" . ::.;..v..
1,=""""'--- ..;.\.1.....
Paid
Reccipt No.
I
tt+
Date
NOV 0 6 2003 By
,
~
Building Ofti03J
Date
Z4 bOD' notice for all inspections (951.) 447-9850, fax (95Z) 447-4245
~~:
+'N",ESO~"
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
#,?.::5D 7
'"
i:~~ E~icant I PERMIT NO. ~- /495
_ q'lease .!VD~or mint and sign at bottom)
ADDRESS /
/ 7?/, Y L///4?./
6//A'
/&?//- ~-.
ZONING (ofliceuse)
LEGAL DESCRIPTION (office use only)
LOYt:! ALOCfdlO ADDITION
PID
OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
(phone)
APPLICANT /1, /. A
(Name) /7'///~ :.;r.../AA/Oraf
(Address)~ ~~~, ~ /2-:
(Addre,
(Contact Person) A 4'/<:X/4.,~
APPLICANT SIGNATURE -4..~ "- - ~
(phone) ~5 /- .r/5'".-?-..I' .??~
~tIflI!.A~ ?~.~,?~ '?
(CllsIIf (Zip Code)
(Phone) ~/ - c;./~ --177~
DATE
APPLICANT PLEASE COMPLETE BELOW
,
j31NEW CO~TRUCTION 0 REPLACEMENT OALTERA TI9NS
FURNACE MAKE AND MOD~/r.06.J ~. :j/OAA~ FUEL ",.2 ,4.J' j.- .e
FLUESIZE~g~.ARETURNOPENINGS ~ IN~UT~~ ~ OUTPUT 6"Z~~
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
OGravity
o Mechanical
~ir Conditioning
]lilYent. 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
Industrial, Commercial & Multi~Family
FEE SCHEDULE
I % 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 & Ale (New Construction)
Residential, Heating Only (New Construction)
Building Official
Estimated Cost $ ~ ~Building Permit #
$~/ ~.//~:J "~fD
$ ~ .50 \.I/(iJ'lIIi " Wrr" .
$ Y' G '~~R4f,
-, ---- 17"
I
I
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
Date
. .'. J'paid
;)'( ,.-.,' ,
ie 'ei. I tilt\' 1 2 Z003
Receipt No.
u-
1
This Application Becomes Your Building Permit When Approved
By
24 hour notice for all inspections (952) ",,?<-9850, fax (952) 447424~__ i
-'''--'-'''''C'C''=_ . .___,_:J
DEPARTMENT o$ee Main File
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS I?~~ ~ 7(,'"e,,, ~l ~
NATURE OF WORK ~
USE OF BUILDING ,~ , J4 . .
PERMIT NO. .f)'~.. ~~5' ~E ISSUED .
CONTRACTOR ~r"'~ PHON~-U'7'-~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING \~ I
I FOUNDATION (Prior to Backfill) v'Wi",1 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC Vl/l.Q'v...
FRAMING 1/1// l- -jL{~l.-J
INSULATION ;/L/r/ ).---;:;'04
ELECTRICAL
PLUMBING U,&, fif /-1-1)-0"1 w.. fh.1,1J2 (;1'
HEATING (if required) , t1 r /I ' 1---)--<.1-1)0
FIREPLACE ~ 2---/h1--t)~1
GAS LINE AIR TEST 1/1/ J.,"'J<1~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I . I I j
FINALS
GRADING (Prior to Sodding)
BUILDING '\ -tv(! LN\\ i I 1{ tl,
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
" I.
7/6/0/
3/':1, I/t/-/
1:-1- >t /{Jl'j
BEEN SIGNED
/#
br,
V\;V7
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
Qlertifieah of ~empanell
CITY OF PRIbR LAKE'
@.epartment of ~uilMug Jluspedillu
;6'Final Permitted D Conditional e.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 SINGLE FAMTLY
Occupancy Type R3 Type Construction VN
Legal Description L2, B5, DEERFIELD 7TH
Bldg. Permit No. 03-1495
Fire Zone
N/A
Zoning District
R2
Owner of Buildiop
Site Address 17368 RIVER BIRCH LANE
20860 KEN BRIDGE CT.. SUITE 100. LAKEVILLE
Contractor's Name & AddressD.R. HORTON, INC.;?
ROBERT D. HUTCHINS~~~
7~ -,Bui~~cial
/ ,/0.
City Planner
DON RYE
:
, Dflte:
Date:
ADDRESS
173fog
DATE nilE
SCHEDULED 3/"31/0,! 10:00
1<. t';etV g( ~H-
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
CJ3-/t{9C::;
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
'iii PLUMBING FINAL
B' MECH FINAL
o EXIGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
ID..lltJAr\~~
~ (\II~'
~
, . /1
-~~
'0 WORK SATISFACTORY, PROCEED
k1 CORRECT ACTION AND PROCEED
I ~ CORRECT WO>>~ALL FOR REINSPECTION BEFORE COYERING
Inspector: l ~ I Owner/Cantr:
I
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
"""""
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/71CI' ~"'rb~1-.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
lI"FINAL
o SITE INSPECTION
o PLUMBING RI
~ MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
, MECH FINAL
COMMENTS:
OA TE nME
Lj - 8--tJr
3-1/<1'95
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR 1ST
o
(I) Lau!ll:. V1tL\/I~< <l- k~ 0"-'(
...:+ c.d~ t' 1!.IIk cI.- C..v'l"-' WI."V
Iii ...",ck afJP'7JI/./ I
-+- l' ",-,?", (kv c1""J"f~-r
/.-1
'-.../
len-I-) ulln I <q-/-d'1
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~CORRECT WO~K,.~ FOR REINSPECTION BEFORE COVERING
Inspector: t///I../ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
''''''''0
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!