HomeMy WebLinkAboutBuilding 02-1191
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS 0
'1212 (v\A(~ht1~dJ~I1.t~.
LEGAL DESCRIPTION (office use only)
Lon4 BLOCK J
ADDITION
f--d4--0 d-
I PERMIT NO. 02".;//1/ I
I. White File
2 Pink City
3. Yellow Applicant
PID
ZONING (office use)
~
- 3g0'Vilf-Q
I OWNER
(N ame)
(Address)
(Phone)
TYPE OF WORK
New Construction
ODeck
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
o Misc.
(Phone) <1 5L..A p~ - 790t.'
(Phone) t.}52.~ ?:4:>-' ?~
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- enti property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aw~e at th i ing official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upo e roperty to perfo e d spections.
x
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
comes Your Building Permit When Approved
q,.(?- ()2-
Date
OAddition
o Alteration
<K"- '2 Y-(>1--
Date
$
$
$
$
$
$
$
$
$
TOTAL DUE
~
t) /1&1 c z-
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 doC'
when signe the City PI r constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of OccupancY
issu .
~()t1 0 .~~s'7
Contractor's License No.
Park Support Fee
SAC
#
#
Water Meter Size I ; 1";
Pressure Reducer
City SAC and WAC
Water Tower Fee
#
#
~L j/iTIJ~~~~i~anyC~1(QL~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Builder's Deposit
Other
I ~~~'1~?J;~'t
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
LEGAL DESCRIPTION (office use only)
LOT I BLOCK ADDmON
p;tD
OWNER.
(Nam.e) Pi liort:ou eu s-rom HgJIUilji
(Address)
20&00 ~e~\ Dee C:r Si-e-i (J()
(Address)
(phone) _
Lah..\Jille....
(City)
o/~-q85-(8DO
-t5~4
(Zip Code)
APPLICANT
~~~ Genz~Ryan Plumbins & Heatin~
(phone)
651-423-1144
(Address) 14745 So Robert Tra.il
(Ad
55068
(Zip Code)
DATE
651-423-1144
(1:--9-0 ~
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.
Estimated Cost $
FEE SCHEDULE
$35.50 Industrial, C01I1'l & Multi-flUP.ily 1% of job Cost with a $39.50 minimum
$17.50 Waterconncctiononly $11.50
Building Permit # ~
Residential sewer Wld water line connection
Sewer connection only
SEWER AND W A1ER PERMiT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
..... ,
""....."',~\.n, .,
'if'" V""<'-. "
t," n";.'
~'~:i ~~
J
(Ofllce Use Ooly)
nis Application Becomes Your Building PerJDit Whell Approved Paid
'j~!fjl} Bulldln: Odici.1
Date
By
nllk
24 hour notice for all inspection, (952) "7M9850; fu (9S2) 447-4240
8l/9 'd 8999'DN
8NI1V3H ONV 8Nl8~nld NV^8 ZN38
~VEV:ll 2002 '6 'd8S
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I Bluo File
2, Gold City
3. Yen"... AJlOI~
1~7:;;:q~~-ma6h-Peld Uv sf:
I PERMIT NO'(jl-11 q I
I I ZONlNG(~~~.) I
LEGAL DESCRIPTION (o1lice use only)
LOTI +BLOCK ADDI110N 0 ee y:
PID
OWNER
(Name) DR. Horton Custom Homes (phone)
(Address)' 2oS~D KenB l~ Ct- Sre. IDO
.962-qr;5-78DD
EC6LJ L/
APPLICANT
(Naxne) C;<>n'.7_'Rya.,., 'Plo....,h1:Q8 &. l-i~~t;.,.,g
(phone) (,51 LL?~-11LL4
Quantity Type of Fhture Quantity Type of Fixture
J Bath Tub with or without shower J Rough-ins
, Dishwasher , Watts: Heater
I Floor Drain - Water Softner
hl Lavatory (Bathroom Sink) I Stand Pipe (Washmg Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
I Shower Stall . Backflow Assembly
I . Sinks Backtlow Assembly Test
Bar Sink Lawn Sprinkler
d Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commetcial & Multi-family 1% of job cost with a $3950 minimum Residential. New One &, Two~Family $99..50
Residential, Additions & Alterations $39..50
Estimated. Cost $ Building Pex:mt # ~
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
. ,.. . _, -.,.'"J
.' '. -' . ,
r';. - _ ~::._/"" .~
\P''$' ~
....
(Offia: Use Only)
This Application Becomes Your Building Permit When Approved
; . ~{i'l
Buildillg Official nilE\!
L 0
Paid
Date
24 hour notice for .11 i.spedions (952) 447-9850, fax (952) 441-4245
9l/9 'd 9999'oN
8NI1V3H ONV 8Nl8~nld NV^~ ZN38
~Vst:ll ZOOZ '6 'd8S
('O"".--,.,,-~"""'r"
~
"
White - Building
Canary - Engineering
Pink - Planning
C.nl., "I Ih. I..k. ('uunl')
BUILDING PERMIT APPLlCATIC3N DEPARTMENT CHECKLIST
f,
NAME OF APPLICANT f) /2 )./0 r f o,/lJ
APPLICATION RECEIVED 9>" ~- ;;;..
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .
rtJ.. q;;( L!Jlt2A(J hl/-,--fcQ L-/J
Accepted
:>(
Accepted With Corrections
Denied
Reviewed By:
/I?1t3
Date:
9-/7-0<...
Comments: See Reverse Side for Additional Information!
/l7c,il1 . r,./ L
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
-
lht' (-fnlrr flf tht' Llkt ('ounll")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/J!:? )/orlo/U
~/ ~-~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: _
/rrJ.. q;) YlZ.a&l h0dcf2 L-/J
AccePte~ Accepted With Corrections
Denied ~ /J I
Reviewed By: ( . '(/? ~ Date:
Comments:
9-(f-~'Z-
~ aiQ ~~. ~~
"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."
The ("enter of .he Lakt Counll)'
White - Building
Canary - Engineering
Pink - Planning
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
~HA i4--r-~-77~
Date:
q I {h to ~J-
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."
#~7~/
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGlFlREPLACE PERMIT
Date Rec'd
~. ~~~w ~J~icanl I PERMIT NO'oZ_llq I
ADDRESS ZONING (office use)
LEGAL DESCRIPTION (office use only)
ADDITION
PID
(Address)
(Phone) C(5fJ - q ~5 -7:l7,z
o L.{
APPLICANTA U . t M ---
(Name) f Qr1 e<!... .j,.~.
(Address) 3<t;SO f<enne be~ ~.
C-- (Address)
f Z;
ste. #j
(Phone) 1,5/- 45~-rf(775'
i--:afjQl1 55/.22
(City) (Zip Code)
(Phone) u;5/-45~" ~77o
(Contact Person)
DATE
0NEW CONSTRUCTION o REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL ~4n+ 3~A-vb2J.ll)' 0 . FUEL J\Jo.flAml
FLUE SIZE 'tl'cla.sco B RETURN OPENINGS '+ INPUT 10.000 OUTPUT 6tD.. /)00
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
o ~echanical . o Radiation Cannot Encroach intO
~ Conditioning o Special Devices Required Side Yard
Tent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & ~ulti-Family
FEE SCHEDULE
t % of job cost Residential, Gas Fireplace
$39,50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Penn it #
6Z-{fQI
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
Da1SEP
Building Official
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
i 2::n ~~:y I PERMIT NO. J - /Iq./I
3. Yellow Applicant . /-...
ZONING (office use)
17292 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 AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
1/6/03
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:
o Gravity 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 HEATN GLO SL-750TRN-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 & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
,.".......--
.50
Building Official
Date
Receipt No.
(Office Use Only)
This Application Becomes Your Building Permit When Approved
By
24 hour notice for all inspections (952) 44
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS -17'2./12 ~(t.ill 1-- \
NATURE OF WORK }.J~
USE OF BUILDING 5F(J,
PERMIT NO. 02-/1t:f4- DATE ISSUED 1-tJ.OL
CONTRACTOR -tJI. ~ PHONE q9.2-~(., - (52-If
NOTE: THIS IS N T A PERMiTFOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
l M~l\A t~ l.e
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
I FOOTING vwJ lOr]. -~
I FOUNDATION (Prior to Backfill) I td\ 7 I I 0 ~ J-R (j1-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ,L-- ~ /1:. n
HEATING (if required)1v"tl\)',i< 1[-1)
FIREPLACE
GAS LINE AIR TEST tt14(N: ,f
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~~)-
- -0)
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