HomeMy WebLinkAboutBuilding 02-1185
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
8--zQ,.02-
1. White File I PERMIT NO 5
2. Pink C;ty . 07 /110.
3. Yellow Appl;cant V V
ADDRESS ZONING (office use)
11'2q~ ~().I"~,,"};LtJ ~7U ~C. .R-L
LEGAL DESCRIPTION (office use only) f\ ,
LOTI'1 BLOCK L. ADDITION !Jee,y..hL ) tf~
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone) 4S2"1BS--7~g
(Phone) '15L--2-zk- ( ~~ y
-LOO
ORe-Siding
ORe-Roofing
OPorch
ODeck
TYPE OF WORK
DUtility Connection
DAlteration
o Addition
o Fireplace
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
o Misc.
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 awar that building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
ente n property t6 p ed inspections.
~"-ZB-02-
Date
o?OVO~7
Contractor's License No.
$
$
$
$
$
$
$
$
#
#
Park Support Fee
SAC
I" .
,
Water Meter Siz 5/8
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
#
#
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
(JO.o&>
I DO.. C>O
~~~O
I(O.~
TOTAL DUE $6 2-&8./1
I Paid &J-fS... 'if'" I Receipt No. LIJ-gtl j
Date ~?3-cr-'" By P
Gas Fireplace Permit Fee
omes Your Building Permit When Approved
1...,3-02---
Date
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 Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
~~.
,~f~/f--r-
Janmng Director
I'hl' Cl'ntl'f of lh.. Lakf Countr)"
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D f2-, 1-10 e.-W Ai
. ,
g - zq-02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1/2q3 f1AI2SH~(5~D LA~6
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
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."
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~~"w Ji~icant I PERMIT NO.OZ - (1E~
ZONING (office use)
/7=<93
e-
LEGAL DESCRIPTION (office use only)
LO }BLOCK ~ ADDITION
PID
(Address)
(Phone) q5~..- q ~5 -7c:l7.2..
o J-{
APPLICANT /\ , ,. f M ----
(Name) rvJ , C\t1 e<!... .~t/K!.
(Address) 3~S() J<enne bee... L:r.
L (Address)
r Z;
Sfe. #/
(Phone) Ip5/- 45:L -,;(775
.J.::afjan 55/,22
(City) (Zip Code)
(Phone) u;5/-45~- ~77~
(Contact Person)
DATE
~NEW CONSTRUCTION o REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL ~4n+ ~83KA-V~UD' 0 FUEL tJo..ftAm\
FLUE SIZE 'f'~clQ,S-D B RETURN OPENINGS ~ INPUT 10. Ceo OUTPUT 61D~ tJOO
TYPE OF SYSTEM HEATINGORPO~RPLANT
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
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
$39.50
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
()~/I ( 0~
(Office Use Only)
This Application Becomes Your Building Permit When Approved
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
PAID WITH
f BUllDING PERMIT
Paid
Building Official
Date
Date SEP 2 6 2002
/J
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
.' i: S;w ~i_1 PERMIT NO.Oc. ~(I 65" I
l~i-;;j;Q3-moyshfie/oJ LIl S ~ IWNING(~_) I
4'tR
LEGAL DESClUl'TION (QBia: use only)'
LOT If) BLOCK AODmON. J
PID
OWNER
(Name) DR lIar-tnT" CustQm IIgm98
(Address) ,20&00 kv1eR..\t:x::e C:r- ~_Jt()
(~)
(phone) _
La~\J i lie..
(City)
qo.2-Q85-i8c/)
:500--111
(Zip Code)
APPLICANT
~~~ Genz-Ryan Plumbing & Heating
(phone) 651-423-1144
(Addr~~ 14745 So Robert Trail
(Address)
(Contact Person) Mary Olson
R.oBe1l10U~nt:. MN 55068
(City) (Zip Code)
(phone)
651-423-1144
" .' 7~ICANT SIGNATURB
DATE
APPLICANT PLEASE CO:MPLETE 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 ~e.
Estimated Cost $
FEE SCHEDULE
$3550 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17.50 WatercoDnec:tiononly $17.50
Building Permit # 0 Z --- Ii e s-
Residential sewer and water line connection
SeWer connection only
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERlVfiT FEE
$
$
$
- PAID WITH
BUILDING PERMIT
(Omee Use aBly)
This Application Becomes Your Building Permit When Approved PaId
rc
.3117) BlIlldll1: Ot1i~f
Date
-26m
Datt
24 hon notice for an inspectiou (952) 447-9850, tax (9SZ) 447-4243
81/81 'd 8999'oN
8NI1V3H ONV 8Nl8~nld NV^~ ZN38
~VLV:ll ZOOZ '6 'des
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERlVITT
I. lIlu. l'1lc
2. Gold Ciw
3. 'iella.. AppliCllJl
I PERMIT NO.()Z ~ //85' I
I I ZONING'_=J I
1':OOr;;~{;3mW!;hj;e/d Lh S~
erfle/d ~
LEGAL DESCRIPTION (otl;k.: use Oldy)
LOT. /]BLOCK b?ADDmON
Pill
OWNER
(Name) DR Rorto.n Custom Homes
(Address)
2oS~D KenB .l.tx;e.. Cr Sre IDO
(phone) '952~q~5 -78lJD
N 5C64 r..J
APPUCANT
(Name)G9ag-lo/a~ PI"v-Doing 1\, ~"''''''1'P1g
(Addr~) 14745 So Robert Trail
(Address)
(Contact Person) Mary Olson ~
(phone) F.51_4?~~1144
Rosemount
MN
55068
(Zip Code)
APPLICANT SIGNATURE
651-423-1144
DATI: Cj-- 9';'0 'l:r
\ ;.
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Qwmtity Type of future
J Bath Tub with or without shower L/- Rough-ins
'I Dishwasher ~l Water Heater
I Floor Drain .' Waier Softner
a Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
Laundry Tray (1 or:2 compartInent sink Sewage Ejec;tor
/ .Shower Stall - Backflow Assembly
I Sinks Backflow Assembly Test:
Bar Sink Lawn Sprinkler
~ Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi~family 1% of job cost with 11 $39,50 minimum Residential. New One & Two-Family $99,,50
ResidcDtiaJ, Additions & Alterations $39,50
Estimated Cost $ Building Permit # 6l ,.ll ~ 5'
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$-
$ -PAID WITH
$
- BUILDING PERMIT
(Oftke Use Duly)
This Application Becomes Your Building Permit When Approved
. ;lQ:~}l
BuildIng omclal Dati:
Paid
Dale
2 6 2002
...
24 hour Dotice for all inspections (952) 447~98S0, fax (952) 441-4245
8l/Ll 'd 8999'ON
8NI1V3H ONV 8Nl8~nld NV^~ ZN38
~V9V:ll ZOOZ '6 'd8S
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS ,7/q~ ~ ~~ce ~
NATURE OF WORK JJ~
USE OF BUILDING SFA-
PERMIT NO. tJ2- -//g..s- DATE ISSUED Q-/3-OC
CONTRACTOR --U.(LJtp ,..k_ PHONE Cf72 - ~~ - (57'/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
l S'-ee~~r~
INSPECTOR
DATE
I FOOTING I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING .bo. . ~
HEATING (if required)
).,'/~
;l- tr
~~..
~ . ..:... ~........:
GAS LINE AIR TEST
1- ?-rn
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING..( ~ \J\-d i ! ~,I-
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.
- tr:
t-I ~ 14- C!:)
SIGNED
FOR ALL INSPECTIONS (952) 447-9850