HomeMy WebLinkAboutBuilding Permit 04-0020
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
J)- d.-1-03
See Main File
I,White
2. Pink
J, Yellow
File
City
Applicant
I PERMIT NO. 04-. OOZ.O I
(Please !ype or print and sign at bottom)
ADDRESS
~ II~ ~fl:s-t OJ< POLrd: LJ(';:E
ZONING (office use)
IC./
LEGAL DESCRIPTION (office use only)
LOTr) BLOCK ~ ADDITIO;])2 n (l~i'~ 'b~
PID 25. 4-01. 02-73 0
OWNER
(Name)
(Phone)
(Address)
BUILDE~ <T> J L L
(Name) <LJ. 1"'\1 1"OIIDY1:::r:Dc-, (Phone) %1.-qQ,<o'1go~
(ContactName~iko. Wcb~ (Phone) ~5'l--'z,..1t..4n'-'
(AddreS~~J1~Ci. )$>~CXJ f~~'U//~- )JhIV 5SOt/L/
TYPE OF WORK ~ew Construction ODeck OPorch ORe.Roofing ORe-Siding
DLower Level Finish
o Fireplace
OAddition
DAlteration OUtility Connection
/S1. /83
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
~..,to~~~ons ~CX:!5~SI /~-:Xr'Q3
} ~~ Signature Contractor's License No. Date
Permit Valuation ItJ 51=!. 000.00 Park Support Fee # $ SSO.OO I
Permit Fee $ I'I'D? SO SAC # $ I 3<;; 0 . 00 I
I Plan Check Fee $ 9rl,tU' Water Meter (~e 5/!!1; 1"; $ Z SO .QO 1
I State Surcharge $ 79.50 I Pressure Reducer $ d~.eo I
I Penalty $ I City SAC and WAC # $ \ 2.00. (J D I
I Plumbing Permit Fee $ /tJo. DO I Water Tower Fee # $ 700.<Dol
I Mechanical Permit Fee $ 100, g 0 I Builder's Deposit $ I
I Sewer & Water Permit Fee $ 3<;;;, ';5"'0 I Other $ I
I Gas Fireplace Permit Fee $ /.fo. eo I TOTAL DUE $7072..3BI
J ,)
This Application Becomes Your Building Permit When Approved I Paid '7. () 7 -z. .)tJ ReceiPr.t. o. 'IV Z/I '1
~. ~ 4ll-1()~ I Date . /J J .d (l.- Bv .
0
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
~Ianni~ 03~<( Sq;eJ~!@W-We
24 bour notice for all inspections (952) 447-9850, fax (952) 4474245
16200 Eagle Creek Avenue Prior Lake. MN 55372
.
..
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t)//Z edAr~
Heating Contractor ,~~ "'-d~Q.r'
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Job Address
Name of Tester
Date
Percent 02
Percent CO
Percent C02
Stack Temp
Combustion air is adequately suppiied per
UMC Sec. 606 'leY
input r 1"0) ~
See Main File
White - Bulldln"
( Canarv.- Enaineerina")
Pink - - - Planning
Th~ (-"n1tr nr lht I._k.. ("ollnlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
[) /2
l-lOk.'.TO f',)
f7-"CiO-Z
/ <_ . ,0 /. ,-'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
:5' II 2 C:. /.-irT c, /I/::" PO 11\1 'r [) k::"'. -
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
;n4f3
Sa_ Il2~H~ r','k
Date:
/-{)-09
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
The ('tnlrt of the L.llt Lounlry
While - Building
Canary - Engineering
r Pink - Plarmlng .J
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D /.:: )-/i;/c T() F/
/z '7 ,.- (.?
- . /, '-'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'II.? C /..1./ r.r'.c /'(11_/ DIL.
Accepted
.,/
Accepted With Corrections
Denied
Reviewed By:
~~
_ Date: 1/13/f') '-/
Comments:
SrpMain.Eile
j.
"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
....--~_ - ElI_I.i~
Canary - Engineering
Pink - Planning
Tht C.nlff of lh. l..k. ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D, IZ. /-IozmiJ
/2--, -zq. 0-3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5/1 Z eA-J/ 6frl::- PO/lv/ DIL.
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~~
Date:
1//3M'-I
f
Comments:
SPPMaiD-Eile
"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."
J a n [9 2004 [0: 55AM
GENZ RVAN PLUMBING AND HEATING
No 8182 P 4 8
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Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(please tv'D~ or 'Offllt md S1en at bottom)
ADDRESS
'SIId. ~,'>"t Oa.(.( /il1Y\+ D~.Sb-
I ~.~ ':Ie I PERMIT NO. t( XJ. l
2. ,elkrw C;w-, __ '
J. Gold API'JiwIt
ZONJNG (offi""=l
LEGAL DESCRlPTION (ollice use only)
LOT ~ BLOCK,2 ADDmON &~f1eIJ IT+t",
PID
OWNER
(Name) nl' n,ntGn C"SU>-Dl ,,~_o~
(phone) _ 0;62-Q8.5-i6N\
(Address)
.'2D f(DO KeJ,'lt3i<.\ t:6e Or- SJ7P. J M
(Add",s)
LaU4111e.
(City)
"Sf.::r:J.-l U
(Zip Code)
APPLICANT
O'~~ Genz-Ryan Plumbing & Heatin~
(phone)
651-423-114',
(Contact Pe.rson) .
(Addre.<s) 14745 So Robert Trail
r . (Address)
\: IlIj{i S ti ~II S
COl L_~',\ --f .
J ,I .LI,d::::.I ~ ft<:\
Rosernount~ MN
(City)
55068
(Zip Code)
.-.ICANT SIGNATURE
(Phone)
DATE
651-423-1144
1- I q -Ot./
APPLICAJ.'l"T PLEASE COMPLETE BELOW
Size of water service incbes.
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
ReSldenual sewer and water line connectIon
Sewer connection only
FEE SCHEDULE
$3550 Industrial, Com'] & Multi-famtly 1% of job cost WIth a $39.50 mmunum
$17.50 Water connection only $17.50
EsnnJ ated Cost $
BllJJding Permit #
SEWER AND WATER PERlMJT FEE
STATE SURCHARGE
TOTAL PERMIT F.E:E
$
$
$
50
8U1I..P-4ID ~
D!tvr~ 7-,.f..t .
'-I /CJ,~,
.'..Q
41tr
IOrtlce use Only)
I This Application Becomes Your BuildIng Permit When Approved
Building Official
I Paid I Receipt No.
I Date I By
I J/.\: ~ ~ ~ (Uuj
Z4 hour ootlc, for all inspections (9~) ..47-9850. fax (952) 447-4245
Due
'-
Jan.19. ~004 IO:56AM
GENZ RVAN PLUMBiNG AND HEATING
No.818~ P 58
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please ti-'tle or OJ1llt and !iiSPll. Iltbottom)
I ADDRESS .
5 I f ~-s:aS+ [i:{ {L
J. ~~: ~:~ I :rEm-fiT NO. I J _ I '" I
] Yc.(l,.,.... A,pplil:&nt '-1 cr-u
YDnnt D,j.Q.. ,~f-
ZONING (ofli"...)
LEGAL DESCRIPTION (ollice l1se only)
LOTX' BLOCK ,-9- ADDITION })eCF<'.. -h e i d. i D'+-~
Pill
OWNER
(Name) DR Horton Custom Homes
(1'hone)
962-Q')C, -i'Br;c
(Address)
2-oSwa
l(e"13~l i;)Ge... Co
Sre. I DO
I ~. I' ,
Uo.dU...v1 ie.. lMN
hE:cL! Li
APPUCAt'1T
(Name)..r;:';.::-t;.::-. '?_'.vmbiG~ t_ 'lL,:, '?.....;.:"':' ?
(Address) 14745 So Robert Trail
(Address)
(Contact Person) Q,Vi. iZ.i<;. tl Rt r I S
APPLICANT SIGNATURE _._~ -4CtCf..,,0
(Phone) _I; <; 1 _A? ~- 1..l41.
Rosemount
(City)
HN
55068
(Zip Code)
(phone)
651-423-1144
(- /q-ol{.
DATE
I
I
I
I
[
I
I
I
I
Quantity
:.)
I
I
-"'>
I
I
I
()
APPLICANT PLEASE CO:MPLETE BELOW
Type of Fixture I Quantity
Bath Tub with or without shower '3 Rough-ins
Dishwasher i Water Heater
Floor Drain Q.;r" Water Softner
Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
Lauodry Tray (1 or 2 compartrn.ent sink Sewage Ejector
Shower Stall BackfJow Assembly
Sinks Backflow Assembly Test
B~Sink L~~S~in0er
. I \V ster Closet (Toilet) I Other
Type of}'ixture
FEE SCHEDULE
lndustnal, Commerct.1 &: Multi-famIly 1% of Job cost wIth. $39 SO minimum Residenl1al, New One & Two-Family $99 SO
Residenti>l, Additions & Alterations $39 30
EstImated Cost $
BU1Jdmg PemJlt #
PLUlYlBING PERMIT FEE $
STATE SURCHARGE $
TOTALPERNUTFEE $
50
a P-4ID
'{jII.Dlt1It:~ M/lr!-"
'" "''Y,itrr
(orr.t't Use Onl)')
Building Otlkhl.l
I Paid
I Dat.
I ^ 'I '1 '
..... \,1 .'~J l':OOj
24 hour notice for aU Inspec.tlons (95:2) 4~'i'.9350. fax (952) 447-4245
Rc~eipt No
This Application Becomes Your Building Permit When Approved
By
Dart
B~~
+IItNESO~"
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
q'lease ~ or orint and sign at bottom)
. ADDRESS
,9/,d C-: O.a...e: 4/~
a
LEGAL DESCRIPTION (office use only)
LOT /BLOCK ~DDITION
OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
APPLICANT /10 A
(Name) /7'//./ff2:.L,t- 'J'r.../A~/.rg/
(Address)~ ~"",AI ~ 4
~Addre'
(Contact Person) A ez/; -6 ~
APPLICANT SIGNATURE .-y- _ 0 _
Date Rec'd
#7~
; ~::.. ~:~ I PERMIT NO.J'l.lt AA" ~
3. Yellow Applicant ..,.,..-... ..,..,... w
ZONING (office use)
~E
PID
(phone)
(Phone) ";'5/.- 4.5"-1-,,?.?.?.s-
~~~
- (<li:IIf (Zip Code)
(Phone) ~- c;/g -~77~
~_,'1'?
/~...,w.~olJ .J
DATE
APPLICANT PLEASE COMPLETE BELOW
,
1!lNEW CO~TRUCnON 0 REPLACEMENT 0 AL TERA nONS ,
FURNACEMAKEANDMOD~/r,b';~ :?/OA.A~ FUEL --LI.,?" .,4-j:"-.(
FLUE SIZE.y~.Az!)cA RETURN OPENINGS ~ IN~UT?~ ~ OUTPUT 6"ZJ U..A "
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
DOravity
o Mechanical
~ir Conditioning
}litient. System
o Steam
o Hot Water
o 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
Estimated Cost $ ~ a::> Building Permit #
$~// ~~h'~ WITH
$ . ~tJrro'NG PERMIT
$ C7
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
,
I Paid
I D'Y'AN 2 6 2003
Receipt No.
II
~,
o
By
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please tvDe or Drint and sign at bottom)
ADDRESS
; ~:," ~::y I PERMIT No.()'J_IX)':&II'J
3. Yellow Applicant .", 'f' ~
5112 E. OAK POINT DRIVE S.E.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name DR HORTON
(Phone)
(Address)
APPLICANT
(Name) A TJ .TED FTRRSTDR DRA FlRFSTDF. HEARTH & HOME
(Phone)
651.6JJ.2561
(Address)
?700 NORTH F AIRVIEW A VENUF
(Address)
ROSEVILLE
(City)
')5113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651.633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
3/23/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
D Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO SL-750TR-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % 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
~"'~~
~(".1' ';"W!1) &0.....
-~"'~ "-."'fll);' .
"'1r.'!~(/
t~ ,.
~i./tl
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
~'"l U i
-'" '!~eceipt No.
i '1 ""
~
By
Buildine: Official
DatMAR 2 6 2004
Date l
24 hour notiee for all inspections (952) 447-~,!aX!:9~2)447-4245
PRIOR LAKE DEPARTMENT OF See Main Filf
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS .51/ ,?- ea...+ tJ/iJ(,. &it-Jr ])12., S,E,
NATURE OF WORK ME W CiJttJsrtllJGrIDIJ
USE OF BUILDING ~ 1=: A . '\..
PERMIT NO. 04-.602..0 - DATE ISSUED ~ 1/
CONTRACTOR Dfl.' HoJ!;]tJI1,JJJc, PHONE.$z.-ZZG,-f7.u.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INJiI'ECTOR 'DATE
, FOOTING I fR-, l.;r, r/01
'FOUNDATION (Prior to Bacidill)r~;' I ~. J';;J./6<1 I
PLACE NO CONCRETE UNTIL 'ABOVE HAS BEEN SIGNED
ROUGH - INS
I'YP'
~
yvy/
I
J
I SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING rJd,.... Ii'll'(> ~ /'6-0'\ //!/Y: :s -}.(, -tJi..j
HEATING (if required) . ~ I..t - (--Oli /
FIREPLACE I/irf 0'1'011
GAS LINE AIR TEST ~ l-1.'I-00J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~-2 7T(..1
L.1-IVGI
4. [;'-0'-(
GRADING (Prior to Soddinq)
BUILDING ,\<cf' v(.t~' 'b-/o(}i \
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN
NOTICE
S-ee~4~ /7=>e.. ,
~ /o~,hy'
\~
,<)'- }1J-ovl
(; " 1#
SIGNED
This card rr:u.;t be posted near an electrical service cabinet prior to rough-in inspections
and maintain'd until all inspections have been approved. On buildings and additions
where no ser',',ce cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
m:rrtifiratr uf @rtupanrl!
CITY OF PRIOR LAKE
;!Elrparfmruf of '!JiuilMug J}usprdiou
~inal Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the n Residential! n 1nternational
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 04-0020
Use Classification Bldg. Permit No.
Occupancy Type
L8,
Legal Description _
R3
Type Constructin-
B2, DEERFIELD 10TH
VN
Zoning District
R1
5112 EAST OAK POINT DRIVE SE
Owner of Building- Site Address
D.R. HORTON, 20860 KENBRIDGE COURT, SUITE 100, LAKEVILLE
Contractor's Name & Addres" ~
ROBERT D. HUTCHINS pjJt!i?- _ DON RYE
/ . City Planner
Date:
~..., / B~ng9fficial
/C}-//O~
,
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
bl(L
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
--. .....
(t) II ~
DATE nMe
SCHEDULED s-:- J.o-o7
f/. ()q(L PI 122
CONTR.
PERMIT NO.
L-I-OXO
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~ PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
(~~C,u/C:;
o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
o CORRECT W~~LL FOR REINSPECTION BEFORE COVERING
Inspector: V V { / ONner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY!
INlNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
Kl/L
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o !l!ISULATION
a'FINAL
o SITE INSPECTION
COMMENTS:
0- flail flo...+
h. J.I-/nooA .
(j) Covl' <:,.;C!,..~
._ r1r..~u<{'...J
~))
o~...~_ t
I
') /) d-- <4-
d IltfJ-rr1Al {
i.'-
SCHEDULED
e. a<<f- Me.
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o Pj.UMBING FINAL
.B'1i1ECH FINAL
.f.o
c/.."J,
DATE TIME
<;:-),7.'1Jf.1
L.f - (k)f q
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o./-
ilt(J
"'-
1'1....
V:uL, ""- <; ,cL_
0<:;
d.V1vt.. IA~o..y
,., ............, o;:./-_
'(;(""'0 v... I-. {
,
.r..:/Iol ( Ol ...,.t,
'"
K-/-ocJ
- I
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
v&RRECT ~R~, ~L FOR REINSPECTION BEFORE COVERING
Inspector: il vy Owner/Contr:
CALL <<7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 8< SAFETY!
"'SNUf'