HomeMy WebLinkAboutBldg Permit 04-1231
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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<1-. ) z..31
(Please ty~~ or ~rint and siJtll at bottom)
ADDRESS:
1'l4~'6'D~",A7cl~ PI' S.t:::'
LEGAL DE1SCRIPTION (office use only)
LO~l) B~OCK,;L- ADDITION D-c.-,," "'~-c.L.Q.. I \ ~
OWNER
(Name)
(Address)
(Phone)
BUILDER ~ 1\ -
(Company Name) V. R. 110V-\-0,,", -LIA..'- .
(ContactNa~e) Y\Il,\~ ~V\.O\A..* ~
(Address) '.f)D<fst-o I<"""~ brl~ G;:t-. "St,,-ICO
L-L... ~....\\~" J-UJ ~S-D~q
(Phone)
(Phone)
TYPE OF ~ORK. ~New Construction DDeck o Porch ORe-Roofing ORe-Siding
, ~dditlOn DAlteratlOn DUtihty Connection D MISe.
CODE: DI..\t.c. MI.B.C.
Type of Consjructio.l"
Occupancy GfouP: A B
Division:
Date Rec' d
12,,,,,04-
ZONING (office use)
1::.2...
PID 25.4-07. 043.0
'is'a- '1 '2;'<;... -, 'ID8
Cj $,'3 ~ 0> dJ..,,- <t:l::.; a- ~
DLower Level Finish
I
E
II
F
~
ill IV (X)aCID
HI MCIDsu
2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
~-~
o Fireplace
11(",~"6'2!<.
I hereby ceftit)' that I have furnished information on this application which is to the best of my knowledge true and correct 1 also certify that I am the owner or authorized agent for the
above. mentIOned property and that an construction will conform to all existing slale and local laws and wiJl proceed in accordance with submitted plans_ I am awa. re that the building
otliClal can revoke!t~ Furthermore, I hereby agree that the CIty offiClal or a deSignee may enter upon the property to perform needed mspectlOns
X ~'. .~,'" ---- ;;;.oD<>S~"'S, I'd--l,...-<=>'-\.
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical P~rmit Fee
Sewer & Watejr Permit Fee
Gas Fireplace lPermit Fee
Signature
Contractor's License No.
j'IY/'-//. (jt)O .00
$ /,i'19.50
I $ 'ii"~e{, to?
I $ 70.50
$
$
$
$
$
Park Support Fee
SAC
Water Meter (tize5/~ 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
J(Jt).Oo
IOC). 00
3.s-. ~
4a.oo
Builder's Deposit
Other
TOTAL DUE
l.:lftfa r
./
Paid? tJ.3S./J"
Date /Z. '201,..04-
This Applicatitm Becomes Your Building Permit When Approved
~ -::UJ/-J
Building Ollicial
#
#
#
#
I~~?~.
Date
$
$ t;3C:;O . O~
$ 2...S-C, n-,
$ L/;'5.0 0
$ IZOo,oO
$ 700.00
$
$
$~. 0.35. /8
f/r/. () /
ThIS IS to certify that the request in the above applicatIOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
~:~::y~h' :1'00'7::;;:'~ Cmi',,'" Of~:; ~~'"~ ;llOWS ","s"",tioo See B1\Ialnrt'FiJeo~ mustb,
Plm,"iog Direoto, ~ f:f: Spedal Cooditioos. if '"y
24 hour notice for all inspections (952) 447.98:;0. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See Main File
--
lh~ ('~nr~r "f the I..ke ('ounlrl
While - Building
Canary - Engineering
dinK: - t"'lanm'M'g:)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N.~ME OF APPLICANT
AI'PLlCATION RECEIVED
i .:::...
Tt e Building, Engineering, and Planning Departments have reviewed the building permit
ar plication for construction activity which is proposed at:
,
<.. t
..
Accepted
~
Accepted With Corrections
"
~, ..
Dnnied
......
.'
Ryviewed By:
i
Crilmments:
-~
-
~eJ~p
Date:
1~Y'/tJ 'f
~ I
.
See Main File
"T~e issuance or granting of a permit or approval of plans. specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pr$suming to give authority to violate or cancel the provisions of this code or other
onllinances of the jurisdiction shall not be valid."
(i)
See Main File
Ih~ Crnr~r ,,' Ih~ I..kt ("olin In
<1Jhite - BuildinQ'
Canary - Engineering
Pink - Planning
aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NJil.ME OF APPLICANT
AWPLlCATION RECEIVED
D. 12. )fo~;J
/2. (p. 04-
T~e Building, Engineering, and Planning Departments have reviewed the building permit
aRplication for construction activity which is proposed at:
/74(P 8
i/c;c;/ZH r;;;u:::; O~ / v G
Aqcepted
~
Accepted With Corrections
D~nied
RJviewed By: ~
~
Date: /.;l/;,/~</
Cqmments:
Spp 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."
~
~~
White - Building
r l:anary . En'l.ineering:,
~nk - Planning
Th..C..nlh"flh..t,lk..(.'ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
Nf'\ME OF APPLICANT
ApPLICATION RECEIVED
!( .
,-or
" _i
, ,
Tpe Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
! .'
! ~_-:-_ ,:.. I>; ;(_-'/:,-.:
A~cepted
D~nied
\. /'
oK
Accepted With Corrections
,
Reviewed By:
IJ14-I2,
~e.e JY1:.,'r. hie
Date:
/,J-/t '0<-/
Cpmments:
"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."
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type o~ mint and sian at bottom)
ADDRESS!
17468 DEERFIELD DRIVE S.E.
i;i E~;"" I PERMIT N01- . 'Z~
ZONING (office use)
LEGAL DJ;:SCRIPTION (office we only)
LOT BILOCK ADDITION
Pro
OWNER
(Name q.R.HORTON
(Address)
(Phone)
, APPLICA$T
(Name) I ALLIED FIRFSIDF DRA FIRESIDE HEARTH & HOMF
(Phone)
6,1-/\33-25/\ 1
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Pe,,"on)
BRENDA HUSTON
(Phone) _651-633-256]
APPLICANT SIGNATURE
BRFNDA HUSTON
DATE
1/24/05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AI. TERA TlONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE! RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants
DOravity
o Mechanical
DAir Conditioning
DVent. System
D Steam
D Hot Water
o Radiation
o Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACf MAKE AND MODEL
,
HEATN GLO SL-7,OTR-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
$39.50
Industrial. Co nmercial & Multi-Family
Residential, I-eating & Ale (New Construction)
Residential, leating Only (New Construction)
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAIU W1TH
'~UILD1NG PERM\T
(Office Use Only)
This Application Becomes Your Building Permit When Approved
BuildiDl~ Official
Date
I Paid . Receipt No.
I Date JAN 2 7 2005 By
24 hour notice for all inspectious (952) 447-9850, fax (952) 447-4245
12/14/2004 TUB 16:45 FAX 6513226147 GENZ-RYAN
Ii!I 004/009
Date Rec'd
CITY.OF PRIOR LAKE
SEWER AND WATER PERMIT
~le3.Se.!'io~ ott1rintand silm-atbottom)
ADDRESs! .
111 J.j ([J~. Duvz-fi flol ();J2 ~'f'
LEGAL DfsCRIPTION (office use only) .
LOT:.?D .LOCK f2 ADDITION ~I~.n ~ II-ttu
OWNER I
(Name) Dll !lorton ".._."~-
,
,
(Address) i
20flrn ~.Y1ei<-\bl.,e Cr SW IN'\
(AddIes,)
APPLI~T
(Name) ,Genz-Ryan Plumbing & Heating
i
(Address) 14745 So Robert Trail
(Contact Pe'~on) .
(Address)
rJH~[ sti Fa { (5... _
(IA 1 fi:t; ) '-tftU /)
'..rCA} T SIGNATURE
: ~;:w ~\~ I PERMIT NO.I'\A. I"~I
3.GoId Appllc:arlt ..,..,.... ~
ZONING (ollice.,,)
PID
(Phone) _
.w.~~ille...
(City)
q.62-Qg5- ,gO()
hCi)UU
(Zip Code)
(phone)
651-423-1144
Rosemount. MN
(City)
55068
(Zip Code)
(Phone) 651-423-1144,
'02 L/ 124
pATE -1i_L~
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 sfwer and water line connection
Sewer conneftion only
FEE SCHEDULE
$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 Pennit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Ollice Use Onlt
This Application Becomes Your Building Permit When Approved
,
~-
Bujl~ing Official
Dok
24 hour nolice for all inspection' (952) 447-tBSQ, fax (952) 447-4245
$
$
$
'~D WITH
ttUlLDING PERMIT
, , P'ld
.1 J?alflEC 2 7 2004
1.
I
, " tece;Pt No.
, IBy
, .
12/14/2004 TUB 16:45 FAX 6513226147 GENZ-RYAN
~ 005/009
Date Rec'd
CITY OF ,PRIOR LAKE PLUMBING PERMIT
q'lease.!}'Pe or'Drintands~ at bottom)
ADDRESS
1Il~I2<1N1Jf.+7-e(cL Dp-- ~'r
!
I. 91" FH. I PERMIT NOot. ~
2. Gold CilY
J. YellOw Applicml
ZONING (ollke.sel
LEGAL D lSCRIPTION (office use only)
LOT 1.V lLOCK;;2.. ADDITION txe..f?..n.e( cL { (+tu
pm
OWNER
(Name) D < Horton Custom Homes
(phone)
QC,2.Q':;j,&;-78lJO
(Address)
2O'Sl.>D )(eJ()B~IT:lGe.. Cr Sre IDO
LA lu..vi lie.. IMN b6bLJ t..i
APPLICAlIT
(Name)-Ge~"'_"OJr...... 1>lHmbiuc ;.. U",.:>r-lng
! -
(phone) "<1 _/,01_1 lid,
(Address) 1 \745 So Robert Trail
(Address)
(Contact pebon) CVi y{{ Stl fa fL i_ , .
APPLICA1T SIGNATURE ('J..Jhi:{x) ~ J.lA't
Rosemount
MN
55068
(Zip Code)
(City)
(Phone)
651-423-1144
I;} 111.// (Xl
DATE
APPLICANT PLEASE COMPLETE BELOW
I Quantit) I Type of Fixture I Quantity I Rough-ins Type of Fixture
I ;2 I Bath Tub with or without shower I
I , I Dishwasher , I - I Water Heater
I I j Floor Drain I lZI I Water Softoer
I Lj Lavatory (Bathroom Sink) I I I Stand Pipe (Washing Machine) I
I I Laundry Tray (] or 2 compartment sink I I Sewage Ejector I
I :J... I Shower Stall I Backflow Assembly I
I I Sinks I I Backflow Assembly Test I
I I Bar Sink , Lawn Sprinkler I
I I=-) I Water Closet (Toilet) I I Other I
, FEE Sl;J:LMJULE
Industrial, dommercial & 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 $
TOTAL PERMIT FEE $
PAID W1TH
eunDlNG PERMIT
,
.1
(Office Use Onl~)
This AppliFation Becomes Your Building Permit When Approved
Duilkling Official
Date
I Paid
I Da@EC 2' 2004
Receipt No.
BY
24 hour notice for aU inspectiollS (952) 447-9S50, fax (952) 447-4245
MAY- i 2-200,5 (THIJ) 16: 02
p, 002/004
. <;:""<,;".:':. cmOF PRrOR:LM{E. '. .' '. : .: .'.
~\;B]l,~i'~GIMR CONDITIONINGmmEPLACE PElU\1IT;d
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,.:: . STA1E SURCHARGES .50-.....
'. TOTAL PERMIT FEE $'
(orne. u.t Only) ....... .'. . .
'. TI;iS.4plicationDc.:.oin..'Xnur Building Permit When Approved'
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'l:)llte'Rec'd
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I
I.
Paid
Receipr No,
Dnte:
By
fr'
Buildiot Official
D:nc
.",:2A'hour notice for:ln in:;:r~ctions (951)'447~9850~'~~ (952) 441-4245
PR lOR LAKE DEPARTMENTOFSee Main File
BUILDING AND INSPECTION
INSPECTION RECORD
SITEA'DDRESS ~ "OEerz. FiE &.~_b2.. ~.E..
NATUF,E OF WORK t.JEw CJ)fo,)'ST' ~ 'I..c:.'t~
USE OF BUILDING s.t=: A. , '
PERMIT NO. 0 -f- Jz3/ DATE ISSUED I"LI,~ IDIf
CONTHACTOR ~. HCIl'T~~. PHONEJ.j2-'-lf--c/Uz
N.OTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTj)Rj
I FOOl1lNG . I ~
I FOUtI DATION (Prior to Backfill) iN 14fhS" I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - I~~//. /0."'/;,....... .
I SEWE:R I WATER I SEPTIC /' j'Yt.- 'T /0/""
FRAr.lIING jfV)---' d//~,hJ
INSUI.ATION /11/1? //6/05";
ELEC TRICAL . _ 3/fps
PLUNBINGIJ.g /Id .#..v/v$~ ~#,., ...?/r/CiS'-,
HEATING (if required) ftlr. q9'/()S-
FIREPLACE liP'/- ,3/1'110-:;:. ,
GAS ~INE AIR TEST JIt,~ of /; /) #4 ..?/~1f'f-5~
i COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I LAnE j I4DuSE&)IIAP I I
, FINALS
.-
GRA[IING(PriortoSodding) <-)ee ~fi/Ir hk /j
BUILDING ~ ,f'/<#dS
ELEC TRICAL , ~,//'? /C!.;-
PLUr.I IBING j/f{/;j 4/1. '1 // 5~
HEATING ~ tf/v;6s-'
~O NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
T~is card must be posted near an electrical service cabinet prior to rough-in inspections
aod maintained until all inspections have been approved. On buildings and additions
wl1ere no service cabinet is available. card shall be placed near main entrance.
//;k--
"
FOR ALL INSPECTIONS (952) 447-9850
Ql~rfifitat~ nf @ttupnnq!
CITY OF PRIOR LAKE
"rparfmrnf nf ~uilMng Jfnsprtfinn
"
,/
.CfFinal Permitted D Conditional C.O. Expires
,
This Certificate issued pursuant to the requirements of Section 110 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 FA1~ILY 04-1231
Use Classification Bldg. Permit No._
Occupancy Type R
Type Construction
VN
Zoning District
R2
Legal Description LOT 20, BLOCK 2, DEERFlELD 11TH
Owner of Building
Site Address
17468 DEERFIELD DR
ContraclOf's Name & Adilless D R HORTON:" :o,~ 8 0 KENBRIDGE CT, 11100, LAKEVILLE
ROBERT D HUTCHINS ~ _ City Planne,_ JANE KANSIER
~_ ".,.lfui~~ng Official
Date: -4' L( /0 t Date:
/
55044
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED ~~~
A~"hi~/c1 a
ADDRESS
/?9"b~
COM.MENjI"S: .... /
~c t--",l<ll frk./ d.,.~
~,,-k /h1~ /,
~~ n(J,__L r'JLr"-:-/
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
r'? /~/?~Lr_
. o/'u.-f-4'
CONTR.
PERMIT NO. C ~- /.2.? /
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~H FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
~EPLACE FINAL
o GAS LINE AIR TST
o
~~~
-
ctY;k" _
'/er 7-
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h4f' /' ZJ{(.. _
rc:> ~_J ,kt""c:;/
~,
/-7A.p /
- --"
C/rC-
/--a,-e hip
~RK~CTORy.PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR 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/
HWWTI
DATE TIME
CITY OF PRIOR LAKE ,,/ h
INSPECTION NOTICE SCHEDULED ~yos-
//V6rV AeV'Nc~ d-
ADDRESS
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
ftl'LUMBING FINAL
o MECH FINAL
COMMENTS:
y
//L,#UP-t,~rt'..r
;::;~
CJ~-/AJ/
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
_/
rrJ;e
~)
/ - /
/!/J~/ /%/L./ ~~,\"~~d
- / / - /7 ,-/
(M,P!:'/( (~/"SU//dNUi
o WORK S~TISFACTORY. PROCEED J
~ORRECT ACTION AND PROCEED
o CORRECT WO~K./ ~Ao/OR REINSPECTION BEFORE COVERING
Inspector: j$if Owner/Conlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
,~ /'
//#9/
INSNorl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
.
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjecent to regutator
Heating Contractor ,//J/{HI? ~~
~~g
. S#rf!s
Job Address IJJlv/ ;)",/u/ ~
Heating Contractor ~~.
...A-/#t ~
~#,;fr f
7-Jh
h-r
7/r'~
Sh< ~
Name otTester
Date
Name of Tester
Date
Percent 02
Percent CO
Percent C02
Stack Temp
UMC Sec. 606
Combustion air is adequately suppiied per
input
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