HomeMy WebLinkAboutBuilding 02-1133
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
8 ~z--z- - 0'2-...
]. White File
2 Pink City
3_ Yellow Applicant
PERMIT NOo02.__ /133
(Please
ADDRESS
LEGAL DESCRIPTION (office use only)
LOT \ BLOCK J ADDITION W el1S fl1 P n J1
;-
PID
OWNER
(N ame)
l:J 0 yI1 c"S
rhn
ZONING (office use)
Rl
1L,~{)~
(Phone) 651 - 40 b - Lj 'f 0 0
5'SJ2
(Address)
BUILDER
(Name)
(Phone)
---
5 (}- f'YI e-
(Address)
OPorch
TYPE OF WORK ~New Construction ODeck
OLower Level Finish J ~ Fireplace
OAddition
ORe-Roofing
o Alteration
OUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
ORe-Siding
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 p pe to perform e d inspections.
x
) 'I S-?
Contractor's License No.
~ .- ;lc:l- c; 2,
Date
V A L-u f::
Permit Fee
Park Support Fee
SAC
#
#
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Water Meter
Size 5/8"; 1'"
Pressure Reducer
Sewer/Water Connection Fee
#
#
100 -
Water Tower Fee
Sewer & Water Permit Fee
Builder's Deposit
Other
TOTAL DUE
Date Special Conditions, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
$
$
$
$
$
$
$
$
g 0 ~
(2oo~ -
(2-00. .-
100.--
, 5cx>. --
$ q ooz. 09
o. -/304-1-
White - Building
Canary - Engineering
Pink - Planning
The Crnler of the L.kfo Count'")-
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
I(~~ ~
/~.;?-#! ~t4-- ,P~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
S--~d--O :.+--
Accepted
...-/-
Accepted With Corrections
Denied
Reviewed By:
{2-,) (+
S~
Date:
f c.-~ > ~' t~~O,",TS
9 ~o /-
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 ("fn'ef of 'he t.kt Counl.,..
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:
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
f2--JJVT
Date:
y ~0 /o-c
/
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
Tht Ctnlt, of Iht t.k< Country
"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
.
t(/-f31f#1/1t1'/J-PU/ 0{,.~
APPLICATION RECEIVED /? ;?-t1 / Wrfa4-;o c7~
NAME OF APPLICANT
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
& - ~d--G d--
Accepted
X'
. '-
Accepted With Corrections
Denied
Reviewed By: (JIYJi3 \ Date: 9-S-01-
Comments: See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Frosion 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
orr.linrlnc8~ of th8 jurinrJir;tif>n ~hnl\ nflt bn vnllrJ."
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONlNGIFIREPLACE PERMIT
Date Bee'd
[1'''''' "'" ~........" -I
I ADDRESS
. 1 ;;lOl 0e~-fev-~
Po.~<;,
i =.. ~ r PERMIT NO. - . ""\....;]
1 Yellow Applicaal L . d . II ,-70 _
I I ZONING (--"1
LEGAL DESCIuPnON (office use onlY)
LOT f BLOCK 3 ADDITION FOJ, Y W
~ St PID
OWNER
~~~ Wen~m~nn Hnwp~
(phone) Fi~1_Qn5-37nQ
Eagan, MN 55122
(Address) 1895 Plaza Dr See 200
APPUCANT
(Name) G~:t).~-Ryan Plttmh1n~ & Heat:inf
(Address) 14745 So Robert Trl
(phone) ~t;, -u?~-114u
(Contact Person)
Rosemount. MN
(City)
55068
(Zip CocL=)
APPLICANT SIGNATURE
hone) Fi'\l l..?~ 1144
DATE ~-W
APPLICANT PLEASE COMPLETE BELOW
W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL Lennox 6 {;llr;Q,+/.!i -I ~ 5 FUEL /'1M lfjtLS
FLUE SIZE RETURN OPENINGS INPUT I ~ 5J DOO OUTPUT J I~.. (Joe
1YPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Pll'Ints 0 St=n
OGtavity 0 Hot W~
~Cchanical 0 Radiation
'r Conditioning .0 Special Devices. .
. ent. Systan ~c:r Devices fJ) i t'SbD
1.J..nQ er--..{: 10 {]V'
'.-
PLEASE NOTE:
Air Conditioner Units
Cannot Enaoach into
Required Side Yal'rl
Setbacks
FIREPLACE MAKE AND MODEL
Indu$ltial. CommetCiaJ &:. Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
S39 SO minimum
S99.jO Residential, Additions & Altcnll:ions
$64.50 Residential, AC Only
$39.,SO
Residential, Heating &. AlC (New Construction)
Residential, Heating Only (New Construction)
$39.:50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(~~ Use Only) . .
~:,' \, ..~~~
\;~~~1f5 Application Becomes Y onr Building Permit When Approved
$
$
$
"....-
.50
{,
.""",,
Bulldinc OfldaJ
Dati:
r:r
13
I R=4X No
_ By "
14 hour notice for all in,pections (!JS2) 447~9850, faz (952) 447-4245
8l/Z 'd 8999'ON
8Nll~3H ON~ 8Nl8~nld N~^~ ZN38
~~Zt:ll ZOOZ '6 'd8S
Date Rec'd
CITY OF PRIOR LAKE PLUIv.lBING PERMIT
I TDDREso;;5;;;;-Je~ pi,s
} SL ~~l I PERMIT NO. ~. -- 1/ 33 I
I I ZONING(_~ I
LEGAL DESCRlPTION (office use only)
LOT J BLOC!(
, kts ISf
PID
OWNER
(Name) Wensmann Romes
(phone) 651-905-3709
(A~) 1895 Plaza Dr
Eagan. MN
55122
APPLICANT
~wne) Genz-Ryan Plumbing & Heating
. (phone) 651-423-1144
(Address) 14745 So Robert Trl
(Address)
MN
55068
(Zip Code)
DA'IE
651-423-1144 .
QJf.-()2)
(Contac:t Person)
Quabtity Typ~ of Fixture Quantity Type of Fatore
0( Bath Tub with or without shower .-.t .3 Rough-ins
I Dishwasher J Water Heater
I Floor Drain - Water Softner
~~ Lavatory (Bathroom Sink) I Stmd Pipe (Washing Machine)
I Laundry Tray (1 or 2 compartment sink Sewage Ejector
~ Shower Stall Backflow Assembly
, Sinks BackflowAssembly Test
Bar Sink Lawn Sprinkler
~~ Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industria!. Commercial & Multi~family 1% of job cost with a $39.50 minimum Residential, New One & Two-fu:rnily $9950
Residential, Additions & Alterations S39S0
Estimated Cost $
Building Permit #
.50
"",--------
f;:~p"
. . ..... ~~ p~"..
. '1
.....
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(OlUe.e Use Only)
This Application Becomes Your Building Permit When Approved
;~~\
I\~\~~\i~' .
Buildlllg omebd J>ate
I PUd
Date
SEP I 3 :.'; "
24 hour ROtice for all inspections (952) 447-9850, fa;.: (952) 447-4245
I
G~tNO
81/E 'd 8999'ON
8NI1V3H ONV 8Nl8~nld NV^d ZN38
~VZv:11 ZOOZ '6 'd8S
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
~~~5~n-
I AnDRES} .0) Jet~ fiLss
i. ~ ~ l!'ERMIT NO. ') - /1 ~ ~ I
J. G<l/d ~pllc:oa.t Ci
I ZONINGCo"""-l I
UGAL DESCRIPTION (oftWe use o:aly)
LOT (BLOCK 3 ADDmoN-Fii
I gr. PID
OWNER
(Name) Wensmann Homes
(Phone) 651-905-3709
(Address) 1895 Plaza Dr Ste 200
(Address)
Eagan, MN 55122
(city) (Zip Code)
APPLICANT
(Name) Genz-Rvan Plumbi~li!: &. Heatin~
(Phone) 651-423-1144
(AddresS) 14145 So RObe(~~Trl. ~Ros(c~;)mt. ''N
(Contact Person) Mary 0 1 :on e I1J.. . one) 651-42 3-1144
TllCANTSIGNA'IURE_ ~ ~ DATE
55068
(Zip Code)
APPLICANT PLEASE COMPLETE BELOW
Size of water service _ inches.
Location of any couplings from structure _ feet.
Type of sewer pipe. D ABC D PVC 0 Cast Iron
Est:inia.ied length of sewer line feet.
, Clean out (ifrequired) l.,?cated. at .. '. . '. feet frO:jD structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17_50
Estimated Cost $
Building Permit #
SEWER AND W ATERPERMIT FEE
STAlE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~"""''''''''
.50
,~' "I"
''loo,
f,
~
(Ofli~e Use Only)
this Application BecOble.s Y OQ~ Building Perntit When Approved
I
..~~.
!..'t!..~~~tl..t\~
i~,'i;L}
Buildlllg omclal
D.te
I~EP '3
I :"'ND
24 hour notice for all inspectioQS (952) 447M98!O, fax (9S2) 447-4245
8l/t 'd 8999'ON
8Nll~3H ON~ 8Nl8~nld N~^~ ZN38
~~Zt:ll ZOOZ '6 'd8S
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~;e:n ~:~y I PERMIT NO. d-II ~~
3. Yellow Applicant /:::::i
ZONING (office use)
15201 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
10/28/02
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 Devices Required Side Yard
DVent. System D Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEA TN GLO 6000TR-OAK
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 $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office llse Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
By
Buildine Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS I C; 2-c:> \ ~€-F?~<; \=)A>>
NATURE OF WORK S, ~c..c....6'- ~ " ~6<-'-I~
USE OF BUILDING -51=0 t '
PERMIT NO. ()2 - 1133 DATE ISSUED 8/ /0'2.
CONTRACTOR ~MA.N,..J ~~ PHONE ~S-l. 40--. ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
DATE
! FOOTING I 9fL';'v
· FOUNDATION (Prior to Backfill) , [ c; - Z
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
" ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
y.J--~
'j .-. -Zri
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOV 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