HomeMy WebLinkAboutBldg Permit 05-0287
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File, Whi.. FiI.
2 Pink City
J Yellow Applicant
Date Rec' d
I PERMIT NO. Oc;-.o 287
9~3)-'~
I
(Please type or print and silOl at bottom)
ADDRESS
11L\qD O~17^1t90~ fro ~I
LEGAL DESCRIPTION (office-use only)
LOl9.~I1LOCK ~ ADDITION ~yu 1~
OWNER
(Name)
ZONING (office use)
II~
PlD;)~~~ t/()1~ 05;)-0
(Phone)
(Address)
BUILDER
(Company Name
(Phone) q ~ ~ "l ~ I ~
(Phone) ~a('p. L/73g,
LaJJa.J..ill.i /hn EjEJ:J.ft/
ORe-Siding DLower Level Finish %J. Fireplace
CODE: ~.R.C. DI.B.c. I II III IV V A B
Type of onstmction:
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
1\<b,5Qg
I hereby certify t~at I have hlmished information on this application which is to the best of my knowledge true and COlTcel. I also certify that I am the owner or authorized agent for the
above-mentIOned 'property and that all construction win conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
,,'n 1m '~'~D:~r;:t/~' I h"'bY'~'''h''th,,,~ O~i:57th'P<OP,nytuP"fo'm ?::~~J:r~ l)S
Signature Contractor's License No, Date
Permit Valuation (ILl/. O(70,{)O I I Park Support Fee # $
Permit Fee $. /Z&J<J.50 I I SAC ~ # $ I,/ro, 00
Plan Check Fee $ ,fl if t.f. fD8 I I WaterMeter~ 1"; $ 2..~0. 00
State Surcharge $ ?O, >0 I I Pressure Reducer $ 50, Do
Penalty $ I I Sewer/Water Connection Fee # $ /500,610
Plumbing Permit Fee $ /00.00 I I Water Tower Fee # $ /000, 0(1
Mechanical Permit Fee $ /O(), .00 I I Builder's Deposit $
Sewer & Water Permit Fee $ 35". <::>0 I I Other $
Gas Firepla.cePermit Fee $ 40, tJtJ I I TOTAL DUE j$U..I-HJ./tJ
pplication Becomes Your Building Pennit When Approved Paid r,"UO./J/ I ReceiPt No. H/./fJ
,. ?-~ ~0~ Date /.;)(l .. (~ By /L-
Build-in!! Otlicial Date
ThiS IS to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinancc and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows cons~on to commence. Before oiupancy, a Certificate of Occupancy must be
i~ ~ ~/Y'As See MaIn File
Planning Director . Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~ PRIG", <:
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,See Main File
White - ~uil!lin9
<"1ianarv - Eno,"eerln'ii"/
Pink - Planning
Th~ ('r'Urr of !h. t.kt Counlf)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is propose9 at:
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Accepted
)('
Accepted With Corrections
Denied
Reviewed By:
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XG- /JIlO,I1.... F,"lc
Date:
t{-~~
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."
'~x PHIO>,? <'
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f5 ~
~ee Ivlain File
While - Building
Canary - !;nqineering
~i,~ - ~ina -,
~
rIll,e""I'" nflh..I.8k.. Coun..,.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
k,
NIAME OF APPLICANT
APPLICATION RECEIVED
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T~e Building, Engineering, and Planning Departments have reviewed the building permit
a~plication for co/s~~~;~2vitY Whi~h i::ro~:?! at:(~:_(, .~_)
~
- A~cepted
Dillnied
/
Accepted With Corrections
R$viewed By:
C~mments:
~~~
Date:
#~s
"T~e issuance or granting of a permit or approval of plans, specifications and
corrnputations 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
orcjinances of the jurisdiction shall not be valid:'
.o..~~ PRIG," <:
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See Main File
~l1itl! . Buiidin[:)
:'""...-.J.-;'f - Engineering
Pink - Planning
-
Thrl"rMrr"fthrl.akr('ounln
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
11.!l iJ~
~..-3/-~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for COI7~q~vity which is propose a~ ~
/
Accepted
Accepted With Corrections
Denied
,r-
Reviewed By:
~
~~
Date:
f1~/;s-
Oomments:
"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."
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. $99.50 Residiintiai;Additions & AIl.ratio';;' ... .
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$64.50 RCSid~ ACOrily .,. .
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HfWI'rNG PERMiT FEE
STAlE SURCHARGE
.. TOTAL PERMIT FEE
BUilwngPemiit # . ...,. '. ...... .......
. ...... PAIDWlTH'.'
'. . . ...... . . . .
$W,^".. '\~e.,"~UILDINGPERMIT.
$. .. .50 ... ..
$
(Ollie. Use Only)
. . This Apllllication BecoinesYour BulIding Permit When Approved.
Building Ornclal
.lr~i~ ~ ~ il;;/ irll~eceiPtNo. .
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.. ..I~atf.1AY 1 (I 2005 G~Y
, 24 hour notiee for an inspeetions (952) 441-~, fax,(9~~~'-4~5
Date
Page 1 of2
Lynda Allen
From: Christa Wegwart [WegwartC@hearthnhome.com]
,ent: Friday, May 27, 2005 10:27 AM
To: Lynda Allen
Subjec~: NEW PERMIT FOR 17490 DEERFIELD DR SE
o
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE
PERMIT
Date Ree'
1, Pink File I 0 '7 C'r1
;~~w J;~i'Mt PERMIT NO. 5.0VVI
'Please type or Drint and si2ll at bottom)
ADDRESS
ZONING (office use)
17490 DEERFIELD DR SE
LEGAL pESCRIPTION (office use only)
LOT BLOCK ADDITION
pm
OWNER
(Name DR HORTON
(Phone)
, I\ddress)
APPLICANT
(Name)-,--~,-LIED FIRESIDE DBA FIRESIDE l!I~ARTH & HOME
2561
(Phone)
/\Sl-/\:1'1-
(Contact Person)
2561
RRENDA HUSTON
ROSEVILLE
(City)
(Phone) _651-633-
55113_
(Zip Code)
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
APPLICANT SIGNATURE
BRFNf>A J.lUSTON
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
Warm 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
'IREPLACE MAKE AND MODEL HEAT N GLO SL-750TR-D
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$39.50
5/27/2005
04/11/2005 MON 15:49 FAX 6513226147 GENZ-RYAN
~ 006/009
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
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~. ~~; I PERMITNOb CO
), Ydlol' AJllIlIcut
(Pleasie tv'_e or print ~nd ,jRrl. at bottom)
I ADQRESS \
Ijl-jaD [x-t'r-?ielc1
o V. Sf:
I ZONING (of I""
",.)
LEGAL DESCRIPTION (office use only)
LOT~1BLOCK Iil).ADDITION
pm
~~~RDI~ HLJitif1
(Phone)q5(~-C}~5- 7J.,J
<;dt: )( () LaJulJt lie MN !1Y)1-/LL
~lOl~) {L-Sl-Ll~3~. J I~LI ..
1< IJy-t('{ if in+ ,~i<j)1 tJ 8
(Address) (City) (Zip Code)
(conlactperson)C1in5}j HU /5 (phone) (ff)/-l-!:J''3- / /L/I-/
APPUCANTSIGNATURE ,('}7A5riu) ~CJ DATE --L/ / 8/ Os
--,-_._---
APPLICANT PLEASE COMPLETE BELOW
I Tvpe of Fixture Ouantitv
Bath Tub with or without shower ~ Rough-ins
I Dishwasher I Water Heater
I Floor Drain IZ / I Water Softner
I Lavatory (Bathroom Sink) ( I Stand Pi!!e (Washing Machine)
I I Laundrv Trav (l or 2 comoartment sink Sewage Eiector
I I Shower Stall I Backflow Assembly
I Sinks I I Backflow Assembly Test
I Bar Sink I I Lawn Sorinkler
_I I Water Closet n'oilet) I I Other
FEE SCHEDULE
lndustriaJ, Commercial & Multi-family 1% of job cost with a. $39.50 minimum
(Adclress),~.2&O(J ~C(YJ
J
APPUCAN~ Q tn n
(Name) . ' .J "f- / <::/ l1 CUl
(Ad~ressdLIILJ6 S, ROhev+ fy).
OUiantitv
./
,
I
Tvne of Fixture
;1--
Residential. New One & Two~F8mily $99.50
Residcmial, Additions & AlteraPA $3950
Estimated Cost $ Building PermIt # 8lJILDI:~ 'AI,.,.,.,
PLUMBING PERMIT FEE $ 'yQ P12P
STATE SURCHARGE $ _50 ~M"r
TOTAL PERMIT FEE $
(Office;U!cOnly)
ThiS Application Becomes Your Building Permit When Approved
DuildiRIOfficial
I Paid I Receipt No.
i I: ~a~PR 2 0 Z005 II!~~
24 hour notice for all inspections (952) 44711~50' fa. (952) 447-4245 I
t6200 Eagle Creel< Ave., S.E., Pdol'!. Iil!iMN.5S3'l2--1-71o}- -- - i
0."
04/11/2005 MON 15:49 FAX 6513226147 GENZ-RYAN
141 007/009
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
crt1. tn.e or print and .m-.n at bottom)
I ADD ESS D ('.
( LJaG . eevli elei
Oil. Se-
LEGA,L DESCRIPTION (of lice use nnly)
LOT;;?!:1 BLOCK d , ADDITION
i ~.:. ~:,~ I PERMIT NO. ,.,c- - } VI]
,. Odd ^wUtalIl ....:::/ C>( 0/
I ZONING (oIlk.
use)
PID
~~~R i)< HOvl en (Phone)q5~ - qif)- 7 ;)7:J..
(Addl'eSS)J{)&CO \1'i'lI)\1cVJ\c Cf Sfr lCO I()J( t))/ fit 55JljL-j
(Address)./ (Ci.y) (Zip Cod.)
. APPLICANt-rr;/l~ )''-). /11 ,;"1
(Name) .. I . < . L.~i..!S..L} .
(Address) I L/1LJfS S. R () 12" i4 .fy I
f't. (Add r....) ,
(Conlact Person) _Cklv,~ ~h ~(l L!/J
APP4ICANTSIGNATURELlLI I:;Ti7 7!d/lkJ
(Phone) &JS-/rJ/J8-!jL/L/ .'
J:XrtlnaU 7f .55:Jh.:f
(City) (Zip Code)
(phone) lt6} r. 4;23- I! (/LI
LI / f/O{"-
DATE
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 ~. feet from structure.
FEE SCHEDULE
Residential sewer and water line eonneclion $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
':V/l.~N/O W/7"H
G Pf:=".,
.5o~.ryM,..,..
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Offite Ule Ollly)
This Application Becomes Your Building Permit When Approved
Buildin20mcial
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! 'jfteAPR 2 0 2005
i---,j
i \~tiPt No.
,ay
24 hour notice for all inspections (952) 447.~850, fax (952) 447-4245;
,)1.{
-
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS ~'" "DEELFiF:J,.O ~\fl6 S,~I
NATURE OF WORK N.E W ~1l.L\cr;o~
USE OF BUILDING ~~:k..
PERMIT NO. (J~. uZ87 DATE ISSUED
CONTRACTOR 1).12. t-\CL'nt-l ,.J1/.4. PHONE · Z.
NOlE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
INSPECTOR . O~TE .
I FOpTING I ~ I #2"/0:'- I
I FO~NDATION (Prior to Backfill) ~..... i IA.../-.// ~ r,kt)'c- ~ Jft~J1
PLACE NO CONCRET~ UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC /t?1- s~/ /OS-: /
FR4MING ~ 6/~~~
INSULATION rlVr 6/~r
ELECTRICAL _ , , t5 ('. ~..r
PLUMBINGi!G- ~ 5/)1/0./ jfe/'J- .I /.qt /as_
HE~TING (if required) -t~f G / .2~V"
FIREPLACE ,....--11 ~~r 6 /~r
GAS LINE AIR TEST/I&rA r/rl! /I'?9f- ,5/~/()
CO~ER NO WORK UNTIL ABOVE HAS BEEN SIGNED
IL.A.Tt\€/ fioClSEc.)~P I I
f FINALS
GRADING (Prior to Sodding) '-i e e ~,A h /p.
BUILDING /~ ////;{oX--
ELECTRICAL .. . ;-/9'/OS-
PLUMBING //tif ~(OS--
HEATING h~ //~As
, . .
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
_._.._--,_._---~-_.~-- --.- "'--
-. --- ...- - ..-.-..---.......-...-'
QIrrtifiratr of <IDrrnpanrl,!
CITY OF PRIOR LAKE
~rparfmrnt of ~uil(ring J1nsprdion
fFinal Permitted C Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / ~] 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 theiol/owing:
SINGLE FAMILY 05-0287
Use Classification
Occupancy Type
R3
Type Construction
L29, B2, DEERFIELD 11TH
Zoning District
Legal Description
Owner of Building
Bldg. Permit No.
VN
R2
Site Address
17490 DEERFIELD DRIVE SF.
ContracW's Name & Add"" 11- R _ HOR1J}N _ _ ?tlRf>O KENRRTTlr.E r.OllRT _ LAKEVTT,LE _ MN <;<;044
RORERT 11. H1TTr.HTNS~. City Planne' ,JANE KANSTER
/ 0/ hn~9fli'ial /
Date:
Date:
OA TE TIME
SCHEDULED ~~~S--
~crad p~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/ ?c/70
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
[J !!j.llULATION
~~~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~CH FINAL
~MENT~:
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/ZteC.-p/ ~ ",rf. 6/ '0
.s:- - 2,y>;7
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIIlEPLACE FINAL
o GASLINI: AIR TST
o
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40RKSATISFA~. PROCEED
~ 20RRECT ACTION AND PROCEED
o COIlRECT ~~~L~ ~TION BEFORE COVERING
Inspector: /~ Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSIWTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
,
.
APPLIANCE
P~,~F9RMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor .~ ;u5:&IL
Name of Tester ~
Date Atb:'h ~
Job Address --fJ...tt91J ~htI
Heating Contractor .~ lk~cU
Name of Tester ~"'- t1
#(,~<
/11.' ~
f1;;
'd-'f/ep
Date
Percent 02
Percent CO
Percent C02
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606
~
input
ADDRESS
/ ?Y76
DATE TIME
SCHEDULED ~4;(r
4~/ /)~t/ -4
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
C< s-- .....;>X>
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
..,.IH'(UMBING FINAL
o MECH FINAL
o EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
A~ I
fi'/~~ ~ 7r,~
/ ~
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,/
OtL
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/
cj '^--
~ SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, C~L F~'lEINSPECTION BEFORE COVERING
Inspector: .H~ OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
D<SNOTI