HomeMy WebLinkAboutBuilding Permit #03-0294
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CITY OF PRIOR LAKR
~tpartmtuf of IOuil~ing Jfusptrtiou
o Final Permitted
o 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 FAi'1ILY
Bldg. Permit No. 03-0294
Occupancy Type R3 Type Construction VN Fire Zone
Legal Description, L5 & 6, B6, DEERFIELD 7TH
Owner of Building Site Address 17336 RIVER BIRCH LANE S. E .
Contractor's Name & Address D. R. HORTON, INC., 20860 KENBRIDGE CT., SUITE 100,
/1 ;1,17 -
ROBERT D. HUTCHINS l/i V r City Planner, DON RYE
N/A
Zoning District R2
Date:
Building Official
I.' ) / (;) ...~
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE nME
10-/(, - d7
...
ADDRESS
I 753'
f!.Av~,..b(~4 ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o jflI$ULATION
8FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
-------
/
( /' lASt'
~ (.....) V
"
~
;2- J-~/
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
C? ,~)
- t II - /
~
---
o WO~ISFACTORY. PROCEED
O1$RRECT ACTION AND PROCEED
o CORRECT ~R~~L FOR REINSPECTION BEFORE COVERING
Inspector: -y //T Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSl<<JTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main Fi~e
~ - 81--()3
PERMIT NO. O~ _ oz,..q4--
(Please type or print and siJ1;ll at bottom)
ADDRESS
1733'~'V(f 13,r~~~Je-.
I. White File
2, Pink City
3, Yellnw Applicant
~~~~L2~E~~:T~ (office use only) ~ ()., ~
LOT BLOCK \0 ADDITION ~ ~
OWNER
(Name)
(Address)
BUILDE~ \ "" 'T) ,~ 1- -r
(Name) J.../. t;J TIDrl Oft, I Y\/,
(ContactName)\/I\~~I/ Wc)h(\(J)ttk'~,
(Address) ~O~~D Ke.tJ\.b.:,JII~ 6t:.f~I'OO
\&.~A llt. mn ~~n~
, ,
TYPE OF WORK
)lNew Construction
OLower Level Finish
ODeck
(Phone)
ZONING (office use)
f<.;;)
PID ds-39~- {);;.3'-0
(Phone) 352;ocr fbM 7 ra 011
(Phone)!15Z" .z:u" - '/132-
o Porch
ORe-Roofing
o Fireplace DAddition o Alteration
PROJECT COSTlV ALUE (excluding land) $ 11. 1fiD
o Misc.
,
ORe-Siding
OUtility 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
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
submi ans. am aware th th . g official can revoke this permit for just cause, Furthermore, I hereby agree that the city official or a designee may
enter pon perty to perfo ecti ns.
x
-/
1/
1 Permit Valuation
I Permit Fee
1 Plan Check Fee
I State Surcharge
1 Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
r'
v,'JZ.l)tJO,()(J 1
$ '937.751
$ 6&'1.5'1 1
$ ~,.oo I
$ I
$ ItJO . () €) I
$ / (J~. () tJ
$
$ ~(j,OO
This Application Becomes Your Building Permit When Approved
~y~
Building Official
s/;? //)3
Date
cRoOo ~~7
Contractor's License No.
I Park Support Fee
I SAC
1 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
I Paid \ ~- f? 5)$ . (). Cj
I Date "':l- fJ.'1-/)3
...,
#
#
#
#
.;l-c;.'-I-o :3
Date
jl51J,tJ(J
/27S"..Oa
$
$
$
$
$
$
$
$ 1
$~ fj~fJ'MZfjJ
Receipt No. 1I'-10)' (' I
By (I-v ....... I
IJ
IWtJ ,OlJ
7otJ.oa
.
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
~",-:;::;;;~~;;;;~:mp'~re"d~~'S"ee~ai'n'FLeO<<-~~""
Planning Director . , Date Special Conditions, if any
24 hOUT notice fOT all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~
Job Address
Heating Contractor
Name of Tester
Date
..
Percent 02
Percent CO
Percent C02
Stack Temp
~
17~JC ~~~~c4
~~~~~.
,4-jo ~
~~n
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-f., .;>~
~ 7c-Po....c-
UMC Sec. 606
Combustion air is adequately supplied per
Ves
~~, lXlO
input
/
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.,,:
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CITY OF PRIOR LAKE
REA TING/ AIR CONDITIONINGfFIREPLACE PERMIT
Date Rec'd
// ;/?J9-V
I. Pink File PERMIT NO
2, Green City . J ". r::l. a I f
3, Yellow Applicant ') .r /'- , 1.1
(Please type or print and sign at bottom)
ADDRESS ~
/7J-?f'- /~~ &...-~
.....,
~~
ZONIN1 (office use)
LEGAL DESCRIPTION (office use only)
LOTJ~OCKo71 ADDITION
prD
~~e~RD.~, Horfon Cusbm HO(Yle~
(Address)~ Ke.rJbriclC)p.- QJ'I Lo.Kevil1e MI\)
APPLICANTA / " . M ---
(Name) '(.\(1 ee..1.,~. (Phone) 0/-4.5:L-tf/775
(Address)3Jp5{) Kenne bee..~. 5k, #j ~-:aaQY1 55/22
L (Address) V (City) (Zip Code)
(Contact Person) J:ef'.rre.-V Z"mmp~rfY) Q.n (Phone) (P5/-~5~~ ;/77~
APPLICANTSIGNATU~(l.&~~~ DATE
W . 'V .
APP ICANT PLEASE COMPLETE BELOW
!0NEW CONSTRUCTION o REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL 1Jr~4n+ 3S3i(,A-Vb1J.!.Di () FUEL J\JQ.tUin. \
FLUE SIZE 'f"cla.S-D "B- RETURN OPENINGS J.l. INPUT 10,01)0 OUTPUT 6lD~/)O 0
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone) C(5:J... q ~ -7:l7,2,
-550J..P-t
OWarm Air Plants
OGravity
o Mechanical ,
~~ Conditioning
~ ent. 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 & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
./ ,50
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..Pa\t\h \:V\ 'Deceipt No.
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PAID wm.,
BUILDING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
~
I
White - Building
Canary - Enqineering
(Pink - Plannin9:::>
The Centf'r of Iht Lakr Countf)'
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 at: ~\
/~?:3 =-) t.., /" ',', y /:5' / r c,;; I~;U
Accepted
Accepted With Corrections
~
-,
,
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.o.
Denied
Reviewed By:
~
=/~~
Date:
3//003
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Comments:
See Main File
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."
The ('entrr of Ihr I.akr ('ounlry
("' vvilite- BuildiriQ')
Canary" - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D 12 Horto;J
//l33(~ K/iJev B,' ~~ LJJ
t
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
!/j83~ 12/ Ue-r
Accepted
Accepted With Corrections
B ; r0~
/
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Denied
Reviewed By:
~
.
~~I-J
Date: Sf P'/o3
f
Comments:
See Main ~ile
"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."
Th. ern'" 81.h. l.ak. ('oun.ry
White - Buildin9
r canarY - E.n.giJ1eerinQ.-'
Pink" - Planning
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 at.-""',
" " , " . I /
/ /j..5 ~~ 0 /(:~/,. I/&)r 1:5 / t- C-f) r-IJ
Accepted
Denied
~
Accepted With Corrections
Reviewed By:
It! Al5
s-( e. 111 q,'", F( '! ( "
Date:
3 -/'/-0.3
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."
Mar, 7,2003 il:35AM
GENZ RVAN PLUMBING AND HEATING
No,5622 p, 1019
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~~~~~~~\,<~?~M'~"HI! 5 01-
I '....... '\\~~'..~.' " "~'
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AJ.'ID WATER PERlVul'
O?Jeas(l tYPe onmIlt ~d siJW,a.t bottOm)
ADDRESS
] 73,30 eL\JlJe f;}run Ln. cjf:.
j
1 G....n Fit. PEn1\ATT N q
2. YellOw CitY, .I:'J......... o. 3- ') / /,'
l Gold .0\,9pli""" C/'i I
ZONmG (cffiQ us~)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDmON
~JefJ'e(d {i~
PID
OWNER
(}.laule) -D-'P u_"""...,...,,., i'"co+-_"",, U_","CIor:'"
(Phone) _ 952 -q[5- ,g{\:f\,
(Address)
2c ~O KenBK\ bbe Or Srt?' /\,--,
(Addres~)
La'a\Jill(0
(City)
,&Sc:(Y--.} q
(zip Cock)
APPL:ICANT
~~) Genz-Ryan Plumbing & Heating
(Phone)
651-423-1144
(Address) 14745 So Robert Trail
(,.6"ddrm)
(Comact Person) _ C~ RJ.(~ti mU..S
'".lCAN[ SIGNATURE ~i\ J ~@
Rosemount. HN
(City)
(Phone)
DATE
55068
(Zip Code)
651-423-U44
.~-7-(J: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.
ResJdennal sewer and water l~e'connection
Sewer connection only
FEE SCHEDULE
$35,50 Industrial, Com'l & Multi.family 1 % ofJob cost W1th a $3950 mim.Dlum
$17.50 Water connection only $11.50
Estlmated Cost $
Butldmg Penmt #
SEWER AND WATER PERlvfIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
,50
PAID WITH,
BUilDING PERMIT
(OfficI: U~e Ol1ly)
This App.lication Becomes Your Building Permit When Approved
i.......,
Building Official
~ ~eceipt No.
Llll.[l @j]JlillJE.. \ \ ,
~~te I t I Jr---
Date: ,,4 MAR 1 8 2003 ~ ~
24 hour notice for all in1\pections (.952) 44'1-98 Mhu: (952) 447-4245
By
Mar. 7.2003 11:35AM
GENZ RVAN PLUMBING AND HEATING
No.5622 p. 11 19
CITY OF PRIOR LAKE PLlJ1\rffilNG PERMIT
Date Rec'd
(Plc.a..~= tYPe orT>rlnt and si~ at bottom)
, ADDRESS
({3ew ~l\lm. 1?J1 J{Ctlj lh ~t j
LOT
LEGAL DESCRIPTION (office use only)
BLOCK
ADDmON De.~~ + it (d. ~
OWNER
~ame) DR Horton Custom Homes
(Address)
:2.O'SloD ILb1BI..1 D~~ C-r Sre IDO
APPLICANT
(.Name)-C<>M_~"" p1 .Jmb.it:l.€ 1:.. ~H"":3
(Address) 14745 So Robert Trail
(Address)
(Concact Person) CAI ~lS ti failS
APPLICANT SIGNATURE Otuw=J
r Quantity
I I
I I
I i
---2
!l-
Rosemount
(City)
--1oJL/J
I 81u" File PERMIT NO
1 ;"'14 C;~ ' ,. '.::;;-") q L(-
) 'tellcw AflllJ...- 0 ()(
ZONlNG (offi~e u~e)
PlD
(phone)
96~.::..9. 2Ec:JJDO
1-1'./ V.J_Vl j 1(, 1M N .5E:--oi..! Lj
(phone) ~"1_l..7~_1'6.1..
MN
55068
(Zip Code)
(Phone)
651-423-1144
3-7 -os
_. DATE
I Type of Fixtu,.e
I Bath Tub with Dr without shower
I Dishwasher
I Floor Draio
1 Lavatory (Bathroom Sink)
I Laundry Tray (l or 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
I Water Closet,(Toilet)
Quantity
APPLICAN'r PLEASE COlVlPLETE BELO'\V
EstlJuated Cost $
Budding Pernut # _
I '
fI..:-r;
I
I Type of Fixture
I Rough-ins
I Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector -
I Backflow' Assembly
I Backflow Assembly Test
I Lavvn Sprinkler
I Other
li'LL S'-.J::1.EDULE
IndustrJal, Commel\:laJ & MultJ-fMll!)' 1% of job cost '.vim 11 $39.50 minimum ResIdential, New One & Two-Farm))' $99,50
ReSldcntisl, Additions & Alterations $3950
(Offke Use: Only)
PLUNIBING PERNaT FEE S
ST A IE SURCHARGE .$
TOTAL PER.J.WT FEE $
~Q
PAID WITH
BUILDING P~RMrr
This Application Becomes Your Building Permit 'M1en Approved '""f:.i~ ~.eCeiPt No.
D", ,I&., @ ~ ~ [fJ ~ ~~ . r, /0 '
~J -MAR 1 0 LUU3 lt -, ceJ
24 hour notice for aU insr-ec:tion!l (952) 447-9 ~5o. fu (952) 447-42.15 -.-I
By
BuildIng OfficiAl
---
.....
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERM IT
I 1',11" j,l,
~ l ill','r: ( .1 \
; '\ t'il.,\\ \pld" .1'11
(Please tvDe or lJrint and si2l1 at bottom)
ADDRESS
17336 RIVER BIRCH LANE SE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name) DR HORTON
(Phone) _
(Address)
APPLICANT
(Name) A.LLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW A VENUE
(Address)
ROSEVILLE
(City)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
Ihlll'l{l'l"d
PER~llT'(). 3 -Ci- 91/
LOi\Ii\(, ";'
PI ()
55113
(/11' (",lei
712/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
FIREPLACE MAKE AND MODEL
HEAT N GLO SL-750TR-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential. (jas Fireplace
$39,50 minimum
$99.50 Residential. Additions & Alterations
$64,50 Residential. M' Onh
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit 11
$
$ ,50
$
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
"", ~ ~ ~'fil~
24 b'"' 001'" ,",.11 '",p'''''"' ("~_9~\('OI~2~ij~,,!!; \
Buildin!! Official
PLEASE ~OTF:
Air Conditioner l Jnits
Cannot Encroach Int\!
Kequired Side Yard
Setbacks
<;;,W 'ill
<;;,() 'il)
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~~4f~
1{L'l'c'Ij)1 \,\
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9-
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 11 S~ gj JlE&, · LAN6 S.;'.
NATURE OF WORK ~
USE OF BUILDING ~. . '
PERMIT NO. -=-- g;J - b Vl4- DATE ISSUED
CONTRACTOR ~. HO&TDtJ ~ PHON - -'l.,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OFSee Main-::;'i~e
BUILDING AND INSPECTION
INSPECTOR
DATE
l FOOTING Mrii", I
J FOUNDATION (Prior to Backfill) V'ArA', ~ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
",^(J.(\A
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
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7 )-1--03
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
vvv.f'
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q - f~~
I()-I&/~
BEEN SIGNED
..
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OCCUpy 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
1 -,