HomeMy WebLinkAboutBuilding Permit 03-0687
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE I_/'} -oJ
AND UTILITY CONNECTION PERMIT ro' 0<-'
Main File ~. ~.~:.
3. Yellow
File
City
Applicant
I PERMITNO'/)3_0g? I
(Please ~e or orint and sign at bottom)
ADDRESS
1134 e RJYfr~\.-J\. L'l-u_
~f?
ZONING (office use)
f<-(A.
LEGAL DESCRIPTION (office use only)
LOT Z-BLOCK IJ... ADDITION U"P""O...J d. ~
PID J5-3CJrr:---o/C/-Q
OWNER
(Name)
(Phone)
(Address)
BUILDER ~'"7> ...l (A I '.
(Name) V.~. 1\llY't1lY) ..l-Yl C
(ContactName,MN<:'L L{),h rt0dk, ./
(Address) 2.ogl('/9 1<' ".N,j.0r)~ ef: sterOO
. I-artvn fr;: MAlr../i:;r:;oY,</
(Phone) q"7-913~-7f1..o~
(Phone) _C(C;2-- 2.u,- f 7"?::J--.
TYPE OF WORK
~New Construction
DLower Level Finish
DDeck
Dporch
ORe-Roofing
ORe-Siding
o Misc.
o Fireplace DAddition DAlteration
PROJECT COST IV ALUE (excluding land) $ q / I 7':; tJ
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
submitt 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
enter 0 the property to Frf~dedli~spections.
X .J,~hfA----" .1.0'2/)~ 17-.:v-J-/J?'
- Signature Contractor's License No. Date .
[J
I Permit Valuation q:J. 000-- I Park Support Fee # $ <j{"5;0.00
I Permit Fee $ Q'37. 75 I SAC # $ f z 7S",QO
I Plan Check Fee $ (,,0<:;'54 I Water Meter Size 5/8"; 1"; /-)& $ 3b5.00
! State Surcharge $ l./~. Of) I Pressure Reducer $ lea. ()()
I Penalty $ I City SAC and WAC # $ I ZOO. Od
I Plumbing Permit Fee $ loa. 00 I Water Tower Fee # $ 7<:J<fJ.oCJ
I Mechanical Permit Fee $ lat). tJfl I Builder's Deposit $ ISoo. 00 I
I Sewer & Water Permit Fee $ 35".S-0 I Other $ I
I Gas Fireplace Permit Fee $ L!o,oo I TOTAL DUE $'1. CJ.3f7. 7'1 I
/I ,
This Application Becomes Your Building Permit When Approved I Paid 7<:; ?f: I '1 I Rec1!o. ~'7fZ-.
~ I Date C, _ I . (.J r By .
~ -;')-~ t::./I"5./o :3 U
Building Official date
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
isSU~. 7~ c:'//5/63 #." aJ.f2 ~
~ /~ - .J
Planning Director Date Special ConditioJrS, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
.
..
Job Address ~~k(
Heating Contractor ~1fI/? ~C" JI
Name of Tester ~ D
/~)Jil3
1.7/,
;;f",<? PI
J~3%
33~OF
Dale
Percent 02
Percent CO
~
Percent C02
Slack Temp
Combustion air is adequaleiy supplied per
UMC Sec. 606 Vl!':5
input ? ~ {nO }~ -rr j
.~
,1"''''7
A AMERICAN \?l).\ 1
EtlGINEERING: ~ ~ ,
TESTIN G IN C
, I REPORT OF SOIL DENSITY TESTINf!
o.AX lyt i
.fT ,,"0
CONSULTANTS
. GEOTECHNICAL
. MATERIALS
. ENVIRONMENTAL
PROJECT:
REPORTED TO:
17381 - 17385 RIVER BIRCH PLACE
17348 - 17352 RIVER BIRCH LANE
PRIOR LAKE, MINNESOTA
DR HORTON CUSTOM HOMES
20860 KENBRIDGE COURT
LAKEVILLE, MN 55044
A TIN: MIKE SUEL
AET JOB NO.: 20-003145
DATE: JULY 2,2003
SCOPE
This report concerns the compaction testing we perfonned on utility service backfill placed in foundation
areas at the referenced project. The scope of this work is limited to the following:
· Perfonn 2 soil density test in the field on an intermittent trip basis, as requested by DR Horton,
Inc.
. Perfonn 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 p~<iuuHed 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 #29 and #30.
REMARKS
Our compaction 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 till 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 perfonned will be
retained until completion of the project.
Reviewed By:
American Engineering Testing, Inc.
~~~
Gary~
Senior Enr
This document shall not be reproduced, except in full, without written approval of Americ"
550 Cleveland Avenue North. St. Paul, MN 55114 .651-659-900
Duluth . Mankato . Marshall . Rochester . Wausau . Rapid City . Pi
AN AFFIRMATIVE ACTION AND EaUAL OPPORTUNITY EMPlQVf
IJ
AMERICAN
ENGINEERING
TESTING, INC.
REPORT OF DENSITY TESTS
CONSULTANTS
. GEOTECHNICAL
. MATERIALS
. ENVIRONMENTAL
PROJECT:
REPORTED TO:
17381 - 17385 RIVER BIRCH PLACE
17348 - 17352 RIVER BIRCH LANE
PRIOR LAKE, MINNESOTA
DR HORTON, INC. (3)
20860 KENBRIDGE COURT
LAKEVILLE, MN 55044
AET JOB NO: 20-03145
ATTN: MIKE SUEL
CC: RYAN CONTRACTING CO.
ATTN: SCOTT ENRIGHT
DATE: JULY 2,2003
FIELD 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 CODtetlt Proctor Percent
No. Date Test Location *DeDth ..J1!gfL ..J.!2L ND. Comnaction SDCCS.
29 6/27/03 Sanitary service, River Birch ~ 104 18.5 16 95 95
Place 17381-17385, River Lane
17348-17352
30 6/27/03 Water service, River Birch ~ 133 6.0 19 95~ 95
Place 17381-17385, River
Birch Lane 17348-17352
"Depth (ft) below footing.
Method: Sand Cone (ASTM D1556) _ Nuclear (ASTM D2922)1L-
LABORATORY MOISTURE-DENSITY RELATIONS OF SOILS (PROCTOR)
No.
Soil Descrintion
Gravel
Qnttent 1%,.
19
Crushed limestone
57
Test Opt. Moisture Max. Dry
Method Content (%) Density
~
A 19.4 108.6
C 11.5 139.6
16 Sandy lean clay, brown (CL)
Procedure & Method: Standard (ASTM D698) X
Modified (ASTM D1557) _
To ".~;"'.. the addressee, the public, and ourselves, this report (and all Sl""IM";"g information) is provided for the addressee's
own use. No representations are made to parties other than the addressee.
Reviewed By
American Engineering T~, Inc.
~~#?", -
Gary"1C Larson
This document shall not be reproduced, except in full, without written approval of American Engineering Testing, Inc.
550 Cleveland Avenue North. 51. 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 OPPORlUNllY EMPLOYER
-==---~
.~
56;'
Main File
White - Building
( l,;a'lP - I;;nalneerln~
Pink - Planning
TII.. ("..nl..r of III.. l..k.. Coun'".
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
,
:~./
/: /':"1" . i~~ .-/
i'-..l.t."'_-, C Lt, , .-.-
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed,at:
/j-;?-~ //~>"-
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f '''C....7 ','C-/ /.::!,." ~- Y<./
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Accepted
x-
Accepted With Corrections
Denied
Reviewed By: /}14 b Date:
Comments: See Reverse Side for Additional Information! ..
6-7-03
Me-I ~
F,'{.,
See Attachments: 1) Gra(jin~ Pl,'m. 2) Erosion Control M~l'l;:l1"p~
"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 File
.........whito. - ~1"dl~.i!!sL:>
Canary - Engineering
Pink - Planning
Thr Crnlfrof lhf' I..b Counl!'l
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
DQ
~
(, - d-..- 0 3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed,at: Ll. J / . .
1/731/2- -j:(~ ~ ~
Ii
Accepted
Accepted With Corrections
~
Denied
,...
Reviewed By:
~ '-:f~
~~~,
, '
Date: ~,/;310J
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."
~~
Main File
White - Building
Canary . Engineering
rt'ml< -f'la~
Th.. ('..nl.., of Ih..I.8k.. Counl.,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
{ ~
k.:-
/j ,j L f, -~,~
l./ -
:; -()3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed,at:
/II j J/r{-
I') ~ /11
) ;;" .,fr' I
. ,
V ,/.,,,.t--{/':..10
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Accepted
Accepted With Corrections /
Denied
.
Reviewed By:
;A,~
~/~
?~~ Date: &,//:;>/03
a-d ~-+.~.
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."
'.
)11[1. 9. 2003 8:37AM
GENZ RVAN PLUMBING AND HEATING
No.6693 P. i3 24
Date Rec'u
"
CITY .oF PRIOR LAKE
SEWER AND WATER PERMIT
{pf?7
i ~ g',j. I PER1\11T NO. 3 - J.~
J,G<lld A.~lC,Q6C ~I"'
(Ple.1.Se '!ype or ntint and. !ism at b01IOD1)
ADDRESS
/1?lf8 fJfII'J(," fJ/r<-cf1
If! Sf.
ZONlNG 'office "oc)
, LEGAL DESCRIPTION (olllce we only)
LOT BLOCK ADDITION BldCf #8/ /)eLfLFr~/d 7m Fro
V
OWNER
(Name) !,O u~........... f"._......^_ '';Iom,:,-:-
(1'hone) _ qs2-Q85-'6')1',
(Address)
20&(')() ~Bi<..\s:::ce. CrSwI(\f\
(Ad<b'o,,)
Lake,\illle..,
(City)
&JeiJLlU
(Zip Code)
APPLICANT
O'~e) Genz-Ryan Plumbing & Heatin&
(phone)
651-423-1144
(Address) 14745 So Robert Trail Rosemount, MN 55068
C (Addw.) (Ciry) (Zip Code)
(eo.'-;=;;~NA::'~hCM1#~ .' ~U1 ~ATE m-"'~l~/(l.p;
APPLICANT PLEASE COMPLETE BELOW
Size of water service inthes.
Location of any couplings from structure
Type of sewer pipe_ 0 ABC 0 PVC
Estimated length of sewer line feet.
Clean out (if required) located at _ feet from structure.
feet.
o Cast Iron
ResidentIal sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost wllh a $39 50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Penmt #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
r
(omt.t: U!lt Only)
This Application Becomes Your Building Permit Whcn Approved
BuildiDg Offic:isl
D:dc
I Paid
I Dllle
I ReceiptNo.
I By
I
I
,'",-'."i
24 hour notice for all inspections (952) 447-9850, fox (9S2) 447-4245
€~~
";~' ,'" A,'NN"O'>
, itit.M"~l~':~'>::'S'
\"(~~,~,
Jun. 9. 2003 8:37AM
GENZ RVAN PLUMBING AND HEATING
No.6693 P. 14 24
Date Rec'd
.
CITY OF PRIOR LAKE PLUMBING PERlYIIT
L BJu. fil.
2.(J.:J(d Ciry
J y,How ~pjiQnt
/pR1J
I PERMIT NO. 3- ~ I
(plt=!l.SC ~c: or print md S1l!J1 aC bOlIDm)
I ADDMSS/73t./B f,(I/(,(L B/t{J/tL Ln St.
ZONING (om", ",oj
LEGAL DESCRIPTION (ollie: we only)
LOT BLOCK ADDmON t3 /dq. 0 I ~dJ., fin
'""
PID
OWNER
(Name) DR Horton Custom Ilomes
(phone)
%2-Q-X.'S -7'6DD
(Address)' 2o'&.?D KenB~1 rx;e.. Cr Sie IDO
udu..vi)IG />UN 5C6LiLt
APPLICANT
(Name) r.o'l"'l"'-'Or,:,- "lllmPirz r. u"'....."'.....3i
(phone). ~<'_1.?<_11/,1,
Rosemounc
MN
55068
(Zip Code)
(Address) 14745 So Robert T'rail
(Contact Person)
(City)
CV\((1;tti f-iliJ
r A.~) '-:fn.1.J /\
(Phone) _
651-423-1144
(p/~/tJ8
DATE
APPLICANT SIGNATtJRE
QU:lDtity
I
I
,
4
I
z
.
APPLICANT PLEASE COM:PLETE BELOW
I Type of Firtu~e I Quantity I
Bath Tub with or without shower I Rough-ins
Dishwasher I I . Water Heater
Floor Drain I J2. -:1:. Water Soflner
1 Lavatory (Bathroom Sink) I, Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Ejector
I Shower Stall I Backflow Assembly
Sinks Backflow Assembly Test
I Bar Sink I Lawn SprinkJer
I Water Closet (Toilet) I Other
~
,
1
1
1
1
Type ofFixtu~e
FEE SCHEDULE
Industn.I, Commercial & Muln-fumily 1 % of Joh tost wIth. $3950 lllinim,!", '
Estimated Cost $
Resldcnn.l. New One & Two-FamIly $99 50
Residential, Additions & Alterations $39.50
Building Permit #
PL~~GPERNUTFEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
I'
{
(Office Use Only)
I This Application Becomes Your Building Permit When Approved I
..".,
\
J
I-~
Receipt No.
Building Offici.a.1
D.atc
[ PaId
I Date
By
24 hour notl~ for.U Inspections (m) 447-9850, fu (952) 4474243
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
#2ft7cZJ
i ~~ ~:~ I PERMIT NO. ~ / j(.h I
3. Yellow Applicant < - In [) I
tr1ease '!vp~or orint and sili!Il at bottom)
I ADDRESS
/73~r b~/h3//A
ZONING (officeu,,)
. /,--~
CC-
.JC
LEGAL DESCRIPTION (office use only)
. LO:t9/BLOCd/ ADDITION
PID
OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
(phone)
APPLICANT /J ~ /. ~
(Name) ./-f///~r../A4/"'-./
(Address)~ ~~~I~ ~
'.... /~A~ddreJ
(Contact Person) A ~.-:6f~
APPLICANT SIGNATURE _ _ . ~ '~-
(Phone)tC,S- /- 4'.5"".-1-...P ??~
~~~~5;~ 1?
(aJJ1j{ (Zip Code)
(Phone) ~- q'~--1 ?7-r
DATE
APPLICANT PLEASE COMPLETE BELOW
.raJNEW CO~TRUCTION 0 REPLACEMENT 0 ALlERA TIONS
FURNACE MAKE AND MOD~/r'-,; ~, .?/a-9~q~7.o FUEL"I .2 ,,<,....;. j.- -e
FLUE SIZE.y~.k~ RETURN OPENINGS . INPUT U 1'---.,.;' OUTPUT 6"Z~ ~
.
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Planls
OGravity
o Mechanical
~ir 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
$39.50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ ~a:>Buildingpennit #
Building Official
$~/ ..&......./~ B PAID WI7i
$ , .50 (JILDING p H
$ (7 l:FlMIT
r'~U ill L2lceIPtNO.
Date II ~tte JUN 2 3 2003 lit /'rr
24 hour notice for all inspections (952) 447-9~~ fax (952) 447-4245 I vt
HEATING PERMIT FEE
STAlE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
FIRESIDE
CITY OF P
HEATING! AIR CONDITI
CORNER #1999 P.016
OR LAKE
GIFIREPLACE PERMIT
Date Rcc'd
F SIN"
(P1euc'!P!orltrin1anddlDfltbl'lttoml IRE IDE::.
I ADDRESS HEARTHC'7"HOM EN
17348 RIVER BIRCH PLACE S.E.
.;,,,"' I PERMIT NO. 3 -- 0 f? 1 J
ZONING (office "I<)
r.EGAL DESCIUl'TION (office IIJC Ollly)
LOT
BLOCK
ADDITION
PID
OWNER
(Name DR HORTON
(Phone)
(Address)
APPUCANT
(Name) AT_I_IF.D FIMsrnF. D'le...EJJ1J";gm HF.A.BI.1:lJU:,OMF.
(Phone)
651-6~~-?561
(Address)
2700 NORTH P AIRVIEW A VENUF
(Add~!is)
"OSEVlT.L '"
(City)
55113_
(Zip Code)
(Contact Pel'on)
BRENDA HUSTON
(phone) _651-633-2561
APPLICANT SIGNATURE
BREI,:!p~USTON
DATE
8/2'(/03
APPLICANT PLEASE COMPLETE BELOW
xO NEW CONSTRUCTlON 0 REPLACEMENT 0 AL TEM TIONS
FURNACE MAKE AND MODEL FUEL
FLlJE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PT-ANT
OWann Air Plants 0 Stem
OGravity 0 Hnl Wo.ter
o Mechnnical 0 Rndiflf,jon
OAfr Condr,Jonlng 0 Sp'e<i~J Devj~
OVen!. SysJ.cm 0 OIher Oevices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
RP..opw..cl SIde Y.w:!
Sethacks
FIREPLACE MAKE AND MODEL ,_,_ HfA TN GLO SJ~750TR-C
Industrial, Comme",i.) & Mulli.F,mily
FEE SCHEDULE
1% of job CO,! R"idenHel, Gas FireplAce
$39.50 minimum
$99.50
$64.50
$39.50
Resident;el, Healing & NC (New ConSlru,1ion)
ResidentiDl, Henling Only (New ConSLrl.Jcr.ilJrt)
Resident.,.I, Add,';on.' & Alterotion.
Residential, AC Only
Estimated COSl $ Building Penni! #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE S
(om" IJ.. Only) , . n [f 1I}
This Appllcalion Becl)mes Your Buildln!: PerJllil WhCn.ADDrQll.~ii/[C.~.[f Od [ , \. , Receipt No.
. A ItelIrlh & If{/"',! 1.",11.. ogfeS'1!:an J I
...~I', , HulldPrDivisi," ~m.oiI1 Luuj j~ By ldT~'
~ B.uldln.Ofl}<1Ilh Fo,rv;owAvenue 1::!lmI, Ro.Q'IIf.lk MN 551 Ii 11l01j,:..6S~""_0<r.l r.. . >33,,&8.' ~
!J",.;,-'.i <wo!!o 3850 West Hji1j,':)'1l)C JJti~'lbP'i.~illli~p~<!fl.r.H~~2r,!'.Pi!\j~slh~~~~1~nh~ -890-5408 ~~1)"~',,,,'.v.!)il'.~
www.fI.."lrlM.~II.t..m MN Cflnrrl1lf~nfT_(u"~ If:!,ijll'9''~I'
.50
$39.50
^ /:J. $39.50
o'til. ~/D
- ZOI/'v. 11.7,., ..
G;O~""
'1>4t1}'
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /78l./? 'R,.UGV tJ/'rclt L.A/
NATURE OF WORK J/t!:W
USE OF BUILDING ~F 1'1 .
PERMIT NO. ~B" DATE ISSUED
CONTRACTOR------z:s-~ ~r.t-6iu PHONE ~ ~~ - I./~ ad...
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE ~~RMIT IS BY SEPARATE DOCUMENT
'~ VI ~~ 1) \!'Jof ~'Co (J'J INSPECTOR DATE
I FOOTING 0/ t--- I ~ _ I (,I1/'30/D3
I FOUNDATION (Prior to Backfill) ~yrl1 i.~.-t;;W / y'rr I 7-lltJ~
PLACE NO CONCRETE UNTIL AB6vE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC I
FRAMING I
INSULATION I
ELECTRICAL I
PLUMBING 5~(('N lJ-t,J iAtll
HEATING (if required) <\V4",~" if'\,(
FIREPLACE
GAS LINE AIR TEST
DEPARTMENT OF Main Filt
BUILDING AND INSPECTION
tYw/
IM/~
1i1P
f/'vY /
J'Z.#
M
1~ / ~-tIJ.
q-(q~~
q- /~-: 0
Li-r1--v3
q --n~cf)
1--0 -u:>
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1
"5h....d.f0 w-. I VW 1~)-- C7 I
FINALS
~
GRADING (Prior to Sodding)
BUILDING 1(.11I1' vlll'/'il r.:t~
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY
- I
~
?/.f'cJ/"f
J/1IV
I ~
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.
I (j- )...l-. II)
/1- ~./2
SIGNED
FOR ALL INSPECTIONS (952) 447-9850
QIrtfifi:catr of @:cmpa~t\!
CITY OF PRIOR LAKE
. ~tpnrfmtuf of ~uilMug JIusptdiou
t(Final Permitted D Conditional e.O. Expires
I
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
Occupancy Type
R3
Type Construction
VN
Fire Zone
Bldg. Permit No.
N/A
Zoning District
03-0687
R2
Legal Description
L2, B6, DEERFIELD 7TH
Owner of Buildiol!
Site Address 17348 RIVER BIRCH LANE S.E.
20860 KENBRIDGE CT.. SUITE 100, LAKEVILLE
DON RYE
Contractor's Name & Address D~ R. HORTON, ING,..,
ROBERT D. HUTCHIN~~
_rbryfficial
City Planner
Date:
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
f1\~ ~ DATE
SCHEDULED jD 1v.l6 ';J
ME
ADDRESS
1'7~4'O ~JW-~Jt,-\ 1.-10
OWNER
CONTR.
PHONE NO.
PERMIT NO.
()~-(o~
o ~ILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
-Ql'FINAL
/ri'slTE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
6'lJ/J L- oiL....
!,...()v-lfL r>.A--(~ vA LV( ~ '(LuS,H W!(,V(NJl
"- l 0 S::.>O vA "\"R.tf C,
o WORK SATISFACTORY, PROCEED
)s( CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto~. Owner/Conlr:
L-- -
CALL" 9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY/
INSN<m
DATE TIME
9'/to~/
/7j~Y ~vep J.5)rc-/: L
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..2'l'fNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
0..3 - 6 <f' 7
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-------._~
.--/ .~
/ /"> /' ,..--; / )
\.<2::S{2 r' /~/
AORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~,;~~ REINSPECTION BEFORE COVERING
Inspector: /~ ~ Owner/Conlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
...,.,n
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH I< SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/734 Is' {2,v-v {2."r;t, i,vt
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
. FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
Jll' MECH FINAL
COMMENTS:
DATE TIME
IIYI/, -() -;
-:?~Gk"7
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
c;: IT d ct'"
1"",........'5
r
Ill......
.
rf,,,,,J.p "",.,d
rc.. 1M P Uvd-; I
I -
66af- r;/N'~1.
>(-I-!)L1
o WORK SATISFACTORY, PROCEED
Il'I CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~
Owner/Contr:
CALL 0147-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
"""""
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/o,u-o>
ADDRESS
r7Y1~ ~.J.uC/ 8,oeA. L-4""-C-
,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'3 -C.y7
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
~UMBING FINAL
/' DMECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~
~IX
YcX~'-f(J>
-~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT '1f~~LL FOR REINSPECTION BEFORE COVERING
Inspector: r II r OWner/Contr:
. .
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
"""""