HomeMy WebLinkAboutBldg Permit 04-1199
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
(Please t}ye or print and siJtll at bottom)
ADDRESS
1144'-2-
[)ela;?.f'lab De\.\.JE' sE
LEGAL DESCRIPTION (office use only)
Date Rec' d
//.~o4-
While
Pink
Yellow
File
Cily
Applican(
I PERMIT NO.
04-. //CJq
ZONING (office use)
R.z..
LOT )~ BLOCK 1-. ADDITION
D~eLD I~
PID :z.5. .f-07. 04-1 . ()
OWNER
(Name)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
D.~. ~R:XDN \"-.)C-
M.\1Le 'V-!~~~
2-05",0 ILB-:>l!>V-\.t>Oe <-T sre 100
~lU.E. MN ~-044-
(Phone)
(Phone)
(Phone)
qs?.- 'ibS"' 750 ~
qsz. -1.'2-.10.4'13 'Z.
TYPE OF WORK ~ew Construction DDeck DPorch ORe-Roofing
DAddition DAlteration OUtility Connection D Misc.
I hereby cercitY that I have nlmished information on this application which is to the bt'st of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
Jbovt'_mcntlOnedfOPCrty:,J" thot ,11 constn"..tion will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
:"'''] con ",ok, 1". J ~'nh"mo", I h",by ag'" thot the my offi,,,] m, ~:;;'~; ;0:;' pmp'rty to p"fo,m O"d':\J~J~~
" Signature Contractor's License No. Date
'"
~.14 /. /JOO,OO
$ )i~9,S;:-O I
$ R4L{,w~ I
$ 70..50 I
$ I
$ IOo.ot) I
$ IOO.()O I
$ 3"5".5"0
$ 'kJ.oo
CODE: DI.R.C. 'PlB.C.
Type of Construction:
Occupancy Group: A B
Division:
II
F
1
III IV VA
HIM R
2 3 4 5
I
E
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Pennit When Approved
~.~ !/~a!/oi
BUlJdlllg OtliCltll
ORe-Siding OLower Level Finish
o Fireplace
B
S U
PROJECT COST IV ALUE S
(excluding land)
t<?) 'l=)! ~
I
Park Support Fee
#
SAC
Water Meter ~z~l";
<-
Pressure Reducer
#
13~o.ao
Z$'O.OO
Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
Paid
Date
{,6J,rll
/ 2. 1 0(1
I
I ~7'!.O .''''''7
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 documenl
~~ p],nn;;:;;3"ry C'''ifi,,''or;i);70~d']]ow'constm''iontSee B~l'ailtFI[ecYm"'tbe
Planning Director f 'Date Special Conditions, if any
24 hour notice for all inspectinns (952) 447-9850. fax (952) 447~4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
.@~0'I~i(j," <"
....... '7
t5 ~ ~
See Main File
QVhit" . Buildinq)
t;aiiary - Engineering
Pink - Planning
lh~ C~nru "f lh~ I....~ Counlr~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. r2... HOtzTIJN
II. (!" 04--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J 7 4- Co Z. DSElGFI aD D l2... SE
Accepted
v'
Accepted With Corrections
Denied
Reviewed By:
~
~I--
Date:
11//9~.v
Comments:
See 1'vlaiu Fil~
"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 PKio,,! <"
t ~'~
u . "",
See Main File
White . Building
Canary - En\lineering
{....'"I< - t"',anninD
--
Th.. C..nln of rh.. 1..1<.. Counlr~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
{ ~---
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
[ iLL i--.
--~
r"
Accepted
~
Accepted With Corrections
Denied
,...
Reviewed By:
~~
Date:
It /; 9/0 'I'
I
"
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."
~
/./o.~
----._----
White . ~uil!lin!l
l'1,;:anarv . t:ng,"eerll;~
Pink . - Planning
Thr Ctnlrr ,,' rhO' L.k.. ("ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
, .
; .' I
r: i
'.~" J. I
I';
( /;..---
...._'~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
! I. L{:.:. .J-f i F_L C)~T-
Accepted
V"
Accepted With Corrections
Denied
Reviewed By:
;.1/J11J
I
!:Ju jY1c, /V\ r; ( "
Date:
{1.3o oy
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."
JUN-16-2005(THUl 08:49
P.004/004
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..:~:;}:t:';:n' "HEAnNGPERMrTEEE' " ;\~\k, \\~PAtDwrtH . ." .;'
STATESt:JRCFIARGE 's$' _' . -ili,. O'NG'PIit.RMIT..
. TOTAL PERMIT FEE ~ 1-.. .
, ..
J
t i ,', ,~
.! .
(om,. u,. Only).
.TliiS'Applicationllec~#tsX9Ur ~t1ilding Permit When Approved.
.,
~['F\~!ir,
IlIl!L;o;.l:'
BUUdlngOmd'l~ ;'..,' . Dat. : ~rj(JN 16 2005
": :"....,... \1;1'1.0.< nolio. ro<.1I illSp.dlons (952).44' :98sll; f:lx(952) 447.AZ45
:. . . : ~Y~i --,-.~,:_'
,." &:cciptNo..
11 i.'
i lay
,il'
,
11/22/2004 MON 9:45 FAX 6513226147 GENZ-RYAN
~ 009/009
f@~.
~/.vNSSO'1.'"
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. 81ue. FilII!
1. Gold elly
l. Y~II~w AppliQRt
I PERMIT NO.~_ //~9
(please type OfJlrint and siRIl at bottom)
ADDRESS. .
11I1OJ. bavli deL lm %
ZONING (o!liceuse)
, LEGAL DESCRIPTION (office use only)
LOT I r BLOCK 9- ADDITION bu an e (ci { (1W
PID
OWNER
(Name) DR Horton Custom Homes (phone)
%2-Q'i?Ft-ilSDCJ
(Address)
2-oSI.o0 UV1B~lt:><SL C. Sie IDO
uduvil/G PUN 8604 L/
APPLICANT
(N'"ame)...c"......._'Or........ n,,,"'\hi.r: ~ u?~+-.f....~ (phone) j::;l;,;1_','J':l_11/J/,
(Address) 14745 So Robert Trail Rosemount
(Address) ~. (City)
(co_p_l-11ili~ 1\ _ "'""'I
APPLICANT SIGNA~ ~()J /~ ~ () Il /\ DATE
,- -
MN
55068
(Zip Code)
651-423-1144
II-C);;) ~()<-/
,
!
Quantity
~
'/
I
.?'
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture Quantity I
Bath. Tub with or without shower .3 Rough-ins
I Dishwasher I' I Water Heater
I Floor Drain l?J: I Water Softner
LavatOty (Bathroom Sink) I I Stand Pipe (Washing Machine)
I Laundry Tray (1 or 2 compartment sink I Sewage Ejector
I Shower Stall I Backflow Assembly
I Sinks I Backflow Assembly Test
I Bar Sink I Lawn Sprinkler
i Water Closet (Toilet) I Other
Type of Fixture
,:;;
FEE SCHEDULE
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
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTALPERNllTFEE $
.50
J.
(omce Use Only)
This Application Becomes Your Building Permit When Approved ' Paid
(
. ,
l5iiPEl. 1 iUU4
I Receipt No.
I By
/~
U
Building Official
D.te
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
11/22/2004 MON 9:44 FAX 6513226147 GENZ-RYAN
I4i 005/009
Date Rec'd
CITY.OF PRIOR LAKE
SEWER AND WATER PERMIT
(flease t'iPe Oftlrint and si2J1'at bottom)
ADDREI.1S~ f(j)'l .I 1\ /t/t
'1 r;< . ~JJl-f7Pjw IJfL .~
I. c;,,~ F;J, ,PERMIT NO~- .
2. Yellow City-
J. Gold ApptiClnl
ZONING (office..,)
LEGAL DESCRIPTION (office use only)
LOT I &BLOCK;) ADDITION ftpJ te::A ettL ! 1'iW
PID
OWNER
(Name) ])Jl IiQrtop <:',.tQIR lIQmc
(Address)
2otlnO ~13K\b6eCrSW.'M
(Address>
(Phone) _
. Ln.'u1J i lie.-
(City)
o/..;J2-Q'i)5-78{j(',
"'5Ci:JW U
(Zip Code)
APPUCANT
(Nmn~ Genz-Ryan PlumbinR & HeatinR
(phone)
651-423-1144
(Address) 14745 So
,.
.,ICANT SIGNATURE
Rosemount. MN
(City)
55068
(Zip Code)
(Contact Person) .
(Phone)
DATR
651-423-1144 /
U - ;;r;J.-(j C/-
v
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
FEESCHEDVLE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
,
r
(Office Use Only)
I This Application Becomes Your Building Permit When Approved
Paid
, Receipt No.
I By
"i
(~
1
I
,
~-
Building Official
Date
D"B'EC' 1 2004
14 hour notice for .n inspections (951) 447.9850, fax (951) 447-4145
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONING/FIREPLACE PERMIT
Date Rec'd
(Please ~ or Print and sim at bottom)
ADDRESS
;;;;.~ ~:~ I PERMIT NOA. i' J.J01
3,YellowApplicaJlI ~
ZVHli "G (office use)
17462 DEERFIELD DRIVE S.E.
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name D.R.HORTON
(Phone)
(Address)
APPLICANT
(Name) ALLIED FTRRST~ PT'R?STT)l1, J..fF A 'RTH IV HOME
(Address)
2700 NORTH F AIRVIEW A VENUF
(Address)
(phone)
ROSEVIT T F
(City)
651-633-2561
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
1/24/0.';
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
DGravity
D Mechanical
OAir Conditioning
DVent. System
INPUT
HEATING OR POWER PLANT
OUTPUT
D Steam
D Hot Water
D Radiation
D Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
HEATNGLO SL-750TR-D
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Industrial, Commercial & Multi-Family
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE ~URCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
,*,0 ~f'tJ\1"
6O\,-O\l'\G
(Office Use Only)
This Application Becomes Your Building Permit When Approved
I Paid
Receipt No.
Buildinl! Official
Date
Date 2 7 200<;
J.~N .
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE DEPARTMENT OF See Main File
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~ 'Z... 'Df::t:.,<.Fie 1-1) 7>rl-J'J~ s.E" ·
NATURE OF WORK k\E:1t.J ~a-/d~
USE OF BUILDING S.J:7:A .
PERMIT NO. 04-.I/CJ1 DATE ISSUED
CONTRACTOR lh-~. 1i6~~C. PHONE 2.-~- ~L
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT .
INSPECT~/ DJoTE ~
I FOOTING I /7~ I /,L/~/7
I 0, B kf'l) I / /W I //-/~~r
FOUNDATI N (Prior to ac I I ,d-">,...~ d ~,d"" Af'/.L ./ ..> /h//qr
PLACE NO CONCRErt UNTIL ABOVE HAS BEEN "SIGNED
ROUGH - INS . ,
SEWER I WATER I SEPTIC ~ /,.:L/:2t7 FY
FRAMING ~ ",7//J~k ~
INSULATION d~ ....z~6/45-
:~~~:~~~L /f/4~ f~~
~,:~~~=reqUI'ed) I~), ~ :;';;~.%~-
GAS LINE AIR TEST ~ {(;;. J 1:1 ~ /fto/OS-
. COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
. '~Tl\S J ~US"~fZM-" I I
~~ 4~,~(t'J /f-hr.r2c1 FINALS .
GRADING (Prior to Sodding) ~'ee ~.2 ;.t;/c...
BUILDING $f k.//-0.J,/
ELECTRICAL :? / 4/<JS--
PLUMBING 1,4//;/ ]b?A.s'~
HEATING - ~ tG//,J7af
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
(!Irrtifiratr of <IDrmpanrlI
CITY OF PRIOR LAKE
~~parfm~nt of ~uilMng J1nsJl~dion
~inal Permitted C Conditional C.O. Expire~
This Certificate issued pursuant to the requirements of Section 110 of the ~:J Residentialll~ 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:
SI:-lGLE FAMILY 04-1199
Use Classification
Bldg. Pennit No.
R3
VN
R2
Occupancy Type
Type Construction
;,18, 1l2, DEERFIELD 11TH
Zoning District
Legal Description
1746:' DEERFIEtD DRIVE S.L
Owner of Buildin:
Site Address
D.R. HORTON,
Contractor's Name & Address
ROBERT D. HUTCHINS ,h
:
KENllRIDGE COURT, 11100, I.AKEVILLE 55044
JANE KANSIER
Date:
~.; ~ ,_ ~1~ Official ,.
"7/J/OJ
City Planner
Date:
I.
DATE TIME
CITY OF PRIOR LAKE ~r ~ r--L
INSPECTION NOTICE SCHEDULED -;// y~
ADDRESS / .?ytJ!. a t"'"v . (' d d
CO.M14ENJS: . ---- / " /
~i'P////=I?~ clt:7~ ~/ZS/o.s-
//1' :ec;:;- / /7h-e /1 ~ - ~
hcet~eA O:rcz ~~
(;2)~7~"Ce. /-/;;; /:
(37 .~J d;ri,'F4:e
h2c; //
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
ATl'iNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL
u'-
"
~ - //J?;?
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
~PLACE FINAL
o GASLINE AIR TST
o
/"J,..(
A
ObV-':=:'Lc-~ v
/
-
. /""// ~
nt'€- )
~
~
e___/~ J c..
'--
~ORK SATISFACTOR\, n''''''._:;:
/d--cORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
/.//./2 ----
Inspector: p;'~' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
IN''<<m
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/ 7 Yf.2
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE Tille
SCHEDULED ~~~
O_Lb-1! /d a
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
7PLUMBING FINAL
o MECH FINAL
COMMENTS:
ff~M~-hr
~ ;-
~' /
r/nq-
cr- //99
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
"
~/~
TrJ/ C'lc.
/J/
'WORK SATISFACTORY. PROCEED
/~ CORRECT ACTION AND PROCEED
o CORRECT WO~K;?~ YREINSPECTION BEFORE COVERING
Inspector: jlf/t/'j--- Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor --.d#):Ir'/ At W
Name ofTester --;!jy In< is
5h;'~
Date
Job Address /7'1;;) fM.&IL
Heating Contractor ~~
Name ofTester ~ ~
Date .5/?!tJ-r-
lJ, f(?tJ
,tf~
?,O~
37r~
Percent 02
Percent CO
Percent C02
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606 Jt/ S
/-i'1 ~n\
input ~C/uvv