HomeMy WebLinkAboutBuilding Permit 03-0264
Q1:erfifirat:e of (0rrnpanru
CITY OF PRIOR LAKE
, ~l1larfttt1mf of ~ttil~ittg Jlttspediou
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:
Use Classification
SINGLE FAMILY
_ Bldg. Permit No.
Occupancy Type _ R3
Type Construction VN
Fire Zone
N/A
. Zoning District
Legal Description
L26, B2, DEERFIELD 10TH
Owner of Building Site Address 5043, EAST OAK POINT DRIVE SE
~ontractor'sName&AddresWENSMANN HOMES, lJl95 PLAZA DRIVE, 'SUITE 200, EAGAN, MN 55122
ROBERT D. H~TCHINS~Y City Planner DON RYE
O Buil;j.idk Official
f': 7' /' t? :5 Date:
I'
Date:
I
DATE
-
S"oi] ~,I- 64~ ;;1
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING Rl
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
.JZ'-MeCH FINAL
CO..MJIIENW: ( _ '/
~/-u/-r'cCt: /7~&. / crl11~-
TlIlE
a;-..x.c/
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~3
/t"k~/-r~ /-;-;'... /.1 oj I
//.ac~/ve,j ~q / 7rr.f r-
/::;1"i /
/
O/C
%WORKSATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR EINSPECTION BEFORE COVERING
Inspector.
Owner/Contt:
CALL "7.9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
uaNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY/
DATE
T1IlE
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
S6f../'3
.5-ff.()')>
(i~ ~I /1;1-1..1- nr~.-
SCHEDULED
OWNER
CONTR.
PHONE NO.
j~ )..(,4
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING Rl
o MECH Rl
o WATER HOOKUP
gjlEWER HOOKUP
rLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
"'
(j)..ft'M&' rfJ~~
o WORK SATISFACTORY, PROCEED
#'CORRECT ACTION AND PROCEED
o CORRECT ":Jf~L FOR REINSPECTION BEFORE COVERING
Inspector: -f-Il-f' t1f, ( ( ({7 OwnerlContr.
CALL "7-9850 FOR THE NEXT INSPECTION 2. HOURS IN AOVANCE.
CODE REQUIREMENTS ARB FOR YOUR PERSONAL HEALTH & SAFETYI
uaNOTl
~\';'~
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
~. ~;'::: ~:~ I PERMIT NO. D"2 .,. 0 z'-4t
3. Yellow Applicant .7 \P
q>>lease tvDC! or orint and si2l1 at bottom)
ADDRESS
soL/? Ea.S../.. 1)6.'" H"u+ h.,.,IIC S,{;'.
LEGAL DESCRIPTION (office use only)
~~ ~ ~
LOT BLOCK ADDITION J>..ev-f:..el.l 1014
OWNER
(Name)
(Address)
(Phone)
BUILDER
(Name) b.n. Wrw.{.,,,, T'A.t. - 1"l1A1
(Contact Name) :r~~s,.I''''' &KJn
(Address) .JIJ'l&O ~rab;,'dy.LD"/.J... LJ...la.v,11t"
, ,
TYPE OF WORK
o Misc.
ENew Construction
DLower Level Finish
Date Rec' d
,1- 1- 03
I ZOR~(Offi~We) I
PID%- L/OI' OLffo-O
(Phone)
(Phone) 9s;Z4;r.s-- 7&zP
mAl 5".'Z! ~,/
ODeck
OPorch
ORe.Roofing
o Fireplace OAddition OAlteration
PROJECT COST IV ALUE (excluding land) S 1'17 q 1)0
i
!'fIJlf otlf),tUJ I
1$ 1;;/(, Z.5"S I
1$ 8z.0.~" I
I $ 71./.o(J I
1$ '- I
1$ JOtJ.oo I
1$ lo().oo I
$ .35.5'0 I
$ J/tMJO I
, This Application Becomes Your Building Permit When Approved
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 y.u}'....., 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
enre~;rtywp~ectiOM
X .A~ Signature k-:- ~';;:~LicenseNo ':<-{p ;.~~
v
I Permit Valuation
I Permit Fee
I Plan ~heck Fee
r State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
~ 9.tdJ1--
Building Official
~~.3
Dare
I Park Support Fee
I SAC -=-
I Water Meter (Size5/~11";
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~ 0/- /1
..-;l, _ Q.. ~- .3
#
#
#
#
ORe.Siding
DUtility Connection
, $
85a. () 0
IZ 7'5, 00
Z150.OO
0/5'.00
IZaD.oo
7GD.OlJ
$
$
$
$
$
$
$
$ftJ152- ~ 7 I
I ReceiDtNo.'-(~crrr!:
Bv QC/
V
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 t_'''Y~'_J Certificate of Zoning compliance and allows construction to h_____..n. Before occupancy, a Cenificate of Occupancy must be
~ 9~ dl/l't!bS ~ qU" r-
Planning Direcwr r,ate Special COnd~
24 hour notice for all Inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See Main File
~ - BulldlnL
c- ;.y - EnglntNtii'iD)
'"Tnk- -l'llInnlng
TII' (0"11'" .f 1_ I..a ('.lIlry
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~'
l;,..- (' ( ;;~)/~cllcJ-)A--.-/
APPLICATION RECEIVED
,
d-7-3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .... (
.s" /"//::i"'- r" /".\ t f'
,. ) "I ....; t---- /;' f, .'"- ...::..-. .. / c--" ..t ..-,....-'-.
...' .1 ." ' I_~A..-...-I(_~ ) / '...~- - .
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Comments:
Iylfb
Date: :< -:< 7-0]
5-c<. /J1""j, t:;/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." '
See Main File
Tht ('tnll'fof lhl' l..kr ('ounlry
('White - Bulldinj)
Canary - I:nglnuring
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~/2~
;)-7-3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction SD~3~ is EOs~ f2f ~
Accepted
Denied
Accepted With Corrections ~
Reviewed By:
~ f~1--
Date: c?/;<! ~3
I .
Comments:
See-Mai-n 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."
,
The' l't"lrr of lltr I..k" ('ouall')'
White - Building
Cana", - EnQineering
~ink =- - Plan",n~
BUII,.DING PERMIT APPLlCJ\TION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/>
1-<'"
~)
/,.-
/e.
1/ ./;' ~ ).'~.L --"
/''/' '(,// tl/ /-
;),,7-3
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed,at: / ('
5/"'/ :J... /- / ?' I. ,j,~ I'
"" u< .:J 1'::"_ (j{j, K_ /-r. !'~>-C_L,>~~
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
'"~
~
Date: o?~~ 43
::J .LJ}.A
Comments:
."2
See Main Pile
'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
orc;linances of the jurisdiction shall not be valid."
CITY OF PRIOR LAKE late Rec'd
HEATING/AlR CIJNDIUONlNGIFfREPLACJ I~~ ill [~ '
~\ APR 0 3 20~jtz7?
I. Pi,k ,", ~PERMIT NO ':::l ~ "") / 44
2, GnM:n. CIty . ~ L?( ((J
3. Yellow AppllCl B ___ .
(Please tve:e or priDt and sim at bottom)
ADDRESS .-c?
:5ZJ<Y'-? ~/O~ /2?/.A./ U~-
ZONING (officeuso)
LEGAL DESCRIPTION (olliee use only)
LO~~LOCK~ADDITION
Pill
~~e~RD.j:\. HorTon (l~m Home'":"
{Address)dI)gW .~hrida_}'.. {t~Q.ke.vJJ1.e......Mfo.J
APPLICANT J\ II. t M h-
(Name) rtllrClr1 et!... .Ja;xa. (Phone)!.t..S1-45:L-tf(775
{AddresS)__?CilSO f<le.nr1t~b~l'fr. 5:I:.e. #/ Fag on .1'5/.2..2..
(Address) v (City) (Zip Code)
f. Z;rnmprfY"\~O (Phone) (P5/-'(/5()- bl77~
(l.4?~--'f)A'AUA'-'" DATE .
(.IV . v
APP WANT PLEASE COMPLETE BELOW
0NEW CONSTRUCTION DREPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL 1Jr~~~v~ FUEL J\JQ,h.H'1:l.1
FLUE SIZE Ip1cla.st. "B- RETURN OPENINGS 4 INPUT '"1b.Oeo OUTPUT 5lD. tJO 0
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone) C(6a, Q';j5 -7o?7~
.550J..lL[
(Contact Person)
OWarm Air Plants
OGravity
O}iechanical .
~)r Conditioning
[]'V cnt. System
o Steam
o Hot Watet
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKEAND MODEL
Industrial. Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gss Fireplsce
$39.50 minimum
$99.50
$64.50
$39.50
Residential. Heating & NC (New Construction)
Residential, Heating Oriiy (New Construction)
RosidOtltial, Additions & Alterations
ResidOtltial, AC Only
HEATING PERMIT'FEE
8TATESU1tCHA1tGE
'fotALPERMrr FEE
$
$
$
$39.50
$39.50
13(J/~:4/0 &fn.... .
'1Na -it 11
'l:FiAir,.
Estimated Cost $
Building Pennit #
Building Official
~o
r.LJ -
j~ ~ C-ffJ [E ~I. eceiptNo.
btteAt'K UI Z003 U y I'
Date JU I of'
24 hour notice for all inspeetions (952) 447.9~ fax 1952\ 447-4245 I -V
(Omee Use Only)
This Applicatill" Becomes Your Building Permit When Approved
Apr.10.2003 1:41PM
GENZ RVAN PLUMBING AND HEATING
No.9302 P. 820
.
Date Rec'd
CITY,OF PRIOR LAKE
SEWER AND WATER PERMIT
Cl'lwe ""'" ormnt ""d !1l>Jl at bOtlOm)
ADDRESS J /
tjlJi.7-y r:; {)fit f!f-. ^fL -St.
1 ""'" "I. I PERMIT NO
2. V.1Ow Clo>- . . . -:7 - d~t If
::J. G"ld APlllb4( .:::> Tl
,
J
ZONING (offi<:<u,",)
. LEGAL DESCRIPTION (Ollie. "'. ollly)
LOT~LOCK C2. ADDITION k/Z.ft'e(d /ryth
PID
OWNER
(Name) p~ IlnNR C"n9lll. R9lll.C:
(Address)
2.t?'?:.i.rO l<ev1Bi<...\t:.6e Cr-Sre.l(')[]
(Addn:-ss)
. (phone)_
La~~Jlk,
(City)
q.s2 .qg.s-7.&:;\
'5~U
(;Zip Code)
r APPUCANT
(Na~.' Genz-Ryan Plumbinp; & naatinll;
(phone)
651-423-1144
(A~) 14745 So Robert Trail
(~~:;: r_
(Concact Person). ~~/.LiS
'.JCANT SIGNATURE -.Jl.lJ.~ )
Rosemount. MN
(City)
55068
(Zip Code)
4-01u:J
, .
(Phone)
DATE
651-423-,.1144
l/ //0/03
.,.
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any coupIings 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
Residennal sewer and water Jllle ConnectIon $35.50 Industrial, Com'! &: Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Pennlt #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
S
$'
$
.50 8lJ/~-4ID ~
~NG P~IiAlrr
1
'-
(OtlIce tI.. Only)
I This Application B~omes Your lluilding Permit When Approved I I Paid I Receipt No.
- D.I< ~In UllfliIJ/1 By
24 hour notice for .11 i.'prctio.. (9~) JUt!85AjiR (15:lf ~O~j4U
Building Omcial
q
I
I
Bv
'-~__.:l
Apr.10.2003 1:41PM
GENZ RVAN PLUMBING AND HEATING
No.9302 P. 9:20
"
L.l.n:' OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
t~: ~!~ I PERMIT NO.--:2 - l.l:.'-{ I
l Ylltbw ."'~I J c;;t"f.LJ
Q?.JcU/: tve.e ot'DnJl[and. 00 atbottom)
ADDRESS ZONING (o_use) .
q)4-3 ~. Oak 17.1-. /)~. S"f,
LEGAL DESCRIPTION (oIfia: as< only)
LOT[)P BLOCK ~ ADDITION ~.f7dd If) tVl
PJD
. OWNER
(Name) DR liorton Custom Homes
(phone)
952 - q '2t::.,.=:;2DD
(Address)
2.O'SLoD kL"P,~I~ Co Sre. IDO
/..f. LLVI J I~ IAAN .5601.; W
APPUCANT
(N'ame) C''''......_~~....... '01"mhiklB t t19:il.-ti-B.3
(phone) ~ <1_/,?o_" A"
(Address) J.4745 So Robert Trail
(Address)
(ConClCtPason) rM~-h ~(
APPLICANT SIGNATURE 0A.A'~~j1/1
Rosemount
MN
55068
(Zip Cede)
(City)
(phone) 651-423-1144
DATI ~()~
APPLJCANT PLEASE COMPLETE BELOW
Quantity , Type of Firture I QlWltity I Type ofFi:s:ture I
;2 Bath Tub with or without shower .~ Rough-ins I
I I Dishwasher I I' Water Heater I
.! I Floer Drain I Water Softoer
':.l I Lavatory (Bathroom Sink) I I Stand Pipe (Washing Machine) I
-/ Laundry Tray (lor 2 compartment sink Sewage Ejector I
I I Shower Stall I I BackfJow Assembly I
/ I Sinks I I Backflow Assembly Test I
'I Bar Sink I I Lawn Sprinkler I
:J I Water Closet (Toilet) I I Other I
FE:E SCHEDULE
Indu5tnal, Commercial & Mull1-falDlly 1 % of Job cas! with. $39 50 minimum RCSldonl1al, New One & Two-Fsmlly $9950
Re<idcntiaJ, Additions & Alteration. $3950
Estn:ttatecl Cnst $
Butlding Petrolt #
8(J/~ kIt..._
'lvG b:.'" J
. -l:~/7"
PLUJI,-fBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FE:E $
50
(oro.. Use Only)
ThiJ AppliutiOD Becomes Your Building Permit Whell Approved
Buildia. omcial
~. -.."" Pc _ C'I _," Receipt No.
D... a~ ::-w41
~ ~ ~ (UUJ I
24 hour notice for all inspections (952) 447-, _ ,f.1x (952) 447-4245
Ch
o
By
--
[,
,ii!.",
CITY OF PRIOR LAKE : III
HEATING/AIR CONDITIONINGIFIREPLACE PERMl il1J JUI
,'.1 :: \' i; I
!_.'::l U l:..J L::J ',;
DlJ.te Re,j~
Ill! L003 u;
-.J
By
! E:.. E;;"" I PERMIT NO'03,0 Vo 4-j
l!'I..!'ase ~ or_ ancI sioo at bottoml
ADDRESS ZONING (office use)
5043 EAST OAK POINT DRIVE SE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) DR HORTON
(Phone)
(Address)
........,.....
APPLICANT
(Name) ALI.IED FmESIDE DBA FIRESIDE HEARTH & HOMIl
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
(Contact Person)
BRENDA HUSTON
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
APPLICANT SIGNATURE
BRFNDA HUSTON
DATE
7/R/03
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
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVen!. System
HEATING OR POWER PLANT
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
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
$39.50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Buildiol! Official
Date
Building Pennit # (? _1 - OZ,ftJ 4-;.,..\0 ~~""~
~ ~G~
ml ~ ~ [~ U .w ~ ..i'l\ ~\\S>
~:,.. ^ ~ ^"^ ] I
J~ Nl4l U 0 /.uuJ j Receipt No.
B I Date
I' Y
By
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hnur notice for sU inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS S()~r ,: (l,iiS.E.
NATURE OF WORK NFMJ ~"",erl
USE OF BUILDING .:s:':-:A,
PERMIT NO. _IJ.,J-O 2&4- ..l DATE ISSUED .
CONTRACTOR ~, Io(QIlLTO.... ~UC. PH NE .. .
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENTOFSee Main File
BUILDING AND INSPECTION
INSPECTOR
DATE
, FOOTING
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING U.{y" -fA;\", t1/U--f~ ~ VJ;( 7~ ')'3- c/}
HEATING (if required) J/W./ 7- J/u/]
. v
FIREPLACE Wf 7- )/'J-0
GAS LINE AIR TEST I1/f 7- J'3-r/7
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
, I I
kt.r kf./-d 's- (}nli~tc..kl FINALS
GRADING (Prior to Sodding) Je c
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
M
WY?
7V J- -; <'C/!:J
7 -) Crl/J
t
-
/'7/e
}h/os'-
9ft/A?
l/l1f' q - ( Hf\,
~ ..?/?Ar
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
~.rh
~
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
~
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor (ftvt- --4J/
Name otTester ~-8
Date ~.4r
,-
Job Address ('"Dq) F ~k/r'bt..
. Heating Contractor L!JtIr- ~~~
Name ot Tester ~_a
Date ~W/8
Percent 02 /a 7 l'.
Percent co P//"v
Percent CO2 S~$
Stack Temp 9. Or
Combustion air is adequately supplied per
UMC Sec. 606 ~.r
input ~ thPJ&-r:...