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HomeMy WebLinkAboutBuilding Permit 04-0257 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec'd See Main File :3 ~L75- L/ I PERMIT NO. d4-,Oz.57 (Please'!vpe or orint and sign at bottom) ADDRE~~ 17<f23~ed Driue. :fE I. White 2 Pink 3_ Yellow File City Applicant LEGAL DESCRIPTION (office use only) LOT z.. BLOCK 1 ADDIT~-~N J JQ. erfi -c...Jd I ~ OWNER (Name) (Address) ~~;~r~n~. ~~~Q.. (Contact Name) "'d..-u:.. t-z... ~ (Address) TYPE OF WORK ~ew Construction DLower Level Finish o Misc. l'~f C, "/.-6 e-3 ZONING (office u,,) 12'd- PID;)5- t!o1- ()O;)-6 (Phone) (Phon'q~ ) 985-7533 _ (PhOne~~("~ h~"'V ../ ODeck DPorch ORe-Roofing o Fireplace DAddition DAlteration 113, '327., ORe-Siding DUtility Connection 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'wy..nJ and that all construction will confonn 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 ;terulonthey,vY<"Jt~;~;tions drooSC06i '2 }"" Jay \ Signature Contractor's License No. ~ rJate I Permit Valuation I Permit Fee Plan Check Fee State Surcharge I Penalty I Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee PROJECT COSTlY ALUE (excluding land) $ I I ~ /~ j, IJ[)O.f)iJ I $ $ $ $ $ $ $ $ l~n,5o zr~,/. 68 70,50 /tJ(). &d IOt),OO SS-. $"0 i/O,DO This Application Becomes Your Building Permit When Approved :& ~~n~ i~ci~ Li l:.,e3,1u <( I Park Support Fee I SAC I I I City SAC and WAC I Water Tower Fee I Builder's Deposit I Other I TOTAL DUE () 6Jr,,;/ 4-. LCtl!--- # # ~ Water Meter Cize 5/8':;}I"; Pressure Reducer # # / I~~. $ $ $ $ $ $ $ $ $ <'0035". / e ~ ~ Paid Date /35"tJ,oo '2. 'SO, 00 t/~.O(J tZCJ6, Oil 700, eJt) 4'U (. ,ye 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 ~ PI'"tiJ) ~empmMY cenifica#;~P;ce ~,dallow, CO"'tru'Seeen1vlalii File'UP,"~ mu"be Planning Director ' 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 c-White - BuildiiiSi::::> Canary - Engineering Pink - Planning The ('rnln "f the L.kr ('ountr,' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED LY R No-z/ern.J 3 - ;;;zs--o.) The Building, Engineering, and Planning Departmflnts have reviewed the building permit ",pli~t;oo fOCOOO"/:;;;;::rzt;l:d:o D J- . / Accepted Accepted With Corrections Denied Reviewed By: ~~ ~~ Date: 4/~/ol/ 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." ~'% See Main File White - Building Canary - Engineering ("" Pink .- Plannl'!9> rhr ('~nl..r Ollh.. I..k.. Counl') BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT / ! ' I :' , )1 '_./ .-.- APPLICATION RECEIVED -' u..j '- .....- 1 . "_ The Building, Engineering, and Planning Departm,ents have reviewed the building permit application for construction activity which is proposed at: 1//// ), :;.' /./ 'i;-(~' /' f . _J' J / ,-' .: ;,__._~.. . Accepted / Accepted With Corrections Denied Reviewed By: ~ ~~ Date: #~~t( Comments: " See lVlain 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," s~~ See Main File Th.. ('r"'I" of th.. L.kt Country White - Building cCanal ~'-.:_ ~~l"lneenng......-> . PinK - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED , ' ,/ ! / I -----.,--.-..-- / "?//))r / -- ~.." --' :::;;;- - ..-::? "~;-:""-C(/ --.--'" .....,., .,- ',' The Building, Engineering, and Planning Departm.ents have reviewed the building permit . application for construction activity whichis proposed at: ,.-_ I ""i" ." ,.f..:!. r/ ./ / )).-.. ij ...\J..._ ,/ .,' 1;~/}/~/~:;;\,3 / Accepted x- '- Accepted With Corrections Denied Reviewed By: 1J/J4/~ . - 5r'.(,. n1e"h Date: L/-~-OY Comments: ~"/I' - .~ ...., "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." 1t'774 '1 CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'd 1. Pirik u;"', 3. Yellow / ~:~ I PERMIT NO./ ./_ '"'\ ~", Apphcant ."., .~ ~lease .~..or, orint and sign at bottom). ADDRESS /7LIJ3 DI'ex' QplJ \)r. ZONING (oo;c" us,) LEGAL DESCRIPTION (olliCe use only) LOT BLOCK ADDITlON rID OWNER "'" """" (Name) V. I<:, . 1--1-0 r f.nVl .. (phone) (Address) ~f;~~ A/h'~vH-- M fc-tl ,~. (Address) ,'~ 10 .'In . J\..~t1f> he.~ n.. (Address) (Conta.ctPerson) d!Arot12LA.Ll,/ / F-~~ /-~ - . --- E a. Ct ell/! -' (phone) ~51- 4(5~-c2115 /1I16\J S 51 ,;z~ (City) (Zip Code) (phone) (p 51 ~ 4(6::1- 01 "7,/5 )(,;2/,$ qlb/6;1 DATE APPLICANT SiGNATtJ'RE /" APPLICANT PLEASE COMPLETE BELOW E11':lEW CONS1RUCTION 0 REPLACEMENl' GAL TERA TI<;>NS FURNACEMAKEANDMODEL~r-Vo.n+ JIOAAVOl/:l.Or;O FUEL A),,+. r;",s FLUE SIZE ,'ill RETURN OPENINGS INPUT 2'ff, 000 OUTPUT TYPE OF SYSTEM OWann Air Plants OGravity ~o~~~:Oning OVent System FIREPLACE MAKE AND MODEL HEATING OR POWER PLANT o Steam o Hot Water o Radiation o SpecialOevices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks Residential, Heating & AlC (New Construction) Residential, Heating Only (New Constnlction) FEE SCHEDULE 1 % of job cost Residential. Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 Industrial. Commercial & Multi-Family $39.50 $39.50 Estimated Cost $ 5500. 00 Building Pennit # REA TING PERMIT FEE $ STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ :;)i\n,,",,, . '.'lIli~~~ ,\tr~n~J1 11J1//;1.' ~"'''''',~G r-,'=~~Il_ -. lti~vrW' V (Office Use Only) This Applicntion Becomes Your Building Permit When Approved PaId Receipt No. ,~~ ~ IJ Building Official Date [lat~ APR 1 5 2004 By, 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 --~-j CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd I. Pink 2. Green 3. Yellow File City Applicant I PERMIT NO. 'I~,.5~ (Please tvoe or orint and silDl at bottom) ADDRESS ZONING (office use) 17423 DEERFIELD DRIVE S.E. LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name DR HORTON (Phone) (Address) APPLICANT (Name} ATJJFDFTRFSTHR DRA PTRRSTDR HEARTH & HOMF. (Phone) 051-013-2501 (Address) ?700 NORTH FAIRVIEW AVENUE (Address) 1l.0SEVILLE (City) <;<;113_ (Zip Code) (Contact Person) BRENDA HUSTON (Phone) _651-633-2561 APPLICANT SIGNATURE BRENDA HUSTON DATE 0/14/04 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT OWarm Air Plants OGravity D Mechanical OAir Conditioning OVent. System o Steam o Hot Water D Radiation o 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 Residential, Additions & Alterations Residential, AC Only Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50 $39.50 $39.50 ,~~(l. . \\\;'< ~')'\o"~';();f" ~.{f",~~~; ~~..V' Residential, Heating & Ale (New Construction) Residential, Heating Only (New Construction) (Office Use Only) Buildine Omcial --, m 1]itG \~ 0 W ~ \\' Receipt No. !, \ I. D~lJN l I) 2004 " By UlJ -- 24 hour notice for all inspections (952) 4479850, fax (952) 447-4245 Bv This Application Becomes Your Building Permit When Approved Date {J (j PRIOR LAKE INSPECTION RECORD SITE ADDRESS J?A./~S Dbt:t2-r;::;cL.D ~,~ S.E. NATURE OF WORK Nl;~ CINSTIUA.a"'.~ USE OF BUILDING S*~A. .. . PERMIT NO. 04-.0257 DATE ISSUED ~ CONTRACTOR -1).2.. ~ I i~. PHo"N~ .,-~.,." 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 , FOOTING I FOUNDATION (Prior to Backfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS . " SEWER I WATER I SEPTIC I /IVY' FRAMING ..". Ie. Jl#?~ INSULATION """/C ~ ELECTRICAL PLUMBING {/, (d, IfI1 (PI/lor /Y~ ~// Y/c:'I HEATING (if required) $?- ~ /.JZ~6/ FIREPLACE , ;; ~ 6/24. '4 GAS LINE AIR TEST JI/..,}. f /If/; ~ t' ftt(/~ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS ?t, j.,h(./~I Jb4/"~ <fr~ r ft~ J GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUpy c >ee /f~;" /:?/.~ . 4U/ 7~"/~ I ~I' t!'y /JfJ1 ~/ ~/ CJtf ~ '7#~~t 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 This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 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: 04-0257 QIrrfifitafr of @ttupanql CITY OF PRIOR LAKE ~tparfmruf of ~uilMug JJusprdiou ~inal Permitted D Conditional c.o. Expire~_ I Use Classification STNGLE FAMTT.Y Bldg. Permit No. Occupancy Type R 1 Type Construction VN L2 Rl DEERFIELD 11TH Zoning District Legal Description R~ Owner of Buildin~ Site Address 174:'3 DEERFTELD DRIVE S. E. Contractor's Name & Address n.R _ HOR~ KFNi\RTDr..F. RORFR'T' D. - FU'1'rJ.H Nc./??/ ;L- CIty Planner 9~p;nq"ffiCial , , n()1..1 "RVR ~'1'.. SlTT'1'E 1 nn _ T.AKEVTLLE 55044 Date: Date: '\, DATE ?//k /7'1.,23 Aer4.// ,tJ~'- CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~AL o SITE INSPECTION COMtJlJiNTS;-. . /:/~Pt~<<-( SCHEDULED CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL rECH FINAL nilE o <V - ..2S'? o EXlGRAD/FILLlNG o COMPLAINT o FIREPLACE RI ..,.A!f1'iREPLACE FINAL o GASLINE AIR TST o ~ /" I 0/lq I cfo~ .--"'""' /7,.<//<,~< , ~/""'. /" /P'{.e C.h . Inspector: --- ~h.-z.1 / / ?//I" /oif of /'.:;:C~// 4'c ,,---. / r; '/tc:; I &r{ '> ) ~ ------- /' .-./ ./1./ ( L..-ZOS~ ~ /-e- \. L.' ---- ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING ~ Owner/Contr: - CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4< SAFETY! "'SNOn CITY OF PRIOR LAKE __ %"L INSPECTION NOTICE SCHEDULED '9~t19"" TIME ADDRESS /7</Y.> vee/I)'c/d d- 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 ~LUMBING FINAL o MECH FINAL COMMENTS: /' / ~""'''''.Al4'"~p- k ~T ~</ - .-1?S7 o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o d- ~ /' / ~/ ~, / (i J /t'..e e d (9-rS~ /l <; ;;b ---/ 1/' g /y~~rt/ ~rv /~sh//t':d- (i7 //~bI -Px.~YeS /' _C %uC/C /.f:.n //~~ .J (~/. f~ , (~ ...h, /' /;/1<:;/ o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL F REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. """"" CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/