HomeMy WebLinkAboutBuilding Permit 04-0709
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
h -11-,/
I PERMIT NO. Ot/-. 070Q I
./
I Z07~(O~'U~) I
See Main File
~lease tvo~ or orint and sism at bottom)
ADDRESS
11~'/1... IJII()J.QPU ~(I~fi:7,
I.White File
2. Pink City
3. Yellow Applicant
LEGAL DESCRIPTION (office use only)
LOTID BLOCK 'L ADDITION ~.~ 1(0'
OWNER
(Name)
(Address)
(Phone)
BillLDERt-.. () ~ .. -n._
(Name\ !).I\. nMM ..LYlC..
(ContactN:me)..fQ I't~
(Address) ZOgloO .K~"rldae, ct. "te ,f VO
L.L~.AA II., r 1Ylf"q 65Dt.JU
TYPE OF WORK
o Misc.
~ew Construction
DLower Level Finish
PID zr. +-6'7. oJ3. 0
(Phone) CJn. 10;"'7~??
(Phone) -.95~ -z.-Ur I ~cJ
ODeck
OPorch
ORe.Roofing
o Fireplace OAddition OAlteratioo
PROJECTCOST/VALUE (excluding land) $ I{q, '?J1Q
;
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 y.~..."-_j' 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~e b . . g offi' can revoke this permit for just cause. Furthermore, I hereby agree that the City. official or a designee may
enter~e property to perform n .
X JA4J.I~ . ~tJt)oc;r,es7 ~-lfrtJlI
{ Signatu. Contractor's License No. Date '
I I
I Permit VaTuation
I Permit Fee
I Plan Check Fee
I Slate Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
VII 'II . tJ DD./JD
$ /~9CJ. So
$ ?4'1. 'f"
$ 70. so
$
$
$
$
$
/00. Of!
/DO. 0 (I
3'5- '5"0
Ifo ,0 D
This Application Becomes Your Building Permit When Approved
~~
Building Official
11 zA, tI'
Date
I Park Support Fee
I SAC ~
I Water Meter (Size5~~I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
./
I Paid It, (III L'd
I Date ?_,'f.v""-
$
$
$
$
$
$
$
$
,$ f1" tJ3S./PJ
i
I Receipt/No. 97 L 7 'f
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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
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~ ~ 7/;z~t( See Main File
Planning Director I 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
~
See Main 'File
White . Building
CanaJ:Y . ~nRineering
Qi'\l' . Planmna ')
Th~ ('I'nlt"<lf lht' I..kf Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. It . H ell II; I~
(.1.1/(,4-
If
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1-1 4 4- L t) CY' Ii F \ I:;.- \...U I) J--
.
Accepted
/
Accepted With Corrections
Denied
.
.
...
Reviewed By:
Comments:
~
7~
Date:
7ft z/a L/
, .
.- to:
" ..
SeeMainFile
'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."
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~~
See Main File
~hite . Bull!lJ!Bl!>
Canary - EngIneering
Pink - Planning
Th~ ('''nl... of lh" l..k.. {'OUnll'J
BUILDING PERM/LAPPLlCATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. It. H-orlAlJ ~
(, . "Lo4-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
[, 4-4--'1.... D ~~~ 0 II.--
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
Comments:
~
'rl ~~ /)1--
Date:
?} zh t/
See 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."
-'
4'"
See Main File
White - ~uildlnl!
~narv - ~alneefllnt-.
Pink - - F.......lng
/'
Thf ('1'1I1I'r nf 1M tab l'ollntry
BUILDING PERMIT APPLICATION OIaeARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
r) Ii. ~h ILI-(j .,)
C,.I/vL/--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1--1 if 4 --'l.. \) C'C)l..Fu",\.AJ I) II.-
Accepted
PZ
Accepted With Corrections
Denied
Reviewed By:
1lh1-ls
><-< /Ylq,~ F,./~
Date:
7-/-0'1
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."
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HE&J!;r.NG/AIR CONDmONINGIFIREPLACE PERMIT
'11~qq.....
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Q~ DR HORTON
.&~ih~.t...: 20860 KENBRIDGE CT
.' :"::,,:,;,y,,.' ': LAKEVILLE, MN 55044
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Resic!ential, ljeatin'g~~(,;,lli.~;~~on)
. Residcntial,lfe8tihg ()n1Y(Ni!#~o~ciion)
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. 'E~iltedCost$
. '.', -.-,'.:"_:.. ~<::<,>~,.,:.t..::,. .:;,; 1
FEE S"-nAvULj:. ".' ..," '.
1% of job COsll,{cSl<\i!lii1,iat.Cias FirqlJI\CO.
~9;50minimum ,.' :c'. : .',;:,;:" .
$99.50 ResiddltiliJ;Add\nonS &; AItOratioru.'. .'
$64.50 ResicieniUd, "cOrily .
Bu~ldlng ~ermit # .
}"',
"
. . $3~.~
" ,,' "..' .
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.$39.56
.' $$.50"
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HEATING PERMiT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
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(Office Uac Only)
. This Application lIl!c'!me.Vour Building Permit When Approved
Building OfDclal
Da..
. TFd~ i;: II ,;1 I, i" ReceiplNo..
J famll 1. 6 ~J,j4 By
'. Z4hour notice for 811 inspections (952) 44\~~.!~~~~~) 447-4245
,
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-~
JUN, 24, 2004 1: 20PM
GENZ RYAN SERVICE
NO. 515
P. 4
Date Rec'd
CITY.OF PRIOR LAKE
SEWER AND WATER PERMIT
q?J.....!"R" ornrln' IIIdJl.n,boaoml
ADDRESS
1144 ;;2 . ~dcf.. r.nz S;&
i =- ~~ I PERMIT NO.Ni.. ,,-infJ
J. Gold AHlicllK I"' ~1
ZONlNGcolllc....)
LEGAL DESCRIPTION (ofIIce use Illlly)
LOT 10 BLOCK;;< ADDITION h.I~.PJr1 (~
OWNER
(Name) Di Ht'rto'Q ~tu:t9m i9IL::
PIn
(Address)
2o~nO t.,eY1I3~\ b6e. Cr- ~ .J f\r\
(Address) -
(phone) _ '162-Q85-,8(j(',
.j..a.~ i lie... &?~u.
(City) (Zip Code)
APPLICANT
(Name\ Genz-Rvan Plumb1n2 & Heatin2
(phone) , 651-423-1144
(Address) 14745 So Roben Trail R."~~I:'(l\U't;- MN .~~068
" ""ddtess) (Cicy) (Zip Code)
(Contact Person) . v'~}2I] &t1 fi1/1 S..---. ',.., (phone) 651-423-1144
-, '~.ICANT SIGNATURE C1L~ /'\ DATE 10" ;;..4.1lJ
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 (ifrequired) located at feet from structure.
FEE SCHEDULE
Residential sewer alld water line COllllection $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit /I
SEWERANDWATE.RPBRMITFEE. $
STATE SURCHARGE $ ,
TOTALP~FEE $
.50. t:WOvmH
~Pl:ml,IT
(om.. u.. Only)
I.Tllil Appllcallon Decoma Your BuDdIng Permit When Approve
1...
B.ildlag Om,l,l
Da..
~~ U ~ ~ ~\ I ReooiptNo.
.R1t (6 2004 , i I By
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14 ho.r .ollce for IlIlnspeedo.s (952) ~~g8!O, tu (952) <<7-42~
JUN. 24. 2004 1: 20PM
(PIc... tvoc or1>ril1,aadsion ubollDml
ADDRESS .'
\1L!Lf CJ- 'W4 tlrllML XH
~J. 111111'
Ii
GENZ RYAN SERVIC~
NO. 515
p, 5
Date Rec'd
CITY OF ,PRIOR LAKE PLUMBING PERMIT
.
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~~.... ~~ I PERMIT NO.IY A~
3. Yellotl AfpI~nt UIII'. u .IIlJI
I . ZONING(O&<~' I
LEGAL DESCRIPTION (olllt:o \lie only)
LOT10 BLOCK g. ADDmON
PID
OWNER
~ame) DR Horton Custom Homee
(Address)
ZOSlDD KenBItI ~ Cr S,e /00
(phone) _~2-q.'i(h-"7g11D
J~vi jJ(.. .u N .5604 L/
APPUCANT
(Name)."'<!I-- _1'1"':- ", ~._~..- J t. UoII!:ll ':".01_....
. . ~
(Address) 14745 So Robert Trail
(AddJ:ess) .
(ContaCIPerson) 0M~J~i1-r ~ '( 1/ '
APPUCANT SIGNATURE (J W4~ f j /.1
-.
I Quantity
I 1
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(phone) ~<1_1,?~_111.1.
Rosemount
MN
55068
(Zip Code)
(City)
651-423-1144
DATE I O....J-4..D~
(Phone)
,
APPLICANT PLEASE COMPLETE BELOW
Type of FlJ.ture
Bath Tub with or. wilhout shower
Dishwasher
Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
Quutity
I Type of Fixture
Rou~-ins
I Water Heater
I Waler Soflner
I Stand Pipe (Washing Machine)
I Sewage :&jector
I Backfiow.Assembly
I Backtlow Assembly Test
I Lewn Sprinkler .
IOlher
I .
(1...;t:
I
FEE Swu.uVLE
Indu,trial, Commercial & Multi.fimlly 1% of job coslwilh a $39.50 minimum Reoidonlial, New Onc &. Two-FlIl\ily $99.50
Roaidcnlial, AddiliOlls &. Alteralion. $39.50
&timat:ed Co.!t $
Building FlllllIil II
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
PA;OVm'H
.50 BUUW:NG p~~~rr
BuUdl"l omelal
S
$
$
'--, rc: (iW rc: n m rc: -:\
~. ~ ~ J I ReceiplNo.
In. Illiwlll, iJJ.. ~'BY
(om.. lJ.. Only)
I This Application Becomes Your Building Pel1DltWhen Approved
Do..
14 hour nolieo tor alllnspoctlono (951) 44 Iillf5n "', "Sll H~ 414~
. .
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
i:i:.. ~;y I PERMIT NO. J /-700, I
3. Yellow ApphClnl '-( . I
q'1ease tvDe or mint and sim at bottoml
ADDRESS ZONING (office us,)
17442 DEERFIELD DRIVE S.E.
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name DR HORTON
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FTllF<,TDE HEARTH & HOMF
(Phone)
651-63.3-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
1l.0SEVIT T F
(City)
55113_
(Zip Code)
(Contact Person)
~RENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
8/17/04
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
OWarm Air Plants
OGravity
o Mechanical
OAir Condi1ioning
OVent, Sys1em
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
D Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEATN GLD 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
$39.50
$39.50
Residential, Heating & Ale (New Constroction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
~~... .
:;~~
(om., Use Only)
,
Huildinl Official
I~~A~G~~ ~!~~N' 0-
24 hour noti.e for an inspections (952) 447-985( B~x (952) 447-4245 V
'..
This Application Becomes Your Building Permit Wben Approved
Date
PR lOR LAKE DEPARTMENT OF See Main File
· BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS J'7I/~ /)erJt!.l-c:,"uJ J)lLi.t- s.ct
NATURE OF WORK N~ III ~eit"c7i'd.)
USE OF BUILDING s:,c:A.
PERMIT NO. Od--, 070 q DATE ISSUED 1i1Mtjl/
CONTRACTOR z:;tt... tlaitT~1J I INt!.. PHONE~ - '2.2~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, FOOTING I IIlSifiJi' I 7/;7/0 {
. ~ . <.
, FOUNDATION (Prior to Backfill) 1a~,..1 /.u~t I ;:h~7
PLACE NO CONCRETE UN'1"i"L'A'BOVE HAS BEEN 'SIGNED
ROUGH - INS ~ ..
SEWER I WATER I SEPTIC ~ ~....27' /0/
FRAMING ~. r?q//orf
INSULATION /J1J) q j:; /,0'-/
ELECTRICAL ...; bo/~(.
PLUMBING (/. G /II#' ~/:x.; ~ R/.?(/af
; HEATING (If required) ~ ~/...?//~
FIREPLACE o/j} ~ 8/{//oy!
'G~S L!lNE AIR TEST ~/~ f-t;r, /// &5//os/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
, I I
~~,r .hve.//~ Hj,,~L~d FINALS
GRADING (Prior to Sodding) j~ e ~/h
BUILDING ~
ELECTRICAL
PLUMBING
HEATING
DO NOT
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J/?/~S-
/C//~y
/tJ///itJi
.Jhp.r.-'-
~
BEEN SIGNED
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.~
OCCUPY UNTIL ABOVE HAS
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
..
Ql:edifitat:e of @ttupantlJ
CITY OF PRIOR LAKE
~rparf1tttut of ~uilMug Jusptdiou
.M Final Permitted D Conditional e.o. Expires
This Certificate issued pursuant to the requirements of Section 110 of the D Residential I 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 04-0709
~
Use Classification
_ Bldg. Permit No.
R3
R2
VN
Occupancy Type _
_ Type Construction_
LI0, B2, DEERFIELD 11TH
~ Zoning Distrirt
Legal Description _
17442 DEERFIELD DRIVE S,E.
COURT, SUITE 100, LAKEVILLE
DON RYE
Owner of Building Site Address
D.R. HORTON, 20860 KENBRIDGE
Contractor's Name & Address #"
ROBERT D. HUTCHINS J;tj
/1 City Planner
Date: :/~~ngOffiCial Date:
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ADDRESS
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~LTE nilE
SCHEDULED ~~ /o~S-
LkerHce d j/y
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
6Q-70?
lJ FOOTING lJ PLUMBING RI
lJ FOUNDATION lJ MECH RI
lJ FRAMING lJ WATER HOOKUP
lJ INSULATION lJ SEWER HOOKUP
~L lJ PLUMBING FINAL
lJ SITE INSPECTION ~CH FINAL
COII!6'ENliS: ___ J
,~/zc'cTn ~ (,h-i-,. / dYu..-
lJ EXlGRADlFILUNG
lJ COMPLAINT
lJ FIREPLACE RI
~PLACE FINAL
lJ GASLlNE AIR TST
lJ
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^WORK~r.,..,.nDv DD,:,--:-:-: ------
lJCORRECT ACTION AN~ PROCEED
lJ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ Owner/Contr.
....-
CALL 447.9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
IJf$NOn
ADDRESS
/7~r..2
DATE tillE
SCHEDULED ?/,~~~
/)~~~t2;/ Jt
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o~- 70 '7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o ~HooKUP
~MBlNG FINAL
o MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
/P~n~'--e- rt.,,-
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OA
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A"'; t:-dr ~ ~r- ~- h...- /4r k~,(
/'1/';'1"/ ~/U /hO~/~J
r?H~c-L (;;J~/\/Y~
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o WORK SATISFACTORY, PROCEED ~ C
~ORRECT ACTION AND PROCEED t: (
o CORRECT WOR'}$~ W,INSPECTION BEFORE COVERING
Inspector. ~ Owner/Contr:
V
CALL 44T.9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
..... /
M~I
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4< SAFETY/
,NSNOTl
~
APPlIAN,!;E
PERFORMANCE rEST
Attach to gas /iflfl adI_nt to regulator
Heating C....Q.,., A/~ r~
Name of Tester ' -kn 8
Date 10-18-0 'I"
.'
Percent Co2
JobAddreSll I"JIA&) 1k~
Heating Contractor ~~ c <-
Name of Tester I<
Date /p~l'-a~
Percent 02 ~
,~
'3S-FP-
"
Percent CO
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606 _ JP.S
Input .JJ:?,//AP&-rtJ
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