HomeMy WebLinkAboutBuilding Permit #03-0292
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QIedifirate Df OOrtUpanqz
CITY OF PRIOR LAKE
~tpadmtnf of ~uilMn~ Jlnsptdion
*inal Permitted D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform 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:
~
f-
Use Classification
SINGLE FAMILY
Occupancy Type
R3
Type Construction
VN
Fire Zone
Bldg. Pennit No.
N/A
Zoning District
03-0292
R2
Legal Description
B 6, DEERFIELD 7TH
Owner of Buddin!!:
Site Address
17332 RIVER BIRCH LANE S.E.
Contractm',Name& Addre" D.R. HORTON, INC., 20860 KENBRIDGE CT., SUITE 100, LAKEVILLE
Date:
ROBERT D. HUTCHINS
~u1inf, Official.
. .. . II I'
lit'),...))
I r
City Planner
DON RYE
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/7']. ZJ-
e.'o/N hMt,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o _ ~MBING FINAL
..r:;PMECH FINAL
COMMENTS:
FrVlQ/
7~su,.d
----
/' ~ '()-
\ (~l )r:
'---
DATE TIME
1-;(,'0
Lripv
"S-)J(l
o EXlGRADfFlLLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
~
r'{ )
(, ~./
~
11".u.f r,,~ rAt,,",
ri"ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: H C(-/f,-t/';J Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
. r-~-~~'''---''''''---'+--''---''-"
DA. TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~-)!?
ADDRESS
1/3:J/k a.'o/,/&.:.J.1
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3- 2- '1 L
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
"IJI"PLUMBING FINAL
o MECH FINAL
o EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(t) r:,. WIn//'(
/~q~5
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~;r1 Z'5- Z-&--I7Owner/contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
"''''''''
~"T--'-~'''''~ '-'---~~-------,..,--_.,,---'--"~~'~-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTIL!TY CONSJECTION PERMIT cd _ d- -;-0-3
See MaIn FIle
(Please type or orint and silro at bottom)
ADDRESS]< L
11 B 2. IV~ (],~'r I-\. .t"'lU
:,./3,
Date Rec'd
I, While File
2, Pink City
3, Yellow Applicant
I PERMIT NO. 03 - 0 z,q 2-1
j I R~G(Officeu,,) I
-WAL DESCRIPTION (office use only)
Lt#' 21LOCK C ADDITION ~e.\J....1fk....
OWNER
(Name)
(Address)
BUILDEK' 1 LI I \ --r-
(Name) <;.j...( n. rn~ .J..-.4\c
(Contact Name) tv\.,jGP, \Uoh'lo.cH:::t.L-
(Address) ~O~r,tl f(-{I\or; J.lI<<--d: ~. lOD
L..h-v. l{L Mf"'I 'S'i:;ol./.L!
TYPE OF WORK
"% New Construction
DLower Level Finish
o Misc.
PID0l.5-:39g-- Od3- 0
(Phone)
(Phone)
(Phone)
"'l52....<;95'-791D CO
9. 5 2-z..u.,. Lf 1 ?, z..
ODeck
DPorch
ORe"Roofing
ORe-Siding
D Fireplace
DAddition
DAlteration
~,G/ll
DUtility Connection
PROJECT COST IV ALUE (excluding land) $
.; f?7. 000. Oa
$
$
$
$
$
$
$
$
'Q02-, 7>
5Sl''',7'7
.t/~ So
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
submitte pI s. I am aware _th ~uiI~ing o~cial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enteru nth opertytQp _ _'_~ ~~~ msperoons.
x
v-
I Permit Valuation
! 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
/OO,I!J<:)
J 00. ()O
~I). DO
This Application Becomes Your Building Permit When Approved
~ if~,.u
Building Official
3hf~3
Date
oPODO~<:;' }) -,;;? tI -O~
Contractor's License No. Date
Park Support Fee # $ ?S,fI.00
SAC # $ 12. 75".00
I Water Meter Size 5/8"; 1 "; $
I Pressure Reducer $
I City SAC and WAC # $ I Z-oO' OD
I Water Tower Fee # $ 700. 00
I Builder's Deposit $
I Other I $
I TOTAL DUE I $ S;19~.04-
Paid
Date
_J '!,/ll,U'I
-~ -?7-~1-2,
~
ReceiPt No, LllIOcf-1
By r~
J'
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
:su~ ~Jp 3ft'a/'tedJ e Fel
Planning Director tate v See spMaiP-any 1 e-
24 hour notice for an inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
"
..
Job Address L7~,j;::' .R..;~D,;"
Heating Con;ractordd:.~ ~~
Name atTester ._, .i...-d
Date ...,t/~ 9/~
Percent 0, " 7<7.7'_
Percent co
Percent co,
~A-t
G./~
;:;"7/0,,&:
Stack Temp
Combustion air is adequately supplied per
UMC See, 606 Ve-. <""
input ~ ~",",F\
-1
~~<i,;
White - Building
CanarY - Enaineering
('15ink - PlanriTi;(r-,
Tht ('t'nff'f of 'hI' l..kt Country
BUILDING PERMIT APPLlr:ATION nEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
o
,
I _~;/
" ,I (/;'
, ,
/' l,.,~/'
-~ ~-, /)
..J~ ,..r.. I c/-'"
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'/7- -'<-;?-, - I -
/ j- -./-..,. -, - v
' _.' tf"" , ,",~..
I,
I
; \
Accepted
Accepted With Corrections ~
I'll
1
Denied
Reviewed By:
~ -::fJL,~~
Date:
8//~~s
Comments:
See M~ln Fl1~
"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."
J J
Thl'('tnlrrorlh..l..hCounlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT _
APPLICATION RECEIVED
D
1"2 Akr-toJ
,:::} ~ 'd-- 7- () a
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
_ J 1733')..- 'R " ue'y 73; y'Cj"
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
~/~
Date: Jj/..r:/CJ '3
Comments:
See Main File
"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
White - Building
r Cana!" - I?nllineering:>
p;rm- - !"Iannlng
Th~ ("~nl.r of lh. I,.". Counlry
BUILDING PERMIT APPLICATION DEP~ENT CHECKUSr
NAME OF APPLICANT
D
T' If ) ..
: \.) i,fe/.lL O/c/
APPLICATION RECEIVED
,::} ,
""'1---:_./'\'7\
.,.:.... i L""""-"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
, '-, 3 -~....', .'"").'
/ /( j ,::J--~ ly; J Z) ;,"'~ /~) (: r.\
Accepted
X'
Accepted With Corrections
Denied
Reviewed By:
1JI1Ti3
See /I1c" 'vi F, Ie
Date:
'3 -/Lj-03
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."
.,..
Mar. 7. ~003 I 1:34AM
GENZ RVAN PLUMBING AND HEATING
~lo56~~ P 619
Wi: "Rlo~
€LJ~~
'\\,::':"""":
~;~..~;~i,:}i;,~~.~;\ N liE SO-'\,!-
"\i.'~.,~A.'\''''~'
Date Rec'd
CITY,OF PRIOR LAKE
SEWER AND WATER PERMIT
: ~;;;... ~:~ I PERlVllT NO. 3- ,0""" I
3. Ql'Il-d AppJIat!.t c::;:r-- /~
1"Pk.:a.se t'V'Oe Qr'Cnnt ~d UPllat bonom)
ADDRESS
) 1?!-J?-' Q lvt~ ~I YZc0 lh S 8-"
ZONING (O!6Cl:1l~C)
LEGAL DESCRIPTION (oBiee use only)
LOT
BLOCK
ADDITION
f'ke~t;f'J(.A 10
PlD
OWNER
(Name) ])l' liGnsa C"bt0,. IIc-c::
(phone) _ 0,5:2 -q85- ({;{'.{\
(Address)
21.:> St/lO Fb1B~\ bL-e, C, Sn:> _I f\r\
(Addms)
LcJ..~~llIe..,
(City)
"lD'JUU
(Zip CoCie)
APPLICANT
(Name) Genz-Ryan Plumbing & lleat:ing
(phone)
65J.-423-J.l44
(Addr~ss) J4745 SO Robert Trail
(ContaaPerson) .. CM~I~ ti -bAll \.
T,ICANTSIGNATURl' r)A~ ~~
Rosemount. I1N
(CIty)
(Phone)
55068
(2ipCock)
651-423-1J.44
bATE
3 --'1-()~
APPLICANT PLEASE COMPLETE BELOW
Size of water servi ce 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
ReSldentlal sewer and water hne 'connectlon
Sewer connection only .
}<'EE SCHEDULE
$3550 Industrial, Com'! & Mulo-family 1% of Job cost wlth a $39 50 IDlnunum
$17,50 Water connection only $17.50
EstJmared Cost $
Bulleting Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMlT FEE
$
$
$
.50
PAID WITH ,
BUilDING PERMIT'
(Office:: U.u Only)
I This A.pplicaiion Become.. Your Building Permit When Approved
~
Building OfficisJ
Dnt
1'2"'tnJ Ic:. n Dr) iC~-ll Receipt No
~ Ie \ c; l ~ \ I \!J LC, D II
. Dale - !i 11'1 By
: II 'Inn, Ii ."
~.
(f
I
24 hour nonce for.tll inspections (952) 44~ . 0, fs.;r. (9S2) 447-4245
By
---- --.....---.----..-----.----,---.-..-,-...-----
Mir. 7. 1003 i 1:34AM
GENZ RVAN PLUMBING AND HEATING
No.5 6 2 2 P 7. 11
Date Rec'd
CITY OF PRIOR LAKE PLUM:BING PERNIIT
i~, ~~ I PERlVllT NO. 3~ '9 ,I
1 YtUo,,", .l"PIlJlQlllt c:r-- e;.I-
fPlc:asl: tyPe or miDt and ue:c at bottom)
I ADDRESS
17 ~?/P- ~ II/tie B lit-eM
ZONING (offi,,"-,<)
()Il ~E-
LOT
LEGAL DESCRIPTION (office u,e only)
BLOCK
ADDITION
()ule}-idd /1h
Pill
OWNER
(Name) DR Horcon CuSCom Homes
(Address)
(phone)
902-Q)jC; -,gO!)
2OSLoD ~V!J?)~l j)GL,. Cr SI'::!CO
l..f.t!u.viIlG ~UN Ett.l1.J tJ
APPLICANT
(Name)..J;^---"l---
(Address) 14745 So Robert Trail
(Address)
0/M .
(Contact Person)
'0' ......'\-..f-,"" .(. t1",e..ati-7
't- "
(Phone) _1;<1-1.?1_1 '././'
Rosemounc
}lli 55068
(Zip Code)
(City)
(phone)
651-423-1144
APPLICANT SIGNATURE
DATE
3 -7-~;~.
Quantity
I
!
,
'J.
6l
APPL.ICANT PLEASE COMPLETE BELOW
I Type of Fixture Quantity
Bath Tub with or without shower .
Dishwasher I '
Floor Drain Q..-:t
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fi.'l:ture
Rough-ins
, Watcr Heater
I Water Softner
Stand Pipe (Washing iVIachine)
Sewage Ejector
BackfJow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
1
1
1
]
J
FEE SCHEDULE
Industnal, CommercIal & Mull1-famlly 1% f>fJob cost WIth a $3950 minimum Resldennal, New On< & Two-l'anuly $9950
. Residential. Additions & Alterations $39 50
Estlmated Cost $
Building Pcml1t #
PLUMBING PERWT FEE $
STATE SURCHARGE $ 50
TOTAL PElWIT FEE $ PAID WITH
(om" Un On 1)') I~ QUILDING PERMIT
I This Application Becomes Your Building Permit When Approved i ~< tit Il! 8 If} [1; ~I ReceIpt No I
U~ 1Mt6rt 1 II ZUU3 I U II By !'it I
I BuUdlng om".1 D.t< LJ . (1/ -
I v
24 hour notice for aJlinspection. (952) 4, Ijl~R<:9 fn (951) "7-42.<5
--r.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
#' 7c:99'"
i ~~:, ~:~ I PERMIT NO.Q_ I ()"/ I
J, Yellow Applicant (') ~...../ ~
(Please.!VQe or orint and sien at bottom)
ADDRESS
/7..:?3d L~ &/c/C ~/-P'
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT/.fqLOCK/'l ADDITION
PID
~=~RD,'i-\. Horfon (lus!om Home.....
(Address)dI)gw ,~hric\<}f".._lH. I Lo.k.evi IIp_ Mf\)
APPLICANTA LI' t M h"""-
(Name) rCUl e~ ,.JdyJ. (Phone)!o5/-.<.!5:L-tf?775
(Address)3(PSO ~Y'l...bec... L::r. :S+e. #/ ~-:Q{)Qn 55/:?..?
(Address) v (City) (Zip Code)
(Contact Person) ~r.rr~ Z;mmprfY) Glln (Phone) (P5/-1../5tJ- ~77~
APPLICANT SIGNATU 17 4/,..-~ DATE
l/ 1/(/ . V
APP ICANT PLEASE COMPLETE BELOW
0NEW CONSTRUCTION 0 REPLACEMENT 0 AL TJ;;RA nONS
FURNACE MAKE AND MODEL 1>r~t- 3S3i(A-V02@'"l(,) FUEL l'JQ.turn.1
FLUESIZE'fI'cla.S'i. 'B RETURN OPENINGS '-l- INPUT 10,000 OUTPUT'5ltJ,lJOO
(Phone) q5a-q'??5-7~72
550J..jJ../
DWarm Air Plants
DGravity
o Mechanical ,
~r Conditioning
[]"Veot. System
HEATING OR POWER PLANT
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
TYPE OF SYSTEM
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
$39.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Pennit #
Building Official
aU"~~G~
~ rr:RMIT
- ,
r p~' rt lf~ Q \f~~ ipt No,
I D, ~ I
n.te ~ :\ 700B /1:-..'
24 hour notice for all inspections (952) 447-9850, ax (9~2) 447-4245 CO
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
,/
,50
(Offiee lIse Only)
This Application Becomes Your Building Permit When Approved
By_
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Dal<' H"l.tI
\,'11,.,. \1'1,1,
l'EK\1IT "0, 3-CJ-Cf ~
I',,,, 1,1.
~ ('",'l'"
(Please type or urint and sip at bottom)
ADDRESS
17332 RIVER BIRCH LANE SE
/()',1 ,(;
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
I'll)
OWNER
(Name) DR HORTON
(Phone)
(Address)
APPLICANT
(Name) ATJJFDPTRRSTOF ORA FIRESIDE HEARTH & HOMF
(Phone)
05 J -h33..2:)0 I
(Address)
2700 NORTH FAIRVIEW A VENUE
(Address)
J{OSEVIIII
ICI1\'1
,","I Ii
'-'1]"1, ',I,':
(Contact Person)
BRENDA HUSTON
(Phone) _051-633-250 I
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
72 03.____ ______
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ^I II R.\ II' I,,,
FURNACE MAKE AND MODEL 11111
FLUE SIZE RETURN OPENINGS INPUT ()i' 11'1
TYPE OF SYSTEM
HEATING OR POWER PLANT
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent. System
D Steam
D Hot Water
D Radiation
D Special Devices _____~,_
o Other Devices
I'LE-\sr '10Tf:
!\Il' ( UlldJ1lUlll'! l 1111..,
Canno1 1,11CI'O,1\.'11 inlu
RequJrt:d SIJl' 'y'<lrd
Sl'th.!!.:: !.;"
FIREPLACE MAKE AND MODEL
HEAT N GLO SL-750TR-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Rcsllknlial. (ia" hrl..'rldl.:l'
$39.50 minimum
$99.50 Residclltial. Addilitll1s & :\Ill'r<ltlllll"
$64.50 Rt.:'sidential. /\C ()nl~
'\ \q ';(1
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
.... '\'! "i(]
\ II) '\(1
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
eU~D.,l)..qID IA_
~1\1G "YI'l).,
.o~
194fI}-
(Office Use Only)
Buildine Official
~lli &-tt-D ill [~ ~twp, r-,;;
J~at~UL 02 Z003 JJ~._~_~-~ ~-1
24 hour notice for all inspections (952) 447.' lllyl- fax 1952t447-4H5 -J
Date
This Application Becomes Your Building Permit When Approved
PRIOR LAKE
INSPECTION RECORD
.
SITE ADDRESS l7J..3.Z.. R
NATURE OF WORK C..
USE OF BUILDING - .~..
PERMIT NO. ()3 - O,;)~ DATE ISSUED ~{uti 0.1
CONTRACTOR J).R. ~. P~Z-z.u....,'l.Sz.
NOTE: THIS IS NOT A PE~NY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTME~T OF See Main File
BUILDING AND INSPECTION
S.E.
INSPECTOR
DATE
I FOOTING \.f\\vv" I
, FOUNDATION (Prior to Backfill) ~\'" I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING 1M 1- (7-r/>
HEATING (if required) CVf 7'l-Lt-UJ
FIREPLACE VW' r-j.'-/Af]
GAS LINE AIR TEST IIItfJ "(- lrLj-V'7
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
..M~\'^
yvf
vVlt?
JrJ-t.(rCrl,
'1 " J"."-r/)
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING ~ 1M f ,~<(;,tI'?
HEATING
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