HomeMy WebLinkAboutBuilding 02-0127
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
, 12(;,3 yr1vrS' +;
SB
LEGAL DESCRIPTION (office use only)
BLOCK 2-ADDITION Deer
LOT
L s~~ f4.11o."IA h ~
Date Rec' d
/-1 (p ~ 07-
~i:i~e ~::y I PERMIT NO. /J? -0/?11
Yellow Applicant V t- '- _
Lfh-
ZONING (office use)
RZ-
PID 2.5 - 31XJ - 024 - 0
OWNER
(Name)
(Phone)
(Address)
TYPE OF WORK
OLower Level Finish
(Phone) 052-9lds:-1COOS
(Phone) q62-Z,~-lo/;;;H
ODeck
OPorch
ORe-Roofing
PROJECT COST IV ALUE (excluding land) $
o Fireplace
OAddition
OAlteration
o Misc.
I f'1
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 tha e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upo e property tOop fo ded 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
$
$
$
$
$
$
$
$
0.(90
{).eO
3S". SD
c.(0 ~ DO
This Application Becomt:s Your Building Permit When Approved
kQb*
Bu~g Official
I - '2.. L( -0'<-
Date
d?tJoo ~57
Contractor's License No.
Park Support Fee
SAC
#
#
i~j~l: ~
I~;~
$
$
$
$
$
$
$
$
$
Water Meter Siz 5/8',1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
This is to certify that the request in the above application and ~panying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the Ci Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. ~4~ 2-/7 1P2- ~ A-c(~h~~ CL~~~ '-
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
TOTAL DUE
I Paid
Date
Jan.29. 2002 11 :22AM
GENZ RVAN PLUMBING AND HEATING
No. 21 51
P, 7/9
Date Re&;:' d
CITY OF PRIOR LAKE PLUl\1BING PERMIT
(Please type or ptint ~d sign at bottom)
[ADDRES~,il!>- 'b
~ ~L ~~rlQl1t I PERMlT NO. 0 l ~ 0 127 I
~V"\\1(1Q ~ ~ / ~- I
;, <'(~\:'L:::.~
ZONlNG (ollicc uzc:)
LEGAL DESCRIPTION (office llSe only)
LOT lo BLOCK. ADDmON
-m..
Pill
~
IOWNER .
I (Name) DR Ho:rton Custom Homes
(Address) 3459 Washington Dr Ste 204 Eagan, MN 55122
(phone) 651-454-4663
APPLICANT
(Name) C:"'''''''-F~T.Il. l'J,,-m1-dng F., l-T",,,r;-n8
(Phone) ~ Z; 1 _L. ? ~ 1 1 44
(Address) 14745 So Robert Trail
(AddrEss)
Rosemount
MN
55068
(Zip Code)
(City)
(ConmctP~on) Mary Olson
(Phone)
()2-
APPLICANT SIGNATURE
DATE
APPLIC
Quantity Type of FUture
.~~_~L. __"..__~~tE_!.~b ~i~ ~E,~~:>~ts~.~~e~,_._>
. "d. . . .' , . Di$hwasher . ,.. ..~ >.,
Floor Drain
2.. Lavatory (Bathtoom Sink)
I Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
"2- Water Closet (Toilet)
E C01VIPLETE BELQW
Quantity
Type of future
,.,.-.....-_...-......~'" .-.~~...-.
. . .:',.. . ,:""...t:.'ol";"_
W arer Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industna!, CommercIal &: Muln.farm]y 1% of job cost with a $3950 minimum ReSldennal, New One &: Two-Fanuly $99...50
Residential. Additions & Alterations S39.50
Estimated Cost,$ ~
Budding Permit # 0 Z,- 0/2 7
r~:D"~"-
..50 \S~J.~(;;D~?-::C;;: '--. '
~--
r
PLUlYffiING PERMIT FEE .$
STATE SURCHARGE S
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your .Building Permit Wb.en Approved
Date
')1110
By
ate
Building Offic:ial
24 hour notice for alI inspectioDs (952) 447-9850, fax (952) 447-4245
Jan.29, 2002 11:20AM
GENZ RVAN PLUMBING AND HEATING
No ' 21 51
P, 3/9
Date Rec'd
CITY OF PRIOR LAKE
SEVVER AND WATER PERMlT
~. ~ ~~. f PERMIT NO'O'7 - 0/2 -1 I
3. ""14 Appl;,,",,_ ~ I
r~~I;~~~~~~la~eJ._()
D J
--
s&. I
{a Y\
I ZONING,_=> I
LEGAL DESCRIPTION (office use onlY)
LOT to BLOCtz.- ADDITION
yVJ
PID
OWNER..
(Name) Pl? J;l:Q~t-Q" C"l;~~m :a.9W~i"
(Address) 3459 Washingcon Dr Ste 204
(Address)
(phone)
651-~15tl-/1663
Eagan. MN
(CitY)
55122
(:Zip CQdc)
APPUCANT
(Name) Genz-Ryan Plumbing & Heating
(phone) 651-423-1144
(Addx/';s~) 14745 So Robert Trail
(Address)
Rosemount. MN 55068
(City) (Zip Code)
DATE
~UCANT SIGNATURE
(phone)
(Contact Person) Mar
APPLIC ASE COMPLETE BELOW
r-- ,-~ - ~:~~~~;::;:~~~lings fr=~ture ~ fe~.- - u --~
. Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet.
I Clean out (if required) located at _ feet from structure.
R\:sidentiaJ sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35,50 Industrial, Com'} & Multi-family 1% of job cost with a $39.50 minimum
$17.50 WateTconnectiononly $17.50
Estimated Cost $
Building Permit #
02- - 0/2-7
SEWER ~AND; WATER PERMIT FEE
STATE SuRCHARGE
TOTAL PERMIT FEE
$
$ -
$
.50 "'PAfl) v,,
1./BU1LDINr:, ,-
----. .. '-< J-
----
I.'
.
(
(OfficI: Use O~ly)
This Application Becomes YOQT Building permit When Approved
Dare
By
L:..
Building Official
J4 hour notke for alllnspe1:.tions (952) 447-9850, fu (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIRE.PLACE PERMIT
Date Rec'd
I. Pink
2. Green
3. Yellow
~J~icant I PERMIT NO.G2-() /z71
I
ZONING (office use)
J1~
.~d__Ut s&
LEGAL DESCRIPTION (office use only)
LOT U BLOCK ~ ADDITION
PID
(Address)
(Phone) 95:;... q~5-7017~
o J-f
APPLICANT J\ , I . t M ---
(Name) ItlJ r ctn e<!.... .J,.m.
(Address) 3(P50 Kenne bee- ~.
L (Address)
f Z;
5+e. #j
(Phone) Ip5/- 45:L -cf?775
~~~Qn 55/.22
(City) (Zip Code)
(Phone) to5/-1../5~.. ~77o
2../,3102..
DATE
(Contact Person)
!0NEW CONSTRUCTION 0 REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL ~4n+ 3S'3KA-vbVU),o FUEL l\JQ.tlAr"tA I
FLUE SIZE tp'cla.S'D"B RETURN OPENINGS ~ INPUT IO.ODO OUTPUT 51.D~tJoo
TYPE OF SYSTEM REA TING OR POWER PLANT
OWarm Air Plants o Steam PLEASE NOTE:
o Gravity o Hot Water Air Conditioner Units
o Mechanical . o Radiation Cannot Encroach into
~r Conditioning o Special Devices Required Side Yard
ent. 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 & A/C (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
-, \
r" .. 'D. \1.\1\ \,': . .
pr". G pt.-i"'" ~
.5~U\I...o\~
~
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Building Official
Date
DatFEB I 4 2002
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
b~t
White - Building
Canary - Engineering
Pink - Planning
Tht" ('("nIN or Ihe tlke Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT r--- ~. -f {
t~"...- I !
I -- i i. /' ,-
APPLICATION RECEIVED -,.~~ l ,;,....,--
: ',-.i~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.,., _" I
;' ,i /
/~,.>- ((- )
- ~
,-"~"
/.._-\ J -, ..r" t-1 ! ^
,I .. " j
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Accepted
( ------.
Accepted With Corrections
Denied
~ii?""4_
Date:
7--/7 /02.
Reviewed By:
"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
Thr Crnlr' of Ihr l..k. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. R. HO~lotJ
1- /(p- 02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
17'?(o3 tJAfcSI:iBE,L.D l_Af\J6 Sb
Accepted X Accepted With Corrections
Denied
Reviewed By:
IVYf J3
.s~(. tfICf"1l F,'I(
Date:
{- 23-o?.
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."
The ("f'nler of th~ Lakt {'ountr,."
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. R. H012--rotJ
I-=J~ - 02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J1~&3 t1ARSHa~L~D l_ANb Sb
Accepted
X-
Accepted With Corrections
Denied
Reviewed By: Jr.. j ~
Comments:
Date: {-2 \( -02-
~ ~ f'v\e>...~\A t:L~
"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."
PRIOR LAKE
INSPECTION 'RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 11~(P3 MoJ-sk~I'ej& LV\-
NATURE OF WORK N~
USE OF BUILDING SFD
PERMIT NO. )2--- Of 2-?: DATE ISSUED 1- 25- o~
CONTRACTOR --p. f2.. Hor~ PHONE 'l5:2-~d...L.-133l/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING
FOUNDATION (Prior to Backfill) . 6 "2..,"1 0 2-- ~ {)2.-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING :v
INSULATION
ELECTRICAL
PLUMBING lA 1& ,
HEATING (if required)
tJ~
GAS LINE AIR TEST 7 l;;r IJ l...-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
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 beer. apf:'ol"oved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
. , ~4 -C).o---.
-1.1-c7J
-2-
?-/J -cr;.
BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850