HomeMy WebLinkAboutBuilding Permit 04-0105
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
Date Rec'd
z1'l,-3(O,
: ~,':::' ~:;, I PERMIT NO.OA_. 0 'O.cl
J. Yellow Applicant ,- II --" I
(Please '!\:p'e or orint and silZll at bottom)
ADDRESS
11~~~~n-cJd 'br1~ SE
LEGAL DESCRIPTION (office use only)
LOT3BLOCK2 ADDlTIO~\eJd I~
OWNER
(Name)
(Address)
BrnLD~ J \__ ~
(Namel- I). ?C. <T't'SD-__O'(\ :r:r. t... .
(Contact Name) -F"""ra--".. ~ .
(Address)
TYPE OF WORK
~ew Construction
DLower Level Finish
ZONING (office use)
I<.z.
PID zS. 4-07. oz.~ __ 0
(Phone)
(Phone(gsil985- 7rffi 1/
(Phone{9~~ C,- /&.~y--
~ ../
ODeck
DPorch
ORe-Roofing
ORe-Siding
o Fireplace OAddition DAlteration DUtility Connection
../...'--""> ~.-co.~
PROJECTCOST/VALUE (excluding land) $ II.:J ()~_ j- 14/. OIJ(J./JD
J J-'
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 or a designee may
~~~:r:~t:~ons ~~LLL-6.lD5--1 ~}JfJJbJ
.J (" I Signature Contractor's License No. ] D;/te .
OMisc \.B,Q.
Q-~~
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
j Gas Fireplace Permit Fee
It-B
"
1//4/. /}O'?,PD
$
$
$
$
$
$
$
$
/ ;;;., '7. 5tJ
8Lf~. to.f'
7o.5?J
/"0.00
/00. on
__'"?,~. t:::"n
~D, tJ(J
This Application Becomes Your Building Permit When Approved
~j ~ cJ.-/~7~V
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 ~ie578.'Jl";
Pressure Reducer
#
#
---
$
$
$
$
$
$
$
$
$ ~_ OJ~./6
13 So. QC
ZS-O.O'C)
tl C;;:. <.:l 0
fz.oo. () 0
700. tOo
Paid
Date
<p U JJ .
~-;)..-nL/
NI
Receipt No40 <I U -7
Bv C5
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
PA~ingD~ ~blj&'/ Se~pecM~!~y File
24 hour notice for all inspections (952) 447.9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~
o~t
See Main File
.--white - B~9)
~ary .-" gmeering
Pink - Planning
nl~ ('rnln or lhr J.lkr Counl~'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. e. H ot2/fV"--'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J 7 4- z.4- J)FA~Ac:..F15 LO DI2-.
/'
Accepted
Accepted With Corrections
Denied
Reviewed By:
.
~~p
Date: ~/~7~s/
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,"
~~
See Main File
While - Building
Canary - En ineering
gwK - Plannl
--
rh~ n:'nlN o( lhr J,gkr COllnln'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,
NAME OF APPLICANT
APPLICATION RECEIVED
L/ .
I/CI-/T/'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4 Z';f--- ! i' i Ie L i__j
i "/
",.J ~ .
.
Accepted
/
Accepted With Corrections
j
Denied
Reviewed By:
~
~
Date: qJ,,;L 7;:d 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."
TtI" (""nl'" IIf ItI" 1..11." ('ounlry
White - !!uilding
r \;anarv - IOnglneeroft9)
PinK . I"lanmng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I) J2 . f-I G f2.--rot..j
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J -7 4- z4- DF-, (-_}~I E L~) DIL.
Accepted
x...
Accepted With Corrections
Denied
Reviewed By:
/'J14 J3
5-r.L /J1.,,'JJ'l F/(c
Date:
Comments:
;2. -,) 7-0'1
"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."
;
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
:l. Green
J Yellow
File
City
Applicant
I PERMIT NO.O!/ (J/lJ!
(Please t:vtH:. or JJrint and sian at bottom)
ADDRESS
ZONING (office use)
17424 DEERFIELD DRIVE S_E.
LEGAL DESCRu-- uvN (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name D R HORTON
(Phone)
(Address)
APPLICANT
(Name) ATJJRnFTRFSTDF DRA FTRFSTDR HEARTH & HOME
(Phone)
1i,1--1i33--2,1i]
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(Ciry)
';5113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _65]--633--256]
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
1i12/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent System
o Steam
o Hot Water
D 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 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39_50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
. '~~~~-~\fi
I;:"'I""~ ~."
--~..
-~!l~'
. J~-
(Office Use Only)
Building Official
:....._~.~,.
"~.:: = IF;.NO
24 hour notice for all inspections (952) 447-9 liQ, fax (952) 447-4245
Date
This Application Becomes Your Building Permit When Approved
"
Feb 19 2004 1:33PM
GENZ RVAN PLUMBING AND HEATING
No.2766 P.6/9
€@~
;\.."i~\:1i.,~
)~~~~"'I'ArBSO't
Date Rec'd
CITy.oF PRIOR LAKE
SE'WER AND WATER PERMIT
q'lease C'p~ or nrmr and s.iPJl'at bottom)
ADDRESS , f
171f1.~ I~--h fAd f'.yQ (117
; ~I:' ~:~ I PERMIT NOM ,. 11\11:
J, Gold. Appll~t ~..~
ZONING (9ffice ",e)
LEGAL DESCRIPTION (office we only)
LOer0 BLOCK 2 ADDITION 1~f1 eid / 1#1
Pill
OWN:ER
(}1ame) !'~_ u...........^.... f"..""~^..... u....._.....""
(phone) _ o/..::J2 -Qgs-i8LV\
(Address)
2L-;Jfl::0 kv1BR.\s:::6e Cr Sri" .;[y-~
(Address)
Lo-u~ die..
(City)
"56':'J-.-I U.
(;Zip Cod<)
APPUCANT
~Mn~ Genz-Ryan Plumbing & Heatin~
(phone)
651-423-1144
(Address) 14745 So Robert Trail Rosemount. MN 55068
f'I (Address) (City) (;Zip Code)
(ConraaPerson) , (;f1~.i,W ~ . (Phone) 651-423-1144 I
'JCANTSIGNATURE__ 'j J J ~ ~t-!/l DATE _ '1- /a-!J<.j
APPLICANT PLEASE COMPLETE BELOW
Size of water se:rvice 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
RcSldentlal sewer 3Jld water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'! & MuJti-famJly i% of job co.t WIth a $39.50 miDllJJUto
$17..50 Waterconnecl.'iononIy $17.50
Estimated Cost $
Budding Permit # _
SEVIER AND WATER PERMlT FEE
STATE SURCHARGE
TOTAL PE.RlYlIT FEE
$
$
$
_50
i
(Office Use: Only)
I This AppUeation Se<:om.... Your Building Permit When Approved
Paid
I Receipt No
I By
Date
,
~
Building Offici.l
D2It
24 heur non<< rer all inspeetions (952) 447-9850, rax (952) 447-4245
Feb 19, 2004 I 33PM
GENZ RVAN PLUMBING AND HEATING
No,2766 P, 7/9
Date Rec'd
CITY OF PRIOR LAKE PLmvmING PERMIT
I BMi, 111.
4!. Gold CIty
~. "follow A"ppl.c.mt
LPERMITNO~
CP1ea&e ~ or'DDD,t and SliJll)! bottom)
ADDRESS 11 ,-",
/11J4 &iR}j'fld I~ JE
ZONJNG (offi<. m) I
, LEGAL DESCRIPTION (ollie. US< only)
LOT( 1 BLOCK ~ADDmON lv fR__ -Ii dd Ilfh
PID
OWNER
(Name) DR Horton Custom Homes (phone)
(Address)
9t; 2 -- q Q~ -,SZX)
2-O$i.vD !LeV) B~l ~ Co Sre I DO
UtlLLild k. vlA N EfuJ..J l./
APPUCANT
(Nalne)..G.~......,-'tlr-:,>'" 1?:_"-1:-~~g t......Re.:a.+-.f....3
(Address) 14745 So Raben Trail
(phone) ,,<,_,,?~_, 1""
(Add:{ess), & (City)
(Contact Person) (Jf; 0 (r h fJ I. ~ iJ (Phone)
APPLICANT SrGNATURE (! / , U/1~ - ~ W
- -. - - -
55068
(Zip Code)
651-423-1144 _./
DATE 9- IV} -~q
Quantity
f
I
I
Jl
/
I
:z.
Rosemount
MN
APPLICANT PLEASE COMPLETE BELOW
Type of Fi;ttllJre
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture
I
I
I
I
I
I
I
I
I
I
Quantity
.::5
1-
tlr
i
Rough.ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
FEE SCHEDULE
Iodusma!, CommorC1al 8< Muln.famlly 1 % of job oos! wIth. $39 50 minimum Resldenual, N.w Ono & Two.famlly $99 50
Residential, Additions 8< Allor.tions $39 50
Estlmatod COSt $
BUJldmg Pepmt #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
50
1.
,.
(om" Us. Only)
Titis Application Becomes Your :Building Permit When Approved
ReceIpt No,
I
J
D:It~
I Paid
I Date
By
BuildiJ)gOffic.i:a1
24 hour notlee for .llln'pe<t1on. (952) 447.9850, fax (952) 447--4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONlNGIFIREPLACE PERMIT
Date Rec'd
I. Pink
2.Greeri
3. Yellow
#kE:?
F:'i~.1 PERMIT NO.U_/QS'f
(Pleasetvtie,'or~orint and SiPJl at bottom)
ADDRE~$
/7Vo?c/ dcrh"c/d
~f5~
. ZONING (,_use)
LEGAL DESCRIPTION (office use only)
. LOr -:;:?BLOC~ ADDITION
PID
OViNER DR HORTON
(Name)_____ 20860 KENBRIDGE CT
(~!l-qt<<~s~. LAKEVILLE, MN 55044
(phone)
~~~I~ A0 ..A :d.,
<Natne)./7'A'l.b.-J' ~ /7/--' ~AJ,..~
(AddresS)~ ~4AI '! 4:
~
(contactPe.rs.on) . A~ ....:<3~
APPLICANT SIGNATURE . ~ 1__ - _ _____
(Phone)~5fi 4f.,,?- ..p.?/~
~tI!II~
(<l:li.ffi (Zip Code)
(Phone)~/ - if~ --177,S:
~... .,..?
~....."..:a-I. .1
DATE
. .A>>PLlCANT PLEASE COMPLETEBEJ:,<>'"
,3lNEW CO~TRUCTION . OREPLACEMEN'P .i.EEALTERATI9NS
FlJI{l-lA!:E MA~ AND MOD~/r~.; ~. :?/OXJA~Y07a... FUEL .. ,;{...J, ..4-.....~ ,e
FLUE SIZE.v~~.A RETURN. OPENINGS .e/ INPlJTU.z-. OUTPUT 6'Z_~
,
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plants
OGravity
O. Mechanical
DlAir Conditioning
lJ'SYent. 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 & AfC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ --'---- q~ a:> Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$~/ &'..,I/c4.r
$ ~ .50
$ ?
(Office Use Only)
'Phis Application Becomes Your Building Permit When Approved
Paid
Receipt No.
~ t04Lt,.
~A 'V,fh...
~~ ~JJ;'lJ
. ~~.
'4J1
I
Building Official
Date
Date.
MAR 1 6 7004
By
24 hour nntice for aU inspectinns (952) 447-9850, fax (952) 447--4245
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS I" L/dJ./ .'/)EE~ J:7e--UJ Zrhi/G S.e.
NATURE OF WORK NEW OAJsrf2."c:rliuJ
USE OF BUILDING .s.F: /It... I __
PERMIT NO. 04-,0105 DATE ISSUED 2/Z7[{)1(
CONTRACTOR ~. ~ PHON~2..2.U-f3'J'(
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
OATE
I FOOTING
, FOUNDATION (Prior to Backfill) 1 1ft. 1311//0'/
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING ~ . 6/f(:;
INSULATION . J/I.IJ?" . C-r(-1
ELECTRICAL '
PLUMBING VVVJ .c;-}7vl.('1
HEATING (if required) "iJ;I 6/,f'/}'j I
FIREPLACE ~ 6/%/t~
GAS LINE AIR TEST .&A...f ;:"/1 JItft/ ~/iff
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1
FINALS
~.-ec::.. ~q, '--t.
~
~
~
UNTIL ABOVE HAS BEEN
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
HEATING
DO NOT OCCUpy
'~
/-7 <- _
~~7~
/Y27.1r
.~~,y.
g"//.?t4</
SIGNED
FOR ALL INSPECTIONS (952) 447-9850
@rrfifirafr of <IDrtupaurl!
CITY OF PRIOR LAKE
~~pZldm~nf of 'liuilbing Jlnsp~dion
~inal Permitted D Conditional C.O. Expires
/
This Certificate issued pursuant to the requirements of Section 110 of the D 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:
SINGLE FAMILY 04-0105
Use Classification
Bldg. Permit No.
Occupancy Type
R3
Type Construction_
L3, B2, DEERFIELD 11TH
VN
Zoning District
R2
Legal Description
Owner of Building
D.R. HORTON, 20860 KENBRIDGE CT.,
Contractor's Name & Address - 1.1
ROBERT D. HUTCHINS //'2"':/
/&/ City Planner_
!?:~? ~2/Clal . Date
/' / - / POST IN CONSPICUOUS PLACE
Site Address
17424 DEERFIELD DRIVE S.E.
SUTTE 100,
DON RYE
LAKEVILLE 55044
Date
DATE
JY)Jfi</
, -
/Jeerl!'e/c! ;};.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/7y,ttj
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.a"'FlNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
.oft"MECH FINAL
_ C~J1EN't8: ....-,
C/~cPrOt ( /7~q/ dh.--t!-
TIME
OL/-/o<-
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
-rrFIREPLACE FINAL
o GASLlNE AIR TST
o
;::hq ~~
~C/, /C~/ c:7k
~ r'; i :.",..1 ~a.~. 7C: f' ./
--' --:: .
h'-'e A1__~c~ rh I c:Pfc./:"J /
~ U/v-L @ ~,.,~/..-I
~~,.:tL -,..:.s~~C~ .,F~/'c
rc;.J ~c {c ,a.. d .....l..
/~_/,..<-~/ CN-. kLs-~ d
.- -' - - --f---'
fi~Q h{e- '1
~RK SATISFAC~, PROCEED ~
~ CORRECT ACTION AND PROCEED
o CORRECT W/J>./#OR REINSPECTION BEFORE COVERING
Inspector: P"~ ___ Owner/Contr.
/;
/lG/t:' "
-
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED )'~j7~~
/7~:2.c/ Je<?~ec/
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~UMBING FINAL
o MECH FINAL
6'Y-/O)
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RJ
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~/70_~/--;r~.s/ c!J/(
~ /
,r-;.H.... / (t/ /'c
(!; //~~r/ ~4.h:"'~
g /I/:Zed __ffirU
~ORK SATISFACTORY, PROCEED
/b CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR EINSPECTION BEFORE COVERING
A
Inspector:
Owner/Contr:
,
CALL 447-9850 F THE NEXT INSPECTION 24 HOURS IN ADVANCE_
/"1/
/
~/~
I'hS~~.J -
~ -
"'$NOT'
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
-
Job Address / /7'~ St' /,lBrJOC....,
Heating Contractor ~ AI't.Eir.L7--
A~ -
(:?/#t:I~
p,. tJJd
,~/<V
'/,3 .?A
;..~~ t:J r
Name of Tester
Date
Percent 0,
Percent CO
Percent CO,
Slack Temp
Combustion air is adequately supplied per
UMC Sec. 606 "" J
input ~A'4AVIi::~)
-