HomeMy WebLinkAboutBuilding Permit 04-0396
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE ~T~~G COMPLIANCE
Se~~t'4'J.ePERMIT
Date Rec'd
4-.z.t . ok-
I,White File
2. Pink City
3 Yellow Applicant
I PERMIT NO. 6tf,0.31U
I Z;;NG(officeuseJ I
(Please tvne or mint and sign at bottom)
ADDRESS
S) l~ \Je4'+ (JQlc q)~J Ut;\J€.~
LEGAL DESCRIPTION (ollice use only)
WI5 BLOCK i ADDITI~{~Jd (OtL>-
PIr;;!!J- 2!tJ/-t}O?;'-O
OWNER
(Name)
(Phone)
(Address)
~~;,~)~ ~ ~i-oY\ -:The..
(Contact Name) ,y\~ LO~0LL+(CO-
(Address)
(Phon{ciSJJ15S-7AC0
(Phone) Rs 10. d.;). (, -Lj-e t
~ ./.
TYPE OF WORK
~w Construction
DLower Level Finish
DDeck
DPorch
ORe-Roofing
ORe-Siding
o Misc /.8.c. ~.
o Fireplace DAddition DAlteration DUtility Connection
PROJECTCOST/VALUE (excluding land) $ 151. J8~
.
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 local laws 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
.:~:~~o~erl~e~~;ections ~oSI 1~:h(jl/
^ I , U Signature Contractor's License No. Date
I Permit Valuation /5Q.ooo. I I Park Support Fee # $ ??50,OO I
I Permit Fee $ JLj(J/).~ol I SAC tif/3r;;o,i1!J. ,~..~~"'~.
I Plan Check Fee 1$ q/tI-[;S?1 I Water Meter Size 5/8"; I"; $ 8vSD.Ol>
I State Surcharge I $ '7 q. .z:;-b I I Pressure Reducer $ Llc) . CXJ
I Penalty I $ I I City SAC and WAC # $ / ;u-)() ,CiO I
I Plumbing Permit Fee I $ IOIJ. Ol> I I Water Tower Fee # $ - rj I?/'J..OO I
I Mechanical Permit Fee 1$ /tJO,OO I I Builder's Deposit $ - I
I Sewer & Water Permit Fee I: 35.50 I I Other $ I
I Gas Fireplace Permit Fee Llt).O() I I TOTALDUE ~) $ 7.072. 3.8J
This Application Becomes Ynur Building Permit When Approved I Paid 'l(}7 Z..:J, I Rec/vt"No. ""'1.:rJ"
Q ,.. -/.' /}. _~ L I Date r.ll. cui- BvJ -
~lIiC~ 6/t.t.~tI' U
This is to certify that the "quest in the above application and accompanying documents is in accordance with the c,.~ Zzo . ~!= ~~Ieed as "quested, This document
~~ "Ianni:;; te~PO"'Y certi~:n:g ;Pliance and anSpon t .vlc:llIfCrl ~ficateofOccupancy must be
I . ., 00 . S 'aJ .. 'f
P annmg DIrector ate pecI Conditions, I any
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~.
See Main File
~_~lliI"'ing ~
t:anary - t:ngineering
Pink - Planning
rh~ ('~nt..r 0' lhr I.Mkr Counl.,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D R IJo r/--oAf
L/- ,:)...~O~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~()/~- W"CJC0k ?+ DI,-
~
Accepted
Accepted With Corrections
Denied
Reviewed By:
~
~
Date: y4~L/
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
~~n~ry _ F'naineering
_ il1~ Plannn,lJ'
-
Ih~ C~nl~r or lh~ l,.k~ Counln.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
'.
NAME OF APPLICANT
APPLICATION RECEIVED
/'(
--I " ~
, /1
/ (/,Ai
,1/
, ,
'I.
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/;2-0/ ? - V-/,~:,( k if- D v--
/'
Accepted
Accepted With Corrections
Denied
. -.
Reviewed By:
~UP
Date:
I~~t(
, .
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
~hite - Building.
<:. ,",:-'I~I'V' -el~'YII''dlcl'll'I~
~,"I{- Planning
Thr Crnln "f lhr L.k, ("ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
1"'0,,<""-')
NAME OF APPLICANT // /'C
APPLICATION RECEIVED if
I:f~! I ../t) /,j
-',..- ,/') ~./
r-:l--.~ .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
c6-'o / [/ - /,,{j. (:h k ,Pf- D ~
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
/h4IS
{;a (YlclI^
Date:
~- J-l-o r
Comments:
r.'/c
"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."
Date Rec'd
. ....
q:'lease..~.on)(intandSilm:at:bottD1iil_,
ADDRESS
50/~ W.
fJa k, ?-t
J zON"lN(}coffi6,liSt) I
LEGAL DESCRIPTION (office use only)
',,' ...."
LOT BLOCK . ADQITION
pm
DR HORTON
20860 KENBRIDGE CT
LAKEVILLE, MN 55044
(phone)
4\PPLICANT SIGNbriJRB
",::\---:.
)':.,',.-,.
DATE
~puei\NT
O'Iiuile)
(Address)
(Address)
ALLIANT MECHANICAL INC
j650 KENNEBEC DR
EAGAN, MN 55122
65 I -452-2775
(Con~ct,Person) f1ar:o.~. K.11J..
.."\.~'.--,--
.:'.'.>:<::...".....,...,.:."._.' ,-,:_' ....,...'....:..-:..-
,<;.\'~~LlCANT PLEASE COMF,~ETE~ELOW
. .~WCONSTRUCTION OIl.EPLACEMENP DALTERATIqNS... '." ... .
FURNAGEMA~tNDM:~~f~:/,(y(:\V"r1- Jso mA-vQl09 KO. FUEL J1J('Y"":. ,
FLUE SIZE ~ /N~RlfFYRN6PENINGS 7 "INPUT ~OIOoOOUTPUT7S:/~t)
mE;0F.s.~;lEM. HEA1'ING OR POWER PLANT , .. .
.~~'.'.M:.:~eci.v,":.:.ih~.:.'an.M....,',..:.".'_P,..',.l.~is. .. . Bt~:;at~ ,,' ~~&f1'., .J~~j~
I ..... 0 Radiati.on . Cannot EilCtQath mr6
. ~fj~sf~~g 0 Speci8lFlevices Require&~i4~y:~d/
..0 .....X '''''''. . o Other Devices S~b~cks. ".
FIREPLACE~.~1~~~I>r:; ,'.>'
" ;-">";'c,"-/',:C:-
'>o,':i' _:',:':':.-\'.,.'
Industrial, Commercial &. Multi~Family
FEE SCHEDDLI!:
1 % of job cost ReSidential, Gas Firq>lace
$39.50 minimum
$99.50
$64.50
Residential. Additions & Alterations
Residential. AC Only
$39.50
$39.50
$39.50
.. ,..... ...
Residential, Heating & Nc. (New c.o~struction)
Residential, Heating Only (NeW' Co~Struetion)
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
~4" r~"r,
~ "':t
-i2~~~,.
'''~~~.<'>
'>, "~. -: ,
, / d'.~
Estimated Cost $ Building Pennit #
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
r m~ LG [t 0 ~ [~ceiPt No.
l fflie MAY 1 9 2004 !j'
I
(}-I
7J
24 hour notice for all inspections (952) 447-98 ~Y:ax (952) 447-4245
ADr.29 200412:05PM
GENZ RVAN PLUMBING AND HEATING
CITY.OF PRIOR LAKE
SEWER AND WATER PERMIT
No.3893 P 4/12
Date Rec'd
(please: tvPc or 'Print and Wm 'at bottom)
ADDRESS
Y)7) I ~ /;U(J,( t 00 j(. Po) VJt
DY.2 - ,\Fi
I ..... ,no I PERMIT NOQ1' 0' 't!I
t. YtUo... Cl1:S"'. . It.
J, 00Jd Ap~liunt . __
ZONJNG (0_ use)
LEGAL DESCRIPTION (office use ollly)
LOT 'C) BLOCK ADDITION ~fi elJ JD-tV'I
PID
OWNER
(Name) no
(Address)
20&00 ~ef<..\b6e Or .s""..J/V'\
(Address)
(phone) _
La..~~ IlJe.,
(City)
'=162-Qgs-i8M
"'5'P'Y-J1)
(zn, Cod.)
tr_",:,"'~_ I"'..-:-+-9m 'j.:J""m:-:
APPUCANT
(Name) Genz-Ryan Plumbing & Heating
(pholl<')
651-423-1144
(Contact Person) ,
(AddJ:ess) 14745 So Robert Trail Rosemounc. MN 55068
(Addrtss) (City) (Zip Code)
Ck1~(Sf7 Pai 1'\ (phone) 651-423-1144
n,(LJ~ ~//} DATE L/7lq-(jcj
. '".rCANT SIGNATURE
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 and water line connection $35.50 Industrial. CO)n'1 & Mu]ti-family I % of job cost with a $39.50 mlnimum
Sewer connection only $] 7.50 Water conneaion only $] 7.50
Estimated Cost .$
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
L_
Buildi"g OIDcl.1
0...
I
PAID WIIH
.1.] f;;;, ~ ~ :l t:~Tl\.:Tr'..
I ~~~<t[;j I~ II. 0:-- .-
mDI'AY'1 2 2 04 -' ~.1IT
(Otllc:c (J,e Only)
I This Application Becomes Your Building Permit When Approved
:24 hour notice ror .11 inspections (952) 447 WO, fax ('52) 447-4245
i 2 : 05PM
GENZ RVAN PLUMBING AND HEATING
No,3893 P,5/12
Vate Kec'd
CITY OF PRIOR LAKE PLUMBING PERJ.\fiT
(please rw~ or 'PlUt and si~ at bottom)
ADDRESS -
1JO r g Wu+ Oat
i~: ~ I PERMIT NO.AJ A~_
~.YelJ(I'" .lppJl~l ~.
ZONJNG(ofEc,,,-,e) I
Poi J1l f)rLS t
LEGAL DESCRIPTION (aflie< we only)
LOT ;;]BLOCK I ADDmON J)a,fCZ.--f1 eJ..J. 1tJrv-l
PID
OWNER
(Name) DR Horton CU6tOtn Homes
(phone)
9S2-Q'f(,r::, -i'6DD
(AddIess)
2.o'bLDO lieV1 B~ I t>Ge... Co 5re I b()
Ut/uvtl/e.. IMN .56bLj t.J
APPUCANT
(Name)/'........._'Oy..NtI "?,.._l-.":_g J:. u.o.-=,"'4'~_C
(phone) ~., _/,"_ 11/./,
(Address) 14745 So Robert Trail
Rosemount
MN ,.
55068
(Zip Code)
(Contact Person)
(Address) (City)
en teAS -h -f:1 f I S (phone)
(I) f 1~ ~tI-0
651-423-1144
L/-r2Cl-{} d
APPUCANT SIGNATURE
DATE
APPLlCANT PLEASE COMPLETE BELOW
I Quantity I Type of Fixture I Quantity Type of Fixture I
I {;2. Bath Tub with or without shower Rough-ins I
I I I Dishwasher I J . Water Heater I
I I Floor Drain I2-r I Water Softner I
I Lf Lavatory (Bathroom Sink) I I Stand Pipe (Washing Machine) I
I I Laundry Tray (J or 2 compartment sink I Sewage Eejector I
I 2- Shower Stall I Backflow'Assembly I
I I I Sinks I I Backflow Assembly Test I
I I Bar Sink I Lawn Sprinkler I
I ,::{ I Water Closet (Toilet) I Other I
FEE SL.1;I.JLvULE
Indusl11.1, CommercIal & Multi-l'lU",ly 1 % of Job cost with a $39.50 minimum Reoldenllal, New One & Two-FamIly $99:10
Residential, Additions & Alterations $39 SO
EstJIllated COSt $
Building Permit #
PLUMBJNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
Building Official
Da",
~.' @C:O\'E
l&aMAY J 2 @G4-.
I
.sPAID VV Ill-I'
ING
'~II
<>y
(Office tJsc: Only)
I This Application Becomes Y oqr Building Permit When Approved
24 hour notice for alll.spect...s (952) 447. IJpl is< (9~2\ 447-42451
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec' d
I,Pink
2. Green
3. Yellow
File
City
Applicant
I PERMIT NO. 1/- .3 ~
(Please tvPe or print and silm at bottom)
ADDRESS
ZONING (office use)
5018 W. OAK POINT DRIVE
LEGAL DESCRIPTION (ollice use only)
LOT BLOCK ADDITION
pm
OWNER
(Name DR HORTON
(Phone)
(Address)
APPLICANT
(Name) AUJFDFTRFSTDF DBA FTRFSTDF HFARTH & HOMF
(Phone)
651.633-2501
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(ZIp Code)
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
0/29/04
)
I
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
D Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO SL-750TR-D
Industrial, Commercial & Multi.Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
$
$
$
.50
$39.50
$39.50
(,~ r-,~^
"'<./jJ ^. ~. '.<' '. ...
""(.il,."!." [,'" ':....
...~~..;.....:
c-"";
,~~
....,., ".
~~,..'"
.
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildine Official
Date
. ~ii ~ ~. \; in\. . eceipt No.
e JlIl 'I ZUUl!- .:J
I
12--. I
U
24 hour notice for all inspections (952) 447-98 ~ax.(952) 447-42!'.<
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS $tJlI' ~ *PI- by
NATURE OF WORK JjI ~II)
USE OF BUILDING ~ F 14-
PERMIT NO. o.H - 0:3 q~ _ ({ATE ISSUED S. G .04-
CONTRACTOR ~ 7<. rtOIV PHON~~"- ~'iI-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMEN~~e Main File
BUILDING AND INSPECTION
INS~ECTOR
DATE
, FOOTING
I FOUNDATION (Prior to Backfill) I //I~ I ~/..tb v
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS , ~
SEWER/WAT~RISEPTIC. J14! b/+'/P/
FRAMINGdi/0;/lcsk...tf //-fI'7#34Y' ' ~ ?-/~~{/ll
INSULATION ~ zit? 1,1
ELECTRICAL
PLUMBING !/ &: ~.!. {~Y;"'i/ ~ l'/7'/Cy'
HEATING (if required) . ~ y'Vy:/ -;-/::;, ()t-J
FIREPLACE 2 f r~ yz# /~/,~' o~
GAS LINE AIR TEST p1rzP '7- / ,C; _0 ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
l. J . I I
~e/ ...L~€-I /7),~dAcd FINALS .
GRADING (Prior to Sodding) -See ~...J.,
BUILDING HL~
ELECTRICAL
PLUMBING
HEATING
DO NOT
- .
-;-;t;I':Y'
9'/,7/;/
~/ ~*
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
<llrrfifitafr of <IDttUpaut1!
CITY OF PRIOR LAKE
~rparfmrnf of ~uilMng Jlnsprdion
tFinal Permitted D Conditional C.O. Expires .
f This Certificate issued pursuant to the requirements of Section 110 of the D Residential I D International
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 fallowing:
Use Classification
STNG!.E FAMTJ.Y
Bldg. Permit No.
04..0196
Occupancy Type
R3
Type Construction_
VN
Zoning Distrirt
Rl
Legal Description
!.'i. HI. nEERFTRT.n 10TH
Owner of Building
Site Address
'i01R WRST OAK POTNT nRTVF, S.E.
r.01JRT. S1JTTE 100. I.AKEVTl.T,E
nON RYE
Contractor's Name & AddressI2. R. HORTO~A 3~~ KENRRTn~F.
RORF.RT n _ Hn,.r.HTlhY~~ City Planner
Date '0 Z~~/at' Date
I
I
I
,.
DATE TIME
CITY OF PRIOR LAKE ~/-, ?L~/
INSPECTION NOTICE SCHEDULED ~ ~ .
ADDRESS --" )"b/K u/e:,1 CJ:;/2 //..4
PHONE NO.
OWNER CONTR.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
."._ .',,\;LL
o SITE INSPECTION
COM!t'I~NTs.:
Z/€CPt'r4 (
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL
~ /' cL~
~ c/-.39~
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
~EPLACE FINAL
o GASLlNE AIR TST
o
/- /' ...
~/~G"/
ofi-
-2
.
n;"'~/t'?ce. hh-e--,,(s
F
-~/ ./
;:n -<!C h ,
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./.
, ~"""l."'i' 1'.
c?r~7-
~
r;/"l~1'
./
~(<-
---
~"/
~p"r
:::::::::-....
A~ \ ')
~
"""""
/--./"
( e::zc;s e
40RK SATI~. PROCEED
/~ORRECT ACTION AND PROCEED
o CORRECT WORK. C~ay~"REINSPECTION BEFORE COVERING
Inspector: #~ Owner/Contr:
-
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
DATE nME
9/zk
CULs/04 /~dr
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
So/?,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~MBING FINAL
o MECH FINAL
COMMENTS:
~
~-rO~ c. 7',-,.-
~s-~
Mer/
8/
f5q_3~?
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
- /
CJ..c
i~) ~~~/ ftrU (;'.r-h//edr..
-
./ I /1./
c.):.~C ~ @ ~,/ dLkj:-
..-6
/' /
/?he/
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT W~R~. C~~OR REINSPECTION BEFORE COVERING
Inspector: P-L1fC- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lN$JWTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY/
-
Job Address
Heating Contractor
Name of Tester
Date
Percent 02
Percent CO
Percent C02
Stack Temp
.~D\8 w.~
A\[;~~
~....~
?/:;u;/04-
If I/:;ll
oPp,v
~'y'7P
/tJft, '~
Combustion air is adequately supplied per
UMC Sec. 606 J6
input E!14 ,.,,17) ~ <-.J