HomeMy WebLinkAboutBuilding Permit 04-0562
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CbNNECTION PERMIT
See Main File
Date Rec' d
5./'1.04-
I, White File
2. Pink City
3. Yellow AppliClllt
I PERMIT NO. 04. os"~1
(?lease type or print and sian at bottom)
ADDRESS
5oc:f5 ~ C:J( 16ivJ ~t've..S[
LEGAL DESCRIPTION (office use only)
LOTI5BLOCK I ADDITI~P-e...Ad 10-1:.....
OWNER
(Name)
(Address)
ZONING (ofli<euse)
;e/
PIDZS. 4-01. 0/5: 0
(Phone)
(Phon[9sa.. 1'185-7863
(PhOn~~~dC.L('/3 c..
.~./ .
~~~)~.'J<., ~~~C- .
(Contact Name~IiIqI G.. ');;ho-u:kf= .
(Addre .,).C6~o ~K.b-L\~C:....:t:, ~ 100
sST I aJ~0;1\..Q _; (Y) N ..s:.,)~3.1
TYPE OF WORK
~ew Construction
DLower Level Finish
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Misc.
o Fireplace OAddition OAlteratinn OUtility Connection
PROJECTCOSTIVALUE (excluding land) S 159) /83, 0<:)
I
1 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 1"."r~.~J 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 fot just cause. Furthermore, I hereby agree that the city official or a7" gaee may
,,-~~~~~ons ~C:D05CJ>57 5-17-0
I J U Signature - Contractor's License No. Date
~,..-.q -~
I Permit Valuation ~ J'~1. ~ . I'" ~. ~ . ~~-
I Penn!t Fee $ 'I ~ 1\7 .'-"l2
I Plan Check Fee $, It! . AS
I State Surcharge $ 7 'i . 5'0 I
I~~ $ 1
I Plumbing Pennit Fee $ / /)~ . f:)O I
I Mechanical Permit Fee $ I DO. ~O I
I Sewer & Water Pennit Fee $ J S' . 5"0 I
I Gas Fireplace Pennit Fee $ q" . 00 I
./) .
i:1JJi/FuildingP:;;;WVCd
~cial Date
#
I Park Support Fee
I SAC
I WaterMeter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
. /--"L/
rlV ,,,;f. _ j) Y I ReceiptNo.
/A- ~;)..- t1 By C
o
#
#
#
I Paid
I Date
I
I
I
I
I
I
I
$ 1
$ '1 07 Z. 3e, I
1$
1$
$
$
$
$
$
S5r>.oa
l ~o;-n. t:O
'2~0 .00
C/~. "0
.I.2JJO.()O
7IKJ.(J 0
-
- J!'
~0 (Ji:5 /
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
Ked by the Cny Planner consti~ temporary Certifi:;: iWnce and allows co"'ttU~on to commence Befote occu;ancy, a C~te of Occupancy must be
~anning Director Date' . s, J
24 bour notice for all ittSpections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~1
Main File
White . Quildina
C-~:~[V . EpllineeriiiD)
"""'"Pfrii< . ..TannIng
Thl!' Ct""l!'r of lhl!' I.... ('OUIUl'J
BUILDING PERMIT APPLICATION DEPARTM!;NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D,12.
HOt<-TOtJ
- !e? 04--
,-
:...-;.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
C r? . ~~.
:..:)0,..)...;.; WE:::,j OAr":'" r-'I. v
Accepted
Denied
)(
Accepted With Corrections
Reviewed By:
;mA
Date:
b-~~C>LJ
Comments: ...s",,,, Rl'iverse Side for Additional Information!
IIJell'j/\ F.'I L .
See Attachments: 1), Grading Plan, 2) Erosion Control Measure.<I
"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
Main File
White - Building
~ring
~ Pi~ - Plann~
Thr("t'nlf'rOrlhrl.lbCounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. R . HOI<-TON
5. Iq.o4-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5003 ~VE5T OA~ !-J,: De...
Accepted
~
Accepted With Corrections
Denied
-t2j)f!!r
Date:
t- tf..-o y
Reviewed By;
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."
~~
Main File
Thr ('rntrr of thr J.akr Country
cWhite - B~
(;allltl'Y'-' 1:.1I9lne"rlng
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. R. HOR-TON
5. jq.04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5003 We5T OAK:'- ~, pe..
Accepted
Accepted With Corrections X.
:::::ed By (/J I2f--
Comments:
Date: ~ -u -CJ 't
I. M~....t:::-LP
~.QOP
t.t~
.
~
"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."
Jun, 1, 2004 5:18PM
GENZ RVAN PLUMBING AND HEATING
CITY .OF PRIOR LAKE
SEWER AND WATER PERMIT
No,9875 P. 8/9
Date Rec'd
LEGAL DESCRIPTION (office use only)
-
LOT IV:! BLOCK
(}q):. pOili1J 1YrL ,\'b
( ADDmON Iv J JIM} i.
V
i =.. ~ I PERMIT NO. I} '~~.
],Gold...._ ~7~
.
I ZON.lNG(q_...l -
l1Iease ~ or1ltUlI aM~atb01lOml
I ADPRE~
I .ILAJ:::) iN.
!(}th
PIn
I OWNER
(Name) t'i lIsrtQll ~'l('tom 1i9m;-:-
(Address) 2.0&00 ~eR..\ bee. Or S"".l f\"\
~s)
(Phone) _ Cf52-Q8S- IBM
[aU\! i lie.... "";tr,uU
(City) (ZiP Code)
, Al'PIJCANT
(Nun~ Genz-Rvan Plumbing & Heating
(Phone) 651-423-1144
(Address) 14745 So Robert Trail Rosemount. MN 55068
() (A~ ~ (Gtyl (Zip Code)
(ConractPerson). ~ 'J1.~u~ ~( \' _ (phone) 651-423-llr~ I_
.. ~.lCANT SIGNATURE (1 I ) "-+rJ ~ ' DATE ( e.iJ.JJL+
- - ~ - I - .,~,
APPLICANT PLEASE COMPLETE BELOW
Size of wateT service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of seWeT line feet.
Clean out (if required) located at feet from structure.
feet
o Cast Iron
FEE SCHEDULE
Residennal sewer and water line connection $35,50 Indus1rial, COIll'! & Multi-famJly I % of job cost with a $39.50 minimllJD
Sewer connection only $17.50 Wazer connection only $17.50
Estimated Cost $
Buildfug Pennit #
~
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
S
$
$
.50
~~
~~
(Olllec u.. Only)
J This Application Becom.. Your Building Permit When Approved
~
Builcli.g Oflidal
I r 0 ill [E r r eceiptNo.
fffJUN 152004 ~
24 bour noli.. for alll.spKtloDl (951.) 447-9: ~~.rax (9S2)447-424S
D...
r:-
5:18PM GENZ RYAN PLUMBING AND HEATING No.9875
CITY OF PRIOR LAKE PLUMBING PERMIT
P. 9/9
Villi: !tee'd
i= ~ I PERMIT NO. I j-~/- ~
1.Y~ ~ "'7 ~fD~
ZONlliG (ofIlGe_)
q>Ie.ue ~ or _ aII4 oiJlI1OtbollOm)
I ADDRBSh>T.6 \tJ, rtLk.. vm vH 7YrL (S (;.
I '
LEGAL DESCRlPTION (oJIia: use only)
LOT I&1JBLOCK I ADDmON -~f1P j J .I fJn1
Pro
>
OWNER
(Name) DR l:lol:ton CuSt01Il Homes
(Address)
_ (Phone)
%2-Qr;C,.=J8l>o
2O'S.~o Kel'1B;e,.l DGe.. Cr Sre. tOO
UiuvrllG bUN .5EX:Lp..J
APPLICANT
(Name)...c.o........~'D:-..a.- "1.._\...:....::; ,,- t.T'j""'+-':-s:
(Address) 14745 So Robert Trail
(Address)
(ColltactPe,:son) ~/( S
APPLICANT SIGNATURE ~ )
- ...... -
'}"",
. ," .,"
"ii',
I Quantity
I 1-
I (
I ~
I r
I ~
I I
I
I .IS
-
(Phon<:) ~ '" _l..? ~_, , ""-
Rosemount
(City)
MN
55068
(Zip Code)
(Phone) 651-423-1144
~ ~f -0 DALE (O/I/O-{--
APPLICANT PLEASE COMPLETE'BELOW
I Type of Fixture ! Quantity I
I Bath Tub with or without shower I Rough-ins
I Dishwasher I I' I Water Heater
I Floor Drain I f2.:::t I Wrrter Softner
Lavatory (Bathroom Sink) I / I Stand Pipe (Wasb.i.o.g Machine)
Laundry Tray (lor 2 compal1rl1ent sink I Sewage Ejector
Shower Stall I I Backflow Assembly
I Sinks I I Backflow Aasembly Terrt
I BuSink I I~S~er
I Water Closet (Toilet) I Other
Type ofFixtQre
I
I
I
I
I
I
I
I
FEE SU1J!,JJULE
IndustnaJ, COJl)J11.erc..1 '" Multi.famlly 1 % of job cost with a $3950 minimum Ros1dcntt.ai, New One &: 1'wo.I'Sllllly $9950
Ros1clential, AdditiOllS.It Alterations $3950
"L
Bwlding Petmit #
~~b
"V&~~
...,~~'"
~~
(
~
Estnnate<l Cost $
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL P:ElWlT FEE $
.50
(om.. Us. Only)
This Application Becomes Your Building Permit Wben Approved
Bqild;ng Ollitial
Dare
r-1)U ~ G m ~~NO.
. D~ JUN 1 5 2oof~1
U hour notice for aU inspections (952) 447-9850, 'at. (952) 447-4145
By
CITY OF PRIOR LAKE ~~3~~
HEATING/AIR CONDITIONINGIFlREPLACE PERMIT
()'leaselVD!:.or.nrint and si'l'\ at bOttom)
ADDR11.SS ....
.. o()ooWesf fJul'7Jj. Dr. g L
r~ Ji~;~, I PERMIT NO. tI'51. Q
ZONING (o_use) I
LEGAL DESCRIPTION (ofIke use only)
LOT BLOCK . wvul0N
PID
OWNER D R HORTON
(Nani~)_ 20860 KENBRIDGE CT
.)c) LAKEVILLE, MN 55044
..(>:\diftl!$~).
(phone)
AllPl>leANT ALLIANT MECHANICAL INC
{N'a.me}_ 3650 KENNEBEC DR
EAGAN, MN 55122
(Address) - 651-452-2775
(City)
:';=.u~~~~ ... -';::3M~if
,. . Al'liLlCANr PLEASE comtETE BELOW
,~W c;ONSTRUCTION 0 REPLACEMENT .
. FURNACE MAKE AND MpDIi:L 6Ir"",,-t- '3 S() MIt [1 o:U;08.p
FLUE SIZE ~" OllL.... "iu;:nJRN OPENINGS bINPUT ~O (I1.JLfl
mE OF S\!s'FEM HEA1'ING; OR POWER PLANT
. OW~Air~i';;ts o Steam
oqlaviiy' . oliotWater
[J.~echaniCal .. 0 Radiation
.18<:U< eonditionin 0 Special 9.evices
~~~~~~~~ g o QtherDevices
FIREPLACE MAKE.~;~QiDEL
(phone)
(Zip Code)
,-,,,.-,',
. PLEASENO!rE; .. .
. AiJc.Cbndilion~tUnits
Cannot ED,i:i-O,jcb iDtll
. Required Si4~ Yard ,.
Setbacks .
"....,r,';
:"',>i,:;-,:,:,-'!::i::i\"'~':"',;'--".,_-__,:
'>:,'-'::,','<"'.-'
" ,,',-,,:',.'
Industrial, Commercial.& M~lti-Farnily
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
S39.50
$39.50
$39.50
Estimated Cost $ Building Pennit #
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
;?;# l' PAl~ ',11__
. J'..i1. 11'>... .'~ If"~. 1"-;
"'-IV".".~(l'\ w. Q .,-
"Y\:1"""'"'
'~~:~":l
~"'liiilCno..
'';''1/ijf-
(Offic. u.. Only)
This Application Becomes Your Building Permit When Apprond
BuildiDg Official
Date
24 hour notice for all inspections (952) 447~98s& f.q!ll:n 1.t'7...A7.45
i lUD
'ptNo.
I
~f
J
i?r
f)
Page 1 of2
Lynda Allen
From: Christa Wegwart [WegwartC@hearthnhome. .~~ @ ~ 0 \!J ~ r ~'
Sent: Friday, July 23, 20044:17 PM I (J{[;~~l/l~.
To: Lynda Allen JUL 2 6 2004. -61ffS//!.i1
Subject: Prior Lake Permit !;,;o,:~~7'"
By
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE
PERMIT
D
~ase trPe or vrint and sip at bottom)
ADDRESS
I. Pink File
2. Green City
3. Yellow
Applicant
I PERMIT NO.
5005 W OAK POINT DR SE
I z.U"......G (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) DR HORTON
(phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
2561 .
(Phone)
l\'il_I\.~.~_
(Address)
AVENUE
2700 NORTH FAIRVIEW
ROSEVTT T "
(Address)
"5113_
(City)
(Zip
Code)
(Contact Person)
2561
BRENDA HUSTON
(Phone) _651-633-
APPLICANT SIGNATURE
04
BRENDA HUSTON
DATE
7-23-
APPLICANT PLEASE COMPLETE BELOW
X NEW CONSTRUCTION REPLACEMENT AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT
OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
Steam
Hot Water
Radiation
Special Devices
Other Devices
PLEASE NO~
Air Conditione
Cannot Encroa
Required Side
Setbacks
7/26/2004
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS _1};00 C ~~.....k (j) ~ 0,-'
NATURE OF WORK A'DiJ
.
USE OF BUILDING S~
PERMIT NO. ()4. o5~~ DATE ISSUED 6-i/-c '/
CONTRACTOR ~t-b~ PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ IM.aJ(,l .r llt
DEPARTMENT OF
BI)U:'DING AND INSPECTION
.
. INSPECTOR DATE
I FOOTING /;'VIe;, I ~_, I ~/.2i-7'
I FOUNDATION (Prior to Backfill) ,:,U I . ~~ &?' I 4/JZ:7
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN Si"GNED
ROUGH - INS
SEWER I WATER I SEPTIC /R/ 7P~/;y
FRAMING E:ctcSk.. #~ ~ ?P~ ~ jIU'/-~ ~~ ~
INSULATION -J A1~ i/:;"? /"<1
ELECTRICAL _ tV ~i. .
PLUMBING fJ. c;: ~ 7/z~t/ //P'oI-' . J7 ~ CJ / ~ <.)
HEATING (if required).' . ~ J?7/J/~
FIFtEPLACE 2 (N! i t5 ~, jk-;7:- 0./1/ .;:4
GAS LINE AIR TEST~,;. -f ;2 f;/. #-?: f.!<"{oL/'
COVER NO WORK 6iQTIL ABOVE ..a-~EEN s11!rr'~'
I. - / . I I
~~';kv(; I /S A'k",,~A,: .jFINALS .
GRADING (Prior to Sodding) \ ).0 If? ffi,j, /1- ~ .
BUILDING ~ /...1~~7'"
.
ELECTRICAL l'o/l2'4s/'
PLUMBING IK17 /';';1i~
HEATING #~ /..2-,hrftV
DO NOT 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
Qlttfifirafr of Q1}rntpanrl1
CITY OF PRIOR LAKE
~tpttrfmt1lf of 'lQ.uilMng Jlnsprdion
~inal Permitted D Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / 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 following:
SINGLE FAMILY 04-0562
Use Classification
Bldg. Permit NOe
R3
VN
Rl
Occupancy Type
Type ConstructioD_
L15, Hl, DEERFIELD 10TH
Zoning Distri,.t
Legal Description
5005 WEST OAK POINT DRIVE SE
Owner of Building
D.R. HORTON, 208~0
Contractor's Name & Address _ /!
ROBERT D. HUTCHINS UN"
l(// r7--. City Planner
, j B1jlding Official "j -
Date: --I-2l'f IJ~ Date:
Site Address
KENBRIDGE CT., LAKEVILLE 55044
JANE KANSIER
... ,," ~,L ",'." ," .,.~", ," ,"~~" ".';"',
.' ~,." ~. "',
......, .
CITY OF PRIOR LAKE , / / ~ /'
INSPECTION NOTICE SCHEDULED /0;:"0/ lIE
ADDRESS 000:\ V/e5!c;Jqj'p/ #r-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
CJ Y - S b;2...
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 RNAL
o EXlGRADlFILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
'" /' // /'
/&~pp<~t-Cr r"",r r--Ok
(t) ded/77-rv l~^r:/d.-rf
/P"\ A /J
(3/ L/:P' r;YJ'uj/€-~
4f~1 uA,-krd-rb/s~;~L
. . / / '1ft -. / / /
~ Tl:"..' ~4' t!" ~_.l ~ -:F-4! r-::
(@ ru,:J "'A-c.- C~ ~G-~ ~ct:.::..)
/' f' /7 /- --<' I
(~-ed. (z:;.J /5c.J/'/dy r/-""7,
~RK SATISFACTORY, PROCEED / ~
~~~~RECT ACTION AND PROCEED / C
::ECTWO~ REINS::,:::FORE COVERING
f:ALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS AIlE FOR YOUR PERSONAL HEALTH'" 8.4FETY!
_n
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIllE
/,l/4~
Stkl~ uJ bJ/ (!J<pL ;l~ 4
ADDRESS
OWNER
PHONE NO.
SCHEDULED
CONTR.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
rCH FINAL
COMMENTS:
.2fkJ :#If: Jhd ~
16...... k~k"~_
I'
, /"
/ffech. hn... /
--
h"'&j /
-
.~-~~
-- ----.
..---__M-
~
(/:/:.-e
~~-a2
o EXlGRADlFIWNG
C COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/'
ah tfi:;sp";" <.....
&~
~L
Cl/c..
--
--
. -........
)~
/
~
.---r ./
~/e
AoRKSATIS~''''''-~o:L"
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~ OwnerlContr.
CALL .,47.9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL REAL77l & SAFETYI
UtMOTl
I
e
APPbWtCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor
Name of Tester
Dale
.'
Job Address
Heating Contractor
Name of Tester
Date
Percent 02
Percent CO
Percent Co2
~iR'4"
/,/f.!hY
.
~ -'I. <!/Wi"
~~...~~~
~~f/f
./ih"h!Y
)DA ~
5f';;
tD7 ~
Slack Temp
Combustion air Is adequately supplied per
UMC Sec. 606 y~.$
~NVfJ
Input