HomeMy WebLinkAboutBuilding 02-0023
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE I~ -/4 '0 I
AND UTILITY CONNECTION PERMIT r-;.
Sa-e +k ~~~
~. ~i~i~e ~::y I PERMIT NO. 0 ~ ., 00 "31
3. Yellow Applicant v_/,..- .
ADDRESS
/7?;{)B L,/({v Lat7e. SE
ZONING (office use)
t~
OWNER
(N ame)
(Phone)
PID
(Address)
(Phone) .9~-qg~-700~
(Phone) ~..~ &;- t/7!1:J
"
OPorch
ORe-Roofing
TYPE OF WORK
ODeck
OLower Level Finish
o Fireplace
OAddition
OAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) $ <:;-0
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
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
~ter upo the property !o p~ eded inspections. d d 1Jt) 5/,5 7 / a //1/0 /
Si ature Contractor's License No. ' Date
Park Support Fee
SAC
Permit Valuation
Permit Fee $ 5
Plan Check Fee $ SSS....54
State Surcharge $ lfo .{)O
Penalty $
Plumbing Permit Fee $ (JO . t9C)
Mechanical Permit Fee $ to 0 I 0 0
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ DO
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
#
#
$
$
$
$
$ I. 2a:?,d
$ t.CJO. CJQ
$
$
$
O;~r~? I ~~
es Your Building Permit When Approved
I Paid
Date
/'2-fCf.-o(
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
:~ "~"",M~ . "_., C~""''" of ZOO;" 'mnp"",w, ~d ill~ ro""",,,o, "~P''''' . C..""" of "'rn".." m""'"
'"- ~~ I'J-/~/oi- ~.e_. ~JYV~b
- anning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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____ _..__ ......~..__4.-._._..............-.."""-''''"''--'._.''''._~_._...:...____........ _, ._...._...__.._____~ ~-,.._. _ ._----.......-...-.-....".,.;...., . ......_ .._._ _. ~ . ~ .... '.
Thr Cf'nltr of Iht L.kt Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
JlI2-. tfo rc:rnN
12 -/ Lj, ~O I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7306 LILA (1./ LAl.1&
Accepted X Accepted With Corrections
..........
Denied
i
Reviewed By::
IWI is
5CL f1?c, fA h't (..
Date: 1- Z-O L
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."
White - Building
Canary - Engineering
Pink - Planning
Tht' ('("nln of thf Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
LLI2- - tlr2 fW) rJ
12 -j 4- --0 J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7305 LI ~A ~ UUl6
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
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."
o8c.26. 2001 11 :47AM
GENZ RVAN PLUMBING AND HEATING
No.9125
p. 1727
Date Rec'd
CITY .OF PRIOR LAKE
SEWER ANDW ATER PERMIT
, >"':" .
~: ~;'.. ~~;i~t t PERMIT NO.02-{)023I
~~~a~m)
. l._l\~ /
ZONING (otl:k"1l.'<t)
t () J{\' Q --"
~
'....,./~
LEGAL DESCRIPTION (office use only) .
LOT BLOCK. ADDmON W~~tQ[)
OWNER
(Name) D~ Horton CtlinOm llgm'il~
(Address) 3459 Washington Dr Ste 204
(Addrc:ss)
~3
PID
(Phone)
651 454 4663
55122
(Zip Co&)
Eagan, MN
(City)
APPLICANT
(Nmn~ Genz-Ryan Plumbing & Heating
(phone:) 651-423~1l44
~LICAlfTSIGNATLn{E
Rosemount, MN 55068 _
(City) (Zip Code)
(phone:) 651-423-1144
\1--. DATE I ~
(Address) 14745 So Rober~ Trail
GA.ddro=ss)
(Contact Person) Mar
~ COMPLETE 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 structure.
lcsidential sewer and water line connection
: ewer COIUlecrton only
FEE SCHEDULE
$35.50 Industrial, Com'! & Multi-family
$17.50 Water connection only
1 % of job cost with a $39.50 w.iniInum
$17.50
Estimated Cost .$
Building Permit #
.50
r--
PAID WITH
,SUllDING PERMIT
-,
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$-
$
I
}'
Iffite Use ODly)
This Application Becomes Y ollr Building Permit When Approved
Paid
R~ceipt No_
....
.~
.. "': ~
Suil<Ung Official
;DatE:
Dlrte - ,B
JAN - 8 2002 y
24 huur notice for all inspectiolls (952) 447-9850, 1'21: (952) 4474245
08c.26. 2DD1 11 :46AM
GENZ RVAN PLUMBINGANO HEATING
No.9125
p. 1 :.: n
Date Rec'd
CITY OF PRIOR LAKE PLUlVIBING PERlVllT
\'.~..:~.'.'~:'~.
1. BlulIl Fil-
l. Geld City
3. Yellow APl'lioant
I-~:ERMIT NO. () 2 -0 0231
I
ZONING (office '.L'ie)
~~;"'Cl~ 10 ~LU
LOT
BLOCK
ADDITION
SF~
~QI{_~dbS+h
Pill
~
LEGAL DESCRIPTION (Clffice u:;~ only)
JWNER
~am~ DR Ho~tou Cu~tom Homes
(phone) 651-454-4663
Ad~~~ 3459 Washington Dr See 204 Eagan. MN 55122
U'PLICANT
:Name) C"'.,,7-Tlpn Pbm1;;>:j"'g fI; Hli1'",-ring
AAddress) 14745 So Robert Trail
(Ad~ess)
(phone) ';51-47-=\_1]44
(City)
55068
(Zip Code)
RoselIlount MN
(
-~~~.
APP CANT P EASE COMPLETE BELOW
Type of Fixtu Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink:)
Laundry Tray (1 or 2 compartment sink
Shower Stall
Sinks
~..-1 Bar Sink
=-~ Water Closet (Toilet)
(Phone)
::;ontact Person) Mary
EPLICANT SIGNATURE
DATE
Quantity
Type of FUtu:re
-.'
Rough-ins
Water Heater
Wate! Somer
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
BackfiGw Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
rrdusmal, CommercIal & Multdauuly 1 % of job cost with a $39.50 minimum ResidcnnaJ, New Ooe & Two-Family S99 50
Residential, Additions & Alterations $39.50
EstImated Cost $
Building Permit #
r--i~\o WnH ~ .,
U\LD\NG PEGi'bIT 1
.50 B
\..
PLUNLBING PERMIT FE:E $
STATE SURCHARGE $
TOTAL PERlVllT FEE $
"1: Use Only)
lis Applkation Becomes Your Building Pennit When Approved
Paid
Receipt No.
lJate
Date JAN - 8 200l
By
lluilding Offidlll
:l4 hour notice for aJl !nspection.:l(95Z) 447~9350, fu (952) 447-4245
CITY OF PRIOR LAKE Date Rec'd
REA TING/ AIR CONDITIONING/FIREPLACE PERMIT
JAN 2 4 2002
~. ~~~w EJ~jcant I PERMIT NO.Ol_ 0023/
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT 7DBLOCK JL/ ADDITION
PID
(Address)
(Phone) q5b1- q ~5 -7c:l7,,2..
o .l..{
(Address) 3~SO
ste. #/
(Phone) (p51- 45~ -cf?775
I~Q8Qn 55/,22
(City) (Zip Code)
(Phone) (P5/-45~- ~77o
J < 3 OL
DATE
(Contact Person)
[g'NEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL ~4n+ 383KA-Vb2J.LDi 0 FUEL l'J~h~.m I
FLUE SIZE 1f"cla.SCD B RETURN OPENINGS J..l. INPUT 10.oeo OUTPUT 6l.D~/:)Oo
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NoTE:
OGravity o Hot Water Air Conditioner Units
o ~echanical . o Radiation Cannot Encroach into
~ Conditioning o Special Devices Required Side Yard
ent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
ICANT PLEASE COMPLETE BELOW
Industrial, Commercial & ~ulti-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
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ Building Penn it #
. n.....~A
- . \0\1'<11.'
r \'~;~G p
.50 f>\)\'_O.
~-
'~ \.
HEA TING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
#4693 P.oo31007
Date Rec'd
I ~:;:rsS;':'-;-1
I jO.1 ~~ U-a.t.
FIRESIDE CORNER
CITY OF PRIOR J..AKE
I
HEATINGI AIR CONDITIONlNGIFIRfPLACE PERMIT
I
l ~ ~:~ I PERMJT NO- (}J. - .~-:z
~. .,.11.... AppllcIon! V .~
I
I
I
J
~)
ZONJ:NG (r;lffu:e USIl)
J):..
LEGAL DESCRIPTION (office lJ3e only)
LOT.
BLOCK
ADDmON
PJD
I
1_ (phone)
I
I
I
I ~=R <7d1l ~.
(Address) _
APPLICANT
(Name) ALLIED FlREST.DE: DBA FIRESIDE CORN':P.:R
(Ad.dxess) 2700 N. FA;l:~IEW AVEN~E
(Addfe6a)
BRENDA HUSTON
(ContBct Person)
APPf-ICANT SIGNATURE
I
(~b"".) 65,,-633-2561
:~w:n,r.F. MN
i (City)
(..Ib ) GSl-633-25Gl
J:' .one
I
I DATE l
",r.;1 1 ,
(Zip COiJi)
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION
FURNACE MAKE AND MODEJ..
FLUE SIZE RETURN OPENINGS
FIREPLACE MAKE AND MODEL
o REPLACEMEN~ 0 ALTERATIONS
. .~ .. FUEL
INPT.irr OUTPUT
I
HEATING OR POWER PLANT
o St.eam I
o Hot Wat~r I
o Radiation
o Special DlOViC:CSf
o Other Devices _
St. 7W11t-
PLEASE NOTE;
Air Conditioner Uni.ts
Cannor. Encroach into
Required Side Yard.
SetbllClc:s
TYPE OF SYSTEM
DWllrTll Air Plants
DGrnvity
B Mechanic:al
Air Conditioning
OVcot. SY.!1ll:m
Estlma1:ed Cost $
FEE SCHEDTJJ...E I
1% of job Cl)~ Residential. Iou Fireplace
$39.50 minimum ~
$99.~O Residential, dditions &. ^'U!ratloI'l5
$64..50 Residential, COnly
BuHdin,g pe~it #
$ !
$--+--J2
$ I
i
$39,~O
Industrial. Commercial &. Multi-Family
Residential. Heating &. Ale (New Construction)
RtlSidcn.tillJ. Heating Only (New Construction)
$39.'0
$39.5Q
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Dundin&, Permit When Approved
,,-
t of' f
PaUl
.....
. ecelpt'No:
alll/dill~ ome'AI
Date
5)nn.~ By
DAte
%4 hour Jlotlr:J) for ,," lnlpedlolll (9SZ) 447~98SlJ.I8X (952) "7~:Z45
. I
i
I
PRIOR LAKE
INSPECTION RECORD
L ~ ~ t^-\a.f~ ~ lQ.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS -1 '7 '50(3. Lf I CAr Lif/\.
NATURE OF WORK IV~J
USE OF BUILDING SP/4-
PERMIT NO. R2 ~ DATE ISSUED t2 -(cr - o(
CONTRACTOR _D.. . ' PHONE q 5"'Q -"22.& ...!'-I73L.-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
I FOOTING ~
FOUNDATION (Prior to Backfill) . d- 9 ~t7- ttKTi
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
1~!5!~
,
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING fA. t:r f
HEATING (if required)
FIREPLACE
. ~
GAS LINE AIR TEST ~~..u~ F.f,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I~ ~c#?~Z- I I
FINALS
GRADING (Prior to Sodding)
BUILDING'tC6.1d! I 02-
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
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.
. -
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850