HomeMy WebLinkAboutBuilding 02-0081
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
,
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK ADDITION ~ d J-;
Date Rec' d
/- / ~ -02-
I. White File
2. Pink City
3. Yellow Applicant
I PERMIT NO. Oz-0081
PIDZS-370 -
ZONING (office use)
1e-1.50
OWNER
(Name)
q-V
(Phone)
(Address)
TYPE OF WORK
~New Construction
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
ODeck
o Misc.
(Phone)
(Phone)
q~2--q 8t;~1800
951.- 27.1.r \?O'-I
OPorch
ORe-Roofing
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 e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upo property to pe or eded inspections.
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
()O . 00
100.00
35: -
((0 .00
Date
# $
# $
$
$
# $
# $
$
$
$ 35. C?3
I ~;ceit-4-f/71
OAddition
OAlteration
flY/Of
/ Date
07a>o 5lP ~1
Contractor's License No.
Park Support Fee
SAC
Water Meter Siz 5/ ; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
I Paid 8 / 35. ~
Date ~ ~. .:) f./ ~O
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
~sued.t;tz;k-~-e--e~A.-. t ~~~ GL ~~l~C~ro=c."'Yts
Planning 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
FI RES IDE CORNER
#4192 p.0041001
Date Rec:' d
CITY OF PRIOR LAKE
BEATlNGI Am CONDITIONINGIF1BEPLACE PERMIT
~ ~~ ~,"" [1'ERMlT NO. t?.) - 'i? I I
zoNING (offil:l: use)
LEGAL DESCRIYJ.'ION (oftlCE use anI,y)
PID
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
~
(phonE:)
APPUCANT
~am~ ALJ,lED FIRESIDE Da~ FIRESIDE CORNER
(Ad,dresS) 27QO N. FAIRVIEW AVENUE
(Ad.t;l.rd5 )
BRENDA EJJSTON
(Contact Person)
(phone) 651-633-2561
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
W CONSTRTJCTtON 0 REPLACEMENT 0 AT, TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE _ RETUJlN OPEII1NGS INPUT OUTPUT
~EOFSYSTEM HEAnNGORPO~RPLANT
DWtltTTl Air Plants 0 Steam
OGrav;ty 0 HDt W"f1:.T
o Mechanical 0 Radiation
OAir COl1dltioning 0 Special Devices -
OVcnt. System 0 Otl1er Dc'Vlces
RO~F.VILLE MN ~~",
(City) (Zl.p Code:)
CPl ) 651-633-256J.
J.on.e _
DATE CI-b~
PLE.ASE NOTE:
Air Conditioner Units
Cannot Enc:roacl1 in.to
Reql,lir~ Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
6~
Residential. Hc:ating &. Ale (NI:W Constnjclion)
Residentif)l, Heating Only (New Construction)
FEE SCH~DUJ..E
1 % of job cost Resldcntial. GElS FI.replacc
$39"Q minimum
$99.50 Rcsidtmdal. Adclition:s & Altcre.tiomi
$64.50 fU:$ldClltiuJ. AC Only ,
539.50
IndlJstrjP). Commercial &. Multi-FlI1flily
539.50
$39..50
Estimated Cost 3)
Building Permit. #
J:{EA 'fINO PERMIT FEE
STAtE SURCHARGE
TOTAL PERMIT FEE
$
$
$
,50
r-
r),'~ ! r'\ ~;.
[~,1 'r'. r~ .<:'.-
(01flr:e UIII OnlY)
'Tbls Applleat.ion )Jeeomes Your Building Pcrm~t When Approved
paid
Receipt Q.
Dote
l 1 200l By
])llll1
Bllllding om~.1
z.l hour noth:", for All tnsf'lK:t1on. (9~2) A47~B~O, r., (952) 44'..4%45
Date Rec'd
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGfFIREPLACE PERMIT
11 D:7 s
W l\cltv Vl~~S1Y sE
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK 5 ADDITION
=
~~~R b:K. 11o~+C)V1
(Add,"ss) gloD y 'ago 11- If~VlLl.f/
APPLICANT /1' t MI" \...---
(Name)_ I an { em ~ ~ 9-. J...n~.
(Address) 3& 50 L-<. eV1(l ebec!.. J2r.
'- (Address)
(Contact Person) ~ -~ -r t
APPLICANT SIGNA TUR
JAN 2. 4 2002
t ~~*;w ~l~icant l PERMIT NO. cZ - 000 / J
ZONING (office use)
PID
(Phone)
-I
5504-4
(Phone) 1.15/-' ,J 561- c5171'5
[O-C<QV> 66/ /} ~
(C?;) (ZIp Code)
(Phone) X c20 I
j 123/02-: ~
APPLICANT PLEASE COMPLETE BELOW
I}{JNEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL :-BrjG\.Y\-t 9.;? % FUEL t-J 0.1 . GC\'5
FLUE SIZE o? yt'2- paiL RETURN OPENINGS INPUT /OO,()OO OUTPUT 80,~
TYPE OF SYSTEM HEATING OR POWER PLANT
OWar~ Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
&Air Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
lndustrial, 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
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ 1000. 0-0
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office lIse Only)
This Application Becomes Your Building Permit When Approved
Date
Building Official
$39.50
Building Permit #
$
$
$
r' 0 \~."-' ,
PA', ' i\ \._' .
.50 C\J\,....O~NG r.....
-
o.ll
Paid
Receipt No.
D$\N L 0 2002
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Jan.25. 21102 11:36AM
GENZ RVAN PLUMBING AND HEATING
No. 1 88 [) p. i I) 1 3
Date Ret'd
CITY.OF PRIOR LAKE
SEWER AND WATER PERMIT
JAN 2 5 2002
~- ~:~w ~~~. . I PERMIT NOo()Z_OQCl/
~. Gold N>pll"",,, 0
~;;5~....t""_~~' .
l '1D1~ J,Q( !w(lJ1bt\ I (LL
SF
ZON)lolG (,?~"5")
LEGAL DESCRIPTION (oftke use only)
LOT
ADDITION
PID
OWNER
(Name) DR Ho"oJa ClJliltQlll. Hgmu;
(Address) 3459 Washington Dr Ste 204
(Ad~:ss)
(Phone:)
651-45/1...~b63
Eagan, MN
(City)
55122
(Zip Codl::)
APPLICANT
~~~ Genz-Ryan Plumbing & Heating
\
(phone) 651-423-1144
~UCANT SIGNATURE
Rosemount. MN 55068
(CitY) (Zip Code)
(Phone)
DATE
(Address) 14745 So Robe.rt Trail
(Address)
""., ."
:- ',.," ..~;'
ASE COMP.LETE BELOW
. lze of water serVice_inches. .: - . ""-.-~,~' ,. .....,~-,.:. ,
Location of any couplings from structure ~ feet.
Type of sewer pipe_ 0 ABC 0 pve 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if require4) located at feet from structure-
Residenttal sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.$0 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 Il1m:im.um
$1750 Water eonnectlon only $1750
Estimated Cost $
Building Pennit #
SEWER AND. WATER PERMIT FEE
STATE SUJ{CHARGE
TOTAL PERMIT FEE
5:
$'
$
.50
r-- .,-,t
. FA\D \N I ~-~'. .'
SUu...D~NG Pj;:.""ill ~ ~
\..--"--- .:'
(oml:C U~C Only)
Thi!i Application Becomes Your BuildiDg permit When Approved
Paid
Receipt No_
Dak
Da~AN - 2 5 2002
By
lIuildjJ;lg Official
24 hour notice fo.. all inspectionS (952) 447.9850, fax (952) 4474245
Jan,25. 2002 11 :37AM
GENZ RVAN PLUMBING AND HEATING
No,1880
p. 11 /1 3
Date Rec'd
CITY OF PRIOR LAKE PLUlVlBING PERMIT
JAN 2. 5 2002
t.
l. II"'" 1'11. I pERMIT NO
2. Gold Cny .oZ--008/
J. Yellow Applianl .
I=~~;;"'";I~~ 'Jill-. S~
. .
ZONING (affice l13e)
LOT
ADDITION
PID
LEGAL DESCRIPTION (a.f!iee: use: oAly)
OWNER
(Name) DR Horton Custom Homes
(phone) 651-454-4663
(Address) 3459 Washingt:on Dr Ste 204 Eagan, MN 55122
A.PPUCANT
ONwne)G~n~-By~n PlumPing ~ ~~~~ing
(Address) 14745 So Robert: Tra.il
(Address)
(phone) fi c: 1-"-? ~-ll at..
l\osemount:
MN
55068
(Zip Code)
(Contact Person) Mary
(City)
.A..PPLICANT SIGNATURE
PATE
I
~
(phone)
I Quantity Type of Fixture Quantity .. '. Type of-Fixture
r :z Bath Tub with or without shower ~ Rough-ins
I .. . -l Dishwas!1er ..... ..,..-r-J.... Watf:r Heater ,
I Floor Drain - Water Softner
~ Lavatory (Bathroom Sink) J Stand Pipe (Wasbing Machine)
, Laundry Tray (l or 2 compartment sink Sewage Ejector
I Shower Stall Baddlow Assembly
, Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
~ Water Closet (Toilet) Other
-
EASECOMWLETEBELOW
FEE SCHEDULE
Industnal, CommercIal & MultI-fanuly 1 % of jOb cost with 1I. $3950 minimum Residential, New One & Two-Family $99..50
Residential, Additions & Alterations $39.50
Estimated Cost $ ~
Bulldlng PermIt #
r PA\DW'\f'
.50 ~\NG pt:.. ,.,1 i I
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use: Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date:
Da~ 2 5 2002
:By
Building Omclal
24 hou.r notice for all inspections (952) 447-.9850, fu (952) 447-4245
II'P!IB^ aq lOU IIB4s UO!P!pspnf a4llo sa:>uBU!pJO
Ja4l0 JO apoo S!41 10 Sl..!O!S!^OJd 841 180UBO .10 81BI0!^ ol ^'IP04lnB 8^!6 01 6U!WnS8Jd
Sl!WJ8d 'UO!p!pspnf 84110 8:>UBU!pJO Ja4l0 ^,UB lO JO apo:> S!4ll0 SUO!S!^OJd 84110 ^,UB
lO UO!lBIO!^ AUB 'lO IB^OJddB UB JO 'JOll!WJad B aq Ol panJlSUO:> aq lOU IIB4s SUO!lBlndwo:>
pUB SUO!lB:>!l!:>ads 'SUBld 10 IB^OJddB JO l!WJad B lO 6U!lUBJ6 JO a:>uBnSS! a 4.1.,
:>
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l!WJad BU!PI!nq a4l paMa!^aJ a^B4 SlUaWlJBdao BU!UUBld pUB 'Bupaau!Bu3 'Bu!PI!ns a41.
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03A1383t1 NOI.l'v'8Ildd'v'
.IN'v'8Ildd'v' .::10 3V\1'v'N
lSI1)103HO lN3W1HVd3C NOI1VOl1ddV llWH3d 9NIC11nS
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White - Building
Canary - Engineering
Pink - Planning
The ('"nln of Ihf' Lah ('ounlr,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D.e.. !-lm2-T()N
1-10-02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/707B lN/GDee. MeSs ~ll-.
Accepted
Accepted With Corrections
Denied
w4/&
Date:
J - /8-OJ2--
Reviewed By:
Comments:
e~ o1Q (Z{-{~ ~ ~
"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."
02--00?J/
White - Building
Canary - Engineering
Pink - Planning
Thf' Crnlf'r or Ihe I..kr Coun.f}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
[) ~ fie k~~l(I-/ (-"./
i-- Ie, - 02-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
17 () 7 8
k
VV I LV (::; f; - t\j e- ~s -'r7~r\ I L
Accepted
Accepted With Corrections
Denied
Reviewed By:
tm
Date:
Comments: See Reverse Side for Additional Information!
D/'I'Vl:."VC1.f fJ1{/!J f h c,(/( u,/1t..llp/"'"
~-, ~-:Y) S
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
"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."
~3/23/98._!IOl'ln~: 2'? FAX 6124474245
CITY OF PRIOR LAKE
~002
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Pennit Application)
F or All Properties Located in the Shore land District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address
11DlB w~k
Lot Area '2../ ;l"2-~ Sq. Feet x 30% ::: .............. ~s 19
************************************************************************
LENGTH
WIDTH
SQ. FEET
x
x
x
==
HOUSE
=
ATI ACHED GARAGE
=
TOTAL PRINCIPLE STRUCTURE......................
l~L
.."
DETACHED BLDGS
(Garage/Shed)
x
x
TOTAL DETACHED BUILDINGS....................... D
DRIVEW A YfPA VED AREAS --.PW~
(Driveway-paved or not) <;W
(SidewalkIParking Areas)
=
e2...,
51t
x
x
X
..
=
TOTAL PAVED AREAS......................................... g 7 <1
P A TIOSIPORCHESIDECKS
x
X
==
(Open Decks 'I. min. opening between
boards, with a pervious surface below,
arc not considered to be impervious)
=
x
=
TOT AL DECKS"..........................._.................e......... 0
x
X
==
OTHER
=
TOTAL OT'llER................................_..................... 0
TOTAL IMPERVIOUS SURFACE I 7..12-J
~OVER I 5S1&
preparedBV7~' ~ Date ""2$ DG( -Z06i
Company J? 1Z-~N DT bN?V{ Ga21Nr.t S'lJj2.VflrINt-Phone # 952 it 3) ) 96t
PRIOR LAKE
INSPECTION RECORD
DE.PARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS I']Q~ Wil~~" :1't:.
NATURE OF WORK ~~
USE OF BUILDING SF/:)
PERMIT NO. (J2~00!3/ DATE ISSUED I-IB - .2002-
CONTRACTOR D. r< Ha't~ PHONE q~"*J.-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) ~ -a,' I 0/ D z..- ( ~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - IN
INSPECTOR
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING . G::Jt ,
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST f. ~ ~ ~ , '3:J--lt () 2.--
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Soddin )
BUILDING" .~(')\ ~ I' 6~
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTI ABOVE
,
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections hal!e b~i1 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