HomeMy WebLinkAboutBldg Permit 04-1198
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
(Please me or print and sip at bottom)
ADDRESS
114-:00
~8...iJ ~\.\JE"
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 04-. /(9~
~
LEGAL DE SCRIPTION (office use only)
LOT 11 BLOCK 1- ADDITION DEEl2f:H:3~
OWNER
(Name)
(Address)
BUILDER
(Company ~ .ame)
(Contact Na ne)
(Address)
ll~
PID z&: 4-07. 0+0. 0
(Phone)
Date Rec' d
/1./5,04
ZONING (office use)
~'L
D.~. \\.OIZ-\O~ llo-lL
*ILF: \j..J()I.//...JU5T!(j}....
iob<oo \L~iX" c...-r .:sre 100
LA~ E . MkI ~44..
.
(Phone) qs'1.. - 98$ -lfJ091
(PhoneL'1<;:2- 1_'2.10- 4'732.
TYPE OF" 'ORK. ~ew Construction DDeck DPorch ORe-Roofing
DAddition DAlteration DUtility Connection 0 Misc.
DLower Level Finish 0 Fireplace
$ F;2010SC)
ORe-Siding
CODE: OI.lt-C. ~l.tB.C.
Type of Com lruction: I II III IV V A
Occupancy ,roup: A B E F HIM R
Division: I 2 3 4 S
I hereby certiry t~at 1 have fi.lrniShl;d i formation on this application which is to the best O.f my knowledge true and correct I also cCltify that I am the owner or amhonzed agent for the
3bove.mentlOnedIPropel"an that construction will conform to all eXIstIng state and local laws and will proceed in accordance with submitted plans_ I am aware that the buildIng
offiCIal can revok thIS p ml or JU cause Furt~~, 1 hereby agree that the CIty offiCial or a deSignee may enter upon the property to perform needed inspectIOns.
X / 2!>ODSt.:>S, \ljl\/a\-
~gnature Contractor's License No. Date
Permit Valua ion
Permit Fee
Plan Check F ,e
State Surchar ;e
Penalty
Plumbing Pel mit Fee
Mechanical I ermit Fee
Sewer & Wat ~r Permit Fee
Gas Fireplacl Permit Fee
#" /41.000.DO
$ IZ<:J<=i. ~O
$ "?!Cfq, lD~
$ 7tJ.50
$
$
$
$
$
100.00
/(') e , 0 Q
3'5"-~o
i{l).00
This Applical ion Becomes Your Building Pennit When Approved
~~.~ II/tq(Or
Bui ding Otlicial f Date
B
S U
PROJECT COSTlV ALUE
(excluding land)
#
#
#
#
I ~eceigt)No.
y .A' .
o
$ ~
$
$
$
$
$
$
I $
I $ t,. (J35. / PJ
I ~'SO.~O
2-'S<, .00
c.j'S'.oo
1 '2..0 0 . 0 0
700'00
~
~y?y"]
ThIS IS to certify hat 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 t Ie City Planner constitutes a temporary Certificate of Zoning compliance and allows constmction to commence Before occupancy, a Certificate of Occupancy must be
i~~~
Planning Director
Park Support Fee
SAC
~
Water Meter ~l";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
f"di'(
i7 7
of
/1//''1/00/
Date
s
e
24 hour notice for all inspections (952) 447.9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
T
~~
See Main File
White - Building
Canary - Eng.ineering
,.--p;nk :Plannl~
-
Thf C~nl..r nf .h.. 1.gk.. Count~'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NJ ME OF APPLICANT
AF PLICATION RECEIVED
+-
The Building, Engineering, and Planning Departments have reviewed the building permit
ap plication for construction activity which is proposed at:
c -
,
'-
.:."~'
A< cspted
v
Accepted With Corrections
..... \.
Rnviewed By:
~~
Date:
) /)/ '1'/0'/
I
. ~.;
'....I.
.' )
-.
Dllnied
C, >mments:
SeeI\llaiD File
". rhe issuance or granting of a permit or approval of plans, specifications and
cJmputations 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
p resuming to give authority to violate or cancel the provisions of this code or other
c rdinances of the jurisdiction shall not be valid."
.
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor ~}.".n ~r,,-4'
Name otTester ~;?N g
Date 5/3/.&~
Job Address .I/tr~t? ~"'"
Heating Contractor ~~ 'Ft'"H .
~"~
S/.3/4t-"
9.3~
~...<v
~~/,
--....2 76 "r
Name otTester
Date
Percent 0,
Percent CO
Percent CO,
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606
y-<,(
X't; tIlJ7\
input
..--
'~~ PKIO~,.
-', ,
C ~1;
See Main File
---~
Thf (.to(rr of thf L.kf ('nunl')
~hite--EIllildinv
Canary.'. Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NJ ,ME OF APPLICANT
AFPLlCATION RECEIVED
0.12.. !-iOgTol\J
tl.I~.o4-
Tt e Building, Engineering, and Planning Departments have reviewed the building permit
a~ plication for construction activity which is proposed at:
Il 4-(00
~
DEe:.U1 bL.D DR-. s e:;
Accepted
Accepted With Corrections
Dlmied
Rlwiewed By:
;;~
9~
Date:
/1/;9/t;~
/
C, >mments:
See Main File
... rhe issuance or granting of a permit or approval of plans, specifications and
c:>mputations 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
~ resuming to give authority to violate or cancel the provisions of this code or other
c rdinances of the jurisdiction shall not be valid."
White - ~uildinq
(" c.anarv - I:.ngineerin]:>
Pink - Planning
Th..<-pnl.., of lh.-I.ab CountrY
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NhME OF APPLICANT
AF'PLlCATION RECEIVED
(' , 1./
t.. /. :"'_
~-~ (.
, (-,,),
, ',>-.'i'
i! :... . L 4--
T~ e Building, Engineering, and Planning Departments have reviewed the building permit
a~ plication for construction activity which is proposed at:
1.1 4~ L () C;t=.ci.:../r:1 t 1-0 Di~. ,~C
A( :cepted
\//
<
f/"
Accepted With Corrections
Olmied
H wiewed By:
/Yt41>
Date:
/1-30-0'1
C )mments:
5c(' /Y!1Jr1'1 F"", (/
"rhe 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
~ny of the provisions of this code or of any other ordinance of the jurisdiction. Permits
~resuming to give authority to violate or cancel the provisions of this code or other
c,rdinances of the jurisdiction shall not be valid."
~-~""----'-- --- . .... - -,._._.~-_._.__._~~---,,------,-_.,---
JUN-16-2005(THU) 08:49
P. 003/004
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".~'~::,:..),:: :.\(;l ,;:~.,:.::,~:~~.,+.~l~tl\~~~:j1li-'~;'~':::}'::,' :.'S39.50'minimum .,~~::.\~~;~~:}::,~i~'[/{;:":i. ." '~.;.~':::' '; .~.:>,:' "",,~",";,,:-;_:t~:~.':~;:\<':
:?f~~d~i .( H.:crf~!,'g.~'&~,:cN.~~~ii&.".~Oo) $99.50 R#i~~;;\!~J,.~~id?ns&. AltenUi~~i: ,:. Y'i ..' .:'" ,: ;'$~9:~~':;.,
: R:Cs,dcnll!l; HeD.,,"S'.QnlY.:~'i:!ii$qli!tXiii;llon)' $5450 ResldC1't.~I;.^c lilnly . "~'.. .;..'. ....,....;'.,.. .... '.:~.9,50:::'..
.'::;-,. ....-:'.:{:S;,~~~j.Cost$. B~r~;~;;1~'~"'." '. ....:.:;':::,;'-':.
.:.-<: '~'::;i'.: . HEATINGP"';';'''""-EEE .:. $'.":\:1:;::)'::1:.',. ,\ \. ...-. '.... '..
.-; ":='~'.';~~~~:.!~,;; ,c,NYJ..U.' , V \ "\ :..\Qe,.....
STATE SURCHARGE ,$_. .5~'D: ~..~ . . .
TOTAL'PERMlTFEE $ ~ YV'II''1 .
1;:'1~_J0) rtS~I~,~"-AMIT'
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(~mce'~ Ic1J'niYl; ,', '
TliiS.lpplicntlon ll~ct!.iJies'.iiJilr. ~uiJding l'er"!it Whea Approved'
, .....,... .' '.-
Duih.llDI: OqJc1nl,
Date
Z4hu.u~ nO';<o for nUlnspectlon. (952)'447 ~o; f''''C2.sZ)447..~4?
11/22/2004 MON 9:44 FAX 6513226147 GENZ-RYAN
Ii!I 006/009
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(Please type )r"r1nt and siRQ atbottoml
, AnDRES S ) /4 {pO. DfJJZtl deL iJR)Sf
: ~~ ~:~ I PERMIT NO. /~.. I J'~
l. Yellow AppliQfll -r -rl"
, rONlNG (offKeuse) I
LEGAL I 'ESCRlPTION (office use only) , ~
LOT 11 BLOCK /J ADDITION hfJ Fe.-h -el d
lIfl1u
Pill
, OWNER
(Name) ] IR Horron Custom Homes
(phone)
%2,Q'j{c; -,'6{J(j
. (Address)
2oStoo IUVlB~lDGe.. CT Sre IDO
IfIVXi/dlf"., IMN !S504L/
APPLICA'IT
(Narne).Qu._lIyall. P)"ml:d"g ~ "0'1-'-3
(Address) . 4745 So Robert Trail
(\ I . I~~~dress) [;;. ,
(Contact P, crson) ~t1W{ U J; (l
APPLICAHT SIGNATURE (1// ~~ ) \:f(p h /l
. " ,
(phone) ~"_I.?~_l1H
Rosemount
MN
55068
(Zip Code)
(City)
(phone) 651-423-1144 ,.
DATE ---11~;)d-~
I
APPLICANT PLEASE COMPLETE BELOW
I Quantit; , I Type of Fixture I Quantity I - -------- Type ofFixtllre
I I I Bath Tub with or without shower I 3 I Rough-ins
I I I Dishwasher I I I Water Heater
I , I Floor Drain I 12i"" I Water Softner
I :J 1 Lavatory (Bathroom Sink) I I Stand Pipe (Washing Machine)
I I Laundry Tray (l or 2 compartment sink I I Sewage Ejector
I l I Shower Stall , I Backflow Assembly
I I I Sinks I I Backflow Assembly Test
I I Bar Sink , I Lawn Sprinkler
I ,2 I Water Closet (Toilet) I I Other
I
I
I
I
I
I
FEE SCHEDULE
Industrial, ( :ommercial & Multi-family 1 % of job cost with a $39.50 minimum Residentia~ New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
(Ornee Use Onll)
This Appli :a!ion Becomes Your Building Permit When Approved
Buli ling Official
Date
I flaid
I. pa@EC
!' .'
1 ZUU4
I Receipt No.
I By
/} ---
~.
f
. i
24 hour notice for aU Inspections (952) 447j~~0, fax (952) 447-4245
~_"c
11/22/2004 MON 9:44 FAX 6513226147 GENZ-RYAN
IilI 004/009
CITY,OFPRIORLAKE
SEWER AND WATER PERMIT
Date Rec'd
q?tease!}'D~ ~r'Orint and si5mat bottom)
ADDRES;
1/llq(jJ()
I. 0"", ';1. I PERMITNO~
2. Yellow CitY: _
]. Gotd Applitlont
LEGAL I ESCRIPTION (ollice use only)
LOT I'{ BLOCK;) ADDlTION
blJ [2;:0 ,etd,1>v_. st-
fwttf,I!&L l/#1
I ZONING (olli",",,)
pm
OWNER
(Name)-JlR llorto- ""'.'.~_M
(Address)
20&00 Kev1i3KlbE:e.. (',. Sw.lm
(Address)
(Phone) _
La.~\l i lie.-
(City)
Cff:;.2 - q '65- "7..E1:1^
. "S'C{)Lj U
(Zip Code)
APPLICA IT
(Nmnp) Genz-Rvan Plumbing & Heating
. (phone)
651-423-1144
(Address) l4745 So
",ICA2 rT SIGNATURE
Rosemount~ MN
(City)
(Phone)
DATF
55068
(Zip Code)
(Contact Pe ,"on) .
651-423-1144 f
Lbd~-O(?
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 slwer and water line connection
Sewer connel tion only
FEE SCHEDULE
$35.50 Industrial, Com'! & 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
(Office Use Onl, I
I This Appli, .lion Becomes Your Building Permit When Approved
Date
IPaili
I Date .
DEe
Receipt No.
L
Buih ing Official
1 2004
8y (~
()
24 hour notice for .11 inspections (952) 447-~850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please tvoe 0 ~ orint and sil;ll at bottom)
ADDRESS
; =, ~:~ I PERMIT NO....lL. ~ ,-laAl
J. Yellow Applicant .,... . -'ell
17460 DEERFIELD DRIVE S.E.
ZONING (office uso)
LEGAL 0: lSCRIPTION (office use only)
LOT I LOCK ADDITION
PID
OWNER
(Name n .R.HORTON
(Phone)
(Address)
APPLlCAllT
(Name) AI.LIED FTRFS(DE DRA FTRESTDF HEARTH,. HOMF
(Phone)
nSl-n33-?';nl
(Address)
7700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Pe cson)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICM T SIGNATURE
BReN/)A HUSTON
DATE
1/24/05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE ;lAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWann Air Plants
OGravity
o Mechanical
OAir 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
Setbacks
F1REPLACI MAKE AND MODEL
HEAT N GLO SL-750TR-D
--~
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Industrial, COl Ilmercial & Multi.Family
Residential, H ~ating & Ale (New Construction)
Residential. H ~ating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
$39.50
Estimated Cost $
HEA TlNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
~
50 ~.r.. ~
. ~\),\.'O''''"'-'
(Office Use On y)
This Appl, cation Becomes Your Building Permit When Approved
Rui idiot! Official
Date
I.paid . Receipt No.
I Date JAN 2 7 2005 By
24 hoor notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE DEPARTMENTOFSee Main File
BUILDING AND INSPECTION
IN,SPECTION RECORD
SITEADDRESS ~o t:>e:.~F"1ao Dtttilt: S€.
NATUFIE OF WORK ~ C'..I)~stl2.~.~
USE OF BUILDING "S.F; A.. '.
PERMIT NO. (')~ ,/198 DATE ISSUED l1Jlj1OC/
CONTHACTOR P. 1'4. ~Il.T~") . lfo,.){. PHdNE!S:i - ZZG,- t{'7J~
.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT '
lNSPEcT9R. . DJTE /
I FOOT ING /,2 y/",
, FOUNDATION (Prior to Backfill) .4""J(.U<1"~f1'" _~:/ I ~Zc3f'N.X
F LACE NO CONCRETE UNTIL ABOVE HAS BEEN'S(GN'ED
ROUGH - INS ,
SEW~R I WATER I SEPTIC ~ L /--V.,2",ft'7'
FRAMING /-ko~-
INSULATION ff1Lj ...,2 /!/'//cJS-
ELEC"RICAL ....2/7~/
PLUM. liNG /~ ..;l/2/o,s--
HEATI -.lG (if required) ~ _///c:/~
FIREP.ACE ~~ ~A4/aS-
GAS liNE AIR TEST.df(t1 /JIJ ;;1> ~/--~;;gA.)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ I fJ,OU.SE~p I I
I f FINALS
. GRAD~NG (Prior to Sodding) I ,.5' ~ ~ ~r)' h/',c'
BUILDING I %2~ ?/6~J--
ELECrRICAL I _ ~//?h-
PLUMMING I VW/ I ~,2 3~0$
HEATING I ~ I 9/'6'/ctr"
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
Thi I card must be posted near an electrical service cabinet prior to rough-in inspections
am maintained until all inspections have been approved. On buildings and additions
wh...re no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
QItrfifitafr of @tmpanq!
CITY OF PRIOR LAKE
~~parfm~nf of ~uilIring J1nsp~dion
~inal Permitted D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section /10 of the U Residential / D 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 FAMILY 04-1198
Use Classification Bldg. Permit No.
Occupancy Type
R3
Type Construction_
L17, B2, DEERFIELD 11TH
VN
Zoning nistn,'j
R2
Legal Description
Owner of Building
D.R. HORTON, 20~0
Contractor's Name & Address ~ //
ROBERT D. HUTCHINS ~~~~
. / B~lding Official
;?-/0/G"-
/ "
Site Address
17460 DEERFIELD DRIVE S.E.
KENBRIDGE COURT, 11100, LAKEVILLE 55044
JANE KANSIER
. City Planner
Date:
Date:
l
'"
ADDRESS
/71"60
DATE nME
SCHEDULED ~~~~
L1~C"/~e;/ ffi
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
c3L/ -//9Y
o FOOTING
o FOUNDATION
o FRAMING
~LATION
o SITE ~NSPECTlON
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o ~MBING FINAL
7MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
~PLACE FINAL
o GASLINE AIR TST
o
CONlIVIENT5,r" _
g~c PIC.; I
~. /
h~1
-?//;;i\"
/rkcL
fA' \,
/'4:!/' ""'-/~C.
.-
/-; :".:; / /-? Ie
d' C)/'l'"O T 7~d t-
,
'"
"
............' /
r-; /7""
- ./
Ore
..----..._~
( C-/:;~, h k "
~RKSAT~ PROCEED /
/~ ~RECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~er/Contr:
!<ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
-,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/74&0
fh,(hr/J
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
..A!I"PLUMBING FINAL
o MECH FINAL
COMMENTS:
-- /,,(1 {(
tv /~ J/VLp t-r...-
- ~tIk
rTA~ur?5
DATE TIME
3~~-
4-/1ro
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
('~Clk .!
o W~K SATISFACTORY, PROCEED
~RRECT ACTION AND P CEED
o CORRECT WORK, C R REINSPECTION BEFORE COVERING
Inspector: b
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETYI