HomeMy WebLinkAboutBuilding Permit 04-1078
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
9, 30 -d/
I PERMIT NO. 04-.Io7~1
LEGALJ>~CRIP7I (olliee use only)
LOTI/BLOCK ADDITION
OWNER
(Name)
//k
PIDd6-t./()']-> () /Ff-c)
(Phone)
(Address)
/J /J '
~C~~~:Name)b!.;r k"~~ /f Z.C.
(Contact N"e) fi:fe tJ ojrJ 0 lL '7- L: 6-
(AddresiJ/ () Y ~ 11 .11.--. j r/j~ C/ # /07>
~
TYPE OF WORK Itl1few Construction DDeek DPoreh DRe.Roofing
DAddition OAlteration DUtility Connection 0 Misc.
CODE: \il1.R.C. OLB.C.
Type of~ion:
Occupancy Group: A B
Division:
ZONING (office use)
Rri.
(Phon~hf.ts-7f?7
(Phone) _ ? ~t.~ ~7? p
//L ~ eujj. hA.J, ~D Sty
,
:::::: c:::;:::m;h ;)01ace Of 7
(excludiug land)
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llIIV
H I
2 3
A
R
5
B
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4
rmation on this application which is to the best of my knowledge true and correct I also certify that I am the owner or auth< cd agent for tne
constnl . conform 10 a existing state and loc and will proceed in accordance with submitted Plans.a aw that the ilding
eau", hC>;2Y h"'heetlyoffici,l '{JODeS~se'topet"fo'mn"ded'/ /~f Z> t.;
Contractor's License No. Date r
x
I Permit Valuation
I Permit Fee
I Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
1 $
1 $ (''0)$0,00
1 $ ZSO.OO
1$ l.{'S.110
1 $ 1200.00
1 $ "/b!),o 0
1 $
1 $
I$S679./Pi
;.,':,,/ 1(/ m9fR
f/;fc/ fJOO. 00
$ /z;oe;. &;"0
$ -n'b .It!"
$ t?'5. (/0
$
$
$
$
$
Park Support Fee
#
SAC
#
-------
1 WaterMeterCSize~I";
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
#
10tJ .00
/()CJ. () 0
$'~
f.{O.OO
Builder's Deposit
Other
TOTAL DUE
I
I Paid
I Date
(
//J
This Application Becomes Your Building Pcnnit When Approved
~.~ /ol../'ao,,'<<I
Buildll1eOtlicml ~
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 l'eqUt.'Stcd. This document
~ Pla~:tempor~cmifie'teof~:/C;P~:;'llowsconsttuetionSee BMamn'FiieCYmuSl~
Planning Director Datel 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
Canary - En'i!.n:::,:g
.--PinK .=......,Iann
Thr (""nlrr of Ih" tab Country
BUILDING PERIVl.lLAPPLlCATION DEPARTMENT CHECKLIST
1\/ dzZ~iA-
Q.... 30 -Ot./
NAME OF APPLICANT
APPLICATION RECEIVED
~
The Building, Engineering, and Planning Departments have reviewed the building permit
appl.a"," 'O<OOO"i:;;;;;0t'h Jl~ I ~
-
4
Accepted
V'
Accepted With Corrections
Denied
C12_ - .
Reviewed By: ~-
~.
dJp
Date: /~/7~4'"
"- -
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."
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See Main File
<... White - Building~
Canary - Engineering
Pink - Planning
The' ("tnlnof lhe' I..kf Counlry
f1UILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
AI~
9-- 30 -01./
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construi:;~;3hiCh Ilosed at: ' I ~
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~~
Date:
/6/7 !;f./
f , '
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."
See Main File
White - Building
C Canary - Fno. . c;.o
Pink . Planning
The- ('..nltr or Ih... l.ab ('Ollnlry
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKUSI
i -7-' ...
i i ,.-
fl\ / ~".)~ .,' ,.,",,! ~1
t \j t....... ~,/L",(~ ,,",, '--
/,
{/..... :300<'/
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit I
application for construction activity which is p~posed at: ' ~,'"
- ":;0'" I" ~ ' ~?1...., ')('
l/1t/ ..' / cJ, . (j / '.' '\ 'I
. I I ,( j, ..k,.u...k.:/ 0./(1.., . f \I./,j.il!-"'--
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
IJ11-h
5a /11",',... FJe
Date:
Ilrl'-oy
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."
10/11/2004 MON 8:57 FAX 8513226147 GENZ-RYAN
I4J 016/017
CITY.OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
q'Iwe.!'ll!e or Drillt and sll!D It boaoml
I ADDRESS . j
174 gS DalY, e[ (}v lYrz. Yf
~ =:. ~i; I PERMIT NO.A.oIIL. .1 A.....
), WId ApJII"- u-r.. I.JIll...L.J;I
ZONING C'-Doe)
. LEGAL DESCRIPTION (o!lice use only)
LOTI ~ BLOCK I ADDmON /)u, /l2..--{7 -e (d
J 111M
PID
OWNER
(Name) 'Vi 'HQrtQu C'''i.....- u""IIIiIt("-
(Address)
20&,,0 !<ev113K\!::6e. Cr Sw Il)[\
CAddma)
(phone) _ o/'...J2 -Q8S-i80f\
La.~\lille... "?Q')YU
(Gw) ~~~~
APPLICANT
~un~ Genz-Ryan Plumbing & Heating
(phone) 651-423-1144
(Address) 14745 So Robert Trail Rosemo1lT't. MN
(c-P~.., Mlii1E ~~L :;:,
.,ICANT SIGNA~ ,. ;( Jfo: t / /) . DATE
55068
(Zip Code)
651-423-1144 I
10.1// ! /)(1
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 (ifrequiredJ 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 minimum
Sewer connection only $17.50 Waterc_~._.';_.. only $17.50
Estimated Cost $
Building Permit #
SEWER AND W ATBRPERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
JI AID WI 1'.H
(Omce U,c Only)
I This Application Becomes Your Building Permit Wben Approved
.
~-
Sundlnt Official
Date
;lij~iC@ ~ [I 1
Jill DetT -2 2 ~.'.1'
,.
II
%4 h.ur.otIee for alll.spooll.., (95%) 44' -9850, fax (95%) 447-4:WS
By
10/11/2004 MON 8:57 FAX 6513226147 GENZ-RYAN
G!J 017/017
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
q'1ease ~ or llri.nt and sim at bottom)
ADDI1~Y:0Ivnd7 fr tL iYrL ~
:: ~~ ~~ I PERMIT NO.A.L.. IA-wl.
3.YcUow.\ppl1can1 ~~
II ZONING (om~ Oft) I
LEGAL DESCRlPTION (oflice ... only)
LOT I rBLOCK I ADDITION f'y pzf; e! d / / I ih
PID
OWNER
(Name) DR Horton Custom Homes (phone)
962-Q5?F,-,'i5lJ()
(Address)' :20$"'0 K.enB~It>Ge.. C. Sre IDO
(Address) 14745 So Robert Trail Rosemount
N (Address) . (City)
(""'""- - r)h fif171 j j r:f/i J (Pl.,,,,
APPLICANT SIGNATURE . ( ) .-f11/ / /"'\ DATE
APPLICANT
(Name) ~9tl7-PYIiII'" "1 n_1-...r_: to 'UoI!lIot-.;....g
u./uviIlG bUN EfuLjLJ
(phone) ...6.."-b ".d.l." ,.
MN
55068
(Zip Code)
651-423-1144
IlJ / /( /ixl
APPLICANT PLEASE COMPLETE BELOW
Quantity
I
I
(
::;.
Type of Fixture
Bath Tub with or without shower
Dishwasher
I Floor Drain
1 Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
i
/
-~
I
I
I
I
I
I
I
I
I
Type of LA'U"
Quantity
/ .
T2.1
J
Rough-ins
Water Heater
Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I BacIdIow Assembly
I BacIdIow Assembly Test
I Lawn Sprinkler
I Other
FEE SCHEDULE
Industrial. Commercial & Multi-family 1% of job cost with a $39.S0 minimum Residential, New One & Two.Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Pennitlt
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
: .SPAID WIlH
$ .' Lf::f..TIT nING
-:\ (0l ~ ,r 'V -U.J.L.r
[!~<fC'J L: Q tI ~ ~'T ....,...-~
\ __ .r..KlV.ll.1.
Jl~ I. ~ $ ttItl't-. r J
(om.. U.e Only)
This Application Becomes Your Building Permit When Approved
BuUdl1lll omcilll
D...
24 hour noti.. for IUlnspeclioru (952) .w11!J8,60. fax (9~~) ol.I'7"''74~
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
q>le"'~(jrDrint and si... at bottom)
ADDWSs:
\'ly,....y\ , '1 C\ ,<;( \ \ <;(-:.." U>e..:".-..... \'\ \\"
i ~~ E;,"-'<I PE~T NO/fdtrJfJ
ZONING (o_use)
:',~
tEGALDE8CRlPTION (office use only)
,
~
LOT BLOCK
ADDITION
PID
OWN;Elt D R HORTON
. (Name),,"- 20860 KENBRIDGE CT
LAKEVILLE, MN 55044
(phone)
AP~]j,t~/10 A
(Natrle?' /~///L7J' ~ .' ... J''''~<!I4Y''''~
(Address) <=-~~ ~~~u, ~ /2r.
. -53Addits
(COI1~Petson) A~ ........ .. ......
APPtrCAN;TSIONATURE.' ..,. -6,,:~
(phone) Z,5/.. 4.5"'..?-"p?;?~
E4RQ:,(
(~. (Zip Code)
(phone) .lJt;:r/ - .r;/~ --1 72~
........ ., ~ ?
.-'--'.. - j'
DATE
, AprttCANT PLEASECOMP.LETEnE~~W
~NEWCO~1RtJCnON :' DREP~ACEMENT'DALTERATIC;>NS . :} .
FtJltNACEMA~ANDMOD~/7"'''''''''..,t. ?/~,A~~C)7a... FtJEL//4 ,..f.J-~
FLtIB SrzE~;.'7~-uA RETtJRN OPENINGS . q ... INPtJt64~ OUTPUT 6Z,,~
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air PlantsOStearit
OGravity 0 ItotWater
o Mechanical O.Radiation
~ir Conditioning 0 Special Devices
~enl. System 0 Other Devices
'<'...
PLEASE NOTE:
Air .Conditioner Units
Cannot Encroach into
Required Side. Yard
Setbacks
'.,
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi.Family
FEE SCHEDULE
I % 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)
EstimatedCostS . ~a:>BuildingPermit # ;",.t:;,,;,.t; ~'~'Y.,
~"'.r<~";;;';_flCi: . .:'"
$ u// ~/~ t~i;~~^'.
$ _ .50 .
(O;::s:ep:;;:~tionBeCOmeSYOUrBUildingPermitWhenAPPrOVed $ I,:f~v!;; ---
Building Omcial Date
24 hour notice for all inspections (952) 4~7-985cJL- ('32) ';/:;Z45~--:.J
HEATINGPERNUTFEE
STATE SURCHARGE
TOTAL PERMIT FEE
~
I,! I; ],1
-- Re4eipl No.
2004 611
\
Dr
1/
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
i 5:, ~;~, I PERMIT No.I/-/~7t
q'1.!'ase ~ or mint IUld sIm at bottom)
ADDRESS ZONING (office use)
17483 DEERFIELD DRIVE S.E.
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name DR HORTON
(Phone)
(Address)
APPLICANT
(Name) ALLIED FTllE~mE DBA FIRESIDE HRARTH & HOMF
(phone)
651-633-2561
(Address)
2700 NORTIf FAIRVIEW AVENUE
(Address)
ROSEVILI P
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRFNDA HUSTON
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
OGravity
o Mechanical
OAir Conditioning
OVent. 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
FIREPLACE MAKE AND MODEL
REA TN GLO 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
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ Building Pennit #
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
(Omee Use Ooly) , D \\11 ~~\
This Application Becomes Your Building Permit When Approved ~~P~ ~ I ~ \ \ I
~k 1 26€t I
--'
BuUdinl! Official Date
Receipt No.
24 hour notice for aU inspections (952) ~50. f"1 (9S~) .t6,"'HC
By (~
7J
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS I ~ 3 :DCl: ,e... fif:u3 1JI.J'JG S €. ~
NATURE OF WORK N~ ~.~
USE OF BUILDING ~.~.~. .
PERMIT NO. 04-. /0'18 DATE ISSUED \O}"'ft'l
CONTRACTOR DK, Kel.'tb\~. PHO~"
NOTE: THIS IS NOT A PERMITFQRANy OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMEN~ OF See Main File
BUILDING AND INSPECTION
INSPECTOR DATE .
, FOOTING I ~_' "'.v~~
, FOUNDATION (Prior to Backfill) ",,,,,,,y,,X co", // rtfiJ ~~ I ,..d..z/~ r
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
,
SEWER/WATER/SEPTIC PK.y " b/~,A7y
FRAMING ~ //~s
INSULATION ~ '" j/t)/()S;-
ELECTRICAL /--?B'~o/
PLUMBING I/, 0- /Jf'4" q/7~W" ~/jcl/. 1/1/f)S/
HEATING (If required) ~"s,!k~~'w- ~ / ;lP7 /. r
,
FIREPLACE. //~/~.
GAS LINE AIR TEST $Ifr~ t I.;! J1t4- /2;Z7/if/
ER NO WORK UNTIL ABOVE HAS BEEN SIGNED
CU.S~~te.AP I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
See/lk.).j7/e .
~ .J"/~s-
,2(/~o~-
nUl ) 11'{fo~
..&'4 J>~.r~s--.
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
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
C!1ntifiratr of <IDrrnpanr}!
CITY OF PRIOR LAKE
;!!lrparfttumf of ~uiliring Jlnsprdion
IFinal Permitted D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section ]]0 of the 0 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 04-1078
Use Classification. _ Bldg. Permit No,
Occupancy Type _
R3
VN
_ Zoning District
R2
Legal Description _
_ Type Construction
L18, Bl, DEERFIELD 11TH
17483 DEERFIELD DRIVE S.E.
Owner of Building Site Address
D.R. HORTON, 20860 KENBR1DGE COURT, #100, LAKEVILLE 55044
Contractor's Name & Address yw/
ROBERT D. HUTCHINS JANE KANSIER
City Planner
I B~ding Official v
Date: ? // y / a r-- Date:
-/' -tf
~..
'..I"-~ii.;;, '''<;L''''"~ij .~:;j..'~'~':'<d',";';"~~;;" '" i,:, j' '.>,;;::.,.;':'~; .'t.<;.;
'1,,"_'
.........
DATE nilE
CITY OF PRIOR LAKE ~l~L
INSPECTION NOTICE SCHEDULED ~ -
ADDRESS /7ij?? d~g /1' 4
OWNER
CONTR.
PHONE NO.
PERMIT NO.
D FOOTING
[] FOUNDATION
[] FRAMING
[] .!!ilWLA TION
..,..B"FINAL
[] SITE INSPECTION
D PLUMBING Rl
D MECH RI
D WATER HOOKUP
D SEWER HOOKUP
D PLUMBING FINAL
~CH FINAL
COMME~TS:
~/:ht-'c~/ h~( ~.
- ~
hi~-c-~~ J9./ ~ /c
r
~cA' ./;3.q//-eJ/-
~",~J ""r"i: ~.( r:
~/
~k~1
~ -/
UtL
---
~-/07r
D EXIGRADlFILLlNG
D COMPLAINT
D FIREPLACE RI
..,...8"1'IREPLACE FINAL
D GASLINE AIR TST
D
~~:k-
-
~
~. .----;/........
/ 6t6J-e- h '/e--
\. ---
~RK SATlSp..s:rlllW,I'RElt.t""
[] CORRECT ACTION AND PROCEED
D CORRECT WO~ ;.~YOR REINSPECTION BEFORE COVERING
Inspector: /~ Owner/Conlr.
CALL "7-9850 FOR THE NEXT INSPECTION 2" HOURS IN ADVANCE.
_n
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
',~
\
..
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor Jll....,.,., JW:".<d
Name 01 Tester ~iJ.
Date :J -J-;)--(j ~
"
Job Address / /itA] A.viWI
" H8$ting Contractor Af/,t'A-;7 IlU'f d
N8fJe of Tester /I-- R
Daie ~-~<
Percent 0. 7.~ ~
Pe~nt CO .~A"
P~ Co. '7.5 ~
Staek Temp 3/; ep
Combustion air Is adequately supplied per
utl:; Sec. 606 ---E,.
Input