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Home My WebLink AboutBldg Permit 04-0476 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d 5.4.04- Main File I. White File I PERMIT NO ~ 2 Pink City . 04. 04-? 3 . Yellow Applicant / t (Please type or print and sign at bottom) ADDRESS I '1 ~~ '~eJd 'Url'\X. ~ ZONING (office use) 12-2- LEGAL DESCRIPTION (office use only) LOTS BLOC~ ADDITI~N~tit ld~ IJ-tl--- PID Z5. 4-V7. 02.8 ' 0 OWNER (Name) (Phone) (Address) BUILD~~ \ i) (N ame) j J I <-. I 1iO\.:LOY) -=rn~. (Contact Nam~ F;=.I 'iL ~.Tn..., (Add ) 2..O'6L?,C) ~. 0-..J.-\-l cf.-t.te: C{ ~ ~ -es-{ OD ress ~~U\t"l9...) Yllf\r S'soLj L/ TYPE OF WORK )d.New Consttuction n . OLower Level Finish o Misc. U. D.C. Go Pes (Phon~' 7)'~!~~~B5'~ (Phon ~l~;)Jp- 133 c.j / ODeck o Porch ORe-Roofing ORe-Siding o Fireplace OAddition OAlteration OUtility Connection PROJECT COST IV ALUE (excluding land) $ 11-1 ) lo5(P I hereby certify that I have furnished information on this application which is to the best of my knowledge ttue and correct. I also certify that I am the owner or authorized agent for the above-mentioned property and that all consttuction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware tha. t !he boil"'"" offici'! om re,"1re !hi, permit fo< io" rn~e. Fouth=ore, I hatby 'gre! that the <Oily Offi. cial or a rSignee may ~_:nt t onthepropeflP~n::::spechons. ~OC05LoCS 1J b ,Ocr ( Signature Contractor's License No. Date I Permit Valuation I t.{ I ..1100, Of) I Park Support Fee # $ ~ I Permit Fee $ , I SAC # $ /3 5'o,()o .I 7r qq. 5' 0 I Plan Check Fee $ 1fL(L/. fp L I Water Meter Glze 5/8;)1"; $ 35'0 ,0'" I State Surcharge $ 70',50 I Pressure Reducer $ L/S,OfJ I Penalty $ I City SAC and WAC # $ r~d. OD I Plumbing Permit Fee $ JOO, () (J I Water Tower Fee # $ i(JO t D0...- I Mechanical Permit Fee $ lOt), f!)O I Builder's Deposit $ f S tJ (J, Od I Sewer & Water Permit Fee $ 35. '50 I Other $ I Gas Fireplace Permit Fee $ tftJ,oo I TOTAL DUE $~535.IB / J"'l This Application Becomes Your Building Permit When Approved I Paid ?.5J5'.Ir ReeeirO 4-r,.fJrJ ~~~~ ~ /2-1 /0 c./ I Date ~. zf:d~ By ~ Building Official 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 requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be iss~ ~ 5/~1/()C/ ~aJlf'~' Planning Director Date Special Conditif>ns. if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake. MN 55372 Whit~ - ~uildin9 ( L{"narv - t;n9meerm9~ Pink - Planning - Thr ernlrr of tht" takt ('ounlF'}- BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT "1-" .- j ,.,j ...-",' . 1,-.. . Lj..;"1 .... i r f (; (c.,.-! U f'."j .. APPLICATION RECEIVED ".) . 4-. , C 4- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I'-'},A .?O~ f'JL f- t.." .r:::, l~:-'{ .l) I....) /'/ J l! F:-~ I t...r.-.. V\-. !I".>-' t"...-- " .......' -"" - ....... ..."'. 'i V ...- Accepted x Accepted With Corrections Denied Reviewed By: /J1&~ Date: $'-2LJ.-oy Comments: See Reverse Side for Additional Information! See A ttachments' 1) Grading Plan, 2) Erosion Control Measures "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." Main File White - Building CanarY - Engineering qJ!!k - Planni~ The C'rnl("r of Ih.. L.k.. COUnlf1" BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED I ) /". ...-".. --.,. (-fl. I (~:TU tJ L:) ,4- (4- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I-I 4- ~O [)C'tk-'::: ILL L.J I) le,( V C Accepted Accepted With Corrections / Denied ,... Reviewed By: _~ ~ Date: S/2.t/ot.( , Comments: ~'-~ d...~ ~"(~ .~.~_P~ ~~~, - J ~ "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." G~1 Main File rWhite - Builrl~ Canary-:" Engineering Pink - Planning The C"fnlt>r of the L.kt ('ounlr)"' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED D. 12-. Hvt2A u0 S.4- 04- , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: r74-30 Dt~~8-,0 OtUvG /' Accepted _ Accepted With Corrections Denied Reviewed By: ~ ~ "...... ~ Date: 5/ Z/ /0 c( . { . r>~ ~~I 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." MaY.l0. 2004 11:25AM GENZ RVAN PLUMBING AND HEATING CITY ,OF PRIOR LAKE SEWER AND WATER PERlVu'l No.5609 P.2/9 Date Rec'd 1 Gre:n File 2. Yr,(lo... Cllf. 3. Oold ApplicaDl PERlVIIT NOQJI_tI.!lJp (l'lea.se tYPe or "print ;md 3iJ;::n~t bouom) I ADDRESS 11!d 3-D hR nt/Ii) J L~ (CG- ZONING (Clffia!U$e) LEGAL DESCRIPTION (office use only) LOT t7 BLOCK. 0< ADDmON 'i'y .I.J2#1d II #0 OWNER (Name) DR li('.~':':'r ':ul;tom lig'llH~: (phone) - PID (Address) 2.0&00 ~eK\~Cr~./M (Ackhess) La/tP.,\J I lie. (City) cr62 -Q85-[glJI'. .&JCf'.J-}U (Zip Code) . APPLICANT (Name) Genz-Ryan P l.um.bing & Heating (phone) 651-423-1144 (Addxess) 14745 So Robert Trail (CO!1lact Petson). ()I1 ~'::f? Y&/) ..~.1CANT SIGNATURE (Jl7/'itCrfL.&... i!.. r Ro semoun t, MN (City) 55068 (Zip Code) (phone) DATE 651-423-1144 f 11-/(){)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. FEE SCHEDULE Residential sewer and water hne connection $35.50 Industrial, Com'l & Multi-fam.ily 1% of job cost with a $39..50 roiniolum Sewer connection only $17.50 Water connection only $17.50 Estimated Cost $ BuHding Permit # SEWER AND WATER PERMIT FEE STATE SURCHARG:g TOTAL PERMIT FEE $ $' $ ,50 -' ~ '-n /. 'tl''' ,~/ . ~~(r./., 4-'1.:<>) v, ,../.> " l'"'t: ,C / '-"d :'( ....:- G,-1t' '-~-~~, ~ ,.; .(,:.~ 'tCi:.)~ (Office Use Only) , '-- Building OfficiaJ Pj1;" . ; In rt ipt No. j: .~ ~ @ ~ II \11 ~~ ~i!: D \ ' Qte MAY 2 6 2004 J 24 hOllr notier. for *Jllnspedlons <9SZ) 447-9850, 1 (952) 4474245 " ar- (/ This Application Becomes Your Building Permit When Approved @Y-:-::-.:: GENZ RVAN PLUMBING AND HEATING No,5609 CITY OF PRIOR LAKE PLUMBING PERl\tul' P. 3/9 ...nu.c:: .rtec'd 1. Blue FiJ. 2. Geld City 3. YoIlo", Applie>m I PERMIT NO()If_I{?' (P1case tYPe or "Ptlllt and sign at bocrom) ADDRESS .. ~ . rl4?RJ ~JJdj{JJ tA. k,. 25& - - ZONJNG (officausc) LEGAL DESCRJPTION (office use only) .". I () LOn BLOC~ ADDITION ~te..-h UeY I [i{1 PID OWNER ~~e) DR Horton Custom Homes APPLICANT (Name) C12P7-Py"''' 1'1 "'Jlbing (. t:r~~J;l (Address) 14745 So Robert Trail C (Addr~s) (Contact Person) ~1 /21 ff1 (Ad.cl.re:ss) (phone) qC,2~qS?f) -7g/)O 2O$'-"D lUVlB~l DGe.. Cr $re IDO Utlu.lIt I Ie.. PUN 5fuLj LJ (phone) t=. C\ 1 _6. "} ":l_ 1 1 b.b. Rosemount (City) 55068 (Zip Code) MN 651-423-1144 A DATE "5 -/O-{/L// (Phone) .,......: APPLICA.NT SIGNATURE I I I I I I I / I I I Quantity r I l ;;... fJ. APPLICANT PLEASE COMPLETE BELOW I Type of Fixture Quantity I Type of Fixture I Bath Tub with or without shower .3 Rough-ins I Dishwasher t ' Water Heater I Floor Drain t2;L I Water Softner Lavatory (Bathroom Sink) 7 I Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink j Sewage Ejector I Shower Stall I Backflow Assembly I Sinks i Backflow Assembly Test I Bar Sink Lawn Sprinkler I Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commercial & Multi-family 1 % of job cost with a $39.50 minimum Residential. New One & Two-Famlly $99.50 Residential, Additions &, Alterations $39..50 Estimated Cost ,$ '\ . ,'(i?1"' t..:.> '..,:h .:;,.., ',{/"" ,(,". "(: ..'.. '. j'L. . (,~ " ,"'j"((;";>'",\ :. /\ 6."". .. '). ('.v "-":\ v ~>2 , ?"- (;/'0 BuildJng Permit # PLmvrnING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ 3: $ .50 (Ofijct Use Only) This Application Becomes Your Building Permit When Approved Building Of11cial - . \li~ @~ \\ \cJ ~ ~ ~eceiPtNO. . D:m ILUteUAY 2 6 2004 I By 24 hour I10tlce for all Inspections (952) 447-910, f1\X (952) 447-4245 llay ----- fA- 'U CITY OF PRIOR LAKE ~1I'lg).hate Rec'd l::l.EAlll~GI AIR CONDITIONINGI filKEPLACE PERl\iU.l ~:.~ ~:~ PERMIT NO.Ol.l- /'//7L 3. Yellow Applicant - f '( I P (please type Or print and sign at bottom) ADDRESS ~. 11QjO. l)e~rD€-c Dr. ~C).E-~ ZONING (office use) LEGAL DESCR1.i:'nON (office use only) LOT BLOCK ADDITION PID OWNER (Name) (phone) (Acldress) A.P:~I.JCANT \.... (Name) n.cuA.t.rr- .fY]GC-J-J. (Address) 3b<""'''. /<G'AlN e-. -~ -~ (Address) {Gon~p<Bdn).~.,",<>.J . /-. ~ / APPLICANTSIGNATPRE . -==---r ~-' (phone}.h~,...t.I~2"'27775 Z/,22 (Zip Code) ~M (City) (phone) DATE ;,If/&if ~ , APPLICANT PLEASE COMRLETEBELQW ~WCONSTRUCTION . FURNACE MA~ANrlMODE~y-4N\ ~ FLUE SIZE ~ RETURN OPENINGS S~ .TYPEOFSYSTEM OREPLACEMENP.. . . OA.LTERATIqNS ~ ,.-,;...,d, q{~""3IO~FUEL _NA.. <:) INPUT.~ ,",-'--"'.J OUTPUT HEATING OR POWER PLANT ~ "'7.(!tooc) ~V~AirPlants ~~:nical . ~~ Conditioning ~ent. System FIREPLACE MAKE AND. MODEL o Steam o Hot Water o Radiati.on o SpeciaLPevices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encro~ch intO Required Side Yard Setbacks Industrial, Commercial & Multi-Family 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 Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) Estimated Cost $ Building Pennit # HEATING PERMIT FEE $ STATE SURCHARGE $ ,50 TOTAL PERMIT FEE $ ~b~~1 .~ .~~~ (?:A "'VQ I't. . t ; 1-.t ~~;:,(. ~':; )'t.I/('-?t.., (Office Use Only) This Application Becomes Your Building Permit When Approved Building Official Date P~~ [E @ ~ 0 ill 1~4PtNO. Dl j_ JUN i a LUlH B~ or 24 hour notice for all inspections (952) 447-9850, ~(952) 447-424" PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD Main File / . cSITEADDRESS (~ .Dcc:~ F~6 S.e. NATURE OF WORK Ne:Ld (!O~(U,tcTI'#J USE OF BUILDING s.P:~. . PERMIT NO. 04-.04-7& DATE ISSUED S/~' I()~ CONTRACTOR ~. ~TD~ PHONE.!SZ"ZZ"-/~'f NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT p,. ~tJ ... -,;;.,( ~NSPECT~ ~~~ I FOOTING (,-/) '_M\tc I '" (11), I,~-~ FOUNDATION (Prior to Backfill) ~L:i GV~~~~ I ~h'7j;1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS ~ SEWER/WATER/SEPTIC ~ ~//r# FRAMING /tZ4 /'/Af/4 INSULATION #H 7 ~:?c:::I/c:y' ELECTRICAL . ;'J' / , 7 /7:7/~ PLUMBING Ii t: f/fd' 7~J/tJ( /%/f . :f/?Jhi HEATING (if required) . ( ~ 7 /m~ FIREPLACE /I /14 " ; GAS LINE AIR TEST hrh /#~ 7h%,6~ (,. , COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS 1\1 (~f ~, ~3 ",DS' /111 9'/$/1/9"_ ?/9/9~ /#j'~ 9/jll~1; . ~ ?~~ OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE GRADING (Prior to Sodding) BUILDING ~#r~.. {,;/CJ. ELECTRICAL ' PLUMBING HEATING DO NOT /lfi~~1 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 QIertifirate lIf Q1}rrupanrll CITY OF PRIOR LAKE ~~pnrftttl~nf of ~uil~ing Jfnsp~tfion %Final Permitted D Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the D 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 04-0476 Use Classification Bldg. Permit No. Occupancy Type R3 VN Zoning District r2. Legal Description Type Constructiol1 L5. B2, DEERFIELD 11TH Owner of Building D.R. HORTON, 20860 KENBRIDGE COURT, SUITE 100, LAKEVILLE Contractor's Name & Address - v#Y ROBERT D. HUTCHINS City Planner ~ / Bui!,skf1g Official V/ ....;7/j'" ,/(><:"-' Date: '/ ' Site Address 17430 DEERFIELD DRIVE S.E. DON RYE Date: ~ ~., ~ CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE TIME ADDRESS /7430 - 1743~ DcCfe./7 Gt..,L) OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~NAL o SITE INSPECTION COMMENTS: CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL :J;H ~INAL ~I / /-//?-Y / / O(e: 4 . 4-7~ o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ~--- ~ B,e fi/;; ~) ~RKSATISFA~,PR9~1i1i~ ~ o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL F R 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! INSNOTI CITY OF PRIOR LAKE INSPECTION NOTICE ........ ,TE / TIME SCHEDULED j}/~~ LJ-eCr 12 (/ dr ADDRESS / ? Y J CJ OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~NAL o SITE INSPECTION CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ~ECH FINAL C~~MENT~. , ~ / / ff~C~c~/ hA../ ~ ~./ / CJ~ -~7C o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o /' /' - ~/9/~ /1/) af ~:2-e... , ~ /' ~/ //?~~ / C;./(c ~ ~/ /! ~j -7 .... ~ (SJ /r.eU Vb . ..f1Yd/..! t:2f'h''- ~/ d5?.,.b ~~/ptl~ I __ " I I / / ~ 7~-"7p1 c: 0.. C/A T~ '/ /~// /O~ o WORK SATISFACTORY, PROCEED ~RECT ACTION AND PROCEED :,:::CT WO;;;?RENS::::FORE COVEmNG . , CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED '~-Z3< ADDRESS I'lL! 30 T2u".f/~ PI". OWNER CONTR. -.11,1. I-!orio"" PHONE NO. PERMIT NO. 01./.. Lf ~ 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 o PLUMBING FINAL o MECH FINAL .",!..aJ~LLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: hl1:th()- ~ (( Cv (6 f?o-I. - 0 f( 5 rI-'I v6-wORK SATISFACTORY, 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 .I SAFETYI 1NSN011 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS ./7YJ D OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION DATE TIME SCHEDULED ~~~~ {)ec-r IJ~/f p, CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP A-PUlMBING FINAL o MECH FINAL COMMENTS: /k~~~ ~,.- ~r-- ~7~ o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o -r-:r r/ O~ {ZJ / / f~~ d ~TV / /" /hS ~//t!*d /""""'\ /' / L -'h~/c P ./ ~#- ~r ~//d~9 ~ r: /' /'/),4 I o WORK SATISFACTORY. PROCEED /~ORRECT ACTION AND PROCEED /0 'cORRECT WORK, Ct~7EINSPECTION BEFORE COVERING Inspector: $~ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY! 'l'iS/ion 1~ ~ .~ . APPLIANCE PERFORMANCE TEST Attach to gas line adjacent to regulator Job Address ~ t., .,'-~ Heating Contractor ~~ /II~ ~h';?.8 '9'ft~t:JY //'/ 7~ '~9 5.f /1:1 $~ Heating Contractor Name of Tester Date Name of Tester Date Percent 02 Percent CO Percent C02 Stack Temp ~~IMECA/' ~ Combustion air is adequately supplied per UMC Sec. 606 e..s l?L2d&J <3"TU input