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HomeMy WebLinkAboutBuilding Permit 99-0004 DATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 6 :398 DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. SITE ADDRESS 1. DATE /1-;;"-f.9 c; f'(/~ -33?7 S;;'r/^rt; 3. LEGAL DESCRIPTION 17 .:l.v G'J.. Y A/ C/~/V LOT BLOCK ~.2.. _ \~k PID ~.5- 3.5"1- OJ-o - 0 W"rf'~)'fl ~ a dtll 7; fijV (Address) (Tel. No.) ADDITION 4. OWNER (Name) 5. ARCHITECT (Name) (Address) (Tel. No.) 6. BUILDER (Name) \.UWic\\~ ~ (Address) lB'1S'" ?I"z,," ~ ~\40. h ~~ ~N.,...) ~ Septic 0 Deck 0 Addition 0 Finish Attic 0 (Tel. No.) 40~ -<.{4.00 7. TYPE OF WORK New Construction 0 Fireplace 0 Alterations 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. 9. PROPERTY DIMENSIONS 1 O. CULVERT SIZE Width Depth Yes No Permit No. 1. White File 2. Pink City 3. Yq09 _ ;to9 CJfJt{W~ BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE ~/~ 17. COMPLETION DATE I hereby certify that I have fumished infonnation 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 confonn 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 pennit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perfonn needed inspections. X Signature License No. FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN USE OF BUILDING SFI4- '12, ca:>. Od PERMIT VALUATION TYPE OF CONSTRUCTION: I II III IV M Occupancy Group A B E F HIM (R) Division 1 2 @4 Pennit Fee ................................... $ Plan Check Fee ............................. :1'. Date MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS SURVEY PLOT PLAN o o COPIES Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ '!t:HlJf ...................................: ~~e Reducer :r~:.'................... $ q~ .00 Meter Horn ................................... $ _ _ .~ 9~' ,~~. Water Meter ..Nf)........................... $ --4:--e.r. . cd Sewer & Water Connection Fee ........... $~fP\ 0 ~ 1""1.6.... Water Tower Fee ........................... $ l r>O .C) () Water Tap ................................... $ Builder's Deposit ............................ $ ..fIJ Other ...........................i.~.;;;....~ 'l' .c:::: C. Total Due ...~.......1.7. ,:; " 1.. L -. =;; Paid 5"~3l.-~~e~iPtNo. 34~f>e.'/ Date 1 f'l.Ii {if t; By Jf...1} If . Tel ce' that the r uest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when s' ed I Y t Clan r c;9~~es ~ temporary Certificate~o . mpliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. , , . V (,CA/L " . City Planner Oat Special Conditions ~ any v 24 hour notice for all inspections 447-9850 S U City: Sewer & Water Pennit .. R"37. ;t5 5q~.~ LLCc,. DO q. /~ I uO-"'-tbJ1- t(~, I J'~ -f~~1~ 35.. .<:D '!ft:llJ4!- State Surcharge ............................. $ Gas Fireplace Pennit ....................... :I' Thi~~~n Become~~ Building Pennit When Approved. By ~. ~ Date .1..l.::..L~ -'it; Certificate of Occupancy Issued ~f:,t). 0..0 -f--({ JC . ~O /05"0. t90 ~PRI~ ~ CITY OF PRIOR LAKE PLUMBING PERMIT 1. Blue File 2. Gold City 3. Yellow Applicant 9'1-4 # 423-1144 Applicant: GENZ-RYAN phone: Address: 1;q~5f!O obEjrt Trl, Rosemount MN 55068 Signature: f:!J/J; /1{!/JjtJtdLA/ . Legal Descrlpti~: ot ~O Block ~. .suqldl!lllll(bltr~ IAksr Site Address: . ~ ggy .'5Bf/!;!j ;h/"pf) ('J r N tU .. . Building Permit # qej -f/' PID # d'S -351 - t):xJ -0 NOTE: This permit will not be processed without complete information. The Center of the Lake COUnff')' Quantity I I / ~ I I I d Type of Fixture Bath Tub with or without shower Dishwasher Floor Drain Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall Sinks Bar Sink Water Closet (toilet) FEE SCHEDULE Industrial, Commercial & Multi-Family (1 % of job cost, $39.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations State Surcharge FIXTURE UNITS Quantity ~ / I Type of Fixture Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other $ $ $ $ .50 $ ~p' [BUlL' . , .., "AIT This permit is granted upon the express condition that said contractor. shall comply in all respects with the ordinances of the State Plumbing Code and the amendments thereof. RECEI~NO. _?-I747 DATE q-1CuJ ATTEST 1- Call for all inspections 24 hours in advance. 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) +47-4230/ FAX (612) +47-4245 An Equal Opportunity Employer ~~rPI{iO~< CITY OF PRIOR LAKE fj ~ '~ 16200 Eagle Creek Av. S.E. Permit No. qq - L( . Prior Lake, MN 55372 ~. __ HEATING APPLICATION I PERMIT Date __ii/II/qq PID # ~-3~-1- (j)O-D Site Add:ess 'gaB 7 . ~iJrlna IJ/OI /1/1' IVtv Lot ;;0 . Block ;;{ . ~d~ition ~~)nwaj./ IA~~r OWner's Name!AJ;7J7.5IJ1(;nn Jmrne-s Address l!3t/!) fJII1ZLL Or., ~/ :J/JO. /bOtif) ,/5?51;J-;) , , J Heating Contractor GENZ-RYAN Address 14745 So Robert 'I'd, Rosemow1t NN 55068 Telephone # 423-1144 Furnace Make & Model Unm.x ModelSize 61g&)3~76 TYPE OF SYSTEM Warm Air Plants Gravity Mechanical Air Conditioning Vent. System HEATING OR POWER PLANT Steam Hot Water Radiation Special Devices Conn. Load Fuel IV a;:r Flue Size J./-II Supply Openings /1. 4 Output b~ 000 Return Openings Input 7oIJtJO , Edr. . Other Devices Cfrn. TYPE OF WORK )( Alterations Replacement New Construction Repair Est. Comp. Date Building Permit # erCf -'-I Est. Cost $ HEATING PERMIT FEE $-. /"" STATE SYRCHARGE $-~/ .50 TOTAL PERMIT FEES $/'\.. Receipt # ('/ PAID WITH . BUILDING PERMIT TYPE OF STRUCTURE I. Pink 2. Green 3. Yellow File City Contracfor Single Family x Multi-Family Other Two-Family Industrial Public Commercial Fee Schedule Industrial, Commercial & Multi-Family Residential, Heating & AC Residential, Heating Only Residential, Gas Fireplace Residential, Additions & Alterations Residential, AC Only 1% of job cost ($39.50 minimum) $99.50 $64.50 $39.50 $39.50 $39.50 Remember to add the State Surcharge on the bottom of this application. The price of your heating permit includes one rough-in and one final inspection. Additional inspections will be billed at $35.00 each. House Heating Test Record must be submitted with buildina oermit number before build- ing certificate of occupancy will be issued. !::!.EAI CALCUI,ATIONS REQUIRED with number of supply and return openings listed per room with CFM's per opening. New structures or additions send floor plan with supply and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE CREEK AVE. S.E. PRIOR LAKE, MN 55372. City Hall business hours are 8 a.m. - 4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL 447-4230 I hereby apply for a mechanical systems permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the city and with the state building/mechanical codes; that this form does not become a permit until signed by the BUILDING OFFICIAL; that the work will be in accordance with the approved plan in the ca];;// ;;;;;:" rev;~ and approval of ~'~//I /eN C ~l\PPll'ca 'Sign re ' I Date ~"., _ · 3-/7 ~? . Ildirig , cafs Date ", __.,~-"..;.!~~1'.:~"'1\d;~~hwiii~.."":"\!A~;;:f:Jl~~k.~\:;:~:~":'~t..::t.,:.':\~.,~~;..._.~. GllEEM . fILE YELLOW . APPLICANT GOLD . CIT'f CITY OF PRIOR LAKE SEWER AND WATER PERMIT NO. 'ii!P qy-4 NOTE: Sewer and Water contractors must be registered with the city. APPLI CANT: GENZ-RYAN PHONE: 423-1144 ADDRESS: 14745 So Robert .Trl, Rosemount MN 55068 DATE: 3/// / qq SIGNATURE:~ A'c/J!lJtdIA./ BLDG. P;RMI; # C{y~tf SITE ADDRE's;;!l!i!l 5,Pr):!j (Nt/) Gr IV WPI D# ;;(5-35 (-() J.() - 0 FILL IN THE BLANKS II I Estimated length of water service ~l? /. /I Size of water service inch(es) . 1. feet. 2 . 3 . Location of any couplings 4 . Type of sewer pipe. ABS from structure PVC / Cast Iron /1'0 J ~l feet. feet. 5. Estimated length of sewer line 6. Clean out (if required), located at structure. feet from ================1*.-==~============================================== This ~l~c~tion -your permit when approved. ~N BY ~ . - / --w,.' DATE: ~.- r,,,q~ -- I ------------------------------------------------------------------ ------------------------------------------------------------------ FEES: $ $ $ 35.00 .50 35.50 Sewer and water line connection permit. Surcharge TOTAL * Fee for either sewer or water individually is $20.00 plus $ .50 surcharge. * Sewer and water permits issued for new construction must be recorded on the building permit card at the time of issuance to insure that no duplicate sewer and water permits are issued. DATE PAID /' PAID WITH r BUILulNG PERMIT AMOUNT PAID RECID BY ~~ RECEIPT # 4629 Dakota 51. 5.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / Fax (612) 447-4245 Ai'i EQUAL OPPORTUNITY H.1PLDYER ..... 9g - ! 't(J~ ,9,..oScr 'to White - Building Canary - Engineering Pink - Planning Thr ern... or lhr l.kr Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ( 1_ ) ~ ry1 CVY~ Nn/lAf I r - ~ Il J (" / c;, / I^ I ;- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 33f7 ~ r,)" C (~ c~/ c.QJ' .~ Comments: ---"" 'tF- I rJl=aa..M ~'1'" ION I Date: J/ / J7 /e;f? I I I 117T4Ct..JrU~ ~ at'l1~ ~ cJSO q?, /l.p--S qf'/l.jUb CJf./Lfo7 .. Accepted ./ Accepted With Corrections :,oenied Reviewed By: 1A.1AL'l"'E-R. tH-t1ESVlA.AIITI\J ON BVIL.(jIN b P€Rv\\Ii ~ ~8 - IYO~ 338/ SP~IIJ~ aLeN CII1...CL-E:.. 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." 1~t01 Thr ('rnter of thr Lakr Country White . Building Canary . Engineering Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ( I ) 1)/\11-0 I'"Y' ~/Yl f.JnMf I r . - - / / / If' I ~ / "I . f , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ,-33f7 Sf n ). 6u~ Crr cJ2.t -/ Denied _ Reviewed By: ({J) L . A / Comments: Date: /(-1'"5-98 Accepted ~ Accepted With Corrections ,. Se.~ ~ ~ -k.r 7(Ci/lAS:,,' S~S'/ 'Surv-&_,. l.;(r:. 11-dV~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." .. j-' /' 1,-}, ;/1 "f~;lv '-I , .. I Th. e.nt.r of lh. Lok. Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST II/~' J' / i '4 !. ", " "")./. ~ r '~'l' I ~ . '/-"1#" \ -' {~.. .." (1 ! ;... , -'.' '.. /' v : f NAME OF APPLICANT APPLICATION RECEIVED ( / j ill )"1'" ) The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .., '-"1 -~} I ." "j {f J _, ,.., Jo'" 'I / ( ~,r ( Denied ~t;? Jr~ V t:'7 .-I? A q g:. . I r- ~. -c: -f~e.) Date: Accepted v Accepted With Corrections Reviewed By: Comments: _~_---_'~_.R _.... 1o/-CVtJ/ ""~-- ",,~,:"'r-- I I ..' ..., .)' . .. J. t. :' ,. ~ v "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." ;'"':'o;'~~'D~' ',.., <!rIWI".!:m'il;tl~~[~A;"f~E' . DEPARTMENT"OF~;:";:>~; ..' . :::,:<Df ~ sm;:I;"5j'~~~M'~' . c,; . BUIL.DING"ANI;) INSPE~," " ",;~~':i~:{SeE,bTloN RECQB~fi 't~:"~::~{f:;"., . .. . .,....,~~}";~?;}r::)>,::",~:r:.>;r:, ,'....~' \, '.. ".'. . , .:~,;i~i5):: "":~'::,~,SITEADDRESS . ~~e~ SP'"lV\~, ~~ G-.. , ..\" NATURE-OF' WORK. N~\.U ~s~l'vc1'oV\. . ":;::~j~~.:::ri;LJS~~:O~E:iBUJIDING~.', ~t:A ' "'."'p. 'd~/.,'.:,.tIiW.'!'~~':N.'.'O:";;)'i!;;::'ritl' I...m~/"V'J;V("~ ,.;~5; '~.!"\"".~^t~~,~r~C",',. . ,.... / ",~~T~ ett. ; . 'GtOR:l~i;~;:U5'~v.A.o..~:i ~~I!r ~ ", -,-- ,.."Li"'J~f.; '-I~':'" ~,"~ '-. :"), -c. " ... ',HIS~IS'~NOT',.A'PERMIT,.FOR'"ANV,OF",THE:IN ';,. ..'tJ:Rl'JlttHS~~BYfSEPARATE' DdCUMENll . !~~~!:~~:~~':::::"""+:'t\:(~':.:"f'""L ... ... '(:'~ '~sr>>~tT~~;~:.~;; "'':{''';)/1::f.'. '.., ;,,' ~ FootiNG "'~',. I ' FOUNDATION (Prior to Backfill) I . I ':~iA"C E~ N O\~C 0 NC R E T E' U NT I L AB 0 V E"H A S'rB E E N~$:SI G N'I:' .';},:;':';'. i/::,;/;:'; '.. R. 0 UGH .. . INS . . . "~'~i~f l';J';;.>' '.F.~;""'f,~: '. . S.EWEA"IWATERi SEPTIC' " . ." ~.. " 1 " 'FRAMING" \1 15.r .,.. L. tr-lAf',q,:;'~~..;;;tlPl'. . JNSUL:ATION' 4 11 ''i.~lcJ::':''~:i:'9r:('flf'~ .;,' . ELECTRICAl.:., .1. /';.,;'i'~J~l'::>'\,;; PLUMBING ,'5 u5-:sf' Jo/42~1~~;.;It~,'~~ HE:4'tlt.lG(lf required) . i\'() -SS '1'-7.', '.~~l t.r "FfREPCACE I . /":1;.,;~~t~;~.i:<,_::' :';( .' "G~~.~UI~E"A'IR':TEST'1'i'" . ", l<:! ,~;;'" . "":4--,;~~l~ifif'~~w~~e~?::~: '.~ ':' ..,'~,.J,~~ "'''"bi~l''-4"v''.,:'''' .,,' ". -, -.' -:, . .. , . . _.' ,~>:'.j:",}:~'" "I itCOVERfNOWORK UNTIL ABOVE HAS .BEEN SIQNED,~;::: I I FINAlS'f' ..' 'I,dE: "GRADIt-JG:;:(Prior<tc)/'Sodding) "::. "B' .U".:II~'rll:':iG" <1~!i.4\III;Y',;~'~j{' ";.;..~,..., " . <"~""'" ,,'. :\ ,',', " ,..,_~~ ~,I'J ."..~~~~:~~~'~~:i~(j71:;~~'li.;:\~'-::I~,1t';:"r::::"'~~j:'t-:'~i?~~'-~Y\;;'m~