HomeMy WebLinkAboutBuilding Permit 04-0108
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
I.White File
2. Pink City
3. Yellow Applicant
(Please ~ or mint and sim at bottom)
ADDRESS
~J&ll ~ C1J. 'JOvd- b.\~~
LEGAL DESCRIPTION (office use only)
LOT J~ BLOCK2 ADDITI~~'.Jd {()-t'v--
~;~,Rt ~.:rn0-\
(ContaclName~ 0J~~
. (Address) ~~);~~~~~~ 9/06
'-
TYPE OF WORK
OWNER
(Name)
(Address)
~New Construction
DLower Level Finish
o Misc. I.ftc.. (U'{1,.C'.) ~On-
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
_ (Phone)
Date Rec' d
~, 4-04-
[PERMIT NO. 04-. 0 /0 ~
I ZON/l ("ffie< use)
PID25. 4-D1. 034-. ()
(Phon~9~)985-78QA
(Phone '7S!) ~ GJ - ,/l"-32
ODeck
o Fireplace
OPorch
OAddition
ORe-Roofing
ORe-Siding
PROJECTCOST/VALUE (excluding land) $
OAlteration OUtility Connection
1-;591 113 ~
100. 0 "
100.00
3<;.'5'0
40,00
This Application Becomes Your Building Permit When Approved
~ ~ 02/,f/oc/
Building Official ' Date
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 pennit for just cause. Furthermore, I hereby agree that the city official or a designee may
~..,toP~~~ons d'YY'6fd57 ')~101
J d Signaturr Contractor's License No. ~
"
I Permit Valuation ~I sq. 000,00
I PennitFee $ It.( 0; . SCL
Plan Check Fee $ cr I .., . SA .
State Surcharge $ 7Cf . ~
$ .
$
$
$
$
I Park Support Fee
I SAC __
I Water Meter ~ze5/~ 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid 'jU'l.",J. - ,.=? ><-
I Date ,~-t'.S-{)U
/
#
#
$ ~SO. DO
$ l"5.so.o 0
$ zsa, 00
$ ~<;;.OO
$ I 2O!l. 00
$ ~a(J. 00
$
I
I
I
I
I
I
I
$ I
$~O'?Z.3/ I
I ReceiotNoYc,;. .;;;;/
Bv {7'
#
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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
~p~atempmaryC~~;i~;e<andallowsconsSeemmMaiiiq. FtleoCcupanqmust~
Planning Director - Date Special Conditions, if any
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Tlu.r'.IH or IIw Lab Co..try
White - Building
<'" !-'.1Inarv - cn!'llneenng )
- Pink - PlannIng
8UJLDING PERMIT APPLlCATlON DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I' C:). HCr?'-f()~)
;-') I'-- '-
i.
" /'4-
. "
V'.v
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
c::: I' (.) ,-' t\ ;~;'\ .'
~/ (..,-- (-'. I -j I c> t- /(.- f-' I
Ole....
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
dJ9-8
~o tYJ.,r. ~/I{
Date:
2-2S'0'1
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."
.
r-
~~
See Main File
White . Building
Can!'ry "_E!1J!.ineering
.............lnM. - PIjl1mlnYJ
The ('rnt.,. of thr L,k, ('aunlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CI-fI'OCKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
D.I~.
2
He r2~TC, I )
Cr . C4-
l
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
SiC 4- r_Ai (1\ /c. if! DIe...
'L
Accepted
/"
Accepted With Corrections
Denied
Reviewed By: ~
Comments:
?-~~
Date: ojl r}r
'""
.
S€c Main-FiI~
"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."
5~~
See Main File
~Y_'~;ta _ Buildir'fp
Canary - Engineering
Pink - Planning
Thr ('t'nln of lhr l..kr ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. 12._ HOfGlOt0
2.. ~ .64-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Silo 4- bAST OA; t:=- ~ I D fL,
Accepted
./
Accepted With Corrections
Denied
Reviewed By: ~
Comments:
"
::/Ld/J
Date:
c:2/lfjlf
. .
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
me... ~ or Drint and si... at bottom)
ADDRESS
;;;;~ ~:~ I PERMIT NO. ,. I" ID ~
). Yellow Applicant ..... a 1
5164 E. OAK POINT DR SE
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
OWNER
(Name DR HORTON
(Phone)
(Address)
APPLICANT
(Name)_A T T .mn "TTll"Tn.\illIlA FTRFBIDE HEARTH & HOMP.
(Phone)
651-633-2561
(Address)
2700NORTHFAIRVIEW AVENUE
(Address)
ROSEVll T F
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
, APPLICANT SIGNATURE
BRENDA HUSTON
DATE
ZONING (office use)
PlD
4/26/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
DVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o OtheT Devices
FIREPLACE MAKE AND MODEL
HEATNGLO SL-750TR-D
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 & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
$
$
$
.50
(Orne. Use Only)
This Application Becomes Your Building Permit When Approved
Paid
JJ!at~PR j '1 lOOt
BuiJdinR: Official
Date
J
24 hour notice for all inspections (952) 447.4i~~, ~H. \:! ~ r J '''.'''''1.~~
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
"'- ,~n-
c!'r, "'l/""'DnIM..
~"" .;/'" '"-""'(ldi:"!.
'~:~t& t:! Ii""";
~~
'if'
II eceipt No.
: I -
I.I~ / '
L!~ y (.J---
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..:::t':.""~'~Pr'E5:0"C.'"
.'\',,",tr,;{
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Mar.12. 2004 12:38PM
GENZ RVAN PLUMBING AND HEATING
No.5768
P. 30/31
Date Rel:'d
CITY OF PRIOR LAKE PLUMBING PERMIT
IPlease tvDe or nlint md. siJm 8l bcttcm)
ADDR:eSS
VJf lQLJ
r;a~1 ()akJ1Jrf)+ [)J? (\F-
I 1Ju. Pile
2..00U. CItY
J. Y.low AppllclnI.
I PERMIT NO. 1..(-10 t
I ZONJNG<_."""
LEGAL DESCRIPTION (offke us. only)
wr /4 BLOCK t2.. ADDmON flP1.ff-h..eM (()./-i.
OWNER
~~~ DR Borton. Custom Homes
(Address)
~1.l.vO KeV1 Bit I t>Gt'_ Cr $ie. iDO
Pro
(phone)
c}t;2 - q)!~ -,gDD
Lt'du.vdlc. tUN E6c/..JlJ
APPUCANT
(Name)t;QUl P]"^~ "':'->-<-g l..-J1e.a.--: (Pho11t:) ~<1_6.?~_1 16.Lo.
(Address) 14745 So Robert Trail Rosemount MN 55068
(Address) (City) (Zip Code)
(Contact Person) (lj/Jf'{)(\h -PLU r (Phone) 651-423-1144 ,
APPLICANT SIGNATURE . n~~..tYIA). DATE .:J-/;J'lxl
APPLICANT PLEASE COMPLETE BELOW
Quantity
1,....
I
I
,:~
I
t
r
2-
I Type ofJ!'ixture
I Bath Tub with or without shower
Dishwasher
I Floor Drain
1 Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
Sinks
I Bar Sink
I Water Closet (Toilet)
Quantity
~
I .
I2-I
I
I Type of Fixture
I Rough-ins
I Water Heater
I Water Soflner
I Stand Pipe (Washing MachiIte)
I Sewage Ejector
I BackiIow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
I
I
I
i
I
I
I
I
I
FEE S\...nJ!.Uu....E
Industrial. Commercial & !vluln.fllIlllly 1% of Job cost "'tth. $39 SO lllinilllUIll R.es1dcnnnl. Now One &: Two-Family $99 SO
Residential, Additions &: Alterations $39..50
Estln1ated Cost S
BUIlding Penntt #
PLU}.{BWG PERMIT FEE
STATE SURCHARGE
TOTAL PE.R.MIT FEE
$
$
$
(om" Us. Only)
This Application Becomes Your Building Permit When Approved
.50
.?!!:~~~J ;
,
-~ ,=:::1
i i\ Receipt No
1;1
I"~
I Paid
rD~AR 1 6 Z004
I
:Building OBlcial
Dati:
24 hoor notice for all inspection. (952) 447-9850, f.~ (952) 447-4245
i 3y
L/
Mar.12. 2004 12:38PM
GENZ RVAN PLUMBING AND HEATING
No.5768 P. 27/31
Date Ree'd
CITY ;OF PRIOR LAKE
SEWER AND WATER PERMIT
~ =-~. I P:E:RMITNO. '1_1"" II>'
l Goad -"PI.wIt ...., . u.g
(?lease ~ or Print iJld sUtn '$t bottOm'
ADDRESS I I
I5IlOl1 VJk\t D~t ~)nt Dvl Sf:.
ZONlNG(9f!i<al1le)
LEGAL DESCRlPTlON (ollice use 01l!y) .
LOT \4 BLOCK 1. ADDITION I~ e(J I ftH.1
Pro
OWNER
~mne)~--~-- ~__ u"__~
(Address) 2o&.t;,O ~eJl1e;g.\t::6e. C:r Sil? .'IV"'
(Ad.".,.)
(phone) _ 0,62 -q85- ,8{)/':
Lau'1J i lie.- "Se:f'j-IU
(City) (Zip Code) ,
APPLICANT
~.mp) Genz-Rvan Plumbing & Heating
(phone)
651-423-1144
(Contact P~on) _
(Address) 14745 So Robert Trail Ros.,lIlount. MN
r/~;rt~ GII( - ~::)
(I, I ~~I 0./ /l. DATE
55068
(Zip Code)
'-ICANT SIGNATURE
651-423-1144
3 - (;.<..... DY
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 S'-J::LuAJLE
Residennal sewer and water lme connection $35.50 Industrial. Com'l &. MuIti-famtIy 1 % of Job cost with a $39.50 minimum
Sewer connection only $l7.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STArn SURCHARGE
TOTAL PERMIT FEE
$
$'
$
.50
~~~ """,
~~
~,..,
I
j
(Olll.e u.. Only)
I This Application Be1:om.. Your Building Permit When Approved I
l-
Baildi,,!! Ollieial
I .
, ,ReceIpt No.
\
D'VAR'l 6 2004 ,By
Dare " ' l' I
24 hour ..tie. for allln.pectlon. ('02) #7.~O' t:1. ~2)f7-424S _ --\
Paid
"
Lb ~
CITY OF PRIOR LAKE Ii 1f;13
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
q?lease ~ ororint and sim at bottom)
, ADDRESS
'5/LPA.f E
Oak ~. Gr.
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDmON
OWNER DR HORTON
(Name)~ 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
Date Rec'd
i~ ~:'k.J PERMIT NOO,/" loB'
ZONING (office us.)
PID
(phone)
APPLICANT /?) , ' ' ., L '. '" .' ,,'
(Name) /'7'///iZJL.-~ ~" ,44 ~ .~I.JI! (phone) ..? "'7'/ - q~ 7$"
(Address) . ~.~./C/ ~"",..6" ~ L/r
- , , ,,' (Address)
(Con~ctPe~on) ,/9t2/0~~'-~/
APPLICANTSIGNA'l'lr.r,-=- ~ _k.....,,:::: ~
~~4..;' ~:-~-?
(phone) ~5"/~, ,.Y'~ --?:?:7..::-
DATE
, '~ APPLIC~PLEASECOMPLETE BELOW
~WCONSTR9f710N o REPLACEMENT OALTERATI9NS, '.' , ,', -
FURNACEMAKE...NDMOPEL ~-1/~~' 9d'% FUEL L..)--~."..,~~,
FLUE SIZE '_ :? ~vl!. RElURN oplNrNGS INPUT /~ ~OUTPU1' .,~~)
m:aOFSYsTEM HEATING OR POWER PLANT
JW..rm;AirElants 0 Steam
i7~ica1 . B ~i::~
" ~~"Cl>,;".. ',~ditiOn, ing 0 Specilll Devices
" . ,LS~stem 0 Other Devices
FIREELACE MAKE kND MODEL
PLEAsE NOirE:
All, Conditioner Units
cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial.& Multi-Family
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
$39.50
Estimated Cost $ 7~ a>Building Pennit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Omcial
Date
$..w/ ~"'''''':/~t~,i .......
$ ,.50 '~-"'lfi~:"""
$ r~ '_
,
l~~dl~ U; li~j u; ili1 Receipt No.
n IDtrAR 4 2004 0 By or-
J~ 'I b
24 hour notice for all inspections (952) 44~ -9850, Cax (952) 447-4245
By
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 61&4 ~ bAll:.. P~'I~r bR.,'t'E 5.s-.
NATURE OF WORK "-'e ~ CQNS'T~ut""lio~
, USE OF BUILDING S .s::-....
PERMIT NO. 04 ()/08 DATE ISSUED ~
CONTRACTOR 11.<'.. \--\D~. P~1.."?~z..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF 11'1 Main File
BUILDING AND INSPECTION
INSPECTOR
DATE
, FOOTING
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I / I/} , -
~~r~( )si//t- r~,J-h.-{
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
;-
PLUMBING Ubt 'fl1"/ If-f/f'(A, V\/ _ 5 ~L.{r OV\
HEATING (if required) Iliff r:;~N4
FIREPLACE ~ /Iff 't'-7-olj
GAS LINE AIR TEST JII1' ~-r-OY
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
,\ee
/7
vvr
.r - --1~()l,1
.-'
~~h .10 /e ,
~ 3'/~~..5-
A 7//5701/ '
1# If _ ~ IJ(} 1"1
~ /?h,d,r
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 plaeed near main entrance,
FOR ALL INSPECTIONS (952) 447-9850
.
QI:ertifitaf:e of Q\}ttupantJ!
CITY OF PRIOR LAKE
~:eparfttt:euf of '~uil~iug J1usp:ediou
~inal Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 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 04-0108
Use Classification Bldg. Permit No.
Occupancy Type
R3
Zoning Distrif't
R1
Legal Description
. VN
Type Constructlon_
L14, B2, DEERFIELD 10TH
5164 EAST OAK POINT DRIVE S.E.
Owner of Building Site Address
D.R. HORTON, 208~0 KENBRIDGE CT., SUITE 100, LAKEVILLE
Contractor's Narne & Address - Yld' T
ROBERT D. HUTCHINS DON RYE
. City Planner
Date: _V~:0'?cial Dale
'-..\
"" , ......... .-"
""i "~"::""'-'~~'; ';,:',-;"'::'",,:' ;i"-""~."M'",'\';:" "~,
...... .
<z..,.....
-!~Aj-
S76~ &<1/ ~-' ~I-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
[] FOOTING
[] FOUNDATION
[] FRAMING
[] INSULATION
"""INAL
[] SITE INSPECTION
[] PLUMBING RI
o MECH RI
[] WATER HOOKUP
o SEWER HOOKUP
o ~MBING FINAL
..)!!'MECH FINAL
C~ENJS: ___ _ /
8/~C/1/,:--1 //)...../ rY"./11_
//;;c:4~ ~~ /
kc",,'v~c1
DATE TillE
~~- /6J>"
o EXIGRADlFILLlNG
[] COMPLAINT
[] FIREPLACE RI
,Q"FIREPLACE FINAL
o GASLlNE AIR TST
o
.7 //J'/O.v'"
. , ,
c)tf /
Or~ /2s-r
...-;:
//'h~ /'
tC//[
/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~C::L; 7R REINSPECTlON BEFORE COVERING
Inspector. /~ OwnerlContr.
v
CALL "7.9850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE.
IN8NDTt
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
~
--- - --------
APPLIANCE
PERFORMANCE TEST
Attach to gas lins adjacent to regulator
Heating Contractor
Name of Tester
Date
"
Job Address
Heating Contractor
Name of Tester
Date
Percent 02
Percent CO
r .. .0". Co2
Stack Temp
A{(,...".., ,,~.at-
;fuJ''''- 'b
//u.,(,~
,
SII..4 E a4/: 'T~
Jt//,'J1U17 MI:U/ .
~.<<.
"?~V
It). () %
J,:{~
.!-7JZ or
Combustion air is adequately supplied per
UMC Sec. 606
input
~
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