HomeMy WebLinkAboutBuilding 06-1089
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
"c"'ee"M!'~ ""[;':\1 '~~'1\)1 e'
"'-~ ,.L ... . . ., . it.
Date Rec' d
I L z.e. Ob
I White
Pink
Yellow
File
City
Applicant
PERMIT NO.
3u.> '3 3
--- of!.
~ G rFf5~;:>
P Kt-0 t.
ZONING (office use)
PUSD
LEGAL DESCRIPTION (office use only)
LOT <is BLOCK 3 ADDITION
..-
,.J E pre i?S
/1,1
PID , '3 -437- u'J
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
tvGI,}::?MI1AltJ
--rf,'Vf
I <6'1? PLA ZI4
/-{t)/I1PS
INC-
(Phone) G,'5/- .LIef(; 44LJC
(Phone) ~/J - 3&7 -7(p3 /
E"IIC>A,'v' JtI# ? -71';- 'J-
}JZ
5...)
~O{)
TYPE OF WORK [&New Construction Deck Porch ORe-Roofing ORe-Siding
DAddition DAlteration DUtility Connection
Lower Level Finish
Fireplace
CODE: 0I.R.C. DI.B.c. o Mise. ~------
Type of Constmction: I II III IV V A B PROJECT COST IV ALUE $ /<36. {)(Jl)
Occupancy Group: A B E F H I M R S U ,
Division: I 2 3 4 5 (excluding land)
I hereby certity lhatl have hlrOlshed Information ( this application which is to the best of my knowledge true and correct. I also certify that I am Ihe Dwncr or aUlhDlIzcd agcnl t,)r the
abDve-menuoned property and thaI a con. 'ucti will conform to all existing state and local laws and will proceed in accordance with submItted plans. I am aware that the building
official c~vob' th~ermit for JUS au ~~Ft crmore, I hereby agree that the CIty offIcial or a designee may cnter upon the propetty to perform needed inSpectIOns
14?~ 11- ;;~-['.,
x
Date
Contractor's License No.
Permit Valuation ()OO,OC Park Support Fee
Permit Fee () SAC
Plan Check Fee 1.I.zr Water Meter Size 5/8" 1";
State Surcharge Z. S"o Pressure Reducer
Penalty Sewer/Water Connection Fee
Plumbing Permit Fee aO. 00 Water Tower Fee
Mechanical Permit Fee 10 o. Do Builder's Deposit
Sewer & Water Permit Fee 0 Other
Gas Fireplace Permit Fee 0.011 TOTAL DUE
#
#
$
$/54 C,DO
$32..'5,00
$ OO,lJO
$ 5"", D 0
$ 00
$
$
#
#
~"'~ ~I--
8uildllH! Ofticial
/2k/o f4
, Dtlc
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.
This Application Becomes Your Building Permit When Approved
i<J
~
ThIS IS to cerllfy that the request In Ihe above applicatIOn and accompanYing documents is In accordance wilh the City Zoning Ordinance and may proceed as requcSled TIllS dDcllmcnl
when signed by the City Planner CDnstllutes a lemporary Certificate of Zoning compliance and allows construCllon to commence. Before occupancy, a Cerlltlcate of Occupancy mllst be
~ . ~ (z,/rJ,. ....~e.f~ 1\./.f!.;.=I">~.'~.:~ 11.. ~ik-.-..t.
~ (J, 0 WI .~~.. .' 'Ie-' , ' .,'.. . . ,.: ,I; ~
Planmng Director / 1 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
~te - Building'J
anary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WSNsnANrJ
t I. 2.,6. 0 (0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3&83 J6FFERS e&VJY
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
Comments:
!L_i;c ,,',.. .. .,.., .~':~,:; '1" ~ t."~
.'~~t~ ~;{.:l<,:,~} 1;.1 ~] -:1:,_-
"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 ,
~ry - ~R=9
Ink - Planmn
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,
i i
I I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I
,
;
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
Comments:
,i'J"
d'" I~.
~;:;:_"~ ~L ',', < 1J
. J\.(,,,
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
cC'anary - EnglneerTi'i'Q:)
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
VVSN5t'/M N/V
11.2-9.0(c
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3 &83 JEEFEfCS P~~\jY
Accepted ~ Accepted With Corrections
Denied
Reviewed By:
Comments:
It146
5~e ;r1c"" F,'IL
Date:
/2- /2 -o~
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. II
01/18/2007 TIIU 15:06 FAX 952 767 1900 GENZ-RYAN
f4J 003/00G
Date Hce'(\
CITY OF PlUOR LAKE PLUMBING PERIVIIT
i n::lr rile
:- G('id (iI'
,~ '(dh.:',\' :\I':..lh'illl:
i-i;ER!VII'I:-'0~
L-_~
ADDRESS
\ 3683 JEFFERS PKWY
I
_J
LEGAL DESCRIPTION (officeu~eon]y)
LOT
BLOCK
ADDITION
PlD
O\VNER
(N~llle) WEN?MANN HOME~_
__.._______.._ (Phone)
651-905-3709
(Address)
1895 PLAZA DRIVE STE 200 EAGAN, MN 55122
APPLICANT
(Name) GEN_~.::.RYAN----
(Phone) ~~3.:~67 -1000
(Address) 2200 VI[__t1\NY.~}___.-
(Address)
BURNSVILLE 55337
._....,_..._-----;-_.,,~..~...., _..,_.__.-.-.-.._...-_._-.~-.~-~-_.._._..
(City) (Zip Cock)
(Contact Person) KIM RENVILLE
___ (Phone)
952-767-1000
--;;;:CAN[SIGNATUR~ 0 M~_ DATE 2"8/07
APPLI~tLEASE COiVIPLETE BELOW
! Qual!_ti!L-l_- T'pe.,gfFjxtur~___- _~_~talltitYI TnlC of Fixtllre
~_ II Bath Tub \",ith qJ: \\ i1hoLlt shower 13.. I Roug.h-Ins
1 Dish\\asher 11 I Water Healer
1 --- I floor Drain ______ \1 L Waler Soltner .. j
13 , L3\,,.ato1'y, (Bathr<:.9l11 Sink) !1. \ Stand, Pipe (\V8shing MaChjn~e)_ ."d,
1_~'I1drY Tray (1 or 2 compartllle2~_t sink! ___ I Sew8ge Ejeclor -- --- -------
1 Shower Stall i _~fl()w l\ssclllblv .
1 ___~ Sil1l~~__... i Sacldlow Asscmbly Test .____..___..~___J
I Sa.r Sink I Lawll SprinKler I
2 \Yalcr Closet (Tol~~) I __ I Qlhcr _,__.--J
fEE SCl-lliD ULE
Indll~lri"l, Clll1llllErcial & !vlulli-J,"nily 1 % of job cost \,-jlh a $39.50 minimul11
Resieknti"I, N,~\\ One <'( T\\o-Family 599.50
Residential. Additions & Allerations $39_30
Estimated Cost S ____________ Building Permit Ii
PLUMBING PERM IT FEE S
STATE SURCHARGE S
rOTAL PERi\IlT FEE S
~-----
PAiD'v\nn'\
50 , -"',' 1l ~ r
E ~~.~'5 ;~,c,~' ..;...,~, ~_. ~9"-'iie ,~
(Orflce be Only)
This Application Becomes YOltr Building Permit \Vhen Approved
'-'-l
pai\IA1".J' I RcceiJlt No.
J " 1 9 2001
Dale By
nate
i
~
I
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~
llllildill~ CHlki"1
2-11101lr JlOlir<~ 1'01' all il\~reCli(II's (952) H7-l)SSO, fax (952) 4~7--I245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
01118/2007 TIIU 15:06 FAX 9527671900 GENZ--RYAN
[4] 004/00G
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'c!
.' Y':;;~h'
H"
CI'.
"l'ph!::.;;;
[p-i~IZ!\.J'i~i~\ o'--~fO~
l__.. ~-]J
1 Pi"k
:;, GIl:t::l
(please tyPC Or print and 5ign ill bottom)
[ADDRESS 368_=-_JEF:_:.~.~ PK~~_._._.__..
--J
-~----j
[--::-,--'.---.-....-.-------]
ZONING (dfice
u"e)
___________.1
LEGAL DESCRIPTION (office Ilse only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) .._ WENSMANN HOM~_S
(Phone)
651-905-3709
(Address)
1895 PLAZA DR STE200 EAGAN, IVIN 55122
(Address)
2200 W HVVY 13
BURNSVILLE
---1
553~;; P C"'<i_ J
APPLICANT
(N ante )___._.G E NZ.~F3:,(~~_
___.._____________ ______ (Phone) 952 - 7 67 -1 oog__.______..___
(Cil\'\
."
(Address)
(Con"" P,,,on) _","-~E~~filfr" -,--~----- (Phone) ,,52c7"7 -1000
APPLICANTSIGNATUR~~.--::-' ~_. DATE .1118/07
. APPL CAl PLEASE COMPLETE BELO"'-' .
[!]NEW -c6NsmucTI()~- 0 RI:.PLl\Ci~:Yl[~-..:-I::--[r;\-l-:iER:~.1 iC5NS-------~~1
FURNACE MAKE AND MODEL lENNO~_G..43UF-36C____Q~_ __ ____ __' FUEL .~=~J::.::.:..:.::::__._____ _
17LUE SIZE RETURN OPENINGS 5 lNPUT ~Q,_Q_QO__ __.__ OUTPIJT ~_~SJ..2.0
TYPE OF SYSTEM HEATING OR POWER PLANT I
I
[KjWarm Ai;' Plants
DGrnvily
fKl !'vlcchanical
~/\ir Conditioning
OOVCllt. System
o Stealll
o [-lot Wmer
o Radiation
o Spe.cial D~yice,; ..
o Other f)""ices __________..__m________
l'LEASE NOTE:
Air Conditioller Units
Canl10t r:ncrO,lc!1 into
Required Side Yard
Setbacks
=J
FIREPLACE MAKE AND MODEL
...-..-....._._.._----~._--~-
Residenti;:l, Healing & f\,'C (NcII" ConWllC'!ion)
Residential. He.aling Only (1\'CII" COnSlf\lc(iOI1)
FEi': SCHEDULE
1 % ofiob cost Residential, Gas Fm:placc
S39.50 lllinilIl\ll1l
$99.50
~'("'50
539.50
JnduSlrial. C:ullll11crci,d & Multi.ramily
Residential, AcldnilH15 &. Altcrations
R'Csiclcl1tj~1. AC Only
$3950
539.50
Estimated Cost 5_..___.____
HEATING PERMlT FEE
STATE SUl<..CHARGE
TOTAL PERMIT FEE
Buildill" Permit ii
S o____.__._______-pp.; D ',; Jl n.l
s ----.-- ,50 t:. \ ' ,"f,r-~l r
s I: "_J ~ -..> , -
(Office be Olll))
This Application Becomes VOllr Building Pennit \Vhen Approved
Pai(j]. o. 1 {l ion-I' I Receipt No.
JA~\J ;'J ~ '-'
Date : 13v
_L -
I
I
B"ildin~ Onicial
I)ate
2. hour 1I0(;C('. for all inspecliol1s (932) 447-9850, fax (<)52) 447-4243
PRIOR LAKE
INSPECTION RECORD
S' M.
DEPARTMENT OF . ee . .alD ~
BUILDtNG AND INSPECTION
SITEADDRESS 3"13 s~ fli\,e.cc~A.t'
NATURE OF WORK ~ CMrr.__("l}(.t... ~.,.b( ii;e.",~ ~/C., f::P.(z.)
USE OF BUILDING S F/1' ,
PERMIT NO. {p,'/O!'l DATE ISSUED /2.12-_o~
CONTRACTOR WCNf;??/Jv~ PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
! FOOTING I
I FOUNDATION (Prior to Backfill) f i
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING V<i#
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~~ . f((JII~~JI' I 1
,
FINALS
f
GRAD[NG (Prior to Sodding)
BUILDI~G
ELECTRICAL
PLUMBING
HEATING
DO NOT
]1,
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