HomeMy WebLinkAboutBuilding Permit 03-1205
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
S ANDIJTlLITY CO~f(TION PERMIT
ee IVlaln .t411e
~lease ~e or orint and si2ll at bottom)
ADDRESS
113'1l1Z~"u f>.~ Vlllu ~~.
I.White File
2_ Pink City
3. Yellow Applicant
LEGAL DESCRIPTION (office use onl~ ~
LOT _~ BLOCK 5' ADDITION ~~ ,l1lV
OWNER
(Name)
(Address)
(Phone)
BUILDER"'""\"'\ n ~
(Name) ) / - n. _ \ -=PJv: -
(Contact Name) t::'L.~~ L:t\)~I:1~
(Address) ~r-w(~ 1350u4 100
TYPE OF WORK
o Misc.
,
~ew Construction
OLower Level Finish
ODeck
Date Rec' d
gJ)5"05
I PERMIT NO. 03-/205 I
ZONING (office use)
!Cd-.
PID ,;)6- ;5fit-OI'S-/)
(Phone) 4Sl-4Qs~1 QCe
(Phone) t:{f;L-Z2l.,- i.J..-1:?:>2-
OPorch
ORe-Roofing
o Fireplace OAddition OAlteration
PROJECTCOST/VALUE (excluding land) $ q 1.15D
ORe-Siding
OUtility Connection
Q;:; , /JOO .-t
$ , q:::VJ, 15" I
$ In()q, 6Lf I
$ L!fL,. -
$
$
$
$
$
100.-
100, -
-----
Lit/') ,-
This Application Becomes Your Building Permit When Approved
~din:~~ci~7~ ?1~
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
I Paid
I Date
~-d r r.d-"J
f,r,o, .
I hereby certifY that I have furnished information on this application which is to the best of my knowledge t:nle 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 ~ilding official can revoke this permit for just cause. Furthermore, I hereby agree that the CIty official or a designee may
;ter~_~~ I ~~s d8fl/)~c;'1 ~-a.J-D<~
\ - /I"- si!tature Contractor's License No. Date
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
# $ ~~D.- I
# $ la7S.- I
$ I
$ - I
# $ I'C}.,OO - I
# $ 700.-1
$
$
. $6gs-g:d>j
/l
I Receipt Vo.
Bv "1 ....
o
n e,.o /
This is to certify that the request in the above application and accompanying documents is in accordance with th~_W_~~~d mall proce~ested.. This document
when ,;goed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows con'ln1eti~. IV LaIn rl1ecupancy must be
u,u~9~.p .9/9~j' e
Planning Director Date Special Conditions, ifany
24 bour notice for all :-"r ..':DDS (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
. ,~. .
See Main File
White . B\llldlnL.
-- r ....;...,j . I:nqineertn]t>
Pink . Plii".....\o
TIle ('..,", or ,_ 1..11. {....,..,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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Lj ,"I 1/, 1;<'__
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,_ r .
... "'7' ;::;: (1/' .{,,' ^ .... I /c' J 1 /.j.>'.
, ./ ~ / / '''(/'J~''';:_ "./_./ l\-_.~(.:.~~t<,,-t'--.. , ,---' .,{_.rt.._~~-
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/J14j<.
,Sa /Pl",,'y.,
Date:
'7/9/03
, ,
Comments:
F'/" ,
"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
Q&hite - Buildinv
Canary - Engineering
Pink - Planning
Th~ Crnl... of Ihl!' 1.lh ('0""11')'
BUIU;lING PERMIT APPLlCATIOtl/..DEPARTIIt1ENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/2 R Nm~
'g- ;}.5-03
The Building, Engineering, and Planning Departments have reviewed the building permit
application forco~;;09itivi~=S~ ~
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~. :;'~/.J
Date: 3b~ J'
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,"
~1
See Main File
White . Building
Canary . Engineering
<:bD"_ ,;.J:<sannln~
Th~ C"tnltr of Ihf Lib ('OUR!!'}'
,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
.1
NAME OF APPLICANT
APPLICATION RECEIVED
'I)
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, ,
i( P. " I
/ n. r){ ,.{ (~;Il,...;
.
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"
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
, ,
/ '/ ~ '/ / h__u/<~ C~ /........ /- (CL L,
.
"
.
Accepted
/"
Accepted With Corrections
,.
,.
$
.,
Denied
"
.
Reviewed By:
Comments:
~
?-~~
Date:
~~3
"1
"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,"
Aug.28.
€~~
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c~~
200310:30AM
GENZ RVAN PLUMBING AND HEATING
No.9176 P.6/8
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I 'w, ';I, I PEn"......... NO ..:-r
i~~ ~ A'.L".u.... . ?3-/~v I
tPIt'ase me Of'Drim and sistn atbo=m)
ADDR:eSS
11/11 / III vn,. !JW,h PI, O.
I ZONING (o!!a:use)
LEGAL DESCRJPTION (office use oJJlyJ
LOT BLOCK
ADDmoN!?MA. 'itJl /J.eudidd 1f11
PlD
..
OWNER
(Name) DR Horton Custom Homes
(Address) .20S{QO UnB;e.l~ C.. $re IDO
(phone)
q<=,z.Clr<.c, -i8tJo
!Auvil/G IMN EEbI.1LJ
APPUCANT
(Name) ('~---"?_- "'''-'-'-g (. "^~'<"i:
~ddre~) 14745 So Robert Trail
(.Address)
(Col1tactPerson) rAfltusti fA {Is
APPUCANTSIGNATURE 0~ ,=#ph"o
(phone) ~<, _I. ?~_, , hb
Rosemount
(City)
(phone) _ 651-423-1144
MN
55068
(Zip Code)
DATE
t- 9t1J~
Quantity
I
I
i
;;l.
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture I Quantity I
I Bath Tub with or without shower Rough-ins
I Dishwasher I I. I Water Heater
J Floor Drain 72--r I Water Soflner
1 Lavatory (Bathroom Sink) 1 I StandPiee (Washing Machine)
I Laundry Tray (l or 2 compartment sink I Sewage Ejector
I Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
I Bar Sink Lawn Sprinkler
Water Closet (Toilet) I Other
Type of Fixture
,:;;
FEE Scm.nULE
Indu.stnal, CommcrelBl &. Muln.ra"Uly 1% of job eost WIth t $39.50 minimum ~ldonbal, New One &. Two-Family $9950
Residential, Additions &. AI~olis' $39.50
Esrtmated Cost $
Building P=it II
BlIlld.ing Ollicia'
Da..
$
$ _ <n
$ ~II ~ I ~~ It-U....W ~ -~I
I~ .)tr I Z Z003 i~CeiptNO.
I ~yte I af
t1U11. P~/D ~Jh-.
DING .', Ii
"'~f:14,frr
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Offit< tis. Only)
This Application Becomes Your Building Permit When Approved
24 hour Dorice for an in.peetions (952) 447-9850, fax (952) 447-4245
(J
CITY OF PRIOR LAKE
HEATING/AIR CONDffiONlNGlFlREPLACE PERMIT
Date Rec'd
#7379
q'1ease~ororintand .i.. at bottom)
ADDRESS . ~
/739'/ /Z/~ L:///~
: ~~ ~:~.I PERMIT NO. -2 _/~ A C \"
J. Yellow Applicant -;/ d-U J
/~./ </;-
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLQCK
ADDITION
PID
. OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
JAd-dress) LAKEVILLE, MN 55044
(Phone)
APPLICANT /10 A
(Name) /.of/- bL,It. ~r.../~<,/"~
(Address) L-~~ ~t'l-'. ~.. ~ ~
~AddreS
(Contact Person) A. . .-C1,,;~
APPLICANT SIGNATURE .. . ~ -.
(Phone) ~5./- 4V"~",...p //~
~ClQL ~.~17
(~ (Zip Code)
(phone) ~/- e;/~7~
DATE
< APPLICANT PLEASE CQMPLETEBELQW
~NEW CO~TRl1CTION DREPLACEMEN1'. .DALTERA TI<;lNS ,
FURNACE MAKE AND MV1J~/~~-.~ ~ ;?.I~..;i~9'07~ FUEL J ./- ~..:.....(,
FLUESIZE~~h~.AREtuR.NOPENINGS .' . .. lNPUr~ OUTPUT 6'Z_/~
TYPE OF SYSTEM HEATING OR POWER PLANT
DWana Air Plants o Steam
DGravity D Hot Water
DMechanical ORadiation
~ir Conditioning DSpecial Devices
~ent. System 0 Other Device.
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCREDULE
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)
Rcsidenti~, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ ~ ~Building Pennit #
Building Official
Date
$~/~~
:-'1r ~ ~1\\
r aidlEP 1 2 2883 .J) 'l.ecelptNo.
LDate _ly
~y .
8lJll.~i) J.t1
!/AlG 'f11.,
P~f:1A,f,.,.
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Offiee Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspection. (952) 447.9850, fax (952) 447-4245
rr
Aug.23. 2003 10:29AM
GENZ RVAN PLUMBING AND HEATING
No.9176 P. 2/3
Date Rec'd
CITY.OF PRIOR L.A:KE'
SEWER AND WATER PERMIT
; ~ ~~ I PERMIT NO. -")
J. GoU ,lllplclon1 --,-
I
10051
q?lea.se tY.E:~ or mmt and si~ 'at bortom)
ADDRESS ZONlNGC<!Bia:...)
i,39-{,5IP,9X ilVW-l6itU'-h {K1 Sl3 (T~'W:; QlV'I'_j.{ BliuhP/:J.
LEGAL DESCRll'TION (office use only)
LOT BLOCK
ADDmON &/d6l.J:t:.J,1 De02.:field,-/1-.
PIP
J
OWNER
(Name) .....D.a.-a...........,.,T"I ,..,..,.fo1"'lW P1"'l'"1"'~
(Address)
208,pO l<e.vleR-\!::6e C::r-S,.r? . If,.'"...
(Addle..)
(phone) _
La~~llle.,
(City)
go;2-q~L8M
&)~}--IU
(Zip Code)
APPLICANT
(Nrnn~ Genz-Rvan Plumbine & Heating
(Fho)l~)
651-423-1144
(,Address) 14745 ~<) )l,('bert Tra~,),
(Addreu)
(COntact Person). (I,M ~i s;;. -b US
'.ICANT SIGNATURE rl~ ~
l<,('~~':'1.9',mt, MN
(City)
5506g
tV<> Ctld.c)
(phone)
DATE
651-423-1144
~-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 (if required) located at feet from structure.
feet.
o Cast Iron
FEE SCHEDULE
ReSIdential sewer.wd water Ime connection $3550 Industrial, Com'l & Multi-family 1 % of job cost wtth a 539.50 minill1um
Sewerco)1llectiononly $17.50 Water cO)1llec!ion only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
.$
.50
elql~"'ID I...
vl1\lG rJ'l'l1-J
,l)f~-1f/1"
,
BuildiDg Of:(icial
Da..
~ [E @ [E 0 W G; \~
ii"IT3I<SEP 1 2 2003 I ~~ Receipt No.
,,~at. - I r
I,
(1-- I
t
(Offi.e Use Only)
I This Application Jlecomes Your Building Permit When Approved
24 hour notice for ajllnspectloD3 (952) 4.i7-9850, f:l.x (952) 4474245
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONlNGIFIREPLACE PERMIT
Date Ree'd
(Please lVt>e or mint and si2ll at bottom)
I ADDRESS
/73C? I
;~~:;, I PERMIT NOA' I'A~
]. Yellow Applicant ~
K. / VE'IZ.
dl/l--tVt
Pt.--
I ZONlNG(offieeuse)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone>
(Address)
APPLICANT .
(Namp\ r/~_.&S/OC: ~r/ ~ /fO/'1F:. (Phone>
(p S/, (,,33 . 25 '" /
(Address)
(Address)
(City)
(Zip Code) "
(Contact petson)
APPLICANT SIGNATURE
.If /U5NJ/1'7
(Phone)
HUJID rJ DATE
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
OWann Air Plants
OGravity
o Mechanical
OAir Conditioning
~ OVent.System
r FIREPLACE MAP; AND MODEL
,,--....... ~
o Steam .
o Hot Water
o Radiation
o Speci~ Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residenti~, AC Only
$39.50
$39.50
$39.50
Industri~, Commercial & Multi-Family
Estimated Cost $
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ . .JM) WITH
$ ~NG PERMI,.
$..~
(om.. u.. Only)
This Application Becomes Your Building Permit When Approved
Building OftIclal
Date
pa~
Date a 0 d.-
j, -r,
Recei~
"'r-
24 hour notice tor alI :"'-r ,.~ '_'. (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue, PrIor Lake, MN 55372
PRIOR LAKE
.
INSPECTION RECORD
SITE ADDRESS .J~ tie". t1 i,c 4 -p I..,c..
NATURE OF WORK "J&lc.J
USE OF BUILDING .:sF ~
PERMIT NO. ....Q.J- ~6.5 . DATE ISSUED
CONTRACTOR JL.P ~AJ PHONE~.I!"a",
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
INSPECTOR
DATE
, FOOTING IWilJ
, FOUNDATION (Prior to Backfill) i!J.~~~ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
.
SEWER/WATER/SEPTIC W(<Ii'
FRAMING IfF
INSULATION _ " IW
ELECTRICAL /'" # //-/,,?
PLUMBING fUi
HEATING (If required) ~ /(rJ-trrl)
FIREPLACE 1MI' . I
GAS LINE AIR TEST -IIW' Ib
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
Il"UJ-.~
11-1-Q-o'J
GRADING (Prior to Sodding)
BUILDING l'c.{J cMh \ 'f' f--(}L{
ELECTRICAL
PLUMBING
HEATING
DO NOT
jf/g
1/1/ r/-
J/VV'/ /...../L/-Ol-/
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
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 shall be placed near main entrance.
/
7//57drj
I ~- 3 (--tJ?,
FOR ALL INSPECTIONS (952) 447-9850
Q]:ttfifitaft of @ttupautu
CITY OF PRIOR LAKE
~tpadtueuf of ~uilMug Jfuspedinu
~ Final Permitted 0 Conditional e.O. 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
Bldg. Permit No,
03-1205
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
R2
Contractor', Name & Address D. R. HORTON. INC~.
_ ROBERT D. HUTCHINS ~
?' ~S /~OffiCi~
L3, B5, DEERFIELD 7TH
Site Address 17391 RIVER BIRCH PLACE
20860 KENBRIDGE CT., SUITE 100, LAKEVILLE
Legal Description
Owner of Building
City Plann,...
DON RYE
Date:
Date:
,
DATE T1IIE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
l~~
ADDRESS
n 3''l(
~Yt;y 8/~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
:5 -('-'4)
o FOOTING
lJ FOUNDATION
lJ FRAMING
o INSULATION
~ FINAL
lJ SITE INSPECTION
o PLUMBING RI
lJ MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o jll:(JMBING FINAL
4:( MECH FINAL
o EXlGRADlFILLING
o COMPLAINT
lJ FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(I)
If)
14,..-+ c-l....vI~Jv""'1
h -. ( II_~ :.f7!1~1
~".-1_ :t. 1""_..:5 0- ~t-,_+-
.
1"O"lf7 lMN'\ q_/~c...1
tJl'S4.-1--
n:L.-~tA.,l
lJ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
riRRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
1/14"
Owner/Contr:
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCli.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"""""
DATE nlll!
CITY OF PRIOR LAKE j 2- ?J-oc.
INSPECTION NOTICE SCHEDULED
--'
ADDRESS /71q I r/l...-r/ h,"'; t..
OWNER CONTR.
PHONE NO. PERMIT NO. ?, -/LtJ..r
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
~LUMBING FINAL
o MECH FINAL
o EXlGRADlFILlING
o COMPLAINT
D FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
(j)~~~
~7
o WORK SATISFACTORY, PROCEED
" CORRECT ACTION AND PROCEED
o CORRECT :~LL FOR REINSPECTION BEFORE COVERING
Inspector. JJf.( Owner/Contr.
CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS AIlE FOR YOUR PERSONAL HEALTH & SAFETYI
"""""
~--~
"
Job Address
Heating Contractor A \ \,~ ~
Name ofTester~~bS
. 1-UI.:!=!O~
~.t ~
J S ""BPt-
~"4' ~D
~Dp
Date
Percent 02
Percent CO
Percent C02
Stack Temp
}73,1 fUv-M\,SlYV
Combustion air is adequately supplied per
UMC Sec. 606
input
hAc- k'.
-- ---
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