HomeMy WebLinkAboutBuilding Permit 03-1204
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT t ' ;;JS - 03
See Main File WhO, FH, I PERMIT NO I
2. P;,k c;'y . 0.1'::>_/7".4.
3, Yellow Applicant ~ ~ ~
(Please tv.P.e or print and SiWl at bottom)
ADDRESS
173 511<. \ ver 13rz-h. ~ ~.
LEGAL DESCRIPTION (office use only)
LOT 4-BLOCK C; . ADDITION ~r.aAJ j ~
OWNER
(Name)
(Address)
(Phone)
BUlLDER~ (') \ I /\
(Name) \).K. ~"'"'~-
(Contact Name) M \VJ U)ch..~
(Address) ~ ~~~IC-~~lOO
TYPE OF WORK
DMisc.
~ew Construction
DLower Level Finish
ODed<
o Fireplace
PROJECfCOST/VALUE (excluding land) $ ~ \, 1t::;{)
DUtility Connection
ZONING (offic, use)
1G'd--
PI~S-3fr;--CJI("-O
(Phone) .95"2. ~<V;'-l'20e
(Phone) "\5"2.- 'J.'] f...-Lf73"2-
OPorch
OAddition
ORe-Roofing
DAlteration
ORe-Siding
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 r~"'r-~.J and that all construction will conform to all existing state and loca11aws and will proceed in accordance with
submitt lans. I am aware that building official can revoke this pennit for just cause. Furthennore, I hereby agree that the city official or a designee may
enter on e 1"....1"......;' to pc inspe 'ons.
x
v
1 Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
q~, 060.-f
$ Ci ,~/]. '75 I
$ ft,ocr.5l/
$ <-I "-.-
$
$ 100.-
$ /00.-
$ -
$ /ftJ.-
This Application 3~..__.. Your Building Permit When Approved
'~ci~ -;1~~~y
<;RbOOt;k<::;7
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
I Paid
I Date
-
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y]/f", d'i
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<l-2-I-D~
Date
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#
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1:J...7S.- I
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$ I
$ .sgS'8". iX-'1 I
$
$
$
$
$
$
$
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,
I ReceiDt~o.~~V/
Bv Z.
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This is to certify that the request in the above application and accompanying documents is in accordance with tha Zoning Ordinance and may proceed as requested. This document
~h'n signed by the City Planner constitutes a ......___, Certificate of Zoning compliance and allows constructi ~ etnce. m:cupqcy, a c~olf Occupancy must be
~DU .: 1~ 9/<j~::I e atn r1 e
Planning Director Date 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
~
Tht ('flI'I'r of lht l..kt ('CHlnlry
See Main Pile
White - ii'~.tl~
\... GRnaN -En in ring.............
Pink - annlng
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DeeARTMENT CHECKLIST
-0 D y./ -,L--
L\ /1 / V z;'TZ to}L/
25'-;). 5--103
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: "
/'735- y 'M-L-,);~ ~~:k, ,5{UJ.Y-<--/
Accepted
Denied
:><....
Accepted With Corrections
Reviewed By:
Comments:
M4- rS
..~ 1" /Ylt./v,
Date:
~/fIQ3
r:'r"/r
"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 - Building
CAnsuy M I:'ngln~ring
,....-P~k . - Planninv
Thlf ("rnIPr of lhr I..kr ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKUSI
NAME OF APPLICANT
APPLICATION RECEIVED
LO;? Il'! /76}L/
S-; Y--Q3
The Building, Engineering, and Planning Departments have reviewed the building permit .
~ application for con~r;t;n;c;ity w;~~,i:::~"~:ei! " r I..ia~:" ~.
.'
'J.
Accepted
/"
Accepted With Corrections
Denied
....
Reviewed By:
~
':J~j..J
Date:
9/C;~3
; ,
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
rJi'Ihit.. _ . ~"i1dinCl-=>
Canary - Engineering
Pink - Planning
Thr (',nln of Ih. L.h ('o."ul')'
BUILDING PERMIT APPLICATION D.EfARTMIiNT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
JJI? ~
2? - OtS -03
The Building, Engineering, and Planning Departments have reviewed the building permit
application forcon~;~~c;itYW~e~ d~
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
Comments:
~ ?~tJ
Date:
9/9~ '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."
, ~ 8
A ug " '
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~~~\~~r:;, NI!SO~"
"~'P
2003 10: 30AM
GENZ RYAN PLUMBING AND HEATING
No,9176 P,5/8
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
;= ~!~ I PERMIT NO. 0 -) --. />oCr
), \'ellQw ApptlCMI :::::J c;1"-(.;./
q'l.!ase ~ or lln,,, and sion at bottnlXl)
ADPRESS
/18R8 121/~ lbifl.fJ1 Ln Sb
I ZONJNG(oflicollle)
LEGAL DESCRIPTION (o$cc we oaly)
ADDmON FJlia.- :/1-;1 !JedfielJ. 1f11
u
LOT BLOCK
PlD
I OWNER
(Name) DR Harton Custom aomes
APPLlCANT
(Name) 1:~~7_~J'.- 1>'''''"'',-3 " ".'~'-g
(Address) 14745 SA Robert Trail
(Address)
(Contact Person) r)f! v<.iMi mils
APPLICANT SIGNATURE ~ ~
(Address)
Quantity
I
I
J
~
I
;,;
(Phone)
9e;2 - q Sf Pi - -J'iiDD
'?-O'biPo KeV1Bte.l tlGe.. C. Sre IDa
fA uvi lIe.. bUN 5Cc4 L/.
(phone) ,,<1 _a , ~_ 1 , /.,1,
Rosemount
55068
(Zip Code)
MN
(City)
(phone) 651-423-1144
DATE ~'M-a..::s
APPLICANT PLEASE COMPLETE BELOW
I Type of futQre
I Bath Tub With or without shower
I Dishwasher
FloOr Drain
Lavatory (l3athroom Sink)
Laundry Tray (l or 2 compartment sink
Shower Stall
I Sinks
I Bar Sink
Water Closet ~Toilet)
Quantity
I Type of future
Rough-ills
I Water Heater
Wate!' Softner
I Stand Pipe (Washing Machine)
Sewage Ejector
I Backflow Assembly
I Baclcflow Assembly Test
I Lawn SpriIlkler
Other
I .
72-31:
I
FEE SCHEDULE
Industnal, CommercIal'" Multi-fanuly 1% o{job cost with. $39.50 minimum Residential. New One'" Two-Family S9950
ResidentW, Additions &: Alterations $39.50
EstImated Cost $
Buildlng Permit #
PLUMBING PERNUT FEE
STATE SURCHARGE
TOTAL PE:RMIT FEl:
$ PAlO IAn-_
"1 8UILO/NG'.''lI'f
~:f~~~l~NO ~
I~are : 1,Y /f
I" I / ~
''{J
(Offo.. U.. Only)
Tbis Application Becomes Your Buildiug Permit When Approved
Buildinc Official
D...
24 hour notice for all inspections (952) 447-9850, fa. (952) 447-4245
5~~
+'Nrt..O"''''
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONlNG/FIREPLACE PERMIT
Date Rec'd
#-7377
q?1ease ~ororint and sim at bottom)
ADDRESS
/7_:?.-?J ~.0e/' &/"cA..
l ~ ~i"'" I PERMIT NO. 3- /d-641
/ dAJ' ,Se-
ZONING (offic, use)
LEGAl. DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
. OWNER DR HORTON
(Name)_ 20860 KENBRIDGE CT
(!\~ss) LAKEVILLE, MN 55044
(phone)
APPLICANT A, /. A.,
(Name) /7'///'IZ..L ~ ,..".'..../44,./'-/
(Address) ,'~~ ~A..e ~ ~ ~ '/2r.
~AddreS -
(Contact Person) A . . ' ' . ~~
APPLICANT SIGNATURE ""i'- ~" , __
(phone).. ..'c'5 fi ~.:r""....p /7~
~~a,.,(' .2;>. ~ 1 ?
(~ (Zip Code)
(phone) ~/. </~77~
DATE
, APPLICANT PLEASE COMPLETEBELOW
~NEW CO~TRUCTION 0 REPLACEMENT DALTERA TI<?NS ,
FURNACEMA~ANDMOD~/y-"'"t. ~/~~/.2..?.vlO7.-'? FUEL.-I h..,4-f:"-,e
FLUE SIZE~""'.hz!f.A RETURN OPENINGS INPUT ~ OUTPUT 6'Z_1' -c. ..;...,.
TYPE OF SYStEM HEATING OR POWER PLANT
DWarm Air Plants 0 Steam
DGravity 0 Hot Water
DMechanical o Radiation
gair Conditioning 0 Special Devices
~ent. System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi.Pamily
FEE SCHEDULE
I % of job cost ReSidential, Gas Pi~lace
$39.50 minimum
$99,50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Building Official
Estimated Cost $ ~ Q:>Building Permit # I3lJt';'~D Wn.,.,
$~/ .&.,./~ G PEAAA17'
$ _ .50
$~ IJJ ~~'
~~i SEP I 2 Z003
IJafe
lor
t
24 hour notie. for all inspections (952) 447-9850, fax (952) 447-4245
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(om.e Use Only)
This Application Becomes Your Building Permit When Approved
Date
m eipt No.
. 0----
V
AUK.2B. 2003 10:29AM
GENZ RVAN PLUMBING AND HEATING
No.9176 P.2/B
Date Rec'd
CITY.OF PRIOR LA.KE
SEWER AND WATER PERMIT
q"le;ue!/'Pe or pnnt and. si~at bottom)
ADDRESS
i,39-1~VW1.lf:,iECb {Y\ SI3
LEGAL PESCRIPTION (office use only)
i :;;u:.. ~~ I PERMIT NO. -? _/-,)"'.111
J, G.:lJd "'~, .:::> c7"'V1f
ZONING (offia: use)
- 177,.q/ q6.q~ QI\;f,~ BituhP/:";.
.
LOT BLOCt:
ADDmON ~dtJ ..:tFt11 ~elJ 7-th
.
PIP
I OWNER.
(Name) --D.ll.-E:--~^- ':u+t-- u^~
(Address) _ 2o%po ~i"K\!::6e C:r-.s.,~jrv'"
(Addrm)
(phane) _
La~~ die-.
(city)
qs2-Q85-,8M
&JC;CWU
(Zip Code)
APPLICANT
(Nam~ Genz-Rvan Plumbing & Heating
(phone)
651-423-1144
(Address) 14745 Sa Robert Tral1
(Addl..,)
(Co=aPerson). r~0Qis+i_ -6us
rLv~ -=&uo
R,!~~",ount., }IN
(Ciry)
55068
(Zip c"dc)
(phane)
651-423-1144
',reANT SIGNATURE
DATE
~-C)f-/O?,
APPLICANT PLEASE CO:MPLETE BELOW
Size .of water service inches.
Lacatian .of any couplings fram structure _ feet.
Type .of sewer pipe. 0 ABC 0 PVC 0 Cast Iran
Estimated length .of sewer line feet.
Clean aut (jf required) lacated at feet fram structure.
FEE SCHEDULE
Resldential sewer and water Ime connection $35,.50 Indw:triaJ, Com') '" Multi-family 1% of job cast with a $39.50 minimum
Sewer connectian .only $17.50 Water cannectian o:nly $17.50
Estimated Cost 3)
Building Pennit #
SEWER AND WATER PERWT FEE
STATE SUR.CHARGE
TOTAL PERMIT FEE
$
.$
S
.50
fib... .o-tJD
-Vf(D'AtG ~
P~Ii4f~
,
~
BuilcliDgOffici:a.1
1\Qj~~ U3 ~ Q I:!J ~ \'\~
~P~p 122003 Ii I ReceiptNa.
Date - ..IBY
8, _ -'""
24 hour noti._ fur 'J1lnspectlon. (952) 447-9850, f2x (952) 4474245
f
(omu Use Only)
I This Application Becam.. Your Building Permit When Approved
n...
I,
I
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONlNGIFIREPLACE PERMIT
Date Rec'd
(!'lease.!Y1'~ or orint and si... at bottom)
I ADDRESS
/7354- 1736(P /7368
) J
i =.. ~:~. I PERMIT NO.A. ".AJ.iL_
J. Yellow Applicant ftI,J.;lJ ~
e/(/6K. Q/~ L-N.
ZONING (o_use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
(phone)
APPLICANT '
(Name) n/'Z-6Slo6 /f6?'r'/e.471
,
,
/fOri E:
(phone)
{g5/ 033 z.-5 ~ I
. ,
.
(Address1,
(Contact Person)
APPLICANT SIGNATURE
P/26/V 0/1
1it/J7{)tJ
(City)
(Phone) . ,....._.
DATE
(Zip Code)
(Address)
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
'FURNACE MAKE AND MODEL FUEL
FLUE SIZE RE1URN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWantt Air Plants
OGravity
o Mechanical
OAir Conditioning
OVen!. 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
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial, Commercial & Multi-Family
$39.50
$39.50
Estimated Cost $
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
PAID WITH
BUILDING PERMIT
\",
(Omee Use Only)
This Application Becomes Your Building Permit When Approved r ~
Da~ I Datle, ,,:/. rJ "-
Building Omclal " -, -r
24 hour notlce for all Inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Rec~
By fUlH __
PRIOR LAKE
.
INSPECTION RECORD
SITE ADDRESS /'1.J5"g 'R,'"c,~ ~ ~t:-
NATUREOFWORK~~}
USE OF BUILDING
PERMIT NO. j236 ?4- DATE ISSUED
CONTRACTOR . +tG., ~ PHON~. 1./'1.$ ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
See M 0 POl
DEPARTMENT OF aID 1 e
BUILDING AND INSPECTION
INSPECfOR
DATE
-
I
L FOOTING ~I
r FOUNDATION (Prior to Backfill) fw....... I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER/WATER/SEPTIC AfAi...
FRAMING YVr I(-J.O-{/)
INSULATION 11(.///7
ELECTRICAL ~ "
PLUMBING tll/lP 11'13-O?
HEATING (if required) Vf;p f(-1{J-fiJ
FIREPLACE t# f
GAS LINE AIR TEST fA!'! V'
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
-
"
GRADING (Prior to SoddinlJ)
BUILDING 1C~ 1/11}../ q+4L(
ELECTRICAL
PLUMBING
HEATING
DO NOT
~
7~s7;Y
0- - '3 t- 0;'
I-Ie -tM
SIGNED
"
YVY;4
j/tr/
OCCUpy UNTIL ABOVE HAS BEEN
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 shan be placed near main entrence.
FOR ALL INSPECTIONS (952) 447-9850
@,trfintaft of OOttupantll
CITY OF PRIOR LAKE
~tpadtn:ent of ~nilMng Jlnsp:edion
;tfFinal Permitted 0 Conditional CO. Expires _
This Certificate issued pursuant to the requirements of Section 307 of the Uniform 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
Occupancy Type
R3
Type Construction
VN
Fire Zone
Bldg. Permit No.
N / A _ Zoning District _ R2
03-1204
Legal Description
L4. B5. DEERFIELD 7TH
Owner of Building Sit,Address 17358 RIVER BIRCH LANE
Contnlctor'sName & Address D.R. HORTON, INC.. 20860 KENBRIDGE CT.. SUITE 100. LAKEVILLE
ROBERT D. - HUTCHINS ./;/$' _ CityPlann.' DON RYE
::~~~~Cia1 . Date:
Date:
DATE nIlE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED l-ls- -(11
12,- b(~
ADDRESS
/73,S"?
OWNER
CONTR.
PHONE NO.
3 -IUX{
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o !!jSULA TION
J1I'1'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
- -
(r) JIt..,....~"4" I- dh~u.orlI I
(;.;2 CJ...J. ..J-T~..~ -;;;t J~~___d-
J:r) ~_I ",,_.I.. '=/?p~1
-.. .
~-/7 c ~ 7;-1 'r-/ry
tJri"<<4- ~m..d
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
Iill'"'CORRECT WO~. C~ FOR REINSPECTlON BEFORE COVERING
Inspector. Y ff Owner/Contr:
CALL '"7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL REAL71I '" SAFETY!
..,,,,m
DATE T1IIE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
)2.-J(-6 ~
r
ADDRESS
/7 3~~
ILl vt"/ h_ Y\
OWNER
CONTR.
PHONE NO.
PERMIT NO.
7 ~ 1M '-I
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
JllI"PLUMBING FINAL
/[j MECH FINAL
o EXlGRADIFILLlNG
[J COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
fiJ-fLr wt'lJ.~
If fIl...pGtf~
D WORK SATISFACTORY, PROCEED
JA CORRECT ACTION AND PROCEED
D CORRECT ~~LL FOR REINSPECTION BEFORE COVERING
Inspector. JJLf Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .. SAFETY/
"""""
---.......... 17b5~t:""'6,~
Heating Contractor .ltlL~ ~
Name of Tester ~::;
Date ~ ~/z.( ~
Percent 02 ~ <0
Percent CO 1 tl P 1fl"'1
Percent C02 cO e'[ 0
Stack Temp J,SC'" F
Combustion air is adequately supplied per
UMC Sec. 606
input
"