HomeMy WebLinkAboutBuilding Permit 04-0075
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
Date Rec'd
2-,7.-.-04-
1_ White File I PERMIT NO st
2. P;,k C;'y . () 'f-.O 07
J. Yellow Applicant
(Please tyDe or mint and sign at bottom)
ADDRESS I ZONING(officeuse)
l74/3~'ddUn'ue.l
LEGAL DESCRIPTION (office use only)
LO~l oBLOCK I ADDITIO~fl t' Jd q--tt;:
PID z.S. 4-0 o. Oz.~. 0
OWNER
(Name)
(Phone)
(Address)
~~~)~,R.I ~10Y'\ :w~,
(contactNamet---fr\;~ I), )~'tk~ _
(Add) aplO~O .v h 1"iYL, dcu. C:t ~ ~ t(J 0
ress loJ.::-LLl ;ITrI mt.J ~~~
(Phone(9S;s ItBS -7fJf)A
(PhOne)~S~~ Co - '-I7<3;z
. TYPE OF WORK
~ew Construction
ODeck
DPorch
ORe-Roofing
ORe-Siding
DAlteration OUtility Connection
113,<32~
J
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 tevoke this permit for just cause. Furthermore, I heteby agree tha' the city 0'. cia! or a desree may
~rtyt~~c::ns dlXXfi-iJJ57 J L~ by
J ~ Signafite Conttaetot's License No. I D~('
I Permit Valuation 'lfplltJOd.Do I I Park Support Fee # $ '8'~O.Oa
I Permit Fee $ '1c)''79. SO I I SAC ~ # $ 1.~'f!)Or Od
Plan Check Fee $ a'l4, ""g I I Water Me'er CSizeS/SJ'; I"; $ ,..;)50. (jO
State Surcharge $ '] o. 50 I I Pressure Reducer $ Jf S; cJ 0
I Penalty $ I ICilySACandWAC # $ /d/JO.OO
I Plumbing Permit Fee $ lOt). 00 I I Water Tower Fee # $ 700. tJcJ
I Mechanical Permit Fee $ 100, 0 0 I I Builder's Deposit $
I Sewer & Water Permit Fee $ .3 S-. s-o I I Other $
I Gas Fireplace Permit Fee $ L/ (J lOll I I TOTAL DUE $
/)
I Recei~o.
By"'" 1.-...
()
DLower Level Finish
o Fireplace
OAddition
o Mise l.B.c. CboG3
g,-3 7- 8
PROJECT COST IV ALUE (excluding land) $
~-
:tuj) N
r:J/9/o-/
I Paid
I Date
r. rrr.,-v
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This Application Becomes Your Building Permit When Approved
Building Official
'Date
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
:~e:he. cZ p_~mpO'MyCffl::;;on:<O:;lian" and aliows 'onsttuctgeen'~arn ~ifeupanq mu"b,
Planning I1irector ' ~e Special Conditions, if any
24 hour notice for all inspections (9S2) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
t~1
See Main File
White - Building
Canary - En!l.ineering
(' Pink -.:!'lannln1P
--
Th~ Cenln of lhl' 1.lill' COllnln
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L/.
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I' ,":J
; /.~i_ Li'-..f IL.LI...-/ /)1,--.
Accepted
V"
Accepted With Corrections
Denied
Reviewed By:
~
~
"1-~
Date: 07/9 ~ ~
Comments:
See Ivlain 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."
~
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See Main File
(While - Buiiding)
Canary - Engmeering
Pink - Planning
lhe eenle, of lh..l..k.. Coun1r~"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
D. g. H012-TOf\J
z.. . 2-. 04-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J 74- 13 0 6SIC..FI SLO D te.... .
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
~
.
':j .LJ-/--J
Date: 07/9/~ 'I'
Comments:
See---MaiJ! 1{il~
"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
r- l.(!l&arv - Engineen"p
Pm - Planning
I n" '"'" ,,' ", L." '"""'"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. 12. Hor~-ro",)
Z-. Z-. 04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1-7~ 13 DEElcJ"""IELD DtL.
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Comments:
/J/J4/J
Sa.. li!c,t'n ~,.Ir
Date:
'}-}O-{Jtj
"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."
Job Address 17j?..3l...~.(d'
Heating Contractor .f!I/Z4/7 AfF@'
Name ofTester 4""", R
7#~/~
8.CJ?b
fJ~~;v
3Jd r
..
Date
Percent 02
Percent CO
Percent C02
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606
input
.
JYJ'
/:b~
M.
Feb. iO, 2004 iO: i 8AM
GENZ RVAN PLUMBING AND HEATING
Noll98 P,49
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" L...:l III
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Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(Plea.ze_rvoe ort)l'1!l.t and!f2:Q a:cbottom)
ADPRESS
//I-!I?J ~dJ Ofz.- SS-
1 Go".. "'~ I PERMlTNO~
2. yl!llo..... Clty-
)_~ AppHo:AfIl
ZONING (oJ'llce",,)
LEGAL PESCRlPTION (oflle:: u'e onr/)
LOTZhBLOCK I ADPITION fJepYl./ff>(('J I~ s,&
PID
OWNER
O'Iame) VII ll~rtQR r"__-m llQmc
(Address)
;2oSWO Kev1,3i<..\b6e Or- SoP' 1M
(Addr",)
(Phone) _
La.kI1-\iille...
(Cjty)
crs2 -qgS-7.flJ::f\
t:)~U
(Z", Code)
APPLXCANT
(Name) Genz-Ryan PlumM.ng & lleat:i.DI';
(J'hoJJe)
651-423-1144
(Conract Person) .
(Address) 14745 So Robert Trail Rosemount. MN 55068
(Aadre,,) (City) (Zip Code)
QVlKi<&--n m {( S (phone) 651-423-1144
(1 A~ ~ ~ f 1.'...,/.1 DATI
..
"lCANT SIGNATURE
,;2- to-Ocj
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 SCHEDULE
Res,denllal sewer and water Ijne connemoo $3550 Industrial, CQ1ll'1 & Multi-family 1% of Job cost wIth a $3950 minimum
Sewer connectioo only $17,50 Water connection QJlly $17.50
Estimated Cost $
Building Permit #
SEWER At'{D WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERi'VtlT FEE
$
$
$
PAil) WITH
BUllDING PERMIT
(Office U,. Only)
I This Application Becomes Your Building Permit When Appr,!ved
\-
BuildIng Omcial
Pate
I Paid
.1 9:"ts i R 2004
I Receipt No
I By
2-l bour notice for all Inspections 1.9!2) 447-9850, fax (952) 447-4246
f~~
. .,\\~:,_:\.I"Nf.S01:'"
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Feb,10. 1004 10:18AM
No, I 198 p. 5/9
Date Rec'd
GENZ RVAN PLUMBING AND HEATING
CITY OF PRIOR LAKE PLUMBiNG PERMIT
\ E1hJe !U4
2. Gold City
J yello.... Applialll
I PERJ.\UT NO~. DtJ1J!j
(P1c~e me or 'Ptult :md ,js:tII I,l.t bottOm J
ADDRESS .
. /lLiI:?7 IY1i2--I1da. ~ St;
ZONING (office 1lS')
L.EGAL DESCRll'TION (office l1Se anly)
LOT?Jt; BLOCK I
ADDITION
IwfG-fld clqfh
PID
OWNER
(Name) DR Horton Gus tom Homes
(Address)
(Phone)
962-Q,;F. -72l)c)
2.O'Sloc kLnp,;e.l txe... C, Sre IDe
udal/die.. loU/'J .5661../14
APPLlCANT
(Nametco....."'_'t'yo::-..... ~~_'_'~~_....: );. u,...."'+-~....g
(Phone) <" 1-/. ?~_11 t.t.
(Address) 14745 So Robere Trail
Rosemount
(Ciry)
MN
55068
(Zip Code)
(Contact Person)
651-423-1144
2- lo-oLl
(phone)
~-<J
DATE
APPLICANT SIGNATURE
I Quantity
I I
I ,
I t
I '2....
I
I I
I I
I
I :J...
APPLICANT PLEASE COjVIPLETE BELOW
Type of Fixture I Quantity I
Bath Tub with or without shower I -3 Rough-ins
Dishwasher / ' I Water Heater
Floor Drain I!::C Water Softner
Lavatory (Bathroom Sink) I I Stand Pipe (Washing Machine)
Laundry Tray (] or 2 compartment sink I Sewage Ejector
Shower Stall Backflow Assembly
Sinks I Backflow Assembly Test
I Bar Sink I Lawn Sprinkler
Water Closet (Toilet) I Other
Type of Fixtul'e
FEE SCHEDlJLE
Indusma!, CommerCIa! & Jl-tuln-famtly 1% of job cost With a $3950 minimum Resldenoal, NeW One & Two-F8JIlily $99.50
Resldential, Additians & Alterations $3950
EstImated Cost S
Building Permrt #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
=>, .5.?ARD WITH
uvh:"".;ONG P.ERJ~I/IT
i
r
10m" u.. Only)
This Application Becomes Yaur Building Permit When Approved Paid
Receipt No.
Budding Officisl
DUt
If!!s 1 8 2004
By
24 hour notice for .lIln'ptotio.. (952) 447-9850, fux (952) 447-4245
CITY OF PRIOR LAKE ~ 1~.t/~
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
; :i:.:. ~:~ I PERMIT NO.I\.L OA'""l.,... I
3. Yellow Appheant UT. V Ifj,J
I t;~~~~Prin~il!l1albottom)
/71.//3 1 )'LPY" C. r~
/)r
ZONING (officeu,,)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER DR HORTON
(Name)_ 20860 KENBRIDGE CT
(Adclress) LAKEVILLE, MN 55044
(phone)
APPLICANT ./10 .A
(Name) /-7/-~..L~ //L-',..YA4/''''/
(Adclress) L:~~ ~,c" ~n' t:? /'2-:
(Contact Person) A ev';:ddre14~~
APPLICANT SIGNATURE .... 7: -~
(Phone)~5/.- 4~'?- ~.??5
~~~ ~~/d-::l
(<&If (Zip Code)
(phone) _~/ - ~ -~ 77-:T
DATE
APPLICANT PLEASE COMPLETE iJEI:,QW .
. pslNEW CO~TRUCTION 0 REPLACEMENT DALTERATI<;lNS
FURNACEMAKEANDMOD~/r.A';,t :]/OAAVC/d407CJ FUEL /1.2 .4o";,:,,,-.e
FLUESIZE'1I'~~cARETURNOPENINGS 4/ INPUT~ ~ OUTPUT ~_t'~
TYPE OF SYSTEM HEATING OR POWER PLANT
DWann Air Plants 0 Steam
DGravity 0 Hot Water
o Mechanical 0 Radiation
~ir Conditioning D Special Devices
~ent. System o Other Oevices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach intO
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Residential. Heating & AlC (New Construction)
Residential, Heating Only (New Construc'ion)
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial. Commercial & Multi-Family
$39.50
$39.50
(Office Use Only)
Estimated Cost $ ~ .a:::>Building Permit #
~:J~~i~~~~~EE ~~~/ ~~/~;~~i~;~~~Vlrr
TOTAL PERMIT FEE $ 0
,
Building Official
Date
I Paid
IlfY.Ii<B 2 4 2004
ReceiPt.
By
U.
This Application Becomes Your Building Permit When Approved
24 hour notiee for all inspections (952) 447'-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS J!1.!iL3 ~ Ie:.. i=i E (..0 1:>n.i vI! S ,€ I
NATURE OF WORK ~W t:.o~S't ltU.c:r"ON
USE OF BUILDING S'.S:: A. .
PERMIT NO. 04. (}()7S- DATE ISSUED ~&/
CONTRACTOR Jbi,. ~a:r~~ PHONE952- rz.fD..",U,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
INSPECTOR
OATE
I FOOTING I
I FOUNDATION (Prior to Backfill) I I J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
JIl /JJ
'IAA~
~- Nc (/L/
y.t 1-o-L I
{IllY...!
J/1/VO
4 )-]-(Jv(
~-(4-UVI
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding) ,
BUILDING -/:, ,..:.r c--':'~. ~>f./o~ /
ELECTRICAL ; .
PLUMBING
,
, HEATING
DO NOT
j
m.$
~
OCCUPY UNTIL ABOVE HAS
NOTICE
. --' /
-.S~e A~..'-;' /; /t".
7/.2eYA<I
?II'~-/
7/?/01_/
7'/ ;2.P/or
BEEN SIGNED
/l~
This ca~d 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
QIedifitafe of @ttupauqJ
CITY OF PRIOR LAKE
/ ~tparfmtnf of ~uilMng Jlnsptdion
..df Final Permitted D Conditional C.O. 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:
Occupancy Type
R3
Type Construction
VN
Fire Zone
Bldg. Permit No. 04-0075
N / A _ Zoning District
R2
Use Classification
SINGLE FAMILY
Legal Description
L26, Bl, DEERFIELD 9TH
Owner of Building
Site Address
17413 DEERFIELD DRIVE S.g.
Contractor's Name & Ad"'esP~ R. HORTON, 20860 KENBRIDGE CT., SUITE 100, LAKEVILLE 25044
DON RYE
ROBERT D. HUTCHINS~
._" /. )lml'9"g Official //AI "
4Je./4I4 /F,Y Date
r I POST IN CONSPICUOUS PLACE"
_ City Planner_
Date:
, ;.,
DATE TIME
SCHEDULED .~~~
V.eor Pc Ie! 4r-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/7YI:?
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
?MECH FINAL
o~-?s-
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMPo\ENT~ . ./ A
~cTr/C41 hI,,:. / /~ -L
-" 7' / ,/
~-<'C/.-. hp.&; O/c /:
/Z~-t.'tf'~ '/.;~ d CJrS<:;-T- H6 r
/>) #~ed' ~TU ~,.., u/9/:__~~/
o WORK SA FACTORY, PROCEED
~~RRECT ACTI
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
:~w
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-- T' lA?~:/'
- , , .
INS"''''
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
SCHEDULED ;: hAs/'
,tJed!'e /,J' Cr
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/77"'/...J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
~LUMBING FINAL
o MECH FINAL
COMMENTS:
//;;;:,H~~~ ~,.-
07'" - 7 S-
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
;:;;. r/ 0/
{j) /Y:'C! G,,~;.f" /0 ~
,
(3) ./I/e>ed /#/U
.
_/ /'
( 71'a(L (~
/7 A
A'v;/a"':/
-f J
//- 9- /
~ORK SATISFACTORY, PROCEED ~/C
/~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!