HomeMy WebLinkAboutBuilding Permit 14. 1262 ,. ..„_. .i, n.. , n.: ,_ ,iu..
CITY OF PRIOR LAKE
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J incl Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the ❑Residential/❑International
Building Code certifying that at the time of issuance this structure was in compliance with the various
K ordinances of the City of Pr`iorLake regulating building construction or use. For the following:
Use Classification SINGLE E A M I I YBldg.Permit No. 14 C-+12 6 2
w Occupancy Type Type Construction Zoning District R 1 S D
Legal Description la , B6, HICKORY SHORES SOUTH ADDITION
Owner of Building Site Address
17743 WEDGEWOOD `'
a
Contractor's Name&Address D i R HORTON, I NC ,
ROBERT D , HUTCH I NS OL--(---'
City Planner
K i
J Building Official
Date: S Z�t (3--- Date:
1 POST IN CONSPICUOUS PLACE
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,- --- CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
/ N 1 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
°;/ J �`�'I AND UTILITY CONNECTION PERMIT / /
f,
NIvEsd
I.White File PERMIT NO.
2. Pink City
3.Yellow Applicant
(Please type or print and sign at bottom)
ZONING
11 11 � r! 9, (office use)
.):, ........._
kisA
LEGAL DESCRIPTION(office use only) /��
LOT'2 .-- i BLOCK C ' ADDITION `��1OZ (y!""' ► PID`775 ..5-C6-- 623--C7)
OWNER
(Name) ,AVAC, (Phone)
(Address)
BUILDER D.R. Horton, Inc. ) 952-985-7272
(Company Name) (Phone)
(Contact Name) Brooke Hareid (Phone) 952-985-7806
(Address) 20860 Kenbridge Court #100 Lakeville, MN 55044
TYPE OF WORK L New Construction ❑Deck ['Porch ❑Re-Roofing ORe-Siding ['Lower Level Finish 0 Fireplace
['Addition ['Alteration ❑Utility Connection
CODE: JI.R.C. ❑I.B.C. ❑Misc:
Type of Construction: I II III IV V A B /'„4�`
Occupancy Group: A B E F H I MR SU PROJECT COST/VALUE $ 'Fit&
Division: 1 2 3 4 5 (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 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
official ca revoke this permit for j t cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
(p.•✓
x BC605657 (O V/Lt t`--
Signature Contractor's License No. DAte
Permit Valuation iir ce,,e.._ _,_, Park Support Fee # $
Permit Fee $ ! y? / / SAC # $Iif6- Cv
Plan Check Fee $ !,9/5-g r G Water Meter Size 5/8";0 $ 527
State Surcharge $ / c/5./ c c; re" Pressure Reducer $ is r�)
Penalty $ ( I — Sewer/Water Connection Fee # $ /S00.(C)
Plumbing Permit Fee $ /6—y, re) Water Tower Fee # $ i PC)
Mechanical Permit Fee \ $ /3-- ,50 Builder's Deposit $ 7_27:40.06
Sewer&Water Permit Fee $ 54, ,5 0 Other $
Gas Fireplace Permit Fee $ 3se TOTAL DUE $ " Ze' i
This Apr do. :ecomes Y�r Building Permit Wh=� Appr ved Paid i 3, 4 l`q .,21 Req-ipt No.
A 1'4 4 , Date i1
� „ 1 2,(I B
B ding Official u ate
This is to ce .at - •quest in the above application and accompanying documents is' actor ce with the City Zoning Ordinance and may proceed as requested. This document
when signed I t e C i'Janne constim s a temporary Certificate of Zoning compliance nd all s construction to commence. Before occupancy,a Certificate of Occupancy must be
issued.
Cf
Planning Director 1 Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
R-sidential Building Permit Checklist
New Construct'. for Single or Two-family Dwellings in R-1 or R-2 Districts
K
Reviewed by: %._4 'ate:
4111 .
Building Permit# I• Zoning:
Address:
( -1 ...t F.--b
S Ltj 61) ... .,--c.—(- .—to() 4,
,___
Legal: L , B Subdivision: .
}
Existing Structure? YES/,()' Existing Nonconfor n I Structure? YES I NO
,
CONFORMS TO ZON ' G SES NO
ORDINANCE •
Yard Setbacks: NA/FAILS/1/ .."
MP S Standard Proposed
• Front Yard(can be 20'if a .w/in 150') •• 25' -2. 7
• Side Yards 10'/ _
25'if abutting a street �--rLL
Sidewall exceeding 60'requires additional side 2" 10'setback+ I
• setback for every 1'over 60'in length. Not required 2"/1'over 60'
if building wall is 10'-0"or greater of being parallel to
a side lot line. (
• Rear Yard 25'
• Patio Door: provide for minimum 10'deck or sign 10'side/
statement indicating no deck will be built in the future 25'rear
• From 100 year flood elevation of wetland/NURP 30'
pond.
• Refer in-ground pools to the Planning Department _ '
• From ONW(Prior or Spring Lake) 75'or setback average of
adjacent structures,but no
less than 50'
Z 4- t o ( 2 -r c;
Floor Area Ratio: A/FAILS/COMP
M,�� I .30 Maximum (� I
I Yard Encroachments:i A)FAILS/COMPLIES Standard I Proposed
Eaves and Gutters no than 2 feet in width and no
closer than 5 feet to a lot line(Easements). -
NC and other equipment cannot encroach on interior
side yards.
Tree Preservatio t`''I FAILS/COMPLIES Standard Proposed I
• Total caliper in g es
• Permit 35%Removal
• Caliper Inches Removed
• Caliper Inches Preserved
• Replacement %:1
L:\TEMPLATE\BLDGLIST.DOC
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0
White -Building
,vase Canary -Engineering
40IPink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
ie • 4_
41,
APPLICATION RECEIVED /0 . Z,17 . /C
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I /713 21)&"Ze;-6;06 -7/1)/6
Accepted v Accepted With Corrections
Denied /
Reviewed By: ,,J � Date: r 1 /4- /4
Comments:
z.
,:::.,--kl-/1,...71._ 6:5":_. )-(c,c,1/4J -. 44-(..A.C/541-1-.4.r c_....,,
'771-)-(---4 4-F-- Ac- tis_
"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."
Od " °a
White -Building
40. Canary -Engineering
Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANTie • ikki(A,
APPLICATION RECEIVED /0• al • /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ /717‘713
Accepted V Accepted With Corrections
Denied
Reviewed By: A �� Date: 1 `
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."
O YRIo4,
(gfJ%\
White -Building
M'Hnr�ss�. Canary -Engineering
Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 7).
APPLICATION RECEIVED /0 11 • /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
771713
Accepted X Accepted With Corrections
Denied
Reviewed By: / Date: AO-3/'/f
Comments: See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Standards
"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."
4. 032'[p, ZP
. ?Rib CITY OF PRIOR'LAKE Date'Ree'd
oiy.•,'t HEATING/AIR CONDITIONING/FIREPLACE PERMIT
44/biEse I.Pink Fat PERMIT NO,
2.Oteco CilY t . z,,, ,
{ t.Yellow Arplieaa
.(Piease tXpe or print and sign at bottom)
I.ADDRESS.: j , ^ ,. ZONING oAcc use)
L V`IQ t___iairle
LEGAL DESCRIPTION(ornce use only) •
LOT BLOCK ADDITION PTD
'OWNER'
(Name) �1 _._._..__._.__ (Phone)
(Address)
APPLICANT HEARTH &HOME TECHNOLOGIES
(Name) dba FIRESIDE HEARTH &HOME (Phone) (061-(033--25c�i��JJ_-
Lie BC662656'
(Address) . .2700 FAIRVIEW AVENUE N a4 -41-(0c,31—L953- Us
RO( Vri. :E, MN 55.113 •
651,633,2561 . (®_ j2
(Contact Person) (Phone) Lea-in (-(5 I—VD
APPLICANT SIGNATURE r "`." G s"�``- DATE (2,f it
G rnQ
�or e- ai i yY,ai1, Vi%(e.. ages-....�.�l el rbps
� b&ic pe V r * - APPLICANT PLEASE COMPLETE BELOW CA'heA.r+•F,n h bine •(-
EW CONSTRUCTION_ ❑REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM MATING OR POWER PLANT
pWann.Air PlantsPLEASE NOTE: Air Conditioner
0 Steam Units and Fireplaces Cannot Encroach
❑�G�••favity 0 Hot Water into Required Side Yard Setbacks.
(U`Mechtioje l.;• 0 Radiation
❑Air.Conditioning 0 Special DevicesFireplaces with Box Additions or
❑Vent.System ❑Other Devices Cantilevers to the Outside of Buildings _.
Require a Building Permit.
:FIREPLACE.MAKE AND MOPE', ,a� l" o 5 E21'
- . 6 -6- .
FEE SCHEDULE
Industrial,Commercial&Multi-Family I%of job cost Residential,Gas Fireplace $49.50 •
$49.50 minimum
Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations $49.50
Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49:50
Estimated Cost$ Building Permit N
The Minnesota Statutes S 32613.148
HEATING PERMIT FEE $ "MRcHARc;L has been.changed for one
year effective
STATE SURCHARGE $ .50 July I,2010,until Jane 30,2011.
TOTAL PERMIT FEE $ The mtbrtmam surcharge rot.a"Iisrtl fee"permit
(Office Use Only). Is;.:_ti,beak ainc,Ally 1.2010
This Application Becomes Your Building Permit When Approved Paid Receipt`No. ,441e -i
_ Date_ — By .,,,Ac.
('% .--t t,� i
llaUdineOfficial Date w1` �I
24 hour notice For all inspections(952)447-9850,fax(952)447.4245
4646 Dakota Street S.L.,Prior Lake,Minnesota 55372
v.PRI0 CITY OF PRIOR LAKE Date Rec'd
xrAir41 HEATING/AIR CONDITIONING/FIREPLACE PERMIT
elik,
' p'°'� ail° PERMIT NO. 4, iv/
"'�nrtoe' i.Green city.
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
11145 \41.1ity,vNlooti tilwit,�
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
APPLICANT /�
(Name) 6brLI F'lb 0 °' Ilk I (Phone) 11 - LI1.2.Z(a1
(Address) 15n5_ (V1 �t , Pt (N1,'1 '1 i_.,5z41-1-1
(Contact Person) DAM 1, (Phone) '1(p •2.S i•41 aAPPLICANT SIGNATURE c �ifltt.L DATE 11- 14.1011
1
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ❑REPLACEMENT DALTER.ATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
DWann Air Plants CI Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑Hot Water into Required Side Yard Setbacks.
❑Mechanical ❑Radiation Fireplaces with Box Additions or
❑Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings
❑Vent. System ❑Other Devices Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial,Commercial&Multi Family 1%of job cost Residential,Gas Fireplace $49.50
$49.50 minimum
Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations $49.50
Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50
Cost$ Building Permit# t ' M
on*, , I
HEATING PERMIT FEE $ "''
STATE SURCHARGE $ 5.00 ,.--` "'-
TOTAL PERMIT FEE $ ;',''`•
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Building Official Date
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
4 pR q Date Recd
CITY OF PRIOR LAKE PLUMBING PERMIT •.
ti
1.0lue File PERMIT NO. 1241.•
2.Gold City •
3.Yellow applicant
(i'iease type or print and sjgtt at bottom
ADDRESS ZONING(0111cc use)
117 lh � , ll / _!
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PIA
OWNER,
(Name) (Phone)
(Address)
APPl:.ICAt�T
(flame) 01JOYL Pilot) 01. (Phone) 413 22.1,1
(Address) V5536 ►t'l LdM'l-A-- rti
(Address) ) (Zip Code)
(Contact Person) (Phone) 11 2- 3.4"/Ir
APPLICANT SIGNATURE l/ DATE J I'19`Zo1
APPLICANT PLEASE COMPLETE BELOW
Quantity Ty t e of Fixture I uantit T e of Fixture
Bath Tub with or without shower _Ragsh-ins
Dishwasher Water Heater
Floor Drain Water Softener
Lavatory(Bathroom Sink] Stand Pipe(Washing Machine)
Laundry Tray(1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet(Toilet) Other
Tile Minnesota Statutes§326B.148. poi;cost with a$49.50 min mum Residential,New One&Two-Family $149.50
"SURCHARGE"has been extended' ' • Residential,Additions&Alterations $49.50
The minimuln surcharge for a •
g
$ N
"fixed fee" S.0 0 Building Permit# .��� i
permit is k{�, N
c.
.PLUMBING PERMIT FEE $ .
STATE SURCHARGE $ X)6 ..5 BOO
TOTAL PERMIT FEE $
(Office Use Only) -
•
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Building Official Date
24 hour notice for n11 Inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.R.,Prior Lake,Minnesota 55372
(c -) r R/0.4: Date Rec'd
CITY OF PRIOR LAKE /
SEWER AND WATER PERMIT /i— -l
CivEsoo 4
2. Yellow
1. Green FileCity PERMIT N014-- /2 6,Z.... _.
3. Gold Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
177y3 it/&6JoL LV.
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER 4" X V12 „tV
(Name) (Phone)
(Address)
(Address) (City) (Zip Code)
APPLICANT
(Name) S--/" 4/0-
' 2) /3s's—
(Name) D i�. h'1, Gi41/,lky?`n�tc (Phone),/
(Address) .2 94 r �P " '4 ` gif NGs ss033
,,yy�� (Address) (City) (Zip Code)
//
(Contact Person) // 4dtiva,i..1 L (Phone) 10'/g 9/9 5'.3 V�"
APPLICANT SIGNATURE 0/W J DATE /a -/-/y
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. ❑ ABC ❑ PVC El Cast Iron
Estimated length of sewer line feet.
Clean out(if required) located at feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $51.50 Industrial,Com'l&Multi-family 1%of job cost with a$51.50 minimum
Sewer connection only $25.50 Water connection only $25.50
Estimated Cost $ Building Permit#
SEWER AND WATER PERMIT FEE $ l ne Minnesota Statutes g�a�ts.14t5
STATE SURCHARGE $ "SURCHARGE"has been extended
TOTAL PERMIT FEE $ The minimum surcharge for a
"fixed fee"permit is$5.00
(Office Use Only)
m
This Application Becomes Your Building Permit When Approved Paid le, .—f,
^ ^Receipt No
Date ?ilk)
Buildine Official Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
11)-i,•ie, -
BuildersDeposit
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city of Pilor Lake
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Within the 180 0,1(Y0121.1*.....*Pekt°..41144*Ki.#4.pitattit.-- •,ettd,iiiiiapplicanj.wilt fiebtito(utu.t vieart igt or cote- . . . ._
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III ctdr 1A14lige/!24 1A-'1,\/ PERmiT t I 4..,17.4 2iimi
arra ADOR - • - • .
Attn: 4ADA &(z ee-hitd!t LOT
Ritr4)-30, ‘ 0. at lowLED--.--•- Tot D.R. Horton, Inc. , .
20860 Kenbridge Court Suite 100
Lekev-illle, MN'
AUTH I ' , TION TO RELEASE
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Ple4,PAS,E....J.''-t,!V -.- • ,i
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1. I&'• (ii i
Lynda S. 'Ten, :uilding Services Amount
t MSP. OMEtErr. - 1370t4a4k#PW14. 1*-4:41:1114817t— .. . . : : Acct.801.20204
Date
• iN PLA—
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2 KEEP EFIOSIC44 CONT:tiCAA-. . CE
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THIS CHECK Is PRINTED IN RED AND BLUEINK ON THE FACE ON CHEMICAL AND Est- ACIIREACTIVE PAPER IIIITI1 INVISIBLE r141°RE,„,,,, SC.„,E$4j71117 ':,.,*\-.',,,;.,-,i,-30,ort•-.4,7t4,117,,,,,,ii.0.1,
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DULL\\i\j : oli.lhijis\b Account ( ,,Atlanta,Dekalb County,Georgia, , ,\,‘ 611 11/12/,14
301 Commerce Street,Suite",\' \'‘ ' : \,. \,,, --- , ‘‘ 140iila Void after 6ittoatki:f.00i.„!..,
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To the . 4 \\..‘ ,\:'' ' \ ' .•,,;,0,,„„:-;-;"74
Order Of: CITY OF PRIOR LAKE(PERMITS) „,___ ,.,4 ,, , , ‘,,,,\,t ,\ r '7 2; 44' t7- •, r :'' .;:t.'.xf,,-,11::..sv,:::,
PRIOR4646 DAKOTA STREET SE /4 •,,,,,rte -....,..,•,,,,w7.,-J-i••1-.-10.--...,
LAKE MN 55372 4) • ....; ,-,-- ',-.''''';',,,,./1,*--,,ft.0.1.:*:3
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PRIOR BUILEPADINGTMEAND INF
SPECTION
INSPECTION RECORD
SITE ADDRESSill? -telf. `/1 • „.„,„.. .4_,„.„,„.. .4_,NATURE OF WORK:_.{ i 'L p ?a7G --e' /ha �Vi w co, c I
USE OF BUILDIN ,/ i --Wi �f'
e .().t,, kJ/ LL P/ / P/�
PERMIT NO. /_ DATE/1SSUED 1
CONTRACTOR , *''. 0/A l,” PHONE752 ,j' 7,a 11
INSTALL EROS ON CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
FOOTING _ 121 % ( l
FOUNDATION (Prior To Backfill) _ VIAS S
RADON RETARDER ! t jc)l
PLACE NO CONCRETE UNTIL AB oVE HAS BEEN SIGNED
ROUGH - INS
SEWER/WATER/SEPTIC flt_-- 0-1 c-..1 z
FRAMING _ I,Ls la''
INSULATION
ELECTRICAL
PLUMBING Uic U 1 116), " �� z
HEATING x ( zS /t
FIREPLACE fl�A- ' ( 2-8 /is"
GAS LINE AIR TEST tom— 3 274 i-
RADON_ OR -7--t---- - ` C-_,
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
HOUSEWRAP ,T]k.- \ Ngi 5" LATH
• FINALS
_GRADING ( PRIOR TO SODDING) -- -7\-1\ \ ç
C3UILDING
ELECTRICAL
PLUMBING a 2 L ( I(
HEATING /J z.x._, 3/ 2.,—
DO NOT 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