HomeMy WebLinkAboutBuilding 02-1193
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CITY OF PRIOR LAKE BUILDING PERMIT,~ Rec"d
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT ~/ 09 -() J-
1. White File
2. Pink City
3. Yellow Applicant
I PERMIT NO. () Z -- 11'13
HAY~elD 4,12
LEGAL DESCRIPTION (office use only)
LOTI BLOCK ADDITION ~~(
PID cx5 .,
ZONING (office use)
/2
()- O/b.-D
I OWNER
(Name)
(Address)
(Phone)
(Phone) QS2 ~~S-'7Wf~
(Phone) 9 52-12(p-1'~"'?J t./
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 uilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter u e property to.p fo e d inspections.
ILl 9-
~:'ft;f<( I ~~ei~f~;r-I
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
ner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
w.'t it
(Address)
OPorch
ORe-Roofing
TYPE OF WORK
jiJ New Construction
OLower Level Finish
ODeck
o Fireplace
o Addition
OAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) $
,-21J/JD~\t
Contractor's License o.
x
Park Support Fee
SAC
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Water Meter
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
\ Paid
Date
ecomes Your Building Permit When Approved
q- 13-01-
Date
#
#
#
#
ORe-Siding
OUtility Connection
g'~-oz-
Date
$
$
$
$
$
$
$
$
$
()
26'0 .CO
qS. ot)
I 'lbo. cXJ
,dJ
-
J '''1
q(tbli/?~ fii, //
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
--
Thr Cenlt"r of the I.akt Count,.,.,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D I~ WOf-tL:V
(~-~0-()d-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is. proposed at:
I~:;}-C; ~ (fJu / A 11 uJ/W l.JU
I ~
Accepted X Accepted With Corrections
v
Denied ---H- /J /) A
Reviewed By: VJ ~ Date:
f-(Y-CJL
COlr~
/J(~ f)La
.
"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"nIN or Ihe Like Countl")'
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:
1
./
Accepted
~
Accepted With Corrections
~~".
j;.
Denied t 1
Reviewed By: ~M.. /)'>rf= ~_-'1~
Comments:
Date:
qll~(D2-
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
lh. ('tnlt< 01 lh. "ok. Counlry
"
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED,
[) 7-:: (//() I '-l () )~
g - ~C; -/,,"" ,
. ,C/' uo-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constn.iction activity which is, p'roposed at:
(/lLUA-A-[(iLCK) LN
Accepted
/1'/;;)-9 ~
,
X
Accepted With Corrections
Denied
\
,
Reviewed' By:
IYJ4[3
See /YJe" It>. F,'/C
Date:
9-/7-07
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 !he prpvisions of this code 5>r other
ordinances of the jurisdiction shall not be valid."
~&;?? /
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
I. Pink
2. Green
3. Yellow
~:;y. I PERMIT NO. 0 -' "7-"'<
Applicant Z ~
ZONING (office use)
~/
LEGAL DESCRIPTION (office use only)
LO'I
BLOCK I ADDITION
PID
~~e~RD.~. HorTon Cusicm
(Phone) q5~'" q ~5 -7:l7c2..
(Address)
APPLICANTA U . 1 M -----.
(Name) r Qt1T e<!... .:..L.m... .
(Address) 3t.r;SO Ke.nne be~ l:;r.
C- . (Address)
r z;
ste. #/
(Phone) (p 5/- .<./5~- cf?775
k~a8an 55/,22
(City) (ZiP Code)
(Phone) (P51-45~- ~77o
(Contact Person)
DATE
-
lS2fNEW CONSTRUCTION o REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL ~4n+ 38'3KA-Vb1J.lD'O . FUEL f\)Q:hAro.\
FLUE SIZE ':P'CI(1,S~ B RETURN OPENINGS '+ INPUT 10.000 OUTPUT 6LDLl>O 0
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
ICANT 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 & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
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
Dat~EP 262002
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
1. a.... FlI.
1. Gold City
~. 'I'c:/lo,", AppI_1
I ~~~;;:iq;} !n(1YS),-fel d LN ~r:
I PERMIT NO{)Z- II q3 J
I I ZONING ,-"", I
LEGAL DESCRIPTION (office use only)
LOT J. BLOCK I ADDITION
PID
OWNER
(Name) DR Horton Custom Homes
(phone)
962-q~5~78l>()
N 5roL( LJ
(Address)' 2.DS~() KenB ltx:e... CD Sre IDO
APPUCANT
(NaIIlC) r-"T"17-By..-n -p11.'1r''hip.8 & F.....t-oing
(phon~ ~~1-h73-11~~
Quutity Type of Fixtu:re Quantity Type of Fixture
J Bath Tub with or without shower 7 Rough-ins
I Dishwasher ~I Water Heater
J Floor Drain - Water Softner
~ Lavatory (Bathroom Sink) J Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
1 .Shower Stall - Baddlow AsseII1bly
I Sinks Ba.ckflow Assetnbly Test
l" Bar Sink Lawn Sprinkler
:J Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, CommeroiaJ & Multi-f~ily 1 % of job cost with a 539,50 minimum
Estimated Cost $
Residential, New One & Two-Family
Residential, Additions & Alterations
13uilding Permit # 0 '[-- I J q 3
$99,50
$39.50
". ~
. ~ --,,"'/
- --" '.~.:----~ }
\~,eo;..~ '
..;.;::----
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(omce 'OSCl Ollly)
Tbis Application BecodleS Your Boilding Permit WheD Approved Paid
. ~l0~j
bate
,
BuUdin; omcial
nab:
24 hour notice for alll.spections (952) 447~98~O. fax (952) 441-4245
gl/6 'd gqqg'oN
8NllV3H ONV 8Nl8~nld NV^~ ZN38
~VH:ll ZOOZ '6 'd8S
Date R,ec'd
CITY OF PRIOR LAKE
.
SEWER AND WATER PERMIT
.'
11fn~io;;;~q~-m~hi!~/d
~ 5'w ;~ I PERMIT NO.OZ -llq3 I
I ZONING ,,,,,," -) I
lEGAL DESCRIPTION (office use only)
LOT f...aLOCK I ADDInO
LIVX
51€
PID
OWNER
(Name) "DP
(Address)
lIQ-rr"",.., r"'l::!'rr'l'TTI ltrnT\a~
'20CCLoO K&1e~~ Cr s.~JJl)()
(Address)
(phone) _
, La.-'a.'IJ I lIe...
(City)
q52 -q85~ ,8M
!5~4
(Zip Code)
APPLICANT
~wm~ Genz-Ryan Plumb~ng & Rea~1ng
(phone)
651-423-1144
(Contact Person) Ma
,,)f-JCANr SIGNATURE
55068
(zip Code)
ATE
651-4.23-1144
Q-9-oer
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure _ feet.
Type of sewer pipe. 0 ABC D PVC 0 Cast Iron
Estitnated length of sewer line feet
Clean out (if required) located at - feet from structure.
Estimated Cost $
FEE SCHEDULE
$35.50 Industrial, Com'} & Multi-family 1% of job cost with a $39.50 minimum
$17 _50 Water connection only S17.50
BuildingPermit# 60 ~{ (q3
Residential sewer and water line connection
Sewer connoction only
./
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
S
$
.50 . . ~.~ //./"
~/
I
/'
/
(Olfiee VII! Daly)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
Ji~:f , ' Bl1ilcllllg omciaJ
Date
24 hour noti.::e for all inspediol:ls (95Z) 447~98S0, fax (952) 447-4245
8l/0l 'd 8999'ON
8NI1V3H ONV 8Nl8~nld NV^~ ZN38
~VH:ll ZOOZ '6 'd8S
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
; ~;e:n ~:~y I PERMIT NO. -"'"").... //O.--:::2..!
3. Yellow Applicant , (7-- __1- J,
(Please
ADDRESS
ZONING (office use)
17296 MARSHFIELD LANE SE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
D R HORTON
(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
1/6/03
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
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 D Hot Water Air Conditioner Units
D Mechanical D Radiation Cannot Encroach into
OAir Conditioning o Special Devices Required Side Yard
OVen!. System D Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO SL-750TRN-C
APPLICANT PLEASE COMPLETE BELOW
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39,50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial, Commercial & Multi-Family
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
$
$
$
.50
........-
~':1(1,~ Q +
" I:'l,"~~"_,,
'-.,
(Office llse Only)
r".......,.~,.,.;~. '.,....."......"..... ,~""""'"'~.__._~_.::.
24 hour notice for all inspections (952) 44:18 0, fax (952) 447-424" =
Receipt No.
Date
\ !' E4i<4!J
i I
i \! Datp.N ... 9 lOOJ
: "
By
This Application Becomes Your Building Permit When Approved
BuildiDl! Official
~ ~~-Rll
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS _\ 12 ~ ~ ~~ JL~ t:.. ^ ,
NATURE OF WORK ~~
USE OF BUILDING -J1F A
PERMIT NO. ~93 DATE ISSUED "1-1"3-0'-
CONTRACTOR ry ~ PHONE <02.. -XU.-I33 ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELO
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
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
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING n lMh ~"'{-~
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.
J- -2f,tfJ
r'1-~
SIGNED
FOR ALL INSPECTIONS (952) 447-9850