HomeMy WebLinkAboutBldg Permit 04-0779
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
s- :d--JJ- Y-
See Main J!ile" I PERMIT NO. 0+, 077Q I
(Please ~~e or rrint and sip at bottom)
ADDRESS
/ '1/ '13
/"JJ' /d-.r
ZONING (office use)
/qTA
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PLl
LEGAL DESCRIPTION (office use only)
LOT 7 BtOCK .).... ADDITION tJ I'/VS/nq/V/V
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PID .J.J- <.jjl'- osy-o
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact NaJ!ne) GeA r- /'
(Address) i / F 9"> /? /02
tv t'Nf m<?NN
;.J 6 n. ",../"
'^
Or
(Phone) /,S/- y/)~ -- </y/)/)
(Phone) 1. I:J. - f 6 7' - 7 h / :L.
(' ~ , if' /V $ N 5I /.l. ::J-..
V
TYPE OF 'tORK ~ Construction DDeck o Porch ORe-Roofing ORe-Siding DLower Level Finish
: DAddition DAlteration o Utility Connection 0 Misc.
o Fireplace
CODE: OJ.: l.C. ~.B.C.
Type of Cons' ruction:
Occupancy G 'oup: A B
Division:
~D
I
E
II
F
I
III IV
H I
2(J)
~ ~q:> U
4 5
PROJECT COST IV ALUE $ / () O. 0 b 6
(excluding land) /
I hereby certifY th~t I have furnished IOformation on this application which is to the best of my knowledge true and com~ct 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 buildmg
:""'1 ''';(1t;::t fm~t ""' Fm Imo". I hmby "'" th" the "" off"i,1 m, d"/';;~';; "pon the ptop,rty to pfffo,m ne7:;t;~ (} y'
/ I ~nature Contractor's License No. Date
V
Permit Valuat~on 1(100 II 00.0"0 Park Support Fee # $
Permit Fee $ , SAC # $ I ~S"O. 00
/ IJ "" 7. 5>"0 Water Mer ~1";
Plan Check F~e $ ~~7. '31? $ ZS-O. 00
State Surcharge $ S{J,OO Pressure Re~ $ L(~. 00
Penalty $ Sewer/Water Connection Fee # $ I ZOO, ()~
Plumbing Permit Fee $ IO(). {) t:J Water Tower Fee # $ '700,00
Mechanical Phmit Fee $ 100. 0 c) Builder's Deposit $
Sewer & W at~r Permit Fee $ Js:S-O Other $
I
Gas Fireplace! Permit Fee $ "",00 TOTAL DUE $6";uI5.39
.
This Application Becomes Your Building Pennit When Approved Paid €7",r.:J !/ Rec<t4Jt No. L('I J 1<.1
~ ~ #~9'hL Date fi". I".' Bv[
()
Building Otlicial Date
ThiS is to certify t~al 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 t~c City Planner conslltutes a temporary Certificate of Zoning complianct' and allows construction 10 commence. Before occupancy, a Certificate of Occupancy must be
i'''~ ~ ~~,A<./ (,~ ..
, PI,"ning Directo, . . Olli, ,:See.-Main,Eilef,"Y
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
-'.~x PRIOIi' (
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See Main File
White - Building
Canary - Engineering
.......'nK - t'.ann1n9"-:>
Thr Crnltt of thr L.kt ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
i
NfME OF APPLICANT
AI'PLlCATION RECEIVED
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n'e Building, Engineering, and Planning Departments have reviewed the building permit
a~ plication for construction activity which is proposed at: '/
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/1./ / /,
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Aqcepted
i
D~nied
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REilviewed By:
,,/
Accepted With Corrections
~~
Date:
t, /2-"t t.(
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C< ,mments:
~.
\
"~he issuance or granting of a permit or approval of plans, specifications and
ccmputations shall not be construed to be a permit for, or an approval of, any violation of
ar y of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pr 3suming to give authority to violate or cancel the provisions of this code or other
oltJinances of the jurisdiction shall not be valid."
~
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See Main File
~(e . 2UII~lIn~
Canary . Engineering
Pink . Planning
1.h~ Crnl.~ flf th L.h Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N4ME OF APPLICANT
A~PLlCATION RECEIVED
I
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(;-- eJ-?- ocj
~
T~e Building, Engineering, and Planning Departments have reviewed the building permit
a~plication for construction activity which is proposed at:
. 14Iq,~ {J)~ PaIf..u .
/'
Accepted With Corrections
Aqcepted
D4nied
R~viewed By:
Cqmments:
,
~
-k.:/Jp
Date:
{g /z/9 h if
"l1he issuance or granting of a permit or approval of plans, specifications and
cqmputations 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
pr~suming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
I"h..('..nt..rioflh..t.lkr('ouol.,.
See Main File
While - Building
t"J- CRns::llry ... r:.Q9.I~eerln9.->
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKllSI
N.I\.ME OF APPLICANT
ARPLlCATION RECEIVED
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T~e Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is propose? at: "
11...;' J (1' ::.,; /, i. i'/ {<.'j .\
If''>,. j ? <" v "'..c.,,\......- <' '-
Aqcepted
D~nied
R~viewed By:
Cdmments:
,
~
Accepted With Corrections
1J/}L}6
c;ee..- 1Ylt'./'//\
Date: .
g '-9-{)if
'j
F,I<
"The issuance or granting of a permit or approval of plans, specifications and
cqmputations shall not be construed to be a permit for, or an approval of, any violation of
arly of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pr~suming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
JUN,2920048:54AM
GENZ RYAN SERVICE '
NO, 644
p, 8
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
I!'lcl!C _~~ or orin, ",d ,illD a, bO",,11l1
ADD1D 1~,3,VVilds 'P~fu Vl W
,
,
~ ~ ~,~, I PERMIT NO. 04- 077Ql
), Gold Apphenl .
,
ZONING (0/l'1Ct1Jl')
LEGAL )ESClUPTION (olll"" .le only)
LOT "1'iLOCK '2... ADDITION V\)Q,VlWV\a.nn 4-fv\
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,
OWNER:
~ame) !Wensmann Homes
(Address), 1895 Plaza Dr Ste 200
(Address)
PID
(Phone) 651-905-3709
55122
(Zll> Code)
Ea.8.an. MN
(CitY)
APPLICANT
(Name) ! Genz-Rvan Plumbine & Heatin.
(Address)! 1474, So Rnhert Trl
(Contact Person) _ \)t1 tti~f1 ~ ( r ~ '
, '~IC~NT SIONATURE ~-ut7ffl '"1i1J~
i
(phone) 651-423-1144
ROOe"lnunt. "I'
(City)
(Phone)
'\~
(Zip Code)
DATE
~'\'-4?1-114' .
(f-~~~U
APPLICANT PLEASE COMPLETE 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) located at feet fr.'om structure.
, M .
feet.
o Cast Iron
FEE SCHEDULE
Residential I,ewer and water line cOMeCtlOn S35.50 Industrial, Com'] &: Multi.fa.mJl)' 1% of job co,1 with a S39,50 minimum
Sewer conlJlection anI)' $17.50 Water connection only S17.50
Estimated Cost $
Building Pennit 1/
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
PAID WIl'H
BUILDING
l,'4~~rr;;.1E n TI ~ ~.. . . IT
,::late . J'
Delo ~......AUf 1 1 ?JJlliI. J
14l1our notl.. lor allln.poot/oll' (952) 447. b, rax (952) 447-4245
$
$
S
50
(oro.e u.. 0,\ y)
I Tni. Application BecomuYour Building Pormit Wbo. Approvod
Building Om,1A1
,By
B:mM
GEN2 RYAN SERVICE,
NO. 644
p, 18
inNlilllld
, ,
~rty 0' ~fUU1t LAb ~~ttMD~G 'llMIT
l~li'j ~II ~.Ql&\ilu I"'lU. I
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_f1lilll11ll411lllllbO!to.dll, { .~.".~;;.." do,,__. , ..,.. -- ~GilJlilludl-
I~Wlld..~W .........._ . '
LISOAd EScIuPtION (om.. UII/ dJlly) , ',;,: ix ,;
A!lOltION '
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....^', (1litb~l ;..!U..,/iUiIl.H.I!.i", . a.,.
...II_i.l,ilN .,' ''MfCbclel
-.. ~halli!).. ul..&n..i.UA, .... ........
'.J", ,; ~..- ~b.", J/li.:A...~flI;;;l___..:.....
,
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.."-....J
Ii p* iii
I~li.~e BjlctQl'
I Backtlow ASSembly
I Backflow Assembly Test
Lawn Sorinklor
, 1, I Other
FEE SCHEDULE
Industrial 'Commeroial & Multi.r.mUy 1% of job .oslwiUl a $39.50 minimum Residential, New One & Two-Family $99,50
R..idontial, Addition, '" Alloratiolls $39.50
Estimated Coat $
Building Pennit #
D1ldlnB OlIiti.1
'" !\ 't """ ft,
'.511 '"\. # ,.; t'" I 1
~t n.lD[N(;.r
_ ~~~r:::o~\~H
24 110ur 1I0tl... for an i..peotians (952) 44',' 0, lax (J/52) 447-4245 \
j
PLUMBING PERMIT FEE $
STATE SURCHARGE S
TOTAL PERMIT FEE $
~
(Offi.. Use 0, .ly)
I This App, ication Decom.. Your Buildlog Permit When Approved
; !
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8y_-_ _'
8:57AM GENZ RYAN SERVICE, NO, 644
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
P 28
Date Rec'd
~'~q;"Wi'lrJs ?Aih nW
l.P"lIlk
2. Green
3, Yello...
ESt.... ~ PERMIT NO, 04-. 077t11
.
ZONING (.IIk.u..)
LEGAL] )ESCRIPTION (ome. uae only)
LOT-:+ BLOCK 2.. ADDITION wevu YY\&U1V'1
~
PID
OWNER
(Name).J rel".Q.1'r't~n,., 'Hn""'~ eo
(phon~ h~1_Qn'_37~a
Eagan. MN
55122
(Address) 1895 Plaza Dr Sre 200
A1'PLICl NT
(NameL~2-Rv'1) Plumbing & H.~H~"
(Address) 14745 So Robert Trl
(Contact:! erson) J;r1 ~it~( (~ _
APPLICA NT SIONAT~ _Cl.0 ' ~':::fa J L4
APPLICANT PLEASE COMPLETE BELOW
,
I ~NEWCO~~U~~~N. REPL CEMENT -r OALTERATIONS ~.J_
FURNAC~MAKEANDMODEL If:11[lJt' ~.D fO FUBLY1w;-~
FLUE 5IZ, RETURN OPENINGS INPUT {p(fc O()O OUTPUT v
TYPE OF SYSTEM HEATING OR POWERl'LANT
(Phone) h,1_1.?~_11H.
Rosemount, MN
(<:;ty)
55068
(Zip Code)
(phone) ~51_4?l_11 M .
DATE ~,f)tJ
~.rm Air Planta
DOravity
~Me'hanlc'l ,
ir Conditioning
Vcnt. Sy,tem
D Sloam
D Hot Wat.r
D Radi.tion
o Sp.cial Dcvicc.
DOllicr Devices
PLEASE NOTE:
Air Conditioner Units
C=ot Enoroach into
Required Side Yard
Setbllllks
FIREPLAC 3 MAKE AND MODEL
"
IndultriaJ, C1mmercial &: MUlti.Family ,
Residenti.I, ~.ating &: AlC (New Con.truction)
Residential, iIIo.ling Only (New Construction)
FEE SCHEDULE '
1 % of job cost Residential, Gas Fireplace
$39,50 minimum
199,50 Roaidonti,l, Additions &: Alt.ratioO!
$64.50 Residential, AC Only
139.50
$39,50
$39.50
Estimated Cost $
Building Pennit II
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
f~WJfH
,50 Bl,ltCl~~~ pg:UIT
1('"'" Us.Q, Iy)
. .",. Appl cation Becorn" YOUI' Building Permit When Approved
Bufdine Orod.1
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Da"
'I ~]~it01~ U \!J Ls
lM D~fiG 1 1 2004
I \, Receipt No,
) I By ,
241100r no lice for .11 iosp.ctlolU (.952) 44' .98S0, fax (952) 4474245
8y~__
PRIOR LAKE DEPARTMENTO$ee Main File
BUILDING AND INSPECTION
IttJSPECTION RECORD
SITt ADDRESS J Y /'1 a w,'its JI A..~ It
NA1UREOFWORK ~
USE: OF BUILDINg !!SFJII.
PEI1MIT NO. 01./- 77q DATE ISSUED .
CO~IITRACTOR PHO~~/~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I Fo.l)TING I I
, FO~NDATlo.N (Prior to Backfill) I I
PLACE NO. Co.NCRETE UNTIL ABo.VE HAS BEEN SIGNED
ROUGH - INS
we! VP
In /J.?9
f'l}
~)
I\r
INSPECTOR
SEl IlER I WATER I SEPTIC
FRJ .MING
IN~LATlo.N
EL CTRICAL
PL MBING
HEA TING (if required)
FIRUPLACE
GA~ LINE AIR TEST .1
I
Co.VER NO. Wo.RK UNTIL ABo.VE HAS BEEN SIGNED
I I
FINALS
GRA~'NG (Prior to Sodding) I
BUI DING 9m
ELE TRICAL
PLUI ~BING \.) C. 011 II ,)
HEA1'NG I TV\ ~
be. No.T o.CCUPY UNTIL ABUVE HAS
) No.TICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained unlll all Inspections have been approved. On buildings and additions
~here no service cabinet is available, card shall be placed near main entrance.
DATE
1
J
I
I
1
I
//-~
.1
I
1
..
II- 2'2-
1
I
.1
I
.1 7 ~ 2f? - 6
1
BEEN SIGNED
-,
.
FOR ALL INSPECTIONS (952) 447-9850
_.,_--.J..__~_~.__,._.___________
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
8 '/1-<:)'5
ADDRESS /L/ I q..~ !.Ji\&., ~?t..
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o jIISULA TION
,A:r FINAL
o SITE INSPECTION
COMMENTS:
~t:
CONTR.
PERMIT NO.
'1-07/7
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
+e
I t
(\ (I'lc:;;.e.. --r-1\. e
1\,
+. -lj?
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
RK, CALL FOR REINSPECTION BEFORE COVERING
Inope r:, Owner/Contr:
C C _ ~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
::0---
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IHS/llOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
8-/2d7
ADDRESS
I~f/ '{ "3
OWNER
CONTR.
PHONE NO.
PERMIT NO.
Lt - 7'"?/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.4 ~;~~NSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
J;ri6ASLINE A~
D_~
COMMENTS:
----J
I IJ ( 1
C,a?e- ~- t, \Q
IWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR21RK. CALL FOR REINSPECTION BEFORE COVERING
Inspecto . Owner/Conlr:
CA"L 7 9sAo FOR..IHE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~UI;;;ME ARE FOR YOUR PERSONAL HEALTH & SAFEr:,!
,..,..,-,
Job Address lil'l;;: W:I.J, ~
- ,
Heating Contractor CJ,,'1 r - 1" "...,
Name of Tester --r: .t.:
Date
Percent O2
Percent CO
Percent C02
Stack Temp,
..z//7/...~
7.9~
~
7.7"'.,,(,
5~O"
Combustion air is adequately supplied per
UMC Sec. 606 tks
'-
Input