HomeMy WebLinkAboutBuilding 02-0151
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
/1 ~15 U)tlJUI
LEGAL DESCRIPTION (office use only)
~'" 115 Vt'1 ~+ 1r11
"'~::J -_ \::)""T ADDITION
OWNER
(Name)
(Address)
TYPE OF WORK
2-5 -02-
~. ~i~~e ~:~y I PERMIT NO. () ? -Ol-r-I
3 Yellow Applicant . L- ...:> _
d~~~
PID
(Phone)
ZONING (office use)
)C..Z-
-- -381- 0/'2-- 0
(Phone) ~51.--q65-7Q(}5
(Phone) t:t6'2 -21.1,.... &./7~ z
ODeck
o Porch
ORe-Roofing
o Fireplace
DAddition
o Alteration
o Misc.
OLower Level Finish
PROJECT COST /V ALUE (excluding land) $
o tfl, 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 fu accordance with
submitted plans. I am aware tha building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon roperty to perfo e d 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
~lX?V.%51
Contractor's License No.
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
554 . or Lt
~() _ (;) D
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
-----
TOTAL DUE
'). -1l-6 "2-
Date
I ~~~ ~f[jI;)lL
Becomes Your Building Permit When Approved
Ill! 02-
ate
m.m
\ 200.00
2tXJ -oTI
tJO .00
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
iSS$~~~
Planning DIrector
2-!J3(cYL ~~ ~~~ ~~S-~<
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
Feb.11. 2002 3:53PM
GENZ RVAN PLUMBING AND HEATING
No.3483 p. 4/25
Date Rec:' d
CITY OF PRIOR LAKE PLUMBING PERMIT
ff8 1 I 2002
:' ,_.
I .81~. tn. I pERMIT NO
;L Gold Crt)' .02-0/5/
3, y.lIqw AppliGI/II ,
17-1~~-;;;:;~ CldSE
ZONING (otlic<:use) I
J
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDmO
~
PID
OWNER
~illme) DR Hor~on Custom Homes
(phone) 651-454-4663
(Address) 3459 Washington Dr Ste 204 Eagan, MN 55122
.A.PPUCANT
(Name) Glim2:V"i.YiHI. Plumpi ng F., F"''''tiQg
(Address) 14745 So Rober'C Trail
(Address)
(phone) ~ 0;' _I.? ~- 1 144
Rosemount
MN
55068
(Zip Code)
(City)
(Contact Person) Mary
(phone)
651-423-1144
I A.PPL!CAN'T SIGNATURE
DATE
Quantity Type of Fixture Quantity Type of Fixture
, Bath Tub with or without shower Rough.ins
, Dishwasher . , WateiReater
, Floor Drain . 2\. Water Softner
'2.. Lavatory (Bathroom Sink) f Stand Pipe (Washing Mac:hine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
Shower Stall Bac:kf1ow Assembly
, Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
7- Water Closet (Toilet) Other
PLEASE COMPLETE BELOW
FEE SCHEDULE
IndustrIal, CommercIal & Mult!~famlly 1 % of job cost with a $39.50 minimum Re:sidcnual, New One: & Two-Family $99.50
Re:sidential, Additions & Alterations $39.50
Estimated Cost $
:Building penn1t #
r:r- PAID WIT'~
.50 IJUU.DING!'E.
,.
;
PLUMBING PERlVUT FEE $
STAlE SURCHARGE $
TOTAL PERMIT FEE $
(Offic~ Use Ouly)
I This Application Becomes Your Building pet:mit When Approved
Paid
Receipt No.
Building Official
Date
By
iOU/
24 bo.lu' notice for 8.11 imlpection5 (9~) 447-~850, fax (952) 4474245
Feb.11, 2002 3:54PM
GENZ RVAN PLUMBING AND HEATING
No,3483 p. 1[1/25
Date Rec'd
CITY ,OF ~RIOR~"
SEWER AND WATER PERMIT
FEB I I 2002
~. ~ ~', I PERMIT NO. 0 Z- 0 /5/
3. Gold Appti....'
r;~~mA:;~M
ZONING (offic~ uu:)
Cae-I! Sk
LEGAL DESCRIPTION (offic~ ~ o:nl,y)
LOT
BLOCK
PID
OWNER
(Name) '{)"' ~n:o:::t9V r",,+nw ~""'es
(AcldIess) 3459 Washington Dr S~e. 204
(Address)
Eagan, MN
(City)
(Phone) ~Sl_II5.4 !J.f,f..~
55122
(Zip Code)
APPLICANT
(N~~ Genz-Ryan Plumbing & Hea~ing
(phone)
651-423-1144
(Address) 14745 So Robert Trail
(Addm~)
Rosemount. MN
(City)
(phone:)
55068
(zip Cod1:)
DATE
0'2-
PLEASE COMPLETE BELOW
Size of water service _ inches.
Location of any couplings from structure feet.
Type of sewer pipe. D ABC D PVC D Cast Iron
Estim.ated length of sewer line feet.
Clean out (if required) located at feet from stnlcture.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job ~ostwitb a $39.50 minimum
$17.50 Water connection only $11.50
Estimated Cost $
Building Permit #
",- ~
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERmT FEE
$
$'
$
<<r''''.,'?,,-:. F~ >' ,.
.50 ~ ,,"k"'," ~
, 0.,1 'j \'_'-' ___
\~S~~" --'~
-- J
(.office U~c Ollly)
This Application Becomes Y OUt Building Permit When Approved
Patd
Receipt No.
L-
BuildiJlg OffidaJ
Date
D~B -, A "nn')
rt L~,-U:_
By
Z4 hO,ur notice for all illspcctl,OJ:\.s (952) 447-9850, fax (9SZ) 447-4:145
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
itB 2 1 2002
~. ~~:n ~:~y. I PERMIT NO. /) :J - · -J
3. Yellow Apphcant . {../ i7' L;;;'_
ZONING (office use)
17315 'N, \clumss ~
LEGAL DESCRIPTION (office use only)
LOT lS4BLOCK '2..-5 ADDITION
(Address)
(Phone) C(5a.... Cf~5 -7~7~
o Lt
APPLICANTA U . 1 M ---
(Name) ranT eQ... .J...V1C!... .
(Address) 3~5() K&nne he~ Cr.
e- (Address)
f Z..
S+e. #/
(Phone) Ip5/- 45:1- -c:l775
J.;a8ar1 55/.22
(CIty) (ZIP Code)
(Phone) u;5/-1../5~- bl770
(Contact Person)
DATE
~NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL ~C1n+ 3S3KA-vb2.UD'o FUEL J\J"flAm I
FLUE SIZE 't"cla.scz,"B RETURN OPENINGS '-l- INPUT lC, boO OUTPUT 6lD..t>OO
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NOTE:
DGravity 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
ICANT PLEASE COMPLETE BELOW
Residential, Heating & AIC (New Construction)
Residential. Heating Only (New Construction)
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
$39.50
Industrial. Commercial & Multi-Family
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
(') ~
.50
2..~'\'C:
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
-to ~;?-
By
cP
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
FIRESIDE CORNER
#5129 P.0021006
Date Rec'd
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONINGIFIREPLACE PERMIT
L. Pink
2. Greon
J. ,..11_
~:ioom I P.E]~IT NO. OL~- ! ~ r I
I
ZONl::NG (officI; u.~e)
I =:r~:::~ ~
s~.
LEGAJ. DESCR.lPTION (offir.~ u.~ cply)
r~OT
BLOCK
ADDmON
~-CJ
d-l~
(Phone)
1
I OWNER
(Na.me)
(Address)
~
APPLICANT
(Name) ALT...IE.:D FIW::SIDE DBA FIRESIDE comER
(Phone) 651-633-;2 561
APPLICANT SIGNATURE
ROSEV1;:'r.T.F. MN
(City)
651-633-2561.
(Phon.e)
';<;'1.
(Zip Code)
(AdWre~) 2700 ~~ FAIRVIEW AVBNUE
(Address)
BRENDA HUSTON
(Con.tact Person.)
DATE
~(Jt-
APPLICANT PJ...EASE COMPJ...ETE BELOW
EW CONSTRUCTTON 0 REPLACEMENT 0 At TERA TrONS
FURNACE MAKE AND MODEL FTJEJ~
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
mE OF SYSTEM HEATING OR POWER PLANT
OWnrm Air Plants
DOravity
o MechllnlclIl
DAir Conditioning
DVent. System
FIUPf.ACE MAKE AND MODEL -L..~ ,J C; &.,
o Steam
o fior. Water
o Radiation
tJ Specfftl Device:!
o Other Devices
PLEASE NOTE:
AIr CondjTion.er Uni.ni
Cannot En.croa.cl1 into
Required Side Yard,
5mbacks
SL7~
IndustriflJ. Commr:n::iI11 & Multi-PIllflUy
FEE SCHEDUT..E
1% Mja" cost ~side,.,t.lf.l.l. (illS FircplA,cc
$39,50 minimum
$99.50 Rcsld.ent.ioJ, Addltiol1.s & Alrerlltions
$64...50 RcsldentlllJ, AC Only
$39.50
539,50
$39.50
ResidentiaL Heating &. Ale (New COl'lstnJct:ion)
ResidentiaJ, Heating On.l)' (New ConstnJctlon)
Estim.ated Cost $
Bulld.ing Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
~
(~~h
....().,..
"I;i<.~.
(omel: rJSt: Only)
Thl~ App'icatlon Becomes YDllr Building Permit When Approved Paid
Date
.'v
By
DRte
Rllildillg Officlol
24 hour notice for llllln~plldlt)n8 (!):51) 447-9850, flllt (9Sl) 447..4245
White - Building
Canary - Engineering
Pink - Planning
Thl' ('enlt"r or Ihe L.ke Counlr}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
D- e . lioeTVtJ
2-- 5 -0'2-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
173lS WILI]SruJ5SS ('1rZ-
X
Accepted
Accepted With Corrections
Denied
G?4
Date: ::1- il-o~
Reviewed By:
Comments:
r;
~~ ~Cq\~ t(Le
"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 CenteT of Ihe L.kr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J'~,.! I i I ( ( 1. ' --{ i, '" I
0'__/ ~ 1'-", '. I, l/ I
7 - ," - ("'2
'- ._J J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I --;,~ 15 \ \J I ;__ I)E J (~" 10 S ,~-S L { {2:
Accepted ~~
Accepted With Corrections
Denied
t;}L~{r!.r~~
Date:
:J--ll3ID2-
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."
"__~_,--__._________-r-___ - ,--..--..-:-------.---------.--~~------
~i~ -. ~i~'g
Canary . Engineering
Pink . Planning
The Crnler of the Lake Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D- ~. , I-{ OfcTOtJ
Z.- s -OL
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I -7315 \;\J I LIJEr61\J SSS G I rZ-
Accepted
~..
Accepted With Corrections
Denied
Reviewed By:
N#113
~ ~<... ;YJc, I"'" F, 'Ie:..
Date: "l",~"'D7-
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."
PRIOR LAKE
INSPECTION RECORD
See +V-..<L Me>. "'- -+-;-. Le
DEI:>>ARTMENT OF
BU~LDING AND INSPECTION
SITE ADDRESS 17'315 Wi\&~JV1~,'S-~ C\It-
NATURE OF WORK #Je.J
USE OF BUILDING S l=='A-
PERMIT NO. 0 Z --0/5/ DATE ISSUED Q~I \ -CJ '"2.
CONTRACTOR --D I f2-. H-~,t-c)V\ PHONE 952"~01..lo -'\c.{~3'7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE
I FOOTING I Z/~?fra..-
,
FOUNDATION (Prior to Backfill) .3 " 62, D( I (tz...,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING U. ~ . . 3;;~
HEATING (if required)Tt1;.v1. '0'-"
FIREPLACE
GAS LINE AIR TEST ~ f.=: fi
RK UNTIL ABOVE HAS BEEN SIGNED
FINALS
GRADING (Prior to Sodding)
BUILDING"'-'- ~ ~~ .cfL
ELECTRICAL
PLUMBING
HEATING
DO NOT
/
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
( , d-.l. --0 0--
\ 0 '-:1-.5/
This card must be posted near an electrical "'ervI~e 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