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Home My WebLink AboutBldg Permit 05-0285 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 3-- 31- S- Main File (Please qoe or lrint and sitn1 at bottom) ADDRESS . \'14~~ QQo1.~& (Jr. ~. - \ LEGAL DE ,CRIPTION (olike use only) LO{)7 B ~OCK ;)... ADDITION QQe~& l(~ I f "- OWNER (Name) (Address) Wllile Pink Yellow File City Applicant I PERMIT NO. OS 02.651 (Phone) ?~~~~~ t-ame~ \-- ~ -A j')(' ~ (Contact Nalne) I' J. )0-bnf)l~~ (Address);:;:L:~lo(J V\pnC~--l' > C:t -=tE.lfJn TYPE OF VI 'ORK- ~ew Construction IX'Deck OPorch ORe-Roofing 'LlAddition DAltera~ o Utility Connection D Misc. CODE: kil\.l.C. ,-.I!'J Type of ~s' mction: Occupancy G 'oup: A B Division: I E II F 1 III IV H I 2 3 V M 4 A R 5 B S U Date Rec' d ZONING (office use) 12,;). PID (;{s- qrY7- /)50"0 (Phone) q ~-/~l~ . (Phone) 8~to -U"l.3 'd.- ~ 1illt ! I1V\ ssbqq ORe-Siding o Lower Level Finish )i'IFireplace PROJECT COST IV ALUE (excluding land) $I~L,\ 5<6~ I hereby certifY th It 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 owm'r or authorized agent for the above-mentiOned lroperty 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 the bUilding :f3n D~' ~~7j' "0" F"~ I h",by 'gm thot th,,,~ offJit;i3€!I;;~O:::;' pmpmy to p"fo,m ~d?l}:OS- Signature Contractor's License No. Date Permit Valuat on Permit Fee Plan Check Fl e State Surcharl e Penalty Plumbing Per nit Fee Mechanical P 'rmit Fee Sewer & Watl r Permit Fee Gas Fireplace Permit Fee . ~/"'ltJoo,oo $ 'Z9fj. 5"0 $ )?Ljt{, (p~ $ 7t:J.S-o $ $ $ $ $ Park Support Fee SAC Water Meter Si~'@; 1"; Pressure Reducer Sewer/Water Connection Fee Water Tower Fee Builder's Deposit Other IdC1, 0 CJ /~CJr (J 0 $5.>0 (,1'", (JO TOTAL DUE This Applicat on Becomes Your Building Permit When Approved ~; ~ 1/;ih5" 13l1illl11.!!.Official Date Paid X- ;:r40. II' Date " .,XI. ti.1' $ $ $ $ $ $ $ $ $ fJJ 240./0 I I ReceiPt~'14f'/XJ IBy I ~ # # /~So. 00 gSd. 0 c !=;(), [) a /500. DO /t:J<!)o.Oo /$00,00 # # ThiS IS to certify IJat 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 si ned by t] e City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence Before occupancy, a Certificate of Occupancy must be ". . ,. --1_ <17. /~ o/t'l'/;;S Planning Director Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447w4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Special Conditions, if any Main File White . Building CC-anary . Enqineermll) Pink . Planning ------ ThO' ('rn'C'Y If thO' L.k.. Counl.." BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST , , / .--.,."-~ / ) /.' / \.IA ./ l-'-!.~tJ y ~ N4ME OF APPLICANT APlpLlCATION RECEIVED '~? -"" 'o---.l :;;;:;~ ; -.......) ," -- .--- ._~, - Thl Building, Engineering, and Planning Departments have reviewed the building permit application for construction activit~/~hZ is proposed;i:~~t<C/ '/\!) '_V'-, , ) Ao :epted x Accepted With Corrections De lied Re iiewed By: 1Wf/3 Date: '-1- 7 -(!) S- Co llments: SF!F! Reverse Side for Additional Information! /17Q/n h'k See Attachments: 1) Gradin~an. 2) Erosion Control Measures "Tr,le issuance or granting of a permit or approval of plans, specifications and co putations shall not be construed to be a permit for, or an approval of, any violation of an of the provisions of this code or of any other ordinance of the jurisdiction. Permits fir suming to give authority to violate or cancel the provisions of this code or other orcinances of the jurisdiction shall not be valid." ~~ Ue~ Main File White . Building Canary . ~!,qineering .....In'" . t'lanninJL,::::> ~ lhC<('l'nl.. "f.hrl._bCOllnlr)' NI \ME OF APPLICANT BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST f f0.~; /l/ I , ~- AI'PLlCATION RECEIVED ~/ v> T~ e Building, Engineering, and Planning Departments have reviewed the building permit a~plication for construction activity which is proposed at: I I 't /' , ''', .-' _/ ,--' . ,." < ': , , I' _.._..____. / ~ Ac cepted ~ Accepted With Corrections DEnied RE ,viewed By: ~~ Date: all;<(10 S- C< mments: "T 1e issuance or granting of a permit or approval of plans, specifications and cc mputations shall not be construed to be a permit for, or an approval of, any violation of ary 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 or jinances of the jurisdiction shall not be valid." ~ ~~ uer Main File c -- \A.'t:lit- . Rllilrli~ Canary . Engineering Pink . Planning -- Thr (-..nIt or Ihtl.akt ('ounlr}' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST D 2 II~ APPLICATION RECEIVED .3 - 3/- .s- Ni \ME OF APPLICANT n e Building, Engineering, and Planning Departments have reviewed the building permit a~,plication for construction i1t~fZ is prit;~ at: Jet--- ~. Ac cepted Accepted With Corrections c...-/ Denied ~ ~ 111 () "9 u..tY- Date: ~, ~/J ~ /os , . / Re ,viewed By: Cc mments: "Tne issuance or granting of a permit or approval of plans, specifications and ccmputations shall not be construed to be a permit for, or an approval of, any violation of ar y of the provisions of this code or of any other ordinance of the jurisdiction. Permits pr 3suming to give authority to violate or cancel the provisions of this code or other orjinances of the jurisdiction shall not be valid." . ...... .. ........ ... U.lyOFPRIORLAKE 'lIEaiJDING/Am CONDlTIONING!F:i:REPLACE PERMIT. "... ., ," ........... - .' . , . . . . W-~30~., .. DateRec'd. "',.," . ,. .' ".,-.;.: :".. \b~ ""~'.. ~ \ ..\' . .... ." .. . ..... ............,......OG~a:'.. . - ~. (YPERMIT NO . .." ... .,. . ~. . .......~-, . Applicant. ," ;'. "'.;.:' "':. U-'-:" . . . . -". :.i;:,,/.:.:;:.::'.~".'(_. ......'1 'ZO~~~~;~I.' ;".. ".-, . . . ", . '", ", . . .., ~~~.~,~ ~iand:~~~~X;" . . 'AD1;l,R?J!SS. .... . . ,",i,,;!\\Y\: ... \lL-\~~ ~,~'A()'9~ .. ...~!tit~ii~S. ',"0 " ,.1_'PiiiJiJ. . . 2.' GnioO '. :.'3.Yell~. '.. '-.- "" . . "'_.'~.-'. ; ;".;\:\':r'::-:.~':.. ' ," .. PID/ . . ~', -" ".:, . FEE SCHEDUiJ!;,.>,. ... l%ofjobcoS! .R~id.liritiai;GaSFirqlla,ce. . $39.50"minimum ',t'::Y~",::" ".';><"_' ":.. . . $9950 Residettti~tA<i4itlons & Alierations.... $64.50 Residliriiial; AC only . -$3950 . . ~9.s0 (Offie. Use On y) . EiJtlmatedCoS! $ Buildirig ~erniit # . . .... . ..... .. . .... ..... . PAIDWfTH . . HEA'I'INGPEIMTFEE $U,k-Me.cBUILOING PERMIT STATE SURCHARGE $ .50.. .. . . .. TOTAL PERMIT FEE $ . Bu.ding Official Date ;:-'\,~~~:-" - :~..~ .I"W: (. "j 'i ,.1 II,' " i. ~ .. I !~atMAY 1 II 2005 I Il-,. eceipt No. . .'/ 'lilY i .~I ,--- ---I . .. . This Appl,cation Bec.oinesYour Building Permit When Approved . .. Z4hour notice for all inspections (952) 447-!~, fax (952) 447-4245 _.:~.::::.-::.:~- ..::.~- -::.::::.:.:=---- Page 1 of2 Lynda ) ~"en __ From: Christa Wegwart [WegwartC@hearthnhome.com] ,ent: Friday, May 27, 2005 10:25 AM To: Lynda Allen Subject: NEW PERMIT FOR 17486 DEERFIELD DR SE CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec' L Pink 2. Green 3_ Yellow File City Applicant ./ I PERMIT NO. 5-- ~V1 'Please type 01 .print and sip at bottom) ADDRES, ZONING (office use) 17486 DEERFIELD DR SE LEGAL QESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name JlRtIORJ_ON (Phone) -> <\ddress) APPLICANT (Name) AT-T.TED FTREsrDR DRA FIRESIDE HEARTH & HOME 2561 (Phone) 651-6:1:1- (Address) 2700 NORTH FAIRVIEW AVENUF (Address) ROSEVILLE (City) 55113 (Zip Code) (Contact P "son) 2561 BRENDA HUSTON (Phone) _651-633- APPLICA~T SIGNATURE BRENDA HUSTON DATE OS/27/2005 APPLICANT PLEASE COMPLETE BELOW X NEW CONSTRUCTION REPLACEMENT AL TERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM Wann Air Plants Gravity Mechanical Air Conditioning Vent. System HEATING OR POWER PLANT Steam Hot Water Radiation Special Devices Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks 'IREPLA(:E MAKE AND MODEL REA TN GLO SL-750TR-D Industrial, qommercial & Multi-Family FEE SCHEDULE I % of job cost Residential, Gas Fireplace $39.50 minimum $39.50 5/27/200 04/11/2005 MON 15:46 FAX 6513226147 GENZ-RYAN ~ 003/009 Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT (Please :tl'e or urint and shtp af bottom) I AD~ESlsc; lIP (~ "/j ("'~ ( /..- tv ACvn-eicl Cv, 0L LEGA L DESCRiPTION (office use only) LOT~ )7BLOCK ;;), ADDITION ~':E r DR +-\7JA-CA'i (AddTlss,,::jYt1 01) i~nI?vid0( (J'XffJ! n (~l~SS) APPLI CAN1l '-( .1'7' I') /' (Nam"l ':J j r- "'"' ,I.-( ~n . (Addnss) ) UiL-/S S, /<.7(1/ :rif +rl . 1, (Address)., . (Conta :tPerson) i':bkl5h w.LL/~ APPLI :ANTSIGNATURELfjL'2~ff7 '-;::Ja~ -- '") "p : ~. ~~,;. I PERMIT NO. 6 / (/ 0- 3. Gold AJIIIllcant j I ZONING (ow" ~.) pm (PhoneA5-;:)~ C?8S:-7:;J7:J. LlUUJJi Jre_ B5(Y/{! (Otv) (:Up Cod.) (phone) ({f)7- /-/;S3- j IUL; Id)5ClYU{ jjlf :55J&tj (City) (Zip Code) (Phone) 0~-F~!;)3- / / I/t) DATE _~ljh /i)5~ ----- '---,- 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 Residell ial sewer and water line connection $35.50 Industrial, Com'l & Multi-family Sewer c mnection only $17.50 Water connection only Estimated Cost $ 1 % of job cost with a $39.50 minimum $1750 B~AID WrT'Ji ING P12AMrr .~~O Building Permit # SEWER AND WATER PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ (Offire U e Onf)') This! .pplication no<:omes Your Building Permit When Approved DuildinfOfficial Dale II ,p~id- ' j" IIli,*eipt No. I ~ : ~ j :1 pat<At"K Z ~ Z005 :$,~! , 24 hour notice for all inspections (952) 441+9850, fax (9m4'l?:_4242 04/11/2005 MON 15:48 FAX 6513226147 GENZ-RYAN ~ 002/009 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT 1_ 81~ File 2. Gold Ci\,' l. Yellow AflpIicllltl I PERMIT NO, \. .(;/ d;;S- (Pleilse ~e or print and siem at bonon" I AjD1D tLEIS~ I . ;\lJI I)rC'v-trt'.\d Dv. s,tT I ZONING (,ffk. ~,) LEGJ .L DESCRIPTION (office us, only) LOT ;<IBLOCK )~ ADDITION PID OW?l ER\",! U,(. .\.7" (Name) ,j K [\ l")i II.N J (Add'eSS)J{)Xlc() KenI'Jvl dOc (J HE' lCO (Phone)0}6J,-(Hi6' 7)7,). .' /rJLiUrh /Ie /L-1 M 6\Uiji.j (Phone) ( ;;-j / /../73- j J 1/ f/j (?fl(')YilJunf- ~;D&~ . (City) (Zip Code) (Phone) tll,n, l-/)3 --I PI!.! /-/!l#S/ APPIICANf' > 11 /.). (Nor Ie) ('iLl . -- .."(. { I U40 (Add:ess) /rllL-jt:; S. I~OIXVr . (Address) (Con act Person) _(1Jl VI Stl I Qlanti~' r j I I ;:J 1 I I ~ APPUCANTSIGNATURE (~h JJI~1/X '-;:oia lib D~TE Al'l'LlCANT PLEASE COMPLETE ~ELOW Tvpe of Fixture Quantity Bath Tub with or without shower .::5 Dishwasher i Floor Drain iC / I Lavatory (Bathroom Sink) I Laundry, Tray (I or 2 compartment sink Shower Stall Sinks Bar Sink ,~ Water Closet (Toilet) 1)pe of Fixture l FEE SCHEDULE (n< lIstrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Rouz.h-ins Water Heater Water Softner Stand PiQe (Washing Machine) Sewage Eiector Backflow Assembly Backflow Assembly Test Lawn S"rinkler Othel' Residenlial. New One &: Two-Family S99.S0 Residential, Additions & Alterations S39.50 Estimated Cost $ Building Permit # PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ t"AID WITH 8UILDING PERMIT (Off54 ~ Use Only) -~--------'---'~_.- Buildin2 Or1icill 'I "",'d' i ,,: i I i'i I ' I ~r~,;J 1-' i \ ~! 1-; i 11.-; I, -, , -' --- IleOato p.te .,: APR 2 ~ 7nn'i . (~I:! 24 hOllr noticc fo,' .11 inspections (952) 447-~850. ' fax (952) 447-42.4.5 16200 Eagle Creek Ave"S,E., Plior La~~N 5S372-1'-14_~. ...~ ~tiPtNo, II~I j T~is Application Becomes Your Building Permit Whe" Approved Main Fl1e PR OR LAKE I SPECTION RECORD . . SITE I\DDRESS /7t1./8~ !6EJt. ~eztL1)A!./lle ~'c. NATURE OF WORK ~= ~Y"~t!!rl.~ USE OF BUILDING S.!r: A. PER~IIT NO. 05,o28S DA.-TE ISSUED ..!ILL#/tJ5 CONl HACTOR , PHONE - NOTE:: THIS IS NOT A PERMIT FO ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING' AND INSPECTION INSPECTOR '" DATE"./ I FOOTING I~?-- I Y/c:;/c<;~ , FOUNDATION (Prior to Backfill) .Jm),1",J ~/) ~~!- ff~/~ PLACE NO CONCRETE/UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS ~ /ff &~ > / Sid lor _ h/~~S- 6/;?'Z/... r- ';';;///frf ff ' ~//hlo:r . . ) fy}'2tJ/as- #fP p/ .2C/oS' GA~ LINE AIR TEST /IIN,h I /; fi JItV t; ~I tLS/ COYER NO WORK UNTIL ABOVE HAS BEEN SIGNED IlA.7 "'HI/ HocdE ~aW' I I I FINALS Ne SEVI 'ER I WATER I SEPTIC FRA MING INSliILATION ELE :::TRICAL 1 PLU MBING Ii fi f/tIJ /;-1/;/ HEATING (if required) , FIRE,;PLACE GRt ,DING (Prior to Sodding) BUII.DiNG ELE CT~ICAL PLUMBlflIG HEtI TING DO NOT %.; o. 6.:s- HC-t- . . It>/ I :J/qS- ?~/Of JUIf 7/2'1 /o~_ #1/ /oj;J/Oj~ 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 QLtrfifitZtft of OOttupZtUtJ! CITY OF PRIOR LAKE I ~~parfm~nf af ~uilMng Jln5p~dian P Final Permitted I o Conditional CO. Expires This Certificate issued pursuant to the requirements of Section 110 of the 0 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 05-0285 Use Classification Bldg. Permit No. Occupancy Type R3 Type Construction_ VN Zoning District R2 Legal Description L27. B2. DEERFIELD 11TH Owner of Building Site Address 17486 DEERFIELD DRIVE SE Contractor's Name & Address 12 _ R _ HOR'TY)N.. 'J RORFRT 1). IJU'C!HNS/~ Date /~~~,'~H~Qffi'ial' . City Planner r.OllRT _ T,AKFVTT,I.F.. MN 'i'in44 .TANF KANSTFR Date: DATE nME SCHEDULED ;?~9~S--- o-et"A 16 fl CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS /7 !.jYb 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 ..,...l!H'luMBING FINAL o MECH FINAL COMMENTS: AA / ///-e A "-HUe /r:/~ ~ .., ?-"J~ ,..-< / /{ Yl? / oy--- 2.?f' o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o / o,{ ~ ./ C//C -/ /~/1 ........, /' L (/ J {~i/ /C~rz'''- p- ~ ..h? rl/ (:! / r~y 7~~#.4 L,/4T- 9'P9? . .A /' / /7 / . 1~ /' { keg: (P /5'-'/'/0'7 //~~/ ~/c o WORK SATISFACTORY, PROCEED ~ECT ACTION AND PROCEED [J CORRECT WO~~~~SPECTION BEFORE COVERING Inspector: r-- Y Owner/Contr. CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE, INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 171&? OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~L o SITE INSPECTION COMMENTS: J/ 41;., 17'-1fl,~ SCHEDULED DATE TIME 'B -117 <9~ DavCr'e II D,. j) R it/Iu-. CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ;&(~"'r__ING o COMt>v.iNT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o If", ~ CU/~ 6-k25 fA II,') (L- I7Lifv/ f.,,,I'k wlb~ II 1...) "12.1 ~(J i'>C tully RJ1I. J WORK SATISFACTORY, PROCEED fORRECT ACTION AND PROCEED CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING In pector: ~~ _ Owner/Conlr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ U<SImTl CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME SCHEDULED J'~~~~ ~-eeya/I 4r ADDRESS /7 Z/ Ji, OWNER CONTR. PHONE NO. .~- 2tYr;- PERMIT NO. o FOOTING o FOUNDATION o FRAMING ~J!:lllULA TION ~~~." o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ~CH FINAL o EXIGRAD/FILLlNG o COMPLAINT ~~PLACE RI ~~IR~PLACE FINAL o GASLINE AIR TST o COM.PJIeNTS;r , ~/~7'r1> C"o I' .-- //A4/ ?/>>h~ //Ld, ~"L}J P , .-" ~ r' / .H~ , 0/<\9;1- ~61- ./ ~I / /-- /l c:e-/ ( c7~ ~. /' \. ~/6S--e. . ~ORK SATISFA~O"I:I:U t;;'iORRECT ACTION AND PROCEED o CORRECT WORKAr;;AI}/7 REINSPECTION BEFORE COVERING Inspector. Po/ _____ Owner/Contr. ,r CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. - " ----- ~~) ------- CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SA.FETYI INSNOTI . APPLIANCE PERFORMANCE TEST Attach to gas line adjacent to regulator Heating Contractor Name of Tester Date Job Address Heating Contractor Name of Tester Date Percent 02 Percent CO Percent C02 Stack Temp .JJ~:4;V7 /bEc:// ~f< t,/trpr /7y'1"6 lJeuJd{J M~ ...~ ;];rn-. 13 I j/spf' 9. () 7J ~ / #'L 3 3lJ S OF Combustion air is adequately supplied per UMC Sec. 606 p5 input llhlJ ,