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Home My WebLink AboutBldg Permit 05-0288 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT See Main File White Pink Yellow File City Applicant I PERMIT NO. (Please type or print and si2ll at bottom) ADDRESS l/L/q~ ~-1.0~ ~. SF: LEGAL DESCRIPTION (office use only) LOT30BLOCK~ ADDlTION~ol& \~ OWNER (Name) (Address) ~~~~: Name3)~ \itJ'1~ c&rL (Contact Name) 1hl.U7 L \..D~ (Address) Q.()~O ~~ - cst 1f-/VO Date Rec' d 9--6}-3' OS-.o288 I ZONING (office use) l!-:2 PIDC7~- L/~1-d5-3-0 (Phone) (Phone) Gl ~ -is I ~ (Phone) ~~Cn - 4 '12:>;l I mn S5()LjL/ " LaJ1~ TYPE OF WORK. ~ew Construction fliDeck OPorch ORe-Roofing ORe-Siding OAddition OAlteration OUtility Connection 0 Misc. CODE: Mi.R.C. DI.B.c. Type of ~stmction: I II III IV V A B Occupancy Group: A B E F HIM R S U Division: I 2 3 4 5 OLower Level Finish PROJECT COST IV ALUE (excluding land) ~Fireplace $j~~:EZlf I hereby certifY that I have htrnished information 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 buildmg officia an r o~~; q ~~kJtg;;; hereby agree that the ctty~aD~7Pon the property to perfor: ?:::2;r:o~ Signature Contractor's License No. Date Permit Valuation Permit Fee ~/~;: tJ{)CJ, 00 $ /Ze:;9. 5"0 $ - El(tf, IJ,P $ 'lO,5tJ $ $ $ $ $ Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee joa,.DIO /O{),lJD 35, S-O ift) , () 0 This Application Becomes Your Building Permit When Approved ~~ Building Olllcial ~~r;0> r Date Park Support Fee SAC -"'~-~ Water Meter ~i~e 5/j)'11"; Pressure Reducer Sewer/Water Connection Fee Water Tower Fee Builder's Deposit Other TOTAL DUE Paid Date / (,"7 fi;.I~ ~l ..:w. (; 1-- ReceiPt~o. .. f/ XJ By ~ r - - # # # # $ $ /0/'5"0, 0 'V $ z..5 (j, 0 'f) $ $"'0,. 0 t) $ /5t:J eJ, () 0 $ /(JOa, 00 $ - $ $ &,1"'0.18 ThiS IS to certifY that the request in the above applicatIon and accompanying documents is in accordance ~hfiitioni~~.ft' p;I:2:. t!: s....... '_cd. This document when sig' y the City Planner constttutes a temporary Certificate of Zoning compliance and allows con t ~~mt\' .la.~~.Cy:,~;ji\.3hfoccupancy must be issued r- ~ #~~S - - Planning Director f / 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 See Main File White - Buildin~ d~c" !ClI. 1/- - ~.eerlna .) Pink - Planning Thr Cf'nlrr 0.( thr I.akr Coun.". BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED [) (C.. f~;~7;r--' -----/ ---7 ..........-;>, L ')-' 5/~-:J The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .//7 )1/9c'17 0 e er'+;' c I,d (;J 'v ) Accepted X \. Accepted With Corrections Denied Reviewed By: ~ SCL tY/c,,'n (,' I( Date: L{ -7-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 File The Crnler nr the Lake Counlr)' White - Building ~ - Engineering <",mK - 1"'18nnm9..-/ BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST ~' NAME OF APPLICANT " L I,; :" (.1 J '"'"\ F'-': (-.\ i~ " ('~ '~___" .",// I __ I..., APPLICATION RECEIVED --7 ..--, 'r The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .I / "f/.-7 Ii"~! j/ I r~ I' d,_T) \, ;' .,,'\, ,j . ,_ f-... 6-. Accepted / Accepted With Corrections Denied ~~ Date: 70</ A$' , , l~eviewed By: 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." See Main File Slhite -...Building:) CanarY - ~ngmeering Pink - Planning The ('enler or 1he L.ke Counlr}' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED Df( ~ ~-3J-~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: //l1-/9d iJ~~GIc1 , / '0 'v- Accepted Accepted With Corrections Denied Reviewed By: ~~ Date: ~/;y/os- , , 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." Page 1 of2 Lynda Allen - From: Christa Wegwart [WegwartC@hearthnhome.com] 3ent: Friday, May 27,200510:27 AM To: Lynda Allen Subject: NEW PERMIT FOR 17492 DEERFIELD DR SE o CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Ree' i ~ ~!~;_ I PERMIT Nc5 ~ 'Please type or print and si2ll at bottom) ADDRESS ZONING (office use) 17492 DEERFIELD DR SE LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name DR HORTON (Phone) Address) 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 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 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 ~ 00BI009 CITY OF PRIOR LAKE PLUMBING PERMIT Date Rec'd (Phone) q5~-q~5 --);;171. L--c;U( (VJ'II t {\/j f\( .550Lj-j (Phone) ( Ct) , - Lj !~.~ ~ ) t Lj Lt /~MIC)(JJ'}t 55)VD (City) (Zip Code) 1.- /. J (Phone) I.iJ -) - .L/d, 3- } I Lj l DATE J-L!b IOt5 APPLICANT PLEASE COMPLETE BELOW Type of Fixture Quantity Bath Tub with or without shower .~ Dishwasher Floor Drain LavatOlY (Bathroom Sink) Laundry Tray (1 or 2 compartment sink Shower Stall I Sinks I Bar Sink :l- I Water Closet (Toilet) (I'lease type or print and si~ at bottom) ADDRESS 11 LICL~ {)Lrr4~ i t' 1(1 [)Y'. SE' LEGAL DESCRIPTION (office use only) LOT,?{hLOCK'?" ADDITION ~~~R D\~ H-vvton (Address) ~()k6i{) 1~(nIJI;iclg( C+-. Sir 100 APPLICANT! --r>'l-7 f"} I' . It .F) (Name) ~l( J r~- -< .~A:J f (Address) I Lfl LI5 S - krJlX,4iYl, (Address) (Contact Person) r:() risti -t=CLLI6 APPLICANT SIGNATURE CJlJt-atl~ ~111..i!u Quantity F- I , ~ I i ;. ~~ ~::. PERMIT NO. . L:' A Cf.8 3 Ydlo\\ ApPJiean. c:../ V 0 I ZONING (office use) PID Type of Fixture Rough-ins I Water Heater fL/ I I Water Softner ( I Stand Pipe (WashinR Machine) I Sewage Eiector I Backflow Assembly I Backflow Assembly Test I Lawn Sprinkler I Other I FEE SCHEDULE Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum Estimated Cost $ Building Permit # PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ (Office Use Only) Tbis Application Becomes Your Building Permit When Approved Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 Paicf IJUILDPA./O W".., . .50 1NG pi; riM,.,.. Receipt No. !-; n Ii; ~te $~ 1)lIte . '. . ....1. APR 2 0 200-5 I.' ," "Ii "11//0 24 hour notice for all inspections (952) 447-91 50, fax (952) 447-4245 . 16200 Eagle Creel, Ave., S.E., Prior Lak "::IYlN 55372-1714 Lj~ ~~" f .-...--_,. Buildinl! Official 04/11/2005 MON 15:49 FAX 6513226147 GENZ-RYAN ~ 009/009 Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT (Please tv.Pe or print and sis:n at bottom) ADDRESS i1 L\Gi r1 l),(( V,-PI e I c ~: ~:, ~\I,~ I PERMIT NO. 6 --- ?-S~~ 3. Geld AppliWlI Ov, S.e ZONING (office use) LEGAL DESCRIPTION (office use only) LOT3U BLOCK ~ ADDITiON Pro OWNER D'} (Name) . I'\. l-lo vt-IT>(1 (phonel-15d- q~~6'7dlJ. S1e IO~J Lc< }(JL~ J/(.;. Mrv 6\{)tJLJ (City) (Zip Code) (Address)d(),~C()U I<f~)C- (+ (Address) APPLlCAN~~I/)2 _ J'J i It", (Name) (./\ l j c... '=-_ i ,lvG1 1 (Address) )L'1Lj 5. -F<obrl+ -r/. f} . (Address) '., (Contact Person) L '_.l/ll/ I 'St. { t:(lll j APPLICANT SIGNATURE ( -J .f1j ,,f ff:()) ,,:::-/ti. [1/0 (Phone) U5/ r- J/:A3--f }LIL/ J~{fi'1'Y}()Ltr}r 5q)1I6 (City) . (li" Corle) (Phone) (j5i .- Lj ~ 3 -. I L / L1 DATE L_//~ I05~ APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure feet. Type of sewer pipe. 0 ABC 0 PVC D Cast Iron Estimated length of sewer line feet. Clean out (if required) located at feet from structure. FEE SClt.t!;DULE Residential sewer and water line connection $35.50 Industrial. Com'\ & Multi-family 1% of job cost with a $39.50 minimum Sewer connection only $17.50 Water connection only $17,50 Estimated Cost $ Building Pelmit # SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 PAID WITH BUILDING PERMIT (Office Use Onl~') This Application Becomes Your' Building Permit When Approved BuildinlZ Official Date I ~..~ld I~~ipt No. II ) I pa~ APR 2 0 200,Sf; 24 hour notice for all inspections (952) 447-~&5P) fax (952) 447-4245 . " ~<6..:S~~":";.::,. ';U~~\~~!~~~~%'~~l~~~~P~CE P~Ul' .;\':~~'d .' . ....,;.:..'::...:::;.:..,..o;,~a~ ..... ." '" Q..." . gl P~~9tt;,,>~'; . .. " '. . .: ~;:.: -'. }', \:':~: ~/.~':.~:::' ~.:: :....~.:.:t..::...~::.r::}x:~".~:3/:.:~: ":.'~: . . ',' ~ ',', ". ZONIN:Gi(6M,iis~), ' : ' <. . .::': ,', ~. ~',':" ,'. -', ~.:.(:~::~~ :'~'~1;::'!~~'~::~", . . :~., '\": " . r'" ~ .:.... " "':~:?)<:\:::~:;:~~:::~i~l '': '",-; . ,: . ::,:' .~: ':" -. . '. : '.' . . . . ".. ..,:;":::~::';-::~.-.:tr~~~:::'."'''''' ..~. .:,. . ~~:>. ;1 .:..'. '~"''''::'''';':'' '." '" .'.' '.:.>. :~::-. " . ! .....~' .: '. '. . " . .' HEATING PERMIT FEE . .'. STATEStJRCHARGE . .' TOTAL PERMIT FEE BUilding Pezn{it # . . . . . '. '. "."'.':;"."'-:' . .' . .;PAIOV\tnr.l::'.. . '$' \J\)~'\1e.2BUILDING 'PERM'IT' $.' .50 ...... ...... S" . ..," "" .- " .,' '. ' (Omce tJse Only) .TliisAppUcation Bec.~mes'Y~ur Building Permit When Approved' ',\, " Building Omcial Date ---- 1~.r;:J " ~";-I"I"'I D L l~ ,I i qatfdAY III I,' p' ...cJ 1 0 2005 I \}eceipt No. . i fJ ! I ~ . . . .' . '. '24 'hour notice for all inspections (952) 447-! ~9, fax (952) 447-4245 !l~Y " /; L,../ , PRIOR LAKE INSPECTION RECORD SITEADDRESS L7~ Dfu:.-rtFi~ .DtJiI€ S'L~ NATURE OF WORK ti..EW CDIJ$rl!Uc:(7eN USE OF BUILDING ..sF7A.. .. PERMIT NO. ()~. ozw DATE ISSUED WN/IJ$ CONTRACTOR 1).fl, HOIl.7IJN , J~, pHONEm. '~""'/.z. NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF See Main File BUILDIN~ AND INSPECTION INSPECTOR , DAJE , 'FOOTING I ~ I #Z7'/oS-- I FOUNDATION (Prior to Backfill) .lVI/nil LP~# ~ ~~ ~/.!-- /%I- ~.. 0~;s1 PLACE NO CONCRETEUNTiL ABOVE HAS BEEN SIGNED ROUGH - INS . , SEWER I WATER I SEPTIC /./C1/: flt'/qr FRAMING ~/-..~ bV'=~ '~~ol~ INSULATION /f/q. a: J "" -J ELECTRICAL. .../ I ~(I<;1r PLUMBINGc/COr jl(lj5P'f/Df #0/ ~/j//"!' HEATING (if required) ~ o/2-J"'fr,) FIREPLACE j' .... ,1 /<<7 ~.hY~\f"" GAS LINE AIR TEST ffI~rh r f: ~ ~ ~ /-?O/ar- ; COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 'LATR61 HD_SEWILA.'- I I , FINALS ~ 0ee ~,~ hIt!! ~ ~ 67~{oS- g-/9~~ rf/{/o< ~4~/QJ BEEN SIGNED GRADING (Prior to Sodding) BUILDING . ELECTRICAL PLUMBING HEATING DO NOT OCCUpy JJ4- UNTIL ABOVE HAS 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 Qh~rtifitat:e lIf @tmpantl! CITY OF PRIOR LAKE ~tparfmtnf of ~uil~ing JI nspttfion ~inal Permitted L 1 Conditional CO. Expires This Certificate issued pursuant to the requirements of Section ]] 0 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 05-0288 Use Classification Bldg. Permit No., Occupancy Type R3 Type Construction L30, B2, DEERFIELD 11TH VN Zoning District R2 Legal Description Owner of Building Site Address 17492 DEERFIELD DRIVE SE Contractor's Name & Address D. R. HORTON.. 20860 'KENBRTDGE COURT. LAKEVILLE. MN 55044 ~~. . City Planner, ROBERT D. B~TN~ / Buildi~fficial ~/...;22/0 \ -/- I' JANE RANSIER Date: Date: 1__ ." .:....___..."'~ " ',,~'.~ ',.L_., 'J ,_',,:. ~~".._._,__W~""__ :~~.:,tl.~illt~ _:~il.i:\.." L_~; L ,,'~~,_. ADDRESS / /'(12 DATE TIME SCHEDULED ~~~ tfl--<-eyf)~1 c! A CITY OF PRIOR LAKE INSPECTION NOTICE PHONE NO. CONTR. PERMIT NO. CJ .s.--2rP-r OWNER o FOOTING 0 PLUMBmG RI o FOUNDATION r ..._~n~ o FRAMING 0 WATER HOOKUP o INSULATION 0 SEWER HOOKUP ~AL 0 PLUMBING FINAL o SITE INSPECTION ~H FINAL COMMj:NTS:/ . -'./f /" / d rC/;zQr:, / h'-7 (' ~ o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI ~EPLACE FINAL o GASLINE AIR TST o / /' %/9 /~.c . , /7~cL:- ,4.;h4, / / q?- kt', 'u..p,j D-S$r~() ,r --- . - _/ J7 l:-/ft, ~ //.c:.~ / c.#;- / CG/ e,Yq <::/ tD_ CZ> ~/i~ /d ~ / ~~( .- ----- ----------. /~. ~/ \. ~ Jf!5,S-P // /' e -, /. OtC ---- ~ ~ ) ~ ORK SA TIS CCF'I 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 & SAFETYI INSNOTI ADDRESS /7</?~ _ ,TE TIME SCHEDULED d/~S-- A~)11 if d- CITY OF PRIOR LAKE INSPECTION NOTICE OWNER CONTR. PHONE NO. PERMIT NO. ~~-2PY o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI IOWA TER HOOKUP , ~ ~R HOOKUP ~~:'!.~BING FINAL o MECH FINAL o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS: ./ / $1!!'~-?O/~~' ~ / 7' ./. .J I <:-.r r- rJ~ .-/ ,- ,/J /' ,/-/~ I ~ ./ C//'- ~~RK SATISFACTORY, PROCEED /l~ CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FO INSPECTION BEFORE COVERING Inspector: A Owner/Contr: y CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI lNSNOT1 . ~ APPLIANCE PERFORMANCE TEST Attach to gas Une adjacent to regulator Heating Contractor ~ ';:J.N'1 ~V.f/- Name of Tester -k~ Date J/~( Percent 02 / }'I''f"l h.:..-LJ/ JlIi...~ ~c~ ~n . 8kJN~ It ( 9tJ ~L-' f:f) 'D l' 07 ~ Job Address Heating Contractor Name of Tester Date Percent CO Percent C02 Stack Temp Combustion air is adequately supplied per UMC Sec. 606 t~ input ~ vvrl