HomeMy WebLinkAboutBldg Permit 04-1233
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I"Z-. c,. c4-
See Main File
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 04-. / z33
(Please tvne or mot and sip at bottom)
ADDRESS
nY-I;;> ~.a"+;-=(Jl. 0v. S. t:::.-
ZONING (office use)
1<- Z.
LEGAL DESCRIPTION (office use onl~
LO~ BLOCK g. ADDITION l).,-..,.--0 ~\&
not!'\.
PID Zb-" 4-01. 04- S. 0
OWNER
(Name)
(Phone)
(Address)
BUILDER ~ R I-\ov-to,",,- ~ (.
(Company Name).j....J. .
(Contact Name) M;'L-.:.... LLJoh",ou....-{ ~
(Address) a.o~1coO K","'b.-,~c-'i(. (':::si-c:.. \=
~V..,...".. L~"I -,'SD.....'-l-
(Phone) CfS'd- "l'i::';';.- I~~
(Phone) ctS;}- d:d-<."... ~f38-
-J
TYPE OF WORK. -Xl New Construction DDeck OPorch ORe. Roofing ORe-Siding DLower Level Finish 0 Fireplace
'[]').ddition DAlteration DUtility Connection 0 Mise.
CODE: DI.R.C. ~I.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
(fJ
IIIIV@A(!)
HIM@SU
2 3 4 5
PROJECT COST/VALUE $
(excluding land)
\ d- '4, 300<2-
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 authoflzed agent for the
above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that lhe building
official can revoke this pe~ause Furthe~ore. I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections
X Q/ ,~ ;;Loa:;$b <;;;7J
----<: . .
Signature Contractor's License No. Date
"
Permit Valuation ~(L(I. OO(J.QO Park Support Fee # $ I
Permit Fee $ ., SAC # $ /35'0,00 I
l2.qq .50 Water Meter < ~5/~ 1";
Plan Check Fee $ g'lt{, foR' $2~(], 00 I
State Surcharge $ 7o,.('"l') Pressure Reducer $ 4':;.00 I
Penalty $ Sewer/Water Connection Fee # $ I ZttJO. 00 I
Plumbing Permit Fee $ /O(),tJ d Water Tower Fee # $ 700,00 I
Mechanical Permit Fee $ !O(J.OfJ Builder's Deposit $ I
Sewer & Water Permit Fee $ 65,$"0 Other $ I
Gas Fireplace Permit Fee $ 40, {Jo TOTAL DUE $ (p, 0.56 1f31
...,
This Application Becomes Your Building Pennit When Approved Paid f..O.!CIX' ~~ce?- "ff"" r. 0 Je'
~ ~ /dtilot( Date fL z-z. 01-
Buildl11!'! omcial r Date
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 requcsled. This documenl
~~=~ Plann~po,,~ C,nifi,,,, ~~;.o~~2n~'nd allow, "'nstwetinn to smee"oIVl'afil"FiIe most b,
P".omng Duoet"' 0 Dale Special Condition,. it any
24 hour notice for all inspections (952) 447~9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
~~
See rVlaJD }"ile
White - Building
Canary - !;!1",ineering
,.... t-l'1~K~ - ....Iannlng~
Th.. C..nle. of lh.. 1.8k.. Counl~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/ j.,
. /
">-(/'
. 1-'
APPLICATION RECEIVED
J L' (
4--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ / ~~ /
/ ,i ;'J C: /. ,':"-/ i~
t.
.~
1-/ //
Accepted
,,/'
Accepted With Corrections
Denied
Reviewed By:
~ ~t.;
Date: Ie-It.! jot!
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
"
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,@~:fPKjOI? <
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!5 ~?;
See IVIaiu File
C'Alhit" . Buil~
Canary - Engineering
Pink - Planning
Ih~ C~nl~r..f lh~ L.k~ Counlr~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
D. 12-. HO/2-tol'j
/2.- A, 04-'
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
174-7 Z- OCt:/Z-F/6 (J) PIZAVb
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~
.
9-~
Date:
;z/; <(;IoY
I
Comments:
See l\tairrFilc
"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."
"
~~
u.~
White " Buil!!in!!. _ .
C:Canarv _" En9lneem!!1->
Pink - Planning
,r
ThC'('rnlC'r <If the' 1..krCounlMi
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
.i<..:. _ (:" . !., -4--'"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
; ';.-f
/ / '<-1'
<----
.l.) t:':
/ t.~-" /,/(....
j,) / V"t:'-
Accepted
x
"
Accepted With Corrections
Denied
Reviewed By:
1h4/S
<e~ /J1&.1 /. h I (
Date:
J z -/~'c:J/
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,"
12/14/2004 TUE 16:46 FAX 6513226147 GENZ-RYAN
~ 006/009
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
q'lease t'tP~ ororin~andsim'atbottOm)
ADDRESS. I I "1 'I-..
n'1 . 1;).1 ){~J2,h Jl (al 1)11- ~/f;-
;~:, ~\~ I PERMIT NO,O+ 1?..,T;l
3. Gold Appb"'lIl . ,J~;:J
ZONING (offir,u,,)
LEGAL DESCRIPTION (office use only)
LOT(#BLOCK ,:;2.. ADDITION b..tt i<l.h p( rJ
1I-UO
Pill
OWNER
(Name) D~ liQrtol< (;'1--"- Ilom€:
(Address)
2o'iXoO ~Bi<-\bCe Cr SwIM
(AddIe,,)
(Phone) _
L.au~ i lie..
(City)
o/~-q85-18()/\
06'JWU
(Zit) Code) -
APPUCANT
(Name) Genz-Ryan Plumbing & Heating
(phone)
651-423-1144
(Address) 14745 So Robert Trail
~JCANT SIGNATURE
r;& 1 ~rS~ fn 11 S _ /l
(1) tJith ) i11ll j)
Rosemount. MN
(Cily)
55068
(Zip Code)
(Contact Person) .
(phone)
651-423-1144 ,I
DATE ( ;:) -{ J-{)l/o
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 linc connection
Sewer connection only
FEE SCHEDULE
$35,50 Industrial, Com'l & Multi-family
$17.50 Water connection only
I % of job cosL with a $39.50 minimum
$17.50
Estimated Cost $
Building Pennit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.1WD wrrH
~PBUT
(Office Use. Only)
j This Application Becomes Your Building Permit Wheu Approved
,
--
Building Official
I Paid
I Date -
Da" r~c 'I 7 ?nn~
24 hour notice for all inspections (951) 447-9850, fax (951) 447-4245
, Receipt No.
I By
I,
I
MAr'-12-2005!THUi 16: 0:3
p, 004/004
.'.. . CITY OF PRIORLAK:E.. .
/:~:A;.t:~(;/AJR CONDITIONINC~PLACE PERMIT..
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. '.. .. .,;: .' ~,'.t:.'i.;:.;t?~~?'i~::;.~,r;.'::;. S39.50'minimum ' ,:,.".>r~.:..:....:'~.,;;;r.7_,:;".; " . " .. ' ,. J;'../':-'
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'",' ,'~' ",.,
.' :~.ted Cost $
',',' .
. REA TlNG PERMIT FEE
STATE SURCHARGE
. . TOTAL PER!\1IT FEE
Building ~etmit # .. . .
......... ... . . . PA'OWITH"
; \i )/\\ '- '~~ex8LJILDING P~RMIT
$
\-.".'
(O.ffiec.,Ust: Only)
. jllls:~ppncation ~~c~.m~:'You~ Building Permit Wlu:J1 Approved
Bulldh1t Official
Dare
I P8.ld
.1 Date.
Receipt No.
By
If,
f/
'.. . ~'24hour notice: for:an in"'pcction" (9S:!)' 447.9S?O, f3~.(9S2) 447-4.:245
12/14/2004 TUE 16:46 FAX 6513226147 GENZ-RYAN
III 009/009
CITY OF .PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(Please Me or prine and sil!D. at: bottom)
I ADDRESS ..
i1~1~ MJZ-ne(cl
b1z C(&
LEGAL DESCRIPTION (ollie. us. only)
, LOT ddBLOCK ;). ADDITION b-ta2hAd.l (!-/1rv
OWNER
(Name) DR Horton Custom Homes
(Address)
2OSt.>D I&.VlB~I~ Cr Sre.IDO
APPLICANT
(Name)ae".-Fyr- '''''-'-'-::: ,. u~;o
(Address) 14745 So Robert Trail
(Contact Person) ~ [11 ~r~tflt I ! S ? .
I ex--;, '-(_
APPLICANT SIGNATURE ,( ,(LU\,;b J 1--rk f.e,/]
,,,.. fi1. I PERMITNO'O+.IZ3~
.1 0014 Cily
3. Yellow ^ppJleml
ZONING (office use)
PiD
(phone)
QC,2 - q 'i? fi -,'iSM
udu:ville.- ~UN 56b4Li
(phone) ~" 1 _I. ,,_ 1 1 H
Rosemount
MN
55068
(Zip Code)
(City)
(Phone)
65! -423-1144
DATE I,) - I LI- ('4
APPLICANT PLEASE COMPLETE BELOW
I Quantity I Type of Fixture Quantity I Rough-ins Type of Fixture
;:J.. Bath Tub with or without shower
I r I Dishwasher ;. I Water Heater
I { j Floor Drain f4 I WaLer Softner I
I L./ Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine) I
I I Laundry Tray (lor 2 compartment sink I Sewage Ejector I
I ,;2 I Shower Stall Backflow Assembly I
I Sinks I Backflow Assembly Test I
I I Bar Sink I Lawn Sorinkler I
I 'l- I Water Closet (Toilet) I Other
, )
FEE SCHEDULE
Industrial, Commercial & Multi4family 1% of job cost with a $39.50 minimum Residentialt New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office u,. Only)
This Application Becomes Your Building Permit When Approved
Building Offic.ial
Date
24 hour notice for all in'peetioM (952) 447-9850, r.. (952) 447-4.245
Building Permit #
~enMIT
$
$
$
Paid
Dat.J::C Z ': ZJJ~
I Receipt No.
I By
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
[. Pink
2. Green
3. Yellow
~::, I PERMIT NOL ,.,~
Apphcant .,.... &..::;)J
(Please ~ or Print and si... at bottom)
ADDRESS
ZUlllU'4G (office use)
17472 DEERFIELD DRIVE S,E,
LEGAL DESCRIPTION (office use nnly)
LOT BLOCK ADDITION
PID
OWNER
(Name n.RHORTON
(Phone)
(Address)
APPLICANT
(Name' ATJJEDFTRRSTDR DRA FIRESTDE HEARTH & HOMF.
(Phone)
651-6JJ-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVTT T 10
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRFNDA HUSTON
DATE
1/24/05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. 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
HEATNGLO SL-750TR-D
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
$39.50
Industrial, Commercial & Multi-Family
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PA'D W\TH
~'LO'NG PERMIT
(Office Use Only)
Buildine Official
Date
I Paid
I DaLJAN 2 7 2005
Receipt No,
Tbis Application Becomes Your Building Permit When Approved
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS J ~ 'D.fE"t2. Fi E.UJ /:)/1.... SO. € .
NATURE OF WORK N.eJ..U ro~~iQ,s--
USE OF BUILDING ~.c::: A.. _
PERMIT NO. 04- , /2...33 DATE ISSUED ~
CONTRACTOR I) ((.. t\Ocz;r~tJ ~ PHON -Z.Zl.-I/71 L
NOTE: THIS IS NOT A PERMIT FOR ANY OFTHE INSPECTIONS BELOW
, THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
INSPECTOR fATE J
I FOOTING I ///{/ J //b'/,,,S
I FOUNDATION (Prior to Backfill) I 41 / fi!/b,<j'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS , ,.
SEWER/WATER/SEPTIC 111/1- 1/ly/aS
FRAMING ~ j/F!'/Or-
INSULATION
ELECTRICAL _ _ / J//s-/r?r
PLUMBING!J.(;f. n ~~/~ M- 5//0/05'
HEATING (if required) ~- J'j/.Y/or
FIREPLACE ./ I' ~ J//I'/t7f
GAS LINE AIR TEST~A f f; ;; ,dpY <-tbdd.J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
.
'LATHE / N41(J"4"~,! / I I
~r ~C/c/ /~ Mrj'~INALS
GRADING (Prior to Sodding) , ~ ee ~> h h;/e
BUILDING /ko/- S7?'o / Q!---
ELECTRICAL ~ /J.? /Os
PLUMBING YI1A 1/ zJ /D5
HEATING ~ S-/.;?-%S'---
, .
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
I
;ti Final Permitted
/
,
QItrfifitaft of @uupanq!
CITY OF PRIOR LAKE
~q1Ctrfmtut of ~uilMulJ Jlusptdiou
::J Conditional C,O. Expires
This Certificate issued pursuant to the requirements of Section I/O of the D Residential / 0 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&~rLY 04-1233
Use Classification Bldg. Permit No.
Occupancy Type
R3
VN
Zoning District
R2
Legal Description
Type Construction
L22, B2, DEERFIELD 11 TH
Owner of Building
Site Address
17477 DEERFIELD DRIVE S.E.
Contractoc', Name & Addr." n. R. HORT~./.-7},9BhO KENJ\RTDGF. r.OURT. LAKF.VTLT,E. 'll\l <; <;044
ROJ\J.ill.T n. HIJTr,HTNS./~ City Planner .TANE KANSIER
>_ / Buil9ing Official
')/ JC/C;.S- Date
" /
Date:
I
I
I
I
I
I
I
J
ADDRESS
/7r?.2
_07 TIME
SCHEDULED ~~~~
Vec>,4d /;J
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
C) fC- - /2..3?
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.-.e1'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~H FINAL
CQAII!JlIENTJ' _ / ,/
F/~cft/c~/ hhec cb~
/ke-/, h.h~ / CJI<.- ~
~ ~ ~/ ;, P ,..( r"Jrs 9' 7"" ~.$ T
k~4t'r-> hk</ CJ/;7/
~ ~/V~ (? ~.rl~--/r:/d
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
~EPLACE FINAL
o GASLINE AIR TST
o
L/~?~;-
~yr/
--. ./'""
(J/ (e
---- -~--------
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~RKSATISFr'''.~,''.' PReSEEB --------
/'6 ~~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CAl L ~7-~~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
1~1
DATE . TillE
SCHEDULED .rk}S-
;JeCy~;j iJ-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
IlL/72
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
~UMBING FINAL
o MECH FINAL
COMMENTS:
aVW~~,.--t,
nf -/J "?3
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
/ 7 '
7? if 'T C5 A__
./
aq
J
/
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rOle
~.-'j /1 / / - / . /-
U.i/ ///~ <<I ft/?rV:A.1 ~/ ~ ~
.-./' ,-
(_HecK;
~ IZ / ~
(~ 1,,(///&/6
eY
,
.--::
!t?h~/
o WORK SATISFACTORY, PROCEED
~RECT ACTION AND PROCEED
o CORRECT WOR~:7}~~E:INSPECTION BEFORE: COVERING
Inspector: ~.J-. Owner/Contr:
- /
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
msIIOr,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY/
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to reguletor
Job Address 17~ h,;~
Heating Contractor 4/i L..tJ ML/1tI
'~~
sild /J ('
.
m.'J. 7"
Heating Contractor
Name of Tester
Date
Name of Tester
Date
Percent 02
Percent CO
Percent Co2
Stack Temp
Ji/!,7<M-r "'I'~
~R
S/{4h,'
, f
1/'.....4/
I:~
37D~
Combustion air is adequately suppliad per
UMC See, 606 v~~
PIi/H
input
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