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HomeMy WebLinkAboutBldg Pemrit 04-0832 O~ PIl/O", .:.. <:' I- "7 ~ ~ u '" A,J'NJIlESO'tl'> CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT See Main File (Please tvoe or orint and sie;n at bottom) ADDRESS \14l~~(d ~~~ 'SE Date Rec' d 7. z..0. 04- White Pink Yellow file City Applicant I PERMIT NO.O+, ~3zl , LEGAL DESCRIPTION (office use only) LOT I ~ BLOCK ADDITI~10d l t+i-- OWNER (Name) (Address) (Phone) ZONING (office use) ;eZ- PID 2-5.40,.0/4-.0 (PhOne~_ S?--N5S-712> ~ .. (Phone 9~1.C,~ 17.=<)2- iCg) lltLL 1 m SSJW ~~~~~ Na~ 1~_J~m,k :G.c. (ContactNam~ ~ev.:tkp:-- (AddreSs)20BCaO~~9--(lf. ~fro In J \ J TYPE OF WORK ~ew Construction DDeck o Porch ORe-Roofing DAddltlon DAlteration DUtility Connection 0 Misc. CODE: $)I.R.C. DI.B.c. Type of Construction: Occupancy Group: A B Division: I E II F I III IV VA HIM R Z 3 4 5 ORe-Siding DLower Level Finish tJO B~ PROJECT COST IV ALUE $ (excludiug land) B S U o Fireplace rft 0(4 , 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 amhOflzed 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 buildmg ~~'~'~'~"'Ih"'hy,g"'th"'h'''~0~~CCO'~~5:;th,pmp'rtytoP''fo'mnecd';t"2t;:az-l I (\ Signature Contractor's License No. Date ~ " Permit Valuation $'1 z.c... 00 O. O~ I Permit Fee $ 12-b".5"0 Plan Check Fee $ 7~k,t / e- State Surcharge $ 1_1> _ Q'tl Penalty $ Plumbing Permit Fee $ /8t). Cl 0 Mechanical Permit Fee $ /00,00 Sewer & Water Permit Fee $ 3'5.,0 Gas Fireplace Permit Fee $ Lfa , 00 This Application Becomes Your Building Pennit When Approved ~Ot~ -!/I~{Q'-I I Park Support Fee I SAC I Water Meter (Size5/Y}1"; I Pressure Reducer I Sewer/Water Connection Fee I Water Tower Fee I Builder's Deposit I Other I TOTAL DUE Paid Date /'] ~7"f./J. (11-"q . I # # # # II I Recki6t No. B'd' o $ $ $ $ $ $ $ $ I $.5, ~ 7t:f. If3 J t3S"'d,Oll 2..s0,co c.fs,oo 12000.00 700,00 ~71J ~ .... 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 requested. This document ~~::th' :l'nn~:mpma~ C"tifi,," Of;;n:':mPl:n~nd ,llow,oonstmction tOSeitMaiiif"Fne~ m,,>tb, Pl,nning D"eolo, r Y1." Spe,ial Conditions, ir 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 ~hit~ - Buildinv Canary - Engmeering Pink - Planning -- The Crnler of rhe I..ke Coul"r~. BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED D 12. Hot2XOtJ 7. ZfJ.o4- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1,4-/3 DEE/Z.FIE; CO / o tt..- _ Accepted Accepted With Corrections Denied Reviewed By: ~~A) Date: F'/I () 10 0/ I I Comments: See Main FHt "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 - Enqineering c1'ink - Plann~ lh~ ('tnlnof lhf l..h ('oun..,.- BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED I' , . / 1,- Ii (,' Tc j\) -/ Z (( . ( <:}- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: i-/4A ..{' -? r ,:, I: I':. L. ') I.)' /.... I ___ '_ \_~,_ L..._ _,~ - ; Accepted / Accepted With Corrections Denied . ~~ Date: 40/0"/ '" . Reviewed By: Comments: r . See-Maill File . "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 fhf ('fOr... of lhf I..kf fountf}' Whitt=!! . ~lIl1rlinn ....-ca'l"-ry - ,Engineerin9::;l Pinl(' - """':"l'lah"m9 BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED I' I) II C I i"7'}. I ) (. I' . C.t .. \.j -.7....' (. ! A' t. (i. v-r- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I -1,4.7 ':;J r)L r= Ie' I C. u L) I Accepted >( Accepted With Corrections Denied Reviewed By: /tI9!3 t;e;, i/lc,;,,,,, Date: ~ -LI-oLj Comments: HIt". "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," JUL, 30, 2004 345PM GENZ RYAN SERVICE, NO, 011 P 8 Date Rec'd CITY.OF PRIOR LAKE SEWER AND WATER PERMIT _ q'leaselV:2e ornrinl and sign .at bOllDm) ADDRESS , (J 1~7?J OJ, JZfJ ) rY [>f< _ {Ji- ADDITION ~'p 1111117;1 k ~::'. ~,~ I PERMIT NO.I'JL I"D."Z.~ J, Gold Applll:l.1!U ~.~ ZONING (olli" ",,) LEGAL DESCR1PTION (omce lIle only) LOT/4-BLOCK I PID OWNER (Name) --l}P U"~.M r..~."~ "-'~ (Address) 2D&oO ~P->i<-\lX::.e Or- Sr-7?Jm (Addr<s,) (phone) _ .Lak~~i\le..., (Cuy) qs2.-q~-18011 &J~LlLl (Zip Code) APPLICANT (Nunc) Genz-Ryan Plumbing & Heating (phone) 651-423-1144 (Address) 14745 SOf'lR~:~~~Tr)a.il , R08emo~:). MN 55068(ZiPCOdol (ContactPmon) -WYU IS. Il (phone) 651-423-1144 (' . ,.rCANTSI~NATU~ . ( ~_ '"fee PI /j DATE -1.. 'QI}{')'+' APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure Type of sewer pipe. 0 ABC 0 PYC Estimated length of sewer line feet. Clean out (if required) located at feet from structure. feet. o Cast Iron FEE SCHEDULE R..identisl Bower and water line eonnection $35,50 Industrjal, Com'l &: Multi-family 1% of job eost with. S39,50 minimum Sewer connection only $17.50 Water connection only S17,50 Estimated Cost $ Building Pennit # SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ ,=,-,\I~ '"_, ~wW'ilii NG PERMIT I r (Ollie. u.. Only) I This APl'lic2tion Becomes Your :Building Permit When Apl'roved , '-- Dundin!; OfJiei:a1 DOle liT ~i{~ It u lli [211 I Recoipt No, t~P~G-l 7 2004 IJ, By I. I I 24 hour notlee for .1I1napectiolU (952) 44' ~~50, fox (952) 4414245 GENZ RYAN SERViCE NO. 0 i 1 P 9 JUL. 30. 2004 3:45PM s@: - -I,'....fV..90.",. ., Date Ree'd CITY OF PRIOR LAKE PLUMBING PERlmT I. BIlle Ftlc 2. Caid CII, 3, Vallow AppliCllll I PERMIT NOO1-: O~ (P1c3SC tU'~ ot'Drinc:m.d ~im .n bottOm) ADDRBi7413 J~dcL M. Jf V . LEGAL DESCRlPTION (office u.e only) LOT / 41lLOCK / ADDmON f-.x II?I! e (d / tin PID . ZONJNG (,tile"..) OWNER (Name) DR Horton Custom Homes (Phone) CJt:,2-Qr;;f,-7'6lJ(J (Address) 2.o'SLP D un B~ 1 DGe_ Cr. Sre I DO udu..vi /lG IA.A N ECt,1.-! LJ APPLICANT (Name)..,Cp'l"l"'_"I:i'y""" 'P1..1.1.mb.:L....: .c. U.......i"4....: (Address) 14745 So (Contact Person) _ (Phone) ~ <1 _b ? ~_ 1 1 ~J. Rosemount MN 55068 (City) (Zip Code) -& II~hOne) DA~51-4;;J~ /oe/ APPLICANT SIGNATURE Quantity I I ! fJ. I / ,Q APPLICANT PLEASE COMPLETE BELOW I Type of FiJltw-e Quantity I Bath Tub with or without shower I Dishwasher I Floor Drain Lavatory (Bathroom Sink) Laundry Tray (1 or 2 compartment sink Shower Stall I Sinks Bar Sink I Water Closet (Toilet) Type of Fixture I . fi-.:; . 1 Rough-ins Waler Heater Water Softner Stand Pipe (Washing Machine) Sewage Ejector Backflow Assembly I Backflow Assembly Test I Lawn Sprinkler I Other FEE SCHEDULE Indusirial, Commercial ok Mulci-family 1% of job eo,t with. $39.50 minimum Residentin!, New One & Two-Family $99.50 Re.lidential, Addltion. & Alleration, ,~39.50 Estimated Cost $ Building Permit # PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ PAlO 17%~ ,I. .~!NGPl:RMrr (Office Use Only) I This Application Blcom.., Your Buildiug Permit When APprove1(r 1 ~ t;<i It 1I \'1.1 U: ~ I Receipt No. L Dulhllllg Ornclal D.t, UU I Jflj~ 1 7 2004 ~ J I By ),4 bour notice (or 'II in'p.ctionl (!JSJ.) '47.9850, I.. (952) 447-4245 . lSY ..:;...------\ CITY OF PRIOR LAKE #';qSg HEA'fING/AJR CONDITIONINGIFIREPLACE PERMIT Date Rec'd " , -. , .., ."'. ,,', . " U,":'.',."_', - .. . . - .- .-., . ~,!Se'.~:'Oi'lDrintaIid'si~ at'bottoiii1~:' ADEJRiESs . .. . ?A. c.i2 .'/147,J':/)F'-F'v" 'e-lrJ. L-Piiik' :U-.Gnien " J..Ydlow ~~. I PERMIT NO.OA. ..oa.'2.-:>1 Apphcant . -r'. ('),...J'~ ,', . Dr. s, E. ZONlNG (office use) LEGAL DESCRIPTIO~ (o~:';'e only) LOT. .BI:.OCK "<'<:\\!,!:i;':':>--':.::,-:, ' , ADElmON PIB ~~~.6 .R':,'Iji;rfDn ;~,~~~h'-4-;;:~~:~,~:~!~~;:..::,: .... . . f~~ /1i!i"2iJ;/I<.::M f' ('h. -r;c. . ".QJnone)!R6/~ .if5d1~d?"fs'-,.. ;;Q1=~~7~ ))~ ~t!~.~61::~- ~F];;X~sIGNAW]:tIL',,- _ ~ .,.:: DATE.' 0/0/6/0"7' ",,',', ..::<':";;;:~;;\:Si:':';PLICANF PLEASE €OlVlli~Ei-E'nELow . ;--"'-"""":::'''':'':',:,r'~''~.'-i..>",--:.-,;.~: .", ", ,'_' __ ..-' ,. _, ",_,~,;,^"",_,,_,,-",_,,_""" ',,,,, -,'",. . ::,:~~r~:G' ~~~~::~2:::~l;; ,mit€lP.SMS'iffiM HEA~G:ORPOWE:RPLANT . , ,0 ":":~;~~t~ls '. B'~~~aL . ',. . E} ~j_~~~~<..,-;:\~:.' ',-".-)., GSpeciaJ, ~:",vi~es' o Dtlie~ Devices (phone) ":';'.-,.." ".? C',,', ','. ,;.:j', ':"-" '.- ". ....:--.. , ,'. '~.,..r-::',.:,:.\:-';. FEE SCHEDULE. .. .... .... . I % of job cost Resi4ential; Gas. Fireplace $39.50 minimum ' . ... . $99.50 Resi4ential. Additions & Alterations $64.50 Resi4eniia/; AC Only Industrial, Commercial:,% M~I~:FainilY . Resi4ential, Heating 8?Aic.:d-i':;'eon~ction) Residential, Heating Only (New Construction} , $39.50 . $39.56 ~J9.50 . Estimated Coat $ Building Permit It l'AlU W Ill-I .50 BUILDING $ r~~ '-' p. ~ til "'~ ~KMIT ~ ~ ~d I1J Ii: Ill' Kecelpt NO. IIID:l1t:P 1 0 2004 ) By $ $ HEATING PERNfiT FEE STATE SURCHARGE TOTAL PERMIT FEE (om.. Use Only) This Application Becomes Your Building Permit When Approved Building Official Date 24 hour notice for aU inspections (952) 44' ~rO, fax (952) 447-4245 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd L Pink 2.""'" 3. Yellow File City Applicant I PERMIT NO.l/- ~ t ZONING (office use) (Please tvDe or orint and sim at bottom) ADDRESS 17473 DEERFIELD DRIVE S.E. LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name DR HORTON (Phone) (Address) APPLICANT (Name) ATJ .TED FTRRsrDR DRA FlRRSrDF HF.ARTH IV. HOME (Phone) 651-633-2561 (Address) ?700 NORTH FAIRVIEW AVENUE (Address) ROSEVIT T P (City) 55113_ (Zip Code) (Contact Person) BRENDA HUSTON (Phone) _651-633-2561 . APPLICANT SIGNATURE BRENDA HUSTON DATE 10/11 /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 DWarm Air Plants DGravity o Mechanical DAir Conditioning DVent. 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 HEATN 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 & AlC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ HEA TlNG PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50 f:-'~r:_ ,,"'.. , '_'~ ".., .....'.'..J \1'1,.1 .i-I .',' 'I -f". ., ~ ~' "~~'~tNG f<.~',':""t1i~~'''' ..,. . (Office Use Only) BuiIdin2 Official Date I trI~ 10 i, ii ill q~"';. No '~~at~CT 1 3 2004 i) Iy This Application Becomes Your Building Permit When Approved 24 hour notice for an inspections (952) 447-9 ~~ fax (952) 447-4245 ___. PRIOR LAKE INSPECTION RECORD SITE ADDRESS \ ., Lf ., '3 :D.6aL. F1El.J> :DRi J€ s.€. NATURE OF WORK ~~ ~~~ USE OF BUILDING $.F:k. -- PERMIT NO. (J4-.0832- DP'-TE ISSUED .aJ~O~ CONTRACTOR 1Ai.. \t.,,'.~.I~" PHON -2~.J2.. NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF See Main FilE BUILDING AND INSPECTION lNSPE:; 'Y.1 DATIY /' I FOOTING r/l-7". p-//f,!'f I FOUNDATION (Prior to Backfill) /"",.Jj ,V~;'/ '% I J!~q PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS I I SEWER I WATER I SEPTIC ./I/;f'!? /31/01' FRAMING /ff- /' /"ufit' INSULATION /J14'- ;//z/tJc.j ELECTRICAL .4 ", /I /OP7/o/ '. PLUMBING tI. 6. ~ 7'/9/01 . IN/; /;/..;22--/0'1_ HEATING (if required~4'M' ~ h?/V:~ ~ /o/..L 9 /d~ FIREPLACE ff..$ /?J/,z1/o</ GASLlNEAIRTEST~/h r 15/ ~ /o#9/f;~ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE HAS NOTICE .-. ..--f ...- ~peA~rA h/~ ~ 7~lor /.2./7~ </ ///# /,2/7/CiY ffi4 ""'//~J'~ ~: t; BEEN SIGNED 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 @rrfifirafr of <IDrmpaur1! CITY OF PRIOR LAKE ~~parfm~nf of 1iuilMng J1ns:p~dion ~inal Permitted D Conditional C.G. Expires This Certificate issued pursuant to the requirements of Section 110 of the D 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 F&~ILY 04-0832 Use Classification Bldg. Permit No. Occupancy Type Type Construction_ L14, B1, DEERFIELD 11TH R3 VN Zoning Distrif'I' R2 Legal Description Owner of Building D.R. HORTON, 20860 KENBRIDGE COURT, 11100, LAKEVILLE 55044 Contractor's Name & Address _ ../ ROBERT D. HUTCHINS #/ft/ /~ ~ City Planner ~. /0"lding Official 7// 0 \ Date, / Site Address 17473 DEERFIELD DRIVE S.E. JANE KANSIER Date: - -. DATE TIME .~~S--- Pep,- /LId ,UI;-- CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS /79'7-1 OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~AL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ....,JIl-MECH FINAL IJ7'-,?.s .2.... o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI ......... .-;~~PLACE FINAL o GASLINE AIR TST o CO~MCNT~ .... /' / >=/~r7?-'C?( hh/ dD~-€- ~~C4~ r/z1~ / (g)/(_ kc t' I ~ e cL OJ< rc T '?7-, r7- / ) /~/7 /()~ h h //.:/ (q-C ,- , , ., / /71.,ee-/ @;( hhce/ ./ C)(C --~-,.,,-~ -'----- 0se /-:/~ ) ~ORKSATISFACTORY."'K"eE:E:e ~ r'~ ~ORRECT ACTION AND PROCEED o CORRECT WORK, CALL F R REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL ~7-9B50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. " --" CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ DATE nME CITY OF PRIOR LAKE 17 L INSPECTION NOTICE SCHEDULED /..:;1;7 /7r?J &1"1'/1.//.Ifr ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. ~~ - }!?.2.. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING Rl o MECH RI o WATER HOOKUP o SEWER HOOKUP ..,....a"'I5iJMBING FINAL o MECH FINAL o EXIGRADlFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: _.:/ / .,- /?f' ~ .I'M""...._TC'r . - - / / ... res r CJ /c r;J ~/ch~ 0/;'~ 4c/ .rf'~ a ~r;S ~..~'{' /' ~/C.ec ~ /' ./7 // ~ /f}'",'/d,'rp- ~ ~/ ~q/ - o WOIlK SATISFACTORY, PROCEED ~ECT ACTION AND PROCEED o CORRECT WORK, CALL FO REINSPECTION BEFORE COVERING / ~C Inspector: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! /NSNO" APPLIANCE PERFORMANCE TEST Attach to gas line adjacent to regulator Heating Contractor Name of Tester Date Job Address Heating Contractor Name of Tester Date Percent 02 Percent CO Percent C02 Slack Temp AClJ....' rc""ff CYr..J I 'J.f?.f Id J.ZY'73 D4~1'I::",J A 1I.....r t'I ('"M'- (J.r.. J I ?-b. / II" \l ~ 'c.. ~/~/>? . C! "5 ." ;r.. .-J2.7",:::- Combustion air is adequately supplied per UMC Sec. 606 ....; ~ input c"O.AdA . - i3~ -- ----- -- c