HomeMy WebLinkAboutBuilding 02-1511
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
10
L
tow
Date Rec' d
//-/-02-
~i~i~e ~:~y I PERMIT NO. ^?_ -'1511
Yellow Applicant , U""
ZONING (office use)
1<./
LOT
LEGAL DESCRIPTION (office use only)
ADDITION W el1 5/11 J4 n YJ
OWNER
(Name)
LveH$ fJ1fJl1l1
I <nS- LI1Z f}
(Address)
J-I~ 111 e 1
rIve
1st
-0
Ell
(Phone) ~ 5'1-40& -'1'1~O
SS-/z z
n
)11n
BUILDER
(N ame)
(Contact Name)
(Address)
!J 11-)111 e
Ini ~ k
JfG/LJ1t/J n
(Phone)
(Phone)
(P/~-3'9-7';Z'l
TYPE OF WORK
ORe-Roofing
9fNew Construction
o Lower Level Finish
o Misc.
ODeck
~ Fireplace
PROJECT COST IV ALUE (excluding land) $
OPorch
ORe-Siding
OUtility Connection
DAddition
OAlteration
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 properry 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 rop, t perf or needed inspections.
x
Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
1EJ....-.
$
$
$
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
~~
Building Official
11/t1/bZ---
te
/1J5g
J J -0 I - (; Z
/'
---
Contractor's License No.
Park Support Fee
SAC
#
#
Water Meter Size 5/8
Pressure Reducer
1"
,
City SAC and WAC
Water Tower Fee
#
#
Builder's Deposit
Other
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
~~ ~ /'It ~l--- ~ Pd ~
Planning Director r ~ate Special Condo ons, ifany
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
Thf' Ce-nlf'r or Iht tab ('ouRlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
vJ ENS tJAN N
.
Ll:J - 02-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
15lq/ FoX(AlL ~T
Accepted
Accepted With Corrections
~
Denied
,..
Reviewed By:
~
1!-~
~ Date: /0 i~v
aL.t' ~ ~ -~. r
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."
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Thr ('rntrr of thf takf ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\J~ENSt1ANN
y
U:J - 02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Fox 1];1 L ~T
/5lq J
()(
Accepted With Corrections
Accepted
Denied
Reviewed By:
1YJtJ-/3
Date:
11-1'-/-6:<
Comments: ~P-P- Rp-vp..r~p- ~idp.for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
"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."
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
ADDRESS
/
LEGAL DESCRIPTION (office use only)
LOT
IS!
ADDITION W EiV
I. Green File I PERMIT NO ..., ,,- ~
2. Yellow City. . /J,( _I::> / j
3. Gold Apphcant l/
ZONING (office use)
PID
OWNER ,I
(Name) WeNS rTJrrNN f7 o/llEs
(Address) /;8'15 / L/l Z-fJ JJI2/ \J E
(Address)
I/VC.--
E/fG/J1//
(City)
(Phone) ~51 - Ya-:;Y"51eto
65 I;;{ .:z
(Zip Code)
~;;~~ANJ:; AJI/-L b~1l1J E .IAJc
(Address) /3 /!J JlJ ff;(fJs t5 .r f'13 eT ::ff /
(Address)
(Contact Person) 0 Jt) N
APPLICANT SIGNATURE
(Phone) 9'5;1- c:::?33 - 1200
S/fIlKD/EE 55377
(City) (Zip Code)
(Phone) /.5/? -' c:?33 - / ~ ()CJ
DATE II ~ ZJ,2.
APPLICANT PLEASE COMPLETE BELOW
Size of water service -L inches.
Location of any couplings from structure 5 Q feet.
Type of sewer pipe. D ABC ~ PVC D Cast Iron
Estimated length of sewer line ..fill.. feet.
Clean out (if required) located at .- feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245
Receipt No.
LUUL j:lb~M
GcNL kVAN PLUMBING AND h.
No.7oL4 p. L 4
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONlNGIFIREPLACE PERMIT
Date Rec'd
':%\\~~.i;":
.~
t1'lwe \ype orprint and ~ .. o.Oli>m]
I ADDIrnSS J S; q J
~s:w SiQl1t ~PERMITNO-d_/~//
ivy- ?ad) Cr '. I 'f WNING,-...
LEGAL DESCRIPTION (otfice use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) WensU1.:lno. ijnmps;.
(Address) 1895 Plaza Dr Ste 200
(Phone) ';51905 37tl9
Eagan, MN
55122
APPIlCANT
~~~ Genz-Rvan Plumb1n~ & Hea~in~
(Address) 14745 So Robert Trl
(phone) n'; 1-471-1144
(Contact Person) _
I
Ro s emoun.t. MN
(Cby)
55068
(Zip Code)
APPLICANT SIGNATURE
{phone) hili 1 4?,~ 1146.
S DATE I(}- -;0 -00
r.
APPLICANT PLEASE COMPLETE BELOW
w CO~STRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODELU2JtflJJX. G'G1&Q'IK FUEL ~
FLUE SIZE RElURN OPENINGS B' INPUT It;? s; m OUTPUT / / s: Ot) ()
~
TYPE OF SYSTEM HEATING OR POWER PLANT
M\Varm Air Plants 0 Steam
o Gravity 0 Hot WaJ;cr
iMeCh2IliCaJ 0 Radiation
Air Conditioning 0 Special Dcvil;:C5
o cnt SystcIn 0 Other Devices
P.LEASE NOTE:
Air Conditioner Units
Cannot Encroach into
~quired Side Y lII'd
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residc:ntial. Gas Fircplac~
$39,50 rninimtUlt
$99.50 Residential, Additions & Alt.cnltions
$64..50 Residential, AC Only
.$3950
Re~idl:ntlal, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost.$
Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOT.AI. PERMIT FEE S
.50
(,...~ 0 U8eQnly)
r
".".l,5 Application Becomes Your Building Permit When Approved Paid
Receipt No.
BuiJdlng Official
Date
DEe
Oak
24 hOl.lr noti~e for slllRspedioRs (952) 447-9850, fs): (952) 447-4245
Dec.16. 2002 3: 1 5PM
GENZ RVAN PLUMBING AND Ht.
No.76Z4 p. (/4
Date Rec'd
CITY OF PRIOR LAKE PLlJMBING PERMIT
A
f;~;q;t-)hK
1 Blue !'lIe
z. Gold CIty
3. Yellow /Lppijant
l
/aJ;(ff-
I PERMIT ~O-8 -I'J/I
I
ZONING (officcu:se)
LEGAL DESCRIPTION (otlicr: ~ only)
.
LOT
BLOCK
ADDITION
PID
OWNER
(Name) Wensmann Homes
(phone) 651-905-3709
(Address) 1895 Plaza Dr
Eagan, MN
55122
APPLICANT
(Name) Genz-Ryan Plumbing & Heat.ing
(phone) 651-423-1144
(Address)
Rosemount, MN
(City)
55068
(Zip Code)
APPLICANT SIGNATURE
(Phone)
~
651-423-1144
DATE /d-70-6d-.
Quantity Type of Fixture Quantity Type of Fixnue
CA Bath Tub with or without shower Rough-ins
I Dishwasher I Water Heater
I Floor Drain - I? 'T:. Warer Softner
r., Lavatory (Bathroom Sink) J Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink Sewage Ejector
.0< Shower Stall Ba~kf1ow Assembly
I Sinks Backflow Assembly Test
~/r Bar Sink Lawn Sprinkler
Y- Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commercial & MuItHamily 1% of job cost WIth a $39.50 minimum
Restdential, New Oue & Two-Family $99.50
ResidQntial, Addjtions & .Alterations $39.50
Estimated Cost $
Building pen:nit #
PLUMBING PERMIT FEE $
STAlE SURCHARGE $
TOTAL PERMIT FEE $
.50
(om~t: U~r Only)
This Application BecolIles Your Building Permit when Approved
Paid
Receipt No.
Date
DEe , 7 2fXil By
BulldJng Oftici:u
D~te:
24 hour ,gotice for aU InspEctions (952) 447-9850, fax (952) 447-4245
Dec.16. 2002 3:15PM
GENZ RVAN PLUMBING AND HEATING
No.76L4 P,
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
~ ~ ~~ l!ERMIT NO. :1_/&::'//
J. Gold ApPll_ ex 'J
'"""" ~ "'_ 0Dd:;"_
I ADDRESS .. ~
/5~.J r-o~
-;ill
e+
I ZONING[_,~)
LEGAL DESCRIPTION (offiQ: use only)
LOT
:BLOCK.
ADDlTION
Pro
OWNER
~wn~ Wensmann Homes
(phone)
651-905-3709
(Ad.dr~ss) 1895 Plaza Dr Ste 200
(Address)
Eagan. MN
(City')
55122
(Zip Code)
APPLICANT
(Name) Gem~-Ryan Plumbi~g & Heating
(phone) 651-423-1144
(Address) 14745 So Robert Trl
_<Addl"c:ss)
Rosemoupt. "N
(City)
55068
(zip Code)
(Contact Person) _ J
ATE
651-423-1144
I d- -/ fL.; -() 2J
APPLICANT PLEASE COMPLETE BELOW
Size of water seryice 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) locateli at feet from structure.
ReSldential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'! & Multi-family 1% ofjQb cost with a $39.50 mmimum
$17.50 Water connection only $1750
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
"
~
~".
-?...'\
(oroce Use OllliY)
This Application Becomes Your Building Pern1it When Approved
Paid
Receipt No.
Date
Building OffidaJ
Jla,t"
24 hour notice for all inspections (952) 447-9850, fu (952) 4474245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~;e:n ~:;y I PERMIT NO. '1_ /5 J (
3. Yellow Applicant . d
ZONING (office use)
15291 FOXTAIL COURT
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
1/6/03
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
OAir Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEATN GLO SL-750TRN-C
APPLICANT PLEASE COMPLETE BELOW
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
Buildinl! Official
Date
-, ->"J}'
(Office lise Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-98
PRIOR LAKE
INSPECTIO
DEPARTM~ iT OF
BUILDIN D INSPECTION
SITE ADDRESS al! (..(~
,
NATURE OF WORK / S,F:D, /JE2J (J)Nsr)!2uCA/rJ
USE OF BUILDING/ SP:O, .
PERMIT NO. /)2 -/51 I DATE ISSUED /If~ z--
CONTRACTOR WEJ'llSMA-tJjJ ;.../~ PHONEb/6-3~/-7,~?
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
ECORD
'-i INSPECTOR DATE
[R I 11-21
I FOUNDATION (Prior to Backfill) I &/8 /~ ~ I
....
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I FOOTING
SEWER I WATER I SEPTIC
FRAMING IJ (
INSULATION
ELECTRICAL
PLUMBING r-V ( ~r WP'V\
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
../
t (t. /03
-I..,
COVER NO WORK UNTIL ABOVE H~ BEEN SIGNED
lWUCCL>/LA-rIfE I ( I 1 "'~
,
FINALS
~,111. /).J
GRADING (Prior to Sodding)
BUILDING ..-:- .-\v -(-0
ELECTRICAL
PLUMBING
HEATING
DO NOT
/7) -10
~ -')Jig ~
.~
OCCUPY UNTIL ABOVE 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.
FOR ALL INSPECTIONS (952) 447-9850