HomeMy WebLinkAboutBuilding Permit 04-0259
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
:3 / ;;rS'~of
See Main File
(Please ~ or urint and sign at bottom)
ADDRESS
1142l~dd.DrilJe~
; ":i~~' ~::y , PERMIT NO. 0 A - , D " cCf I
3. Yellow Applicant "r" VJ I
Z~N~ffi"U") I
LEGAL DESCRIPTION (office use only)
LOT 1 BLOCK ADDITION~'(",[d
l[ib
pm,:> 5' (j07- OOL/-J
OWNER
(Name)
(Phone)
(Address)
~~~1<...~~::rn~.
I
(Phon[QS:iY185-1833
(Phon:{9S~~{,- /83L
(Contact Name)
(Address)
TYPE OF WORK
~ew Construction
DDeck
Dporch
ORe-Roofing
ORe-Siding
Plumbing Permit Fee
\ Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
o Fireplace DAddition DAlteration OUtility Connection
PROJECTCOSTiVALUE (excluding land) $ / :z..,/.1..o5f.p
I
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
~rtyt~er~~:ons d.C1::i::€k51 .3/"'" /" j
J 0 Signature Contractor's License No. ~
Permit Valuation .Ef/4/. O()().'iJO I I Park Support Fee # $
$ /~9'1.sol SAC # $
~
$ 0''14, tn8' I WaterMeter("'Si:re5/~ I"; $
$ 70, ~ 0 I I Pressure Reducer $
$ I I City SAC and WAC # $
$ IO(),D~ I I Water Tower Fee # $
$ IlJ 0, 0 1I I I Builder's Deposit $
$ ,~.s;-o I I Other $
$ 40, CJo I I TOTAL DUE
DLower Level Finish
o Misc.
\ '1S.~.
~~
(L-'3
-
Permit Fee
/350,{J0
Z50.00
t/!;.OO
/ZOO.OO
700,00
Plan Check Fee
State Surcharge
Penalty
$ 117. 03SJ e
This Application Becomes Your Building Permit When Approved
~ ~ #3~r
Building Official D~te
Paid
Date
"off. /f
,. fr.",,,
Receipt !:IIo. "7'iIt' ~ r-
By /L---.
C
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
~~p~eD:o<ary Certifio~O;~ffi;" md illow, oonSeeOffil\lfiiiii'FileOfOo,"pan'Y ffim'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
~1
See Main File
White - BuildinL
n ;an'!rv - Enqineer~
~rnk - Planning
Tho: ('tnt... nr tho: L."', ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:. , ,.
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I ~ .t.7 .:/-- ,r (,f_~. .,,~,.:.f::::-"~l--<-(,;~-f:c ':..~~-
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Comments:
M45
5a....- !Y1C,IV,
Date:
LJ-s--o~
,
hie- .
See--Main We
"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
l'"1vnn:e - tilJllam(L.)
Canary - Engineering
Pink - Planning
lh~ ('rnlrr of the I..lr.t ("ounll)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I Q 1Z tIo-vt~
.3 - d-.S"-()4
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which isroposed at: .
I r; 'IJ--/l-
Accepted
/
Accepted With Corrections
Denied
~~
Date:
~/fc'5j,t/
'/ I .
Reviewed By:
Comments:
See-MaiJt 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 - Enaineering
~ - Planni~
,
rh.. ('..nil" of Ih..l..k.. ('ollnlC)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
I
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,
/.
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''---
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .
... ~) /" ./
I /11/ ' /f - t./' (/(
, . "-..
~
Accepted
V'
Accepted With Corrections
Denied ~
~~
Date: {1I3'~ cf
Reviewed By:
Comments:
-' -- - ~--
See Main l1'ile
"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 CONDITIONlNGIFIREPLACE PERMIT
#11L(L(
Date Rec'd
(Please ~.or mint and sUm. at bottom)
, ADDRESS
; ~ ~:~ I PERMIT NOOl./_ ....Jot1
3_ Yellow Apphcant _<<~ ..,
/71..( /)17
Deer Geld
ZONING (oliiceu..)
L(i,
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
AJ)!)lTION
pm
~=R D.-g. l~rfon
(phone)
(Address)
~~~~ANT A/low'! /'v1.e ~, ~C.
(Address) a;o5; /~v>!"..bf'1'_ J)r.
(Address)
(Contact Person) AV'tll(l - ~(AcJ. /
APPLICANT SIGNATURE ~ ./ r - 2/
fUO/JVl
'-'
(phone) ljS/- 45;l, - ';;1'75
fI/I.lJ S 5/.;LcL
(City) (Zip Cbde)
(Phone) IRjl-"I~J-:L11s X:UL
4/6/09"
DATE
~
APPLICANT PLEASE COMPLEl'EBELOW
~WC()NSTRUCTION 0 REPLACEMENT OALTERATI<;JNS.,
FURNACE MAKE AND MODELh,IC."T FUEL
--;:b-'
FLUE SIZE , .<) II RETURN OPENINGS INPUT fN. 000 OUTPUT
TYP~Ol"SjSTEM HEATING OR POWER PLANT
OViar11tAitBlants 0 Steam
~~Iity 0 Hot Water
~6oWjf~ning B ~:j~o:;evices
Dyent. Syst"" 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Y oed
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, CommerciaL:& Multi.I:amily
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 (NewConstnlction)
$39.50
$39.50
Estimated Cost $ 5500,00
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
,'~l1n[) &!/Vin
~ (rill,',! J - -~ _ _ 1'1
,--, ,., "" iVi lj if'J
.,~. '" '!l~""~
'~o'''\C) __.~
~~\;~
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
, IPaid
'L~~D 1 J; ?/)QJl
-. Receipt No.
24 hour notice ror all inspections (952) 441:9850, rax (952) 447-4245
By Cj
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
; ~:,:, ~::y I PERMIT NO. I~~ ... ~Cil
). Yellow Applicant 61T' ~ I
(Please type or 'Print and siJro at bottom)
ADDRESS
ZONING (offi" use)
17427 DEERFIELD DRIVE S.E.
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
pm
OWNER
(Name DR HORTON
(Phone)
(Address)
APPLICANT
(Namel AUJRD FTRRSTDR DBA FT'RFSTDR HEARTH &. HOME
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW A VENTTP
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
6/14/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA nONS
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
D Steam
D Hot Water
D Radiation
o 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 & MultiwFarnily
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential. AC Only
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
$39.50
$39.50
,,\'f!:~ r:.:f,(
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Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
(Office Use Only)
This Application Becomes Your Building Permit When Approved
\~ i ~itlD \1 iJ Ii] ~ 1\' Receipt No.
Jt~N 1 5 2004 ~ By (t,
()
Building; Official
Date
24 hour notice for all inspections (952) 44i .9850, fax (952) 447-4245
l8y-
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS I r'J 'f Z. .., oecl(F"i~ "D(2.~"~,€"
NATURE OF WORK ~u.J Cll ~'S'r "\A.c.Tio~
USE OF BUILDING SO. r:;" . .
PERMIT NO. 04, OZ$'l _ DATE ISSUED ~..,
CONTRACTOR ---DJ2. ~/)&V ItJC.. PHONE~"Z2b-"~
NOTE: THIS IS NOT A PERMIT FO~ ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main F
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTil ABOVE HAS BEEN SIGNED
ROUGH - INS
1M
H/~
/dd
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
I PLUMBING / l c:, JIt! tJ/;Jr lit!! t!/J Ie> Y
, HEATING (if required) ~~ 6/Z~." .
FIREPLACE ~ ~ 6.,.h
. GAS liNE AIR TEST~4.1'f'IJ ~ ~/. 'a.f
COVER NO WORK UNTil ABOVE HAS BEEN SIGNED
I I
FINALS
-~
S~e /ffif;r..
'##
#fJJ
. d4"
, -
UNTIL ABOVE HAS
NOTICE
l.1 r J/2--tJl1
~/2.f7o/
t5hq,4y
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
&
~~;Jc/
g~/~~
cY/6/o'l
V/t'~~
BEEN SIGNED
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
_ ~____W."_"_. ___~.._."__"_' __.~~_.__._._.__"._ __...._____.._.__.__
QIrrfifirztfr of <IDrrnpantl!
CITY OF PRIOR LAKE
@.tpnrftutnf of ~uilbiug JIusptdiou
~inal Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section]] 0 of the n Residential / D International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances afthe City of Prior Lake regulating building construction or use. For the following:
SINGLE FAMILY 04-0759
Use Classification _ Bldg. Permit No.
Occupancy Type
R3
VN
~ Zoning Di~trict
R2
Legal Description
~ Type Construction_
L4, BI, DEERFIELD 11TH
Owner of Building
D.R. HORTON, 20860 KENBRIDGE CT., SUITE 100, LAKEVILLE
Contractor's Name & Address _ ~'
</
ROBERT D. HUTCHINS F C'. 1
. /1 .~P~~
.~1~7cial '
Site Address
17427 DEERFTELD DRIVE S.E.
DON RYE
Date:
Date:
DATE TillE
CITY OF PRIOR LAKE .L /. /
INSPECTION NOTICE SCHEDULED ~/~/""Y
ADDRESS /">1,/.2 7 .t? c e /' -I!c ( d p;/r
OWNER CONTR.
PHONE NO,
PERMIT NO. oc./ -2\--9
,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~CH FINAL
CO'Nl.ENT~ ' ,... . "
A'I-<</r-.i-..../ h~4/ rf,.AL
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#/ -<."C.h . r-':--~ / OCc.
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Of:
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o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
....a1'IREPLACE FINAL
o GASLlNE AIR TST
o
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/
--
-
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector:
~
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_
1-=
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <l SAFETY/
DATE TIME
CITY OF PRIOR LAKE ~ / L,'/
INSPECTION NOTICE SCHEDULED ,f/~/C3.Y
ADDRESS /77-? 7 Per-olle!! ,dr
OWNER CONTR.
PHONE NO,
PERMIT NO.
o.y - Z-5/"
o FOOTING
o FOUNOATION
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
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMp,~ / ' / /
/~ p.r~H- :/--f'rST- Oc
(j) ~~,/ Cd~' 0~5.6~ )
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(2) A4e/ p#'~C/ ,,;'s-h/~/
----
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(f)
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~h/J~ /L/q~r/:/:~lf)_
/V;ed {Jc;~r ~z'7?r
,
o WORK SATISFACTORY, PROCEEO
..tf10RRECT ACTION AND PROCEED
/6- CORRECT WORK,/../" ;?EINSPECTION BEFORE COVERING
Inspector: /~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE-
1'" /~c
.(
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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