HomeMy WebLinkAboutBuilding 02-1047
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CITY OF PRIOR LAKE BUILDING PERMI ,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~.
LEGAL DESCRIPTION (office use only)
81&11 11 Vo1 It B (i,
LgT BLOCK ADDITION
f~O~.
I. White File I PERMIT NO
2. Pink City . IY7 - 1.0 d--,
l Yellow Applicant . f:!..k. l.}. 7- I
PID
ZONING (office use)
~- 3!fJ- CJ07 ')
OWNER
(N ame)
(Address)
(Phone)
BUILD~
(Name) . {)(--hJY) ~
(Contact Name) M~.t ~() ~ () Ihd-~
(Add ) 2.D 6'='0 <-~ nAJ'..P c;t. ~~. (00
ress. . \ --::1-;
TYPE OF WORK
1i!fN ew Construction
ODeck
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
o Misc.
(Phone) QS2 -'1 ~G-I(JD~
(Phone) QS"2- - '2.:1.1,- 41~?
OPorch
ORe-Roofing
ORe-Siding
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 conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
ente on the property 0 p rm needed inspections.
x
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ 100. ()()
Mechanical Permit Fee $ 00 . 00
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ 0.00
This Application Becomes Your Building Permit When Approved
~y~
Building Official
8(r;4v
~te ~
OAddition
o Alteration
1" J1.'1-o~
Date
$ e~O, 00
$ l't.oo.o 0
$
$
$ rz.oo,OO
$ 70(J , 0 fJ
$
$
$5
TOTAL DUE
.4] (: ","1./
0<0005057
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
#
#
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
wheo .""d by <h, C,,, K"ID'~' "m,,,,,, C_a" of :WID", romp'"'' md "'~., rom~_ '" rom~" "'ore 0""1"0". , C",,6,,", of Q,ro"",,, =U be
"~'~ (; ~
.A- ea-~ f6 217 '&L
PlannIng 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
Tht ('tnler or Iht I.ok< Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
D R HORTON
NAME OF APPLICANT
APPLICATION RECEIVED 8/1/02
The Building, Engineering, and Planning Departments have reviewed the building permit
. application for construction activity which is proposed at:
! 7.3 J. i WILDERNESS TR SE
Accepted
q'
Accepted With Corrections
Denied
Reviewed By: ~i3
Comments: 5<~ /)1,,/r. F/((_
Date: 8- 7-07
-
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."
White - Building
Canary - Engineering
Pink - Planning
The ("('nfef of the I.akt ('ounlr)"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
;, R 40RTOf'J
NAME OF APPLICANT
APPLICATION RECEIVED U 1/U2
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
, ,/;" ,-, "/'" l}:;LJJERNFSS TR SF
, /'1
, '
Accepted
~
Accepted With Corrections
Denied ~
Reviewed By: ' ~!+~
Date:
rs/lo/cJ~
CES: ~
l/v\h " . k~~~ _
~L~L- ~~e CprnJN 2::::
"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."
Tht' Ct'nlt'r nf Iht' I..kt Counl'1"
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
D R HORTON
NAME OF APPLICANT
APPLICATION RECEIVED 8/1/02
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/73J- / WILDERNESS TR SE
Accepted
Accepted With Corrections
f'
,
Denied
~1~~
b-~~
Date:
Biela "Z--
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."
11 : 03AM
GENZ RVAN PLUMBING AND HEATING
No,7235 P,10/21
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
l ~~:; I PERMIT NO_ '1_IOL('?
l. Ytllo~ "pp1_ . d
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDmON D
MSF
51(0
I ZONING,__) I
PID
OWNER
(Name) DR Horto,n Cust01l1 Homes
(phone) 95Z-QYlS-78DO
vi I ~ MN E6DLf tJ
(Address)' ZOS~O lUVlB ,DGe.., Cr Sre.. IDO
APPLICANT
(Name) <;.....,7 Ryan "P1m..l..1....g };, HQat:;lR8
(Address) 14745 So Robert Trail
Ad~ss)
(Phone:) 6<;1 4?~~11l.l.
(Contact Person)
(City)
55068
(Zip Code)
Rosemount MN
APPLICANT SIGNATURE
651~423-1144
Cj-I?J--Q"d--
Quantity Typ" ofFinure Quantity . Type of Fixture
J Bath Tub with or without shower J Rough-ins
Dishwasher ,. Water Heater
I Floor Drain - Water Soflner
..
IJ Lavatory (Bathroom. Sink) I Stand Pipe (Washing Machine)
Laundry Tray (101' 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
J Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
!J Wa~r Closet (Toilet) Other
~ ,
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industnal. Corrunerclal & Multi-family 1% ofjob cost With a $39.50 minimum Residential. New One &; Two-Family $99.50
Residential, Additions &; Alterations $39.50
Estimated Cost $
Budding Pexmit #
PLUMBlNG PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
_50
i
l
(Office Use Only)
This Application Becomes Your Bldlding Permit When Approved
, ~:I~}[)
Building Omc;iaJ Date
. I Roceipt No.
Sf.P f 3 2uu/ By
IP~
Date
24 hour Donee for all hupectiQn.s (952) 441-9850, f:ax (952) 447-4~4S
SeP,12, 2002 11 :03AM
GENZ RVAN PLUMBING AND HEATING
No.7235 P,11/21
Date Ree'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
, } S:,. ~i""nt I PERMIT NO-d- ) () '-11 1
I~P/3~-q-/V;jJr::oleS3 ~I SE IIZONING(~~]
sR0'
LEGAL DESCRIPTION (office use only) (\"-
LOT BLOCK. ADDmON~e
PlD
OWNER
(Name) Dj IIQr~on CYSt"Q1R IIgmes
(Address)
2oSlo0 ~eK\tX::e Cr Sr-P,Jf'O
(A~
(Phone) _
, ta-UIJ I lie...
(C"
q5,2-QK5-i8M
500-iJj
( " Cod.e
APPUCANT
~~e) Gen~-Ryan Plumb~ng & Heatin~
(phone)
651-423-1144
55068
(Zip Code.)
.\LICANT SIGNATURE
:.1
651-4Z3~1l44
q -/ ~-()O
APPLICANT PLEASE CO:MPLETE BELOW
Size of water service _ inches.
Location of any couplings from s1Iucture 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.
FEE SCHEDULE
Residential seWer IIDd watq line connection $35.50 Industrial, COnI'1 & Multi-family 1% of job cost with a $39.50 mmUnum
Sewer connection only $17.50 Water connocaon only $17.50
Estimated Cost $
Building Permit #
SEWER AND W AJER PERMIT FEE
STATE SURCHARGE
TOTAL PERlWT FEE
$
$"
S
50
"'"
r
r
{
(Office: Ullle: dnly)
This Application Becomes Your Building permit When Approv~
. Jii(t~~~, BuildiDi OffiQl!J
nate
I:,~p '^: : I~ND.
I
14 hour notice for ~1I in,;peetioo, (95Z) 447-9850, fax (952) 447-4Z45
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~~n ~:~. I PERMIT NO. 07 .-1 /_u.-f I
3. Yellow Applicant , ~ lJl:t..LJ
(Please
ADDRESS, " )
~7~'/
ZONING (office use)
./Lf 5<
LEGAL DESCRIPTION (office use only)
LO
BLOCK / ADDITION
PID
(Address)
Home~
(Phone) C(5a - q ~5 -7017,2,
o J..[
OWNER "7\)
(Name). V.,......
APPLICANT AU' t ---
(Name) r C\t1 . .J.,~.
(Address) 3~5() fl.e.nl1e be~ ~.
(Address)
-F Z.-
S+e. #/
(Phone) Ip5/- 45~- cfl775
.I~Q8Qn 55/,2~
(City) (ZiP Code)
(Phone) u;5/-45~- ~77o
(Contact Person)
DATE
0NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL ~4n+ 3CS3KA-vb2J.LDi 0 FUEL J\JQ.t\Aro.. \
FLUE SIZE 't1'cla.s~"B RETURN OPENINGS ~ INPUT IO.ODO OUTPUT 6l.D~/:)OO
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
~ Conditioning o Special Devices Required Side Yard
ent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
Estimated Cost $
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Building Permit # 0 ~ / I 0 41
$39.50
$39.50
$39.50
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
PAID WITH
BUILDING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Date
Building Official
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
~. =n ~::y I PERMIT NO. ;;;... - /0 L-/1' I
3. Yellow Applicant (I _'
ADDRESS
ZONING (office use)
17329 WILDERNESS TRAIL
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 AVENUE
(Address)
ROSEVILLE
(City)
(Phone) _651-633-2561
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
11/6/02
APPLICANT PLEASE COMPLETE BELOW
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
OWarm Air Plants o Steam PLEASE NOTE:
o Gravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
OAir Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEATN GLO SL-750TR-C
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Industrial, Commercial & Multi-Family
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
HEArING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
Buildine Official
Date
Receipt No.
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT 0
BUILDING AND INSPECTION
,
P, i-c
SITE ADDRESS If'? :32. , vJ; L.. b t:~ f.J ES s 1'7<A ( L S,t.
NATURE OF WORK ~f5"'VJ ~c.9'" t2J..\c..rro...J
USE OF BUILDING .;;.F. ,...
PERMIT NO. 02-/047 DATE ISSUED 9(6/02.-
CONTRACTOR 1).(2... H-oru-zt,..) 1 rt--lc.... PHONEj"Sz -Z:Z..(. -'-I7.Jz,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING W'( I
J FOUNDATION (Prior to Backfill) I I.1/(' i
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING r-rf2-
HEATING (if required) .. ).-(/J....
FIREPLACE i ' L.-ffL
GAS LINE AIR TEST .. -:Sol.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I.~~ I I
FINALS
J
It-L-d2
t,- ({-VI..-
GRADING (Prior to Sodding)
BUILDING lAf-(( &--( 4?
ELECTRICAL
PLUMBING
HEATING
DO NOT
1- 4-
:t-~
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.
FOR ALL INSPECTIONS (952) 447-9850