HomeMy WebLinkAboutBuilding 02-0303
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1
Set..- ~~~ ~I ~
Date Kec' d
3~/'1-0L
I. White File I PERMIT NO.
2 Pink City
3. Yellow Applicant
O~/030:3 I
ADDRESS )
i 7 LC;~ ~r(i ~~LJ Lan.e.
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK I ADDITION
PID 25-380- 063-0
ZONING (office use)
K-Z-
OWNER
(Name)
(Phone)
(Address)
(Phone) QS2:Cf 'O~ -'I vO S
(Phone) Cj6L-2-~-i?7}1
TYPE OF WORK
ODeck
OPorch
ORe-Roofing
OLower Level Finish
o Fireplace
OAddition
OAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) $
ORe-Siding
OUtility Connection
1 hereby certifY that 1 have furnished information on this application which is to the best of my knowledge true and correct. 1 also certifY that 1 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 t building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter on the prope~o r r eded inspections.
$
$
$
$
$
$
$
$
$.5 '130. s:
1~;ep~J
x
cf(oO() S7,$7
Contractor's License No.
Park Support Fee
SAC
#
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ Oe" . ~ ~
Mechanical Permit Fee $ " .~ (?
Sewer & Water Permit Fee $ 55'. ~"b
Gas Fireplace Permit Fee $ 40 .(j)(>
#
Water Meter Size 18 ;1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
mes Your Building Permit When Approved
Paid
Date
~S-q~i -)~
tj /- .
'5 -20 ~OZ-
Date
-y. i 2-02-
Date
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 aUows construction to commence. Before occupancy, a Certificate of Occupancy must be
iSSU~/1 J -JIJ ~~ .3/27/ () L
~ L/~in~irector Date Special Conditions, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Mar,19.2002
9:49AM
GENZ RVAN PLUMBING AND HEATING
No.7409
p. 3/7
Date Rec'd
JW~
\., '\~
,.:..:.'.,.I\IJlr:ESO
.....1.'...
;j.~":?:<~~.:\('
'CITY OF PRIOR LAKE PLUMBING PERMIT
, __ 5 IUCI?
L Blu. Fil.
:l. Ool~ City
3. YoIlo..AiJ\lIieonI
I PERMIT NO.a - ~D3 I
I
ZONING (ollie.. U$c)
(pt..,.,_ ~"""..ign at bQIIDJ;II.l
[ ADDRllSS -
25.lo MarshBe1D
l41U- J
LEGAL DESCRIPTION (office use: only)
LOT
ADDtrlON
t!1
Pro ;25- 380-cO 3-
OWNER
~rone) DR Hort~n Custom Homes
(phone)
962 - q r; 5 - '7BlJD
Efu4 t..J
(Address)
~'S~o KenB l~ C. $,elQO
APPLICANT
(Nam.e) Coon... t!y"n 'Pl ",.,.,'hing So H9itj.....g
(Address) 14745 So Robert Trail
(Address)
(phone) ;, " 1 -4 n 1 1 l.L.
Rosemount
(City)
MN
55068
(Zip Code)
(Contact Person) Mary
(phone)
APPLICANT SIGNATURE
DATE
Quantity Type ofF~:re r Quantity Type of Fixtll:re
, Bath Tub with or without shower Rough-ins.
1 Dishwasher Water Heater
, Floor Drain - p. '} Water Softner
2; Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
Lau.ndry Tray (lor 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
I Sinks Backflow'Assembly Test
Bar Sink Lawn Sprinkler
-~- Water Closet (Toilet) Other
EASE COMPLETE BELOW
FEE SCHEDULE
Industnal, Comme.f(;lal &, Multi-family 1 % of Job cost With II $3950 minimum. Residential, New One &, 1Wo-FatIllly $99.50
R~ide1.ltia1, Additions &, Alterations $39.50
Estlmated Cost $
Butlding Pemut #
..50
r-
. I .
JI!'to PA'D f
ti;;l'/' J', 1.",',-.'
.. !,D.',,\I ,~ .
",8 p
PLUMBlNG PERMIT FEE $
STATEStJRCHARGE $
TOTAL PERMIT FEE $
(Offjl:.~ Use Only)
This Application Becomes Your Bldlding Permit When Approved
Paid
Ret:eipt No.
Date
BWJding Official
Dll~
2~ hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Mar.19.2002 9:48AM
GENZ RVAN PLUMBING AND HEATING
No.7409 p. 2/7
Date Rec'd
CITY ,OF PRIOR LAKE
S~WER AND WATER PERMIT
t! 5
r' -
l ?z ~~, ["PERMIT NO. ") 1 _ ~O'~I
l, Gold A1'l'H_. vel- '.
I ~~;~::'~~eln lCV'\.L; I ZONING(_~) ]
LEGAL DESCRIPTION (officc use only)
LOT
BLOCK
ADDmON
'1kJ-
PID05- ~~ li- 0 03- -
OWNER
(Name) D~. VQ-,::h;;TJ (',,~t-"'Jll J:r"';W-li
(Address)
2O&Dp ~(3K\!:X:::e.. C:r Sre.Jf\0
, (Address)
(phone) _
"LaJu.-\J i \ I~
(City)
g6.2 ~qgs- f Bct',
.&5Ci)44
(ZiD Code)
APPLICANT
(Name) Genz-Ryan Plumbing & Hea'ting
(phone:) 651-423-1144
"LICANT SIGNATURE
Rosemount. MN 55068
(City) (Zip Code)
(Phone)
(Address) 14745 So Robert Trail
(Address)
(CDntact Person) Mar Olson
DATE
2-
ASE COMPLETE BELOW
Size of water service ~ inches.
Location of any couplings from structure 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 structure.
Residential sewer and water Iln~ connection
Sewe.r connection only
FEE SCHEDULE
$35.50 Industrial, Com'} & Multi-family 1% of job cost with a $39.50 mmimum
$17.50 Wat~connectionon1y $17.50
Estimated Cost $
Building Pennit #
SEWER AND WATER PERMfT FEE
STATE SURCHARGE
TOTAL PERWT FEE
$
$'
$
,so
r--
,.. PA'D \.....'~. '.'
i I1..~U!LD;.l~'.'.~~) . /
......, .. .
(Otfit;.e Use Only)
This Application Becomes Your llliildiug permit When App..o'V~
Paid
Receipt No.
Date
By
\ \.
'-
Building Official
:pate
24 hOLU' notIce for all inspections (951) 441-9850, (as (95'2) 447-4145
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FlREPLACE PERMIT
Date Rec'd
APR I I 2uu/
~. ~:~~~w J~~icant I PERMIT NO. 0'). - 3D3 I
ZONING (office use)
11 '2.. 5LR M.OJ
Mtd_Ln
LEGAL DESCRIPTION (office use only)
LOT .3 BLOCK I ADDITION
PID
~~e~RD.~. HorfonCu.dom HO(Yle~ (Phone) q5a-,q~5-7017,,l.
(Add~()~i~___llt~i~o.keV; Ile.._M~ __~5Q~_____
APPLICANTA U . + M ---
(Name) I Qrl e<!.. .J.-.~ .
(Address) 3(PSO f<enne bec..l)--. ste. #/
L (Address)
f Z..
(Contact Person)
(Phone) Ip5/- 45:L-cf?775
l-::a8an 55/.22-
(City) (ZIp Code)
(Phone) ttJ5/-45r1- ;/770
DATE
APP ICANT PLEASE COMPLETE BELOW
NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL ~an+ 3S'3KA-vb2&l.D"10 FUEL l'JoJ~
FLUE SIZE 'fllclCLSCO B RETURN OPENINGS '+ INPUT ;0.000 OUTPUT 5l.D~/:)OO
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
OGravity
o Mechanical
~r Conditioning
Ql'Vent System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
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
$39,50
$39,50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
.50
r PAfD 1, '/,
BUILDING F
l .-
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
(Office llse Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No,
Date
Building Official
Date
~3
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~:~~"w EJ~icant I PERMIT NO. -<- 3 0:3 I
ZONING (office use)
17256 MARSHFIELD LANE SE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
D R HORTON
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
7/12/2
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants D Steam PLEASE NOTE:
DGravity D Hot Water Air Conditioner Units
D Mechanical D Radiation Cannot Encroach into
DAir Conditioning D Special Devices Required Side Yard
DVent System D Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO SL-750TR-C
APPLICANT PLEASE COMPLETE BELOW
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
~_~~,XG f;I~r~':;T
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Buildine: Official
Date
Datejj, i ?
"\u(~.... 6
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
Th~ Crnll'r of Ihr I.akt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
p ~ -Hori6~
3 -//j-Od--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I /?;;25/o '12t~d! Lv
Accepted
x
,
Accepted With Corrections
Denied 71 L--
Reviewed By: t2tli:..._;;;<--/, Date: 3-20-0""2-
Comments:
fU- ddO ct4c<~ ~~
"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
The- C"rnlrr or Ihe take ('ounll)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
....,...,-;">
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i/
If ,
Ii '
y< /'t.//
Accepted
~
Accepted With Corrections
Denied
~>~~~
v -
Date:
3 !2--7 162-
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.~
The Cen'e, 01 Ihe take Coun'ry Pink - Planning '30
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST ~ OJ:
NAME OF APPLICANT P k' -l/ ~> ;t', u I--~
APPLICATION RECEIVED
..--.-)
--. ..
"'=-"
/j / . .,',\
! /-"UO'---'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7" c..... I \~_. ,/11 .. / /7/' /
/: I -.., I . I. ' . ..,' . ,; -', .
".;.., ./ 1.-. ,;f;. / /'/1// 17 1/ () {.( 1,. / A/
"'-" I U:. ./'" / / f ..-- ... .. , ---...
/ J /
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
I//J1B
5 c~ /J1C,/#1 ~, /l
Date:
3 - ;{!-oz-
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
\ ~ +l.L~ tiLo
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 17cQ~(f? ~kh~t f?~.
NATURE OF WORK AJe.Lv
USE OF BUILDING SFA
PERMIT NO. (J~ DATE ISSUED 3-'JO--cTL
CONTRACTOR QY PHONE {;ft:;2 .2~- I~')c.;
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) tJt,V) ;;-, tJZ-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING U,G,. '1/.1 . 5 3 0'2.----
HEATING (if required)1~.~. (
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
u'(!)
/
1- /3-d)-.
V -Lf-()L
SIGNED
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have Qeen 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