HomeMy WebLinkAboutBuilding 02-0589
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 5-- q .....-Qd-"
I. White File I PERMIT NO I
2. Pink City . 02-0. ,Z::: 0.0
3. Yellow Applicant . <-.J[/ -I- .
LEGAL DESCRIPTION (office use only)
LOT BLOCK d. ADDITION ~er
PID,
ZONING (office use)
d-
-, W"'OJ-1-CJ
OWNER
(N ame)
(Phone)
(Address)
BUILDER
TYPE OF WORK
o Misc.
OLower Level Finish
(Phone) -=:} 5 2. -q IJJ 5"- I ~ 0 8
(Phone) Cf52. - Z-1..-(p - I ~3~
ODeck
ORe-Roofing
OPorch
o Fireplace
OAddition
o Alteration
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 ab ntioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aw e t the 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 to needed inspections.
x
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
PROJECT COST IV ALUE (excluding land) $
comes Your Building Permit When Approved
~,,1Ju/
Date
olOVD SlPr7
Contractor's License No.
Park Support Fee
SAC
#
#
~
'S /2/ ()"2-
, .
Date
~
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
$
$
$
$
$
$
$
$
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
~NO.
I Paid 1!t
Date '='-; -oz-.
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
issu~~~__N; . r-: A~ n n
~(}"/,,~ c:.:.?'-c-<---7~ :5(~/eL- ->-e<- ~~Hft\4l. Cj1,<,.!1fr"-t6tr1<;
. Planning Director Date I 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
~,...
Th~ C~n.~r or .h~ L.k~ Country
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
1) J2 ~.{ 0 rro;-) , I
()-9-~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
j/J ,:)- 71 jJlM~ho-uM /,J
Accepted )(
Denied
Accepted With Corrections
Reviewed By:
,/V/fj3
Date: S -2 CH!:> 2.
.
Comments: See Reverse Side for Additinnallnfrlrmatinnl
mer/''''' F,'/(
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 oft 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' Centf'f of Ihe Like Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
D J2 ~ort-o~
5-9-~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/1:J-- 7 J /Jl~ <'-,)
Accepted With Corrections ~
Accepted
Denied ~
Reviewed By:
commzz
J ~ff dlzcctJ ~~~
Date:
~2eJ~
"The issuance or granting of a permit or approval of plans, specifications a.Qd
computations shall not be construed to be a permit for, or an approval of, any violation or---....,
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 (""nrer of Ihe L.ke Counlry
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:
Accepted ~
Accepted With Corrections
Denied
Reviewed By: ~> ~~
Date:
{5/2D /&?_
.
"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."
May,IO. 2002 10:17AM
GENZ RVAN PLUMBING AND HEATING
No,3607
P, 1 1 7
Date Rec'd
CITY OF PRIOR LAKE
. .
SEWER AND WATER PERlVllT
;: ~iL ~f;~ I PERMIT NO. 1.-,,-5 vC;
3.. Gold Appli.....t . 0( 0 /
ZONING (otfi<;"WiC)
"12-1/
[eLvV- ," SE
LEGAl. PESCRlPTION (omce use only)
LOTL1 BLOCK ADDITION
o
. .}'1'1
y--
Pill
OWNER
(N~e) v~ Rn~ton CU~~Qm ijnw-~
,
(Phone) _ o/~-qK5~ /8u/',
(Addr~ss)
20&00 ~PK\l::6e Cr S'w~J00 ~
(Address)
L.cL'tLIJ i lie...
(City)
&)~4
(Zip Code)
APPLICANT
~~e) Genz-Ryan Plumbing & HeaLing
(Phone) 651~423-1144
(Address) 14745 So Robert Trail
(Address)
Rosemount. MN 55068
(City) (Zip Code)
'UCANT SIGNATURE
(phone:)
651-423-1144
(Contact Person) Mar
DATE
S JD'D2..
APPLICANT PLEASE 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 COlUlc:;ctiOJ;l only
$35.5U
$17.50
FEE SCHEDULE
Industrial, Com'! & Multi-fam:ily 1% of job cost with a $39.50 mmimum
Water connection only ~1750
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STAIE SURCHARGE
TOTAL PERMIT FEE
$
$-
$
.50
r I
Pr~,'D ~1 _, t
~~i ;~~. '-
-:.." ',',:" f""
Office Use Only)
This Application Becomes YOllr BuiJdiXlg 'peTwit When Approved
Paid
Receipt No.
Date
'~ '!
By
BIJildiDg' Official
.DatI>
24 ho...... lJ(ltlce for all inspections (952) 447-9850, fax (952) 447-4245
200210:17AM
GENZ RVAN PLUMBING AND HEATING
No.3&07 p. 11 17
Date Re~' d
CITY OF PRIOR LAKE PLUMBING PERMIT
;. ~~~ ~:~ I PERMIT NO. ~J_,_S- ger )
3. Yon"", ^ppli_t . ,:::;>( ( .
ZONING (omcetLte)
~Sc
LEGAL DESCRIPTION (office US" o*,)
LOT q BLOCK. 2 ADOmON
L/~
PlD
OWNER
~~~ DR Horton Custom Homes
(Address)' 2o~LoD K.eV1B l tx;.e.. Co Sre IDO
I APPLICA.NT..
(Name.) r.~n;;'-l/,y.n Plmn'hi"'g Q' If..,,,t--ITlg
(Address) 14745 So Robert Trail
(Address)
(phone)
962 - q ~ 5 ~ 7g[)(J
EEoLi LJ
(phone) 651-4131144
Rosemount MN
(City)
55068
(Zip Code)
APPLIC.ANT SlGNATURE
DATE
(Contact Person) Mary
(Phone)
Qua.ntity Type of Fixture Quantity Type of Fixture
t Bath Tub with or without shower .3 Rough-in?
, Dishwasher ,- Water Heater
, Floor Drain - 121, Water Softner
2- Lavatory (Bathroom Sink) , Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
t Shower Stall BacktIow Assembly
I Sinks : Backflow Assembly Test
..,. .. Bat Sink . ... " Lawn Sprinkler
Z, Water Closet (Toilet) Other
PLEASE COMPLETE BELOW
FEE SCHEDULE
lndustnal, Commercial & Multi-family 1 % of Job cost With a $39.50 minimum Rt:Sidential, New Om: & Two.Family 599 50
Residential, Additions & Alterations $39.50
EstlIDated Cost $
Building pe:ront #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
j.'
(Otftee Use Only)
This Application :Bec;omes Y o Ill" Building Permit When Approved
Paid
Receipt No.
:Building Oftida.1
Da.tc
I
r:
)
By
Date
2~ hour" nlltice for all in51'edions (952) 447..9850, fax 0J52) 4474245
CITY OF PRIOR LAKE Hate Rec'd
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT MAY '- 8 2002
~. ~~~n ~:~y. I PERMIT NO. 'j_ c- P11
J. Vellow Applicant ~ ...J 0 -.-J
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT q BLOCK ADDITION
PID
]
(Address)
(Phone) %a~ Q'i?5 -7017.z.]
t\) -550 J..( J-{ J
(Address) 3(P50
5+e. #/
(Phone) Ip5/-45;z'-cf?775
.f--;Q,~QY7 55/.2~_
, (City) (Zip Code)
(Phone) &5/- /...I~'~ - ;?77o
(Contact Person)
n
DATE
APP ICANT PLEASE COMPLETE BELOW
NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL ~an+ 383KA-Vb'2JUr10 FUEL l'Jo.t~_
FLUE SIZE tf-llcla.Sfi, B RETURN OPENINGS ~ INPUTIO.l>t>O OUTPUT 5iD~/:)O 0
TYPE OF SYSTEM
DWarm Air Plants
OGravity
o Mechanical
~r Conditioning
~ ent. System
REA TING OR POWER PLANT
D Steam
o Hot Water
o Radiation
D 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 & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
.50
r--
r~!j, ,r [') ,,~ " r <~'. ,
" ~';' ~ 1__ .
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
J
Dat
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
~. ~~en ~~~. I PERMIT NO. '1 - 5VCi
3. Yellow Applicant , CJl 0 r
ZONING (office use)
17271 MARSHFIELD LANE S.E.
LEGAL DESCRIYTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name) DR HORTON
(Address)
(phone)
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
9/4/02
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
OAir Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEATN GLO SL-750TR-C
APPLICANT PLEASE COMPLETE BELOW
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimmn
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial, Commercial & Multi-Family
....
!
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
I"
;, ,; I
.50
(Office Use Only)
I _d .
,-
Mtv~ -/-, le
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS J 'J ~ f7 r MarrA ~ s;.,J~ L-f/1'
NATURE OF WORK )J~
USE OF BUILDING Sf A
PERMIT NO. ~Z -O~ DATE ISSUED
CONTRACTOR P _ {A~__ PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
Dr:PARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
I FOOTING &r. I & I ZS( l) 2--
I FOUNDATION (Prior to Backfill)f~~ ~ 1 (/o,t, v I ~/- 7/119 f()?,-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH- NS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBIN ?r. 11") 7/
HEATING (if required) cr ~Li:;
FIREPLACE 9- L('
GAS LINE AIR TEST q- I ~ -02.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
C5'1-
7-u
;- -C}l,.,
GRADING (Prior to Sodding)
BUILDING "Cc.M.(J Ui1tl I 'i("I~'J
ELECTRICAL
PLUMBING
HEATING
DO NOT
/J- )-02..
/ J- 1/- oz.
I j.r 1.r-r/L
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
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 be placed near main entrance.
Call between 8:00 and 9:00 .~..M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850