HomeMy WebLinkAboutBuilding Permit 03-1496
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
Date Rec'd
/0- d 7-03
1. Wh.ite File
2. Pink City
3. Yellow Applicant
I PERMIT NO. 03-/4-9C?
q'lease'!vpe or Drint and sign at bottom)
ADDRESS
ntJo I 'R iuu'bi ~ YLo.u.:So.
ZONING (office ",c)
Ed.
LEGAL DESCRIPTION (office use only)
LOT /BLOCK c:;- ADDITION Lkrlll '5ldY. ~o~ieJd
(j
PIDq7S-. q9K/ () J 3-0
OWNER
(Name)
(Phone) .
(Address)
BUILDE~ '0) \ L ':L ~
(Name) I-.-Jtl"-, ~lO'f\.:.L()e_.
(ContactName)~\.k w~.ko--
(Address) 2DfJC,O 0;!I"J..~vd(}!.d- Ihl 00
-~ j/;<l't'llt UAI1CJ;;VliL!
I
_ (Phonef!5;),) '78'5 -7Pxl?J
(Phone)l7'5"~hl'?'& - ,/731-
. TYPE OF WORK
~ Construction
DLower Level Finish
ODeck
OPorch
OAddition
ORe-Roofing
ORe-Siding
o Fireplace
DAlteration
9/.750
Dutility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) S
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~~erf~ml~;s c;(X:oStcSi 10 -.d0-d3
j a Signature Contractor's License No. Date
I Permit Valuation I CI.;;.,tJOO ------ I Park Support Fee # $ ~O. DO I
I Permit Fee 1$ C/3/},75 SAC # $ 1'2-75.00 I
Plan Check Fee $ fo09.5'1 Water Meter Size 5/8"; I"; $ _ I
State Surcharge $..J:.fb ... - I Pressure Reducer $ - 1
I Penalty $ I City SAC and WAC # $ I ZoO, to 0 I
I Plumbing Permit Fee I $ lot}, CJ 0 I Water Tower Fee # $ '7 OQ. {} 0 I
I Mechanical Permit Fee $ loc;. cJ 0 I Builder's Deposit $ I
I Sewer & Water Permit Fee $ Other $ I
I Gas Fireplace Permit Fee $ LIt). &t7 TOTAL DUE $1f35B. 2f I
This Application Becomes Your Building Pennit When Approved I Paid '" X ~-IS ,OL( I Receipt No. ,,/5 061:, I
~ _ ....p:.. /.J I Date ~ /1-/t7'~~ By 01_ I
~..J-e>>JI-' II. ~fo3 u -
Building Official Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~:7?e1~ningDi~ ///E>(~ '$ Se~ciM~~l! File
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
..
.
Job Address / "YIor f il.W'i':I~ tr:L
Heating Contractor /Ill: >I-tJ 7' ....E rJ!
A-o.t.._ lil
3/n/rY.-
7. C, ~,
,~
7.3 J{.
4-o2clF
Name of Tester
Date
Percent 02
Percent CO
Percent CO,
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606 V<!"S
input h'o~ {I'" '\l",j
~
$~~
See Main File
While - Building
~~nary - En~ering
c- 'nk - PlannliYg:)
Th~ (-..nt... IIf thO' L.k.. ('ounlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
:/ "
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~ The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:' .
;/p //)/- , // ,/, i{.
///c~ ~/~' L/ _____,..'''-^"'-
l
Accepted
v-
Accepted With Corrections
Denied
Reviewed By:
Comments:
~
~p
Date: II I S-/o 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,"
ii~t
See Main File
<;While - Buildi;jg)
Canary - t:ngineering
Pink - Planning
T"~ C~nl~r nf Ih.. I....' COllnlrl
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~!l!2 ~~
/1)- ;).. 7-~
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed _~ ' , '7Jr
/7L/ol- ~ I:JaMU H-
Accepted
v
Accepted With Corrections
Denied
~
~~
Date: / l/sIo s
Reviewed By:
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
'J'I{bit.. .Rllildina
~canaiv - eriqineerinv
Pink - PlannIng
Tht' C.nlil'rof Ih.I..k.Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
if
)
I/---r
/ ! ,I'!-"7.J ..",...-,,~
l-/ .:> ,,-{/...I ,(-\..-.-
"
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APPLICATION RECEIVED
Ii:) - ! 7-~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:, , '-,
----, , ,[
y-;-/ '/. - ,-' ,j., , '
,I /~/C( - /"'Y/,r'I.'Y____t;_!.-<..cz/v!-
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
/YJ4-i)
5c l".- MtAr/1
Date:
II-L/-o3
Comments:
,.
[:/ I c-
"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,"
Oct 31 '
,~
€0~
\;':'-'~'~_:~"""N'a So 0"'''''
"~~:""\\'~i~"":' '
~\;W~,:l<'>
2003
3.22PM
GENZ RVAN PLUMBING AND HEATING
N0.8526
P 38 41
Date Rec'd
CITY OF PRIOR LAKE PLlJiVffiING PERMIT
I. Bhu: File
2. Gold. C:i~'
~,Yellow Appliant
~q
I PERlVllTNO. ,~-- '8!I/419h
(Pl~e tVOe Ot''Drmt andsU!:D atbOttOJJ1)
I ADDRESS -
11~Dl t1vw-- Pn~ P1 -S,
I ZON1NG (offic.",e)
LEGAL DESCRIPTION (ollice use ollly)
LOT BLOCK ADDmON iMdq, tr1JJ ()elllfi.t4L-
3'7'6'~()13~C
PID
'owmR
~rone) DR Ho.ton Custom Homes
APPUCANT
(Nrone)~~ Fy.ll. 1)J"-"'~:: "--ll.M"<.~::
(Addxe;s) 14745 So Robert Trail
(AddresS)c. I
(Contact Person) ~lt1!e1 'StJ TtU(~
APPLICANT SIGNATURE ~~ ~JI/.7
(Address)
I
I
I
I
I
I
I
I
I
I
Quantity
\
(
\
2"
~
(phone)
9S2-Q'),f;) -72M
ZO'StoD IUn;?,~Il)Ge. Co' Sre. IDO
uduvdlG MAN 560LlL/
(phone) _6.5.1-1, 0 ~_, , ~,
Rosemount
(City)
MN
55068
(Zip Code)
(phone) 651-423-1144
DATE __....Jn1uJ1J2.
.. 1 ...
APPLICANT PLEASE COMPLETE BELOW
Type of Fu:ture Quantity I Type of Fb:ture
Bath Tub with or without shower Rough-ins
Dishwasher \ . Water Heater
I Floor Drain l2I Water Softner
Lavatory (Bathroom Sink) 1 I Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink I Sewage Ejector
Shower StaJl Backflow Assembly
Sinks B.ackflow Assembly Test
I Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
I
I
I
I
I
I
I
I
I
I
FEE SCHEDULE
Tndusmal, Cammerc,.1 &: Muln-famlly 1% of Job cost WITh. $39 SO minimum Residencel, New One &: Two-FJmlly $99,50
Residential, Additions &: Alb:r.tioog $39 SO
EstJInared Cost S
Building Permit #
PLUMBING PERMIT FEE $ .
STATE SURCHARGE $
TOTAL PERMlT FEE $
50
,
PAtD wm-r
., '...''',~-,..O.,IIT
,~u~L.,.J~. 'c"; ...; -~\!:. !
(Offie. Use Only)
This Application Becomes Your Building Permit When Approved
R~e,pt No.
I
urr
()
Building Offici.1
DatE:
I Paid
I Date
NOV G 6200:. By
24 hour notice for.ll inspections (95:2) 447-9850,. fot (95.2) 447-4245
Oct 31 2003 3:20PM
GENZ RVAN PLUMBING AND HEATING
N0.8526 P 30.41
Date Rec'd
€~~~~
"",~,);':;". .
t*I:lifu.~?~''X''1.':,i". ..
'~9}@1~'\lNEIIO~
my ,OF PRIOR LAKE
SEWER AND WATER PERMIT
~ ;:urw~; I PERMIT NO. ,:::>_jIIQ L.
) Geld AppliaM: ....) I -/ If'
~lt:a.se ~e oJ mint and sjm at bottom)
ADDRESS
nLfol
'R-i V0r2- Vn ~ 1) &6lte.- &E,
ZONlNGCollialllte)
LEGAL DESCRlPTION (office use only) ,
LOT BLOCK ADDITION A \oIvr:tflD ~i1tuL
u
PID
OWNER
(Name) ->>P "~_.?tl. C"'~~- U~_,_~
(phone) _ 0/...;2 -CJ'OS-i8M
(Address)
20&00 ~Pi<-\!:lCe Cr.sw II''''
- ~ , .
(Addrm)
La~~llIe.,
(CIty)
"5P':Y-lU
(zip Code)
APPLICANT
~ame) Genz-Ryan Plumbing & Heating
(phone) 651-423-1144
(Address) 14745 So
Rosemoun~, ~m 55068
(City) (Zip Code)
(Contact Pexson) ,
TJCANT SIGNATURE
InJ3! .I ()?..
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
RcslClenl1al sewer and water Ime connectlon
Sewer CO)lnection only
FEE SCHEDULE
$35,50 IndustriaJ, Com'] & Multi-famdy 1% of job cost with a 539.50 mmimum
$1750 Water cOnnection only $17.50
Estimated Cost .$
Building Permit #
SEWER AND W A TERPERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
50
,
r
,
(Oln,t u.. Only)
I This ApplicatIon Become. Your Bnilding Permit When Approved
Paid
PAID WITh
~. _ u. ,'" ....~,L- ,_,._._.11I'--
I Receipt NO,- - -': I
I By (-rJ
l'
Date
Bnildillg Offici21
Date
~
I~UV lib LUUJ
24 hour noti<e for.lI inspections (952) 447-985ll, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
/I- 7;;v 7
i~:. ~:~ I PERMIT NO. ,:::z __If fa. I I
J. Yellow Applu:ant ,/ vr vI rp
q?1ease ~ or 1)OOt and sim at bottom) ,
~~/ ~~/ ~~~C
1/7#//
LEGAL DESCRIPTION (office use only)
LOT~LOC~DDITION
OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
APPLICANT /10 ~
(Name) /7"/-~bL.~ //7~"../A4/'r-/
(Address)~ ~.r1C.I6' ~ ~
./J __ /if:(AddreS , Lf2
(Contact Person) /7~'~
APPLICANT SIGNATURE '> ....... ,~___
ZONING (office use)
PID
(phone)
(Phone)~~ /.. 4~..,Ii' ;?;?~
~,<<A?~ ~.5" A:;./.;l
- (rllI1/f (Zip Code)
(Phone) ~/- ~9-"J77~
DATE
, APPLICANT PLEASE COMPLETE BELOW
~NEW CO~TRUCTION 0 REPLACEMENT DALTERATI<;JNS
FURNACE MAKE AND MOD~/r~~ ~ -?/0.4~.y"7c) FUEL J .2 .4-....:...-~
FLUESIZE'7I'M~.ARETURNOPENINGS INPUTU.~ OUTPUT 5Z~~
,
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 Residential, AC Only
DWann Air Plants
DGravity
o Mechanical
~ir Conditioning
J1ilYent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & NC (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
$~/~~
$ ~ .50
$ 0
, i;)A/.
'-:;'0.4' ""1'0,
('.)11',1 /I/I;n"
'h~. ".
'--!:)R
'~/",,,,,.
il.paid
I ,"~
'I Date
" NOV 1 2 2003
Receipt No.
~y 11"
u
24 hour notice for all inspections (952) 447-~50, fax (952) 447-4245
(,
t,'--'-'
DEPARTMENT oSee Main File
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /~'1.D' "K'~y ~ '?L
NATURE OF WORK N~ ~
USE OF BUILDING ~ '
PERMIT NO. .D 3- / &> DATE ISSUED
CONTRACTOR ~ o,,4-cAJ PHONE,;).;~' V"f~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FOOTING
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING U.6-. +.A.'" t!ttJ/r;tl4I4
HEATING (if required)\~~-c.. ''''~ l,hj, ~
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING 1{ ~ tJv\t,\ '1-(0./
ELECTRICAL
PLUMBING
HEATING
DO NOT
- -
J/tp A
/vy
~
)..... Irror-{
liLY'
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,
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J-C-Olj
.J-.-{, - /L-J
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7//57dY
A
f/V(/
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M
OCCUPY UNTIL ABOVE HAS
NOTICE
1. /1-0'1
~ - 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
--
([rrfifieafr of (IDernpanqz
CITY OF PRIOR LAKE
@,tparfmtuf llf ~uilMug JusptdillU
,roFinal Permitted D Conditional CO, Expires
I
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 IlJ~ City of Prior
Lake regulating building construction or use. For the following:
Use Classification
SINGLE FAMILY
Bldg. Permit No, 03-1496
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
R2
Legal Description
Ll, BS. DEERFIELD
Owner of Buildinp
Contractor's Name & Address D. R.
Site Address
17401 RIVER BIRCH PLACE
ROBERT D, HUTCHINS
. / BUil9ing Official
7//(- //Jc/
/' '"
HORTON. INC.,
/~'"/
20860 KEN BRIDGE CT., SUITE 100, LAKEVTLLE
City Planner
DON RYE
Date:
Date:
L
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
'd SITE INSPECTION
COMMENTS:
{i) ~_~~,r
Jj.J r::;~ I
R\ G~j
\../
DATE TIME
SCHEDULED
~~.t -(J'f
n '-to/ fttve- /;,,-r. Ie
CONTR,
PERMIT NO,
s-I7'1,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
C,rl,.'A,,,IJ 0/-- f)rl~_A.,/
r...-&<.J... am"i7l~ I /
'C. - .
~ ~'5 ,9~ d....lrMr,?--.. j--
~ ,
(u,t.c.// rJdftl df-/-rJt..f
f '
o WORK SATISFACTORY, PROCEED
,-
o CO~ A~, ION AND PROCEED
~RECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspedor: tJr:? ~ - !h;..;t~Lcontr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNon
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
Z-12..v<-(
ADDRESS
/7'10 I ~~,;',~h
OWNER
CONTR.
PHONE NO,
:s -It/f~
PERMIT NO,
D FOOTING
D FOUNDA liON
D FRAMING
D INSULATION
D FINA~
D SITE INSPECTION
.I!l P~UMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
'P~UMBING FINA~
o MECH FINA~
D EXIGRADIFI~~ING
o COMPLAINT
D FIREPLACE RI
o FIREPLACE FINA~
o GAS~INE AIR TST
D
COMMENTS:
~) (l'bWJ7J
rf'JIEc415
III WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
D CORRECT WORK, CA~~ 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 .l SAFETY/
INSNOn