HomeMy WebLinkAboutBuilding 02-0915
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ffl () /\ 1 ~
AND UTILITY CONNECTION PERMIT -~ ~ 7 --u ~
g.b,
LEGAL DESCRIPTION (office use only)
LO BLOCK I ADDITION ~
I. White File I PERMIT NO
2. Pink City . OZ _QrJ/C'"
3. Y cllow Applicant . 1..: J
ZONING (office use)
PID
I OWNER
(N ame)
(Address)
(Phone)
TYPE OF WORK
OLower Level Finish
o Misc.
(Phone) q52- -q 9C;-, ~DB
(Phone) '151--J.:2.fr IJ; 34
ODeck
o Porch
ORe-Roofing
ORe-Siding
o Fireplace
DAddition
OAlteration
o Utility Connection
b I
PROJECT COST IV ALUE (excluding land) S
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 th building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upo e p. operty to l2.er ed inspections.
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ 100.00
Mechanical Permit Fee $ 100.00
Sewer & Water Permit Fee $ 3~.SO
Gas Fireplace Permit Fee $ l{o .C)O
es Your Building Permit When Approved
) -18 ~D'2-
Date
o? IJ() () 5fps 7
Contractor's License No.
?/~/~2-
Date
Park Support Fee
SAC
#
#
Water Meter
I" .
,
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE
tj . /3
4-Z!i8 0
I Paid e-!'~ ~ rJ
Date, 'tJ -d ~
'~7
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
~::~~ '" ~ "',"M~ . "_",, C~"~" of """ """'fu~ "d '"~' ~. Bn~ ~'"""', . Cotifi"", of()""p"", mo" '"
~ 'V~ 'C~-:7~ '/ /2--,2-10-2.-- .... ''1_ ~\.l1( Q (}lC'~-~~~-
. . anning 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
/
White - Building
Canary - Engineering
Pink - Planning
Thf' C"rnlrr or thr I..kt ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT D k! 'f-) 0 tf{),.J
APPLICATION RECEIVED 7 - CJ - d--
The Building, Engineering, and Planning Departments have reviewed the building permit
,~,. application for construction activity which is proposed at:
J'7oJ>3 UJ)f!~o~.o~ ~
Accepted X
Accepted With Corrections
Denied
-+-1f"h. L .. .. Date: 7/'1-'1 ((fL
6'J
See Reverse Side for Additiona'llnformation!
Reviewed By:
Comments:
.i,
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
"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
Thf' Ct'nlt'r flf Iht' I.ake- Counlr}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
D 7< Norn;-J
7-c;-d-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
//}oP3 W~tU:t~~ ~
Accepted Accepted With Corrections K
Denied I
ReVieWedBY:W~~ Date: 7-[8,-02-
Comments: _
~J Cl([ dfacW AJ~
"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."
~~~ PR/O,)' .(
(~ ~~
White - Building
Canary - Engineering
Pink - Planning
The C'tnlt>r of .he Lab Counlr)"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
, -
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,,/. ,/,
/' '
/
,/
Accepted
~
Accepted With Corrections
Denied
~k>~~~
Date:
7/2-2-/ L):L-
Reviewed By:
~
Lvq- (~~,
"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."
J u ! ' !. :1, 211 D!. 11: 11 AM
GENZ RVAN PLUMBING AND HEATING
No,1847 P,
')
d
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
'11zPnL _
~
i ~w ~~. LPERMlT NO. ;;J ~O/.c- I
J. OOIcl Aw6can' , ( 7/ J
I ZONlNG,_"" I
;:~~~:::1~
LEGAL DESCRIPTION (office use on.l:y)
LOT 20 BLOCK
ADDITION
PID
CJtVNER
:Na:r:oc) D~ HQrX:OD eu g x: o PI. :aOl~""'i
(phone) _ qs2 -q:s5- ,8 of',
:Address)
20'&00 ~ei<-\t::ee Cr ~JDO
Address)
Lau\Jllle...
(Chy)
.5Cl)l-tY
(Z' Co~)
<\PPLICANT
~wne) Genz-Ryan Plumbing & Heating
Address) 14745 So Robert Trail
(Address)
(phone) 651-423-1144
'UCANT SIGNATURE
Rosemount. MN 55068
(City) (Zip Code)
(phone)
DATE
" "
EASE 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.
FEE SCHEDULE
esidentl.a1 sewer and water line connection S35,50 Indu"trial, Com'l & Multi-family 1% of job l;Ost with a $39.50 mmtmum
~we:r connection only $17.50 Watex' connection only S1750
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
~__~ l
n t---_
.; ~\r') ViJ'r'i"rL~
. . . " " r"'}
,mer U~C Only)
This Application Becomes Your Building Penuit Wben Approved
Paid
Rc:::ceipt No_
Date
llll 'j I 'x""
"&"'U ",} JL. dl.'c..
By
:B u.illli.l:lg omt.lal
Date
24 hour Doticll for alllllspedions (9S~) 447-9850, fax (952) 4474245
,I u I ' 2:J, 2 [J [] 2 11: 11 AM
GENZ RVAN PLUMBING AND HEATING
No,1847
P, 3/:J
Date Rec~ d
CITY OF PRIOR LAKE PLUMBING PERMIT
) "'IUc I'll.
2. Geld City
3, "(olio... ~Iksnl
I PERMIT NO. d"" q (5' I
j
ZONING (ollia 115e)
~~_..._u=\~
O~~ '
Iv2.AI L....
,\e
LEGAL DESCRIPTION (office. use only)
LOT 20 BLOCK \ ADDITION
PID
:>WNER
Name) DR Horton Cus~om Homes
(phone)
962 - q f{ 5 -78DD
Eft)Lj LJ
Address)' '2o'SwD K.b1B~l DGe... Co Sre IDO
\.PPUCANT
CN~e)G~g-Ry~n Plu~ing & R~g~i~~
Address) 14745 So Robert: Trail
(Address)
(phone) Ii r; 1 4:> '3 "44
Rosemount MN 55068
(City) (Zi:p Code)
Contact Person) Mary Olson
(Phone)
651-423-1144
\..PPLICA.Nt SIGNATURE
DATE
..
Quantity Type of Fixture Quantity Type of Fixture
2- Bath Tub with or without shower .~ Rough- ins
\ Dishwasher I ' Water Heater
\ Floor Drain Water Softner
IS Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
, Laundry Tray (lor 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
i Sinks BackfJow Assembly Test
Bar Sink Lawn Sprinkler
.1-; Water Closet (Toilet) Other
LEASE COl\lIPLETE Blf.:LOW
FEE SCHEDULE
Industnal, Commel;'Clal & Multi-family 1 % ofjob cost with a $39.50 minimum Residenllal. Nc...... One & Two-Family $99,.50
Residential,. Additions &. Alterations $39,.50
Building Permit #
Estnnated Cost $
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
t
,.
",n.iTrr>l-li~
f.' ,~, "L i:...~ .,:
ffice Use Only)
rbis AppUclItioD Becomes Y oQr Building Permit WheD App..oved
Paid
Receipt No
Date
:By
Buildin~ Ot;lidaJ
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
~. ~r::n ~!:y I PERMIT NO. "1.--0/ c:
3. Yellow Apphcant , ()l.. -I, J
(Please
ADDRESS
/ 70/3'
ZONING (office use)
'//~
LEGAL DESCRIPTION (office use only)
LO ~LOCK ./ ADDITION
PID
OWNER
(Name)
D"K -\\by+-On
1.D8lPO ~br\d ~U--
(Phone)
(Address)
vi Ue,
M~ 55()41./
(Contact Person)
(Phone) ~ I_LI52..- 2..'115
FEIlt\M f\kN 55l z:z...
~ (City) (Zip Code)
(Phone) l.tf51 '452- 2..1"15
APPLICANT SIGNATURE
DATE
~NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL J3r~o..ttf Q2'/, FUEL 1Ja:l-. ~as
FLUE SIZE ~' 1'2- "'Pv' e.... RETURN OPENINGS INPUT 1M, /)00 OUTPUT D, OOD
TYPE OF SYSTEM REA TING OR POWER PLANT
DWarm 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 MAKE AND 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
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39,50
$39,50
Estimated Cost $ "1000. DC
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Office lIse Only)
This Application Becomes Your Building Permit When Approved Paid
Building Official
Date
C' C /'1
&. .... l> C--
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
~. ~~:w EJ~icant I PERMIT NO. d'- 9 /~ I
ZONING (office use)
17083 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 A VENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
10/2/02
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 D Steam PLEASE NOTE:
DGravity D Hot Water Air Conditioner Units
D Mechanical D Radiation Cannot Encroach into
DAir Conditioning D Special Devices Required Side Yard
DVent. System D Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N 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 & AlC (New Construction)
Residential, Heating Only (New Construction)
$39,50
$39,50
"'"
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
?:>. . /"',
;, "~r'i ..-, ^
.50
~~\
')
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildin!! Official
Pai~
W, -4-
Date
Receipt No.
Date
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
3UILDING AND INSPECTION
SITE ADDRESS J 7f) 3~ l i),'l~ ~<3 (f'r:-'
NATURE OF WORK l ).e~
USE OF BUILDING ~~
PERMIT NO. 02 c;-
-
CONTRACTOR ...l2.JL..kica~ PHONE ~ ,.~ -(~~f/-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE ISSUED
'I-IS --02-
FOOTING .e.d L '0 - J-4 ,,()?~ VI tp-
FOUNDATION (Prior to Backfill) N-:.. ~ ~ 7__ (y:./
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
--
SEWER I WATER I SEPTIC #:Z ~~
FRAMING Ifif1 10- 2..1-CJ l..
INSULATION 7/l;'Y-7 I/J--24- (f2
ELECTRICAL
PLUMBING U J>. MJ q . j.(,.o-v 0{? /u- LI- 01...
HEATING (if required) vvro- I U-/2r-CfL
FIREPLACE I~ 10-L (-(;/'L
GAS LINE AIR TEST -4 (v. L-f- 02-
t/VV'
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Soddin )
BUILDING { lfr'\""\ ~JI, (J7
ELECTRICAL
PLUMBING
HEATING
DO NOT
G-I~-(/)
) J---'hO-Lfh
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
Th.is 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.
\
FOR ALL INSPECTIONS (952) 447-9850
~3/23/91l__!10N 09: 2t FAX 6124474245
t;lTI VI' nUUl( LJ\.lU.
'i!d uU'~
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Application)
F or All Properties Located in the Shore land District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address 110B; W ~JJ)I""'J/# -1/,
Lot Area \ 2, bo< Sq. Feet x 30% = .............. ] 7 ?"3 f
*.....***...**...****...*************...*******..*..*...................
LENGTH
WIDTH
SQ. FEET
x
x
x
-
HOUSE
=
ATTACHED GARAGE
=
TOTAL PRINCIPLE STRUCTURE......................
23J5
.,
DETACHED BLDGS
(Garage/Shed)
x
x
TOTAL DETACHED BUILDINGS-.................... CJ
-
992-
Ifn
DRlVEW A YIPA VED AREAS
(Driveway-paved or not)
(SldewallclParkiDZ Areas)
DWV
,
<;;IJJ
x
X'
X
-
-
TOTAL PAVED AREAS...-............-.................... _J,J l ']
x
X
-
P A TIOSIPORCHESID ECKS
(Open Deelcs y." min. openinl becween
boards. with a pervious surfBe below.
arc nol callSideted to be Impervious)
=
x
=
TOT AL DECKS..._.................-...........-~._............... ()
.
x
X
,.
OTHER
=
TOTAL OT'HE'R......................................................... {j
TOTAL IMPERVIOUS SURFACE 14~
~: ~,J~~ Date 2.5" JV)l2/)~9C;
Company-E/2.14-ND'f' b"N?'Hf:JJ2INr-f" S'1)~vflrllJt-Phone #952 43) ) 9/,t