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HomeMy WebLinkAboutBuilding Permit 04-0976 Ir'" CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d cr. 8.6 '1- 1. While 2. Pink 3 Yellow File City Applicant I PERMITNO'o-I.Oq7~ I ZONING (office use) {CZ- LEGAL DESCRIPTION (ollice use only) LOTI L/ BLOC~ ADDITIo~~fd. II~ PID zS: 1Iff:J7. {J '57.0 OWNER (Name) (Phone) (Address) I ~C~~~~N::D~.J-bb (PhOn~ )985-7833 (ContactNa~ Il~.d1<.A.... . (Phone)f!;:J~~-'/7,3'Z.. (AddreSS~W~~~Jdt N. 9-/CD) I N::~ u; Llt ; mw $<- TYPE OF WORK ~w Construction DDeck DPorch ORe-Roofing ORe-Siding DLower Level Finish DAddition DAlteration DUtility Connection 0 Misc. CODE: MI.R.C. OI.B.C. Type of &;;.struction: Occupancy Group: A B Division: I E II F I ill IV H I Z 3 V M 4 A R 5 B S U PROJECT COST IV ALUE (excluding land) o Fireplace $ .J2l) 05/ dO I - I ht.'feby certify that I have furnished information on this application which is to the best of my knowledge true and correCl. 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 building C. :ffi. ) can revoke thi, pamil ro~u~_.... I hereby a",,, that the oity o~m;S[,~n the propeny to pa'onn n'::f::;":O;J , f I Signature Contractor's License No. Date v I Permit Valuation PI'f/- O()(), tfi) I Park Support Fee # $ I Permit Fee $ Jz.~, 5'0 SAC # $ /3s-o .00 I - I Plan Check Fee $ 'i"4L/. IIY Watee Meter (!3ize5ljJ; I"; $ ~;')..o. 00 I I State Surcharge $ 70. 5"0 I Pressure Reducer $ 45,tJO I I Penalty $ I Sewer/Water Connection Fee # $ IZOO,OO I I Plumbing Permit Fee $ !OfJ.OfJ I Water Tower Fee # $ 700. D l) I I Mechanical Permit Fee $ loo.flD I Builder's Deposit $ I 1 Sewer & Water Permit Fee $ .35'".5"0 I Other $ I I Gas Fireplace Permit Fee $ "10,00 I TOTALDUE $(", OoSS. /PI I This Application Becomes Your Buildinl Pennit When Approved IPaid~~~ Receiot No. 'I7~S,{ ~~~.~ f/z-yk I Date la/c.//o" Bv '1h Building Otlicinl' .Oate - This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may procl"ed as requl'Stcd. This document :~~=::laniiP:empotMy CeDificate orzon;;;;G;W' constrllction tOSeeBerMaiii"cFlii must~ Planning Director ' 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 ThtC.t'nluoflht takt('ounlry r\NhitA _ Bulldl'iUr:> Canary - Engineering Pink - Planning BUILDING PERMIT APPlICATIOIllDEfARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED D. 1<-. HCt'C1OI0 q 0.04-- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1'74-52.. DEEtWlELO OK-. / Accepted Accepted With Corrections Denied Reviewed By: ~~ Date: 9a? ~'f . - Comments: See Main Fil~ "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 - Building ~_,.; .. E'flql".eeirl~ ""---Pfnk - Planning Th~ Ctnlt'r tlf lht t..b ('0.111". BUILDIN"G PEFlMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED [:l j,~ . f-IOvTN'J o 0 04--- I The Building, Engineering, and Planning Departments have reviewed the building permit. application for coilstruction activity which is proposed at: -1"/4<:;7- DC E ILflLLU UiC. Accepted x Accepted With Corrections Denied Reviewed By: IYYtA Date: 'J-2/-otj Comments: ~ ~ee MainEiJe "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 . Building Canary - Engineering ,..--Piiik - ~~;;I-II. nll!:ll---' Th, ("rntrr of Ihf L.kt' <,'ounlry BUILDING PERMIT APPLICATION D.E.eARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED D, Ie.:., HCiCf'tJ10 C; ~ u4- , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: '-'/4- 52- DC ( leF il::LU UIC. /' Accepted With Corrections Accepted Denied ~'~ Date: r&w Reviewed By: y' ". Commenf~ - r . "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." L ,I 'j '. "'l , . . I . ~.. , . .' j, . t, I >"'IIl> < i, . 'iI '. ',~)., " 09/30/2004 THO 16:10 FAX 6513226147 GENZ-RYAN Ii!I 006/007 Date Rec'd CITY .OF PRIOR LAKE SEWER AND WATER PERMIT lPlease tvDe or orim and !ism. at bouam} I ADDRESs . l1Ll@. . 'Dt..pJ2--HdtA 1m. ~ ~ =- ~:.;. I PERMIT NO.ll-I"Jn / ].~ AJptiaMI ,7-/Jb I ZONING(o_...) . LEGAL DESCRIPTION (oflia: use only) LOT 14 BLOCK!). ADDmON Denl2h (}j r{ / 1m Pro OWNER (Name) T\1) U7rt9R C'UGt91lR Komar (Address) 2oDnO ~Pi<-\s:x=e Cr Sr(i'.IN'I (Addzenl (phone) _ Cf52.Q'85-i80{', La~\Jille... "7~f-IU (CitY) (Zip CocIe) APPUCANT (Nam~' Genz-Rvan Plumbinll: & Heatin2 (phone) 651-423-1144 (A~) 14745 So Robert Trail 1 (Addtessl. r 11 . (Contact Person) . (WfilFlh, '14 S /', T-ICANT SIGN~j '-Wi) trY fJJ /\ Rosemount. MN 55068 (Cicy) (Zip Code) (Phone) 651-423-114~ ( DATE rf//M J!Y-f 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'! & 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 # , ~- '. lOt,. r;,:;iil:"'" ,'.-} 'I, ~""<<Jl~:"" - '. .,p, .,., .,,~ ..':.'" .'P..' <", , W'.iJ~' ~...,,~ .. " 'Pt:':"".1..r,,.,. .'~f""1iVfr ... I Thio Application Becc>m.. Your Building Permit Whon Approved ~ (Ig ~ U \!l ~ l.ecoipt No. I' . Dolt Ja'1lCT 0 8 2004 ~t I %4 haur nollce ror all inspections (952) 447-9~50, fax (95%) 447-4%45 \By SEWER AND W ATERPERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .so (Omee u.. Only) Bulldlal Offieial 09/30/2004 THU 16:10 FAX 6513226147 GENZ-RYAN Ii!I 007/007 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT lPle:ase Me orodDr and sim at bottom) ADDRESS I! ~V)~ !x~ ief! f (tL b12 Yf t=: ~:~ IPERMITNO)~..... . 1. Vtllow Applk:Ull W1f'~' #'-,:1 ZONmG(ollIceUlel LEG~'pESCRIPTION (cffi<:e... only) LOT 11 BLOCK:J ADDmON lYi10H e{ cL 11th Pro OWNER (Name) DR Horton Custom Homes (phone) %2-Q5{"i -7'6{)(J (Address) 2..0~"'D lUlflB~lt:>6e-. Cr Sre.llJ() Lt'r Lu/i11~ IoU N .5fuLi W APPLICANT (N8me)<r.:.,,~_Dr~- l)1"-b;1I7g L lll-r"'':-g (phone) ....6.5.1=.1.?O_' 1/./. (Address) 14745 So Robert Trail (Address) (C_ -., 1Jirt!2itn P, lis 7ft APPLICANT SIGNATURE ( ~~) f I/) Rosemount (City) MN 55068 (Zip Code) I Quantity I .1- I , I } I ,;S I I I I I I ,:;l (phone) 651-423-1144 DATE i1!a-t,/!Jtf ~I APPLICANT PLEASE COMPLETE BELOW I Type of Fixture I Quantity I Birth Tub with or without shower I, '1 Rough-ins I Dishwasher I /. I Water Heater I Floor Drain I 12--1:: I Water Softner 1 Lavatory (Bathroom Sink) I I I Stand Pipe (Washing Machine) I Laundry Tray (l or 2 compartment sink I Sewage Ejector I Shower Stall I I Backflow Assembly I Sinks I I Backfiow Assembly Test I Bar Sink I I Lawn Sprinkler I Water Closet (Toilet) I I Other Type of Fixture FEE SCHEDULE Industrial, Commercial lit Multi-family 1% ofjcb cost with a $39.50 minimum Residential, New Ono lit Two-Family $99.50 Residential, Additions lit Alterations $39.50 Estimated Cost $ Building Pormit # PLUMBING PERMIT FEE S STATE SURCHARGE S TOTAL PERMIT FEE $ .50 ,""J, I"~:,~ ;.~"" ~ ...,.,I'.t" "a.,., .1. t \/j',IJ:r"., "'<l..... ~ . ',,",~ "1f(S "' . l ~'1 ,../..:.... ."~~,A'~ .f i (Omee Use Only) I Thit Applic.ation Becomes Your Building Permit When Approved ~. iGi IE n \'11 IE J Receipt No. . ',Date . 8y BaUdlngOmcial . Date r nrr 0 g Zgg4 " 24 hour nctlce for all inspoetic.. (952) 44' .~ 'JO, fax (952) 447-4245 By HI r OF PRIOR LAKE HEATING/AlRCONDITIONINGIFIREPLACE PERMIT Date Rec'd +-<603 L-j. '.. ",' q>Jeast ~,<lt''!rint and sjm at bottom) . ADDRIl$S \~"l.)d.. 'C"\:><a~~\~\~ U"', s ~ l~ ~"'" I PERMITNO.~ ZONING (oIliceUJe) LEGAl, DES<..!Ur "ON (office use only) ~ ;. ,-0- LQT I'iBwcK ~ ADDmON ~\.\c.'" \\ OWNER 0 R HORTON (Name) 20860 KENBRIDGE CT ...r:{~~ LAKEVILLE, MN 55044 \', . , . .. . ~.'.~. Pro (phone) . . pffiiLiSAm A . (Na'rtIe)\.. /-7'/~(Z..< ~ ~;,"~A~/.('"_./ (Address) .'~~ ~A~j~ 4: . . ;! . o (Cont;lct Person) A_<!!..t:t: . APFLICAWSICJNATURE ~ ' .. ),~ (Phone)h.5~ 4,:1;?~,..p/.?~ ~-42:A' ~~~:.1? . (r1l1ijf (Zip Code) (phone)-. ~~. .v~-~77<5:. .OATE ...... .:. . '-,- .: -',"', ..-:.;-:....-, APPJJICANT PLEASE COMPLETE BELOW . . '.# . . .... : .,.,' '.."- ':-',,' '. ,<,,_. . "':" . ',"--, "_',",',.':"-"";"-",-:"'. " __",\: '0 .3INEW CO~TRUCTION 0 REPLACEMENT. .. . '. D!ALTERATI<?NS J ,. FURNACE ~AND MOD~~~ '?/~.v~~07l::?, FUEL d..../a. ""'..... ~ L. FLUESIZE..y"""Az.....fi.' RETtJRNOPENINGS ' INPU'l'~ OUTPUT 6'Z,~ . TYPE OF SYSTEM HIlATING OR POWER: PLANT dWannAirPlants nSrea.tt OGravity 0 Hot Water o Mechanical [JRadiation gair Conditioning [J Spcciill Devices ~enl System 0 Other Devices \.>. PLEASIlNOTE: AitConditioner Units.. CannotEucroach intO Required Side Yard Setbacks I FIREPLACE MAKE AND MODEL Fl!;E8cHEDULE Industrial. CQmmercial & Multi.Family 1% ofjob cost . Residential; Gas Fireplace $39.50 minimum Residential, Heating & AlC (New ConSlIUction) $99.50 Residential, Additions & Alterations Residential, Heating Only (New Constructinn) $64.50 Residential, ACOnly Estimated Cost $ . ~ Q:)Building Permit # $39.50 $39.50 $39.50 HEATING PERMIT FEE STATESORCHARGE TOTAL PERMIT FEE $~/~~ $ ~ .50 $ l' (omee Use Only) This Application Becomes Your Building Permit When Approved ~ . ~tW l ~ U \JJ ~ I ~ f 8ulldllllOffidal Date ill ~T 2 2 2004 I ~ I By 24 huur notice for a\l inspeetions (952) .....~y850, fax (952) ....7-4245 J Receipt No. ~ CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd 17452 DEERFIELD DRIVE S.E. ~. ~~::,. I PERMIT NO. J 1_ on~ 3. Yellow Applicant ..,. 7'G .. ZONING (office use) q'!,ease ~ or mint and slm at . ...... ADDRESS LEGAL DESCRIPTION (ollice use only) LOT BLOCK ADDITION PID OWNER (Name DR HORTON (Phone) (Address) APPUCANT (Name)-----1- T J mD F"i.FSTnE ORA FIRESIDE HE.. RTH IV HOME (phone) 651-633-2561 (Address) '700 NORTH FAIRVIEW AVENUE (Address) (Contact Person) BRENDA HUSTON ROSEVILLE (City) (phone) _651.633-2561 55113_ (Zip Code) APPLICANT SIGNATURE BRENDA MUSTON DATE 11 /26/04 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 HEATING OR POWER PLANT OWarm Air Plants 0 Steam OGravity 0 Hot Water o Mechanical 0 Radiation OAir Conditioning 0 Special Devices OVent. System 0 Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL HEAT N GLO SL- 750TR-O 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 & NC (New Construction) Residential, Heating Only (New Construction) Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ 'I: $ .50 (Offiee Use Only) This Application Becomes Your Building Permit When Approved Dundine: Official Date I ~ ilii C~ i~1 10 ~ receiPt No. I . @'t.eoEC 1 2004 _Y n_ O 24 hour notice for all inspections (952) 447-91 W' f~x (952) 447-4245 ..L-..~-- PRIOR LAKE INSPECTION RECORD . SITE ADDRESS 1'71($2 J)_ NATURE OF WORK "jJCW CONS'/"1&IAd'?1J USE OF BUILDING s: n .. · .. PERMIT NO. ()'f..097tJ DATE ISSUED ~" CONTRACTOR 1)..2. ~IJ~. PH6NE-"..~ NOTE: THIS IS NOT A PERMIT FO'RANY OF THE INSPECTIONS BELOW . THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OFSee Main File BUILDING AND INSPECTION INSPECTOR A DATE " I FOOTING ~ I /o/7/oy . I , FOUNDATION (Prior to Backfill) "'Q~' t../dr . . ~ I ~o~~ l'~oy PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC ~ /t:' /Z?/C~ FRAMING ~ . // P7(~ INSULATION . ~ ..?Z<</~ _ ELECTRICAL , P/).J/Nj PLUMBING tI.~ I///~--I #~. fW) !f-/'1~rA..{ HEATING (Ifrequired) "pfr~tJ ~, /1' I/ffif~ FIREPLACE N7/ /.z,p /~r GAS LINE AIR TEST /J(,j ~ A //";:7'fty COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED IlATI1~lAtt! ultJ4P . . I I ~er ,h~1 /-S 4o'Aft;'..s..{edFINALS GRADING (Prior to SOdding) BUI4DING ELECTRICAL PLUMBING HEATING . DO NOT , l(lIjf ~ I ,\:ee /~,A h"/.e ~ 3//~ /j'lp/oS- (, /1..- '1 -.5// r/'" c BEEN SIGNED 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 ~nfifiraft of Ql}rrnpanrl! CITY OF PRIOR LAKE ~tpadttttuf of ~ui1~iug Jfusptdillu ~ Final Permitted D Conditional e.O. Expires 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 04-0976 Use Classification Bldg. Permit No. D g U Occupancy Type Type Constructi(>'. L14, B2, DEERFIELD 11TH Legal Description Owner of Buildinq Site Address D.R. H~ORTON' 20860 KENBR!DGE Contractor's Name & Address - ROBERT D. HUTCHINS City Plannl"" y/~~~~~cial 17452 DEERFIELD DRIVE COURT, #100, LAKEVILLE JANE KANSIER 55044 Date: Date: ,,'- ... ''; .;;;. ;;....;;.~.... ~.", ~ .."...., J DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED /-/1..~ . ADDRESS /7~L ~/,} OWNER CONTR. PHONE NO. ?f-'l7t. PERMIT NO. D FOOTING D FDUNDATION D FRAMING D INSULATION D FINAL D SITE INSPECTION D PLUMBING RI o MECH RJ D WATER HOOKUP D SEWER HOOKUP .... PLUMBING FINAL o MECH FINAL o EXlGRADlFIUlNG o COMPLAINT D FIREPLACE RJ o FIREPLACE FINAL o GASLlNE AIR TST D COMMENTS: 0!>~ ~ m'k-d/.-? ./ D WORK SATISFACTORY, PROCEED D CORRECT ACTION AND PROCEED o CORRECT ~~ FOR REINSPECTION BEFORE COVERING Inspector: /I V,- Owner/Contr. CALL 447.9850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI 1Ji$II01l "- DATE TlIIE CITY OF PRIOR LAKE 7/J f / INSPECTION NOTICE SCHEDULED ':'1 'I r/ fir ADDRESS /.7r<:.~ aerM/'i d PHONE NO. OWNER CONTR. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION E'FINAL o SITE INSPECTION :;JJ/lEN7S: J~.cfyJ c<!, / - , n;"'-rkJ~ce , o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL .A1IlECH FINAL /. " I hh~ / ~h-t- d'.y... :77<:' o ElUGRADlFILUNG o COMPLAINT o FIREPLACE RI #frtREPLACE FINAL o GASUNE AIR TST o I I ///o/o..r- . / Ore. hh"J'1 ~r-c~: hhli / cY.L /- ~/ ~/ U e d C)r.r~ r '7Cr //.~i ~/ drd;u/~L:lve4v ~ '4/(, <--TurfY ~ 4.1/.z~rv/~ a~h d" -10/ -hh'r../ ~,ack A.P'/"'C1U~ ' <.:::) ~e.l '(~,/ of-. ~ .' ~g ,/Rbd h f/~ ~ - :.--- ~(",",~i-~ hr/P ~ o )'fRK SATISF~Y. PROCEED ~ ,r<<:CORRECT ACTION AND PROCEED o CORRECT wo~~ REINSPECTION BEFORE COVERING Inspector: / ~ ~ Owner/Conlr: CALL .&47.9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ 11""'''' . APPLIANCE PERFORMANCE TEST Attach to gas lina adjacant to regulator Heating Contractor ~ ~,jl Name of Tester r.L..i:f) Date \ 'J I '}":II"., .< " Job Address j2:1C;2'~ Heating Contractor ~1 r~ Name of Tester ~. ~t/ ~" .4L!~ i1.51-.o ?, 7 r- tI ..:. Date Percent en Percent CO Percent C02 Stack Temp Combustion air is adequately suppliad per V UMC See, 606 '84 input ~ D()O BID