HomeMy WebLinkAboutBuilding Permit 03-1497
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
See Main File~;::' ~::y
3_ Yellow Applicant
{O ' irrP
jl'ERMITNO. 03-/4-971
(Please.!VD~ or print and sign at bottom)
ADDRESS
I ~ ifo'".) 'Ki I )t'f ~i yJ.. 'j) lO-CJL ~
Z(lJ.G10ffiC<U") I
LEGAL DESCRIPTION (office use only)
LOTI BLOCK r; ADDITIO~Id~:J..O Uh,+~If1.~''€.ld PlrJ,6""3%-f)/3-U
OWNER
(Name)
(Phone)
(Address)
BUILDE", I ""\ ~ L 1 ~ .,.-::
(Name) c..J. K- rt:nIO'y) -LJ'~
(contactName~\)~ ~h'o._
'2bt:>lJ1 {) ~ b'-I d<;jL-'. '9-1 DO
(Address) ~LJi\ I:L. YY"\ N' 'SS 4C9l
\
(Phone05~ 178 S -78G?>
(Phone) &5~0l 2.&, -'/7:3 t
TYPE OF WORK
.~ Construction
ODeck
DPorch
ORe-Roofing
ORe-Siding
DLower Level Finish
o Fireplace
OAddition
DAlteration
XG, I.t/f
Dutility Connection
J
o Misc.
PROJECT COST IV ALUE (excluding land) $
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 u Ion the propeny to~~:ctions A CXJ:) 5Lo Sl /0 .,;}, t/-o ~
~ Signature Contractor's License No. Date
I Permit Valuation ((<'7, d()6 -1 1 Park Support Fee # $ ~.OO 1
I Permit Fee $ qIJ;J. 75 I 1 SAC # $ I z.. 7C:: 0" 1
1 Plan Check Fee $ 5g". ?Cf I I Water Meter Size 5/8"; I"; $ I
I State Surcharge $ 43 ,S7) 1 \ Pressure Reducer $ I
I Penalty $ - 1 I City SAC and WAC # $ 'ZOO,DO I
I Plumbing Permit Fee $ /000 00 1 I Water Tower Fee # $ 700.001
I Mechanical Permit Fee $ 100.00 I I Builder's Deposit $ I
I Sewer & Water Permit Fee $ -- I lather $
I Gas Fireplace Permit Fee $ t./tJ. c:J" 1 I TOTAL DUE $ .5 7 '/ ~ . D4-
This Application Becomes Your Building Permit When Approved I Paid .J-'/i~,c/r I ~~ceiPi:' tf5 ~<3-6
~ ~ I tf::S/o 7 I Date I/-Id..-.~
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 constiwtes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
"~ ~Lj;~
Planning Director
~e~~ditM>>in-File
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
1t/1: ;r
Job Address /7J{()J, Il.;vtr~rct...
Heating Contractor /III/AUT MY~
.. Name otTester /l-.anul!:.
Date 3 -/8-04
Percent 02 8,5')'0
Percent co 13J.~-
Percent CO2 7.0' /0
Stack Temp 3'8"1";':-
Combustion air is adequately supplied per
UMC Sec. 606 f/{' 5"
. input 16:J t1{f() '6w
r
'<:
6~1
See Main File
White - Building
Canary - I;n~ring
.............nk - ....snnin1t:>
Th.. (-I'nl..r 01 Ih..I.ak.. ('ountrl
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: .
/ /) //
?
/....\' ;
,
~
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~
Accepted
/'
Accepted With Corrections
Denied
Q r
Reviewed By: ~
Comments:
~
Date: I r/s-,/13
,
"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
(Whi~ Buildi~
Canary - Engineering
Pink - Planning
rh~ ('porn of th. L_k. ConnlfY
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
dO jQ JJM~
,
It! - ;>7-(3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed JJ.l: -
/ /}t/O 3 K ({,Uu ~ ?LO--LfU
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
~
~f-
Date:
If /S-~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."
'~~
~~
See-Main File-
~ . BuildinCl
ry - Enqmeermv
PinK - Planning
Thf ('f'nlpr nf fltr I...... Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
t.
/
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whiCh_is proposed at: '
/ /7/
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/-' \/.J, I~!
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"
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Accepted
x
Accepted With Corrections
Denied
Reviewed By:
,Il/l1-i3
c;t'f' 1Y!c"llI'1 F/&.
Date:
/ /-Lj-o 5
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."
.,~.,._~..-..'-- ,-,":---. ~, ~-_."
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(I C t 31. 2003
~ ' "PM
V''-'-
GENZ RVAN PLUMBING AND HEATING
No 8526
P 39/41
Date Rec:'d
CITY OF PRIOR LAKE PLUM':BING PERMIT
1 Bl<J" file
:.Gokl City
J, yt:llf,w ^"PIlC*,p1
I PERMlTN03 - /tlC;f
. (PI....., ryoe or "ru>t and si9;n ... boltllm)
ADDRESS
\ 1tJo3 12\ve-~ "PnWliI 'PI ~.
LEGAL DESCRlPTION (office '= ooly) n
LOT BLOCK ADDmON B1dtf1t20 ~d.{}J
OWNER
(Name) DR Horton Custom aomes
(Address)
ZONING (olli" u,e)
PID
(Phone)
%2 - q '2 P, -/2oD
2.OS~o Kenp,~l J)Ge. Co .$re IDO
UJ UVI I Ie:.- l-U/'oJ E501-i W
APPLICANT
(N':llnC:)...G"".,..,.,.-l)r"'T'I 'P"'-~~_T'\8 ~""...+-""...~
(Phone) ",,-A?'_' 'AI,
(Address) 14745 So Robert Trail.
(Contact Pe,son)
Rosemount
55068
(Zip Code)
MN
(AddreSS)f;,
lWLvzJstl uts
. -
~ ') '::/;; P n__
(City)
(phone)
651-423-1144
)()/3/ Jo~
,....:'~
APPLICANT SIGNATURE
I
I
I
I
I
I
I
I
I
QUllJltity
J
I
\
.~
;)
. DATE
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture I Quantity I
I Bath Tub with or without shower I Rough-ins
Dishwa..~her I ,. Water Heater
Floor Drain I 1Lt Water Somer
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (l or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks I Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toi)et) I Other
Type of Fixture
I
I
I
I
I
I
I
I
I
I
FEE SCHEDULE
IndustnaJ, Commercial & Multi-famIly I % of Job coS[ Wlth. $39 50 minimum Re,identlal, New One & Two-Family $99 50
Residential, Addition.' &: Alterations $3950
Estimated Cost $
Buildmg Penmt #
PLIDvIBING PER\vIIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
,50
r
PAtD ~!~':
I Receipt li!OIL~J'''''-
I By
(Officll. U~t Only)
This Application Becomes Your Building Permit When Approved Paid
. Dad~U V II () Z003
Du.
cr
Building Official
24 hour Dotiee for all in'peetion. (952) 447-9850, f.~ (952) 447-4245
(\c t . 3 i. 2003 3 21 PM
GENZ RVAN PLUMBING AND HEATING
No 8526 P31 41
Date Rec'd
CITY.oF PRIOR LAKE
SEWER AND WATER PERMIT
rPlease t'VPe orurl:o.t and $12Il a.t bottOm)
ADDRESS
11 LJC6
; ~:,~... ~;~ I PERMIT NO. J ;/ /t'J I?
1. G.::lld .4,ppl!@ol.t ~ - '-1 7
1(iv~ 171 r<M1\ VltLu" \Sf-
ZONlNG (oJlic,,,c)
LEGAL DESCRIPTION (office we only) .
LOT BLOCK ADDITION f-?{dq-:tf-2() ~fj.ef[;
OWNER
(Name) 4''1
PID
",....~......._ ':".'.~~ '1.1'':':''''''"'-:-
(phone) _
o/~-q'65-lg{',l\
"5Q":"-!U
(Zip Cod<)
(Addross)
2.0&00 klnIOKIs:x..-e. Or s,pJl'J"'
(Addze,,)
La~ljllle...
(City)
APPLICANT
(Nam~ Genz-Ryan Plumbing & Heating
(phone)
651-423-11.44
'.JCA.NT SIGNATURE
Robert Trail
(Addre!S) .
rM~I.It7 m,1l<:
(~ lli'ilAJ31~J/}
Rosemount. HN
(City)
55068
(Zip Cod<)
(Address) 14745 So
_ DATE
651-423-1144
W!'iS1 / r)'S_
, 1
(Contact Person) .
(Phone)
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated lellgath of sewer line feet.
Clean out (if required) located at _ feet from structure.
Residennal sewer and water Jllle connectIon
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'! & Multi-famlly 1% of job cost WJth a $3950 mimmum
S17.50 Waterconnecrion only $1750
Estimated Cost $
Building PermIt #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL P~RMIT FEE
$
$
$
.50
I
f
(Offic:t tI,e Only)
I This Application Become. Your Building Permit Wben Approved
PAID WITI-.
,
~
lluildlng Ofllci.1
Dttc:
Paid I Receipt N~' i"
Date NDV 0 6 2003 I By
"
-~lIV~:~~;''" '-;
24 hour notiCE for.aJl iU5pcctiOQ3 (95'2) 447-9850, f:a.;( (9~2) -1474245
1/"-
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
P!;?:7ZJ7
I. Pink
2. Green
3. Yellow
~:~ I PERMIT NO. '2/ '4 q 11
Apphcant r} I
(!'lease tvne or mint and sign. at bottom)
. ADDRESS ~
/7c//J? L//hP/
~//
A I'" f 5^e-
I ZONING(officeuse)
LEGAL DESCRIPTION (office use only)
LO.I~LOC~aDDITION
PID
OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
(phone)
APPLICANT /1, /. - . / A
(Name) /-7/~ ''J'~.-/AA/''''a../
(Address)~ ~~A~~ a:
~
(contactp,erson) A" ' _~~~
APPLICANT SIGNATURE-cc: -..:;..-
(phone) ~S-/- 4:5""..1'- .:-/'.?,,75
~ 44J'~ ~~. t..,'-: '?
- (<I:iSIIf (Zip Code)
(Phone) ~- c;/~--177S
DATE
APPLICANT PLEASE COMPLETE BELOW
,
~NEW CO~TRUCTION 0 REPLACEMENT 0 ALTERA TI9NS
FURNACE MAKE AND MOD~/r""J,t' :?/04Avt:::h?';r"07CJ FUEL.d .2 ~J ~ -e
FLUE SIZE.y~k~ RETURN OPENINGS ~ INPUT U ~ OUTPUT 6"Z~ ~
.
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plants
OGravity
o Mechanical
~ir Conditioning
}I'1Yent. 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
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
(Office Use Only)
Estimated Cost $ ~~Buildingpennit # . ~A
;t:)~ - cJ_~ ~ 4"'f/4; "'
.../ -4' ,_/ _ v1t." l<~'"
HEATINGPERMITFEE $~~.//~ <.Jlil!Gt;;)'..!.'~'
STATE SURCHARGE $ , .50 ~A'J~/'l..
TOTAL PERMIT FEE $ Y' 1J
This Application Becomes Your Building Permit When Approved Paid
'~:, L: c "
i'~~te NOV 1 2 2003
~ I "
I
Rjoceipt No.
,
i
By
- I
~
Building Official
Date
f~~
24 hour notice for all inspections (952) 447-98~Q, fax (952) 447-4245
, 'I m_
PRIOR LAKE DEPARTMENTS,ee Main File
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 1~+'b3 KiIJe,YEJ;~ &
NATURE OF WORK
USE OF BUILDING
PERMIT NO. J"E ISSUED
CONTRACTOR AJ PHON~' (,/7 <Ii.,J.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING ~&f,4, I
I FOUNDATION (Prior to Backfill) i\M~I.A I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
1M hlA
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING (), {...,.A.r:r lllbltfl/ ?IA-
HEATING {if requiredrwc-~"\~ -s:...~ \;JU. ~
FIREPLACE
GAS LINE AIR TEST
/I'~/F
t/'l1I'
u(}(,(
}-- t{)~
rW/ __ ) -1~()<-1
J/i/V.-/ ~,-IJ (,1
. I~ k 7J"1
.'/l~ ~-c1'1
l .
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to SOdding)
BUILDING t-<t4 Cl((-o'1
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
,
~
7//S~Y
M/
iVV
J ~ It -0'-1
~ ~J- J~O'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
QI:erfifiratr of @rrnpanqz
CITY OF PRIOR LAKE
~:epadlU:enf of ~uilMng Jlnsp:edion
~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 FAMILY
Bldg. Permit No._
03-1497
Occupancy Type
R3
Type Constructior
VN
Fire Zone
N/A
_ Zoning District
R2
Legal Description
11, B5, DEERFIELD
Owner of Building
Site Address
17403 RTVR BIRCH PLACE
Contracto"sName&AddressD.R. HORTON, INC.., 20860 KENBRIDGE CT., SUITE 100, LAKEVILLE '
ROBERT D. . HUTCHINS /#.~ _ Chy Plannec_ DON RYE
~ / ~Ui ng gfficial
7//..r.. O.r/ Date:
r .
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIlle
7,-/l-ur
ADDRESS
/7'-(03 f.AW-bf~h
OWNER
CONTR.
PHONE NO.
PERMIT NO.
"3 -/l.jC(/
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
.....PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~
C
'..ILL~ fW..
.ruW::-l'Aif?:;
o 'W3IlK SATISFACTORY, PROCEED
,.cORRECT ACTION AND PROCEED
o CORRECT WC:", WOR REINSPECTION BEFORE COVERING
Inspector: f //r Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I1UI<<Jn
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
174.0 3 f41rlr- bi ,C 0
OWNER
CONTR.
PHONE NO.
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
""INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
S -).]'0[(
f(
"J.~(4q7
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
cadi h,..,r/i <4- <;;,-J,;,,,,
~""(J I '?; /?;l J~ 'f':O/~v" /
&-r(;fAJ"""~+ ~ ~....",/4c '7- d....-,-",< ~,
~\-I ...I- ~...'s e,.~ dr~/ol?,,-....h'"
. .
rH-""'~ ~+.-(
9~ /-0'-(
o WORK SATISFACTORY, PROCEED
o ~RECT ACTION AND PROCEED
,It' CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: N Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
OONOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!