HomeMy WebLinkAboutBuilding Permit 04-0058
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
Date Rec'd
I 15". f)+-
I. White File
2. Pink City
). Yellow Applicant
i
[pERMITN<r' 04-.00581
(Please type or vrint and sign at bottom)
ADDRESS
51l.{5 ~ M~)&JbrL'u<. 01;
LEGAL DESCRIPTION (office use only)
LOT ItBLOCK~ ADDITIO;;1::).Q.Q..rt,'e..ld 10*"-
PID zs:
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il Zm;;(Officeuse)
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OWNER
(Name)
(Address)
(Phone)
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(PhoneC'15;;1,) 9 t3 f;-7f!f)5
(Phon<l~ ~ ~~(P'032
BUILD~ 'R. I 1_~~ .
(Name) 0, I , NCJ1.,1:Ov\.:rr.c-.
(ContactNa~; ~ 10cW\~kA".
.?lOO~D ~t::lA.~cLC'1Ltt s:t.L~/UO
(Address) ~1\~1 rYlN<1Sc;;OVLf
TYPE OF WORK
o Misc.
~ew Consnuction
DLower Level Finish
DDeck
DPorch
ORe. Roofing
[ JRe-Siding
D Fireplace DAddition DAlteration [ JUtility Connection
PROJECTCOST/VALUE (excluding land) $ /59. 183
{f/59 tloc:?Dol
$ /~O 7,501
$ 91'1. gF?
$ 7Cf.5o
I $
$
$
$
$
100,00
/ (!Jt'J . 00
,~.~.Go
L/o ,{Ja
, This Application Becomes Your Building Permit When Approved
~~Ci~Y.;2:'(oO/
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correct. I also celt lY 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 p: oceed 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 )fficial or a designee may
. ~x I on the Y'~VY"<.J t:rl~'f' ne~~ins~eCtions /. 11_ R j
'~Y '---Y dC'('f)Sf..oS7 M ul.(
f Signature Contractor's License No. I Date
I Park Support Fee
I SAC
I Water Meter (Site5/EJ; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
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:'1. 0 72..35 I
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8So.ao
1350,00
ctlsa ,() 0
45. dtJ
I ZLJO d) 0
760. tJa
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 Paid
I Date
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L_ 2..1 _. !-'
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I Receiptf~Q. ~~ 0
By ~./I .
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This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceedlas requested. This document
when signed by the City Planner constitu}8S a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
i'~ ~ _//.;JIA~ See Main File
Planning Director / Oa1e ' Special Conditions, if any
24 hour notice for aU inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
_Co, .'.'lCr'"
~~
White . Building
....-~.:-...:-...,~w.c_,___,;:._:
PInk -, iiianning
Thf ('fnlfT of thf t..l<t ('l.Illnll1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPL.ICANT
APPLICATION RECEIVED
r) Ie
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L i f' .)~-,.- I
1.1 Lie i L/I''0
C~-
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. /
(04-
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The Building, Engineering, and Planning Departments have reviewed the build ng permit
application for construction activity which is proposed at:
/;;.+ 8 L 7-\~-T e,l. K- I C I t,rr- 1)1C::.
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Iy14p
5a.. 1J1e,;~ F.-Ie
Date:
:2 - S--o "
Comments:
"The issuance or granting of a permit or approval of plans, specifica ions and
computations shall not be construed to be a permit for, or an approval of, any \ iolation 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 cod, or other
ordinances of the jurisdiction shall not be valid." .
5~~
See Main File
I
lB"i1di"V
Canary Engineering
Pink Planning
lh~ ('~nlrr nf lhr L.kr ('ounln
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
D. R. HOrz;rDN
1./5,04-
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
514-8
APPLICATION RECEIVED
E'A- )"/ 01\' j(..
Po I tJ, D~.
Accepted
/
Accepted With Corrections
Denied
r-..
Reviewed By:
~~
~
Date: /.20 f
,
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Comments:
See.Main File
,
I
"The issuance or granting of a permit or approval of plans, specifica\tions and
computations shall not be construed to be a permit for, or an approval of, any tiolation of
any of the provisions of this code or of any other ordinance of the jurisdictior. Permits
presuming to give authority to violate or cancel the provisions of this cod, ~ or other
ordinances of the jurisdiction shall not be valid."
JAN. 28. 2004 121PM
mz RYAN seRVICE,
NO. ; 92
P 6
Date Rec'd
LEGAL DESCRIPTION (office use olllY) 1J /:J
LOT/~LOcK B ADDmON r>e Y'fi e / d
i
i:: ~7, I PERMIT No.~i _ 00' ~
1. V@jlo..... Appllc.w - ., V
~,;~gnit~!fOO~C' Oa IC Poifli Dr SE J ZOo G(o~,",,)
) {/fr] PID
CITY OF PRIOR LAKE PLUMBING PERMIT
APPLICANT
(Name)~.Q"''''_'P.:.",.., 'tI'''.mo..-1T'1: t.. fl'",~"'-1"",:
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%2-'1l?ni.-/2!DD
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Lt:.du.v;IIG .UN E6)/..j~
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(phone)
. OWNER
~a~.) D~ Horton Custom Homes
(Address)' ';2.0~ll:>D ~nB~ID6L Cr Sre.IDO
(Address) 14745 So Robert Trail
~ddress)
(Contact Person) I t:ltn ~
/'
(Phone) ~,. '1_1 1 'o.?
Roaemount
MN
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
I Qual}!ity Type of Fixture Quantity I I
I ,?( Bath Tub with or without shower .'-( I Rough-ins I
I J Dishwasher pfi I Water Heater I
I I Floor Drain I Water Softner I I
I . .~ LavatOty (Bathroom Sink) . i I Stand Pipe (Washing Machijne) I
t Sewage Ejector
I / I Laundry Tray (lor Z compartment sink I
I
I f I Shower Stall Backflow Assembly I
I .3 I Sinks Backflow Assembly Tc:st I
I I Bar Sink Lawn Sprinkler I
I ,;t I Water Closet (Toilet) I Other I
FEE SCHEDULE
Industrial, Commer<:ial & Multi-family 1% of job cost willt a $39.50 minimum Residential, New One & Two-Family $99.'0
RcsldcnUaI, Additions & AllelOtions $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE S
PAID WITH
I;3UllDlNG PERMIT
I
!
(alii" u.. Only)
This Application Becomes Your Building Permit When Approyed
Building omelnl
DAte
I ~~~
I Olli'
" II lUUj
I Receipt No.
I By
24 hnur natlc. ror ,n inspections (952) 447-9850, fax (952) 447-4245
-_._'-_._,-,.._----~-_.__.__...,..__._._~~--- .-.
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rhf Cenln nf lllf L.h ('ounl~'
See Main File
White . Building
Canary. Enaineering
rPink ~ Planninlt
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I,
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----r
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( If-
The Building, Engineering, and Planning Departments have reviewed the build Ing permit
application for construction activity which is proposed at:
-<r .,~'
( /\
,e.
,-~~._-->
,
Accepted
/
Accepted With Corrections
Denied
r2 ^
~AhL.lJ
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Date:
1/.;>;,/6 (I
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Reviewed By:
Comments:
See Main File
"The issuance or granting of a permit or approval of plans, specifica lions and
computations shall not be construed to be a permit for, or an approval of, any \ 'iolation of
any of the provisions of this code or of any other ordinance of the jurisdictior. Permits
presuming to give authority to violate or cancel the provisions of this cod, ~ or other
ordinances of the jurisdiction shall not be valid."
JAN. 28. 2004 1: 2O'M
GENZ RYAN SERVICE,
NO.3 9 2
P. 5
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(Flellle lVJ1e orDrinund .i""a! bottom)
ADDRESS
5/4 ex 2
()()k fbjnj- 4:r SE
IO-l?
z
I. 0,,,,, PlI! I PERMIT NO
1 Y6IJow C1lT'
J, Oold A9,lidl(
LEGAL DESCRIPTION (o/!lee u'e only)
LOTI ~BLOCK a ADDITION
Deer-field
PID
(Addre..)
2oS!/'lO ~1OR..\tX:e. C:r Sn>...J.fV"\
(A<l<lrca,)
I
I
I
(Phone) _ '752 - q 8=. ,~ '18 (){)
La~ille.. Pie ')LlU
(City) (Zip Cede)
OWNER
(Name) 1'YO liort9R ~\lgtg., l'^........:-
APPUCANT
(Name) Genz-Ryan Plumbinl! & Heating
(phone)
651-423-1144
(Address) 14745 So Robert Trail Rosemount, MN 55068
~,,) . (City) . (,Ced')
(Contact Person) . I tI/n{f!/J/'Z{ ""./) C:honel 651-423-1144 I
. 'T,IcANTSIGNATURll 1/.;;H/r2f) tl-'--m.J.lJlClJl.,V_~DATE / -;rg--04'
." '1
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 sewel' line feet.
Clean out (if required) located at _ feet from strUcture.
feet.
o Cast Iron
FEE SCHEDULE
Residenlial sewer and water line connection $35.50 Industrial, Com'] & Multi-fll1llily 1% of job cost with a $3 ~.SO minimum
Sewer connection only $ 17.50 Water connection only $17.50
Estimated Cost $
Building Pennit #
SEWER AND W ATERPERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~rI WITH
BUlL G PERMIl
(om.. u.. Only)
, This Application Becomes Your Building Permit When Approve~
I-
Building omd.l
D.lI!
Il'aid
tDfte -
EB 0 R 7nn'l
Receipt No.
I'
]
By
24 heur neU.. for IUln.p.<lions (951) 447-9850, fn (952) 447-4245
CITY OF ?RIOR LAKE f~l.PJ-~
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
- os1 f)al:#.IY.
I
i
~. :i,::, ~:~ I PERMIT NO.,.,..~
3_Yellow Applicant I ~
I
I ZONING (office use)
,
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
1>. R. )-.tjr' ~)V)
'--
(Phone)
(Address)
~:;~~ANT fl / /1 Q i1-1-.M P (.1, .:.-;;;'C.
(Address) ,3u."1() Ke.nr7f 6('c'])1: 1'0 ac' "I
L ~ress) .J
(Contact Person) ;CJCU'YJ/1 .'rJ.1),~ ....--... ,
APPLICANT SIGNATURE //..b..&J1< (~,~~
APi w.:ANT PLEASE COMPLETE BELOW
(Phone) (/J'7 f ~ 1/5;l. , 01115
,
f)1;t) S 51..1aJ
(City) I (Zip Code)
(Phone) u5/~/15:2-;2f15 x~/3--
DATE A/'QA'41
[jilJNEW CONSTRUCTION
FURNACE MAKE AND MODEL ~e..yt./o-'')
FLUE SIZE "2." p\/C RETUR1'lOPENINGS
TYPE OF SYSTEM
Jarm Air Plants
ravity
echanical
j\ir Conditioning
_ eot. System
o REPLACEMENT 0 ALTERATIONS
~O/YlA.v6:<,beyp,n FUEL _l:~b~- GA.':,
(...., INPUT <fo.c.JCX:) OUTPl T
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Dther Devices
PLE1ASE NOTE:
Air cl:onditioner Units
Cam ot Encroach into
Reql ired Side Yard
Setb leks
\
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 Residenlial, AC Only
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
~=PM
.5<3 PAID WI1~
U1LDING PE RM
(Office Use Qn:y)
This Application Becomes Your Building Permit When Approved Paid
Building Official
Date
Dat'f'EB I 0 ZOot'
Reeeip NOI
By ~.
0/
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
,
.____1
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
2. Green
3. Yellow
File
City
Applicant
I PERMIT NO. tI- 51Ji
(Please type or -print and sim at bottom)
ADDRESS
ZONING (office use)
5148 E. OAK POINT DRIVE SE
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDlTION
PID
OWNER
(Name DR HORTON
(Phone)
(Address)
APPLICANT
(Name) AU.1ED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Address)
2700 NORTH F AIRVlEW A VENUE
(Address)
(Phone)
ROSEVILLE
(City)
651-633-2561
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633.2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
4/1/04 I
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPU T
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
D Special Devices
o Other Devices
PLE. ~SE NOTE:
Air ( onditioner Units
Cann )t Encroach into
ReqUired Side Yard
Setb, cks
FIREPLACE MAKE AND MODEL
HEATNGLO SL-750TR-c
Industrial, Commercial & Multi.Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
$39.50
~,
Residential, Heating & Ale (New Construction)
Residential. Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
(Office Use Only)
!_o._
Building Official
I Paid '\ReceiPtINO. ~ _
'I D, alAPR 0 6 2004 i" .f,By I / f-'
I" I ,I
Date i' I,', L:
.. VI
24 hour notice for all inspections (952) 447-~!lPP,!ax (952) 447-4~4.~.._\ '
This Application Becomes Your Building Permit When Approved
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS SI!iE gAST OAK. eaL^-\r' L>et'Ve
NATURE OF WORK N6(f..) r ~
USE OF BUILDING CS.~ A, .
PERMIT NO. _ 04-. OO~ DATE ISSUED 1/2..( IlJ&4.
CONTRACTOR ~.2.. ~a:ro~~, PH6NE!S2..t~..L{Z3z..
:. :>TE: THIS IS NOT A PERMIT FORANV OF THE INSPECTION~ BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION I
I
INSPECTOR
OATE
I FOOTING
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I/)A//_
}/11P
VW/
SEWER I WATER / SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNEU
I I
FINALS ~
'::>ee ~,;.
~
V\I1/ /
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'-I. 'Jy.<PJ
LH.I-Qt1
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L1-tf../'J~(
L-( /' . >,()-~\ I
HEATiNG
~~~ ~.
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l-r.II/{J6j
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DO NOT OCCUPY UNTIL ABOVE HAS BEEN S'GN?D
NOTICE
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
This card must be posted near an electrical service cabinet prior to rough-in inspe, :tions
and maintained until all inspections have been approved. On buildings and add ilions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9r""'1
QItrfifitaft of OOttupanqz
CITY OF PRIOR LAKE
~epadmtnf of ~uilMng J}nspetfion
~inal Permitted D Conditional e.O. Expires _
,I
This Certificate issued pursuant to the requirements of Section 307 of the Unifonn Building Code ce. tifying
that at the time of issuance this structure was in compliance with the various ordinances of the City c f Prior
Lake regulating building construction or use. For the following:
Use Classification
SINGLE FAMILY
Bldg. Pennit No. 04-00';R
Occupancy Type R3
Type Construction VN
Fire Zone N / A
_ Zoning District
R
Legal Description
Lll. B2. DEERFIELD 10TH
Owner of Building
Site Address
S14R EAST OAK POTNT I~RTVc S.E.
ContracM',Name&Addre,,j)_.R. HORTON. INC.". 20860 KENBRTDGE COURT. SllTTE lor.
ROBERT/D. HUTCHIN~ . City Planner_ DON RYE
Date f//~OffiCiaJ Date
,.,'
DATE
r4~</
57~Y ~..\'/ a.* // 4
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
[J FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
..Ji-FINAL
[J SITE INSPECTION
o PLUMBING RI
[J MECH RI
o WATER HOOKUP
o SEWER HOOKUP
[J PLUMBING FINAL
,....iiHWIECH FINAL
COM}l,ENTS:, _ ~ / /
~~~~ (' rh~/ cb....~
h-e,;/4Lt!' /;-Z.. /
..#~~L4. ~~ /
r-;/
/-7~'" or I
./
O{e
~
Ot'c
TIME
~4~~Y
o EXlGRAD/FILLlNG
o COMPLAINT
[J FIREPLACE RI
4-FlREPLACE FINAL
o GASLINE AIR TST
o
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~'~RRECT ACTION AND PROCEED
o CORRECT WORK, CA~ECTION BEFORE COVERING
Inspeelor: ~ Owner!Contr:
----
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!