HomeMy WebLinkAboutBuilding Permit 04-0707
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
S ~~UTP.ITY,s;..qNNECTION PERMIT
ee IVlalD f1'de
cr1ease..!,VDe or orint and silUl at bottom)
ADDRESS
11~~3 ~'~u..Axlv~ Q;;
L White File
2_ Pink City
3. Yellow Applicant
LEGAL DESCRIPTION (office use only)
LOT 10 BLOCK I ADDITION 'lytAi,l/L.. 1/bV
OWNER
(Name)
(Address)
BUILD ERr- V'l J 1 A ..,- ,
(Name) I) J.( . TIb("1' ,,.{I .l..I\L.
(ContactName~' .fA ~+f~
<Address) 1-0 fRO I't<.~ J' e.cl-.SIe.IOD
. I~ NIl 'I . ~I!flf
TYPE OF WORK
J'tNew Constnlctioo
DLower Level Finish
o Misc. l.tG~t
(phone)
Date Rec' d
0-/~-lj
I PERMIT NO. O~. 07071
I ZON;~(Offic'use) I
PID -z. >.4-07 _ 0 ~D ~O
(Phone) q5,-,,~']Id32
(Phone) ~~-I~
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace DAddition DAlteration
PROJECT COST IV ALUE (excluding land) $ 1;).."7, r:;qr:;'"
Dutility Connection
I hereby certify that I have furnished information on this application which is to the best of my knowledge troe and correct. I also certify that I am the owner or
authorized agent for the above-mentioned Y....Y......J and that all construction will conform to all existing state and loca11aws and will proceed in accordance with
building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
lied' ctions. dtJoor::J($4 --1rfb#
Contractor's License No. - Date
;;~/. DOD,OO
$
$
$
$
S
S
S
$
Ike;9.SCJ I
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This Application Becomes Your Building Permit When Approved
-~~
Building Official
7.11 "! 0 'f
Date
I Park Support Fee
I SAC
I Water Mete\' Size 5/8'" I";
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
?
~O U ,1 Y
),]0_'''''''
# $
# $ IS5(J,tJO
$ 2.50.00
$ tf~()O
# S IZOo,oo
# S -7"0,00
$
$
$ . J
II /'Y ".!.r: 1'13
I ReceiiltNo. f::JJ n
Bv/!" .
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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-~~ Cm&'~;~DIDga:7C"Z";'; md ,"ow, 'onsttu~ :O:e"'c. l\e, B,,'~ n' oe:~, p nmer, , FiI;;ecupmer mu"b,
Planning Director -XU ~
./
24 hour notice for all Inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
/
~~
~ '41
See Main File
Th~ ('pnl.r of Ihp L.kr (.'ounl..,
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.Ill!1J..DING PERMIT APPLICATION DEPARTMENT CHECKL,IST
, >
NAME OF APPLICANT
D 12. _ HC/i..;rII J
(. . rer . ' 4-
(
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
\'1 4(P~ \)Cl li.~' lvI-I) 01'-_
Accepted
,/
Accepted With Corrections
Denied
~~~
Date:
7(10'1'
Reviewed By:
Comments:
~ K ~:_ V-an
See !.~~
r
"
.
"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
<::"'Whit"_ - ~.Yildi~
Canary - engineering
Pink - Planning
Th..("pnlr,of lhpI..h(."ounlry
BUILDIN(; PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D, rL. f-torzAZ) f0
~ . rr.;r-. f 4-
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
l/4--&~ 0oc~ Dt1-.
Accepted
,,/
Accepted With Corrections
Denied
Reviewed By: ~ :;~I--'
Date:
pd)-~ tf
Comments:
s~~ 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
Th, ('I!'Rln of '....I..kI'(.o.nll')'
White - Building
--ofi!. o..J~ 1/ .. - -'- - ~r:~'.:.'~:...- ~
Pink - Planning
BUILDING PERMIT APPLICATION DEfARTM~NT CH~CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
I; 4.' flu /LiT) I'..)
IF _ i -/ C 4-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
174-" J
C L-j C_( i eu:
UII .
,
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
~
Su /J'2.'/~
Date:
1-/- 01/
- .
Comments:
F','/p
"-
s
"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."
. .' ". . . ......... .. Ail 000
\ '. ........ 'qI{OFPRIO~~.'. ." -1' ." . ])ilteJ{ec'd
'mlf\::JI~~(AIR (JONDmONlNGIJ.l'lREPLACE PERMIT .
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'.l\;~'1":'... B1:.OQlK' ,\;"i:~t!mON
'.' oWNg:a DR HORTON
. .:WaiiilO\j 20860 KENBRlDGE CT
">;:~i;.~~:,S LAKEVILLE, MN 55044
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,....:,+.i!)..Fn~.{"!""g:.'ALLIAN . . .. -.i"',,;,?,.,:. ,.
, ",...,>:('.;i{:;}iiii,j{i..;,;". T MECHANICAL INC ~..'.'.'.'.'.'.'..'l:lII..'.,;.'.',:.'.~."..'.."..
" ~.':, ":'~": .-,;~ "', ':~':"~:~':':'i't~~:':;~i~t.~~~i~~:j~~?650 KENNEBEC DR '~
"(~"""';"i,,~,.,~EAGAN MN 55122X{f,\< '.'
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Resiqential. ~eating a,; A1fi:(N'~; !i,(onstruction)
. Residentl~. Hcatli1 OnW(1ili!W'.14oilSttilciion)
. g.. " .'.," .
':';:', ';
, .... '
. _, "i, ,:', \ '
FEE S"-.......",..Ji:'.,, "'.' .
1% of job cost~i~~tiaf.t3asFirq>I~..
$39.50'ininimum' . ",'..".' . .
$99.50 Resiii~tl~ Ad4itlons & AIteraiio";' ·
. $64.50 ResideDii4~C only .
Bui.ldingp'~ #
.' :~:-: :\:'-~
. $i~.SQ:
\"\:'
. .$39.SIi
$:~.SO .
:', ,- :""
. '---"..
" Es1Dnlited Cost $
HEATING PERMiT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
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'~AEbW'~' ". .
.50 I~UU1t\(:f1I4ioo IJJ:...rJ . .' .
. "~F\.~'~I"!'-.' .'
. . "'-'00; ~~'J:},.rj,;
(ome. Use Only) '. . .
. . This.Application Bec"mesYour Building Permit When Approved' I DJ. "~.'. ~ IJ-I: Ii! r)! By
, Building OfDdal . . ..' D.te.. Jill 19fJf ".'? ,1'4
'14 hour notice for aU Inspections (952) ~S:O;_f8X(952)>l47:"245.. Ii
',' "--""""''''~~._---=-~_:r
Receipt No.
JUN, 24, 2004 1: 21 PM
BENZ RYAN SERVICl
NO, 515
P. 12
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMlT
q'l....~. or__Il....'bOtlllml
ADDRESS
114 ~~. ()e,eR!7 etJl M< 5'8
::~.~I~ ,IPERMITNO.A.I ~
3. Gold ""lIunl ~.,
ZONING lollice\lJf)
LEGAL DESCRIPTION (ollIco UIC only)
LOT 10 BLOCK 1 ADDITION f'JI 0 Q-Fi e( d~ /1.f1t
PlD
OWNER
(Name) n~ l.1..._....._ ('yst9m ll~1Rc:
(Address)
2O'glIlO ~1O~\!X::e. Cr- SrJ? ,1M
(Addless)
(phone) _ o/J2.-q8S~'18M
, La.v.v. i lie.. #j~U
(C1~) (ZiD Code) ,
APPLICANT
(Namel Genz-Rvan Plumb1nl! & Heating;
(phone) , 651-423-1144
(Addreu) 14745 So Robert Tx:ail Rosemoullt. MIl 55068
rY (A~, ~' r (City) (ZipCodt)
(Contact Person) . _c II; ({\j-. '/J (Phone) 651-423-1.144 I /
'.T,ICANTSIGNATtJRR 1.. ) ~;J;~DATE v,/ou/l0(/.
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure' feet,
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line , feet, '
Clean out (if required) located at feet from structure.
FEE SCHEDULE
Residential sewer lIDd water line connection $35.50 lndwtrial, Com'l '" Multi-family 1% of job COIl with a $39,50 minimum
Sewer cllIlI1eclion only $17.50 Waler cODIIection only $17.50
Estimated Cost S
Building Permit #
SEWER AND WATER PERMIT PEE . $
STATE SURCHARGE $ . .50 PAID~~:1"l'o
TOTAL PERMlT FEE $ :~~E~!r- I
(Om..lIa. Only)
I Tbl.ApplleallonBeCDmtllYDurBulldlnJl'ermltWbenApprDved J~~ I\eCeiplND, I'
, .uUcUIII omWlI nit<: m oml 1 6 2004~' By I
~ 24 hour notice ror aI1ID.pectlo.a (952) ... .~O. r.. (lIS2) 447-4246 I
JUN,24,20041:21PM
GENZ RYAN SERVICE
NO. 515
p, 13
Date Rec'd
CITY OF ,PRIOR LAKE PLUMBING PERMIT
,
<.
tP1e"" ~ ot orint and .im It botlDml
ADDRESS
I..... 51. I PERMIT N~ Il16/
J,G&ld CI'J
:I, Y&lIow AppIlnm .
I i'J L( I"~.
Dr
. ZONING (olli..ult)
LEGAL DESCRIPTION (ollie< Ult 0IIly)
.I-
LOT BLOCK
AUUIUON
PID
. OWNER
(Name) DR Horton Custom Homes
(AddIess)' ZO~~D Ktv1 Bit I DG.e.. Co Sre, IDO
(Phone) ~2.q~,t;-/8lJ()
L.Qjuvill~ ~N E6D~LJ
APPLICANT
(Name)CeRz-'DrnR :-:"~b~"': L 'I1aa...~....:
(Phone) j\~1_9'1_11h.b
losemount MN
(City)
(Phone) 651-423-1144
55068
(Zip Code)
<Address) 14745 So Robert ~rail
(Address)
(Contact Person)
APPLICANT SIGNATURE DATE
APPLICANT PLEASE COMPLETE BELOW
I Quantity I Type of Fixture I QU8JItity Type of Fixture J
I ,y." I Bath Tub with or without shower --, Rough-ins I
I I I Dishwasher I I . Water Heater I
i I Floor Drain I fa Water Bottner I
I ,l3 I Lavatory (Bathroom Sink) I I Stand Pipe (Washing Machine) I
I I Laundry Tray (1 or 2 compartment sink I Sewa~e Ejector I
I , [ Shower stali I I Backfiov/Asserobly I
[ I [Sinks I I BacJdJow Assembly Teat I,
I I Bar Sink: [ I Lawn SDrinkler I
I 1L7:.. I Water Closet (Toilet) , I Other I
FEE SI,.;.tlJI,uu....X
Industrial, Commercial & Multi-family 1% of job cost with I S39,50 minimum Ruidmtial, New Oue& Two-PBlIlily $99.50
Re.lidcntial, AdditioDl &: Alteralions $39.30
Estimated Cost $
Building Permit II
.. ,~A!D ~W.,.,
SUllO ~1~''': ,~rJ "
.50 --,~ P.:;.::,:J.1.":" )
(om.. UI. 0"1y)
j Thla Application Becoms Your Building PermltWhen Approved 'D) ~fj;J u: u ar Receipt No,
Bulldia, omelll Dlte ill Dj~l 1 '2004 [I ~ By
~4 hour notica for Ifll~Petti.nl (951) oj. '/,850, fax Cl51~7-4245 J
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
CITY OF pRtOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
~ ~ or mint and sim atbottoml
ADDRESS
;:. ~~y I PERMITNO.ALC.,IfI'?J
3. Ydlow AppllcUIt ~. ~
ZONING (office use)
17463 DEERFffiLD DRIVE S.E.
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
Pill
OWNER
(Name DR HORTON
(phone)
(Address)
APPLICANT
(Name) A' , 'ED FIRESIDE DBA FJR,,~mE HEARTH & HOME
(phone)
1i51-1i~~-?5Iil
(Address)
?700 NORTH FAIRVIEW AVENUE
(Address)
(Contact Person)
BRENDA HUSTON
ROSEVILLE
(City)
(phone) _651-633-2561
55113_
(Zip Code)
APPLICANT SIGNATURE
BRFNDA HUSTON
DATE
9/27/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR Pv.. r.n. PLANT
DWarm Air Plants 0 Steam
DGravity 0 Hot Water
o Mechanical 0 Radiation
DAir Conditioning 0 Special Devices
OVen!. System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
REA TN 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 & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
me Wlln
.50 SUlID1NG PertArr
(Office U.e Only)
This Application Becomes Your Building Permit When Approved
Bulldine: Official
Date
~/; ~ ~o~ ~;:~NO
24 hour notice for an inspeetion. (952) 447 9850, fax (952) 447-4245
By
PRIOR LAKE
,.,
INSPECTION RECORD
SITE ADDRESS /7l('.3 ,l>ceLF/'aD ~.J'.r.
NATURE OF WORK ~ ~~~
USE OF BUILDING 311ft: A .
PERMIT NO. 04. 0707 DATE ISSUED .'/11./61/
CONTRACTOR ~. I-NIt.TtJ~ PHONE-1$Z..ZZ,--/.J.rf
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DI:PARTMENT OF See Main File
BUILDING AND INSPECTION
INSPECTOR D~E (
I FOOTING ~ J"'/VcJy
- , .
, FOUNDATION (Prior to Backfill) 42WU u/~// pRt'~ I (Y';:'~
PLACE NO CONCRETe'U'NTll ABOVE HAS BEEN SIGNED
ROUGH - I~~../. ' ,
SEWER I WATER I SEPTIC f'U/r 8'//6/~'I
FRAMING J~ /;'//2/~
INSULATION ' /'J14- /tP//r /"y
ELECTRICAL. ~ I/". /0 I i'~c(
PLUMBING I/.ti- jig ~MfJt /J1II' _ /D/ ;~t-(
HEATING (If required) ~ /"l--Zr~";
FIREPLACE "~I /"11 IUA.,. 4?hz/4
GAS (iNE AIR TEST Ai~). tl~f' N:f- /oh 2-fC:'f
COVER NO WORK UNTil ABOVE HAS BEEN SIGNED
I .. 7' .. I I
~a/' -kvt!'lls- tIn!iJ.,sLe--J FINALS. ~ _
GRADING (Prior to Sodding) ,~;,,-::' m 4~ h /e
BUILDING ~ /...2-~/.,.y"
ELECTRICAL -7"..,/.k?~
PLUMBING /H&" /' //....z?-/ ~y
HEATING ~~ ?: ~~~
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.
FOR ALL INSPECTIONS (952) 447-9850
of
QLnfifirab of @rmpanrll
CITY OF PRIOR LAKE
~tpadmrnf of ~uilMnB Jfnsprdion
pinal Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section ]]0 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 04-0707
Bldg. Permit No.
R2
.
I
1",
.
Use Classification
Occupancy Type _
Legal Description
Type Construction
Ll0, Bl, DEERFIELD 11TH
R3
VN
Zoning District
."
17463
Owner of Building . Site Address
D.R. HORTON, 20860 KENBRIDGE COURT,
Contractor's Name & Address _ /:7"
ROBERT D. HUTCHINS~
. _ City Planner
/. Buildjo{ Ofljjll"al
Date: _/~/~ /04/ Date:
, ,. I POST IN CONSPICUOUS PLACE
DEERFIELD DRIVE S.E.
SUITE 100, LAKEVILLE
D8NERUNSIER
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.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/7</6 ?
OWNER
PHONE NO.
[] FOOTING
[] FOUNDATION
[] FRAMING
[] INSULATION
~NAL
[] SITE INSPECTION
DATE TIllE
SCHEDULED ~
a,er Heq 4
CONTR.
PERMIT NO.
[] PLUMBING RI
[] MECH RI
[] WA1ERHOOKUP
[] SEWER HOOKUP
[] PLUMBING FINAL
,....e-MECH FINAL
0<'/-/0"/
[] EXlGRADlFIWNG
[] COMPLAINT
[] FIREPLACE RI
~ rlREPLACE FINAL
[] GASUNE AIR 1ST
[]
C-DMMEN')i6: / ._ / /
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~CP' ~/Jrl CJrS'-e /- --.Le.r:/-
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---
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-
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~WORK SATISFACTORY, PROCEED
- [] CORRECT ACTION AND PROCEED
[] CORRECT ~~~OR REINSPECTION BEFORE COVERING
Inspector: /~ Owner/Contr.
...-:- /
/-; /-e-
~
)
.-/'
-
CALL ~7.9850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HE.4LTH & SAFETYI
INJ/wm
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/7L/63
OWNER
PHONE NO.
D FOOTING
D FOUNDATION
D FRAMING
D INSULATION
D FINAL
D SITE INSPECTION
DATE TIME
SCHEDULED ~~~
a"",.- /2// Qr
CONTR.
PERMIT NO.
64"- /'67
D PLUMBING RI
D MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~-. ~_.JBING FINAL
D MECH FINAL
D EXlGRADlFILLING
D COMPLAINT
o FIREPLACE RI
D FIREPLACE FINAL
D GASLINE AIR TST
D
COMMENTS:
.;J' J
./?/-RNn-e k_
~.
h(J~
/'"1 / /
U /ff...PJJ ~fi./
_ --7 _ /'
ckr~/k;/
-
~t'/
A/
C/t'C
..../ /' /J f ... /
~ A~fl-k Q /-0.-.Yd7 h~ /
D WORK SATISFACTORY, PROCEED '~~
}(CORRECT ACTION AND PROCEED "/ L
/" D'cORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~~ Owner/Contc
CALL 447.9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCIE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
-,
.
APPLIANCE
PERFORMANCE TEST
Attach to gas line edjacent to regulator
Heating Contractor ~1w.'L..N
Name atTester ~
Datec~1J4
"
Job Address \7"'''''; ~J'lt.-4
Heeting Contractor .&1'..,.:""'- H~
Name atTester ~
J!i:ML.{
~~'"
dlAt
4S~
'!>S,p,:;
Date
Percent 02
r~.""..;co
Percent Co2
Slack Temp
Combustion air is adequately supplied per
UMC Sec. 606 II .e<
input ~c tMIJ ""'"