HomeMy WebLinkAboutBuilding Permit 04-0193
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
1. White File
2 Pink City
3. Yellow Applicant
Date Rec'd
3-1/-0,-/
I PERMIT NO'04-,{)/93 I
(Please type or print and sign at bottom)
ADDRESS
5J.d.[) E0-~f M MeJ LJrt'ue.- ~"E
LEGAL DESCRIPTION (office use only)
LOTi7 BLOCK 2. ADDITI~...e~'LIJ J()~
OWNER
(Name)
(Address)
~~~~ l),RJ-b1.J~;ThQ.
(ContactName~;~ l.uOMutkC<..
(Address)
TYPE OF WORK
o Misc.
l.g,C.~
~ew Construction
DLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
DAddition
DAlteration DUtility Connection
Y59, /83
(Phone)
ZONING (offi" u,,)
Jet
PID 2.5. #'//_ 037 . ()
(Phone~98'S-7fS53
(PhOne)~S~ ~ G, - <17.3"2
ODeck
OPorch
ORe-Roofing
ORe-Siding
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 t'.~t'-':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. offic.al or a designee may
~~e~D~o,~;~s::ctions /J.rme:;(oS '7
) (J Signature Contractor's License No.
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'/61.t)()(J.dtJ I
$ 10/ () 7. 5"0 I
$ it, Lj,PI? I
$ 7€1,f>O I
$ I
$
$
$
$
I ()c). f) ()
IUJ, C) 0
3'5. 5"0
~t), tJ II
This Application Becomes Your Building Permit When Approved
~ial~:O~ _0(\~(o<{
I Park Support Fee
I SAC ~
I Water Meter Siz~";
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
']1)7 z... 'J ,(
J '70.0a--
#
#
#
#
$ 'if~Q
$ 13"5"0,00
$ 2-6 d.OO
$ 1.('5.00
$ l"Z..acJ. [) Cl
$ 700, 00
$
$
$
I
I
'1 47Z-. 3~ I
I
I
/7
I Recefl(! No.
BY! _
(f
~<-v
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
~~ 7vi2t:..; 0'/25/0</ See Main File
Planning Director Oat\: . - 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
."
.
Job Address ~ <p E:~~
Heating Contractor .@~ .h~~'v'
Name otTester ~-.. R.
7~/tU.
CJ,7%
t:~~
//.3 or
Date
Percent 02
Percent CO
Percent C02
Stack Temp
UMC Sec. 606
Combustion air is adequately supplied per
input
v~('
fr/ tAJl:;T'..J
',-<
~~
See Main File
lh~ ernlfr of lhr L.kr Counlr,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
r)
L~ ~-IC// -r010
I I '<-. +-
.~
~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J- .--. ./' ,/"
- r" i-. -i r'. f' If j-".
_ C- '- '-..' >...-_ ,1 \_ 1 \.~,\,_ I
Ij Ie .
Accepted
Denied
/
Accepted With Corrections
r--
Reviewed By:
Comments:
~
't/-L- IJA
Date: S/~t./
See Main File
"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."
~1
See Main File
,....-wfiite - Buildiiicf-;,
---car,a'ry - Engmeering
Pink - Planning
The ("enl..r nf Ih.-I.IIl.. Coun",'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
D e, _ H-Of2/f0fV
.3,1/:04-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5 220 EAsT 01'<:. K- -PT. 0 IL .
/
Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments:
.~
y'" . /J t.-
Date:
3/2-S/tJ'/
s~~ Main--Fik
"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."
~1
See Main File
White - Rlliltiina
( J?:o~ary - Engineerliig)
Pink - I"linnlng
Th~ Cfnlll'r (If thOI' l..b COUnl1')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
-~
.l
2-.
Ii
He/LTOI\...!
I 1
.() ,-
NAME OF APPLICANT
APPLICATION RECEIVED
ri
, /
The Building, Engineering, and Planning Departments have reviewed the building permit
'application for construction activity which is proposed at:
l= 2 Z 0 E f\'~:;T' ()P" jcF'I- . Die.
Accepted
v<.
Accepted With Corrections
Denied
Reviewed By:
Comments:
hJ4 !'-J
5r::.~ 1fk.,Y1 h It'
Date:
3 -27-0,/
,_.I
"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."
Mar.19, 2004 1 1:35AM
GENZ RVAN PLUMBING AND HEATING
Date Rec'd
Of Plll0~
f~~
\.,-:.:\>';::;.r"(.'""", t-
".":"'il'U~~\\i"\\"~:{~!'1VE S 0'\
. '~i>Il{"';\'r? .
N0.6923 P, 3/5
CITY.OF PRIOR LAKE
SEWER AND WATER PERMIT
q'lease .!We or 'Prtnt and S1.2Ilat bottom)
ADDRESS
5f})O ~(r (Ja j{ P!JlYH-- D~
. .
LEGAL DESCRIPTION (office we Only)
LOTI7BLOCK ~ ADDffiON b/f!.t217e J d
OWNER
(N'ame:). ~'? ~-:~...~-:-- rH~tQ1Q H~."",:,
(Address)
20&00 l\evlBKlu..-e. Cr- S'.<I"./N'\
(Add:e,,)
APPLICANT
(Name) Genz-Ryan P:Lumbing & Heating
!. ~~w g~ I PERMIT NOnr~ ^, fI~.
). Gol4 N:1Pll~ f.6Ifr ~
ZONJNG (office ",e)
(\G
v
I fJ-IM-
PID
(phone) _ 962 -q~- 7.EJ."li\
LaUIJI lie...
(Cjty)
~?..~,' 'I '
.-.I:~--~~
("11> Code)
(Phone)
651-423-1144
(Address) 14745 So Robert Trail Rosemount. MN 55068
() fJ",(Addressl,. (City) (Zip Code)
(ConracrPerson) , ....v.LNf\~ -@;!J! ~ (Phone) 65~4.23-11.44., /
UCANTSIC;NATURE (VLUui7--- )~ATE ,':1-/(/--fJ!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
FEE SCHEDULE
Resldenl1al sewer and water hne connection $35.50 Industria], Com'! & Mu!tHamily 1 % of job COSl WIth a $39,50 mmjmum
Sewer connection only $11.50 Water conneaion only $17.50
Estimated Cost $
BulldJng Pernllt #
SEVIER AND WATER PERMiT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Offiu: Un Only)
I This Application Becomes Your lluilding Permit When Approved
Bujlding Official
Date
24 hour notic. for all inspections (952) 447-9850, fax (952) 447-4245
$
$
$
.50
?AD ~nr:'TT..:
,.,.~I"!'''~~.I'l~''t:'''\ _~ -. J
-.. ;,..';";" "I;" r:'I,::,..,,~r I
I Paid
I D~R iJ I Z004
Receipt No
By
Mar.19. 2004 11:35AM
GENZ RVAN PLUMBING AND HEATING
N0.6923 P 5/5
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
<Please me or unnt and ~1litD. at bottom)
ADDRESS
6'J.;:2t) '&-etz+ 1)[:(.1(" '72V711-f7JW' r\ E
~:-~ ~i~ I PERMIT NOAL. IV"'"
],y~ .AD1)UC~\ ~ ~
ZONrnG (olli"",.)
LEGAL DESCRIPTION (office""" only) j)
LOT /7 BLOCKQ ADDITION '!:->>..PKJ h:;'/f3! J ~
PID
OWNER
~~~ DR Ho.ton Custom Homes
(l?hone)
962 - q '2.t:; -7'6U)
(Address)
20'21.00 ILb1B:e, DGe.. CO S,e 100
Utv....Lvdi~ "..;IN b6bL.!L!
APPUCANT
(N<ime).J;..-M_"!',];j, PJ n-'-' -2 ~ "uoH~3 (phone)
~d~s) 14745 So Robert Trail RosemOunt
(Address) (City)
(Contact Per:;on) (!//J lei r7i !4-L1 \ (phone)
APPUCANT SIGNATURE fYt /;;;lJ:J_,--;/;; tJJ!..../l
~C\1_1,?'::{_11/l/,
MN
55068
(Zip Code)
651-423-Ll44
a/a --{). j
DATE CJ- 7 '4
APPLICANT PLEASE COMPLETE BELOW
I Quantity Type of Fixture Quantity I Rough-ins Type of Fixtu~e I
I ,;( Bath Tub with or without shower ? I
I I Dishwasher I Water Heater I
I I Floor Drain ~ Wa.ter Softner I
I ~ Lavatory (Ba.throom Sink) I Stand Pipe (Washing Machine) I
I I I Laundry Tray (1 or 2 compartment sink Sewage Ejector I
I J Shower Stal! I Backflow Assembly I
I 1 Sinks I Backflow Assembly Test I
I Bar Sink I Lawn Sprinkler I
I ,~ Water Closet (Toilet) Other I
FEE SCHEDULE
IndusInal, CommercIal & Mulll-tiull1ly 1% of Job Cost wl!b. $3950 minimum Residcn~aJ, New One & l'wo-F!lJlllJy 59950
Re"dential, Additions & Alterations $1950
ESl1n1ated Cost $
Bu1lding peront #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT I<'EE $
l~r) 1f@~
50?~~r~rt~(8 r:y~t:,}V'7 J
(Ot'fice U!~ Only)
This Application Secomes Your Building Permit When Approved
Paid
Receipt No
:Suilding Offici:l;1
Date
-~ 0 1 2004 By
.-
24 hour notic> for .11 inspection' (952) 447_9850, fax (952) 447-4245
CITY OF PRIOR LAKE QkIt~71/
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
I. Pink
2.Qreen
). Yellow
~:~ I PERMIT NO. , I. (h?l
Apphcant ..,. , 'll
~lease~or orint and sien at bOttOm)
I ADDRESS
5~ao l. D4k~i(lf
I ZONING(offiCeuse)
LEGAL DESCRIPTION (ollice use only)
LOT
BLOCK
ADDmON
PID
OWNER ~ ........
(Name)" o..~.
I-Ior ton
(phone)
(Address)
APPLICANT A fl' JM I ....-.-
(Name) ,anT e.cJ1. Me.
(Address) ,3lo.&)o fYYI~ Jy"
(Address)
(Contact Person) ,AaroYl -;j ur W /
APPLICANT SIGNATURE ~
(phorie)tp5/~ 4Sf)-t/?15
l'O~(City) MAJ. 56/,,2~C6de)
(phone) .fLjj-";5~ ',y'/?f5 JI ~/3,
DATE 4/-;;;/ntl
~
APPLICANT PLEASE COMPLETEBELOW
jgI1:lEW CONSTRUCTION
FURNACE MAKE AND MODEL ~-Y Jv..h-
FLUE SIZE orz--/~c_ RETURN OPENINGS
TYPE OF SYSTEM
o REPLACEMENT DALTERA1T<;>NS
?55D!r1A.1./6~ FUELNf::", c....~s.
.5 INPUr<i.t'J./Y"Y') OUTPUT 7CS./){)f")
-- ( - -;
HEATING.OR POWER PLANT
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. CommerciaI& 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 & AlC (Ne~ Construction)
Residential, Heating Only (New Constructlon)
$39.50
$39.50
HEATINGPERNITTFEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
~~
,
Estimated Cost $ Building Pennit #
(Offiee Use Only)
This Application Becomes Your Building Permit When Approved
r'..---- - - -" --_......_-~ -~._~._~-----
Pljld
R"I'~ipt No.
Building Official
Date
D~l~ APR 0 6 ZOO- ~y
rr
I
24 hour notice ror all inspections (952) 447-9850.ir~x (952) 447-4245
!-_: \' --- - - '~-::~~-----_"__:::.::......,"_--=J
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Ree'd
l,Pink
2. Green
J. Yellow
~i~i"", I PERMIT NO. 64-. (J /q3 I
(Please type or lJrint and sip at bottom)
ADDRESS
ZONING (office use)
5220 E. OAK PT DRIVE S.E.
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name DR HORTON.
(Phone)
(Address)
APPLICANT
(Name) AT J .TED FTRF~TnR DRA FTRRSTDR 'RRARTH & HOME
(Phone)
/\51-/\33-25/\ 1
(Address)
7.700 NORTH FAIRVIEW A VENUF
(Address)
ROSEVIT T P
(City)
';5113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRFNDA HUSTON
DATE
5/11 /04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEATN GLO SL-750TR-D X 2
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Penn it #
$
$
$
p~~ WIIH
.50 BUilDING
P"PRMIT
,..-- -~
In R rHo \iJ fh I II \ ~'C";P' ;~v
lfu DiAv 1 1!2004 ~.I By
(Office Use Only)
This Application Becomes Y onr Building Permit When Approved
BuUdine Official
Date
24 hour notice for all inspections (952) 44 c -9850, fax (952) 447-4245
IBy
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS 52,zo ~A,!'r ~ ~,i.!r ~/"Y"S:E.
NATURE OF WORK JlEIU OJt:krw.wa7t>>J
USE OF BUILDING s: tr. A .
PERMIT NO. 04~0193 DATE ISSUED 3/'Z~/o'"
CONTRACTOR 0. rt. \oIcOQ,.T'Ot.1 . , tJc:.. PHONE'tsz -lUJ- t.( 73Z
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main Fil
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING
, 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 ilIA/' . / ~ t-/10 Ul/ / t; -(q,1Y-j
HEATING (if required) iIt.1f/' C"iA -(..AI
AREPLACE f,ttfl 6/J/1...fAf
GAS LINE AIR TEST N 5'/b''''''''1
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
__\ee. /#~/~ ~ k. ,
/ff~ /o//~/~
Z /-?-2/cy
'1!iQj()1,
')6 ft .r/o/"
M/ .
if L,r ./
!y J,.l-tJr,/
5, J-s~V'1
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
t11f1-
, '. ft/'-{L
DO ~OT 09F~PY UNTIL ABOVE HAS BEEN SIGNED
~~_I!',L;?"'-/ 0 (/.. f/J"sL cd NOTICE
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
QItrfifi:caft of <ID:ctupanq!
CITY OF PRIOR LAKE
@.tparfuumf of ~uilMug Jlusptdiou
,,-
)3(Final Permitted
/
o Conditional C.O. Expire'
This Certificate issued pursuant to the requirements of Section 110 of the [J Residential / D International
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:
SINGLE FAMILY 04-0193
Use Classification Bldg. Permit No.
Occupancy Type
R3
Type Construction
L17, B2, DEERFIELD 10TH
VN
Zoning District
Rl
Legal Description _
5220 EAST OAK POINT DRIVE SE
Owner of Building Site Address
D.R. HORTON, 2086~ KENBRIDGE CT., SUITE 100, LAKEVILLE 55044
Contractor's Name & Addresl: ~.
ROBERT D. HUTCHINS j~ . PI DON RYE
_ //~-:. CIty anner
0B "~'Idi 170ft. 'al
f/, . /.f- G
Date: /' v/'- Date:
,
.
,,~
DATE
?/I9ft'/
< .
~,,/ ~4L /,L A-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
".(;2.2 0
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
~LUMBING FINAL
-r..III'u..
COMMENTS:
TIllE
or--/ti
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
,
~
/d.5~
I(?~
<;.-
_#1'~/./#__..... ~f""'"
,/
,C-, /
/ /H~ /
LJ/
q(
~ORK SATISFACTORY. PROCEED
/~ CORRECT ACTION AND PROCEED
o CORRECT WOR'2:I~~R REINSPECTION BEFORE COVERING
Inspector: / / ~ OWner/Contr: _
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
.-"n
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETY!
DATE TIME
CITY OF PRIOR LAKE v. /'c.. L/
INSPECTION NOTICE SCHEDULED /~1'~"7
ADDRESS 5>>0 ~5/ ~~ pJ/ fl.-,
PHONE NO.
OWNER CONTR.
PERMIT NO.
~y- /93
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
...eH'Il'IAL
o SITE INSPECTION
COMMENT$;
C/-eC7r/~1
~;-e /~C-~
~/ 0A-~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o ~UMBING FINAL
,-ErMECH FINAL
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
;a-AREPLACE FINAL
o GASLlNE AIR TST
o
-.---: ,
,r-;-,., c. /
./
doh":'"
~2~'
,
hk./ O~ /'
t9 ~~//O; r!
#kcL h:"'l/ .6V~
.e~ t"e/(J-,~j C)rS~r "7eS/-
0' /
/---/,/1<:; /
/'
01'<-
--------....--.--.- - ...
~/
/' ~ /o3-e.
'--.-.-- ..'-
~ORK SATISFACTORY, PROCEED
~~~RRECT ACTION AND PROCEED
o CORRECT WO~';,~Y- FOR REINSPECTION BEFORE COVERING
Inspector. ~d-- Owner/Contr.
. v
---
~~ "". ~
---
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
uaNO"