HomeMy WebLinkAboutBldg Permit 04-1197
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
While
Pink
Yellow
File
City
Applicanl
(Please tvDe or orint and siJm at bottom)
ADDRESS
114SB l)E8<FIE..~ '\JQ..\\Jt SE
LEGAL DESCRIPTION (office use only)
LOT hOBLOCK 1.. ADDITION UI::l::ll-~l~
[\~"'
OWNER
(Name)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
Date Rec' d
II. /5, 04-
I PERMIT NO. tJ~ .//tit
ZONING (office use)
~z.
PIDZb.407.031.0
D-12.. \-bz..\1JI'.J i~-
~ 'L..E: \NO ~t-..IOJl1.U>-
'ZOBc:"O t:'a->f>IU~ cr SiE lDC>
LA. V ""'1I.LF : I\AAJ s:<::n44
(Phone) QSl..-QBs"-100B
(Phone) 9s1... 2?.10-41"?2..
TYPE OF WORK MNew Construction DDeck DPorch ORe-Roofing
DAddition DAlteration DUtility Connection 0 Misc.
CODE: DI.R.C. ~.C.
Type of Constructior!:" .
Occupancy Group: A B
Division:
I
E
II
F
I
IIIIVVA
HIM R
2 3 4 5
ORe-Siding
DLower Level Finish 0 Fireplace
/:< () 05[(
I
B
S U
PROJECT COST/VALUE S
(excluding land)
( hereby certify that I have furnished lOformation 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 np rty and t t all constmction will conform to all existing state and local laws and will proceed in accordance with submitted plans I am aware thai the building
official can revok thi ermit fo just cause Furthermore, I hereby agree that the city official or a designee may enter upon the property 10 perform needed Inspections
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
f Signarnre
.
-;t/~IIJO().oo
$ /Z9<:J.so
$ 'iNl./. ~ jY
$ 70.2;"0
$
$
$
$
$
100. t9 0
10 O. {) <:l
:357 $'0
qolt)c:;
This Application Becomes Your Building Pennit When Approved
~O)~"O~ ~f
-2CX:x:)'Sr-,S1
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter(" $\; 5/~ I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
/
(.-a?J .If
/l:~.u{/
11/1I/{)4
Date
# $ I
# $ 1"350. DC) I
$ 2C::;-<:l.Oo I
$ .c.f'S.O 0 I
# $ l L<90 . a ~ I
# $ 7ofJ.Oo I
$ I
$ I
$ &, 035 If'; I
Receipt lio. rrJ'F'
By /.1-.
U
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
when signed by the City Planner constl~s a temporary Certificate of Zoning compliance and allows construction 10 commence_ Before occupancy, a Ccruficate of Occupancy must be
"ftA.~A_;Plon~ 11/17/:</ See ~!!o!!!s'i!ile
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
/'~-
.~~
ue~
Th~ Ctnltr uf lht I....t COUnll')'
White - Building
C L.;anarv - Engineerlr!W
Pink - ......cummg
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
, ~~. i j,-
NAME OF APPLICANT "'--1 r
1- , , ,1',,-.
I ! ;, i.--
APPLICATION RECEIVED , " ~ ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I I"+-' :=. ;".'.:) . 'I ' , -
! , ,: _ L- :::, ~ \_~, . {'"- .
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
fl/fr1.f3
Date:
/f- ]0-0,/
,
Comments:
5 a ;Yl.. 1/1 r: //
"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,"
t~~
See Main File
--
rhc C~"l..r of lh.. I,mk.. ("ounll."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1--
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
f-
'-
...... .
,-
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~
.
~
Date: /1 119 /a '!
Comments:
See Main 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
~ :JlUild~
. Canary-: I:nglneering
Pink - Planning
-
rht Crnrrr nf Ihr I.akr (-nunlr}
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. e. HOfG1DIJ
11.15.04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J 7 4-5 B
I
Df58lFt E.- GD Df2-. St;..
Accepted
Accepted With Corrections
Denied
Reviewed By:
,
<R.o~
?~
Date: 10 ?~L/
Comments:
See Main ~11e
"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."
JUN-16-2005(THU) 08:48
P. 002/004
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'\;:;-::).~~~;n'.: "'~~~~G~E' . ftr::)~,:)~~~~. ,.;.>:;'.
""',"-."';"" :. TOTAL PERMIT. . FEE S. . ,',' . .. . ~.-.' '."
.,". ~;,
~1~' U". 'c: :1\11/1 :~,li 11,. yCC1Pt No.
ir&"".UN i ti zuu). ~
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':' ~~6~}Dr,:?;:t0i.:ti.l:;~!ti:::";
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(O,fJi'Cc ([:Ie Only).
...ihk~pplioatJon ~tc~iliC$'Yinir ~uildhlg Perll)it When Approved'
.. ',' ...... ,.' .
"..
Uulldlal.:: Otncla.l..
Dm
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" '.,.~:' >2.4 'h~ur, rlotice for:all in'p~ctions (9S2l4:t~_~ .~.~"~~~~~,~,~~~2~~~
11/22/2004 MON 9:44 FAX 6513226147 GENZ-RYAN
f@~
, ""....N'I;SO't'"
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
III 007/009
I. BI...~ file
2. Gold City
J. V.llo.... Appliclm!
I PERMIT NO. c,J -/I'1J '1
(f'lease ~e. or 'Print and siRD a.t bottom)
ADDRESS
\146g
ZONING (office.,.)
1YIV2l1 eJA ~. W
LEGAL DESCRIPTION (office use only)
LOT!(oBLOCK 9.. ADDITION /)(ppfj-o.(d.-lll+h
Pill
OWNER
~ame) DR Horton Custom Homes
(Address)' 2o'S~() KeVlB~1 JX;e.. Cr Sre. IDO
(Phone)
Q&:,2 - q 'if Fi -,ISlJ(J
udu.viIlG)-uN .55bI1L/
APPLICANT
~ame) G~1l1-!lr"- Pl.._,,<~~ r. "~".'.."
(Address) 14745 So Robert Trail
(Addre1fl
(Contact Person) J\MV2J\'h ;\~ I {S ..
APPLICANT SIGNATURE ( ~ Jjj;;f) ~ j J /.l
(phone) ~r;;;, 1_/. ?':I_ 111111
Rosemoun t
MN
55068
(Zip Code)
(City)
(Phone)
651-423-1144
11-;:);2 ,-OC-I
DATE
!
APPLICANT PLEASE COMPLETE BELOW
Quantity
1
l
I
:2
I Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
1 Lavatory (Bathroom Sink)
. Laundry Tray (l or 2 compartment sink
Shower Stall
Sinks
I Bar Sink
I Warer Closet (Toilet)
I Type of Fixture
Rough.ins
Water Heater
Warer Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
, Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
Quantity
q
i .
12;L
I
l
I
C2
FEE St.:.l1.MJULE
Industrial. Commercial & Multi~family I % of job cost with a $39.50 minilTium Residential, New One & Two4Family S99.50
Residential, Additions & Alterations $39.50
Estimated Cost S
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
(Office Use Onty)
I This Application Becomes Your Building Permit When Approved : Paid
. Receipt No.
. i
.DateDEe 1 2004
!?
rJ
By
Building Official
Date
24 hour notice for alllnspeetions (952) 447-9850, fax (952) 4474245
I
1
I
I
I
I
I
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
17458 DEERFIELD DRIVE S,E.
;~, ~~y I PERMIT NoL n~' I I
J_Yellow Applicant ~
-- ..-
I ZONING (office use)
(Please tytH: or mint and sim at bottom)
ADDRESS
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name D.R.HORTON
(Phone)
, (Address)
APPLICANT
(Name~ AT.T.mn FTRRSTnF DRA FTRRSTnF HEARTH & HOME
(Phone)
651-633,2561
(Address)
2700 NORTH F AIRVIEW A VENUF
(Address)
ROSEVILLF
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(phone) _651,633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
1/24/05
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 Plants
DOravity
o Mechanical
DAir Conditioning
OVent System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Selbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
HEATN GLO SL-750TR-D
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
S39.50
Residential. Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
F~\O ~f\tJ\\i
B\J\LO\tlG
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Buildine: Official
Date
Date JAN 2 7 2005 By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
11/22/2004 MaN 9:43 FAX 6513226147 GENZ-RYAN
~ 003/009
Date Rec'd
CITy.oF PRIOR LAKE
SEWER AND WATER PERMIT
i ~:. ~\~, I PERMIT N~ - J J tV
J. GoJd AppJlQnl
.
I ZONING (offlce.sej I
LEGAL DESCRIPTION (ollice use only)
LOT IIOBLOCK:;( ADDITION
PID
OWNER
(Name) J.1R llcrtQn C'~"?" 1l0000c
(Address)
2ofuO kv1~K\DCe Cr Swim
(Address)
(Phone) _
, Lak~~ i lie..
(City)
o/.J2-Q'65-i8(\1\
0~L-!U
(Zip Code)
. APPLICANT
(Name" Genz-Ryan PlumbinR & Heating
(Phone)
651-423-1144
(Address) 14745 So Robert Trail Rosemount. MN
(\ I fl CO;df'Rsi~ r ~ I { , . (City)
(Contact Person), ___l.LJLl,EJ....ull W S'..... /) (Phone) 651-423-1144
i -..ICANTSIGNATURB CJ/rz;iJ;_)1J;z t I /\ D:":T~... Ih-)fJ:.-o<f
55068
(Zip Code)
/
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'! & Multi.family
$17.50 Water connection only
!% of job cost with a $39,50 minimum
S 17.50
Estimated Cost .$
Building Penni! #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Office Use Only)
I This Application Becomes Your Building Permit When Approved
P.ld
I nllfceipt No,
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1 2004 li~
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Building Official
Date
~at'DEt
24 hour notiee for all inspections (952) 447-9850. fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ,? &.\ 59 b=.~e. r1 ELb 't)rti &Is -S ,t: ,
NATURE OF WORK PJc:"W OA
USE OF BUILDING S, I=: .
PERMIT NO. 04-- //97 DATE ISSUED 1\ / "1,, I(
CONTRACTOR O,ft, H.~ . ,tJc.. ,P~ZUs-'l?..n...
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
INSPECJOR _
DAJE ~
, FOOTING I ff~ I /~/?~y
, FOUNDATION (Prior to Backfill) ~...J.{W"d/ //~ I J'.vi:r~r
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC /#t': /,;z/u~~
FRAMING JiYI ~J R/P5~
INSULATION ~/;[ /lJI/ .,,2,#.::.6.- ..c:j...M:4 .//~/()S~
ELECTRICAL 2 /,2/05-
PLUMBING ##- , $,.0-.S
HEATING (if required) /lP'J_/. <~/I' /~...-'
FIREPLACE #P'Y .,2 /.//tJs
GAS LINE AIR TEST /IIo,1i f f; Ii ;--1I/f ..xII' )S
COV~R NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ H~ ,k~ FI~ALS I ~
GRADING (Prior to Sodding) ,,\:e e ~/). h k
BUILDING ~ 6//)""k
ELECTRICAL 3/.....z.~5
PLUMBING VVV) ?,-j:ycJI?J,.
HEATING ~. ~A-f7cs-
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
@:tdifiraft of @rtupanqz
CITY OF PRIOR LAKE
~tpadmtut of ~uilMug JIusptrfiou
~inal Permitted D Conditional C.O. Expires
I
This Certificate issued pursuant to the requirements of Section 110 of the I] Residential / D 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 FA!-lILY 04-1197
Use Classification Bldg. Permit No.
Occupancy Type
R3
VN
Zoning District
R2
Legal Description
Type Construction_
I.l6, B2, DEERFIELD 11TH
17458 DEERFTELD DRIVE S.E.
Owner of Building Site Address
D.R. HOETON, 20860 KENBRIDGE COURT, 11100, LAKEVTLLE 55044
Contractor's Name & Addre 5S _ ~?":
ROBERT D. HUTCHINS ~& . C. PI JANE KANSIER
// - . lty anner
Date: 0 r~'I~n~.offidal Date:
DATE
61'dr
~fred j?
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
I ?~s6'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
J;W1!fAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o ~MBING FINAL
,...z-MECH FINAL
-SMME~S: /' ____ / ./'
-f/ ,&>/,-/;-, 'r., I h/..-~ I d~e.
TIME
&Y-//~7
o EXIGRADIFILLING
o COMPLAINT
o !JBEPLACe RI
~FIREPLACE FINAL
o GASUNE AIR TST
o
.~~hY-
/ 6).c. / ore .
dy.sc; r- ~/-.
riie.L?(,.ct!> Ale:;,. / e~
v ,
(iJ f;~1 #;.,;:su/4<-L
~ ~cL.u
/eecaVr=- d
h2~(
L7/
6;;1 { c....
A
~'-'C~V
I'
o WDRKSATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
~. ~ORRECT WO~;~O: REINSPECTION BEFORE COVERING
Inspector: .Ii/<-'" ~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
""""Tl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4t SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
. '"]-)..J..oS-
ADDRESS
/74~?r" O~Av:ld
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
o FINAL
o SITE INSPECTION
COMMENTS:
(j)~tJK
CONTR.
PERMIT NO.
L{-!lft{
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o JEWER HOOKUP
~PLUMBING FINAL
o MECH FINAL
o EXJGRADIFILLING
o COMPLAINT
o FIREPLACE R1
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~s
,
o WORK SATISFACTORY, PROCEED
...(CORRECT ACTION AND PROCEED
o CORRECT ~~OR REINSPECTION BEFORE COVERING
Inspector. -J!-.!!I Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNO"
APPLIANCE
PERFORMANCE TEST
Attach to gas fine adjacent to regulator
Heating Contractor
Name of Tester
~~~ ~cd
. A,,.-,JA
S h/4!S'
Date
.
/1~ d",k/"
Job Address
Heating Contractor ,M;,n _56~/
Name otTester ~.,.,
.s-/$hr
B,3/;-
~
1." /}
381 'f=
Date
Percent 0,
Percent CO
Percent CO,
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606 ~
input ~d)9..')