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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 ,. (? /?". C:i? / 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 / .,' ./ ,-,'-'/ " 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 . \ ~:.. t ",.,.- ~ '~>\:J.J"V 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$rltJA.e:r/~ USE OF BUILDING s: i:: A · - PERMIT NO. 124, 104-3 DATE ISSUED ~.~ CONTRACTOR W~NJN ~ PHONE~'.iIIl2. NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW . THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE FOOTING I FOUNDATION (Prior to Backfill) I I PLACE NO CONCRETE UNTil ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ~ Il~THE / H,'<Se 1tJ~N' I I , FINALS GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT ~... ,/~ /) T~~ ,. __, , } A ' Y/'YI,,J, ~~~.L., , /- ;';; -~ "c .it -%- ' . ;~~ HI /p/4f'r . , /IJ/ 7/~~'- i ~ Id~/'o.L- .. frl}i'~ ; " i1-/7-Uf II/Z1/6 . r OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE I I/l;v' ~ This card must be posted near an electrical service cabinet prior to rough,in inspections and maintained until all inspections have been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850 .' ..-- ~':~ _.~;'L.J.',,-,~,I.>1._"~,._.J ._"..,"_,;:...i6Il....flJ(;.!.j~__~_.:ill,_.IL.~'-,.:~,~ t.--". _.,,_~, CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS )'l3s<7 (,V4~~ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING D...JNSULA TION ,.A=J FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP D SEWER HOOKUP D PLUMBING FINAL o MECH FINAL COMMENTS: (1 j()ce -Ih ti l..p ;;kJ n.' L/ - tfB$ 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