HomeMy WebLinkAboutBuilding 02-1194
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
g/ )/1-0)-.
~. ~i:i~e ~:~y I PERMIT NO. 07 - / I 94-1
3 Yellow Applicant V.
ADDRESS ZONING (office use)
'ILC)~KAF("~l~~ LAYle ~E
LEGAL DESCRIPTION (office use only)
LOT 11 BLOCK
PIDd5-3 - 0/7-0
ADDITION
OWNER
(N ame)
(Phone)
(Address)
(Phone) C\C5 2.-Q ~<;... 7~l)B
(Phone) C'J r::>2:- 2- L.-&J -, ~
laD
TYPE OF WORK
;Ji{New Construction
OLower Level Finish
o Alteration
ODeck
o Porch
ORe-Roofing
o Fireplace
OAddition
o Misc.
III
PROJECT COST IV ALUE (excluding land) $
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 uilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter the property"t erfor ded inspections.
x
~"OO S~'S.-7
Contractor's License No.
Cfl &100.00
Permit Fee $ 'ietg. 7~
Plan Check Fee $ {p C( /. '3'1
State Surcharge $ .50
Penalty $
Plumbing Permit Fee $ 00 . t!>6
Mechanical Permit Fee $ ((X).oO
Sewer & Water Permit Fee $ '35". '5Z/
Gas Fireplace Permit Fee $ ~o.a
Park Support Fee
SAC
#
#
Water Meter Siz I ; I";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
8-ze-oz-
Date
$
$
$
$
$
$
$
$
TOTAL DUE $ t, /'1 . 14-
I ~~1 ~-~ t 1; I ~;ceiet ~~gLf~1
comes Your Building Permit When Approved
q-r~-l5L
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
:~:dSigne the Ci Planner constitutes a temporary Certificate of Zoning co~Pliance and allOWS~ro,.ru~~ " 'O~[Bl.ef~re ~:cu:~. " a Certificate of Occupancy must be
ql{kl{~ 7- K &C'\ [, LJ/,'-r~{ ~ltQ,1?A1{
~e . -- I Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (95i) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Tht (Otnltr of 1ht t.kt Coun1r)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,.
NAME OF APPLICANT O!? .. . ,X!O 1"1- () ~
APPLICATION RECEIVED ? - :;A 7 ~-DJ-;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1'7;) <q i? '-/1/!2-{~ ~& ~
Accepted
x
Accepted With Corrections
Denied
\
Reviewed By:
Comments:
/jIn-/5
S~f' !11c,//I F/I~.-
Date:
9-17-0 L
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
Tht' Ct'nlrr fir the I..kt COunlf)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
o l( j/orio/J
?- ~7--OJ-1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1/-7;;).q(!- Y1~~~ ~
Accepted
Accepted With Corrections
Denied _
Reviewed By: 0~ ~. - .
co~s: A
_ ~l~
Date: 1-(? -() 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."
White - Building
Canary - Engineering
Pink - Planning
Tht' ('f'nft"r of the Lakt Counlr)'
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:
.I
1
..
.
,
'.co'&.
Accepted
r/
Accepted With Corrections
Denied i
~~~~~
Date:
4Illcl~~
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."
t~,- ~
"'r
#&Z</
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~: ~~~w El~ica"l I PERMIT NO.Ol_ 1/ qtH
ADDRESS
/7c29Y #2~~~k// &~
ZONING (office use)
~
LEGAL DESCRIPTION (office use only)
LOT/ '"/BLOCK / ADDITION
PID
(Address)
(Phone) q5~ --- q ~S -7o?7"G
o .i-f
APPLICANTA U . t M ~
(Name) f Ctt1 eeL .j,~.
(Address) 3~50 Ke.nne be~ 1)"
L (Address)
r z;
5+e. #/
(Phone) Ip5/- 45:L-cf?775
k~a8Qn 55/.22
(City) (Zip Code)
(Phone) (P5/-45~- ~77~
(Contact Person)
DATE
0NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL ~C1n+ 383KA-V~..u>'1 0 FUEL J\Jo.tlAml
FLUE SIZE ':f-"clQ,s~ B RETURN OPENINGS ~ INPUT 10.oDO OUTPUT 6l.o..l'JOO
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
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 & A/C (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
Oz"( (q4-
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
PAID WITH
BUll..DING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Building Official
Date
D!EP 26 2002
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
, "
I ZONING '--l j
LEGAL D.ESCRIPTION (oma! use ouly) '~ _~ ()...
LOT I'1LOCK I ADDmON r..LJee yn .R.1t
PID
OWNER
(Name) DR Horton Custom Homes
(phone) ,952 p q ~ 5 -78lJD
N Ee64 U
(Address)' 2ob~() Kb1B lb6e... Ct- Sre IDO
APt'DCANT
(Name) r-~......_lly~n P1YlR'biJ)!!; &- R.uHT'lg
(Address) 14745 So Robert Tra.il
(Address)
(Phone) j:;" 1 -4 ? ~- 1 1'4b.
Rosemount
MN
55068
(Zip Code)
(Contact Person)
(City)
APPUCANT SIGNATURE
651-423-1144
DATE q._q--o?t
, ,':-'1)
\.\~.i.':""
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of F'i:rtau'e Quantity Type of Firlure
I Bath Tub with or without shower J Rough-ins
fl Dishwasher I Water Heater
I Floor Drain - Water Softner
::1 Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
Laundry Tray (l or 2 compartment sink Sewage: Ejector
I Shower Stall " Bacldlow Assembly
, Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
::J Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-family] % of job cost with a 539_50 minimum Residentilll, New One: & Two-Family $99.50
Residential. Additions & Alterations $39,.50
Estimated. Cost $ Building Permit # 07/ - J I q4-
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
s=PAID WITH
BUILDING PERMIT
cornu Use Quly)
This Application Becomes Your Boilding Pl;!rmit When Approved
" {~~,
, ,,"~\\~\f
.. i ~\:,~~i~lli
8ulldln: Official Da~
Paid
"
24 hour .once for all iDspec'tlons (95.2) 447~98~O, fax ('52) 447-4245
8l/ll 'd 8999'ON
8NI1V3H ONV 8Nl8~nld NV^~ ZN38
~VH:ll ZOOZ '6 'd8S
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
_ ~: E''' ~~-.l PERMIT N002 ~~ ( I q 4- I
1CZ;;,:;i~;;~qf'mOY$hA~/d LtV sC IZONJNG(~-) I
e'erh-llcl ~
LEGAL DESCRIPTION (office \lse only)
LOT I'1LOCK. I ADDmON
Pro
OWNER
(Name) TIll
lJo-rt"T'I r'l1rt_Tn llQiB8S
(Address)
20~ Kev1e~\ t:i::e.. C:r Srl'~J ~
(Addn:ss)
(phone) _
La'u,1J i lie...
(City)
o,62~q85-lgD0
5~4
(Zip Code)
APPUCANT
~~~ Genz-Ryan Plumb~ng & Hea~ing
(phOlle)
651-423-1144
(Address) 14745
550~8
(Zip Code)
(Contact Person)
U\LlCANT SIONATURE L,
'..,'":';
" ,'\
APPLICANT PLEASE COMPLETE BELOW
Size ofwat.er 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, Com'l & Multi-family 1% of job Cost with a $39.50 minimum
$17.50 Water c:onnectiOJl only $17.50
Building Permit # ~
Residential Sewer IIDd water line connection
Sewer connection oD.1y
SEWER AND W A1ERPERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$ ~
$
(omc:~ u. Only)
Thb Application Becomes Y OQf Bulldibg Permit Whc.o Approved
PAID WITH
BUILDING PERMIT
Paid
Jl~ Buildillg O1!Iclal
Date -
:Date
14 hour notice for all inspections (952) 441.9850, fax (9~) 447-4245
8l/Zl 'd 8999'ON
8NllV3H ONV 8Nl8~nld NV^~ ZN38
~Vgv:ll ZOOZ '0 'd8S
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I, Pink
2, Green
3 Yellow
File
City
Applicant
I PERMIT NO. CJ.-- ) I q 0J I
,
ZONING (office use)
17298 MARSHFIELD LANE SE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
DR HORTON
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone)
651-633-2561
(Address)
2700 NORTHFAIRVIEW 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 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:
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 HEA TN 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 & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
$
$
$
.50
Buildine Official
eceipt No.
(Office Use Only)
This Application Becomes Your Building Permit When Approved
y
Date
PRIOR LAKE
INSPECTION RECORD
l ~~~'k ~
DEPARTMENT OF
BUILDING AND INSPECTION
SITEADDRESS J12q8 ~.cY'M f~
NATURE OF WORK ()~
USE OF BUILDING ~ e.Pr
PERMIT NO. Jii2 - //44-- DATE ISSUED 9-/:l- 0<-
CONTRACTOR . {-to )-~ PHONE rt'S) ~ "d2L,- J ~~V
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING
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
'~pJ
/-/;/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING ~'I ~- (..d3
ELECTRICAL
PLUMBING
HEATING
DO NOT
3~~'
7-).-7
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