HomeMy WebLinkAboutBuilding Permit #03-0659
QIertifitatt llf @ttupantl1
CITY OF PRIOR LAKE
~tparfmtnf nf ~uil~ing Jlnspttfinn
lKJ 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.
03-0659
R3
Occupancy Type _
Type Construction
VN
Fire Zone
N/A
_ Zoning District
R2
Legal Description _
L3, B6, DEERFIELD 7TH
Owner of Building
Contractor's Name & Address D. R. HORTON,
ROBERT D. HUTCHINS
Site Address 17371 RIVER BIRCH PLACE S.E.
INC. 'J 20860 KENBRIDGE CT., SUITE 100, LAKEVILLE
DON RYE
City Planner
Date:
Building Official
,r .)>
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
fL737/ /ZLlN- r h ~
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o JNSULA TION
.Ilf FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
J2~~:>
'1- CsY
r
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
..-
~
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/ / / ( )~ L
~ ~-
"
-----
---
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-----
I WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. # OwnerlContr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INmOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
t:';;-1--03
I PERMIT NO. () 3-- ~<J
See Main File
(Please type or print and siltll at bottom)
ADDRESS
/131\ ~~vu-t>l{-J~7ltl(.e ~b.
LEGAL DESCRIPTION (office use only)
LOT.3 BLOCK V ADDITION ~~~j )
OWNER
(Name)
(Address)
BUILDER \\ '\) 1 \ .--
(Name) <..1). K.. . w~ -LA c .
(Contact Name) J)l1 16 W uhf) crvd-k"'-./
(Address) 2D g,lnO </1 ~';'~,L.. ct~g~.(Du
Lt>XI A A I r R VW1 q:::DtJ.<-!
TYPE OF WORK
~New Construction
I. White File
2. Pink City
3, Yellow Applicant
1~
(Phone)
ZONING (office use)
1G;)./
PIDaS- 39~- ()J-O-0
(Phone) q:;:z..-q QS-l mcJ
(Phone) q52 -Z2l~- Lf73L
ODeck
OPorch
ORe-Roofing
o Misc.
OLower Level Finish
o Fireplace OAddition DAlteration
PROJECT COST IV ALUE (excluding land) $ q (. 1 <;1)
ORe-Siding
DUtility 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
su~ed plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
e er u n the property to perfi~inspectjons.
X ~.lj).- J .J~ Of){)SJpr-7 Sh7/0"3
Sign ture ~ntractor's License No. . Date
v
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
9'2/000.06
$ .
$
$
$
$
$
$
$
'tJ37. /5
& 09. 54Z--
~ #t;.60
/06. .
/60.
4-tJ. (//)
This Application Becomes Your Building Permit When Approved
~:;~
Building Official
~//1!J
I Park Support Fee
I SAC
I WaterMeter 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
.6~-5"1J, d,1
(() - I X - 0:"-)
I Paid
I Date
#
#
#
#
$?}9J.- I
$ I J Z- 7 5. () 0 I
$ . I
$
$} ,2--00.
$ 7OV.
$ -
$
Receipt No. i.jti W
By /1,.A) ~
'(j~
$~e5B. 2-11
1>'1'
{ I
I
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
~=P--;:::;:_Coti~./;;;:~_rnd_'~--'O'S'"eefureMa1it~Te~'~
Planning Director ' Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
-of!
,.
Job Address
Heating Contractor
Name of Tester
Date
Percent 02
Percent CO
Percent C02
Stack Temp
I,)~')I ~'vt, ~r,-l
~~-*'/F~H
~Hj]
-L4f/o/d:I
~,S-%
~~
7,eJ %
?, 3/ P;r=
Combustion air is adequately supplied per
UMC Sec. 606 Y~J
~t!mJ7iJ
input
,
See Main File
White - Building
Canary - Engineering
~lnk - Plan~
Tht ('enler of IhE' L.kr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/'i371
k//V1~~.-U M-A..(,.~-
.'2 (1,-03
--",,"
I /
->( c~
APPLICATION RECEIVED
/~. -
...J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is I?roposed at:
1-# 1\-; lie?? o'?~
Accepted
/'
Accepted With Corrections
~
Denied
Reviewed By:
~
,..
-=! tJ , {lp..;
Date: ~ Itz-fa :5
.'
Comments:
j'"!:','
-......._,10
"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."
'"TO
See Main File
rWhite - Building
Canary - I::n ermg
Pink - Planning
Th~ Crnlrr of Ihe Llkr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1737/~~~
5'- d.-CJ-00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/RR ~~-
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
Comments:
z~~~
Date: ~/ I Z /0 '3
. .
"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."
i
~.
r
See -Main File
White - BuildinL..
~~~;IIrv - EnaineerinD
Pink - Planning
Th~ ('"nfrr of Ihr I..ltr Count,.,.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I "r;7'~'~7/'
i .l'4./ J'
..._~..>: /"l '
}-{i J1 AV'~'/I' , F\, t..r'" tL.. ./\.U(_L-<',~
;' ,...,..".,.c./ 1 ~.. t,.......o' ~ -.....
--- -,_..--.. /'~ ,- ..'......,
"',.,...., -- ----! t4 j....., ""'"
~. c:...,...-r< / --"1:.,..../ ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
. t;~ h? \.i.i~~,,,, ~~C-'
~ ... /' Y'..-" '- (/
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
/m-3
5<.<.. /Yle,i;/\ h'l(
.
Date:
C,. (}-a..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. II
I I
II"
,J II n. 2. 2 0 0 3 1 2 : 0 9 P M
GENZ RVAN PLUMBING AND HEATING
No.5677 P. 31 36
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PEAAlll'
I GreeIl 1111.
1. YoI,.,.., 0'1'"'
3-., Oold Appli<>.at
PERMIT NO~~ ..J 1(151
(P1C3.'ie type or p.r.int;md siRllat bottom)
I ADDRESS
/131j
.
_R.(1/f~~./J/~d1 !J/ &:.
ZONrn'G (office we)
LEGAL DESCRlr uON (office use only)
LOT BLOCX
ADDmON
l!J/dt1 30- ~dd ~
V
PID
OWNER
(Name) T\p. ~:::':-~':'r:. ':':.~.::-..;;. ~.('I~~~
(Address)
20&00 ~eK\\:X::e C:.r- Sw~I{\.0
(Address)
(phone) _
UJ.J~\J i lie...
(City)
%2 -Qas-/8t)/\
"&?'8OWU
(Zip Code) -
APPLICANT
~~~ Genz-Ryan P~umb~ng & Heatin~
(Phone) 651-423-1144
(Addr~s) 14745 So Robert Trail
(Address) ~
(ContaCt Per.;on) , --CtJ l~ f1- TM I Is
'.YJCANT SIGNATURE ~ '1!zt1ltJ
Rosemount. MN 55068
(City) (Zip Code)
(l3honc) 651-423-1144
DATE (/ ~t}"2,
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. D ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
~..I!..E SL.t1.Jj.DULE
Residential sewer and water line connection $3.5,.50 Industrial, Com'l & Multi-family 1'% ofjob cost with a $39.50 minimum
Sewe:r connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
(Office Use Only)
i
PAID wItH
9YILDING PERMIT
This Application Becomes Your Building Permit When Approved ' II it~ ~ Q ~ li: II Receipt No.
t'Date -\ Bv
D:de 'I ~\JN 0 4 20n1 ~ -
24 hour notice for an illSpectioos (952) 44') - J50, fSl: (932) 447-4245
By
SEWER AND W A"fER PERMlT FEE
STATE SURCHARGE
TOTAL .t'E.KMIT FEE
$
$'
$
.50
....:.......-..
Building Official
tJf/
",,:,
I I
Jun. 2. 2003 12:09PM
GENZ RVAN PLUMBING AND HEATING
No.5677 p. 32 36
Date Rec'd
'.
CITY OF PRIOR LAKE PLIJ.M:BING PEAAIU.
~: ~1w ~~i=t PERMIT NO. \~ - ~ 5'l
_ (Pk.a.!c type: err print and s~ at bottom)
ADDMS/131 t' t 1 Vtf/. J3lfl1A PI J~. ZONING (offiCe we)
LEGAL DESCRIPTION (otnce we only)
LOT BLOCK ADDmON &tk1. -:i/)....- ~efAl.~
V ~
OWNER
(Name) DR Horton Custom Homes (phone)
PID
'162 - q 'if h - ,2lJD
(Addrcss)' ZO<i.~o K.b1 B~l ~ Co Sre I DO
U'LuvilJe., HAN Efu~ tJ
APPLICANT
(Namet,:'~",_'D:.:,- 'P)"lP'hing ^- ~e9"~"',.2:
(Address) 14745 So Robert Trail Rosemount MN 55068
(Address) (City) (Zip Code)
(ConcactPerson) ~J ~(' (phone) 651-423-1144
APPLICANT SIGNATUREC..f-.~ ~J ~/ ~ DATE (,/I.-,),,--O_~
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture Quantity I
I Bath Tub with or without shower I Rough-ins
I Dishwasher ). I Water Heater
I Floor Drain ~ d I Water Softner
1 Lavatory (Batbroom Sink) I f Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Ejector
I Shower Stall I Back:t1ow Assembly
I Sinks I Backflow Assembly Test
I Bar Sink I Lawn Sprinkler
I Water Closet (Toilet) I Other
Quantit).
I
I
I
::l
I
,..;2.
(phone) ~ c; 1 _I. ?":\_ 1 1 /dt
Type of Fixture
FEE SC.I::U!.DULE
Industnal, Commercial & M'ultl-fa.mJly 1% of job cost with a. S39..50 minimum Restdeonal, New One & Two-Family $99.50
Residential, Additions & AltCIl!tions $3950
Estlmateq Cost $
Building Penmt #
PLUM:BING PERNOT FEE $
STATE SURCHARGE $
TOTAL PERNUT FEE $
PAID WITIi
BUILDING PERMIT
.50
(Officr US~ Only)
I This Application Becomes Your Building Permit When Approved..... Pa.i.ri Receipt No.
'~ ....' , lU [~~e~ 0 ~ ~ 0 By
I ',- '..Id'.. OlIid., . D... . D 4 I
JUI~ 265"3 - J-
24 hour notice for all inspections (952). 'L-98S0, flU (951) 447-424,,-'
q/
By
I I
r
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
.d7/? ?
~: ~~ ~:~. I PERMIT NO...:? - I r9 I
3, Yellow Apphcant U (I'}J
(Please tvoe or print and sign at INl-LU....)
ADDRESS
/737/
L~ &/~
/?~<!/
ZONING (office use}
,~~
LEGAL DESCRIPTION (office use only)
LOr ?L€LOCK&/ADDITION
PID
OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
(phone)
APPLICANT /?; /, _. ~ / d..,
(Name) /-:;/~ .",.hA/'~
(Address) ~~ ~~t61 ~ ~
I (Addre~
(contactperson)A~ ~~
APPLICANT SIGNATURE .;", ~- )~ f""'"'_' ____
(Phone) ~5/- 4f,,?...,,??72
~~~ 5'"~~~
- (ClilIIf (Zip Code)
(Phone) ~/.. c;('~-~77.:2
DATE
, APPLICANT PLEASECOMPLETEBELOW
J!lNEW CO~TRUCTION. .0 REPLACEMENT .... [JAL TERA TIQNS. J I
FURNACEMAKEANDMOD!l!t1/~....~_~~~~7~ FUEL ~ ..........~
FLUESIZE~M~RETURNOPENINGS . .. . INPUT~ OUTPUT 6Z.,~
TYPE OF SYSTEM
DWarm Air Plants
OGravity
o Mechanical
SlAir Conditioning
~ent. 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
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
$39.50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ ~ a::> Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$JL// &u/~ P.
$ " .50 S' I 'AID WITf-'
$ (7 ulLDING pr- f?
c;:RMrr
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
~I ~~ [E ~ ill [1; --< By
Da~ ·
, 11 JIIN 9. 3 I
24 hour notice for all inspections (952) 44 tJ-,50, fax (~2) 4;,o..mS "
~'
:tJ
By
-----1
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please tv1Je or orlnt and sip at bottom)
ADDRESS
~. ~~ ~::y PERMIT NO. 3-"__/, .4L/J1
3, Yellow Applicant [" ~../ I
17371 RIVER BIRCH LANE S.E.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name DR HORTON
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENf>A HU.'j TQN
DATE
8/6/03
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
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
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
$64.50
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
(Office Use Only)
Building Permit #
$
$
$
l~ is (7::) f7, n ill Ie '"
This Application Becomes Your Building Permit When Approved U) LpaW 1_'-:. U I Lb I!
rM.U:tJ ~ , L003 ~
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Residential, Additions & Alterations $39.50
Residential, AC Only tJ P-4/D $39.50
lJILD/~ WrrJ-j
G P~F/Mrr
.50
Receipt No.
By
(;
r
Buildine Official
Date
24 hour notice for all inspections (952) 4j1.':IJ8S0. fax (952) 447-424c;
PRIOR LAKE- :~it~~~~NJD~~~~oMain File
INSPECTION ~EC~~ain File
SITE ADDRESS /'1 37/ - ~, u e r 1f, yJ,\.I~ I A.c. e...
NATURE OF WORK ~w
USE OF BUILDING ~ 9-
PERMIT NO. 03. ~ ~~ DATE ISSUED
CONTRACTOR J) ~ ~r-k~ PHONE~~~ · t;'13~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING \^^a.;,,1
FOUNDATION (Prior to Backfill) '/WJ.i", I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
. PLUMBING W g--. JI4>~
, HEATING (if requiredrr~ .~:r' ~,1/J103 tlWj ~v),(r'rf3
.. FIREPLACE JIt1V <t - 1-~ - UJ
GAS LINE AIR TEST ~ '6 I ~6 . uS
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
MC\c"
-
rrYJ
V1ff'
7r~ J(. /~
~ / )-f{ t!3
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
;/vy/
/ ).- .)~C/)
(0-1-0<
I t- r:- -( f';;
SIGNED
YI/V -
!IvV./
OCCUpy UNTIL ABOVE HAS BEEN
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
--r T
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,