HomeMy WebLinkAboutBuilding 02-0666
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5/' )'1/0)--
I PERMIT NO. {)Z ' 0 {p & iPl
I. White File
2. Pink City
1 Y cHow Applicant
/
Wllder ru ~:v{
V:ll~
PID
ZONING (office use)
({-J-
-,3 &/- D;J LI-(J
I OWNER
(Name)
(Address)
(Phone)
TYPE OF WORK
(Phone) ~51..-'I~1YlDtJ
(Phone) --9 '5"1-- 2-2.l.-" LfT3 L
'f)(New Construction
o Alteration
DDeck
DPorch
ORe-Roofing
DLower Level Finish
o Misc.
o Fireplace
DAddition
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
submitt plans. I am e the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter u 0 the property e eeded inspections.
x
Permit Fee
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) $
t!? 4tJV~<; 7
Contractor's License No.
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
(tJa ~C) 0
10
4tJ . c:> Ci
TOTAL DUE
5/1 r!/O 2-
Dat
$
$
$
$
$
$
$
$
$
-
our Building Permit When Approved
Paid
Date
~~{~~[
I ~;--,It t/ U0
I'
5-~-c>'7
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
~~';:t." , .h, c,~ .,"~ ,""tiN.' , '''''po.." C"ill".., of z.,,,,., oompfum~ ,,,' "'ow~oo~ 'clore ~p'''",. . c~rop;m", =" '"
~..~ U ;;<:{ 02- '. spe~:~~J c: ~€6\t(
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
-
"hI? ('r-nft'r flf Ihe Lakt Count~.
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 0 R ,1:1 0 r-c~
APPLICATION RECEIVED ~ -/l(-o :J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ,
J~3?S b~~~~
Accepted
><
Accepted With Corrections
Denied
as
Date:
Reviewed By:
5 ~25-o<--
Comments:
- See ~ f1t~c'~ ~Q (p
"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.... Ct'nlt'r nf the I..kt Count..,.,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
t. ~/.
~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/,
/
j/ ,;' J
/ .I
,/ _"..1
-~:, . .
Accepted
v
Accepted With Corrections
Denied ~
Reviewed By: q #< '/f-ry
"The issuance or granting of a perrn,it or approval of plans, specifications and
computations shall not be construed to'.ee 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
Thr C.nlf'r or Ihe' I,.kt Counlry
BUILDING PERMIT APPLI~ATION DEPARTMENT CHECKLIST
NAME OF APPCICANT 0 T~ lYor-t~
APPLICATION RECEIVED ,~ -/ '1-0 ;;:L-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: \ .." .
JFJ3?5" W~<1- ~
Accepted
x
Accepted With Corrections
Denied
Reviewed By: /YJ't B
Comments:'S (<-. mC,(~ hOt (
Date: 5-:"'..27-02.
'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. 2/13
Date Rec'd .
CITY OF PRIOR LAKE PLUMBING PERMIT
(l'lo= "". ~ 2tint.... .... """"""~
IADDNESS . ~I' ~
J13l.pc; "D\ \.. . ·
I 81qa filo
;2, a.,ld City
3. y.JIa- ApPliClllJl
U~
5L
I PERl\flT NO. I~ - ~ Cv c:
I
LOT
:BLOCK
ADDmON
s
Pill
LEGAL DESCRIPTION (otfi~ use only)
OWNER
(Name) DR Horton Custom Homes
(phone)
962 - q ~ 5 -7!SIXJ
(Address). 2OS,""o KeVl.B~l DGe... Cr Sre. IbO
MAN E6C~ Lf.
APPLICANT
(Name) GIilRZ iYi'" l>,,,.,,,1-,ing ~ lilililti:Qg
(AcWress) 14745 So Robert Trail
(Address)
(phone) ~1\1-471 1144
Rosemount
(City)
MN
55068
(Zip Code)
(ConUctPe~on) Mary
(phone)
APPLICANT SIGNATURE
DATE
02,
Quantity Type of Fixture Quantity Type of futQre
I Bath Tub with or without shower Rough-ins
I Dishwasher f I Water Heater
Floor Drain - e... f I Water Softner
r -
~ Lavatory (Bathroom Sink) I Stand Pipe (Wasbing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall ". Backflow Assembly
", Sinks Backflow Assembly Test
T Bar Sink Lawn SprinkIer
2- Water Closet (Toilet) Other
PLEASE COMPLETE BELOW
FEE SCHEDULE
Industnal, Commercial & Multi-:famHy 1 % of job cost With a $3950 minimum
Residential, New One & Two~FamJ!y $99 SO
Residential, Additions & Alterations $39.50
Estimated Cost $
Building PermIt #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
50
I.
/"
(omce Use O>>ly)
This Application Bec;:omes Your Building Permit When Approved Paid
, :".....
Receipt No.
lIuilding Official
Date
By
DatI!
Z4~hollr notice for 1I11.hlspectiDns (952) 447-9850, fax (952)447-4145.
., " ",
",,'
CITY OF PRIOR LAKE Hate Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMlJ\y 282002
at bottom)
~. ~ir~:n ~;'I~. I PERMIT NO. /1_ / / / I
3. Yellow Applicant _ ~ (0 ~ K:>
II1/JSS (l I V
l..~~_ ~__
I ZONING (offi~ ",,' I
LEGAL DESCRIPTION (office use only)
LOT I lf1BLOCK n ADDITION
~=~RD.~, Horton C.LA~-lov}1 HOIYle",::>
(Address) 0 ri 1Q~~ Qt. I ~o.kevi/fe~
-,
APPLICANTA II J. + AA I ,---.
(Name) ~IIQYl IVle~h....L~.
(Address) 3~S() Ke.nne bee..~. ste. #/
l. (Address)
- (I ') -;7 . '^'" r")
(Contact Person) T. r r,-" I . J I
APPLICANT SIGNA Tuk
PlD)5"- fW/-O,;,(4-;]
(Phone) 95:;J - q lf5 ~j
MI\0 -5 5o~ Lf
(Phone) [(J5/- .</5:<" -c:?775
~~ a.~QrJ .j-51.2~_
\ (City) (Zip Code)
(Phone) (P5/-.l.../fJ~- ~77~
DATE
APP ICANT PLEASE COMPLETE UELOW
NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL ~~C1n+ 383KA-Vb2UDi 0 FUEL 1'J".hAt'"t). I
FLUE SIZE lfl'cla.S'iJ B RETURN OPENINGS ~ INPUT 10. DOl) OUTPUT 6Uhl:>O (;)
TYPE OF SYSTEM
HEA TING OR POWER PLANT
DWarm Air Plants
DGravity
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)
$39.50
$39.50
Estimated Cost $
Building Permit #
(Office Use Only)
This Application Becomes Your Building Permit When Approved
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
~~
,. r.:;V~, ~ f'''''1
Date
~
L.
Receipt No.
J
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Jun, 5, 2002 1:25PM
GENZ RVAN PLUMBING AND HEATING
No,6554 P, 3/13
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
.[ ~'"ii'lEsr"" "'''bo~ .
/7fjJJ. S- . wllaYU1lid6
LEGAL DESCRIPTION (office use only)
ADDITION ~fi~
(1 e ,~
~. E~ t~_, I PERMlTNO..~ -G~o~1
I ZONING'_=l
LOT
:BLOCK
Ult
PID .
OWNER
(Name) TlJ;l Ho;t;!:ou -CustGBl H9lB8il
.
(Address)
2ofuO ~B~\b6e. Cr- Sn"'_J CO
(Address)
(Phone) _
La'UAJ ( lle..
(City)
o/~-q85~ -'SL"i{';
!5~4
(Zip Code)
.APPUCANT
~~~ Genz-Ryan Plumb1ng & Hea~ing
(phone) 651-423-1144
(Address) 14745 So Robert Trail
(A~)
Rosemount. MN 55068
(City) (zip Code)
(phone)
DATE
ASE COlVlPLETE 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.
Estimated Cost .$..
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$11.50 Water connection only $17.50
Building Permit #
tesidential sewer and water line connectiQn
;ewer c;:onnection only
SEWER AND W ATE~ PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$'
$
.50
1
I
.'
Ifficc tJ5C Only) ,
\'--;
This Application Becomes Your Building Permit When Approve~
Paid
. Receipt No.
'. "';....
:Suilding Offio:d
Dil'te
By
Date
..24 hour Dotit;1l fQr aU Inspections (952) 447.9850, fax (952) 447-4245
, ...;
',. "
. ..
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~l"w ~J~icant I PERMIT NO. Q -t.o (00
ZONING (office use)
17365 RIVER BIRCH PLACE SE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
DR HORTON
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW 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 o REPLACEMENT o 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 o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEA TN GLO SL-750TR-C
APPLICANT PLEASE COMPLETE BELOW
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
'.-,..
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Buildine Official
Date
3 l 2uI> By
_I...
v
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
} 5,,-,,- ~ ~ +'-l.,
uEPARTMEN OF
BUILDING AND INSPECTION
SITE ADDRESS LI') (,,5 LJtrLk-~5<j (1.('1
NATURE OF WORK IJu.J
USE OF BUILDING SF A
PERMIT NO. /}Z-{)ft~&-/0 DATE ISSUED 5- :2<1-0<-
CONTRACTOR D. f2. Ho~ PHONE 952" .2-U- <II ~L
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
J FOOTING I tg! II (0-"
FOUNDATION (Prior to Backfill) b ';) (, (' h ~ 7 ~Z-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING &. .G.
HEATING (if required),
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ Ii, If/.>~ 2.-
FINALS
GRADING (Prior to Sodding)
BUILDING '/-e w{J uYlt11 <6'+67
ELECTRICAL
PLUMBING V\f( 6- / ~ ~z..-in-
HEATING f1I(/ 1(- (3,
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 ,shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850