HomeMy WebLinkAboutBuilding Permit 03-1517
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/0 -d--!-66
I. White
2. Pink
3. Yellow
File
City
Applicant
I PERMIT NO. 03 - /6"/7 I
(Please tvl!e or print and sign at bottom)
ADDRESS
Ll)') ,")5 - ,1e H-p r,<i
IP-a.sc,
I I
ZONING (office use)
leI
LEGAL DESCRIPTION (office use only)
ct?t<. ~
LOT 5 BLOCKJ- ADDITION j e F r- e V,") i I!\ Ild'II'I ~
"
PID ;;;;.:r395-0/Cf-()
OWNER
(Name)
W e.. )11 ~'/11 f} n yl H 0 vt1 e"'j
J 8'1 5.. (J L. A z. A () rl U t.
(Phone)
b 5 J - 4 D b - 4 it VO
5512~
(Address)
G~c:, An
v - ,
mn
BUILDER
(Name)
(Contact Name)
(Address)
",,>'l-t')e
vYllC.k
1-\-e.iLfI1~n
(Phone)
(Phone) ~ I J.. - 3 b q -7 t. ;2 Cf
TYPE OF WORK
I)f New Construction
OLower Level Finish
DDeck
DPorch
ORe- Roofing
ORe-Siding
'9l Fireplace
DAddition
DAlteration
OUtility Connection
DMisc.
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 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
:teru~.~.l?~~~)+de;~ I '-I5"7? JO-J,f - 63
~ture Contractor's License No. 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 temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
~
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White - Building
Cana'Y - Enaineering
""'--Pink - Plannirig:)
Thr ('pnlpr or Ih. L.k. ('ounlr,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
I
,
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
! I ---
1_, / ... y:>
A '-... I
\-- \-'
Accepted
Accepted With Corrections
----
Denied
Reviewed By:
~ '-:t~
Date:
1/ /.5/0 ::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."
~~
C White - Ruildiii<o
Caiiary . Engineering
Pink - Planning
lhr ('rnlt. of thr L.kr ('ounl~
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
V)J-?~~ ~
/0-08 o~
APPLICATION RECEIVED
The Building. Engineering, and Planning Departments have reviewed the building permit
a"IIM';OO ro, OOO"/;;~ atlly 7)::;;:::' p ~
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
~
~
~
Date:
111'5~: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."
~\
White - BuildinQ
I ~anarv - Encdneerinii'>
Pink - Planning
Th.. C..nlu of lh.. I..b Caunlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ 'i ./ i
/ / / /) /.."." /.M ," I /,/.,/.) ,7...71. : '.. ,--,/
. 'A/" .,,>:..f/.:__,,-~.,.' 'i'" '"""",." J >, ~--/ " ~." ~
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"././-:_::;-"6 C./ '~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/
I .~_. _' , I
I;z:.--/ j ':':J /',/ ~.d' -r ,,"'\. ;-;-'r'^.1_.,--\1._^"~
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Accepted
X'
Accepted With Corrections
Denied
Reviewed By: /n4 i~ Date: 11-)')- 03
Comments: SAA ReVAr~A Side for Additional Information!
~pp Attl'l~hments' 1) GnICiing Phu.2) Erosion Control Measures
"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."
200312:29PM GENZ RVAN PLUMBING AND HEATING No,0411
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONlNGIFIREPLACE PERMIT
P 8. 16
Date Ree'd
CP)ea.,e lVl!e or ""',, and Ill!I1 at boabn1 \
ADDRESS ' f\
lv/OS- ( I () ffe a\' pass
~~ J!~"", [PERl'fiTNO. 3-/5/'7
- ZONING (offi<.1lSC)
I . .
LEGAL DESCRIPTION (ollke we oDly) , / /0 . _ _I
LOT tJ BLOCKO;< ADDmON cJ e */ZS <><"u..J"7.a{ Y7t;?-
fj
Pill
OWNER
(phone) ~ '" _Q.M_ ~ 7'l,O
Eagan, MN
55122
(}fame) _ tJp"c:m~nn H'~<::t.e
(Address) 1895 Plaza Dr Ste 200
APPLICANT
(Name) Gen7.-RvaT'l Plll",hin~~;:lt-it"'l,y
(phone) ~"LI..?>_ 1 141.
(Address) 14745 So Robert Trl Rosemount, MN
() , ~ddre~ (Clry)
(Contact Person) J.:.f1 JeA:r ' !!.. r .... /) (phone) "''' I _I.? ~- 1 11./,
APPLICANTSJGNATURE It_) 3i2./~ DATE /! ,fLl(J6
55068
(Zip Code)
_ APPLICANT PLEASE COMPLETE BELOW
'- .. ~WCONSTRUCTION .QREPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL IffJf70}{ (j[J!MP-IrflC,-l1.n FUEL[18:r~IT$
FLUE SIZE RETURN OPENINGS / 0 INPUT J / OJ om ) OUTPUT /0 /,:2lJ1)
. I '
TYPE OF SYSTEM BEATING OR POWER PLANT
~ann Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical 0 !WJation
~ir Conditioning 0 Special DevIces
OVent, Sys,em 0 Other Devic..
pLEASE NOTE:
Air ConditIOner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
-'- - ,...... '.- -
_.__ ___M_. ,._. _
Indu"rial, CommerolaJ &. Mulu-Fanllly
FEE SCHEDULE
1 % of Job cost Residential, Gas Fireplace
$39.50 llllnimum
$99 50 Rcsldential, Addl~on' & Altera'io,",
$64.50 Residential. AC Only
$39.50
RCSJdent18l. Heating & Ale (New ConStl1.1ction)
Rosidontial, Heating Only (New ConStlUC!ion)
$39 50
$39.50
Estimated Cost $
BujJeling Peron! #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$,
$
$
.50
PAID WITH
BUILDING PERM/;
(r ~- ,'~ Use ,9nly)
BuildiDg Ofiic:ial
D:de:
I PaId
I Date
Receipt No
,. ... Application Becomes Your Building Permit When Approved
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NUV <I ti ZOU3 By
((
24 hour nalico for.ll inspection., (952) 447-9850Lfnj952) 447-4245
No y 14.
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2003 12 29PM
GENZ RVAN PLUMBING AND HEATING
No.0411
P 7. I 6
Date Ree'd
CITY OF PRIOR LAKE PLUMBING PERMIT
\ 1llue FilII'
2. Gold City
'Yetlow "PPlI4$J%l.
I PERMIT NO.3-I';;; 171
~C'.!'i.E.r: "1'DrinC and s~ at bottom)
ADDRESS
/5/2)5 cJeffef.2S Pa..95
ZONING (offic.:\l3C)
LEGAL DESCRCPTION (oilk. us. only)
LOT S-BLOCK O(ADDmON \. /f/feteS {Jifl.dJ.Jlce Pill
OWNER
(Name) Wensmann Homes (phone) 651-905-3709
(Address) 1895 Plaza Dr
Eagan, MN 55122
APPLICANT
(Name) Genz-Ryan Plumbing & Heating
(Address) 14745 So Robert Trl
(Address)
(Contact Person) Ch J0J. ti Fa /! S -
APPLICANT SIGNATURE -I!~ ./.t:;i) '-::f;; J.b()
.......,
Quantity
l?-
I
,
S-
i
,
I
:<'
\)
(phone) 651-423-1144
Rosemount. MN
(City)
55068
(Zip Code)
(l'hone) _ 651-423-1144
DATE II ~ /.tJ-Ce
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture
I Bath Tub with or without shower
Dishwasher
I Floor Drain
Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
Sinks
I Bar Sink
Water Closet (Toilet)
Quantity
\ '?
I
I Type of Fixture
I Rough-ins
I Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
Sewage Ejector
I Backflow Assembly
Backflow Assembly Test
I Lawn Sprinkler
I Other
f2;:J::
f
FEE SCHEDULE
Industrial, CommercIal & Multl-fanllly 1% of job cost Wlth. $3950 minilIllun Resldennal. NoW One & Two-Family $9950
RosldC1ltial. Addition. & Alterations $3950
Estimated Cost $
Bullding Pel1111t #
PLUMBING PERl'vfIT FEE $
STATE SURCHARGE $
TOTAL PERl~ FEE $
PAID WITH
BUiLDING P!=RM!T
50
(Oln<< U" Only)
This Application Becom.. Your Building Permit When Approved
Paid
Reuipt No
Pate
By
(0
Building Oflici.al
Da..
NOV 2 II 2002
24 hour nollce for .lIlnsprction., (952) 447-9850, fax (952) 447-1245
Novl4. 2003 12:29PM
GENZ RVAN PLUMBING AND HEATING
No.0411
P 6 16
Date Rec'd
~~<
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\;t~~)'~:~,,_~- .J
'l;,\\"tlJ",..', ,>
.t."~~",^"''''F.50
CITY OF PRIOR LAKE
SEWER AND WATER PERlYfIT
i ~ ~~.. I PERMlTNO. :J_/.'~//7
,. Gold Apph=t .,.::) e:.J' /' (
(P!.... typ< or urint ""d mm .t bouom)
AlJDRESS .
1413'S" (rf:ffefL5~ Pvt~S
I ZONING(offi<2"")
LEGAL DESCRIPTION (office we OJlJy)
LOT c; BLOCK Ol. ADDmON ( I p tf..Q /'ZJ
la,M{L VlCA-
Ii
PID
OWNER
(Name) Wensmann Homes
(phone)
Ea.gan, MN
(City)
651-905-3709
(AddIess) 1895 Plaza Dr Ste 200
(Add=,)
55122
(Zip Code)
. APPLICANT
(.N~~ Genz-Rvan Plumbine & Heatin~
(phone) 651-423-1144
(Address) 14745 So Roh"rt Trl
(AdAl%~
(Comact Person) _ C0 itlrS I { G [j f
..ICANT SIGNATURE 01 P J;;IJ;J
:R_o ~ p.J:r!t"llln r.. ' tN
(City)
';';068
(Zip Code)
~PhOne) 651-423-1144
DATE / /-I(j~a~
- J
APPLICANT PLEASE COl\'fPLETE BELOW
Size of water service inches,
Location of any couplings from structure
Type of sewer pipe, 0 ABC 0 PVC
Estimated length of sewer line feet.
Clean out (,if required) locateli at _ feet from structure
feet.
o Cast Iron
ReS1dentIal sewer and water line connection
Sewer connection only
FEESCREDULE
$35 50 Industria~ Com') & Multi-f3Illlly 1% of Job cost with a $39,50 mmunwn
$17.50 Water connection only $1750
Estimated Cost $
Building Permit #
SEWER Aj'ID WATER PERMIT FEE
STATE SURC1:IARGE
TOTAL PERMIT FJ:E
$
$
$
.50
PAID WITH
BUILDING PERMIT
(Offiee Use: Only)
Tbis Application Become. Your Building Pennit When Approved
Paid
. Receipt No.
I
u/1
G
Building Official
D...
Datt: ' By
NQV 2 6 70nl
H bour notice for all in'pectio1l5 (95]) 447-9850.r.~ (952) 447424~
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ISI 'S- ~el'S P4SS
NATURE OF WORK ~
USE OF BUILDING . <;'F D
PERMIT NO. ~ 3 - /5/7 DATE ISSUED . 9
CONTRACTOR ---W~IU'MtANA,) PHO.'~. "3 .y. 7(:)d.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
Ij1jOR
DEPARTMENT OF
BUILDING AND INSPECTION
OATE
I FOOTING
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - I.~ ~.^S
SEWER I WATER I SEPTIC /.1./ 1/- 1."/
FRAMING tvc.. a 1- 9- D/"
INSULATION j II. / - /s--
ELECTRICAL
PLUMBING ~
HEATING (if required) piS
FIREPLACE fI1-.
GAS LINE AIR TEST (-/J5 's'2.1
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
'!ATH&jeuUZtIll?lJ ~N6"'1 .M/./ I I -1- '( -uti
. FINALS
GRADING (Prior to Sodding) j!!LJ ,(. f'. Or A/..
BUILDING I~ ~ 8-l-otf ~~ "'-/-of yo 1- '2..'1
ELECTRICAL . / ,
PLUMBING
HEATING
DO NOT
J/- /?
t I (p to<-{
1- 1-015
A
~
~6 !fJ5
,
.
OCCUPY UNTIL ABOVE HAS
NOTICE
.2-'~~
BEEN 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
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
i-2"L
ADDRESS 117 ( ~ ..,
~o(~
OWNER
CONTR.
PHONE NO.
PERMITNO.1-1t; f7
o FOOTING
o FOUNDATION
o FRAMING
o jNSULA TION
.0'FINAL
o SITE INSPECTION
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
o FIREPLACE FINAL
o GASLINE AIR TST
~~{t
COMMENTS:
~ "...r.'.M~1..
.
~ 4Je:-r ''f;I~
/ WORK SATISFACTORY, PROCEED
o CORRE CTION AND PROCEED
o COR CT. RK. CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
u<sNQn
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED ~
klli~ ~
CONTR.
PERMIT NO. '( - t;;:J'?
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
ADDRESS Ie; 1.5<) "'-
-,
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
FINAL
o ITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
/"ECH FINAL
COMMENTS:
..LL~ '~~~~_ IQl.tNl. s..~
2. ~ .l...Tnca... ~~ Pl......-
~. M....;... J....:.", "~t15i""'" ~ ~ ~k t~ Dtiv..s...
1./. ~ 'Sot~, Ah"z.ul" ~ d-- .......- ')<1 #lll?p.I..~
1;1
~-&.,
a +0</
I
~ u.... ~c"\.....,-<4J.
~n D~D~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTI AND PROCEED
" CORRE K CALL FOR REINSPECTION BEFORE COVERING
Inspector: OWner/Contr:
CAL 7 ~o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~EQUl~MENn' ARE FOR YOUR PERSONAL HEALTH & SAFETY!
) "'$NO"
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS I~ (3 C)
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
cjit.ElNAL
o SITE INSPECTION
DATE TIME
SCHEDULED
H-o'f
j (.CCr,. ~ Pc,!.J
CONTR. W(Ac$h1....'" HotntJ
PERMIT NO. /')~.:::l.I;1]
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
f'f1I EXI@jl:lLLING
'D"tOMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMEN"[S:
~a'~
~
Cut6 R,.,,,..t- ".,/6
)"WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
In.pector:~~_ _ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
~.____.._.__~.__._..._._u__._.__.._.__._..
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