HomeMy WebLinkAboutBuilding Permit 03-0710
to-~-03
I PERMIT NO. 0 3~ 7 161
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File. WhO. FH.
2. Pink City
3. Yellow Applicant
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LEGAL DESCRIPTION (office use only)
LOT
ADDITION .:foe ~ ~
PID .26 -
OWNER
(Name) We"-~~
(Address) \<oq$ P\~
~)~~
(Phone) <&61
.:200
j)\\J
SSJ
BUILDER
(Name) ~ ~
(Contact Name) ~(' J
(Address)
~
~
Date Rec' d
ZONING (office use)
4~ - LjqOQ
(Phone)
(Phone) ~) 4'lO -45a7
o Deck
ORe-Roofing
ORe-Siding
TYPE OF WORK
~ew Construction
OLower Level Finish
o Alteration
o Porch
o Fireplace
OAddition
o Misc.
C\s
PROJECT COST IV ALUE (excluding land) $
OUtility Connection
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. ~o 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.
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Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ ----
Mechanical Permit Fee $ -----"
,
Sewer & Water Permit Fee $ , S-o
Gas Fireplace Permit Fee $
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; 1";
Pressure Reducer
#
#
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
s/~/lo~
Date
~~7~
Building Official
Ie II I4.M 3
Date
I Paid
Date
7}:;()~ d) q-
1~;1..
This Application Becomes Your Building Permit When Approved
$
$
$
$
$
$
$
$
$
75'--
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This is to certify that the request in the above application and accompanying documents is in accordance with the City ZOningl~ance and may proceed as requested. This document
~Pmnn1~~C~/;:70;ceand~conmuctiontocommen~e~Maiii~r'
Planning ~irector I Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
.<!E . - I
White ." · BUilding
ca~ -En~ing
r t"ln - Plann. J
NAME OF APPLICANT
APPLICATION RECEIVED
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i
The Building, Engineering, and Planninlg Departments have reviewed the building permit
application for construction activity whi9h is proposed at:
,-39ll5"- t?a&1KJ~i ~I?d
: I J :,
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1;
Accepted
~
Accepted With Corrections
..
Denied
Reviewed By:
~
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~~
Date:
(p /1 (, ;;'3
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Comments:
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liThe 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. II
See Main File
tJ3 -7/t)
Tht C"tnttr of tht tlkt Country
C':White - BUil~lng:)
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLI~ATION DEPARTMENT CHECKLIST .
t<k~
t/}~~~
t(/- ~ -a3
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~~9L/5'- ~MP~ *Rd
/ Accepted With Corrections
Accepted
Denied
Reviewed By:
~
I'
?7~~
Date: t//4?(03
Comments:
liThe 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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See Main File
White - Building
c::e-anary - Engineering;;:>>
Pink - Planning
Tht' ("t'nlt'f of lilt' ".Ilt' ('OUlllry
BUILDING PERMIT APP,"-ICATION DEPARTME~T CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I , , . ,/ /., .... f" r" ."" "
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which i~. proposed at:
';; ~ , ( .. I: 'I j /') /
':.' () llt_-.-, .)':."~,>i/,,. ..; .,." /; ,".:;"./ ~ i ,r},,~v :.. Jr.'-.)
\.. . 7 I J i \,( {,~.l. .< ) ~,.-;:'. 'i../"1A.--/ .....:,<.,i.I::.~x~' ," ,:....v
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Accepted
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Accepted With Corrections
Denied
Reviewed By:
Comments:
m1-5
5 C( /Y!r;,V1. (,'re
Date:
0~'7-0 3
"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. Perm'its
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid. II
J un. 9. 2 0 0 3"" 8: 3 0 AM .~. ....G E N Z R V A N P L U M BIN G AND H E AT I N G ~-'
No.6 6 9 3 ~~"'-"P. 3 /i 2 4.-~~"'"'_.""~-
;,.
Date Ree~ d
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
t ~ ~ I PERMIT NO. 3--710 I
l~~:rs;jq;fbo~p~ ~. ((d. /ZONrnG(omu=>1
I LEGAL DESClUP1l0N (of6a:-OJJIy) .
LOT ~LOCK C1 ADOmON J pl.f. eI3J
P;ID
OWNER
~am~ Wensmann Homes
~hone) 651-905-3709
(Address) 1895 Plaza Dr 5 te 200
(Address)
Eagan, MN 55122
(City) (Zip Code)
APPLICANT
~~~ Genz-Rvan Plumbi~~ & Heating
(phone) 651-423-1144
Rosemount. "~
(City)
(phone)
DATE
55068
(Zip Code)
il'.... T..ICANr SIGNATURE
""~:~;':
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) l~catcd .at' feet frOlD structure.
FEE SCllIEDULE
Residential sewer and water line connecdon $35.50 IndW1'1i4l, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only S17,50 Water c()DJ1edion only $17.50
Estimated Cost S
Building Permit #
SEWER AND WATER PERMlT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
S
$
$
.50
(omel: tile Ooly)
This Application Becomes Your Building Permit When Approved
,.
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r;.C.:..'" BuUdlag OIBdll
Date
I PMd
Date .
-, :qn No.
24 hour notice for all iupectioDS (952) 447-9850, tax (952) 447-4245
2003 10:39AM GENZ RVAN PLUMBING AND HEATING No.0181 P. 15/16
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDmONING/FmPLACE PERMIT
1 Pink
2. Gtetll
lYeItow
SiCW ~ PERMIT NO.S -71 t)
I ~::S;3q;;G~IQ~ K4dtJ&
S~
ZONING (oftil:c: US~)
LEGAL DEsCRlPTION (office use only)
Lar2f7BLOCK.;{ ADDmON
PIn
OWNER
~~~ ~pn~m~nn RQmD~
(phone) 651-905 3,n9
(Address) 1895 Plaza Dr Ste 200
Eaga.n~ MN
55122
APPLICANT
(Name) Genz-Ryan 'Pltlmh 1ng & H~a1" ; ng-
(Address) 14745 So Robert Trl
,{A
(Contaa Penon) U 11(.LlS .
APPLICANT SIGNATURE
(phone) n c; 1 -4' 1- 1 1 hla.
Rosemount, MN
(Oty)
55068
(Zip Code)
(Phone)
DATE
APPLICANT PLEASE COMPLETE BELOW
''-!,,~,.;,'" ~W CONSTRUCTION ~
FURNACE MAKE AND MODEL ..' X
FLUE SIZE RE'l1T.RN OPENINGS
TYPE OF SYSTEM
~ann Ajr Plant!
OGravity
. bJ.)1echan icaJ
~r Conditioning
DVeru. System
FIREPLACE l\,1AKE AND MODEL
"J INPUT 7D/ De 0
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special DCV1CCS
o Other Devices
o ALTERATIONS
FUEL t1Hr-C/Jr':k5
OU1"Put PJrt ( (JDD
o ~LACEMENT
(;;
PLEASE NOTE:
Air Conditioner UDjts
Cannot Encroach into
Required Side Yard
Setbacks
Industrial. Commercial & Multt-Paml1y
FEE SCHEJ)ULE
1 % of job cost Residential, Gas Fireplace
S39,30 minimum
$99 .~O Residennal, Additions & Altl:rations
$64.~0 Residential, AC Only
S39.S0
$39.'0
$39,50
Resldenttal, Heating & Ale (New ConstrUCtton)
Residenti3.1, He3ring Only (New ConstrUction)
Estimated Cost S
Building Permit #
.50
& .c~
lJ~^ ,,/) IA..
VIJ\lQ rYj~
J)~~
~f>.
HEATlNGPERMITFEE $
STATE SURCHARGE $
TOTAL PERMIT FEE S
Building Official
Date
(~.,~ ... Use Only)
. ....>> Applic:ati~n Becom,es Your Building Permit When Approved
24 hour notice for aU I~pectfons (95.2) 447...9
SeD, 5. 2003 10:37AM
GENZ RVAN PLUMBING AND HEATING
No.0181 P. 7/16
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERl\1lT
(l'lu3< ~ or~aod_ "-1
I ADDRESS. . .
. 8qLf6 ~Sf2VJm.11l~~f.
~S
~: g.. !_l!ERMITNO. 3- 7/01
I ZONlNG (olfice => I
LEGAL DESCRIPTION (office U!e only)
LOTO~LOCK ~ ADDmON
PID
OWNER
(Name) Wensmann Homes
(.phone) 6.51-905-3709
(A~e~) 1895 Plaza Dr Ste 200
(Addrcss)
Eagan, MN 55122
(City) (Zip Code)
APPLICANT
(Name) Genz-Rysn. Plumb1~9; & Heatin~
~hone) 651-423-1144
~..ICANT SIGNATtJR.E
Rosemount. '4}.T
(City)
(Phone)
DATE
55068
(Zip Code)
(Address) ..~_So Robert Trl
I . (A4dress)
(CoJlIaCtPerson) _ CJ/J Je.(.s-n
)
~;'.:~~'.\"
APPLICANT PLEASE COl\1PLETE 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. Ie~oth of sewer line _ feet.
: Clean out (if requir~) ~ocated. cit _ feet from structure.
FEE SCHEDULE
ResIdential sewer and water line connection $35.'s0 Industria4 Com'l & Multi-family 1 % of job cost with a $39.50 mmlmum
Sewer connection ODly $17..50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
8U11. P.q'D IAh
DING "v/~
p~~
~.,.
(Office Us. Only)
This Applic2tion Becomes Your Building Permit When Approved
Building Of}jcial
Datt
..,.....,..
24 hoar Qodce for slllnspections (95Z) 447-985 ,t'sx (9S2) 447-4245
By
2003 10:38AM
GENZ RVAN PLUMBING AND HEATING
No.0181 P. 11/16
Date Rec'd
CITY OF PRIOR LAKE PLlJl\IB~G PERlVfiT
1. B~. pjJe
2, GoI4 Cio'
J. Vellow AppIiallt
I PERMIT N03 --; {. 0 1
I ZONlN G (aIlice ""') I
11)f.1Ve<
LEGAL DESCRIPTION (office use OJUY)
L~5BLOCK 0( ADDmON
PID
OWNER
~~~ Wensmann Homes
~ (phone) 651-905-3709
(Address) lS?5 Plaza Dr
Eagan) MN 55122
.A:PPLICANT
(.NameL Genz-Ryan Plumbing & Heating
(Address) 14745 So Robert Tr1
(Address)
(;ontact Pernon) -Ch }Q)s tJ
APPLICANT SIGNATURE ~
_ (phone) 651-423-1144
,. ~.... ~.,
Rosemount, MN
(City)
55068
(Zip Code)
.-", "?
DATE
651-423-1144
q-6 -0
(phone)
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
I Bath Tub with or without shower .~ Rough-ins
r Dishwasher r Water Heater
, Floor Drain .tL ..., Water Softner
,,~ Lavatory (Bathroom -S-ink) r Stand Pipe (Washing Machine)
I Laundry Tray (1 or 2 compartm.ent sink Sewage Ejector
I Shower Stall Backflow Assembly
I Sinks Bacldlow Assembly Test
Bar Sink Lawn Sprinkler
- fl Water Closet (Toilet) Other
FEESCBEDULE
Indusmal. Conuncrcial & Multi-famaly 1 % of job cost With a $39. SO minimum RCSldcntJal, New One &. Two-Family $99...50
Residential, Additions &. Alterations $39.50
Estimated Cost 3)
Budding PermIt #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE S
BuildlngOflici2l
Dlte
.50
(Office Use Only)
1"his Application &comes Your Building Permit When ApproiVed
y
24 hour notice for aU iD3pectioos (952) 447-9
.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGlFlREPLACE PERMIT
Date Rec:'d
~ ~ J~iQtlt I ,PERMIT NO. ~ -:7 /6
ZONmG (office: use)
39L\S
~RcndOE..
LEGAL DESCRIPTION (office we only)
LOT
BLOCK
ADomON
PID
OWNER t \ n _ ,.:.,.--....,...... ~.r.-...
(Name) ~.JCJr ~ II'~' "V" ,
\
(Address) ~9S R.. ~ #,;100
(phone) &>5/- ({"C(o- lIt/oo
rnn SS-/.;Q
APPLIC
(Name
(Phone) ~ lv3- 31 5-750C
i=b... ~ M n
(City) (Zip Code)
(Phone) IJG3-31 S~75'j(.~
DATE
("'( dd.rcs,)
(Contact Person) =k ;\". W. '
.J,/ - 1/ -.
APPLICANT SIGNATURE 7l,.r..A..';;'_' ,~.1-r ?\...L.""nQ.~
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL ~UEL
FLUE SIZE RE11JRN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT 1
" OWarm Air Plants 0 Slcam
o Gravity 0 Hot Water
o Mechanical 0 Radiation
OAir Conditioning 0 Special Devices
OV cot System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
- 39eo~ A.)
Industrial. Commercial & Multi-Family
FEE SCHEDULE
I % of job COI!t Residential. Gu Fireplace
$39.50 minimum
$99.50 ResidentiaJ. Additions &: Alterations
$64.50 Resldential. AC Only
$39.S0
Residential. Healing &. Ale (New Construction)
Residential. Heating Only (New Construction)
S39.50
539.50
Estimated Cost S
Building Permit #
HEA TING PERlvIIT FEE
STATE SURCHARGE
TOTAL PER.Mr:n FEE
Ss 8lJIIDP~/D Io//'h ..
.50 Co. ~^'G p"'"
S _ ... ,"~.~~_'F!!:IM"r
F~'~-:=.'~':~_.~'~==:~-~'--
! \ la; ! : .~::; i
:; 'L..'::: ...:J U L:::J
! L'l
(Office Use Only)
This Application Bec:omes Your Building Permit When Approved
Bllilding omcl.ll
D.~ I:: Ii i D~!p 2 3 Z003 i
iU~
24 hour nDtice Cor :an illSpttrions (952) 44..9850. 'ax (952) 44.7-4245
By .-
X31aIHd 3~YHV~ ~IIYHO~1Y 60LOS1t619 IYd 01:01 to/81/60
too~
PRIOR LAKE
INSPECTION RECORD
s- b
DEPARTMENT OF ~ee IVlaln .1:11
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. DATE ISSUED
CONTRACTOR .JIJ.eLJ~WI~ PHONE "",0- "I.~'"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ ROUIGH - INS
SEWER 1 WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE p ,1A1.lft/\
GAS LINE AIR TEST ~ q-I'l--dJ
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FI N A L S
GRADING (Prior to Soddin )
BUILDING ',-~ cD\. \ 'J,-I (
ELECTRICAL
PLUMBING
HEATING c..e1t:f3
DO NOT 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.
enD ^ I I 1~I~DCI"'Tln"'l~ /Qa:;')\ AA7_QGa:;n
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULEDlA)1I~
ADDRESS $~ ..~ r1J~
OWNER
CONTR.
3 ... '7 to
PHONE NO.
PERMIT NO.
[] FOOTING
o FOUNDATION
[] FRAMING
[] INSULATION
rL' FINAL
'c SITE INSPECTION
[] PLUMBING RI
o MeCH RI
[] WATER HOOKUP
[] SEWER HOOKUP
[] PLUMBING FINAL
"MECH FINAL
[] EXlGRADlFIWNG
o COMPLAINT
[] FIREPLACE RI
~FlREPLACE FINAL
C GASLlNE AIR TST
[]
COMMENTS:
3,
~~ C~\~~
~/~~~~
V.2~-~~
~~~4L
1 t
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/
./ ~ SATISFACTORY, P.OCEED
~ORRECT ACTION AND P~OCEED
[] CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: *' OwnerlContr:
CALL 447-9850 FOR TI1E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS.t4llE FOR YOUR PERSONAL HEALTH & SAFETY!
I1t!INOf'l
DATE TIllE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED 10-11 --07
?:1,
ADDRESS 39cf~ I1r.v ~
OWNER
CONTR.
PERMIT NO. $ - 710
PHONE NO.
o FOOTING
o FOUNDATION
(J FRAMING
(J INSULATION
o FINAL
(J SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
)i! PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
(J
f:iENTS: ~
,~. C~
o WORK SATISFACTORY. PROCEED
~ORRECT ACTION AND PROCEED
D CORR RK, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl