HomeMy WebLinkAboutBuilding 02-0120
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I 06D Wil&er
LEGAL DESCRIPTION (office use only)
BLOCK G ADDITION
LOT
Date Rec' d
/-/5-02-
White File I PERMIT NO I
Pink City . OZ - OIZO
Yellow Applicant .
ZONING (office use)
R.,/SO
PID 25-370 - OS I - 0
OWNER
(N ame)
(Phone)
(Address)
BUILDER (\ () ,L A-\. A
(Name) U. ~\ {17'
(Contact Name) qf'-u.f, E~nd.sOYl
(Add ) Det,----c;-J<.enb.-- .f.-ct.st-~.IOO
ress . '5lJ W
TYPE OF WORK
(Phone)
(Phone)
C1S2 - 9 <lS-1 cno~
CJ62-" 22/p- .}?i3'-1
ODeck
o Porch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace OAddition o Alteration OUtility Connection
PROJECT COST IV ALUE (excluding land) $ /1 ~L/:J.--
Misc.
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
exnter upon the p, erty to perfonp ne~i spections.
,d.., ~Poof>(p57 / /t 1102-
Signature Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ 00
Mechanical Permit Fee $ .~
Sewer & Water Permit Fee $ 35".5"0
Gas Fireplace Permit Fee $ LfO .00
es Your Building Permit When Approved
J - ;J.:J.. -0 2-
Date
I ~;~ -?/:>:?O
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$ {
$
$
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
ed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
Water Meter Si e 5/8 ; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
?-/K/L~ ~~ AW-~41 Ce-vvQ~1St
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
TOTAL DUE
I ~~~ ~+~1~
'J'
'I -,;,_,
~
Thf' (.f'nlf'r of fhf' I.akf' ('ounlry
White . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. R. tillfJo tJ
t::J5-0L
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7nso WIGD6~6SS' leAlL-
X
Accepted
Accepted With Corrections
Denied
Reviewed By:
/VY-I-i3
Date:
1- 2.2.-0L
~
Comments: See Reverse Side for Additionallnformationl
Dr,'v{ W4Y rvt()~ f- h4VL (.lYl1(. Apron! I
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."
Tht' Ct'ntt'r of Iht' r..kt Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
r" "
oJ,). 1--... '
1--
l-l ( " ,7" J' I
. \ I"~ f;. t ,.. "'-1
1(=,.. /,/
I -.) \..'--
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'/7/ {-(. \. i f.e:. ~. r'i. I.e.\','!
I J \ ,,_.J, ~ \j'1 t \../ IJ,- i. -. \.' J t f '-.. L,."--
I
Accepted
~..
Accepted With Corrections
Denied
Reviewed By: ~f.<J ~
(/
Date:
L /~ / 0 2--
;'
"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."
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~~w ~l~ican, I PERMIT NO. 02-0/z0 I
ZONING (office use)
\1 DSO W~ \o\.UY\tSS -r y
....
LEGAL DESCRIPTION (office use only)
LOT 5 BLOCK 1.. ADDITION
PID
OWNER
(Name)
(Address)
D"K fuy+nn
1..D8 0 \4hbr\& ~~
(Phone)
L.A,ktV\ He.
M,}.J 5 5~44
(Contact Person)
(Phone) ffil LISt.... 2..115
F.:/lbaM [\)jJ 5$12.:2..
J (City) (Zip Code)
(Phone) l.d51 ~Z- 2.1,5
2/13/0"2-
DATE
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
/X!NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL J3Y~o..n-f '12'1, FUEL 1Jtl;l-. ~as
FLUE SIZE tl/2.."'Pv' e...- RETURN OPENINGS INPUT 1M, {JOD OUTPUT D,OOO
TYPE OF SYSTEM REA TING OR POWER PLANT
OWarm Air Plants o Steam PLEASE NOTE:
DGravity o Hot Water Air Conditioner Units
g Mechanical o Radiation Cannot Encroach into
jg'Air Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices 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
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ 1 DO o. 00
Building Permit # (J Z- - 0/20
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
U
.if!"'.'''O (... V.. .'
.~O . NGP~
\.~~--
-
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
~
D~~ti L 0 2002
Rec~;-~
By
24 hour notice for all inspections (952) 447-9850, fax. (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
,vIM \ 4 2002
Date Rec' d
~. ~e~n ~:~y I PERMIT NO. ()Z-O/2-0 I
3. Yellow Applicant . -.
ADDRESS ZONING (office use)
17050 WILDERNESS TRAIL
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)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
DATE
5/14/02
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
OVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
HEATN 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 #
$
$
$
j"2 r {; I Z- ()
r'- PAlO W\T~, ...! '.-"
.50 . BUILDING PE.-P.ll
~
(Office llse Only)
Building Official
Date
I Pwd
DM~Y
I 4 LUU;::
I ::ce;Pt No
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~3l23/98 __~ON 09: 2'( FAX 6124474245
CITY OF PRIOR LAKE
~002
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Pennit Application)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address
{ -, 050 W' LfJffiNGS5 1lL
Lot Area 27 ,071. Sq. Feet x 30% = .............. 8) "2 "]
********************.**********************************.****************
LENGTH
WIDTH
SQ. FEET
x
x
x
=
HOUSE
=
ATIACHED GARAGE
=
TOTAL PRINCIPLE STRUCTURE......................
21 D~ 2-
........
DETACHED BLDGS
(Garage/Shed)
x
x
TOTAL DETACHED BUILDINGS....................... r)
DRlVEW A YIP A VED AREAS
(Driveway. paved or not)
(SidewalkIParking Areas)
DW(
<5W
x
X
X
=-
7Zrg
=~\~
=
TOTAL P A 'YED AREAS..........................................
&'4,-
x
x
=
P A TIOSIPORCHESIDECKS
(Open Oec:ks '/." min. opening between
boards. with a pervious surface below,
are not considered to be impe~ ious)
=
X
=
TOT AL DECKS......................................................... 0
x
x
=
OTHER
=
TOTAL OTHER-...................................................... ()
TOTAL IMPERVIOUS SURFACE 292.~
UNDER/OVER S \ '7~
preparedB;Z?~~~ Date ~ JM W7L
Company [?1Z.~NDT bN?\tlfj;J2\N~t <;vT?-VE'rilJt-Phone #952- LLS5' ) 96t
Feb.l1.2002 3:52PM
GENZ RVAN PLUMBING AND HEATING
No.3483
P ') /7 5
' L./ i..
Date Rec'd
CITY.OF rRIOR LAKE
SEWER AND WATER PERl\flT
ffB I I 2002
i =.. ~~". I PERMIT NO. 0'7 -- 0 I "7 0
1. OaId AJlIlh.....' c- c-
l%~~
ADDRESS . .
. "
I ~
.,;;" L-
fit120
ZONING (OfficCU8<:)
LEGAL DESCRIPTION (officI!: us<: only)
LOr 5 BLOCKS ADOlTro
PID
OWNER
(Name) DR. J-in,..t-nn ('"..,t-n'tJI H9m@B
(phone)
651-"-54 4~h'3
55122
(Zip Cede)
(A~SS) 3459 ~ashingcon Dr Ste 204
(Address)
Eagan, MN
(City)
APPLICANT
(Name) Genz-Ryan Plumb.lng & Heating
(phone) 651-423-1144
(Address) 14745 So Robert Trail
(AddJ;1:ss)
Rosemount. MN 55068
(Cit;y) (Zip Code)
DATE
(phone)
APPLICA1.~T PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet
Type o~sewerpipe. 0 ABC 0 PVC D Castlron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
Estimated Cost $
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$1750 Water connection only $17.50
Building Permit # 0 Z - 0/2 0
ReSldential $ewer and water line eomect1on
Sewer connection only
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$'
$
.50 r'PArD Vn~
~,8~J~i,. D; ~dr:,
(Office Use Only)
This Applil:ation Becomes Y DIU' Bldlding Pennit When Approved
Building Official
Date
')nr')
~4 hollr notice for 311 imlpedions (9:5Z) 447-98:50, fax (9:5:Z) 447-4245
Feb.11. 2002 3:52PM
GENZ RVAN PLUMBING AND HEATING
No.3483 P, :1/25
Dqte Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
ftB I I 2002
~_~"EU~. -
I ADDRESS- tI - lJ:i -rfJA1 '-
~::~;;. I PERMIT NO.Oz.-O/'? 0 I
l. YoIlo- App.ll""n~ . ~ .
I I ZONING ''''''''-J
LEGAL DESCRlPTION (office use only)
LOT 5BLOCK !ADDmON
I OWN.ER
~ron~ DR Horton Cus~om Homes
I
(Ad~s) 3459 Wash1ng~on Dr Ste 204 Eagan. MN 55122
Pill
(phone) 651~454-4663
APPLlCANT
~wne)r-~n?-By~n PlymgiRg ~ ~~g~~ng
(phone) ~ 5 1 4' ';\ , 1 44
(Address) 14745 So Robert. Trail
(Address)
Rosemount
( City)
MN
55068
(Zip Code)
(Contact Person) Mary
(phone)
D"'2.-
APPLICANT SIGNATURE
DATE
Quantity Type of Fixture QUBDtity Type of Fixture
2. Bath Tub with or without shower ..3 Rough-ins
I Dishwasher I Water Heater
1 Floor Drain Wate! Softner
E; Lavatory (Bathroom Sink) , Stand Pipe (Washing Machine)
, Laundry Tray (1 or 2 compartment sink Sewage Ejector
, Shower Stall Backflow Assembly
1 \ Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
':3., Water Closet (Toilet) Other
LEASECO~LETEBELOW
FEE SCHEDULE
lndustnal, Commerctal & Multl-family 1 % ofjQb cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $3950
PLUMBING PERMIT FEE $
STAlE SURCHARGE $
TOTAL PERMIT FEE $
oz- O/ZO
,. rwD-WITH '.".. ,
. '.....1 r:: r"t - r"~. fI'...." :.,
') :,. ~.,., ,',.' ;'., r
.50
Estunated Cost $
Building Permit #
(Office Use Only)
This Application Becomes Your Building Permit Wheu Approved
D.~
P~
Datj.-ro 200')
rm II I
Receipt No.
By
Building Offic:i:d
24 hour notice for all iDspections (952) 441-9850, flU (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
8UILDING AND INSPECTION
SITE ADDRESS n05"() Wi\ct..QW\-e,S~ \t=-J
NATURE OF WORK .}Jew
USE OF BUILDING S~A
PERMIT NO. n.t: DATE ISSUED t - Ol.?. -CJc
CONTRACTOR PHONE )./J,~- (3 sC(
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE
I FOOTING I .5/1 j51/
FOUNDATION (Prior to Backfill) j,t.-~ ,.3 0 z., , 3 Ii D l..
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - IN
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING l{ / Cq .
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST · ~ ~~,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS I,
~
OCCUPY UNTIL ABOVE
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 :Je placed near main entrance.
BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850