HomeMy WebLinkAboutBuilding Permit 04-0034
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Main File
1, White
2 Pink
3. Yellow
File
City
Applicant
I PERMIT NO. 04- 00.34-1
(Please tv1!e or Print and sil!l1 at bottom)
ADDRESS
510\~ ~+ O:J<'''POl~ Drlu-e..
LEGAL DESCRIPTION (office use only)
LOT9 BLOCK;<' ADDITIO;;TJOS2-r0dd
OWNER
(Name)
(Address)
IO~
(Phone)
~;;~~,R, Wml[lYl,Tn~,
(Contact Nam'e}-f)'hb , \fl/'\rn)Jnk~
~LDD ~~(d:c,.e. C1:' ~'S>'/ao
(AddressJ'~)', lu., YnW 0 ssoi..f 4
TYPE OF WORK
~New Construction
o Misc.
DLower Level Finish
Date Rec' d
1-)3 ~()L.J
ZONING (office use)
1</
PID z.s 4-() I. 0 z. 9. 0
(phone(cjS::J.'f;8S-7!r:8
(Phon<05~-cj73 2
DDeck
DPorch
ORe-Roofing
DRe.Siding
D Fireplace DAddition DAlteration DUtility Connection
PROJECT COST IV ALUE (excluding land) $ /59. (63
,
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 ~.;;,t'.u;ilding official can revoke this permit for just cause.. FUrtherm. ore, I hereby agree that the city official or atsignee may
,_;tetu/ ontheptOpe:;~tf:j~~ns ~8{/51 _/-/2-olf
(]. Signature Contractor's License No. Date'
ilJS9 000,00 I
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
\ Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
/407.5"0 I
9ft.{, riB I
7".50 I
I
I
100.00
fO c. Of]
3 S- . >0
'-It:) , 0 0
~omes;u:gp~~:~Z;d
Building Official f Date
I Park Support Fee
I SAC _
I WaterMetc(" Size 5~ I";
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
J
XE /;).-,Jd
;)-/0 () ~
#
#
#
#
I
I Receit>/lNo.
Bv/' ....h
o
$ $=3S'O.Otl
$ ('3 C;O. o'V
$ 2....S-0.00
$ 4'5. ao
$ 12.00.00
$ -,00,00
$ 1500,00
$
$8.S7Z. .38
---
/H,J47
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 '~'''Y~'c..) Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~I '. D'~ /1~/~Datde~ ;f~ t:LLfs 'IC d..~f- . -fJ-:_~)
P annmg !feetor pecla on ItlO;;;'if art - -
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Job Address s:gl..q E:~
Healing Contractor Lff%'~/hr/r
Name of Tester AArJ.] .
Combustion air is adequately supplied per
UMC Sec. 606 (ppJ
input 9lJ I71I!J
..
."
.~
~~
Main File
C While - Buildirnt>
Canary -"-Engineering
Pink - Planning
-
lhr Crnlrr of lhf I..kr Counlr~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
0.12._ HOrGlt>f'J
1.13.04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5/2.4- EAST OAK'- PO/N I . Dre..
Accepted
Accepted With Corrections
~
Denied
Reviewed By: ~ ~~ Date: 1/'7 I f '7
Comments: ~ a-e.( ~ 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."
~\
Main File
White - Building
Ca.~~ry - Engineering
~nK - PI::,:n~lno,
-
Th~ ('..nIN nllh.. 1,lkt ("ounln
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
1,-
H
( i--
--.- ,
ill
I . I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
TJ I Z. 4- F, 1\
( t \ 1'-.,_
. . .
I I
L-~ 1- .
Accepted
Accepted With Corrections
~
Denied
~.-
~
4JJ a-U
- ~ I ,If
~t'!U-<~
/
;-
~
Comments:
Date: .( J~/ ~ L/
~
,
Reviewed By:
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."
~~
uer
Main File
\II&it" - l'}ujlflina
4:"'l"rv - I"naineeririlt>
Pink - Planning
ThO' (""n't. of lh.. 1..10... ('0\1"11')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
0" D '_/r)--:-r,i' j
. 1'-. r, u Ie I \) (\,
j. 1304-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
51 z. +- r. 1-\:"--(- " .\ v~ I':;' C " /,J I Die.
r,; .;) l./ r- I'-.-
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
;Y}4p
Date:
J -d.7- 0 't
Comments: .see Reverse Side for Additional Inform::!tinnl
1i1",t'" (, Ie.
S~Attachments: 1) Gradin~]an_ 2) Erosion Control Measures
"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."
(PI..",~. or ~rinr aDd rim It bottom)
ADDSi tl4' E OaK PcJ}nt bv SE
Vc;erhe/d .Ja;/?
. :20PM
GENZ RYAN SERVICE,
NO.3 9 2
P. 1
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
l.81ue "ll'
2.001. Cit'J
1, YfllllW AppJUIII
IPERMITNO.~..DO*
ZONING (olllce",,)
. LEGAL DESCRIPTION (01110. u.e only)
LOT 9BLOCK ~ ADDITION
PID
OWNER
(Name) DR Horton Custom Homes
(Address)' 2.0$loD IUnB~I~ CT' S,e.IDO
(phone)
Q<=,2-Q'i?fi -/~DO
l4li--tville.. MN ,56bLju
. APPLICANT
(Name) GeUK-1)}"P'1. '01..:"",:-./,,,:,,: 1:. T{&"'.r-S
(phone) ~<;1_I.?~_11 1.6
(Address) 14745 So Robert Trail Rosemount MN 55068
(Address) (City) (Zip Code)
(Contact Person) ,/ dJ?:t ef1!:( .... , . ?Jone) 651-423-1144
APPLICANT SIGNATURE t(:::1;1/n1A a ~m~~B I-~'?:J(",o
I
I
I
I
I
I
I
I
I
I
Quantity
o
I .
l..f
/
I
c.J.-
"f
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture
Bath Tub with or without shower
I Dishwasher
I Floor Drain
1 Lavatory (Bathroom Sink)
I Laundry Tray (l or 2 compartment sink
I Shower StaB
Sinks
I Bar Sink
Water Closet (Toilet)
Quantity
I Type of Fixture
I Rou~h-ins
I Water Heater
I Water Softner
Stand Pipe (Washing Machine)
I Sewa~e Ejector
I Backflow'Assembly
I Backflow Assembly Test
I Lawn S prink!er
I Other
I.
IP/T
I
I,
I
I
FEE SCImDULE
Industrial, Commercial .I< Mulll.ramily 1% of job cost with I $39.50 minimum Residential, New One & Two-Family $99.'0
Residential, Additions & Alter1Itions $39.50
Estimated Coat $
Buildlng Pennit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
PAID WITH
!j'j~!...rnt.!G P=~~}~T
1
l
(om.. {J'e Only)
Thb Application Becomes Your Building Permit Whcn Approved
Building Omel.1
I Paid
I DateJAN2 9 2001
I Receipt NO.
I By
D.t~
24 hour notice (or nllln.peetio... (9S2) 447-9850, rax (952) 447-4245
JAN.28 2004 120PM
GENZ RYAN SERVICE.
NO.3 9 2
P 2
Date Rec'd
CITY.OF PRIOR LAKE
SEWER AND WATER PERMIT
LEGALI'fESCRJPTION (ollice Ule only)
LOT '1 BLOCK cJ ADDITION
<rlcee me or.riDt an~ lil!lfat bott1l1Dl
AD5iaLJ'.F ()a~ flOinJ- j)y. JE
/{);I(
:. ~:'.... ~~. I PERMIT NO.r.A_ O",L
3, CioIli "Hllc.nl ~~ ~.,...
ZONlNG (om" Ul<)
OeBr/{e/d
PID
OWNER
(Name) n'D U,:,~";.Q..Q.-""_"":"_ U~':"
(Phone) _ o/J2-Qfi5-iRM
(Address)
2o'i:lllO ~el<..\t6e. Or- SrII'.IM
(AdMen)
.La.~~il\e...
(City)
.&J~U
(ZI1>Code)
APPUCANT
(Name\ Genz-Ryan PlumbinR & HeatinR
(phone)
651-423-1144
(Address) 14745 So Robert Trail R".emount. ~~~06~
~ddlf:") ,(City) (Zip Codl!)
(Contact Perron) , /tZ/ne-r?:i.. ,_ .. fllhone) 651-423-1144
".r.ICANTSIGNATURE~1> m~~ 1~dff'-tJy
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
Residential sewer and water line eonnection
Sewer connection only
FEE SCHEDULE
$35.50 Indu,trial, Com'l & Multi-flUllily 1% o(job co.ot with a 539.50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.~:SdD WITH
,I,..l.-,,:NG PERMIT
(om.. u.. Only)
I This Appllcallon Becomes Your Building Permit When Approved
L-
Bulldln! Omelll
Dlte
I Paid
I D3lAN '2 9 7001
I R..oipt No.
I By
/.
I
%4 hour notic. for all Inepo.tion, (951) 447-9850, rax (952) 447-4245
CITY OF PRIOR LAKE :frY)/.t?-i
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please FEe or orint and sim at bottom)
~LJX last {JJ 1+. Or. S;;
LEGAL DESCRIPTION (office use only)
I. PI,k ,'I, I PERMITNO~
2. Green CIty
). Yellow Applicant
I ZONINGCofficeuse) "
LOT
BLOCK
ADDITION
PID
g.'::e~R h.K. l-IovloVi
~
(phone)
(Address)
^:<:;~~ANTf-} II/corl- ;vrec~. k
(Address) ,1(/x) 1/ eJ/1t?to--Dec Or.
, ~ (Address)
(Contact Person) !JaV'oj/) ~/)r 1,
APPLICANT SIGNATURE //!4./Ul'U
L/L
APPLICANT PLEASE COMPLETE BELOW
J(WEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACEMAKEANDMODEL~~"n-- ~m.A:J6~h=?;O FUEL N~'- CAS
FLUE SIZE -z.!-' P\/c- RE~ OPENINGS b INPUT ~, . ~., OUTPUT
.
TYPE OF SYSTEM HEATING OR POWER PLANT
~~:irPlants 8~~~aler
~chllllical 0 Radiation
. ir Conditioni~g 0 Special Devices
Vent. System 0 Other Devices
ad. 04t
(Phone) II? .'1/ - 4f'J::I- .--,1"7'16
It a ~Ci n (ct!;Jj 5'5 /02:J.. (Zip Code)
(phone) M5/ -.<j:fd -d'7~'5 )( ;2/3-
DATE ~/t;4
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & MultieFamily
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 Construclion)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$ . I J L1-- ,,,. PAID WITH
$~ILDING PERMlr
$ . I
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
..
Building Official
Date
DattEB 1 0 20Glf-- By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
J.Pink
2_ Green
3. Yellow
~::y I PERMIT NO.~. "^~
Applicant ~,~
(Please type or urint and siltll at bottom)
ADDRESS
ZONING (office use)
5124 EAST OAK POINT DR SE
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name DR HORTON
(Phone)
(Address)
APPLICANT
(Name) ALURD FIRESIDE DRA FIRESIDE HEARTH &. HOME
(Phone)
ti51-ti33-25ti1
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
(Contact Person)
BRENDA HUSTON
ROSEVILLE
(City)
(Phone) _651-633-2561
55113
(Zip Code)
. APPLICANT SIGNATURE
BRENDA HUSTON
DATE
4/7/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarrn Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. 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
HEAT N GLO SL-750TRN-C 12ND FP)
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & NC (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 Permit #
$
$
$
PADu; Wi'i'H
.50 6UrlaNG.-craIJ'
(Office Use Only)
BuildiDl! Official
Date
I Paid
I Date
.
This Application Becomes Your Building Permit When Approved
o.
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DEPARTMENT OF Main File
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 51 z.~ EAST OA.IL.a1 NT' ':D~itlE
NATURE OF WORK t.J~ CO~~ ~c.:rj 4~
USE OF BUILDING S.F: A.. '
PERMIT NO. 04-. QOJ4- DATE ISSUED ,
CONTRACTOR 1>.a.. ~T'O~~c:.-. PHONE '32-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I b:r ,i.?/I.1/tl 'I
I FOUNDATION (Prior to Backfill)V>>- ~JA ~ ' ;)\ 1116'1 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
l'\rf
I ;;t;1
I/~)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodd~"'p) fV/5 7./1/-.04-
BUILDING"'1z::~ r/fft-/ ~ ~
I ELECTRICAL ' ,
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
SEWER I WATER I SEPTIC
FRAMING ~(~ VI/ 1r3(~1
INSULATION
ELECTRICAL
PLUMBING . V, lJ- Iv(1 l-\ -1-0'1
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
IV/II _
11-11/'
U J C..{)~
q~/I..1-()tl
l,...\- ( ). -"hI
L1 rC1'Jt I
~
1
/d~fii
37~y
?LJ 6~/
A"~
, .
.7P0r
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
<lltrfifirafr of @rrupanq!
CITY OF PRIOR LAKE
~tparfmtnf of ~uilMug J}uspufiou
I~inal Permitted rConditional e.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 FAMTLY
_ Bldg. Permit No.
04-0014
Occupancy Type .R3
Type Construction VN
Fire Zone N / A
_ Zoning District
it!
Legal Description
L9. B2. DEERFTE:,D lOTH
Owner of Building
Site Address 'i124 EAST OAK POTNT nRTVF
ContracW's Name & AddreD. R. HORTON. TNC.. 20860 KENBRTnGE COURT, Sl1TTE 10n
ROBERT D.- HUTCHTNS /~ City Planner DillL RYE
/ Bt9ldingpfficial ~
Date: /~r?// /00 Date:
; / I
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
PHONE NO.
)-J,/
.s;ZJf Ec;sl- 6c. K II. lJ.,
CONTR. _lJ R. f/.v'/'~"",-
PERMIT NO. I) 4 - J 'I
SCHEDULED
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
...6' ~:~~NSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ER.L1NG
~D CoiI!LAiNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
('lfC/tir' D/L
'-<.JIb B,9!--,,9L
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: n~.?' :::-Ow.rler/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY!
''''''''''
DAre
~?~
\,Q-2~ ~_(/~",{ /:/ d
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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
~CH FINAL
COMMj:NT~ __ A
ft/~c-l-rj-<; I hk / ./~n c:.
TIME
~~3j/
,
o EXIGRADIFILLlNG
o COMPLAINT
[] FIREPLACE RI
~IREPLACE FINAL
o GASLINE AIR TST
[]
""'/ /
'-r/ -ZJ7'Or
h h&; /t.- ("jd
~_/~/d('
-2 _h)-€.L?A,.c~(
"'-/ t6/.:~<. ~
1-""
_ //~"..~' h~"i / .
jg.U~~..,j a..r....~
C"J,k.. .
7;;' r~
~""
7e~#, (. ('1
/
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WORK.:;~L~'R REINSPECTlON BEFORE COVERING
Inspector: #~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
U<SNO"
CODE REQUlREMENTSARE FOR YOUR PERSONAL HEALTH.{ SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
~ -/-0 i
&as/. ~ ~+-:
TIME
SCHEDULED
ADDRESS
~- S/2'1
OWNER
PHONE NO.
o ...........'.IIG
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
CONTR.
PERMIT NO.
if - ooJcf
, i'
~l""DIIU'--"'" :s."&
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
)Iil,PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
J c;~rD >:>I c.;.~1'
~ (J~, ...... 12-~
~~L_
, t ",Q
(""i"<
ILlflJ
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC K, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
CA iJr.-'FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
-..).
CODE REQUlREMENT.S ARE FOR fOUR PERSONAL HEAL TH ,{ SAFETY!
INSNO"