HomeMy WebLinkAboutBuilding Permit 03-1477
CITY OF PRIOR LAKE BIDLDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/O.?-f-. OJ>
See Main File
I. While File I PERMIT NO A.
i ~~~w ~~'''u, .. OJ -/-r-17
(!>>lease .!VD~ or orint and silD1 at bottom)
ADDRESS
~f3 \1\U Ch1'PO~vJl'lrl\Jf.a
ZONING (offi" use)
K-I
LEGAL DESCRIPTION (office use only)
LOT/l BLOCK 1 ADDITIO~t;~Ici. 10+1..,
PID Z5'. -t01. fJ 17. 0
OWNER
(Name)
(Phone)
(Address)
BUlLD~ Ill...
(Name) u.R, HOLl.OV') I .::rrH....
(Contact Name) ~(~ ~ )oh.'.nav--tkA.
(Address)O\O\?-'(.p q\~rl-d'jJL ~ I ~ "$5<(00
. LaK..u)1 li , \^\. N \JS~l{ I.f
(Phone) CjS:J-, . '785 -7p/)r'J
(Phone)'1S;), - ~ C,-1./73 2~
TYPE OF WORK
~ew Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
DLower Level Finish
o Fireplace OAddition OAIteration OUtility Connection
PROJECTCOST/VALUE (exc1udingland) $ /55. cr72
o Misc.
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';'-.i and that all construction will conform to all existing state and loca11aws and will proceed 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 official or a designee may
~...,~~~spections ri.CC06(P;:) '7 /();;1, 3 '03
, CU Signature Contractor's License No. Date
1 Permit Valuation "/~. 000.001 Park Support Fee # $ ~".c9-0 1
I Permit Fee $ J~07. 3.s-1. SAC _____ # $ IZ7s-~OD I
1 Plan Check Fee $ P.l/9.7B 1 IWaterMeter('Size5/]p,I"; $ Zso.oo I
1 State Surcharge $ 73.00'1 1 Pressure Reducer $ 45'.00 I
1 Penalty I $ I 1 City SAC and WAC # $ /ZLJd. 00 1
I Plumbing Permit Fee 1 $ / IJ (J. 00 1 1 Water Tower Fee # $ 70 t:). 0 tI 1
1 Mechanical Permit Fee $ /tJ t:). () lJ 1 Builder's Deposit $ 1
1 Sewer & Water Permit Fee $ 3$.5'"0 1 Other $ 1
I Gas Fireplace Permit Fee $ 1./0.110 1 TOTAL DUE $~830,'31
I 1 .
I R~ce~o. -n.,c> ':f;>' I
B~ . I
Building Official
/ if) yl" '1
Date
I Paid
I Date
tP 5- J O~.; J"
I I /2...0 /
l' .
This Application Becomes Your Building Permit When Approved
-~~~
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
~~':ili:: p~t:'mo=cmm;;/:;~O;limce and allDmconMrosee'nl\taIii a Fire~pan~ mUSlb,
Planning Director I 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 (....Utr of lht l.akt ('o..nlry
White . auilding
<:3a!:!arv . EnqlneennQ)
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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l.,i - __' -,";~?,_ /
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/-7' I? -- ".---., .
..,)...1,-, Li;[;"( (Jt'I,"'. 1-" l_)K.
Accepted
X-
Accepted With Corrections
Denied
Reviewed By:
M9-~
5H /Ylc,,'n, F, 'Ie
Date:
/1-'-/-0.3
Comments:
liThe 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
cir.nA')r IiRgln~g
ink . Planning
~-
The ("f'ntrr of lht' L.k" ('ounlr)'
.!WILDING PERMIT APPLICATION DEPARTMENT CHECKLI~
NAME OF APPLICANT
L--, j/ / /(j/...,./( /j
//c4.(}'
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~D;':"~ ! Ij F ,'/ (;I'IL //, Ule
Accepted
,/"
Accepted With Corrections
'I
Denied
Reviewed By:
~
.
*~ j..,
Date:
1I/6':1/DJ'
, '
..--.
Comments:
'. . '"
See Main File
liThe 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
c..JlIni!l! . .BuildliiQ:>
Canary: I:nglneering
Pink - Planning
Tht (-tnlu of Ih. L.b ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKUSI
NAME OF APPLICANT
APPLICATION RECEIVED
D.,e. HtJ/C47);J
/0. L4-. OJ'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
50/3
WbS'T aflt:- PI D~
Accepted
/'
Accepted With Corrections
Denied
~
-
~,If2P
Date: /tjO:J~3
Reviewed By:
Comments:
See Main File
"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."
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
2. Green
3. Yellow
~::y I PERMIT NOI'I':iC I~
Applicant ~,
ZONING (office u,,)
, (Please tyve or orint and sim at bottom)
ADDRESS
5013 W. OAK POINT DRIVE S.E
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name DR HORTON
(Phone)
(Address)
APPLICANT
(Name) ALLl11D "T~11~TDE DBA FrRR~mR TjEARTH,. HOI:;IR
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW A VENUF
(Address)
(Contact Person)
'3RENDA HUSTON
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
1113/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW 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
DGravity
D Mechanical
DAir Conditioning
DVen!. System
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO SL-750TR-C
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 & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
t"AJDWITH
JlllJILOING PERMIT
(Office Use Only)
BuUdine: Official
Date
I Paid
(bD~e ~ .:.11[ll L1
Receipt No.
This Application Becomes Your Buildiug Permit Wheu Approved
By
24 hour notice for all inspeetions (952) 447-9850, fax (952) 447-4245
2003 12: 29PM
GENZ RVAN PLUMBING AND HEATING
No.0411 P. 5/16
Date Rae'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Plea!< me or urin' and mm .. boaom)
ADDREsS
0[)13 lAk~+- nO k.- OrllVlr 'Dw-
~'e
1. Skl, Fil_ I PEn..6T'T NO
'. ""'" a., "'-'.....~. '"2 - / 4/71
). YdIow Appn~l .:::::;J
ZONlNG (otllcelU<)
LEGAL DESCRIPTION (o1llce use Oll!y)
LOT n 13LOCX I APDmON f>uf2...-h-dd. lDfh PID
OWNER
(Na""p) DR Horton Custom Homes (phone) Q;::'2-Q9Fi -"7gDCJ
(Address)' '2o'f.lPO lUVlB~l!XL C. Sre.!Da
APPUCANT
~ame.) ~A""._'OY"''''' 'O'.:a.'-": .:....f! t. U"q ......~-...-8
(~s) 14745 So Robert Trail
('0 CMctress)
(Contact Person) l ~~ If A S H ~f' f/ S :\
APPLICANT SIGNATtTRE ('JJ tAr j
,,'~" .
Quantity
f..J"
I
1
.:3
r
J.
I
~
Rosemount
(City)
n (phone)
M!
_ kJ
udu..vlllG ~\AN EfX,i..jLJ
(phone) "., _1" ?~_11 J./.
MN
55068
(Zip Code)
651-423-1144
)1~)Lj~
DATE
APPUC.AN'T PLEASE COMPLETE BELOW
EstImated Cost S
Building PelllJrt #
I Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatotj' (Bathroom Sink)
I Laundry Tray (l or 2 compartment sink
I Shower Stail
I Sinks
I Bar Sink
I Water Closet (Toilet)
Quantity
,"1
, .
17_1::
~
I Type of Fixture
Rough-ins
I Water Heater
I Water Soflner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I BacIdlow Assembly Test
I Lawn Sprinkler
lather
FEE SCHEDULE
lodusmal, CommercIal & Multl.famlly 1% of job costwi!h a $39.50 minimum RColdenUal, New One &: Two-FarmJy S99.50
RcsidcnQai, Additions &: Altcntions S39.50
(Olliec VI< Only)
PLUMBlNG PERMIT FEE S
STATE SURCHARGE S
TOTAL PE.Rl\fiT FEE S
50
PAID WIT\1
BUILDING PERMIT
lfiicl~ .. ,I ~eiptNO.
~\-N~V 2 6 20031 r'
...Ji....J 1
24 hnur ..t1te for oU in.petti... (952) 447-98SC fsx (952) 447-4245 1
'Jy____._ .....-:.~__;
This Application BetOme. Your Building fermit When Approved
BuOding Otflti.l
Date
(i-
II
No.0411 p. 4/16
Nov.14. 2003 12:29PM
GENZ RVAN PLUMBING AND HEATING
Date Rec'd
fWZ[;:~
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"';-'~"!'\~"~":\~.'.
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, . ,N"'E'O
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
IPleue "(pC ox ~rmt ."d sima. 00=1
ADDRESS
F){)~} OoJtJ~)iVl+ b~ S~,
LEGAL DESCRll'TION (ollice Ule only)
~ ~ ~_I PERMIT NO.3-llj1'1 I
ZONlNG (~...)
LOT II BLOCK I
ADDmON
Iv PJ2iU( 111. f FJ11I0
PIP
OWNER
(Name)~--.....- rnt19fR 1l9r:-,:,
(Address) 2o&cO ~B~'t:t:e.. Cr 5rP 11'1\
(Addms1
APPUCANT
(N2~~\ Genz-Rvan Plumbin~ & Heating
(phone) _
La~\iille..,
(CitY)
qo.2 .q85- ~
&?~U
(Zip Code)
(;Phone)
651-423-1144
55068
(Zip Code)
(Address) 14745 So Robert Trail Rosemount:. MN
(Addxe..) ,(Ciry)
(Contact PmOll) _ f JtufIfh' llll( s c 0 (phone)
" . . ',reAm SIGN~ ~ tJ1.('\ DATE
651-423-1144
11 -/L{ ~-:z,
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
Rcsidenllal sewer and water line conneetion $3550 Industrial, COUl'I & Multi-family 1% ot Job coS! with a $39.50 minJmum
Sewer connection only $17.50 Water connection only $I7.S0
Estimated Cost S
Building pennit #
w
24 hour notice for.1I i..pectioD.S (952) 447-985 ,fax (952) 447-4245
L::i '--=:-c--
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Un Only)
I Thi. Application Beeomes Your Building Permit When Approved
,
.....
Building Olllci.1
Dat.
$
$'
$
.50
PAID WITH
BUILDING PERMIT
-IFC-
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- p~~iPtNO.
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r-
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
1. Pink
. "'"'"
,. Yellow
E;"..I PERMITNO.8//t/77 I
q'1ease ~ ororint and siJm at bottom)
ADDRESS
~2J/-5 ?U! ~~/~ V. 5e-
LEGAL DESCRIPTION (office use only)
L01l7BLOCK /ADDITION
PID
OWNER DRHORTON
(Name)_ 20860 KENBRlDGE CT
(Alld.re$s) LAKEVILLE, MN 55044
~~~~A/hb",~ A~/'.../~4./'-./
(Address),~~ ~~~~ ~ /h-:
(ContactPetson) AL/;;:Jtff~~
APPLICANT SIGNATURE 7"'"4....- ~. ~ __
. -
(phone)
Date Rec'd
~7J~?
ZONING (office ose)
(Phone)&S"'fi 4/:r"?.?/?~
~:J'~ .53r:~~7
( (Zip Code)
(phone) ~. c;/-s;;? --177S
DATE
APPLICANT PLEASE COMPLETEBELOW
. t
J!lNEWCO~TRUCTION 0 REPLACEMENT. DALTERATIC?NS ,
FURNACE MAKEANDMOD~y-; ~ .'.7"~4070 FUEL J ./- .40..... ~.e
FLUE SIZE'SI'~.h~.A RETURN.OPENINGS . . . INPlrr ~ OUTPUT 5Z_I'~
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants 0 Steam
DGravity 0 Hot Water
o Mechanical 0 Radiation
~ir Conditioning 0 Spel'ial Devices
~enl. System 0 Other Devices
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
Residential, Heating & A1C (New Constltlclion)
Residential, Heating Only (New Construction)
Estimated Cost $ ~.~Building Pennit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$.k.//~~
$ _ .50
$ C-'
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Prid
L, IL'-,';
Building Official
-11';\1 1'1:(.
Date Ii: I nEe .2 lt1f)J I.,;
24 hour notiee for an inspections (952) 447-985 ~~_X~952) 447-4245 _____ Lj
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
~~3'/(;) ~
~Qo~.y
,()~~
~,."
Receipt No.
.
fA---
o
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS SO 13 Wf:.~ , ~JV:. ·
NATURE OF WORK IJE,AJ ~AJ~
USE OF BUILDING ~.~
PERMIT NO. .IJ~ - /4-77 D4TE ISSUED , 6 lJ:J .
CONTRACTOR D...li. ~ . , 1Jc. · PH N -Zu.- WJI"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING ,AWAIA I
, FOUNDATION (Prior to Backfill) \N4~ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
1/1$
v1#'
J-J.,J4"'1
1-J-ro'1
Vl/V./
f/L1I/ "
M
fi,y
/-14 _()t,,/
k;,";?"-()<.(
I ~ /"3-01../
1---~3~ol.f
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I I J
FINALS
GRADING (Prior to Sodding) ~ee ~,~ A"i/e. .
BUILDING ~ ///9~/
ELECTRICAL '" J//f/4~
PLUMBING 1f/;(:', 3- 5'0"] ,
HEATING ~ -/~'-<J(;( ~
J D9. N~1j 9F9Ul'Y J UNTIL ABOVE HAS BEEN SIGNED
A,er r~v.d IJ {;./;'tf/A/4~" ci 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
~ntifltatt of <0rnxpanqI
CITY OF PRIOR LAKE
~tpadmtnf of ~uilbing Jl nsptdion
ftFinal Permitted D 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:
Occupancy Type
Legal Description
R3
Type Construction
VN
Fire Zone
Bldg. Permit No._
N / A Zoning District _ RI
03-1477
Use Classification
SINGLE FAMILY
LI7. BI. DEERFIELD 10TH
Owner of Building SiteAddress 5013 WEST OAK POINT DRIVE S.E.
Contractor's Name & Address D.R. HORTON~~~,. 20860 KENBRIDGE CT.. SUITE 100, LAKEVILLE
_ ROBERT D. HUTCHINS/~ City Planner DON RYE
// /f'~~OffiCial
" ,
Date:
Date:
....
.~...
DATE TIllE
CITY OF PRIOR LAKE i /i:> l..-/
INSPECTION NOTICE SCHEDULED / (/f/'~
ADDRESS :J!7/3 W...-J -I C)~d ~/-- ;j/t
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
COMJIlE~S:
9&'--k.~ I
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
.,A!I1'IREPLACE FINAL
o GASLlNE AIR TST
o
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d~~fiq
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A"" "Iv..) ~<""" f- "fr.r7-
!7?-~e4~L ~; I (7/
"'7 a,/v~ a; ~ ,-h-/'
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X ~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~ ;~~ F~R REINSPECTION BEFORE COVERING
Inspector. ~ OwnerlContr.
CALL 447.9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lIu.'m
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE l1IIE
SCHEDULED
Zjl~-;'()(I
ADDRESS
c?:x3. tv a1k' r?r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~-ILl77
[J FOOTING
[J FOUNOA TION
[J FRAMING
[J INSULATION
[J FINAL
[J SITE INSPECTION
[J PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
"'PLUMBING FINAL
/'0 MECH FINAL
[J EXlGRAOIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(f) r t'.IM.ltI~
Yl'Jb -(?5
o WORK SATISFACTORY, PROCEED
;I CORRECT ACTION AND PROCEED
[J CORRECT WJrJrJ':5P FOR REINSPECTION BEFORE COVERING
Inspector. ! /I r Owner/Contr:
,
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS AIlE FOR YOUR PERSONAL HEALTH & SAFETY!
,"""'"