HomeMy WebLinkAboutBuilding Permit #03-0656
(1T~rfifitaf~ of (11)ttupanty
CITY OF PRIOR LAKE
~tparttutuf nf ~uilbiug JIuspttfinu
~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. 03-0656
Occupancy Type R3 Type Construction VN Fire Zone N/A Zoning District R2
Legal Description L4, B6, DEERFIELD 7TH
Owner of Building Site Address 17342 RIVER BIRCH LANE S.E.
Contractor's Name & Address D.R. HORTON, INC., 20860 KENBRIDGE CT., SUITE 100, LAKEVILLE7
ROBERT D.- HUTCHINS //11.:/ _ City Planner_ DON RYE
II Building Official "
Date: /I -It.! t:J (, Date:
~
.\1........
.. ~
--
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
JD-'f-a3
PHONE NO.
/7<3'12 I<I'I/e/ f3"v~ t/7.
D, 1<... rIor loA
PERMIT NO. 63--CdJ
~~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
CONTR.
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
h('q A( - O/lL
~
LI .;(6 ~'r1./ 4) Le
- I -
N'WORK SATISFACTORY, PROCEED
Vo '\ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector~'_
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETYI
INSNOTl
r
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/73LJ)..
e i w.- b,.,,,, ""
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
o PLUMBING FINAL
o MECH FINAL
~/1'h~5
- {'
COMMENTS:
f
./'r
( /(05:(
-----
DATE TillE
.-1/-14-~
?-,~
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
Y'_
r( /.r;
go-WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT.W~RK, ~FOR REINSPECTlON BEFORE COVERING
Inspector: i/lf Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
r
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o IN~TION
~AL
o SITE INSPECTION
COMMENTS:
(j); (q ( V(l
(j) ~r;)d '*-
DATE TIllE
/7341-
SCHEDULED /l/-ft-6~\
f-l ~,.. h '''-~ h.
CONTR.
PERMIT NO.
S -~6(,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~H FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
t:U- ~v1cs. ,.., h 4;.....-va,,~
~(".S ft- ~~?
-
c: ( .J l-fJ L (
-~ u" ,,"or
{/-.1 ()~CIj
(}Yj"" t'"' Ytt,.(--cvr..J
~ SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~R~ALL FOR REINSPECTION BEFORE COVERING
Inspector: VI/f" Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
lNSNon
_0_______ --....--- "----T---'----
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
q-~VJ
ADDRESS
/13l.f L
i~4,~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
8-~~~
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 EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
OJ ef1i~
~-C-C1~
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WJr"ALL FOR REINSPECTION BEFORE COVERING
Inspector: I ro- q ... )..{"/rrJ, Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INSNon
"<'H'"T""_'-"" .._.........._--. .
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Main Filei~i~e ~:~y
3. Yellow Applicant
I PERMIT NO. 03 -- h5~
(Please type or print and sign at bottom)
ADDRESS ~ ~
'l~~L t\~Vlfl.)\;-~ } L.~ ~6.
LEGAL DESCRIPTION (office use onlY)0 ()
LOT t.f.- BLOCK C, ADDITION ~ elJ. '7Pv
Date Rec' d
~/~q /'03
ZONING (office use)
Rd...
PID~S- 3 9~ ---OJ-I-Q
OWNER
(Name)
(Phone)
(Address)
(Phone)
(Phone)
CiS?~ q ~JS' 1 PD6
q52- 22&r Lf1~1-
'\r'\(" ,
I -1n{)~(fW
1'1 C~'r(, if ~ ~t(_ i DO
(J/11{11 C)q)t.J4-
TYPE OF WORK
;g[New Construction
OLower Level Finish
o Fireplace OAddition OAlteration
PROJECT COST IV ALUE (excluding land) $ q I, '7 fD
ODeck
o Porch
ORe-Roofing
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 plans. I am aware that th ilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter po the property to perf, inspe
cJOIJ o57RS" 7
Contractor's License No.
x
_ ~ ~ c---..
- 'stgftature
I Park Support Fee
SAC
Q2iObb ..-- I
Permit Fee $ tj.:J 7/s
Plan Check Fee $ (p()C}. "~4-
State Surcharge $ % ~o (J
Penalty $
Plumbing Permit Fee $ i IJ7J -
Mechanical Permit Fee $ )/JD -
Sewer & Water Permit Fee $ ~5V
Gas Fireplace Permit Fee $
#
#
I~
/
Water Meter
Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
This Application Becomes Your Building Permit When Approved
/1'-1 S fro {7'
G-/~<~
ReceiptNo.4Lf goy}
By ()---'
~~
''In-/fJ3
Date
Paid
Date
Building Official
5-2 7-/)~
Date
$ g 50. (J()
$ I 2-15.
$ 3&5.00
$ I 6() _' 0 (j
$ I 2-00 / --
$ ., 700
$11/500, 00
$
'f
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
~t-~~
Planning Director
t,/'2-/0"3 j(.JU.efl ~ ./: (~. ,;~
, Date Special Conditionsbf any
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
II
Main File
White - Building
Canary - Enaineering
("'"15"ink. ,. - Planni~
The Ctntf'r or Ihe I.akf ('ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
l..../' 1\-' I'I() r I-~ /L/
-
..,,', - ..,..' <'-/- () z
-- ,~._;:)
~...... t_,...-~! I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~-')
. / , )
c.::,"''L/ /7,t}{/
/7~/lc2
;
/, /'; ~
,t'\./ rLL./}C .
Accepted
/
Accepted With Corrections
Denied
Reviewed By: ~
Comments: ~. ,",
~~.
"
-I.LLd;.J
i5~
J
Date: ~ / /2/0::1
".
~~
,
"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."
Main Fi~e
<White _ - Buil~
Canary - Engineering
Pink - Planning
The Center of Ihe takr Coun.ry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D R )/ork/f./
, .
5"- a1-tJ3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: J2 ~
/'7nt./~ ~ A:kMh ~.
Accepted
v
Accepted With Corrections
Denied
Reviewed By:
~
~J.
r
Comments:
~d ,(J~ Date: la/rUd:!
~~-~',
'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."
~ ---r "1
Main File
White - Buildinq
C ~~n~~ - FSnJl!~~erUuV
Pink - Planning
The' Cf'nlC'r of the' I._"co Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
./ "'j ;'~~7'
1,_._' /,
i t>'J ",' ...j..'?i " J
!,7"'. j' / '.J' /1,,/
~' .'
APPLICATION RECEIVED
.,..,..c:..~.,__ "---"_~ ,/'...;;~ ,.~ 7:
""' '.---')( .-..'-..... ,I, ,
~ 1..._......." / '..... .......
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-."" /-
. .' I ".'
,/ '/"' ~;t;.. ,_~
.......-.
F~:'~~ ,.:/.....,~)..r,_/_:S>Li../
i ,..;>. l
/tL-'"~<~.......l~.{.J_.-'J.-l._ .
/ ,
.;.."-~t...:x-~~.... .
Accepted
x
Accepted With Corrections _
Denied
Reviewed By:
M3
Date:
?- 9-(/3
Comments: .see Reverse Side for Additional Information!
1Y1l1"'" F, I (
See Attachments: 1) Grading Plan. 2) Erosion Control Measures
"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."
r r
.-
Job Address /73'1'.1 L'W!rfJ:ret....
Heating Contractor . /J#,~~8#
,. Name of Tester 4_k\)
Date >~/9~5
Percent 02 _(1.U
Percent CO 1!:rz
Percent CO2
Stack Temp 3'n &j:
Combustion air is adequately supplied per
UMC Sec. 606 J//S
/
input ( tZl7J1J J)?:; ,.
,
"\,
A AMERICAN
ENGINEERING
TESTING, INC.
~ to c}.f7'
CONSULTANTS
. GEOTECHNICAL
. MATERIALS
. ENVIRONMENTAL
REPORT OF SOn.- DENSITY TESTING
PROJECT:
REPORrEJJ TO:
17342 - 17346 RIVER BIRCH LANE
17371 - 17375 RIVER BIRCH PLACE
PRIOR LAKE, MINNESOTA
DR HORTON CUSTOM HOMES
20860 KENBRIDGE COURT
LAKEVILLE, MN 55044
A TIN: MIKE SUEL
AET JOB NO.: 20-003145
DATE: JULY 11, 2003
SCOPE
This report concerns the compaction testing we performed on fIll placed in foundation areas at the
referenced project. The scope of this work is limited to the following:
- Perform 3 soil density test in the field on an intermittent trip basis, as requested by DR Horton,
Inc.
- Perform the "Laboratory CUlll}laction Characteristic of Soil" (Proctor) test for each type of soil
encountered in our field density tests.
-Determine the CUlll}laction level at each test location based on the above, and compare the results
to the compaction levels required by the project specifications.
\
The above tests were performed in general accordance with the applicable ASTM methods, which are
. indicated on the attached test data sheets.
:rEST RESULTS
The results indicate that the fIll compaction levels meet project specifications at Test #31 through #33.
REMARKS
Our CUllll'action testing was done on a part-time, intermittent trip basis. This level of involvement does
not allow evaluation of the compaction level and soil type of the complete fill system. The test only
provides compaction and soil type data for that specific location and elevation tested.
A representative sample of each of the soils on which the laboratory Proctor tests were performed will be
retained until completion of the project.
Reviewed By:
American Engineering Testing, Inc.
G~arson
Senior Engineering Assistant
This document shall not be reproduced, except in full, without written approval of American Engineering Testing, Inc.
550 Cleveland Avenue North. St. Paul, MN 55114 .651-659-9001 ,Fax 651-659-1379
Duluth . Mankato . Marshall . Rochester . Wausau . Rapid City . Pierre . Sioux Falls
AN AFFIRMATIVE ACTION AND EQUAL OPPORTUNITY EMPLOYER
A AMERICAN
ENGINEERING
TESTING, INC.
REPORT OF DENSITY TESTS
CONSULTANTS
. GEOTECHNICAL
. MATERIALS
. ENVIRONMENTAL
PROJECT:
REPORTED TO:
17342 - 17346 RIVER BIRCH LANE
17371 - 17375 RIVER BIRCH PLACE
PRIOR LAKE, MINNESOTA
DR HORTON, INC. (3)
20860 KENBRIDGE COURT
LAKEVILLE, MN 55044
AET JOB NO: 20-03145
A TTN: :M..LKb SUEL
DATE: JULY 11, 2003
CC: RYAN CONTRACTING CO.
ATTN: SCOTT ENRIGHT
1'1~LD DENSITY TEST DATA
Test
Depth
Below Dry Moist.
Test Test Depth! Existing Density Content Proctor Percent
No. Date Test Location Elevation Grade (oef) (%) No. Comoaetion Soees,
31 7/9/03 Mono Footing Unit 17373 Vz 1 109Vz 6.6 22 99112 95
32 7/9/03 Mono Footing Unit 17375 Vz 1 109 8.2 22 99 95
33 7/9/03 Mono Footing Unit 17342 Vz 1 107 9.8 22 97 95
*Depth (ft) below footing grade
Method: Sand Cone (ASTM D1556) _ Nuclear (ASTM D2922, AET #20-SOI-2) X
LABORATORY MOISTURE-DENSITY RELATIONS OF SOILS (PROCTOR)
Gravel Test Opt. Moisture Max. Dry
No. Soil Descriotion Content (%) Method Content (%) Densitv
~
22 Sand mostly medium grained, brown (SP) A 13.3 110.1
Procedure & Method: Standard (ASTM D698) X Modified (ASTM D 1557)
To protect the addressee, the public, and ourselves, this report (and all supporting information) is provided for the addressee's
own use. No representations are made to parties other than the addressee.
Reviewed By:
American Engineering Testing, Inc.
~~~~-
Gary ~on
This document shall not be reproduced, except in full, without written approval of American Engineering Testing, Inc.
550 Cleveland Avenue North. St. Paul, MN 55114 .651-659-9001 . Fax 651-659-1379
Duluth . Mankato . Marshall . Rochester. Wausau . Rapid City. Pierre . Sioux Falls
AN AFFIRMATIVE ACTION AND EQUAL OPPORTUNITY EMPLOYER
..
I]
AMERICAN
ENGINEERING
TESTING, INC.
(" \.~1
~o
CONSULTANTS
. GEOTECHNICAL
. MATERIALS
. ENVIRONMENTAL
REPORT OF SOIL DEN~.n Y TESTING
PROJECT:
r2 ~A~"-f
Vu,1 *' ~O
REPORTED TO:
17342 - 17346 RIVER BIRCH LANE
17371 - 17375 RIVER BIRCH PLACE
PRIOR LAKE, MINNESOTA
DR HORTON CUSTOM HOMES
20860 KENBRIDGE COURT
LAKEVILLE, MN 55044
A TIN: MIKE SUEL
AET JOB NO.: 20-003145
DA TE: JULY 2, 2003
SCOPE
This report concerns the compaction testing we performed on utility service backfill placed in foundation
areas at the referenced project. The scope of this work is limited to the following:
· Perform 2 soil density test in the field on an intermittent trip basis, as requested by DR Horton,
Inc.
· Perform the "Laboratory Compaction Characteristic of Soil" (Proctor) test for each type of soil
encountered in our field density tests.
· Determine the compaction level at each test location based on the above, and compare the results
to the compaction levels required by the project specifications.
The above tests were performed in general accordance with the applicable ASTM methods, which are
indicated on the attached test data sheets.
TEST RESULTS
The results indicate that the fill compaction levels meet project specifications at Test #27 and #28.
REMARKS
Our CVU.lpaction testing was done on a part-time, intermittent trip basis. This level of involvement does
not allow evaluation of the compaction level and soil type of the complete fill system. The test only
provides compaction and soil type data for that specific location and elevation tested.
A representative sample of each of the soils on which the laboratory Proctor tests were performed will be
retained until completion of the project.
Reviewed By:
American Engineering Testing, Inc.
.~~
G~ Larson
Senior Engineering Assistant
This document shall not be reproduced, except in full, without written approval of American Engineering Testing, Inc.
550 Cleveland Avenue North. St. Paul, MN 55114 .651-659-9001 . Fax 651-659-1379
Duluth. Mankato . Marshall. Rochester. Wausau . Rapid City. Pierre. Sioux Falls
AN AFFIRMATIVE ACTION AND EQUAL OPPORTUNITY EMPLOYER
r
I) AMERICAN
l ENGINEERING
TESTING, INC.
REPORT OF DENSITY TESTS
CONSULTANTS
. GEOTECHNICAL
. MATERIALS
. ENVIRONMENTAL
PROJECT:
REPORTED TO:
17342 - 17346 RIVER BIRCH LANE
17371 - 17375 RIVER BIRCH PLACE
PRIOR LAKE, MINNESOTA
D R HORTON, INC. (3)
20860 KENBRIDGE COURT
LAKEVILLE, MN 55044
AET JOB NO: 20-03145
ATTN: MIKE SUEL
DATE: JULY 2, 2003
CC: RYAN CONTRACTING CO.
ATTN: SCOTT ENRIGHT
)!'lliLD DENSITY TEST DATA
Proctor values are adjusted for variable gravel content, therefore, the values shown on the Proctor list are not necessarily the
. values used in calculating the percent compaction,
Dry Moist, (%)
Test Test Density Content Oversize Proctor Percent
No. Date Test Location *Deoth (ncf) (%) Material No. Comnaction Snecs.
27 6/18/03 Sanitary sewer, Building 1h 1091h 17.9 4 16 99 95
17371, 17373, 17375, 17342,
17344, 17346
28 6/18/03 Watermain, Building 17371, 1h 140 7.9 57 19 1001h 95
17373, 17375, 17342, 17344,
17346
"'Depth (ft) below footing.
Method: Sand Cone (ASTM D 1556) Nuclear (ASTM D2922) X
LABORATORY MOISTURE-DENSITY RELATIONS OF SOILS (PROCTOR)
Gravel Test Opt. Moisture Max. Dry
No. Soil Descrintion Content (%) Method Content (%) Densitv
~
16 Sandy lean clay, brown (CL) A 19.4 108.6
19 Crushed limestone 57 C 11.5 139.6
Procedure & Method: Standard (ASTM D698) X Modified (ASTM D 1557)
To protect the addressee, the public, and ourselves, this report (and all supporting information) is provided for the addressee's
own use. No representations are made to parties other than the addressee.
Reviewed By
American Engineering Testing, Inc.
~~~
GarY ~son
This document shall not be reproduced, except in full, without written approval of American Engineering Testing, Inc.
550 Cleveland Avenue North. 81. Paul, MN 55114 .651-659-9001 . Fax 651-659-1379
Duluth. Mankato . Marshall. Rochester. Wausau . Rapid City. Pierre. Sioux Falls
AN AFFIRMATIVE ACTION ANa EQUAL OPPORTUNITY EMPLOYER
Jun, 2. 2003 12:08PM
GENZ RVAN PLUMBING AND HEATING
No.5677 p, 25 36
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
(Pk.ase tV'PC or pOnt and. sirolat bottom)
ADDRESS .
111~'i~ fttVVL ~.~ LVt Sr.
; ~ ~\;. PERMIT NO. =< _ 1_ !;; /.
;l. G>ld ^Plllle>n'. d 1.0 ~
ZONWG (office: Wle)
LEGAL DESCRJ..n.lON (office U3e only)
LOT BLOCK
ADDmON 61~C{.#~
~dai ./fh
PIP
OWNER
(Name) 1"\1)
(Address)
20 &cO KeJneR..\ s:::&e. Q- Sip .1 M
(Addr~s)
(phone) _ qs2-QK5- ,8Dt"\.
La~\J ille...~~u
(City) (Zip Code)
Un~~^~ r,,~~~~ Unmor
. -
APPLICANT
~~~ Genz-Ryan Plumbin~ & Heating
(phone) 651-423-1144
(Addr~s) 14745 So Robert Trail
(Address)
(COntact Person) , . rMlUSp -rrJ LI.s
~JCANT SIGNATURE '-cl.l,Jtj;) 1& lU1
Rosemount. }lli 55068
(City) (Zip Code)
(phone) 6.51-423-1144
DATE (p-l-(}3
APPLICANT PLEASE COlVu LETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC O'PVC 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
FEE SCHEDULE
ResJdential sewer and water Ime connectlon $35.50 Industrial, Com'} & Multi-family 1% of job cost With a $39.50 mmimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Pennit #
SEWER AND WATER PERMIT FEE
STA IE SURCHARGE
TOTAL r.l!.J:lMlT FEE
$
$ .
$
.50
PAID WITH
BUILDING' PERMIT
(Office u~ Only)
This Application Becomes Your Building Permit When Approved . 2,jri Rs~eiptNo.
. l.~~ ~ r~ 0 m ~I~~'
BuildiD~ Ofljc:jaj Date .'IR{ ,
~.....- iJUN H I.UUJ-r'
24 hour notice for all inspections (9S2) 447-985, ~x (952) 447-124~ --'
q/
By
r '1
r
Jun. 2, 2003 12:08PM
GENZ RVAN PLUMBING AND HEATING
No,5677 p, 26 36
Date Rec'd
CITY OF PRIOR LAICE PLUMBlNG PERlVUT
1 Bh.6 Fn. I p"[;'ln",,.,....... NO 3 b
1. Cold City ~'-J. Y.LL .L . - c:.. I
3,. Ytllow APOII~( .J \0
(PIease rvpe or nnnt and s;.RD at bottom)
ADDRESS 1131- ~ ~l\1~~ '~uh. ill cS'f- ZONING,....;.,;;,.,
LEGAL DESCR..li'uON (of6.c:c: use only)
wr BLOC!( ADDlTION6Iqg.:It '3IJ - ~f<.l, e(l ~ Pill
OWNER
~ame) DR Horton Custom Homes
(PhOne)
9t;2~q){F, -'t6DCJ
(Address)' ZO'UoD KenB~l tx::e.. Cr Sre.. IDO
APPLICANT
(Namc)...Gen.""-'"'3?>1n ~'lIm~~nCi t. !1.,;~"'':_g
(Address) 14745 So Robert Trail
(Address)
(ConUct Pexson) CU\'1fH'11 f,(A)l
APPLICANTSIGNATURE 0)_~~
Quantity
\
,
}
~
2-
APPLICANT PLEASE COJ.VJPLETE BELOW
Type of Fixture I Quantity
Bath Tub with or without shower I
Dishwasher I
Floor Drain I
Lavatory (Bathroom Sin1:) I
Laundry Tray (lor 2 companmeIlI sink I
SoowerSWl I
I Sinks I
I Bar Sink
j Water Closet (Toilet)
UI iL..LvIlIG!-UN EC6L/ LJ
(phone) r:. c;, _b. ?~_, 1 L..t..
Rosemount
(City)
55068
(Zip Code)
MN
(phone)
651-423-1144
DATE
~a~~
Type of Fixture
I'
tt....;r.
I
Rough-ins
I Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other .
J:f.l!...I!.. SCJ:I.,Ii;DULE
Industntll, CommercIal & Multi~faml1y 1 % of Job cost with a $39.50 minimum Residential, Nc:w One & Two-FaImly S99jO
Residential, Additions & AlteratioIl3 $39.50
Estimated COSt $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office t'!l1: Only)
I Tllis Application Becomes Your Building Permit When Approved
:j...\":: :',
i
,-,'
, .~-~
9uildiugOflicial
Dare
.50
PAID WIl}i
BUILDING PERMIT
rD', ~'tL~ lE OW .~, -.1.11
. D~N tJ 4 200] II By
- . ,
1_
Recejpt No.
(7~
-/
24 hour notice for all inspections (952) 44 f39J50, fax (952) 447-4245
l' __~~-_.___.____._.._
.'11
II
r
1
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONlNGIFIREPLACE PERMIT
Date Rec'd
1. Pink
2. Green
3. Vellow
#7/9?
PERMIT NO.:::) - ~5 b 1
J
File
City
Applicant
(Please type or print and sign at bottom)
ADDRESS
/~gt/d/Z~&d.. ~~ ~C
ZONING (office use)
LEGAL DESCRtt'uON (office use only)
LO.v 7~OCK ~ADDITroN
PID
OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) . LAKEVILLE, MN 55044
(phone)
APPLICANT :/J" /, - - / 4-,
(Name) /~/~ . ./"'~/.~
(Address) ~~ ~~, ~ P:
(Addre~
(Contact Person) AqJ~~~
APPLICANT SIGNATURE -:,... ~-c- ///-.....___
.--
(Phone) /:'5/- 4'f,? - ,p/?? 72
,~4'ca.< .1!r~/Qi1"?
(~ (Zip Code)
(Phone) ~- q'~-p177..:5:
DATE
_ .i APPLICANT PLEASE COMPLETE BELOW
J!lNEW CO~TRUCnON 0 REPLACEMENT D AL TERA nONS
FURNACEMAKEANDMOD~/~-</. :?/a4'~.t/070 FUEL j,f j,r.-....~
FLUE SIZEo/'h./a.~ RETURN OPENINGS INPUT ~ OUTPUT 6'Z....~'
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
OGravity
o Mechanical
~ir Conditioning
~ent. System
o Steam
o Hot Water
o Radiation
D Special Devices
o Dther 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 & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ ..3szrJ a:> Building Penn it #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$~/~/~ PAID
$ -' .50 8'U' . WITH
$ (7 ILOING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved [) ~ I@d~ U IillE
Date .
Building Official Date JUN 2 a 2003
_L J
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
By
Receipt No.
By cr
r
CITY OF PRIOR LAKE
HEA TINGI AIR CONDITIONINGIFIREPLACE PERMIT
I. Pink File
2. Green City
3. Yellow Applicant
(Please type or Drint and silm at bottom)
ADDRESS
17342 RIVER BIRCH LANE S.E.
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNER
(Name DR HORTON
(Phone)
(Address)
APPLICANT
(Name) ALLIED FlRESII;W DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Contact Person)
BRENDA HUSTON
651-633-2561
(Phone)
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
Date Rec'd
PERMIT NO.
.0
~-b5_
ZONING (office use)
PID
55113
(Zip Code)
8/6/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
OVent. System
HEATINGORPO~RPLANT
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
I % 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 $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
(Office Use Only)
.50
11,((/
pai10/J
Date ~, I'~ - 0.3
This Application Becomes Your Building Permit When Approved
Buildine Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt No.
By ~
PRIOR LAKE DEPARTMENT OF \lfn~1Y'\ Fe
BUILDING AND IN~ l-o.e
INSPECTION RECORD
SITE ADDRESS I? .3~ - R i.Jll;. .,. ain File
NATURE OF WORK ~
USE OF BUILDING ~ I!l
PERMIT NO. · ~ ~ DATE ISSUED
CONTRACTOR ~I..J PHONE ~~,. LJ'I1~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FOOTING I V\fVJ ~-Vb/lf)
, FOUNDATION (Prior to Backfill) D:f. '7AJ()~p.M, I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
.:
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL ; I ,
PLUMBING c).Co. 7~/.'J {2~. Vl/Y"
HEATING (if requiredK~:11;( 1 ~ ,1ft rb1'Ytv-~;k vtfJ 7-'(~
FIREPLACE 1/'V1l &-v to-~
GAS LINE AIR TEST [,/I/Y' ~ /I-f)- ')
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
Shtd,1~ I VVy? I ~ / /;>03
/
FINALS
Yllj('
~/
({ " j,;()"cI)
y~~
5r r I ~-~
GRADING (Prior to Sodding)
BUILDING t\ {WP VV\ h l
ELECTRICAL
PLUMBING
HEATING
DO NOT
11.}44/"7
YI tf'}
v1/V/
OCCUpy UNTIL ABOVE HAS
NOTICE
q~U-(j)
IO-1'7r cO
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