HomeMy WebLinkAboutBldg Permit 04-1076
~~;;;;77~79
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
See Main File; ~i:i:.
3 Yellow
ae/'I7e/J d
fle~I!eJJ Ill'!
tj-~~Y
I PERMIT NO. b +. /07~ I
File
City
AIlPlic31l1
ZONING (office use)
iF
J2..~
LEGAY~SCRIPTIr (office use only)
LOr! hBLOCK / ADDITION
OWNER
(Name)
Pln:;(S- !/tJ?- 01 b-C)
(Phone)
(Address)
BUILDER /~} /J II / -j C; c7 70
(CompanyNam~. A-: /(O/hA J./lC, (Phone) /~..2- /fs- / c/33
(ContactN)f1e) /i ')-;, tl,,; '" ,,~. IL . (Phone) t, /2 -~?!. L_ </7JP
(Addre~ {).f b 11 ~ "3e- /!"wr I L. j; lP '/(,/' /i/:.../ - ~ /..
'--'0U7'Y
TYPE OF WORK ~e~ Construction DDeck DPorch ORe-Roofing ORe-Siding
DAddition DAlteration DUtility Connection 0 Misc.
DLower Level Finish 0 Fireplace
PROJECT COSTlV ALUE $ L/J;J, 3 V 7
(excluding land) - /
CODE: ~.R.C. DI.B.c.
Type of onstmction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
I hereby c that I have furTIlshed mtormatLOn on thIS applicatIOn which IS to the best of my kn
ab vc n~~~~pe~~hat all consrruCClon will conform to aU eXisting state and local
0' c/~?)~ t~h"'by,g"'th'tth,mYQffiC"lota
.... Signaturif
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
ledge true and correct. I also certify that J am the owner or authon a agent for [he
and will proceed In accordance with submitted plans ~ar hat the bUilding
i)~ en;; :PQ~ Z'";70tm nmded '"'. 70/: (,
Contractor's LIcense No Date / ...... I
lzu,. () 00. Do
$ T?~ "SO
$ '7&~.}P,
$ Cc3.0o
$
$
$
$
$
Park Support Fee
SAC
Builder's Deposit
Other
$
$
$
$
$
$
I $
$ I
$56,Q. I~I
I Rec.tf:t No.
HiC
o
#
#
1=550.00
.35"0. DO
45'00
I.a?CJ, on
700.0 D
~
Water Meter (Size 5/8"'.)";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
/00.00
/00.00
35.. <:::;0
90. CJCJ
#
TOTAL DUE
$=Ben~uildmgpe7;h~p;ved
Buildl11J! OHicial / Da(e '
Paid
Date
S'D7'f.r/
/1>. 'ijI.0~
1"'lY~(,
ThiS IS to certify that the reqnest in the above applicatIOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested This document
when signrd by the City Planner constitutes a temporary Certificate of Zoning compliance and allows constmction to commence. Before occupancy, a Crrtlticatr of Occupancy must be
"""~Pl~ /oj7/t"r S~i.rMaiP File
24 hour notice for all inspections (952) 447.9850, (ax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~
See Main File
White . Building
Canary .. !;n!!.ineering
r-1l;nk. _ - I'lannmiP
-
The ('rnler of the L.kr ('ounlry
NAME OF APPLICANT ~ / C
APPLICATION RECEIVED ? - :50 -LX /
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
4/~7:_//J~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which irrroposed at: '(' r
/ J/I/?9 J, '/--;) fL";:.I y_C'~-\C /0 I // e....
/
-
.,
.
L
. ,
Accepted
/
"
Accepted With Corrections
r..
.
.
Denied
Reviewed By:
~' ..~f-/
Date:
/tJ~ I /" </
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."
.1.~~~ PR/0)j>,
f-.. ~
Q r11
See Main File
( White . Buildliig
Qlnary - Engineering
Pink .. Planning
Thr (-rnlN or Ih. Lalor ('ounlr,'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/;)12
()- 30 -d-/
f /
~/~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constr;~n~c;9 WhiLhPosed at: ~ ~.
Accepted V
Accepted With Corrections
Denied
OJ; .~
~.~
Date:
/O~(/OC(
Reviewed By:
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
'-J.';'_l!arv .. a::naineerlJi'iP
P,nk - Planning
Thll' C''''f' or lhll' a._a., ('Qunlry
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLISt
i -.-......-..-
I .. .
.. 1./ ,
iI ,:-1"",,..,. / It-. ..",,--/
t --" (...,/ ,( I ,;'
-.
/")
/C.-
,. I
,--',~'
APPLICATION RECEIVED ? -- :50 Y.')( /
The Building, Engineering, and Planning Departments have reviewed the buJlding permit I
application for construction activity which is-.proposed at: '''J '
(} ...L ,. ,? "'
. _ _ ;lll / '79 ,( ,/-12Y-~l.j.-(tl~(-v.. /!J.i,L-,Y-L
Accepted
J(
Accepted With Corrections
Denied
Reviewed By:
Comments:
;J/JfJh
Sa.. ~/j" h'((
Date:
/&-/tt-()'1
"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 MaN 8:56 FAX 6513226147 GENZ~RYAN
1i!J0121017
Date Rec'd
CITY .OF PRIOR LAKE
SEWER AND WATER PERMIT
Q>lease tvp~ ortlrint and sign at bottom)
ADDRE11LI1 ~ IJJ1J;JJ?' e I (L .1'>>2.. 05.
I. "'... fil. I PERMITNO~
.. Ydlow CitY- _
3. Gold Applicanl
ZONING (offi", us.) I
LEGAL DESCRIPTION (office use only)
LOT I W BLOCK I ADDmON '[-y Jj') f7 .p (rt Urn
Pill
OWNER
(Name) -l).'D u"":":'t;......... r"-:-+-QiR }lQ1ll.{''''
(Phone) _ 0/....;2 -q 85- I g ()I\
(Address)
.20&"0 KeVlPKlb0..€.. C:r S'-rPJ/\f'\
(Address)
.La~~illl0
(City)
&)CiJL.jU
(Zip Code)
, APPLICANT
i (N~~ Genz-Ryan Plumbin~ & Heatin~
(phone)
651-423-1144
(Address) 14745 So Robert Trail Rosemount. MN
(ll (fl.ddres'J~' S (City)
(Contact Person) _ l./u1Yl{ ~ ~ _ _ /) (Phone)
"JCANTSIGNATURE J 0 ) '--:1jJ il/] DATE
,
55068
(Zip Code)
651-423-1144 (
r () III / Orj
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
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'! & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND W A1ER PERMIT FEE
STA1E SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
1:" AID WI 1'.H
(omte Un Only)
I This Application Becomes Your Building Permit When Approved
l_
Building Offirial
Date
'ri)llfl'i~~ it: [1':1 U~~~
Ifll D~h 2 2 Z;C4 ~1~
"
1..1' _/
24 hour notice for an in.pectioo. (952) 44 '-9850, fax (951.) 447-4245
f3y ______._
10/11/2004 MON 8:56 FAX 6513226147 GENZ-RYAN
Ii!I 013/017
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Slue File
2. Gold Cil)'
J, Yellow Applianl
I PERMITNOfJ4 0
I ZONlNG(ollkeuse) I
q?lease tvp~ or mint and sil!D. I[bottom)
I ADDflLJl ~I\t t10h e( d 1'm- tf
LEGAL DESCRIPTION (office use only) . . ~
LOT I (0 BLOCK I ADDITION I'uJ kZ-fl eJ cI
1/ f711
PID
. OWNER
(Ne1'1.p1 DR Horton Custom Homes
(AddreSs)
(phone)
902-q';;ti -7BDO
2.o~(PD )(enB~lDGe.. C. .sre../lJO
wlu_villG .UN .6CbL-lL/
APPLICANT
(Namet,...........-l)ril'A Phrm}...:....s .t_ u...a...;.....g
(Address) 14745 So Robert Trail
(phone) ."_I,?~_11bl.
Rosemount
55068
(Zip Code)
MN
fY (Address) (City)
()ff1)0;~/j mjlJ _ ,_-') (phone)
APPLICANT SIGNATURE ~ , I ~ ) f/J J .I/:)
(Contact Person)
I Quantity
I I
I ,
I I
I ..9-
I
I I
I (
I
I .-41
DAT:5H2;~7 / / /IJI
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture I Quantity I TYl'e of Fixture
I Bath Tub with or without shower I . I Rough- ins
I Dishwasher , . I Water Heater
I Floor Drain I /2.:.t I Water Sollner
I Lavatory (Bathroom Sink) I 1 I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Ejector
I Shower Stall 1 Backflow Assembly
I Sinks I Backflow Assembly Test
I Bar Sink I Lawn Sprinkler
Water Closet (Toilet) I Other
FEE S'-'.tI.MJt.lLE
Industrial, Commercial & Multi-family I % of job cost witb a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39..50
Estimated Cost $
Building Pennit #
: .S({> AID WI LtI
$
(Office Usc Only) =DING
This Application Becomes Your BnUdiog Permit When Approved 'I' 1i~Jld:: ~ -";J ~ II' .. -~" ~o~
i '~ I \. ~.l\.lYli. J.
I', ;~ !DaftCT 2 2 2004 I! Jr'
Date IU\ LJ-"l
24 hour noti.. for all inspections (952) 447. ~1~_~a~_~52) 4474~~_.l
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
BuUding Offici"
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONlNGIFIREPLACE PERMIT
Date Rec'd
l_Pillk
2. Green
1. Yellow
~:~I PERMIT NO.u.. l'Dnll
ApphC4l1t _ -~ ~. ""II
(!'Iease ~e_or~dnt and si~ at b_ott~~) _
ADDRESs
\,--j1~ "\ "\ , '-1 C\ . C{., \, q, '"
D?~~".--.P \A
\,\"
:',s;..
. ZONINGCofficeuse) I
LEGAL DESCRIPTION (office use only)
~
LOT
BLOCK
ADDITION
PID
OWNER DR HORTON
(Name) --- 20860 KENBRIDGE CT
(Addr~s$) LAKEVILLE, MN 55044
(phone)
APPLICANT ./J, /. /':l,
(Name\ /-////~/../~~/'/"a/
(AddreSS)~ ~.,u.~~ ~ 4:
~
(Contact Person) A 4'-./< .~;~
APPLICANT SIGNATURE :; . ~ . -. - _
(phone) ~5../- 45",1- ~?,,7.5
;~~ ~..s-.k?-7
- (lllIrl'. (Zip Code)
(Phone) ~ - c;/'.g --? 77.::2:
DATE
, APPLICANT PLEASE COMPLETE IJELQW
~NEW CO~TRUCTION 0 REPLACEMENT. OALtERA TI9NS
FURNACEMAKEANDMOD~/r,b""~ :?/oAA~ FUEL _~..2 .4-f:"---t:.
FLUESIZE";~hz~ RETURN OPENINGS if INPut?t.; ~ OUTPUT 6Z_~
TYPE OF SYSTEM HEATING OR POWER PLANT
DWann Air Plants
DGravity
o Mechanical
~ir Conditioning
)llrlent. 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
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 $ . ~ a:> Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ &.....// .&,//~
$ ~ .50
$ 0
4"-:~'.'~"
., " .,~:_.- j ! ..,
'{' . ... #;'- .'
".,....~Jf(""".,^;;
. t .::~,i
"'~
'(
(Omet l1~e Only)
,
Building Official
Date
I Paid
I DateNOV U :I ZUU4
Receipt No.
This Application Becomes Your Building Permit When Approved
By
-
(Jf
V
24 hour notice for an inspections (952) 447-9850,fax (952) 447-4:~~ .~
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONING/FIREPLACE PERMIT
Date Rec'd
(please tvoe or mint and sin at bottom)
ADDRESS
~.;;;:", ~:~ I PERMIT NO~- "D7L-
3. Yellow Applicant ---, ,. .,..
ZONING (office use)
17479 DEERFIELD DRIVE S.E.
LEGAL DESCRIPTION (office nse only)
LOT BLOCK ADDITION
PID
OWNER
(Name 0 R HORTON
(Phone)
(Address)
APPLICANT
(Name) ALlJEDFIRESIDE DRA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
PcOSEVTT T "
(City)
';5113_
(Zip Code)
(Contact Person)
RRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
I 1/26/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
D 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.Farnily
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 & Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildine Official
Date
I Paid
I Dafi: DEe 1 2004
: Receipt No.
24 hour notice for all inspections (952) 447-98SO, fax (952) 447-4245
By (L
(J
PRIOR LAKE
INSPECTION RECORD
. .
SITE ADDRESS /7if?iJ ~GeA.. EZILD. /l!J1'4'".j.c.
NATURE OF WORK !JEkJ ~crltJ~
USE OF BUILDING S~A.. .
PERMIT NO. 04. I07fR DATE ISSUED ,
CONTRACTOR lltll.. IJ..tILT'~,~. PHONE
.
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
INSPECTOR
DATE
-
I FOOTING /ff~ .. /0/27/oY' l
, FOUNDATION (Prior to Backfill) /lAVJ,,.,,lIlV<?// /a7- I %F':.! J
PLACE NO CONCRET~ UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER 1 WATER 1 SEPTIC #~;: /I/,rft'..;
FRAMING ' !/V)// 12- }/(/l/
INSULATION in/!! lit/Ie S-
ELECTRICAL v
,- ,
PLUMBING tit 0', #4" /..2-/7/cxj' mrt /.J/.,s~ Y
HEATING (if required)~....s;,{ I~ a~ 4 ~ ~.....&ifi7"
FIREPLACE _ ~ 11-]0-0';/
GASLlNEAIRTEST~/h r/:;4'. fq p/~~.y
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
lLAT7t I HOtlS'E u)tlJa.$) I I
· FINALS _ / ..-J
GRADING (Prior to Sodding) ~ 'PC' ~/J. /?'/~ /'
BUILDING ~ 6//-e'c:tS ~
'ELECTRICAL ""'?//f /ar
I PLUMBING wi/} ,) f1tf I~; ~-
I HEATING ~ Msfiy-
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
~~rtifitd~ of (!\}ttupautll
CITY OF PRIOR LAKE
~~parfmtuf of ~ui1~iug Jlnsptdiou
/
cfFinal Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the 1-: Residential / 0 International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances afthe City of Prior Lake regulating building construction or use. For the following:
SINGLE FAMILY 04-1076
Use Classification
Bldg. Permit No.
Occupancy Type
R3
Type Construction
1,16, BI, DEERFIELD 11TH
VN
Zoning District
R2
Legal Description
Owner of BuiIdin.l! Site Address
D.R. HORTON, 20860 KENBRIDGE
Contractor's Name & Address .. / ~_ ~ /
ROBERT D. HUTCHINS "I;lV"J'/
_ ' ~. ~ City Planner
,;;;~ r ~~ffi<oi,,1 Date
17479 DEERFIELD DRIVE S.E.
COURT, #100, LAKEVILLE 55044
JANE KANSIER
Date:
.~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/ /79"/?
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..&I-RNAL
o SITE INSPECTION
DATE 11ME
SCHEDULED ~~--
l4e/ #eld 4-
CONTR.
PERMIT NO.
C)~- /076
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
...)iIH'IREPLACE FINAL
o GASLINE AIR TST
o
CP:J"MENyS: / .....-. /. I
~7 -e'c;1//Cy h A-e cb-< ~
-2.h~-
- /~.-"'. -"'"
~-c::c/. {lh7hzl ..0""- /
~/t./e CJrSSTKf'/
--- /
r:;k'p1,4cc ~24 ( a......
,
cD /~:~/-Ar~uA~
~~ / o~
-----===----
..-----;/ ~ ;)----.'
(/Ias-~ rr /p I.
k"M"'" " -.
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ner/Contr:
A
.4"u~V
/
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
AI/,./4.'1 n-J!i.cJl
4.. .... (>,
:J-? 2 -e:
Heating Contractor
Name of Tester
Date
Job Address
Heating Contractor
Name of Tester
Date
Percent 02
Percent CO
Percent CO,
Stack Temp
.Dil)c7 0'c:.--\;xJL
#/1:",..." "-In,,
..dnvtJ" ~
;;)- 72 -,V
t9.19 7..
,(!~'"
, ,
7. 7, 7.,
330 OF
Combustion air is adequately supplied per
UMC Sec. 606 .,...50
input ~r( "..,