HomeMy WebLinkAboutBuilding 02-0989
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Fd-e
Date Kec 'n---
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Please
ADDRESS
)12&'1 K~;~h-ReIJ kne $,
LEGAL DESCRIPTION (office use only)
LOT I D BLOCK I ADDITION ~el
III y~
I. White File
2 Pink City
3. Yellow Applicant
(r),)>d-
I PERMIT NO. ~2-a?gr ,
ZONING (office use)
PID
I OWNER
(N ame)
(Address)
TYPE OF WORK
~New Construction
o Fireplace
PROJECT COST IV ALUE (excluding land) $
OLower Level Finish
o Misc.
(Phone)
(Phone) l152 -<195-1BDC6
(Phone) Q51' 2Z1tr 13?Jt.J
ODeck
o Porch
ORe-Roofing
ORe-Siding
OAddition
OAlteration
OUtility 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 confonn to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware e building official can revoke this pennit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter the property to perf< eded inspections.
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Penn it When Approved
Building Official
Date
~ODo!5h "7
Contractor's License No.
7;'9/'2
I
Date
Park Support Fee
SAC
Water Meter Siz '; I";
#
#
$
$
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
/} 553.~
I ~iptNO ~7
I ~~~ '7<7 f- ::q'_:~~
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 signe~y the City Planner constitutes a temporary Certificate of Zoning compliance and alJows construction to commence. Before occupancy, a Certificate of Occupancy must be
"~'dcr ~ ' if . i & ~tJ
j1I. '~Mm"; ;re~o"'- U-r 1, {;i ("'L Sx.' ~~dd;:;: if MY C", - ~'l
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
/'
rf\M'-~ 8-~
Thf' Ct"lt'r or .ht' I..kr ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT .t ') P ~/ ~I f {,~
APPLICATION RECEIVED / - ex 5' - ~
The Building, Engineering, and Planning Departments have reviewed the building permit
~,. application for construction activity which is proposed at:
. /'7d.f"0 ll:t:z(.~o(h? I A)
Accepted '><
Accepted With Corrections
Denied
Reviewed By: ~ Dale: 7/z..u 10L
Comments: See Reverse Side for Additional Information!
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."
::
Thf' ("f'nff'r of tht> Lab Counlr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT U P No r .~
APPLICATION RECEIVED '7 -c;? s-- C\
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'7uZ-.f'~ /Jb-t4 ~ LA;
Accepted
)<
Accepted With Corrections
Denied
Reviewed By: pt:;'-yL1.J lIE'
comments:;(erHJ ALL
h, 1)/
ATT}}eHEP
Date: 7/0-; /oL-
I ,
H,tf-,u tJ -- t1-t.t v-s
liThe 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."
Thf' Cf'nlf'r or rhf' I..kf' COunll"}'
White - Building
Canary - Engineering
Pink - Planning
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
1/
Accepted With Corrections
Denied f2.
Reviewed By: 9d~ r ~~...-7-7'~ Date:
Com ents:
ri /l /()~
.R
"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."
CITY OF PRIOR LAKE
HEATING/AmCONI>lTIO~GIFIREPLACEPERMlr
Date Rec'd
i ~ J,i..,1 PER1Ifi1'NO~)_qS? 11
~,,(~e/c//
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LorD BLOCK / ADDITION
. ..
PID
~=~RIYM. Horfon Gusbm
(Phone)
q5~-q~5-7o?7Z
(Address)
APPLICANT dlJ' 1 M ---.
(Name). ... .... ,anT... .eC!... .:.L.tIt1.
(Aadress)3(PSO '1:e.n~~. be~fr, .
(Address)
f
S+e. #/
;:;;J~51~~5:4..Il:~~~..
(Ph6ne).... to51-~5~-tfl77~
DATE
(Contact Person)
.,lffiATING'PERMlTFEE
stATESU]tGHARGE
. TotAt PERMtr FEE < .
[J Steliln
o HotWllter
o Rlldiittiofi
o Special Devices.
o Other Devices.
PLEASE]'iotE~
AitCoriditiofierl1nits. .
Cfuu1otEnCfOacn into.'
Required Side Y'arcl
Setbacks ...
APj) Jq~tPLEJ\SE.(X~l\1PtETEllELQ'W'.
NEW CONS1ltUCI10N . .... .' DREPLAc;EMENt ...[;;JAL~1J9NS ... ...... .......
FURNACE MAKE AND MODEL~+ ...3S31Ul-v~ O. ". cf11El;'AJll.tlAm1" .
FLUE SIZE 'f"cla.S<<i>> B ......REtoRNOPENINGS .. .... . ..~.. ... ,.INPur71f.>.t)(>o ", OUTPUT.6lDL~Q,()..
TYPE OF SySTEM HEATING ORPO'WERPLANT.",
OWanhAirPlants
o Grllvity
o Mechanical .
~ Conditioning
[!Vent. System
FIREPLACE MAKE AND MODEL
Industrial. CommerCial & MUlti4.'/uftily
Residentiid.Heatlrig&A/C (New Cdnstrlic:tioll)
Residentiil.l, Heating Only (New ConStruction)
. Bstirriatea Cosf$ ....
(Office Use Dilly)
This Application Becomes Yout BuildifigPermitWheh ApptoYed
Building Official
Date
24 bour nlltice for all ifispedions (952) 447.9850;18)[(952) 447-4245
Jul.25. 2002 4:23PM
GENZ RVAN PLUMBING AND HEATING
No.2228 p. lfi!
CITY.OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'l.
.
~"';~~r;"'-:::y
I \ 2- '2- s..hflpO n
;. =.. 2;;. j PERMIT NO. ~ ,- Q 01'" J
3. o..ld Applicon.... " ( l> _ ,
/aYlJ)
,SF-
J I ZONING(_~ I
LEGAL DESCRIPTION (office use only)
. LOT) D BLOCK
ADDmON
~
PID
OWNER
(Name) :PR lIgrtQ;g, C"lItQlII. ~n:m"ii
(Address)
20 SL.oQ-uY1t3l<-\ t::Ce. C:r Sl-r' J "A:)
(Address)
(Phone) _
LaUIJ tlle..
(City)
qs;2 -q 85-1Z {)f\,
f5W-14
(Zip Code)
APPUCANT
~wn~ Genz-Ryan Plumbin~ & Heating
(phone) 651-423-1144
(Address) 14745 So Robert Trail
(Address)
Rosemount. MN 55068
(City) (Zip Code)
(Phone)
DATE
. "
.
LEASE COMPLETE BELOW
Size of water service _ inches.
Location of any couplings from st:ructure 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.
Residential sewer ao.d water Bne connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi~flUllily 1% of job cost WIth a $39.50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Pemlit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$'
$
.50
J
This Appli~lltion Becomes Y QQf Building Permit When Approved
'd
~4.tj:;/~) f. ,~
Receipt No.
3mc:c: Use Only)
Buildblg Official
.Date
Date Aix1 - 6 2002 By
J4 bour Dotice for all inspemou, (952) 447-9850, fax (952) 447-424!
Jul.25.2002 4:23PM
GENZ RVAN PLUMBING AND HEATING
No.2228 p. 17/17
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~7:_D'~_UOO_: .
2 ~sn~&...o '~J
l. ..... ,11.
l, IJDI4 C'rtr
:I. YoIlo", A:PPli_1
SF<-
I PERMIT NO. :).//~9
I I ZONING,_OR) I
LEGAL DESCRIPTION (oilicc use only)
LOT \ 0 BLOCK \ ADDITION
~
PID
OWNER
~~e) DR Horton Custom Homes
(Phone)
962-CJrlf1-78DD
.5 CeLl t.J
(Address)' 2.o'S~D Kev.JB li:X;,G Cr Sre IDa
APPUCANT
(Name:) Cli"T'7 lly.." l>l"llI.b~ug J:. >:r",..t-1"S
I (Address) 14745 So Roberti Trail
(Address)
(Phone:) fi5.1 473 116.6.
Roselllount
MN
55068
(Zip Code)
(City)
(Contllct Person) Mary Olson
(pho;o.e)
APPLICANT SIGNA1URE
DATE
..
Quantity Type of Fixture Quantity Type of Fixture
I Bath Tub with or without shower Rough- ins
I Dishwasher t Water Heater
I Floor Drain - J:2' I Water Softner
:2- Lavatory (Bathroom Sink) , Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
I Shower Sr.all Backflow Assembly
I Sinks Bacldlow A.!sembly Test
Bar Sink Lawn Sprinkler
:2- Water Closet (Toilet) Other
LEASE COMPLETE B~X.OW
FEE SCHEDULE
Indusmal, Cornmcrcl!d & Multl-famtly 1 % of job cost WIth Ii $3950 minimum Re.sidennal, New One & Two~Famlly $99..50
Residential, Additions & Alterations $39..50
Estimated Cast .$
Building Pcn:nit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
,50
r
Office Use Ouly)
This Applicatio~ Becomes Your- Building Permit When Approved
Blilldll2g omd.i
Dati!
1= N;'-n, J~~~
, I
24.hour nodce for all inspections (952) 447-9850, fax ('5.2) 441-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~"w JJ~icant I PERMIT NO. :;)-9 'iN
ZONING (office use)
17282 MARSHFIELD LANE SE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
DRHORTON
(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
11114/02
xD NEW CONSTRUCTION o REPLACEMENT D 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
DAir Conditioning o Special Devices Required Side Yard
OVen!. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO SL750TR-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
(Office Use Only)
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
-/':1
, ,j
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
BuiIdine Official
Date
NOV I 4 2002
By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPEC
.HLE
SITE ADDRESS 1..1:-8 z..-. ~ ~+\- f-fe.-\&. U~~E 52,
NATURE OF WORK ---b1EkJ 6>_-:;T;
USE OF BUILDING 5 F: .
PERMIT NO. 02 - oc;lJ'1 DATE ISSUED
CONTRACTOR :D.fl., hiD rL\O~ PHONE z. - Z-l- -1334
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING ~ _ )
FOUNDATION (Prior to Backfill)') r' U1 --- ~ q-(L.QL
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING V.(;-\ i1IY' /1- /{;-W-.
HEATING (if required) 1/i{>1~lt! vW /2- - /, cfL
FIREPLACE Il- -).... (JL
GAS LINE AIR TEST ;1 / It _ 2- .. UL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I '-
FINALS
GRADING (Prior to Sodding)
BUILDING r~ ~ _ -
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 shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR All INSPECTIONS (952) 447-9850