HomeMy WebLinkAboutBuilding Permit 05-0004
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I PERMIT NO. 05, 00041
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
See .Main File}~~~ew
File
City
Applicant
I<L "IS-
tJ~
CT
v
LEGAL DESCRIPTION (office use only)
rl..
PID..2J-
LOT
ADDITION tv
Date Rec' d
ZONING (office use)
-0
OWNER
(Name)
(Phone)
(Address)
(Phone) (;..j-/- ~ ot - i'l () {)
(Phone) (,/;;.. - .1' '1- 7~ / .:2-
C a tF A/ /71 N ..5J--/.).
BUILDER
(Company Name)
(Contact Name)
(Address)
MmllJ'
,. V ~
ew Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration o Utility Connection 0 Mise.
crd
III IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST/VALUE $ / t:ilOi 000
,
(excluding land)
I hereby certify that I have htrmshed 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
ofllcial can rev ke this permit for JUs cause F thcrmore, I hereby agree that the CIty official or a deSIgnee may enter upon the property to perform needed mspectlOns.
IYs~
CODE: ~I.R.C. DI.B.C.
Type of Co'ostruction:
Occupancy Group: A B
Division:
I
E
II
F
I
x
Contractor's License No.
Park Support Fee
SAC
#
#
Permit Fee
O()(),OO
.5(j
S?32... q ~
.fUJ
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Meter
1" ;
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Gas Fireplace Permit Fee
9-~o'- 0 y
Date
$
$ LY5D.OO
$ 2-'50 , 0 ()
$ .50..00
$ 150o.0CJ
$ IOtJO..OO
$
$
$
This Application Becomes Your Building Permit When Approved
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ThIS IS to certify that the request in the above applicatton and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
~:::~Lm""~'z'~ C""""," "L~~j;"..d '''ow, ,"""ruct,," see "1\rciiIi'fip11e" me" b,
Planning Director I I DatY 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
Thr Crnltr of lhr Lakr Counlry
See Main File;
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
, J
.l // ./
,/,1' / ',;~,'1' 1" f.-'.'14),<,;;,,'~1/ /-,)'{ j
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APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: /_, .
? I ,/ ~_... 1/' ~ .l,:l. I _.) ,/)c."I':'_:~' ,;/,:,..... ..L-../..........,
;/ d""".. t I ....... t'-' /.; f ),:1 ",''''/ ;r-.t/ FJ~,,- \t- I
~,/ ~.J '-'!' ,~.'- /' .r'If.~~/'.("'("../'~.......~,.'t~I\(,...},-..,.;,.~.,....."1\, ">-,,,..-.-.
/' j
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
~
5(( ;Jt/~ F/(
Date:
/(J-Il-~y
,
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 juris . '.~!!"'ts
presuming to give authority to violate or cancel the provisions of this ~~f'ifher
cmi\nanc~~ r;:J\ \n~ \\l~\~d\c\\r;:Jn ~na\\ n~\ ~~ \Ja\\d:'
~
S~t Main File
White - Building
&~ry - Fngineering
Pink - Plann~
The Cenlt'r or the I.akt Counlr}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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APPLICATION RECEIVED
(-)
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
t '/
,/ /lC:l.//'( i (
. ..r
.1
,
,//
,.? J / c:--
..- . --'
-.I
Accepted
v-/
Accepted With Corrections
Denied
Reviewed By:
~
~
Date:
/tJ/; /r; L/
, (
Comments:
Maifl-File
See.. . ;:' ·
"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
CWhite - -EiiJiidTr'-a~
Canary - Engineering
Pink - Planning
Th(" ('("nlt"r of tht' Lake- Counlr}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
./1/ J0t.0/J11~
CI- 02 tJ -04
?Im~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:. /:-- L..L
1t/.:3 LfS- td~ ~~
Accepted
~
Accepted With Corrections
Denied
,...
Reviewed By: ~ ~ 1'-/
Date: / () /1 /0 c(
/ (
Comments:
S~
"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."
10/11/2004 MON 8:43 FAX 6513226147 GENZ-RYAN
f4J 036/037
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONlNGIFIREPLACE PERMIT
Date Rec'd
i: ~ ~:~. I PERMIT NOAL 11.1lff'J.
J_ Yellow ApphWlt t ~"
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK ADDITION
L/n/]
PID
OWNER
~~~ Wen~m~nn HnmA~
(phone) 651-905-3709
(Address) 1895 Plaza Dr Ste 200
Eagan, MN
55122
APPLICANT
~am~ Genz-Ryan Plumbing & Heating
(Address) 14745 So Robert Trl
tr .. (Address
(Contact Person) -1}fJ III S h -a I (J'
. ~-
APPLICANT SIGNATURE .
(phone) fi f) 1-42'1 1144
Rosemount, MN
(City)
55068
(Zip Code)
(Phone)
')
DATE
fi,)1-4?i-1141..
I 1ft!
/tJ
FURNACE MAKE A
FL UE SIZE
APPLICANT PLEASE COMPLETE BELOW
NEW CONSTRUCTION
MODEL
RETURN OPENINGS
,l~~PLACE~T ALTERATIONS./ ~..
'!J?l .-:1/tJf:4. FUEL J1tL- ~.1{2/0
t:5 n tJ [J 0 OUTPUT '-7 a / 090
HEATINGORPO~RPLANT
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
TYPE OF SYSTEM
jgjWann Air Plants
DGravity
o Mechanical
~ir Conditioning
tjVent System
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family.
FEE SCHEDULE
1% ()fjob cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Penn it #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
PAID WITH
BUILDING
ERMIT
(f' -.^ Use Qnly)
_ ..s" Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 44P:9850, fax (952) 447-4245
..'.-' .. .
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,
. ..
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r
10/11/2004 MON 8:42 FAX 6513226147 GENZ-RYAN
f4J 031/037
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Dlue File I PERMIT NO.fiEIIfB)
2. Gold ul)I
3. Yellow AppliC01lI
ZONING (office use)
ADDRESS L/1j-! fj
WaftpJbt II (}/,
LEGAL DESC~~r (office use only)
LOT'] BLOCK /-f ADDITION /A/vYl<.cl/fla Y/f/"'
1
PID
OWNER
(Name) Wensmann Homes
(phone) 651-905-3709
(Address) 1895 Plaza Dr
Eagan, MN
55122
APPLICANT
(Nwn~ Genz-Ryan Plumbing & Heating
(Address) 14745 So Robert Trl
fddress) ,
(Contact Person) _ Cl1 ~ ..
(Phone) 651-423-1144
APPLICANT SIGNATURE
Rosemount, MN
(City)
55068
(Zip Code)
(phone)
DATE
10
Quantity Type of Fixture Quantity Type of Fixture
';J Bath Tub with or without shower .'1 Rough-ins
i Dishwasher I Water Heater
( Floor Drain ibI Water Somer
J./ Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink Sewage Ejector
I Shower Stall BackfIow Assembly
I Sinks BackfIow Assembly Test
Bar Sink Lawn Sprinkler
~ Water Closet (Toilet) Other
.
APPLICANT PLEASE COMPLETE BELOW
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 $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
Building Official
Date
_50P AID WITH
_BpILDING
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-.?850, fax (952) 447-4245
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10/11/2004 MON 8:42 FAX 6513226147 GENZ-RYAN
~ 030/037
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
~: ~::w ~~. I PERMIT NO~
J. Gald Applicant
ZONING (office use)
ItJtlf ~ft111 {'I'
LEGAL DESCRIPTION (office use only)
LOT'] BLOCK L ADDITION jl}/ef1 sina /1
1//11
pm
OWNER
(Name) Wensmann Homes
(phone)
651-905-3709
(Address) 1895 Plaza Dr Ste 200
(Address)
Eagan, MN
(City)
55122
(Zip Code)
APPLICANT
(Nam~ Genz-Ryan Plumbing & Heating
(phone) 651-423-1144
(Address) 14 745 So Robert Trl
rr (Address)
(Contact Person) _ C' i1 jZf~. '
~JICANT SIGNATURE
Rosemount. ''N
(City)
55068
(Zip Code)
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
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STA IE SURCHARGE
TOTAL PERMIT FEE
$
$
$
Date
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Q}@T 2 2 2
24 hour notice for all inspections (952) 447--9850, fax (952) 447-4245
- -..-- ---'--'-'-"-'~.
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CITY OF PRIOR LAKE
IlEA TING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
~. ~:R ~:~. I PERMIT NO. ~ -
). Yellow Apph,,",' . ~~
ZONING (office
use)
ADDRESS
\y3Y5 W
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNE\
(Name) ~ nrrr..rJ.fV"V'f\
1~95 P.Jl~ ~I -H-de~
(Addressr'D~ t my-\. SSfC>'d-
(phone) ~51- 40lo -L( 4QD
APPLICANT
(Name0 1 . !:-.f"I\-nA"\..h;~i )1r-. M"'I ~ 0 fX-rA~ d-
(AddreSSJ?
9co /09~ a, X'_ !J #JCfJD
(Address) ,
(Contact Person) ~ c\ S Wexw"'ernn.......
F,R
(phone) ~lD3. S'l \-dSdS
~;-'~(,Jl'tyrn) 1'1 S53/~
L. (Zip Code)
(Phone) '1l.t>~ - Sf/(o- -,~ llo
APPUCANT SIGNATURE DATE
APPLICANT PLEASE COMPLETE BELOW
CONSTRUCTION o REPLACEMENT 0 AL lERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETIJRN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
OAir Conditioning
OVent System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroacb into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
S39.50
lndustrial, Commercial & Multi-Family
$39.50
S39.50
~~I..-'
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
Date
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildin!! Official
24 hour notice for all inspections (952) 447-
66&L 9LS C9L XVd CT:&T LO/C&/OT
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Hooa 3~VHV~ ~I~VHO~rrV
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PRIOR LAKE
INSPECTION RECORD
DEPARTM~~;OFSee Main File
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING I
I FOUNDATION (Prior to Backfill) I I
PJ:.A~Ei N~~O)JCRETE UNTIL ABOVE HAS BEEN SIGNED
L{ I. / ~/j r2.o/l'/) ROU G H - IN S
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING 1I1S<JcJ. \J
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~ ' t\-t>~.J ~ \-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~"H& I ttou.'E w~p I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy 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.
FOR ALL INSPECTIONS (952) 447-9850