HomeMy WebLinkAboutBldg Permit 04-1043
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
(Please type or print and sign at bottom)
ADDRESS
IYJsY
tJClT~rh/1 C7
LEGAL DESCRIPTION (office use only)
Date Rec' d
9. {(, ~o4-'
I White File I PERMIT NO
2. Pink City .0 A_. 104-3
3 Yellow Applicant ,.
/Vw
ZONING (office use)
~4--
LOT/O BLOCK "I ADDITION tcJI'Nfmq/V/I/
~ TA
o~fQ
PID.;2..) - ~ / F - eJt#.. 0
OWNER
(Name)
(Address)
BUILDER J ]
(Company Name) lA/ "Nfh7 t?.N'N
(Contact Name) Ger.r."
(Address) / r 9-' / ~ /Cl"Z&...
~(J"m ~J'
Dr
(Phone)
(Phone) 0-1- 'YP~ - ~~ () IJ
(Phone) ~/;)" - 3~f- 74J.2.
/1l /V .!/ '5/.). 2.
{' '^ 9 f;'/V
v
TYPE OF WORK ~Construction ODeck o Porch ORe-Roofing
OAddition OAlteration OUtility Connection 0 Misc.
CODE: ~I.R.C. OI.B.C.
Type of &nstroction:
Occupancy Group: A B
Division:
I
E
III IV
H I
2 3
A
R
5
ORe-Siding
OLower Level Finish
o Fireplace
I sH ~~() VO
PROJECT COST /V ALUE $ ~ C: 6\{J-{JA
(excluding land)
B
S U
c2-~ ~-~
J
I hcreby certifY that I have lbrnished information on this application which is to the best of my knowledge true and correct. I also certIfY that I am the owncr or allthonzcd agcnt 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
:cia~o;::mit for JlIiuse Fur rmore. I hereby agree that the my official or a deSigjrrys r the property to perform needed mspcctions.
- / fllgnature Contractor's License No. Date
V
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
V
M
4
II
F
1
#/3R' OOO,fl'Z) I
$ /2!8/ ,>0 I
$ t32,9J' I
$ ~9.tUJ I
$ I
$
$
$
$
100,00
/tJO,. tJ ()
35,~
tjtJ .~
This Application Becomes Your Building Permit When Approved
~
Build1l1.!! Official
te.-JJ~
9bG?/O y
. Ome
$
$ r:sSO, 0 0
$ 250, () 6
$ t.f5"~ 0 0
$ J 2-LJo ,. () 0
$ ~O()
$ -~
$ "
$ItJ, tJ03. qfL ~
. I
~';iPl1 .,.., i /f-
Park Support Fee
#
ThiS IS to certifY that the requcst in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
::~anner''1;::{;:ary Certificate of ZO;;;~d allows constl'tlctiosemee lWaincrFffeancy must be
Planning Director . I Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
SAC
#
1" .
,
Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
Paid
Date
- ~
, I (I()"):; , y
UJ. tJ#--
~~~
See Main File
White ~ Building
~a[V ~ I:n9Ineer-i~
Pink ~ Planning
The ('enter of Iht t,.kr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f i i I:: /i;, // il-; J.;.~J.' I\//It",/
V " i., I V _" I ,.
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
_.~~' :____-:<.::J-. .I V r-J TEl ('lei-- ) L L
.f
/ .,' ./
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Accepted
Denied
x
Accepted With Corrections
Reviewed By:
/Yri8
5 ec- 1'J111'v, (,'/(
Date:
/0 '-/2 -0'/
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."
See 'lvtain File
White - Building
Canary - Engineering
,-Pink ~1t;;wl.AW
The ('"nlrr of 'hf' L.k, ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I ~. l iL_ -/ J"/;) /\/ IV'
/It-.C':
l .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/.1 ' ::",.:-/- ,. "C 1-; L L C / .
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~~
Date: ~b 0;' t/
Comments:
See Main File
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
10/11/2004 MON 8:37 FAX 6513226147 GENZ-RYAN
~ 007/037
CITY OF PRIOR LAKE PLUMBING PE~lll'
Date Rec'd
(Please tYi:le or print and sign at bottom)
ADDRES}SII.' ~1.:WI' J.
I U' /- VV (J.J{ elZfit c rw
LEGAL DESCRJPTION (office use only)
LOT 11 BLOCK 4- ADDmON lit! fVUQ 1!J1tL/111
OWNER
(Name) Wensmann Homes
(Address) 1895 Plaza Dr
APPLICANT
~wm~ Genz-Ryan Plumbing & Heating
(Address)
14745 So Robert Trl
I. Blue File
2. Gold City
J. Yello,.. Applicanl
I PERMIT NOt! -/ Vi/3
ZONING (office use)
4fJ1
PID
(phone) 651-905-3709
Eagan. MN 55122
(phone) 651-423-1144
Rosemount. MN
55068
(Zip Code)
(Contact Person)
'1 ,'! (Add~~S), .c.. .' . r- (City)
/ /1 f!A'tl. 7A./ J J-. /) (phone)
n '~~ 1 7R1/)"
.. ,{/uA/~!;L_) .pl. ~<1
651-423-1144 , /
IO//rlo (j
_..~
APPLICANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
I
I
I
I
I
I
I
I
!
I
I Type of Fixture
I Bath Tub with or without shower
I Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Quantity
9-
I
I
~
J
)
J
j
I
I
r -
Quantity
-A
,)
i
'V..:.T
'-r
I Type of Fixture
I Rough-ins
I Warer Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage ~iector
I Backflow"Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
FEE SCHEDULE
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 $
PLUMBING PER1v.fIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Building Permit #
- ~ ,
, \\;.. ~;\,;}r
\,~ .(.., 'i ~I'" '
( 'I, ,\~"..}"~~ .~,
,,"';"'/ I.'~ ~ "'"
$
$ .50
$
P f;~) ~ D B ii';1~ pt No.
) _<: I I
r:~~t! OCT 1 3 200J Bf j
II, \ T
24 hour notice for all inspections (952) 447-9850 ~(95Z) 447-4245
LUf~~f~UU4 MON 8:37 FAX 6513226147 GENZ-RYAN
@006/037
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(Please type or llriDt and sien at bottom)
ADDRESS. I '. -
\ L 31QL' WtV-e~fVl {l Cf-.
~: =w ~\~. I PERMIT NO. i ~- /,\ J.J3
3. Gold AppliClll' .". I V I'rf '
ZONING (offic~ lISe)
LEGAL DESCRIPTION (office use only)
LOT II BLOCK L ADDITION VVf!Yt~m~U1Y1 J .:(h
PID
OWNER
~wm~ Wensmann Homes
(phone)
651-905-3709
(Address) 1895 Plaza Dr Ste 200
(Address)
Eagan, MN
(City)
55122
(Zip Code)
APPLICANT
(Name) Genz-Rvan Plumbin~ & Heating
(phone) 651-423-1144
(Address) 14745 So Robert Trl
n JAddress).,
(Contact Person) _ lIV110/ Y:;h Fa.l (~' f>
f't ~ '--r /J (I
'"~ICANTSIGNATURE I_'i,' U_~~J:b"l -p;u!.t0
.'R.f1-'3p'mr:1I_1,nt,:. "N
(City)
S5068
(Zip Code)
(PhO:~TB 651-4/DI;;/ Dl/
APPLICANT PLEASE CO:MPLETE 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.
. Clean out (if required) located at feet from structure.
feet.
o Cast Iron
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial. Com'l & Multi~family I % of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Pennit #
SEWER AND WATER PERMlT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
.. ,
..1 .1"<"
;.'" :.\.'~,:.. ~ ~ ." ;::.\~:~
\." . <)';.\.\' -' <.
~~j ..t'l~.
(Office Use Only)
ThiS AppJication Becomes Your Building Permit Wben Approved
Building Official
Date
I ~)d-'J ~...~ [I \~
rf~e of. 'r i 3 LUU4
Lu
I~',
~~ :eipt No.
!' "
'y
..J
24 hOQr notice for aU inspections (952) 447~98: ~tax (95~7-4Z4S
~U;~i/~UU4 MON 8:38 FAX 6513226147 GENZ-RYAN
~ 012/037
CITY OF PRIOR LAKE
BEATING/AIR CONDITIONlNG/FIREPLACE PERMIT
Date Rec'd
I. l'ink File
2. GreotI City
J. Yellow Applicant
,PERMITNO.Jj--/Ot{3
. lPleue ~e or vrint and si2ll at bottom)
ADDRBS4 .~fj-: t~)(t 1;rl1!;c II e-l.
ZONING (ottice U$e)
LEGAL DESCRIPTION (office use only)
LOT BLOCK 4 ADDITION \lVljlJ~r11tt );1/7
4f2;l
PID
OWNER
(Name)Y"Tl"~.QTlTl ~"mDc:l
(phone) 651-9(\<;-':n..Q.9
Eagan, MN
55122
(Address) 1895 Plaza Dr Ste 200
APPLICANT
(Nam~ Genz-Rvan Plumbing & Heating
(Address) 14745 So Robert Trl
'\ . . )A<!dress) r_ W
(Contact Person) _!/~1lOJ &'n tF<L:__..
APPLICANT SIGNATURE (j l J. {4 ,Jj"J )
\.../' -
(phone) Fi 'l1-4? ':l-1144
Rosemount, MN 55068
(City) (Zip Code)
("') (phone) f, t; 1_0.? ':1_ 11 h6. /'
"J;y r ;j ..,,,\ DATE [1) / II I {J (/
, .c.' _. . ~ I -
APPLICANT PLEASE COMPLETE BELOW
~NEW CONS~UCTION O. REPLA~MENT. I 0 ALTERATIONS.
FURNACE MAKE AND MODEL {j 11no.y (J4t/j /1-, 1/fR--1 () FUEL [}tll-q U<J
FLUE SIZE RETURN OPENINGS (I? INPUT !J..I4-POO OUTPUT 1~{ ftt)
TYPE OF SYSTEM HEATING OR POWER PLANT
~arm Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical 0 Radiation
-->>ir Conditioning 0 Special Devices
OVent. System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE .
Industrial, Commercial & Multi-Family' I % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AlC (New Construction) $99.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOT AI.. .r J!,.KMIT .ll'!!;.E
$
$
$
$39.50
$39.50
.. ".\
.- '. . '\1,'"
~ ' ,: ~'''.. _7"f}\('} '. I
:-.' .~, ..~ ."\ ~ ,:'_~ '!, I, "',.k .
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Estimated Cost $ Building Pennit #
.50
(r - '. U!t Only)
I
Building Official
k~-" [i ii'~~~iPt No.
~m OCT 1 3 20041 E\ .
24 hour notice for all' inspections (952) 447-985'!?f~X (9..:~2.~7-4245 ___'_'__\
L,,~~'"
Date
. _,0:> Application Becomes Your Building Permit When Approved
DEPARTMENT OF See Main Filt
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 1'1.35 .., ~ rSt. FA '-' CT. N./AJ.
NATURE OF WORK A/..EJ,t) C/JN$rltJA.e:r/~
USE OF BUILDING s: i:: A · -
PERMIT NO. 124, 104-3 DATE ISSUED ~.~
CONTRACTOR W~NJN ~ PHONE~'.iIIl2.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING I
FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTil ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~
Il~THE / H,'<Se 1tJ~N' I I
, FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~... ,/~
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A '
Y/'YI,,J, ~~~.L.,
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. ;~~
HI /p/4f'r
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i1-/7-Uf
II/Z1/6
. r
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
I I/l;v'
~
This card must be posted near an electrical service cabinet prior to rough,in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
.'
..--
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_.~;'L.J.',,-,~,I.>1._"~,._.J ._"..,"_,;:...i6Il....flJ(;.!.j~__~_.:ill,_.IL.~'-,.:~,~
t.--". _.,,_~,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS )'l3s<7
(,V4~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
D...JNSULA TION
,.A=J FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
D SEWER HOOKUP
D PLUMBING FINAL
o MECH FINAL
COMMENTS:
(1 j()ce -Ih ti l..p
;;kJ n.'
L/ - tfB$
o EXIGRADIFILLING
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
,.B'1;ASLINE AIR TST
o
~RK SATISFACTORY, PROCEED
o CORRECT N PROCEED
o CORR T WOR , ALL FOR REINSPECTION BEFORE COVERING
Inspecto'
Owner/Contr:
"-
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
I(-n-~
/ l{ JS7{ t.1L!tJ./~r;" 1/ ~ c.-)--
CONTR.
L../~ /04 7
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EXIGRADIFILL/NG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP (VO FIREPLACE FINAL
Jii!1SLUMB/NG FINAL 0 GASLINE AIR TST
o MECH FINAL 0
COMMENTS:
r'Clhuu - rCloFut?5
o WORK SATISFACTORY, PROCEED
.t CORRECT ACTION AND PROCEED
o CORRECT W~R'if1-L FOR REINSPECTION BEFORE COVERING
Inspector: -tLf-I Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl