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Home My WebLink AboutBuilding Permit 04-1084 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec'd (Please ~ or oriot and sim at bottom) ADDRESS 11~M See Main FileiJft 1~ 3a-o(/ I PERMIT NO'04-. I 68 4l File City AppliCllRI Sf: ZONING (office ",c) RO) LEGAL DESCRIPTION (office use only) LOTJ,6 BLOCK ADDITI~\;'-Lld [l-tlr- PIDd5-LjOQ-O).O'0 OWNER (Name) (Phone) (Address) BUILDER ~'T'> I I~ (Company NameD. ~. 'f1 _ rLr.: c.. , (contactNam~i~.1 . _ _ , . (Address)2.(1j~"'~L. \'c:ku.. Qj.., ~/C(), LahudfL ~ J U' .zl d .z '- / TYPE OF WORK '12'New Construction DDeck DPorch ORe-Roofing '[]'Addition DAlteration DUtility Connection 0 Misc. (Phon{~ creY5-1B3~ (Phon~J~ ~~(.,~-n:<,8 mN' ~t/t/ CODE: '1WI.R.C. OI.B.C. Type of C{;;,stroction: . Occupancy Group: A B Division: I E IT F 1 ill IV H I 2 3 V M 4 A R 5 B S U ::~:::C:::~:::in:h! 03 3 Y l (excluding land) ( 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 Of 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 ~ ~iSpe~u~~;:ore, IherebYagreelhatlhecity:4~~5P~thepropertyloperform nec:;/J/F~ol ) D Signature . Contractor's License No. Date I Permit Valuation /...z~(J1t7&l. .,.u Park Support Fee # $ - I I Permit Fee $ /.2.C?p.sO SAC # $ / ..sse:;. -" I -- I Plan Check Fee $ ?~, /8' I Water Meter ~; 1"; $ ~SZ:?"';::"'-I I State Surcharge $ ~I -- I Pressure Reducer $ ~S;~ 1 I Penalty $ - I Sewer/Water Connection Fee # $ / .,7..t!1O. ....... I Plumbing Permit Fee $ /6t1. ~ I Water Tower Fee # $ 7a:7....v1 Mechanical Permit Fee $ /p,&. -" 1 Builder's Deposit $ 1 Sewer & Water Permit Fee $ 3S': ..s:o 1 Other I $ 1 I Gas Fireplace Permit Fee $ ~t1.- 1 TOTAL DUE 1.$ Sf?'?? /y 1 ") I This Application Becomes Your Building Pennit When Approved I Paid 5071_'''' Receiot& o. fTJr..l H~ /d/7A-/ I Date iv, >'5'. , ~ Bv A.... U ;. Building Otlicial . Date ThiS IS to ct'rtil)r 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 is#~~<, - Planning Director /tJ/?/dt/ Date' 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake. MN 55372 e t . , 1. .. .) .. - . Th..("..nlrrof Ihr 1..h('ounll')' See Main File White - Building Canary - Enaineering Pink ("'far:ing.,) mJjLDING P~RMIT APPIJCATION DEPARTMENT CHj:CKLlSI NAME OF APPLICANT APPLICATION RECEIVED ):~() 12 4N~'--'" t:j- 50 -GLI The Building. Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: //jtj%'9 ;atZ11fdHJ /~ j Accepted Comments: Accepted With Corrections ~;. J " Date: ~0~<;/ ., "'i 'f."" . y, r d,./Lv-7f I' /, ,i(' ~ " , ~ 5/../' / f,' ~;~ ~~ 6:s.z~~ C~ 4/ "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 ~ Canary ':. o:"ymeering Pink - Planning ThO' ('..01... of Ih..I,.kf <.'ounlry BUILDING PERMIT APPLICATION DEPARTM~NT CHECKLIST NAME OF APPLICANT t.fl f2 ~ APPLICATION RECEIVED q'- 3'o-C5y The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /1!U9 ~ , / I~ , Accepted Accepted With Corrections Denied Comments: Reviewed By: ,# ~ ~qd d -.s-€- Date: /'d~ft</ ~'?LJ , . _ .z ~// .(.z{4 ~ ~54. / "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 L'l ~Anarv - .....gj""'t......g " Pink - Planning Tb, C"nlco, IIr Ihe' I..kt ('Oll'Ury NAME OF APPLICANT BUILDING P~RMIT APPLICATION DEPARTMENT Cl-{ECKLIST v () i:/ c1l~~a.-,~:~_" /\./". ,. - r~ l./ <.~{./ r - {l- 5()-6(/ APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: , I'/;tl (/0 /(71. j)" e ~./..J'_ /1 i /1. ) ., , /1' Y 1,1.' y f2,..( r.ekr L/ f _~l<..-Z..-/ J . , . , Accepted >\ Accepted With Corrections Denied Reviewed By: /Yff6 Date: I () - /9-0'1 Comments: 5~G. /J1&./Vt ,c,ie "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 6:55 FAX 6513226147 GENZ-RYAN IaJ 004/017 Date Rec'd CITY ,OF PRIOR LAKE SEWER AND WATER PERMIT . q'le....!."l!e orlllintandaion It bOl1Dllll ADDRESS 11 Wg f] rw V2.Ai e Let l:dQ. ~b i ~w ~~. I PERMIT NO'^""'- IIWI&II..- ). 0aU ApptiOlllt ~~ '_ ZONING (oJIioe..e) I LEGAL DESCRIPTION (office... only) . . LOT 2DBLOCK I ADDITION 1'l.f.L J.Q.Ji e ( d. II.IM PID OWNER (Name) DR Hortl>g, "".c~"_ ~- (Address) 2oti.JO ~ejQt:6e Or Sr,.'1V'I (Addre.o,) (phone) _ o/J? -Q'85- '1B1:l^ . La.~li IleJ &)~W (CiM (Zip Code) APPUCANT (Name\ Genz-Ryan Plumbin~ & Heatin~ (phone) _ 651-423-1144 (Address) 14745 So Robert Trail Rosemount. MN 55068 n A ~ (Am, f-1Ill . (City) (Zip Code) (Contact Person) , ..1110 l.eA ~ I(~.s~ () (phone) 651-423-1144 , T.ICANTSIGNATURE_i j 1J ~ l).tt1-rll {~ DATE /0 II ( (Otj \ vv ' APPUCANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure Type of sewer pipe. DABC OPVC Estimated length of sewer line feet. Clean out (if required) located at _ feet from structure. feet. o Cast Iron FEE S\,:D.J!,uULE Residential sewer and water line connection $35.50 Industria!, Com'! 8< Multi-family 1% of job cost with a $39.50 minimwn Sower connection only $17.50 Water connection only $17.50 Estimated Cost $ Building Pennit #- PAID VVIl'H r;;:s:~;:tlORBecomesYOUrBUlldingpermitWbenAPProVed -~~~ IE 0 m [I~~~r: 1M 2'Z 20m4 I: I ~By"~ Bu.i1dl.. OfJIci.1 Dlte J I L_ . SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 I' I 14 hour notice ror all inspections (951) ~V9850, fax (951) 447-4145 10/11/2004 MON 8:55 FAX 6513226147 GENZ-RYAN IaJ 005/017 CITY OF PRIOR LAKE PLUMBING PERMIT Date Rec'd ~_QSe!Vi! or Pria.t aud sim at bottom) ADDRESS ~ 11JkPi ~t0h. el c;L Dt2 $8 LEGAL DESCRIPTION (office use only) LOT1JJBLOCK I ADDmON h.tIi-2..h etrL )I~ OWNER ~~e) DR Horton Custom Homes (Address)' 2.O~LoD Ke.VlB~1 N;e. (.. 0''''' IN) APPUCANT (Name) l#""'A'l-1)yPt:l. Pl',mbing ~ llvat~"'8 (Ad~)14745 So Robert Trail (Address) o A/1 vt( h - 1 Rosemount (Contact Person) ~1VJ APPLICANT SIGNATURE ". I. .... Pi!. I PERMIT NOtJ'tlIII!I-- 2. Gold ell:)' 1. Yellow Applic:aal 'I ZONlNG(oIIiceuse) PlD (phone) Qe;2.Qjf&; -,gOD wlu..v;J1G .\AN .6fuLftJ (phone) ~ < 1 _A? ~_ 1 '.41- MN 55068 (Zip Code) (City) (phone) 651-423-1144 io//r/()q DATE Quantity APPLICANT PLEASE COMPLETE BELOW : 5cPAID WIl..tI _ $ ~UllDING , Tbls Application Becomes Your Building Permit When Approved ~ l"~ l~ U ~ ~ \ ~ 1r':e.1\MIT S.Udin. Official Date ~I ~T 2 2 2004 \ U I' Ul I I I I I I I I I I I I I Type of Fixture Bath Tub with or without shower I Dishwasher I Floor Drain 1 Lavatory (Bathroom Sink) I Laundry Tray (1 or 2 compartment sink , Shower Stall I Sinks I Bar Sink Water Closet (Toilet) I . Q.'T I Quantity I I I 01. ,::; FEE SCHEDULE Industrial, Commercial &; Multi-family 1% of job cost with a $39.50 minimum Estimated Cost $ Building Penuit # PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE (Omee UIe Only) j Type of Fixture Rough-ins I Water Heater I Water Softner I Stand Pipe (Washing Machine) I Sewage Ejector I BacktIow Assembly I BaCkfIow Assembly Test I Lawn Sprinkler I Other I I , I Residential, New One &; Two-Family $99.50 Residential, Additions &; Aherations $39.50 , 'I 24 hour .otiee for aU i..pec:tio.. (952) 4 7-9850, fax (952) 447-4245 By CITY OF PRIOR LAKE HEATING/AIRCONDITIONINGIFIREPLACE PERMIT \\z- ~OCo~ Date Rec'd Q'1!!'" ~or~and sien atbollDml ADDlffiSS \'\1..\ ~<4 \);g, ~,S~,\ "'\~ 'CJ~, S~ :=. S_IPERMITNO,~ ZONING (office use) LEGMEDESCRIPTION (oflice use only) , ~ LOT BLbcK ADDmON PID oWNEnc D R HORTON (Name) .. 20860 KENBRIDGE CT . .(~~~J LAKEVILLE, MN 55044 (phone) ;;:..;c'>",:j,;,:'.':":'.':""'''^'-' . M!l!i.lOANT /J >> (Nantll;'1 ;/7'/..;jff2:.~ ~ J!""/A<?,,,,or_ / (AddreSS)~~~ ~4~ ~~J7 /Z-: . 41/;7 (Conta<;tPetson) A . ~~d~/ APPLl~SIGNATURE -:i. "'f-r- - ~ ____ (phone) ~.fi ~~-..P.??f Cf?~.~ 55"~-:I '(. (Zip Code) (phone) ,LA:::r/ - c;/<-:?;.. ~ 77:5::: . DATE < APPLICANT PLEASE COMPLETE IJElI19W . .'!lNEW CO~TRUCTION .0 REPLACEMENF ...... a;AL TERA TI<?NS J FURNACE~ANDMOD~/y-;~. :?~~~c)7c) FUEL /f~ ,,4../~.e FLUE SIZE.y: ;,A,....A RETURN OPENINGS 4'. INPut.~ t; ~ OUTPUT 5Z~ ~? TYPE OF SYSTEM HEATING OR POWER PLANT OWarmAirPlants 'os~ OGravity 0 Hot Water o Mechanical 0 Radiation ge.ir Conditioning 0 SpeciMDevices Jl'IYenl System 0 Other Devices PLEASE NOTE: Air Conditioner Units CannotEnctoach into R~uired Side Yard Setbacks I FIREPLACE MAKE AND MODEL Industrial. Conlinercial & Multi-Family FE:E SClfEDULE 1 % of job CQst Residential, Gas Firqllace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential. AC Only $39.50 $39.50 $39.50 Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE . _ ~~Bui1dingPermit.# " ")/.d ,j _ r'AlCt~'j"~ $~~"'#~lH' 'J!!"1liV' $ ~ .50..,iI....lt~...i:hil:, ' $ (7 ~: ~I !~: ~ ; ;:0;' '~NO ". Date Estimated Cost $ (Otliee Use Only) This Application Becomes Your Building Permit When Approved Buildlog Otliel., 24 hour notice for all inspection. (952) 447. !!l~O. fax (952) 447-4245 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd 17489 DEERFIELD DRIVE S.E. i a ~;"'" I PERMIT NOli" /oK~ ZONING (office use) ~ "'" or Drint and sim at bottom) ADDRESS LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name 0 R f.KIR'T'()N (Phone) (Address) APPUCANT (Name)----1' T I IFD 1ffil.F~mF m.. FT"R~mF HEARTH & HOMF (phone) 1151-1133-1.SlIl (Address) 2700 NORTH FAIRVIEW AVENUE (Address) ROSEVILLE (City) 55113_ (Zip Code) (Contact Person) ~RENDA HUSTON (phone) _651-633-2561 APPUCANT SIGNATURE BRFN/)A HUSTON DATE 1112/\/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 OIher Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL HEAT N 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 & A/C (New Construction) Residential, Healing Only (New Construction) $39,50 $39.50 Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ ,50 (Office U.e Only) This Application Becomes Your Building Permit When Approved 24 hour notice for all inspection. (952) 447-9850, 1":~~ ; ~u\tN' ----I - a !/ Buildloe: ORiclal Date I P.I\ 1'0 '1' ;; ~\ I I r \ ,'! L::.~I i UJ P ~~ I D 1 \ DEe lL PRIOR LAKE DEPARTMENT OF BUILDING ~ INS~TION INSPECTION RECORtf File SITE ADDRESS / 7vF? LJ~~,l}eI/ d/. NATURE OF WORK -.A USE OF BUILDING J r " PERMIT NO.. ..J~~(O~,~-:"E ISSUED - .~ CONTRACTOR ~. PHONE~~' NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW , THE PERMIT IS BY SEPARATE DOCUMENT I FOOTING '"SPECTOR DATE . I ~ ///jfir , I ~ ~ "- I FOUNDATION (Prior to Backfill) .o?b",{.'/tJ.../IJ- ~:?i I J/j~~r PLACE NO CONCRETE' UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS , ." SEWER/WATER/SEPTIC ~f; ///?AY FRAMING V?f: . / /I//as-" INSULATION vVJ. {-()-eo ELECTRICAL i / 6 /~ PLUMBING I/.C- M. (~j;6IC11f / ,~/, ~/1>, HEATING (if required) U 15- ~ /~ ~</ ~ /.,.2Nft"1' FIREPLACE / _ . V'vr 1~/vclv . GASLlNEAIRTEST/~/h Ik//, ~ o-/~y COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS -J ee ~/h ).7' k .~/ ~ d"//J1'~ " ,.,.2/?y~ /?'a-. -2/Al~~ /%Y <.?'#r~ OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT 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 ~ttfifitaft of @trnpantlJ CITY OF PRIOR LAKE ~tp,...l...1mf of ~uilMug Jlusptdillu IFinal Permitted D Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential! 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 04-1084 Use Classification Bldg. Permit Nn Occupancy Type R3 _ Type Construction L20. B1, DEERFIELD 11TH VN Zoning District R2 Legal Description Owner of Buildin,:" Site Address D,R, HORTON, 20860 KENBKIDGE Contractor's Name & Address ~ ROBERT D, HUTCHINS .d'::i C. PI ''7- Ity anner / BuijsM'ng Official Date: ?//R-/o r- Date: -/ ./ 17489 DEERFIELD DRIVE S.E, COURT, #100, LAKEVILLE 55044 JANE KANSIER ,. ,,,,"~",,... ,,'.,;~" 'd" .,.,,~. ,,"","", ""j" '~~;;. ">'~"" Co. ..', '=L' ,,.,, ,.<4'.'.,,"'. .,..,;~'." ,,_' 'j,' ii:>"::h:~i/i~') .~;~,~,;,:_, .o!4d<,:."i,"~, ~ ;., ,.",1. i..;.'.;h:.'.-'....,'.<:"i. ,....:~';"-:...;...~.~.;;:.., PAr:: ) nIlE SCHEDULED :;b~ar t:I~r~ Id Lt CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS /7t/?? OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ;n(NAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ~CH FINAL COMM~NT~ / __ / / E/'a:7h~ hk. cb~ //J.-~k~~ ., h.L.", / . ~~/t~ h}"L / --- rh.:. / ~ ~ C) L/ -A~J>'? o EXlGRADlFILUNG o COMPLAINT -!H'lREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o .2/;7~r cY"c.... ~ ~ -- C CZ4s~ ~'~- .~ ") ~-' ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ Owner/Contr. QALL "7.9850 FOR THE NEXT INSPECTION 2<1 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! uaI<<1TJ ADDRESS /7'T'r?7 DATE TIllE SCHEDULED ~~~~~ ~e" I)~:d ~?lr CITY OF PRIOR LAKE INSPECTION NOTICE OWNER CONTR. PHONE NO. PERMIT NO. t9r - /O?~ o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o S~ HOOKUP .....-rr .. UMBING FINAL o MECH FINAL o EXIGRADlFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: //!en6~~r?r ;;;-/ / ;J/C "" .---:-/ r-nq ;t-);[ & /(;~el //7'72/ / / j7 /~s~//-eci o WORK SATISFACTORY, PROCEED ~RRECT ACTION AND PROCEED o CORRECT WORIJ ;':'POR REINSPECTION BEFORE COVERING Inspector. ~ Owner/Contt: , ?/C CALL "7-98&0 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SllFETY/ """"T< ~ - - -- APPLIANCE PERFORMANCE TEST Attach to gas line adjacent to regulator Heating Contractor ~ Name of Testar Date d-~~S' .' Job Address 17~~ . Heating Contractor Al/k1H? ~/.i Nama of Tester 4--A' Date ;2 -;.:1,;Z-&1f Percent 0, B3Z Percent CO ~ Percent Co, 7;1' ')I Stack Temp 1U~r Combustion air is adequately supPlied per UMC Sec. 606 fUr input ' ~~.dI