HomeMy WebLinkAboutBuilding Permit 04-104
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
White File
Pink City
Yellow Applicant
Date Rec'd
J(~3 (OLf
I PERMIT NO. O~_OIO+-i
(Please'!vpe or orint and sign at bottom)
ADDRESS
17'-/J,;}., ~,Jd Urt'Lf. SE
LEGAL DESCRIPTION (office use only)
LOT). BLOC~ ADDITIO~r:Jd
OWNER
(Name)
(Address)
'I-t"
I -
ZONING (offic,u,,)
tez-
PID z5". 4-07.025.0
(Phone)
BUILD!'':'. I ,'T> L I _.l -r_
(Name) .J-I J I<.... . 'IlOl.IOY).....Ll Ie
(Contact Name) tr;,t7~n-n~. ,
d05lsFO IL ~ ~(d.,,<<--I...'X. ~-s>' lOa
(Address) 1 n....b ~LL I Vh t-V ssol../lJ
TYPE OF WORK
.J8:&ew Construction
(Phone)~)~8S-7MP) ,
(Phone(~Ot;\ to - mY
ODeck
OPorch
ORe.Roofing
ORe.Siding
DLower Level Finish 0 Fireplace DAddition DAlteration DUtility Connection
o Misc. 1.(3.<'... -e. -3:i-e PROJECTCOST/VALUE (excluding land) S ti .,j,C,:,3 1'-1 /. DoD. ()t1
, /
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 t'.vy....~J 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 budding official can revoke thiS permIt for Just cause Furthermore, I hereby agree that the CIty OffiCIal or a deslgnee may
;~r~n:ei:p;::~ d~-UQnS'J ~I,lo L I
J / ~Ignature Contractor's LIcense No l~-
'-'
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
-$I/~/.IJO().oo I
$ 'J.;J..9'7. SO I
$ ?I'I, (P K' I
$ 70.5'0 I
$ -- I
$ 100,00 I
$ laD. DO I
$ ...3S; S' 0 I
$ ~t). dO I
This Application Becomes Your Building Permit When Approved
_~ '~1-J-4d-7/f;'f
Building Official Date
I Park Support Fee
I SAC
I
I
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
#
#
~
Water Meter( Size 5i8~ I";
Pressure Reducer
#
#
$
$
$
$
$
$
$
$
$ (,/035: Ie
13S0.()'()
ZSo . 0 0
tfs:. .OD
I~.OC)
700 . 0 C
I Paid
I Date
~U:::)J ,/~
;;;"--:;'-()J
r
I Receipt No.tfG:, Vu- /
I By rA
V'"'
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
~~~mnff~ary Cfftificate o;n; lob;" and allows constructSoeenclVlaIil l'ileupmcy must be
Planning Director df Dnt~ 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
Tht'(.t'nlt'rllllht'l.lb{"ou"ll"1
White - Rldldina
~~an.lI91-- Engineeri!!D>
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
l'-j I:~)
-~".~ . .......-
H 0 f<LTc) "J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I -/4- Z. 1._ [) E t iLf:-- I :c l. U c; Ii..__ .
Accepted
X
./
Accepted With Corrections
Denied
Reviewed By:
/J14iJ
SCt' H1"'/~ t:/!r
Date:
1-17-0L/
- .
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 viola,le or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
;
~%
See Main File
~i - ~~~~~
Pink - Planning
lhr('.n(.r"rlhpl..k.('ount~.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. R.. HOR--TOtJ
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
174-Z,Z.
/
DtS~1 8LD
DIL.
Accepted With Corrections
Denied
Reviewed By:
~
,...
~
Date:
d/~7Io<l
, ,
Comments:
See rvlain-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."
!
;
I
"
.
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. ,
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See Main File
While "Building
Canary - I=noineering
~n": - Plannmp
--
fht('..nl..rnflh..I.Mk..Counl')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f i . /,_T i J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
- .' i
i /Lr-'? /__
...~.-
L.... ,I, ',,'-'
~. L. (~)
1/ /'-- .
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~
r
~~
Date:
c:9/.;L ?~7"
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."
Feb.19 200433PM
GENZ RVAN PLUMBING AND HEATING
No.2766 P,4/9
>..Wlli~ 9RI0~('
i- ,.
- ;>:
U III
,\;';i"
~&~~i6~;\'~ ""
.-,~i.'NNE'O'1.
Date Rec'd
CITY.OF PRIOR LAKE
SEWER AND WATER P:ERMlT
fP1eue CVDc: Or 'PIlDt and. tteD. 'at bottom)
ADDRESS
IlLf2.L I\t J>>-nfJd ~ &73
I ""~ FiI_ I PERMIT- NOQlDfOf-
2. yeJiQ..... Cit!r. .
,1 Gold ~pJian(
ZONlNG (ofli.ce"'e)
L.EGAL DESCRlPTION (office use only)
LOT i BLOCK ~ ADDmON ~Md f Ifh
Pro
OWNER
(NameL....I''' U.............,n ("',,"'............ u~
(Phone) _ S'62 -q85- 715,v"
(Address)
2o&110 ~Y\i'I<..\t::/.:;IG Cr SrPlf1f'o
(Address)
La~~llIe...
(City)
0~.uU
(ZipCo<le)
APPLICANT
(Namp) Genz-Ryan Plumbing" ljeating
(Phone)
651-423-11/.4
(Address) 14745 So Robert Trail.
(Contact Person). OM ~r~' &/15 '
~.xCANTSrGNAWRE (1) j~) ~ ft~
Rosemoun't.. MN
(City)
55068
(Zip Code)
DATE
651-423-1144
_~~04
(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
ReSIdential sewer and water Ime connection
Sewer conn.ection only
FEE SCHEDULE
$35.50 Industria!, Com'l & Multi-family 1% of Job cost with a $39.50 min.unum
$l7.50 Water c01)Jlection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE StTRCHARGE
TOTAL p:EAAIIT FEE
$
$
$
.50
,
I
(orne< u... Only)
I This Application Becomes Your Bullding Permit When Approved
,-
Building OrficjaJ
Date
I Paid
I Date
Receipt No.
By
24 hour notice for all Inspectlo". ('52) 447-9850, fa:< ('5Z) 447-4Z45
Fe b 19
€@~
':;"~~h""'eso~t-
~~~~\~\\,\~i{P-'
"f\~~'f;\\%\i~:i~
2004
1 : 33PM
GENZ RVAN PLUMBING AND HEATING
No.2766
P 5/9
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERlVllT
(Please F:Pe or tmut and sim1 u bottom)
ADDRESS
11U22..
~-f1dd M (rEi
, .
I .we 1"11a
1. Gokl City
3. Yellow 4ppliant
I PERMITNO.~
ZONING (offi", Uk) I
, LEGAL DESCRIPTION (offlo: os. only)
LOT 1.. BLOCK '2 ADDmON ~ eLe1 II-rn
PID
I OWNER
(Name) DR Horton Custom Homes (phone)
(AddJess)
, APPLICANT
2-O'S(vO l(b'1B~I~ C, .$re. 100
(Name).,G.:......r;-_Tl:"..,":" "'?~_._.':":l:-?_'"': t, T-T"'...+-..,,:z
962-QSff, -73M
UtIL..i_vrlIG /!UN 6&..)i..jl..!
(Phone) <" 1_1. "_,, b~
(AddJess) 14745 So Robert Trail Rosemount MN 55068
(Address) (City) (Zip Code)
(ConractPerson) ~ 0&h fat l \ "A (Pbone) 651-423-1144. I
APPLICANT SIGNATURE (!.f J.J~ J 'fa}.L/:J DATE 1..-1?f-{)4
I
I
I
I
I
I
I
I
I
I
Quantity
~
I
(
<-/
Z
r
-3
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixtu.l'e Quantity
I Bath Tub with or without shower
Dishwasher l-
I Floor Drain l?1:
I L<lvatory (Bathroom Sink) I
Laundry Tray (1 or 2 compartment sink
I Shower StaII
I Sinks
Bar Sink
I Ware; Closet (Toilet)
Type of Fi,:ture
Rough-ins
Water Heawr
I Wawr Softner
I Stand Pipe (Wasbi.ng Machine)
Sewage Ejector
Backtlow Assembly
Backflow Assembly Test
Lawn Sprinkler
I Other
FEE SCHEDULE
lndu,tnal, CommerCIa] & MuJu-famlly 1% of job eost with ~ $39.S0 minimum Re,\d."ua], New On. & Two-Fllllllly $99 SO
RC3'idcntial, Additions & Altemtions $3950
Estunated Cost $
Buildmg Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE .$
(O[fi" Us< Only)
This Application Becomes Your Building P~rmjt Wh~n Approved
BuHding Ollicja.t
D~t~
24 hour nollee for >lIln'peetion, (952) 441.9850. fsx (952) 4414245
.50
I Paid
I Date
I R"".iptNo
I By
CITY OF PRIOR LAKE
HEATING/AIRCONDITIONING/FIREPLACE PERMIT
(Plea:setvoeornrint aDd sUm at bottom)
IAO;jJ;v-?A /1://4/'-/ a
LEGAL DESCRIPTION (office use only)
L~BLOCKdADDITION
OWNER DR HORTON
(Name) - 20860 KENBRIDOE CT
,(*"dt!t~s) LAKEVILLE, MN 55044
1X.liP~ICl\NT /1, /. A d
(Name) /-////A'L ~ .''J' A/7/',&-I'
(AcldresS)~ ~~, ~"f? '4:
~
(C6ntl\ctPe~on) A tIVt .,<2~~
APPLICANTSIGNATURE..'c ,..__~ ,_' r~.-...
Date Rec'd
47&25
i ~ ~:~I PERMIT NO. ll_ )nd
3, Yellow ApphClllt. 7" V, .
S"E
. ZONING (o_us,)
PID
(phone)
(Phone),c,.~ /.. .-/f-'~ .I'.?/~
~~~ ~~.hl-3
- (c1liirf (Zip Code)
(Phone)~/- e;,/~77S
DATE
. APPLlc;AN!FPLEASE COMPLETEBFJE.().W'
~NEWCO~TRUCnON DREPLACEMENT ,E1Al.,TERATI<?NS
FUIWACE MA~ AND MOD~/rA"" ~:?I'a4A~~070, FUEL .If..),;4-.....-"-~
FLUE SIZE<0~~.A RETURNOl'ENINGS 4/'. INPUT~_ OUTPUT 5Z_~
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants DSleam
DGravity DHotWater
OMechanical D,R.adiation
~ir Conditioning OSpecialDevices
]liOient System 0 Other Devices
FEE SCHEDULE
l%-ofjobcost Residential; Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Estimated Cost $ ~,~Building Permit #
$.Y// &//~)J:~4J:/)~,
$ ~ .50 ~?' .
$ ~ ' ~,. ~ 'V
~i~
Paid Receipt No.
FIREPLACE MAKE AND MODEL
Industrial, Commercia1& Multi~Family
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Offidal
Date
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
~n 1 0 lUU~ By
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1,Pink
2. Green
). Yellow
~::y I PERMIT NO.A~I.. AIIWL
Applicant V'~. U r.Y1'
(Please tvoe or orint and sim at bottom)
ADDRESS
ZONING (office u,,)
17422 DEERFIELD DRIVE S.E.
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name DR HORTON
(Phone)
(Address)
APPLICANT
(Name) AT.T.TFDFTRFSTnF DRA FTRFSTnEHFARTH& HOMF
(Address)
7700 NORTH F AIRVIEW AVENUE
(Address)
(Phone)
ROSEVILLE
(City)
651-633-256 I
55113
(Zip Code)
(Contact Person)
RRENDA HUSTON
(Phone) _651.633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
6/2/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
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
FIREPLACE MAKE AND MODEL
HEATN GLO SL-750TR-D
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39,50
$39,50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit # ~~, """.
~ ~:'~~~\.
$ ~~
(Office llse Only)
BuUdine Official
Date
~~a~ [E 0 ill ~
~ Diltf.
I~ JUN 022004 -'
Jl B,
This Application Becomes Your Building Permit When Approved
Receipt No.
24 hour notice for all inspections (952) 4'~~~5~:fa_x (952~44c74.:4:
PRIOR LAKE
INSPECTION RECORD
.
SITE ADDRESS ~ 2- '2.. "J::>2Wf" s . ~ I
NATURE OF WORK . t-JE ~ t'l"\~t' "'A.c.~ ~
USE OF BUILDING 'S,~ ....
PERMIT NO. 04-. 0104- DATE ISSUED "'/L"? 10'"
CONTRACTOR W, ~~.!)tJ PHONE~2.- Z'2.c.-t'S3"i
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ee lV.laUl 11 Il~
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING
I FOUNDATION (Prior to Backfill) 1m. 13/3//0'f
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING /UIJ-- 6/?/;e./
INSULATION VV\f' Co /11-6'-\.
ELECTRICAL _ 6/7/ery
PLUMBING I' '1" o..-J ~ ~ _
HEATING (if required) ~ 6t'8'7 ~lf /'
FIREPLACE _ ~ d,/R(JY
GAS LINE AIR TEST ~/}. f f:/,J, ~ 6/ fl~~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
0'.ee ~,A
~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
h#~ .
9'//0 ft~
. ?hp/W
/4Iw 7/;JJP~
~ <?ft'~r
UNTIL ABOVE HAS BEEN SIG~D
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
QItdifiraft of @rtupanr1!
CITY OF PRIOR LAKE
;!Eltparfmtuf of ~uilMug Jlusputiou
~inal Permitted
,
D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section] 10 of the D Residential! C 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 Ffu~ILY 04-0104
Use Classification Bldg. Pennit No.
Occupancy Type
R3
Type Construction
VN
Zoning Distric~
R.7
Legal Description
L2, B2, DEERFlELD 11TH
Owner of Buildinp- Site Address
. N D.R. HORTON, ~'0860.KENBRIDGE CT., SUITE lOa, LAKEVEU 55044
Contractor same & Address //
ROBERT D. HUTCHINS /4~,:y C' PI
/"'7 lty anner
,,;> / Buil9i!>g op;cial '
~ /17 /C7</ _ Date:
/ I POST IN CONSPICUOUS PLACE
174?2 DEERFT ELD DR TVE S. E.
DON RYE
>.,
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ire TIllE
SCHEDULED ~~?j. it
ffi.e,...- ,e//
ADDRESS
/7~2
OWNER
PHONE NO.
o FOOTING
D FOUNDA nON
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
C~""MENT~: ,
~c7'7- C... /
,
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~CH FINAL
I
c3 sI-/t:1"c/
o EXIGRAD/FILLING
D COMPLAINT
D FIREPLACE RI
_ - fIREPLACE FINAL
D GAS LINE AIR TST
D
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~RK SATISFACTORY, ~CEED
D CORRECT ACTION AND PROCEED
[:] CORRECT WOR';: ~~~EINSPECTION BEFORE COVERING
Inspector /'U7..,/' Owner/Contr:
_/
1~Y
~/e-
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
!NSNOT1
DATE TIME
SCHEDULED ~~5~~
, )' ,
Ae,AI/ /J.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/ ,7 Y"..2.,2.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MEcH Rl
o WATER HOOKUP
~s R HOOKUP
LUMBING FINAL
o MECH FINAL
COMMENTS:
~- /OV
J
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
I / / _",
//-k.h~ Ji<.1. "- T-e',- -;-~S /- O,;{
/ b5 //; c ,- {L/", h,'. //4 ;:;~ ~
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~"r e: . U/At)r 1#t:J" .Ko r s ~ T
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Ck~~ p~(.J,'/0 :/ .'/
~K SATISFACTORY, PROCEED
~=~~~ECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!