HomeMy WebLinkAboutBuilding 04-0774
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
s~ d-~- Y
See Main File~ ~~~~ew ~i:;licanl I PERMIT NO. fJt!'4J774-f
(Please
ADDRESS
at bottom)
I '1/ ~
Nw
LEGAL DESCRIPTION (office use only)
LOT i BLOCK ~ ADDITION tJ
rJ..
PID ;1..5--
ZONING (office use)
OWNER
(Name)
(Address)
(Phone)
BUILDER
(Company Name)
(Contact Name)
(Address) /.
Jj I) J'?? ~..f'
()/7
(Phone) &~-I- -Yo J - jlYo /)
(Phone) (, / .).. - J /, j - 7" I:l.-
q IV //? /1/ :2..
(tJ('
TYPE OF WORK ew Construction ODeck OPorch ORe-Roofing
DAddition DAlteration DUtility Connection D Misc.
ORe-Siding OLower Level Finish 0 Fireplace
,,0
CODE: DI.R.c. ~I.B.C.
Type of Construction: I
Occupancy Group: A B E
Division:
II
F
1
III IV (!l) A tD
H~Mc1Dsu
2Ql45
PROJECTCOST/VALUE $ J 00,116'
(excluding land) , /
I hereby certify that I have furnished mformation on this application which is to the best of my knowledge true and correct. I also certIfy that I am the owner or authottzed agent for the
abovc-menl1oned property and that all construction will conform to all eXlsl1ng state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official can revoke t IS permtt for Just cause Further e, I hereby agree that the CIty official or a deSignee may enter upon the property to perform needed mspectlOns.
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Pennit When Approved
~ ~~J-.
Buildllll! Ofticial
~/~9/o'f
f Date
Contractor's License No.
Park Support Fee
SAC
#
#
~-.AP-oY
Date
$
$ /3S"o,()t)
$ 2.-5"0, e 0
$ t.{~. 0c:J
$ l2.0cJ.oc
$ 00. DO
$
$
$5. (,15.38
h.ffJ"-
ThIS tS to certify that the request in the above applicatton and accompanying documents is m accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows constructIon to commence. Before llCcupancy, a CertIficate of Occupancy must be
i~~ . .
Planning Director
Water Meter
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
I
Paid Sf, Ir: 1 r
Date T. (cJ . cJ'1
f1#tNO
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See Main File
~tF! - BU~ding
ary - En ineer~
Pink - Planning
Tht' ('..nler of Iht Lab ('aun.,..,.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~:.._A:~<'_<~(~Z.,.?(.~J~..:~;7 / l?,'
/"." . ,. .. i
.:~:' ~ C./.'\/ ....r jt./
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed, at:
.~. ,f! ",' /' ~"'::1"'"'/
'/.(I/tl (.;.-::/ "." I'.., I: /,..</! (,:./ I'l
/' '7 .:' - t :/~__,-"'~kf/~-,~~,.t::~.:J I I. A.,.. _ - 'J' .
Accepted
x
Accepted With Corrections
..'>\''''''
Denied
Reviewed By:
Comments:~e e...
/YJ113
/Y7q; ^ F,( (.
Date: .
g ._~' -0 '-I
"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."
See Main File
White - Building
Canary - Engineering
CPink - Planni~
Tht' Cf'nll'r of Iht' t.kt ('ounlrl
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
r
-..-;:-
" ~-,('./.
," /"r
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.' . --I
/'11 ~"I ././/! f.....J ;'./ ./1
Accepted
/
Accepted With Corrections
Denied
Reviewed~ ~
Date: 0/~94y
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."
See Main File
~hite - BuildiiUt>
anary - Engineering
Pink - Planning
Thf Ctnlt>r of lhe L.kt Count!")'
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
ttJJh~,~ ~
.5~ ,3-Y--OLj
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/tfl 8/ /~~Cl4' 11dJL
/
Accepted
Accepted With Corrections
Denied
-
/? _ ~ ~ _-Z _ /7_
Reviewed By: ~ ~
Date:
~p-,t,(
, ,
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."
JUN. 29, 2004 8: 53AM
GENZ RYAN SERVICE '
NO, 644
p, 3
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(Pletll.''''''''_~
I ADDRESS ..
I~ 181 · : tm1 N V'J.
~: ~:~w ~Ii~" L PERMIT NO. 0 A D7~4
3. Gold Applicant T . /.
ZONING (ollico lUe)
LEGAL DESCRIPTION (office we only)
LOT BLOCK 2 ADDITION
WlttY7 n 4-fn
PID
OWNER
(Name) Wensmann Homes
(Phone)
651-905-3709
(Address) 1895 Plaza Dr Ste 200
(Address)
Eagan, MN
(City)
55122
(Zit) Code)
APPLICANT
(Name) Geni:-Rvan Plumbing & Heatin~
(Phone) 651-423-1144
(Address) 14745 So Ro~rt Trl
(Address) ,
(Contact Person) _ D0f2.1si ~
....ICANT SIGNATURE ~
RQ.8 emoun t. ' 'N
(City)
(Phone)
DATE
55J2Q8
(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.
Residential sewer and water Iin~ connection
Sewer connection only
FEE SCHEDULE
$35.50 Industria~ Com'l & Multi-family 1 % of job ~st with a $39.50 minimum
$17.50 Waterconnecciononly $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERWT FEE
$
$
$
.50
nuildlng Offieilll
D.te
(Office Use Only)
This Application Becomes Your Building Permjt When Approved
t,
24 hOllr notice for alllnspectloDs (952) 447- 850, Cn (952) 447-4245
By _-.:.:::....-::.:-.:.:.:.==::::::::::::::=. _
8:55AM
GENZ RYAN SERVICE:
NO. 644
P. 1 j
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~: ~: ~!~ I PERMIT NO. OLL. 077 A L
3. Yello'" Appllwll . T ~
ZONING (ollice use)
W iI~5 ' Yl W .
LEGAL DESCRIPTION (office use only)
LOT 4 BLOCK ADDITION tvlS VV\ttV\V\ L{ fk
PID
OWNER
(Name) Wensmann Homes
(Phone) 651-905-3709
(Address) 1895 Plaza Dr
Eagan, MN 55122
APPLICANT
ON~~ Genz-Ryan Plumbing & Heating
(Address) 14745 So Robert Trl
(Address)
(Contact Perllon) ~ ~!<S i1
APPLICANT SIGNATURE
(Phone) 651-423-1144
Rosemount, MN
(City)
55068
(Zip Code)
(Phone) DA:l-~3:;;q ~ 1
.~,
,
Quantity Type of Fixture Quantity Type of Fixture
~ Bath Tub with 01" without shower Rough-ins
I Dishwasher I Water Heater
I Floor Drain 1tt Water Softner
J./ Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
, Shower Stall Backflow Assembly
, Sinks Backflow Assembly Test
Bar Sink" Lawn Sprinkler
~ Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrifll, Commercia.l &. Multi.family 1% of job cost with a $39.50 minimum Residential, New One & Two-F!Il1ily $99.50
Residel1Ua~ Additions &. Alterations $39,50
Estimated Cost $
Building PGnnit #
PLUMBING PER.t'VIIT FEE $
STATE SURCHARGE $
TOTAL PERN.nT FEE $
.5
(om~e Uge Only)
This Application .Bec:omu Your Building Permit When ApPl'oved
Dlt\:
. _.'_dl~J rf u m [E
Da~UG 1 1 2004 I! Y
Bulldilll; Officlll
24 hour lIotlce for nlllnspections (952) 44 9850, fux (952) 447-4245
B y _~_____________
8: 56AM GENZ RYAN SERVICE. NO, 644
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONING/FIREPLACE PERMIT
p, 23
Date Rec'd
I ~~~~~;@liU~ f~
I. Pink
2. Ore.n
J. Y.I'-
ij~I~1 I. PERMIT NO'()4-. 0774f
ZONlNG (oflkeule)
liW
]
LEGAL DESCRIPTION (oHlce use only)
LOT q BLOCK 1. ADDITION ~rn.M'\ Y\ Llfh
PID
OWNER
(Name) Wen!'lm;mn 'I1nmp..B
(Phone) 6C; I_on 'i_ 'nn9
(Address) 1895 Plaza Dr Ste 200
Eagan, MN
55122
APPLICANT
~wne) Genz~Rya~ pl~mbin~ & H~atin~
(Address) 14745 So Robert Trl
N/A \ '&
(Contaot PeISon) _VV llUlSj1 ts __ ~ ~
APPLICANT SIGNAWRE
(phone) Ii Ii 1-42':\-11 all.
Rosemount, MN
(City)
55068
(Zip Code)
(phone)
M APPLICANT PLEASE COMPLETE BELOW
~NEW CONSTRUCTION .0_ REPLACEMENT 0 AL TBRA TrONS
FURNACE MAKE AND MODEL JLV\I'lf>X - ~ u H -3lP- () 70 FUEL ~t: qtV-:l
FLUE SIZE REruRN OPENINGS _ INPUT ltll, ODD OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OOWl1nn Air Plants
LlOrll.vity
o Mechanical
~ir Conditioning
OVent, System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NO'fE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE '
Industrial. Commercial & MUlti.Family . 1 % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & Ale (New Construction) $99.50 Residential, Additions & Alterations
Residential, Helltlng Only (New Construction) $64.50 Residential, AC Only
$39.50
,~39.50
$39.50
Estimated Cost $
Building Pennit #
(f'-.." (J!e Qhly)
HEATING PERMIT FEE
STArE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~YmH
~NGR:IIIr
. .,i:O AppUcation Becomes Your Building Permit When Approved \ ~ I ~i~
DRte ill! [! I D~1JG 1 1 2004
111
24 hour notice for, all' inspections (952) 441~s~,_r:X(952) 447-4245
Building Oraclnl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
(Please type or priot and sign at boaom)
I ADDRESS
IY I~I W~ ~ K)W
~ ~~~n ~~~. I PERMIT NO. I ~
3. y.llow Appr"AIIl . ~
ZONING (olflCeuse)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
OWNER
(Name) LJ .!l1Y\.l)l\"t~\Ci I\nJV"'\
-
(Address) \ <s=iS 'P
'0.-., -8= dQ()
(Phone) l oSI- LlOlo- LlYcn
Y1 S'SI'dd..
~;;~~~~~o D:x--~+r.:.p (phone) JlP3,Sr"JI.~:d.S.~
(Adch-esS)F9'...ca. ~o'Nl,{2.(~P~#-Iax> ar.;~J1~,[~ -./'tLn S~3/~
(A'- I ;ss) ........... -~(c;;;r- (Zip Code)
(Contact Person) J-.{c=, ~ ~n.Q..o\'"Y\C, r0 (phone) J lo3's::''7k-7d)/&
APPLICANT SIGNATURE ~ ~~ DATE _\ \-Y-Olf
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
DGravity
o M~chanical
OAir Conditioning
OVenL SYS[a1l
HEATmG OR POWER PLANT
OStclIm
o HOI Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
ResidentiaJ, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
FEE sClIEDULE
1 % of job cost: Residential, Gas Fireplace
$39.50 minimum
599.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial. Commercial & Multi-Family
539.50
539.50
Estimated Cost $ Building Pennit -It
'. f''';~ i L' l:
. J; '.~)fI~:':' ...
~. 'i' \;;, ) - ;";~t ~;. "
L
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
(Office Use Oul}')
This Application Becomes Your Building Permit When Approved
Paid
Receipt No_
DuildiDg Official
Date
NOV {I 9 200
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 ~a~le Creek Annue, Prior Lake, MN 55372
, .,
COO/~OO ~
Mooa a~VMV~ )IlVNOLilV
66~L 9LS C9L XVd ~I:II to/tO/II
. .~-... ,....~:.' ..'"-'"
PRIOR LAKE
INSPECTION RECORD
II/'f , IQ"" ~ 1J(c. ~ ~
DEPARTMENTO~~~ Main File
BUILDING AND INsp~C1iON
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. DATE ISSUED
CONTRACTOR PHON~. ~).
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
! FOOTING I J
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST /14t/j. I j':. t
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I 1
FINALS
GRADING (Prior to Sodding)
BUILDINGT
ELECTRICAL
PLUMBING UJ~
HEATING
DO NOT OCCUpy
SIGNED
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