HomeMy WebLinkAboutBuilding 02-0716
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I PERMIT NO. (}Z,-07/b ,
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White File
2. Pink City
3 YeHow Applicant
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK 1- ADDITION
PID
"'370- O"d- 9-0
OWNER
(Name)
(Phone)
(Address)
Date Rec' d
ZONING (office use)
RI
BUILD~ :1:bc
(Name) .... . -+-o-n~ {\( ,
(Contact Name) St..eJL 0-t d(~{I~
(Address) 0 ~O Ke~\..\~Jvltt €-- 0*. ~. \ 00
(Phone) qCOl-Cf gl:)-7 evg
(Phone)qS2- 2'2.!t>-1~4
TYPE OF WORK
)CtNew Construction
OLower Level Finish
ODeck
OPorch
ORe-Roofing
o Fireplace
OAddition
OAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) $
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
submitted plans. I am aware t the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter u the property ro ert! needed inspections.
x
dI{)()th~S7
Contractor's License No.
Park Support Fee
SAC
#
#
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
00.00
CO . e>o
35' .SO
40 ,00
Water Meter Siz / ';1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
V?rD~
Date
$
$
$
$
$
$
$
$
$
es Your Building Permit When Approved
I ~~:e ~ :f;~~~
?-I/-o?-
Date
This is to certilY that the request in the above application and aceompanying documents is in accordanee with the City Zoning Ordinance and may proeeed as requested. This document
ity Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certifieate of Oceupancy must be
. ~----~~~- ?-Il <{ / Oc ~ "'- Auzd,-,<:JC~.J) ~81K
ing Director 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
II"P!le^ aq lOU lIeljS UO!P!pspnf aljl10 sa~ueu!pJo
JaljlO JO apo~ S!ljl 10 SUO!s!^oJd a4l la~ue~ JO alelo!^ Ol ^lPOljlne a^!6 Ol 6u!wnsaJd
Sl!WJad "UO!P!pspnf a4l10 a~ueu!pJo Ja4lo ^ue 10 JO apo~ S!4l JO SUO!s!^oJd a4l JO ^ue
JO uO!lelo!^ '\ue 'JO le^oJdde ue JO 'JOJ l!wJad e aq Ol panJlsuoO aq lOU lIe4s SUO!lelndwoo
pue SUO!le~!J!~ads 'sueld JO le^oJdde JO l!WJad e JO 6u!lUeJ6 JO a~uenSS! a4J...
---zo l h I,l,? :alea
>-7'.:::'~~ :A8 paMa!Ml;j
pa!Uaa
SUO!loaJJ08 L1l!M paldaoo'v'
paldaoo'v'
-----'
.~~.
:le pasodoJd S! L10!4M '\l!^!pe UO!pnJlSUoo JOJ uO!leo!ldde
l!wJad 6u!PI!nq aLll paMa!^aJ a^eLl SlUaWl-/edaa 6u!UUeld pue '6upaau!6u3 '6u!PI!ns aLll.
03^1303l::l NOll.'v'Olldd'v'
l.N'v'8Ildd'v' ,:jO 3V\1'v'N
lSI1}103HO lN3Wll:l\fd30 NOIl\fOl1dd\f llWl:I3d ~NI01In8
6UIUUBld - >IUld
6UIJ88UI6u3 - AlBUBO
6UIPI!"a - 8JI4M
.(uuno.) '''.'1 ,)'1J JO J.lIU.l.) .lll.l
White - Building
Canary - Engineering
Pink - Planning
Thf (",nln or Iht I..kt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
)1
NAME OF APPLICANT
APPLICATION RECEIVED
b 7~ N Or+utJ
.10- 3-0'd-
The Building, Engineering, and Planning Departments have reviewed the building permit
-. ..~application for construction activity which is proposed at:
11Jd-1o~ wJ-fdL~ 0/1.--
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/11/1/3
Date: G-//-OZ
Comments: pee Reverse Side for Additional Information!
. Drive~ay Mllst H;we C;oncrete Apron
. See Attachments:. J) Gr~qing Plan, ..?) Erosion Control Measures
3) Erosion Control Plan
liThe issuance or granting of a permit or appro.val., 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 otl1er.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. II
Jun.24. 2002 2:13PM
GENZ RVAN PLUMBING AND HEATING
No.8649 p. 2/8
Date Rect d
CITY OF PRIOR LAKE PLUMBING PERl\IITT
~~~-~-~~)
ADDRES~ . .
1 L \0;\~ II'U'lIt.-
I. :8..... tile
1. Cold Cit)'
3. Yellow .w,liant
I PERMIT NO. ;}- -";1 b I
I I ZONING 1-'" ,
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK Z. ADDmON ~
OWNER
~wne) DR Ho~ton Custom Homes
(Address)" ZO'S(PD IUVlB l.~ Cr Sre I DO
APPLICANT
(Name)r...........-RyaTl P1"",'hiR8 ~ "R.....~in8
(Address) 14745 So Rober1: Trail
(Address)
(Contact Fc::rson) Mary
APPLICANT SIGNATURE
PID
T ..
(phone)
962-q~5~J3DO
N .6~~ t..l
(phone) ;'51 47~-116..b.
llosemount
(City)
M}:t
55068
(Zip Code)
(phone:)
651-423-1144
'l-Ld D'2-
DATE
PLEASE COMPLETE BELOW
Quantity Type of Fixt1u'e Quantity - Type of Fhture
2- Bath Tub with or without shower ~ rRough-ins
I Dishwasher 1 Water Heater
i \ Floor Drain - I Waier Softner
I ~ Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (1 01;" 2 compartment sink Sewage Ejector
I Shower Stall , Ba.ckilow Assembly
I sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
"J, Water Closet (Toilet) Other
FEE SCHEDULE
Industnal, Commercial & Multi4amtly 1% of job cost with a $39.50 minimw:o Residential, Nc"" One & Two-Family $99.50
Residential, Additions & Alt1mlti0D5 $39.50
E"tlJIlatc:d Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Omce Use Only)
This Application Becomes Your Building Permit When App..oved
Building Official
Date
14 .hour nodce for all inspections (952) 447:'9850, fa~ (952) 441-4245
Building pennit #
~"
$
$
$
i.'
,f
.50
P;r
(',
).,.
"
Paid Receipt No.
Dat~JUN 25 ...."i :By
,-. ..
Jun.24. 2002 2:14PM
GENZ RVAN PLUMBING AND HEATING
No,8649 p. 3/8
Date Ree'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
~ ;:.. ~;.. I PERMIT NO. '-7' ) J
J. Gold Applicant .. (:;::I- / b
l~ft:7--;;~
-ne- fl J L..
I ZONlNG<_=J I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK 2- ADDmON
tie.fo
PID
OWNER
(Name) DR. ligrt....... C"lli11::gm. Rg:IIUlI.
(phone) _ '152-Q85-,8oA
(Address)
io &00 ~ei'L\ t.X::e G Sn-- ~'l'()
(AcUh1:ss)
la!u~\J i lie..
(City)
.5etY-t4
(Zip Code)
APPUCANT
(Name) Gem::-Ryan Plumbing & Heating
(Phone) 651-423-1144
~UCANT SIGNATURE
Rosemount. MN 55068
(City) (Zip Code)
(Phone)
(Address) 14745 So Robert: Trail
(A~s)
DATE
7-
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.
I
I
J
[,
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'} & Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17.5fl Water connection only $17.50
Estimated Cost $
Building Permit #
50
/""
/), t - f:;~
/\, }
>t,
SEWER AND WATER PERMlT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
S
$'
$
(om"" U5~ Only)
This ~pplicatlon Becomes Your Building Permit When Approve~
Paid
Recoipt No.
..;:.te
Date JON 2 5
By
.,...
, ,
1..-.,..,.::......
BlIildiDS Official
Z4 bOQt notic:e {or all iDspedioDI (951) 447-98!O, fa~ (99) 447-4145
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~: ~;e~n ~!~y. I PERMIT NO.Q -Ilk,
3. Yellow Apphcant . 0
ZONING (office use)
~ rid ~-,~/Le ;-;.:5
;~
r'
LEGAL DESCRIPTION (office use only)
L00BLOCK~ ADDITION
PID
OWNER --n \\-
(Name) 1:)" 1\ OY1-on
1..D8100 K.e..h by\ dl\e.1e.f-
J
APPLICANT ^ \\' L ,UIl A 1_ . A ,
(Name) f-\ \o..n,. IY\u.:.K\a.J.'ll CLU
(Address) 3lD'5o K.e.nnt.bee.-"""Dr Sw-lef
(Address)
(Contact Person) .jt+.f-- LJ inrneYrv\Ai'\-
(Phone)
(Address)
Ltlkt\Ji Ue.
t\\~
55/)4.1../
. ... ~
APPLICANT SIGNATURE
(Phone) -.1d5/~2..- 1.,115 I
F.:~a.n f\kN 5S1~Z.
(City) (ZIp Code)
lJf5 I &.jJS Z - 2..11'5
DATE
~NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL ]3r~a.n-f '12'/, FUEL JJa;I-. ~as
FLUE SIZE i'l'l-"Pv' e.., RETURN OPENINGS INPUT 1M, COD OUTPUT D, 000
TYPE OF SYSTEM HEATINGORPO~RPLANT
OWarm Air Plants o Steam PLEASE NOTE:
DGravity o Hot Water Air Conditioner Units
8 Mechanical o Radiation Cannot Encroach into
lAir Conditioning o Special Devices Required Side Yard
Vent. System o Other Devices Setbacks
FIREPLACE MAKEAND MODEL .
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
$39.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ "1000. 00
Building Penn it #
I~:','!") !..c'.....
CU",.., h" I
L. - ~'~,'.\IG: F ;
-.
~. - '. j
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
JUL ; -,
(Office Use Only)
This Application Becomes Your BlIilding Permit When Approved
Paid
Receipt No.
Building Official
Date
By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. :i:'e:n ~~:y I PERMIT NO. '1./111-
3. YeUow Applicant 01- 'P
ZONING (office use)
17262 WILDERNESS TRAIL S.E.
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 FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
8/26/2
APPLICANT PLEASE COMPLETE BELOW
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
DWarm Air Plants D Steam PLEASE NOTE:
o Gravity o Hot Water Air Conditioner Units
o Mechanical D Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
DVenL System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO SL-750TR-C
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 $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
!f'!1i. /'.
~.;"<:'/ ! ,.... .:''"') "
~~
(Office Use Only)
Buildine Official
Date
Paid Receipt No.
Date AUG {' 8 By
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~3/23/98 __ MON 09: 2? FA;I 6124474245
CITY OF PRIOR LAKE
~002
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Buildini Permit Application)
F or All Properties Located In the Shorelud DI8trlet (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address
17262 IN) LDGR }JCS'~ '} J~.
Lot Area \.),869 Sq. Feet x 30% - .............. ~/60, 7
*.....*..**.**.*****...*****************.******.***.****.**.*.......****
LENGTH
WIDTH
SQ. FEET
HOUSE
x
x
x
-
==
ATTACHED GARAGE
=
TOTAL PRINCIPLE STRUCTURE......................
SO~?
"
DETACHED BLDGS
(Garage/Shed)
x
x
TOTAL DETACHED BUlLDINGS-....----.......- n
DRIVEWAYIPAVED AREAS .-J)W'{ x
(Driveway-paved or not) ":, 'JI x
(SidewalkIParking Areas) X
- "711
= ' "~'O
1.::-
..
TOTAL P A 'YED AREAS......................................... F3 h ~
P A TIOSIPORCHESIDECKS
(Open Decks Y'" min. opening becween
boards. with a pervious surface below.
are: nOEconsidered to be impe.....ious)
x
X
=
=
x
=
TOTAL DECKS........._............_......_...~.................. ("')
. ~
x
X
:=
OTHER
=
TOT.AL OTlIER........ ................................................
(....
-)
') 0 Lt3
'- ,
TOTAL IMPERVIOUS SURFACE
,~_um;3YOVER
;~~paredBY~ ~
\ -
Company _l? fZ~N Dr bN?'" f!;J2INr..t ){)/2.VflrINt-Phone # 952 45) ) 96t
\ C'1 1--.
:01 I
Date .:; ~ II A'f :~-[)J2.
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ''1alo.~ W"ld~t"V\t2~~ 1;a.\\
NATURE OF WORK Ne.\.U
USE OF BUILDING SiD
PERMIT NO. ()2-07/&; DATE ISSUED CD-/I-a?'"
CONTRACTOR _D_'R. (-b,"~ PHONE 95~ -~-/~:;<(
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING
DATE
I 7(3/07-
FOUNDATION (Prior to Backfill) ~ ~ 0'1.,/ \tCl o~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPE~
SEWER I WATER I SEPTIC
FRAMING \A) c.
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
c1 - I I
\ ! J
~.IO
, I
I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
- 2.-() - (j~
GRADING (Prior to Sodding)
BUILDING -(fltllp UA+n tA-()~
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
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 snail be "placed near main entrance.
, - k-(J2
SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850