HomeMy WebLinkAboutBuilding Permit 03-1206
(Please tvD~ or orint and sien at bottom)
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT g...;y:5 -0 3
See Main Fil~~t ~:~Ii~" I PERMIT NO. OJ-/'ZO(P I
ADDRESS
/1393 ~~41tll~ ~
. LEGAL DESCRIPTION (office use Onl~ _
LOT3 BLOCK ;;- ADDITION~.eL:L ~
OWNER
(Name)
(Address)
(Phone)
. ~~~~~K.~"Lv .
(Contact Name) tvI.Ue....l. U!~~ ~.
(Addr ) 4tC> ~&~ IC~~",," c.+- ~ .lbO
ess I" ~OA";\\'~' i\A I\V Z;::;'SU-J .
TYPE OF WORK
~ew Construction
DLower Level Finish
o Fireplace
PROJECfCOSTIVALUE (exc1udinglaod) $
oAddition
DAlteration
Q~.~tt I
DUtility Connection
o Misc.
oDeck
I ZONING (office use) I
. f0~
Plrbi'S ~39 g.;(!)/~-D
(Phone) ~SL-~<aC;;--7ro8
(phone) Cisz.:. U0-L(7~2-
oPorch
ORe-Roofing
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 property and that all construction will conform to all existing state and loca11aws and will proceed in accordance with
submitt lans. I am aware that e bu' . g official can revoke this pennit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter u on e r-~r_nJ' to pelfonn n . ctions.
(
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V'
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
1 Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
f5 /), tkJ~;-/
9 i>4' 7.5
'-.~g,. 7CJ
t./3.5b
100.-
IOD.-
-
L/O,-
This Application Beco~ Your Building Permit When Approved
~ ;>~ Ja/o3
Building Official Date
aP/)O(~~'7
Contractor's License No.
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
I Other
I TOTALDUE
I Paid
I Date
~7&)' f ,d r,,?-
PiS. 0 ")
~-2-.1 -V~
Date
# $ 'i?50 .- I
# $ /'d7S.- 1
$ ----- I
$ - I
# $ 10...00.- I
# $ "7t:\:?,.... I
$ I
$ , I
$ ":Y/'l~,01 I
f)
I ReceiptN'o. '7'Juot'
Bv A .
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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 proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~ ?~tJ ~h,,63 Se'
Planning Director
e
Date Special Conditions, i any
24 hour notice for all inspections (952) 447-9850, fax (951) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See Main File
White - Building
':SftftAr:y - Enqineerlnv
Pink - Planning
Thr (-,..,.., or 1M tab ('ou.ul')"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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I./'S-63
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'13 9g -;~::./../;/,,~..,<-, &--u::hJ'-J~ n --
Accepted
K
Accepted With Corrections
Denied
Reviewed By:
IIIJ4J3
Sa Iflt!tl'v,
Date:
9/9/(3 '5
0, ,
Comments:
hIt"
"The issuance or granting of a permit or approval of plans, specifications and
computations shall hot 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
<:!w:!ite - BuildfiiS:>
Canary - Engineering
Pink - Planning
Tht'C'..nf!l'rof lh.. tab ('ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
t J R f.kn-br-rJ
~~ ~S-63
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I/fB9g- 'f?~~?~"q --
Accepted
/'
Accepted With Corrections
Denied
,..
Date: ~ /~ :3
Reviewed By:
Z~
-; I2nfJ.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."
~~
See Main File
White - Building
Canary - Enq!neering
( "Ink - Plann,nl1>
Th, ("rntr. of Ihr I..kr <,'ollnlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
Ii I,: /lurt'n\J
~- dS--CJ3
APPLICATION RECEIVED
, The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
..,,,..._~. ' ""
/'7:3 99 -I-'~//><-.j ~[J/j/~-j:i.<" 0
, ~
H
Accepted
/'
Accepted With Corrections
Denied
~~
,.
Date: ~h ft?
.
Reviewed By:
;f-rW1~
.~
.'
"
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."
Aug,28, 2003 10:30AM
GENZ RVAN PLUMBING AND HEATING
No,9176 p, 7/8
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
1 ~~ ~~ I PERl\fiT NO. ~ ~ 1./ '-,0 J I
,. Ydklw 4wltCllll~ ...) .r::r (p
Q'1...c'U1: orllriD' a.ud s;.., at bottom)
ADDRESS
17M.; fivea I&J'~ PI. J1.
I ZONlNG (o!5l:euul I
LEGAl. DESCRIPTION (olllcc use ODly)
ADDITION~. ~.;LI htucfidd. I~
LOT BLOCK
PID
OWNER
(Name1 DR HO!:'ton CuSt01ll Bomes
(Address) '20'i,~D K:b1B~I~ Co Sre. IDO
(1'hone)
qc;,7.-Q')f; -"7'6DD
udu.v; l/G .\AN '&Ccl.j l.J
APPDeAN!
(Name) r..~"""'-~3"~'" 1'?!_"w.P;:",g t. u::~~_~
(Address) 14745 So Robert T.rail
(Address)
; (ConractPerson) CvlV2..ls.+i kIts
APPLICANT SIGNATURE r A...i ~ ~
Quantity
I
J
J
-~
(
~
(phon~ ~<l_~?~_tl~~
Rosemount
(City)
55068
(Zip Code)
'l1N
(Phone)
651-423-1144
DATE
?---d-f-a3
APPLICANT PLEASE COMPLETE BELOW
Type of FixtuX"e I Quantity I
Bath Tub with or without shower I Rough-ins
Dishwasher I J ' Water Heater
Floor Drain I J2.-I Water Somer
Lavatory (J3athroom Sink) (Stand Pipe (Wa.shing Machine)
Laundry Tray (lor 2 compartment sink I Sewage Ejector
Shower Stall I Backflow Assembly
Sink~ I Backflow Assembly Test
Bar Sink I Lawn Sprinkler
Water Closet (Toilet) I Other
Type of Fixtllre
FEE SI..J:LI!.lJ OLE
I.duslnal, CommercIAl &: Mulu-faJmly 1% of job cost with. $39,50 minimum RcstdcnT1.~ New One &: Two-FllIIlily $99.50
Residential, AdditiollS &: AltentiOIl3 $39.50
PLUMBING PERMIT FEE $
STATE SURCHARGE ~- '';
TOTALPERJ.'\1lTFEE m~ I~ IE II \Hji 1
~~~ \
I This Application Becomes Your Building Permit When Approved I PQ:t.t' 1 Z LUUJ -'~ ReceJpt No,
Date By
B/
I'"
Estimated Cost $
Building Permit #
Dolo:
&lJ/~-4ID ~
'1tvG ;..~,,.,
,o~~~1]-
]
~I
{j
Bu.iJding Official
24 hour llOtice Cor all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDmONlNGIFIREPLACE PERMIT
Date Rec'd
#-757'7
f?lease ~ 'or orint and si2Jl at bottom'
ADDRESS
/7::f9-5 /OJ-t&'~~/L
::~ ~:~.I PERMIT NO. 3 _ / --- ./) lc I
3. Yellow ApphCl/lt c:r-v
/~ 56-:
ZONING (office us.)
LEGAL DESCRIPTION (office us. only)
LOT
BLOCK
ADDITION
PID
, OWNER DR HORTON
(Name) ~ 20860 KENBRIDGE CT
<tid4ress) LAKEVILLE, MN 55044
(phone)
APfLICAm ./J A
(Name) /~/~a:..J' ~ '. '1:r..../A4/.,.~
(Address) .'~~ ~~~" ~ ~
~
(Contact Person) , A, ...,6~;#/
APPLICANT SIGNATURE ' .....----1-=--, ,
(Phone)'..~5 /.. 4';r...?.f' .?7~
~~~ ~~~? 7
(phone) ~ - c;/~ -,?I77S
DATE
" l APl'lJICANT PLEASECOMPLETEQELOW
j;!INEW CO~TRUCTION 0 REPLACEMENT .DALTERATI<;>NS
FURNACE MAKE AND MOD~/Y-~ ~ ~/~V~9'<07a FUEL J 2 .<,.J'.:w, ~
FLUESIZE.y~h~.ARETURNOPENINGS ". INPUr~ OUTPUT 6Z.~
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plaots
DGravity
o Mechanical
~ir Conditioning
jilXenl. 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
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 Constroclion)
Residential, Heating Only (New Construction)
$39,50
$39.50
(Office Use Only)
Estimated Cost $ . q~ a:> Building permit: L? .//t~-fJ()
$ ~.//~...../~ ~Qlf?h
$ ~.50 ~~'t
$-1 lJ ~ nI '94,1)-
This Application Becomes Your Building Permit When Approved 1 ~ ai!;EP 1 2 2003 /11/ReceiPtNo.
Date ~ /BY
E.v
-- J
24 hour notice for an inspections (952) 447-9850, fax (952) 447-4245
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Omclal
Date
~
V
Aug,23, 2003 10:29AM
GENZ RVAN PLUMBING AND HEATING
N0.9176 P, 2/3
Date Rec'd
""~LJb~ PR10-9<
"" ,.
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. -'\"\"~\\'. "'\\""
t.i>"".\'il", <~
~~~?J,~t'YN2S0
CITY ,OF PRIOR LOO
SEWER AND WATER PERMIT
i ~ ~~ I PERMIT NO. ? /1 J f'\ I I
1, Gold !oppA~t :? u-u ..0
q>le..e~e or"",,' andsll!l1 "bonom)
ADDRESS
iI39-/., 5lP:6'X tlVQ,l(ttbi~h Ln Sl7
I ZONING(Q_."') I
- 17~L@fL:j 121\if.~ BllechpJ:J.
LEGAL PESCRIPTION (office use only)
LOT BLOCK
ADDmON ~dA ,J:t.c?l-I De~elJ 1-/1-1
Pro
-
OWNER
(Name) )'1'1
(Address)
2osu,O I<evlg,K\t:i::e Or- S.,plfi:"
(Addr...)
(phone) _
La~~llle...
(City)
gs2.-Q85-i8M
&)~,;L.ILJ.
(Zin Code)
~,..."(+-('~ r"r+-....... u...._......
APPLICANT
(Na~p, Genz-Rvan Plumbint! & Heating
(pho.nc)
651-423-1144
(Address) 14745 So Robert Trail
(Addr..s)
(COntact Person). r.AIJ Qi s+i. fct Us
'JreANT SrGNATURE _ rLLi~ ~
ROS~tn.ount.. MN
(City)
55068
(Zip Code)
(phone)
651-423-1144
DATE
~-C)f-/o.?.
APPLICANT PLEASE COMPLETE BELOW
Size of water service . inches.
Location of an)' couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of sewer line feet.
Clean out (jfrequired) located at _ feet from structure.
feet.
o Cast Iron
FEE SCHEDULE
ReSidential sewer and water Ime connection S35.50 lndustrial, COJ)1'I & Multi-family J % of job cost with a 539.50 minimum
Sewer connection only $17.50 Water connection only S17.50
Estimated Cost $
Building Permit #
~
Building Official
Da..
$
$ .50
S ~
-~ ~ @ ~ 0 III [1: -\
p ~ 5tf 1 ... LUUj/.] 'ipt No,
~y IBy
~~
()~ f) ~
'Q~.:...~
~~-
, ''1'~
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
I This Application Becomes Y onr BUilding Perroit When Approved
24 hour untie. fur alllnspectlo.. (9521 447-9850, hx (952) 4474245
I,
A{-
~I
PRIOR LAKE
.
INSPECTION RECORD
)'13'13 Ri'ut:,Y '8"w..J'-")J~~~
NATURE OF WORK rNe&A.J
USE OF BUILDING t~ R-
PERMIT NO. () ,- /2- DATE ISSUED _ ' -
CONTRACTOR ~., 'I-o~ PHONE"~". {,j' i ':J~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
. See Main File
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
INSPEcroR
DATE
, FOOTING 'I/WJ.;" I
, FOUNDATION (Prior to Backfill) VJ\ri."" I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH. INS
1J.k.'{ '^
SEWER 1 WATER 1 SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (If required)
FIREPLACE
GAS LINE AIR TEST
.f
%-1
!lir. ~1J7-,
1k~-:2 -~.3
t
~ /~-//
f/VY/
1//$ "
iM/
/r-l-I,-I?c.
1t-.j-a3
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING ttJA 'f.'1 4-f-1)v\
ELECTRICAL
PLUMBING
HEATING
DO NOT
#ff
. .
~J7<</
/ /7/1) if
I /
"
ft,/
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.
FOR ALL INSPECTIONS (952) 447-9850
Qttrtinratt uf <IDrmpantl!
CITY OF PRIOR LAKE
~tparfmeuf lIf ~uilbiug JfuspedilIu
~Final Permitted D Conditional C.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
Occupancy Type
R3
Type Construction
VN
Fire Zone
Bldg. Pemtit No, 0~-12Qj;
N I A _ Zoning District R2
Legal Description
Owner of Building
L3. B5. DEERFIELD 7TH
Site Address
1739~ RIVER BIRCH PT~C~
SUlIf. 100-~VILLE
Contractor's Name & Address p.R. HORTON:"'~7 20860 KENBRIDGE CT..
ROBERT D. HUTCHINS /r?- City Plann.' nON RYR
" Buildi"10ffi9ia1
-;7./" <- '/C)d Date:
.1' '/ 1
Date:
SCHEDULED / -I r;- -()y.
{4-,,-- (j,~ p~
CI1Y OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
17 j''l3
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
/' MECH FINAL
COMMENTS:
DATE T1IIE
7,- / Ut.
a EXlGRADlFILLING
a COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
(1)
(j;)
~)
6!.t.~..-t d.-c..-... ct- ~cJ~,;".,I1e
r:;......1 .:::; ....iIl..L,. I' diTN?~/
~~, -../..- 1h-~;J '
r;~-~
tN/
Cf~ /-d'l
a WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
{/1/
Inspector.
Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANC~
IIaNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL71I & SAFETY/
DATE TIllE
CITY OF PRIOR LAKE
INSPEcnON NonCE
ADDRESS
/ '7 313
SCHEDULED ~
~~
Z;UiJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
tJ"3 - 12.0(.
o FoonNG
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
... PLUMBING FINAL
IO'MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTSCi] ~ ~ ~.
(i) CJ:j ~ fM.u3. <A>n_~~ ~,..f) +0 ,
- -<)h.P ,~ b. ~ - d.( 1""""" ~ t;;, O"lJuJk-~...,-. I
... - ....
~.....~
<.
o WORK SATISFACTORY, PROCEED
" CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ Owner/Contr.
CALL ...7-11860 FOR THE NEXT INSPECTION 2A HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETYI
.-.on
"
173<(~ {<t.vJj~
Healing Contractor ~I~ ~
Name of Tester Y'h.((Ds.-:
Date . ;J:.'~;Vrn
Percent 02 "":Ii '.- f' "'~~
t~,.
I> -9 Ilt
"3,<0 0 i--
Job Address
Percent CO
Percent C02
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606
input
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