HomeMy WebLinkAboutBldg Permit 01-1349
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LEGAL DESCR1.t' lION (office use only)
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BUILDER I I
(Name) f/'J f',AI/' /J1 iIf N ;tV
(Contact Name) (I'J~C{ r V
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(Address)
(Please type or print and sign at bottom)
ADDRESS
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LOT 9' BLOCK 2-
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OWNER /J r
(Name) , q
(Address) ??I Y
TYPE OF WORK
o Misc.
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3 . Yellow Applicant
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ADDITION Gjy/ve.Jlr,r
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PID
Date Rec' d
v.7-13411
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(Phone) ~j- ~~ ~- ~f'()tJ
(Phone) t:/,;z-J' f- 71,/~
Contractor's License No.
$
$
$
$
$
$
$
$
2~ooo. 00
(,Z.1.5'
1.00
Park Support Fee
#
(Phone)
rr ~"I
o New Construction
~ Level Finish
o Deck
OPorch
ORe-Roofing
OAlteration
ORe-Siding
OUtility Connection
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
~ter/J;;::;rty to perform ne~ /y S- R' // -.? 7- 0 /
-/ /. -
/7 ture
v
I Permit Valuation
I Permit Fee
I Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
o Fireplace
OAddition
PROJECTCOST/VALUE (excluding land) $
SAC
#
Water Meter
Size 5/8"; I";
I Pressure Reducer
Sewer/Water Connection Fee
#
#
l(o . Q')
..
Water Tower Fee
I Builder's Deposit
Other
TOTAL DUE
Date
$
$
$
$
$
$
$
$
$ I 0.3. 7~&)
omes Your Building Permit When Approved
--'
/1-28-0/
I Paid I~n
I Date 0
I Receipt No. 4ur ~ 'Z-...
I By /Ylif
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
issued.
Planning Director
Date Special Conditions, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE PLUMBING PERMIt
Date Rec'd
f 2..- I , - 0 I
i ~u: ~!~ PERMIT NO'O/_/.'7/1A
3. Yellow Applicant ~"-I
(please type or 'Print and sign at bottom)
ADDRESS ZONING (office use)
~\L\ h~~\.l\A\C7_(l_. \0 A-'ll -'
. LEGAL DESCR..lY nON (~ce use only)
LOT
BLOCK
ADDITION
PIDZ5-- 3f15 - ()/I--O
OWNER
(Name) Wensmann Homes
. (phone) 651-905-3709
(Address) 1895 Plaza Dr
Eagan, MN 55122
APPLICANT
(Name) Genz-Ryan Plumbing & Heating
(phone) 651-423-1144
(Address) 14745 So Robert Trl
(Address)
Rosemount, MN
(City)
55068
(Zip Code)
(Contact Person) Marv Olson L . (phone) 651-423-1144
APPLICANT SIGNATURE II ~"\ U. (~ DATE \""2-\ \D \ D \
~~L(:m PL~SE COMPLETE BELOW--
Quantity Type of Fixture - Quantity I Type of Fixture
Bath Tub with or without shower i Rough-ins
Dishwasher I Water Heater
I Floor Drain I Water Softner
\ 1 Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Ejector
\ I Shower Stall I Backflow Assembly
I Sinks I Backflow Assembly Test
I Bar Sink I Lawn Sprinkler
\ I Water Closet (Toilet) I Other
~EE SLJ::l.)!;DULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $ Building Permit # ~ /- /34-9' .......... ~
, ~O ~.!.~dIt
PLUMBING PERMIT FEE $ ~ SO . eu,n,'ilG ~
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ ~n~
(Office Use Only)
Building Permit When Approved
1~--1I-01
Paid
I Receipt No.
By
Date
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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Canary ....ErYgimte.riria /
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT / / ) ~~ ~ t1 J
APPLICATION RECEIVED / /- ;;;. J- 01
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,_-::?3/Lf ~(/./(LI-<-o-_, ~ ~
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Accepted With Corrections
Accepted
"'
Denied /7; () I
Reviewed BY~ L{!a)c;~/ A~
~- 1-
Date:
11-~8-o f
Comments:
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liThe issuance or granting 9f 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."
PRIOR LAKE DEPARTMENT OF
" BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS .~.3..t:! ~J. Ml'~ ' 1 r-
NATURE OF WORK ~~(U'~ ~~ ~"'\'sA
USE OF BUILDING ~F 8-
PERMIT NO. () / - 134q DATE ISSUED -LJ-;<e -6/
CONTRACTOR W~9,~ ~~, PHONE..ltJ~-~~7-7~/0
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
~r to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING ~~Mbt !~J~J o(
INSULATION r ,
L" L+
ELECTRICAL
PLUMBING t\ t\
HEATING (if required) II\. r\.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~
(
11 J;;,7./0;;-
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.
, . .
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
SCHEDULED :2 -tl:7-o~
'33/4 Q'1~wa.ter. Ii
CONTR.
TIME
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o ]i&SULA TION 0 SEWER HOOKUP
)7FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: baseW\8f.\. ~ ~\\A t:s.A
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
(;.. (?S~ ~;\e
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOP,K, CALL FOR REINSPECTION BEFORE COVERING
InSpector~ ' \.. ~ Owner/Contr:
CALL 447-9850 FO~THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
INSNOTl