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HomeMy WebLinkAboutBuilding Permit 12. 1173 , ; � + --, '' ". �� �� n .l ' y V !, hY,lYr / �rl -0 \ ti'f� r 1 V.: r _ ., i:.. ., it r _ i1 . ,. = , i s , 5 l r t fie ' Y 1 � N _. r i ; Ii L,. Y:_ r..0 u:, "6, _. r�YP�t 3 .' � . t_ � ,?17 I �:IYf,.I I :_ IV � .. ill:i l .11u. � Yai � L:�i _ Itrfi t fr d ®tnxrnnxg CITY OF PRIOR LAKE' g-, =.,, ptparftttrztt of e jittsprrfilitt ■gs, ::', Final Permitted El Conditional C.O. Expires This Certificate p ursuant to the requirements erti icate issued irements of Section 110 of the ❑ Residential / ❑ 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: / ^ n p � �/ 1?- 1173 Use Classification S I N G I E F A M IL [ Bld Permit No R3 VN PUSD '� Type Construct Zoning District •, Occupancy Type 3P.i� _ Legal Description L B1 , RICKORY SHORES SECENT) A� ,. 1 7 045 KENNETT CURVE S W, Owner of Building Site Address Contractor's Name & Addr + iY . ORTON INC ' ' ROBERT D. Hl1TCH I NS ? City Planner ❑, /Building Official .." i �� ,// Date: i Date: 1 P OST IN CONSPICUOUS PLACE n u r r U, I r p� m> "� A� r r', , hr i / r Nt a ? n A / y 4 a,` " N �, ;' d ,�, 'ro N � , / • a Yl o g � i � 0 "'''''>" � i J W Z 1N N o? c w i � W \ \ i aaa W 'N. O z Q Id g tau) y � ❑❑ ❑❑❑❑ I o cc k. ., U G w x o 1 ce 0 N t w 0 j j< m c O oC t E 0 Q ' J O Q F- 4, la p� Q O w x Y 2 a' Z- xxz —Z U C w m xxm ` d Z �" N U a gxw gx 1 (a E DC wa �w \ o o z p ❑ ❑❑ ❑ ❑❑ ° x ° x o '1' Z a a a �, _ w z ` `� w g 4 o a °W \ x O Z Z i N u. ZGZ uj 1 ` H V W �J 4 441 I DC Z g J U. 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Sie(?, iviain Vile - - - - , _,, _. ..-, 21 Wh iaZ F c; I t e y PERMIT NO , /2 / / 73 3 Ycilow Applicant - / / (Please type or print and sign at bouoni) ADDRESS ZONING (orace use) / 70 qc 14 EAJA/E v/e_11 sit) LEGAL DESCRIPTION (office use only) '") AfP LOT Z/BLOCK / ADDITION iii c---10 12,1 5 - g 0 g z. _es" AD o PID OWNER (Name) (Phone) (Address) BUILDER D.R.HORTON, INC 952-985-7272 (Company Name) (Phone) (Contact Name) Brooke Hareid bmhareid@drhorton.com (p hone) 952-985-7806 (Address) 20860 Kenbridge Court, Lakeville, MN 55044 TYPE OF WORK 0 New Construction ,r °Porch ['Re -Roofing ORe-Siding E3Lower Level Finish 0 Fireplace ElAddition EiAlteration ['Utility Connection CODE: cOLR.C. 0.1.11.C. Ei tvlisc. Type of Construction; I II III IV V A II A PROJECT COSTiVALUE $ 74 0 )2c I f on Occupancy Group: E P III M R S U (exchtding land) Division: I 2 3 4 5 I hereby certify that 1 have furnished information on this application which is to the best of my knowledge true and correct. I also certify that 1 am the Miter or authorized agent for the ahove-mentioned propel ty and that aii tOt1Stitteitatt Will conform to all existing state and local laws and will proceed in accordance with subnutted plans I am aware that the building official can revoke this permit for Just cause Furthermore, I hereby agree that them official or a designee may enter upon the property to perform needed Inspections BC605657 Signature Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ SAC # $ , ,co 7 - 3Gvc. - Plan Check Fee $ Water Meter Size 5/8"t; It/; $ . l.1 k 3 - 1 t? 510,- , State Surcharge $ . - Pressure Reducer $ t ' 5 - Penalty 5 Sewer/Water Connection Fee # $ 4 Plumbing Permit Fee $ I 5 . C° Water Tower Fee # $ l 0 0 0 . - Mechanical Permit Fee $ 5- 5- Builder's Deposit $ ( 5 e>el... - Sewer & Water Permit Fee $ 5 6 ,ce Other Ft ,.,.,,. .. f az $ 1 54 .50 Gas Fireplace Permit Fee $ 5 4.5 TOTAL DUE $ i° 424 713 i - ) / . . This Ap/ cat in i 0 Af i ot*Building Permit W en ppr Paid /0 6 24 oved _- r . / Re eipt No, ( , 7 lig a / 4 , , , Date /1.)—.1 l,.. 7- ,- % till I 0 a- t :__ Building Official ' E)ate This is to re y t 11 , quest in the above application and accompanying docti nts is accordance with the City Zoning Ordinance and may proceed as requested. This document when sign *i oy it C ' h n r constitutes a kirpormy CertifiCate of Zoning co , lian and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued 4 . 1 A rik„ t o 12_ 1 2_ ° among 401 - Date Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 4646 Dakota Street Prior Lake, MN 55372 • 1 • , I O - P Iti; + _ Date Rec' {± ii ei• r CITY OF PRIOR LAKE I 1 17 / v � i j y i SEWER AND WATER PERMI 1— 7-'�' I NNESO�� -7)-- 1 1. Green File PERMIT NO. i / 7 - I 1 k . - ", , 2. Gold A �' l i / 3. Gold A �s�� (Please type or print and • at bottom) / -M' ADDRESS • ' I " i ` G (office use) X 1 6 33 —t 70 (11 -- 1 (S coo LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER 1 O (Name) O . � - (Phone) (Address) (Address) (City) (Zip Code) APPLICANT ( (Name) 0 - S • I ' 1- (Phone) d 5 /-- tied- 13 SS (Address) V 16 E .tea •44: --P -' • (Address) (City) (Zip Code) (Contact Person) Mi kQ Ai- 1 (Phone) 6 / 2 —9 1 4 -4 /74 1 0 APPLICANT SIGNATURE DATE 1 I , 11 APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure feet. Type of sewer pipe. ❑ ABC ❑ PVC ❑ Cast Iron Estimated length of sewer line feet. Clean out (if required) located at feet from structure. FEE SCHEDULE Residential sewer and water line connection $51.50 Industrial, Com'l & Multi- family 1% of job cost with a $51.50 minimum Sewer connection only $25.50 Water connection only $25.50 Estimated Cost $ Building Permit # ..-- SEWER AND WATER PERMIT FEE $ STATE SURCHARGE $ .50 f), TOTAL PERMIT FEE $ P't, (,,,"0- (Office Use Only) This ' , 'catinn Becomes Your Building Permit When Approved Paid f � Receipt No. 4. �� A _ALL. _ *: - . 11 7—/ Date / ff Buil ¢ Official Date l i— By t 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 rat tol Pot le e 4 40 , 0 . . , . .. „ , . . I.., . Builders Dep 4t4iniscitt4, , , Cit ,. City of Prior Lake Alvt,500,00 Builders Deposit is facluded'in the Building Permit tee. The Builders Deposit Is lsibod as security to insure cOmpilence for a FinalOodupandy2Fiermit. (ft Is not an escrow account.) All exterior Items including notlintited to grading, sodding, lantiseaping planting, driveways, siding and painting shall be completed 180 days after the date the buildinggarthit Is issued. If the work Is rittt;Ooinphila within the 180 day time period, the City shall notify the applicant of the violation and the .applicant shall have TO days to comply or the $1400.00 builders deposit will be forfeited:and the applicant will be billed for clean up or corrective work to rattly the situation. A $5110.00 Tree Deposit may also be required and will be -refunded if specified trees are preserved for a period of one year. DATE: SITE ADDRESS' 1 1 6 45 166 /L 114 E7T 6 6 / 6-- PERMIT /I- /Z-II7,3 ReptiNaTO SE MAILED TO D.R. Horton, Inc Attn: Carolyn Young 20860 Kenbridge Court Suite 100 Lakeville, MN 55044 Lynda S. ' llen, Building Services Amount - (3 Acct. 801.20204 PLEASE 'REIVIENIBER.. Date - -, - 1. KEEP STREETS CLEAN . . . .. CONSTRUCTION . ,, ,..... 2. KEEP EROSION CONTROL IN PLACE 4 PiPPLER, CITY ENGINEER 3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR $500.0 i , WILL BE FORFEITED' stoutuRet ACCOUNT NO. 80140204 RETAstkee FORFEITURE ACCOUNT NO. 32211 AMOUNT: AUTIORIZE,'TO:RELEASEt . .. . . ..„, .. _., 'OATEt ,. . . .. tity9, :- . BUILDERS DEPOSIT FORK= 1; 04 P RI0 ? Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT N v 41 s ° �� B' °e Fi'` PERMIT NO. /) 2 . Gold Ci / 73 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 11014S \ VI 0/(AlkVL W LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) (Name atAVVIVOilit °- CVIA-lei uh (Phone) ) 103 -41.7 -721 - (Address) \f35 4 di -&.> e i k t' L 4 im rti,i4n 5 r� 'f 7 Address) City) (Zip Code) (Contact Person) k ..__:...41 (Phone) 1 & - 2.a3 - '41 t Y APPLICANT SIGNATURE ∎._ h _... .�. ... 1.5 DATE /1 - 1 1 4 -201 Z_ APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture i Bath Tub with or without shower i 11 Rough - ins 1 Dishwasher I Water Heater Floor Drain Water Softener Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector 2 Shower Stall Backflow Assembly I Sinks Backflow Assembly Test Bar Sink I Lawn Sprinkler —3 Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commercial & Multi - family 1% of job cost with a $49.50 minimum Residential, New One & Two - Family $149.50 ¢ Residential, Additions & Alterations $49.50 Estimated Cost $ p W 0 ESC) Building Permit # PAID WITH PLUMBING PERMIT FEE $ BU r DING PERMIT STATE SURCHARGE $ 5 TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Buildine Official Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 _ i CONTRACTORS MATERIAL & TEST CERTIFICATE FOR ABOVEGROUND PIPING PROCEDURE: Upon completion or work, inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall be left in service before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and contractor. It is understood the owner's representative's signature in no way prejudices any claim for faulty material, poor workmanship, or failure to comply with approving authority's requirements or local ordinances. PROPERTY NAME: Hickory Shores _ IDATE: 02 -21 -13 PROPERTY ADDRESS: 170 'J5 kenneth Trail ACCEPTED BY APPROVING AUTHORITIES ( NAMES) City of Prior Lake PLANS ADDRESS: INSTALLATION CONFORMS TO ACCEPTED PLANS • YES 0 NO EQUIPMENT USED IS APPROVED • YES ❑ NO IF NO, EXPLAIN DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT • YES 0 NO IF NO, EXPLAIN INSTRUCTIONS HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: • YES ❑ NO 1. SYSTEM COMPONENTS INSTRUCTIONS al YES ❑ NO 2. CARE AND MAINTENANCE INSTRUCTIONS • YES ❑ NO 3. NFPA 25 • YES ❑ NO LOCATION OF SUPPLIES BUILDINGS SYSTEM ENTIRE BUILDING DESCRIPTION MODEL YEAR ORIFICE SIZE TEMPERATURE QUANTITY Reliable F1 44 2012 1/2" 155° 44 Reliable F1 49 2012 1/2" 155° 29 Reliable Dry F3QR 2012 1/2" 155° 3 SPRINKLERS Blazemaster CPVC w/ CPVC Slip Fittings PIPE & FITTINGS 1" Allied XL w/ 3001b Class Threaded Fittings ALARM DEVICE MAXIMUM TIME TO OPERATE THROUGH TEST ALARM VALVE CONNECTION OR FLOW TYPE MAKE MODEL MINUTES SE 7 NDS INDICATOR Vane Potter VFS -R ® 3 DRY VALVE Q.O.D. MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. TIME TO TRIP WATER AIR TRIP POINT TIME WATER REACHED ALARM OPERATED THROUGH TEST CONNECTION PRESSURE PRESSURE AIR PRESSURE TEST OUTLET" PROPERLY MINUTES SECONDS PSI PSI PSI MINUTES SECONDS YES NO DRY PIPE WITHOUT OPERATING Q.O.D. TEST WITH Q.O.D. IF NO, EXPLAIN MEASURED FROM THE TIME THE INSPECTOR'S TEST CONNECTION IS OPENED. OPERATION 0 PNEUMATIC 0 ELECTRIC 0 HYDRAULIC PIPING SUPERVISED El YES 0 NO DETECTING MEDIA SUPERVISED El YES El NO DELUGE & PREATION DOES VALVE OPERATE FROM THE MANUAL TRIP AND /OR REMOTE CONTROL STATIONS = YES Q NO VALVES IS THERE AN ACCESSIBLE FACILITY IN EACH CURCUIT FOR TESTING IF NO EXPLAIN 0 YES 0 NO MAKE MODEL DOES EACH CURCUIT OPERATE DOES EACH CIRCUIT MAXIMUM TIME TO OPERATE SUPERVISION LOSS ALARM OPERATE VALVE RELEASE RELEASE YES NO YES NO MINUTES SECONDS HYDROSTATIC: HYDROSTATIC TEST SHALL BE MADE AT NOT LESS THAN 200 PSI (13.6 BAR) FOR TWO HOURS OR 50 PSI (3.4 BAR) ABOVE STATIC PRESSURE IN EXCESS OF 150 PSI (10.2 BAR) FOR TWO HOURS. DIFFERENTIAL DRY -PIPE VALVE CLAPPERS SHALL BE LEFT OPEN DURING TEST TO TEST PREVENT DAMAGE. All ABOVEGROUND PIPING LEAKAGE SHALL BE STOPPED. DESCRIPTION PNEUMATIC: ESTABLISH 40 PSI (2.7BAR) AIR PRESSURE AND MEASURE DROP WHICH SHALL NOT EXCEED 1 -1/2 PSI (0.1 BAR) IN 24 HOURS. TEST PRESSURE TANKS AT NORMAL WATER LEVEL AND AIR PRESSURE AND MEASURE AIR PRESSURE DROP WHICH SHALL NOT EXCEED 1 -1/2 PSI (0.1 BAR) IN 24 HOURS. _ ALL PIPING HYDROSTATICALLY TESTED AT (..: PSI FOR 1 1 %/) HRS. IF NO, STATE REASON DRY PIPING PNEUMATICALLY TESTED E YES I] NO EQUIPMENT OPERATES PROPERLY Q YES (] NO TESTS DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS, SODIUM SILICATE OR DERIVATIVES OR SODIUM SILICATES, BRINE, OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTING SYSTEMS OR STOPPING LEAKS? I] YES D NO DRAIN TEST READING OF GAUGE LOCATED NEAR WATER SUPPLY TEST PIPE: RESIDUAL PRESSURE WITH VALVE IN TEST PIPE OPEN WIDE STATIC PRESSURE: 7 6 PSI < PSI UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISERS FLUSHED BEFOR CONNECTION MADE TO SPRINKLER PIPING. VERIFIED BY COPY OF THE U FORM NO. 85B El YES I] NO OTHER EXPLAIN: FLUSHED BY INSTALLATER OF UNDERGROUND El YES 0 NO SPRINKLER PIPING BLANK TESTING NUMBER USED LOCATIONS NUMBER REMOVED GASKETS WELDED PIPING 0 YES 0 NO IF YES... DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY 0 YES El NO WITH THE REQUIREMENTS OF AT LEAST AWS D10.9, LEVEL AR -3 WELDING DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED I] YES 0 NO IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS D10.9, LEVEL AR -3 DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A Q YES El NO DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE RETRIEVED, THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED. CUTOUTS DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL CUTOUTS El YES El NO (DISKS) (DISKS) ARE RETRIEVED HYDRAULIC NAMEPLATE PROVIDED IF NO, EXPLAIN DATA NAMEPLATES 0 YES Q NO REMARKS DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: NAME OF SPRINKLER CONTRACTOR: SUMMIT FIRE PROTECTION SIGNATURES TEST WITNESSED BY i F�' ' • "� R ( SIGNED TITLE DATE: .1-6t4; 57215 SUMMIT FIRE PRQTECTIOt' FOR SPRINKL ONTRACT ( SIGNED) TITLE DATE: y-�- S 2 zo /3 • 1 v R/0 - ---- CITY OF PRIOR LAKE Date Rec'd IIEATINIR CONDITIONING/FIREPLACE PERMIT 1 ( ------- / / /3./3 i.sci - I Fa PERMIT NO. // 3. // 73 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS 1 ZONING office use) 11 6q5 114 ,_AA,vo, 4/ Pc/ LEGAL DESCRIPTION (office use only) LOT? qBLOCK / ADDITION . /-4 e/eagy 5 ril t: 2 A:a/AAAA,/ P113 ;?5- y gi,7 -6;49* -t) OWNER ... ....._ , - (Name) - (Phone) (Address) APPLICANT 4 „. i , At I_ 1 1. (Name) LtX)AJ FID 13 ' WI ' (Phone) lid) - 43 ' 2 .21,0 / yA . (Address) I 5 5.5 t etk, ' Pl I/ wv444/1 t5 (Address) (City) (Zip Code) / (Contact Person) 6) 1 I, (Phone) --iti' APPLICANT SIGNATURE ....b- i DATE - - 20 i I APPLICANT PLEASE COMPLETE BELOW . ONEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner ['Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach ['Gravity 0 Hot Water into Required Side Yard Setbacks. 0 Mechanical 9 Radiation ClAir Comlitioning D Special Devices Fire with Box Additions or 0Vent. System 0 oth D ev i ces Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial, Commercial & Multi-Family 1% OfjOb cost Residential, Gas Fireplace $49.50 $49.50 minimum Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50 Estimated Cost $ Building Permit # . HEATING PERMIT FEB $ , — STATE SURCHARGE - -$ '' ---- - 30 TOTAL PERIM''' FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid . ..., 14 t V I' 11 8 F a k lLv Date . By Building Wilda' Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 4646 Dakota Street S.F.,., Prior Lake, Minnesota 55372 PRIOR LAKE BUILDING AND IN PE DEPARTMENT OF INSPECTION inFile INSPECTION SITE ADDRESS (7.P45 N &-- NATURE OF WORK FA r■r‘ . pffOt, Etots t elp L. N pc9,24,4 USE OF BUILDING Sfrsv k r sp PERMIT NO. ta. ttla DATE ISSUED / 42- CONTRACTOR P.� . PHONE ots c - -7g©(,) NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT —r - ( 1`35 ` - „65. CAS(+ -o _ $ j4&' r/4 es" G.w -4°?" Ce t M IN S P E OR DATE I FOOTING 1 1 I FOUNDATION (Prior to Backfill) 1 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED Ac,,,4.5 2 - - . ROUGH - INS SEWER / WATER / SEPTIC FRAMING �R�� LAJA rib 1i2et`13 INSULATION '_t 1 .�f ELECTRICAL PLUMBING x = HEATING (if required) Fr? 1 1i , 7 FIREPLACE 21 GAS LINE AIR TEST F-100.0-1P(Pt COVR N WOR ABOVE HAS BEEN SIGNED I 1 FI,Z �� ?R -ss,,) FINALS ?,a 5 i GRADING (Prior to Sodding) %. - 7 - ) 3 BUILDING ' , x-ra (_,? ,(3-- c, - ,3 ELECTRICAL PLUMBING HEATING DO NOT 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