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HomeMy WebLinkAboutBuilding Permit 04-0103 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d ')'/~3Io1 Main File ; ~i~~' ~::, I PERMIT NO. "-".,0 /0.' "2- ). Yellow Applicant ~ II '--'" (Please !VTJ~ or nrint and sign at bottom) ADDRESS j 71~O~U+;-eJJ "'br,'~_ SE ZONING (offi" use) .e.z. LEGAL DESCRIPTION (office use only) LOT I BLOCK~ ADDITI~0d 11-tV- PIDZ5: 4-07. Ovr.O OWNER (Name) (Phone) (Address) BUILD~ "/) I l::l - (Name) U. K. <rtcrn::OYI JnQ., (Contact Namel.V d.z . ~m }>r) ~9B(PO ~~'cL9<- C!.:t. .' ;;L...~/O 0 (Address) ~u,rls,. ('r)Slrr- SSJ0I (Phon'9S:;. rYi8S:-7f/J8 / (PhOne(9f59l;(:; (n - / &~ if TYPE OF WORK ~ew Construction DLower Level Finish ODeek OPoreh ORe.Roofing ORe.Siding o Mise I. B.l?.. e-3 T- IS o Fireplace DAddition DAlteration DUtility Connection PROJECT COST IV AWE (excluding land) $ f:t1) &'3t;."141 __ f)(J(). f)~ 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 uilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may ~rf~~n dinspections. d>?{JJ!)5/0S1 d) J (p Jo / ) (J Signature Contractor's License No. I lDate 1 Permit Valuation 1'/<// (JtJO.{) 0 I 1 IPark Support Fee # $ - 1 J Permit Fee 1 $ / I Z-'79. SO 1 1 SAC # $ I~s-o.oo 1 ~ I Plan Check Fee I $ f5t.f'-f.I..ll 1 Water Meter ~ize 5!!) I"; $ 250. tx.L I State Surcharge $ 70. ';;0 I Pressure Reducer $ 4s.{) 0 1 Penalty $ I City SAC and WAC # $ , '"LOa.Do I I Plumbing Permit Fee $ 100,00 I 'Water Tower Fee # $ 700.00 1 I Mechanical Permit Fee $ IOO,iJo I Builder's Deposit $ 1$"00.00 I I Sewer & Water Permit Fee $ 35.58 I Other $ I I Gas Fireplace Permit Fee $ i{O. (')0 1 TOTAL DUE $ ~535. la _ ..J /ofW<fV-7 This Application Becomes Your Building Permit When Approved I Paid / li"'5,,1 'J / OS 'ii;~ ~~ L9;:J 02/~7/o'f l Date - <:;l. -n L/' Main Building Official Date 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 ~. ~/-; - Plannin{Director dP 7/J<{ ~~ a-.e.P' . . , DAte Spe"cial Condition/, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 ~~ /Whi~ - Build~ Canary - Engineering Pink - Planning -- lhr CrOlrr of Ihr I.Mkr ('oun',,"' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED D. e. 1-1 Oft-TON Z. _ 04- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 174Z0 D EEte.-F, 8LD 1) 12.. . Accepted Accepted With Corrections / Denied Reviewed By: ~ f~ ~f-..- Date: ~).;L 7 ~ <./ o-t(J ~fl-u~' 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." :..~~~ Thr (...nll" nf lh..I...... Counl',. While - Building Canary - Enq;neering r ....mk - PI:fln~ BUILDING PERMIT APPLlCATliON DEPARTMENT CHECKLIST .--. L I-I (I Tl l' L-- NAME OF APPLICANT APPLICATION RECEIVED D. k The Building, Engineering, and Planning DElpartments have reviewed the building permit application for construction activity which is proposed at: I -j L:- Z C, t L. I f I L !) Ie Accepted Denied Accepted With Corrections ~ ~ & ~ ad g<~ '(J~'J , ~ Date: 0l!.;J. 7/'; q , C.I.-.... __77 :...") "'<ZI-'T ~,r-~~_ , .A." fl"~ c/.-' <L-r~ ,,;;>S I , -'"' Reviewed By: ." Comments: tH~, ,:to "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." ~~ White - BUildin"t c-1E!Inarv - Enginpp.rina .) Pink - Plannrng Thf ("tnlt. of lh", l.a".. ('ounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED D. Ie. 1-1 (A(_TOtJ z. .lJ . c4-- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /-14-2-0 DEE 1(~.rIEL_D +--.. '--. I) k::: Accepted x_ Accepted With Corrections Denied Reviewed By: /I/Yt (') Date: II ;< - 27-04 , Comments: See Reverse Side for Additional Information! 1J1", ,'n (:t!(.. See Attachments: I) Gradim' Plan. 2) Erosion Control Measures "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. 2004 1:32PM GENZ RYAN PLUMBING AND HEATING No 2766 P. 2/9 Date Rec'd CITY,OF PRIOR LAKE SEWER AND WATER PERMIT f?kase tvDc: or nrtnr and siP:Dat bottom) ADDRES11S 11 2J) <-j t'YPPf)I,l/J 1Mz ,(F; i ~~I:'~. I PERMIT NOIlL ~I ,,-z. 3. Cold Applicant. ~ ZONlNG (offlco u:c) LEGAL DESCRIPTION (ollie. use only) LOT I BLOCK 'L ADDITION he; j(J-f1 pi rl II fv1 PlD OWNER (Name) nl> (Address) 20t100 Ke.vl~K\U?i':. C':r S,"'Ii'F' (Address) (Phone) _ .La~~llIe., (City) gs2 -qgs-iR,'/\ ~"",\""~""T' (I".............. U~""... "5Q'"')WU (Zip Codc) . APPLICANT (Name) Genz-Ryan Plumbing & Heating (J?hone) 651-423-1144 (Address) 14745 '.KANT SIGNATURE So Robert Trail (Addros,) 0{!J f (Sf! fa '115 (1 j 1 ~ '--f:t;r 1 A-"'"J RosemouI!t. MN (City) 55068 (Zip Codc) (Contact Person) . (Phone) DATE 651-423-1144 (2- ;q'-O(j APPLICA1~T PLEASE CO:MPLETE BELOW Size of water service inches. Location of any couplings from strncture Type of sewer pipe. 0 ABC 0 PVC Estimated length of sewer line feet. Clean out (if required) located at filet from structure. feet. o Cast Iron Resldentlal sewer and water lme connection Sewer connection only FEE SCHEDULE $35.50 Industrial, Com'! & Mula-famIly 1% of job cost with a $39.50 IllJDimwn $17..50 Water connection only $17.50 Estunated Cost $ Building Permit # SEWER AND W A 'fER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 , f (Office U.. Only) I This Application Becomes Your Building Permit When Approved L_ :Building Official Dllt~ I Paid I Date Receipt No. By 24 hour notice for.ll in'pection. (9S2) 447-9850, lax (952) 4474245 €~: ..J,()u. -(to "":~':~~\\' ',:.-.'fNBSO ""\\l$\'~\((;, ~">l\'~~;"" Fe b . I 9. 1004 I 31PM GENZ RVAN PLUMBING AND HEATING No.1766 p. 3/9 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT l.!lIUl!. fl!.. J. Gold Ciey :;, Vel""'" A.DPjl.:om I PERMITNO~ (please !\'pc or 'Orin! 3.I1d sil?Jl at bonom) ADDRESS . 114'2D Iv jpf1 p Jd I~. (\71 ZONING (ofji"u.e) LEGAL DESCRIPTION (o!lice u.e only) LOT I BLOCK 'L ADDITION ~e.(drw., (\6 PID OWNER ~am~ DR Horton Custom Homes (Address) 2C:,L:o>i.:; kLV]P)~l1)G?_ Co Sre.IDD (Phone) 962-Qi{f,-7FiDD wiL.tvdle'~ JiiA.;.J EiS6I...p-! I APPLICANT (Naroe:)-C"....""-t'r.".... 'P1".....c;n.z ^- l-T,",':I"'~=*4: (Address) 14745 So Robert Trail (Address) (Contact Person) n.tttJ<::tJ mr K APPLICANT SIGNATURE Y f J. ~ ~ 11/\ Quantity q I I LJ '7, '-~ (phone) <<1_/. ?~_ 11 L.l. RosEl1ll0unt (City) MN 55068 (Zip Code) (Phone) 651-423-1144 DATE 1.- ;Q'1J4 APPLlCANT PLEASE COMPLETE BELOW I Type of Fixture I Quantity Bath Tub with or without shower Rough- ins I Dishwasher I . Water Heater Floor Drain ! I Water Sof1ner 1 Lavatory (l3athroom Sink) I Stand Pipe (Washing Machine) I Laundry Tray (1 or 2 compartment sink I Sewage Ejector Shower Stall Back:f1ow Assembly Sinks I Backflow Assembly Test Bar Sink I Lawn Sprinkler I Water Closet (Toilet) Other Type of Fixture I I I I I I I I I FEE SCHEDULE lndustrtal, Commemal & Multl-famuy 1% of job COst WIth a $3950 minimum ReSIdentIal, l-Iew One & Two-Farllliy $99.50 Residential, AddItions & Al,en,;o,", $39.50 Estunated Cost $ BUIlding Pel1l1Jt # PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ .50 (Office U.e Only) This Application Becomes Your Building Permit When Approved Building Official Dice I Paid I Date I Receipt No. I By I , 24 hour notic. for .J! in,pettiO.' (952) 447.9850, f,,~ (952) 447-4245 CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'd (Please tvtie.drorintai1d sim at bottom) . ADDR1l~S . . /7Vdr~ /2er-"/.#7'/c/a ~ 7C-J?3 ~:~ I PERMIT NO. U" I 0 ~ ApphClllt ..., I l. Pink 2. Green 3_ Yellow ZONING (office use) ::5'e- LEGALDESCR1PTION (office use only) LOT /BLOCK~ AvUlllON Pill QWNJ;;R DR HORTON (Name)~ 20860 KENBRIDGE CT (.Addt~&j LAKEVILLE, MN 55044 (phone) ~.rL.IC!<NT . /1 , /. /'Jl, _ / _ . (Name) /-////.b oJ' ~ ... r ~,"""a../ (Addre&s)~ ~~~AI r? 4 ~AddreS (c()nta~Person) . A~. ....~. APPLICANT SIGNATURE . . -- - -... (Phone)..~~~ 4'f.,jl. ..P //'S' ~.~ ~$"~.:l - (@iff. (Zip Code) (Phol1e)~. .;/~-J7;?~ DATB , APPLICANT PLEASKCOMPLETEBItLQ-W FURNACEMA~A~::~;;:O;. ;?/~;=;'O;E]ALTE~;~NS~ J, rroJ'~.e FLUESIZE~~~.ARETURN.OPENINGS ,q/'. INPUT'~ OUTPUT 6Z~~ TYPE OF SYSTEM HEATING OR POWERPLANT DWwm Air Planls .0 Steam DGravity o HotWater o Mechanical o Ralii.tion ~ir Conditioning 0 SpecialDevices ~ent System DOtherDevices PLEASE NOTE: Air Conditioner Unils 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 Residenti.I, 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 $ ....3sza a::> Building Permit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE ~~/~~/~)~~~,~ $ t? '~"~l . iJzry. Receipt No. I Paid I Date MAR 1 6 2004 By (Orne. Use Only) This Application Becomes Your Building Permit When Approved Building Official Date 24 hour notice for all insp..lions (952) 447-9850, fax (952) 4474245 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd (Please type or print and sip at bottom) ADDRESS ; :i:',~" ~::, I PERMIT NOAII... ^ 11\ 7 J. Yellow Applicant V ;. f,I..J...M,,/iI ZONING (office u,,) 17420 DEERFlELD DRIVE S.E. LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name DR HORTON (Phone) (Address) APPLICANT (Name) ATUEDFTRESTTlE TlTl~STDE HEARTH & HOME (Phone) 651-633.2.161 (Address) 2700 NORTH F AIRVlEW AVENUE (Address) ROSEVILLE (City) 551I3 (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 0 REPLACEMENT 0 AL TERA nONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM DWarm Air Plants DGravity D Mee~anical DAir Conditioning DVent System HEATING OR POWER PLANT D Steam D Hot Water D Radiation D Special Devices D 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 & Ale (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # ~. $ ~\J~.il\i-,~Ifl' $~"""\~""' $ 7~j\:~';" (Office Use Only) This Application Becomes Your Building Permit When Approved Buildine: Official Date rv~~ ~ C W ~~ ~UDaWN U Z 2004 ~ By Receipt No. 24 hour notice for all inspections (952) 44' ~~n fQV ,C).c;;,\~~~~~-:~:,..,.. PRIOR LAKE INSPECTION RECORD SITE ADDRESS I Wo iUE S'.E;. NATURE OF WORK t\)S w C'~ ~4Sib~~" 0 ~ USE OF BUILDING ", f=.: A . . . PERMIT NO. ()4-, 0/03 DATE ISSUED ~ CONTRACTOR J).r2. ~~. ,IJC. PHONECjS2"2Z""/~V NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF Main File BUILDING AND INSPECTION INSPECTOR OATE I FOOTING vI/)/, 3-. 17-d"l I FOUNDATION (Prior to Backfill) Mi. I ~ 13/31/d1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC IP\ I I )V'llt ) I"W/ FRAMING fit#- INSULATION V~ ELECTRICAL - , PLUMBING I J,t:,. (1) 5f/7I00:f/:.)~ ffP Bl.\-- -+>- i.7~) HEATING (if required) ~ C.lifto# FIREPLACE ,1 ~1- .J 41r/(f#~ GAS LINE AIR TEST /If.tt'fr I-- f. pr //f/(~ Mff/~ L , COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS GRADING (Prior to Sodding) A/B I J. "l t/. 6! . BUILDING~~'Ga /CJ.d-tl~,r ~ ~o/"o/ ELECTRICAL ?/~~V PLUMBING l11/f 7 J;.o(~ HEATING ~ ,lj""Pf/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. s..:1q,or ~(~#41 6/Rfo FOR ALL INSPECTIONS (952) 447-9850 <tlrrfifirafr of @rrnpauru CITY OF PRIOR LAKE ~~parfm~uf uf ~uilMug J1uspufiuu ?inal Permitted D Conditional CO. Expires This Certificate issued pursuant to the requirements of Section / J 0 of the U 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 Use Classification R3 Occupancy Type VN Type Construction Bldg. Pennit N(\ N/A . D. . Zoning lstnct 04-0103 R2 Legal Description L1. 112, DEERFIELD 11TH Owner of Buildim! Site Address 17420 DEERFIELD DRIVE S.E. SUITE 100, LAKEVILLE 55044 DON RYE C . N & n.R. HORTON, 20860 KEN BRIDGE CT" ontractor same Addiess ROBERT D. HUTCHINS K/t2/' /r~,.L City Planner ~ / .Bu~g <)tficial Date: -/.2/ /6/0',<'/ Date: pZk TIME k~e/4ff );Jr CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS / ?" 'Y..:.zd OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION .A--flNAL o SITE INSPECTION o PLUMBING RI o MECH Rl o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ,.AT1oIECH FINAL C01AM.ENT~ . / -, I / ~ C;t?-;OO / fin-... / de?-<: _/ / ~r" h?/"e: ~ ~ /C;~ t' OI"L. , $//;c/' ~ AL / - C!9 /<- ("'Y/-/Q? o EXlGRAD/FILLlNG o COMPLAINT o FIREPLACE Rl ..-a-FlREPLACE FINAL o GASLlNE AIR TST o /' ./ 'V.4? ~c/ /"'"". ./ /-7A'! ( O~ /1 _/ / - I . / - / ( (/ ) A?.e' cd r7-n... @;:;, de ~P'v~ " _ /7/1 i / / / if ~r l, (L r!/.q ll/ /0./30/0/ o WORK SATISFACTORY, PROCEED ~ECT ACTION AND PROCEED :.::o:ECT WO~EINS:::::::FORE COVERING CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INS/'Ion CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY! DA.TE TIME CITY OF PRIOR LAKE _ /_ / INSPECTION NOTICE SCHEDULED .?/--<V~ ADDRESS /;7</.2.0 ~er /)y lei ~ OWNER CONTR. PHONE NO. PERMIT NO. e ~-/C) ~ o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING Rl o MECH RI o WATER HOOKUP o SEWER HOOKUP ,k$, UMBING FINAL /'"0 MECH FINAL o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: -j~ / ~~"C'~.*,- / 7' --Te6 ?' /' Oft- .,,...., / h'H"i/ at' ... ~ORK SATISFACTORY, PROCEED / 0 ~ORRECT ACTION AND PROCEED o CORRECT WORK, C;"} 5',}~NSPECTION BEFORE COVERING Inspector: ~ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTl