HomeMy WebLinkAboutBuilding Permit 03-1498
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~ee Main File
Date Rec' d
....,
IO-}-/~J
!, While File I PERMIT NO
2 Pi,k C;" '03 _/A/?a
3, Yellow Applicant ~ l/
(Please .!YP~ or print and sign at bottom)
ADDRESS n ZOI'!Wgcoflkeusel
ilL/OS 0iltx('~;rC)-.. p~ r~V)
LEGAL DESCRIPTION (office use only)
LOT I BLOCK ~ ADDITIONOld% ~O lhuJ~/13l::uug"eld PID r1-f)-jCjg.,. O(j-()
OWNER
(Name) (Phone)
(Address)
BUILDE~ 'T\ III
(Name) U.I'''-__I NQJTQr).::rJ-. (' .
(Contact Name) Y'v\.( Kp. Lt~'Y)~,^-
2J) 'dwvl<:.w.br,i!"c...ctsk.wc
(Address) U~A'-; 1/, AAN' 5SV<lt./
(Phone) ~~9?35-7/JOPJ
(Phone) ~S~~l,-lj73 2
,
TYPE OF WORK
~ew Construction
DDeck
DPorch
ORe-Roofing
ORe-Siding
o Fireplace DAddition DAlteration
PROJECTCOSTIVALUE Cexc1udingland) $ fs f..p (p Cj I
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 y......y.....) 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
~~4~:J1;d~ons ,4OJOf){Pf'll / 0 ~l/.I)0."
1 (j Signature Contractor's License No. bate
I Permit Valuation I R7; oGO. -I 1 Park Support Fee # $ ~ a, lJ 0 I
1 Permit Fee 1$ ql?,?!,?S- I 1 SAC # $ 12-7S, 00 I
1 Plan Check Fee 1$ ,5Rto.79 I IWaterMeter Size 5/8"; I"; $..-- 1
1 State Surcharge I $ If .3 SO 1 1 Pressure Reducer $ - 1
I Penalty $ - 1 I City SAC and WAC # $ 1'2.00 , t) 0 I
I Plumbing Permit Fee $ 100 .0 0 1 I Water Tower Fee # $ 700, Q 0 I
1 Mechanical Permit Fee $ roo, If) 0 1 1 Builder's Deposit $ I
I Sewer & Water Permit Fee $ -- \ I Other $ I
1 Gas Fireplace Permit Fee $ 'fa . () . I 1 TOTAL DUE . $5. /'1 8. 04-1
DLower Level Finish
DUtility Connection
o Misc.
This Application Becomes Your Building Permit When Approved
~:din~~~cial fd J);- _LL/;;'h "3
l Paid
Date
. _ _ .11
.., '/ 0/ >t, () <j
,,-I::J.- ~
< -
......., - ;
I Receipt No. 'i') 5 .:l b
By 01
CI'
,
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning ~ance and may proceed as requested. This document
:-vhen signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commen~e~p~ific~e of Occupancy must be
~ingD~,L-. /!j.s-e. 3 Special Conditions. if any aID File
24 hour notice for all inspe<tions (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
..
Job Address
Heating Contractor
Name ofTester
Date
Percent 02
Percent CO
.
Percent C02
Stack Temp
.:>//lI/tI~
17#'01' //<OJ]nL
,4/kAPrIHeL/'
k#LA R
3>P&/o~
,q<;,~
~.;V
, -
7.0...0
-1tJ '7 0;:
Combustion air is adequately supplied per
UMC Sec. 606 v--"'5
I
input JttCbO J ~
',,<:
~~
~ee Main File
White - Building
Canary . I;ngineering
( .rinK - t',annlng..)
--
The eeRier nf IhO'I.I"'" Counl'""
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT I'
APPLICATION RECEIVED / /9-
-,.~._-,,-
,.
/ I:
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
j/./I/_rJ- - / " / . .,j ,
I
../
~
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
~.-.
~
Date: II/s-h..:?
/
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
~While . ~uild~
Canary . Engineering
Pink - Planning
("he eenle, "f Ih..l.lk.. Coun",'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED / eJ- ;;).;--03
llR~.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activ~iCh is prop~d at: .
j/7t!CJ0"-. ~ [~ p&u.P ..J
~
Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments:
~
,.
::k.u/J/->
Date:
If !r:;-/OJ
"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
While - Buildina
(!;.anarv . ~naineerina:::.
Pink - Planning
.
The- {""nlt'r of lflt' I..-.t {'o..nCry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
,
! '
\/\
!"--,. ,_ l'
'I
t
(.,,:':-?---.....~.
APPLICATION RECEIVED
1'....e'I -~ --,-/) '? I
.' <.---'- .;;r / './ '-.__'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activi!Y_1'!hich is proposed at:
/1?<~t.'5" - i\--l./'."'i!--<.../ eLf /
f .~ ',./
'-'(/2-{' ,7
/
Accepted
;xC"
,
Accepted With Corrections
Denied
Reviewed By:
/y;tj-f3
,
S(c. 1J1t4,'''''
Date:
J /-LI-o 3
Comments:
h/<-.
"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."
O t ^ I ~ 0 0 1
C "j , _ ~
3;IPM
GENZ RVAN PLUMBING AND HEATING
No 85;6
P, 3; 41
Date Rec'd
~i PR10~
fLJ~~
(\~\(~'l.~i'~\" .
'~~~~f;:'NHESO'"
CITY,OF PRIOR LAKE
SEWER AND WATER PERMIT
, q?1ea.se~ OT'Dr.intand~.l7;natbouom)
ADDRESS
/111D6 12fVeR [3,VZNf) Plaf.<& err:.
l. ~d;;'':. g~ I PERMIT NO. ~--l. -/LfUt Qf
l Gnld .\ppliG1nt :/! C!J
ZON1NG (glliw"..)
LEGAL DESCRIPTION (olllce""o only)
LOT BLOCK ADDITION Bft0 it2JJ !\uKJf1efoL- PID
OWNER
(Name) PI', llgrtQ~ <'''I"t-- t:r__,_
(l'hone) _ 0,02 -qgs-i?;,",,'\
(Address)
20'&00 Ke;nl6K\!X..,e C:r- STiP .11\'"\
(Address)
La~\j I lie..
r(:jty)
"5~J.-I Ll
(Zi~ Code)
APPLICANT
(Na~) Genz-Ryan Plumbing & Heating
(phone)
651-423-1144
(Address) 14745 So Robert Trail
(Coo=P_> rh1"rrr& Mil.') -
.'.JCANT SIGNATURE (1f ,/ ~) '-=fa.f I ..<J
Rosemounc. MN
(City)
55068
(Zip Codo)
(phone)
DATE
651-423- 1144
1D1~1 / D.2,
I
APPLICANT PLEASE COMPLETE BELOW
Size ofwa:ter 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
R<Sjdential sewer and water lin. conne<:tion
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l& Multi-fanuly 1% of job cost with a $39.50 mJnlIDUm
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL :PER.J.mr FEE
~ J.
.lAiD WITh!
""""'); ~~; '--'
i:>\.'"LJING PERMIT
I Receipt No. ~
D<rte tl~{; 20:3 I By r-.~ I
24 ho.r notice for all inspections (952) 447.9850, fax (952) 447-4245 U
$
$
$
.50
(Office U.ie OnJy)
I This Application Becomes Your Building Permit When Approved
Paid
.
~
Building Official
Dlte
Oel3i. 2003 322PM
GENZ RVAN PLUMBING AND HEATING
No.8526 P. 40,41
Date Rec'd
un: OF PRIOR LAKE PLUMBING PERlVIIT
;~: ~:~ I PERMIT NO;':L ~)U9 ( 1..1
). 'Yc.\!O\\l AD~l1a,lt J { 0
O'lease cvpe or orin' ",d silm '" bo1llJ!lll
ADDRESS ZONING (oJlio,u,o)
nL..)On R'I\f~,f1.., ?ntef!Y1 pJ. S.
. LEGAL DESCRIPTION (olli<< we only)
LOT
BLOCK
ADDmON 131do,. #'VJ ~f{oI1-!h
PID
v
OWNER
(Name) DR Horton Cust01ll !lames
(Address)
(phone)
9t;2-Q'i2t:; -,SDO
'2OSL;;C ~V1B~1 DGe., Co Sre./DO
udu_vilfe. lMN .sCOw. LJ
. APPUCANT
(Name) r:""T'l.,._~~r"'''' ~~_..~-iT"B ~ U"".....1...g
(Address) 14745 So Roben Trail
(Address)
(Contact Person) ~V1 ft;iS ti ta j 1 \
APPLICANT SIGNATURE 01~ ) ~Lx7
^ .,~.",
.~ '. '
I Quantity
I I
I I
I I
I ;Z
I
I
I
I
I .;J
(phone) ~"_1.. '~_11 1..1..
Rosemount
55068
(Zip Code)
MN
(City)
(Phone)
651-423-1144
10 1'37 /0'2;
DATE
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture I Quantity I Type of Fixture
I Batb Tub with or without sbower I Rough-ins
I Disbwasher ( . Water Heater
I Floor Drain l2S- I Water Softner
Lavatory (Bathroom Sink) \ Stand Pipe (Washing Machine)
La.undry Tray (lor 2 compartment sink I Sewage Ejector
Shower Stall Backflow Assembly
Sinks I Baekflow Assembly Test
Bar Sink I Lawn Sprinkler
Water Closet (Toilet) I Other
I
I
I
I
I
I
I
I
I
J
FEE SCHEDULE
Indusln'l. Commemal & Mulb-f.nllly J % of Job cost wIth. S39.50 minimum R"'idennJJ. New One & Two-Famlly $9950
R",jdentiJJ, Additions &: Alterations $3950
Estimated Co.t .$
Buildmg Perm.t #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
" '3AIS Wrrn
.., '- '"I~ ""It'''',
" "/,,,,1" .4ft.'1
Paid I Ree.ipt No. - -";~;J I
Date I By
NOV 0 6 2003
50
(om<< Uoc Only)
Thi. Application Becomes Your Building Permit When Approved
'Building Officisl
Dllte
I
jJ/f
I
24 hour notice ror _n ilUpeotions (952) 447-9850, fox (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONlNGIFIREPLACE PERMIT
(!'lease.!\'DC orucint and sign at bottom)
Date Rec'd
~?:>>?
l~~w Ji~;~, I PERMIT NO'3 ~/L/98 I
/7~ u=J biN'/ ~;;- X' ~ 1'/ ~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LO'v1~LOC~t? ADDITION
OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
APPLICANT /J, /. A
(Name) /-7'///b~ ;/,'-/.44/"-'/
(AddreSS)~ ~A.I,6..1'! ~
~Addre'
(Contact Person) A.. . .. -~~~
APPLICANT SIGNATURE.. ..,.,- - ,--......
PID
(phone)
(phone) ~~/- 4f,?-.,,?/.?'.5
~~~ ~S:L 1 -?
(~ (Zip Code)
(Phone) ~- ~-~77S
DATE
APPLICANT PLEASE COMPLETE BELOW
. ,
~NEW CO~TRUCTION 0 REPLACEMENT [] ALTERATIONS
FURNACEMAKEANDMOD~/r-j ~. :?/oAA~ FUEL -LI .2 ,.4.......~-..e
FLUE SIZE""" ~...k-.A RETURN OPENINGS ~ INPUT C; 4 I ~ OUTPUT 6Z~ L..c..-L.,..
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
DWarm Air Plants
DGravity
D Mechanical
~ir Conditioning
~ent. System
D Steam
D Hot Water
D 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
$39.50
EstimatedCost$ . ~a:::>BuildingPennit #
$~/~d/~
$ ~ .50
$ ,p--
I
!Paid
,
!,Qate NOV .1 Z L"UUj By
~LJ U
'I
24 hour notice for all inspections (952) 447-9~~: in-('l52) #7-414S.
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
~, .~;
~"'l' '"I/O,
(.)/", I'z,;.:--,
'VG '1.;,...-
,C>~ .
'~.rlr/)'-
c.., RIlceipt No.
~
?~
PRIOR LAKE
INSPECTION RECORD
ll,Ucr $.LYc.1. ilL
~ee M 0
DEPARTMENT OF aID File
BUILDING AND INSPECTION
SITE ADDRESS J~~~
NATURE OF WORK
USE OF BUIL.QIt;iG .
PERMIT NO.o.a - ~ ~~E ISSUED '. ~_
CONTRACTOR ~~ PHONE~~.Cj"~-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
r FOOTING \
I FOUNDATION (Prior to Backfill) I I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
-I
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING lJ. C9. +-,4,::r. 'J ~ 114 - i/ vr-: J......] 0"1
HEATING (if requiredY\J/oOoI4~ l~~t.it $1.4- 1!7r, c:J//d/o 0/'
FIREPLACE h ~/ l,r/o Y
GAS LINE AIR TESTh . . ~/~ f
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
A
~.
by
d2-/p/o <{
';;'//7 /t;if
GRADING (Prior to Sodding)
BUILDING 1~ q -( -ocr
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
A
~
7 ~5/o/'
JM.!
/I'vZ//
!r/(tJ-()&/
'3. .2-3-0'1
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
<1I:ertifirab of <IDrmpaur1!
CITY OF PRIOR LAKE
~tparfmtut of ~uilMug Jlusptdiou
iFinal 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
SINGLE FMlILY
Bldg. Permit No.
03-1498
Occupancy Type
R3
N/A
_ Zoning District
R2
VN
Type Construction
_ Fire Zone
Legal Description
Ll, B5. DEERFIELD
Owner of Buiiding Site Address 17405 RIVER BIRCH PLACE
Contrnctor'sName & AddressD. R. HORTON, INC.. 20860 KENBRIDGE CT., SUITE 100, LAKEVILLE
ROBERT D. HUTCHINS /~jY-_ CityPlannec DON RYE
Date:
,/ Buil~g 09'eim
7//<; /Ci9'
'" ' .
Date:
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7'~C)(1
ADDRESS
I IL{Qj- r2/I~' 6,vdl
OWNER
CONTR.
PHONE NO.
PERMIT NO.
? -/qqg
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RJ
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(!)1~. dlt,;h;dJS
o WORK SATISFACTORY, PROCEED
'I CORRECT ACTION AND PROCEED
o CORRECT ~~~C~FOR REINSPECTION BEFORE COVERING
Inspector: r V r" Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
JNSN()"
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
itiqoj 4'rdp,.-r;0
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.l!l'fINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
J71jiECH FINAL
DATE TIME
3- 2~^o'l
:$ ~/(-{cir
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
(I;, ?J-f'''''l"M-t+,.-,- <;; dr IAA/k -+ d"-'Irlu",,/
T2,.~ ~--t /Y'-l'r''s f?",r ck,,,,In(?-e,,,, +-
BJ Pi::..., 1 {....~ad<- a/7j?;()t/~ /
'J~tMj? tlnA 1
cr~/-o( I
/
o WORK SATISFACTORY, PROCEED
o CO~CT ACTION AND PROCEED
,lIk:6RRECT WORK, CALL F REINSPECTION BEFORE COVERING
Inspector:
;;
Owner/Contr:
CALL <<7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
lNSNOTJ