HomeMy WebLinkAboutBuilding Permit 03-0874
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~j~.03
I, While File I PERMIT NO ' ,
2, P;,k C;,y . 03-01, "'I'
1 . Yellow Applicant I) "?
(Please!voc:.. or 'Orint and slm at bottom)
ADDRESS
I ZOelffiUeJ I
RoJl
R.,.kJ"
~~~\
~,S7
LEGAL DESCRIPTION (office ~se only)
LOT J L./ BLOCK ~ ADDITION --- cr,.~ s,..J.h
OWNER J.\.,~
(Name) IJ.L.':',. ,...,N\ 'X.t-c
(Address) I 'act 5 Pl~o. ~ St..J .l<> ~
PID .26 - 3."'\5 -a:2A - tJ
(Phone) ~I ~~ 4400
M~
~a..'"
J
BUILDER
(Name'
(Contact Name)
(Address)
a\oo,.e
.~
~ Q.~
P<U.1. R.
(Phone)
(Phone)
..... q</O
~SB7
"\S.:2
AdJ.HJol\ 't'd ~~ ~ O~- o:Y-I'l
~orch oRe.Roofing oRe.Siding
TYPE OF WORK
D New Construction
ODed<
DLower Level Finish
o Fireplace
DAddition
DAlteration
DUtility Connection
o Mise,
PROJECT COST IV ALUE (excluding land) $
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 t"~r';".J' and that all construction will conform to all existing state and loca11aws 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
;teruPo~.:.F'J to~o~ons Jl./S8 rdlslO'.
Signature Contractor's License No. ate
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Pennit Fee
Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
9~, (70 I
. /~'7.l5) I
J I)" '7 I
If, '5 (J
Park Support Fee
SAC
# $
# $
$
$
# $
# $
$
$
$ ;:}~O,(/I.,
I Receiot No, i/~'i 0 g
By ~./
, (J
$
$
$
$
$
$
$
$
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid t:l!d-jpH}:;:.
I Date 7- I....~
This Application Becomes Y qur Building Permit When Approved
~ ~f-! t/;1, 7~:1
, to-
Building Official Date
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 L__r__,-. Certificate of Zoning compliance and allows construction to h___.__._. Before occupancy, a Certificate of Occupancy must be
~ .
~ "1d.d1.1
~Iz-?/o 7
Planning Director
Date Special Conditions, if any
24 hour notice for aU inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
~~
r1VhitO - Buildlnci:::>
Canary - Engineering
Pink - Planning
Tht (',~nltraf lht tab ('ounl.,..
BUU-DING PERMIT APPLICATION DEPARTMENT CtiECKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
WbNS!t1/1 NtJ
~./&.03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3857 ~~g~ e/OG6 e.o
Accepted Accepted With Corrections /'
Denied
"
Reviewed By:
Comments:
2A-(....-,-...
-:;?.P .I:.-_
Date:
(.,,/U~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. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
~~
White - Building
Canary . En ineering
c.. "-,,,,,_ ~ ann,"
Th.. C't'nlt'r of Iht' 1..Ii, ('ounlry
BUILDING PERMlI.APPLlCATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
~'V 6 IVS Ivl /-) IV ;J
&, /&.03
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3t/57 /~}5/';? 6t:./c/c:V e /UGE.- .t::.o
,
Accepted
Denied
Accepted With Corrections ...-/
~
Reviewed By:
Comments:
~1-~
Date: t, 12-~ (03
"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."
Jun27. 2003 3:42PM GENZ RVAN PLUMBING AND HEATING N0.9631 P, 15/15
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDmONINGIFlREPLACE PERMIT
I PW!.
2, ""'"
J, YtfSow
S- fPERMIT NO. ':::s - ~'1 0/
q'lwe.!'!P~ or1>rlnt 2nd.iII.D at bottom)
ADDRY-SS 355}
&t)~ R!dOf.
I U 't~
J!JJdh )
I ZONING (oltic....)
LEGAL DESCRIPTION (ome. use ol1!y)
LOT 11 BLOCK d ADDITION J e ff..ef!J
PID
OWNER
(Nam.~).Jlel'l cm~T'ln ~l"Hn.:lC!
(.Phone) h~1_Qn~_~7nQ
(Address) 1895 Plaza Dr 5te 200
Eagan, MN 55122
, APPUCANT
~~cl Genz-Rv~n P)~n~ ~ Up~tin~
(phone) ~~ 1_" ?~_11 Ab.
(Address) 14745 So Raben 'Irl Rosemount:, MN 55068
(l . (~_ '(City) (Zip Code)
(Contact Person) -tr 11 ~JJ h m)) r -----r?. /1 (phone) h' 1 _4? ,- 1 1..4/.
APPLICANT SIGNATtTRE (l A -( J: ~J I7LiY /) DATE ( ~- ,:)'1- - () '!)
~
~arm Att Plant!
ITGtavity
o Mechanical
1?I}.;r ConditiOning
/OVen~ System
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Indwttial, Commercial 8< Multi-Family
ResidenaaJ, Heating 8< AlC (New Constroction)
Residential, Heating Only (New Construction)
FEE S.........uULE
1% of job COOl Re$idcntlal, Gas Fireplace
$39.50 minimum
$99.50 Residmttal, Additions 4< Alteratl,on.
$64.50 Residential, AC Only
$3950
$39,50
$39.50
EstiInated Cost $
Building Pellllit #
HEATING PERMIT FEE
STA1E SURCHARGE
TOTAL PERMIT FEE
s
: .50. 8lJ/in1/D WIJ7.t
I]~ g ~ ~U \iJ ~ ] ~G PEFlMrr
Paid I Receipt No.
11)1 0 2 700] _
~ate- I By, Gf\
J
t. (,?,Ao .. Use ,Qaly)
',. ,,", ApplicatiOD Becomes Your BllildiDg Permit When Approved
BWldlDg otIIciaJ
Dall:
, tly
14 hour Dotiee for oil insp..,tlons (liS) 44.-,~,... \7~.1 't4f"'~4~
2003 3:41PM
N0.9631 P, 11/15
Date Rec'd
GENZ RVAN PLUMBING AND HEATING
CITY OF PRIOR LAKE PLUMBING PERl\fiT
1 mu. Pil.
1. GQld Ci~
J, y"m- Appticarll
I PERMIT NO. 0- Y:7i J
~!'r.2oor_an4_ltboll1lm)
I ADDRESSJ881 Rasobovet4
/ u
~
~
I ZONJNG(_,,,,,,) I
LEGAL DESClUPTION (office 0'" cmly)
LOT /7 BLOCK 0< ADDmON J e I-lfJ eJ J !JU.l'0-
PID
OWNER
~~e) Wensmann Homes
(A~~~ 1895 Plaza Dr
APPLICANT
~'_4' Genz-Ryan Plumbin~ & Heatin~
(Addr~s) 14745 So Robert Trl
(A~ess) .D, / I
(Contact Pezson) DiJ RiJ -h T tA.fL J
APPUCANTSIGNATURE (l.).{ /1 ;';1 )
Quantity
)J..
I
I
-4
I
I
(
,'".:{
(phone) 651-905-3709
Eagan, MN 55122
(Phone) 651-423-1144
Rosemount. MN
(City)
55068
(Zip Code)
+ /I (Phone) 651-423-1144
~ DATE IJl-dfr-J~
APPLICANT PLEASE COMPLETE BELOW
I Type ofFiJ:ture
I Bath Tub with or without shower
I Dishwasher
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)
Quantity
~
I
IZ-T
I
I Type of Fixture
I Rough-ins
I WaterHeater
I Water Softner
ISmndP~e0Vashmg~hm~
I Sewage Ejector
" Backflow Assembly
Backflow Assembly Teat
I Lawn Sprinkler
I Other -
FEE S~.ttJ!..UUL:E
Indu..nsl, Commorcull 8t Mula-falmly 1 % o(job cost Wlth s $3950 minimum RCSldcDtia!, New One & Two.family $9950
Residontial, Additions 8t Alterations $3950
Estimated Cost $
Building Pellllit fI.
PLUMBING PERMIT FEE $
STAlE SURCHARGE $
TOTAL PERMIT FEE $
8lJIL~i~~ w,7Jt
PeRM,.,.
'lifrr@ l:E 0 1fll:E ul Receipt No
[jaie J BYfJ7 /' >
1111 0 'l 700'1 ( A
IJ .- !
%4 hour DOtice for sJlln..peetlons (JI52) 447. 1850, 6n: ()l52) 447-4245
By
.50
(om.. Us. Only)
l;"i:g~ Application Becomes Your Building Permit When Approved
f"" BuijdiogOflidal
Do..
PRIOR LAKE
.
INSP,ECTION RECORD
SITE ADDRESS 8 f57 t?o-~ pbe-vv,! 'k?/J'l c...
NATURE OF WORK 'Po reA' ' .
USE OF BUILDING ,"SF/1-
PERMIT NO. V3- - {S'IJ LI DATE ISSUED ;- I-no
CONTRACTOR / lJD1Ai\/VYt,~ PHONE utf/l-}/ 5<2/j
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INS~
Iffb
DEPARTMENT OF
BUILDING AND INSPECTION
DATE
,~I FOOTING
I
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
HEATING (If required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
nQ)
-- / #v,'j d ~;,.. , hl"2F r JlF ~ 7- -I. Z '7'9
v
BUILDING/" /M'e
ELECTRICAL
.-.,.
HEATING
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.
FOR ALL INSPECTIONS (952) 447-9850
DATE
7'~y'"
ADDRESS 2%(,\'7 ~'/~~~Y'7 L;/e
OWNER CONTR.
PERMIT No. ~.3 -J>'7~
CITY OF PRIOR LAKE
INSPECTIoN NOTICE
SCHEDULED
PHONE No.
o FOOTING
o FOUNDATION
o FRAMING
o JlISULA TIDN
"....erFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
TIllE
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
~
/'
( .-./'
\.r./tSS-e
""'"'--
~
))
r?/e ./
----
-,/";' /
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~ ~';: :~EINSPECTION BEFORE COVERING
Inspector. r~ Owner/Contr.
CALL oU7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
UdNQn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/