HomeMy WebLinkAboutBuilding 02-1539
DATE nME
CITY OF PRIOR LAKE )0 -(-OS ~:Ot:J
INSPECTION NOTICE SCHEDULED
ADDRESS 5~ '2(,. h~ ~[ 1;-
OWNER CONTR.
PHONE NO. PERMIT NO. 2- /5J 'i
o FOOTING
o FOUNDA nON
o FRAMING
o INSULATION
xf FINAL
o SITE INSPECTION
COMMENTS:
/ . ~(jt- " /1\_
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~I. ...
ft1~ 11 cc.e'S.~ 2...j fl ~
I ^.
ok {o t-l ^~ ~._ t_t-CR
........ .1'1
~o-~~ k~\~
~ WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'",pedoc fB . Owne,/Comc
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNon
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
'i-~
2:'10
ADDRESS '3 t.o 'J.V
~ox ~ Tr-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
2,,--
I~,~q
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~ PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
CO~MENTS: ^ .
~J"'-.L ~ (I~
.2-. ~ ,-<1.( (<1'~~
'2 ~,-,', h~ ~LA..A.."" /) },,~
~ _ - '- ,-- f" l
o WORK SATISFACTORY, PROCEED
~ORRE~C TION AND PROCEED
o CORREC.>RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: /~ Owner/Contr:
CAL~-91s0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
COD~IREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNon
rlfillJ H'Le-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
~c.
'~..1
Fnx
LEGAL DESCRIPTION (office use only)
'1io,1
LOT ~ BLOCK;l, ADDITION Wet"SfV\C{.V\-.t\
OWNER
(Name) \o0e~~~..'(\..t"
(Address)
.pi k.....:). a
IXO,S
BUILDER
(N ame)
(Contact Name)
(Address)
-S:t1"-P
~i
~~
l~f\rp'::;" ,.S f't':'
,
Dr ,\Jf..~
R
above
~.rVC
TYPE OF WORK
)K'New Construction
o Lower Level Finish
o Misc.
Date
ec'd
I tJ- )-). ---0 er/
PERMIT NO. oz '/53 q
I
ZONWG (office use)
IZ~
]. White File
2 Pink City
3. Yellow Applicant
~tJ
PID ,;lS - 385 - ~
(Phone) (~i) '-IOc. - '-/i.fCO
c
~!.I..
(. re
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~a(\
-{v\.~
J
. (C1 S-:< )
95, <:)00
C~r./i~
~ -' .---..
./
(Phone)
(Phone)
ODeck
o Re.Roofing
o Porch
PROJECT COST IV ALUE (excluding land) $
o Fireplace
o Addition
OAlteration
440 - 'IS.&7
o Re.Siding
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
enter upon the property to perform needed inspections.
xJ1J R k~
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
l.....kt\:;'MaJ\.(\
.~.':::.. 3',"\(.... I '-IS 8
Contractor's License No.
$
$
$
$
$
$
$
$
qs: OtJrY, 00
"/95g'; f10
~ Z3, I ?
47, .~ (J
/lJ () .ov
/OO,otJ
3S.50
4tJ. tJ f:)
This Application Becomes Your Building Permit When Approved
_~W~
Building Official
/0~e~
Park Support Fee
SAC
I WaterMeter SiZ~";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
#
#
Paid
Date
.
I.., I LI '-I. '--J tj Receipt No.
- /.')- ~6-0'7 By
L 0/ .=4~ 10;:)
I Date .
$
$
$
$
$
$
$
$
fjSlJ,80
/zM,(J 0
c!J~O, 00
45,00
/2tJOdJD
. 700.00
$ (P, /4'1.14-1"
.
t/3 '//%/ I
IdJ ..;; I
J-
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 con:\titutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
;?~ ~.~
Planning Director
k1h'&z-
-A
~
~
Date Special Conditions, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~----
1~~1
D.~
. See- fJ/(fi/;.) F:u
White - Building
Canary - Engineering
Pink - Planning
The ('('nfer of fhe t.kt COUl1lt'1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/ J J.Mz41/f7tbu/Y1J
/ t)/ ;} d- -c:J cr--
tIo
i..J2.-<;Y
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3t:,&.,=, F!ox' IQ~ L T-r
Accepted
Accepted With Corrections Y
Denied
Reviewed By:
~
~
,
:j~f-/
n1-d'. ' ~~
Date:
J~hlo~
,
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."
FILE
. )
White - Building
Canary - Engineering
Pink - Planning
Thf' Cfnft'r of fhf Lake Counll1"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Buildin~J, Engineering, and Planning Departments have reviewed the building permit
application tor construction activity which is proposed at:
Accepted
Accepted With Corrections
/"
Denied
Reviewed By:
~ '=Idlt-J
~~
Date: //11 /tJL--
. /
-:;2 J ~
\.
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."
Feh. 6, ~003
~ ?R.;O~
~~~
\ 4"1 '{'"
'. iVNESO
3:39PM
GENZ RVAN PLUMBING AND HEATING
No.~675
P. 6 3
Date Rec'd
CITY OF PRIOR LAKE PLUMJ3ING PERMIT
1 3h.lc ;:ita:
2. Gol d C,ry
l y.!low Appllwu
PERMIT NO. J.- - 1539
(Pkasr.: typ.::: or pr:int and ~itro at bottom)
ADDRESS
308- (p Pox Ta.j I TJe--l.
ZONmG (Oflice u~e) I
LEGAL DESCRJr uON (office use o:nly)
LOT~LOCK ;)... ADDITION Wef1&YV\C.o1 h
2VlJ
PID
I OWNER
(Name) Wensmann Homes
(Phone) 6.51-905-3709
(Address) 1895 Plaza Dr
Eagan, HN
55122
. APPLICANT
(Nam~) Genz-Ryan Plumbing & Heating
(Address) 14745 So Robert Trl
(Address)
(Contact Person). ~//!1 rQ. is -h ~ ( l ~
~ --+'1 fJJ.d
(phone) 651-423-1144
/
Rosemot1nt, MN
(City)
55068
(Zip Code)
0?hone), 651-423-1144
APPLlC.WT SIGNATURE
DATE
;;< - & ,-O~
Quantity
;:L
I
I
Lf
(
I
(
:)
APPLICANT PLEASE COl\1PLETE BEI..OW
I Type of Fixture I Quantity
Bath Tub with or without sho,ver I 3
Dishwasher I I
Floor Drain I Q -J:
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
I Bar Sink
I Water Closet (Toilet)
Type of Fixture
Rough-ins
I Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
I Bacldlow Assembly Test
Lawn Sprinkler
Other ..
FEE SCHEDULE
Ind.u,mal, CommerC:Is.1 & Multi-family 1% of Job cost with a $3950 minimum RcsldcntJal, New One & T\.vo-Pll.l1uly S9950
Residential. Additions & Alterario;ls $39 50
EstImated Cost $
BU11dmg PermIt #
PLUMBING PERMIT FEE $
ST A IE SURCHARGE $
TOTAL PERMIT FEE $
,50
lEi"//i)/' j .. .
.\ -'0:!J/!/, ",
''-<-{",I
'"'
,<0;::: :~:;;:tion Becomes Your Building Permit When Approved ~~ ~ ~ ~ U IT! lE ~'
" . I =-EW 0 7 2003 '~,
Buddm!; Officisl Dan: _ I
Receipt No,
H hour notice for 311 inspectlons (952) 1ly-9850, filx (952) 44~
By U0
I
V
3: j9PM
GENZ RVAN PLUMBING AND HEATING
No.~675
P. 7 ~j
CITY OF PRIOR LAKE
HEATING/AJR CONDITIONING/r'.lKEPLi.\CE PERMIT
Date Rec'J
~. ~~ ~~ I, PERMIT NO. .4,./ "'I C3. CAr
). Y.lIow .....,~/lCA.' 1..."/
(Plc:.a:;e n-Ee or pnot and sign at boaom)
ADDRESS
3~d-~ fox 'rPtL' ( T ~l.
ZONJNG (office\l$e)
LEGAL DESCRIPTION (office use only)
LOT PBLOCK;;;" ADDITION yV et1 S mtt ill \11
1~1d
PID
OWNER
(Name) Wpn~rnaI)t' HI"\TI\p,,",
(I'honc:) _h e; 1 _c.n e;_ '< 7..o(J
Eagan, HN
55122
(Address) 1895 Pla.za Dr See 200
A.PPLICANT
(Name) Genz-RV,1n 'P1.!!mb.ins 0., 'He3ti.u..:
14745 So Robert Trl
(Address)
. (A.d~)
(Contact Pr::rson) _C Vl ~ L'S h' rn f1 S
APPLICANT SIGNATTJRE niA ~ ---::f.cJ)..R/-:)
_ (Phone) J'i1-4.2.J..=lJ4u
Rosemount, MN
(CilY)
55068
(ZIp Code)
(Phone) fi::; 1 -4..? . - 1 1 4./
DATE
:;J- - (p .- D '3
APPLICANT PLEASE COMPLETE BELOW
r JZ[NEW CONSTRUCTION
FURL'JACE :rvfAKE AND MODEL Le.n V1 0 X" -
FLUE STZE REnrRN OPENINGS
TYPE OF SYSTEM
o REPLACEMENT 0 AJ...TERA nONS
b ifj) u t-+ ;~~B -- cqo FUEL Qt11 11195-.
r::; IN.PUT 110,J)J)fJ OUTPUT 7;2.. IJDi)
. .
BEATING OR POWER PLANT
~.:ann Air Plants
DC,ravtty
o Mechanical
J2:Air Conditionmg
OVent System
o Steam
o Hot WaTer
o Radiation
o S!,ecia! Dcvlces
o Other Dcvices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
..- ---..-.
, -'~ ..".-.-
Industrial, CommercIal & Multi..Famlly
FEE SCHEDULE
1 % of Job cost Residential, G,'\s Fireplace
$3950 minimum
$99 50 Re:~idennal, Additions & Altentions
$6450 Residential, AC Only
S3950
Residential, Heatmg & AlC (New Construction)
Resldential, Hearing Only (New ConstrUction)
$39.50
$39.50
EstJInated CDst: $
Bunding Permit #
HEA'Til'JG PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ ;.;:o--<w ~
,I"ro:-. - U.~e Only) -: . \'{l IE ~
. . ...S Application Becomes Your Building Permit When APproved~~~~ ~d~ ~ ~ - ~
Ir~ 0 7 L003
BUIlding Official D~re \ L
24 hour notice for all io~pections (.952) ~Q<::n Cft_ ~'t'l~
/&1/ III
~. =(!Ij// I""
~",,(/!
-". "<J loCi!' co.
IJ'-t:..-
..I "'~ "'-'J J .
Receipt No.
IBY~
/
JJ
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Pk;1:ie type: or print U10 sign at Dorwm)
ADDRESS
3(O'dlD F~ T.J\..~
I PI.1r.
2. G~
l. Yell_
~I~ I PERMIT NO..., - 15."
,,"ppl;..rn d
ZONING (office us:)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
O~ERr.\' L1__u
eN a.me) --.V-J..D.J'V\~..(').J'YV'Yj [1A TYY\J? f)
\
(Address) ~S 'Pl.n~ ~_.#~.
(phone) <.cSI- 4,(Xo-l./l/CX) .
S51~~
f.G;Qntn .mn
v -
i APPLIC,c\.NT ~. I . ,= -r
(N"ame:(.tu...h!/1,).("'.:;:..:.....-(' ,C'='-="O,..iLO...qQ ~C)'\.::l t&u<..;:i~o.~_ (Phone) llJ.,3-3, ::.::r /5CC
. V
(Address) Q.:::J I G (.. jL{C~n ~ V.l 'f'. l). e)'1..r'(*,P .1.;"""'-" K-..'l... \~. rh n 5-'::::; \.../i../.. C;
, " ')\ddress) r::J (City)
(Contact Person) .k ~.\ c::::::.. - U. ' , (phone) 'llt: 3-.3 ( ~-7 5/ G
. -y -. / I ........
APPLI-CANT SIGNATURE 7t..c'...c-2.,..! -,6P..1\'?G..1"'7C'~
(Zip Code)
DATE
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT U AL TEM nONS
FURNACE MAKE ANb MODEL . ~EL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
1YPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plants
o Gravity
o Mechanicnl
OAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Olher Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL JY\...o. .1'O~, '3=1 BPY I r(~
, t,-
FEE SCHEDULE
[nJuwial, Commercial & Multi-Family 1% of job cost Residential. Gas FIreplace
$39.50 minimum
Re:;idenlial. Healing & NC (New Construction) $99.50 Residential. Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
S39.50
S39.50
539.50
Estimated Cost S
Building Pennit #
(Orrice U~e Only)
This Application Becomes Your Building Permit When Approved
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
PAID WITH
BUILDING PERMIT
Buildinr. Official
I pate
ili I lUlG ~ ,., 700'1 I
uLJ
24 hour Ilotice for all inspections (9S2) 441.1SS0. ru (95Z) 441~24S
By
lalaI~d a~Y~v~ )IlVWOlDV
["-ffUd
, !! I
I ! ,___-J
t'1Rec~ipt No.
~y. 1"
Dale
(;OO!2J
.-t'i)DfS'rc (; 19 XV d (; f' : 01
CO/(;(;/SO
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT 0
BUILDING AND INSPECTION
~bc- /'{A-/N /-/t,b-
SITE ADDRESS 3Cpz.~ t:O"(! TA.;L- TR ,
NATURE OF WORK t<JElJJ Ct;,.jSlfCu.-o:r,d;:J
USE OF BUILDING C:S~F:- A-.
PERMIT NO. 02- - /s;3CJ DATE ISSUED II II / (; 7-
CONTRACTOR ~S'IY\AN,j H-6 ME'S ,PHONE9sz.. - l./~o - l./~7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I
FOUNDATION (Prior to BackC:U) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE U ~r.(v
GAS LINE AIR TEST ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~~~'k
f1~
~]!;? r;;~ II
n J"-L?
fJ s:- -0~
iY6 $>-1/ I
Vlff
SF~ ~.. rI'7
I _
'~~ .>..'~
(In I
UNTIL ABOVE HAS BEEN
NOTICE
10) v
V
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 a"'">.ilable, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850