HomeMy WebLinkAboutBuilding Permit 03-1499
(Please ~ or print and si2Il at bottom)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
/0,:;1))3
I PERMIT NO. 03 _ /4-'iQ I
See Main Filewh;"
2. Pink
3. Yellow
File
City
Applicant
ADrl~Cn ~'\X-~ ~I~ 'V~So.
. LEGAL DESCRIPTION (office use only)
LOT I BLOCK ~ADDITIO;QldJ~o LlY\~Il~rr;'l.lcL
OWNER
(Name)
(Address)
(Phone)
, BUILDER-,-.... <1) I I l
(Name) 1.), l\,.-. NCJLLOv\~~.
(Contact Name~ ;k.~ L0 [)KhD-4-~..J-
.~OP,5LD LD q ~bri d'1\LQ::t. <:su-..~ l 00
(Address) [QJCll)'; lu...1 r'Y\ N 7S~1../1../
TYPE OF WORK
o Mise,
~ew Construction
DLower Level Finish
DDeck
ZONING (office use)
tZ8'
PIDd.5'?lit'OI3-{)
(Phonet9S;i,j '1?> S-l50 Z).
(Phon~;M~,9. 'J.1tt:!J7 3 i
- ..7
DPorch
ORe-Roofing
ORe-Siding
o Fireplace DAddition DAlteration
PROJECTCOST/VALUE (exc1udingland) $ g/, '750
$
$
$
$
$
$
$
$
q,) JJtJ() ~ I
03 'i. '75' I
~09, Sq
?/f,.,.--
Dutility Connection
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,vy"'~j 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
~p;~oprl~~ections /).{XyJt=){oS'1 /() d, I~o~
n.. . "l-=:!.....:. Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
\ Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
,.-.
//)/1- I'J 1J
ioo. 00
*,()O
This Application 3~..._.___ Your Building Pennit When Approved
'B~K ':-.J ~ 1(/5/03
Building Official Date
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
I Paid
I Date
\";i5.5'i, ~ f
/1- /02.""''-';;;;;
I
I
I
I
. $S~. ZCfI
, I
I Receipt No. t/erlS::7--f:::::,
Bv C
C/;J
#
#
#
#
$
$
$
$
$ {2-.00.00
$ 701:1.00
$
$
?S2> J) ~
127s; 00
-
--
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zon~adin. an" and may proceed as requested. This document
:~~:=~~I~ncrco~' ce~fica~~Zou;;;;"andallowscon'tructiontocomm~~~c'MaiirPilebe
I Planning Director ~fe 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
.
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,
"ress /737)"/ ekE 1.; (L L...
Heating Contractor Ill/, Mf7 ~
Name of Tester ~ V\. ""R
J ItS/t14
.Q. Coft)
~~
(0, '1~
~(~ of
-.
Date
Percent 02
Percent CO
Percent C02
Stack Temp
Combustion air is adequately supplied per
UMC See, 606 (/'5
input ~qt.R1 arel
,
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5~~
See Main File
White - Building
Canary - E'I'aineering
~ink - PlanninlC>
Thf Crnln of lhr I....t Counlr,
...
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /
,
/
"
APPLICATION RECEIVED .J
/: .'
.-t~..i
..
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ ~>I/(//- / ,(' ('
I
I ,.,' l...........
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
?<~
~,LJ
Date: /1 IS/(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."
~~
See Main File
c-.,W1ite . Bui~ .
l:iI1flIry . t:nglneenng
Pink . Planning
Thf Cfnlfr of Ih..I.Mkr Counl..}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
A9(c~
/0 - ;;)..7-&-:3
The Building, Engineering, and Planning Departments have reviewed the building permit
application forconst;C;;~~1~ w~eUP-l~
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~
r-
~
Date: // /IT); 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
White - BuildinC
<:..\ianarv . EnQineermp
"'Pink - Planning
Th~ (.~nl~r nf lh~ I.ab Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/
,
. \.-
'...'"
-..7
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity wh.ifl1 is proposed at:
;. ,,/L{;;~)</- ,~~'{: _'; ,"-'(~:"""'{~'!] ./C~./ .;:;:/;.:.:':".,'::_(....___..
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/YJ1!3
St" (' IJ1 C,1i/1
Date:
J /- Lj-Q)
Comments:
Fr/f'_
"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."
Oc t 3 i, 2003 3 23PM
GENZ RVAN PLUMBING AND HEATING
No,8526 p, 41/41
Date Rec'd
€~1
..\,:::.,.,.~/N""E50"tt-
ij;~:~:'j:"I,-
..:"\~~.~W<~
CITY OF PRIOR LAKE PLUJ.\'l:BING PERMIT
1 BI'" File
:. aold City
l yt;!Jow Applieanl
I PERMIT NO.'3 -/4qLf I
(flea3e rroe otO!U1.t and .c;;i2l1l,l.tbottom)
ADDRESS
11401 \LiV--ML 111~1r\ fl. ~-
ZONING (offico",e)
LEGAL DESCRIPTION (o/fiee use only)
LOT BLOCK ADDITION Bt.dq- #"11) /).uiQ..i1 eA J
'OWNER
(Name) DR Borton Custom liames
PID
(Phone)
Q&;2-Q9"i --,'6lJC!
(Address)' :z.o'SLPO Ke1'/3~1 bGR_ Co Sre. IDO
UiluvilJe:. MAN EEcI-iL/
APPLlCANT
(Name)...GCIo.......__"[l~.."'.... ",......'h~_T'\: ~. u~.,.....g-
_ (Phone) ""'_"-?~_11l<"-
(Contact Person)
n (Address)
\jVl~j&tl tMls'
rjl1~) ~~J/.I
Rosemount
(City)
(Phone)
MN
55068
(Zip Code)
(Address) 14745 So Robert trail
651-423-1144
APPLICANT SIGNA T1JRE
DATE
to/ ':07 /(k~
I
1-
APPLICANT PLEASE COl\1l'LETE BELOW
I Type of Fixture I Quantity
I Bath Tub with or without shower I
Dishwasher I
Floor Drain
Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
I Sinks
Bar Sink
I Water Closet (Toilet)
Type of Fixture
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
Quantity
I
I -
f2-I.
I
Rough-ins
Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
I Lawn Sprinkler
Other
;;L.
FEE SCHEDULE
lndustnal, Commercial & Multl-fallllly I % of Job cost With. S3950 minimum ReSIdential, New One & Two-Family $99 50
Re$ldentiol, Additions & AltOJ".tions $39 50
ES1lmated Cost $
Buildmg Pe)'Jmt #
PLUMBING PERlvIIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
"
i
(Office. trn Only)
, :PAin ~111l1
This Applic3tion Becomes Your Building Permit When Approved Paid R~31NG "E'
~. D~ NOV 0 6 1003 By ~rr
24 hour Dotie. for .11 inspections (952) 447-9850, fox (952) 4474245
Building Oftidsl
Oc t 31. 2003 3 21 PM
GENZ RVAN PLUMBING AND HEATING
No,8526 p, 33 41
~i Plllo~
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""i~:~:ii:~'iii
"'~",~\~~N~E so<>
Date Rec'd
CITY ,OF PRlOR LAKE
SEWER AND WATER PERMIT
1 ~::w 8; I PERMIT NO.3 - ILfGt'"6d
J. G:.Jd ~l.leo.nt r
(Please rroe ot,mnt,and sUm at bottom)
ADDRESS
11(!nl [UW,V(
Pn Q/1jV\ 1I1f1NJ/ ,re
ZONING (9Jliee U5e)
LEGAL DESCRIPTION (ofiice \l$O 01l!y)
ADDITION &ria *2.0
LOT
BLOCK
butt+; etJJ
Pro
,
OWNER
(Name) I'll -Hct:t",- f'uC';QlII ll:91lt'~
(phone) _ Cf62 -q 85- /8 (v,
(Addr~s)
2.0&00 Kev1Bi<-\~--e.. C:r- SopJM
(,Add=s)
Lau~ die..
(City)
&)efjLlU
(ZIP Code)
APPLICANT
(Name) Genz-Ryan Plumbing & Heating
(phone) 651-423-1.144
(Addr~) 14745 So
Rosemount. MN 55068
(City) (Zip Code)
(Contact pexson) ,
YJCA.NT SIGNATURE
I ~
-::/t:;f~
-~
(phone) 651-423-1144
DATE I'" 1--" /vY2
'd.!:!--~
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
Residenna1 sewCT and waler line conneCllon
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 Dlmlrnum
$17,50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERl'vlIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
i
,
'-...
Building Orncb.l
~Ji.lf) wirF
,~ .1\'" ....."....."-._ "L
I Paid ,._.1 ReceiPtNo:.'f/'U"'EA~
I Date NO"" tI LUUJ I By /)r I
24 hour noti.e for an inspections (952) 447.9850, f2% (952) 4~7-4245 - (j
Date:
(Offi.. lIse Only)
I This Application Becomea Your BUilding Permit When Approved
// 7~;;
; ;'o'w E!~;=, I PERMIT NO. 3 - I vcr q 1
C?lease t:ypf:OrDrint and si2Il at bottom)
ADDRESS /:?
/7C/'/?7 /c'i'~.4/~ PA:L-f_ c;-~
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONINGlFlREPLACE PERMIT
Date Rec'd
ZONING (olliceuse)
LEGAL D7"'CRIPTION (office use only)
Loi/]fBLOC~ADDITION
OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
PID
(phone)
APPLICANT /1, /, - . / A
(Name) /-7'/~ J' /" ../A4,/r--"
(Address)~ ~,{J A", r? 4:
~
(Contact Person) A ez/. '
APPLICANT SIGNATURE ,~ " c .~
(phone) ~5/.. 4':5'"".,1'- ~??~
~ <l2Aa:..t' :?~_.'~ ? ?
(~ (Zip Code)
(phone) ~ - q<.;? - -177.,S:
DATE
, APPLICANT PLEASE COMPLETE BELOW
~NEW CO~TRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACEMAKEANDMOD~/r-'" ~, :?/oA.A~~070 FUEL J J. ~......:....e
FLUESIZE.y~h-.ARETURNOPENINGS ~ INPUTc'~ ~ OUTPUT 6Z,~
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
OGravity
o Mechanical
~ir Conditioning
]JilYent. System
o Stearn
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
$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
$~.// ~...../~ P,q"
$_ " .50 V11.i)t. 'D 1117'4:
$ ,j;' m , IVG~;.:;...'
"rfM,'1-
(Officc Use Only)
This Application Becomes Your Building Permit When Approved
Paid
,~eteipt No,
Building Official
Date
Date t43V 1 2 luuj iEly
i.L-'LJ L_J
- ,/
rr
i..
24 hour notice for all inspections (952) 447-98~1lc..r"" f2~2H"7 4245-:
PRIOR LAKE DEPARTMENT<8ee Main File
BUILDING AND INSPECTION .
!'~A~~~~!~~~,.~~~~rR~-- '
NATURE OF WORK .A/~
USE OF BUILDING 5 F""7::J.
PERMIT NO. O'S- /4-Clq DATE ISSUED
CONTRACTOR D~IIo,,~ PHON~.~3~ -
NOTE: THIS IS ~IT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH. INS
SEWER I WATER I SEPTIC
FRAMING '/~.,}/I ?--!"'v
INSULATION ~' -I;
</7 )/17/ot;/
ELECTRICAL
PLUMBING ().6_ +-A-T lliAPltM * J/f/Y../ ;2.-0'ovj
HEATING (if required) ~ d-j / ;;-!d <(
FIREPLACE 6. c71/~/6'1
GAS LINE AIR TEST fb-. ' cJ/I).-/~ i
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I J
FINALS
GRADING (Prior to Sodding)
BUILDING '1--{~
ELECTRICAL
PLUMBING
HEATING
DO NOT
'\-1<1"\
~
,
~S/o/
-
t/VY /"
/1#
OCCUpy UNTIL ABOVE HAS
NOTICE
BEEN
?~/(,-QI/;
~, ).'3--0\
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
QIrrtifieatr of @etupaue1!
CITY OF PRIOR LAKE
@.rparfturuf of 'lI1luil~iug Jlusprdiou
~inal Permitted D Conditional C.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:
Use Classification
SINGLE F&'1ILY
Bldg. Permit No.
03-1499
Occupancy Type
R3
Type Construction
VN
Fire Zone
N I A Zoning District
R2
Legal Description
Ll, BS, DEERFIELD
Owner of BuildirH'
Site Address
17407 RIVER BIRCH PLACE SOUTH
Contractor's Name & Address D. R. HORTON, INC.,
ROBERT D. HUTCHINS ~~~
/ Buildi))S Off~a1
Dateo 7// ~- /0</
, / ' ,
20860 KENBRIDGE CT., SUITE lOa, LAKEVILLE
City Plann..'
DON RYE
Date:
,
I
I
.J
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
17lfO 7
fi2\W b,:; t,
OWNER
CONTR.
PHONE NO.
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
III) -E!I'1.iECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL
COMMENTS:
(tl a,~J J.,,'''I.V'Y cL..
(;_ \ V(~( 01_ch- q,"".-v/Nt
( ?.") r't> ,.J -l-- r;. (7)....,,, '; C?......-
.........
<W vvtt-rf
DATE TIME
'523.0l-f
? - {91q
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
SirJ........"fP
}
cI'"C.V (fl1'7 -~,..,...J..---
q-I-O<-(
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ECT W~~~OR REINSPECTION BEFORE COVERING
Inspector. /1//--"'" Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
uaNO"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ,{ SAFETY!
DATE nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 7,- Ie -t" r
ADDRESS nt/O? [21...., b"t. t-1
OWNER CONTR.
PHONE NO. PERMIT NO. --.3 -/'119
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
~UMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
WI} '"",ON
Vfrk-Ufj
o WORK SATISFACTORY, PROCEED
"CORRECT ACTION AND PROCEED
o CORRECT w;J7;J;,:?/R REINSPECTION BEFORE COVERING
Inspector: -I_JL/'" Owner/Conlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/f'(S/I(OTJ