HomeMy WebLinkAboutBuilding Permit 04-0911
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
I ~~a;;ri;;r print an:d si n at bottom)
1'11.2& _lids br/vf
Date Rec' d
5. 2~. o~
PERMIT NO.
D4'. Or! f I
I White
Pink
.1 Yellow
File
City
Applicant
NlJ
LEGAL DESCRIPTION (office use only)
LOT
ADDITION iJ
Th
PID ;15-- "I /~ - () (,~ - ()
ZONING (office use)
rt.-f""
OWNER
(Name)
(Address)
(Phone)
BUILDER
(Company Name)
(Contact Name)
iJ(f:-:-;9/1/N
V; 2 t::- /) /'
/J(} m f'S
(Phone) (,..5/- "t IJ t - ~ Y t) tJ
(Phone) (,/.2. - J~ 7 - 76/2
Sf ,). .2.
TYPE OF WORK ~ Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish
OAddition OAlteration OUtility Connection 0 Mise
CODE: DiilI.R.C. DI.B.c.
Type of.t~nstroction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE $
(excluding land)
-......
',,-..
''-..
I hereby certify that I have furnished mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or at lOHze iljlC01. for the
above-mentlOned property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aw 'th t the buildmg
otT1cial can r voke this permit for Just cause Fur ermore. I hereby agree that the City official or a designee may enter upon the property 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
7/rcy
/'Yfr
Contractor's License No.
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
'....
'"
Water Meter
f
r: c. o. s
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 Tlus document
~:~; "B"" " "': C", ",""" '""'","''' , "m",,," Co ..fico" ';;;i;';' ,,' "'ow, m"w,,,..," m 'S'ee''''Miiii'''FIie mo" "'
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
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
White - Building
~anary - En~neerln~
Ink - t"li:I "Ing
Th. etnlff of Ih. L.k. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\'~ f."
. \..
; r \ i\l f'
~.
/.::..4 ~
'- ,;;-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
. 4 '~) ",) ,/ ,.- ~ \,' I '" (."... (....'"")
! '.- I.. t./:c- ii 'i ; ! ~-> <.:... ,
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/ffJ-f>
S< C' IY/t;,11 F, I {c
Date:
?-8~or
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 Main File
~ite - Buil~
Canary - Engmeerlng
Pink - Planning
..h... Cf'nlt'r of .he Like COunlf).
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
\NE:~SMAN'N
5. 2-e. ()4-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
lfZ.Z,(o WILDS Dt2-.
/
Accepted
Accepted With Corrections
Denied
~.
,..
9.R-./d~
,
Date: 7/~7'
Reviewed By:
Comments:
See Main File
"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 Main File
White - Building
Canary - Engineering
~nk - ~anmnCl:::\
Thl' ("('nfer of .he take COunl'1'"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,,~.-"-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.,
,
t.
it.-
/
Accepted With Corrections
Accepted
"-:..'
DeQied
Reviewed By:
~
J
~
Date:
7/fY lar
..
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."
3:02PM
GENZ RYAN SERVICE ;
CITY OF PRIOR LAKE PLUMBING PERMIT
NO. 012
P. 21
Date Rec'd
(blue File
2. CloliJ Ci\Y
3. V,/fll\ll ,,"pplie..,l
[PERMIT NO. 0+. 09/1 f
w
ZONING (ollIoe use)
LEGAL DESCRlPTION (office UJe only)
LOT BLOCK j ADDITION VVen~t1J1 41'h
PIn
OWNER
(Name) Wensmann Homes
_ (phone) 651-905-3709
(Address) 1895 Plaza Dr
Eagan, MN 55122
APPLICANT
(N~~ Genz-Ryan Plumbing & Heating
(Address) 14745 So Robert Trl
(\ (Address)
(Contact Person) ~,ti~{ ~1i
APPLICANT SIGNATURE
(phone) 651-423-1144
Rosemount, MN
(City)
55068
(Zip Code)
. DATE
Quantity Type of Fixture Quaptity Type of Fixture
I Bath Tub with or without shower 7) Rough-ins
I Dishwasher , Water Heater
~r Floor Drain . l2b Water Softner
~- Lavatory (Bathroom Sink) J Stand Pipe (Washing Machine)
I' La.undry Tray (1 01' 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
Bar Sink Lawn S prillkTer
/L Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commercial & Multi-family J % of job COSt WiUl a .$39.50 minimum Residencial, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
(Office Use 0111,)
This ApplicRtlon Becolnes Your Building Permit Wilen Approved Paid
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
Building Ofnet.lll
Date
Dllre
24 Ilour notice for all Jnspectlons (952) 447-9850, fax (952) 447-4:.145
3: 03PM GENZ RYAN SERV I CE : NO. 012
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
P. 25
Date Rec'd
I. fiak
2. Ore."
), Yellow
f~~i.ut /. PERMIT NO. ~ +-. 0 q I / J
I dJJ b12- N w
ZONlNG (office U$e)
LEGAL DESCRIPTION (office I1se only)
ADDITION llJ1JI1 W/I1.a iIl!ll 4iVl
LOT
PID
I
I
OWNER
(Name) Wp.n!':m>lTIT) .llamas.
(Phone) 1;51-9r15-37.09
Eagan, MN 55122
(Address) 1895 Plaza Dr Ste 200
APPLICANT
(Name) Genz=lYan PJum,hinr: & Heatin~
(Address) 14745 So Robert Trl
(1 J 11 . . (Addre
(Contact Person) -Li'V l~
(Phone) _6..5J...:..{;.? ~-11I.d.j
APPLICANT SIGNATURE
Roeemount, MN
(City)
55068
(Zip Code)
(phone)
DATE
APPLICANT PLEASE COMPLETE BELOW
, NEW CONSTRUCTION lid REPLACF.MJMr 0 ALTERATIONS
FURNACB MAKE ANllMODEL I.e;/I YI@:(- q fA H -3/(;6 - q () . Fl1EL 4'~ ~
FLUE SIZE RETIJRN OPENINGS t?j INPUT /'/ OUTPUT' {JO
TYPE OF SYSTEM
~ann Air Planls
[jOravily
~~hanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
o Stew
o Hot Water
o Radiation
o Speeial Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setback!
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multl.Pamily .
FEE SCHEDULE .
1 % of job cose Residential, Gas FlrepJae~
$39.50 minimum
$99.50 Residential, Additions &. Alterations
$64,50 Residential, AC Only
$39.50
Residential, Heating & NC (New Constmction)
Rosidential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost oS Building Pennit #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
,,,--.. Use .Qnly)
. ..~>i Application Becomes Your BuUdfng Permit When Approved Psi
WITH
. 0 BUILDING
PERMIT
Dlllhllng omcl.Rl
Date
By .
Date
24ltour notice for slllullpeetiolU (952) 44'1-9850, f2:( (952) 447-4245
SEP, 17,2004 3:02PM
GENZ RYAN SERVICE'
NO, 012
p, 17
CITY OF PRlOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
~, ~~I~;' ~t~; ~ERMIT NO. A A_ 0 Cf II J
J, Gold AppllClllI ~ .
ZONING (ollice Ute)
~ Nvv
LEGAL DESCRJPTION (office use only)
LOT BLOCK J ADDITION
pm
OWNER
(Name) Wensmann Homes
(phone) 651-905-3709
(Address) 1895 Plaza Dr Ste 200
(Address)
Eagan, MN
(City)
55122
(ZIp Code)
APPLICANT
(Name) Genz-Rvan Plurnbi~g & Heating
(Phone) 651-423-1144
!\'psemoun~. .4N
(City)
55068
(Zip Code)
~-ICANT SIGNATURE
()
(Phone) 651~2J=.Il!i4 ,
DATE ~~ IJ 1JL{
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~,. feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Jnduatrial, Com'l & Multi-faJnily 1% of job cost with Il $39.50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Penuit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
Dbildlng Offieilll
Date
(Office Use Only)
This Applic~tlon Becomell Your Building Pern,it WheD Approved Paid
L.,~
Date
24 hour noUce for all inspections (9~2) 447-9850, fn (.9S2) 447-4Z45
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
W~ OA.. ~LJ
i ~~ ~,I~ [ PERMIT NO~
J. V.llow A,'pllOlll\[ . ~
ZONING (oCtke
""oJ
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDmON
PID
OWNER
(Name) LlD M....O/'r'Y\O rY\
(phone) f..t;S/ - C/CJl.p -CICIo()
(Address) 1 ~qs P
Id-~
APPLlCANf
(Naroe0J.~~'~ fX-rA, d-
(AddreSg
9co /09.M DAtl'~ J..J Jj./fX)O
I
(Address)
(Contact Person) .t::. ~\ ~ \..~kxv"\eK'T\c.,-.l
FP
(phone) 'llo3- Srt l-dS"dS
cAa/Y11.;t')j.;:n ,rhr1 5S3J~
-r- (City) (Zip Code)
(phone) fl~~ - SfJv;-7~ j lo
APPLICANT SIGN A TURE DATE
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION 0 REPLACEMENT 0 AL 1ERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
o Gravily
o Mechanical
OAir Conditioning
DVenL. System
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
LCoO
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
S39.50 minimum
$99.50 Residential. Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial, Commercial & Multi-Family
Rcsidentiul, Heating & NC (New ConstrUction)
Residential. Healing Only (Ncw Construction)
$39.50
$39.50
Estimated Cost $
HEA TING PERMIT FEE
ST A IE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
:'"
.50
"~,,'t:O
~"' .
(O[l'iee U.qe Only)
This Application Becomes your Building Permit When Approved
......, ,. ~' ,.;
Paid
Receipt No.
Date
By
Date
BuildiDl! OClicilll
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
(:oonoo ~
Mooa a~VMV~ )IlVWOLfiV
66(:L 9LS C9L XVd 9C:TT to/SO/TT
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS I4/Z-af.. W(~~ ~.I4J.
NATURE OF WORK ~W C~ __
USE OF BUILDING ~.; iii ~
PERMIT NO. O~. 09/1 DATE ISSUED _
CONTRACTOR ~~ PHON ~z..:r"..,~(t.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
See Main File:
DEPARTMENT OF
BUILDING AND INSPECTION
FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
I
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
1 I
FINALS
~
GRADING (Prior to Sodding)
BUILDING n~.
ELECTRICAL
PLUMBING
HEATING
DO NOT
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.
I
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
~
FOR AllIN~PI=(,Tln~l(, I",...~\ . __ _ _ __