HomeMy WebLinkAboutBldg Permit 03-1441
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File;~~w
(Please !'a!e or orint and sign at bottom)
ADDRESS
5~L> \-.Lsl Dol:. 'POL'j- brloc.SE
File
City
Applicant
I PERMIT NO. 03 -/44/ I
LEGAL DESCRIPTION (office ose only)
LOT 3 BLOCK ADDITIO~eJcl
j [)-t'---
OWNER
(Name)
(Phone)
(Address)
BUlLD~ ~ I I l.
(Name) lJ. ,'-, HaL-c.:Dvl
(Contact Name) yY) ~~ ,^fDf-\CY\u.:l::.k.<:.-
(Address)
Date Rec'd
/o~ y- 3
I I
ZONING (office use)
lei
PI~S-'ItJl- 003-0
#
#
#
#
(Phonef15.:0 95s-7eaeo
(Phone(Cf5'~;X),. (.,- 4732..
.J
This Application Becomes Your Building Permit When Approved
~ :te.dll-- /t);J 7.4:;>
Building Official
Date
TYPE OF WORK
~ew Construction
ORe-Roofing
DDeck
DPorch
DLower Level Finish
DRe.Siding
o Fireplace DAddition DAlteration DUtility Connection
PROJECTCOSTIVALUE (excluding land) $ f 55; 97 ~
o Misc.
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 permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~r;::o~rf~criOnS ~CiY)S(PS'l 10- 9 -03
r . '\- - /'1'" Signature Contractor's License No. Date
Permit Valuation /56.0t)() ,-I I Park Support Fee
Permit Fee $ t90'7. '35 I I SAC
~
Plan Check Fee $ 'jt<;q, 78' I I Water Meter S' e 5/8'" 1";
State Surcharge $ Til. - I I Pressure Reducer
Penalty $ ~ I I City SAC and WAC
Plumbing Permit Fee $ IO{)/- I I Water Tower Fee
\ Mechanical Permit Fee $ ItJ~,- I I Builder's Deposit
i Sewer & Water Permit Fee $ 36-50 I Other
I Gas Fireplace Permit Fee $ '-10. -- I TOTAL DUE
I Paid
I Date
&>,f''("o. G ?
/0, Z4,-iJ 1
$
$
$
$
$
$
$
f5S'O. -
Id.- 75.-
OlSt). .-
L.J5'. ~
I~.-
'1OtJ,-
I
:~;&30,h~
Recei1?:/l)f~, .p-{,OO(
By /iR
'I
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
~:~=trPl;~o:::;:mpomYcerufi;~:;;;~o;~cemdallOWSCSen~CO~OfOcrupm~must~
Planning Director Oate Special Conditions, if any
24 hour notice for an inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See Main File
White . Building
~ary - r=nHmeennV"
flink - Planning
Thr('pnluoflhrl..kr('ounll')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I~' ;, /-r--
/J k . V(tz /(.'31'-/
'/0 - ,;/.. ~)
I ......:'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
...-'" ,""'- :2 r } ~ I ~,';'} /.1,
,c, ,)., 1/" "v'/'P/
"-._",_' '.....' t,;: . \C") v {.I ~ ~._. __ \/~ ~---
;'{ '~./~C .(._
Accepted ,~
Accepted With Corrections
Denied
Reviewed By:
ff19-(3
c;.,.. e.... 1'Y71:.1^
Date:
II'r ~ 7-0"2,
-
Comments:
F,'/r
.-
"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
Canary . Engineering
(1'>ink . Plannii'i!P
rhr Crnlrr of thr L.k, ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/'-"\
/j
!
r
1,1:, '.
,i.... l'-'
/;
(
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,. ,( I
(,,/:~...'
,j /'..
'.
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~ !::t~t:J
Date: /a /J 7ft ?
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,"
0~;'
See Main File
r _White . BuildliiQ:::>
Canary . Engineltring
Pink . Planning
Th~ ("('nl... 01 lh..1,lkl' Countr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
DR ~
I () '-'1-'-3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ,
~...-o~" w, ~ U- ~
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
~ 7"'~
Date: IO/;7~:?
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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~~\~~~\
2003 11: 41 AM
GENZ RVAN PLUMBING AND HEATING
N0.6532
p, U
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
crJI!:ast: ~c or Wint and sl~ at bottom)
ADDRESS
VJDJJ.; um. -I- OtllL -rlJ'IV1-r /)vL l\ b-
LEGAL DESCRIPTION (offiee "'" o.ly)
LOT\~ BLOCK! ADDITION Du-;Q;he.ll 1Dt-irv
OWNER
(Name) DR Horton Custom Homes
APPUCANT
(Name) COIn 1'0'-- ':""-'-'-3 ' ,,~."'-c (phone)
(Addr~s) 14745 So Robert Trail Rosemount
(Address) (City)
(Contact Person) ~(~ (phone)
APPLICANT SIGNATURE --C.J tJf1ilif..~__,_
(Address)
Quantity
""
I
J
':"5
I
I
I
,;z
2.o'SI.oO K$nB~1 DGe. CO Sie. /DO
I BIll'" :m"
2.. (joJ"- City
1 Y",llow Applil;.ant
I PERMIT NO. 3-ltf/.f( I
ZONING (Ofii"'lUe)
PID
(phoJJe)
Qr-,2 - q '2c, - ,9M
udu..vr IIG H.UJ 5fuJ..l'-J
~l:;1_L..?':I_l1L...L...
MN
55068
(Zip Code)
651-423-1144
LO/ 'XJ / O?)
.
DATE
APPLICANT PLEASE COJ\tIPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower ,-:S
Dishwasher I '
Floor Drain iZ....-J:
1 Lavatory (Bathroom Sink) I
I Laundry Tray (1 or 2 compartment sink
Shower Stall
I Sinks
Bar Sink
I Water Closet (T oiJet)
Estunated Cost $
Bui] ding Penl1Jt #
Type of Fixture
ROUgll-inS
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
I Backflow Assembly
I BackfIow A~sembly Test
Lawn Sprinkler
I Other
J1EE SCREDULE
JndustnaJ, Commerclal & Mulll-famtly J% of job cost wIth. $39,50 minimum R=s\dcntial, New One & Two-F.",tly $99.50
ReSIdential, Additions & Altenrtion, $39 50
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT J1EE $
(Offie. U" Only)
Tbis Application Becomes Your Building Permit When Approved
.50
I
_ . PAID IA-:
bUiLiJINGO., I Ii
P€RMIT
24110ur DOtiC' for slllnspectlon' (952) 447-985~,,f~X (952) 447-4245
,'-'
.~ptNo.
L~ in I'
ff(/ If
' '
I
L~/
I !'>).id
I ijate
.. OCT 2 8 ?
BuiJding Officja'
Dare
0ct,~O, ~003 11:41AM
GEN2 RVAN PLUMBING AND HEATiNG
No,6532 P,J15
Date Rec'd
CITY.OF PRIOR LAKE
SEWER AND WATER PERMIT
; ~':. ~:~ I PERMIT NO. ?, ..III/If
J. G.:lld '\PJIUCI1It :./ (....,.,
Q:'JCll.'S1: ~ OT mine and sj~ '.at bottOm)
ADDRESS
V)OJU U)t1,c:.-t- OaK YIlJ\t1t ~ Jr;
ZONING (offic. =)
LEGAL DESCRIPTION (office use only)
LOT.3 BLOCK I ADDmON ~ u1 'I~
PlD
OWNER
(Name:) .of? HQ~"''''''' f"','.rt91ll. :a:91R(-
(phone) _ qs2-Q2S-(gw\
(Address)
.20&00 Kev1Bi<-ID6e C:r- Srv IN,
(Adcl:<")
LaIeL~ I lie.-
(C1ty)
.&ScijLj U
(Zip Code) .
APPLICANT
(Name) Genz-Ryan Plumbing & Heatin~
(phone)
651-423-1144
(Address) 14745 So Robert Trail
(Add...,)
~ ",ICANT SIGNATlJ.RE
( -
AAD~~l
Rosemount. MN
(City)
(phone)
55068
(Zip Code)
..,....,_ DATE
'-'
651-423-1144
(01 ;;nJQ?-y
(Contact Person) ,
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
ResidentIal sewer and water Ime connectioD
Sewer connection only
FEE SCHEDULE
$3550 Industrial. Corn'l & MultI-family 1% of Job cost with a $39.50 mw.unum
$]7.50 Water connection only $17.50
Estimated Cost $
Building PermIt #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
,50
, . PAID WrnJ
blilLDING p / n
'ERM!T
(O(fic~ Vile Only)
I Thi. Application Becomes Your Building Permit When Approved
'-
Building Ol&cial
I P~d-.
I Dare .
nC. ~ "
'...' . v ZUUj ',j,
24 hour none. for aU Inspection. (9S2) 447-985P, f.. (9S2) 447-424S L/i
2=c__._____~
~c..iptNo.
By
~
Da..
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
/-7z/t?9
i~:, J!~i=' I PERMIT NO. :3 - / L( 1.11 I
~lease .!VJ?l:. or orint and si~ at bottom)
ADDRESS //
~~c....~ ~L /2}/~
0. , =:Je-
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LO~LOCK / ADDITION
PID
OWNER DR HORTON
(Name) - 20860 KENBRlDGE CT
(Address) LAKEVILLE, MN 55044
(phone)
APPLICANT A 0 /L
(Name) /7'///~ r.../~./h',a-/
(Address) ,. ~~ r:, -?A..I A" t? ~
'5!:AddreS
(Contact Person) A 4iZ/'.
APPLICANT SIGNATURE "..- ~
(phone) ~~/. 45'?-,?;?;?~
~.o2A~ 5"~~~
(CllS/f1 (Zip Code)
(phone) ~- c;/g--1 /7~
DATE
. , APPLICANT PLEASE COMPLETE BELOW
~NEW CO~TRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACEMAKEANDMOD~/r"",;~ -;?/~r.v070 FUEL /I ~.~J;"--.e
FLUESIZE<V''/7~~RETURNOPENINGS INPUT~ OUTPUT ~~~
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plants
OGravity
o Mechanical
~ir Conditioning
Ji4Yent. 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 & NC (New Construction)
Residential, Heating Only (New Construction)
$39,50
$39,50
(Office Use Only)
Estimated Cost $ . ~ .a:::> Building Permit #
HEA~G PERMIT FEE $ t:L// ~/~Ulm,~ w;::
STATE SURCHARGE $ ~ ,50.RM
TOTAL PERMIT FEE $ 6'
,
This Application Becomes Your Building Permit When Approvedr= ~,~~~'~ \\:,\\
[Date \ \
Building Official Date NOV 1 2 zeg:! L,
24 hour notice for all inspections (952) 447'9850, fax (952) 447-4245
Receipt No,
By ~
{/
--,~--=--------
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
;~,:. ~:~ I PERMIT NO. 5-/LfLf I
3. Yellow Applicant
(Please ~ or print and sip at bottom)
ADDRESS
ZONING (office u,,)
5026 W, OAK POINT DR S
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name DR HORTON
(Phone)
(Address)
APPLICANT
(Name) AUJFD FTRFSTDF DBA FTRRSTDR HEARTH & HOME
(Phone)
li'il-1i33-2'ilil
(Address)
2700 NORTH FAIRVIEW AVENUE
(Addiess)
ROSEVILLE
(City)
'i5113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
]213//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 HEATING OR POWER PLANT
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent. System
o Steam
o Hot Water
D Radiation
D 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-550TR-C
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99,50
$64.50
$39.50
Industrial, Commercial & Multi-Family
Residential, Additions & Alterations
Residential, AC Only
$39,50
$39,50
BuUdin!!: Official
c OA.\O W\iH
I pa~\LO\NG Pl::.RtIf\ieceipt No, . _
I; Drtte DEe 8 2003 By <<
24 hour notice for all inspections (952) 447-9$\!, fax (952) 4474245 ~
i-i . c.... ..
Building Penn it #
$
$
$
,50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
-
DEPARTMENT oP5ee Main File
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 6 ();J.' W.
NATURE OF WORK Ill!Y
USE OF BUILDING .51=A
PERMIT NO. D.,. /4h . DATE IS~UED /0. Z8.tZ3
CONTRACTOR DR HtJ" +tJN PHONE ~~-". ~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~
INSPECTOR
DATE
, FOOTING IMq:11
, FOUNDATION (Prior to Backfill) tM~:" I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
^l14dv1. I~
f/l/P
t7/f?
SEWER I WATER I SEPTIC
FRAMING
INSULATION vlAali-1 -fftfr eMly
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR rEST
I), '3o-tJ]
ll-tt-([3
Ii. - /k-03
!/l/j/(
P1#
fir-'
iJrq -() 3
/L.-/& -6
It -((,-(j'J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I I
FINALS
GRADING (Prior to SOdding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
M/
Wle
1M
{. - q.~05'
'2- )_0"1
(9- (1' as"
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
mU. w. OcI/L f?1-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o I~LATION
I3'1'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PblJMBING FINAL
CI"'1ftECH FINAL
COMMENTS: ___
(/ I JO!sr
'"
------
----
DATE TIME
r;,(~gs-
5~ 1t.j4/
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
--......
')
/
~
r'j
r/~
-
S:).J. -+- 1l.rA' S
-----
/''V(
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
CIlY OF PRIOR LAKE
INSPECTION NOTICE
SCHEOULED
DATE TIME
_d-; 'YCJt./
ADDRESS
SOL<; W, CJ1{ ff
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3-('..(L(/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
,llf"PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(]) (' f tA4tJu ~
fii.,,{-CAIl5
I
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT Wmr'>r'LL FOR RE1NSPECTION BEFORE COVERING
Inspector: Y II (v OWner/Contr:
I
CALL 0147-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUlREMENTSAJ/E FOR YOUR PERSONAL HEALTH & SAFETY!
IN$.NOTJ
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~~VV~~~VVVV~VV~VVVV~VVVVVVVVVVVV~fi
dterfifirafe of OOrtupaurl!
CITY OF PRIOR LAKE
~rparfmrnf of 1iuilMng Jlnsprdion
o Final Permitted
o Conditional CO, 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 FMHLY
03-1441
Rl
_ Bldg. Permit No.
Occupancy Type
R3
N/A
Zoning District
VN
. Fire Zone
Type Construction
Legal Description
L3, Bl, DEERFIELD 10TH
Owner of Building
Contractor's Name & AddressD. R. HORTON, ;IN. C~
ROBERT D. HUTCHINS I JI" _
Building Official
r [. ,) (
Site Address
5026 WEST OAK POINT DRIVE S.E.
20860 KEN BRIDGE CT., SUITE laO, LAKEVILLE
City Planner
DON RYE
Date:
Date:
~
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