HomeMy WebLinkAboutBuilding 02-0876
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. (Y "
AND UTILITY CONNECTION PERMIT P -- )0 -00----
~i~i~e ~:~y I PERMIT NO. 112-0 o. Z I /J I
Yellow Applicant . U _ (/ _~ .
(Phone) ~Sl- 40~- 4'1 DO
5"5)22
151
AsS
:te f Per
LEGAL DESCRIPTION (office use only)
LOT
BLOCK "" ADDITION Lv e. tlS /11 (.l h )1
~-r
PID
OWNER
(Name)
We:. VJS /hFJn h '1-10 mes
1 ~'1b PL.flZ,/J Ori~e
J1
tA
(Address)
BUILDER
(Name) :) A y>>t e..
(Contact Name) --.m I~. K L-J e 1l.,;?1 n Y\
(Address)
ZONING (office use)
'RL
.,; ~/71o' [)~7
(Phone)
(Phone) 19 l:t - 3 b '/- 710 '2. cr
......
ORe-Siding
ORe-Roofing
TYPE OF WORK
"R'New Construction
OLower Level Finish
~Deck
V Fireplace
o Alteration
JiOPorch
OAddition
~
s..:? ~ t?tJtJ
o Misc.
PROJECT COST IV ALUE (excluding land) $
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
:nter~oP({f~rmT~ I '-Jsf (P-ILj-OZ
?J- Signature Contractor's License No. Date
Park Support Fee
SAC
#
#
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ ()O~CJ(;)
Mechanical Permit Fee $ CO . ex)
Sewer & Water Permit Fee $ -ZS'. "50
Gas Fireplace Permit Fee $ C{o .00
Water Meter Size 5/8" 1'"
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
$
$
$
$
$
$
$
$
$
TOTAL DUE
o Becomes Your Building Permit When Approved
cP'27-0C/
Date
This is 10 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
:;~;ds~~\ C~ Planner constitutes a temporary Certificate of Zonmg compliance and allo/s~:l1on to~c~mmence Bd~ore occupancy,~erttficate~f Occupancy must be
<fllv~~-?.c'~---7___~ /In-/GL- ~ ' (~ ) C~'l(}J\,~<;'
Planning Director Date pecial Conditions. i y
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
/
White - Building
Canary - Engineering
Pink - Planning
Th. C.lllff III Ih. ...k< ('OUlllry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
I ! /
NAME OF APPLICANT tV CYJ1A'7l1~ ~
APPLICATION RECEIVED ?- /f/O~
The Building, Engineering, and Planning Departments have reviewed the building permit
-. applicationfor const~uct~ch is pr~osed at: ..
/s/9R ~ f-J~
Accepted
x
Accepted With Corrections
Denied
.~
Reviewed By: . Date:
Comments: ~e for Arfrfition::lllnform::ltionl
Driveway Must Have Concrete Apron
.... " ..
~~II-1 Corp ~ 01- Wtf!(/ Plt;,;..
'8(0(, It ~,,;4rr GCf.,/( / 6ct'v t<--e..
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."
~~
White - Building
Canary - Engineering
Pink - Planning
Tht Cf'nter of 'he Lake COUnll"}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT it) ~~a~ ~
APPLICATION RECEIVED ? -- If>Oo--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construct~ctiVitY which is pr~osed at: ,
(5/9 f? (~4 fJ~
Accepted Accepted With Corrections X
Denied Q;;;J ~
ReVieWedBy:WP~r- Date: c,~27-C5?
D ~ Jiark2 ~
"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
Tht ("enlf'r or the Like Countr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i
I
.,/
k' ",/;
,.
,,,/ 'I..",..,.~'''~
Accepted
~
Accepted With Corrections
Date: 7/17-/e:9-
"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."
7:06AM GENZ RVAN PLUMBING AND HEATING No.7942
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONlNGIFIREPLACE PERMIT
P, 2/:i
Date Rec'd
i. ~ ~~ I PERMIT NO. "') _ or;~
~. YoI!Qw Appll_t t (7\ 0
1~/q?
[ ZONING (o....~) J
LEGAL DESC:R.1PnON (olflce use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
(Contact Person)
(Phone)
APPLICANT SIGNATURE
APPLIC U PLEASE COMPLETE BELOW
W CONSTRUCTION 0 ALTERA nONS
FURNACE MAKE AND MODEL I ~ FUEL
FLUE SIZE RETURN OPENINGS INPUT - OUTPUT
BEATING OR POWER PLANT
11 ~ ( (j?r[)
!y>E OF SYSTEM
~ann Mr Plants
DGtavity
-....Q Mechanical
~r Conditioning
OVent. System
D Steam
D Hot Water
D RadillIion
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial. Commercial 8t. Multi-Family
FEE SCHEDULE
]% of job cost Residential, Gas Fireplace
$39.50 minimum
$99. SO Residential. Additions & Alterations
$64,50 ResidEW.daJ. AC Only
$39,50
Residential, Heating & Ale (New Constructlon)
Residential, Heating Only (NeW Construction)
$39,50
$3950
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL .. ~RMlT FEE
$
$
$
.50
"........~
WiTH ~
.or'..
(n.ffice' Use ,Qaly)
\ ..... . jis Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
Building Official
:Oate:
24 hour notice for all inspections (952) 447-9850, fllx (~52) 447-4245
Jun.18. 2002 7:07AM
GENZ RVAN PLUMBING AND HEATING
No.7942 P,3/:1
Date Rec~ d
CITY OF PRIOR LAKE PLUMBING PERMIT
I PERMIT NO. .9 -- y/ (, I
I ZONING(o....~) I
LEGAL DESCRIPTION (Qtticc: use only)
LOT
BLOCK
ADDITION
Pro
OWNER
(Name)
tJ5/-QOS- 37rPt
(Contact Person)
6(1
~/-L/<<3-11I./t1
+ ,5~SfY~ K
(city) (Zip Code)
(phone) w.51 - 4 ~ 3 ; I / f{ q
DATE t.J 1/1/01,
.
(Address)
APPUCANT t ~
(Name) ",
(Addr<n) ~ <;; -'--n :1-
(Address)
APPLICANT SIGNATURE
Quantity Type of Fixture Quantity Type of Fixtul"e
II (J) Bath Tub with or without shower - Rough-ins
Dishwasher I I) Water Heater
:l Floor Drain - I .J Water Softner (Rn Of) h I Yl )
II ?~ Lavatory (Bathroom Sink) I 1 Stand Pipe (W ashing ]~'l' ~ch1ne)
\ Laundry Tray (lor 2 companment sink Sewage Ejector
.Shower Stall' Backflow Assembly
1'0 Sinks Bacldlow Assembly Test
) Bar Sink Lawn Sprinkler
II ( 'J Water Closet (Toilet) Other
~
APPLIc::ANT PLEASE COMPLETE BELOW
FEESCBEDULE
Industrial, Comma-cial &. Muln~famtly 1 % of job cost with a $39.50 minilnum Residential, New One & Two-Family $99..50
Residential, Additions & Alterations $39.50
Estimated Cost $-.fb
Builc:ijng PermIt #
PLUlVlrllNG PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
(Oftkl: U5C Only)
This Application Becomes Your Building Permit When Approved
--"'-,,-
"'''-
_..
.~" 1;"..
---0 ,/""
Paid
Receipt No
J.
.\;:
, -
Date
Building Official
JJa~
24 hour notice for all inspeetions (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
t ~~onw JJ~icant I PERMIT NOd-I~'( 0
ZONING (office use)
15198 JEFFERS PASS
"
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
8/29/02
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants D Steam PLEASE NOTE:
DGravity D Hot Water Air Conditioner Units
D Mechanical D Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
DVent. System D Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO 6000TR-OAK
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 Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
BuildiDl! Official
Date
This Application Becomes Your Building Permit When Approved
Pai
Receipt No.
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~:~~nw ~l~icant I PERMIT NO.~ - 8~ ~ I
ZONING (office use)
15198 JEFFERS PASS
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
8/29/02
xD NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants D Steam PLEASE NOTE:
DGravity D Hot Water Air Conditioner Units
D Mechanical D Radiation Cannot Encroach into
DAir Conditioning D Special Devices Required Side Yard
DVent. System D Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO 6000TR-OAK
APPLICANT PLEASE COMPLETE BELOW
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39,50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
REA TING PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
r-c
Ib f::r; PM.
u:iUJ! "':.' U
A.. ",,4/1"#.......
,JiJ~!~ {:
r/ !
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
AUG 2 9 2002
By
Buildine: Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Sep, 5, 2002 3:52PM
GENZ RVAN PLUMBING AND HEATING
No.6455 P, 2/2
Date Ree'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMiT
27~
i. ~ ~a;; I p. ERMITNO. r)_~~ I
3, auld ApptiGllDt. d ~ ~ .
I ZONlNGl__l I
LEGAL DESCRIPTION (aflice use only)
LOT
BLOCK
ADDmON
PID
OWNER
~illm~ Wensmann Homes
(phone)
651-905-3709
I
(Address) 1895 Plaza Dr St.e 200
(AcUiress)
Eagan, MN
(City)
55122
(Zip Code)
APPLICANT
~~~ Genz-RYanPlumb~~g & Heating
(phone) 651-423-1144
Rotiemount:. .~
(city)
(Phone) 651-
PATE
55068
(Zip Code) .
(AddJess) 14745 So Robert Trl
(Ad.do:ss )
UCANT SIGNATURE
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 fect.
; Clean out (if req~d) lC?cate~ ~ feet fr01Il structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industria~ Com'l & Multi-fwnily 1% of job cost with a $39_50 O1inin;mm
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND W AlER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
~
~,
'~ <?'} '-"
',' P~I'
(Office: Usr: Only)
This ApplicatiQll Becomes Y ollr Building permit Whel:l Approved
Paid
Receipt No.
Date
By
BuildIng Official
)Jab!
24 hour notice for all inspectioDJ (95l) 447~!JSSO, fax (952)
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~ ~~~w ~l~icant I PERMIT NO. ,:)- rJ/?1o I
ADDRESS
ZONING (office use)
15198 JEFFERS PASS
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone)
651-633-2561
(Address)
2700NORTHFAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Phone) _651-633-2561
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
9/16/02
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants D Steam PLEASE NOTE:
DGravity D Hot Water Air Conditioner Units
D Mechanical D Radiation Cannot Encroach into
DAir Conditioning D Special Deyices Required Side Yard
DVent. System D Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEATN GLO PIER-TRC
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 Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
,...
(Office Use Only)
This Application Becomes Your Building Permit When Approved
p"
~7~i
Buildinl! Official
Date
Paid Receipt No.
Date SEP r 9 2002 By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
SeP,20, 2002 12:11PM
GENZ RVAN PLUMBING AND HEATING
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
No.8250 P,2/5
Date Rec'd
i ;... ~ I PERMIT NO.O'? -00. 7' "
J, ODld . II.lII'1I0111t f.., U \.f'
I ~~57;ii~ 7P -f~ PaS'S
ZONING (ome!: U$e)
LEGAL DESClUPTION (Qt!l';l: use: ~)
LOT
.BLOCK
ADDmON
PIP
OWNER
~wn~ Wensmann Homes
(phone)
651-905-3709
(Addrcss) 1895 Plaza Dr St:e 200
(Addnss)
Eagan. MN
(city)
55122
(Zip Code)
APPLICANT
~~~ Genz-Ryan Plumbi~g & Heating
(phone) 651-423-1144
(Address) 14
t ''N
o
(Zip Code)
(Contact Person) _
651-423-1144
CJ ~;;o --o?J
l. .':LICANt SIGNA11JRE
APPLICANT PLEASE COMPLETE BELOW
Size ofwaier 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.
Estimated Cost $
FEE SCHEDULE
$35.50 Industrial, Com'1 & Multi-family 1% of job cost with a $39.50 minlmum
$17..50 Water connection only $17.50
Building Pemrit # D l /601ft?
Residential sewer and water line connecnon
Sewer connection only
SEWER AND WATER PERMIT ffiE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$-
$
- PAID WITH
BUILDING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit "When Approved 3J.d
4f'i1;t.
""':i:\,.,\~
"';'::~~Xl\ llulldlng OOicllll
Date
Date .
26 20Ci')
24 bour notice for- .11 wpediollJ (952) 447-9850, fax (9!2) 447-4245
PRIOR LAKE
/
(
INSPECTION RECORD
SITE ADDRESS 15/'lB ~ ~j
NATURE OF WORK AJ-e",)
USE OF BUILDING ~~_
PERMIT NO. () ~. r.e DATE ISSUED (r:n-<5C...
CONTRACTOR ~._ ~5' PHONE (;,12- ~?-7f;(J
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
! FOOTING I ~U I 7-;;lLf-d-.
I FOUNDATION (Prior to Backfill) I -;t;; fl < i
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC cft.2
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL AB0 HAS BEEN SIGNED
~t- I (3 I q-2JI
FINALS
GRADING (Prior to Soddin )
BUILDING"T ~.~C> h ,-l. DJ
ELECTRICAL
PLUMBING
HEATING
DO NOT
/ ~ ~,() z...-
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.
(f.,;J- d"'V
/'0 - ?/-Ol
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE .
FOR All INSPECTIONS (952) 447-9850