HomeMy WebLinkAboutBuilding 02-0418
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILI
ADDRESS Or /1/ e.....
, l J.> 5""D \)ee~ cl L
LEGAL DESCRIPTION (office use only)
lrt: . J \ I..~ Ii ,
..\ - ~
Date Rec' d
'-/ - J -Qd-...
1- White File I PERMIT NO I
2 Pink City . /')',_. .0' J J I 0
3. Yellow Applicant ~ _ . ?l. Ii .
LOT
BLOCK J
ADDITION
PID
ZONING (office use)
'R~
- '3/d- - Dtf:A-{)
OWNER
(N ame)
(Phone)
(Address)
TYPE OF WORK
~ New Construction
ODeck
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $ ~ 1
o Misc.
(Phone) q5Z-~fjs-7 509
(Phone) q62- t~- j~lj
OPorch
ORe-Roofing
ORe-Siding
o Utility 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 a e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter up e properly to ert! eeded inspections.
x
$
Plan Check Fee $
State Surcharge $ ~-a .50
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
comes Your Building Permit When Approved
Cf-g -d()()~
Date
OAddition
o Alteration
1/1 J D2
, date .
$
$
$
$
$
$
$
$
$
~OOS~~-7
Contractor's License No.
Park Support Fee
SAC
#
#
~aid
Date
,1,,/oCf. t.I~
-1" "'J ~
~' /' s.-
I ~~ce~
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
'len 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
e~} ~ ~ 1& ~ C
Pla~cto~ tf!~/()L ~~~ ~nS~ifany~\{6~<;
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Water Meter Size 18 ; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~ir:~n ~!;y I PERMIT NO.,_ 7 I J.V 'I
3. Yellow Applicant . (?< ':::L{ 0 .
erQeld
ZONING (office use)
r
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
~=~RD.~. Horfon CLASbM Home~
(Address) 0
(Phone) C(5a... q ~5 -7,;},7c2.
APPLICANT All' 1 M ---
(Name) r C\nT eC!.. .~~.
(Address) 3~5cJ fl.e.nne bee... ~.
(Address)
t: Z.'
S+e. #/
(Phone) (p5/- 45:L -c:?775
~~Q8Qn ~5/~~
(City) (ZIp Code)
(Contact Person)
(Phone)
APP ICANT PLEASE COMPLETE BELOW
NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL ~4n+ 383KA--vh2&lD,O FUEL 1\J~t~
FLUE SIZE lfllCIa.s~ B RETURN OPENINGS ~ INPUT /0.000 OUTPUT 6lDL/)Oo
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
OGravity
o Mechanical
~r Conditioning
[!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
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Pelmit #
.50
. bt
; /3IJvJ
(Office Use Only)
This Application Becomes Your Building Permit When Approved
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
Paid _'
Receipt No.
Building Official
Date
Date L/' -30- d-
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Apr, 8, 2002 1:18PM
GENZ RVAN PLUMBING AND HEATING
No.9765 p. 5/28
Date Rec'd
CITY OF PRIOR LAKE PLUNlBING PERMIT
,
: ~
I PERMIT NO./_ Lj (~ I
I
ZONING (oince: me:)
1 Bluo ril.
~. GoIG CIty
L~~~~~~ rJ{eQo. ~ 'S;~ ,-
LEGAL DESCRIPTION (offic~ use only)
LOT '-I ULOCK
ADDmON
PID
OWNER
~ame) DR Horton Cus~om Homes
(phone)
962 - q ~ 5 -78D()
(Addtess)
2.oS~D KenB l~ Cr Sre IDO
EC6Lf LJ
APPLICANT
(Name) C""''''_Tly..n Pl\l~~T'lg & J.l'..~t:-illg
(Address) 14745 So Robert: Trail
(Address)
(phone) 651 4?~-11l..l.
Rosemount
(City)
MN
55068
(Zip Code)
(Contact PI!:J'Son) (Phone)
APPLICANT SIGNATURE DATE.
Quantity Type of Fixture Qnalltity Type of Fixture
J Bath Tub with or without shower Rough-ins
I Dishwasher ,- Water Heater ~ -
I Floor Drain - Ill} Water Softner
2- Lavatory (Bathroom Sink) J Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
, Shower Sta.11 Backflow Assembly
i Sinks Backilow Assembly Test
Bar Sink Lawn Sprinkler
')-- Water Closet (Toilet) - Other
FEE SCHEDULE
Industnal, Comme,rclal & MultI-family 1 % of job c;ost wIth a $39:50 minitnwn Residcnnlll, N~ One & Two-Fam.ily .$99.50
Residential, Additions 8r. Alterations $3950
EstImated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
F
r).I~), '-.
C' !." D" 'f":' f'
'- ""~_. ~i\.U ..:_
, .
(OW!:!! Use Ooly)
Tbis Application Becomes Your Buildiug permit When Approved
i. "
l'uUding OO'icl81
Date
I ::1< c
-.-
0...'.....'
;:, ' '
1=;-
2~ hour Doticl!l for aU b,spedlons (951) 441-9850, in (952) 447~245
Apr, 8. 2002 1:18PM
GENZ RVAN PLUMBING AND HEATING
No.9765 P, 4/28
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
1~7~;~-~;(?&w
i ; ~~. I PERMIT NO. ") - ) J) ~./ )
J. CJ<.1d ~_t. . ex '-f . (5 .
=- I ZONlNG (9fllcz~) ,
Lani ,f~ .
LOT 2BLOCK
ADDITION
PID
LEGAL DESCRIPTION (office we onlY)
OWNER
(Name) })~ llor-rQJ;1 C'l1liitn1llo HQIll88
,
(Address)
208J.d.:> \(ev1e~\ ~ Or s.e.., DO
(AdcIn3s)
(phone) _
La.'v.t. \J j'l te...
(City)
0/....,;2 - q.gs- -Z (50(\
8~4
(ZIP Code)
APP!.JCANT
~~~ Genz-Ryan Plumbing & HeaLing
(Address) 14745 So Robert Trail,
(:Ad~)
(phone) 651-423-1144
(Contact Person) Ma
Rosemount. MN 55068
(City) (Zip Code)
(Phone)
DATE
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.
'-.
ReSldentlal sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 . Industrial, Com'} & Multi-family 1% of job cost with a S3950 mmin1um
$17..50 WaterconnectiQnonly $11.50
Estimated Cost $
BWlding Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$'
$
50
'Office: Use Only)
This Application .Becomes Your Buildiug Permit When Approved
r
t
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____,.I '
. ''''''.... ~
I
j'
(
Paid
Receipt No.
lhdldiog Official
Date
By
narc
:24 hour notice for all in,pectioD.$ (.9S2) 447-98!O, fax (9!2) '.147-4245
~~
l~ - L- L/--. () --, L. I <;r
/./ AVl/1V.--l', L ..JJ--' '^ - I
The C"rnter of Ihe L.kr COUnlf)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
DR fJorlolJ
Lj- <.3-0CJ-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/73S0 .DeeY+/cjJ br
X
Accepted With Corrections
Accepted
Denied /l& ~
Reviewed BYl -- - ~ - Date:
Comments:
Jfl{jCJ~ cJ~ a+kckJ ~~
L(-8 -;)CV'A.
"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 ('enter of the Lab Counl."
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
. (
Accepted
~
Accepted With Corrections
Denied
~,~
Date:
t..{ I U("EJ 2-
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."
~2te-C? ;t~~ng
Canary - Engineering
Pink - Planning
The Ctnlt'r of Ihe Lake Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
") ,-, I} !
L ,!(. f.'f /),- ,: J )
, - J V .f CJ^-"
APPLICATION RECEIVED
I / :< .-,)
Lt - _J -C./(.",,_
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Q ~ I''',
r.... - (- ",.' I
J I 3 J L) f~~(<}/ }-. J ,::)q
, ,
/)r
Accepted
x
,
Accepted With Corrections
Denied
Reviewed By:
Mt-B
Date:
'1-,/-0<'
Comments: See Reverse Side for Additional Information!
/1lCtlj, ~'1~
~J-r
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."
PRIOR LAKE
INSPECTION RECORD
ltjQ (V\ +, L('
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS -' 7:? so De.ett1~"\& D ~,
NATURE OF WORK "J.e~
USE OF BUILDING SFA-
PERMIT NO. {} 2- ~ '/1 g DATE ISSUED l{- /3 - .J:.x::JZ
CONTRACTOR ~. e ~~ PHONE ~;;(c.. -/33,Cf
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) fo 51 tYV
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
SEWER I WATER I SEPTIC
. FRAMING
INSULATION
ELECTRICAL
PLUMBING . t{. (b
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~ ~ Ff,.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
V
5;3) D'Z-
8J S' 0 "2-
GRADING (Prior to Sodding)
BUILDING i D ,- \p~ y
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
lI~(,
~ ,.-"
q-?-1-0~
I fJ - I fu /():r
BEEN SIGNED
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 be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850