HomeMy WebLinkAboutBuilding 02-0664
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
j -' I J{~{) ;)-
I White File I PERMIT NO ~
2. Pink City . 0"7 -' I /_1-:.
3 Yellow Applicant _ V VIPl4?_
ZONING (office use)
" .).--
PID dS - 3-g I--O.Jt;-
OWNER
(Name)
(Phone)
(Address)
TYPE OF WORK
~New Construction
OLower Level Finish
o Misc.
(Phone) 4,~Z ..q 0S..18oH
(Phone) '15'1,- 22k- '-/132
o Deck
OPorch
ORe-Roofing
o Fireplace
OAddition
OAlteration
PROJECT COST IV ALUE (excluding land) $
ORe-Siding
o Utility Connection
o
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 that e ilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upo property to perform e Q d inspections.
x
$
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ OiCC>
Mechanical Permit Fee $ l c>o ~t)t)
Sewer & Water Permit Fee $ -.
Gas Fireplace Permit Fee $ lfo.C:()
This Application Becomes Your Building Permit When Approved
6''Z?~
Date
~j)PO ~57
Contractor's License No.
Park Support Fee
SAC
#
#
S-/9/0Z-
I Date
~ 0
Q.o c> . dJCV
$
$
$
$
$ l
$
$ -
$
$ 5: 57.
-
Oc-~
7C?6 .as
I Paid $)'717 ~
Date I",?" ~,
.~
1~4Nsr
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
Water Meter
Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
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 th City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
~..--r:'____-r...
TOTAL DUE
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03^1383l:l NOI1.V'8IlddV'
1.NV'8IlddV' .::10 311\1V'N
lSI1>1:J3H:J lN311\11t:l"d30 NOI1":Jl1dd" 11ll\lt:l3d ~NI01In8
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6UlPI!ng - allllM
.Uluno.) .1'111'1 .-HU JO UIU,}.) J'tl
Thr Crnlrr of Ihe' I.lkr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D 72 No r+ ()/J
.S- - ;C-l ~o J---
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
" /;7 \
/ rid ~J L~) /jJ(~~~1lW (~
Accepted
x
. "
Accepted With Corrections
Denied
Reviewed By:
/fJ1-I>
~ee /17(;"',, hIe.
Date: ~-;??-o2-
Comments:
f 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."
rhf ('fnlt'r or Ihr Lakr ('ounll1
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D 12 Aft) H-DtJ
'''-~ -- jLr!--O d---
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is R[Oposed at: I
JrJ3l3 LJ.)~jJL~-~~
Accepted
x
Accepted With Corrections
Denied
G!P
Date:
~-2>-C)'C
Reviewed By:
Comments:
5-ee- ~ ~-0~
"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,"
Jun. 5, 2002 1:25PM
GENZ RVAN PLUMBING AND HEATING
No.6554 P, 4/13
Date R,ec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~. ~~ ~:~ I PERl\fiT NO. (.'1 - / ~ /' I/l
J. nil"... -'WJl_1 . ~ ~ ~ :.J
ZONING (oBic~ use:)
s
[I R- SE
LEGAL DESCRIPTION (office: ~anly)
LOT
BLOCK
ADOmON
PID
OWNER
~ame) DR Horton Custom Homes
(phone)
962 - q ~ 5 -78tJiJ
rJ EC64 r..t
(Address)' 2O~Loo ILeVlB l ~ CD Sre. IDO
.A.PPUCANT
(Name) C~m.A 'Ry"'''' t>1...."bina 9' li<14,Hf'g
!
(phone) ~ Ii 1 _A 7 ':\ 111.l.
APPLI PEASE COl\1PLETE BELOW
Quantity Type of Fixture Quantity Type of FUture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Warer Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compar1ml:\nt sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
Rosemount
(City)
MN
55068
(Zip Code)
; (Address) 14745 So Robert Trail
(Address)
: (Contact Person) Mary
(Phone)
APPLICANT SIGNATURE
DATE
FEE SCHEDULE
Industnal, Commercial &:. MultJ~famlly 1 % of job cost wilb a $39.50 minimum
ResldentiaJ, New One &:. Two-Fanuly S99 50
Residential, Additions & Alterations $39.50
:Estimated Cost $
Building Pennit # .
PLUMBING PERMIT FEE . $.
STA IE SURCHARGE $
TOTAL PERMIT FEE $
50
l
/
(Office U.se Only)
This Applic.ation Becomes Your BuildUig permit Whell Approved
Paid
.R
Date
BlIilding Olflcilll
Da,tr:,
24 hQur notice for all inspections (952) 447:9850, flu: (952) 447-4~45 .
CITY OF PRIOR LAKE J\j' L 8 20~te Rec'd
HEATING/AIR CONDITIONING/FIREP:LACE PERMIT
~. ~;~~n ~!~y I PERMIT NO. /] -{ .f lL I
3. Yellow Applicant 0'-- LP~--.l
ZONING (offi,,,~) I
LEGAL DESCRIPTION (office use only)
LOT 11~LOCK 16 ADDITION
~~e~RD'M. Horfon QtJ.Skn~rvle~
(Address) 0 ridQ~~ Qt. I ~().keville-
-)
APPLICANTA U . f M ~--
(Name) r C\t1 e~ ..Lv~ .
(Address) 3(PSO Kenne bec..l:x-.. 5+e. #/
C- (Address)
--0') -7.
(Contact Person) T' r ^--' I m n
APPLICANT SIGNA TUftE--
J
PID
;\It I\)
(phone) %a~ Q'i?5 -7017.2.]
.55o~J..1 J
(Phone) 1(J5/- 45:1..- -~775
;--;a'9a/1 55/j',2
" (City) (Zip Code)
(Phone) &5/- 45r1 ~ c:/77:i
DATE
APP .JCANT PLEASE COMPLETE HELOW
[0NEW CONSTRUCTION 0 REPLACEMENT
FURNACE MAKE AND MODEL ~4n+ 38'3KA-vb1J.lD,O
FLUE SIZE Ll-1'clCLS'i>>"B RETURN OPENINGS ~ INPUT
o ALTERATIONS
FUEL l'Jo.h...m ,
10. DOC> OUTPUT 6l.D~tJ() (;>
TYPE OF SYSTEM
HEATING OR POWER PLANT
OWann Air Plants
DGravity
o Mechanical
~r Conditioning
QrVent. System
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office lIse Only)
This Application Becomes Your Building Permit When Approved
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Building Official
$39.50
$39.50
$39.50
Building Permit #
$
$
$
r-
/I't r;:; r r')
j@'lJr' ,......:..:... t'.
~<1i..,./ .,~!......
"'~ l
.50
Paid
Receipt No.
j
Dat:JUN I 0
Jun. 5. 2002 1:26PM
GENZ RVAN PLUMBING AND HEATING.
No,6554 p. 5/13
Date Rec'd
CITY ,OF PRIOR LAKE .
SEWER AND WATER PERMIT
i ~w ~U:. I PERMIT NO('/- w0UJ
3. Gold Appli"'dl C1
=~~:~...,,>o:
I 1;2) 0 LUll ~
ZONlNG (,,1lkeU$~)
Cle
.ft
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
v\rlla.s
PID
OWNER
(Name) D~ HO~~Qa CYatom ll9BI.9S
(Address)
20&00 k.v1~i<-\!::be Q- SrY J tJO
(Ac;L:h=; )
(phone) _
La~\J j lIe...
(City)
crf;>2 -q~5- t 8 0(\
5C044
(Zip Code)
APPLICANT
~~~Genz-Ryan Plumbing & Heating
(phone) 651-423-1144
'T...ICANT SIGNATURE
Rose~ount, MN 55068
(CitY) (Zip Code)
(Phone)
(Address) 14745 So Robert Trail
(Adckc:55 )
DATE
2..
ASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 pve 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at _ feet from structure.
Residential sewer 4nd water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l &: Multi-family 1% of job cast with. a $39.50 minimum
$17.50 Water connection only $17.50
Estimated Cost .$
Building Permit #
SEWER.AND W AlER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
S"
$
.50
@..' ;;~
'~'( f;l~ \
It..-""'VJJ r>',
---.:-... ~ i) {~~' (~.:;
--. .... f.
Receipt No.
j
Office U5~ Only) ,
. . Tbis. Application Becomes Your Building }'enoit When Approved
raid
Da.'te
'>nrn By
t ~ '..~ '.
D:tte
Building Official
24 hour noticl!l for all inspections (952) 447-9850, fax (952) 4474245
", "
. .
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~~nw ~l~icant I PERMIT NO. ~ - (~(pl./ I
J
ZONING (office use)
17363 RIVER BIRCH PLACE SE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
D R HORTON
(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
7/26/2
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 o Steam PLEASE NOTE:
DGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
DVent. System D Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEATN GLO SL-750TR-C
APPLICANT PLEASE COMPLETE BELOW
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 $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
'.--.
,
~A!D WITH -.
',18 P::-c" r:T
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
Buildinl!: Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
LYee k Mo-,1It .f;[p
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS Jr-r3Co'3 W~'l('i~MQS~ (\'1- '
NATURE OF WORK ---.1J~
USE OF BUILDING ?) FA
PERMIT NO. 02-{)(pfb4- DATE ISSUED S~'2~ -0,,"-
CONTRACTOR J)JLJjo.~ PHONE q52-.2.)'~ -- Cjl~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING 6" I ~II J(c-l-
FOUNDATION (Prior to Backfill) to '.Ji 62- 7;'xT~ JAr b ~7Io1-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING /1,6,
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~;- ( ,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ 4- Irlsio~
FINALS
GRADING (Prior to Sodding)
BUILDING lMk ( l-'/-(5)
ELECTRICAL
PLUMBING
HEATING
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 :>hilll be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850