HomeMy WebLinkAboutBuilding Permit 04-1173
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I
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Main File
Date Rec' d
10. I ~ . 'Ok
File
City
Applicant
I PERMIT NO. 04- . / /7.3
1 White
Pink
Yellow
\~~~~ '-~' ,j.......,.
~ ~ <;. '-v--.
ZONING (office use)
, I< {
LEGAL DESCRIPTION (office use only)
LOT .i> BLOCK \
VN/T7
ADDITION \,.Y- '-, ~_- ~
c:....'-
"' ""-..- ~. - .......~
PID
OWNER
(Name) '--~,,-.....--~~.... ----
(Address) \ ~~S
~~L"'--
~'l::---_,c....
.~~
(Ph one) \S:::;. '- '--\... \.:l '-a ~ '",..t"~ I:)
\,;-'-:. ...-- ~ ~
{~1:- \,. '\"J \0-.
/
BUILDER
(Company Name) 'S:,.,,p..,,,,,,-,,- C
(Contact Name) \.) e-.... ............
(Address) <--""~'-l""",,-
/
(Phone)
(Phone) \..e '- ~ -~ -"C3 '- '- '- '- \c
TYPE OF WORK ~New Construction iLfDeck DPorch DRe-Roofing DRe-Siding~Lower Level Finish '\ZI Fireplace
DAddition DAlteration DUtility Connection 0 Misc.
CODE: !.R.C. DI.B.c.
Type of onstruction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST /V ALUE $
(excluding land)
-~~ ,000
I hereby certifY that I have nlrnlshed mformatlOn 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 eXlsl1ng state and local laws and will proceed in accordance with submllted plans. I am aware that the buildmg
otlicial can revoke this permit for Just cause Furthermore, I hereby agree that the City official or a deSIgnee may enter upon the property to perform needed mspectlOns.
\, -"
X '-..)~_ -c ~ ".~~'--~_~
Signature
\. ,~~ ~
Contractor's License No.
\ <...::,/ <... ~ I \.)."'-\
Date
Permit Valuation
TOTAL DUE
Park Support Fee
SAC
#
#
Permit Fee
IS 000.00
23Ll3. So
1523. Z.B
57.50
Pressure Reducer
Plan Check Fee
Water Meter
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Sewer/Water Connection Fee
Water Tower Fee
#
#
{)O ,OfJ
IDa.06
35. s-a
O.tJD
Builder's Deposit
Other
Gas Fireplace Permit Fee
This Application Becomes Your Building Pennit When Approved
~~
/()~t710i
Buildll1!! Otlicial
$
$
$
$
$
$
$
$
\\
ThIS IS to certifY that the request m the above applicatIon and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed by the City Planner constItutes a temporary Certificate of Zonmg complIance and allows construction to commence. Before occupancy, a Cerl1ficate of Occupancy must be
l~
i~
Planmng Director
Special Conditions if any
24 h,", ,or,.. r" ,II ,..",.fl,.. ""'. ~.47-98'" r" "..".. ) 44.7-4245..
16200 Eagle Creek Avenue _Pi Lake,. _. ... t~
Th(" C("nl("r of Ih(" L.kt Counlr)
~hite - Buil~
anary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
W6N5MANN
I 0 . ( ~ . 04-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
14-~q3 Wll.-OS PKWY
Accepted Accepted With Corrections /'
Denied
Reviewed By: ~~ ~ Date: /t?47~t./
,
Comments: ~ Cl1.-f ~ ~ ~
/re.(?, ~~ r ~ ~,
"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."
Whi~ - Building
......-tSin rv - Eng,"een~
Pink - Planning
Tht" ('''"ter of Ihf' l..kIP Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\ .\ Ie \ t ('.-. t\f J t' i\ i to\. l
;j,! L..~I\I.../ i 1111'11"
!. I' q i.11
I ... [l. ;,. 4-"'"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,A' ,", ."1 '-"/-'
,:.k L;r (..! ."
I L/ ,..__..)
I '. ,f I i. \, "..,--......
V \: I l. L) .::~>
r "; 1../ I '"\' " "
~__.-' K 1!.J Y
1 I..""....... V '-i f
, i
Accepted X
Denied
Accepted With Corrections
Reviewed By:
m18
Date: /tJ-Rf-o,/
/
Comments: See Rever~p. Side for Additionallnformationl
See Attachments: 1) Grading Plan, 2) Erosion Control Meg~lIres
"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."
The ("en.er of .he l..kr Count.."
White - Building
Canarv - Engineering
aink- Plannln9=:>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
I
l_"
\.,[
APPLICATION RECEIVED
\~.-.--'"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
r
i -
/
" 'I
t,. ,. ; ./
, 1'---" f
I
I
Accepted
Accepted With Corrections
Denied
Reviewe~vn_ ~
Comments:
Date: 1 (,I 1~/t)f
"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."
10/22/2004 FRI 11:34 FAX 6513226147 GENZ-RYAN
14I 003/003
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
'i:~. I PERMIT Nol:-I-I'1 J
API'I",",,' t ~
Date Rec'd
I. Pink
2. Grtea
J. Yellow
ZONING (office we)
LEGAL DESCRIPTION (office use only) ~
. I 0 \ i I i j,.i' ;;,. ". '-..J.A
LOT BLOCK I J ADDITION V ) I M>-O let / ' J 7 J
rdo
PID
OWNER
(Name) WF'n ~m;:lT1n HnmF'~
(phon~ 651-905-3709
(Address) 1895 Plaza Dr Ste 200
Eagan, MN
55122
APPLICANT
(Nam~ Genz-Ryan Plumbing & Heating
(phone) fi '11 -47'1 1144
Rosemount, MN
(City)
55068
(Zip Code)
(phone) fi'l1-4~~? /
~ DATE tJ ;;?a /;)(/
APPLICANT PLEASE COMPLETE BELOW
. 0 AL TERA TIONS. ')
- [il.~ . __ FUEL (J{ll. -q a::J
INPUT I l'r 0 D Z) OUTPUT ( {1 I (:2 U(.)
NEW CONSTRUCTION,
FURNACE MAKE AND MODEL ,. /, (; ")
FLUE SIZE RETIlRN OPENINGS
TYPE OF SYSTEM
.txfWarm Air Plants
o Gravity
I:J Meohanical
~Air Conditioning
DVent System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o .other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family'
FEE SCHEDULE .
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ Building Permit #
PAID WITH
BUILDING PERMIT
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
!,.. -- -, Use Only)
l"
i . _.j:; Application Becomes Your Building Permit When Approved
Building OMcial
Daft:
I Paid
. FF8
Date
1 Receipt No.
~ 20 \
y .
24 hour notice for.all inspections (952) 447-9850, fax (952) 447-4245
FROM WENZEL PLUMBING & HEATING 651-452-0367
(WED) 10, 13' 04 13: 29/ST. 13: 28/NO, 4860053843 P 3
...,.,,-'
CT.IO:H - 1>lJ!
Yl!.u...o..' , JlI'''U~''T
r.o1..0 - c:rr 'f
~"'lf ~~........4,,~~---" V"lIUt~
C!~y OF P~IOR L>.KE
s z: \-r=: P.. P.N D W l<_ T E:2 ? :::?<.:"! I T
NO fi"'I/J3
NOTE:
Se'..Je:::- and Wa ~er-
contractors must.
be reg ister~d
with the City.
~ ::~7~.~~.."?::.
PHOHE :tJSl19-r-l.~~S
D.a.T=: : I D) r3 Je t
, ,
AP!'LICA.N'I' :
".DDR::::SS:
:?~?~.!::' ::
-.--.,..-.-.....
1.
::LL IN T~2 3L~~KS
30
size of water se~~ice / inc~(es}. ~1 ~1\^
Lcc~tior. of any COUPli~g: from s~=~c~ure~fee~.
PVC~ cast Iron____
3(:)
Est.i~2t=d length
of wa~er se~Jice
feet',
2.
J.
4.
~ype of sewe~ pipe.
ABS
5 _
~st~~a~ec leng~h of sewe~ line
feel:; llf.l-.
at ~feet
f:::-c:n
6.
Cle:n
cut
(if
:r-equirec.) ,
loca-;:ed.
st;:"':..:c~~~e.
===~~==~~~~~===~====~===~===============~~~~===~~~=~~~~~~=~~~~===
'i'f-';
_.__5
a::;;plication
cecones
yo~r
. to-
per-&n:. _
'..i~e!1 a?~rovec..
E';
OAT~:
~~~~==~=~==:================~====~==~~=~~=~~=~=;==========~~~=~~~~
F::=:2:
S
5
$
35.00
.50
] 5 -:--5 0
Se~er and wa~e~ line connection pe~i~.
Surchar-ge
TOT_~L
;.
=~e ;:~:::- e:the:::- se',.Je:::- c:::- T,..'2.-:'e~ i:-:c.i'/ic.',la!.~II;W~o.oo p:us
S . 50 s:..:~c:-ta~s;-e. BUILDING PERMIT
S 2......e:- .? ~c .....?- ~~::::. pe:-::1 1. ~ s i 5; sLle'7 :: c:::- l':e'"" c~ n s tl:'"'-fct ion mw.s t be
~e~~~~e~ on the bu:ld~~S pe~~~ ca~~ at t~e tl~~ of iss~~~ce
~8 i~s~=e t~a~ no ~~~lic~te se~e:::- ~~d ~ate:::- pe=~i~s a-A
iss~e~.
'"
C\\:'::: ?~.:::
,\.~'~C c~r,:, ?,~::: D
:;,~~::: : ?':" .J
"'" ,~.- 'ii - '/
:t.:.\'" W .::l_
FFR 8 2005
.. _'. ". -: l- -
- .. ,,' ,. , ~ .-
FROM WENZEL PLUMBING & HEATING 651-452-0367
(WED) 10, 13' 04 13: 29/ST. 13: 28/NO, 4860053843 P 4
CITY OF PRlOR LAKE PLU:MBING PERMIT
Date R.ec'd
I..... 'il.
1. Gold till'
1. 'fttlw.. "IJlP"cv.
O~-U'3
I PERMIT N .
e~G -...,
ll\~~~ ~;\~S ~~
LEGAL DESCRlPTION (cmce \lie only)
LOT I BLOCK ADDITION
Pro
OWNER
(Name)
(AddrtsS)
(Comaa Person)
(phone)
DATB
Quaatity
,
PUCANT PLEASE COMPLETE BELOW
po of Fixtare "Dtity
Bath Tub with or wlthoU1 shower
ent sink
Type 0
run
est
ol1~
FEE SCHEDULE
fnd\13trial. CommercltJ ci. Multi-family 1% of job ~03t with :t S39.50 minimum
Estimated Cost S
Building Permit It
Residentia'. Nl:w One &. Two-Family S99JO
Re;,idenlial. Additions &:. Alterations $J9.50
PAID WITH
BUILDtNG Pt:~f\~IT
PLUr-..1BING PERMIT FEE $
STATE SURCHARGE $
TOT At PERMIT FEE $
.50
(Office: U,., Only)
13lllldln: Olliei,l
Date
y
(
ThiJ AppJicarion !k-come,Your Building Permit Wllell Approved
Paid
FIB
8 2005
Receipt No,
Dllt
:.1 hOI..'dQ~i~'tl ful' sll itJ;;~cti.oll) (911) ....i.;;h5:l. \:..lo. ;ilS::l) ,~',.4:L..:s
CITY OF PRIOR LAKE Date
HEATING/AIR CONDITIONING/FIREPLACE
PERMIT
(Please e or riot and sign at bottom)
ADDRESS
~.&~~w J;~icant I PERMITN~" ,-r-13
ZONING (office use)
14893 WILDS PARKWAY # 8
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name~ENSMANN HOME~____
(Phone) _6I2-22I-7I76
(Address)
APPLICANT
(Name)_ALLlED F]BESIDE DBA fIRESIPE HEARTH & HOME
2561
(Phone)
651-63~-
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
2561
BRENDA HUSTON
(Phone) _651-633-
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
03/15/05
X NEW CONSTRUCTION REPLACEMENT AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT
OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
Warm Air Plants Steam PLEASE NOTE:
Gravity Hot Water Air Conditioner Units
Mechanical Radiation Cannot Encroach into
Air Conditioning Special Devices Required Side Yard
Ven!. System Other Devices Setbacks
FIREPLACE MAKE AND MODEL REA TN GLO 6000TR-OAK X 2
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1% of job cost
$39.50 minimum
Residential, Heating & AlC (New Construction) $99.50
Residential, Heating Only (New Construction) $64.50
Residential, Gas Fireplace
- -....LlII"'~ P
Residential, Additions & Alterations U e~rr
Residential, AC Only $39.50 .,
t.
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$--~-
$
~-~~-- - ---~
.50
(Office Use Only)
APR
6 2005
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
.5 P'A~K. A.l
I
DEPARTMENT OF Main File
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR MoM S PHONE~- rLI. 17(.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
"
FOOTING S,,(
FOUNDATION (Prior to Backfill) /2 7
PLACE NO CONCRETE UNTil ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING \J if 11\')111.\1 iJo'l/) 1--/II}.-i/i
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HA~BEEN SIGNED
ILArN.!'" / H(Jt.fS~ ~ I~ &- Ajt)>--,
FINALS
GRADING (Prior to Soddin )
BUILDING To 10 ~ tvc
ELECTRICAL
PLUMBING i (J.lq~-
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.
S <"3
FOR ALL INSPECTIONS (952) 447-9850