HomeMy WebLinkAboutBuilding Permit 04-0773
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
ADDRESS
IiI ??
Main File
(J IdJ" fe{-t
Alw
LEGAL DESCRIPTION (office use only)
--
LOT ..5 BLOCK ~ ADDITION
Date Rec' d
..6--d-~Lf
~tni~e ~:~y I PERMIT NO. 04',077.' 2\
Yellow Applicanl ..7
r/..,
tJe
PID
ZONING (office use)
- ~/;- t!J!>;)..-{)
OWNER
(Name)
(Address)
(Phone)
BUILDER
(Company Name)
(Contact Name)
(Address)
;.J If rn pS'
Dr
(Phone)
(Phone)
ts 1- .yo ~ r rj/O{)
t/~ - 3~7- 7~/.2..
.5 ....>- /,2;2.
TYPE OF WORK New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish
DAdditIon DAlteration DUtility Connection 0 Misc.
CODE: OI.R.C. !$I.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV @ ~6)
HI M(lVSU
2 6:' 4 5
PROJECT COST /V ALUE $
(excluding land)
o Fireplace
() il
i/o,()()()
/
I hereby certify that I have fllrmshed mformation 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-menttoned property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
official can revoke I IS perm.t for Just cause Furtherm e, I hereby agree that the CIty official or a designee may enter upon the propelty to perform needed mspectlons
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~~9~
Buildll1!! Otllcial
~(;L'/o~
Date
/ Y 5-- tf""
Contractor's License No.
Park Support Fee
SAC
#
#
,j- - ,;< f - 0 V
Date
$
$ (3C;-C. 00
$ 5'""0 ,DO
$ 'IS .00
$ {2..00. De>
$ 70D.OO
$ SOO .00
$
$
---.
ThIS IS to certIfy that Ihe request m the above applicatIon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThIS d cument
when signed by the City Planner constttutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a CertIficate of Occupancy ust be
~ p~ ~/':>-9~1 ~ o.U ~~~
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Water Meter
1" ;
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
#
Builder's Deposit
Other
TOTAL DUE
/
Main File
C:::-:Whit~ - BuildinU
Canary - Engineering
Pink - Planning
The Cf'nlrr of Ihr L.kr Countr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
!fl.P~M44'~ Xkryy~
6-- 39-u'i
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is pr.oposed at: /) _ -H
/'-11"79 wdcb ~~
Accepted With Corrections
/
Accepted
Denied
r
~ ~ Date: ~/2-~~<(
~~ 0.-4/' ~,
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
White ~ Building
d"~"ry - Enaineering
Pink - Planning~
Thr Ct"nlt'r or the Lah Counfl1"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
J
.'.-/
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is propose,d at: ....../
/ "//" ~1 ( 1\.
Accepted
Accepted With Corrections
/
Denied
~ ~.?-
Date:
6;;'~J{
, ,
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
Whitp. - BU~din~
CCana~ . En ineerm
Pink . Planning
The- Cenfer of 1he l.ake Counlr}
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
.,/~.
/'.t~~""':'<':,.-i'~ .'
APPLICATION RECEIVED
'.5- --
,/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is propos~d at..C-.f
f c.../ ,...~., (:,' ,I /<--/:'. ,(A
I I ( .(,( i~;L".. ,~(--,,-("J._~ !;~:......:)....,_". .' '--'l ,-
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
Ifl1D
Date:
g'-7-0'1
Comments: See Reverse Side for Additional Information!
(Y/t7/*". r Ie
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
"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.1I
JUN, 29, 2004 8: 53AM
GENZ RYAN SERVICE :
NO, 644
p, 2
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
I, OllGn PII~ I PERMIT NO I
2. V.IID.. C~,.. ~ ./\A_ 0773
,. OeJd AppUw.. u-r .
ZONING (o/'lict! use)
LEGAL DESCRIPTION (office UBe only)
LOT q BLOCK C). ADDITION V\J Ut\S
PID
OWNER
~~e) Wensmann Homes
(phone) 651-905-3709
(Address) 1895 Plaza Dr Ste 200
(Adams)
Eagan, MN
(City)
55122
(Zip Code)
APPLICANT
~~~ Genz-Rvsn Plumbing & Heating
(phone) 651-423-1144
(Address) JJ.745 So Robert Trl
.('\ , .. f (Ad~~ss).... I '
(Contact Person) ~\.Hl ~1<St1 1"&t ( .s '
.' ..ICANTSIGNATURE ~~
Rosemount. '~
(City)
55068
(Zip Code)
(Phone)
DATE
651-423-1144
IP,&~-ot{
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure _ feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet.
.. Clean out (if required) located at . " feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$11.50 Water connection only S17.S0
Estimated Cost .$
Building Permit #
SEWER AND WATER PERMIT }'EE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(omee Use Only)
This Appliclltion Becomes Your Bllllding Permit Whon Approved
Building Offieisl
Datil
,
..,
L \__,
24 hour notice for alllnspecfions (952) 447- SO, tax: (9~) 4474245
By
8:55AM
GENZ RYAN SERVICE:
NO. 644
P. 12
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
,. DI.< Plio
l. OoJ4 C1ly
J. V.Uow AppllClnl
I PERMIT NO. 04-.07731
I
ZONrnG (oftieeusc)
I ~"':;f~(s
ftttnnw
LEGAL DESCRIPTION (office LIse only)
LOT tj BLOCK ~ ADDITIONWtvlSMlMrtn ~~
PID
OWNER
(Name) Wensmann Homes
(phone) 651-905-3709
Eagan. MN 55122
(Address) 1895 Plaza Dr
APPLICANT
(Nmn~ Genz-Ryan Plumbing & Heating
(Address) 14745 So Robert Trl
(Address)
(Contact Person) ~ RJ Sn
APPLICANT SIGNATURE
(Phone) 651-423-1144
Rosemount, MN
( City)
55068
(Zip Code)
(Phone) 651-423-1144
DATE (p~r9q~ ~
Quantity Type of Fixture Quantity Type of Fixture
;;;.. BathTub with or without shower Rough-ins
1 Dishwasher , Water Heater
, Floor Drain .,,~ Water Softner
t.J Lavatory (Bathroom Sink) , Stand Pipe (Washing Machine)
, Laundry Tray (lor 2 compartment sink Sewago Ejector
I Shower Stall Backtlow Assembly
'I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
~ Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commercial & Multi-family 1 % of job cost wich a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions &; Alterations S39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
8T ATE SURCHARGE $
TOTALPE~TFEE $
.5
(OJ'l1ce Vu Ouly)
This Application Becomes Your Bulldiug PerlJtJt Wilen Approved r~ ~ iJ [E D
Date . By
Building OIDell1 Dilk n 4
I II
24 hour notice for alllmpecllons (95'2) 44 -9850, fax. CJ52) 447-4245
8y_----
8:56AM GENZ RYAN SERVICE: NO, 644
CITY OF PRIOR LAKE
HEATING! AIR CONDITIONINGIFIREPLACE PERM:IT
P. 22
Date Rec'd
i ii:.. E~I.Ml I. PERMIT NO. 04-.07731
ZONING (otllml.l~)
V)w
LEGAL DESCRIPTION (omce use only)
LOT c:j BLOCK 1.. ADDITION
PID
OWNER
~wne) W~n~m~nn Hnmp~
(Phon~ 651_9n~_~7n9
(Address) 1895 Plaza Dr Ste 200
Eagan, MN
55122
APPLICANT
(Name) Genz-Ryan Pl w:~M.ng & Hl'ating
(Address) 14745 So Robert Trl
n /" . , (A~s)
(Contact Person) --.vv \ J(,cSt1 milS
APPLICANT SIGNATURE
(Phone) Ii r; 1-471-1144
Rosemount, MN
(City)
55068
(Zip Coda)
(PhOn~AT~~~[,1:12W
K]NEW CONSTRUCTION . Ji REPLACEMENT D AL TERA nONS
FURNACEMAI<EANDMODEL UtlYlDX' bt S~l210 FUEL~
FLUE SIZE RE11JRi'\I OPENINGS INPUT ~ OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
~ann Air Plants o Steam PLEASE NOTE:
Grllvity o Hot Water Air Conditioner Unitll
o Mechanlclll o Radiation Cannot Encroach into
~jr Conditioning o Special Devices Required Side Yard
Vent. System o .Other Devices Setbacks
FIREPLACE MAKE AND MODEL
APPLICANT PLEASE COMPLETE BELOW
Industrial, Commercial &. Multi-Family .
FEE SCHEDULE .
1 % of job cost Residentia~ Gas Fireplace
$39,50 minimum
$99,50 Residential, Additions &. Alterations
$64.50 Residential. AC Only
$39.50
Residential. Heating & NC (Ncw Construction)
Residential, HelUing Only (New Construction)
$39.50
$39,50
Estimated Cast $
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
rf.1~ \i:~
:, lj.~"JlJ:' ,n
.seUILD!NG PERMIT
(f' --.~ Use .On/y)
. .li~ Application Becomes Your Building Perullt When Approved
DlIfc
i J~d[~ Ie 0 m [E 'I
! a~UG 1 1 2004
eceipt No.
Building OfficJlll
y .
24 hour notice for all inspections (952) 441 9850, fu (951) 4474249
By
--" . -~ < '" ._,. - .'.- -.....,~ .~--"._. ',".'". <<-........----....-.. ,-
CITY OF PRIOR LAKE
HEATlNG/AIR CONDITIONlNGfFlREPLACE PERMIT
Date Rec'd
~w
~: ~:.. ~~~. I PERMIT NO. ~ J., ~l ,::l
J. y.n.... A.pphC:On1 ." , ~
I ZONlllG (-m'l I
r~~~:~=~~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Address)
(phone~( oS1--lfC1a -4lfOO
J;J- do
OWNER
(Name) t lh~
~
~~~~::t-~~~~O ~+-F.P (phone) llt:>3-S1'-~:as:;)5
(A~ess)H9~ /o9oJJi~~~crx::>.. rL.-_.~_ /Jfb~ ihn SS3/~
(A/', :ss) ~ ~~ (City) (Zip Code)
(Contact Pe!Son) J-<r\ cs. ~~,..:) (Phone) J It;3,-r;::'JJ..J,."-'7;;7(p
APPLlCANTSIGNATURE~ ~~ DATE --
APPLICANT PLEASE COMPLETE BELOW
~ CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AlIo MODEL FUEL
FLUE SIZE RETURN OPENINGS iNPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
OVent. System
HEATING OR POWER PLANT
DSream
o Hot Wa.t~
o Radiation
o Special Dcvicc::s
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
1 % of job cost Rc:sidefltial, Gas Fireplace
S39.50 minimum
$99.50 Residential, Additions & Alterations
$64,50 Residential. AC Only
$3950
Residential, Htoating & Ale (New Construction)
Residential. Heating Only (New Construction)
$39.50
S39.50
Estimated Cost $ Building Permit #
,I~' ~..,
~ ~, A. 'if
L~ "
....
.~.:..~,;,"'" .;
~", 1 ~:,~r ~i:. "
REA TING PERMIT FEE $
STATE SURCHARGE $ .sO
TOTAL PERMIT FEE S
(Office Use 0111y)
This Application Becomes Your Building Permit When Approved
Paid
ro:ceipt No.
DateNOV 0 9 2004 By
Buildilll: Official
Date
24 bour notice (or aD inspectioP$ (952) 447.9$50, (ax (952) 447-4245
16200 Eagle Creek ;\.venue, Prior L*t., MN 55372
coo/coo lil
HOOG a~VHV~ JI~VWO~nv
66~L 9LS C9L XVd ~I:II to/tO/II
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed bY:~ ~
Date:~ (z..c::; lac.{
Existing Structure? YES ttf9J
PID: Zoning:
tJ~ f/,::t:L IJ 0.
Subdivision: W~ ?I.ff:. p~
Existing Nonconforming Structure? YES ~
Building Permit #
Address: /'t 1[17 'fc / 'f I' '1
Legal: L/-IO I B ~
YES
NO
I
I CONFORMS TO ZONING
ORDINANCE
Standard
25'
10'/
25' if abutting a street
Proposed
~ 5" I -l zs'
2~, ' +0 fj
, ~6-
. Sidewall exceeding 50' requires additional side 2"
setback for eve l' over 50' in len th
. Rear Yard
. Patio Door: provide for minimum 10' deck or sign
statement indicatin no deck will be built in the future
. From 100 year flood elevation of wetland/NURP
and
. From OHW (Prior or Spring Lake)
10' setback +
2"/1' over 50'
25'
10' side/
25' rear
3D'
t-JA
tJA
75' or setback average of
adjacent structures, but no
less than 50'
NA
Yard Encroachments: NA I FAI IC PLI
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line Easements .
Ale and other equipment cannot encroach on interior
side ards.
Standard
,30 Maximum
d' . ,.\C'c. ..............,
1"'0 I'Jci ,.. :-- ....-..:,
-
Tree Preservatiorr:/ NA"1 FAILS I COMPLIES Standard Proposed'
. Total calicerinc nes
. Permit25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved .'
. Replacement %:1
L:\TENfPLA TE\BLDGLIST,DOC
PRIOR LAKE ~~rtD~~~~N:D~~spMmn File
INSPECTION RECORD
SITE ADDRESS 1#/79- IP~ fJ.eJA
NATURE OF WORK' ~
USE OF BUILDING Sf!.:FJ;.
PERMIT NO. o..g - ()i"13 DATE ISSUED
CONTRACTOR WeAJfS fYfANA-I PHON~ I~- ~9- I'/~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING
(,.)c....
FOUNDATION (Prior to Backfill)
PLAC~ NO CON~R'ETE UNTIL ABOVE HAS BEEN SIGNED
~ I c.{( 0(1.... l l1.-1 R 0 UGH _ INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING VG f/,'s~ /0,,,,,.
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING 1 Q.~ 0
ELECTRICAL
PLUMBING aJe.
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
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.
IGNED
FOR ALL INSPECTIONS (952) 447-9850
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Ian
I Building Height: t~MPLiE$) FAILS
Shoreland District: FAILS / COMPLIES
Minimum lot area s uare feet
Minimum lot width
Shoreland alterations
1m ervious surface
Bluff in Shoreland: AILS / COMPLIES
. Setback from top f bluff
.
roved
.
.
Floodplain N FAILS / COMPLIES
. 100 yea ood elevation
. Lowest floor elevation
. Proposed lowest floor elevation
. Elevations 15 feet from structure
. Road access must be no more than 2 feet below
Re ulato Flood Protection Elevation
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L;,TEMPLA TE'BLDGLIST.DOC
Standard
24'
5' from side lot line or
30' from r-Q-W on corner lots
10%
35' Maximum
33'
30% Maximum
Standard
By planning dept.
Standard
908.9' Prior Lake
914.4' S rin Lake
909,9' Prior Lake /
915.4' S rin Lake
Must be l' above flood
elevation for new and existing
structures, If existing
structure was constructed
9/19/90-11/22/97 then
additionaf foot is not re uired.
Must be flood elevation or
hi her
907,9' for Prior Lake
913.4' for S rin Lake
Standard
832 s ,ft. or 25% rear ard
10'
15'
Proposed
Proposed
Proposed
Proposed