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