HomeMy WebLinkAboutBuilding 02-0591
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
LEGAL DESCRIPTION (office use only)
LOT II BLOCK J.., ADDITION
Date Rec' d
.3 -q-{/y
I PERMIT NO. OZ-OSt( / I
I. White File
2. Pink City
1 Yellow Applicant
t:t LM.e SG
ZONING (office use)
d-
PI '15- 3 2? Z7~ 0 ).-9
OWNER
(Name)
(Phone)
(Address)
BUILD~
(Name) .. ~c...
(Contact Name) ~ JJ-t_ E.r;. c...ll-SO'C'
(Add ) WBCoO ~"'Me,' ~. 5te.\Cb
reg . ~~~
(Phone) ~5'2..-Cf 0S-1eb~
(Phone) 't5b-'U.(o- l3-o"t
~New Construction
OAlteration
TYPE OF WORK
ODeck
o Porch
ORe-Roofing
o Misc,
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
o Fireplace
OAddition
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
'oned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
eded 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
~()tJ() SW~ 7
Contractor's License No.
$
$
$
$
$
$
$
$
Water Meter Siz 5/8'; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
#
Park Support Fee
SAC
#
#
Builder's Deposit
Other
TOTAL DUE
Building Permit When Approved
Paid
Date 6,-1'( -Dc..-
5- 20 -0
s/~./ oJ-
. Date
$
$
$
$
$
$
$-
$
$ ,
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 signe by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be
issued. 11 "r7- ^ f\
.~~~-Z~ ,~ /2 11s~L ~ 1~">\t<<-t<"C~~ ((j)V~::*, ~1. ~
annmg Director Dafe - Special Conditions, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
Canary - Engineering
Pink - Planning
Th~ Crnlrr of lhe Lake Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f; 1< ! Iv r- ."t- (; i-.J
c:. - (~; - U,,-,)--
~) l l._-'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
//7} -J.j-~7l/ ~2~althL1l( L y
IJ
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
NttD
,
,St.-( !Ylc,,'... {:';/e-
Date:
S-2tJ-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."
The Cenler of Ihe L.ke Counlry
White - Building
Canary - Engineering
Pink - Planning
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:
:) / 2-D /CJ'Z-
"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."
...~--,..,....."'.','.,.,......-c""""':".,.....,...,...."..,,.,,,..--..,-..,..,--.,.......-~.._'--'---....,.....--._ ..__~."._.._.---~-.-----.-"--.---. __....___.___" __"_..____~__... .....-. --.---- ...... .-. ---.-. . n."._"'_""" ._______._____~_~______..__. _._.--,,_....._...._~- . _...______.-__....___.____._n.-___.... -......
~~
White - Building
Canary - Engineering
Pink - Planning
Th. C.nl.. of Ih. lIk. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT D 1< 1{ 0 r'1-,o;.)
APPLICATION RECEIVED :5 - q - {)d--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at
/'laA/S' /!I~ Lj.-J
X
"
Accepted
Accepted With Corrections
Denied
r;2t~.~
Date:
s-- 20 -CJ?-
Reviewed By:
Comments:
~
S'ee ~ ~Cq'k- +;- k
"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."
CITY OF PRIOR LAKE 'l .,!l~teRec'd
HEATING/AIR CONDITIONING/FIREP:LACE PERMIT MAY e u/,
LEGAL DESCRIPTION (Office use only)
~.. ~ir~~n ~j'l:, rPERMIT NO. Flc;{ _ c-tJ ,.;!
3. Yellow Applicant ~ U ~U
J [ZONIN~(offl"=) J
LOT
~'::e~Rv. 'A. Horton C...dul'Y) Home";;,
o rid~Qt., ~o.keVi/{e_
APPLICANT /\ II' 1 AA I ..--_.
(Name) /'1 I QnT l v I e<Lh..1~t/)'J .
(Addressh3CpSQ Kenne be~ Lx: ste. #/
l_ (Address)
r r ZI'n')
PID
-J
BLOCK
ADDITION
(Address)
J\I1 IlJ
(Phone) 95:J - q ~5 - ~~7~J
-5501../ Lt J
(Contact Person)
APPLICANT SIGNATUfE......
(Phone) ((J 5/- .<I5:L - c:?7?5
~:Q'~Qn ~""51,2~_
' (City) (Zip Code)
(Phone) {P.5/- /...I~'~ - ~77~
DATE
NEW CONSTRUCTION 0 REPLACEMENT
FURNACE MAKE AND MODEL ~4n+ 383K~Vb7UDI 0
FLUE SIZE 1f"clClS'iJ B RETURN OPENINGS ~ INPUT
APPLICANT PLEASE COMPLETE lJELOW
TYPE OF SYSTEM
REA TING OR POWER PLANT
o AL TERA TIONS
FUEL l'J~f~__
~101 000 OUTPUT '5iD~tJOo
OWarm Air Plants
OGravity
o Mechanical
~r Conditioning
~ent. 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 & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
$39.50
$39.50
Building Pennit #
(Office llse Only)
This Application Becomes Your Building Permit When Approved
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
1"".
,
.50
\,
',4 ,',~'.
Building Official
Date
~aid
Date
U."
Iv
Receipt No.
J--..
By
j
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
._,..._..""-....."-._,~~--~----,..,'_..~'" .
iUUL IU:]8AM
GENZ RVAN PLUMBING AND HEATING
No.3507 P, 15/17
Date Re~' d
CITY OF PRIOR LAKE PLUMBING PERMIT
1. Blur: fil~
1. Gold City
), y.rlow Appll_1
/ PERMlTNO_d_ 09 (
ZONING (offia: U$C)
SF-
LEGAL DESCRIPTION (office tJ.'ie oAly)
LOTrI ;BLOCK 2 ADDITION
OWNER
~ame) DR Horton Custom Homes
L/-t1.-)
PID
(Address)' 2ob~D UVl5 1 DGe., Co' Sre 100
(Phone)
APPLICANT
(Name) r..,nz-,RY:iI;\l, 'P1l11:"b;Lag ~. J1..,H-ing
(Address) 14745 So Robert Trail
(Address)
(Phone) ~ c; 1 4:7 ~ 11M
Rosem.ount
MN
55068
(Zip Code)
(City)
(Contact Person) Mary Olson
APPLICANT SIGNATURE
DATE
(phone)
Qu~ntity Type of Fixtu....e Quantity Type ot Fixture
7 Bath Tub with or without shower .-3 Rough-ins
I Dishwasher I J Water Heater
I Floor Drain 11_11 Water Softner
2.- Lavatory (Bathroom Sink) i Stand Pipe (Washing Machine)
Lalll1dry Tray (l or 2 compartment sink Sewage Ejector
I Shower Stall Backtlow Assembly
f Sinks Backflow Assembly Test
H Bat Sink " .. Lawn Sprinkler
?.::. Water Closet (Toilet) Other
:ASE COl\1PLETE BELOW
FEE SCHEDULE
IIJ,duslnal, CommercIal & Mu!tl-fanllly 1 % of Job cost with a $3950 min.Un:um ResidentIal, New One & two-Family $9950
Residential, Additions &:. Alte:rations $39.50
Estimated Cost .$
Building Permit #
~c" Use Ollly)
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
50
1
'\ , "
f'~ ' I
....~""'
.; " II'~ ;~.
his Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Dllte
Date
lJ["h\:'
I-.
\.J
By
;CJ
24 hour notice for ~lJ inspectIons (952) 447.9850, fax (952) 447-4245
IVI d Y . I u. I.. U U L I U : I 8 A M
GENZ RVAN PLUMBING AND HEATiNG
No.36[)7 p. 14/17
DatE: Rec'd
, ,
CITY ,OF PRIOR LAKE
SEWER AND WATERPERMlT
;: ~~... ~~. l P~RMIT NO. ~ - . 59. ) ]
3: 0.,1</ ^"pli....l .' . , '
ZONING (<;>ffico: \1SO:)
Sf:
LEGAL DESCRIPTION (oflice use only)
LOT r I :BLOCK 7..,.. ADDITION Dll'~Qq ~
OWNER
(Name) D'R Horton ("Jat9:Jl;l ?9W~~
W"0
;(lID
(Address)
20&00 ~6~\D6e Cr SrP.J6Q
(Address)
(Phone) _
La~\/ 111~
(City)
Cj5;2 -QS5- 7~ Ilk'
&J{:;C;Ll
(Zip Code)
APPLICANT
(Nam~ Genz-Ryan Plumbing & Heating
(Phone) 651-423-1144
(Address) 14745 So Robert Tra.il
(Address)
'UCANT SIGNAnrRE
Rosemcunt. MN 55068
(city) (Zip Code)
(Phone:) 651-42
DATE S
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.
.,
FEE SC~DULE
~esidential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1 % of job cost with a S39.50 minimum
ewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$-
$
.50
f"'. ,
ll<:e USe Only)
"-
1
;0
( .
'his Application Becomes Your Building Permit When Approved
Pa1d
Receipt No.
BuildiDg Official
D1ltr
Da:te
By
24 hour notic;.e for all inspections (951) 447-9850, fax (9Sl) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~=~ .~~icant I PERMIT NO.,;?_59!
17275 MARSHFIELD LANB S.B.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) DRHORTON
(phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone)
651-633-2561
(Address)
2700 NORlH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPUCANT SIGNATURE
BRENDA HUSTON
DATE
9/4/02
xD NEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm 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 HEAT N GLO SL-750TR-C
APPLICANT PLEASE COMPLETE BELOW
fudustrial, 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 & NC (New Constmction)
Residential, Heating Only (New Construction)
$39.50
$39.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
Bullding Official
Date
Paid Receipt No.
U i iili'
Date By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
s~~. 'W<t~,^.-hk
SITE ADDRESS 1 tz;t 7 S- M "'MW::\'e..\ct ~ ~
NATURE OF WORK I1l.1.J.
USE OF BUILDING ~~{\
PERMIT NO. O~-O~ DATE ISSUED 5~1i>--cJ'i.
CONTRACTOR --D-n ~~- PHONE 5.Zt2 -()Z
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) 7 M () v
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ,~ . b 1/
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
6'2.--
I () , L( -02-
- /)/1
L J j
q - (j.. 02-
r (./ '0 2.
10 ~ L.l - Ch-
lo~(.) ~OL
GRADING (Prior to SOdding)
BUILDING ..(~ CfJ1. 'I 8"'(11)
ELECTRICAL
PLUMBING -112..
HEATING f/'1/r'
DO NOT 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 sbaM be t:llaced near main entrance.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1 I
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