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Home My WebLink AboutBldg Permit 04-1085 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT tJ.... 3o-tL! I PERMIT NO. 04-., 08s-1 White Pink Yellow File City Applicant LEGAL DESCRIPTION (office use only) LO~lBLOCK j ADDITI~Ai~(d. (f-ft,.... OWNER (Name) (Address) Date Rec' d ZONING (office use) R:J PID~5- tjO-'1"'- 02--1-<.) (Phone) ~~~~~ N~eD'K..~~~ - (Phon@-::'ffBS-7833 (COnlacIName)---1r\\~ lA')()K..h~<-o-..., (Phone I &'-'-liZSB (Addres~N1(~O ~l~O J. ~/{)O) LaJrUI-Ll.t-,' rn 5: Ol L/ TYPE OF WORK ~ew Construction ODeck DPorch ORe-Roofing ORe-Siding DLower Level Fm$"h/()~1T~aC3e t; 7 DAdditlon DAlleralion DUtility Connection D Misc. bL CODE: 'lC:\iI.R.C. DI.B.C. PROJECTCOST/VALUE Type of &nstmction: I II III IV V A B (excluding land) { Occupancy Group: A B E F HIM R S U Division: 1 2 3 4 5 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 authoflzcd agent for the above-mentIOned property and thai all construction will conform to all existing stale and local laws and will proceed in accordance with submitted plans I am aware that the building (~P":+l ;:th:~~ Ihmby ,g"'th"th'n~m'oEZ5Plth,pmp,rty top"folm "''9d:;;)9"'-o(/ f U Signature ~ Contractor's License No. Date Permit Valuation Ph. 0(;7". ...-</ Permit Fee $ /,;ztJf:SZ' Plan Check Fee $ '7,f>tt. /,r State Surcharge $ kJ. 0-<:.1 Penally $ - Plumbing Permit Fee $ /00. c""- Mechanical Permit Fee $ //"JCl. ..-v Sewer & Water Permit Fee $ _~s-v Gas Fireplace Permit Fee $ yb. ...v This Application Becomes Your Building Pennit When Approved #~ ~ Buildl1l!! Official /0,/0;/ Date Park Support Fee SAC # # $ I $ /3gJ, ....., I $ .2-40. -" I $ q~ ...... I $ /.AXJ. .- I $ 7a:J. - I $ I $ I $ --5'8'77. q I Paid Dale / S-07'f. ,y /,). ~, J!...--- I~NO <<;/;/' This IS 10 ct.rtify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requcstcd This documcnt ~~~:;;~'"~:t CO""""',,, "mpma~ C",ifi"" of ZO";;;;:;;w, co","o"io" tS"eft"MmJi]ij;Y mu" b, Planmng Director Date Special Conditions. if any 24 hour notice for all inspections (952) 447-9850, fax (9:;;2) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 -----.. Water Meter (SiZ:5~1"; Pressure Reducer Sewer/Water Connection Fee # Water Tower Fee # Builder's Deposit Other TOTAL DUE '+. f '1' ! .; ~ &~, See Main File White - Building Canary - Engineering Pink - Planning The (-enter of Ihe Lake ('ounl.." BUILDING PERMIT APPLICATION I1EPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 1 Jt:h-^-, <j- :;:;(1 -Oc; "\, I ~....... /;') " The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is pr?posed at: (,/'. fA' / ''It! 9 / .I :/V.A_;f,a_A:t! &~ ''-', ~ .-.... , . .' ~ Accepted ;/ . Accepted With Corrections " , Denied fi~~~N Date: /r5~</ Reviewed By: Comments: ~4 ~r~ Oos~;' a po I "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 - Engineering Pink - Planning Th~ C~nln of lh~ 1._"'. ('ounl~,. BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED j j )2 N.mT~ 9' - 3'0 -ot../ . / The Building, Engineering, and Planning Departments have rf'iewed the building permit application for constructi; ;~tr ~hiCh i/~osed at: ~ _ Accepted ;I Accepted With Corrections Denied Reviewed By: ..#~ Comments: / feczd <7// #:ch~-;i ~s-e Wrap ~y' Date: /0"~;/ "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." ~x PR :? ..l..~<" ~ ~ u en See Main File White - Building ~[~~n~-:y - Engineerliiq:) Pink - Planning Thr('rnlnof thr L.kt' ('ounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED I / "-,, , ) ---,..- " ' ~ Ie z,. . '~::x ,-.', ,,,-,,,- /",.' .' i -.<:4-., ///{j -..-/ Ai- ". ,':: .::l'(JvLj .' The Building, Engineering, and Planning Departments have reviewed the building permit I application for construction activity which is pr?fosed at: ( /, /, ..'1 I .I <? L/ 5;' I I (/(tLA/l.o:L.~/. t<2i/'L c. / I Accepted x Accepted With Corrections Denied Reviewed By: M48 Date: 11J-/hJ'f Comments: ~(~ IJ1Ff''n 6/<.. "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 8:55 FAX 6513226147 GENZ-RYAN ~ 006/017 Date Rec'd CITY ,OF PRIOR LAKE SEWER AND WATER PERMIT i \!'.::t. ~~. I PERMIT NOAA IAA..... l. Gold Appli_ ~ & .U~ ~e t'!Pe orprint and sUm at bottom) ADDRESS . l1Jf1l WC2-{,'~(cL- l>rz-. ~ti I ZONING (ofticeuse) LEGAL DESCRIPTION (oflice use only) LOT 1( BLOCK ADDmON IJuf2-h' e I vL II {'h PID OWNER (Name) DIl (Address) 20&00 Kev\i3K\l::6e Cr S"w ,I M (Address) (phone) _ qs2 -Q85-i8,y., LaItL\1 i lie., <=7(.:t)lj U (City) (Zip Code) }iort:Q? r................. 'U'XQ"'~ APPLICANT (N/lIJ'~' Genz-Rvan Plumbinp; & Heatinp; (phone) 651-423-1144 (Address) 14745 So Robert Trail Rosemount. MN 55068 (1 (Address) rr-. (City) (Zip Code) (Contact Person) . l>ll mSn 1];1 11 <: _ (phone) 651-423-1144 i ( ~( j fV5fD '1~j J.-V::J DATE 10 / II / ()(j "..lcANT SIGNATURll 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'l & Multi-family 1% of job Cosl with a $39.50 minimum $17.50 Water connection only $17,50 Estimated Cost $ Building Permit # SEWER AND WATER PERMlT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 , ~- Building Official na.. rAID WIl'tI RIJILDING n~ U I~ ~'iiff&fTT ~~at"Oc"T 2 2 'ZUU4 f' , I' I I (Offiee Un Only) I This Application Becomes Your Building Permit When Approved %4 hour notice for all inspections (95%) 447-5 150, fax (952) 447-4Z45 By 10/11/2004 MON 8:55 FAX 6513226147 GENZ-RYAN I4i 007/017 CITY OF PRIOR LAKE PLUMBING PERMIT Date Rec'd q'lease t.'I(e~ or crint and rim at bottom) AIJDREl1L/ f; I /)a~f7 e( cl l>>6 ~t LEGAL DESCRIPTION (office use only) LOT 11 BLOCK I AIJDillON fJttth I!!tt I / jYJ. l. .,., PO, I PERMIT NO'(Jf..ltJlIr 1. Gold City 3. Yeflow Applicant ZONING (ollice "',) Pill OWNER (Name) DR Horton Custom Homes (phone) (Address) 2o~lo() IUI'1B~l DGe.. Co ST€':. IlJO APPLICANT (Name) GO'Q7-kly'?'" 'P'''mld..,~ 1., lto?t"itl.r (Addre~) 14745 So Robert Trail (j J }Address) . (ContacI Person) ----11i!1J1lI x7J. (' 9F>Z-Qr;.. -7BDO Udu..viUe.. bUN ECt,LjU (phone) ~<;L^,~_11"" Rosemount (City) MN 55068 (Zip Code) -j!d t:~~1) DA~51-42;~/~/ /0(/ APPLICANT SIGNATURE I I I I I I I I I Quantity , ! I d r9 APPLICANT PLEASE COMPLETE BELOW , Type of Fixture Quantity I Bath Tub with or without shower Dishwasher I . I Floor Drain 124. I Lavatory (Bathroom Sink) I I Laundry Tray (lor 2 compartment sink I Shower Stall I Sinks I Bar Sink I Water Closet (Toilet) I I Type of Fixture Rough- ins Water Heater I Water Softner I Stand Pipe (Washing Machine) I Sewage Ejector I Backflow Assembly I Backilow Assembly Test I Lawn Sprinkler lather FEE S'-!:1J!.lJULE Industrial, Commercial &. Multi~family 1 % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 (om., Use Only) .siP AID VV I l'B WILDING \iii";ji.d:- ,e ,i" ~'-'l._.,_,,'WOKTTT" 14)~- I, L.r\..1.Vll.l Date \ ilFaeCT 2 2 LUU4 ,I,' 24 hour notice for aU inspeotions (952) 447 ~~o, fax (952) 447-4~ Estimaled Cost $ Building Permit # PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE This Application Beoomes Your Building Permit When Approved Butlding Official $ $ $ CITY OF PRIOR LAKE HEATING/AIR CONDITlONING/FIREPLACE PERMIT -\h '6" 0 <.PCo Date Rec'd L Pink 2."'- 3. Yelkiw ~:~ I PERMIT NO.AL '^1I.11Iff!" Applicant ~. ~lease!YM_"or,?rint andsim at bottom) ADDRESS ZONING (o_use) \\L\8\ ~e.<-~~,",-\X '("\,,- .3 ~ Jl;EGAL DESCRIPTION (office use only) '~ LOT BLOCK ADDITION PID OWNER DR HORTON (Name) -'- 20860 KENBRIDGE CT (Ad<lr~sY LAKEVILLE, MN 55044 (phone) APl'Ll.CANT A, /. ~ (Namel /~///h'" ~ . . ..r.../A.A/."'~ (Address)~ ~~~I ~ .~ ~ (contacfPetson) . AeU... ......6~ APPLIcAN)'SIGNATURE ....- ~ 1:,_ _. ~ (PhoneYk,S /.- 4.:'''''- J ?,?.s- ~...~ ~.:S;L,?"1 --- (<lli1!r (Zip Code) (Phone)~/- c;/.g~-177-r DATE , Al'J.>LtCANT PLEASECOMPLETEljEl;.QW j!lNEWCO~TRUCTION DREPLACEMBNT . . .IJALTERATI9NS FURNA(:E MAKE ANDMOD~/r~.; ..,t. ~/~A/.,r'#'~c:J70 FUEL.If .), ~...~..e FLUE SIZE9'~k~ RETURN OPENINGS 4 INPUT?~~ OUTPUT~.~ TYPE OF SYSTEM HEATING OR POWER. PLANT OWarm Air Plants OGravity UMechanical ~ir Conditioning JliIYent. System '0 Steam o HotWaler o Radiation D Special Devices D Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks 1 FIREPLACE MAKE AND MODEL Industrial, Commercial & Multi-Family FEE SCHEDULE 1 % of job coSt Residential, Gas Fireplace $39.50 minimum $99.50 Residenlial, Addilions & Alterations $64.50 Residenlial, AC Only $39.50 Residenlial, Healing & NC (New Construclion) Residential, Healing Only (New Construclion) $39.50 $39.50 Estimated Cost $ ~~ a:? Building Permit # $ &//~//~.'~:t.l $ ~ .50 '~l,:~t,:~t'~~ ~:j>!--lt{;v $ a . ~ .:~ - HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE (Office Use Only) This Application Becomes Your Building Permit When Approved r~--~-~~ - ---..---------.-..-..- ;flPaid ;i .' .' 'receipt No. I' ' , ' ~:, ,lEy Ujj . i -J Building Official Date c lfafllU V 1 l> "U04 24 hour notice for all inspections (952) 447. 11'0. fax (9521447-42~5 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd I. Pink 2. Green 3. Yellow File City Applicant ..~ .~ I PERMIT NO.V-IClOr' (Please tvDe or mint and sim at bottom) ADDRESS ZONING (office use) 17491 DEERFIELD DRIVE SE LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PlD OWNER (Name DR HORTON (Phone) (Address) APPLICANT (Name) AT J .THD FTRRSTDF DRA FTRRSTDF HRA RTH & HOME (Phone) 65] -633-256] (Address) 2700 NORTH FAIRVIEW AVENUE (Address) ROSEVIT T F (City) 55113_ (Zip Code) (Contact Person) BRENDA HUSTON (Phone) _651-633-2561 APPLICANT SIGNATURE BRENDA HUSTON DATE 12/.30/04 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM DWarm Air Planls DGravily o Mechanical DAir Conditioning OVent. System HEATING OR POWER PLANT o Sleam o Hol Waler o Radialion D Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks I FIREPLACE MAKE AND MODEL Industrial, Commercial & Multi-Family HEATN GLO SL750TR-D 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 Residenlial, AC Only $39.50 $39.50 Eslimaled Cosl $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permil # $ $ $ l3( //1 ~/D WJ7j ""Q)ING p. 7-( 'SliMI.,. .50 (Office Use Only) Date I Paid I Date JAN Receipt No. This Application Becomes Your Building Permit When Approved Buildin2 Official 5 2005 By 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 i,:..,' '-~.__.._"... ------ PRIOR LAKE ~~rtD~~~~~ipM~fn File INSPECTION RECORD SITE ADDRESS /7"T"?/ /J~~"f?e-d 11,,* NATURE OF WORK USE OF BUILDING ...s ~ d PERMIT NO. l' ;0 ~.5i DATE ISSUED - CONTRACTOR Q, ~I'n,,,..,.. PHON~a. ~ +'7..rf NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW . THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE . , FOOTING I 1/#. //'"/.7/~ , .. Ir ,h-}t..;: I H'>L?~7- FOUNDATION (Prior to Backfill) ........~,....u LU~//<,,#'r~ ..........A'loo:.r PLACE NO CONCRET~ UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS 'PI / ..... . SEWER/WATER/SEPTIC #1r~ ///7'1'7 FRAMING MIi;/ , 1- /~. vS' INSULATION /'1{"1- 1/1 z.j /()~ ELECTRICAL PLUMBING j,& J#4 IJ-!h/d<{. 1~ 1,//3/oS HEATING (ifreqUired)!It~K~/>J.6j:~ rljJf/ /,~!;29/0"'( FIREPLACE .... j} . M I - / ;-~ GAS LINE AIR TESTft't'h 1/,1 f/. ;1tr /..z/-<1/"1 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 . .--1 o ~-'h t/P~~ . -2A1~0 fl1!f .J1Z5"'lo~ ~ /,//:..//..s ~- tr - 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 piaced near main entrance. FOR ALL INSPECTIONS (952) 447-9850 (llrdifirafr of @rmpanq! CITY OF PRIOR LAKE @.rpnrfmruf uf ~uilMug Jusprdiuu ~inal Permitted D Conditional e.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the ::J Residential I ::J 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 04-1085 Use Classification Bldg. Permit No. R3 VN Zoning District R2 Occupancy Type Type Construction_ L"2l, Bl, DEERFIELD 11TH Legal Description Owner of Building D.R. HORTON, 20860 KENBRIDGE COURT, 11100. LAKEVILLE 55044 Contractor's Name & Address _ ;/. .' ROBERT D. HUTCHINS /k;t?'.. ,.J!J;n../, City Planner O BUildi.9'tOff. icial ,2? /'1./6 r- Date, , - Site Address 17491 DEERFIELD DRIVE S.E. JANE KANSIER Date: .LJ - ..... CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 17YP/ OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION "....JiI"1"IL o SITE INSPECTION DATE TIME SCHEDULED 4~-f,lc'J .4,-,-4/d O'r CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ~ECH FINAL o/-/ORJ- o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI ,....JiH'lREPLACE FINAL o GASLlNE AIR TST o COMMj:NTS;. , E/-~.cfr/::,?,/ hk/d~ ~..u~s- , - /' -- - ...../ /~-<c;-A., hJ.&/ .aY~ ~ hcee'f.I~1 ~/S~~ /dS'T ~.;;'~ ~ 4c ~ fit?' / /X~ , ~:e/ /h~..!s 1/;/4.. ~ {]J .---; r~/ , -------- ( /' ~ /1~~,-~ V" /' ~~ ~ ~ r-c- ~ ~ORK SATISFACTORY, Pku,",,,,,... / 0 CORRECT ACTION AND PROCEED o CORRECT WOR~,~.;~ REINSPECTION BEFORE COVERING Inspector: /~ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE, CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! ...,."" DATE TIME CITY OF PRIOR LAKE , /.. _./ INSPECTION NOTICE SCHEDULED";? /...2 5/o~- ADDRESS 17~~ / Aer-!:.I/'.a OWNER CONTR. PHONE NO. PERMIT NO. CY(- /O~ o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP )i!f1'[UMBING FINAL o MECH FINAL o EXlGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: _<14 / ///.e>/'tQ~r: 7P1r J,/' / ~sT ./ U/c ./ ,...-; I r/~"f PJ/ C//'- rRK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WO~NSPECTION BEFORE COVERING Inspedor: P Owner/Contr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY! """"'"' APPLIANCE PERFORMANCE TEST Attach to gas line adjacent to regulator Heating Contractor Name ofTester Date Job Address Heating Contractor Name of Tester Date Percent 0, Percent CO Percent CO, Stack Temp 1'l::;a;' 1-- ~d-<J1' /70/'1/ !1.v~f/ fi(t'J4/V'J ~t/ tfr-A 13 ;) -d;;}-d(' ~.c)~ 7.~: 3/1 dr Combustion air is adequately supplied per UMC Sec. 606 .ft'S input '~o/"''kJ ---- .