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Home My WebLink AboutBuilding Permit 04-0146 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICAtE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please type or print and si2l1 at bottom) ADDRESS I. White File 2. Pink City 3. Yellow Applicant \ ~~''-n ~.o-:...c- ~'.:...~ ~ -,,, c....,,"'-\.. '........ """ ~ ~ ~~ LEGAL DESCRIPTION (office use only) LOT~BLOCK -~ 1JJ-MkYm~ /s-j ADDITION ~~""'C:-~Q.,"",,- ,~~ .~,', ~ ',~" OWNER (Name) \f\\." c.... ""'- L ~ " " __ "'~ (. c '"-' ~ "' t..-- ~ "-"v... - . '-l (Address) ~ ~ '-- C..J -c'~ r_._ " (Phone) BUILDER (Name) ~ <'-"'-.......... "'~----- (Contact Name) ~L~.......... (Address) \~~~ ~~~ -'-c.... .......... (Phone) ~ S, (Phone) '-..R \. ~ ~ ''-c.:- ""--.. ~ '- .... C::..,~~ c. '-- ..... TYPE OF WORK o Misc. o New Construction rf*ower Level Finish o Deck o Porch ORe-Roofing Date Rec' d .:5- /.s -Of PERMIT NOr? Lf~ /11 b ZONING (office use) tel PID~- 31~ - O~J{~) "-.(.:) """ ~ ~ ~~, "~\o ORe-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. X ~ w..... __ ~ '---'- "'-~~ Signature Contractor's License No. Date Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty A Plumbing Permit Fee {foJ r, Mechanical Permit Fee Sewer & Water P~.ullit Fee Gas Fireplace P~.ullit Fe~.Pth1 ~ $ ~ Fireplace OAddition o Alteration PROJECT COST IV ALUE (excluding land) $ ,r 80() tJ, Ot) $ 1'-/, 75 $ $ $ $ $ $ Park Support Fee SAC - Water Meter Size 5/8"; 1"; Pressure Reducer I . 5tJ City SAC and WAC Water Tower Fee Builder's Deposit Other TOTAL DUE . ~/ -"- Paid 1.::::2 (p ~ ~ I. ~/ Date 3 -Ic..,.~ ~, dO 41 , t7tJ This Application Becomes Your Building Permit When Approved ~Offi~ ~~t{ # # # # Receipt No. BY6 $ $ $ $ $ $ $ $ $ /5fo. 7.1:) LI{;;,~ - . ~ 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 Director Date Special Conditions, if any 24 hour notice (or all inspections (952) 447-9850, tax (952) 441-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 MAR.19'2004 12:59 651 633 8884 FIRESIDE HEARTH AND HOME #0988 P.OOl/OOl (Ptea~c type 01: prtn~ Md', si.J!;JJ :at bDttom) ADDREss. 1-1 J:.. A K J. J:-.t.O- HUM. h'" 15216 FAIRWAY r.-mIGHTS RD CITY OF P: LAKE HEATING/AIR CONDlTIO(f " Il'1REPLACE PERMIT ~'IJ.{~SIUB- 5- PERMlTNO~ Dai:e he'd ZONING (r.tfCice 1I11e) LEGAl.. DESCRIPTION (office Il$e rmJy) LOT BLOCK ADDITION PID OWNER (Name) WENSMANN HQMES (Addr.ess) (Phone) A.J~ J: ...ICANT (Nam~) ALUED J:"u~ESIDE DBA FIRESIDE CO~r.~~ (Phone) ~51,-63~2S61 (Address) .2700 NORTH FAIRVlEW AVENUE (Address) ROSEVD...LE (eil:}') .55J. 1. 3 (Zip Cod-e) (Contact Person) BRENDA:I-IUSTON (Phone) 651-633-2561 APPLICANT SIGNA TIJRE DNNDA HU$TON DA'rE r- Og-19.o~: APPJ.JICANT PLEASE COMPJ...ETE BEJ...OW xD NEW CONSTRlJCT1.ON 0 REPLACEMENT 0 AJ.. TERA TJ.ONS FURNACE MAKE AND MODEL FUEL FLUE SrZE RETURN OPI~N1NOS INPUT OUTPUT TYPE OF SYSTE~ HEATlNG OR POWER PLANT JWarm Air Plants 0 Steam ]GrD.vity :J Hol; W4~r o Mechanjc~J J Rad.huion DAir C01'ld.itionil'1g 0 Speciaf Devices OVcnL. System CJ OTher Devices PJ..EASE NOTE: Air Condit;oner Unit!i Cannot Encroa.ch into Required Side Yard Setbacks FIREPLACE MAKE AND MODErJ N~~pl..q .Ji~09~~-Ot.\~ ___ FEE SCHEDULE 1% of job cost. R.csidentia.l, Gas Fireplscc $39.50 mi"imum $99.50 Rcsi.denti:ll, Additions &. Alteratfons 564.50 Residential, AC Only S39.SO S39.50 $39.50 Industrial. Commercia.! &. Multi-[.:'amily Residentia.l, Hesling &. AlC (New Consr.roct.ion) Residential, H.eating 0J'l.1)' (New Conwuct;~n) Estimated Cost $ , J-iEA TTNG PERMIT FEE . STATE SURCHARGE .TOTAL PERMIT FEE Building Permit #. $ $ $ PAID wm; 'SO_LOINS PERMIT (omc~ TJH Only) . . . .. .._ S. ppllc8ttoD B-..m.~ Your Building p.~ttWhe~pp::o~~I.. ~r!'..~./ ~id ..rr: ... ... Receipt No. Builder DNLr:i'~. ..) Ig~ . ~ 2700 Fairview Avenue North Rosovillc:, MN 55) 1.3 . 11' lt38-~~ult'4x ~~ [;6~8884 ..'.~n),. cO),lI.aIl41.. om.lllJ850 Weill Hlllhway 13 Blll119ottle. MN 55337 PI ~90-0758 Fax 9512-11f.l)-5408 ~ ~W1IIo.n'eNd(!"s",(I)11I MN C/ln'm.MI' ~l11I)9W/I t . ~_....._..--._._.. lIIfiI'. ", ./ .,. I.. ~ IIUJ1DI~:; ~\ixI^TJI..~ Date Rec'd CITY OF PRIOR LAKE PLUMBING PERl\'.u I' I.!lk&e FiI. .z.Gold CJl) 3, 18lo~ AppliQat 6'/)~ PERMn NOc{-1 ~ ~ r,'J)e or l'l'int antl si.ItD at boncm) ADDRESS ,'61J {p fit; fl.. fI/ a,U J "-,'-'{ fa fii:s pd. ZONrnG (o&euse) LEGAL DESCR.1.t' llON (o:f5cc use only) LOT ~BLOCX rz...-ADDmON rvt'1 11 t\ht Ii F e> tI1 k+; J J:"W OWNER (Name) Wensmann Homes . (ph~e) 651-905-3709 (A~~ 1895 Plaza Dr Eagan, MN 55122 APPLICANT (Name) Genz-Ryan Plumbing & Heating (Phone) 651-423-1144 (Arl~~s) 14745 So Robert Trl Rosemount, MN 55068 \j .(A~~) ',. (City) (Zip Code) (Contact Person) J;t~tl~/JL.;\ /1 (Pho_ne.) 651-42~-1144 } I APPLICANTSlGNA11JRE )l,O..(Ct..) ~ /\. DATE JJ-t5(;)-() 'Y ,,, .,,) ,,',. )' APPLICANT PLEASE COMPLETE BELOW Type of Fu.,..re Quaatity Bath Tub with or without shower I Dishwasher I Floor Drain 1 Lavatory (Bathroom Sink) I Laundry Tray (lor 2 compartment sink I Shower Stall I Sinks I Bar Sink I Water Closet (Toilet) Type of Fixture Quantity Rough-ins Water Heater I W ~l Softner I Stand Pipe (Washing Machine) I Sewage Ejector I Backflow Assembly I Bacldlow Assembly Test I Lawn Sprinkler I Other FEE SC.tUJ>ULE Industrial. Comm=-ci.al & Multi-family 1 % of job cost with a $39.50 minimum Residential. New One & Two-Family $99.50 Residential. Additions &. A11...,.."~oIl3 $39.50 Estimated Cost $ Building P.:o.......Jt # PLUMBING PERMIT ~'~ $ STATE SURCHARGE $ TOTAL PERMIT FEE $ :50 ~ l~n_ :;'('1'''/40'' .. f..,IJ./j 0J Dn~,.. ""'" J J " U'iftllt!t.. "',d~1o ~tJ,. U,tJiJ ,I,;I it=.. , . :'.;;.~ ' Receipt No. 9!t (Offtte Use Only) ','" ]"his Application Becom.. Your B1Ii1ding Permit WIleD Approved :",f,:U"-~ _~~'-'~-i-~:i D ,.J .- li;:1 Ii ate, : '.I~ BuilcJine Official Dlrt i;, i I APR? 7 2004 ; ,: .; ; ill ~.~ 24 hour notice tor all inspeenons (952) ~r7~850, fax (952) 441-4Z45 j . ,Sy ..; :Sy- r Z 'd Iv9Z'ON 8N11~3H aN~ 8Nl9~nld N~^~ ZN38 ~~zz:al Vaaz 'ZZ'Jd~ PRIOR LAKE .~~rt~:~NJD~~SPECTION INSPECTION RECORD SITE ADDRESS 15~/" /=:.41rLAAlI tI-+s ~ NATURE OF WORK /"1.-,,... --r!p. ( -USE OF BUILDI~G_ .6 F - ~J PERMIT NO. &)1(- l!J.j ~I_I~SSUED .d-.I."~ - CONTRACTOR UJ It4I4o-~... ~ ~ PHO~/.:a.. ~a'. 7/7/. NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE PLACE NO CONCRE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS rtr ~ ~ /yJ ~ FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST ( '{/2L(-(}C-{ J / / / \' // \Y COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED . FINALS ~/' BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUpy ~ . .. -. (;/ .~f ... ~ " UNTIL ABOVE HAS BEEN SIGNE) 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 L CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS In t (, OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~NAL l- \... .. o SITE INSPECTION COMMENTS: DATE TillE SCHEDULED l.L=!1... ~ ~r ~ PERMIT Not;f-I <I fn o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXlGRADIFILUNG o COMPLAINT o FIREPLACE RI a FIREPLACE FINAL ~S~ST - ~RK SATISFACTORY, PROCEED o CORRECT CTION AND PROCEED o CORRE RK, CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CAL -~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. C~UlREMEN7S ARE FOR YOUR PERSONAL HEALTH & SAFETY! ~ utSNOTl