HomeMy WebLinkAboutBuilding Permit 04-0706
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
(Please .!VDe or print and siJm at bottom)
ADDRESS ~ (l \\
114&1 ~~ !Jr,'v~SE-
Date Rec'd
t-/7-Y
I PERMIT NO. 04 . 010 to I
J. White File
2. Pink City
J. Yellow Applicant
LEGAL DESCRIPTION (office use only)
LOTq BLOCK ADDITION ~e.r~'pltL\ 11)'\../
OWNER
(Name) .
(Address)
BUILDEIt'0 n \ L A
(Name) \).K.- TWf17Jn The
(Contact Name) ~\-t-z.:~
(Add )u>Bbo .k~. (, Pt>le-c"f-..s+e LOO
ress La.J2fAl1\lp r'Vlnv83f)Ljl-\
TYPE OF WORK
o Misc.
/.~. (i.
piN ew Construction
DLower Level Finish
DDeck
(Phone)
ZONING (office use)
1?-2
PIDZ\"4-c!7 rJcR.O
,
(Phone) q61.-4~- 713-33
(Phone) q{;Z /}..JftJ . 133</
DPorch
ORe-Roofing
o Fireplace DAddition DAlteration
PROJECTCOST/VALUE (excluding land) $ / iCfI 311
ORe-Siding
Dutility Connection
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 roperty and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted (!lans. I am aware that e bui official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;teruptX!;;;~~n eclio s dll2/lr? 5l6'1 ~
\"".-/ / , Si ture{ Contractor's License No. Date
V
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
Tl) ~/, ~OO. f!)~
$ J-
/_~9 q.c;z:)_
$ 1'4'1: feJ i'
$ 70, ~c I
$ I
$ laa. 00 I
$ ItJo, ()(J
$ 3$: 5'0
$ ~,oa
This Application Becomes Your Building Permit When Approved
~~~~c;~U/.J 7~:~Y
I Park Support Fee
I SAC _
I WaterMeterCSiz~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
j
42t'J7J_uJ
7. :JO.i:J ~
$
$
$
$
$
$
$
$
$?J03S:./fJ
I ~t No. er7.rn
O~ '
#
#
#
#
I3Sc . 0 ()
2{;:"a , tJ 0
~S. dO
12.00, () 0
700' 00
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
~Plan~;;;;PomrycenillcateOf;~;ce"dallow,con'truCSeenCMaTifFiT(tP"ry mu"be
PI..ning Director 7/ Date Special Conditions, if any
24 honr notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
~~
See Main File
While - Building
Canarv - I=n9inp,~
~i~ - Pll!Inning
Thr ('rntf" of Ih. I.."" ('ounlr).
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
t-', J
f I,' I : G ~ 1
~r-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~ j i i~. ,. r fJ I,
Accepted
/'
Accepted With Corrections
,
Denied
Reviewed By:
~
~
Date:
~~~'-/
Comments:
,
I ~_
"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."
&~1;
See Main File
/V'liiite - Suildin;;'")
Canary - Engineering
Pink - Planning
Th~ ('toler of thr I.akr ('ountl")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'P, R... _ Hv t2/f1J l'-!
&;.(/,04---
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
n~{
DSbl't.1/t8-V D n.. ,
Accepted
/"
Accepted With Corrections
Denied
Reviewed By:
('I<. ,.
r6)~.
~p
Date:
~0(
Comments:
'jI~
"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
~ -I}uildinli!
Fl" .. Enaineerl1m-)
Pink - Planning
/
Th.. ('f'lIlll'f of lhe> t.kt' ('oulll.,..
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
't'..,. )
l.j 1,-"
H oli.-TU I')
(, . Iq . ~ 4-'
i
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Ii ,( \) t-'\'. ':. r I t:;rLi.! t) i '-
, - ~,.,. "
Accepted
x
,
Accepted With Corrections
Denied
Reviewed By:
iJIJ(}f3
~<~ /J1.4//..
Date:
7-/- OL/
Comments:
h'/e.
"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,"
CITY OF PRIOR LAKE .
HEA:'l'IN<;/AJR CONDITIONINGIFIREPLA:CE PERMIT
::tf r;qOD
Date Rec'd
,1,"<-
..'l:~ ~~. I PERMI.... .. TN()~. ..... ....... ....... '.
' 3. ,YellOw Applicant _ '
. , " .,' ,,-' ".-'
'. . . ZOmNGidflkOJ..)
." '; ""'_ .,."', '::-"-';,':':1-,,,.
, ~tease'~'I~=_"'~l'''4~,",aIid''~ atbottcriti)::,~ '
ADDi7SYG} '.' J~Qfecdj /Jr; ue .sf
LEGAl-DESCRIPTION (amcih;;;' only)
, -,--.. '-. '.-....;. " '
-. ,:-'-,S>,:-'-:'-:::':'-':,;': '
L0T BLOq '. . AJi)iimON
O~'R DR HORTON
(Nami:)~ 20860 KENBRIDGE CT
. . ....... .' LAKEVILLE MN 55044
"0$.~.\ '
:,;. ,." ,':''-'"'' 'H-_"!jy,~
, ".r.:.~;~~'~?~~\'_~f::r2~
PID
"=~,'"
(phone)
..... ,Z:i'Y'/':ALLIANT MECHANICAL INC
.. - - ....,:. .\,." : "3 650 KENNEBEC DR
:-,,', .' . ..., :', ':', -'"i ~:\ \ ~~ '
(A~s). '.' .:'<:iEAGAN, MN 55122
. " . . . ... . 651 4522775
(C6!l~~iferSon) ()Q~~~<... - - dd-XJ-fj..- .'lne)
.',:1./".. ~:'V:) '/'. . '.. "'.D--ATE'
_ .\\PP];;l~SlGN'A~~,t:;; I a@)( C.~ _ o~ . .-
. '; ), .<::'::~':MFIJICAN'f PLEASE co~lblilipFYB]jEo.W __' .'
,'-,.'
o Specii!1:Ji1e.vi~es' . ,
o Oth"1' Devices .
)I\e)
", ~'.;~~~t_,
.0";:""
''':''':.!.-.-'
:\,,:-:::::V,~~"<:::(::"','''' '
;'-' '':',' "
,", 'n'-. '.
i~f- Crd~m~
;"'''':'.'''_',-'':'-'-':'\,_'i,''"-"",_,."",,-,-,,,.',
. Re uir~d' Sid<f:Yard.
'.. ~~~[~,:-.:'<.- , .... .
. .,. - . '
" " "."~"', - -,,',
~,~',,' '.'.
, ii1REPLft,CE,~~~~,~~'
."' :'/?~'\',}?)j;'~;~~~N:~':.~;i "::'t -';
'::"";':_'
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""";""'.
Industrial; Commercial:~ Mldti:f.mily
FEE SuumbLE .....
1 % of job cost ReSi4eritia/;Gas Fireplace
$39.50 minimum ' "~ . . , .
$99.50 Residential, Additions & Alterations. .
$64.50 Residential, AC Only
$39.59.
$39.50
$:39.50
. Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
, !(--~~2J~' '''['
1 -'n 1,',.H'"'v'.....'1. iJ~ rJ
-u'''-<i ".~iSp- *," -,,~-
.50 ' - "'_iI - , 'c.-....J...',
(Office Use Only)
Building Omcial
~I&' L?a@IT: n II~ [.'~' :.I'.lfeceiPtNO' .
atrlUl I 6 lU04 l'! ,by..
Date _ 1
24 hour notice for an inspectinns (952) 447, ~. fax(952)J41~2~~:-:;,...:J
This Application Becomes Your Building Permit When Approved
JUN. 24. 2004 1:21PM
GENZ RYAN SERVICE
NO. 515
P 10
Date Rec'd
CITY OF PRIOR LAKE
.
SEWER AND WATER PERMIT
CFlcaae lV1l, orumt ana .i.,...t bottom)
ADDRESS .
/14 Lt I . wr<..f1e(cL /'yJeS6
I. """ "', I PERMIT NO IJl. t11/JJtJ
2. ytllow Oil1"' .
1. GelId AppllQlnt .
ZONING (omceuse)
LEGAL DBSCRIPTION (ollie. .Ie only)
LOTI?{ BLOCK. I ADDITION D..eLlz:fi et J. (1-/11
PID
OWNBR
(Name) J)~ lIortt~ ~,.~.~- "~-~:
(Address)
2o'U.oO ~e~\t:6e. Cr- Sn>' ,IN".
(}.ddrolll
(Phone) _ '152- -q85- ,iSM
Lau\li lIe..."7W--lLJ
(City) (Zi. Code)
APPLICANT
(Na11'~' Genz-Rvan Plulllb1n~ & Heat1n~
(Phone) 651-423-1144
(Address) 14745 So Robert Trail Rosemount. MN
() II1(Ad~'n~ C. . (City)
(ContactPeISon). -1.J.1R-fJU TU./:l (S. _ (Phone)
,-'.JCANT SIGNATURE ('1 II~) ~ 12.1/'\ DATE
I
55068
(Zip Code)
651-423-1144 A
I /1-rX4 -rJJ./
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
Residential sewer and water line connection $35.50 Industrial, Com'l &: Multi-family 1% of job cost with a $39.50 miniolum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit II
SEWER AND WATER PERMIT FEE . $
STATE SURCHARGE $
TOTAL PERNITT FEE $
n",',-,.",."" J
\(,,4I'\l:ll.iliilJJ~
.5~UrW~l~'GP~::"1"-- ,
c~... "Ii ~
J
(om,. Use Only)
I.Thi' Application Becom., Your Building Permit Wh.n Approved
L_
Bull~lng omcl.1
Date
'r _ -- --" .-.
~] ~'1~ L~ U \'!J L~ 11' Receipt No.
~D%l'l 6 2004 ~t
I
I'
I
24 hour noti.. for all in,p..tloDJ (952) 44' .9850, fax (952.) 4414245
By
JUN. 24. 2004 1:21PM
GENZ RYAN SERVICE,
NO. 515
P 11
Date Rec'd
CITY OF .PRIOR LAKE PLUMBING PERMIT
!,
I. ""' "" I1>ERMlT NO~JJ]fi,
1. CIohl c~ A;"
J. V.llow ^,pplCtllt
C'?1e!.!:e!\:pc or"rint and sim &t bottom)
I ADDRESS. t
/14(;/ ~t2fi eJ.d... ~ 5c
. ZONING (ofl\c'"IC)
LEGAL DESCRIPTION (olllee Ul. only)
LOT q BLOCK I ADDITION
flp v.JP_l J eJd / /th
.j. ....-, . .~.
PID
OWNER
(Nal'''') DR Horton Cuatom Homes
(Adl1ress) '20'SlPD !(enp,1't1 j)Ge., Cr s're IDD
(Phone)
%2' q if Fi -,RlJd
Ltl~N E/5bL.jt.J
APPUCANT
(Nirne) Gvn::c-l)~:........ 'D'~_t f. Ulll"'..."'....g
(Phone) <.'_I,'~_11~b
(Address) 14745 So Robart Trail Rosemount MN 55068
() (Add'je,!,s) _' ~ (City) (Zip Code)
(C_ p~". [ 'J1 t1J!:n I {S _ (l'hoool 6S 1-423-1'44 ( /
APPLICANT SIGNATURE ( ~A _) 10 11..<1 DATE -1g/~/ &4
~ {
APPLICANT PLEASE COMPLETE BELOW
I. Quantity
F--/-.
1 I
I i
1 ,'.j
I
I I
I I
I
1 CJ-.
I Type of Fixture
Bath Tub with or without shower
I Dishwasher
I Floor Drain
1 Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
Sinks
I Bar Sink
Water Closet (Toilet)
I
I
I
I
I
I
I
I.
1
I
Quantity
-3
i .
{2:1:
I
I Type of Fixture
I Rough-ins
I Wa~r Heater
1 Water Softner
1 Stand Pipe (Washing Machine)
I Sewage Ejector
1 Backfiow Assembly
I Backflow Assembly Test
1 Lawn Sprinkler
I Other
FEE S'-J:1uJ\lLE
Indu,trial, Commercial & Multi.family 1% of job cost with. $39.50 minimum Residential, New On. & Two-Family $99.50
R..identiol, Additio", & Alteration, $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
'--"'"'1- .
lr'.Ah; ,- \ ~.~ ' ,....., I
50 ~)'I'" ., ~ (loll, J rJ .
. ',. rr "., ) ,'\11 '_
.~\;.;;-,~,.:.c~;,,~ tl"",=:/' r*'
--...................
(Office Use Only)
I This Appllcatton Becomes Your Building Permit When Approved
BuUdlne amelol
!' Q ~i~ ~ 0 IJ] it 1\\\ Receipt No.
, ]. D1ft!JL 1 6 2004 i i:,1 By
14 hour notiee Cor allln.peetion. (952) 44,Fff50, l\Ix (952) 447-4245 -.I
Dsrt
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS I' ~(, I · , /)/eli/e S.e:
NATURE OF WORK ~ ~~
USE OF BUILDING $.R A ·
PERMIT NO. 04. 070fo DATE ISSUED ~/ltJ,I."
CONTRACTOR Ae. HtHer-dN PHC)NE"-l-,2.U -11./tI
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main Fill
BUILDING AND INSPECTION
INSPECTOR 01TE
I FOOTING I ~ I cI'/,//oy'
I FOUNDATION (Prior to Backfill) ,(.",c,J/ 1L/'i;Y /JT&.1-~ I ~~l!~;-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
, ~
SEWER I WATER I SEPTIC Mf- ~//~/t:?i
FRAMING d'U , /.y'p/c/
INSULATION ~ /,,#~'f"
ELECTRICAL I /I /ols(~
PLUMBING tIc(J. 4 ~/zf/.; ~ /6k/qf
HEATING (if required) #t;?' /o/cP/of
FIREPLACE " ,
'GAS LINE AIR TEST /l/ttl~ ~ ~ol r/of
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I ~. I ,1/ ' l
~>L, (}f1I!~, s-J.€i. FINALS,A/t dee' ~ t%-s ik
GRADING (Prior to SOdding) ,-See a-.,~ Kle
BUILDING /1.1:1' ;//6~~
ELECTRICAL . /7 II //q Ie'/'
PLUMBING ;/ VII/' /F/Cf-af
HEATING ~ ..;2 //b As-
A /, DP N9T g,eCJPv. UNTIL ABOVE HAS BEEN SIGNED
jV<< 1'0 Oct1Jr 1.5 g/ee 't ~d 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
@:tdifiraft of <IDrrnpaurl!
CITY OF PRIOR LAKE
~tpadmtut of ~uil~iug JlusptdillU
I
lFinal Permitted D 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 04-0706
Use Classification
Bldg. Permit No.
R3
VN
R2
Occupancy Type
Type Construction
L9, B 1, DEERFIELD 11 TH
Zoning District
Legal Description
17461 DEERFIELD DRIVE S.E.
Owner of Buildin~
D.R. HORTON, 20860
Contractor's Name & Address //.#:':/'
ROBERT D. HUTCHINS/~'7
O . Buijding ~cial
..2 A? /6 <
,
Site Address
KENBRTTGE COURT, SUITE 100, LAKEVILLE
DANERJaNSIER
City Planner
Date:
Date:
DATE TIME
CITY OF PRIOR LAKE ,/ I
INSPECTION NOTICE SCHEDULED .),'//4-esr-
ADDRESS /7 ~/ /Jet.'r~ /1 IJ-
OWNER
CONTR.
PERMIT NO. CJr - /CJ?
PHONE NO.
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
..)!I1'INAL 0 PLUMBING FINAL 0 GASLINE AIR TST
o SITE INSPECTION ~ECH FINAL 0
COIlll"'ENT$: . _./'.' / / . / I '
/"' kt: ft/O: / /7,.., ck/L<.- ;/ ~ //9 /""4/
~< /. r;:,,, / ,q/c.' ,
'~I 'u~/ C7r~~f ~S r
-':1 '/- - '1./
{f/ ,A/cc c';ro~oJ-- ~h~ ':6/ '7'Or- ~/':-
h/P/Ck. ~..d-e ~S ~i7t.;.~~ ~/f-
" .--{.
@ /d:~v~ CPAS' .t:- /fI~i~ t~1f
A_ / ' . / / / _--'
~;rCeU/;/Lrke C~~/~
r c::3r~_r:.t;; r . '"" .~
/;:;;';se h;{ ~ ~
~ORKSAT~y.PROCEED ~
o CORRECT ACTION AND PROCEED
o CORRECT WO~~~~R REINSPECTION BEFORE COVERING
Inspector: /,K-/ t.----" Owner/Contr:
CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
"""'"'
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/7Llcl O-rerh?,. lei D-
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
.)if PLUMBING FINAL
o MECH FINAL
COMMENTS:
&
~W5
{h:-I a l.vfJ..y
(l( INIcJw
fMJ
6.oW\
DATE TIME
/Ii'l-aj
4-7o~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
1/'e#1...r
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~~K~LL FOR REINSPECTION BEFORE COVERING
Inspector: f vr Owner/Conlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSlfOtJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
.
.---
4
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating contractorAlIl-o..:f"' ~
Name of Tester c...1yul>
Date ~
Job Address ~S (><-tn:<:1J
Heating Contractor A((_'t- LIwf eely
~L.I'1&
..JJ/ t.J 0 "l
n.T~
tiQj...,
'-1%
"2<:1'" .;:.
::;
Name of Tester
Date
Percent 0,
Percent CO
Percent C02
Stack Temp
Combustion air is adequately supplied per
UMC Sec, 606 l( ~ C,
input ~t:lo \\~