HomeMy WebLinkAboutBuilding 02-1186
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
LEGAL DESCRIPTION (office use only)
LOT' <6 BLOCK 2- ADDITION fJe~i.e~ 5~
8-"?Q...o Z-
~. ~i~i~e ~::y I PERMIT NO. 0'1 r Ii ~ I - I
l Yellow Applicant V ._ V ~ .
PID
"-0
ADDRESS ZONING (office use)
1'7 'L 96 Jv1ttr.5h~ddLI'\..f ~e. ~2-
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name)
~. \DO
TYPE OF WORK
~New Construction
ODeck
DLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $ II
o Misc.
(Phone) C)lQL-4SS''''7905
(Phone) Q&1-rLZ-~- 133--1
DPorch
ORe-Roofing
ORe-Siding
DUtility 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-me . oned 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 e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter u e property it> ded inspections.
x
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
1-('lo2,--
Date
OAddition
o Alteration
fs--Z8-() 2-
Date
$
$
$
$
$ J
$
$
$
$& 3&
~ .a:>
.OS
2~o.a5
4s-,
Qo~. ()(:)
ll>OrOt?
03
o?400~S7
Contractor's License No.
Park Support Fee
SAC
#
#
~~~ ~~ ~'_~ I ~;ceiqtic;~l/3
Water Meter Si 51
; 1";
Pressure Reducer
City SAC and WAC
Water Tower Fee
#
#
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
issu~e. do. fl A
{\.+1\ ~C-7 4~.-<- tJ It ~..lp7- ~ f~~t.-LJl~~ ~~Jl'\.Wn'\. <:
. ~ 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
Builder's Deposit
Other
TOTAL DUE
"',
..._~-
()
Tht ("to In or Iht Lokt ("nuolry
White - Building
Canary - Engineering
Pink - Planning
.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J~.LE . t=\-m2J=D-~ )
B - 29 -u/ -
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7zCj5 MAI2~tLaEL,D i-A~)C:
Accepted >< Accepted With Corrections
Denied
Reviewed By:
fJ/J'f13
5( ~ /114( il f, If -<_
<trI.Irt
bate:
9/17/(9 "L
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."
, ~-------
Thr ('fnlrr of the t.kt Counlr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
I
J
r
,
L..
f I ~
j f~'"
APPLICATION RECEIVED
'>. -
E
,
I
I
)
L...--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
f"'''1 ,~\ f- -.
; I i \ -. I fIt' L 1_ /
I j" i :
. ,,/ .I
I~ .d.....
'\ \ \
~-~j I" - J
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~AA.~?'_____~
Comments:
Date:
o /1101fYl-
"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
The ("("nlt'r or (hI" t.kr Counlr)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
D.~. ~f\J
8 - 29-02-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
17zCJS- MAgsHp(5U) l-Atv5
Accepted
Accepted With Corrections
Denied
ilttJ
~~ :Ih
Date:
'1- / ?-02--
Reviewed By:
Comments:
JU.
a..c-.
P&
"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."
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~e~n ~:~y. I PERMIT NOoA? ""UlU-
3. Yellow Apphcant . UI -' . _ () VJ
ZONING (office use)
----- .
LEGAL DESCRIPTION (office use only)
LOY' hLOCK c::;? ADDITION
PID
~=~RDo~. HorTon Cusbm
(Phone) C(5a - (r~5 -7017.2.,
(Address)
APPLICANT 1\ , ,. t M ~
(Name) rtlJ , Qr1 e<!... ,j,.v1f!... .
(Address) 3~50 f<..e.nne bee.. ~.
C-- (Address)
f Z;
ste. #/
(Phone) Ip5/- 45~- c:fl775'
.I~Q8Qn 55/.22
(City) (Zip Code)
(Phone) {P5/-1../5~- tl770
(Contact Person)
DATE
0NEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL ~4n.+ 383KA-vb2J!D'o FUEL l\JC4tlAm ,
FLUE SIZE 1f"c1o.scz."'B RETURN OPENINGS 4 INPUT "101000 OUTPUT 6i.D~~oo
TYPE OF SYSTEM HEATINGORPO~RPLANT
DWarm Air Plants o Steam PLEASE NOTE:
o Gravity 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 # L) ~ ..; lt~(P
$39.50
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
PAID WITH
. BUliDING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
f.
Building Official
Date
Da8EP
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Date Ree'd
CITY OF PRIOR LAKE PLUMBING PERMIT
1. lIh>o :VII. I PERMIT NO. 0 i _ I
~ ~~w ~~t ()Z - II u I.P
I ~7J);q-5fnflfShfJe/ dinS' E ] I ZONING'-=l I
LEGAL DESCRIPTION (office: use only)
LOT J ~LOCK ADOrnON
pm
OWNER
(Name) DR Horton Custom Homes
(phone)
q52~q~6 -78lJD
N .66b~ LJ
(Address)' '2o~~D )(ev,B t~ Ct- Sre IDQ
APPUCANT
~~e)c~~?_~y~~ Plumbi~8 & Ra~r;~g
(Addr~s) 14745 So Rober~ Trail
(phone) F.51-117"':l-11"44
Rosemount MN
55068
(Zip Code)
" \
. '," .:.. .::~,
''.\..:,.:,-;':-
"""",,
DATE
(Contact Person) Mary Olson
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Firtn:re Quantity Type offuture
J Bath Tub with or without shower ~ Rough-ins
J Dishwasher Water Heater
Floor Drain - I Water Softner
,.;< Lavatory (Bathroom Sink) , Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
I .Shower Stall - Backflow Assembly
I Sinks Backflow Assembly Test
Bar Sink La'WIl Sprinkler
d Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial 8L Multi-family 1 % of job cost with a S39,50 minimum Residential, New One & Two-Family $99,50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit # 0 Z ~ II B &
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$ - PAID WITH
$
~ BUILDING PERMIT
r
Paid
(Omee Use Only)
This Application Becomes Your Building Pennit When Approved
,<;..\"~
i , 481?~;\~
:Btdldlng omelal
Date
24 hour notice for all inspections (952) 441~98S0, fax (952) 441-4245
8l/9l 'd 8999'ON
8NI1V3H ONV 8Nl8~nld NV^~ ZN38
~V9v:ll ZOOZ '6 'd8S
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
_ ~ E'w ~;l_ LPERMITNO'OZ_JlBCp I
(please ty]le or print and sign"at botrom) . .
I AIJDRE? /}~q5 m()J(Shhelrl. j h SE 1 I ZONlNG(_~) I
LEGAL DESCRIPTION (office use only) f""'\ _ _. _ t:'
LOT I BLOCK:2 ADDmON ~/d
If?
Pro
OWNER
(Name) Tl'R 'RorCQ1il Cn~'t911l 'R9V'''''
(Phone) _
o/~-q85-1800
.5C044
(Zip Code)
(Adcb:ess) 2o?::i.oO ~p~!:6e Cr Sre~jDO
(Address)
La.u\JllIe...
(City)
APPLICANT
~~~ Genz-Ryan Plumb~ng & Heating
(phone)
651-423-1144
Rcsemou.nt MN
(City)
55068
(Zip Code)
. 651-423-1144
DATE q-Q-CJ .-:;r
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from .structure feet.
Type of sewer pipe. D 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 and water line connec;tion $35.50 Industrial. Com'l & Multi-fmn.ily 1 % of job Cost with a $39..50 minimum
Sewer ,"onnection only $17.50 Water connection only $17.50
Building Permit #
6Z---11S&
Estimated Cost $
SEWER AND W AlER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
S
S
(Office Use Only)
This Application Becomes Your Building Permit When Approved
PAID WITH
BUILDING PERMIT
:Paid
.Ji~m~' :BuildlDg Oftici.1
Daft:
Date S EP
/;
24 hour notice for all inspections (951) "7~9850, f:IX (952) 447-4245
81/9l 'd 8999'ON
8NI1V3H ONV 8Nl8~nld NV^~ ZN38
~V9t:11 2002 '6 'd8S
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~~~w Jl~icant I PERMIT NO'02-/ / g(p I
ZONING (office use)
17295 MARSHFIELD LANE S.E.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
D RHORTON
(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
1/23/03
APPLICANT PLEASE COMPLETE BELOW
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
DWarm Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEA TN GLO SL-750TR-C
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 Onl
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAID WITH
.5oBUILDING
RMIT
f',
(Office llse Only)
This Application Becomes Your Building Permit When Approved
Receipt No.
Buildine Official
By
Date
24 hour notice for all inspections (952) 44 ~
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
L~~ tlt t{ll\1I. ~.\>--
SITE ADDRESS J 77q7: ~lt.--t!1~
NATURE OF WORK fJ~
USE OF BUILDING ~t=O
PERMIT NO. ~ DATE ISSUED 9-/'$ -OL
CONTRACTOR . PHONE q,s-'2 - :n~~ rnf
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
r ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING I ) {,. , ).,\-0]
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
INSPECTOR
DATE
GRADING (Prior to Sodding)
BUILDING ~ (Jv1~; (
ELECTRICAL
PLUMBING
HEATING
DO NOT
:c/I-~
'}- ~ ~
I.....l-Itl~(})
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