HomeMy WebLinkAboutBuilding Permit 04-0781
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT J; - ;;/i-C{
See Main Fil~;;:~w ~~;Ii"", I PERMIT NO. o-f, 07B /1
(Please type or print and siJtll at bottom)
ADDRESS
/<//97
tJJ'/d-S'
fJq 7 A
/tJtJ
ZONING (office use)
iLL!
/
LEGAL DESCRIPTION (office use only)
LOT 9 BLOCK.2. ADDITION tJt?/V.5'hJ 9'NN
~TJ..,
PID).'>-"/Jtf - OS6-0
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name) tJt'N5/'n q/V#
(Contact Name) G Gt 'l
(Address) Ii' '75' f7 /~ 2. .... J) /"
J.Io In t'J'
(Phone)!:S/- iI#~ - '(Yo II
(Phone) t/.2-...]&7- 7~/.2...
/J/ /V 5.5;;;' ;L.
['a'1~A/
V
TYPE OF WORK ~w Construction DDeck DPorch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition DAUeration o Utility Connection D Misc.
. D
CODE: DI.R.c. ~.B.C.
Type of Construction: I
Occupancy Group: A B E
Division:
II
F
I
1lI IV @l A (jl)
H J." M (!!) S U
2 13') 4 5
PROJECTCOST/VALUE $ /O/)/ tHO
(excluding land)
I hereby certify that I have filmished inf()rmation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
atJove-mentlOned 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
:""'1 ,"0 "V03;;::;0<l '""'"J"th".mm I h"'by "'" th" th, "ty official m, d"j';:';;'-O;:poo th, pmp'tty to p,,'olm O~ ~n;;: 0 Y
/ Sigr(ijlfJre Contractor's License No. Date
V
Permit Valuation I ~/{)O.O{JO, 00 I Park Support Fee # $
Permit Fee $ 10;; 7. o;""D I SAC # $ L~SO.oo
Plan Check Fee $ ~f},., . 3 i I Water Meter (Size 51!!:';) "; $ oJSO,OO
State Surcharge $ 50,00 I Pressure Reducer $ tf:;. 0 ()
Penalty $ I Sewer/Water Connection Fee # $ 1280.00
Plumbing Permit Fee $ /OO.DO I Water Tower Fee # $ 700. 00
Mechanical Permit Fee $ (ClO, 00 I I Builder's Deposit $
Sewer & Water Permit Fee $ 35, S"o I I Other $
Gas Fireplace Permit Fee $ tfO.OO I I TOTAL DUE $5 &/S:3~
S7dr. 7:; /I
This Application Becomes Your Building Pennit 'When Approved Paid ReceiptUo. If'l,f t ~
~~ (P l't..!i lot( Date V.(J t1 By 4
, rf
Bl~lding Official - , Dati
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 constltntes a temporary Certificate of Zoning compliance and allows constructIOn to commence Before llcCllpancy, a Certificate of Occupancy must be
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Planning Director . Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
&~~
Se~ Main File
White . Building
Canary . Engineering
~Ink - Planninp
The Crnlu flf the LllIkf ('ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,
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't
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Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~~~
Date: ~h9~ </
.'
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."
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~@@ Main File
,. White . tsIlUCIn..,...,
Canary - Engineering
Pink - Planning
Th~ (-..n.... nf ,hI' I...... Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT !I/.u~ 7!~
t.
APPLICATION RECEIVED _ /-)- df' - 0 q
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/L//q1 &t/dfk PuA.
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~~~
Date: k/z9,~ y
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."
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See Main File
White - Buildina....-
~~- -""'.Umeering~
I'fnk - Planning
Tilt' (-""In of tll" Lak" COu"lr)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is ~roposed at:
1/ 'I .c' /1
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Accepted
x
Accepted With Corrections
Denied
Reviewed By:
1YYJZ3
See /J1;,/~ h'/c
Date: .
?]-9-oy
,
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."
m.n20048:54AM
GENZ RYAN SERVICE,
NO, 644
p, 10
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
I!'I.... ~ or olint and oj"" It bottom)
I ADDREf4/ q 1 \1\/ i I d (7a1n f1 W.
I. Or... ';1, I PERMIT NO
, Yd.. C;li" . AA. 070.1
J, Oold ApphQJ.llt liT'" , ()
ZONING (o/1ie. u..)
LEGAL DESCRIPTION (offic. Ul. only)
LOT q BLOCK ().. ADDlTION VV i~f'{1A)I\ '" L/~
PID
OWNER
(Name) Wensmann Homes
(phone) 651-905-3709
(Address) 1895 Plaza Dr Ste 200
(Add,...)
Eallan, MN
(CIty)
55122
(Zip Code)
APPUCANT
(Name) Genz-Rvan Plumbinl! & Heatinl!
(phone) 651-423-1144
(Address) J.i745 So Roba>..': 'T',:'.
(U" ~dle") I
(Contact Person) _ VV I~I i1 fit ( ~ '
, . ".JCAm'SIGNATURE ('1J~) ":full/)
'RQ.P.e~'0unt:. '1"fIJ
(Clty)
j5068
(ZipCocl<)
(phone) __~,H-4?1-1144 I
DATE (.q -aq-()4
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches,
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 pye
Estimated length of sewer line feet.
'Clean out (if required) located at feet from structure.
feet.
o Cast Iron
FEE SCHEDULE
Residential sewer and water line connection ~35,SO Industrial, Com'l &: Multi-family 1 % of job cost with a $39,50 minimum
Sewer connection only ~17,50 Water connection only S17.50
Estimated Cost $
Building Pennit Ii
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
Dlte
ill
PAID W Il'H
ING
fllnr (GJ rnf \~ ~ Jji{1VIIT
I ~faAlII~ 1 1 2004
uU -"I
(om<< Va. Only)
I I~hi. AppUe.tlon Becomes. You,. Dulldlng Permit When Approyed
Building Olfi.i.J
i"
2411D.r noti.. ror .lIl1lSp..lion, (9$2) 441. '850, tal (952) 447-4245
By
8:57AM GENZ RYAN SERVICE, NO. 644
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGlFIREPLACE PERMIT
P 30
Date Ree'd
i:~:., J:",,,, I, PERMIT NO'04 . 078 { I
(flea.se!iD! ortnint and lim at bottom)
l1!ft17 rJ
ZONlNG (om"...)
LEGAL DESCR1PTION (oftice use only)
LO~ BLOC~ ADDITlON WY'lJ fYIP., 11 n J..{ ~
PID
OWNER
(l'{ame) W'P'nATI'UIT'lM llnmoo
(Phon~ ~,1_o0,_~7no
Eagan, MN
55122
(Address) 1895 Plaza Dr Ste 200
APPLICANT
(Name) Ge~;.W""1 "",bing & Hp~th~
(Address) 14745 So Robert Trl
(Contact Person) 1!1~ ti (mt:l. __ It
APPLICANT SIGNATU~ (' .-
(Phone) fi,1_4'~_11l,~
ROBBmount, MN
(City)
55068
(Zip Code)
(phone) ~'~Gi2t; I .
DATE / {'f./
I
APPLICANT PLEASE COMPLETE BELOW
. ~NEW CONSTRUCTION f\ gRllPLACBMENT 0 ALTERATIONS
PURNACE MAI<E AND MODEL ~~ rq if 0 IA fJ -311"'010 PUEL aaf ....fft2<)
PLUE SIZE RETIJRN OPENINGS l.../ INPUT f21,~ ()P () OUTPUT
TYPE OF S'YSTEM HEATING OR POWER LAm
~llllIl Air Plants 0 Steam PLEASE NOTE:
:JOravity 0 Hal Waler Air Conditioner Unil:l
~M.'hani.al 0 Radialion Cannot Encroach into
Al' Condilioning 0 Spoeial Devices Required Side Yard
. Vent, Sy.tem 0 Other Devices Setbacks
FIREPLACE MAKE AND MODEL
Indu.trial, CommOIcial '" MuJii-Family .
FEE SCHEDULE .
1% of job cost Residential. 0.. Fireplace
~39,50 minimum
$99,50 Residential, Addition. 8< Alterations
$64.50 RcsidenIial, AC Only
$39,50
Rcridentiol. HeJltlng & NC (New Coostruction)
Residential, Heating Only (New COlllltruction)
$39,50
$39,50
Estimated COst $
Building Penn it #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
PAlDwrrH
.5oBUILDING i"i:t1n.trr
I"""', U,'.9nly)
. .,J" Application Becomes Your Building Permit WIlen Approved
Building Officlol
.~. ~ I~lt [~ [] WI \~.'~I Receipt No.
I Date J Ii By .
Dote JII AUG 1 1 2004 j
24 hour no~ie. (or.lIll1.peetion. (952) 4< 7-9850, fIX (952) 447-424/1 I
By __- --.----.-.-.
8:56AM
GENZ RYAN SERVICE,
NO. 644
p 20
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
fPJ.... t'(p~ ormintandsi"">tbollOlll)
ADDi~I~1 wild.s 1'a-h-1 Nw, I ZON1NG(o~'u..) I
l: ~~ ~i~ I PER.l\'llT NO.IlA-.07 a I I
J. v.l/ow Appli~l VT rJ
LEGAL DESCRIPTION (offioe u,e only)
LOT ~ BLOCK 1.... ADDITION 'fJ()IIJ Wlttn Yl 4 hA
PID
OWNER
(Name) Wensmsnn Homes
(phone) 651-905-3709
(Address) 1895 Plaza Dr
Eagan, MN 55122
APPLICANT
(Name) Gan?-Ryan Plumbing & Haating
(phone) 651-423-1144
(Address) 14745 So Robert Trl Roselllount, JoIN
(Address) (City)
(Contact Person) ~ltl~ m,ll.s ~ A (Phone)
APPLICANT SIGNATURE r 1.1 ~ --tt1..i.J/.'l DATE
55068
(Zip Code)
651-423-1144 ,
(p- dPI-ocf
",
APPLICANT PLEASE COMPLETE BELOW
I Quantity I Type of FIxture I QUllDtity I Type of Fixture I
1- Bath Tub with or without shower I Rough- ins
I ~ I Dishwasher I I I Water Heater I
I I Floor Drain I 1l.'J: Water Softner I
I L) I Lavatory (Bathroom Sink) I 'f I Stand Pipe (Washing Machine) I
I I Laundry Tray (lor 2 compartment sink I I Sewage Ejector I
I ! Shower Stall I I Backflow Assembly I
I I I Sinks I I Bacld10w Assembly Test
I I Bar Sink I I Lawn Sprinkler I
I ,") I Water Closet (Toilet) I I Other I
FEE SCHEDULE
Industrial, Commercial & Mulli.fRmily 1 % of job cosl with a $39.50 minimum R05idenUol. New One & Two-Family $99,.50
Re.idenIial, Additions & Alterations $39,'0
Estimated co.t S
Building Pennit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
t:'l1J'D WITH
-JlLOINe PSUT'
(om.. u.. Only)
-.
! This Application BecQmes Your Building Permit When Approved I~'~llt~- ~ U ~ ~ ~\.
I . IDnts JBY
Building OOIdal D... ~LJ AUG 1 1 2004 }I
24 hour notl.. for aUlllIpectiOd5 (952) 4 .7-9850, r.x (952) 4474.45
. \BY
Receipt No,
CITY OF PRIOR LAKE
HEATING/AIR CONDITlONINGIFIREPLACE PERMIT
Date Ree' d
1. Pi"~
'- C""
J. y.ll~w
~~. I PERMlT NO. ,.... 0"'"
"",,1..::.... v-r- .
trlc;\se type or 'Print and. sign at bottom I
I ADDRESS
/'1/97 CJ~ ~
I ZONING (01"",
us.)
LEGAL DESCRlPTION (office use only)
LOT BLOCK
ADDmON
PID
OWNER
(Name) (A)/~" ..
(Phone) ~s-l-l/CXo~'Il./()O
(Address) /'695'" fJ ~ f1...- N~
~
APPLICANT
(Name(\' ,+J"'noy,'" loA- ,'<k.~\)" Ix-f-L:\- F' P
(AddressL
x9cn 109.u. O.A;{'_ A.J H-1r'K:'? Oh,on?1.,-1I1"",...,rnt1 553/C"
(Addre,.) , 1 (Oty) (7.ip Cod.)
(Contact Person) .\( r,:;, \JeX\r"\P""""''''''' (Phone) .2(..<. - S'IJ,o -I;:) Ilo
_APPLlCANTSlGNATURE f<'.^ ,-;::;:' blo~ DATE
APPLICANT PLEASE COMPLETE BELOW
DNEw CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SiZE RETURN OPENINGS INPUT OUT.PUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWnrm Air rlams 0 Sleam
DOl1lvily 0 Hot Water
o Meehanioal 0 Radiation
DAir Condi\ioniug 0 Spe<:ial Deviccs
OVent System 0 Other Devices
FIREPLACE MAKE AND MODEL ~ ND v.;;l3~
FEE SCHEDULE
1% ofjoh cost Rcsi<kntiaJ, Gas Fireplace
$39,50 minimUlll
$99.50
$64.50
(phone) 'lln'S. Sfll-dS';}S
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Industrial. Conlmercial 81. Multi-Family
$39.50
Rosidontial, He.ting & NC (New Construction)
Residential, Heating Only (New ConstrUctiDn)
Residl;fl.unl, Ad.ditiDlls & Alterations
R..identi.~ AC Daly
$39.50
$39.50
Estimated Cost $
HEATING PERMlTFEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Oilier: U~r: Oaly)
This Application Becomes Your Building Permit When Approved
Buildine OrTicinl
D:lte
I Paid
I Date
I Receipt No.
I By
24 hour pl)tice for 1111 in6pttliollS (951) 447-9850. fIX (952) 447--4145
coo IfJ
Hooa a~VHV~ ~I1VNOlnV
66~L 9LS C9L XVd g~:~, tO/91/l1
DEPARTMENT OF .~ee M !l1n pel
BUILDING AND INSf>>E'ClI~.a.""l 1 e
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS IlIlf'! UJ / 'Iris P4..-bA
NATURE OF WORK AJ~
USE OF BUILDING ~".
PERMIT NO. t:>1/- 1@i DATE ISSUED I-.!t......
CONTRACTOR PHOr-6~. ~,,-
.-NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER rWATER I SEPTIC
FRAMING"
INSULATION
ELECTRICAL
PLUMBING rJ/e... h II In (0<.(
HEATING (if required) ~ II i, 7, /0"(
,
FIREPLACE _ " >
GAS LINE AIR TEST f17,) I/S/oS'-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
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.
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FOR ALL INSPECTIONS (952) 447-9850
-'
CllY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
~17!",
TIME
ADDRESS 1"/97
UJ,-/k, C2JJ-"
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'/-7f'J1
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'fl! FINAL
Ii] SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
,;;rt.IECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS;
I. f4.--. (J"",J.. I1b.s:
I
Ok -\-c; ~
+-P~
i)
l:\1b..
o WORK SATISFACTORY, PROCEED
),<fORRECT ACTION AND PROCEED
o CO~R ; "K. CALL FOR RElNSPECTlON BEFORE COVERING
Inspeeto' ,,'-) Owner/Cantr:
447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
Job Address /'//'11 will ~/III
I
He&ling Contractor 6u. ~ L1 ~ ~
Name of Tester ~ 6-- .
17/.21 /,,'1
7. ~ -./
9~hf
...,:? ~
~L/O'
Date
Percent O2
Percent CO
Percent C02
Stack Temp.
Combustion air is adequately supplied per
UMC Sec. 606
Input
y~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ) <! I '11
OWNER I 4 I '17
PHONE Nd. '11'17
W,"{,ic; p~
,
CONTR.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
~/~
-
lJ - ") Ii
o EXlG lLLlNG
o COM lNT
o FIREPLACE'Rl
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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" rL/[1 LJ / ~ . QQ7--;?957J'i)
;2. c-',(DfJ Ci Qe. _ """- R-
7. ~Ju--e ~ 0aflS.
rf
o WORK SATISFACTORY, PROCEED
~RECT ACTION AND PROCEED
o CORR T ORK, CALL FOR RElNSPECTlON BEFORE COVERING
CA
Owner/Conlr:
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
Inspector
INSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
--_."~._._--,...~,-"._-_. ._~._-,-- -- .___...__......__u
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