HomeMy WebLinkAboutBuilding 02-0337
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
-.,
.5'" 28 -02-
1, White File
2 Pink City
3. Yellow Applicant
PERMIT NO. 02-- C'337
ADDRESS
,.,
LEGAL DESCRIPTION (office use only)
LOT .;21BLOCK";:< ADDITION LJe~,,"s.\~(\
.2~ W
-0(,,(;-
-0
OWNER
(Name) W~'(V\O.,M
ZONING (office use)
ez-'
..:r V\L
I
(Phone) ~/) '-{~ 4'-130
t-b ~:.;.
(Address)
b,
N
c:?oo
BUILDER
(Name) ~.-'~
(Contact Name) YoJ R ~ (c.l';;)') ~q 7C-2C
(Address)
(Phone)
(Phone)
TYPE OF WORK
~ew Construction
OLower Level Finish
o Alteration
ODeck
OPorch
ORe-Roofing
o Fireplace
OAddition
o Misc.
PROJECT COST IV ALUE (excluding land) $
-SS
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 the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform needed inspections.
x
1\ ~~
Signature
#
#
I'-/S&
Contractor's License No.
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ 00 .00
Mechanical Permit Fee $ 00 . t:J-o
Sewer & Water Permit Fee $ 35 . SO
Gas Fireplace Permit Fee $ 4D .00
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
comes Your Building Permit When Approved
Paid Q 9'gq. Jf1
Date & ~ _ ...."Z--
C( ,. 2 -02-
Date
..3J~/o~
( Date
This is to certity 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 sig d by t e City Planner conslilutes a temporary Certificate of Zonmg compliance and allows constructIOn to commence Before occupancy, a Certificate of Occupancy must be
issued LfA/YL ~-~~C~~
( 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
$
$
$
$
$
$
$
$
$590'1.
Rece~o, 'iZ 129'
By 'v:f
Jul.25.2002 4:20PM
GENZ RVAN PLUMBING AND HEATING
No.2228 p. 7/17
Date Rec~d
CITY OF PRIOR LAKE PLUMBJNG PERMIT
1. Blu~ File
2, Gold City
3. YoU"", A~icanl
I PERMITNO;{-"337l
I I ZDNING'_=J I
~;rw:~_m)
,-; b.J,:rHll-
TrL PJ\ L-
LEGAL DESCRIP'IlON (c!fice use only)
l LOT2.1 BLOCK "2 ADDITION
PID
OWNER
~~e) Wensmann Homes
(phone) 651-905-3709
(Address) 1895 Pla~a Dr
Eagan. MN
55122
APPIlCANT
(Name) Genz-Ryan Plumbing & Heating
(phone:) 651-423-1144
(Address) 14745 So Robert Trl
(Address)
Rosemount, MN
(City)
55068
(Zip Code:)
(Contact Person)
Mar
(Phone)
APPLICANT SIGNATURE
DATE
"
I Quantity Type of Fixtu:re Qllsntity T)'lJc of Fixture
2 Bath Tub with or without shower .~ Rough-ins
I Dishwasher I Water Heater
\ Floor Drain - QII Warer So&er
4 Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (1 or 2 compartment sink Sewage Ejector
I I Shower Stall Backilow Assembly
I Sinks Baddlow Assembly Test
Bar Sink lawn Sprinkler
.~ Water Closet (Toilet) Other
PLEASE COMPLETE BELOW
FEE SCHEDULE
Industnal, Commercial &. Multi-family 1 % of job cost with a $39.50 minimwn
Residenttal, Nc:"!I One & Two-FlIlIlily $99.50
Residential, Additions &. Alte.tations $39.50
Estimated Cost $
Building Pennit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.-50
C,';
f~\ ~ ~
", '. 'J'r:.t.J
~- ~ ;~",,~~ ~~:~
~ri~'~ ~.lr,
(Oftiee: VIe: Only)
T.bis ApplicatiOD BeComes Your Building Permit When Approved
Paid
Receipt No.
. .
Date
By
Building OmdllI
Date
24 ,hour noti~e for all inspections (95l) l&47~9850, fax CJ~:Z) 447-4245
2002 4:20PM GENZ RVAN PLUMBING AND HEATING No,2228 p. 6/17
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONINGIFlREPLACE PERMIT
IOPnf
~ ~ S...,. ~ PERMIT NO.~_ 5371
I ZONING,_..., I
~~~;nmWd~~:
I .31.0\ _ . ~ I L
LEGAL DESCRIPTION (oJti.a= use only)
LOT 21 BLOCK 2. ADDITION
211'"\..0 PID
OWNER
OS~~ WPTI~m~nn HnmAq
(phone) fiI\1-QOI\-37nQ
Eagan. MN 55122
(AdDress) 1895 Plaza Dr Ste 200
APPUCANT
~~~ Genz-Ryan Plumbing & Heati~
(Address) 14745 So Robert. Trl
(Address)
(Contact Person)
(phone) h <j 1 4-?~ 1144
Rosemount: , MN 55068
(Clly) (Zip Cctk)
(Phone)
DATE -,
APPLICANT SIGNATURE
APPLI LEASE COMPLETE BELOW
I ~NEW CONSTRUCTION 0 REPLACEMENT ,..0 ALTERATIONS
I FURNACE MAKE.AND MODEL .1 ~ J/l j(')~ ~ <:;4 D l Jt1 - ~lo~ - go FUEL ~ M)
FLUE SIZE REroRN OPE'NINGS 'I INPut 8&, t5TIO OUTPUT I '1 i 6crO
TYPE OF SYSTEM HEATING OR POWER PLANT
OOWann AIr Plants 0 Steam
o Grav ity 0 Hot Wate:r
o Malhamcal 0 RAdiation
I1iIAir Conditioning 0 Special DcvICQ:l
DVc:nt. System 0 Other Devices
PLEA.SE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE :MAKE AND MODEL
Industrial, Commercial & Multi-FlIII1ily
FEE SCHEDULE
1 % of job cost R.esidential. GII.'l Fin:plll,t:e
$39.50 nrlnitnunt
$99.50 Resideruial, Additions &: AltCl1ltions
$64.30 Residential, AC Only
$39.50
~sidcntial, H~ating &: NC (New Construction)
Rc:sidential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
:Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
["t_J
(f'n;,,~ USllgnly)
,
, . ~,;.,s Application Becomes Your BUilding Permit When Approved
paid
:Receipt No.
Buildillg Official
Date
\
8y
Date
24 hour notice for all inspections (952) 447~98SO, fn (952) 447-42.45
Apr. 2. 2002 1:57PM
GENZ RVAN PLUMBING AND HEATING
No.9050 p. 7/20
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
APR 2 LUUi
-
. ,
i~~~ IP~NO'/I)""O;2.~.fJ."
J, GQJd Af>pl..,.....'.' . '.' v/' ./ J. ,
~l=~ '. :""'... ".~"rb_m)
ADDR;ESS .
.'l \~
ZONING (office use)
f6xrBl L -' 71f-,/l1 V
LEGAL DESCRIPTION (office use only)
L01'~1BLOCK ~ ADDmON:
OWNER
(Name) Wensmann Homes
~hon~ 651-905-3709
(Address) 1895 Plaza Dr Ste 200
(Aclt;lress)
Eagan, MN 55122
(City) (Zip Code)
APPLICANT
(Name) Genz-Ryan Plumb:l?-lO; & Heating
(phone) 651-423-1144
Contact Person) Mar
Rosemount:. >ON
(City)
(Phone)
DATE
55068
(zip Co&:)
:Address) 14745 So R9bert Trl
(AdOrf'.3s)
'UCANT SIGNATtJRE
. \ \
APPL~LEASECOMPLETEBELOW
Size of wat~ 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) 1.<,?cated at feet from strUcture.
,... AII.--
esidential sewer and water J:ine connection
~wer connection only
FEE SCHEDULE
~3550 Industrial, Com'! & Multi-family 1% of job cost wltb a $39.50 mlnUnUlD
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER Ai.'ID W A lER PERMIT FEE. $
STATE SURCHARGE $
TOTAL PERMIT FEE $
50
,....--
I""'~!"'" -...
/......1
fljeo:Use Only)
fhis Application Be~Qm.es Y o':lr Bilildillg permitWheu ApPJ;DVed'
Paid.
Receipt No
llvilding Offici,1I
natl:
Date
fiPR
By
~)P
24 hour noticfI fo,;- an llUlpeetioDS (952) 441-9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
Tht" Crnlrr or tht' Llh ('ounlr,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W 6NS MI9 /J rJ
3- 2-&- {J 2-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3fo/2- Pox -m / L-77t. L-
Accepted ><-
Accepted With Corrections
Denied
~f0
Date:
{-2-oL
Reviewed By:
Comments:
5 ~ ~ rt1 Cc.<'l-L .J;: (-€-
"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
nr ('r.lr, .f lhr t.kr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
w e;rJs IVI/7 N {Ii
:s - 2&~ ()2-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3(0/2- Fo',( -m It.- Tk L---
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
Mt13
~ ~ <- mOt;....
Date:
3 ~9 -<9 l-
Comments:
h'{<..
"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."
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS SL,l7 _ f"'t"l"X. \a:(' \ \ta~ \
,
NATURE OF WORK (\~W
USE OF BUILDING SF A-
PERMIT NO. 02--' 0337 DATE ISSUED 4- '2 - 0'7-
CONTRACTOR _l1 )~a,~ ~c:; PHONE (0(2- 3b /-'/(,2.0
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
[FOOTING \:)od. ~ 'ti-l db"1. I I
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABj)VE HAS BEEN SIGNED
l r . I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
lib
!b2-8
- ~
fJ-lJ! L~
r 1/ ~ -"
-PIt
G (~
DO NOT 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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850