HomeMy WebLinkAboutBuilding Permit 04-0831
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
L While
2_ Pink
3 Yellow
File
Cily
Applicanl
I PERMIT NO. Of 05.3 f I
(Please ~ or Print and sim at bottom)
ADDRESS
I '1'{1 (~P~'Dr.'lX' .2;;
LEGAL DESCRIPTION (ollice use only)
LOTl3 BLOCK I ADDITION L'Jq ~'-e./H. l~
OWNER
(Name)
(Address)
Date Rec'd
7. z.. '1;,04-
ZONING (office use)
"-Z-
PID ~. 4-0'7. 0 IS. 0
(Phone)
~C~~~~Nam:)J)1<.~ ~ (PhomA5~'A8S-183~
(ContactNam . ~~~ (Phon"';JCff:(;;.,),;?21IJ-'-IB2...
(Address)2.J;:jf)uJ) Q:i. ~IQ)) LoJ:tudb.J rn r{~L/C;
TYPE OF WORK )!(New Construction DDeck DPorch ORe-Roofing
DAddition DAlteration DUtility Connection 0 Misc.
I hereby certify that I have furnished information on this application which is to the best of my knowledge tlUe and correct I also certify that I am the own{.'I' Of authonzcd agent fOf 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
. _:cial J evoke this permiU'.?r j{:au Furthermore, I hereby agree that the city 0~cme&5~the property to perform ne~:'2r.;.n~I/
o Signature Contractor's License No. Date
*1'Z..ca O()O.O1:l
$ 'z-b~ .50
$ 'Fl./....'€!
$ lo~.oo
$
$
$
$
$
CODE: ~R.C. OLB.C.
Type of &~struction:
Occupancy Group: A B
Division:
I Permit Valuation
I Permit Fee
I' Plan Check Fee
I State Surcharge
1 Penalty
1 Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
I
E
II
F
I
III IV V A
HIM R
2 3 4 5
lec.o-e
'co.eO
3S".~O
'fC. 0"0
This Application ~~h~~" Your Building Pennit When Approved
~OtltdJ~ ~/oLO</
B
S U
ORe-Siding OLower Level Finish
rJO g~4" -- ...t-
PROJECT COST IV ALUE $
(excluding land)
o Fireplace
IOI.?A9
,
$
$ '~'5"O.O!l
$ Zc.;;;O.~O
$ ,,"S,OO
$ ILOO.Do
$ 100.0'0
$
$
1
I
I
1
1
1
1
1
$~ ~7q.181
I Paid
I Date
7
~ ?'l,t 'l'
y j:Ji5f
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I Rec#,tNo. q'lJIj
BI' '
ThiS is to certil)r 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
:~1'nne~~certific,teOf@?;:7;e;d'llowsconstructiontOCSeefO~aiirFilemustbe
Plannint Director- , 'Date Special Conditions. if any
24 hour notice for all inspection,s (952) 447-98~:;O. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
1 Park Support Fee
1 SAC
I Water Meter ~ize5/~ 1";
I Pressure Reducer
Sewer/Water Connection Fee
#
#
#
\
Water Tower Fee
#
Builder's Deposil
Other
TOTAL DUE
.
,
,
See Main File
White . Building
Canl!rv - En'lineering
<:I;:Ln1< - Plannln~ ')
ThrCrnlu of Ihr L.kr ('ounll'}'
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLI.ST
7
;.
NAME OF APPLICANT
)
APPLICATION RECEIVED
D. k(. H [ rc TL tV
I.Z0.C4-
,
,
.
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
1--/ 4- I I
./
DF Fit): I r LtJ [')Ii..
,
Accepted With Corrections
Denied
Reviewed By:
~
'<1-' . {J~
Date:
?I/IIl/aLl
";:(
Comments:
See-Main l?ile
,
:
I.
"
"The issuance. or gr~ntin,9 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 - BUil~inv
Canary - Eng neering
Pink - Planning
Th~ C~nl..r of lh.. L.kf ("ounln'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. 12.. H O/(./O tV
1.1.,0.04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
//4-1 ( DE~t22E~LV r>r2.-.
/
Accepted
Accepted With Corrections
Denied
~~~
Date:
?;J%7'
, f
Reviewed By:
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."
/
See Main File
White . BuIJsljn9
...........~anary . Englneermp
. r-Ink . t'lannmg
Tht (""nln nf lht' t...... (~ou"ll")'
BUILDING PERMIT APPI.\CATION ~TMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. /2. HOfCTOtv
1.2- Y:). C;4-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activily which is proposed at:
Accepted
/--7 4~-7 I
)(
r)F~F_j(~r/~-.LU r){2.
Accepted With Corrections
Denied
Reviewed By:
Comments:
/JIJ1B
~C(' r(lC,tA F/t
Date:
g~Z;-()7;
Se~Main-FiIe
"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."
JUL. 30. 2004 3:45PM
GENZ RYAN SERVICE,
NO, 011
P. 6
Date Rec'd
CITY .OF PRIOR LAKE
SEWER AND WATER PERMIT
(PI.... 'YPe orprint md sll';ll'at bollllm)
AnDRESh~ 1/. Denztr{JtrL /)rL t.e
, I.J
LEGAL DESCRIPTION (ome. us. only) ,
LOr/?J BLOCK I ADDmON fieJ Y2.b () I d 11 (J1
OWNER
(Name) Di R.9r.t",:! ':'ugt^m. u _~-!'
l: =- ~~ I PERMIT NO.IW. 1'I:J.7IJ
), 0014 ApPlICII11 IJIIII"'. ~
ZONING 1._ ""')
PID
(Address)
20&110 kv1e~\t::ee C, Sn> 1M
(Addre..)
(Phone) _ '162.q85~i8M
, La.uv i lie.., ~'E':t1-JLJ.
(Clly) (Zip Code)
APPUCANT ,
~~) Genz-Rvan Plumb1n~ & Heatin~
(phone) , 651-423-1144
(Address) J.iZ!5 s~ 1tol!er~ Tc~}.1 Ro~t. MN 55068
(Address) E ,(City) (Zip Code)
(ContaccPcrson). rAAiil<ifi 11,_ _. ' ... (phone) 651-423-1144 <<
".ICANTSIGN~ ~lJ./} DATE "1...~
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from sttllcture _ 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.
Residential sewer IlIld water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l &: Multi-family 1% of job cost with a $39.50 minimum
$17.50 Water connection only $ 17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
s
s
s
_~1IiH
~......
(om.. u.. Only)
~.,
I This AP,pu..tion Becomes YourJluildlngPermil When APprOVed-~~rn~ ~. U \!J [G rl
BuildlnB Official D.t. I RffG 1 7 2004 l ) By
~ .
14 bour notl.e for .Uln.p..tlo.s (951) -l47.9850, fu (952) 447-4:1.45
. IBy
R<:.c\pt No.
I-
I
GENZ RYAN SERVICE,
NO, 011
P i
JUL, 10, 1004 1:45PM
Date Rec'd
CITY OF ,PRIOR LAKE PLUMBING PERMIT
1.!1ut FiI. I PEn". M d
. """ Cl. "'''U~ 1'1.1 .
3. V.llnll ^"lie'"l
(Pleas! SIR! at t1rlnt me! Jim u bottom)
I ADDRESj
{iil I>rt s&
'I ZONING (aIIlcl!"'l I
. LEOAL DIlSCRlPTION (oll!ce ",e only)
LOT 0BLOCK I ADDITION ~ ~ ) 1; I 11J;1,
, OWNER
~~e) DR Horton Custom Homes
(Address)
PID
(phone) ~2-qY;fi -,'aM
2.0'b~D 1<b1M.1 ClGL Cr Sre. 100
lAb..llillG lUN EE::bI.JL/
APPUCANT
~a:me) anz Ry'r- "'.._..~ ' uu.'-:
(phone) -6.S.l.:I'?? -, , /./.
(Address) 14745 So Robert Trail Rosemount MN 55068
n 11l1~~ddreSS) (City) (Zip Code)
(C_"m~' J.iW"I 'iF ~ L~ ,0 ......, 651-423-1144 ,
APPLlCANT SIONATURE ~) k~ DATE -.:J..... &I~L/
. \ - .
Qua)ltity
I
(
i
p..
I
I
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture I Quantity
Bath Tub with or without shower' Rough-ins
I Dishwasher I. Water Heater
Floor Drain ~ Water Softner
I Lavatory (Bathroolll Sink) I Stand Pipo (Washing Machine)
Lalmdry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall I Baclcflow AsseJnbJy
Sinks Backflow Assembly Test
Bar Sink I Lawn Sprinkler
Water Closet (Toilet) Other
Type of FiXture
.2
FEE SCHEDULE
[.clwlti.l, Commercial'" MultI.family 1 % of job cost willi a $39.'0 minimum !l.eticlOl1tia1. New One & Two-Family S99,'0
Residential. Addition. 81. Alteration. $39.50
Estimated Cost S
Building Fermit #
PAeWITH
8111D1NePERMn
.50
l
,
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMlT FEE $
(om" u.. Only)
I This AppUcation Becomes Yonr Building PerllUl When Approved -: ~)f~ I~ Llff l Receipt NO.
. . D, ~"Gl ., 2004 I By
I BuJldlnr OClic;.! ,D... II ~'l
24 bour .atlc. tor allln.pe.tI... (952) 41W50, Cax (952) 447~
. . ..... ..... CITYOF PRIORLAiKE . . #195~ilt':'Rec'd
.' ,'HEA:"f~G/AlR CONDmONlNGIF'lREPLACE PERMIT".... .
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~~ [PER..M! ....rrN9./lAi...O..'.Oo',7....(..j'
-AppUCMt. ,.., . v-r.. ~u. .
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S. . .:f53"~. <:'0"
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. LElS'~DES~@i!.f!' "~., 'oDIy
" L~W:.' 'B~O~K;}~,:;~i~o~
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"
".":
:::~~l
'. lWidentilll, Hoatii1gOnlY(Ni!W'~6b!tiVction)
..,. .',- '" " , . ',.' "'."..,,..:, ,:~)>.' .
.~ J" ;';i," \, ~' '
FEE S........,ULE,;' ',,',' , ,. " .
1 % ofjo~ coSt . . ..Iilitlll!r\tial.i:las 'F;tq,I.\cC,"
S39.50'ininimum ' ."iX"". .... . '., ..
. $99.50 Residi;;itia!.Additions & AItCratlonS .' .
$64.50 ROsidililiiai; A.C oh1Y .
.; ':",':'
~LA~'
. ' " .
. 'Estimated CoSt $
Building Permit It
. PAW YV 11ft
.5otlUlLDING
$ , - J:'.bKMIT
1~~reeeiPtNO'
D." . './falal:l' 1 0 2004 l'fBY .
'~4 hour notice for .u inspection. (952) 44~~, fax (952) 447-42~
. HEATING PERMIT FEE
STAlE SURCHARGE
TOTAL PERMIT FEE
$
$
(omce Us. Ouly)
. This. Application Becomes.Your. Building Permit When Approved
Building OffIcial
DEPARTMENT OF See Main Fil
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION'RECORD
SITE ADDRESS 1!:1Ai" ~ f='i EJ.p ~.&: .
NATURE OF WORK ~&U _ ".
USE OF BUILDING V. .". --
PERMIT NO. o '1-.. 03'3} DATE ISSUED ~
CONTRACTOR t>,~' t-\~ I ,"'e. PHON~~ - I-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR(. .DATE,
I FOOTING I ,It'q I ?/rfl"'Y
I -- .., 0- -
I FOUNDATION (Prior to Backfill) lll'lu",J,/ u./....// /R:/~.;/ I kA:ttJ-
PLACE NO CONCRETe' UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
A
#q
I1W
/M-
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL . . ,.
PLUMBING O,{O. M ?/fN
HEATING (If requlredJh.tlln-u. #( ~"y
FIREPLACE J/;I/
GAS LINE AIR TEST ;guh J1d /~~? /GK/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
'')~e ~~
#a-
J
m./;t
~
/ ;-
5"/.1//01
/DP~o/
/4 j.;.f/tJ'f
/d/Z~-/
/~/.ujg'i
/,,/;;q~y
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~,
h;le
/~//~y
&2/.1/0/'
~ /,2k/o~
PP7 /~h<Yo(
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
'---
i..,.,.'..;.;:.'
.~ c,.',
QIntifiraft of OOrtUpanrl!
CITY OF PRIOR LAKE
~epadmeut of ~uilMuB Juspediou
final Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the D Residential! D 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 04-0831
Use Classification
Occupancy Type
R3
VN
11TH
Legal Descriptior
Type Constructi{ln
L13, B1, DEERFIELD
Owner of Building Site Address
D.R. HORTON, 20860 KENBRIDGE
Contractor's Name & Address A#/
ROBERT D. HUTCHINS " r..
City Plannpr
Date: /..2 ~}.~~ial
/"',. ,
" "" ""b'~" ,,'" ,., "" ""
,"'~-,
Bldg. Permit No.
R2
Zoning District
17471 DEERFIELD DRIVE S.E.
COURT, #100, LAKEVILLE 55044
JANE KANSIER
Date:
CITY Of PRIOR LAKE
INSPECTION NOTICE
llA TE T1IIE
SCHEDULED /z#slo/
/J~ e>,fJ l:r -Ii-
ADDRESS
/7L/7/
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~~NSPECTION
COMMEN1S:
~Ctr,C... /
~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~CH FINAL
~ / /
~.h~ / c/c,^-~_
t1~g;?/
o EX1GRADlFJWNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/ ~
/.z/~ h.:/
, . .
//~?~ ~~ /'. /c::;/';' /
/4c~JL-_A C';-:".. r- ?4:cr 7'-'
~L. /
(f) ~; rf &J I- 7r.",~ <
<" ('id'P /M:..~ h h"
-
~
~--
/ ..-. /
~.L- COS-e
'" ---
~RK SATISFA~rOI". "1<~1:1:n--
~ ~~~RECT ACTION AND PROCEED
, ~:~~:CT~ REINS:::::FORE COVERING
,~
- .....< / "\
./-?/e ../
----
CALL "7.9850 FOR THE NEXT INSPECTION 2A HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETY!
INfIIOn
CItY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIllE
SCHEDULED /ti/',?"
/her/{;j'd
ADDRESS /7<;/7/
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~MBING FINAL
o MECH FINAL
COMMENTS:
/'4.,a:>~~;"
~-g-s/
o EXIGRADlFILllNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
, -
~"L CJk
/
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~ ):.~..1 -L
J)f)-- ~,,~L Ihri~~~ ~~-
/~ ~ '
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~
/'ff ~"J-~
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~~ ~"oCh/d,,~~
'-'
..--- /
;7:4'Y (
o WORK SATISFACTORY, PROCEED ~
~ORRECT ACTION AND PROCEED
. 0 CORRECT WORK, ~.;,L~ REINSPECTION BEFORE COVERING
Inspector: ~ OwnerlContr:
CALL 447.9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOfI
.
\
APPUANCE
PERFORMANCE TEST
Attach to gas lina adJacant to regulator
Heating Contractor ...A \ \".. t ,.., cJJ
Name of Tester <::.J.,,,,,J
Date \').i;1.1 dl/
"
Job Address ,7I{71 \)u:( r...J
Heating Contractor JU/..t-IM~1f-
Name of Tester ~
I'JI')/~
\ '2 .1"to
....fZJ /'/ I""J
I.{.S~O
1/1/P~
Date
Percent 02
Percent CO
Percent Co2
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606 ~
input y.1ltH n~