HomeMy WebLinkAboutBuilding Permit 04-0076
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
). White File
2. Pink City
3, Yellow Applicant
(Please tvn.e or mint and sign at bottom)
ADDRESS
17LfI5~'-e jC/ u; LX- ~'f:'
LEGAL DESCRIPTION (office use only)
LO.-a.~BLOCK J ADDITI~,.rt;-eJd "bn'u-e....,
OWNER
(Name)
(Address)
(Phone)
Date Rec' d
2- 2-,04-
I PERMITNl 01-. 007(, I
II ZONING(officeu,"j I
PID z-s. -1-00. oZ7. 0
BUILD~ (j) l I _:l
(Name) DI K--, <(IOlT0"Y) f1?' L,
(Contact Name~k-L I A. ,)Oh.YI 0>1xtk<A-
<7105 LQ D -.K , ~ hA \. d 'Y-~. :SL... '<? 100
(Address) Lo-R.~)lI ~ iVl rJ L;-y'i;;;,oc/Lf
(Phonl9f:::i.19A;;~ 7(jOf)
(Phone)f16~;. ..~~ 3.2
TYPE OF WORK
~ew Construction
DLower Level Finish
ODeck
OPorch
ORe-Roofing
( JRe-Siding
o Mise I. B .C,., Co Oe;o;: ~ ~ 1L - f,
o Fireplace DAddition DAlteration [ JUtility Connection
PROJECTCOST/VALUE (exc1udingland) $ / l3] '8'~::=<
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also cert fy 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 pJ Dceed in accordance with
submitted plans. I am aware ~~ ~~ buildiug official can revoke this permit for just cause. Furthermore, I hereby agree that thj.ity ,fficial o.rr / ,designee may
enterrntheproperty~fu~~ons c:9Ca1f)(" S 7 f ~)/()'1
~~ Signature . ~ Conttaetor's License No. . -, Date
I Permit Valuation
I Permit Fee
I Platt 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
/'/llJoo,oo
$ IjJ/q. ~O
$ K"ql/, I,,~
$ 7o,5tJ
$
$ 100, {}O
$ /"O,OD
$ 35. $'0
$ 41),00
This Application Becomes Your Building Permit When Approved
~~
Building Official
d/q/o'l'
, Date
I Park Support Fee
I SAC ~
I Water Meter ~t11";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
~, rr=r-~;F
t. . '- J _' e.----
#
#
" 8'5o,tto
"
/35'0,00
" 75(j,00
" L(c::;-.DO
"
" 12.00,00
, 700, O(J
-
#
#
/l; (p/ "r-If;
I ReceJ6,.c. ~ ur7
Bv' ,_
O'
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
~ Ciry 7:;~;~' "mpm~ c~:;;?Zon:g;mPlim" .nd ,"ow, con'"SeemMarn~'F~Ieoccup.n~ mustb.
Planning Director f ~te Special Conditions, if my
24 hour notice for all inspectious (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Aveuue Prior Lake, MN 55372
~~
See Main File
White - Building
~narv . EnQineenfi![:>
PinK - Planning
-
Th~ {'~nl~r of lht I..k.. Counl~-
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
r....'1 I.~'
/. r--.
II (le'r'C' ~j
(' ,L.:/-.--
" ,~--
APPLICATION RECEIVED
".-~
.!':-.
The Building, Engineering, and Planning Departments have reviewed the build'ng permit
application for construction activity which is proposed at:
I ".-7 /1- I S [) t':::: r: /,,) (~...I ~: L I') r').t/l.
~ -" ......-' ,...",- '----' "~"" .--..
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
IVYf iJ
5(( 1i1f4//I
Date:
;1- IcF 0'(
Comments:
r,'!(
"The issuance or granting of a permit or approval of plans, specific a lions and
computations shall not be construed to be a permit for, or an approval of, any "iolation of
any of the provisions of this code or of any other ordinance of the jurisdictior, Permits
presuming to give authority to violate or cancel the provisions of this cod,! or other
ordinances of the jurisdiction shall not be valid,"
.:..@~~ PK1cJ,? (
& ~~
See Main File
<C"Whit" Build~
Canary . Engineering
Pink . Planning
--
It>~ C~nl..r "r lh.. 1.8k.. Counlr)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. J2. . HOR.TO ~
Z.Z.o4-
The Building, Engineering, and Planning Departments have reviewed the builcing permit
application for construction activity which is proposed at:
1/4-1 S D E5/GFl e;LD De..
~
Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments:
8~
~t:..o
Date:
;!;) /9/0 c/
, ,
See IvIain !1'ile
"The issuance or granting of a permit or approval of plans, specificc tions and
computations shall not be construed to be a permit for, or an approval of, any ./iolation 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 cod ~ or other
ordinances of the jurisdiction shall not be valid."
~'r
See Main File
White ,Building
Canary , Engineering
C!::JJll<-- ,...Ia~
---
TIl~ Ctnll"r of lh.. l..k.. ('ou'llrl
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
! .,:1 '(
NAME OF APPLICANT
APPLICATION RECEIVED
i
j
I . , ' ./
,', , t I' ~. I ( I)
/
~-
~- -;
;:.~ . (-~ L_+---
.
The Building, Engineering, and Planning Departments have reviewed the build ing permit
application for construction activity which is proposed at:
'L...--- I
/ i j ~--'
l-
~-
~ !. i )
i I \. j L _~/
I'> I..:.
Accepted
V'
Accepted With Corrections
"
Denied
Reviewed By:
~
~
Date:
d./1!cJ <.(
Comments:
See Main .File
..
"The issuance or granting of a permit or approval of plans, specifica,lions and
computations shall not be construed to be a permit for, or an approval of, any "iolation of
any of the provisions of this code or of any other ordinance of the jurisdictior. Permits
presuming to give authority to violate or cancel the provisions of this cod< l or other
ordinances of the jurisdiction shall not be valid,"
Feb.IO. 2004 10:18AM
GENZ RVAN PLUMBING AND HEATING
No.1198 P.69
f~~~~
, ,,,(\:\0,.,.
. ,.,\~,,\,:<\...~\.,~.'.
"):~~'\~~~l'~~/. tiNES o~to
."\.lW,~l-':'~'ri .
Date Rec'd
CITY,OF PRIOR LAKE
SEWER AND WATER PER1.\fiT
(.?1C:il$e j'VDc or"OriDt and. siJ,'Jlat bottom)
ADDRESS
/1L//5 ~fJ{J((l /1Q ~f;
: ~c;"w 2i~ I PERMlTNOJllruL D()~-
, Gold Nlp)l~1 .. f!!!!r'. ~
ZC rJING (9ffico",c)
LEGAL DESCRlPTION (office usc only)
LOT2J BLOCK
ADDITION
lJmd7-elJ ~
PID
OWNER
(Name) JlJl BortoIl C"e~om~O"
(phone) _ ct62-qg~-7gN'
(Address)
2O'ilDO KeY1i3i<..\tx::e Or S17If\r,
(Address)
LaU\i ,lIt?-,
(City)
"5f:l ~LlU
(Zip Co<k) ,
APPLICANT
(Name) Genz-Ryan Plumbing & Heating
(phone)
651-423-1144
(Addre~) 14745 So Robere Trail
(Contact Person) _ r t~ )p I~~r; Fa U~ '-- o.
..ICAL'lT SrGN~TURE 'n ~ /;j;ft ) :::::r7i R f/)
Rosemount. I1N
(City)
55068
(Zi. Cod<)
DATE
651-423-1144 I
J~/~-{)J
(phone)
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
ResidenClal sewer and water Ime connectlon
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cosrwith a $3! '.50 lDJnUlJum
$1750 Water connection only $17.50
Estimated Cost $
Building Peront #
SEWER Ai'ID WATER PERlVUT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
,$
-- r,{fD WITH
BUt i . DING PERC'tili .
i
(Oftk, u.. Only)
i This Application Becomes Your Building Perm.it When Appr~ved
B'ailding Offic:i31
Dat~
I Paid
I D"FES- 1 8 2004
Receipt No.
I
I
By
24 hour notice for .Jllnspoction. (95;1) 447-9850, fax (952) 447-4245
~~~
, ,'(~'li<,::~~;,:;:'!"!SO'"
,\K\...,\,.\';....'\
.;'(~'Q::;\-::~~!~
FeblO 2004 10 18AM
GENZ RVAN PLUMBING AND HEATING
No. I 198 p. 7,9
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I Blue filtll
l. Gold Cil1'
:J Ydlow ~ll=tt
I PERMITNO~
r.p1eaee M~ Ot"'Dnut and ,iQXl at bottOm)
ADDR:ESS -
/1416 ba~1Je{d ~ SF}
ZC NJNG (om",,,",,,>
LEGAL DESCRlPTION (office me only)
1OT1-7 BLOCK ( ADDmON rx QAlL.f7 e(J q.(-vv
PID
I OWNER
(Name.) DR Horton Custom Homes (phone)
962. -qx.r=. -72DO
(Address) , 2O$0D KenB~I~ Co Sre Ibe
wuvilJe, J<l.,jN 5&)..jI.t
, APPUCANT
(Na!ne)-Llo~~-"!,"R I'l"IW'<.~g r """"<-3 (Phone) -1i5J.",./,?~-1'.4"
(Address) 14745 So Roben Trail Rosemount MN 550 i8
(Address) (Ciry) (Zi] , Code)
(Contact Person) 0,h l? JS;H .{;,JCS - (J'hone) 651-423-1144 J
APPLJCANTSIGNATURE (11 j-1JIJ-:-) ~ (/P /'1_ DATE 2..-/0-!)
I Quantity
I ::2
I I
I I
I L/
I
I e!2
I I
I ,-q
APPLICAJ'IT PLEASE COMPLETE BELOW
I Type of Fixture Quantity I
Bath Tub with or without shower Rough-ins
I Dishwasher f' Water Heater
Floor Drain ax Water: SoMer
Lavatory (Bathroom Sink) 1 Stand Pipe (Washing Machi ~e)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall I Backflow Assembly
Sinks Backilow Assembly Test
Bar Si.nk I Lawn Sprinkler
Water Closet (T oiJet) Other .
Type of Fi;ltule
FEE SCHEDULE
lnduslflal, Commercja! & Multi-famIly 1% ofJob cOS! WIth a $39 50 minimum RCSld=ntlal, Now One & Two-FamIly . :99 50
Re,,,d=ntial. Additions & Alterations : :39 50
(OHico Use Only)
EstImated Cost $
BUilding Pennrt #
PLUMBlNG PERlv1IT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
DADD WITH
~iNG fO'E~'llm
}.
-.
This Application BecolDes Your Building Permit When Approved
Paid
Receipt No
Due
DrEs 1 8 2004
By
Building Officisl
24 hour nollce for all inspectio", (952) 441-9850, fax (952) 441-4245
CITY OF PRIOR LAKE 1I1111J-.
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
q'1easetvEeor mint and sign at bottom)
ADDRESS
/7/...f/~
"'heer Cp IJ ~{'.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
AUUll10N
OWNER 0 R HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
APPLICANT /10 /2.
(Name) /~///~ //7.1/"'-/A4./"-""/
(Address)~ ,~-?A.I~' ~ 4:
'5!:AddreS
(Contact Person) A ~ . 1 ~. ."": d
~
APPLICANT SIGNATURE.. -=- /- ;___
Date Rec'd
I. Pink
2. Green
J. Yellow
~:~ I PERMIT NO ,~. ^,,-'I-
Applicant ~
Z ONING (office US<:)
PID
(phone)
(Phone)~5 fi ":;/.5;"/- J.?;?.s-
h"~aA' "~A::.?-?
(C1l:iIf (Zip Code)
(phone) ~ - q'~' -J 77.,S:
DATE
. < APPLICANT PLEASE COMPLETEBELOW
~NEW CO~TRUCTION 0 REPLACEMENT . . '.' OALTERATI<;JNS ,
FURNACEMAKEANDMOD~/r-.;~ :?a:;vqA~ FUEL J.~ .4-......:.._.(
FLUE SIZEo/~.h2...A RETURN OPENINGS 4'.. INPUT?~ ~ OUTPU1 6"Z~ ~
TYPE OF SYSTEM HEATING OR POWER PLANT
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Resideotial, AC Only
Estimated Cost $ ~ ~a::>BuildingPermit #
HEATING PERMIT FEE $.-W/ ~/~;f:D''f'.J'
STATE SURCHARGE $ ~ .50 ' . ""~ry,? r-:='~'i.~7
TOTAL PERMIT FEE $ '? . "
.
Receipt 1,10.
OWann Air Plants
OGravity
o Mechanical
~ir Conditioning
~ent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial. Commercial & Multi-Family
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 4~7-9850. fax (952) 447-4245
PLEA ,E NOTE:
Air Cc nditioner Units
Canno . Encroach into
Requu ,d Side Yard
Setbac ,<S
$39.50
$39.50
$39.50
I Paid
I~B
2 4 2004
BY}'... .
U
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONING/FIREPLACE PERMIT
Date Rec'd
(Please tvoe or -print and siltll at bottom)
ADDRESS
.
i ~;::w ~:~i,""' 1 PERMIT N:>. '1- 7'1
ZONING (office use)
17415 DEERFIELD DRIVE SE
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Narre DR HORTON
(Phone)
(Address)
APPLICANT
(Name) ATJ.TRDFTRRSrnF. DRA FTREsrDE HEARTH & HOMR
(Phone)
651-633-2561
(Address)
?700 NORTH FAIRVIEW AVENUE
(Address)
(Contact Person)
BRENDA HUSTON
ROSEVILLE
(City)
(Phone) _651-633-2561
"5113_
(Zip Code)
. APPLICANT SIGNATURE
BRENDA HUSTON
DATE
412] /04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPU r
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DOravity
D Mechanical
DAir Conditioning
OVen!: System
o Steam
o Hot Water
o Radiation
D Special Devices
o Other Devices
PLK lSE NOTE:
Air ( onditioner Units
Cann It Encroach into
Requ red Side Yard
Setb, cks
FIREPLACE MAKE AND MODEL
HEAT N GLO SL-750TR-D
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % 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
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
$
$
$
.50
"~'.0,,-:,
'''', ,., ..) n.
!.:'I'r", 1.i."~Ci'1J'~
v~i.!{J.:::"'~,~ "t. vi,J/ib)
"1, ~ 01,,",-
"L~.~O)^
'~"I>it'ryo,..
.1....vlI,,'{j
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildine: Official
Date
I Paid
I ~ 2 7 2004
Receipt INO.
By 9r
u
24 hour notice for all inspections (952) ~47~9850, fax (952) 447-4245
.1
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF ~ee lVlalll 11tH
BUILDING AND INSPECTION
. .
SITE ADDRESS}.:1.!iiS .1)EE1L REUJ J)/l/vE S'.6.-.
NATURE OF WORK N~"-J O>>t.JSTQ.c.(.(% ;()~
USE OF BUILDING OS .F: It....
PERMIT NO. 04-.0071'0 DATE ISSUED ~ n&(
CONTRACTOR ~.Cl.. Ho~_,,,~, I'~C.. PHONEjSZ.-2U."'l13.Z.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC /IViI/
FRAMING "r-,/ :(--oz-/
INSULATION 1I\/\F ~- I i"-U"!
ELECTRICAL
PLUMBING ~ L-J - ). ?-oc-,
HEATING (if required) /IllY 5-1'T '0l1
FIREPLACE vi"p I
,
GAS LINE AIR TEST JI10 Jf
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNer,
I I
FINALS
~ (~~/~
-
j-,,'/e _ .
?;'It;/o/
. ?/2I"j-,{ .
#tJ1/ ? /..-/c/o,'/
~ 9~<l~.,I'
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspe :tions
and maintained until all inspections have been approved. On buildings and adoitions
where no service cabinet is available, card shall be placed near main entrance,
"'.,..
"'I ~,~ -, -^"""("""1C (~~"'J\ ll,","'.~"l:""
QItrfifiraft of <IDrtupanru
CITY OF PRIOR LAKE
/
/ ~~itrf~:cltf nf ~uilMug Jlusp:cdinu
r Final Permitted. . ~\Conditional CO. Expires
This Certificate issued puhuant t~~eqUi~ements of Section 307 of the Uniform Building Code Cel tifying
that at the time of issuan<je this st~ctdre was in compliance with the various ordinances of the City ~ 'Prior
Lake regulating building!construdion or use. For the following:
I \ SINGLE/FAMILY
Use Classification \ '< .
Occupancy Type R3 L2~\' ~!,.',;~iIE: DRIVE Fire Zone
Legal Description . .
\ /
Owner of Buildio1! I Site Address
D.R~, HO~ON, 20860 KEN BRIDGE CT., SUITE 100, LAKEVr,LE 55044
Contractor's Name & Address '-./ /h;Y
ROBERT D. HUTCHINS ~.
_ I / /; City Plannf'r
~o7'Yfficial
.
I
I
I
I
I
I
i
L........
Date:
"
~
04-0076
Bldg. Permit No.
N/A
]:2
Zoning District
17415 DEERFIELD DRIV]: S. E.
DON RYE
Date:
DATE TIME
CITY OF PRIOR LAKE ~ ;; I
INSPECTION NOTICE SCHEDULED ~/~L~
/?~A)" O-perA// ~
ADDRESS
OWNER
CONTR_
PHONE NO.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~CH FINAL
COJAMENW:, / ___ /
~c"r':/hCez- /::"~.. / daKY'
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,..2'1'fNAL
o SITE INSPECTION
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
...-f!1'IREPLACE FINAL
o GASLINE AIR TST
o
/ /
7/ ;ZY/t'.~
/';-;~MJ~c~
/
- - ..
~~ttA ~
-
/:~/
~~
/"
/-f#e;./
~
ok-
/- /
~Hq/
('~tf
~
/ /7/ .r-/I )
/ / /U5e ft Ic//
~- ~
/WORKSATI5FACT~D
o CORRECT ACTION AND PROCEED
o CORRECT ~;'; ~ FOR RElNSPECTION BEFORE COVERING
Inspector: /~ Owner!Conlr:
--
/'
-
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
""""n
DATE TillE
SCHEDULED ~~~
/7Y?s.- d-e4ld /::1-
CITY OF PRIOR LAKE
INSPECTION NOTICE
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
iM' PLUMBING FINAL
/0 MECH FINAL
cY-7C
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
/~~U~ h~ 'f;;-/ c)/[
(!J //ee/ cO~/?L
/
,To
/
/; --- I
r/ /' "f / CJ (c-
'"
~/.,..r
//f/;,; ~..
/).z ~/r--
~~ ~/~;.[;r:/;;/
&..4: ,6' ./L c- *~
-
~ORK SATISFACTORY, PROCEED ---I L
CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector. n- Owner!Contr:
,
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
l/fSllOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETY!