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."
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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