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Home My WebLink AboutBuilding Permit 03-1207 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d See Main File i ~;~:. , --. '- 3. Yellow ~- {l5-lJ3 It'EKMITNO'03_/z071 (Please tvn~ or orint and sism at bottom) ADDRESS n3'\5"K"VPr-1'>I~-h Ylou .,. File City Applicant LEGAL DESCRIPTION (office use only) LOT3 BLOCK 5"" ADDITION J::t.U--~d.J~ ~ OWNER (Name) (Address) (Phone) BUILDER....... n J I _I .-,-". (Name) V.t-<\ T't()( j7Wl ~ . (Contact Name) ~I~ i.b..~ ~~~~, . (Address) ~I tb~ Rjf-g;r.>~l 00. TYPE OF WORK o Misc. lirNew Construction DLower Level Finish ZONING (office use) $'d- Plra5-31~JOI5-0 (Phone)$2.~QS-l~B (Phone) ~- '2:lJ,~::.Jl:..r~7- ODeck OPorch ORe-Roofing o Fireplace OAddition OAlteration PROJECfCOST/VALUE (excluding land) $ q I. 1st> 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 r-"r-..J' and that all construction will conform to all existing state and loca11aws and will proceed in accordance with submitted plans. I am aware ~r: ~~~ official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may ;t4~=/t~e~0~~~~ dJooo~f:;7 g~I-o~ Signature Conttactor's LICense No. Date v I Permit Valnation Permit Fee 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 $ $ $ $ $ $ $ $ 9.;?ooo.-1 q~3'7. 'Is- I ft:>iYj.SLfI 41:,.- /(JI),- lot') ,- '10.- This Application Becomes Your Building Permit When Approved ~ ?..dll-- Building Official 919~.? Dale 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 lather I TOTAL DUE I Paid I Date SJ-l [. V -? IS- .12 ) ./ # # # # $ R6{).- $ 117-75-- $ $ $ $ $ $ - Ida!),- "700;- I I $ Sg5S? ,()....Cf I t/ I Recei~o. ~ ~cI / B(/ . 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 ~;:e:i:p-9::WJj;-C~9;9~;mp~cemdWID~COO_SeenMaIiiEil:=pm~mU51~ . Planning Director . Date Special Conditions, jf any - 24 hour notice for all L.'r ..~ ... (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake. MN 55372 See Main File White - Building Canary - Engineering ('.'-In'" - r'.ann~ Th~ ("~nl..r of Ih.. (,.1It <"ounlry BUILDING PERMIT APPLICATION DEEARTIV)J:NT CHECKUSI r NAME OF APPLICANT APPLICATION RECEIVED / /. /t/7G- C'- .-:) /) ':2 /3 - L;?\~j' - '- ....::; i 'j 111 1 :'\ 1 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed l;iit: ///31'5- /,)fue Y IJ/rc!J fJk C~ Accepted Denied ",-/ Accepted With Corrections Reviewed By: ~ .. ?~~ Date: 9/~3' (; ~ ,,- " ... ~'.i:" Comments: . . "The issuance or granting of a permit or approval of plans, spe~tications arid computations shall not be construed to be a permit for, or an approval of, anyvJ"lation of any of the provisions of this code or of any other ordinance of the jurisdiction. 'P~rmits 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 CJothite - Buildi'iii/ Canary - Engineering Pink - Planning Th~ ("t'nlt'r of tht' L.kt' (.'ounlry .e.uIL.OING PERMIT APPLICATION OEEARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ..{Q ~ ~ 5$'- as-C) 3 The Building, Engineering, and Planning Departments have reviewed the building permit application for const/;; 1;: i~;,~:~s:A;~ P!CLGe- Accepted /' Accepted With Corrections Denied Reviewed By: ~ r 7f~ Date: 9~h:5 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 White . Building ~rv - I:.na!nee!lfIlD Pink - Planning Thor ('"..I'" of tM ..ak" Co..U", BUILDING PERMIT APPLICATION Dee,ARTMfNT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ) /~~/ :/,<,:,;..\ ',' II' / /. C" .;>"'-......'~ C.:.:.<- _,.~: r. -- -/", -.:;: />5 C:~::; !.,./-0 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .' //7.:;;; (-,, '-).~ ,!~";).- I ! ) e y ,f\ i v'/ //1 I~j/: i/ i' r'" / -' '- -.../ _ 7--.." 'L._ ..' '".of_ "---" ",-_~- Accepted .X Accepted With Corrections Denied Reviewed By: Comments: M1-f5 5(<.. /J1fi1I'r1 Date: ~9/C;JC)3 . I' h/r, '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." 2003 10:31AM GENZ RVAN PLUMBING AND HEATING No.9176 p, 8/8 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT ~~... f;_1 PERMITNO~_o-061 q>lfase ~e Of annt and sil!ll at botIDml ADDRESS 1'i~q6 RJw~ IMflah /JI. J'. ZONING (oIlia:use) LEGAL DESCRlPTION (office use only) ~.:#=-C71 LOT BLOCK ADDmON DeuJj'e1d '7-h, PID OWNER (Name) DR Horton Custom Homes (Address) (phone) %2..Qli,t:,-7'6lJO ~k>D KLnB~ll)<=e... C. Sre 100 lAJu..vi IIG I-U N .5CbI..l LJ. I ~~~-1':"~ "'..m"....g " H::.'_~,: (Address) 14745 So Robert Trail (ContaCt Person) (Phone) r; <; 1_1.? <_111.1. Rosemount MN 55068 (Zip Code) (AddIess) Cv1R-isti fu lts 0A JJ::5:J~ (City) (Phone) 651-423-1144 DATE ~dk' -{Yo APPLICANT SIGNATURE Quantity , , I ~ a. APPLICANT PLEASE COMPLETE BELOW I Type of Fixture I Quantity I Type of Fixture I Bath Tub with or without shower I I Rough-ins Dishwasher I I Water Heater I Floor Drain I 12.. /f' I Water Softner 1 Lavatory (Bathroom Sink) I, StaDd Pipe (Washing Machine) I Laundry Tray (lor 2 oomparttnent sink I I Sew~e Ejector Shower Stall I Backflow Assembly I Sinks I Backflow Assembly Test Bar Sink I Lawn Sprinkler I Water Closet (Toilet) I Other FEE SCHEDULE Indusllial, Commorclal &: Mula-family 1% of job cost WIth a $39.50 minimum Ros;dentlal, New One &: Two-Family $99.50 Residential, Additions & AI_ions $39.50 Estimated Cost $ ~~~, ~a~~ (('-9~-?- Building Permit # Bu~diog Oll'l.lal PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE .~~@ ~ G \fJ If '"Ii ~ "!'Ep 11 100l ~ \ ...... No Date ._11 By . n... j 24 Itour Dotice for III i..pedio"" (952) 44: ~b, fax (952) 447-4245 ' Iii vJ .so (om.. u.. Only) I This ApplicatioD Becomes Your Building Permit When Approved I - Aug,28. 2003 10:29AM GENZ RVAN PLUMBING AND HEATING N0.9176 p, 2/8 CITY.OF PRIOR Lm SEWER AND WATER PERMIT Date Rec'd , . ! !if ~~_ I PERMIT NO. '3 ~ I ;)-(J~' (f1eue ~ or'D:r1Ut .and.tl~ at bott:Clm.) ADDRESS i7~ illJW.-'~jfSCh Ln Sf3 - J7~1 q314)QI\fe.~ Bi~pJ . _. ZONING (Qfiio:...) LEGAL DESCRIPTION (office.... only) LOT BLOCK ADDmON &/'1.J:t-01-1 DWUie!d /1h PIP OWNER (Namel "" "nx~~'1 ,..."~"- ':io-~" (Address) 2o&DO ~e~\!::6e Cr Sof"-'f\.'"\ (Addms) (1'hone) _ gs;2. .Q'aS-""18M ~~!lle... "56"}JLJ. (City) (Zip Code) APPliCANT (Namel Genz-Rvan Plumbing & Heating (phon~) 651-423-1144 (,Address) 14745 So Robert Trail (Addrw) (Contact Person). r jtJ lQ.i sti. -6 i 15 'JlCANTSIGNATIJRE. CuJ~ ~ Rogemount~. MN (City) 55068 (Zip c"d.c) (1'hone) DAlE 651-423-1144 ~-C)f-~O?" APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any co,~I;.,Z" from structure Type of sewer pipe. 0 ABC 0 PVC Estimated length of sewer line feet. Clean out (jf required) located at feet from structure. feet. o Cast Iron FEE SCHEDULE ReSIdential sewer aDd water Ime COllllection $35.50 Industrial, Com'I & Multi-family 1% of job cost Wlth a $39.50 minimum Sewer connection only $17.50 Water connection only $17.50 Estimated Cost S Building Permit # .$ .$ .$ (Omet Us< OnlY)' ~ 0 fE@fEawi{nll I This Application Becom... Your BuildiDg Permit When Approved .pail!' 1 2 2003 I U J/ Date . By SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE .50 Receipt No. ~ ~d!/() ~Q~ ,~~~ ~~/)o ~ Bui1di"i Official Dlle f( 24 hour notice fur.n InspectlOD' (9S2) 447-9850, &x (9S2) 4474245 CITY OF PRIOR LAKE REA TING/AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'd 4g7r (Please lype;P1':print and.si2D at bottom) ADDRESS p /7~95 L:~O//~ ; ~ S"", I PERMIT NO. 3- (J-OIo I / .tU-P ZONING (office use) 56 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER DR HORTON (Name) - 20860 KENBRIDGE CT (:Ad4ress) LAKEVILLE, MN 55044 (phone) APPLICANT .4 0 A (Name) %. A'J' ~ .. -,;oJA-?;/,.&J' (Address) ,"~~ ~~.A,~ ~ ~ ~ (Contact Person) A. .. .~~~ APPLICANT SIGNATURE . '; __ (Phone)'.~ fi 4'f-i'-..? /.?~ ~~4l2:A" .:5::r.bi'-? (CJlJ1If (Zip Code) (Phone)~-q.g-~7~ DATE _ ( APPLICANT PLEASE COMPLETE BELOW . J.!INEW CO~TRUCTION 0 REPLACEMENT OALTERATIQNS . FURNACE ~AND MOD~/y-" ~. ?/~~.v07t'? FUEL",(..j, ~.~..e FLUE SIZE.r0~-.fif RETURN OPENINGS . .. INPlrr 64 ~ OUTPUT 6Z~ L,4 -<-..,. TYPE OF SYS'I'EM HEATING OR POWER PLANT DWann Air Plants DGravity o Mechanical ~ir Conditioning ~enl. System UStearn o HolWaler 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 FireplllCe $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential. AC Only $39.50 Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Building Official Estimated Cost $ ~ c:::l::)Building Permit # HEATING PERMITFEE $~/~~ I1Ut~-i/() ~ ~~~~S~~R::E ~ ,....,~.50 .. ~G~~~ n ~ ~ ~ u ill If r~~ ';t;>~)' I SE~ 1 ~I Receipt No, Date I Date ~ By !:'y - 24 hour notice for all inspections (952) 447-YZS:'U, lax tY:t~I""/-=4",.. (J (Office Use Only) This Application Becomes Your Building Permit When Approved CITY OF PRIOR LAKE HEATING/AIR CONDITlONING/FlREPLACE PERMIT Date Rec:'d \~~<<1"'("ia(--.f1o:Cl:2.l(!\.~ ADDRESS /7395 ,R/V612 d/~ ; ~ ~5~w jPERMIT NO(J3./ ~~ ,.c' c--- I ZONING (o_use) LEGAL DESCRIPTION (office use oldy) LOT BLOCK ADDITION OWNER (Name) (Address) (Phone) APPLICANT . (Name) ;e/I" ;)"/06 ~-7 . /iO/'1F- (Phone) (Address) PID (PS/. <:033 . zsro / (Address) (City) (Contact Person) (Phone) ,Hz)JID rJ DATE , APPLICANT SIGNATURE .tf /&6>t/p-19 (Zip Code) APPLICANT PLEASE COMPLETE BELOW ONEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM . oWarm Air Plants oGravity o Mechanical oAir Conditioning OVen!. System !~PLACE~ AND MODEL ........ " ---- HEATING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices o Other Devices Industrial, Co,!,mercial & Multi-Family Residential, Heating & NC (New Construction) Residential, Heating Only (New Construction) FEE SCHEDULE I % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only Estimated Cost $ Building Permit # PLEASl!: NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks $39.50 $39.50 $39.50 HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ ---'WD WITH $ ~JNG PERMIT $ ..........- .. (Office Use Only) This Application Becomes Your Building Permit When Approved Ipa~ I Date n od~ ;.1. Building Olndal Dale 24 hour noUce for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue, Prior Lake, MN 55372 " Recei~ .'j?- PRIOR LAKE . INSPECTION RECORD · 1l"vc.~ 8/d Pllta~e" DEPARTMENT OF :see Main File BUILDING AND INSPECTION SITE ADDRESS NATURE OF WORK USE OF BUILDING ~ 1= PERMIT NO. 0 J - ?7 CONTRACTOR PHONE~~'. U.,3::a- NOtE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE , FOOTING I FOUNDATION (Prior to Backfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING ~ /? ttJLIi/t8 HEATING (if required) ;1/!/ /fr/,/AJ7 FIREPLACE M~./7 IIr~-d7 GAS LINE AIR TEST m ((r~~_(/7 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS .A YY/". rl/p 11- y""-n7 I )...- )..::0 'Z. GRADING (Prior to Sodding) BUILDING T;~.o. -u1fJ ~i~/ot/ ~ c 0~ t/ ELECTRICAL PLUMBING HEATING DO NOT - ffH 7;/5"/;,/ th--. / /t? /; if /~ ~Jd--/Jc./ OCCUPY UNTIL ABOVE WAS BEEN SIGNED NOTICE This card must be posted near an electrical servica 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 Q!,ttfintaft of ~t:eupantU CITY OF PRIOR LAKE ~tpttrfmtuf of '!iuilMug Jfusptdiou ftFinal Permitted 0 Conditional e.O. Expires . This Certificate issued pursuant to the requirements of Section 307 of the Unifonn 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 Noo_ 03-1207 Occupancy Type R3 Type Construction VN Fire Zone N/A Zoning District R2 Legal Description L3. B5. DEERFIELD 9TH Owner of Building Site Address 17395 RIVER BIRCH PLACE Contractor's Name & Addres,D. R. HORTON. INC.. 20860 KENBRlDGE CT.. SUITE 100. LAKEVILLE ROBERT D. HUTCHINS ~ _ CityPlaoner DON RYE '7 h (- h~g}lfficial 17 Date: r r /' Date: ADDRESS i 7 -:'l q ':) OCCUPANT ,,- HEAT LOSS DATj:1HZ:~ST. ,'1,/ ~~ SOLD BY ~ A- Y trrI YJ\ INSTALLED BY " -- Electrical Work By _ Gas Line By _ ' TYPE OF HEAT GA _ FA ----\;,t'HW _ STEAM _ SPACE HTR. _ . UNIT HTR. . OTHER. ~ cUS DESIGN (' !<.ONVERSION MAKE 'JJ{: MAKE OF BURNER \ /' Model. \JPir~-'l:>A-~ Model "'- /' Serial .... -. t - ;-~ ~70~~"Max. BTU Rating "-/' INPUT tp.-rV? -:'~ MAKE OF FURNAf'c .if \ Model I' .f ~~f1PNTROLS THERMOSTAT ~~. Vent Size 4- '1 Valve '_ . .I _ Heat Plug ~ Jjo,JJ (j KIND OF LINER' _ . SIZE . NONE Limit liD n I IY"1'^ DraftHood~ Q... Regulator ~?~ --;3<.. Limit Selling ~- ~F'l"F - Filters ., Size I ~ ZD . Number I. - ,..., v.. -+-' Fan Setting ,I ~ J.~n....... ~ Chimney Location Inside_ _ Outsida. Pilot Type 5.JC r Chimney Construction. n V ~ Pi~Make ~ ~ Pilot Model II':'..,.J - Smoke Bom~ - Wiring. Pilot Timing ~ ~c;;:.. ",,' ~ Draft ;::r:fUJ JU " t1 ,/'\) Test Ta~ ,./ L.W. Cut Off -tQ- ~ Door P;essure ...../ . Lighting Inst. J Pressure '"3,c;-(lI~ percentco,i& "~DateTested /7-1../2f6-::, Input CFH ~ Percent 0, ~ Company Testingt.lIfanl.f.lechanlcal, 3650 Kennebec Dr., Eagan, MN 55122 Stack Temp~" ~ Percent CO .:itIO ~ Name of Tester Y\.~ IIlQ --C HOUSE ~tlJeI'J (Ai.,.J, - - HEATING TEST RECORD JOB # -1"3. 7 If APT._ FLOOR _ CITY_ .. SUBURB~ OWNER-p--~ . Jtmkll CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE nIlE -'hz/oil IllS ADDRESS -.!?39 c:;- ~ iSu.'~/) R~,.~ OWNER CONTR. PHONE NO. PERMIT NO. (J:$ - I '2...0-, o FOOTING 0 PLUMBING RI 0 EXlGRADlFIWNG o FOUNDATION D MECH RI 0 COMPLAINT o FRAMING @ 0 WATER HOOKUP IIn'I 0 FIREPLACE RI o INSULATION 0 SEWER HOOKUP \rY!! FIREPLACE FINAL ,. FINAL .1JJ\ 0 PLUMBING FINAL 0 GASUNE AIR TST o SITE INSPECTION ~ l1' MECH FINAL 0 COMMENTS: <<J ~ I):':--_/....:.G A ...~ ~~ '1f- ~~_4.+Au.J r, L.0, i:;UJI 'i?/so(O'-l ~ } - ..'''..~"" l o WORK SATISFACTORY, PROCEED ~ CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector. ~.--. OWnerfConlr. CALL ..7-9850::0; THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFJlTlI DGIfOfl DATE TIllE CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED /-8-13r ~:!O ADDRESS /"lY 15 ~ ~ &.:..c..L OWNER CONTR. PHONE NO. PERMIT NO. IJ ~ - I'VJ 7 [] FOOTING [] PLUMBING RI [] FOUNDATION [] MECH RI [] FRAMING [] WATER HOOKUP [] INSULATION ~ D SEWER HOOKUP D FINAL J.! PLUMBING FINAL [] SITE INSPECTION D MECH FINAL COMMENTS(ia) [] EXlGRADlFILUNG [] COMPLAINT D FIREPLACE RI [] FIREPLACE FINAL [] GASUNE AIR TST [] {~ - ~(J~ P~a-pfiU~r ~J / ~_dl -'.,- ~. ! [] WORK SATISFACTORY, PROCEED )G CORRECT ACTION AND PROCEED D CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector. . ~ ' Owner/Contr: CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEllLTH & SAFETY/ -,