HomeMy WebLinkAboutBldg Permit 05-0286
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LEGAL DESCRIPTION (office use only)
Lof).8 BLOCK {;;>., ADDITION
(Please type or print and si2l1 at b, __, ...)
ADDRESS
r14~<D
OWNER
(Name)
(Address)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
S AND lf~T'VtCO~~~ION PERMIT
ee ~Vlaln rl_e
Date Rec' d
3- 3/-S-
White File
Pink City
Yellow Applicant
PERMIT NO. 05: oz..extJ
ZONING (office use)
~~
~&J
l \'R
PI~'5 -q~1-05I-l~
(Phone)
BUILDER ~ ~ () "'-
(Company Nam . t\~_. I ~ lC-
(Contact Name) (1 J ACrtkA
(Address)~~D ~ ~ CJ-.i:1oD
(Phone) ~ 85 .... 7~'~
, Y'.fO onnee))~09-~- UTI';;)..
~.Jl1n 5SjfQ
TYPE OF WORK~ew Construction tidDeck OPorch ORe-Roofing
/LT"AdditlOn OAltera~n OUtility Connection 0 Misc.
CODE: lwILR.c. OLB.C.
Type of &nstmction:
Occnpancy Group: A B
Division:
ORe-Siding OLower Level Finish ~Fireplace
$ \\<bJSCig'
I
E
PROJECT COST/VALUE
(excluding land)
II
F
I
III IV V A
HIM R
2 3 4 5
B
S U
I hereby certify that I have fitrnished mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
above-mentIOned property 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
"fficia n rev ~his per it or JU cause Furthermore, I hereby agree that the Ci~ ~r~5 '7 the property to perform nee?;~~:~;r.--os
Stgn ture Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
(/4/,000. 00 Park Support Fee # $ I
$ /2-99, bO SAC # $/~f:"o,ao I
$ ~L/l./.to'g Water Meter (S(re' 5/8Yl"; $ Z.C;O. tJ 0 I
$ 70, c;"'O Pressure Reducer $ ~. Of!) I
$ Sewer/Water Connection Fee # $ J~OO,O-O I
$ /00.00 Water Tower Fee # $ I ODD, Oc I
$ loo~O~ Builder's Deposit $ 11' I
$ 3S-,. S-O Other $ I
$ L{-<J , 0 0 TOTAL DUE $ /',7tfO./f(J I
fA"19tJ. I ( ,
Paid Receipt No. -I'ftX; I
~~ ("S- Date F _ ..J-(J. Vr By r I
Date
BlIildlll~ Otlicial
ThiS tS 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
:~=f'~'~~ C,,,,,,,,, of ;;;~io'; ,fo" mrnttoc'S eme"M:ocru'~'" , Cort"''': <>fO=",,, m"" be
. Planning Director ,. 'Date s~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
'1
See Main File
White - Building
Canary - Engineering
~ - PlanninD
The Crnlf'r or Ihe L.ke Counlrl
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I\.
"J .},'~~
----
~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: _
1IJllf F-
/
i ;/
'/'
, )
'/
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Accepted
/
Accepted With Corrections
Denied
Reviewed By:
7;~~
Date: #Y/o~
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."
See Main Fi~e.
r)'yhila - Building::,
Canary - I:::ngineering
Pink - Planning
ThE' C"rnlt"r or IhE' Lakr Counlrl
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
b R JJ~
,.-
3- ,--51--,~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/IJLfrf? /()tl.v-jdtf ~
/
Accepted With Corrections
Accepted
Denied
Reviewed By:
~
~
Date:
1/19';1,; s
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."
~ ... 1\. jfT ~ pOl
uee lvlmn .. l1e
White - a.uildin~
<:::Canarv - Encdnee~
Pink - Planning
Th. C.nl.. of lh. tok. Counlry
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 proposed ~t:,
/~ "
I V"71 ' r.~"" j' / ' .... / -,
/' /i..../ - ' . '--) I" ..) ,
I 1'- I) , V tJ, (/"_..C....._(' -. {
-= / ,I
. ,
Accepted
;(
Accepted With Corrections
Denied
Reviewed By:
tw96
5t.e-1/I14'~ F,r<.-
Date:
'-f - 7-oS-
Comments:
liThe 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."
Page 1 of2
Lynda Allen
,. From: Christa Wegwart [WegwartC@hearthnhome.com]
)ent: Friday, May 27,200510:26 AM
To: Lynda Allen
Subject: NEW PERMIT FOR 17488 DEERFIELD DR SE
o
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE
PERMIT
Date Reel
I. Pink
2. Green
3. Yellow
File
City
Applicant
I PERMIT No.5.; ~
'Please type or print and si2l1 at bottom)
ADDRESS
ZONING (office use)
17488 DEERFIELD DR SE
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name DRHORTON
(Phone)
. A..ddress)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
2561
(Phone)
651-633-
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
2561
BRENDA HUSTON
(Phone)
651-633-
APPLICANT SIGNATURE
BRF,NDA 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
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 REA TN 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 15:48 FAX 6513226147 GENZ-RYAN
~ 005/009
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
~: ~:;,. 8~~. PERMIT No.5. ... ~i...
J. Geld Appli..., 0 ~
(Please tvJle or prlnllUld siltn at bottom)
APDRE~Scn' JD 1:. 'd {t) rf
/71..-1 b>.st(V11.e~ '.-lV. Qt
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
LOT3J BLOCK I~ ADDITION
PID
. ~':~R f)R rtf)Yil~YI (Phone)Q5d;-(1Cf5 -7:)7d.
(AddreSS)8(~ 0( ') I1J)~)f1dCli(C+ ;S1Ef CO I tiff fill} Ilc.. 5\.Vl/Lj
. (Address)../ (City) (Zip Code)
~~=:;~ANT(~r)2~ r:?(j (1.f1 ~ne) ((J~-/ '--)/~4- / /L/U
(Address) ILLJU5 5. R(J(TH- .fy/ 1-<((811Y)L~(!l-5~
(Contact Person) (lji)~:75tj +--MS :::~ne) 057- 2/J3-~~?7L;tj
APPLlCANTSIGNATURE (jfL.q.:;;!JD \.-(~ DATE L/ / b !()S'
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 line connection $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 #
eUIL~~ fIV/17-t
'VG p~
.50 ~f:141rr
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Offitc Use Only)
Buildine: omcial
-, --~.,...~_..-----...
i:~ ~l:iPt No.
t Ii I
Date ~;teAPR 2 0 2005 f~J
24 hour notice for 811 inspections (952) ;47I!o/i~XJ95?) 442~24;1
r-~.'" ~."-'~-""'~-__.'r_~
( "\
'fa,ld~ i ~~
This Application Bec.omes Your Building Permit When Approved
04/11/2005 MON 15:48 FAX 6513226147 GENZ-RYAN
141 004/009
Date Ree'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Bhac File
2. Gold ell)'
3. YdJ..,. tlppllcanJ
I PERMIT NO. S- ~~ ~
(Please type or print and si~n at bottom)
ADDRESS
1'-7 L./ g g [Xc~vr} c ld IJr/. Sf;:
ZONING (oJIke
llse)
LEGAL DESCRIPTION (office use only)
LOT/?s.5BLOCK 3... ADDITION
PID
OWNER D \) \'..\.0' illYl
(Name) ,,\)
(Phol1e)q5~ -(.tir5 - 7) 7c?.
(Address)~O EloD ~<ellt~vi Lig e C+ Sfe 100
~;~e~NrrCn.Z - 1-( Cn)',
(Address) /L~lLI0 5 . '\<OkJ(Vt -tyJ.
^ (Address). f.
(Contact Person) ~/i/l \11 Sf-I [:'(L. [5
APPLICANT SIGNATURE C.l-vu;ft(' '::JttLto DATE
APPLICANT PLEASE COMPLETE .~ELOW
Type of Fixture Quantity
Bath Tub with or without shower 3
Dishwasher i
Floor Drain If / I
Lavatory (Bathroom Sink) . I
I Laundry Tray (I or 2 compartment sink
i Shower Stall
Sinks
Bar Sink
hL Water Closet (Toilet)
LCLiuzu; II G /1./11V !35)L/t/
(Phone) (21~-1- L-I~ '3.-11 Lit)
R (1;c7)'YjUilf- 55)/t~
(Gty) (Zip Code)
(phone) (c(['" I/) 3.- IIL/I.-/
L-II J/jtJ6'-'
Quantity
(
I
L
~
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Eiector
Backtlow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & 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 II
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50 PAID WITH
BUILDING PERMIT
comu Use Onl)')
This Application Becomes Your Building Permit When Approved
rf.~~
\[l\ ire
· .Oafu
;1
iR~ceipt No.
t
~y
Buildilll! Officia I
,. ~ UlUU:J \
24 hour notice for all inspections (952)447t.,1tI$~. fax (952) 447-4245 .~
16200 Eagle Creek Ave., S.E., Prior Lte. MN 55372-1714
(j.",
~~~_..._-- -~--~-~-~---
Date
"Cu:l'OF PRI6R.'~ ",*"~:SO \'~~'d'
>:'J,~,~}~ii:;n~G(AiiR COND.tl'10NlNG1~i~PLACE PERlVu.l.:!:.:: .' ..'.<~:'<: :."'.: .. .: .
';;Y{"< ", ,'" ',' "',' "/;:I, ',' "" ,;,<>~
.. ::'.':' ....'t:"Pwc:......F.iI. I PERMirrNOO;:...
;. -':. '. .'.2:.'.~;" City; _ ..' ,::.,.,.....~. ...:.....' ...': .
.. " :: .. 3. .YellDw ' Apphconl .... . :'.. : ' " U. ,....'
,,;,:;~;i;t,! " ,',',' ,'; ""',;:;\,:::~~~~':, '
..-:.........:. .
. . .'.:', :::'. ..;,.,..,::.::., . .
-, .
.. HEATIl'iG PERMiT FEE
STATE SURCHARGE
. .. TOTAL PERMIT FEE
Build~g :Pern:lit # . . .,. .'
., . .'.'.: ' nAIDWITH'"
$ .t0A~e.,"BUILDiNG'PER'MIT
$ .50' .' "
$' :
(O.ffice l!se Only)
.TIiis.Application Bec~mes'Yi>ur Bunding Permit When Approved.
.\
Building Official
Date
p INli~ u; If ~. \ i I I ~. '~eceiPt No. .
I ~ r . t. ~ I if
f. fiatMAY 1 0 2005 . ! I~Y .,
. ~I
':24 'bour notice for all inspections (952) 447~! ~~ fax (952) 447-4245
. ,~ -=.:.=------
PRIOR LAKE
INSPECTION RECORD
.
SITE ADDRESS l!1Lf ae 1;>cf::I'-AEI-O Dft.. s: € ,
NATURE OF WORK NEW ~~STaucrION
USE OF BUILDING .s:,:-: A. . "
PERMIT NO. 0 S. Oz-f3ft. . DATE ISSUED $14{/()~ _
CONTRACTOR 'P.Il. HOk..\Dt-l J ItJC. PHONE1SI..za,~z..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPART. ,ENT o;See Main File
BUILDJNG AND INSPECTION
INSPECTOR ~TE ""
FOOTING /$/I fI/.2? /or
J FOUNDATION (Prior to Backfill) ~F1': j ~// :J:i I .r;:;));J
PLACE NO CONCRETE tfNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
/" r
SEWER I WATER I SEPTIC ~ -5"/// /or ,
FRAMING ~ ~~z/o>/'
INSULATION /~t7 6:. ~/6
ELECTRICAL. '" I J VZP-/~/
PLUMBING0G-~ 5J'Mo~ !)tit t!(t/tJ~ ,
HEATING (if required) ~ ~/2~S-
FIREPLACE _ ~ ;:,~~ ~~~
GAS LINE AIR TEST/(;,A +/:;;/ ~ h /z-P/a..!'-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
LA"'H<< I ~&t.E\O.tY I I
,
FINALS_ .. ""'p
GRADING (Prior to Sodding) <-> -e e /'/~,A h/ ce..
BUILDING ~ 9/./t?,/
ELECTRICAL ~ . I ~y~)
PLUMBING / Ii#:t- /)/ / 7 /~ ~
HEATING ~ ~A~r
,
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
~.-._---..,~--_.. ...,"~.,-,~._._.....,_.,""",'-'-'
QI~rfifiraf~ lIf Qt)rrupanru
CITY OF PRIOR LAKE
~tpatfmtnf of ~uil~inB Jfnspttfion
~inal Permitted Conditional e.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 Ffu~ILY 05-0286
Use Classification Bldg. Permit No.
Occupancy Type
R3
_ Type Construction
VN
Zoning District
R2
Legal Description
L28, B2, DEERFIELD 11TH
Owner of Building
Site Address
17488 DEERFIELD DRIVE SE
Contractor's Name & AddressJL R. H~~n KENBRTDGF. COURT. T~AKEVILLE. MN 55044
RORRRT D. HUTCHTNS /#?'"? City Planner .TA1'lli KANSTER
. /Build.% Official
Date: 9/..0 ,/ (J,\- Date:
#- r r -
i
....... ,.
t...],..A:.
<~
~A TIME
CITY OF PRIOR LAKE r /__
INSPECTION NOTICE SCHEDULED ~ ~&S
ADDRESS /7</0- J.ee/ i?~;eI a
OWNER CONTR. ~
PHONE NO. PERMIT NO. t!) ~ - ,~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~CH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
,.ft"FIREPLACE FINAL
o GASLlNE AIR TST
o
COMPlENTS;I' ,.
n -ec1>-"C4i/
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et:! /t ~
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~ L",,/(~,.rI C)rS'c r-
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( r ~/=J-€- /-/ l'e '
kORKS~Ry.PROCEED ~
/d ~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~ Owner/Contr:
V'
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &I SAFETY!
IJiSNOTl
-
.
,..
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor &'J4f'/1 MFC#'
Date
~B
e/lr/lJs
Name of Tester
,
Job Address
/7l/7'4 ~ r Wf/
Heating Contractor A-/~ ~o/
Name of Tester ~ t7.
~11s/ar
l~v7tJ
~"-'
5"1174
;2q} ~ F'
Date
Percent 02
Percent CO
Percent C02
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606 ~]"
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