HomeMy WebLinkAboutBuilding Permit #03-0293
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CITY OF PRIOR LAKE
~tpnrfmtuf of ~uiIMug JIusptdiou
~ Final Pennitted 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:
Use Classification
SINGLE FAMILY
Bldg. Permit No. 03-0293
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
R2
Legal Description B 6, DEERFIELD 7TH
Owne, of Building Site Add,ess 17334 RIVER BIRCH LANE S. E.
Conttacto,'sName&AddressT).R. HORTON, INC., 20860 KENBRIDGE CT., SUITE 100,
ROBERT D. HUTCHINS
~ IV) Build!~g Offici~1
IY V, If, ()?
I I ,
City Planner
DON RYE
Date:
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE nile
SCHEDULED
'1-1t~
ADDRESS
17334
fIver J..~h ?u11~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~--- )..93
o FOOTING
o FOUNDATION
o FRAMING
o jIISULA TION
i!l'FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o ~MBING FINAL
...B"1olECH FINAL
o EXIGRADtFlLLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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I!I"'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~ Q--/6co> Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYt
INSIWTl
T
-'r
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
Date Rec'd
(Please !v'pe or print and sien at bottom)
ADDRESS
11~'?~k\ ver 'Y)lrJ-. Llln,
I,White File
2. Pink City
J, Yellow Applicant
I PERMIT NO.OS-Oz..W
,~15.
ZONING (office use)
R~
~AL DESCRIPTION (office use only)
LO~ 2loCK C, ADDITION'J)ert;'plct 1'f1......
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PID,JS-3Q?(-Od-..'"3 -6
-,
OWNER
(Name)
(Phone)
(Address)
BUILDE~ ,\ --,---
(Name) cj....<'"'l/ . TlOr\-VY) ...l--V'Lc::....
(Contact Name) Mi K!..- W9h"DlA.~
(Address) ~~D kWor:JIJ~e+. Sk.Do
A'~ t'VlrY vn""D/..fY
(Phone) QS2.-Q12,S-1gd6
(Phone) _ '1.51. ''2:2L.-47~2.
TYPE OF WORK
~New Construction
DLower Level Finish
DDeck
DPorch
DRe.Roofing
ORe-Siding
o Misc.
o Fireplace DAddition DAlteration
PROJECTCOST/VALUE (excluding land) $ 'if &, req I
DutiIity Connection
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 1
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 lans. am aware t the building official can revoke this pennit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter u n e p. pertx...to ~ inspections.
2.J~~
, Date
rf<OOt::>574C;;;7
x
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Permit Valuation ~8'7 000.001 I Park Support Fee # $ ?SO . a:::> l
I Permit Fee $ 402.. 7s=..1 I SAC # $ /27s-.0D I
I Plan Check Fee $ :5f{1o. 79 I Water Meter Size 5/8"; 1"; 1 $ I
I State Surcharge $ ~f,So I Pressure Reducer I : I
I Penalty $ - I City SAC and WAC # /2OQ.oo I
I Plumbing Permit Fee $ /60, 0 0 I Water Tower Fee # 1$ 700. DC)
I Mechanical Permit Fee $ /00.00 I Builder's Deposit 1 $
I Sewer & Water Permit Fee $ I Other I :071~' 04-
, Gas Fireplace Permit Fee $ Jlt).t)o I TOTAL DUE
::;,--:j Ci S . u',/ . _ /7
This Application Becomes Your Building Permit When Approved Paid I ReceiptNo. 44vr I I
~ ~J-i $dv Date :.-s-:-J-.7-G3 Bv ~\ I
Building Official Date
Contractor's License No.
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
~~~=lanne'~:mYC~fi;;;;;r;lianceandaliowsconSeemNfaiitFiTeoccupan~mustbe
Planning Director Date Special Conditions, if any
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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Name of Tester si'o. 0 r ~ _ ~
Date 6>A~~;
Percent 02 _ ~ _?%
Percent CO _ ::?~~
Percent CO2 ~"S-'~Q_
Stack Temp _ d;?~:>~ _
Combustion air is adequately sUPPlied Per
UMC Sec. 606 ~~
input
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White - Building
Canary - Enqineering
GLnk - Plannin9)
Th~ Crnltr of thr L.kr ('ounlry
8UILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D f,,? / I (j)
'-1 /7
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7-()-~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I '7 33 (I 1? 1 v t' y ;3 I J()} .l. IV
I'
Accepted
Accepted With Corrections
/'
~
Denied
'OJ
Reviewed By:
;3.... -_.~
~
-:j./L~ ~~
Date:
3h?~g
---.
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."
~~
c::vvnlte - Builaliiip
Canary - Engineering
Pink - Planning
Th~ (-"nlf'f or lhf' t.kf Counlr}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D R IJ/)~o~
:;1- -;j i-63
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1
J'7 :3"3 <-I ;;?' 1/ ~y P n--ch 1-. AJ
Accepted
Accepted With Corrections /'
Denied
r
~ ':f~
Date: 3//?,h3
Reviewed By:
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,"
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White - Building
( ~'la", - ~nQineerinv
Pink - Planning
Th~ ('''"In of thO' I,.... COlllllry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
" l I
D R r-cf/1V--i-OIJ
. :;)-d.-7-63
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ,
1"7 '331../ ;;,(.' l./('vi3 / r-Ch t A/
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
~/V/JJJ
5ee. /J1c,il1. Fr/-r
. Date:
3 -/L!-oJ
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 violati.on 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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Mar, ), :003 I 1:34AM
GEN2 RVAN PLUMBING AND HEATING
No,S6:: P, 819
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Date Rec'd
CITY.OF PRIOR LAKE
SEWER _-\NO WATER PERMIT
l $~t';., ~i;' I PERlVllT NO. J - '193
] (i.)ld .a.PDJ'~I :::> 0-
(Pleaw C\"e or'Prinr and sif'::Q atboCtOm)
ADDRESS
11334 ~Ivel( B(}e.e,h Lh. S~.
ZONING (9;fi" w) .
LEGAL DESCRIPTION (oJlico "'0 o,uy)
LOT
BLOCK.
ADDITION
1~~-hi(J
7f0
PID
OWNER
(Name) -J).R..Hor>nn D.'~>~- u~.
(Phone) _ Cft':J2. .Qas-i.5tl/l
(Addres.)
2..0 'i:LDO Ke1nBK\ s:::ce.. 0- S"i1" ., {\f"\
(.A.ddrl::'i:'i)
Lab. lie..
(Cny)
06Y--1 u.
(Zjp Cod'!)
APPLICANT
(Name) Genz-Rya.n Plumbi.ng & fleati.ng
(phone)
651-423-1144
Y.ICAJ'IT SIGNATURE
Rose.mount. HN
(Address) (City)
0IMJitL(al/S ___
0~~i1/l
55068
(ZipCod.e)
(Address) 14745 So Robert Trail
(Contact Person) .
(Phone) 651-423-1144
DATE __.__3--7 - 03
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
ResJdentIal sewer and water lme connectIOn
Sew'er connect:J.on onJy
FEE SCHEDULE
$3550 Industrial, Com'I & Multi-famIly 1 % of Job cost wIll:>. a $39.50 mmimum
$17.50 Water connection only $17.50
Estimated Co.! $
Bullding PermIt #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
PAID WITH .
BUILDING PERMIT
(()f(ic.t. u',e Only) ~
I This Application Becomes Your Building Permit When Approved . ~ f1: B [!7 ~ f"l(ReceiPt No.
Building Offioi,1 Doc" *1'( .1 /j Z003 E~ By
24 hour notiu for all inspedlOD$ ('52) 4,W-Xf+I;;R 111;( ('~~ 4474245
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Mar, 7, ~OOl i 1:14AM
GENZ RVAN PLUMBING AND HEATING
No56~~ P 919
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~}~~;.:~~~tB!'<; N E S 0
Date Rec'd
CITY OF PRIOR LAKE PLUlVIBlNG PERMIT
I 131... 1'il. I PER",ITT NO
,r~1d Cioy Iv..... -c:l, __ 'I rY;:I,
1 Ycilo>v ....1'OIie.nt ,- ) d- -/ -
(Plea..~e tyPe or'Pnnt ~d sjJOl .ubortom)
I ADDRESS ""
11 ~cA- ~ I vel(, t51l(!jLLh J f;-,
lONING (officeu<<)
LEGAL DESCRIPTION (oiDeo uso oPly)
LOT
BLOCK
ADDITION
I~lf.f;~(d 7~
Pill
OWNER
O"mme) DR Horton Custom Homes
(Phone)
CftS2-QQt=, -"7BC()
( Add.res~.
2.O'SlvO }Le.,1B\'2...llXe. C. Sfe IDO
~I !u..vi JIG 1M N Sccl-J L!
APPLICANT
O"a.me),G'pz-~y:.':. r:'.'cmJ,'~g ~ >loc.'-;
(AddIess) 14745 So Robe.rt Trail
(Address) ( /
I (Cont.act Person) o.V1K(,~17r mvU
" APPLICANT SIGNATURE ~ -fd.1 /)
~hon~ k<,_~'O_l'~h
Rosemount
(City)
MN
55068
(Zip Calk)
(Phone)
651-423-1144
3-;-05-._._
DATE
Quantity
I
I
\
3
I" ' Type of Fi'tture
~atn L ~~th or -w,thout shower
iJ1snwasher
Floor Dram
Lavatory (Bathroom Sink)
i.auncirj"f'iiy (1 or 2 comparonent sink
Snower Stall
, ,~mKS
--L Bar Sink'
Ai. - " I Water Closet (Toilet)
APPLICANT PLEASE COMPLETE BELOW
Quantity
Type of Future
I .
12,-.r..
I
Rough-ins
water Heater
Water Softner
Stand Pipe (Was.l1ing Machine)
--sewage EjectOr -
Backflow Assembly
BackfJow Assembly Test
Lawn Sprinkler
Other
FEE SCHED T.JL:E
rndu~tfls.[, CommerClaJ & Multi-family 1 % of Job cost WIth :\ $3950 minimum Resldennal, Ne\Y One & Two.Fallnly $9950
f Residc:ntia4 Additions & AJteration:c; $3950
Estmlared Cost S
Bulldmg PermIt 1/
PL1J1vfBING PERl'-1lT .FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
PAID WITI4
BUILDING PERMIT
(Offi<< U.. Only)
(h
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This Applic3tion Becomes Your Building Permit When Approved 11m I :: ~I- 8U 2\1]ao.~. ~IIJ By
Budding Offici.1 Dm UU '-. ~
24 hour notice for ,II inspections (952). ~f850, fax (952) 447-4245
Receipt No,
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--~
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+'NNES01.t'
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONINGIFIREPLACE PERMIT
Date Rec'd
i: =n ~:~ I PERMIT NO.
3, Yellow Applicant
hc:J7'~
3-?~q.31
(Please.!VUe or orint and sign at bottom)
ADDRESS /::?
/7.?Y.y /c:;~
g~
p~/P'~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT/! /BLOC~ ADDITION
PID
~=~R D. ~, H orf 0 n (llJ c;\om
(Address)dfJ1f(oO Ve-f1hric\ap- (1.+..
!L J
APPLICANTA II' t M h---
(Name) rQr1 e~ ,:J.~. (Phone) /,,51-.q5:L-~775
(Address)~5cJ J.<~""'(I...be{'br. 5+p #/ E-:a_Qon _'75/2.2...
.~ (Address) v (City) (Zip Code)
(Contact Person) ~r..I\",.e-v' Z;mmp.rfY') Gl.n (Phone) 11)51-~!5t)- ;/77!5
APPLICANTSIGNATUk.. )O},I"".-I (l42AU~ DATE
1/ {/(/ (J . V
APPLICANT PLEASE COMPLETE BELOW
0NEW CONSTRUCTION 0 REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL 'Br~a.rrl:.3~A-VQ2.l.l1l" l) FUEL J\JQ.{um.1
FLUESIZEI.j.IIc!a.S<i. "B- RETURN OPENINGS ~ INPUT ,0,000 OUTPUT 5lD.tJOo
TYPE OF SYSTEM HEATING OR POWER PLANT
HomE',""
Lo.k e.vilfp-_
(Phone) 95a ~ q 'l?5 -7~7.2...
5501.../L.(
MI\)
DWarm Air Plants
DGravity
o Mechanical
~r Conditioning
~ent. System
o Steam
D Hot Water
o Radiation
o Special Devices
D 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
$39,50
$39,50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Penn it #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
All/o IAn-.. .
BUILDING.."'"
/ .50 ~.._ _>-:\ PERMrr
-IT''~'l''.lil'illf'',\
r " :; L l. l_~'" i "" q
1\ \~~ .1 ~OecOe3iP\ ~." ,
'uu ,~.Pll ~, i ~y [I' I^
17)
(Office Use Only)
Building Official
I Paid
I Date
Date
24 hour notice for all inspections (952) 447-9850, fax (95\ij~ f..7 U4.:t
This Application Becomes Your Building Permit When Approved
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PER'\1IT
Dall" Ht.c.d
11';"1
I'ER\IIT ';0. 3- ;;2.Cf3
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(Please type or Print and siltll at bottom)
ADDRESS
17334 RIVER BIRCH LANE SE
IONING ",
LEGAL DESCRlPTION (office use only)
LOT
BLOCK
ADDITION
I'll)
OWNER
(Name) n R HORTON
(Phllnl') ________________
(Address)
APPLICANT
(Name.' ATJJRn FIRESIDE ORA FTRESTl1F HEARTH & HOMF
(Phone)
65L6:D.2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(Cny)
:"i:" I 13
i/q1(llcki
(Contact Person)
BRENDA HUSTON
(Phone) ____651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
7 2 111
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL HIE!.
FLUE SIZE RETURN OPENINGS INPUT (ll 11'1 I
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants
OGravity
D Mechanical
OAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Dcvin:s
D Otht:r Devices
PLEASE NOTE:
'\11' Clllldill(llh:r I 'nit"
C<lllllUl j-11UOdl..:I1I11I\l
Rt..'LlUI1TJ Silk Y;}rJ
St'tbi.H:k::.
FIREPLACE MAKE AND MODEL
HEAT N GLO SL-750TR-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential. Gas Fin:placL'
$39.50 minimum
$99.50 ResidentiaL Additions & Alteratlun",
$64.50 Residential. At' On I)
'iN :-'0
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
'\.3\) :)1)
'!i_Il):'I)
(Office Use Only)
~
~
'~IlE [0 Ie II WI I:;
This Application Becomes Your Building Permit When Approved < Paid IIII
I~ D~~I 0 2 ~~~" Il\
Date \8-v._ '_ ___ .J "
24 hour notice for all insp:,:. (95~1~~o"", ,., ,"-;:":'o4:T"f~I'
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
.5Q
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~~~
Receipt No
Buildim~: Official
f
DEPARTMEN~ OFSee MainFi
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS l23.3.Y ~ · tf ~ S.€.
NATURE OF WORK N.Eu i1\t\- ...
USE OF BUILDING ~. F: .
PERMIT NO. (13 fJJ-'f'3 DATE ISSUED ':J/' 'AI tjJ
CONTRACTOR 'I).W. fo\o"'"g)N .N4. P~"~~~1&
NOTE: THIS IS NOT A PERMIT FOR' ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I
, FOUNDATION (Prior to Backfill) IMc.w.. I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
J/lAW'l I
I
I
I
I
.1
I
.1
I FOOTING
tJJ.~vA I
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
INSPECTOR
DATE
~
pr~/
l-(~-{/)
7 -2-1- -o?:'
v\!y/
fvr/
rvr1'
wfJ
7-1t.{-r.o
j-{'(-d':,
"7- t'i-{/J
1- r~.u;
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I j
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
I (II fl
q - I?- 3
II1/V
I rrlr
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.
v-I&. ~l
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850
--.-'.-...,."'..--.T-..---..--.-..-.....