HomeMy WebLinkAboutBuilding Permit 04-0258
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
Date Rec'd
3 - J5--fJf
I PERMIT NO. ()4- , OZ-.5"'f; I
I Z~1(Offi"U") I
I. White
2 Pink
3. Yellow
File
City
Applicant
(Please.!'Te or orint and sign at bottom)
ADDRESS
1/ Lj J. 5~U'{'::'.eJd 1)rt~ 3:.
LEGAL DESCRIPTION (office use only)
LOT3 BLOCK I ADDIT~HtAd I~
OWNER
(Name)
(Address)
~~~~~ I )~. Jfu:t-t"1Y)7()(' ,
.(ContactName) ~+,~ ~
\ ,Address)
TYPE OF WORK
o Mise \.e,.C "'Jt8 ~~
~ew Construction
ODeck
(Phone)
PID d.. ~ L/o'1~ (;703 ()
(phonIlS:AIJ8S-7833 ~
(phone(9S.3J ~ lrr /33t.f
OPorch
ORe-Roofing
ORe-Siding
D Fireplace DAddition DAlteration DUtility Connection
PROJECTCOST/VALUE (excluding land) $ II; ~
V"'
A,
~ 1</ ~ l)tJtM)t)
$ " 1dt!1.(!. 50 I
$ N'(.It?? I
$ 7tJ,5""0 I
$ I
$ !otJ,()O I
$ 100,44 I
$ <.25 s-" I
$ "7'd, de; I
This Application Becomes Your Building Permit When Approved
~~ ~ 4/;D:(d,L
DLower Level Finish
~~~57
Contractor's License No.
I Park Support Fee
I SAC .......
I Water Meter (Si~ 5/8''1)'';
I Pressure Reducer
City SAC and WAC
Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
Paid
Date
/
&OJ.r" J
",eT.'''----
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 r a de ignee may
enter on the property to perfor . eded inspections.
x
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
#
#
#
#
$
$
$
$
$
$
$
$
$ (P,035./8
/S5d,OO
2-S' 0 . 00
'I t;;. 00
I ZOO ;0 tJ
7()O.00
Receip~~o. err, t: -rr
By /_
{;
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
:~:~llinn~POC~Certific:;:n;A;',"dallowsconSetemlV1aiiililefoccup,"~muSlb'
Planning Director f; 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
Job Address /7vs--1l ""4'c-if
.
~
Heating Contractor
Name of Tester ~
Date s.-
Percent 0, 9./1i.
Percent CO In < ~~
,
Percent CO,
Stack Temp ]t;, ,..0 r
.
Combustion air is adequately supplied per
r6
'I?d)~
UMC Sec. 606
input
"
&~',;
See Main File
~~'hit9 ~ Rlli~
Canary . Engineering
Pink . Planning
--
The Crnlrr..f thr L.kr ('ounlrJ
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
j 0 ~ II~
3,;;LS-Ol/
/
The Building, Engineering, and Planning Departments have reviewed the building permit
appl"a"," fo",""ruj;~';;"j~;;:;}ddJ ILJ .
Accepted /' Accepted With Corrections
Denied
Reviewed By:
~:j~
Date:
-</ I,.? It) '-I
I '
Comments:
See IvIain F'lie
"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
While . Building
Can!,ry - Engineering
c:--Piill\ - ....lannlnQ ')
-'
lh~ ('.nln of th~ L.k~ (-ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLl~T
NAME OF APPLICANT
,;i/,./"
, ,
/ --"
(/ 1<\-
APPLICATION RECEIVED
-...., C" " I
-'" :;" C,,':/
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed'at: .'
/' /,/ )~ ". .I :' j)r'(. j' :..' I
, / i . ',".,,, , 1.....-/
i
i
Accepted
/
Accepted With Corrections
Denied
.
Reviewed By:
~~
Date: ! /; 3/0 i
Comments:
"
'.
See Main 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,"
C-"=."',-'==
~1
See Main File
White . ,_ !;Iuilding
c ~narv - Enl'lineerm9:::>
Pink - Planning
ThO! (-O!nIO!r lIf 1t10! L.kO! ('nunl",
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.-' il -t,
I Ii 1: '''_4/,<
j' \ ti<.. (Y (' (..fj--vL
-3 -<:) S-Uy
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is (lroposed tJ.t: /, .
, "0//1 ~ 'if' " ~/"/ i Ii,!' )
/ //L/, c.-:r) i,l .1/'/1,( /~t" (-/ -'.." I _
/ / ..- ,i' i' //t/Jt..;~'-"7'--" _J' '. "'-_.1.0."' ...l../_
,I' .:.' " I
I -
( ,
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
JrJ4. f2?
.5~(' mc.lVl.
Date:
L./-s- 0,/
Comments:
r:1'/r
SeeMain F!le
"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."
1t11t.('f
CITY OF PRIOR LAKE
HEATING/AIR CONDITlONING/FlREPLACE PERMIT
Date Rec'd
I. Pink
2."GTeen
J. Yellow
~:~ I PERMIT NO. .J /_~.
Applicant . ...,. .
.
q'lease.!VJ!e or Drintand'si~ at bottom)
ADDRESS
/'l^lJ, 5
]ee'f Ce /J
Dr,
ZONING (oa;a,use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
&::e~R/)~, l+orton
(phone)
(Address)
~:~~,A 1I"~V1f M PLh,~,
(Address) ..di.c,()N:. m",-hp.(! Dr:
~ (Address)
(Contact Person) Avon"?-avlc-V . '
f ~
APPLICANT SIGNATURE ",-,'_ -
(phone) 1,5/-1./5~ - /1115
h(1 (!f'X! (Y}IJ fJ 51-Jj.
(City) (Zip Code)
(phone) (;5(- 452 - ~/)/75 Jf .:LId.-
4E./("-) Lj
DATE
/' '
APPLICANT PLEASE COMPLETE BELOW
~1%W CONSTRUCTION 0 REPLACEMENT DALTERA TI<?NS
FU. RNACEMAKEANDl\10DELJ2,rVon+ 31DAA v (}</;l.. 090 FUEL No..t, ;':;"'S
. I
FLUE SIZE S " RETURN OPENINGS INPUT gg.OOO OUTPUT
TYPEOFSYSTEM HEATING OR POWER PLANT
OWarm Air Plants
~Vity
echlltlical
,"' ','.., Air Con4itiol1i~g
OVen!. 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 & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ .5 5 0 0 . 00 Building Permit #
REA TING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $,
";)Mr-, ~7TJ7!
~ t.-'UL'~'" "ro
~rl'''~~1'l 1,:/' ;,.~'
.,,~. .'~~~p,-
--.-.li\-.il.:jl -i_I~~~.
'-~ L~\b'U G'
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
I Paid
I Date
APR
Receipt No,
- Building Official
1 Ii 7004
By
12--
(J
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
I
._,.=:~d
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONING/FIREPLACE PERMIT
Date Rec'd
; :::;,:" ~::, I PERMIT NO. 1.1., "",.-c.
J Yellow Applicant ..,. .--.:J.
(Please type or 'Print and sip at bottom)
ADDRESS
ZONING (office use)
17425 DEERFIELD DRIVE S.E,
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name n R HORTON
(Phone)
(Address)
APPLICANT
(Name) ALLlRD FTRRsmR DRA FTRRsmR HRARTH & HOMR
(Phone)
651-633-256 ]
(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
6/]4/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
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
HEAT N GLO SL-750TR-D
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
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
$39.50
$39.5IJ.. !
~~~~...t\\\"'\\:
""",'$~ 'i'" . ~.. I'" .
V'~';;JJ '(?\~\~.~-"
\~~e.'
~,
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
(Office Use Only)
Buildine: Official
Date
]Ji ~ lE u \fj lE "') ~eceipt No,
J]jatSUN 1 5 2004 . } 3y
ur-
u
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-' ~t, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ,.., Lf 2. S DeeIL pi e ~ ~'VS' ~e.
NATURE OF WORK _ Nf;.a.u CJ)...>sTA.u.c:rIt')~
USE OF BUILDING V.II: ". ,
PERMIT NO. 04-. D;z5e DATE ISSUED ~ \ '11 b&4
CONTRACTOR D.lt. HoR.TO,.:) INC.. PHONE~ . ~z".'.sjll
NOTE: THIS IS NOT A PERMIT FO~ ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - ~S
SEWER I WATER I SEPTIC a/WI Yi~ Yloil
FRAMING ~ tlz.~1?
INSULATION ~ h/~fty
ELECTRICAL t/ZJftf
PLUMBING [}, G: JiffI' 6/1#f ~ ~/~J /6'Z/
HEATING (if required) , " ~ ~/z.s-ft,i
FIREPLACE '.- r~ J41.k "/e5/61.
GAS LINE AIR TES~dt,;. t {,/- ~ .h/z.>/6~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I
FINALS
~Iee ~,t, A /t:. I
p$~ / tI/t/ftJ!/ .
/ r////o~
1ft//! Y/6/oj
HEATING ~ /t?/lr/oz/
J DO NOT OC~PY UNjTIL ABOVE HAS BEEN SIGNED
'/(:)t.<---e,...- ,r-e'---e/ IS- Urr-r-;;..." S Ae _ 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.
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
FOR ALL INSPECTIONS (952) 447-9850
Ql:erfifiraf:e of <IDrtupanrl!
CITY OF PRIOR LAKE
~tparfltllmf nf ~uil~iug Jlusptdinu
ftFinal Permitted 0 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 afthe City of Prior Lake regulating building construction or use. For the following:
SINGLE FAMILY 04-0258
Use Classification Bldg. Permit No.
Occupancy Type
Type Constructio",
L3, RI, DEERFIELD IITlJ
R3
VN
Zoning District
1<2
Legal Description
Owner of Buildin!!:
Site Address
17425 DEERFTELD DRTVE S.E.
D.R. HORTON, 20860 KENBRTDGE CT., SUITE 100. LAKEVTLLE
Contractor's Name & Address .'
ROBERT I). HUTCHINS mtt/ DON RYE
_ /~ City Planner
Dale / 6~ ??yClal Date
--
DATE TIME
CITY OF PRIOR LAKE ... /J .,.,L
INSPECTION NOTICE SCHEDULED /9r,1ifo;l
ADDRESS /? 52r- //-e er 17 -c!'/ j $
CO!VIJIIENIS:
C7 -ec7/-Ir.. q. (
~;.,</~{~ ;::;';.,"!/ /
~cL /h;'...,/ .oc- ;
A?-e.c...~/v-c..d CJr.I"i'r ~j7-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.;;H'IR).L
o SITE INSPECTION
CONTR,
PERMIT NO,
CJL/ - ,2 S-rY'
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ IVn:.",H FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
~EPLACE FINAL
o GASLINE AIR TST
o
./
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----.. ~
~ORK SATISFACTORY. PROCEEO
o CORRECT ACTION AND PROCEED
o CORRECT WOR:, C;~;/ REINSPECTION BEFORE COVERING
Inspector: F~/ OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETYI
JNSNO"
DATE TIME
CITY OF PRIOR LAKE '7 I. /
INSPECTION NOTICE SCHEDULED () /Cy'e>r
/;'1' zs- 'veer' P; /c! Ef/
ADDRESS
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
~MBING FINAL
o MECH FINAL
COMMI;NTS: ;-
~k'd~n:,-
I ;l'
r"'o.~
0) ~~d: /!/r{/
or- ~s-cr
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
I
OfL
~ J' "'_
/As/':;'~A
_/ f
{ _1ft ~c Cd
d . / /.., ..--::: I
,(:jVl /d~A:.9 ./-? i-,q
-t
I
cA//C--
o WORK SATISFACTORY. PROCEED
;K'-CORRECT ACTION AND PROCEED
/0' CORRECT WORK, CAL'}~INSPECTION BEFORE COVERING
Inspector: #'-"f" . OWner/Contr:
V
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
umwT>
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ot SAFETY/