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