HomeMy WebLinkAboutBldg Permit 04-1077
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
While
Pink
Yellow
File
City
Applicant
I PERMIT NO. 0+ .10 7 7 I
(Please tyy~ yr P 'nt and siJUl at bottom) ./1
ADDRESS 7 I / I ) / / /J
7 1/ YefJr f'qjj ;/E/Ue
cr~
LEGA~DESCRlPTION <lmce use only)
LOTthLOCK jADDITION
,
~e~/le//
//4m Q5-ijo7-(}//}-:)
,
OWNER
(Name)
(Phone)
(Address) /\ ~
/IJ: II I
BUILDER / / L/ / z:
(CompanyName~ ' r /6/ r(v>. _ -"1C-.
(Contact~e) It' ~ lIP/--Ll-" 'c IJrc (;I
(Ad~(),f.(" () /,e,6/1',_ c;(
TYPE OF WORK ~ew Construction DDeck DPorch ORe-Roofing
- DAddition DAlteratlOn DUtihty ConnectIOn D Misc.
/ ,.
Date Rec' d
tj- 3? --6/
ZONING (office use)
12-:J
(phone)Yr2--7.fJ- -7.13.]'
~/J (Phone/ 17 __ '? i, t, _ Lr,;.9
// 'f2-J _. - T'&J
/: ./~" 'II. /7// (. -J';'
- / . JU 7'1'
ORe-Siding DLower Level Finish
have furnishe information on this application which is to the best of my knowledge true and correct I also certify that 1 am the owner or aut mzcd agent for the
all constructlOn will conform t all eXlSlIng state and local laws and Will proceed In aCCOldance With submitted plans arc tha~ [he building
{ ca"'',Ij'>>:~-"''t1'' th" the eny offic"J m, d"'gn" m" en'" opon 'he pmpmy to p"fotm n"d,d, ';~
-'slgn~ l' /' Contractor's License No ; r-~ate
U'
. fI/~(p.lJoo. OCl
$ 1zi:J~.50
$ 7'il ~ ,j '?
$ 63,00
$
$
$
$
$
/
Receij:>)"No. "17 Y70
By A"" i
(f
CODE: ~.R.C. DI.B.C.
Type of onstroction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
Permit Valuation
Permit Fee
Park Support Fee
#
SAC
#
Plan Check Fee
Water Meter
Size 5/8"; 1";
State Surcharge
Penalty
Pressure Reducer
Sewer/Water Connection Fee
#
Plumbing Permit Fee
Water Tower Fee
#
ItJo,Oo
100 , 00
35'.50
qtJ,OD
Mechanical Permit Fee
Builder's Deposit
Sewer & Water Permit Fee
Other
TOTAL DUE
Gas Fireplace Permit Fee
T~come;u;:pe~o~~;o;d
Building Official Dale
!; r/'f.'/
/n.;>-<),G V
Paid
Date
D Fireplace
ID.:2.?Y;;
/
$
$
$
$
$
$
$
$
I $ 5, fJ1Cf. If}
13St7,{)0
2-So, 00
'Is .00
/200,00
700,00
T. hIS IS .to certify that tht, request in the above application and accompanying documents is in accordance with the C~Oning Ordin~ ~may Qlocced as rc ucstcd. This document
~~~~::::nn" ,~"ry Ctltifi'''COfZ;; ;;PJ;n~d ~"nnSnUtliOn ~'ee BelVlIDtfrtc' te" mOSlbe
Planning Director Date 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 - Engineering
(' Pink - Planmi'Rf:>
--
rh~ ('..nlf'r or Ih.. I..k.. ('ount~'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
IJ I? tj iJd6-:~
:::;? U
I - .> (J -0 .
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ,"
j "'}l/8/ ;! (?.;) /;}.l~1(((J / J.. .
L ....J
Accepted
/
Accepted With Corrections
. 0.,
,,"),,
.
,
.. I'...,
,.
Denied
Reviewed By:
-B~'
r
~g.~
Date:
10/11 111'/
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
Thf Cfolfr of lh~ (....~ Coun..,..
qhile . Buildina 2:>
anary - Engineenng
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D 12 cf:)~
C}- 3t)~()1)
The Building, Engineering, and Planning Departments have reviewed the building permit
app"at'" fo' """ruot'; ;':,,1;"" ";0';,:' ~ {} I ~ .
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
~
7P.--Jl/---J
Date:
/o/; I/O <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."
..~~
Th~ ("tnlrr of lhr Lllk. <-'ounl,.,
See Main File
White . Building
r(;anarv - Engineeriiib
Pink ' - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlRT
NAME OF APPLICANT
APPLICATION RECEIVED
r"
I i
{,,-,.'
..~+-:'_. .
(~}1.-C/j"'- y~"~"~
.-~.
/-- - 0
,I .-
I"",J-
The Building, Engineering, and Planning Departments have reviewed the building permit I
application for construction activity which is proposed at:
fy"'j/~C~ /
/ I J.../ \(/.
/ I" {_.~/
/}
--,""
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
~
Stc !J1t:<;.... hie _
Date:
!r9-/fi.(:)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."
10/11/2004 MON 8:57 FAX 6513226147 GENZ-RYAN
€~~
:/fNB50'\'"
~ 014/017
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
C?Iea.se.!VDe or'Onnt and sil!I1 at bottom)
I ADDRESS
174f.() brl~-h d d~ ()n ~ [-
LEGAL DESCRIPTION (office use only)' 1
LOT 11 BLOCK I ADDITION 1J----u..J2fi (J ( ('[
OWNER
(Name) -ID<.-ll~_.^- ~-- u____
(Address)
20w,O Kev1i3Klt::6e Cr SrI" II'D
(Address)
APPUCANT
(Nwmp\ Genz-Ryan Plumbing & Heating
(Address) 14745 So Robert Trail
. ~"-') ~ .
(Con~ct Person) , Ih }lj ~~ ll~
-..!CANT SIGNATURE ( 1 :I ) 1 f //\
l =-. ~~~. I PERMIT NO.AA: IlrIl
3.Gol.dAppliearlt ~
I ZONlNG(officeus'l I
11th
PID
(phone) _ o/~--q'8S-IF;N\
.L-o..k~il\e...
(City)
0(:{)L!U
(Zip Code)
(phone)
651-423-1144
Rosemount. MN
(City)
55068
(Zip Code)
(phone)
DATE
651-423-1144 ,
!()//f/f4
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
FEE SCHEDULE
Residential sewer and water line connection $3550 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $ I 7.50 Water connection only $1750
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Om,e Use Only)
I This Application Becomes Your Building Pennit When Approved
L
Buildipg Official
Dalt
$
$
$
.50
l'AID VVIll-i
i)r~ '.. ~TNG
!li~t=vCT '~ ~ ~~g1' j~tl~
24 hoor ..lice for all inspections (952) 447. ~~O, fax (952) 442.~245 __ . __ J
10/11/2004 MON 8:57 FAX 6513226147 GENZ-RYAN
Ii!J 015/017
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
L Bw' fil' I PERMIT NO'_J6JJI
2, Gold City
), Yellow Applicant
q?lease ~~ or))rin.t and sign at bottolXl)
ADDRESS . .
n4~) /){jA2fiefct rYlrL ~fi
ZONING (om"...)
LEGAL DESCRIPTION (office use only)
LOTI') BLOCK)
ADDITION
tJaf2lt' e {cL 11110
PID
OWNER
(Name) DR Horton Custom Homes
(Contact Person)
I
I
I
I
I
I
I
I
I
I
Quantity
I
I
I
;J
,::;
(Address)
(phone)
"1&:'2- q'i{.\ -7'6DO
2o'SkoD Kh1B~I.D.se. Co Sre IDD
Lo /u.villG I-UN bmL1 Li
APPUCANT
(Name)p"'......_'Pr.......
P1......}.,;....... A. u"'~t-;........
- -
(phone)
j:.C;1_/.?1._11bl,
(Address) 14745 So Robert Trail
Rosemount
(City)
MN
55068
(Zip Code)
r MWjd~f1) mIls _ _
('li/)~ ) '--(aJVl
651-423-1144 I
DATE tol/I I/A
(phone)
APPUCANT SIGNATURE
I
J
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture I Quantity I
Bath Tub with or without shower I Rough-ins
I Dishwasher I I . I Water Heater
I Floor Drain I 12;L Water Softner
1 Lavatory (Balhroom Sink) } Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Ejector
I Shower Stall I Backflow Assembly
I Sinks I I Backflow Assembly Test
I Bar Sink I Lawn Sorinkler
I Water Closet (Toilet) I I Other
I
I
I
I
I
I
I
I
I
I
Type of Fixture
FEE S\,;J1J!,lJ ULE
Industri.l, Commerci.1 & Multi--family 1% of job cost with. $39.50 minimum Residential, New One & Two.Family $99_50
Residential, Addition, & Alt.rations $39_50
Estimated Cost $
Building Permit #
(om<< Use Only)
I This Application Becomes Your Building Permit When Approved
PLlmJB~GPERNfiTFEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
I
'[
Building Omcial
I:ili~id~ ,c I:,!I l~, .1
,t.;
!'iIDOCI? ~ ~.r
\11.1 "' -- "I.
LJ'
Dot<
24 hour Doti.. for alllDspections (952) 44' [!l~50, !.sxJ9~2L447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGlFlREPLACE PERMIT
Date Rec'd
(Please~eor Dlint and sign at bottom)
\ ADDRESS
. YlW,\\ '1 C\ c.;, \. ~---,.., U?e.,:'<.-__.p\A \)"
, . .
: :;:~" ~:~ I PERMIT NOLJ. ~,.,.,.
3. YellOw Apphcant ___ -, ,,,- I "
:',<;-
\ ZONING (ollkeuse) \
LEGAL DESCRIPTION (office use only)
~
LOT
BLOCK
ADDITION
pm
OWN,ER DR HORTON
(Name)_ 20860 KENBRIDGE CT
(Addtes~) LAKEVILLE, MN 55044
(Phone)
APPLICANT /J A
(Nart&Y /7'/~ //t.//~/''''ez./
(Address)~ ~A.lA, ~ ~
_~A~J
(ContactPetson) A ~d~ -47-.~
APPLICANT SIGNATURE -:;,- -..;" - ___
(Phone)~5/- 45""-1- ~ ?;?.s-
~~aA. ~5'...b?-?
- ((jJJ,ff (Zip Code)
(Phone) ~/ - c;./-g - J 77-:2:.
DATE
. APPLICANT PLEASE COMPLETE BELOW
j;!lNEWCO~TRUCTION DREPLACEMENT .DALTERATl9NS 1
FURNACEMAKEANDMOD~/r"".J ,L, ::?/oAAd::?d~07CJ . FUEL ~ h. ~
FLUESIZE.t/-;,~~ RETURN OPENINGS 4 INPUTc;.~ ~ OUTPUT 6'Z,I'~'
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
OOravity
o Mechanical
~ir Conditioning
lJitYent. System
.0 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 & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ . ~ a::::> Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ~/&",../~
$ -' .50
$ t:::/
,
~ ',~ '~. \
. ~-",:>J:,~~-j k-. ,'~" "
,:'L ""',,""""I ,.' ;. ',;'
"-"~"'...'.
~ ~i1
.
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
I Paid
I Date NOV U :J LU04
Receipt No.
By
-----.
Cj
24 hour notice for all inspections (952) 447-98$0, fax (952) 447--4245
CITY OF PRIOR LAKE
HEATING/Am CONDITIONING/FIREPLACE PERMIT
Date Rec'd
L Pink
2. Green
3, Yellow
--
~::y I PERMIT NO..u, ~,A~"
Apphcant .....-, , '-' IJ"
(Please tvpt! or vrint and sip at bottom)
ADDRESS
ZONING (office use)
17481 DEERFIELD DRIVE S.B.
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
pm
OWNER
(NamF 0 R HORTON
(Phone)
. (Address)
APPLICANT
(Name) ATJJRO FIRFSTDR ORA FIRESIDE HEARTH & HOME
(Phone)
651--633.2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
p OSEVILLE
(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
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVen!. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
D 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.Pamily
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
_50
Buildine: Official
Date
IPaid
li~aU:::C
-----:-;-=;.\
' '
1 ' ,
\, \ Receipt No_
(Office Use Only)
Tbis Application Becomes Your Building Permit Wben Approved
1 ~1)~1
.By
~
U
24 hour notice for all inspections (952) 447-~Jn.(952pl4'f-4245---
",~-j
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 17~11 Dt:.C"HELP 'J)tt.iVE S":r.
NATURE OF WORK NE~ ~f-'.T1U.\c.r(O~
USE OF BUILDING SJ.~", ---
PERMIT NO. 01-. /077 DATE ISSUED ~
CONTRACTOR D.A.. KolLn~.' ~c.. P~5c.-'I7.J8
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
.
I FOOTING I #~ /~/.?? /Or
I FOUNDATION (Prior to Backfill) dav;-JL 44;.// p~ I ,/fZ#
. ,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC #t'~ . ///f /0"
FRAMING ~ /A//'oS-
INSULATION 'M : //.(~..s--:-
ELECTRICAL . /.2/...y'/'uy
PLUMBING (It G. /q p/7ft~ J4't/1--, IJtj/P)(
HEATING (if requiredl1.1Mr. Jlc.#'tY p), GI #'./4/_ '2~ / ..:z/..;2f/vy
FIREPLACE '/"/ ~ ;:ny / / ~/os:
GAS LINE AIR TEST~~t. r/-:;f; ~ /,;vp~ ft--/
CqVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
IL~"HE I \{o IlS'E wa~ I I
I FINALS
INSPECTOR
DATE
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
,h /e ~
6//~;;0!:. ----
...2~f/t'J
ntIJ .,1,,,'_ -1//'I/bt:;,
-- ~~ 6/..6"'/4S .
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
See ~.).
~4:
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
<1lrrfifirafr of @rtupaurl!
CITY OF PRIOR LAKE
~rpartntlmt of ~uilMug J/u5prrfiou
~nal Permitted
I
This Certificate issued pursuant to the requirements of Section 110 of the Q Residential I LJ 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 04-1077
Bldg. Permit No.
o Conditional CO. Expires
Use Classification
R3
Occupancy Type _
L17,
Type Construction
B1, DEERFIELD 11TH
VN
Zoning District
R2
Legal Description
Owner of Buildin,ll Site Address
D.R. HORTON, 20860 KENBRIDGE COURT, #100, LAKEVILLE
Contra"o;~~~';T&~~dr~~TCHINS ///:-;;1/'. JANE KANSIER
_ /M;(;7- City PIano""
_ / ~lding9fficial ~
Date: A/ /)- /' Qr-'- Date:
.I ,
1748\ DEERFTEL DRIVE
S.E.
55044
~
DATE TIME
CITY OF PRIOR LAKE /' /...-/
INSPECTION NOTICE SCHEDULED e:y',(yr)/~
ADDRESS /7tYJ-/ d~r4 (/ d-
OWNER
CONTR.
PHONE NO.
PERMIT NO_
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
...J:l-"'lRAL-
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~H FINAL
~O~.J/IENT.s: _ ~ /
?7---[..'T~ ~e;.1 h'k / c/~p.
o if-/o/.7
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
.A!l'1'lREPLACE FINAL
o GASLINE AIR TST
o
,
_~//o ~r:-
... ~ ---- ~ _/'
,,#~~, frfrQ / , ~ '
~t'{j,,-ecf c7r.wT ~~
pe,v.J4c~ fih'Y' / CJ~
(~~e/ h4r/sUrJ!O!
r:2~ ( dt{
d U ('<---<..1/'
/
,- ------
~~~ ~----j
--- ------
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT ~R~, :";7 FOR REINSPECTION BEFORE COVERING
Inspector: ~ . Owner/Conlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
"""""
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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 0,
Percent CO
Percent CO,
Stack Temp
Jll/n+~ ~
~F-.
J., ~ 'Z---o('
/J"t'II/~
AlliA"" _( V
4n..R.
;,).--2.L--<lr
7.~?b
f~41
7:.r-?t
3or~
Combustion air is adequately supplied per
UMC Sec_ 606 ,/4<
input % <t'A<1t\
- ------ -