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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 ./ hue:;. ( / dot-- -<. -1 , p:////oy 0/<- ./f / ~/ ,?/rz~/ r "J/c .---------=. . ..'.'~ ~- ~ / /'1'/ '\ ( C/os-e /-'-7 /~ ./ ----.. ~ ~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/