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HomeMy WebLinkAboutBldg Permit 03-0233 l. CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE tNp U'O"LIT~D~ECTION PERMIT See Nlaln ~11e (Please tvDe or Print and sien at bottom) ADDRESS Q:J-/ ide:>!- at<- Mi'.,./-- Dnvt" - ,-- 5/~. LEGAL DESCRIPTION (office use only) / I LOT BLOCK ADDITION Date Rec'd .::?~ /-3 I. White File I PERMIT NO 2 Pi.' Ci<y -. Q3J Dl- ~3 J. Yellow Applicant ____ bec:,f.~ /) /{fl-. PID45- LJ{) 1-00 I-'Z I OWNER (Name) (Address) BUILDER, (Name) o. fL. ~V~ -6.. ::C'VlC, - fJ1;J (Contact Name) --=rcS~,~,~ J:t,,"j,IL S (Address) ,9.0lf~,o Ki"j,,,da (~"y.)- TYPE OF WORK J:1:New Construction DDeck DLower Level Finish D Fireplace PROJECT COST IV ALUE (excluding land) $ DMisc. (Phone) ZONING (office use) K( (Phone) (Phone) 1<).), 9J'5-' 7%(/% 11-1 Ai G" l :/ ",- LL:f/,/, It , DPorch DAddition ORe-Roofing DAlteration It.{1.CfOO ORe-Siding DUtility Connection 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 sUbmittersPl s. I am aware that the buil .ng official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upo e < operty to perform needed e os. 1/... X_ ~/vu,.(A.., ~ ,;lJ16o<-.IoI-.", ~-~-O?' ~ IJ-.r Signature Contractor's License No. Date V I Permit Valuation I Permit Fee [ Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee ql"/~ atJtJ. OtJ I $ I 'U, Z . 55 I $ S'lo,fgf. I $ 7'-1-,00 I $ I $ I{W,Of) I $ 1001 OD I ,~5.S-0 I L/o,oo I I: This Application Becomes Your Building Permit When Approved ~ -:;?~I-' d/pl!dJ Date Building Official I I I I I I I I $ !. " "']1) Z-. W /J' Receipr ,,;;" -f-'-' i .,...J B V ;:::F-- U I Park Support Fee I SAC I I Pressure Reducer I City SAC and WAC 1 Water Tower Fee I Builder's Deposit lather I TOTAL DUE # # ------. Water Meter ( .sl.zeS/J;'; 1"; # # $ f'SO.ao $ It 7'5.00 $ 2-'56.00 $ LIS. 00 $ /zoa.OO $ 700,00 $ $ 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 temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. ,. r ~;~~ Planning Director o?j;'1/03 Date Special Conditions. if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Paid Date fL75?7/ J / (, -t)J ~ -M/L.: ' ~ $\ See Main File White - Building . Canary - E:pqineering (" .....mK - ....Ianning~ ThtC.rnlrroflht...bCOllnlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1,/ ,/ Accepted Accepted With Corrections ---- Denied Reviewed By: ~ -?~~ Date: ~!tr /03 Comments: See Maiu 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 ordinances of the jurisdiction shall not be valid." API, .' :OOJ 9: i4AM GENZ RVAN PLUMBING AND HEATING N 8". Q, .sl P 3 11 (€~~ '%i:L:~0;;~~'::_~ fit",!! s 0'('" "'~~\t,\,,. -., . . Date Rcc'd CITy.oF PRlOR LAKE SEWER AND WATER PERMIT ; ~:;;:~ ~~. I PERMIT NO. :) - '3-:7 1.Goid AJlPllQ1\.t ~) d u (Please ~i?:~ O'r pnnt and. ~1P.J1at bouom) ADDRESb '24- ~ -JVO VV. Oa,f( f+. V{t. Sf. ZONJNG (ollie,",,) LEGAL DESCRIPTION (office use ollly) LOT I BLOCK' ADDITION /)e,uz, -h e loll ~ PID OWNER (Name) -1:''' u_~~__ ~""~-OllI-l'-_O" I1'hone) _ QS2 -qSS- IX,-V', (Address) 208.00 KeY1i2li<..\~ Or Srp)i'l' (Addres,) LaI::L\ii \ Ie.. (CitY) "5qc~ l) (Zip Code) APPI.ICANT (Nampi Genz-Rvan Plumbing & Heating (phone) 651-423-1144 (Address) 14745 So Robert Trail Rosemount, MN 55068 rCAddreSS). . r::...._ n _ (City) (lip Code) (ContactPer,on) _ /{fL ~L\ -h 'Jl1XJ--::r- (phone) 651-423-1144 ':JCANTSIGNATURE.:__~ A A~ 't-rA~ f.:,4- DATE 3!3//7J'?-... APPLICANT PLEASE CO:Ml'LETE 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 Residenllal sewer and water Ime connection Sewer connection only FEE SCHEDULE $35.50 Industrial, Com'l & Multi-family 1% of job cost wlth a $39 50 llltmmUm $17.50 Water connection only $17.50 EsIlmated Cost $ BUtlding Permit # SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 8UlioAJD WITH .: ING PERM,.r (Office Use: Only) I This Application Become. Your Building Permit When Approved ]): I Receipt No c;J' ArK U,2 zOOJ 1 k (jI (952) 447-4245 U 'lJ L- Building Offitj~1 Dart " 24 hQur notJce for all inspections (952) 447~9850, By ~ffi~ "RiO-\,\ ~(/,f\ \) \ <)~rn .'\ ""0- _" .'.: ~>,""-l'lBSO' !;~~\\A~0{~?'~; APr. 2, 2003 9: 14AM GEN~ RVAN PLUMB!NG AND HEATING NoS231 P 2 11 Date Rec'd CITY bF PRIOR LAKE PLUMBlNG PERMlT (Plc:uc:: t"(Elc:: OCtlnJJ.t and Sll2!1 iltbottom) ADDRESS . 15034 UJ. CllK P+. 012. ~f. LEGAL DESCRIPTION (offico w< only) ADDITION tJa~f7e(d 10th LOT j BLOCK OWNER (Name) DR Horeon cuseom Homes (Address) W'6i.cD K.enBlR..l DGe.. CO S,e. no APPLICANT (N'ame)~-'Cy~'" :'?~~""5 r. u<>"'....{.....~ (Address) 14745 So Robert Trail (Concact Person) Rose.m.ount (Address) C VH~(\ tJ (~ F-vL((( APPLICANT SIGNATURE Quantity ::-J.- i ] ';l., I \ '1 l.!'llue. Pile. 2. Geld CitY :. Yellow Applir..ml I PERlvlIT NO. 3 - ~ 33 I ZONING (offico'~o) PlD (phone) QS2,q'jjFi -,8lJO U:{!u.vilj{~ j.Ui" 5:::0-1 Ll (Phone) _J5.5.1=I"? <_ 1 11, I.. HN 55068 (City) (Zip Code) (Phone) 651-423-1144 DATE ~ 31) ()::<, APPLICANT PL.EASE COMPLETE BELOW EstImated Cost $ BUJldm:5 Pemut # Type of Firture Bath Tub with or without shower Dishwasher Floor Drain Lavatory (Bathroom Sink) LaWldry Tray (lor 2 compartment sink Shower Stall Sinks Bar Sink . Water Closet (Toi)et) Quantity .2. 1- Ii-'L ( I Type of Fixture Rough~ins I Water Heater Water Somer Stand Pipe (Washing Machine) Sewage Ejector 1 Backl10w Assembly Backflow Assembly Test Lawn Sprinkler Other FEE SCBEDULE Industr!}d, CommercIal & Mulb.famlly 1% of job cost With ~ $39 SO minimum ResJdentiaJ. New One & Two-Farmly $9950 RC$ldeotiai, Additions & Alterations $3950 (Ollie" Use Only) PLUMBJNG PERMIT FEE $ STATE SURCHARGE $ TOTAL PERl\11T FEE $ This Applicatiou Becomes Your BuiJdiug Permit When Approved Building Offiei21 D2te 24 hour notic.e fl)r 911lnspe~tions (951) 447~:.-- By , PAID WITH : BUILDING PERMIT ~~@ Ie f\~ ~ "~~ReCejPtNo, ae 1BY-6r :-r\1 II ~ 7nn"\ 11_ , f.. (952) 4474245 .50 CITY OF PRIOR LAKE 11H~ it: I~ U ill ie l)~te Rec'd HEATING/AIR CONDITIONlNG/FIREPLACE] rH~MJ:r b Ii i II APR O~3-~I=? /t.!:J" /'-= I. Pink 2. Green 3. Yellow ~!~y ,SVERMJT Nn,,-.~ Applicant I (Please .!We or orint and sign at bottom) ADDRESS " ? // ,~3~V/. Oc:u::. @~~ a. S"E ZONING (office use) 3-d.-33 LEGAL DESCRIPTION (office use only) LOT /BLOCK / ADDITION PID ~':e~RD.~. Horton (lLlsbm Home.,~ (Address)~g(g() ~hric\cy-, ~o.kev"l1e M~ APPLICANT /1/1' t M h- (Name) rt rQn ee... ,J-IM, (Phone) 195/-.<./5:/",-,;1775 (Address)3(P50 ltenn"..bel',Or, 5le, #/ ~~Q_aQY1 55/.22 (Address) v (City) (Zip Code) f I Z;mmpr)'n Gl.n (Phone) (P5/-/-./5/J- ~77=> 1 f?4l,__~ DATE V(/(/ 'V APP ICANT PLEASE COMPLETE BELOW !0NEW CONSTRUCTION 0 REPLACEMENT 0 AL TeRA TIONS FURNACE MAKE AND MODEL 1Jr~i- ~~UIl2U1>'7 /') FUEL l'0o.hAm.1 FLUE SIZE 'I-"cla.scz. "B..... RETURN OPENINGS 'i- INPUT ,D,ODO OUTPUT 5iD,t>O 0 TYPE OF SYSTEM HEATING OR POWER PLANT (Phone) q5~' Q'?i5 -7~72 .550~L-( (Contact Person) OWarm Air Plants OGravity D Mechanical ~ Conditioning (]'9"ent. System 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 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 Residential, Heating & AIC (New Construction) Residentiai. Heating Oniy (New Construction) $39.50 $39.50 Estimated Cost $ Building Permit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ aJ ,50 PAID W, BUILOING lTH PERMIT (Office tlsc Only) This Application Becomes Your Buildiug Permit Wheu Approved' ~. ~W U; 0 Ij] ~-11 Building Official Date I ~ ,R~R 0 7 2003 , Receipt No, By (, l' 24 hour notice ror all inspections (952) 4 17-9850, rax (952) 447-4245 By _' "--~- CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd i ~:w E;~i"" I PERMIT NO-3- ;)-'33 I (Please tvoe or -print and sillD at bottom) ADDRESS ZONING (office ">0) 5034 WEST OAK POINT DRIVE S.E. LEGAL DESCRIPTION (office use only) I LOT BLOCK ADDITION PID OWNER (Name) D R HORTON (Phone) (Address) APPLICANT (Name) AT.T-TFDFTRRSTDR DRA FTRFSTDF HEARTH &. HOME (Phone) 651-633-2561 (Address) 2700 NORTH F AIRVIEW AVENUE (Address) ROSEVILLE (City) 55113 (Zip Code) (Contact Person) BRENDA HUSTON (Phone) _651-633-2561 APPLICANT SIGNATURE BRENDA HUSTON DATE 4/29/03 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT DWarm Air Plants DGravity o Mechanical DAir Conditioning OVen!. Systcm HEATING OR POWER PLANT 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 TYPE OF SYSTEM FIREPLACE MAKE AND MODEL HEATN 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 Residential, Heating & Ale (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50 8lJlt11D W, DING A .,.,., 'l:i:1Mt1'" (Office Use Only) Buildine Official ~I~i'@ [~ [) ill re ~ Ul DMAy - I 2003 ~ By 24 hour notice for all inspections (952) 4<{1-9850, fax (952) 447-4245 IBy " Receipt No. This Application Becomes Your Building Permit When Approved Date It q/ PRIOR LAKE INSPECTION RECORD SITEADDRESS SO.34/ W~T~ NATURE OF WORK ~iii 'flU USE OF BUILDING SF:': . PERMIT NO. tL3-> 0233 DAJE ISSUED CONTRACTOR 1).a. Ht.eTO~ .1oIC., PHON - - e NOTE: THIS IS NOT A PERMIT FO~ ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF ~ee Main File BUILDING AND IN~IfCl'ION liG See. INSPECTOR OATE , FOOTING ffi1i'",1 SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST ~/-15-' Us S"--1-0] 5,/1-13. tW tW lif Y7-0]. c'J-7-tJ3 S-7-tT2;. GRADING (Prior to Sodding) BUILDING 'f:<",f7 {oF 0 ELECTRICAL PLUMBING HEATING DO NOT COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS -See 'T,I i+()1-1 ~'" ~ vvF 115/ OCCUpy UNTIL ABOVE HAS BEEN NOTICE r;;/e, . 6'/y,A's..-- ]>Z,0' r/'7 SIGNED 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 @erfifitafe of <IDttupautl,! CITY OF PRIOR LAKE ~rpnrfmruf nf ~uilMug J/usprefinu ~Final Permitted LJ Conditional C.O. Expires This CerlificGle issued pursuanl to the requiremenls of Seclion 307 oflhe 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 follmving: Use Classification SINGLE FM1ILY Occupancy Type R3 Type Construction VN Fire Zone Bldg. Pe,mit No. 03:;.0233 N! A Zoning District r R 1 Legal Description Ll. Bl, DEERFIELD 10TH Owner of Building Site Address 5034 WEST OAK POINT DRIVE SE COURT, LAKEVILLE 55044 DON RYE Contractor's Name & AddressD. R. HORTON, ,::"O~76~ KENBRIDGE ROBERT D. HUTCHIN~ City Planne, ~i1ding Official Date: ,?,/X' ,/ n \: - Date: , ~I' " I I j DATE TIME ~k- :SOSY U/esr4L // ~ CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO, o FOOTING o FOUNDATION o FRAMING o INSULATION ,...a-ARAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: ~ / /"/ fi <i. / c/ r C).3' - ,;2Sj> o EXIGRADIFILLING a COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o --------- /~ (r3::-e h?{, ~ORK SA~";, pDn"FliD /c0:0RRECT ACTION AND PROCEED a CORRECT WORK.:.~;..::3f REINSPECTION BEFORE COVERING Inspector. /~ L.------o;ner/Contr. -- -- ~. ~ ) ~ CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. ""'"''' CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY! CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS ,c;-{) 3lf OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION .erFINAL o SITE INSPECTION COMMENTS: (7) ril1t/ ( 1Pf-(};) ~ M DA.TE TIllE SCHEDULED 1~..t/,..fJ'f tvof date--- fG,...,., CONTR. PERMIT NO, J - 2-SJ o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o ~-t. q(.Jf)~! ~ 7)".-""S ~ c1J..p~ d'r.iGt1--'" rJt- -/-(' "'-'1/ Co U>1r/-r I .:.r-/~ r o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED 'CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: 1M Owner/Contr: CALL 447.9850 FOR THE NF-X.T INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY! 'MIlOT' CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS S'()l4 OWNER PHONE NO, o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: (!)/e h<,.,'V{, DATE TIME SCHEDULED 7~2~ r:: /Jo/'. Pr CONTR. PERMIT NO. -3 - "') ~ ~ o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP Rl"PLUMBING FIN":~ o MECH FINAL W o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o rb/'f:;r.of/\ y o WORK SATISFACTORY, PROCEED ,;fCORRECT ACTION AND PROCEED o CORRECT ':::'~CALL FOR REINSPECTION BEFORE COVERING Inspector: r' y r 7 - Z r; -,1'/;' OwnerfContr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE, CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! '''''''''"' Job Address 5'0.32.- F.i7#t- Pr Heating Contractor ..t9I~~ ~ Name atTester ~ Date ~c:! Percent 02 10.- 7 ~ Percent co ~ Percent C02 . ~A J; q( tp Stack Temp Combustion air is adequateiy suppiied per UMC Sec. 606 t/i?5 input 80t (/lrh1 rd