HomeMy WebLinkAboutBuilding Permit 04-0106
Date Rec'd
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~11- )(Or
See Main File
;":i~i:' ~:~y I PERMIT NO.OA.. 0/0'- I
J.Yellow Applicant ~ f.L)
(Please typ~ or print and siJm at bottom)
I ADDRESS
J74,~& J),Or>0fJd1r,'~ Sf::
ZONING (office use)
li!..l....
LEGAL DESCRIPTION (office use only)
LOT ;j BLOCK~ ADDITI~f'r;'eid / j-f/r
OWNER
(Name)
(Address)
BUILDE~ /) I / _ '}.
(Name) J...)~U;C~(1
(Contact Name) :r:;...,'fz RrY5LJJYl
(Address)
TYPE OF WORK
~ew Construction
DLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
DAlteration DUtility Connection
/.2J, f.pee, ~/4I.o0(}I{)o
o Mise I. R .c-.
e-3
DDeek
y-fS
PID z.t>. +07 _ 0 z.7. C
(Phone)
(phon/9f);).,l9BS 7PCfA ,
(Phone{:~<.;loUo - /33L
J
DPoreh
DAddition
ORe-Roofing
ORe-Siding
I hereby certify that I have furnished information on this application which is to the best of my knowledge tnle and correct. I also certify that I am the owner or
authorized agent for the above-mentioned y.v)'......} 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 pennit for just cause. Furthermore, I hereby agree that the city official or a designee may
;teru oni'property;rrf~~~~oS . d,CJ:X)5it>Sr; .:< //~hJ
( J Signature Contractor's License No. I 'Date
, Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Pennit Fee
\ Mechanical Permit Fee
j Sewer & Water Permit Fee
! Gas Fireplace Permit Fee
$
I $
I $
$
$
$
$
$
(J/ 14/,000.00 I
/d. q 9. .50_
'i"'IL/. loG'
7o.So
loa. Of)
100.00
35. S'Cl
t/o .00
This Application Becomes Your Building Permit When Approved
:&.~ ~
Building Official
~/d--7 ~ t.f
" '
Date
I Park Support Fee
I SAC
I Water Meter (Size:!Jl";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid tv (J 3!r , /f/
I Date ~ - 02.--04
# 1$
# 1$ /35:0.00
$ 2-"50. f'lO
$ <./S .DD
# $ 1'lDc'J. Ol)
# $ 7GO, {)O
$
$
$1:" ()3S". /~
.
Receipt No. Lt-& c.../u -l
By I'J'....
/
-
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
i'~:h.&t./ .;J~7 /0</ See Main File
Planning Director I 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
@~
See Main File
White - Building
Canary - Enqineering
(' Pink - Plannln!!>
rh~ (-..nl..r or lh.. J,lk.. Cuunlr,'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
LI
II! lei'.)
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
. ! (4- l !r '/{ eLf I c II I- 12 .
Accepted
/
Accepted With Corrections
Denied
r
Reviewed By:
~
~~
Date:
C?/,;) ?;t 'I
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."
6~~
See Main File
c:::lJTfiit~ - ~u;ldina~
Canary - Engineering
Pink - Planning
-
lhr Crnftr nr lht 1.akf ('ounll1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. f2.. I-f oe;rorJ
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
174-2lo
DEEt2...F' E LD
D/2-.
Accepted
,/
Accepted With Corrections
Denied
Reviewed By:
~
,
yn.. 42/..J
Date: r.!JI d-- 7/0 </
, ,
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."
Thl' ('I'nll'~ of Ihl' t..kt COlIlUry
White - Building
c: Canarv - Englneerln!l)
1'iiil< - I-'Iannlng .
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. I?
I-I 0 /G-w t~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
!.-7/L-7(~ .
., '-.u DE E t2F 1(::. LC C-) [2.. .
Accepted
x...
Accepted With Corrections
Denied
Reviewed By:
AllYS
5'(<:.- J'Yl"','VI FJ<-.
Date:
2. - '27-0 L/
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 wovisions of this code or other
ordinances of the jurisdiction shall not be valid."
;
~
€~~
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"',, ;")~~':.,_'_\,".)'l'ESO'
~i.ii~;
Feb.!9 2004
I : 34PM
GENZ RVAN PLUMBING AND HEATING
No 2766
P 9/9
Date Rec'd
CITY OF PRIOR LAKE PLUlVIBlNG PERMIT
(Plt.:ase. tyt>e or o:rmtand S1Jm. l1[ bottOlll)
ADDRESS
11L!2I1
Ilf/l p-fj ~ cd i1Il. lE .,
I 5Ju. Fil.
". GeJd Citv
3. Y~\lI"" A.pp.li~
I PERMIT N004..0'O''
ZONING (aflio:",.)
LEGAL DESCRlPTION (ollie< us. only)
LOT 1./ BLOCK,;;z ADDITION /Jtp Ae- -11 eloi II Y11
pm
OWNER
(Name) DR Horton Custom Homes (J?hone)
(Address)
2o$!.oo ~.bI8~l 'DGe.. Co S,e IDO
APPLICANT
(N'ame)..c...."'...-'Or....... ,o:_.....\.,,t...Z ~. 'UA,H-;11Z;
(Address) 14745 So Robert Trail
(Address)
(ConractPerson) OJI}Jfirtl ~kl!S
I APPLICANT SIGNATURE Tfi", '/0J;l
QUlllltity
~
l
J
,~
(
,
2-
Rosemount
(phone)
'+off-<J
902-Qx>-, -iBDC)
u-duvrlle- iAAN Et':6/-j Lt
(Phone) ~'LA? 1_1 1..4"
MN
55068
(Zip Code)
(City)
651-423-1144
2-~1
DATE
APPLICANT PLEASE COM1'LETE BELOW
EstlDlated CQSt $
Building PermIt #
I Type Qf Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
I Laundry Tray (1 or 2 compartment sink
Shower Stall
I Sinks
I Bar Sink
Water Closet (Toilet)
Quantity
-3
I'
OJ
j
I Type of Fixture
I Rough-ins
Water Heater
I Water Softner
Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
I
I
I
I
I
I
I
I
I
I
FE:ESCREDULE
Industnal, Cornmerclal & Multi~family 1% of job cost wuh a $39.50 minimum. Residenllal. New One & T\Uo~Family $9950
Residential, Additions & Alrerations $39 SO
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PRRMIT FIE $
(Ot'fiCt U.!iC: OnlY)
Thi$ Applicntion Become. Your Building Permit When Approved
Blljlding OOidal
D.",
I Paid
I Date
.50
I ReceIpt No
I By
24 hour notice for.lI inspections (952) 447-9850, fax (952) 447-4245
Feb.19. 2004 1:33PM
GENZ RVAN PLUMBING AND HEATING
No.2766 p. 8/9
~
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l\l."W;',"",
Date Rec'd
CITY OF PRIOR LAKE
SEVVERAND WATER PERMIT
q.'leasc: t'l{l2e: arDont and ~lli!l1. 'itbouom1
ADDRESS
h<-!2b
; ~w ~\]~ I PERMIT NO.AA ^, nI_
l. Gold App!lol\l ~
11Uj(J.{, dul .11& rIt:
ZONlNG (~flice"")
LEGAL DESCRIPTION (oilice use only)
LOT4 BLOCK;! ADDmON /lpD~lield ! /fh
Pill
OWNER
(Name) D~
(Address)
?...ofJ.nO KeY\ei<-\~ 0- S"'if\n
(Ad.dress)
(Phone) _
Lau.~ die...
(City)
952 -Q85-i8,v-,
0tE;:C.QU.
(Zip Cede)
;,t9r':'Q:Q f"..':"........"': ~~~."':"
APPLICANT
(Name) Genz-Rvan Plumbing & Heating
(phone)
651-423-1144
(Addro,g) 14745 So Robe.rt Trail Rosemount. MN 55068
n (Addre,,) r.J (City) (Zip Cnd.!)
(ContactPe.rson). ( fj!JJ2/.jJ~rn..J( f'\;J (Phone) 651-423-1144
..ICANTSIGNATURE crt U<..'A'b.) 77'llJ/1 DATE ",,1- jq{)G/
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from strUcture
Type of sewer pipe. 0 ABC 0 rvc
Estimated length of sewer line feet.
Clean out (if required) located at _ feet from structure.
feet.
o Cast Iron
FEE SCHEDUI,E
Residential sewer md water line connection $35.50 Industrial, Com'l & Multi-family 1% of Job cost with a S39.50 lllIDJIXluro
Sewer connection only $17.50 Water eonneotion only $17.50
Estimated Cost $
BUIlding Pernnt #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL l'ERJ.'\1IT FEE
$
$
$
.50
}.
(Offic.e: U~C: Only)
I This Application Ilecomes Your Building Permit When Approved
Paid
Receipt No.
Date
By
Building Official
Dare
~
l4 hour notice for.1I in'pection, (95l) 447-9850, fa~ (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE. PERMIT
l?Iease ,tyDeort,rint and siJm at bottom)
ADORESS
/2Uc,
Date Rec'd
# -;2:,95
i ~~ ~:~ I PERMIT NO. J 1_11' 1- I
3. Yellow Applicant r--I u'"
Ue'e/k/J #. :5E
ZONING (office use)
L... EGAL DJ. SCRIPTI. . . ON (office use only)
LOT <IBLOCK .....?ADDITION
OWNE:R DR HORTON
(Name) - 20860 KENBRIDGE CT
(~d.~~j LAKEVILLE, MN 55044
~~J\-ICAN'I' /J 0 A d,.
(Nam~'~7'/- A'.J' ~ J' AA;/""~
(Ad.dress)~ ~~ ~"'-' ~, t? /!k:
-:5jAddreS
(~~'_) A~ ......t5~
~PLICANTSIGNATURE ...- ..:.. ..........
PID
(phone)
(phone}.~5~ 4~- .,..?//'.s-
~Ua..t' ::?~.1:..J:?
c... .... (Zip Code)
(Phonej~='/- tt;/~-~77~
DATE
APPLICANT PLEASECOMRLETEBlti.6w
t .. .. .'.. .. .... .. .'. .. .'..... ...... .,.".. ',' "...........0-..,
~NEW CO~TRUC110N DREPLACBMENT</[]!A1.TERATl9NS
FUlWACEMAKEANDMOD~/r""''''~ :?/~'1,R:?d.V(97ZJ ...... FUEL ~~,~
FLUE SIZE.v~Az'5..A RETURNOPENINGS. 4/.....INPUT&~.~ OUTPUT 6Z_~
TYPE OF SYSTEM HEATING OR POWERPLANT
DWarm Air Plants .OStt;8fIl
OGravity OflatWater
o Mechanical DR:adi~ion
~ir Conditioning [] Spe~~aIDevh:~s
~ent. System 00therDevi~
FIREPLACE MAKE AND MODEL
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial; Commercia1&Multi-Family
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
$39.50
Estimated Cost $ . ~ a:::> Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspectinns (952) 447-9850, fax (952) 447-4245
$ u//~-,//c4..r
$ ~ .50
$ ?
I Paid
I Dat\fAR j 6 2004
:"l ~4.
"t€tQ ..,.,"'~.
~e -:"'l]t;
~'h
Receipt No. . Jl'tr
I
By
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please tvPe or orint and sim at bottom)
ADDRESS
;;;;~, ~::, I PERMIT NO. Ad ~J"L
3. Yellow Applicant U~
17426 DEERFIELD DRlVE S.E.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name D R HORTON
(Phone)
(Address)
APPLICANT
(Name) AUJRn FTRRSTDF. DRA FTRESTDR HEARTH lit: HOME
(Phone)
651-633-2561
(Address)
/700 NORTH F AIRVIEW AVENUE
(Address)
p"OSEVILLE
(City)
'\5113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651.633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
6/2/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OW.rm Air Plants
OOravity
D Mechanical
DAir Conditioning
OVent. 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
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
Buildine: Official
Date
Building Permit #
$~~"Wr. n('\
$ ~~, ~ .~~~
. -~ 'fJ\~
$ ,~~~~.. .
1:1':: ~~ ~O~ '] :~,'",',
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice ror all inspections (952) 44' ~1I50,!a_xJ9~~H474245",
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS \ .., 4 2. ~ iJE' ~.~.
NATURE OF WORK - ~~ ~N~Ji"TrD~
USE OF BUILDING S.~ ....
PERMIT NO. 0 tf. 0/ 00 DATE ISSUED 2./2..7/0 L/
CONTRACTOR ~. ~Q.TOfJ: I~C. PHONE~lS2." 2z."-l334
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING
I FOUNDATION (Prior to Backfill) I ~ I 3/3((f)t{
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING ~. 6/9fit'
INSULATION Ittl-- ~/(t'10l1
ELECTRICAL J 6/#/
PLUMBING fJ4V ~ ~--~l
HEATING (if required) , ~ 6A'~7"
FIREPLACE #/.4- hh/tF
GAS LINE AIR TEST ~,;, I tl ~-/-- ,6##</
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS_ J--//
~~~~II~:<;~:_~rtO;~.di~~.:~ ,k --J~~~'h ~~J/7>
ELECTRICAL J. ~oy/o/
PLUMBING $~/ 747/c?y'
HEATING . ~ cP/J'~r
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
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
~trfifitatt of <IDttUpautl,!
CITY OF PRIOR LAKE
@.~arfm~uf of ~uilbiug J1u5p~diou
\ //
0'1 Final Permitted D Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the C Residential/I] 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 04-0106
Use Classification _ Bldg. Permit Nn
Occupancy Type
Type Construction
L4, B2, DEERFIELD 11 TM
R3
VN
_ Zoning District,
R2
Legal Description
Owner of Builrlin'.:'
Site Address
17426 DEERFIELD DRIVE S.E.
D. R. HORTON, 20860 KEN BRIDGE CT.. SUITE 100. LAKEVILLE 55044
Contractor's Name & Address
ROBERT D. HUTCHINS / / ,/' / DON RYE
. ' // i .' ,.' _ City Planner
.. B-?ild% Olli;!>' / ,-
Date: ,/> ;" ,/ (,) (. / Date:
/
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED }Y~/~~
IJ~ <!:r I]. / / /Jy
ADDRESS
179".-26
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
Cg~Efi;fS: .
~/.eCf;-,C'l !
~/L;'
~~O-,II_~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL
h::..,/ cth,-
..-/" "
hf.-.,€. / .
L c7r<<::.:; I-
(J '/-/Or;
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
~REPLACE FINAL
o GASLINE AIR TST
o
--f/.v~V"
,
0;(
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Owner/Contr:
INSNOTl
.90RK SATISFACTORY. PROCEED
~CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
Inspector:
CALL ~7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
SCHEDULED ~?-"~~
~~rf)cl/ 0,-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS /? y.z c:;;
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
.....,rLUMBING FINAL
/OiiECH FINAL
,
COMMENTS:
/ 1.'7
~kL!)~RP'" ~/("r-
1
............-
0)
,--::::.
6)
_/ /' ~ /
/Y~edo ~s-LJ,.-c...
/lkf"'f H~7U
0'/ -/Ob
o EXiGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/
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*' 7ft"
... / ~ /'
/kSn //€F..f
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~ORK SATISFACTORY, PROCEED {
CORRECT ACTION AND PROCEED
. 0 CORRECT WORK~CALL F REINSPECTION BEFORE COVERING
Inspector: ~~ ONner/Contr:
CALL 0447-9850 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
"'SIWf'
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Job Address t7(jc;..(r; ~[J7
Heating Contractor A/f,'1'tl/"'7 MQ:.U .
--Lkftr"fl
B/~~
S.cJ/b
p~
~3~
3P,(p~
"""'W"'"........~
Name of Tester
Date
Percent 0,
Percent CO
Percent CO,
Stack Temp
UMC Sec. 606
Combustion air is adequately supplied per
input
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