HomeMy WebLinkAboutBuilding Permit 04-0256
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 3- :lS- {J l.{
Main File
I. White
2. Pink
3. Yellow
File
City
Applicant
I PERMIT NO. 04, 0 ZSb I
(Please'!ype or vrint and silm at bottom)
ADDRESS
1/~2ID-e1 ~,:</d1JuUe .:sf:
LEGAL DESCRIPTION (office use only)
LOT I BLOCK I ADDJTI;J),O d,'~Ld / ~
u
OWNER
(Name)
(Address)
ZONING (office usel
fGd-.
PIDr;75 -t(()1-001- (>
(Phone)
BUlL/:'IiiR or1) I I_l -r_
(Name) J )J"1\ , 1""'JJl~..LnC
.
(Contact Name)
~Oef.R.C .~ C;t" ;;)t...t.."""'{OO
(Address) ~lLiI vnN _ t'll./C/'
(PhoneCCf~ ') 98S~8 31-
(Phone)e5~ ~ (p- /, '::j~
TYPE OF WORK
?ew Construction
DLower Level Finish
DDeck
DPorch
ORe-Roofing
DRe*Siding
DMisc lB.c.
I!.- 3 U
o Fireplace DAddition OAlterapon DUtility Connection
PROJECT COST IV ALUE (excluding land) $ 121 J &5{p
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 i a ~Signee may
_;ter; on the properrv t~ o~~tions ~CYr::€.nf)'7 ~J"" iYI
(\ Signature Contractor's License No. ~ate
I Permit Valuation '6( /~ /. ()Oo.OO I
I Permit Fee $ l.:i.qq.5'O I
I Plan Check Fee $ gq<f.c.SI
I State Surcharge $ 70 ,so I
I Penalty $ I
I Plumbing Permit Fee $ /f90, '00 I
I Mechanical Permit Fee $ I t90 ,{)O I
Sewer & Water Permit Fee $ 3 t;, 5101
Gas Fireplace Permit Fee $ 4D,{) 0 I
This Application Becomes Your Building Permit When Approved
~ ~ '(1/3/00/
Building Official Date
I Park Support Fee
I SAC
WaterMeter('SiZe52P; 1";
Pressure Reducer
I
I
I
I
I
I
I
$ I
1$'7.535. /6 I
#
#
$
$ /3So.0o
$ Z 50,00
45.00
/ZOo.Oo
'700.00
l~oo.Oo
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
$
$
$
$
I Paid
I Date
'1 ,;/r. it
.'i-./r~o ;..--
-rv.re~
"
I~r
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
i'~,._,: ~ dl,3hif ~ a.L/ ~l /~
Planning Director ---Lf' Date ' - Special Conditions, if at .
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~1
Main File
~ - Buildino
~C'lnarv -. Engineeriii9/
Pink - Planning
Ttl~ ("f'llrr of thr L.kr <-"ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
it
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(.. >C C7....-,.t
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
II /ll'),~/- . .:.;2. I - .' '~.,''? ~:/
. .-- " '__";"~ (__ 1" ~-..e
/ .1
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/VYJi3
Date:
1..{-~-04
Comments: SP.P. Rp.v,er!':p. Sine for Additional Information!
lJ'7&1ji/1fq,'" [rJ25l.c>rt c,/l-h-a ( U,w..-/ Tur-P"~ 1:-5/.;6I.~~
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See Attachments: 1) Grading Plan, 2) Erosion Control Measures
"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,"
~
Main }'lIe
While - Building
Canarv - ~ ineering
<::::::}>ink - Planning
TIl~ C..nl('r "r Ih.. l,ml<.. C'ounlr}
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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a~:':;' ~., I.:'~) r /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,/ ,II /1'.2 1- ,(
, '/
, ,
Accepted
Accepted With Corrections /
Denied
Reviewed By: ~~ ~ Date: 1/;3~tI
, I'
Comments: ;f'~ a..h J..f-~.fl::t~
'-1/1Il_ ' +,. ~ / --,-," _/1' ~
~~ J ,,drU~ ~;')"
"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,"
.~
~~
Main File
~hite - Buildin.lD
Canary - I:ngmeering
Pink - Planning
rh~ C~nlrr of lhr I..kr ("ounlry
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT t!) 1< ~
3- OIS~CJ C;
I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for cons.truc~o~::~it~.WhiCh. is prop~ned at~
/~L/ CJ-I- '-/~L)mCf2 ~
Accepted Accepted With Corrections /'
Denied
~ 'j~ Date: </#3 ~o/
~..f)a...U ~'J .
Reviewed By:
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,"
~ 1t1/jt.j !j
CITY OF PRIOR LAKE Date Rec'd
BEATING/AIR CONDITIONING/FIREPLACE PERMIT
(Please ~ or orint and sim at bottom)
ADDRESS ~
17LIJ I YP.PX-~il" I~
~r
i ~';;,. ~:~ I PERMIT NO. Li- - .. "7L
J.Yellow Applicant P'"/ ~
I I ZONING (office use) .
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
~ "--p,,
/-fu Y' 1-0 VI
(phone)
(Address)
APPLICANT A /(' f At! {-r-
(Name) I (\t) / v l e c.V1, ,lA1" ,
(Address)~..5Q /~'11f!(~hr:c. 0f.
(Address)
(Contact Person) Ao..V'oI/J ~ u/'h /
-:I~' ,-- ., ~/
APPLICANT SIGNATURE , 1:- -J _, _
(Phone) U 5/-- i./ 5':< - d 7'7.'5
Ia.gov? ;1I}/(j 35/.2..t.
(City) (Z,p Code)
(Phone) !,,"iI-"i5,;/ - :2775 X ;L/~
DATE l./ hi ot..J
APPLICANT PLEASE COMPLETE BELOW
L3!NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL 'Kru.aVlf 3/0AfJ,v'oll.)j)qI) FUEL AJ",.J<....."f 6-"5
-, J
FLUE SIZE !5 " RETURN OPENINGS INPUT 8'6, 000 OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
~~~~ical
, jAi~" Conditioning
OVent. System
HEATING OR POWER PLANT
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
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
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
Estimated Cost $ 5500.00
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
,50
l::J~8J~
''''''r. r."'~ lJ 10
i:;..o,il.C~NG r:,;~;.::~
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
'"
Receipt No.
Building Official
Date
D~ APR 1 5 2004 ~y.
r
I
24 hour notice for all inspeetions (952) 447--985~.,{.x (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
L Pink
2. Green
3, Yellow
File
City
Applicant
I PERMIT NO, tf- "J~ (0
(Please tvpe or print and si,ltll at bottom)
ADDRESS
ZONING (office use)
17421 DEERFIELD DRIVE S.E,
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name DR HORTON
(Phone)
(Address)
APPLICANT
(Name) ATJJFDFTRRSTDR DBA FTRFSTDR HEARTH & HOMR
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW A VENTTF
(Address)
(Contact Person)
BRENDA HUSTON
ROSEVILLE
(City)
(Phone) _651-633-2561
';5113_
(Zip Code)
APPLICANT SIGNATURE
BRFNDA HUSTON
DATE
6/14/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
OGravlty
o Mechanical
DAir Conditioning
OVent. System
HEATING OR POWER PLANT
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
HEAT N GLO SL-750TR-D
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & AlteratIOns
Residential, AC Only
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
,,$.19.50
,,~'~9 iff;'
~~'\;"~~~~'W'
.<:'l.~G
~\\>>"
(Office Use Only)
Buildine Official
Date
... - ~J
~~ l~ ~ U ill It ~\teceiPtNo.
,~at';JUN I 5 2004 ~ fY
or
This Application Becomes Y onr Building Permit When Approved
24 hour notice for all inspections (952) 447-9150, fax (952) 447-4245
By .:::...-
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
.
SITE ADDRESS I ~ l.I2.1 'J:)t2.U)G S.&.
NATURE OF WORK ~ N~" ~
USE OF BUILDING :s . ~ ,.. ·
PERMIT NO, f)4-.0ZSw DATE ISSUED ~ID&(
CONTRACTOR l).(1... ~OIZ.Ttl~. PHON~.IZ/II-,gc(
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I INSPiriV_. I UD~/r.~ fi.l\ ,
I FOUNDATION (Prior to Backfill) I /11. N"h41Lf LI-J,.). tK/ k1- ]rJ-/A
PLACE NO CONCRETE UNTIL ABOVE~HAS BEEN SIGNED '/
ROUGH - INS /J
SEWER I WATER I SEPTIC (' VV I' ~ \ r '), I '1Jl:
FRAMING ~ ~~~.
INSULATION ~ i/zs/';~
ELECTRICAL _ .
PLUMBING (/,~. #4 ~/lft{ 1Pf/l-. ~hr/ar
HEATING (if required) ~. ~/.zJ.tf,o/
FIREPLACE '" ~ ~/.;j~
GAS LINE AIR TEST ~/:e.. (" /: I-! ~ ~/ 4J /cs~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding) Ala If./I, 'f- .
/o,6,,~~.I ~/?'Ah'</ Pf/
Main File
BUILDING 'h,e../l. [,0,
ELECTRICAL .f
PLUMBING
HEATING
DO NOT
/o/.'''' /1r
PI// J/ RI/t7o/JJ.
nii/I- !( /6/9 T
~ 9'/0/0,/
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
C1lrrfifieab of @tntpanqz
CITY OF PRIOR LAKE
~epadtueut of ~uilMug Jluspediou
~inal Permitted D Conditional C.O, Expires
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential! D 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:
Use Classification
SINGLE FAMILY
_ Bldg. Permit No.
04-0256
R2
Occupancy Type
R3
Type Construction_
Vl'1
_ Zoning District
Legal Description
L1. B1. DEERFTELD 11TH
Owner of Building
Site Address
17421 DEERFIELD DRIVE S,E,
Contractor's Name & Address DaR. HORTON. INC.
ROBERT D. H~TCHINS ~
/,y/ ftyficial .
20860 KENRRTDGE CT.. 11100. LAKEVTT.LE_ 55044
City Planner
DON RYE
Date:
Date:
"
-
-
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7-10<>1
PHONE NO,
17'1)/ j)e.elr-/dcl DIVe..
D f.. 1-10.4<9"'-
/')L/..)S"t?
CONTR,
ADDRESS
OWNER
PERMIT NO.
o FOOTING
o FOUNDA liON
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
.J!(EXlG'iWllfILLING
o COIfiitXiNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
r:. Jord'fe. r9/t..
r,o "Ib ~ v (9/L.
., WORK SATISFACTORY. PROCEED
~ CORRECT ACTION AND PROCEED
a CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector~ _ """-- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lNSNOn
COMMENT,$:! __ J /
~ ec-T/C CA:1 ( hj~ r da-re.
--I ..-
hrc.p;Jke-e /r-?~/ ere
/
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
pl'INAL
o SITE INSPECTION
-... /"
/ff~ch,
/7~.L/
DJE TIME
SCHEDULED ~~~~
/7'- r
Lkcrf,~/" 4-
CONTR,
PERMIT NO,
~ ...2s-t;
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
p1lIECH FINAL
o EXIGRAO/FILLlNG
o COMPLAINT
o FIREPLACE RI
~EPLACE FINAL
o GASLlNE AIR TST
o
d;'~~
./1/
/7~..,
-
~X
-"" ...-
/';)-'1"" / CYe
./"l /~ / . - ,
(r;) ~~e $" ,:';:~~-, h.4v-/
~ -e C?/-JP?lfFC1!J<;2;. I'"
/1
rk P-r/- c--:C:;
"
u,..,k/
/' /'
/~~/r
o WORK SATISFACTORY, PROCEED
JrfifORRECT ACTION AND PROCEED
/O'CORRECT WORK, C:~L ~ REINSPECTlON BEFORE COVERING
Inspector: .J/q- OWner/Contr:
"
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
t-.JTI
DATE TIME
CITY OF PRIOR LAKE " h /" /'
INSPECTION NOTICE SCHEDULED f/''Y6Y
ADDRESS /7~/ 4,,/;;~ 1.1 h--
OWNER
CONTR,
PHONE NO,
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~UMBING FINAL
o MECH FINAL
COMMENTS:
./ /
ft//-<~O~~ ~/
---- /'
/.....?,,"T'
e)
@J
_/ f ........, /
/!/..e e ol ~stl';J..e
~
o -Y- YF,{,
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
u/-
. /.
r-</'/ h/
/Y:eed ~TV
hi?,} r:..//,.../
/ J
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6:///J-c
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(eJ
.--..
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o WORK SATISFACTORY, PROCEED
KCORRECT ACTION AND PROCEED
/0 '-cORRECT WORK, C~~~' /INSPECTION BEFORE COVERING
Inspector. ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
I1f$NOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!