HomeMy WebLinkAboutBuilding Permit 04-1086
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
0/- :30-(jtj
I PERMIT NO. O~, 10801
I,While File
2. Pink City
3 Yellow Applicant
LEGAL DESCRIPTION (office use only)
LO~ BLOCK ADDIT~(:'i~ld. t frk,
OWNER
(Name)
(Address)
BUILDER ~ \ I. L
(Company Name\L..J.)<... 'ti0'tJZ7Yl
(Contact Namejf'Y'l; ~ . G bh.nou:tkc.>--
(Address)
(Phone)
ZONING (office use)
ICdJ
PID,::)5- Ll07 -Od-d-.-L)
(Phon.tt'iSfA ;Cfe/S -7.8 3 ~
(Phonel~IU 3f.flP - tf-z.~8-
-~
TYPE OF WORK ~ew Construction DDeck DPorch DRe.Roofing
DAddition DAlteration DUtility Connection 0 Misc.
CODE: n.R.C. DI.B.c.
Type of cJc;:struction:
Occupancy Group: A B
Division:
I
E
ill IV V A
HIM R
2 3 4 5
::~:::C:~:~:::in://~lace {)!7
(excluding land) r
B
S U
I hereby certify that I have fitmished 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. 1 am aware that the building
. :;'~l ,n revoke :hiS permit~' jus~a:c:;erebY agree that thed~ 0~cm?)~5":7he propeny to perform ne~r:;:9~c/
~SignalUre Contractor's License No. Date
1 Permit Valuation
I Permit Fee
1 Plan Check Fee
I State Surcharge
1 Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
II
F
I
/,2~,d't?t7. --
$ /.;lb-Z.r"
$ 7~, 18'
$ b.J. --'
$
$
$
$
$
-
/Od. ,e.Q
/ ttt:'. ---
J..s;. SO
y/!, --
This Application Becomes Your Building Permit When Approved
$/.P(~
BuildIng Otlicial
/~Ar
r1ate
1 Park Support Fee
I SAC
I Water Meter e;-5~1";
I Pressure Reducer
I Sewer/Water Connection Fee
\ Water Tower Fee
1 Builder's Deposit
1 Other
I TOTALDUE
I Paid
I Date
"
5rr71,,1'
/cJ,d-'f.' ~
$
$
$
$
$
$
$
1 $
I $
I~NO.
(j
#
#
#
#
-
/35'19. -<J
.:z5l?-
-s/s: .......
/.;2dO. -I
7~ ..- 1
1
I
S8' 7? /3' I
..JiPr )
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
~hen signed by the. City Planner constitutes a temporary Certificate of Zoning compliance and allows construction t~mence. Be'!. oc,ancy.a Certificate of Occupancy must be
,<sued ~ ~ee IVla! F~
~ ~u;~irector /'/11r Special CODtIi!! 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 ~Idin~
Canary - EiiDfneering
Pink - Planning
Thr ('tnlrr of Ihr L.kr ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
APPLICATION RECEIVED
j) R iJn-;t:;;J
r:"" 3o-<X/
(
The Building, Engineering, and Planning Departments have reviewed the building permit
application for c/n;;U~q:~rity whi is proposed at: Q ~
y
NAME OF APPLICANT
Accepted
Accepted With Corrections
Denied
Comments:
Reviewed By: 4~ Date: /0~7
. R:qcfA c;-// 4a:v h
#Vs-e- c..ur~pI ..:z::y/
"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."
10/11/2004 MON 8:55 FAX 6513226147 GENZ-RYAN
~ 008/017
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
~ $:. ~i~ I PERMIT NO.~~_ ~laai..
:a. Gold Applicallt ~
q>1e..e!VOe or!>lillt..4 sims' bottom)
ADDRESS '
/14Q3, IvLrp.J-jp(c~ !:>>2-. ~f;
ZONINGCofliceuse)
LEGAL DESCRIPTION (office we only)
Wl'/.7BLocK I ADDmON 1Ue;;zfj ela (/'/17
PlD
OWNER
(Name) PP Hort"" ('Ulit".. HOlll~-
(Address)
20&00 ~eK\b6e C:r Sr-plM
(Addms)
(phone) _
,La~\lillt'J
(City)
o/y.Q8'S-iRM
'7~U
(zt,Code)
APPLICANT
(NIUl"P' Genz-Rvan Plumb1nl1: & Heat1nl1;
(phone)
651-423-1144
(Ad~) 14745 So Robert Trail
(Addreu)
Rosemount ~ ~
(City)
! Ii. /1 I (Phone)
) '-=ftJff A] DATE
I
55068
(Zip Code)
(Contact Person) _
',.rCANT SIGNATURE
651-423-1144 .
//)/1/ /IXL
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 Sl.:l1.I!.J.JULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Warer connection only $17.50
Estimated Cost S
Building Pennit #
SEWER AND W ATERPERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
L_
Il1lildlag omcial
[~:i r:_~'"",
PAID WIltI
r:
Ds"
I,
I
(Omet Use Only)
I This AppllcatioD Becomes Y ollr BulldlDr Permit Wbell Approved
14 bour nolice far all inspeetiou <,51) 44', ~, fax (951) "7-42ol~
\..
i
~\
White - Building
cana~na .jn~
Pink - lannlng
,', 7
See Main File
ThO' ("C'nl..rnf Ih..I..k.. Country
,
(I
BUILDING PERMIT APPLICATION DEPARTMENT CI:IECKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
P!< /jmi:~
(1-- 30 .-01/
I
f
The Building, Engineering, and Planning Departments have reviewed the building permit
spplioal;" f0"7;:'19:3''Y:{tJ~I~c2 ~
y
Accepted
Accepted With Corrections
Denied
, .
.,..
.
L
I
Reviewed By:
y
'Comments:
/;!~~
Date:
/0~y
,
,.
~;.r:rA 6oJ't'o~ ~~ /
"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."
10/11/2004 MON 8:56 FAX 6513226147 GENZ-RYAN
Ii!I 009/017
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
q?Jease tyD~ or Print and sim at bottom)
ADDRESS . d
nd ~.~;'y lw--fie Lj
~ ~~ ~:~ , PERMIT NO.AL., I~_
3.Yc11rfr Applitanl ~~
1Jn YG
ZONING (ofticouse)
LEGAL DESCRlPTION (office use Only)
LOTJdaLOCK I ADDmON IlaJQ:f7.eLcL
{{fM
PID
OWNER
(Nwm~ DR Horton Custom Homes
(phone)
o/,2-Qr;;r, -'7'6DD
(Address)
ZO'S/oJD lUnB~IDGe. Co Sre./lJO
Lt:du.vi IIG lM N bEb4 L/
APPLICANT
(Nime) Ci'Ra:-l'rpn Pl"lll~""Qg F.. aJ:>fjl~"ug
(phone) ~<I_t.?~_11b!.
(Ad~S)14745 So Robert Trail
(Address)
Rosemount
(City)
MN
55068
(Zip Code)
(Contact Person)
-) '-f,q Ii /I
(Phone)
651-423-1144
DATE 10 III /01
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
~ Quan~ty Type of Fixture , Quantity I Type of FIxture
/ Bath Tub with or without shower j I Roullh-ins
I 1 Dishwasher I f. I Water Heater
I ) I Floor Drain , m- I Warer Sollner
;; ] Lavatory (Bathroom Sink) I I I Stand Pipe (Washing Machine)
. Laundry Tray (lor 2 compartment sink I I Sewage Ejector
I I Shower Stall I I Backtlow Assembly
( I Sinks I I Bacldlow Assembly Test
I Bar Sink I I Lawn Sprinkler
0<. I Warer Closet (Toilet) I I Other
I
I
I
FEE S"-.txl!.uu...E
Industrial, Commercial & Multi-family 1 % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building PeIJllit 1#
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.5~ AID VV lId:
l1UILDING
(Office U.eOnIy)
I This Application Becomes Yoar Building Permit When Approved
BuDdl"l Offieial
]~~~ .
~T 2 2 2004 ~,
24 bonr notlto for alllllllpectlon. (952) 4 7-9850, [ax (952) 447-4245
By
D...
J
~ ~ OCoCt>
CITY OF PRIOR LAKE
HEATING/A:IRCONDITIONlNGIFIREPLACE PERMIT
Date Rec'.d
. q><....lvK Oriori!'tand s~ at boUoml
ADl1>R.B$S
\~l..\q~ \)~P",,",~~~\>" {),. S~
l. Pink
2.Gn\illft:
3, Vdlow
~< I. PERl\uI l~O, AttI.... Il1gA .......
AppUcInt" ~
ZONlNG(oIliceUSC)
LEGAL El1lSCR1PTION (office use only)
~'
LOT BLOCK
AuJ.JUI0N
PID
OWl'mR DR HORTON
(Name). 20860 KENBRIDGE CT
...;&~~~) LAKEVILLE, MN 55044
:\"-:rT\)>;'::>{~"::
(phone)
. . $.:E?:MdANI' /1 A
. (N'~e\ /7'///A'.J' ~ 'J',.f"l-?/r_'/
(Address)~ .r 1.r'?~~1 ~ 4:
I-i>-> ~~~~
. APPLICANT SIGNATURE . -=:,.. -
(Phone) Z-S-fi .t;/~- .I'/;?~
.c-~~ ~ ~-, '1'"
~--:3~,,:,,-~ ~i7# T
. ( . (Zip Code)
(phone) . CA.~ - c;./~~-177S
....:.,:-,-..."....::..':.
.. DATE
;':,',:"':'. .' ,',. ":'_.' ":-":. ..:....,.....'.., c:;"-,,:-:,:
, ..... ,,' ",' '-':'.. "', .:-: " ....._,.,'.:.-".,-..;:.<,
. APPI;I<;:ANT PLEASE COMPLETEBELnW
! .. ..... ':' '..'......" ,._- ._ .,,'_., " .. ........ ",' ':"-",'"'' "':':" ":" .,... ,", ......,.,....'".c.....:;'...,.,...,;
. . .'!lNEW CO~TRUCTION 0 REPLACEMEN'F ..... EI;AL TERA TI9NS , .
.FURNACE~ANDMOD~/r--1'~ ;l'a4~~~07~. FUELJ /,." ~J'-.e.
FLuESIZE.v:M....A RE'tURNOPENINGS 4.. INPUt &4 ~ OU1PUT 5Z_~
TYPE OF SYSTEM HEATING OR POWER1'LAN'I'
DWann Air Plants .0. Steam
oGravity 0 Hot Water
o Mechanical [JRadiation
Woir Conditioning 0 Special Devices
~enl System 0 Other Devices
,.....
PLEASl\:NOTE:
Air COnditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
j
FIREPLACE MAKE AND MODEL
. ;,'.',
FEE S.CHEDULE
1% of job cost Residential. Gas Fireplace
$39.50 minimum
Residential, Heating &AlC (New Construction) $99.50 Residential. Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential. AC Only
Estimated Cost $. ~ c:::t:) auilding Penni! .#
. .... PAlOW"~"1
HEATING PERMIT FEE $ L,//~.I~/~.~:..",~:......,,~ ',,'\.
STATE SURCHARGE $ _ .50 ~"~ rt:rnvio .
TOTAL PERMIT FEE $ 0
,
Industrial, Commercial & Multi-Family
$39.50
$39.50
$39.50
(Omee Use Only)
Building Omcial
~ [[1g re n W~l;\1 \
< Date 'II By
Dare I ~ NOV]!> 7nnA J
24 hour notice for all inspections (952) 44 ~~8SO, fax (952) 447-4245
By
Receipt No.
This Application Becomes Your Building Permit When Approved
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONlNG/FIREPLACE PERMIT
Date Rec'd
I!'I_ ~ or_ and sim atbottoml
ADDRESS
~. =. ~:y I PERMIT NO~ ''''_1
3. Yellow Applicant ~
ZONING (office use)
17493 DEERFIELD DRIVE S.E.
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name DR HORTON
!Phone)
(Address)
APPLICANT
(Name) ALI.IED FIRESIDE DBA FIRESIDE HEARTH I> HOMF
(phone)
651-633-2561
(Address)
?,700NORTHFAIRVIEW AVENUE
(Address)
llRENDA HUSTON
ROSEVILLE
(City)
(phone) _651-633-2561
55113_
(Zip Code)
(Contact Person)
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
12/15/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Industrial, Commercial & Multi-Family
HEAT N GI.O SL-750TR-D
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
FIREPLACE MAKE AND MODEL
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 #
$
$
$
PAlO tmH
B&".DlNG PERMrr
(om.. u.. Only)
BuUdinl! Official
~:~ ~ ; ;;o~ \ t.N'
24 hour notice for all inspections (952) 447-9~1!ll, fax (952) 447-42~~._.~..
Date
Tbis Application Becomes Your Building Permit Wben Approved
See Main File
White . ~uilding
-:'. ~Rft.:lrv .. t:nglneenng->
Pink - PlannIng
Thl! ('''RIP. Qf Ihll 1..111' ('0...111'}'
NAME OF APPLICANT
.BUll.DING PERMIT APPLICATION DEPARTMENT CHECKLIST
[> (1(7 rl-:ijA-7-t.~~~ J.
" "'\I(j ;' /~A J' ,~.-/
'9' -- :3 ()--oc/
/
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the byilding permit I
application for construction activity whic)'l) is proposed at: . 'i! ' I
. ' / r; L/93 JJLuYr~f)cf! 1l.k'u.M.-t . '
\J
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Comments:
//Il4A
5u_ IYlCtI'" PI l(.
Date: /tJ -1'i-oLf
"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."
. '
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECCJRl!)lain File
SITE ADDRESS /711'~ tJ~e,/Je I' ,/1".,
NATURE OF WORK .
USE OF BUILDING SF 0
PERMIT NO. {it{-; .(o!Jft?~ ~ DATE ISSUED
CONTRACTOR Q, JC'. ~ PHONE r
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FOOTING ~ /~f/~
I FOUNDATION (Prior to Backfill). .d.oo"'f'II.w~ _ ~ I ::J~~,fr
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS ..
SEWER I WATER I SEPTIC ~ r //ft/;;-'
FRAMING /#11, /Pf"/~ ~
INSULATION . )~ /mA.s-
ELECTRICAL / //~f''S ~
PLUMBING ~ (r:';q .I~/Qfi""'.. f/I.IV~ {,- 7 3- ~
HEATING (If required~ td5r peT /ij-<s:; ~y p)/" I"J};jc)JtI'{_
FIREPLACE IA.t ./ J: ~~ ///r/dl
GAS LINE AIR TEST /1'/4,n f /1 r- /' ~ /,z/.,z? /()r
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS _
0e~#A./. bYe..
r/?7- ~/d/tJ~
...2/~s
..?k/~
f?A3~s-
BEEN SIGNED
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~
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
~ntifirztt~ of (Jf)rtupztnry
CITY OF PRIOR LAKE
\/ ~tpttrfmtnf nf 'liuilMng Jlnsptdinn
rFinal Permitted 0 Conditional e.O. Expire.
This Certificate issued pursuant to the requirements of Section 110 of the D Residential I 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 04-1086
Bldg. Pennit No.
R2
Use Classification
Occupancy Type
Legal Descriptior
R3
VN
Type Construction
L22. Bl. DEERFIELD 11TH
Zoning District
17493 DEERFIELD DRIVE S.E.
Owner of Building Site Address
D.R. HORTON. 20860 KENBRIDGE COURT. #100. LAKEVILLE 55044
Contractor's Name & Address - T
ROBERT D. HUTCHINS ~. JANE KANSIER
_ City Plannf'"
~BjlillIi~ffidal
Date: /0 r Date:
/
".~,{~';',-.' '~..',",,:,
,; ..u.':...w'. h.' ..;",",t"'l~~' '.J'~ ",
."..t.~,.."I-\'l"
'-",/,':
".","
~,,~ nME
/?~'ll LJe~,i1~Cc{ d
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
D FOOTING
D FOUNDATION
D FRAMING
D INSULATION
~NAL
D SITE INSPECTION
D PLUMBING RI
D MECH RJ
D WATER HOOKUP
o SEWER HOOKUP
D PLUMBING FINAL
fiECH FINAL
CQMMI;NTS:. _ I /
d;/..-./'lrs'-I *4 cYd.....L
~ IJI k;..~ kk r CY~ /
~~~"- ~ ~/~/'/
c:;,y- -~o FA
D EXfGRADlFILLlNG
D COMPLAINT
D FIREPLACE RJ
D FIREPLACE FINAL
D GASUNE AIR TST
D
. "
~/Z~s. -
J _ _
/Q"a4 h~ I' /'?/c...
~~vd c5Jr.\'"e " ~ ~
~ ~ ,/ / /J
/f'e;u ~r./f'fJr~ $?~ JI"
'.) A/e;I:.~'- ..5odr pe-c.J" ~r ~~' /4.-
/!/ad ~L/ ($:'-hN/~.LInc. /
"
...,.-/ J "'
~A-. C ~LC.
L:0rq .~/~ ;'
D WORK SATISFACTORY, PROCEED ~~
?RRECT ACTION AND PROCEED ? C
D CORRECT ~~.....~L~EINSPECTION BEFORE COVERING
Inspector: ~Y'" OWner/Contr.
CALL "7.9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
-,
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH & SAFETY/
ADDRESS
I 7 2( 15
DATE TillE
SCHEDULED ,;?~5~S;-
a~/~it ~y
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
-LJ r - /oP6
o ExlGRADlFILLING
o COMPLAINT
o FIREPLACE RJ
o FIREPLACE FINAL
o GASUNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RJ
o WATER HOOKUP
o SEWER HOOKUP
~UMBING FINAL
o MECH FINAL
COMMENTS:
~-? / / / /'
//N~~.~. ~r res./' ~Y/c
-</
~h~
./
rJk'
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR!) ~a;;~INSPECTION BEFORE COVERING
Inspector. P"~ /'v OWner/Contr.
CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
-,
.
~
----- ----
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor h~ _cd'
Name of Tester ~}\,.
t) -'2. 2.-a<'
Date
Job Address
Heating Contractor
Name of Tester
Date
Percent 0,
Percent CO
Percent Co,
.'
I fltt1J ~c.f
1/1, 'IfY-'r MLr AI'
~HM.~
J-j.~- or:'
a.')~
~....
_t!-,o,Z
-'2e$'oF
Stack Temp
Combustion air Is adequately supplied per
UMC Sec. 606 V6
$rv-
Input