HomeMy WebLinkAboutBuilding Permit 04-0565
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main Filewhi~ 'Ho
Date Rec' d
~-/9-OL(
2. Pink City
J. Yellow Applicant
I PERMIT NO. 04-.05"&51
q>>lease !\Te or Print and sim at bottom)
ADDRESS
I 7~3SUu{;eid'DttLJe.,2:E
-_' LEGAL DESCRIPTION (office use only) I J I ( LP-
LOT 1 BLOCK I ADDITI~f.."tc ~
ZONING (office use)
{2~
'Pln;:;S--lfo1-0()1--~
OWNER
(Name)
(Phone)
(Address)
. BUI~IlR q:, I I -L
(Name 11, k.._<:t""'-lill.IDYI
(ContactName)~g~
(Address) ~)\ l I Y"hi~~~;jlf/ OD
TYPE OF WORK fiew Construction ODeck
(Phontq~ 989-7833/
(PhonJ'1sa )~.zL -/33$1
- -- ,
OPorch
ORe.Roofing
ORe.Siding
o Pireplace OAddition OAlteration
PROJECT COST/VALUE (excluding land) $ /2 /,
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 l"'~l"":"~j' and that all construction will conform to all existing state and loca11aws and will proceed in accordance with
submitted plans. I am aware ,that the building official can revoke this permit for just cause. F,Urthermore. I hereby agree that the city official or a ~ree may
.< .~te\uponthey,vyv"~::rrthe~;.ections .r9.('x)O;;:fn Si F;~/7 ,olf
~ Signature . Contractor's License'No. Dare
I PennitValuation /::J._'" ,{)O!> I ParkSupportFee # $ -~t-M-
I PennitFee $ LaDO.6'L> SAC # $ /35"0,01)1
I Plan CheckFee-l IJ fa.. ;:}~ Water Meter Size 5/8"; I"; $ .:?1St) ,oa I
I State Surcharge $ b:J, SO I Pressure Reducer $ i../e;",oO I
I Penalty $ I City SAC and WAC # $ 1\:J.t)O ,OtJ I
Plumbing Permit Fee $ /()/). () 0 I Water Tower Fee # $' ijt)tJ -cJO I
Mechanical Permit Fee $' //)/1,00 I Builder's Deposit $
$ '3- =- I Other $
5.=0
$ LlO.au I TOTAL DUE $.5,fj~B.7f1
/'
I Paid 5, r04'/d': IRe~'No. ~'~9.r
I Date & ' / <./. v <-/ F>>rl' ,
(/
OLower Level Finish
!.PS tUtili!'f Connection
o Misc.
es Your Building Permit When Approved
-
l-I/~4
Date
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
ity Planner constitutes a _"'y~'''''j Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
UJ.c(.ocfoare ~~~on~ File
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See Main File
White . Building
Cal)arv . Enqineering
C pinK . Planning~
Tht' ('..n't'r or lht' I..kf cou:r?'
BUILDING PERMIT APPLlCATIOr:..i DEPARTMENT CHECKLIST
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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:
, /"71/35 - l{~:'ZAj~ i LIA~
1/
Accepted Y
Accepted With Corrections
.\
Denied I)
Reviewed By: !J J 8)r
co]ents: J
v ~ . 111 ~ f/It..a '-"- ,k
Date:
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"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 juri~diction. 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
c::lVhite- Bui~
~ary . I:ngmeermg
Pink - Planning
Th..C..nlnof lh.. L.h(.'ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
IQR~
!)- (q-O<j
The Building, Engineering, and Planning Departments .have reviewed the building permit
application for construction activity which is roposed at:
/ /j'-J 35 ~
> jrb,,)
Accepted X
Accepted With Corrections
Denied I) J Iil ~
Reviewed By: ~ /'r-
:;rr .AL t't1a-j"h
Date: t,-l/ -0 C(
"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."
~'l. O,PR/Ofi> <'7.
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~ BUil~lng
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BUilDING PERMIT APPLICATION DEPARTMENT CHECKUSI
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:
/'/'/35 - (J'L~;1~7 j ~)
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Comments:
fYJ9-~
5ft /J1..;J;I,
Date:
-b-R-OL/
f,-((
"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,25,2004 9:40AM
GENZ RVAN PLUMBING AND HEATING
CITY .OF PRIOR LAKE
SEWER AND WATER PERMIT
No.8581 P, 10/13
Date Rec:'d
q'lease.!\'1l! otflllllr and _at 00=)
APDRESS ()
17 L/ ;S- he-e~ -A € (AI 1) v2
;. ~~. I PERl\fiT NO. II. SI-.':
1. Gold AppliOlllt Y".
ZONING (9-....)
(;;.
LEGAL DESCRIPTION (olIice use only)
LOT'1BLOCK I ADDITION iJ,eQv2jH~ (d (/-rv,
PID
OWNER
(Name) );IE lInt~":'. r.._~__. u'>la<':
(Address)
2of./.'lQ ~l?>K\t:6e. Or Sr7JI\r\
(Address) -
(Phone) _ '162 -qZS- ~"
LaJ/..i),jllleJ~U
(CitY) CZl!> Co<L:)
Al'PLlCANr
(N~e) Genz-Ryan Plumbin~ & Heatin~
(phone)
651-423-1144
(Address) 14745 So Robert Trail
(Contact Person) , % rllffi _ &d {\ _
. "1CANT SIGNATURE ( '11W4 )
Rosemount. MN
(City)
55068
(Zip (;ado)
- (Phone)
':f11ld ^ DATE
651-423-1144
-C;-2S -01./: . _ _
',-.- -
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches,
Location of any couplings from structw:e
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
Residential sewer and water line CODl1ection $35,50 Industrial, Com'l & Multi-family l% of job cost With a $39.50 minimum
Sewer connection only $17..50 Waw. coDll"Ction only $17.50
Estimated CoSt $
Building Pennit II
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL.PERMIT FEli:
$
$
$
.50
'&
, I
fj-I
(Ollie< Us. O,lIy)
I This Application Becomes Your Building Permit When Approved
1..-.
Buitdin; Oll'idal
Date
1m ~ ~ ~ U ill ~ rriPINO
Trm jUN 1 5 20041 t
uu
~
14 bo..r notice for all in.pectioos ~S2) 447.98:S< bx (952) 447-4245
By
p, 11/13
1/,,,,, .t<.ec'd
I !lw. Fill:
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:J. Yd"- A~
I PE:RMIT NO. 1.1. ~ ,,~
~ <'(pC arm"lt _ oiJm "'boaDml
ADDRESS)14?h Ot~~h erd DJL ~b
LEGAL DESCRIPTION (office a:e 0JIly) d
. LOT 1 BLOCK 1 A.JJJi.UONfJ,el)2.h.f!.{,'
. ZONlNG (oIISa"uc:)
IHM
PID
OWNER
(Name) DR Honon Custom HOlIl.es
APPUCANT
~~e)CQ~~ ~~~- ~1~~~_~ ~.~-Z
(Address) 14745 So Robert 'trail
fY III (Addres)_
(Contact P=on) J;jilJt/l ~
J
(.Adr!n::ss)
2.o'SLvD K.el<1P,~1 D6e.. Cr -Sre. IDO
Rosemount
(City)
IC _ (phone)
/. ) M f.1//"'
.....
APPl.lCANT SIGNATURE
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QUll/ltity
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<Phone)
CfP,?. q)? I'; -i8lx)
iAuvd/c:. KAN E~Ljt.J
<Phone) '" 1 _h.? ~_, 1 J./,.
MN
55068
(Zip Code)
651-423-1144 ~
t;; - L) iJL../
DATE
APPLICANT PLEASE COMPLETE BELOW
I Type of:Fi:J:ture
Bath Tub with or without shower
I Dishwasher
I Floor Drain
i Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 oompartment sink
I Shower Stall
Sinks
I Bar Sink
I Water Closet (T oiJet)
I
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I
I
Quantity
07
?,
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:FEE S.....tluJULE
Industnat, Commetclal & MuI11-f'"ll1y 1% afjob eost with. $39.50 minimum
Estimated Cost S
Building Permit #
PLUlYfBING PERlvlIT FEE S
STATE SURCHARGE S
TOTAL PERMIT:FEE S
(Oftj.. U.e Only)
I This Application Becomes Your Building Permit When Approved
I Type of Fixture
I RoUgh- ins
I Water Heater
I Watet SoflI1er
Stand Pipe (Wasbing Machine)
I Sewage Ejector
I BackfIow Assembly
I BackfIow Assembly Test
I Lawn Sprinkler
Other
I
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Rcoidcntlal, Now One & Two-F'1l1l1y $99 SO
Residential, Additions &. AJ1l:rations $39.50
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,~ @ ~ 0 illY;-oeiptNo,
rOJUN 1 5 2004 )y
lluilding Ollld.l
Dat.
I
1%
24 hour nollee ror aUln'pectloll. (952) 447.9 SO, fa> (952) 447-4,245
By.
. '. . ..'. ,.."... . qTYOF PRIORLA:KE.'.,., '. .' . C)!r#18''/S
HE.A;Jj'~G/AIR CONDlTIONlNGmmEPLACE PERMIT '
D~te liec'd
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.' '!14Jj))~'~ifje(d Dr. S E.
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AppllClnt ,,", ',' " 7~ ~~.~I:' ,
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. ALLlANT MECHANICAL INC
;; . 3650 KENNEBEC DR
:,.t."".,;' EAGAN, MN 55122
.;IE..ltr(0"t'l~d~i~1l~~=~~ .
<. ,.,.:~ -: ':.: ".-.-..-, ,', '. , '. ,:.":"\: :,", ";;::}.\\,.">.':..,,':" .', ..',",
, '", :~; ~ :.~:,:<g~:::::\~.;,-: :.X" :' .::}:-:,:~-.: _. .r :~;?'.~:(-r:::;:,J\;.:::~:i\~~>:
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.' . ", '.. ""'-"-_-""^~"A\;'_:_';,",,,:" .-i ~ '
..Cl~" DR HORTON
. "A~}~~tf7- 20860 KENBRIDGE CT
:/ ,," LAKEVILLE, MN 55044
"
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. .... Indusni~~c~=~r~i~1~4~~~t~1~:" .
ROsidential, lIeating ~ ~G.QfeW;<;;9!'8lnlction)
. Resid~tial. Heioiiilg 0IlIYQ'f~F~~~on)
.'}-"- ,x." ~;:~>-.':
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-~ _ < . - , 1: \ - ~ ;' ,
FEE SCHED'{);L.)i:'<,.~... '
1% of job. ~st~i~~~af,<{":sF~lllCO ....
$39.5O'mmmlUm . , """".,
$99.50' Re.idbtiaJ;i\dditions & AltCraiioru. ' .
$64.50' ROsidenii.u;~c~ly .
. '".,.- ..
s39.SIl'
,$39.sO
~9.s0 .
-"":_"',::';,',
'Estimated Cost $ Buildirig I'ermit #
HEA'IlNGPERMiTFEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
~P~nJ!\
';:Vi!.D~PiJ ,,~
.'G~~
":'.I.i~t~;rr
(Omet Use Only)
This Application Becomes Your Building Permit When Approved
Building OtIidal
-W~ ~ lE U Wl!~'celPtNO'
. LThie ~
Date I III/ JUl 7 2004 I' a.---
24 hour notice for all inspeetions (952) 447'9in (952) 4474245 L.l1 U . ,
Page 1 of2
Lynda Allen
From: Christa Wegwart [WegwartC@hearthnhome,com]
Sent: Friday, July 23, 2004 4: 18 PM
To: Lynda Allen
Subject: Prior Lake Permit
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CITY OF PRIOR LAKE "r D
HEATING/AIR CONDITIONING/FIREPLi EJUl 262004 .':.)
PERMIT
By
P!e.!5e ~ or pint and sip at bottom)
ADDRESS
). Pink
2."'=
3. Yellow
Applicant
~- .M!"
File I 'W
C;ty PERMIT O.
17435 DEERFIELD DRIVE SE
I ZONlNG(officeuse)
LEGAL DESCRIPTION (office use ooly)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) DR HORTON
(phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
2561
(phone)
651-633=
(Address)
AVENUE
2700 NORTH FAIRVIEW
ROSEVrr T P
(Address)
55113_
Code)
(City)
(Zip
(Contact Person)
2561
APPLICANT SIGNATURE
04
BRENDA HUSTON
(Phone) _651-633.
BRFNDA HUSTON
DATE
7-23.
APPLICANT PLEASE COMPLETE BELOW
X NEW CONSTRUCTION REPLACEMENT ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT
OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
Wann Air Plants
Gravity
Mechanical
Air Conditioning
Ven!. System
Steam
Hot Water
Radiation
Special Devices
Other Devices
PLEASE NO~
Air Conditione
Cannot Encroa
Required Side
Setbacks
7/26/2004
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF ~t-~fi ~ile
'BUILDING AND INSPECTION
SITE ADDRESS 1/'-13'\ Oeu-k-eU. \f")......
NATURE OF WORK (IJ~.-
USE OF BUILDING SFA
PERMIT NO. 04-. 05G S- DATE ISSUED (; -l..{ 'Of') W
CONTRACTOR 1')J2.. ~^ PHONE ~.;l("~I~<,q
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE ,
I FOOTING /$7 V4.,y
I FOUNDATION (Prior to Backfill) I ~ I /-.;;:::(7
1 . .
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC ~ ~'fi</
FRAMING I I $I%- g-1/7 ft~
INSULATION ,t ~ $ tf/,;Jo/4rf 4~,fJ-/I f /oy
ELECTRICAL _ . . . r/. /.1# <I
PLUMBING I./fG H4 /'/":;-7/0./ W~ t1/3/~t/.
HEATING (If required) , . ~ %//1'/6~
flREPLACE .r ' ,1 ~ tfld/"ij'
r G~S LINE AIR TEST /Kt(~'k f t f'. J'1t{f,j1; 7,/0'1
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I I
.,4.-,- ~v,,/ u...l)/. ,'sA.!'! FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
,\~e ~ ~-
~ /-2/0/0/
7/.5~;~
?/~.J/o/
.a/~..4y
., .
UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted neer an electrical service cabinet prior to rough-In inspections
and maintained until all Inspections have baan approved. On buildings and additions
where no service cabinet Is avellable, card shen be placed near main entrance.
,
~.
~
FOR ALL INSPECTIONS (952) 447-9850
~
-..-'.
~Ierfifiraf~ of Q!}rrnpanrv
CITY OF PRIOR LAKE
~tpartmtuf of ~uilMug Jfusptdiou
IFinal Pennitted 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 04-0565
Use Classification Bldg. Permit Nn
R3 VN R2
Occupancy 'JYpe
Type Construction
L7, B1, DEERFIELD 11TH
Zoning District
Legal Description
17435 DEERFIELD DRIVE S.E.
Site Address
D.R. HORTON, 20860 KZNBRIDGE COURT. SUITE 100, LAKEVILLE 55
Contractor's Name & Address ~#
ROBERT D. HUTCHINS DON RYE
_ City Plannt'r
Dare: ,qd~~cial
Owner of Building
Date:
.,.~,
t..~.
DATE nile
CITY OF PRIOR LAKE . ~ /- /.
INSPECTION NOTICE SCHEDULED /-#hI'Ot.,/
ADDRESS / /~.JS- jke;-/!e)j I/~
OWNER
CONTR.
PHONE NO,
PERMIT NO.
CJr-SbS-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
A!I'1iECH RNAL
o EXIGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
..e-AREPLACE FINAL
o GASLlNE AIR TST
o
COM~NT.s: , __ " /
~~0.1 ~4v( rto~
MeilkL~ nhC'zo-(" a~. /
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/2ec.t'..lv~cL Or..f'dr 7-t"<ST
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A ~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~~~~.~C~~OR REINS::::FORE COVERING
CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
f1t$/fOfI
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TlIIE
SCHEDULED ~~~
,(2pyl1~ if 4-
ADDRESS /7~?"
OWNER
................
PHONE NO,
PERMIT NO.
t"J </ -, s-r-; ,,-
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
..-'I"l'tUMBING FINAL
o MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
- ,.
_~kO~"t:...-:-h--__ r~J
.-?
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./
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ere
,("ii A~."t:{ /.//"r ~/~ oz.. 7'#
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@ {/:'ed ~/C-/ Jp6~/kc/
lZ /<<~~,., ~:M'/ ~~r ck~1
"-" ~"'k. .:!Jt?r ~ck ord~,.- '/
~ .I ./ ~,,.4. ./ /!, /i
C:~~~/C (tY /VVr/c;~f,(7 hk~1
o WORK SATISFACTORY, PROCEED ~ C
~ CORRECT ACTION AND PROCEED
o CORRECT WOR~.:i~:L ? REINSPECTION BEFORE COVERING
Inspector. /~ Owner/Conlr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 2A HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
,"""'"
.
APPUANCE
PERFORMANCE TEST
Attach to gas lina edi8cent to regulator
Heating c_,.~.":_,;iIJ~d18#'
NameofTester ~d...,A'
Date ~~
Percent Co.
Stack Temp
Combustion air is adequately supplied per
UMC See, 606
JobAddress //It/Z pq/):-d,/
HeatingC~ ..h'~.....~
Name of Tester ~~8
Date9~pkY
Percenl02 7,". ~
Percent co ~
""Jj ~
171 7"
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input
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