HomeMy WebLinkAboutBuilding Permit 03-1203
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT f' d ~ -()3
See Main File.;~ rH, I PERMIT NO I
2. P;,k C;" '/r?-/20'?
3. Yellow Applicant l.P ~
(Please ~ or 'Orint and sign at bottom)
ADDRESS
'13"blpK:\J<<']..vd\. Lu.o ~.{
LEGAL DESCRIPTI.ON (olliee use OnIY}"i\.
LOT tf BLOCK r; ADDITION l)pA;4Ll l1lv
OWNER
(Name)
(Address)
BUILDER~ R I I ,...,
(Name) 1..1. . 'tt'JI.A7~ -'-^C-.
(Contact Name) .lII: V ~ l.U7h ~J.,/"
. (Address) ~~M~~~~' \CD
TYPE OF WORK
)iJ New ConSb11cti.on
DLower Level Finish
(Phone)
I Ze;G (offi~use) I
PIDdS-39f~ ()/~-()
(Phone) 15,'" ~- L eo ~
(Phone) QS'2- - '2.'2V'11'3"'2-
ODeck
OPoreh
OAddition
ORe-Roofing
DAlteration
ORe.Siding
o Misc.
PROJECTCOSTIVALUE (exc1udingland) S 5(lP. ~~ I
OUtility Connection
o Fireplace
I hereby certify that I have furnished information on this application which is to the best of my knowledge b11e and correct. I also certify that I am the owner or
authorized agent for the above-mentioned r-~t'~-~i and that all constroction will conform to all existing state and local laws and will proceed in accordance with
sub 'tted plans. I am aware that building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
ru nthey,uyo,:'tDP dedin ections. ""2..1 It) ~
'i~~a~o~No. ~
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I Permit Valuation I ~OOO
1 Permit Fee 1$ <fO:J.ri5
1 Plan Check Fee 1$ ,~8br '7Q
I State Surcharge 1 $ I..f3 , SD
1 Penalty 1 $
1 Plumbing Permit Fee 1 $ 10('),-
I Mechanical Permit Fee 1 $ {OD.-
I Sewer & Water Permit Fee 1$ -
I Gas Fireplace Permit Fee 1$ LlO.-
. This Application Becomes Your Building Pennit When Approved
,..
':f~
~
3/:1/0 '7
Date
Building Official
I Park Support Fee
1 SAC
I Water Meter Size 5/8"; 1 ";
I Pressure Reducer
1 City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
1 TOTAL DUE
I Paid
I Date
~ 7 9r . ; q--'
?' ~.J' ~ d(
r
#
#
#
#
$ F?sO r- I
$ Id7:1'- I
$ I
$
$
$
$
$
-
/;)..00.-
,0(5.-
. $,J!(19 g ,Oll
/I
I Receipt~o.
Bv ~.
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This is to certify that the request in the above application and accompanying documents is in accordance with the C~Oning Ordinance and may proceed as requested. This document
~~p?;:~:mporarycatifie;;;zmplianceand.-.cunsttuctiun ~ee BMiiinnT€cymustbe
Planning"Director . Date Special Conditions, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~\
See Main File
Cl'lb.it'l - By~
-canary - Engineering
Pink - Planning
Th~(.t'nlt'roflht' I.ab('ounlry
BUILDING PERMIT APPLlCATIOtolDEBARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I j R /jMLiYiu
F-#?~-1J3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:r
1?'?;1Sl~ 7?/-l/ev~~
Accepted
.,...--
Accepted With Corrections
Denied
,..
Reviewed By:
Comments:
~
7~
Date:
9;9~.7
''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 - Building
Canary - gnQinee,ing ,.
';+'""'._ - r'lann,"ll::>' --.
Th~ ('tnlfrof ltlt l..k, Counlry
BUILDING P..E:RMIT APPLICATION DEPARTMENT CHECKLIST
,
NAME OF APPLICANT
APPLICATION RECEIVED
/ ;,
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1//7)}
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The Building, Engineering, and Planning Departments have reviewed the building permit,
application for construction activity which is proposed at~
1'7 35'h -;:.; I A~t/ t.....AA/ L, /~,Y-<2-
c
,
;;
I
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Accepted With Corrections
"
~
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-:(.u.J p
Date:
9h~:J
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'.
"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 . ~ulldlnL
~~-e..al'\l . Enqlneermg,
Pink . Planning
Thf ('fnlrr Mill, l.llkl!' ('..nll')'
aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.73Ji.
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/"~7 ?''StJ -.-~;2? / '(/.-::':"1,,/ ,-.,~/l(~",/..__.,- ,/~:~-~.-.,.{-z-...
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
Comments:
1I1/H<,
-
-5c!- I1lc. I'n. h' J (
Date:
~/r 1)3
"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."
2003 10: 30AM
GENZ RVAN PLUMBING AND HEATING
No.9176 p, 4/8
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
: !
~. a. f~""" I PERMIT NO. '3 - I ~J)
fPleue tvO<< or 'Print ~d rim at boaotn)
ADDRESS ZONING (OJlieeUIC) I
113Cfl1 ~iVtf<- PniOfYl u,. SG
LEGAL DESCRIPTION (office we oDl:Y)
LOT BLOCK ADDITION ~. :Jt.JI DutOhfJrl 11n PID
OWNER
(Name) DR HOl:ton Cust01ll Homes (phone) q62-qx.~ -/8z>CJ
. (Address)' 2O'E.lvo ~B~lt>Ge. Co Sr-e. IDD
l.t:duvi lie. ~U I\J 5SO~ LJ
APPLICANT
(Name)...(;............_'D:'"'!ll..... 'P'1t'~1>i9.8 t.. u....."..4'....:
(phone) ~/. 10_1 11./.
(Address) 14745 So Robert Trail
(Address)
(Contact pe;son) ~t2.,i So ~I s
APPLICANT SIGNATURE Q(J.fi4f;) --fa i.M--.
Rosemount
(City)
}iN
55068
(Zip Code)
(Phone) 651-423-1144
DATE JIr-~--t)3
Quantity
r
I
(
,1
APPLICAi'IT PLEASE COMPLETE BELOW
I Type of FirtuJ"e I Quantity I
, Bath Tub with or without shower Rough-ins
Dishwasher I I. I Water Heater
Floor Drain I p_-'t: I Water Softner
Lavatory (Bathroom Sink) I I I Stand Pipe (Washing Machiue)
I Laundry Tray (l or 2 compartll1.ent sink Sewage Ejector
I Shower Stall I Backflow Assembly
Sinks I Baeldlow Assembly Test
jBMSwk IUrnrns~~er
I Water Closet (Toilet) Other
Type ofFixtUJ'e
I
I
I
I
i
I
I
I
0(
FEE S'-'.cU!..1"J....E
Industnlll, Commercial &. Muh,.fanuly 1% of Job COst WIth a $39.50 minimum Residential, New One &. Two-Family $99.50
Res1dential, Additions &: Alteralions $39..50
Estimated COst $
Bullding Petllllt #
PLUM:BlNG PERMIT FEE $
STATE SURCHARGE
TOTAL PE:RMlT FEE
~
"
.50
~~D\lD~~
J~~EP 1 2 2003 )p.eceiptNO
Date I ly
3y .
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~lIQ J
I)
~-9~
(om.. Us. Only)
Thi! Application Becomes Your Building Permit When Approved
r
Building Oflicisl
Dote
24 hour nodee for 411 inspections (952) 447-9850, fax (952) 447-4:2>15
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
#7579'
q'1ease sm~ororinl and si... at bollDm)
. ADDRESS
/7?~ ~~/ h,-r /'
i ~ S- I PERMIT NO.:) -1d-fJ3!
/4,L/ 5e-
ZONING (office use)
LEGAL DESCRIPTION (ollice use only)
LOT
BLOCK
ADDITION
PID
OWNER D R HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
(phone)
APPLICANT /1 0 /Jl.
(NalIle) /7'/. O'L,t. .:,,/"..L~/''''ttZ.-I'
(Address) ,.~~ ~~~# '? .4:
-53Addie!
(Contact Person) /9~ .....~-~
APPLICANT SIGNATURE .'.. _ - . __
(phone) h., /- qf-' - .,.,?,/.?~
A""'&9~ ~~..:I
(rllIIIf (Zip Code)
(phone) ~ - c;/~ -e:t 77:2:
DATE
, AP~LICANT PLEASECQMPLETEBEt:.OW .
.3lNEWCO~TRUCTION .DREPL.ACEMENT' .EJA.LTERATI9NS J
FURNACE MAKE AND Mvu~.rr-'" ~. ;'/~~l/t07a.. _ FUEL /I /a .4-.....:..-.e
FLUESIZE.y'~k~.A' RETURN OPENINGS 4/ INPirr64~ OUTPUT ~_~ ~ "
TYPE OF SYSTEM HEATING OR POWER. PLANT
DWann Air Plants .0 Steam
DGravity 0 liotWater
o Mechanical 0 Radiation
~ir Conditioning D'SpecialDevices
~ent. System 0 Other Oevices
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
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ ~ c:2:::)Building Permit #
HEATING PERMIT FEE $ /. 7/ ~J U,,,,--,
STATE SURCHARGE Sf n) ~ ~ru~ ~dfl ~
TOTAL PERMIT FEE u V-
(Omee Use Only) n~ S E P
1.1 al"d 1 2 2.001
This Application Becomes Y onr Building Permit When Approved
J
~Vt~~()
~Q ~J;s.
,o~-9.f,1}-
Receipt No.
Building Official
t ;lD"~ . By
Dale I
(;y
'1f
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Aug.2S. 2003 10:29AM
GENZ RVAN PLUMBING AND HEATING
No,9176 P, 2/8
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
q?l~a.se SfP~ or 'PrUlC and sll?31at bo[t(Jm)
ADDRESS
i7~ tlVeA1..l5itU'-h IKl se
LEGAL DESCRIPTION (ollice use only)
: :;Z~;. I PERMIT NO.. r:J _ /...... "C::J I
3, GoU "1l~1 1/ c:-f1_~ LJ
ZONJNG (.ffice ...)
-IVyq/Q3,Q':; Qllit,Io{BflUhp/:J.
. . .
LOT BLOCK
ADDIDON &IdA .J:Fc7l-1 Deocfielc1 7th
PID
"
OWNER
(Name) nl1
(Address)
20Si,r0 l:~'.~Jf10iZ..\!X:::e Cr ,5;-'" .IN::-
(Addrffl)
(phone) _
La.~~ !lIe...
(CitY)
qs;2 -q'85- "18 M
"Jf:{')..f U
(lip Codt) .
'J,:l'l""Ixof.....- "..ro~l"lw J:r~~_
APPUCANT
O"~~ Genz-Rvan Plumbing & Reating
(Phollc)
651-423-1144
(Address) ).4745 S<:> 1'lobe:t:t Tra:f,;t
(Addr....)
(COntact Person). r J1 JQ.i sfi. -b lis
'_ICANT SIGNATURE rLlt~ ~
R,,?sell1ount '. MN
(Ciry)
(phone)
55068
(Zip Code)
651-423-1144
DATE
~-df''''O?
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 (jf required) located at feet from structure.
feet.
o Cast Iron
FEE SCHEDULE
ReSidential Sewer and water Ime connection $3550 Industrial, Com'J oil: Multi-family J % of job cost wtth a 539.50 minimum
Sewer connection only $17.50 Water connectio)l only $17.50
Estimated Cost $
Building Permit #
D...
$
$ .50
$
~ ~ @ ~ 0 ill ~',
~POt.1' I :I LUUJ jl/ R""eiptNo.
B~~ate ' I By
-~
I!1Vt~-f/() I1h...
~Q ~':".lt
} ~-94t1)-
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
,
(Ome. Use Only)
I This Application Becom.. Y Ollr Building permit When Approved
Buildiag Official
ti-'
tJ
~
24 hour notie. for an lnspectlons (9~2) 447-9850, f2x (952) 447-4245
CITY OF PRIOR LAKE
REA TING/Affi CONDlTIONING/FIREPLACE PERMIT
I. Pink
2.""'"
3. Yellow
~~;..., I PERMIT NO'a". IZDa
(Please tvoe or orint and sim at bottom)
'ADDRESS
/7354- /7:3 5G?
} }
/7358
e/1/6K.- O/1UY7 L-N.
LEGAL DESCRIPTION (olliee use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
APPLICANT .
(Name) r/tz6Slo6 /f~1e47I
lion E:
Date Rec'd
I ZONING(officeuse) I
PID
(Phone)
(g5/, te33, 2-5," /
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants 0 Steam
DGravity 0 Hot Water
o Mechanical 0 Radiation
DAir Conditioning 0 Special Oevices
~ DVenlSystem DOtherOevices
FI\tEPLACE ~KE AND M.O.DEL
~. FEE SCHEDULE
Industrial, Commercial & Multi,Family 1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
,
(Address)
(City)
(Address)
(Contact Person)
APPLICANT SIGNATURE
(Phone)
DATE
P/Z67VO/1 1tc/J7l)rJ
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $
Building Pennit #
(Zip Code)
PLEASE NOTE:. .
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
PAID WITH
BUILDING PERMIT
\,~
(Office Use Only)
This Application Becomes Your Building Permit When Approved
I~
I Dat,?, 9. go!-
Building Officlll
Dlte
24 hour nollce for all Inspections (952) 447-9850, fax (952) 4474245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Rec~
/J.
By fBI/-
PRIOR LAKE
.
INSPECTION RECORD
SITE ADDRESS 1?3S' ~'.KI' 8i>,,~ LAJ.JG
NATURE OF WORK ~. .
USE OF BUILDING ~ F R.
PERMIT NO. 0 I- /ZO"S DATE ISSUED
CONTRACTOR ~ J./6t- f()A.,I PHONEi2~" "'1~ "-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPART~ENT OFSee Main File
BUILDING AND INSPECTION
INSPECTOR
DATE
.
1
I FOOTING ~"'v. I
I FOUNDATION (Prior to Backfill) V'lq.~ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC !/I.tI(",
FRAMING Il1#' II-/l{-rt)
INSULATION
ELECTRICAL
PLUMBING r/;v': 11-10-6
HEATING (if required) M rNt-I-cI)
FIREPLACE ~I //- /CA-t7l
GAS LINE AIR TEST Jt1,4# / f-/lA.-tr)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING l'-c,..O 1Mn\
ELECTRICAL
PLUMBING
HEATING
DO NOT
,
t1. '/-0 <\
j1fl
. -
7//.5/"t/.
A
iliA/"
!/fA//
OCCUPY UNTIL ABOVE HAS
NOTICE
This card must be posted near an electrical "rvlca 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,
tJ.. )Jt-O <,
/- {t.,{-Oll
BEEN SIGNED
"
FOR ALL INSPECTIONS (952) 447-9850
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QLnfi{itat~ of <'0ttupant\!--.I
CITY OF PRIOR LAKE
~tparfmtttf of ~uilbing Jlnsp:edion
~Final Permitted 0 ConditionaT~ Expires
This Certificate issued pursuant to the requirements of Sect~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 FAMILY
_ Bldg. Permit Nr,
Occupancy Type
R3
Zoning District
N/A
VN
Type Construction
Fire Zone
Legal Description
Owner of Building
Site Address
Contraetor'sName&AddressD,R. HORTON;,,;;?' 20860 KENBRIDGE CT., SUITE 100, LAKEVILLE
ROBERT D. HUTCHINS/~ CityPlanne' DON RYE
Date:. ~rX~Officia1 Date:
"
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~YVYYVVYYVVVVYVVYYYYVV~:V
, ,
"
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..
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
IjJs-c ~1,1re/h
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
Q...FINAL
o SITE INSPECTION
COMMENTS:
~
rt)
(j)c,;tw...+
,::,....... (
~tF::!.
d--,!I-' "-lAW
,A...."'.L.. ~ PP-V71 I
"- '/""'Cr:t (i)..... ~/dP"'-7-
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLYMBING FINA~
.iHIolECH RNAL ([!/
T41fAq? (,loA + r (
~rs(d- .r<'Gortv-eJ
DATE TIllE
1-/'I~4
I
"5.-/Ms
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o RREPLACE FINAL
o GAS LINE AIR TST
o
q~/ -(;/4
(
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
...-60RRECT wr:)f~ FOR REINSPEcTION BEFORE COVERING
Inspector: 1/// OwnerlContr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
"""""
DATE nile
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
j1.- :;..,,/77
ADDRESS
I7?'~ fAvY.".I:,I~-h
OWNER
CONTR.
PHONE NO.
PERMIT NO,
';3.-ILa "(
[J FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
o FINAL
[J SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
.. PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS:
~) (rAdv<-
I7J1?ctli'/./5"'
I
o WORK SATISFACTORY, PROCEED
g::eo-RRECT ACTION AND PROCEED
o CORREC:- )'F.~ALL FOR REINSPECTION BEFORE COVERING
Inspector. Y Vf' Owner/Conlr:
CALL "7-9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INVIOn
i'
Job Address ("'73 ~ f q(\~k I~
Heating Contractor .J.-\ t~ ~
Name of Tester _ tk.~ .
Pate I 'l...l (z{eLI
,4"0
Percent 02 II
T;~_
, 3~"'~
-
Percent CO
Percent C02
Stack Temp
Combu!;\\on air is adequately supplied per
UMC Sec. 606
input
(",/b. ~.
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