HomeMy WebLinkAboutBuilding Permit #03-0661
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QIrrfifirafr of (@rtupanrl!
CITY OF PRIOR LAKE
~tpztrftUtuf nf ~uil~iuB Jluspttfinu
~ Final 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:
Use Classification
SINGLE FAMILY
Bldg. Permit No. 03-0661
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
R2
Legal Description
L3, B6, DEERFIELD 7TH
Owner of Building
Contractor'sName&AddresP.R. HORTON, INC., 20860 KENBRIDGE CT., SUITE 100, LAKEVILLE
Site Address 17375 RIVER BIRCH PLACE S.E.
ROBERT D. HUTCHINS
. . 1 Bufldj!1~ Officia~.
I ' ./ * .l-:;; ,c'.,/ L~
;)'
j/~ '
I
City Planner
DON RYE
Date:
Date:
~
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
{O.. ~>..t/?>
ADDRESS
f 7 7. 7S-
~t;,/h
OWNER
CONTR.
PHONE NO.
-:J.r-"f
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
, MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
--
----
....~~
"
(;'L ')
~
------
~
(
\
'-
"--
/ / ."'\r:L
( ___ l V"
jiif'wORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~R~. ~LL FOR REINSPECTION BEFORE COVERING
Inspector: -II Vr Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
T-
DATE
U> /i;/D3.
la1y7~ ~ V;t~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
-1, ~./~
1~
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
J! PLUMBING FINAL
o MECH FINAL
nME
~ -reo:> (
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
0f?~~~L
~()
-\,- / (J A~
C7
o WORK SATISFACTORY, PROCEED
jJ'CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: /At Owner/Contr:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
""""n
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main Filei:i~e ~:;y
3. Yenow Applicant
(Please type or print and siM at bottom)
ADDRESS ,
11j{s"~\ ver i?,d1L7CqC~
~i5
Date Rec' d
f'-0l~-6)3
I PERMIT NO. (}.3 - to~ I
LEGAL DESCRIPTION (office use only)
LOT :s BLOCK ~ADDITION )~n 1f1v
OWNER
(Name)
(Address)
BUILDER0 --:J \ ( '\ ."
(Name) ~ V ."r\,' \ cr/~ --\-t'LL <
(Contact Name) M/kl. LOohn~(0t
(Add ) 2'D~l.10'K~b('''qPj~ cl-sf-e .(00
ress l..-tL1Lvv.. \ 1.( VV\" n 1:St;Dtl4
,
TYPE OF WORK
o Misc.
~ew Construction
OLower Level Finish
(Phone)
ZONING (office use)
f<~
PIDd~-89?' ()~-()
(Phone) Q,C)2-CIt2Js-iB09
(Phone) QSz.-----'2'Z.k>- 473 7~
DDetk
[JBorch
ORe-Roofing
o Fireplace DAddition OAlteration
PROJECTCOST/VALUE (excluding land) S q ~ 7[;D
$
$
$
$
$
$
$
$
tJZ,otJO.oo
q3775
IoOQ.54--
- 4-&. 00
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
submitted lans. I am aware thilt the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter up, n property to perform n~de~ctions. I
X . U C5{ IJL-LJt7 -? DDD ~S' 7 5 - ~ 7 -03
- 7 - Signature
V
I 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
10 O.
/()l).
-
+tJ. th
~
,.
~'-'
This Application Becomes Your Building Permit When Approved
Building Official
&/ldo OS
. Date
Contractor's License No.
I Park Support Fee
I 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
I Paid -.6 - '8.5}f. (7l1
I Date b- 1~....3
#
#
#
#
ORe-Siding
OUtility Connection
Date
$ ~ro.
$ J, Z-75",'
$
$
$
$
$
$ - I
$~ B58, zq I
. I
- r;
Receipt No. '-I q ~O { I
~ I
I
/, LOG.
"7@,
By
This is to certify that the request in the above application and accompanying documents is in accordance with the City zo~rdinance and may proceed as requested. This document
~-:;~_MYC~h:;::-~&IDm_~_oorom~'eeoWtfunOfFLeb'
Planning 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 I /57~lrc t
Heating Contractor -H/hr7 ~~
Name atTester 4#1i'L (S
/~/~3
, 8. <j 1u
~/;.-J
?'t %
l"Sfdj=
",
Date
Percent 02
Percent CO
Percent C02
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606 y~S
input ~o, ,t1d B'Tu
\
See Main File
White - Building
Canary - Engineering
c::::-Pink - Plann~
-
Thr Ce-nter of .hr l.ake- Counlr)'
BUIL.DING PERMIT APPLICATION DEPARTMeNT CHECKl..IST
NAME OF APPLICANT. IJi /\
A-
APPLICATION RECEIVED 0"
! '//1:-1- //') 1A~/
IlL/elL.
1"1- \-::)
v_ Uv
t
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed. at:
.;l ,~_h .-~:;;", ".
I /lJ ~/.::J /) /,/y\..;~, L) i~)j-,~U' it/" I.. d,{!..k:.--
l.
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~.:
,..
9u/-J
Date:
&, (12:/0 "3
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
(J[hite - Buildin~
. canary - Engineering
Pink - Planning
The ('("nfer of the tlkr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
)J2R~
. .
6j- ;;< 9- 00
The Building, Engineering, and Planning Departments have reviewed the building permit
apPlicationf~r/~g;~C~~PO~ ~ .
Accepted _
/
Accepted With Corrections
Denied
Reviewed By:
~~
,...
7~tJ
Date:
~II ZJ; ':$
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."
Jun. 2. 2003 12:10PM
GENZ RVAN PLUMBING AND HEATING
No.5677 P. 35 36
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERM1J.
1 Gr.II File PERMIT NO I
2. YellOw Citt- . /'") _ I /. _. "'
3. Gold ~1I..... '-..J (&::) l.R. ,
(1'lca~e cype or pt!nc and si?Jlat bottom)
ADDRESS .
/7l?7S 1</1Jbi2- 61ff1/Lr P/(ft,
ZONING (o1iiceuu)
LEGAL DESCR.u- uON (otli.cc usc only)
LOT BLOC)( ADDmON 13/ie. &r ~df 7th Pro
OWNER
(Name) Di Horto"tJ r""to-lR 'fIn'1l"'i'
(Address)
20&,00 '~PK\~ Or '\1--e,)f\-0
(Address)
(phone) _
L..a~\J \ U~
(City)
C)62 -q[5- ,8D{\.
&?{Y)UU
(lip Code)
APPLICANT
~~e) Genz-Ryan Plumbing & Heating
(phone)
651-423-1144
~.JCANT SIGNATURE
Robert Trail
r~~ &fAJ
r~ .~-,7J;i;) k.l0-
Rosemount. MN
(City)
55068
(Zip Code)
(Address) 1.4745 So
(Contact Person) "
(Phone)
DATE
651-423-1144
/ I'J'- A-r-'1l0
APPLICANT PLEASE CO:MPLETE 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.
FEESL..I:ILDULE
Residential sewer and water line connection $35.50 Industrial. Com'I & Multi-famuy 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND W A 1ER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$ "
$
.50
PAID -WiTH
BUILDING ij>>ERMIT
(Office Ute Only)
Thi.!J Application Becomes Your Bl.ljIdjng Permjt When Approved I Paid
'D [:ot~.D \fl [E ~;
~u' I
JUN U 4 I i1
24 hour notice for ll.Illnspectiolls (952) .l!I' t ,9850, filx (952) ~gj2~..J1
Receipt No.
/l
rJf!- /!~
By
,
_.....
BuildIng omcllLl
By
200312:10PM
GENZ RVAN PLUMBING AND HEATING
No.5677 p. 36 36
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
,
'.
I Blue File
1. Gold Cicy
3. YdlQW AppJianI
I PERMITNO'3_~ G, I
(Please type or llme and sil?;l1 at bottOm)
ADDRESS -
/1317 fllJ/(I;y!~ 611Wl fi eSE..
'U); li~tJJ,efd ~
ZONlNG (officttue)
L.EGAL OESCRu- nON (office u:e only)
LOT BLOCK. ADDITION I3I.dtr
V
PID
OWNER
~ame) DR Horton Custom Homes
(phone)
962-Q;;" -7gDD
. (Addn:ss)' 2.o'Stoo K.eV1B~llX~ Cr Sre:. I t;o
APPLICANT
(Name)..c.~-"?-~- "D'..~....~ng F. PO'''''~"'"''~
(Address) 14745 So Robert Trail
(Address)
(Contact Person) ~11 f!Jj f7' -f&))3
APPLICANT SIGNATURE ~ ~"'JlJ io IlLl.
,,"....;:....
Quantity
/
/
I
~
I
d
udu..villG JMN EmLl LJ
(phone) "C;1_/,?1_11/,.I.
Rosemounc
(Cjty)
MN
55068
(Zip Code)
(Phone) 651-423-lJ.44
DATE -1tl-lfl(3
APPLICANT PLEASE COMPLETE BELOW-
I Type of Fb:::ture
I Bath Tub with or without .mower
I Dishwasher
I Floor Drain
j Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
Sinks
Bar Sink
I Warer Closet (Toilet)
Quantity
I Type of Furore
I Rough- ins
I Water Heater
I Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other ..
/-
Il ~L'
v I
,
f.tj,E SCHEDULE
rndllstnal, CommercIal & Multi-family] % of job cost with a $39.50 minimum ReSidential, New One & Two-Fs.mlJy $9950
Residential, Additions & Alterations $39..50
Estunated Cost $
Building Pennjt #
PLUMBING PERMlTFEE $
STA IE SURCHARGE $
TOTAL .t'.I!..t<lv.nT FEE $
,so
PAID WP"H
BUILDING PERMIT
(Office Use Only)
I This Application Becomes Your Building Permit When Approved
'.~: ;,:. ".
)
I "._J'
Building Offici~1 .
Dati:
~ ~i@ ~ 0 ill ~ e[r Receipt No
DmN 0 4 2003 Il J By
q:/
24 hour notice for all inspections (952) 4~ ~~50> (:11. (932) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDrllONING/FIREPLACE PERMrl'
Date Rec'd
#7/9~
~:~ ~~~, IPERMITNO'3-fo/-/ I
3. YeUow Applicant lfJ
(Please type or print and siJm at bottom)
7737~ 6"~ &;,~ .~a- 5e
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOTI / ~OCK.;::10ADDITION
PID
OWNER DR HORTON
(Name)_ 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
(phone)
APPLICANT /'1 ~ /, /2..,
(Name) /~///~ ./"~/.~
(Address) ~~ ~~, ~ a
I (Addre~
(Contact Person) A~~~
APPLICANT SIGNATURE -.4<::z:'" l ---.-:- ___
--
(Phone) c,S- /.. 4t/f.,?--.,fI? /'5"
E4Aa:.< !2:;r~.,.7
- (c&rf (Zip Code)
(Phone) ~- if~-pt77.:S:
DATE
_ ~ APPLICANT PLEASE COMPLETE BELOW
~NEW CO~TRUCTION 0 REPLACEMENT [] AL TERA TIONS , J
FURNACE MAKE AND MOD~/r.b~ ~ ~A~'7"07CJ FUEL /l-4 ~ ~~
FLUE SIZE~~ RETURN OPENINGS - ~ INPUT ~ OUTPUT 6Z", ~
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants 0 Steam
DGravity 0 Hot Water
o Mechanical 0 Radiation
~ir Conditioning 0 Special Devices
~lQ:Yent. System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % 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 $ ~.U-J Building Pennit #
HEATING PERMIT FEE $~/~~ PAID....
STATE SURCHARGE $ ." .50 Bll/LD rr/tH
TOTAL PERMIT FEE $ t? ING PER
(Office Use Only) .~ 'MIT
Th's Application Becomes Your Building Permit When APPro~ [; ~~: u \iJ G; ~\ Receipt No.
Building Official Date ru Jl tf~ 3 2003 t- By !1--J
24 ho", .."" for all '",p,,"o", (91l)~~7-9'50. fox (952) 4474'4; (J
1f~
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or print and sign at I ,.".,".)
ADDRESS
~: ~~ ~::y PERMIT NO. .3 _/ 0)1
3. Yellow Applicant Co
17375 RIVER BIRCH LANE S,E,
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name DR HORTON
(Address)
(Phone)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651. -1)}}-2561.
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA Htj,tjTflN
DATE
ZONING (office use)
PID
55113
(Zip Code)
8/6/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
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
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ Building Permit #
REA TING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only) l[:'
This Applicatioo Becomes Y our Bu~diug Permit Wheu APprov1 ~: , ~~
C! I
Buildin!! Official Date l \
.50
q;l frl \
\ d i '" ~
LJ l':J .
I
!
LUUj U j
:.J
n
~
f mlteZ 1
24 hour notice for all inspections (952 (447_-9RC;O, fax 'ill) 447 414S
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
lJu P"q'D
~l..D,/v; Vv''''J..j
G P~1l
'41,.,.
Receipt No.
By
~
if'
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS -1'1 ''1G. 7? i.Jn.; ." ain Filt
NATURE OF WORK ~
USE OF BUILDI~__ ~ f! .
PERMIT NO. 1.L:j- ~ ~ _~T~ ~SSUED
CONTRACTOR P-R /:!l.O/l.HJ./V PHONE<<.il". 1I"'-ttA
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
, FOOTING Mf1.;1\ I
FOUNDATION (Prior to Backfill) ~(A;..I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
'Mu.;",
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
^
PLUMBING vt1/ 75'),./~
HEATING (if required>i~' ~-:r' (~,/t4tiJ 1M/' q-2.-c/;>
FIREPLACE VVJI? '1- J-V)
GAS LINE AIR TEST t/W./ q...J-f/)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
Y W/
t1/V'
V]- 2- v3
1-t{- UJ
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
(jL
/#/
I (Y 1A1-d3
?flA-.
v J/l.#
OCCUpy UNTIL ABOVE HAS
NOTICE
tblt /0'0
I tJ./;" ]-rD
BEEN SIGNED
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