HomeMy WebLinkAboutBuilding 02-1473
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ADDRESS
Se15" fi1A i iJ HLe-
CITY OF PRIOR LAKE BUILDING PERM
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
10 _d-d--~d-
White File I PERMIT NO ~
Pink City . .ca..-I'I ~ _ /L 1-7
Yellow Applicant ~ f.h- r- (=---
k:-4 i
'1(b. J
ZONING (office use)
;e~
LEGAL DESCRIPTION (office use only)
..2.J
PID.;2S ~ ~ -057 - c
LOT lSS BLOCK~ ADDITION ~1'\~Vla.(\t\
OWNER
(Name) We'''-SIV\A\''''
!-b .""t. $1
_c"C~ >
(Phone)
{V\.t0 SSI~
(Address) L fsq c
,'J-f'
s....~ le
~C"0
&
BUILDER
(N ame) Sctvve ct S
DcvJ
.. (Contact Name)
(Address)
<::J.k-ve
~ ~.rJ
(Phone)
(Phone)(C\ S';>" ) {140 - ~ 7
TYPE OF WORK
ORe-Siding
o Misc.
';gr'New Construction
o Lower Level Finish
OPorch
ORe-Roofing
DUtility 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
l-b~
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
ODeck
OAddition
DAlteration
o Fireplace
PROJECT COST/VALUE (excluding land) $
cgS.,CGO
1'-158
I 0 J ;;l.;2j 0.:).
, .
Date
Contractor's License No.
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
".
,
Water Meter
Pressure Reducer
City SAC and WAC
Water Tower Fee
#
#
00. 00
ad,oo
3550
,et:l
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
~ ":f~
Building Official
J I j, It) z.-/
I bate
$
$
$
$
$
$
$
$
$
-
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
issued.
~;~
Planning irector
///f/tJ:z- ~ ~ U
/ 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
White . Building
Canary - Engineering
Pink - Planning
n, (',nl,' n"'h. hk, Counlry
BUILDING PERI\1IT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT I{J (l/}{/}1/)1~ ~-~~
APPLICATION RECEIVED / () r d- d- -0 d-"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
:3 to L/O f:: 0 Y+a; / / V
Accepted
x
Accepted With Corrections
Denied
, Reviewed By:
f)IYi/3
Date: 1~..-.3 (-01
Comments:
5 -c. !. JJ1 e, /Y\,
F,'/~
"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."
> s~ ~;;J f(~
The C'fntt'r of .ht Lakr Counlr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/0) t7~Y!/J1~ ;iJ.n~
/6 r' d- 'J- -0 d-"
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,3 Co LID ~O%+a;) T 1/--
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~1~r
_4~1' W!~
Date: /0fz-
~
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."
~R/OR
.~~
---
Tht' Crnlt'r of the Lakf' Countf)
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
I
NAME OF APPLICANT /
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
L
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
~ -:(~{~
~~~
Date: If//ld 'Z..--
, ,
9dv
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."
Oct,23, 2002 10:58AM
GENZ RVAN PLUMBING AND HEATING
No.1929 p. 4/5
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
,J
;. ~ ~~. I PERMIT NO.,'::) _/'1 J..-YJ.
3. c..Jd Appll.....,.. C7\ _ L.J I ~
I [ ZONING (officel1$./:) I
Ivl _'
[~~!iC:;Q~ ~ 7difl
LEGAL DESCRIPTION (o.fti<;:l: u,c: only)
LOT) ~ BLOCK
ADDDlON
WmsmtUuL~1l
PID
OWNER
(Name) Wensmann Homes
(phone)
651-905-3709
(Add;J;ess) 1895 Plaza Dr See 200
(Addrw)
Eagan. MN
(City)
55122
(Zip Code) .,
APPLICANT
(Name) Genz-Ryan Plumbing & Heating
(phone) 651-423-1144
55068
(Zip C~)
1..,'.'
UCANT SIGNA 11.1RE
APPLICANT PLEASE COMPLETE BELOW
Size ofwat~ service _ inches_
Location of any couplings from structure ~ feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimate~ length of sewer line feet.
.. Clean out (if requin:d) 1.ocated at feet from structure.
FEE SCHEDULE
Residentlal sewer and water line connection $35.50 Industrial, COOl'l & Multi-f8IJ;Lily 1% of job cost with a $39.50 m:inimum
Sewer connection only $1750 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
Oate
Pai
Receipt No.
(Office Use Only)
This Application Becomes Y ou.r Bu.ilding Permit When Approved
lluilw,lIg Offio:ial
J /-g --0:-
24 hour notice for all inspections (952) 447-98~O, fax (952) 4474245
i i : ~ lAM
GENZ RVAN PLUMBING AND HEATING
No,56~O p, i i ~~
Date Rec'd
CITY OF PRIOR LAYJ: PLUM:BlNG PERlVIlT
. at b!?ttom) ..
~:; ~:; [?ERtvIIT N6'1-~-1 L{ 1?-
J "'.!low AC~U..."t Q ,)
fi<r-
'm
l iNlNGro""",",
--l
(phone) 651-905-3709 ~l
Eagan, ~1N 55122 ~
PID
,
I LEGAL DESCRll'TION (~ffi-; use: only)
I LO-:r J ~,LOC;!_Qi ADDrnON
Wt/1SIYUVU- .1)./7. d
OWNER
(Name) Wensmann Homes
_{Address) 1895 Plaza Dr
APPLICANT
(Name) Genz-Ryan Plumbing & Heating
___ (phone) 651-423-1144
(Address) _~!:.74~, So Robert Trl Rose~1:lE1..!-~._,_______ 5.5068__.~_~__
(Address) (City) (Zip Code)
(ContactP<ISon) J~ '/,,,_ _ .. none>..::. 651-423-1144
APPLICANTSIGNA~_j~ 721~ATE 8)6j{)3
r--'---"--~-_. Type of Fixture Quantity Type of future
Quantitv
..~.._-~ Bath Tub with or without shower -5 Rough-ins --
I Dishwasher /. - Water Heater
-----. Floor Drain r~1 ::r .. Water Softner --_...'--,--
I t
~ Lavatory (Bathroom Sink) -- --
Stand Pipe (Washing Machine)
I Lauodry Tray (J or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
l Sinks Backflow Assembly Test
Bar Sink Lawn SprjnkJer
:J- Water Closet (Toilet) -. Other I
-
APPLICANT PLEASE COMPLETE BELO~V
FEE SCBFJ)ULE
JndUS01al, Conunerclal & MultJ-farmly 1% of Job co~t With a $3950 min.imum Residennal, New One & Two-FamIly $9950
Res1dential, Additions & Alterations $3950
Estunated Cost .$
BUlldmg PermIt #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERl\ffi' FEE $
50
PAID WITH
BUILDING P!;BMrr
Receipt No I
(Office Use Ollly)
~his Application Becomes Your Building Permit When Approved
~,': '~':':"~'~":~~
C Building Official
Date
24 hour notice for all inspection:,> (95'2) 44
Mar, 7. ~003
([;' '.'0+\
(~~
1 i :~7AM GENZ RVAN PLUMBING AND HEATING No,56~O
CITY OF PRIOR LAKE
REA TING/ AIR CONDITIONINGfFIRE.PLACE PERMIT
p, i ~ ~ ~
Date R.ec'd
~ ~;;, ~~;eo~ rp~~T NO'd - / Lf '73
CPle:uc tyPt! or pr!Dt and SIj';Il ar bottom)
I ADDRESS--
. 3 (PLj{) to X
ZONrnG (dlir.!use)
Tatfl
TY/
LEGAL DESCRIPTION (offi.ce use o:oly)
LOT Z;LOCK a .ADDITION
~d
PID
J
OWNER
(Name) Wpn~m::llJJL H.,m",,,,
(phone) 651 905 3709
(Address) 1895 Plaza Dr Ste 200
Eagan, ~f.N
55122
APPLICANT
(Na.me)~.1lZ.::B.Y..al1 'PlurnbjDII: & Heatip.g (phone) h'il-u?~-114u
(Address) 14745 So _ Robert Trl Rosemount, MN 55068
~ (Adrlre~~) (City) (Zip Code)
:::=:G-:l ~~h'l?~'I-'~glJ:5
. APPLlCANT PLEASE COMPLETE BELOW
r ~w CONSTR.~CTION W !EPI,ACEIYlENT 0 AL lYRA TIONS .. _ I
FURNACE IvW;:E AND MODEL W;YJO r G Lf(! ILIf '3~1l ~1{) .__ FUEL UUCf, 41tJL2
I fLUE SIZE RETTJRN OPENINGS .~ INPUT /}() (J7f() OtITPUT 50... ~6b
I TYPE OF SYSTEM HEATING OR POWER ;LANT
I ~3!l1l Air Plants 0 Sream P~EAS:E.NOT:E;:
1]6raviry 0 Hor Watr:r AU' COndltlOne:r u,mt$
L g,Me chamca1 0 Radiation Cannot Encroach mto
. ~~r Conditiomng 0 Special D~lecs Required Side Yard
OVen!. System 0 Other Dcvlces Setbacks
FlREPLACE Iv1A.KE AND MODEL
Industrial, Commercial & Multi-Fa!luly
FEE SCHEDULE
1% of Job eost Residential, Gas Fireplace
$39 50 mmimum
$99 50 Residential, Addioons & Alte(1l.tions
$6450 Re:1idential, AC Only
$39 50
Resldenttal, Hearmg & AlC (New ConstructIon)
Residential. Heating Only (New ConStrU.ction)
$39.50
$39,50
Estimated Cost $
Bulldmg Penult #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
50
PAID IA1rt. .
I3UILO/NG"r" ,.,
PERM!;
Building Offici:ll
Plitt:
ceipt No.
f,~~f>>~i,~YJt ,Only)
I ',Y:';~""\',l,.y
.. \ ~."is Application Becomes Your Building Permit When Approved
24 hour notice for :all in.5p"ctions (952) 447-9
.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIIlEPLACE PERMIT
Date Rec'd
.
1. Pink
1. <A-
I. v.n"",
~~i~1 [ PERMIT NO:s;< -I tj/73
,
ZONING (office use)
'3~~O ~ T~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
Pill
(OWNER . ~
::::,)l:~;:;::;~_ . ,~
: (phone) l51-LfOIo-Yl/OO
S~j~d. .
/ t.n~l rnr'l
APPLIC~ \ - .
(Name~ktmY)Xl...tvc ; ~ ...,{JJU)...~ ~ T S.A.Q_pQO~ (Phone) ~ (y3-3 j 5- 7500
(Add,,,,) q)IO l.J~,uj. 01-e- Do 5-1.Cd:Q2;F' i=b.-Jt. rnn SSCiL/,"i
, " ('( ddress) ~ (City)
(Contact Person) +<;\~- U, (Phone) r"J103-315-7SIv,
APPLICANT SIGNATURE 7t;;---t.2' .Jj/)t/}\.i2/7?,a/~
(Zip Code)
DATE
FURNACE MAKE A
FLUE SIZE
APPLICANT PLEASE COMPLJH:TE BELOW
EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
D MODEL F.UEL
I
RETURN OPENINGS
INPUT
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o .other Devicc:s
OUTPUT
TYPE OF SYSTEM
.. DWann Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent System
PLEASE NOTE:
Air Conditionet Units
cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Residential. Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39,50 minimum
199.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
539.50
Industrial, Commercial & Multi-Family
$39.50
$39,50
Estimated Cost S
Building Penn it #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
nullding Ornclal
nlte
By
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 houl' notice fol' all inspections (952)
1:00~
X31UIHd 3~YHY~ QIJYW V
ZOLOgT 1:19 XYd 9t:11 ~O/11/tO
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 3roLfo ~x: T~;L-. LIZL,
NATURE OF WORK NEU.-J CoN$'T"TL~T( c-,....)
USE OF BUILDING S.P ~ r
PERMIT NO. 02-/47..7 DATE ISSUED J\( '/62-
CONTRACTOR lJJeN5M.1\N,J ttCJMe; PHONE~52- 4'1<1- 1-S97
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
S'<C~ MA/tJ RLe
INSPECTOR
DATE
I FOOTING I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING l,.~. ~7.'jJ
INSULATION I...\" 6 3
ELECTRICAL
PLUMBING l,.l ~ 7 1/3
HEATING (if required) L. v
AREPLACE ,
GAS LINE AIR TEST JMo-..
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING S-:?o
HEATING
DO NOT 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 be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850