HomeMy WebLinkAboutBuilding Permit #03-0295
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CITY OF PRIOR LAKE
~tflattmtnt of ~uil~ing JInSfltttion
){l 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.
03-0295
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District _ R2
Legal Description _ L5 & 6, B 6, DEERFIELD 7TH
Owner of Building
Site Address
17361 RIVER BIRCH PLACE S.E.
Contractor's Name & AddressD. R. HORTON; lN~, 20860 KENBRIDGE CT., SUITE 100, LAKEVILLE I
ROBERT D. HUTCHINS f' (/1 _ City Planner DON RYE
Date:
/2
Buildin,.& Official
1).O'"t..
"
Date:
DATE TIME
CITY OF PRIOR LAKE /2. ,/)-cr$
INSPECTION NOTICE SCHEDULED
.
ADDRESS /7 J(;/ {0Vf-~I......1t PI
OWNER CONTR.
PHONE NO. PERMIT NO. J-2.t:tS
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
lII"F/NAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION Jii!"MECH FINAL 0
COMMENTS:
----- .
~ /-/
( ~6Sc
~
------
~
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Ht.o )
-----""
.wORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: !/1/Y
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I/'iSNOTI
--r
OA TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
q- /l,t(]
ADDRESS
173C( Lr6trl-h
,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
.-.3... 2-f()'
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 EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASlINE AIR TST
o
COMMENTS:
~ov- r~
o WORK SATISFACTORY, PROCEED
jifCORRECT ACTION AND PROCEED
o CORRECT ^O~ CALL FOR RE/NSPECTION BEFORE COVERING
Inspector: -l\A I t1:.J), , n _ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I/'iSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT ;(_ (J.-;-3
See Main File
(Please type or print and sign at bottom)
ADDRESS 0 I ~
11 ~~ t K~"u~\rJ.\ Y\tlL~ sp.
1. White File
2. Pink City
3 _ Yellow Applicant
PERMIT NO. 03. o~q5
grt~LfcfSCRIPTION (office use only)
LOt BLOCK lp ADDITION~~aa.. ~
OWNER
(Name)
(Address)
BUILDERr;-'\rt) , \ .:.
(Name) ,L). K_ \ ~?+otJ .J,...Y\.L.
(Contact Name) \v'\,\-{~- nhn"~
(Address) 2t.o~(..p.O K~ ~~I\.(.~' .~?--t.OO
, ~(~t!l, fV)(q 650'tY-'
TYPE OF WORK
o Misc.
9(New Construction
OLower Level Finish
(Phone)
ZONING (office use)
Rd-
PlodS' -3% - O~-()
(Phone) 952-...q ty5 - L. tDO~
(Phone) q S2 . 2.:2J,- 4-1?/L...
DDeck
DPorch
ORe-Roofing
o Fireplace OAddition DAlteration
PROJECTCOST/VALUE (excluding land) $ ql,1tJJ
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
submitted 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
ent n e property to p rfi n ded inspections.
x
r
V
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
iq2. 000,00 I
$ ~75
$ 100e;.5'1
$ .y~ .()O
$
$
$
$
$
--
J Of) , (:J ()
/O(). 00
o/O,otJ
This Application Becomes Your Building Permit When Approved
~ ~dp S!J?J03
- - Building Official r D,he
~f)D~~7
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
_ 'j"7J ,-~f1, d--=J
3--~~-O(j
Paid
Date
#
#
#
#
2-/ 2.. ~.~
. Date
$
$
$
$
$
$
$
$
$4' 85f3.29'
I#"#~-' ./
ReceiptNo.~ (7 I
By ~
U
~SO,O~
1276-tJa
/2CJo, 00
?~CJ. Od
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
~_U;3J;:7oryC-;;I;i;~_md_'~-See~\taiii'Fi1e=_m".~
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
..
..
Job Address /73/6/ I!tilcl"
Heating Contractor ~ ~-.&..
"""'----- ..~
Name of Tester 1.-&
Date Jh'/~3
Percent 02 -"3 LSJO
J{ftft'
37r ~F
Percent co
Percent C02
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606 "I~
.
input .fJ,IJtJD
"
White - Building
Canarv - Enaineering
<.. t'ink - Plannilio
The Crn't'r or Cht talil' ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L',-)\,/\.-)/./ kj
. . I i~' /'.
./ I'
~I -. --7-- ,')_.!
_">1-- '-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is p~~osed at: .>
/ /73b / /</ i)e.:' Y- Il~/~;1,'1/f /-'C
.-
Accepted
Accepted With Corrections
~
-.
f,
Denied
Reviewed By:
2~ -7~
Date:
3/1 Yft::?
Comments:
See Maia3Le
"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."
l c-Whit;- - BlIildinci)
.Canary- - Engineering
Pink - Planning
Tht Ctn't' oltht ...kt ('ounlry
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
D R #ortvJJ
(~ -01- 7-\3
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction i~;;2c/" ~~~ ~ ~L
Accepted
Accepted With Corrections
~
Denied
Reviewed By: ~,~
~~
Date:
311 ~/D '3
, .
Comments:
&e 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."
Th. e.n'., nf 'h. tob Country
White - Building
1
<::. r ~"".Jl:V - r::n9!neerln9':)
Pink - Planning .
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
rr..... ,--~
/) /,..-
,J.., ,
,/ I U
f~"'''' ,r, ..... ., .,:1" .
,:Xl,.) v' ?".),
/ ~/ (~~JI' ",/ ( ..-." :.-"~ ;;
~
J. ~-
r--:X-
.-'''L.~)
/ '........)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity w h...iCh is p1r..QQo.c o~e.. d. at:. ;/ . . FL."
I s-73. tb ' - /'1 /.. J t J-J
, - I'.'.'. .4.. /
, I .I /~ / t./t::::/Y ...;.4.'..<'.4..,:)' {'
Accepted
~...
Accepted With Corrections
Denied
Reviewed By:
Comments:
NYf/3
5tc: lY!t,tl1
Date:
3 -14-(/3
(
Fir
'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."
Mar. 7.2003 11:35AM
GENZ RVAN PLUMBING AND HEATING
No.5622 p. 12 i9
1fJ. o~ PR1~
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Date Rec'd
CITY ,OF PRIOR LAKE
SKWER AND WATER PERj"U'l.
I Gr.... Fil. PERMIT NO
2. YoU,," ct".. . -3- ;)/J~
1 Gold A~pJi....lIt '/
(:Plc:ase type or pnnu.od .S1,"'Jl. at botrom)
11';;, ~JVPJ/- ~Jljln 'Pl- JE-- . ZONJNG(_~,) .
. ,
LEGAL DESCRIPTION (office u:e only)
LOT
BLOCK
ADDITION
~field ~
PID
OWNER
(N~e)-l'~ ~~~t?~ ~~stom ~1^~
(phone) _ o/~-qgs- -'8t~r,
(Address)
2.o&cO Kev1B~\u.--e Cr S~_J{)0,
(Addres$)
La'tL\,J lll~
(City)
.06)QW.
(Zip Code)
APPLICANT
(Name) Genz-Ryan Plurnhing & Heat.ing
(Phone)
651-423-1144
(Addn:ss) 14745 So Robert Trail
. (Addreg~) r
(Contact Person).. ()t/}ltL(ti tt(jl~
"-JCANT SIGNATURE ~~._.~.~ ~)
Rosemount. MN
(City)
55068
(Zip Codc:)
~L~L/1
(phone)
DATE
651-423-1144
,;S-7 -tX3
APPLICANT PLEASE COM:PLETE 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 strucrure.
FEE SCHEDULE
ReS1denhal sewer and water hne .connectlon $3550 Industrial, Com'l & Multi-famIly 1% of job cost with a $39.50 mmimum
Sewer cOlmection only. $1750 Water connection only $17.50
EstImated Cost $
BuI1din~ Permit #
SEWER AND WATER PERl\.HT FEE
STATE SURCHARGE
TOTAL PER1\fiT FEE
.$
$
$
.50
PAID WITH
BUILDING P~RMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
2uiJding Official
Date
. ~ r DJ ~& Yf1nw rs r)7
!I~ i; - - ~ By
Receipt No.
24 hour notice for all Inspections (952)
-
Cf
--:- 1
Mar. 7. 2003 11:35AM
GEN2 RVAN PLUMBING AND HEATING
No.5622 P. 1319
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERlVllT
1 Blt.lc fH- PERMIT NO
1. Gold Cjry ~ . '3 - .""',9 "c:-'
3 Y-Uo'" ~in>lIaIIl c;Z- .)
(Ple;1!:e tvpe or or1llC and slen at bottOm)
I ADDRESS
/11?CaI RlV~~ (6JJU/;J PG ,5B.
ZONING (ollie: ute)
LOT
LEGAL DESCRlJ:' uON (office we only)
BLOCK
.A.DDITION
~-Fte(J 1-t~
PID
OWN"ER
(Name) DR Horton Custom Homes
(Address)
(:phone)
902- q Q Pi -7BDC
'20<:"1 -('\ 1/ A a.f) C C
~u.' ~ r:.....c:..V1 1:):0--1 DGe... "T "':;.n::! to
L...cdu_vi JIG t-tA N EE::6Lj l,t
APPLICANT
(Name) G",,.,.,. ~Y2n P1"",ld""'2 .&-HQ;'::1.r..3
(Phone) ...iJ51 _b ? 1_ UA.4.
Robert Trail
(Address)
r/VlJe.(~\h' m/U~
Rosemount
MN
55068
(Zip Code)
(Address) 14745 So
(Contact Person)
(City)
(Phone)
6.51-423-1144
3-?--0.3
DArB
, APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Quantity
I
{
l
9...
:;
I Type of Fnture
IBath Tub wlth or without shower
I Dishwasher
I Floor Drain
1 Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
I Sinks
I Bar Sink
I Water Closet. (Toilet)
Quantity
, Type ofF~ture
I Rough-ins
I Water Heater
I Water Softoer
Stand Pipe (Washing Machine)
I Sewage Ejector
I Backf)ow Assembly
I Ba.cldlow Assembly Test
Lawn Sprinkler
Other .
I '
IJ!-T-
-(-.
FEE SCHEDULE
lndusmal, Comole!cial & MultJ-fa/mJy 1 % of Job cost with a $39 50 minimum Residennal, New One & Two-Family $99 50
. Residential, Additions & Alterations $39 50
(omc~ Use Only)
E:;tlD')ated Cost $
Buildmg Pernllt #
PLUMBING PERlvITT FEE $
STATE SURCHARGE $
TOTALPE~nTFEE $
50
PAID WItH
BUILDING PERMIT
Tilis Application Becomes Your Building Permit When Approved .~o .
'n Date
Building Official Dsh: ~ !I AI Jl n
f!.J1 ~( 1 i1 Z
24 hour notice for all inspections (952) 147-9850, f:u: (952) 44Q!1J.4
[?y
"~
Receipt No
By
r.
f/
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~: ~~:n ~i~ I PERMIT NO.
3 . Yellow Applicant
~?c:P?./
~ .
3 -19ct 'J
(Please type or print and sign at bottom)
ADDRESS
/7'?t:, /
- - -
L~~
&/~ h~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOTI1~LOC-d1 ADDITION
PID
~~e~RD.~. Horfon C~m Hom~
(Address)doi1oO ,~ed>ridC)~. ~o.k eviLle. Mf\}
APPLICANT /\ II. . M h---
(Name) l:1LLrQr-l ee... .J.,.II1!. (Phone) 0/-.<./5:L-c:?775
(Address)~{) f\.e.nnehec..~. 5fe. #j "'~QaQY1 ..?5~
(Address) J (City) (Zip Code)
(ConmctPernon) ~f~A;;~mmf.?rf'l"\ Qn (Phone) fp51-45~~ ~77~
APPLICANTSIGNATU ' I (l.4?~ DATE
t/(./ () . C/ -
APPLICANT PLEASE COMPLETE BELOW
[g"NEW CONSTRUCTION o REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL 'Br~4n+ 3~A-Vb1J.l.Di 0 FUEL 1\JQ..hArlA ,
FLUESIZE'tI'cla.sc;, ~ RETURN OPENINGS 4 INPUT 10,oco OUTPUT 6lD~/:)Oo
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone) q5~'" q ~ -7017,,2..
..5 50~ L.[
DWarm Air Plants
DGravity
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
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & A/C (New Construction)
Residential. Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
PAID wm.,
BUILOING PERMIT
Building Official
$
$ ..,50
f!31. - .,
$-,
_ _ - -'-1 r? ;
r;-l~ M \1l\ \U \1, \ \:_~.
~PR ~ 3 2003.~:~ceiPt ~ ~
Date e l~
- /
24 hour notice for all inspections (952) 447-985 ~~-,;J447-4i45
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
I>a It' I{l'f'tJ
; Yt'IIIl\\ \PI1II((1111
PEI{~IIT "'0. 3 ~;;r9~
I 1'1111.. Ilk
~ (;1 t't'll ( -I \
(Please tvne or urint and SilOl at bottom)
ADDRESS
17361 RIVER BIRCH PLACE SE
ZONING ,,,II,,, ",<'
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) D R HORTON
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(ZlrColk)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRfN(M HUSTON
DATE
71203
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
OUTPUI
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 Inl'rllilch Int"
RCLJlIIIl"ll "Idl' \ ,lid
Set h<ll' f.-,
FIREPLACE MAKE AND MODEL
HEATN GLO SL-750TR-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% oriob cost ResldentiCtI. (idS IlIcrlilll'
$39.50 minimum
$99.50 Residential. ,\ddlll<lIlS &. \11l'lilll(lIl'
$64.50 Residi:nllal.,\l ()nh
" '/ "II
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
" ~q ';11
" ~ \ J "( I
Estimated Cost $ Building Permll "
HEATING PERMIT FEE $
ST A TE SURCHARGE--..I~ ':;(1
TOTAL PERMIT FEE n' [E.,_~_ ill 0 1JjTf""I:i
(Office Use Only) I LS
This Applicatioo Becomes Your Bu lid log Perm U Wheo A pp ro,,~ J I ~ /III" dO 2 2003 ~ I
~ /),lIl'
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'U1t.(j "'I/) IA..
~1\IG ""~
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1< ',,'l ',' 11 '1 \\
1\\
~
Buildinl! Official
nalr
......_"_._~..-..
24 hour notice for all inspections (952) 447-9850, fax (4:"2) 4.P-.H4:"
PRIOR LAKE
INSPECTION RECORD
· _ 13t2t'H 'R...~S"
~-
- See Main File
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS l!Z3lol
NATURE OF WORK
USE OF BUILDING .F, .
PERMIT NO. ~ ~ u () }-aY(>" DATE ISSUED
CONTRACTOR ~. ~ ~ PH NE · -'f7Jz,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
J FOOTING V\{4~ I
J FOUNDATION (Prior to Backfill) ~CtV1.\ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
'-h(1(M
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING VVi/ 7 ~ 3(rO:>
HEATING (if required) 1/1,# 8-"'-~ /~
FIREPLACE t/W g----,---"1>
GAS LINE AIR TEST &r~...-G Z'J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
O:'L
wY
[;1IV/
)<-/t -03
x--~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
Yif/~
l/l.IV.
~
OCCUpy UNTIL ABOVE HAS
NOTICE
/1- ~I ).,..0->
C{ -1).,.0'3
Ij,,-/ )-(/J
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