HomeMy WebLinkAboutBuilding 02-0592
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i
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
112/7JA.ttrsh~J.c( hn.e $.
LEGAL DESCRIPTION (office use only)
LOT ):2..BLOCK;( ADDITION
~J-L ~~,'V
Date Rec' d
I. White File
2. Pink City
3. Yellow Applicant
5-Cf-O:r-
I PERMITNO'OZ_05j2-1
ZONING (office use)
~
I OWNER
(Name)
(Address)
BmLDE~ ~
(Name) . . ,-.
(Contact Name) :s.t-\.. . ~O\n
(Address) 2pe~() ~~~ <:::i-. s.-\e.
\00
TYPE OF WORK
5Z! New Construction
ODeck
(Phone)
(Phone) 9&5"24 I()C;- -Z I\1D16
(Phone) ~52-- 22V- \~t..l
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace OAddition o Alteration
PROJECT COST IV ALUE (excluding land) $ I () 5":
OUtility Connection
I hereby certifY that I have fumishe . nformation 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 abov _ e ti ned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted ns. I am awar th th building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upo th property to e ed inspections.
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 y the C Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
o Misc.
x
Plan Check Fee
$
$
$
$
$
$
$
$
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
~ Z:J--02-
Date
~ooo SlRS;7
Contractor's License No.
5 /c~-l O:.L
Dae
Park Support Fee
SAC
Water Meter Si 5 8 ; 1";
Pressure Reducer
# $
# $
$
$
# $
# $
$
$
$ (p / b3
~W.o. If( 15~
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
I Paid
Date
~- 62......
~~ ~~.~~~ C~l~+>'\.<.
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
/-z:-~
S /2 L /Cc?"L
White - Building
Canary - Engineering
Pink - Planning
The Center of the Lake 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:~~.--;(.A"4"
Co ents:
Date:
:3-- /;2L) /82-
"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
Th~ C<<>nlu or the Lakr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
!) ;i'l
/./ <.
fl c: r -t (jJJ
~-.-- q-O/'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/1;( 77 //J1 iJA4'~-lsv-Q& LiJ
Accepted
^
Accepted With Corrections
Denied
Reviewed By:
1vYf/3
S ( e..I1lCJ I'""
Date:
b-20 -C>2-
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."
Th. e.nl., 01 Ih. L.k. Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J) ~ J-Jo V~; O~
.
~-- q-O/'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:--
11 d, 7 7 f/J1 tl1. AJJt1fdM2 L tJ
Accepted
Accepted With Corrections
Denied 72 J-
Reviewed By: c: ~ A
f/
Date: 5~ ZcJ -c72-
Comments:
~~ ~ ~r[-i
"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.10. 2002 10:19AM
GENZ RVAN PLUMBING AND HEATING
No.3607
p. 1 7 17
Datt: Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. BliJ. l'il.
;I., Gold City
3. YoIla", Al>l'licant
I PERMIT NO.. :;{ -S--&fY/
] I ZONING (~,-) I
(pl<:ase ear nntands.~nb: . :
ADPRESS- . .
2- I~ lLLd,vZ9r1Be-t0 .
(/1 klU, Ss
~ --: -
LEGAL DESCRIPTION (office U$e only)
LOT It.-BLOCK Z ADDITION
6
PID
OWNER
(Name) DR Horton Cus~om :aomes
I (Address)' 2O~~D K,b1B~J ~ Cr Sre IDO
(phone)
9t?2 - q ~ .&3 ~ 7'6;;0
E~4 t.J
APPUCANT
I (Name) C~n~ ~y<,n '1>1 "mbing ~ 'l:r....t1nij
(Address) 14745 So Robert. Trail
(Address)
(phone) h" 1 _6. ? ~ 1 1 44
Rosemount MN 55068
(City) (Zip Code)
(Contact Person) Mary
(phone)
5
APPLICANT SIGNATURE
DATE
Qua,ntity T Type of Fi:~:tu:re Quantity 'type of Fixture
, I Bath Tub with or without shower .~ Rough-ins
I Dishwasher ,- Water Heater . .
I Floor Drain - It. I I Water Softner
1- Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
Laundry Tray (l or 2 compartment sink Sewage Ejector
f Shower Sta~ Backflow A.ssexnbly
I Sinks Backflow Assembly Test
.. Bar Sink " .. . Lawn Sprinkler
?L, Water Closet (Toilet) Other
LEASE COMPLETE BELOW
FEE SCHEDULE
lndustrial, Comm~rClal & Muln.falIJlly 1 % of job cost with a $39.50 minimum Residential, New <Dnc &. Two-Family $99:50
Residential, Additions & Alterations $39.50
EstImated Cost .$
BuIlding Permit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PEAAITT FEE
$
$
$
.50
1"'"
lB.! ~J j:
..... 'bo'J_
. "~ l
(Office Use Only)
This Application Become3 Your Building PeJ'mit When Approved .
. Paid
Receipt No
Date
By
Date
'-
Building Otficl.:d
2~. hOLlr notice for all inspections (952) 447~9850. fax (952) 447-4245
",'
Mdy.10. 2002 10:19AM
GENZ RVAN PLUMBING AND HEATING
No.3607 p. 1 17
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
" ~
.. ..~
~: ~w ~~:. I PERMIT NO. '1, t) a ~ I
3. Gold Appl.""", .. .,?l _' I c7---
r ZONJNG (0_;") I
tZ-sh+i do
~ Sf!
LEGAL DESCRIPTION (office \I.'le onJy)
LOT 12, BLOCK 2,. ADDITION
I OWNER
(Name) DR Rort:on C1Jli'f-~w P"'W"'iij;
y~
PID
'.
(phone) _ 0/..:)2 -Q85-,8 of\.
(Addn:ss)
20'&oQ ~e>K\~ Cr Sre,'l'D
(Address)
(.aU\J ,lIe..,
(City)
5'E:OL-i4
(Zip Code)
APPLICANT
(Nmn~ Genz-Ryan Plumbing & Heating
(phone) ~ 6.51-423-1144
(Address) 1.4745 So Robert Trail
. (Address)
Roselll.ount. MN
(City)
55068
(Zip Cmu::)
(Phone)
DATE
LEASE 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.
Cle<m out (if required) located at feet from structure.
ReSidential scwer and water line connection
Sewer connection only
..
FEE SCHEDULE
$35.50 Industrial, Com'! & Multi-family 1% of job cost with a $39.50 mmimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$~
$
.50
r--
ii'..
,~ . :-.';
I
f
,
[Office U~r Only)
This Application Becomes Your Building penuit WhenAppro'Ve~.
Paid
Receipt No.
DlIte
JJN
5 ')11("1') :By
L.v'~i...
DlI,te
Building 01Dchll
24 hOUI" notice for all inspection:! (95.2) 447-.9850, fu (.952) 447-4245
CITY OF PRIOR LAKE Date Rec'd
HEA TINGI AIR CONDITIONING/FIREP:LACE PERMYAy 2. 8 i0-
'. Ln
cL ___
~.~;~:n ~!;y. I PERMIT NO.O J_ 5q~
3. Yellow Applicant. Of I ~
I ZONING (offire~) I
LEGAL DESCRIPTION (office use only)
LOT I hLOCK 1.,.. ADDITION
PID
]
~~e~RD.~. Horton O.us-bvy) Home~
(Address) 0 ridQf\A Qt. I ~o.k evil Ie-
-)
APPLICANTA l' t M --~--'
(Name) I , C\t1 e<!.. ..L~.
(Addressh.?~50 I<.e.nne bec- Cr. S+e. #/
c- (Address)
(I') -7.
(Contact Person) t. r ....-<....... m
(Phone) %a~ Q'i?5 -7017.2.J
.5 501..( Lf
;Vtl\j
(Phone) If} 51- 45:/., - c:?775
"/-~-a '9 on 55/.22
\ (City) (Zip Code)
(Phone) &5/- 4o'r1- ,;(770
DATE
APPLICANT PI,EASE COMPLETE UELOW
NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL ~4n+ 383KA-vimiD,o FUEL l'JC\tlAr1A I
FLUE SIZE 'fllcla.scz. B RETURN OPENINGS ~ INPUT '10.000 OUTPUT ?l.D~/)OO _
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
~r Conditioning
~ ent. System
D Steam
D Hot Water
D Radiation
D Special Devices
D 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 minimulll
$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 Permit #
.50
r--
(", , r:4tf)~~,._
"t!:~.&'; , ,f
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
J
Building Official
Date
Date 1! HI 5-'
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
~.. ~;~~ .~:licant [ PERMIT NO. /;), -59 r I
ADDRESS ZONING (office use)
17277 MARSHFIELD LANE S.E.
LEGAL DESCRlYITON (office use only)
PID
LOT
BLOCK
ADDITION
OWNER
(Name) D RHORTON
(Address)
(phone)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone)
651-633-2561
(Address)
2700 NOR1H FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
9/4/02
xO NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
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
Residential, Heating & A1C (New Constmction)
Residential, Heating Only (New ConstIuction)
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$9950 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
TOT AL PERMIT FEE
Building Permit #
$
$
$
'""
.50
/
Date
Paid Receipt No.
Date / / By
u
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
24 hour notice for aU inspections (952) 447-9850. fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUJLDING AND INSPECTION
SITE ADDRESS /7':<77 M~~J,~ ~
NATURE OF WORK N.L~
USE OF BUILDING SF4
PERMIT NO. Of? - ()S92- DATE ISSUED 5-20 -oe
CONTRACTOR J:L(( (fvr-~ PHONE z2l.... ~ I ~"5 r
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE
I ~ic z--
I FOOTING
INSPECTOR
fbr
I FOUNDATION (Prior to Backfill)(f~ I &r ~hol(JZ/ I~. 7/1 ~/tJv I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING \
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
Ov
1- '30/tn..
0--3,02-
- P"'''''8
....
- tJ- dl.
1- >f)~~
':C - ("?,61.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING \f}'\ "(
ELECTRICAL
PLUMBING
HEATING
DO NOT
) --/,-- ()L-\
J-I'1-
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 .<il1ali b-e placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850