HomeMy WebLinkAboutBuilding 02-0762
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M!A~t\,. F~Lt
CITY dt PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
.~3
ft>
tJw
Date Rec' d
(;-/3-02-
1. White File I PERMIT NO I
2 Pink City . D/) -" ^ -1/ , "-'7
3 Yellow Applicant (...- l) I ~ '-'.
LEGAL DESCRIPTION (office use only)
LOT o?I BLOCK I ADDITION l,()anSmlLnn D1.l"\~
OWNER
(Name)
WLnS~" 9J~eS
I ~qs- JICW;Jr.
-r:nc
~e ifob
(Address)
ZONING (office use)
12~
PID ..2S - 385 - 0-2 \ -0
(Phone)
&S'/-t.-/-DftI-t.jtfDD
'J51 )-d-.-
fVL/J
BUILDER
(N ame)
(Contact Name)
(Address)
me..
c14~s
5 tLhoL
\AJ en S YY\-llJ'1 "
Ytcu.t rL (
S tl-tn€...
(Phone)
(Phone)
051 -tfD /tl--4~-t)
{p I)... - ? ht} -7 b,,:)--()
TYPE OF WORK
}ii{New Construction
OLower Level Finish
ODeck
ORe-Siding
~
o Fireplace
PROJECT COST IV ALUE (excluding land) $
g5', IJbmD
OPorch
ORe-Roofing
OUtility Connection
OAddition
o Alteration
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 vJ l.flJ>>tM*1
Permit Valuation
Permit Fee
$
$
$
$
$
$
$
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
omes Your Building Permit When Approved
~-2c(~OC
Date
J J./-5"t
Contractor's License No.
Park Support Fee
SAC
#
#
" -' /3 -0'(7...
Date
$
$
$
$
$
$
$
$
$
Water Meter
I Paid
Date
;!j~-t!
529, 44-
TOTAL DUE
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
~~---, ~J7-dvL s:.,,, ~t"e(l Ct1\J~I'i
'_/ Planning Director Date Spe al ConditiotYs, if any \i
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
~~
White - Building
Canary - Engineering
Pink - Planning
The Cf"nlt'r or Ihe t.kr Counlr)-'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
WENS MAN ~f /-101155
(,-/3-02-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3& lo 3 ~ 0 X "fA' L., "llV\-, L-,
Accepted
Accepted With Corrections \(
Denied fl. L-----
Reviewed BY:~V~. Date: 0 -7...-'{\3 -z--.-
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."
White - Building
Canary - Engineering
Pink - Planning
The ('{'nfef of lht' Lake Count'1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
\, ,.<". ..',. . ~
\ \J t, }\, . r If \. f~ t"
JI' ..~....,"
I - tj r- I L ..,i
APPLICATION RECEIVED
I J ., I
J )
U' - l L-.-
.- ,-I~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
r"iX.
I- \'"
....-.."'.'
-( 7- \ j L--rl-ti I L..,
..") /( "
! ".)
Accepted
~
Accepted With Corrections
Denied
Q0~~~~
Date:
t I {1. /0':2-
Reviewed By:
"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."
--
\:
~
~
~
Tht' Cf'nln or Ihr I.allf' Counlry
White - Building
Canary - Engineering
Pink - Planning
L)
;..
~
.~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
I
.<
e
NAME OF APPLICANT
APPLICATION RECEIVED
WENS MA NtJ /-IoM55
~-/3-()2-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3t.Pf.o3 r:ox TA I L. 112A, L..
Accepted
()(
Accepted With Corrections
Denied
Reviewed By: f1;1:fb
Date: b-JLf--O"z"
Comments: See Reverse Side for Additional Information!
!YI~i" F/((.
See Attachments: 1) Grading Plan. . 2) Erosion Control Measures
3) Erosion Control Plan
"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."
Jun.19. 2002 4:09PM
GENZ RVAN PLUMBING AND HEATING
No.8248 p. \
Date Rec' ...
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
1'(LI1I L.-
i =.. ~~'. I PERMIT NO. d-'lb~J
~. (lD1d AppIICllllt.. c _
J I ZONING'_~l I
~~;~2:;A7~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK , ADDffiON
uJQY6~
PID
OWNER
~~~ U2nsmann Homes
(Phone)
651-905-3709
(Address) 1895 Plaza Dr Ste 200
(Address)
Eagan, MN
(c;:i1:y )
55122
(Zip Code)
APPUCANT
~wn~ Genz-Rvan PlumbinR & Heati~g
(phone) 651-423-1144
(Address) 14745 So Robert Trl
(Address)
(Contact Person) Ma
Rosemount. ''N
(cny)
~hon~ 651-423-1144
DATE to q 0 2-
.550IH~
(zip Code)
APPLICANT PLEASE COMPLETE BELOW
Size of water 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.
dential sewer and water lme connection
If connection only
FEE SCHEDULE
.$35.50 Industrial, Com'1 & Multi-family 1% of job cost with a $39.50 miniml1Ii;l.
$17.50 War.cr connection only $17.50
Estimated Cost $
Budding Pemrit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
f..... "",
e Only)
?plication Becomes Your Building Permit 'When Appl"oved
Paid
Receipt No.
3uUdiug OOidal
Dille
ate -
JUL
By
?(IIi')
I_U'~f
14 bObr notiee for- all inspections (952) 447~98S0, fax (952) 447-4245
2:49PM GENZ RVAN PLUMBING AND HEATING No.4851
CITY OF PRIOR LAKE
HEATING/AlR CONDmONlNGfFIREPLACE PERMIT
p. 9/11
Date Rec'd
I =ijZ:7:i~ ;aJJ w-,
aJ m 'lI1i:lL
~a E~l ~PE~TNO" ~ ~I G.~t-
] I ZONING,__> I
LEGAL DESClu:PnON (otlicc use oJ:l1y)
Lo-6? / BLOCK (ADDffiON
d-n
PID
OWNER
(N'ame) W~nC;lTIRnn Hmnpq
(phone). ,,:; 1 ~9n5 3]n9
Eagan. MN
55122
(Address) 1895 Plaza Dr Ste 200
APPLICANT
~~c) Genz-Rvan Plumbing & Heating
(Address) 14745 So Robert: Trl
---r;:::- (Addres~)
(Contact Person)" -L OJ!
APPLICANT SIGNATURE
(phone:) 6'51-421-1.] lJ.4
(City)
55068
(Zip Code)
Rosemoun 1:. MN
6I:il-t..?1.-11l.L..
/I-Itf+~d
TYPE OF SYSTEM
M arm AJr Plants
~vity
Cl-Mechanic:al
~ir Conditiomng
OVent. System
INPut
HEATING OR POWER. PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o .other Dc:vicC3
PLEASE NOTE;
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE !vfAKE AND MODEL
Industrial, Commc:rcial &: Multl-Fl1miIy
FEE SCKEDULE
1 % of job cost Residential, Gas Fireplace
$3950 minimum
$99.50 Residential, Additions &: Altcmtions
$64.50 Residential. AC Only
$39.50
Rcsidc:ntial. Heating & Ale (NI:W Construction)
Ro:lidc:ntial, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
:Building Permit #.
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
&(!)I!I; it) "
(Q.~i'>:~ U3e ,Only)
r<':.",:~;", ~>~:..:\~.
'<,,,i1S Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Buildillg official
:Pat.:
Date NOV
By I
(,
24 hour noti.:e for lllllnspecti~ns C'52) 441-9850, fax (952) 441-4Z4S
2:48PM
GENZ RVAN PLUMBING AND HEATING
No.4851
p. 8/11
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERlVllT
1. III.. lb.
z. Gold City
3. Y ol\QW Apptiaull
IPE~NO. ,;<-/0.1'
I I ZONING(~_) I
I ~u%rs5j~~3m) &
rw TV/
LEGAL DESCRIPTION (offia! use acly)
LOT.
BLOCK J ADDmON
PID
O"W'NER
~~e) Wensmann Homes
(l'hone) 651-905-3709
(Address) 1895 Plaza Dr
Eagan, MN
55122
APPLICANT
O{~~ Genz-Ryan Plumbing & Hea~ing
(Address) 14745 So RoberL Trl
.~dress)
(ConbctP~on) ~ ~~
(Phone) 651-423-1144
Rosemount" MN
(City)
55068
(Zip Code)
APPLICANT SIGNATURE
651-423- U't4
~ 1/-(tJ1LJa
Quantity Type of Fixture Quantity Type of Fixture
rl Bath Tub with or without shower Rough- ins
Dishwasher I Water Heater
, Floor Drain . t? I I Water Softner
'3 Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
I Laundry Tray (1 or 2 compartment sink Sewage Ejector
~ Shower Stall Backflow Assembly
I Sinks '. Backflow Assembly Test
Bar Sink Lawn Sprinkler
~ Water Closet (Toilet) Other
-
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Induslnal, CommerciaJ & MultJ~fami]y ] % of job cost with a $39 '0 minimum Residential, New One & Two-family $9950
Residential, Additions & Altaations $3950
EstImated Cost $
Building Pennit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
-so
r
f!:n1. _ .';~
l01(j;;.... '.
i '- !!i..;J)f~,~,
"I', I'
(omce U~I: Only)
Tbis Application Becomes Your Building Permit When Approved
/-:;,)~~/~;; .' ,
Paid
eceipt No.
Building Official
Date
By
'" .
'\ '~,. ,,'
)):a~
24 hour nfJtice for aU inspections (952) 447-9850, f.llx (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec:'d
,
I. Pink
2. a.....n
,. Yellow
]
Eiit.Ut I.PERt'\-1IT NO. ~ -;0 0---.1
I
ZONING (olfU:e Use)
(Please type or 1'rU1[ and silQ:1 at bot'll:lru)
[ADDRESS
~3 ~ TJLO ~ Q..
LEGAL DESCRlPTlON (Qffil:c use only)
LOT
BLOCK
ADDITION
PlD
IIOWNER . I
(N.me)~~J"\~l\'~ . (phone) c...SI-YO(P-4400 Ii
.(Add=1:_ct_ ~-ttdOO ,~:ynlrm SSI~d,' . I
APPLIC~T
(Name ~iU> (phone) '7 G.~3-3; 5- 7500
1" . Fe:_ ~ , (h () SS,-/'I..; S
(( (City) (Zip Code)
(Contact Person) +< r; -::; JJ. . (Phone) '1<..0'3-3/ S~7SI f...p
APPLIGANT SIGNA11JRE '7f:;;...<..~ li"'c.~.'7'ha,~ DATE /d//I/oa..
APPLICANT PLEASE COM:PLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL J1UEL
FLUE SIZE RETIJRN OPENINGS INPUT OUTPUT
lYPE OF SYSTEM HEATING OR. POWER PLANT
" OWarm Air Plants
OGraviry
o Mechanical
OAir Conditioning
DVent. System
o Steam
o Hot Wa1cr
o Radiat!(111
o Special Devices
o Other D,:vic:c:s
PLEASE NOTE:
Air Conditioner Units
Cannot EnC"Dach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
iv'RRlU
Illdustrial. Commercial &. MUlti-Family
FEE SCHEDULE
1% of job cost Res:dential. Gas Fireplace
S39_~O minimum
$99.S0 Rcsodential, Additions & Alterations
S64.~O Residential. AC Only
539.50
Residerltial. Heating &. AlC (New Construc;tion)
Residential, Heating Only (New Construction)
$:39.50
139.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
~'
....
C"
,.:.
.so
"\)i~:.I'hf..a
'Sf ,f:J ~ i "
~,.':.
'" if'.J>75j,
~:
(omce Use Only)
Thi$ Applic:lItion Be~ornes Your Building Permit When Approved
Paid
Receipt No.
Dst
, I 2002
By
nuilding Ol1lcl_t
Dc"
24 hDur notic:e for .11 inspections (952) 44".9850, ru (951) 44'...2.5
X310IHd 3~VHV~ ~I~VKO~lV
COOICOO ~
60LOS1CZ19 XVd LO:11 60/11/61
Ma.\V\ ~~
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ,?~Co3 F0" -(.y, \ r I i'~^
NATURE OF WORK AJet..J
USE OF BUILDING SF/-1
PERMIT NO. 'J!!-07~Z DATE ISSUED (p-2c.f-CJ7:."
CONTRACTOR E:.~",- ~ PHONE t,rZ-36i-/C;2P
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
LL f2 r
--
PI)' I -U
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
FOOTING ./C) - > . C
FOUNDATION (Prior to Backfill) /0 --2Ja
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~
GRADING (Prior to Soddin )
BUILDING \ t(lN(J v V't t1'
ELECTRICAL
PLUMBING
HEATING
DO NOT
8' -- (-f13
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)--
SIGNED
OCCUPY UNTIL ABOVE HAS BEEN
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 b~ placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850