HomeMy WebLinkAboutBuilding Permit 04-0564
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main Filewhlw ,II,
2 Pink City
3_ Yellow Applicant
Date Rec' d
.3- / 1-oLj
I PERMIT NO. 04-.0 5h4-f
(Please tv'2e or mint and sign at bottom)
ADDRESS
/ 7Lf33 ~1~/d DtllX 'if"
ZONING (officeu>e)
r? d-. .
LEGAL DESCRIPTION (office use only)
LOT lR BLOCK ( ADDIT~n& '1-+'-
PID as -- t/ tJ1-00 (0 -< ')
OWNER
(Name)
(Phone)
(Address)
~~.'12- -HOI.0n ~('
(Contact NamepA.r/7 ~()) ~
(Address)
(Phon(/'57, )l'8S- ~ .
(Phone(95~d '2 C - /Q-:>"Y
TYPE OF WORK
~ew Construction
ODeck
DPorch
ORe-Roofing
ORe-Siding
o Fireplace DAddition DAlteration DUtility Connection
PROJECTCOST/VALUE (exc1udingland) $ / / 3. Uj
J
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 budding offiCial can revoke thiS permit for Just cause Furthermore, 1 hereby agree that the CIty offiCIal or a djgnee may
enter u on the property to perf~rm 'fu.d mspecl10ns Lf
LX I (t. s;lature rer ~OQ?S~~I ~-/~:tC}
I Permit Valuation / a 5 I oO() I Park Support Fee # $ ~ ""'" " I
I Permit Fee $ 1~-03. 501 SAC # $ /, ~"5Y?- I
I Plan Check Fee $ 7 $::J...:) ~I I Water Meter Size 5/8"; I"; $ ., OI.5"t>, -- I
I State Surcharge $ he'), s-d I I Pressure Reducer $ 45. - I
I Penalty $ I I City SAC and WAC # $ /.;)L)t), --- I
I Plumbing Permit Fee $ I ()t'J.- I I Water Tower Fee # $' ?O{). - I
Mechanical Permit Fee $ I LY), - I I Builder's Deposit $
Sewer & Water Permit Fee $ eJ5.5b I I Other $
$ LfO --- I I TOTALDUE $ 5. ~%~. 7'b
DLower Level Finish
o Misc.
Gas Fireplace Permit Fee
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t,,~l/.,..,(
Date
I Paid
I Date
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&. /...;_ CI '-r
es Your Building Permit When Approved
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ThiS 15 to certify that the request m the above applicatIOn and accompanymg documents 15 m accordance WlthSlIty Zonmg Nt andenay L' - - - . ilested Th15 document
when d by the CIty Planner constitutes a .~".I-"u''''j Ceruficate of Zonmg compliance and allows constru eeenc E "_ -J a ~t ~cupancy must be
~'" 0 - <<.1.1... J. 'J. ."-'
_ ' I/;-l{oc..,
-./ 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
('.lVhite - Bllildii'iq:)
Canary - (:n91iieering
Pink - Planning
Th~ Crntr,..( thr l.akf ("oun1l")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED ---i5 - / Cj -()~
19 72
~ ./'nU
The Building, Engineering, and Planning Departments have reviewed the building permit
000';''';00 f,/;";;ct;~ctM'7~~;;Z::iH2 A~
Accepted X
Accepted With Corrections
Denied
C2f ~:A
M
j
Date: ~.l./ -0 or
Reviewed By:
COLts:
-~
~~
"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
--
rhO' C..nll"' of Ih..I.Mk.. Counl~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
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/
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is propos~ at:
/,ill ,.' ....; - . / ,/1 ".'
? ~ ;.'_1 \__ '-"
Accepted X
Accepted With Corrections
('
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Comments:
J2J~ IN ~ ,',_
Reviewed By:
Date:
f!; - L/ -() ,/
Denied
.
#
"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."
~~
While - Builllinll
C ~~:~ry ~ ~~..~~~,,:iii9)
Th~ {'tnltr of IIII' t.kt COUnlfl'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whk,h is proposE!d at:.
.../' . ,.,.:::> }I' /..., ,
/ /'-1/ -)? I ..;? A / ',j '('''1 .
J", - "...', - l/..,_~k....~'" (....f.,.--<...__.l<.......,k -__~\;.___.
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Accepted
x
Accepted With Corrections
Denied
Reviewed By:
~
~. /flt1,l", f,' ((_
Date:
'C-f-o'l
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,25, 2004 9:40AM
GENZ RVAN PLUMBING AND HEATING
No, 8581 P 8/13
Date Rec'd
CITY,OF PRIOR LAKE
SEWER AND WATER PERMIT
; ~::',. ~~ Il':ERMlT NO.IJ.,A, +-I:J
1. Gold Appliwtl ". ;-U'-'
q'lease ty1l~ or Olin' and """,,,at b"""",)
ADDRESS
nL[~3 TJp~r2.fJeP. d prz 5t-
I ZON1NG(~"'e) I
LEGAL DESCRIPTION (office \l.Sc onlY)
LOTto BLOCK I ADlJH~ De~lt.fiero1
Ilfh
PID
I OWNER
(Name) -PFr-N-:':':"....-:-.... f""",\,rn't/ l:::--.':.=
(Address) 2.o&1lO lC.eJ.ni3i<:-.~!::6e C:r s.-r"JI'rI
(Address)
(phone) _
Lah-\l11Ie..
(Ci~)
'152 -QZS-7.B.J::.1'.
.<J~l)
(Zip Code)
Al'PUCANT
O'~~ Genz-Ryan Plumbing & Heating
(phone)
651-423-1144
(Addres~ 14745 ~o Rober~ r!ai1
('t (AdOr=)
(Contact Person) . ~ Jl~1 ~h ~11...s. '
.. '.ICANT SIGNA~ (~11~ ) '-:fn P 1/,
Rosemount. MN
(City)
55068
(Zip Cede)
(Pbone)
DATE
651-423-1144
z:; - ?}:: -otL
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. D ABC D 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 connecrton $35,50 Industrial, Com'l & Multi-family J % of job cost with a $39.50 minImUm
Sewer connection only $17.50 Water connectiOll only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
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(Offiee Use Oaly)
, This Application Becomes Y ou.r Bu.ilding Perroit When Approved
,
~~
Building OaiciaJ
nlli as [E n wlf l'Ceipt No.
D... : J JI~N 1 !l <004 JI
24 hour notiee for .[1 inspections (9~2) 447,98 0, fox (952) 447-l24S
By
9:40AM GENZ RVAN PLUMBING AND HEATING No.8581
CITY OF PRIOR LAKE PLUMBING PERJ.\1IT
P. 9/13 ,
.....,q..... .I.,~C d
CPleuc: ~e or 1)1'121( and S1P)J. a.t bottom)
ADDRESS
;:: ~~ I PERMIT NOJ,I '..L:'r7V
]. Yeilo'U Al'p8alnt .", ,,,~
11Wi:J3
Dur2.-11 e,{ cd
bVl. &'1::-
ZONING (ofllOl:uS<)
LEGAL DESCRIPTION (office u.sc onlY)
LOT 0 BLOCK , ADDITION
~j~..+1 (J,( d
IH11
PID
OWNER
(Name) DR Horton Custom !tomes
(Address)
2O'SlvO K.e"B~1 DG.e... CT
S,e / CO
(phone) 902-Q:;,&)-,glJ()
udu.viJk:.. MAN .560Lju
APPLICANT
(Name) COP7-P::,- "'.w:al:>,<,-g r. "ao.<_~
(phone) k" , _I, ? ~:ol.l4/'
(A~s) 14745 So Robert Trail
Rosemount
MN
55068
(Zip Code)
(Contact Person)
rv (Mdress) (City)
l JIII/2. I r;j? fA ( t \ _ (l'hone)
rAA~_) w10^
651-423-U44
C; - 2:;; 1) (f
APPUCANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
I Quanti1y Type of Fixture Quantity Type of FixtuTe I
I I Bath Tub with or without shower ~ Rough- ins I
I I Dishwasher I' Water Heater I
I I j Floor Drain tl I Water Softner I
I 1_ Lavatory (Bathroom Sink) I I Stand Pipe (Washing Machine) I
I I LaUIJ.dry Tray (1 or 2 compartment sink I Sewage Ejector I
I I. I Shower Stall Back:flow Assembly I
I f I Sinks Back:flow Assembly Test I
I I Bar Sink Lawn Sprinkler I
I '2- I Water Closet (Toilet) I Other I
FEE SClIEDULE
l.dus1nal, CommercIal & Mull1-fanllly 1% afJab cast Wlth a $39 SO mi.illlUm
Esnmated Cost $
Buildjng PellDlt #
Res\deunal, New Onc & Twa-Fanuly $99 SO
ResidentiaI. Additians & A~crations $39.50
,
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50
PLUl'vIBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Olli<< U,e Only)
This Application .Becomes Your Building Permit When Approved
Buih1iJlg Offici.1
(r-
CITY OF PRIOR LAKE. Qtb-#1g'-lS
HEA1il'TG/MR CONDmONINGlFlREPLACE PERMIT
Date Rec'd
iP~ ";.tieo''Orintandsi\'l! ~bo~n:i) .
ADEJRESS .' ", .
/ 7 AI 3- 3 ...1~';'r(J p /r{ Dr
, '1. Piiik
:z;.',ore:=:
'J. .Yellow
~~. I PERMITNO.U..C. ....'.. iii.'
Applicant. 7 .J.--,
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--~ ---
ZONINH(ofliCeuse}
LEGALDESCRlPTION (oB1:~'fSeon1Y)
: :_,~.:_;:",<~- .~..
LOT. B1.0CK ".A.WO,mON
OWNER DR HORTON
. (Nani~L 20860 KENBRIDGE CT
. . .. .... . LAKEVILLE, MN 55044
..}:r1~~s~;
PID
,".
(phone) .
. ~tji!iI~ .
~:titie{ .... ALLIANT MECHANICAL INC
. ,.... --;- 3650 KENNEBEC DR
.' (A~e;;S)__ EAGAN, MN 55122
.' .' 651-452-2775 . (City) '.'. ."'.
(C"n~CtXerso"'J /'-Jq..r-;OI1 '. ~(Ac.f) _ A&ho:ne)'s(~3
~4XPl?1;i~~IGW~~:R%~~A1<~-1,~tJ ~ .... ":;'i~-.~D~TEq~~V:;
.' ".."d~'\':~:':A.B~uICAN1; PLEASECQMRl';;E,!,~,:~EE.QW'
..... "'~WCONSTRUCTION DREPLACEM'EmO'",:, ':Dj,~LTERATIONS-",' "., ,,"<<"" .""
.=~~:~1'':="O~'::G~~~~4.
I~i~~~i~~" '8S;~~::,.:' ":;~~~ l'
," 8;:~~~~:~es'... ~~~:~::::;:/:,
FlRE~LAtE~.~1i!~ft.l~~'" , " .
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.~ '::r~;':"\ .::\:\'::';;;~~:~r:tr,:\r ;-': \
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FEE SCHEDULE,' '.. .' ..' ,.,
I % of job cost Resi~i!iltiaI. Gas Fireplace.
$39.50 minimum ' . , ",
$99.50 Residential, Additions & Altemtions .
$64.50 Residential; AC Only
$39.50' .
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
I~ tt'-itD~~ .
-!HEJa;j1~e' '~.!"!
~~,..,.1~nr
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.. " ~I' .
.50
(Orne. Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
~a~~ @ ~ U ill '~PPtNO.
D, i"l JUl 7 200 l Br
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24 hour notiee for all inspections (952) 447,9850, .... (952) 447-4245
. I::JY
Page 10f2
Lynda Allen
From: Christa vilegwart [WegwartC@hearthnhome.com]
Sent: Friday, July 23,20044:17 PM
To: Lynda Allen
Subject: Prior Lake Permit
~'~ld ~~jm
J~JW~~ \'ll~l'1:r~IT
~~ (% ~ D ill ~ f
CITY OF PRIOR LAKE b
HEATING/AIR CONDITIONING/FIREPLACF. JUl 2 6 2004 _
PERMIT
By
Please tJye or vrint and sip at bottom)
ADDRESS
I. Pink File
2_ Green City
3. Yellow
Applicant
ZONING (office use)
17433 DEERFIELD DRIVE SE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK .
ADDITION
PID
OWNER
(Name) OR HORTON
_______ .____ ._(Phone)
(Address)
APPLICANT
(Name)_AL.LIED FlRESTOF ORA FTRFSTOF rORNER
2.561
(Phone) _6~l,633-
(Address)
A YENUF
2700 NORTH F A1RVIEW
ROSEVILLE
(Address)
<;5113_
(City)
(Zip
Code)
(Contact Person)
2561
BRENDA HUSTON
(Phone) _651,633-
APPLICANT SIGNATURE --BREf-.lf2~. HI/.$T..oN
p.ot
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
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
Steam
Hot Water
Radiation
Special Devices
Other Devices
PLEASE NOl
Air Conditione]
Cannot Encroa,
Required Side 1
Setbacks
7/26/2004
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF Set-~iifeFilt
BUILDING AND INSPECTION
.
SITE ADDRESS ~ \kr-f.uLJ. ()r
NATURE OF WORK N-ev...:>
USE OF BUILDING SF()
PERMIT NO. 04.o5lc4- DATE ISSUED ~-t.{'Q'f
CONTRACTOR t) Q \-(mJ-rN... PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE I'
, FOOTING ~ ~//?fty
I FOUNDATION (Prior to Backfill) I ~ I 4'/ff&
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN /SIGNED
ROUGH - INS r
SEWER/WATER/SEPTIC ~.. tf-//y?"'r
FRAMING ~ G//J/o~
INSULATION Pt'f d/,7 /0/
ELECTRICAL . I ~ po /~q
PLUMBING 0, r;; IIt~1 1/11k'-l ~ R?}?~ ",/0
HEATING (if required) ." / . ~ R/'i.lfi,
AREPLACE I ~ p)~ oV
GAS LINE AIR TEST "-'kIf. +f;f, ~ g/iS/ot/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
, , '. rJ I I
~hv-e/ /J &I,np4,jl",dFINALS .
GRADING (Prior to Sodding) ~~ : ./~. ~~~"
BUILDING /#-:7-
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
.
.
~/~ '
/.:z m~o/("
9/23/;;/
9/2J/d'Y"
/ .;z,brfrr"
.
UNTIL ABOVE HAS BEEN SIGNED
NOTICE
H1'#
.~
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
-", . . -,.....
~trfifiratt of @rrupanrll
CITY OF PRIOR LAKE
~rparf1ttruf of ~uilMug Jlusprdiou
,# Final Permitted 0 Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the 0 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--0564
Use Classification
R3
Bldg. Permit Nn
VN
R2
Type Construction
L 6, B1, DEERFIELD 11TH
Zoning District
Occupancy Type
Legal Description
Owner of Building
Site Address
17433 DEERFIELD DRIVE S,E.
D.R. HORTON, 2076 KENBRIDGE
Contractor's Name & Address ,. 1-7 ~
ROBERT D. HUTCHIN~~'
Date: / J / ..,,2 ~;;:~Y;Pdal - City PlannerDatco
COURT, SUITE 100, LAKEVILLE
DON RYE
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/77'$
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSUlATION
~~NSPECTION
DATE flME
SCHEDULED ~~~
/ ~ '7
/Jeert1// /Jr
CONTR.
PERMIT NO.
t7~-~7
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~CH FINAL
o EXIGRADIFILLING
o COMPlAINT
o FIREPlACE RI
~REPlACE FINAL
o GASLINE AIR TST
o
CQMMEN1;S: . -- ,1 .
~?",-~-fr'C4( Tone; / .I~~ rp]/~;/
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~
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~~ORy.PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ Owner/Contr:
CALL ~7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETYI
'NSNDTl
~WTIME
J;1e.ert~/j Pr
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/7 r' 55
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
"J6 I'I:\:IMBING FINAL
o MECH FINAL
COMMENTS:
~.A J
~ r~.hC/~_ T-rv
~~
, -
~\4t"/
c2J A/;ed' .mrU
.
~-;;',t?k
o ~ ... s-~9""
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-hs/
.'7
~
0~./
./7
~~ -fi;t"/~d
~x~/,j' @ 4//L.,.
,.J-
,/
o WORK SATISFACTORY, PROCEED ~ I C-
NCORRECT ACTION AND PROCEED
)"0 --CORRECT WORK, CA;; :~~INSPECTION BEFORE COVERING
Inspector: %~ Owner/Contr:
/
CALL 447,9850 FOR THF. NEXT INSPECTIoN 24 HOURS IN ADVANCE.
..-.-- /"
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4< SAFETY/
.....
..-.
.
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor ~~~~
Name ofTester ~/j'>'7 g
Dale 9~r
, ,
Job Address /~~ Ju~:f.r/
Heating Contractor~?9,V/~
Name ofTester ~.8
~-f~
73.h-
7;'f~/
3~/ ~
Date
Percent 0,
Percenl CO
Percent CO,
Stack Temp
Combuslion air is adequately supplied per
UMC Sec. 606
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