HomeMy WebLinkAboutBuilding Permit 04-0496 - Fireplace
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND utILITY CONNECTION PERMIT
Date Rec' d
5. 3. 04--
L Wbite File I PERMIT NO
2. Pi_k e"y . 0 4- _ 04-9/-
3. Yellow Applicant lP
(Please.!'P<' or print and swat bottom)
ADDRESS ZONING (ollice use)
.~\~~
~<L''''<'~
~,
LEGAL DESCRIPTION (office use only)
LOT\'-'BLOCK '3. ADDITION ~'"-""H ~"''-,'-
OWNER
(Name) ~~............... ~ ~.....,'-,~:...---
(Address) ~...-....,
BUILDER
(Name) ~ ~-.>>. .....
(Contact Name) ~ "--'----
. (Address) ~"-'-1:>~--
TYPE OF WORK
~'- ',~
,,---,~
'-:-~-,,--~
Qg New Construction
;e/
PID 25.3<;S-. {)~". 0
(Phone) o..~~ '"'-"'-~ Ss. ~'"
(Phone)
(Phone)
ODeek
OPoreh
ORe.Roofing
'" 'S.. "-
""'"
'"'- "'''- '-'. "- ~ "
~.... ""\.'-"'"'-\e
ORe.Siding
DLower Level Finish
o Mise I. f.fI.. (I JL.. ,
~ireplaee OAddition OAlleration OUtility Connection
PROJECfCOSTIVALUE (exctudingland) $ 1137D. aOO. 00
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 .1'--.1'-.." 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
enter upon the property to perform needed inspections.
X ~ C!.... _ ~'---.'-. ~'_ --c-
Signature
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Pennit Fee
I Sewer & Water Pennit Fee
I Gas Fireplace Pennit Fee
I '(370 .(Jod, 00
I $ Olin "::?~
I $ I 'Z:3 7. 78
1$ /13'5.010
I $
I $
I $
I $
I $
It:Jo. eo
!6>(J. 00
s:S:So
"SIc:1, {) 0
This Application Becomes Your Building Permit When Approved
~~
Building Official
q/7~,/
Date
,,,,'So.....
Contractor's License No.
I Park Support Fee
I SAC
Water Meter Size5/S'{;(1"j)
Pressure Reducer
I Cily SAC and WAC
Water Tower Fee
Builder's Deposit
I Other
I TOTAL DUE
I Paid 99<1/. '7fJ
Date .5. ZfI. 04-
#
#
#
#
I Receiot,No.
Bv 4_.
C
'--\.\..~ C>....
Date
$
$ I'J'5a. 0-0
$ 300.fla
$ 70.00
$ 1'2oc:J.DO
$
$
$
I
I
I
I
I
700.00 I
lSoe ,eJO I
I
$t:l_ qq/.1f1J I
.
""'~st, ~
I
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
~;::fu~::~ P~:];tes a ......--, Cmffi~z;:z:,"ce ,"dallom~~~~co~~Be: 7'": a c:~o~ must~
Planning Director Date . - Special Cond~
24 hour notice for aU im, ..:. _ (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~
Whitp - eUilding
c.. Cana.'J' - Englnetir,"lI.~
I""lnl( - t"'lahnlng
TII.. ("rnlr, of Ih!' l.ak. Country
BUILDING PERMIT APPLICATION DEPARTMENT CHI;CKLlST
NAME OF APP~ICANT
APPLICATION RECEIVED
\IJ E NS tvl M tV N HvJVJ ~ S
S -2, C4--'
_ " --1.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
37z..q JE:r/-et2-r- ~A
I
Accepted)( Accepted With Corrections
Denied
Reviewed BY:!YJ4f3 Date:
',.1,_ ' ." .. .
Comments: 'See Reve'rsp. Riclp. fl1rArtrtitinn::1I Information!
S' - Z/-o'l
See Attachments: 1) Grading Plan, 2) Erosion Control Mea!llIJ""'''
"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."
5~~
~!" . Buildinll":>
Canary;-f:ngmeering
Pink . Planning
Th~ ('f"'fr of lhf I..kr ("ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CI-lECKlIST
NAME OF APPLICANT
APPLICATION RECEIVED
weNS t1Atvt0 /-toMbS
5.3.04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
372-q JBI---J-t;~ U
I
Accepted
Accepted With Corrections
---
Denied
Reviewed By:
~
K~
--
~
tLLI' JA
Date: Sfl 7 :; i.(
.... O_..t-
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."
~... ,-"
-. "< ~1
Th~ ("~nl~r of Ih~ L.k~ ('OUnlrl
White - Building
Canary . fr',linee;;g
~rnK - Pl8":ninQ
BUILDING PERMIT APPLICATION DEPARTMENT CHECKUSI
NAME OF APPLICANT
lVEtJS t--'1f\tvN ~+UJl'IF~5
5.3.04--
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
37z-q JEFF"Ek-r- u
I
Accepted
Accepted With Corrections
~
Denied
"'"
Reviewed By:
r
~,~
Comments: A. (1'_. (?~
~~
Date: S/( 7 ~ '-I
,
~ A.P;j' _-otL'jl.
~/~.. -e. 1;;
"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."
APr,29, 2004 12:06PM
GENZ RVAN PLUMBING AND HEATING
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
No,3893 p, 10/12
Date Rec'd
(P.....lV1>. Qflllinr..,d.;", ubottom)
. ADDRESS .. ,
31;)..1/{ \ J /fflR\ {]f. ,
~ ~ ~~ I PERMIT NO'fI~_ ~Jt2'
.. Gold _ -, "'"111
.
ZONJNGCol5l:o_l
UGAL DESCRll'TION (olIicO we only)
LOT /4 BLOCK" ~ ADDmON "If f..fi/./2.(
I~ALhCI
J
(Phone) 651-905-3709
PID
OWNER
~~) Wensmann Homes
(.Address) 1895 Plaza Dr Ste 200
(Addreu)
Eall;an. MN 55122
(City) (;tip Codt:)
APPLICANT
O'~~ Genz-Rvan Plumbine & Heatine
(Phonr::) 651-423-1144
(~~) 14745 So Robert Trl
f} (A4dr=) C.
(Contact Penon) J./tJiZlJf; mj f,~
. -,ICANT SIGNATURE ( ~ {I ~
Ra~~VU"'.l''''':'.. ""'N'
(City)
55068
(Zip Codt:)
(Phone), 651-423-1144
':::/:; .f.'~ATE 4-M-/1L/
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.
o Clean out (if required) locate:d. at._ feet from structure.
feet.
o Cast Iron
FEE SCHEDULE
Residential sewer and water line oOllllection $35.50 Industrial, Com'! & Multi-family I % of job cost with a $39,50 zninjmum
Sewer connection only $!7,50 Water connection only $ 17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
f})arm~~
.50~~~~
(Ollie. U.. Ooly)
This Application Becomes Your BuildiDg Permit Whe.a Appro"ed I f ~';rr: ~ rfn \j] ~i1f. eipl No.
t... .. - ~~
Builmag Official . DateL: ~Nf 9 G 20M..! j ~
24 baur notice far.1l inspections (952) 447.98~ ,~) 4474245 f
By
,.
I
p, 11/12
UIt,,, J:Ulc'd
~_~orlllin'ondsiJln"boa:om)
ADDRESS
J1dtl1 \. fe (b'p At? r (>/-.
. If() -1..
LEGAL DESCRll'TION (ollie<: os. only)
LOTI4BLOq, -:{ ADDmON I /.t2ff&e r
i: = ~ r PERMiT NO~.. IIQ J,
3.'V.u_AIlPl.... ~~
ZONING (oIIico....)
~
I t:I /"ldL/7C1
/
PlD
OWNER
(Name' Wensmann Homes
(phone) 651-905-3709
Eagan, MN 55122
(}'d~~ 1~95 Pla~a Dr
APPLICANT
(Nmn~ Genz-Ryan Plumbing & Heacing
(Phone) 651-423-1144
(Address) 14745 So Robert Trl Rosemount. MN
(A.ddress) (City)
(C_""oo) JJn Jei4;b' fit1; f #- t ""'~) '''-m-''''
APPLICANT SIGNATURE (J( A A <J"fl. //) DATE .4"/7t1-1j(t
, , - - ,
55068
(Zip Code)
v APPLICANT PLEASE COMPLETE BELOW
I QUlUltity I Type of Fi:rture Quantity I Rough-ins Type of Fixture I
I 01 , Bath Tub with or without shower 3' 1
I I I Dishwasher i I Water Heater I
I L I Floor Draill 1lI I Water Soflner I
I t=) 1 Lavatory (Bathroom Sink) I I Stand Pipe (Washin~ Machine) I
I J I Laundry Tray (I or 2 oompartment sink Sewage Ejector I
, f j .Shower Stall Bacldiow Assembly i
I ( I Sinks Backflow .Assembly Test I
I I Bar Sink I Lawn Sprinkler I
I .3 Warer Closet (Toilet) IOdler I
FEE SCHEDULE
Industnal, COllllllorctal &; Multi-family 1% of job cost Wlth. 539.50 minimum RestdennaJ. New One 8< Two-FamIly $9950
Restdenti.al. AdditiOllS &; Alteration. $39,50
Estima<ed Cost S
Budding Poxmit /I
~t~iifI5i
""f;\1r~~e~'1 .
.. ".
.,
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
(om.. u.. Only)
I This Application Becomes Your Building Permit When Approved
Bulld11lli O1Iitial
Da..
- - re ~ ~. II \'IJ friciPt No.
1~>1,\ W
L/ 7J
24 bour notice fDr .11 iII.pocti.... (952) 447-985 u (952) 447-4245
By
.,.--.-
GENZ RVAN PLUMBING AND HEATING
No,3893 P, 12/12
Date Rec'd
I"""
~ .....
3. YeQow
S- ~ PERMIT NO(}!J... qgj,
ZONING (otli<e_)
q>lease.!Y'>!. or.mat""dd9n lEbo""""
ADDRESS
:?i;).tPJ kffet2y
- . .
Of.
LEGAL DESClUPTION (om...... ODIy)
LOT /4 BLOq{ ":{ ADDmON l J.1~ ( . / LtfyJJJ11 PID
OWNER
~~) U~~~~~nn R~m~~
(phone) ~,1_qn'_37no
Eagan, MIl 55122
(Address) 1895 Plaza Dr 8te 200
APPUCANr
(Name) G"nz-Rvan Pl\l111b..i;1" F. ll.eAt.in..
(phone) ~, 1 _I.? ~_ l1l..,\.
(Ad&ress) 14745 So Robert Trl Roselllount, MIl 55068
fY J /l (....dd!eotl 1: . (CiCYl (Zip Code)
(Contact Person) _ (fil RJ!lj? w;llr (phone) ~<'-l.?~-t'H ,/
APPLICANT SIGNATURE (~ {~ ~, f / -<"J DATE _4 ,;:2:9~,q
APPLICANT PLEASE COMPLETE BELOW
~ . ~WcONSfRUC1l0N _ ORBPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL ~ bCJl mP-C2(')C FUEL nad- t?Tw::J
- v
FLUE SIZE RE1URN OPENlNGS ? () INPUT 110 I 00 D OUT.PUT JIJ,1, :u;o
TYPE OF SYSTEM HEATING OR POw.ERPLAN'T
.@w1llIll AJr Plants 0 Stearn
OGravity 0 Hot Water
o Mcohanical 0 Radiation
~r Conditionmg 0 Special Devi=
OVent Syotcm 0 Otb.,=< Devi.,..
PLEASE NOTE:
Air Conditioner Unils
Cannot Encroach into
Required Side Yard
Setbacks
FlREPLACE MAKE AND MODEL
FEE SCHEDULE
Indu.uriaJ, Commercial &: Multi-Family 1% of Job cost Residential, GIS Fin:placc
$3950 minimum
Restden~aJ, Heatlns &: AlC (New ConstrUCtion) $9950 Residential, Addltioos &: AJlcRI:lons
Residential, H<aling Only (New CollSlrUClion) $64,50 Residential, AC Only
$39,50
$39,50
$39..50
HEATINGPERMITFEE $
STATE SURCEAR.GE S ..50
TOTAL PERl\fiT FEE $
~~!
~))
. 'cc,,"{ to&..
.;.;y~ "Ci"
-"'" /'" (/"-"1
,.,.')~ ,
....'0
~;lkl."",
'1,.y'>
Estimated Cost S Building Permit #
rr--.. U.. pnly)
. ...A_""...._Yo~..._.......-A"...... r"~': u \1l ~\~N. ik--
BulIdmg Ofllelal 1>0'" .. 2004 C' /i
24 bour notice for aUlnSpectlo.. ('52) <<7.'8 iO, fax ('52) 447-4245 L-I.\
. By ~
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'.
~.=. ~~y I PERMIT NO. IJ_II.J
1 Yellow Applicant '-7 ~., D
(Please ~ or _ and sioo at bottom)
ADDRESS
ZONING (ollke ure)
3729 JEFFERS COURT
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER .
(Name WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name)-1T.T J'P.n FTlH<'.srnp DRA PT'RFSTHR ljEARTH &T:iQMF.
(Phone)
651-633-2561
(Contact Person)
BRENDA HUSTON
ROSEVILLF
(City)
(Phone) _651-633-2561
55lJ3_
(Zip Code)
(Address)
2700 NORTH F AIRVIEW A VENUF
(Address)
APPLICANT SIGNATURE
BREN/)A MUSTON
DATE
6/23/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
OGravlty
o Mechanical
OAir Conditioning
OVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Waler
o Radiation
o Special Devices
o Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO 6000TR-QAK
--.
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential. Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Residential, Additions & Alterations $39.50
Residential, AC Only A4Io .$39.50
~Pl..DINal~
P~f!"fi
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Building Permit #
$
$
$
.5Q
(Office U.e Only)
This Application Becomes Your Building Permit When Approved
HuUdinl! Official
Date
IP~~ (!; [t G ~ ~:\
I Da~\\ JUN Z b LUUfBJ
ptNo.
24 hour notice for all inspection. (952) 447-9850, 18~952) 447-4'"
,-
f.f
/-
eI
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS .372.. , c.Tt:."'I-~ t!)-..
NATURE OF WORK JJG IAJ ClJ/tJSTP(J.~TIDIJ
USE OF BUILDING S,F: D , .
PERMIT NO. (J4, O.cf9(P DATE ISSUED 5/17(;:1
CONTRACTOR ~~1'o.J ~ PH6NE_l/~/.~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR ...
1ft
, FOUNDATION (Prior to Backfill) I ~LJ c.,/() I /'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~fl _ /r; ~l()
We ~r~
COVER N.O WORK UNTIL ABOVE HA~BEEN SIGNED
lI-A'T/IF ~t"~/(!P~"H~"lJmMr /Iff/' I 8,13, I+-
" FINALS' ,
GRADING (Prior to SOdding) A/.1! .I.'. <.( 'f'"
BUILDING f.C.o,~ f/JO!ofi ~, 111:'~e( rJlj
ELECTRICAL ' '
PLUMBING
HEATING
DO NOT OCCUpy
I FOOTING
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (If required)
FIREPLACE
GAS LINE AIR TEST
~
,
DATE
IG>-~
)-(y
fl? ?-e
r ~ ?-IY
/)/jj "7 -Ie;
tI
""l
~ ?"'-..-t5-- _
ffr:r- 9//lMtf
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.
we
FOR ALL INSPECTIONS (952) 447-9850
~
,~_""'. '.. :;:;.'C '_,', ;;';' J:; '>";'~i"';""",:,:{,,
'.,.. ','"
',.." .,-,
""
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS s7~~ JJ$W C T
OWNER
CONTR.
PHONE NO.
PERMIT 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 RNAL
COMMENTS:
!?/IlLe.-(J f(..
C-v-I6 B,,)C., ,. t' ___
DATE nIlE
/1-l{-tJ'I F30
W~01"(5
(1t.{ - 'If'
ta.~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ ' OwnerlConlr:
CALL 447.9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
/NSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TillE
'l1r7;''( 1:-?0
9-r~ CJJ-.
CONTR.
PERMIT NO. tJ c(..R'1 c.
SCHEDULED
ADDRESS ---37 ~ 9
OWNER
PHONE NO.
IJ FOOTING IJ PLUMBING RI IJ EXlGRADlFllUNG
IJ FOUNDATION IJ MECH RI IJ COMPLAINT
IJ FRAMING IJ WATER HOOKUP IJ FIREPLACE RI
IJ INSULATION IJ SEWER HOOKUP IJ FIREPLACE FINAL
lD FINAL IJ PLUMBING FINAL IJ GASLlNE AIR TST
IJ SITE INSPECTION IJ MECH FINAL IJ
COM~ENTS{f) k~ f ~ ~ ~
~ ~..... J .-..ro-lLJJ_ ~
~ -A.," ..:..J ,
~J~~.~ u () 4'~-,' -4?'1 rrv... ~ 4.1...
~ U~ -bvz.,JJ tJ tJ rf
~~~ (}~.~, ~~-.--
,t;P.( ..-::; ~. ~ ~~ 0.-. t..-
. (0
,""*i!'ll~t J
VI ~ rJ, T~"'""0'~~/~r:-
'-<~..," .--".._,.,.---~
~~
IJ WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
IJ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ?;r' Owner/Contr.
., ,
CALL "7-98 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IN_'"
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
SC~ULED 9: "'""6> ~
3721 - JJ~ e.(..
CONTR.
PHONE NO.
PERMIT NO. -Y - t..~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~ PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~~T
-----------
COMMENTS:
tl:~ ~~wJ ~,..~ Au ~-L.~
~. QlqI(lr ~
.. ~~+-- ~~
D :DW' eA'I'leI=ACTORY. PROCEED
~ RRECT ACTION AND PROC~
~RRECFfiRK' CALL FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Conte:
CALL 7 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
"""'"'
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