HomeMy WebLinkAboutBuilding Permit #03-0053
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
171.33,
~ /'_11
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
Jl'"FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
1--'""'-6. ( UrunJ.
------
/
/ _ r
( / J rl)('
\ c..----- L
'----
------
DATE b.
q-11/J
3-S-"3
o EX/GRADtFlLLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
n~~)
~
Ii WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: fl.;(i q r G( ~ rI) Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
,,,,,,,,n
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TillE
SCHEDULED
7-/7
ADDRESS
17>33
l,-~ L"",.k1
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1-S-:s
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
"""PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
rORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: H 7- ) r~ner/contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
'NV<<Jn
'"
-.
(&:~mlf-if 0~ ~
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tvD~ or orint and sign. at bottom)
ADDRESS
} 1-3'3 '3 R; vub(rGk W/'\.L SG-.
Md~2~SlA~~~36ce use only) t\ _ f .
L~ ~.l,BLOCK _3 ADDITION ~,!
OWNER
(Name)
(Address)
White File
Pink City
Yellow Applicant
~'1)V
(Phone)
BUILDE~ . J -T"'"
(Name) J J:R. 'tt-nr-hlV1 -l-l't.C..
. (Contact NameyV\, \(P 111M. n ,rvd--1<Jt..-.
(Address) ~&~ ~~f{Jt'-. ~S'~e.. \00
TYPE OF WORK
o Misc.
~ew Construction
DLower Level Finish
I/-Iq-O~^
I PERMIT NO. 03 -0053
ZONING (office use)
PID
(Phone) qte)Z--&t ~~ - 7RofJ
(Phone) 5t;-z. -Z2Jp- y-p,L
ODeck
OPorch
ORe. Roofing
ORe.Siding
DUtility Connection
PROJECTCOST/VALUE (excluding land) $ i3(/? ("q I
. ,
o Fireplace
DAddition
DAlteration
I hereby certify that 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 owner or
authorized 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
sub ed plans. I amtaware at the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
ent u on the property t rfi eded inspections.
x
signature
v
! Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
8'l.dCJtJ.()O I
, 'JOZo7/J I
S8'G.. 7q I
~~. 5"0 I
I
I
I
I
I
--
lot). tJ ()
/00.00
-
'ft). () q
This Application Becomes Your Building Permit When Approved
~~ flJ;jj-J /~/kJ7__
Building Official bate
~ooqoc;,,-7
Contractor's License No.
Park Support Fee
SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
Paid
Date
.5 7 711' . C/""r"
/J/'()~
II/tg/f)?-
Date
#
#
$ 850.00
$ /Q6. 11 0
$
$
$
$
$
$
#
#
/,;)..00 . 00
7CJo.oo
$.?7Qf3.04-
II' _
I ReceinVNo. q,Jv" 1/
Bv .q-..,
U
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
"~~~J-J I~I/O'- ~ ~ 7'~,
Plannin-g 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
Job Address . /7);11 e~ 1r:rc,-
Heating Contractor ;4.a~_~
Name of Tester ~~1f'p) ~
7~~h ?
. f3 ,I. 1_
J?;;,~~j
, 'rn, 11..
I,l~f
..
,.
Date
Percent 02
Percent CO
Percent C02
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606 I./J;6
input 0 tJ:blJ)
"
SEE" 1Yt.A./j::J rF;'LE
..
'.
While - BuildinL....
c..C;;anarv - EnQineerin(J5
Pink - Planning
Th.. C"l'ntprQr Ih..I..Ir... ('ounll'J'
BUILDING PERMIT APPLICATION DEPARTMENT CW:CKLlST
.
NAME OF APPLICANT
APPLICATION RECEIVED
17333 RIVER BIRCH LN
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
D R HORTON
11/19/02
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
It! IT is
Date: I~-;;;< -0 2..
Comments:
See /J'!t:II'n FII f
"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 yV\J..,,iN Fj~
/
Thl' C"l'nll'r of lht t.kl' Counlry
While - Building
Canary . Enqineering
<:e!nk - Planning;)
.'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~,.;~
NAME OF APPLICANT
APPLICATION RECEIVED.
17333 RIVER BIRCH LN
D R HORTON
1I/l9/02
-,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
~
Accepted With Corrections
Denied .--
Reviewed By: . ~ ':(~P Date: /~//o~
~ ,
Comments: 7Y7'-' ,- I -=7., I,
,
"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."
s~~
The- (-enlt'r or lht' 1.8kf Coun.')
<:White - Buildi~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
17333 RIVER BIRCH LN
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
D R HORTON
11/19/02
Accepted
v--
Accepted With Corrections
Denied
Reviewed By:
~
~
-;1~
~.:
Date: /~.,;..( ~ z-
:?-~
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."
Dec, 3, 2002 9:05AM
GENZ RVAN PLUMBING AND HEATING
No,6204 P, 27/39
Date Rce'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
q'!ea.le l1nlc Or""", and rum at bollolll)
ADDRESS
//}3B3 ^lver- 8YM
l ~w~;. [PERMIT NO. 3 -S~
l 0Dfd AwfilMt ::J
J
<:
Ln S-t;
ZONING (ojIjce...)
LEGAL DESCRIPTION (otllce use only) ,
LOT BLOCK ADDmON < /)-r-crR p( d Sf/?
Pro
OWNER
(Name) "''D 'D?:'(~,..~ ,..'ft....'W ~""JU""-
(phone) _
.La.~llllle...
(City)
gs.2-q~-lM!^
Pj~U
[ZiD Co4e)
(Address) 2o'&t;D ~eK\~ G- Sn.JN'"
[Address)
APPUCANT
O'wm~ Genz-Ryan Plumbin~ & Heating
(phone)
651-423-1144
(Address) 14745 So Robert Trail Rose..ou,!~" MN 55068
(Address) (City) . (Zip Cad<)
(ContactP","on), I iJ .mr"~ Y"YJ. ,-., (Phone) 651-423-1144
'UCANTSIGNA~.JrJUJ1..~~ATE /o-,-C5Y
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
feet.
o Cast Iron
ResIdential sewer and water line connealon
Sewer connection only
FEE SCHEDULE
$35.50 hl.dwtrial, Com'l & Multi-fawily
$17.50 Water connection only
1% of job c6~tw:ith a $39.50 minimum
$17.50 \\
Estimated Cost $
Building Pemlit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
L...
llulldhlc om.i.1
Date
II; P"D f
~UJLD:;, !'/ll-,:,J
r-- ' ~~;~G p</ 1
,(0) ~~ il D [)7!fFnv1 RcQ~ipt No. .' '. .', I
Ylf~ ~ 9 7 I By .Ur.
850, tax (952) 447-42 ~ ~
~
(om.. Us< Ollly)
I This Appli~ation Be<:omcs Your B:i1diug Penuit ~.n Approved
24 boqr dotlce for al1ln.pectioDS (952)
2002 9: 05AM
GENZ RVAN PLUMBING AND HEATING
No.6204 P, 26/39
Date Rel,':'d
CITY OF PRIOR LAKE PLUMBING PERMIT
I.J> S;~
Deerl?elcl d
_ ~lea3e ~ orormt anlI sl<>n at bO,""Ill)
ADDRESS -:> .? ? 0;
I/) ;:J ;:J 0 f<-l VC Jr 8//1 I...
LEGAL DESCRIPTION (ollic:e use 0lI!y)
LOT
ADDmON
BLOCK
OWNER
ON~~ DR Horton Custom Homes
(Address)' ZOS,,"D Kb1BJIl1..1);:lGe.. CD Sre. IDO
APPLICANT
(Name)f'~---",-.- l>"'mh1-l! <, ....~.4~l!
U.': ~~ I PERMlTN.O'3-53
3. Yellow AppfilU&
ZONING (om.",use)
PID
(Phone)
%2-Q'if,t:,-78DD
Ut/u.villl';. IMN E,Et,LjLJ
(phone) ~C:;1_!, ?':l_11l1LL
MN "
55068
(Zip Code)
(Address) 14745 So Robert Trail Rosemount
(Address) (City)
(Contac:tPetSon) _/ a_.ry>~~ m. r (Phone) 651-423-1144
APPLICANT SIGNATURE 0Jlv~fA,:-rYla-J IL d~ATE to- -I --Cr~-
APPLICANT PLEASE COMPLETE BELOW
Quantity I ' Type of FIxture I Quantity Type of Fixture I
'I Bath Tub with or without shower I Rough-ins j
./ I Dishwasher I /. Water Heater
I I Floor Drain I I I Water Soflner I
8' 1 Lavatory (Bathl'oom Sink) I I I Stand Pipe (WashiI)g Machine) I
Laundry Tray (lor 2 compartment sink I I Sewage Ejector I
I Shower Stall I I Backflow Assexnbly I
I Sinks I I Bacldlow Assembly Test
I Bax Sink I I Lawn Sprinkler' ,
d I Water Closet (Toilet) I I Other ~',
..
'.' ~
FEE SLJ:U,uULE
IndustnaJ. CommercIal & Mu1ll-flllIllly 1 % of job cost wIth. $39,50 minimum Residential, New On. 8< Two-F"",lly $99.50
ltcsidential, Additions & Alterations $39.50
Estnnated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(om.e u.. Only)
Tbia ApplicatiOD' B..omes Your BuildiJlg Permit When Approved
BlIildi~ OfDdaJ '
1>...
.4 hour nnti.. for.11 in.pections (951) 447-9850, fax
Building Pcnnit #
$
$
${tJLi7
rid
JAN _
E.. ate S lUU3 Ii, 'y
o
.50
I
~.
r
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~??;?5
(Please.!VDe 01' orint and sign at bottom)
ADDRESS
/7335 p;;~ .&/c~_.,/~-A ~ ~
; ~;.:, ~::y I PERMIT NO. = _ 7-"J
). Yellow Apphcant ...:.J ~ '-.J
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LO/..?~OCK~ADDITION
Pro
~':e~RD,'M. HDrfon (luJom H()mp,~
(Address)dI)8W I\....e.nhrictap. (H., Lo.kevi I{p.. Mf.0
, J '
I APPLICANT II II. 1 M h-
(Name) i1llrClnT et!.. .J.d'tI, (Phone)/D5/-.</5:L-cf?775
(Address) 3(PSO ~enr'l'" be.(' L;x-,. 5..+p #/ F {}P.IJr:.l .1"5/.22
(Address) V (City) (Zip Code)
(Contact Person) .Je.rflre.1l Z;mmp.rrn GIn (Phone) (P5/-1../5/)- ~7'l~
APPLICANTSIGNATU~(J4.2~ DATE
(/ ~~Pf{~~N~ ;~EASE COMPLETE B~LOW
0NEW CONSTRUCTION DREPLACEMENT 0 AL TI;lRA nONS
FURNACE MAKE AND MODEL 1>r~-l- ~~A-Vll?ill>'"'} /'} FUEL flJoJum. I
FLUE SIZE q,llcla.s'i. "B..- RETURN OPENINGS J..t, INPUT ,D. 000 OUTPUT 5lD.tJo 0
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone) 95() - q <l?5 -7~7.z
5501../J...(
OWarm Air Plants
OGravity
D Mechanical .
~ Conditioning
[!Vent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
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
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
(Office llse Only)
$ ,.....-
$-~~, ',,; .5_~ iSUif ~~~?" Wi1'H
$'I,~f~ ~M @Nr<rf_9Uztvo o. 3L~II'I!li1Recel,p't N. ~0~.F'~ '.,.
This Application Becomes Your Building Permit When Approved U ....... i
8: ,Date ~ By ~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 ::f--'. .7/
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Official
Date
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~: ~::n ~:;y I PERMIT NO. . ~......c~
3. Yellow Applicant .' .r :::/'
(Please type or 'Orint and sip at bottom)
ADDRESS
ZONING (office use)
17333 RIVER BIRCH LANE S.B.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PlD
OWNER
(Name)
DR HORTON
(Phone)
(Address)
APPLICANT
(Name) ALTJED FIRESIDE DRA FIRESIDE HEARTH & HOME
(Phone)
651-633.2561
(Address)
2700 NORTH F AIRVIEW A VENUP
(Address)
~OSEVILLP
(City)
SSI13
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651.633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
4/29/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
OUTPUT
DWarm Air Planls
DGravity
o Mechanical
DAir Condilioning
OVen!. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEATN GLO SL-750TR-C
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
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39,50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
,50
9lJll.~1'D kn-
""G p';.lf
'IIA,f,.,.
Duildin!! Official
Date
I "
.: I ) ,-,
I P~id
I :
I Drte.~
1)-'
'-J
!~ [HI) ~ III
MAY - 1 200: ~ iptNo,
a
v
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS --1Ws gill.. '"aL~H ~E S'.Q:.
NATURE OF WORK ~\AJ ~~
USE OF BUILDING 'S.F:X::-, .
PERMIT NO. 03 -0053 DATE ISSUED J2.lL' lO'L _
CONTRACTOR l).2. ~~ PHONE~JL
NOTE: THIS IS NOT A PERMiTFOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~SEE. rJ\Ai N FiLf
DEPARTMENT ..... ~.. - .... ~'tl.... ~J
, BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING V\Jw.\to.l
, FOUNDATION (Prior to Backfill) ~'I\ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING M~ 6t S'-t rU')
HEATING (if required) '!/f/P C-//J-Cf3
FIREPLACE fIAt? '-- It)- cI)
GAS LINE AIR TEST ;rYJ (rltJ-r/l;.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
'5TUaJJ/~TNe I I
. r
FINALS
I
I
I
I l/Vf/
I V\f'I1
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
~
'1iV?
fc,-I&- cf3
1..- f/~
f
I
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
VlIV/
C{-({-f3
I{ ,t{-o;'
1 ~ 11- OJ
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