HomeMy WebLinkAboutBuilding Permit 04-0478
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
Date Rec'd
S, 4-. () 4--
; ~i~:: ~::y I PERMIT NO. 04-, () 47~
3. Yellow Applicant .. T/
f?lease ~ or nrint and si2D. at bottom)
ADDRESS
11 ~3z.J ~K~tcil)f'I\ >e" ~S
LEGAL DESCRIPTION (office use only)
LOT 1 BLOCK L ADDI~--eJd //+v....
OWNER
(Name)
~-...
(Address)
BUlL~c:::;-, I \,_'), ~
(Namp\ -L>. ,,-, f"'\C5mYY):.J...)-lC-.
(Contact Name)-:j Y'L+z:..~_~
(Address)
'!'-~
TYPE OF WORK
~" ~o Mise U, t.f. L.
)S..!iew Construction
DLower Level Finish
eaJJ".:z
(Phone)
I ZONING (office use)
{t:..Z-
PID2.5.-f07.030.0
(Phone) (Is~) 9~ C:;;-7833
(Phone){1~J3?'L
,/
oDeck
oPorch
ORe-Roofing
ORe-Siding
o Pireplace oAddition oAlteration oUtility Connection
PROJECTCOST/VALUE (excluding land) $ 1/3) Lo5(,
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 ",.",..~.~J and that all construction will conform to all existing state and loca11aws and will proceed in accordance with
submined plans. I am aware that the building official can revoke this pemtit fot just cause. Futthermore, I hereby agree that the city official or a de7i ee may
enter the property to p':erfonn 9~efed inspections. . . / .
X I tM ~~.V ~(P;::;I Lf-lD-OL
Q Signature . Contractor's License No. Date
I Permit Valuation
I Pennit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Pennit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Pennit Fee
$
1$
1$
$
$
$
$
$
/ L.J I. 000, Ot:J I
I.;).. ~q _ 5"'lll
3''14, faL
70, rs;.o
100.00
IDo.oo
~S'a
qo.:. 80
This Application Becomes Your Building Permit When Approved
~ ~ nfz/.fo'-(
Building Official Date
I Park Support Fee
I SAC _
I Water Meter ~ize5/!l;./1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
/'
I. {)Jr.IJ
c-..:.-rd P-'
#
#
#
#
$ ...
$
$
$
$
$
$
$
. $ ~_ ()j.r./r"
-
ISSc. O'U
"2-$ o. {J a
LIS. 0 0
/ z..oc>, 00
700.00
I Receip'.No. ~f,~.s
Bv'/ _
t
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
~annin~ 5/z/~t( S~~IDc~n~!~ File
24 bour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Cteek Avenue Prior Lake, MN 55372
~-...
~
_..-
~ ,,,",,
-
Tllr ('rnlnnflhr L.'kr('oun,lry
.
See Main File
White - Building
~ - "n')in~~~
~k - ~I!l,nn
BUILDING PERMIT APPLICATION DEPARTMENT CHECKUSI
NAME OF APPLICANT
n. Je . t-to tl-TD tJ
S .4-.04-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
)74-.54-- DEBt-H CL-.LJ DIL.
............--
Accepted
,
.
Denied
i
Reviewed By:
i Comments:
,
',t'
-
.f
""
.
./
-~
Accepted With Corrections
~'~
Date:
O/?..I )(J <./
"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."
",
Th~ ('~nl~r of lh~ t.kf COUnl1')'
White . 8ulldinQ
C=:-Canary . Engineer,"q--..,
r,"1< . ..,al1l'1lng -
aUILDING PERMlI..APPLlCATlON DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;-> i2 . H-o lUlU tV
5.4-.04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
)74~4- Drn(~?-'16LDDI2,
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Comments:
~
Date:
, $'- 20 .- () ~
,s".... .t714/""
F,'u
"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
.......-aI1h';t.. - BuildinCi:>
Canary - Engineering
Pink . Planning
Thr ern!r. of Ihr L.kt' ('oUnll'l
WILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1). f2-. ~tvtl)tJ
5.4-.04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Dt::-tl~ 6LO
Accepted
)74-:5 4-
/
Dtl.-.
Accepted With Corrections
Denied
Reviewed By:
~
(
~.jJ~
Date:
6/zllat/
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."
MaY.10, 2004 11 :32AM GENZ RVAN PLUMBING AND HEATING No.5609
€~~ CITY OF PRIOR LAKE PLUMBING l'ERMIT
_~ .:~;:;:..,.~1'(~lre50-<'''
~~i\i){i~~'
~~~~
P. 7/9
........" .<(ec'd
(Pkue t'Y'De or nriDt a:o.d sian at bottom)
.A.DDRESS
/1.L!.~4 W//J?);eU D12 SE
~= ~ I PERMIT NO"'I.I ~~
:'_Yelp~iClItIt ~...,~
I ZONING(oftkcurc)
LEGAL DESCRIPTION (oma: "'" only)
LOT 1 BLOCK ;;< ADDmON jlu,iff/fJlf'l I!-/t-v
PID
OWNER
(Na."'p\' DR Horton Custom Homes _ (phone)
q&;2-Q'j{ii-7'Bl!D
(AlUUess)
2O~o l(eV1BltlD6e.. CT Sre. 100
l..QluvilJe. MN 56bLJ l./
APPLICANT
(Name)...t;:.:..-.:.;,~_?r~h'\ 1)1tt~"":.:x.; t. ~-.::....:.-,:;
(phone) ....&5b1.? ~_ 1 1 V'
(Address) 14745 So Robert Trail
Rosemount
MN
55068
(Zip Code)
'"'..
(Address)
Q0r/rH {;:/(f
(l,( A I f!f] -:::Iq/A .:
(City)
(Contact PeTSOn)
(phone)
651-4i3-,l144
DArB J<)-\//J-1J4
APPLICANT SIGNA11JRE
APPLICANT PLEASE COMPLETE BELOW
I Quantity I Type of FUture I Quantity I Type of Fixtllre I
I ;;< Bath Tub with or without shower I Rough-ins I
I } I Dishwashex- I I I WaterHeater I
I { I Floor Drain I I<d- - I Wat:er Softnex- I
I .q..a . 1 Lavatory (Bathroom Sink) r I Stand Pipe (Washing Machine) I
I I Laundry Tray (1 Of 2 compartment sink I I Sewage Ejector I
I c.< I Showex- Stall I I Backflow Assembly I
) I Sinks I I Backflow Assembly Test I
I I Bar Sink I ,. Lawn Sprinkler I
I ,~ Water Closet (Toilet~ I Other I
FEE SCBEDlJL:E
Industn.!, Commercial at Multl-fllIlllly 1 % of job eost witb. $39.50 minimum
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
Residennal. New On. & 'lWo-F&mIly $99.50
~dentiaJ. Additions at Altemions $39.50
Building Permit # ~j. ~'-
'~-7. ., ".'
, all
.;:<.'.'<r:
',j' (-..?., J'
/;\ ~ <~' '\
\>,<-~.;.'
,,'\
F;J'~~~,
.50
Estim.ted Cost $
(Olliec Un Only)
I This Application Becomes Your Building Permit When Approved
B1liIdiog omciaJ
'~I[m ~ Q IJ] ~ -.\' RecelptNo.
D, baie 11 By
D... I MAY , 6 ?nn4 J
24 hOQ' nntice for .11 in.pectioIU (952) 44 - loSO, &x (952) 4474245
By
,
eL-
f)
May,10, 2004 1 1:31AM
GENZ RVAN PLUMBING AND HEATING
CITY OF PlUOR LAKE
SEWER AND WATER PERMIT
No,5609 P, 6/9
Date Rec'd
"'WZ1 PR~,10+~
~ ; ;.:
c.l I' /II
.'''''''~ .
"";~,..~l",,,c
~",,~1...~ ...
. ~~ IrNJ!.S01.
; ~ ~ I PERMITNO"'~.I. IJ-~
3. Gold ,4.ppUcael c..J.,. ..., ~ , ~
1!1-~ ot)llillI OIldSll!llubotlOlD)
ADDRESS / 1434 /'v fJ JP-h'~/~ /JRjJG
I ZONJNG (Q/&<:e-> I
LEGAL PESCRJPTION (olliee use ollly)
LOT 7 BLOCK 6< ADDITION lv/J2:I1Je/IlJ ! I-fh.
Pill
OWNER
(Name) ~-:':":'~":':"::'. ':'","-:--f--;a l1~llg'::,
(Address)
2o'&nO !<ev1iOiQU::;:e. Cr s."..JN'\
(Md=)
(Phon<:) _ Cf52. -Q8S- -/I? f\.I\
La.u~llIe... .~U
(CIty) (Z'" CodJ::)
APPLICANI'
(N~<:) Genz-Ryan PlumbinR & ijeating
~hone) 651-423-1144
(Address) 14745 So Robert Trail Roselllount, MN 55068
(Address) (el'1) (Zip Code)
(ContaCt Person). fJh /2t\Jti ;f:; I ( r ~hone) 651-423-1144
'UCANI'SIGNATURE j/1LI~ ~~~..: !:.lATE ':'51__ -rx,/
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of sewer line feet
Clean out (if required) located at _ feet from structure.
feet.
o Cast Iron
FEE SCHEDULE
Residenl1al sewer and water line connection $35.50 lndus1rial. Com'! &. Multl-famlly 1% of job cost with a $39.50 minimllD1
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost S
Bu.ilding Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERIDT FEE
$
$
$
.50
~'
. ^ ",.,,\
' ~.,~~ '~h
"'\ 0'>.
''-VI
,.'.!'~ I
)"'c;.~
(~.:J . ,,::,.
/"i2\ 0:.-/
'~"'"
H~.. 0:/
" ':)\"'\
(Oflicc tI,. Only)
I This Application Becomes Your Building PerDlJ:t Wben Approved I. Paid @ ~ Q; mtCeiPt No.
BuildilliOOlcjaj Da.. L ~ =111'
L_ MAY Z IIlUU4 L
24 bour nom. for .UlbspeetiQnS (952) 447-9 fax (952) 44'14245 .J
'i:-:\
a-
7)
BV
{;u t; OF PRIOR LAKE ~1/!g:L1
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
I!'Iease~or:Drintand!im atboUmill
i11J34~~r(]~ (df>r. S. E.
i~ E_IPERMITNO'OL{-l/'~
ZONING (01&:0 use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
OWNER
(Name)
I (i(\ddtess)
(phone)
. .i$~bl~Ai\~ nt.
cNMne) a.. ..MpdA
(Address) 3 65"'0 /(p 1/ t1 e.. b ~ c_ QI -
::;;;;.:.,~'(~ql-5 ::
/'
(Phone) 6,( I
~~qql'\
I (city)
(phone)
DATE
<tn- ~77.r
~ .s1.{J ;J
(Zip Code)
APPLICANT PLEASE COMPJ,.ETEBELOW
. Li.WEW CONSTRUCTION 0 REPLACEMENF DALTERAm;>Ns '
.=~~:~A~MO~E~~,;~;~~:l~~ ~~'~~OFUE~U::~() ()DO
'ITPEOF~1I'STBM HEATING OK POWER PLANT
~.rmAitP,Ia,;ts 0 Steam
OQillv!ty .,' 0 Hot Water
.2I1rfech""iCal' . 0 Radiation
J2VJ1 Cilnwtioning 0 Special Devices
g'i/ent. Sy~"", 0 Other Devices
.-_,.0,.';;..,...>'.,.'..:.::.'.',....,....'
FlREPLACE MAKE~:~QDEL
PLEASENQW: '.
Ah:~Cbnditiancii Units
C.umot En~ into
Required Sid~Yard
Setbl!cks
.....
;:,L,"_'::,_'_'::::_.:
Industrial. Commercial & Multi-Family
FEE SCHEDULE
1 % of job coSt Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential. Additions & Altetalions
$64.50 Residential. AC Only
$39.50
$39.50
$39.50
Residential, Heating & Ale Qlew Consltuction)
. Residential, Heating Only Qlew Construction)
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
"!~),y
Estimated Cost $ Building Pennit #
(Orne. Use Only)
This Application Becomes Your Building Permit When Approved
Buildiag Offtdal
Date
~ @ ~ U W ~ ' N ceiptNo.
1m" JUN 1 5 2004 rr .
?-
24 hour notie. for all inspection. (952) 447-98 ~yfax (952) 4474245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
q>re... ~ or urinr and sian at bottom!
ADDRESS
; =. ~:~ I PERMIT NO.ALAL_I
3. Yellow Applicant v-I""~ .UJ
17434 DEERFIELD DRIVE S.E.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(NaITP Oil HOIlTON
(Phone)
(Address)
APPLICANT
(Name)-AI,tHm "l1lFSII1R nRA Fl1lESIDE HEARTH & HOt.fR
(Phone)
l\'il-I\~~-2,'i1\1
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
'R.OSEVILLE
(City)
';';113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
. APPLICANT SIGNATURE
BRFN/)A HUSTON
.
DATE
7/19/04
APPLICANT PLEASE COMPLETE BELOW
XD.NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWann Ait Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o HotWaler
o Radiation
o Special Devices
o Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEATN GLO SL-750TR-D
Industrial, Commercial & Multi.Pamily
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 & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
,:;::~s; \;0jl{J1;
.50!2>n r;n ~.,r..~ ~"';:~N-"
.......~~~12U~ U-I..... ~~......J ~
(Office Use Only)
BuUdine Official
w~i0 ~ ~ ill ~ ~IReceiPtNo.
Date JlPat#lJl 2 2 2004 I U J By
24 hour notice for all inspeetions (952) 447 ~. fax (952) 447~
This Application Becomes Your Building Permit When Approved
DEPARTMENT OF -See Main File
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 1'14./3 4./ DE~E Lb /)/1.1 tie- s: G',
NATURE OF WORK tJe w I~~
USE OF BUILDING S.I::".A .
PERMIT NO. ()4-. 04-7~ D~TE ISSUED 6/2.1 {~" ,
CONTRACTOR lA..e.. f{~Il"'d AJ ,..#It: . PHONE'fI.SZ-~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
.
\
I FOOTING I I
If
I FOUNDATION (Prior to Backfill) J~ <~{/ ~~-' "1~~~
PLACE NO CONCRETE tfNTIL ABOVE HAS BEEN St"Gj,jED
ROUGH - INS
,
, SEWER I WATER I SEPTIC ~ tt/a-f8~
FRAMING m::Y- fY/ ...?/~T
INSULATION II1Af a:/ s7tJ1
ELECTRICAL, 74'1#r
PLUMBING Ut;: .aI ~/p;ty dL. Y4{~t:
HEATING (if required) ~. i-bAY!
FIREPLACE _ )(1)[~/.",6-/
GAS LINE AIR TEST d1aJl .;-f; /? d$ /J~V'
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I! A M I I
~,,.- L-.ev~/ h';,;r-Ael FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
-,.
h'/e /' .
7"/.2z~.OY ~
9-~S-LcY
9/~~Y
~ ?;Z2/oy
,
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an elec:trlcal 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.
.
~ #i~,1r
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/~ "
FOR ALL INSPECTIONS (952) 447-9850
I
I
.. '"
QI~rtifttaf~ of QJ)ttupantl!
CITY OF PRIOR LAKE
~tpadntlmf of ~nilMng J/nsptdion
final Permitted D Conditional C.O. Expires
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:
SINGLE FAMILY 04-0478
Use Classification
Bldg. Pennit No,
Occupancy Type
R3
VN
R2
Type Construction
Zoning District
Legal Description
L7. B2. DEERFIELD 11TH
Owner of Building Site Address
D.R. HORTON, 20860/KENBRIDGE
Contractor'sNam e&Address ~/--
ROBERT D. HUTCHINS
I City Planne.
r..d~yal
17434 DEERFIELD DRIVE S.E.
COURT, SUITE 100, LAKEVILLE
DON RYE
Date:
Date:
'.~ ~.'
,; .. ~.,' :. ~.\;,...,,-,' ,";'-.,-, ,.;;.;< ';',
"";,-,.-.,,~,,,,:..:;
".,,~:
DATE TlME
CITY OF PRIOR LAKE <:::t /" ..L
INSPECTION NOTICE SCHEDULED ~~
ADDRESS /7~j?, &era/cl ./%
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
[] FOUNDATION
o FRAMING
o INSULATION
~L
[] SITE INSPECTION
[] PLUMBING RI
[] MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
,...c1iECH FINAL
C'p~MEtJlTS: . ____ I
p~fr/i/Cq /;h-,..,e, / d~-
/- ;;.-<-/).t: ~e h-k4/
I. '"
~-ec4. A ;...,.,// O,/c.. .
hx t'?'.r:("q~ TL"'oT 76
~K
/~c,; / c;/
--- -
o~ - -Y'7tf'
[] EXIGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
,)'-FIREPLACE FINAL
[] GASUNE AIR TST
o
. / /.
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--
~A1e
~
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~
---~._.
----
r::../
IC/oSe
\
ft'WORKSATISFA~"" "~''''
[] CORRECT ACTION AND PROCEED
[] CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr.
~
CALL "7.99&0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL71l4 S,4FETYI
"
.
"\~
6t
be
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
.........- ~BM"'f'
Name of Tester
Date ,,~ilil'
JobAddress 171/.3'fiJ&rJj,{,/
Heating Contractor ~/b"7 ..I4r.H
Name of Tester ~ is>
~te ?~~hV
'7,~.1
,~
'7S'~
?J.,-A q?
Percent 02
Percent CO
Percent C02
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606
input
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