HomeMy WebLinkAboutBldg Permit 05-0025
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~ [E @ @>~t~~'T'-
OCT 0 6 2004
(Please type or print and sip at bottom)
ADDRESS
1'1/<;'1
LJIl-'b ~
)1ain File
~
. d.J tJJ
LEGAL DESCRIPTION (office use only)
I, White File
2. Pink City
3 Vellow Applicant
LOT I BLOCK ( ADDITION ~SJnANN 4.",...
OWNER
(Name) We6lSWlp,JrJ
I (Address) 1'8:J~ f!..M....z..A
/...fUYnL-'S'
~~
BUILDER
(Company Name) S~
(Contact Name) ~f' 1.) ~<t;~. ~
J # I .
. (Address) $ A ~
!
-.J
PERMI1~U. Ub ~06z:.5r
ZONING (office use)
~4"
VI,-, j41(4:AboU$ . PID;Jy..'1tf-OO/_O
(Phone) tlQ- rtJc,-<t'q~
,s-:<! :J..l)...
~ Ac"A,A.} J'IA.N .
(Phone)
(Phone) t:-tz_' -t-Z I" / ~ z. g
TYPE OF WORK ~ew Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish jj!!"Fireplace
OAddition OAlteration OUtiJity Connection 0 Misc.
CODE: DI.R.C. ~.B.C. PROJECTCOST/V~ $ //0. DUD --
Type of Construction: I II ill IVa e~ (excluding land)
Occupancy Group: A B E F H I M U ~
Division: I 2 tf}4 5
"'"
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 o~r or authorized agent for the
above.menlloned property and that all construction wiIJ conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 ~ aware that the building
official~. reV?ermit for just cause. Furthermore, I hereby agree that the City official or. a designee may enter upon the property to perform needed mspcctlnQs<
X '.. ..... /y~ /O-S=-o9<
~.-/ Signature Contractor's License No. Date -'..
Permit Valuation
Permit Fee
Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
TiIIO. Ot:JO, 00 I
$ /1t'3-~O I
$ . 7;; '$, 71" I
$ S~.t)o I
$
$
$
$
$
/1J().Oo
/00 , IJ 0
... ~s- "5'""0
JlIJ _ 00
This Application Becomes Your Building Pennit When Approved
~9fJ ./D/t~~
I Park Support Fee
I SAC
. ~
Water Meter <"Size 5/.9' 1";
Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
/
I Paid -Z $ I t .--zr
I Date / ~ () ,5"
#
#
.$
$ 1f$"().OD
$ zSa.OO
$ ~.ao
$ I~Q.oO
$ ,700. D 0
$ lS'oa. 0 0
$
#
#
$~3IZ,78
. .
mu
I
~_NO.
U
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
i~~
Planning Director
/
/()//I'!tJ y'
I . Date
~ iL.~"~alC~ dif).. jfflUJ
~~ .any
24 hour notice for all inspections (952) 447..9850. fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Main File
White - Building
Canary - Enaineering
~nk - - Planninv
lh. e.nl., of Ih. Lib Counl"
BUILDING PERMIT APPUt'::A'110N DEPARTMENT CHECKLIST
NAME OF APPLICANT /'11 E Iv J 1i-1,1)J IV
APPLICATION RECEIVED / (). lc. C 4--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
14-1.5'1 Ii/It.... OS P'i'17Ji IV1J
Accepted
Accepted With Corrections ~
Denied
~~-
~~
)f'.ee eR a..L.l
--
If tI.O "
~ Date: /o/Ir/att/
I
~-~
Reviewed By:
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."
(
Main File
C--White - BuilCln[::>
Canary - Engineering
Pink - Planning
Thr ('rnlr, of Ihr Like Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT W6.#J'M/f)JM
APPLICATION RECEIVED /0. ~. 0 +-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 4-157 WI f." OS ~/l7JI fV ,J
Accepted
Accepted With Corrections
/'
Denied
~
3~~p
,..
~ tuL ~?
aLIJ ~.
Date: /()fr~ if
~ /. ~ C # (!"..6J~ __ .
Reviewed By:
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.1I
, ~
Main File
White - ~
(' Canary - i:n9.ineerinO
Pink - Pia-lining
,1;,)
Th~ C'f'n.", of Ihe- t..ke- Coun.ry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT fVE~l/J /"'7/1 N /\/
APPLICATION RECEIVED /0. & '. 01 .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ '9:" IS} ji/I C {)S ;--W77i j\/;vI
Accepted
x
Accepted With Corrections
Denied
Reviewed By: IJ1(J 13 Date: 1-l/-~.5-
Comments: See Reverse Sid~ for Additionallnform~tinnl
/I11j,'",- F,'/(
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
04/29/2005 FRI 7:59 FAX 6513226147 GENZ-RYAN
141 00~/031
CITY OF PRIOR LAKE
HEATING/AIR CONDITlONING/lfJ.KEPLACE PERMIT
Date Rec'd
I. Pin\: Pile
2. ar- Cil)'
3. Yellow APJlIi-
,UKItf1TNo.$ -~f
(Please mle or 1lrint and siRn at bottom)
1DRESS
L~\n I L\)'I \ rlS
"
.j(l+-~')
ZONING (ol&cz use)
f\ tA)
LEGAL DESCRu- HON (office use only)
LOT BLOCK
ADDITION
PID
OWNER
(Name) TJenl'l.m::a~n lIn.......
~hon~ _~~1_Qn5-370Q
Eagan. MN
55122
(A~) 1895 Plaza Dr Ste 200
APPLICANT
~am~ Genz-Ryan Plumbing & Heatin~
(A~e~) 14745 So Robert Trl
i (\ 'C~,' (~-"1'1 Ii <-
(Contact P""'.h.....) .-.i \ V 12) fl 9,--'u",.ll)
APPLICANTSrGNA~ (jiJAq~ Clt(j1JJ
~hone) -6.5 T -l...ZQ-ll au
Rosemount. MN
(City)
55068
(Zip Code)
~hone) n'l1-h.?Q-l1h.h.
DATE .LlJ::i?I()~
I APPLICANT PLEASE COMPLETE .DJf.LOW
r~w CON\TRUCTION ] REPLACEMENT 0 ALTERATIONS
~-- I r . ,
FURNACE MAKE AND MODEL f)(\'f'l'l X ("-rid) U H - '3tjr () 7 ~ " \ FUEL .(-ktL. 0Ji.7 ~ \
FLUE SIZE RETURN OPENINGS .L-' INPtIT (d d 11) OUTPUT /i:.J..,~(.J
TYPE OF SYSTEM
dann Air Plants
EfGravity
o Mechanical
~itioning
OVent.Systcm
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Dcvices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SIl..n.J!,DULE .
1% of job cost Residential, Gu Fireplace
S39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
-._~
~
!r - '.' Use 981y)
r
Blrildinf Official
lm~ U~ i} n m ~ FiptNO.
~~ .8'. ~
Date III MAY ! 2005 '
24 hour notice for ./i inspections (952) "47.9~ P~I (952) 447-4245' ~:::'
l~y
..... Application Becomes Your Bunding Permit When Approved
-
04/29/2005 FRI 7:59 FAX 6513226147 GENZ-RYAN
l4J 003/031
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(pleue we oarint II1dsmnatboUOJD)
ADDRESS
J-dJ I~ COi J CL5 ({-tJ-fl' 1\ Jt t)
I. 0.- Jli.. I PERMIT NO
2. YolIo.. CiIy. .
3. Gold Appllaant
ZONING (oftic:e use)
LEGAL DESCR.LruON (offtceuse only)
LOT BLOCK
ADDmON
PID
OWNER
~une) Wensmann Homes
(phone)
651-905-3709
(Address) 1895 Plaza Dr Ste 200
(Address)
EaRan. MN
(City)
55122
(Zip Code)
APPLICANT
~mne) Genz-Rvan Plumbin2 & Heatin2
(phone) 651-423-1144
(Addr~) ~745 So Robert Trl
rt' (Addresa) ,'"
(ContaccPerson) _ CT\ V'"i~~' J. t-.{l ( l.s .
/ ) 1'1 / () .. I' l j A."
-~ICANT SIGNATURE l:-.r' L,/u:iJ'U) ~.il fJ/J
Rosemount. "N
(City)
55068
(Zip Code)
(phone) 651-423-1144
DATE ~-x:J /d5/tf:5.
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. o ABC 0 PVC 0 Castlron
Estimated length of sewer line feet.
: Clean out (if requ~) located at feet from structure.
.llJ!,J!,;SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1 % of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $ I 7.50
Estimated Cost $
Building Permit /I
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE S
TOTAL PERMIT j4]!,j!; $
.50
8lJI1..~AI/) ~/h .
~^'G p''''
'l:J:1A4rr
(om" Use Only)
This Application Becomes Your Building Permit Wben Approved
.
. '
Building Omelal
~I ~ (~\f,,'~n rt,1~11'1. '. .ptNo,
i-l~ G.']' \ I~'~I -
Date L J MAY l20lL I (J-
%4 hour notice for III inspections (95%) 447-9850 ~IX (952) 447-4245 -j I, () \,
8 Y --'~--- --_.:~-_._--_.-:;.;
04/29/2005 FRI 7:59 FAX 6513226147 GENZ-RYAN
~ 005/031
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Blue fife
2. Gol4 Cily
J. Yolkno App/iconl
~
I PERMITNo5-~
(Please ~ or mint and sil!D at bottom)
ADDRESS
)L{I~ U)l\fJ5
I~R+f'l f\ 1l A )
I ZONING (oftice usa)
LEGAL DESCRLr HON (office use only)
LOT BLOCK
ADDmON
Pro
OWNER
~~e) Wensmann Homes
(phone) 651-905-3709
(~dmes~ 1895 Plaza Dr
Eagan, MN 55122
APPLICANT
~~e) Genz-Ryan Plumbing & Heating
(Address) 14745 So Robert Trl
, r (Address)
(Contact Person) C1\ ~1S'h .f:tl( -:'"> ,
0' ......- "\ ~ 7 7
/1 /(11\ I, t...- J (! /f .,
APPLICANT SIGNATURE ; \...,-L.,"W'.lii i_. '\" -it,' Jr,( )
(phone) 651-423-1144
Rosemount. MN
(City)
55068
(Zip Code)
(phone) 651-42,3-1144
If j' !)-' ')F-
DATE /-'-1, c~A I L .,.)
APPLICANf PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity I Type of Fixture
( Bath Tub with or without shower Rough-ins
'I I Dishwasher i Water Heater
I I Floor Drain r2.J I Water Softner
,2 I Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
I I Laundry Tray (lor 2 compartment sink I Sewage Ejv..lv<.
Shower Stall I Backflow Assembly
Sinks I Backflow Assembly Test
Bar Sink I Lawn Sprinkler
<.:.~..I Water Closet (Toilet) I Other
FEESL.t:U!,DULE
Industrial, Commercial &. Multi-family I % of job cost with a $39.50 minimum Residential. Ncw Onc &. Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
This Application Becomes Your Building Permit Whcn APproVedr~~~ \f :1
\~<' lflly '!: Z005
. \
w
24 hour notice for .n inspections (952) 44'.9850, fax (952) 447.4145
IBy _ ------.
~ ~~-
Building Om!:!lai
Date
8lJJL~D 1M.. -
.sO ING.;;~~4<<
, rr
" '--I
\Iil, Receipt No.
IBy
I
. .
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE S
(Office Un Only)
\
.__l
g
..
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 1'I15/W/t..QS fJtrH IJ.lAJ.
NATURE OF WORK N~W ~.~
USE OF BUILDING ~F:' A.
PERMIT NO. (J5. 0 0'/ ~ DATE ISSUED ~.,
CONTRACTOR ~S~NN KOt&S PHONE"I- 2 '&( -'..u
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT 4 "J
h}CTOR i7:;;YM
FOUNDATION (Prior to Backfill) [::. J/- ~ ~ I /
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - I/~~ y
SEWER I WATER I SEPTIC \/'fJ/ 1
FRAMING J04 7//,5-
INSULATION /}5 \~~;:>ft~
ELECTRICAL " ...
PLUMBING\W(~tr9o;~ ~ 4>?-./
I HEATING (if required) ~ J> 7-/$-
FIREPLACE
GAS L1NE'AIR TEST ;<<t1l//t f (0 /~ M (/t7/d~
,
C9VER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
"'~(f/.t. ~ 11/ -z.e/d:>
f f
~// /~ 1~rr--
rlJ ~ III~
OCCUpy UNTIL ABOVE 'HAS BEEN I SltNED
NOTICE
DEPARTMENT OF ~ain Filt
BUILDING AND INSPECTION
FOOTING
J cr (j1J,. ~ t-r
; "
"...
.
"
..
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
-
~~
I
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
~~;)2i~~I~\.~~~~":&.~~.~\i<<~~~~,~,,l:('~3,~;:\,:{.4.~;~\(t:('..,'t:;J'~':':'Jli\j;i,,-;,,~~'\;~~~I..: ~~~~.lt~:~:""'.;..;." 'L.:i'';':k~\:Ii.;~~;i..:..{;...,.....~~ -. ,~;i.s..~\;':,- ".!.'liUll.;"~i .,~;' 'ir: '~. ;....h:~~~~;;..,~'j'.l~:i~';i.-".;:l.:j, -, ,.iL~,;'i.i1'il~1 . '\;: ;"v~....,,.,~~,\ ";\tol'''':u. I~';>..I '..:Itwi.,~~ ~",u~' '.,.!'\
DATE TIllE
CITY OF PRIOR LAKE 1'/2.,,&;-
INSPECnON NOTICE SCHEDULED
ADDRESS I~ I S-l ~l,.~,
OWNER CONTR.
PHONE NO. PERMIT NO. ()($ -C02-5
[] FOOTING [] PLUMBING RI [] EXIGRADIFILLING
[] FOUNDATION [] MECH RI [] COMPLAINT
[] FRAMING [] WATER HOOKUP [] FIREPLACE RI
~ULATION [] SEWER HOOKUP [] FIREPLACE FINAL
FINAL [] PLUMBING FINAL [] GASLlNE AIR TST
[] SITE INSPECTION [] MECH FINAL []
COMMENTS:
nk tu - {'fasP rJA_>~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
[] CORRE~' CALL FOR REINSPECTION BEFORE COVERING
Inspedor: H..~, Owner/Contr:
CALL: 447 -9850" FOR THE NEXT INSPECnON 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SA.-J:' ,'/
INSNOn
CiTY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS J 4 \5t
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED 1'- '$-
~~~ ~
CONTR.
PERMIT NO. S-- 02.<
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o ..))EWER HOOKUP
A PLUMBING FINAL
o MECH FINAL
COMME~~S,: ~
J ,U-a.tl\ ~ LV{ ~ \ )
2.~~_ ~ ~~
3.. (lb "l~
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
lflf 7 - 1 ell:e>
~ SATISFACTORY, PROCEED
CORRECT ACTION AND PROCEED
o -nl'u. FOR RElNSPECTlON BEFORE COVERING
Inspector: 1/ ~ Owner/Contr:
CAl:L~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE '}/QUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SA"~111
-,
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
lo~/'I~
ADDRESS
/4/61 WJ/k P~k
CONTR. -1,v'(r1~~II~
PERMIT NO. 0 S-- U
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~LLlNG
- 0 COM15LAINT
o FIREPLACE R1
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(7~~ r.
t,uJb 'RM.. __ (f') r<
.
tWORKSATISFACTORV, PROCEED
b \CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpectOr:~ . Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &I SAFETYI
IJGNOrl
Job Address
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