HomeMy WebLinkAboutBuilding 02-0098
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1 D ,~ lJt ldenvS5 T (tll t
LEGAL DESCRIPTION (office use only)
BLOCK 5 ADDITION
LOT
Date Rec' d
j- /5"02-
I. White File
2. Pink City
3 . Yellow Applicant
I PERMIT NO. OZ"007f() I
~NING (office use)
;~ R/S[)
PID 25-376 - 053- Cl
OWNER
(N ame)
(Phone)
(Address)
BUILDE~ n ~ (\
(Name) ,~. ~.
(Contact Name) 5tGJ-L. S-I ~S"h
(Address) 2DBfoq P<~~ e.. a::t.,st-€.AOO
TYPE OF WORK
DDeck
New Construction
OLower Level Finish
o Fireplace
PROJECT COST /V ALUE (excluding land) $
o Misc.
(Phone) -95'2. -q 9&- I B 08
(Phone) 0(52... -z.u, - /33<1
OPorch
ORe-Roofing
ORe-Siding
OUtility Connection
I hereby certity that I have furnished information on this application which is to the best of my knowledge true and correct. I also certity 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 th th ilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon th operty to pet.fbr n inspections.
x
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
/ - ).J. - 0 d...
Date
OAddition
OAlteration
of tJo6S1ps7
Contractor's License No.
//If.t~2-
ate
# $
# $
$
$
# $
# $
$
$
$ B,/ 94. 0]
I ~,;?.f1U /
Park Support Fee
SAC
Water Meter Siz 5/8'; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
I Paid rIff"'. J
Date - I"' d
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
~~~;/gn~d by the Ctb'ty ~p!.anner constitutes a temporary Certifica:e OLf ;:ing/:m:ance and allows2~ction to~commence. ~efore o,cuPCan~. a ce~~ of _occupancy must be
~ . t:.>t.~/I..A-,. Ii _J.-VI b J- Xl.V 'Vv<.l ~-\i' k-"'\~
PI nin irector ~ Date pedal Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~3/ 23/98 !IO~~9: 27: FAX 6124474245
CITY OF PRIOR LAKE
@002
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Penn it Application)
For All Properties Located in the Shore land District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address
It 0 14 W) LD GJlNG5") TJc.
Lot Area 18.61D Sq.Feet x 30% =.............. 5:~BCJ
************************************************************.***********
LENGTH
WIDTH
SQ. FEET
HOUSE
x
x
x
=
=
ATI ACHED GARAGE
=
TOTAL PRINCIPLE STRUCTURE......................
\~3)
DETACHED BLDGS
(Garage/Shed)
",
x
X
TOTAL DETACHED BUILDINGS....................... ()
D~WAY~AVEDAREAS
(Driveway-paved or not)
(SidewalkIParking Areas)
DW'(
Sw
x
X
X
=
?;32
f 04.
=
TOTAL PAVED AREAS......................................... 9"5 ,
P A TIOSIPORCHESIDECKS
X-
X
=
(Open Decks 'I,. min. opening bctween
bauds, with a pervious surface below,
are nOlconsidered to be impervious)
=
X
=
TOTAL DECKS........................................................ 0
OTHER
x
X
=
=
TOTAL OT'HER...........lI....................._.............._..... 0
I ?a0-j I
I 211$1
Date/::S-AiJ 2002
TOTAL IMPERVIOUS SURFACE
UNDERJOVER
Prepared By
r..
Thf' ("f'nIN or 'he teke Coun'r)'
~~e - ~u~itf
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
IJ- ~~. ~~C)lc-TC)r\J
{-IS -C)2-
,/ (1.(
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4- L.J r.~ ~./\J r.:. c:, cTT-:::.F\ / L-
Accepted
x
"
Accepted With Corrections
Denied
Reviewed By:
1mB
Date:
'-~Z--o "L
Comments: See Reverse Side for Additional Information!
DriVt.vtt"'y tnt/tit- J,C,l/L LO~f..., Afron! !
'~
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."
Feb,19, 2002 11:30AM
GENZ RVAN PLUMBING AND HEATING
No.4471
P, 4/5
D~te Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
'. <,
'.':\..'~:'.:.
I Dlue Fil.
;!. Gold Cit)'
, 1. Y ollD'" ApPllCOqI
I PERMIT NO.02-009B I
I
ZONING (offiecuse) I
~~;~-~~~~ JU1~
[fLIrt (.-
LEGAL DESCRIPTION (officI: ~ oIlly)
LOT
-
ADDITION
pro
OWNER.
~rome) DR Ro~ton Custom Ho~es
(phone) 651-454-4663
(Address) 3459 Wash1ngt:on Dr Ste 204 Eagan, MN 55122
APPLICANT
(Name) 0......7 Ry"''''' Pl"U1."bi:g.g "- "R.."'1"1.....g
(phone) "0:;1 47~ 116.&
(Address) 14745 So Rober~ Trail
(Address)
Rosemount
MN
55068
(Zip Code)
(City)
CANT EASE COM::PLETE BELOW
e 0 ixtu:re Quantity
Bath Tub with or without shower
Dishwasher'
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Si:.o.k
Water Closet (Toilet)
(phone)
(Contact Person) Ma.ry
APPLICANT SIGNATURE
DATE
Quantity
2-
I
\
Type of Fixtu:re
Rough- InS
Water Heater .
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
er
FEESCBEDULE
Indust.nal, Comm~tctal &; Multi-famlly 1 % ofjob cost wIth a $3950 minimum Reside:ntial, New One & Two~Farm.ly S9950
~dentia1, Additions & Alrerlltions $39..50
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
02"' 001~
"""-OC,iC
! \r'~...... ~
.50 \BlJ;'I:~
Estnnated Cost $
Building P6OI11t #
(om,,: Us~ Only)
This Application BecoUle.$ Your Building permit When Approved Paid
BuUding OUicial
Dare
Dateftall ~ By
24 hl)u:r notice for all inspections (95Z) 447~9850. fu (952) '474245
J
Feb.19. 2002 11:30AM
GENZ RVAN PLUMBING AND HEATING
No.4471
p. 5/5
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
~ E'w ~:~t I PERMIT NO. {)Z., ()09f3
~~tm'_~b_ ..
DRESS . -: L
. L\ l A); \ Qt.i7 YtO lrLffJ
ZONING (91Dce use)
~GAL DESCRJPTION (office use only)
PID
LOil BLOCK
OWNER
(Name) U~ "r.:InT"t-n,.., ,,"..t-nlll llgm88
(Address) 3459 "Washing-con Dr Ste 204
(Adl:IreSll)
Eagan, MN
(City)
(phone) l;z:; 1 "-5"- "-61$3
55122
( Code)
APPLICANT
~mm~ Genz-Ryan Plumbing & HeaLing
(phone)
651-423-1144
(Address) 14745 So Robere Trail
(Addn:ss)
Rosemount. MN
(City)
(,Phone)
DATE
55068
(Zip Cock)
2-
. APPLIC LEASE COlVIPLETE BELOW
Size of water service inches. .
Location of any couplings from stru.cture 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 stIUcturc.
RC:lidenbal sewer and wllter line connection
Sewer connc:ct:ion only
FEE SCHEDULE
$3S.50 Industrial, Com'l & Multiwfamily 1'Yo of job cost W1th a $39,jO minimum
$17.50 Wa.terconnectiononly $17.50
Estimated Cost $
Building Permit # 02~ (j 0913
SEWER AND WATER PERMIT FEE
STATE SURCHAR~E
TOTAL PERMIT FEE
$
$'
$
.5r~o".~"..' ,
. ,r'b'\.- .' ".:
'i~\~;JOt~~~j
~___ i
(Offil:e Use Only)
Thill Applic:ation Becomes Your Building Peruait When ApprDved Pa1d
.Date
DatHB 2 i 2Ob2 .
By
BuildiJlg Official
24 hOIll'" notIce for all in'l'edion, (952) 447-~850, fax (952) 4474245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~:n ~~:y I PERMIT NO.) ... 0 C
3. Yellow Applicant C/'\. / 0
ZONING (office use)
17014 WILDERNESS TRAIL SE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
DR HORTON
(Phone)
(Address)
APPLICANT
(Name)_ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone) _651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Phone) _651-633-2561
DATE
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE _BRENDA HUSTON
5/16/02
APPLICANT PLEASE COMPLETE BELOW
X NEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NOTE:
o Gravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEA TN GLO SL-750TR-C
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 & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
,50
,...
P-.,
~"'"'" r, . ..,
I:"', . /
, ~'"
. .
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
'- U
By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
The Crnlrr nr 'hl" L.kt Coun1r)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D_12. ~Ut'J
l=J5-0L
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/70/4- WI GD5Je-tJ6SS fRAt L-
Accepted Accepted With Corrections ~
Denied
Reviewed By: QJ! ~
Date:
/ ~)2 -07,
,
Comments:
eoo-& ~ll cxtt-QcW k-~~
"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."
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITEADDRESS .JlOI~ wd~V\.e.,s'S 1;,
NATURE OF WORK N~)
USE OF BUILDING SJ::""D
PERMIT NO. Ol.-OOCjf3 DATE ISSUED ~ - ~2. -0 L
CONTRACTOR ~O>bA PHONE 90.:1--X<("--/3'5~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELO
THE PERMIT IS BY SEPARATE DOCUMENT
DATE
r FOOTING 13/12-/01.-
FOUNDATION (Prior to Backfill) frIJ" 3 b'V ddI Q tr
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - IN
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ,Gz.
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST .f P fl
GRADING (Prior to Sodding)
BUILDING .NJ-(p -0 a
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have tieen approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
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Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850