HomeMy WebLinkAboutBuilding Permit 04-0785
5~~~):;to
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
Date Rec' d
7. 8. o~
(Please.!VDe or orint and sien at bottom)
ADDRESS
4qq-t 'viuJ-oJt 'PoLJ-'Ut\_e~f
; ';:;~':' ~::y iPiKMlT NO.O ~ ~ /7g, ~
3. Yellow Applicant I - 7 - / i \.J I
ZONING (offi" use)
1<...1
LEGAL DESCRIPTION (ollice use only)
LOT 1'2 BLOCK J ADDITI~rK'f....,td 101-'--
PIDZO. 401. O/Z. 0
OWNER
(Name)
(Phone)
(Address)
BUIL~ q) . I :J._
(Name) L..J. fC-. ~ --ou:PY"1 r I rl ~ -
(Contact Name) ~ I.{)o ~ (I.~ k ()....
7~~b /<0.~\ck..Q... Q::r 'IF (00
(Address) -G~.oa.~ Y'hf\frJ~;:;q
\
(Phonef~8S~78 3- ~
(Phone) 95::;.. ;;;.. 6>- L./7.3 'Z..
J
TYPE OF WORK
~ew Construction
DLower Level Finish
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Misc.
o Fireplace OAddition OAlteration OUtility Connection
PROJECTCOST/VALUE (exc1udingland) S /5'5, '-/8'1
.
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.~y';'n) 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
~"~~;::oP~rf~~:.ctions c!J.~(~c:;, T-J-i-d!
~ ""\ '~- I ~ Signature Contractor's License No. Date
I Permit Valuation J~. tJm.r'J'2.. I ParkSupportFee # $ l!5"o .QO
I Permit Fee $ /.i.f67.~-o SAC ~ # $/.:?5b()O
I Plan Check Fee $ ; q / C/ . !J8 I Water Meter Si~"; I"; $ '. 252:). dO
I State Surcharge I $ '7 'i.<;(5 I I Pressure Reducer $ fie:;: OCJ
I Penalty I $' I I City SAC and WAC # $ I. 200.~
I Plumbing Permit Fee I $ /".,,,. &() I I Water Tower Fee # $ 1M . ~
I Mechanical Permit Fee I $ , / n/) . 06 I I Builder's Deposit .
I Sewer & Water Permit Fee 1$ .?'):&'V I I Other $
I Gas~PermitFee 1$ LfrJ, D~ I TOTALDUE . $-7. 07Z. 30
'''is App' ion /l /J Your Building Perntit When Approved I Paid '7(}-1 7~ . ? Y I Recei/iNo. '; -?.;.n
(.u. 7,1:).-0 ( I Date ) :W' J),..- I By"'- .
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This is to c~ that the __7Jm: the ve application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
=e~~~ed by tile c(~ tes a temporary Certili7~~~ compliance and allows coseeo"Maiif-~ lte of Occupancy must be
Plannin !iX'Ctor Date Special Conditions, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
6~
See Main File
....-white - BUild1iii>
Canary . t.nglnellring
Pink - Planning
Th~ ("t'nl..r 01 Ih..l..k.. ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D_ t2. _ H-O/GIV~
I. e .04-
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4QQZ- W~5T OAK- POI NT DR...
Accepted Accepted With Corrections
Denied /I I
Reviewed By:f4-4~
Comments:
K
Date:
7'2:2-0,-/
~~.
./~+?LP
"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
Canarv - Enalneerlng
,....prnk - Planning:;.
Th.. ("t'nl"T or lh..l..k.. Counlry'
".,-
BUILDING PERMIT APPLICATioN bEPARTMfNT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. 12. H { f2\T ~i
---;.r.c4--
,
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4 q 1 Z- \ V E c,i c. t\ ~ p (( I,J T D IC .
~"..
Accepted
Accepted With Corrections
><.
.
:::::'d B,(6)
Comments:
Date: 7-22-0 L(
t.
.
s:/ / :/JJ,!
'-"
I~ IJ (p
..
"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,"
.
.~~
White . Buildin
\.. ~'::'I-j:d;; - cuglneerl"
Pink . . Planning
Th<r C<rnlrr or lhl!' 1...1 ("Ollnlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
De. H rc::.-\--D t.1
/.b.64--'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
A -"{t') Z- \V"- ~- 'j/ -"' ,- r-- I')
"'1-(I"t:.~1 Cf\l'- I/CII..J I 0'--.
Accepted
x
,
Accepted With Corrections
Denied
Reviewed By:
/YrJ-A
s~~ 4//1\ ~,'/c
Date:
)-lJ-oy
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."
. . .
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i 'CITYOFPRIOR~ . . .... . '.
'. :'HE~,Ji~G/MR CONDITIONINGI~~PLACE PERMIT
$2911
Dateliec'd
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'</:':',/P:,.":'651 45 '2 ,'::' '., ....,.... ,'.,.....\....
(.4~l...-. 2-775...,.,..:...... .' .... . ..... .i'i.....::.......":'..'.:..""i
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,...:;::,::~'> :-" : " ',.>,~:::;,;:.<';~:~);~f:~:~;j~~0; ;,'f:. )\',:;:'(;:,:<' . FEE SCHEJf(j~~,,~'<, "":.":"."".": <:'" :. , " . " .
'lIlchikial Cominerc~&'Millii;Flifuil)' 1% of job coStReSf~~dat.GasFkq,Ia..e .'.
. , ',":" : . .'.. ~ :' :,.' ; '.,"". :"'::"(:':,,;:'-;:~,(:::~/';~Xi~-r,;'V::;':"':: i . S39:S0'minimum ' '\-" ". . ' ' .,. .
RCsidei,dal, Head'; &!!G.(~viG'Onsltllction) $99.50 ReSiddrtial,A,dditions & Alieratlo.;....
'. R#iclcntial, IieBii~ i:%I}iW~i1~~c;flon) $64.50 RCS1citnii'* AC Only .. .
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.. ....Pill,
. .'i:;D:~~':~~'~~,
'Q.W$'R DR HORTON
,..(1il'@l~}\,- 20860 KENBRIDGE CT
'.'''. ,\'';:'i.', LAKEVILLE, MN 55044
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· .~.~'o\(t~'t'.'.,\'?yi F,." 'i'.: ,'.
, ">$3Y;S\I' i.'
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. . Estimated Cost $
Bulldlog OfBdal
n.te
Buildm!! ~ermit # .
. .PAll.) VV 11ft
.soBUILDING.
.I:'.bKMIT .
~.j~~ ~ U \'!J l1--:-~ KecelplNO. .
I DlUGn 2004 By
. .
$
$
$
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HEATING PERMiT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(om.. Use Only)
.TIdsAppUcation JJecomesYour Building Permit When Approved
24 hour notice for all iospectioos (951) 44' -9850, fax (952) 4474145
. I3Y
JUl, 19, 2004 11: 05AM
GENZ RVAN SERVICE
NO, 431 p, 5
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
, Q'kue_"Q1; or1>riA' "'" olm alba"""'}
I ADDREQ~ ~ )'. ~ I)JUt' ti<1t ~ '!tr1-/(fi
J~}eJll1JHv
I,.'" "" I PERMIT NO~ ~
L Gold Cl~
3, 11l1ow ....pl)CIAl ..
., ZONING (olBI:'UIt)
LEGAL DESCRIPTION (ollloe \l!C only)
LOT /:hLOCK I ADDITION
PID
OWNER
~ame) DR Horton Custom Bomes
(AddrouJ
2.~{PO KeV1B~1 DGe. C. Sre../DQ
(phone) %2-Qi5.:::JBlJD
J-Q.It.J..v; Ife.. tUN E6CI.( L.I
APPLICANT
(N1me).Q---nDr-. 'D"'1I"..3 '...Jk'.'.e
(Phone) _65l=P~-" V
(AddrelS) 14745 Sn::L;:;;)~lf:l lose~t MN 5(:~Ode)
(ContactPelSonJ J..J4II {( \!J 1JJJ.. ~ /\ (phone) 651-423-1144 /'
APPLICANT SIGNATURE '.)L~ ) .tiJJ l..r::t DATE 1-f:1~ (j
-. , .
APPLICANT PLEASE COMPLETE BELOW
I Quantity I Type of FIlcture I quantity I Rough- ins Type of Fixture
I i:t I Bath Tub with or without shower I
I Dishwasher i /. I Water Heater
I I I Floor Drain I flT I Vi liter Softner
I JJ ' 1 Lavatory (Bathroom Sink) I I Stand Pipe (Washing Machine)
I t I Laundry Tray (I or 2 compartment sink I I Sewage Ejector J
I 1- Shower Stall i I Backtlow Assembly
I Sinks I I Backflow .Assembly Test I,
I Bar Sink I I Lawn Sprinkler I
, ,'J., I Water Closet (Toilet) I I Other J
FEE SCHEDULE
Indu.ltiaJ, Commercial &. Multi.family 1% of job cost willi. $39.50 minimulll :Residential, New One &. Two-Pamily $99.50
Retidential, Additiona &. A1lmliOllll $39.50
EatilIlated Cosl $
Building P~lll
(om..u.. Only)
I Tbil Application Becomu Your Building Permit When Approved
PLUMBING PERMIT FEE $
STATBSURCHARGE $
TOTAL PERMIT FEE $
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.5()-,,- .l.OlNGR:t:'Yrr'
Build... Omel..
, ~)~CI[Y) It U ill ~ r!'II~C8iPtNO.
-. . >>al. . Jt.fuL 2 9 2004 U 3y
24 boar noli.. Cor .11 i..poclioN (.952) ~1 9850, fax (liS) 447-G45 ~ I
By ......J
JUl, 19,2004 11 :05AM
GENZ RYAN SERVICE
NO, 431
p, 4
Date Rec'd
CITY.OF PRIOR LAKE
SEWER AND WATER PERMIT
(fie"" ~ OrOrlDllllthb!ll:al botlllm)
ADDl(ctq~ \NQ..,-f OilL. ?+ D~97
LEGAL DESCRIPTION (olllce UIO only) 1'\ il A I/J 0 ~..I ~
LOT !hLOCK I ADDmON 1~(j{t:X
OWNER
(Name) "'". .'U.T"~- ~u.t?~ lIhf"-:'
(Addl:ess)
2o&d') ~e.il\t'l6e. Cr- Srv.lM
- (}.cIdroI.)
APPUCANT
(N..~,.' Genz-Rvan ~lumb1nll & Reat1nla
(Address) 14745 So Roben Trail
.( .)
(Contact Person) .
- ""ICANT SIGN.ATUlUl
i ~:. ~I;; I PERMIT NO~ ~".II:'
],GoJd.4pplielnt ~
ZONING (otricc...)
1'frrVt
PID
(Phone) _ qe,2-Q85-18OA
,L.a.~\ji\le.. .&Jro1U
CCilVl lZio CoWl' '
(phone)
651-423-1144
ll.o9ftlllOunt. MN
(O!)')
_ (Phone)
l /\ DATE
55068
, (Zip COWl)
65I-423-1144 I
-1.../ q -tJJJ
-.-
........
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structUre feet.
Type of sewer pipe, 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure,
FEE SCHEDULE
Resiclential sewer and weIer line cODIIaction $35.50 Indll.!lrial, Com'l & Multi-family 1'Yo of job cost with. $39,50 minimum
Sewer COIlllection only $17.50 Water comiection only $17.'0
Estimated Cost S
SEWER AND WATER PEP.MIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(om.. u.. OBly)
I. ,Thll Applicadon Become! Your BuQdlng Permit When Appro..d
BPlldl.. OMd.1 D...
i-
Building Permit #
$
$'
$
'~A':J t'\'m-J
:"~-l'U!NG ~~V-
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~ lIb ~ u EJ u: m,oeiPt NQ.
IflateJUi 2 9 2004 I ~'I
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14 hour .od.. Cor.11 (..peello.s ('~) <<7-' ~ en (95~) <<7-4245
Page 1 of2
Lynda Allen
From: Christa Wegwart [WegwartC@hearthnhome.com]
Sent: Thursday, September 09,20041:15 PM
To: Lynda Allen
Subject: PERMIT FOR 4992 W OAK POINT DRIVE S E
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONINGIFIREPLACE
PERMIT
Date Ree'
~ase trPe or oriDt aDd rion at bottom)
ADDRESS
l ~ ~""'" I PERMIT NO. 0-1-. 01961"
ZONING (o_use)
4992 W OAK POlNT DR SE
LEGAL DESCRIPTION (ollice use only)
LOT BLOCK ADDmON
PID
UW1....LA
(Name DR HORTON
(phone)
(Address)
. APPLICANT
(Name) ALLIED FJRF.~IDF. DBA FJRE~IDE HEARTH 8< HOME
2561
(phone)
651-633-
(Address)
2700 NORTH FAIRVIEW A VENUI'
(Address)
ROSEVJT T P
(City)
55113_
(Zip Code)
(Contact Person)
2561
BRENDA HUSTON
(Phone) _651-633-
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
9-9-04
APPLICANT PLEASE COMPLETE BELOW
X NEW CONSTRUCTION REPLACEMENT ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETIJRN OPENINGS INPUT
OUTPUT
TYPE OF SYSTEM HEATING VA. uwrJ.(~'~ .
Wann Air Plants Steam 1" l\.lU' Wl~ 'tdTE:
Gravity Hot Water 80 "' er U tits
Mechanical Radiation Bun ach .to
Air Conditioning Special Devices . _ "t<.e,,= Ide Y OJ d
Vent. System Other Devices ..p ..b.J1.1VlT-I,
FIREPLACE MAKE AND MODEL HEAT N GLO SL-750TR-D , ,...,..,
~u~ l1 l0 l;; U \JJ l] '~,
FEE SCHEDULE n j
Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas F" I~~e SEP 1 0 2004 ,9.50
S39.50mlmmum ,U ,j
9/9/2004 8y __
~et. ~ t<^~ ~e.
PRIOR LAKE DEP~RTMENTOF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS L{ 02 /) J _ r)~ See Main File
NATURE OF WORK . A)~
USE OF BUILDING ~F/1
PERMIT NO. tJ_~,~~e~ DATE ISSUED 7-':2.)-0 'I
CONTRACTOR ~LJ PHONE_9<n. ~ :0(.... Yl?2
NOTE: THIS IS NOTA PE'RMIT FOR ANY OF THE INSPECTIONS BEL6w
THE PERMIT IS BY SEPARATE DOCUMENT
'I I
~r.4__1 ~S a~6k'-
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
JJATE J
PM- ,. 7/,2//,~t.
, FOUNDATION (Prior to Backfill) 4?J.., j (.iMp J:r'/; I g lZ:7
PLACE NO CONCRETE1JNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WAT.ER l S~TIC " 1M- . ~(~/~-
FRAMING,~f .g,,(cf)~r;f/I$ 1//.1k' ~ ?/3'o/tlf
INSULATION ... . , I#A /tJ/4A4
ELECTRICAL ? /221'1'
PLUMBING ILl( HI' #f7!"t.{ ~ ?/.J//o<j
HEATING (If required) #?i- 9Q,,/tJ~.
FIREPLACE ~4 ?b'/~
GAS LINE AIR TEST /ItA//. fit tJ. 1114 7 /Jo/d~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
INSPECTOR
, FOOTING
S-ee ~,;., ri/"(",
~ J>ft/~-
// /;7/Py
/lfA 11/17/11
~ 3/9/~
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
@tttifiratt of Q1}rtUvantl,!
CITY OF PRIOR LAKE
~tpltrfmtuf of ~uilMug JUSfltdiou
'Final Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D International
Building Code certifying tllnt 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. PennitNo. 04-07RG
('
Occupancy Type ---1l-1
Type Construction
VN
Zoning District
III
Legal Description --10'1' 12. lll&CK 1. 1)EERFTELD 10TH
Owner of Buildinp-
Site Address
4992 WES'I' OAK P'I' DR
Contractor's Name & Address D R HOR~O
_ 1ll}BEJl1' 1l HUTCHlliS
. r~l~r /
KENBIlTnr.F. r.'I' 1100 T.AKEVTLLE ~~044_
City Planner
JANE KANSTF.ll
Date:
Date:
DATE
~-
~'1.J. W-eJ I- Chic- fJl-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
p-1'IflAL
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~CH FINAL
~~E~S: , r- / /
F/~c~( ff~ (y',p:..e
-
TillE
~4-?X-
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE Rl
~REPLACE FINAL
o GASLlNE AIR TST
o
//fl//~
F4v-h~'~-r/' .0"(C: /
-Jte/..:?~ v-ed ~,..SO! f- ~J/
...-; /
hh.4/
o~
~WORKSATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, C~~j.O; 7-'SPECTION BEFORE COVERING
Inspector: /~ Owner/Contr:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
-,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
{/f9.2.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TillE
SCHEDULED /':'~~~
tL/,.s J--t1.,' /"L
CONTR.
PERMIT NO.
(j~ -?r?S-
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~MBING FINAL
o MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS:
.:~.4 /
//~~~r--r::'/
/ 7 _ /"
T€if r- (J/c
,
~
,
/
I'
V(:
~RK SATISFACTORY, PROCEED
;ti CORRECT ACTION AND PROCEED
o CORRECT WOR'~'w REINSPECTION BEFORE COVERING
'Inspector: #"P' L-/' . Owner/Contr:
CALL 447-9880 FOR THE NEXT INSPECTION U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
>>aNOn
.,...
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'.
APPLIANCE
PERFORMANCE TEST
AI/ach 10 gas line adjacenl to regulator
Heating Contractor ~ I-(J.
Name of Tester ~
Date ll/Id."
"
Job Address II."" ....,r."p ~r
Heating Contractor ~
chJ
..JJ/HI".{
1-"4.1...%
~~
'",>.yClr..
lU" ...
--I,!it \-
Name of Tester
Date
Percent 02
Percent CO
Percent C02
Slack Temp
Combustion air is adequately suppliad per
UMC Sec. 606 't"ec,
input ~.~ ~r.'J
'.
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