HomeMy WebLinkAboutBuilding 02-1046
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
f'" /-t2 ~
1. White File
2. Pink City
3. Yellow Applicant
113"2
I PERMIT NO. OZ - / o'l~
ZO~~use)
ADDRESS
LEGAL DESCRIPTION (office use only)
8M I LJ(\ It-- 66"
LM BLOCK 2.. ADDITION
PID J5- 3g/-Dtb
OWNER
(Name)
(Phone)
(Address)
,lOC)
(Phone) %2- ~ q~-7'8{) fJ
(Phone) 'IS7--ZlL, -' 1f-7?1-
TYPE OF WORK
ODeck
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAddition
OAlteration
OUtility Connection
o Mise,
PROJECT COST IV ALUE (excluding land) $
o 0'2-- -Z-
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 e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
exnter upo;tffi\property to ,perfo eded inspections,
L ~ 01 OtlO 57e s-7 'I h 0 / ()]___
Contractor's License No. f Date
~1~~
Building Official
1J{elo7./
Date
Park Support Fee
SAC
#
#
Permit Valuation OOO.DO
Permit Fee $ S3.7S
Plan Check Fee $ 5Sc..f. ~ LI
State Surcharge $ L{-O,DO
Penalty $
Plumbing Permit Fee $ \'co,Of)
Mechanical Permit Fee $ OC),Oe>
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ "'0,00
Water Meter Size 5/8"; I";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
~
TOTAL DUE
This Application Becomes Your Building Permit When Approved
........
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 the City P anner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued, ~ !~ ~
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
Tht {of'nlrr of the L.kt ('ounIl1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D R ~/triZj/
<8'~'f-()d
The Building, Engineering, and Planning Departments have reviewed the building permit
. application for construction activity which is proposed at:
/73c?-?" L l/ac Lv
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Comments:
/YJft3
~ <. 111'11 ~
Date: f6 - 7-<::) L
F,'{~
"
"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
Tht' Ct'nlt"r of the Lakf' ('ounlrl
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
v-
Accepted With Corrections
Denied
~/l~_ /A ._~----
"
Date:
f3 ;(5/L) L
Reviewed By:
Comments:
"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
lh(' C'f"nlrr or the 1.8kt COUnll")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
DR
N~
~--I--()d
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~3J-r.- L /k L.v
Accepted Accepted With Corrections X
Denied
Reviewed By:
~
I~
~~~
~~
Date:
-71'k
8/8/c; '&
. I
Comments:
"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."
~eP,IL. LUUL 11:06AM
GENZ RVAN PLUMBING AND HEATING
CITY .OF PRIOR LAKE
SEWER AND WATER PERMIT
No.7235 p. 20/21
Date Rec~ d
I ~~~;;~ U'J tlQ
~: ;:- ~'. L PERMIT NO. A -IOLj'b 1
J. o..ld ^Pl'b_t L d
LOT BLOCK.
Lr, Sf
~t/f/
J I ZONJNG[_~) I
LEGAL DESCRIPTION (o1fice use only)
PID
OWNE:R
(Name) PAl liQrt'oR {"ll>I"Om :HomO!;
(Address)
20&00 ~eK\D6e Or Sr? JOO
(Address)
(phone) _
La.4\ti lle...
(City)
'152. - Q'65- f 8 Df'\
. .'56044
(Zip Code)
APPUCANT
~~~ Genz-Ryan Plumb~ng & Heating
(Address) 14745 So Robert Trail
)
(phone)
651-423-1144
'lLICANT SIGNATURE
I
Rosemount MN
(City)
55068
(Zip Code)
(Contact Person) ,
DA'ffi
651-423-1144
q-l:d--~?
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.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35..50 Indusnia1, Com'1 & Multi-family 1% of job cost with a .$39.50 minimum
S17.50 Water COIlJ1edion only $17.50
Estimated Cost $
BQilding Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$ '-
$
.50 ....___
;fJ"'i.4\ .""..
.~, ". .l ?)il
-"
j
(OffiCl: VIe: Only)
This Application Becomes Your Building Permit Wben Approve~
J~~1~~} BUn~DI OOidal
Date
Paid Receipt No,
Date - By
l..;rn I ') "'"
v
24 bOUT notice for all insp<<tioQ.. (95.2) 447-9850, fu (lJS~) 447-4~4S
Sep,12, 2002 11 :06AM
GENZ RVAN PLUMBING AND HEATING
No.7235 p, 21/21
Date Rec:' d
CITY OF PRIOR LAKE PLUMBING PERMIT
i::~~; [PERMIT NO. '-::> ~ l'OLl' I
' 3, 10110": AppliQnl _ ~ =::1 10 .
ZONlNG (odU:euse)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
erfl ~
PID
OWNER
(Nam~ DR Horeon Custom Homes~
(phone)
962 - q){ n ~ 78DC
Efu~ t.J
(Adth'ess)' 2OS~O ~B .~ C. Sre../DQ
APPLICANT
(Name) COO".,. ~Yll'J p1nm1.dng * UWiltiR8
(phone) I=; 51-L. 7 3 1lL.L..
(Ad~ess) 14745 So Robert Trail Rosemount MN 55068
~ess) '-I D. (City) (Zip Code:)
(Contactl'""on) - n YJ'la, ~one) 651-423-1144
APPLICANT SIGN~ '_ DATE fJ-.-I'd- t)2J
Quantity Type of Fixture Quantity Type of Fixture
I Bath Tub with or without shower I Rough-ins
..
J Dishwasher 1- Water Heater
I Floor Drain . - Warer Softner
.:1. Lavatory (Bathroom Sink) r Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stan Backflow Assembly
I Sinks Backtlow Assembly Test
Bar Sink Lawn Sprinkler
::J Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commercial & Multi~fiuntly ]% of job cost with a $39.50 minimum Rcsidenti.al, New One & Two-Family $~,.50
Residential, Additions & Alterations $3950
Estimated Cost $
Building Permit #
(Office Use Only)
This Applic:ation Becomes Y Olll'" Building Permit When Approved
"l.f,,~~.:~\t>
~. l~":":l;'~ii~~",
. \~~\~..
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
~
'I _1 "'l"., .
B,.iJding Oflida.l
D:ur:
Paid Receipt No,
Da~ SF' ,~ l3y
f i ".J
I
24 hour notiee fo~ aU inspections (952) 441-9850, fax (!IS2) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~:n ~!~. I PERMIT NO. A:> _ (0 I/^
], Yellow Applicant . IJ(... ~(V
ZONING (office use)
;5r
LEGAL DESCRIPTION (office use only)
LO~;LOCK/ 7 ADDITION
PID
(Address)
(Phone) Cf5a- q~5 -7:l7c2.
o L.[
APPLICANT All' t M ---
(Name) f QY1 e~. .~~ .
(Address) 3&;50 fl.e..nne hec- ~.
(Address)
f Z..
5+e. #/
(Phone) Ip5/- 45:L -cfl775
~:-a8Qn 55/,22
(City) (Zip Code)
(Phone) to5/-45~- bl770
(Contact Person)
DATE
!0NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL ~4n+ 383KA-Vb2J.U)i 0 FUEL i\Jo.ttAm\
FLUE SIZE If&'cla.S'i. B RETURN OPENINGS ~ INPUT lCIODO OUTPUT '5iD../)OO
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
~ Conditioning o Special Devices Required Side Yard
ent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
ICANT 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 $
Building Permit #
HEA TING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
PAID WITH
} BUILDING PERMIT
Paid (]
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
(
Building Official
Date
DateSEP
By
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~~nw JJ~icant I PERMIT NO. Q2 - / D Lf ~
ZONING (office use)
17328 LILAC LANE
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)
(Phone) _651-633-2561
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
1116/02
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 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 HEAT N 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
$39.50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
(Office Use Only)
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
{;
.50
"
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Buildine Official
Date
DatlmV _ 2002
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
Se:e-~N
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS I f-J 3 2..- 8 L I L.A<:..., L~c S, e ,
NATURE OF WORK t-.Jc.~ Cfb,..J ~ f2.u..C:TioN
USE OF BUILDING S.R A.
PERMIT NO. ()Z -/04~ DATE ISSUED t3(t!3 {coz.,
CONTRACTOR ~ (2.., ~ ~ I ;;,.Jc.., PHONE 'fsz -Z2.~ - 'f7~ Zo.-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
! FOOTING I I
I FOUNDATION (Prior to Backfill) I i
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING / /_ ~ ell.
HEATING (if required) '-Ir-'o2.
FIREPLACE If-f r-rJl
GAS LINE AIR TEST ({-(y---d1-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I~~,-~ I I
FINALS
GRADING (Prior to Sodding)
BUILDING <l: c.M h ~~
ELECTRICAL
PLUMBING
HEATING
DO NOT
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.
J./
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
, / t{ --(/7
'"
FOR ALL INSPECTIONS (952) 447-9850