HomeMy WebLinkAboutBuilding 02-0330
~trtificau at (l3ccupanry
CITY OF PRIOR LAKE
mtpartmtnt of ~uiU.ing 3Jnsptttion
?"Final Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various ordinances of the
City of Prior lAke regulating building construction or use. For the following:
Use Classification
SINGLE FAMILY
Bldg. Permit No. 0:-0330
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
R2
Legal Description
Ll 9, B 1, ~EKSMANN SECOND ADD T T1 ON
Contractor's Name & Address kE1\lS'ff~; HOME S ,
f
ROBERT D. HUTCHINS
L 1-Buiti1izl.g. O~ial J
Date: (--I L_., - Lt:(;")V
ui
. I)
".-/"
Site Address 3641 FOX TAIL TRAIL
1895 PLAZA DR, SUITE 200, 1<:AGAN, MN 551:22.
DON RYE
Owner of Building
City Planner
Date:
POST IN A CONSPICUOUS PLACE
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L See thl2. Mo.lV\ Rl-e
Date Rec'd I
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~~
LEGAL DESCRIPTION (office use only)
3. '26 -0'2-
~. ~i~i~e ~::y I PERMIT NO. 0 Z. -0 '230
3. Yellow Applicant :J
LOT . ~ BLOCK
ADDITION
w
PID.,,25 -395 -GI9-0
OWNER
(Name) L.JeV'SW\Af'\;'\
l-b,,^~,::::,
:r t"L
~~.~
(Address) l S'"l5
k..X\
~\.e
BUILDER
(Name) ~
(Contact Name) _~J.
(Address)
~
~ II
~.f'Y;Jt
(Phone)
(Phone) 0-L'~-) 3CQ
7c.;:lO .r
(Phone)
..2o:::J
ZONING (office use)
\-J
SS/; .
TYPE OF WORK
~New Construction
OLower Level Finish
ODeck
ORe-Siding
o Fireplace
OPorch
ORe-Roofing
OAddition
OAlteration
OUtility Connection
PROJECT COST IV ALUE (excluding land) $
<<:::15,000 ______
--
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and COIT also certifY that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and 10 laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. FUrthermor~ebY agree that the city official or a designee may
enter upon the property to perform needed inspections. .
1:l&lo~
Date
o Misc.
x
e. ..
r'\
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
$
$
$
$
$
$
$
$
Gas Fireplace Permit Fee
our Building Permit When Approved
4-;l.-C/L-.
Date
l'-iS g
Contractor's License No.
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$ 5 Q09.44-
Paid
Date
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
:::: ,j 0' '" ", '~'""'IT OOffi'Mcr , "m,,,,,,", Cortifi,," of ,"oj" 7Pli"IT ,,' ''l::.:m''',"oo_~cr B't~? Ccrti:~~~> mo" '" ,
LJtettn- ~~~
Plannmg Director 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
Water Meter Size /8 ; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
Apr, 2. 2002 1:56PM
GENZ RVAN PLUMBING AND HEATING
No. 9 0 5 0 P,:1/ 2 0
Date Rae'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT..
APR _ 2. iUUL
! !
1 a..... Fil. I P.ERMIT NO . I
~. y./l.;.... c~. . ,.. .. '0" _ ~::2 /'..
). Gold AppbOUlI. .. ... ~- -:JU .
~~~~~"TM_I
fO:xrA/f,- ~/J(U
ZONlNG (offi<;J;! ~~)
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
,
OWNER
~~~ Wensmann Homes
(phone) 651-905-3709
(Address) 1895 Plaza Dr Ste 200
(Ad.:b-ess)
Eagan. MN
(clty)
55122
(Zip Code)
APPLICANT
~am~ Genz~Ryan Plumbing & Heating
(phone) 651-423-1144
:Contact Person)
R9semount, ''N
(City)
(phone)
DATE
55068
(Zip Code)
':Address) 14745 SQ Rqbert Trl
(Ad~ss)
LICANT SIGNATURE
\
.APpiI~LEAsEtOMPLETE BELO'W
Size of Water semce _ 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) 1.ocated at feet from structure.
esidenttal sewer and water liDo connectIOn
~wer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family ] % of job cost WIth a $39.50 mlnjmunl
$]7..$0 Water connection only $17.50
Estimated Cost $
Buildmg Permit It
SEWER AND WATER PERMIT FEE .
STATE SURCHARGE
TOTAL PERMIT FEE
$
.$
$
.50
(ij<:e US" Only)
rhis Applh:atioll BecoIUS Y ollT Building PerJDit WbeD Approved
-'-,
--
Pal
Receipt No
Date
By
Date
Bllildillg Oftlclal
~4 hour llotice for aUlnspectiDos (95Z)#7-98S0, fllJ( (951) 447-4245
Jan. 16. ~003 1 i :36AM
~
..~~~I
"'ii6i.::i:i/J
GEN2 RVAN PLUMBING AND HEATING
No.0467 p. 14 i7
Date Rec'd
CITY OF PRIOR LAKE
SEWE.R AND WATER PERMIT
; ~~ ~~~,. I PERMIT NO. ~--:7 :-20 j
J ("n,td A.pph~flt. ~ :2 ~) _
(Ple~e type or prIDt and ~i~ at bo~__
I ADDRESS.: -; . r-
L___~ ~Jlo if / r7) X
~
ZONING (o{jiccU$c)
/ eLl. 'j)
(Y/
LEGAL DESCRIPTION (office: USe: only)
LOT '0 BLOCK ADDITION
PID
OWNER
(Name) W.ensmann Homes
(phone)
651-905-3709 ~
55122
(Z!I'- Code)
(Address) 1895 Plaza Dr Ste 200
(Addrm)
Eagan, J:1N
( Clry)
A.PPLICANT
(Name) Genz-Ryan Plumbing & Rea t.ing
(phone) 651-423-1144
(Addre'3s) 14745 So JioQert TrJ Rosemount. '''N 55068
,~<\ddress) ~ (Ciry) (Zip Cock:)
(ConracrPerson) _ I w(~~e)_. 651-423-1144
.':.rCANT SIGNATURE r;)}U?lI!A-12.-7:1 K.~IE -.-1--/0 -Os
APPLICANT PLEASE COMPLETE BE.LOW
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.
Rcsidcntlal sewer and water hoe CO.llnectton
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'1 & Muln-fan111y 1 ?'o of job cost with a $39.50 minimum
$17.50 Water cotl1lect:ion only $17.50
Esnmated Cost $
Building Permit #
SEWER M"D WATER PE&\-1IT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Office: Un Only)
This Application Becomes Your Building Penuit When Approve r
i .,
\ )} -~
--P-aia -
. ~ I
Ii: ' i ,." ~
t J I : i_'~'j I :
Receipt No.
Build!ng Omdal
D:atc
By
24 hour notice for all inspections (952) 44'7-9850, ill" (952) 'H7-4245
By
J an. i 6 .
~R~,
~W~
,.~ .... .....
"... '.'!iIIl'leso'\'-
:003 i i :35AM
GENZ RVAN PLUMBING AND HEATING
No.0467
P. i 3 i 7
Date Rec'd
CITY OF PRIOR LAKE PLU1VIBING PERMIT
ADDRESS. Q )/
uVLL)
J'_'''_~'''.'.__'''__~'''''7...-
h!'f-
?aU 7Y7
UI1)0\m~J1JC dAd PID
i ~~~ ~i;, l.PERMIT NO- /,- - ~~. 0 ]
1. V.II{,,,", A.PPli~'l '-~ J.J _
--=
(Fle~e
arborrom)
ZONrnG (Oflkeusr)
ADDmON
I
OWNER
(Name) ~.jensmann Homes
~hone) 651-905-3709
(Address) 1895 Plaza Dr
Eagan, l-1N
55122
-
APPLICANT
(Name) Genz-Ryan Ph~~~~eating
(phone) ..~_651-423-lJ44 .0
(Address) 14745 So Robert Trl .____.__._ RosemounJ;, HN
~ddreSS) (City)
(ContactP""on) _.jW ..' :-:-L:'J'~ne) -:!"l-. 423-1144
LAP~:~JCA~ S~GNArURE ___' up; /a_77?~ll~ _o_~L - / {a--o;::?
55068
(Zip Code)
I ...-.......- Type oi Fixture ..
Quantity Type of :Fixture Quantity
~ Bath Tub with or without shower .~. Rough-ins --
f Dishwasher -"--~-'--"-'--- Water Heater ..
I
7 Floor Drain . -;;; / J:- Water Sower
't) Lavatory (Bathroom Sink) -'.-",- J Stand Pipe (Washing Machine2
I Laundry Tray (l or 2 come.a.rtment sink Sewage Ejector .,
.? Shower Stall Backflow Assembly
.-I.
Sinks ~~ .~ Backflow Assembly Test -
Bar Sink ----- Lawn Sprinkler
--.
Lf- WaIer Clo!lct (Toilet) Other
---, . -
APPLICA.L~ PLEASE COlVlPLETE BRLOW
FEESCHEDVLE
Industn:<ll, CommerCl3[ & Multl-fanuly 1% of Job cost 'Vim a $3950 minimum
Rc:sidentjaJ, New One & Two-FamIly $99.50
Rcsidc:nti:l.l, Addlrions & Alterations $39 50
Estunated Cost <5
Building Pemllt #
50
-,---
j',
Jgil{/,' iJ
.~/J!JJJ:J;,., ;,
'. U,n~l~~ ,~
"'=iJ It' 0'
~
.........
PLlJ1vIBING PERl\11T FEE $
STATE SURCHARGE $
TOL~PE&~llTFEE $
(Office: Uqe Only)
Date
ll'n ."
\1'i'.': ,
Co' tl
eipt No.
Th.is Application :Becomes Your Building Permit When Approved
Building Offici31
JAN 2 IfO~J
.~
b
24 hour notice for all inspections (952) 447-985 x (952) 447-4245
',nJ~ .. ~5'11
_ I) I) I I :) 1\.\1
GENZ RVAN PLUMBiNG AND HEATING
CITY OF PRIOR LAKE
HEATING/AD.~ CONDITIONlNG/FIREPLACE PERMIT
No.0467
P, i ~ i 7
Date Rec'd
~ S:w J~i~n( I, PERMIT NO. (~- 339
I~D;rS~h~'~oflomfzx 70dJ 11
ZONING (offiee\1S~)
]
LEGAL DESCRiPTION (office use: only)
LOT /0 BLOCK I .ADDITION
rOWNER ..-----
I :::lwe::::":,:::":r
0S/nalV(/ d-II d
PID
(phone) tS51 91l.5=.J:Z09
Ste 200
Eagan, }ffi 55122
APPLICANT
(Name) Genz-Rvan Plumh..iug & He."'ltinz
(Address)_14745 So Robert Trl
(Address)
(Contact Person) ~) ~
APPLICANT SIGNATURE /' /
(phone) hI) 1-4?~ 1144
Rosem.ount. MN
(City)
55068
(Zip Code)
(phone) h c;, 4'n "44
. TE ~. iJa -d~
. . APPLICANT PLEASE COMPLETE BELOW
ANEW CON~TRUC110N 0 REPLACErv1ENJ EJ AL rERA nONS
FURNACE MAKE ANP MOPEL U i1J1/i'y 6- 'If) tti/3 (;JA!. q~ FUEL f )1 at- c.ititf
FLUE SIZE . RETT.JJlli OPE:NJNGS 5 lNPUT _ .() ff2/D OUTPUT /) d; .
HEATING OR rOWEi PLANT
~E OF SYSTEM
;Varm AIr Plants
Gravity
~feChamCal
'r Conditiomng
Vem. System
.PLEASE NOTE:
Air CQndiT10ner Umts
Cannot Enc:roach mto
Required Side Yard
Setbacks
o Steam
o Hot Water
o Radiation
o Special Devices
o .other Devices
I FIREPLACE M"AKE AND MODEL
Industnlll, Commercial & Multi-Family
FEE SCHEDULE
I ~.'n of Job cost Residential, Gas Firc:place
$3950 minimum
$99..50 ResIdential, Addiuons & Altct1\1jon~
$64.50 Residential, AC Only
$3950
RCSldcntlsl. He:ating & Ale (New Construcnon)
R~idcDtial, Heating Only (New CODSllUction)
$39.50
$39.50
Estimated Cost $
Building Permit #_
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERl\fiT FEE
$
$
$
.50
D:l.te
s:'~,c~~-'~
(0"" . Use Qnly)
r
,.;i~ Application Becomes Your Building Permit \Vhen Approved
Bllilding OfDciaJ
24 hour notice for all inspections (952) 4.17-9 -
CITY OF PRIOR LAY~
HEATING/AIR CO~l)ITIONING!FIllEPLACE PE&\'IIT
Date Rec'd
(P~c;uc c-rpe or orin. md Slt:D. 1. !:onoro)
I. A::,D ~~Sl
. ~ \..9'-1 FcrJ:nJ T..-0.
~ ~?;. J!~io.l I PER'-lIT ~'-:;; :3 P
ZONING (oftke ~.c)
LEGAL DESCRIPTION (office.JSe only)
LOT
BLOCK
ADDITION
PID
QV1NER, .
(Name) \ J.o~(i rr._./Y~ l~(Trrl.l2/)
(Addres:;)
#dOO
(phone) ~J-wro-,VC/OO
/I 5Sldd.-
~~~;~~-1:o-rn..r,-,-\M r-'{l-U)..a'~Cx--Du + rA-u-oQc.~ (phone) '1 CJ,,3-.3 i 5-7500
..
( "\ C~(r\' Y1 ,r -p. 0 1.. 1.0 r, -,"--' R::-- Jt
. ' .~' rJddr~S) r
(Contact Person) +<' ri ",-..W .
APPLICANT SIGNATIiRE 7f:;..J..?' /.4;-. .--,,~.n~G~
(Address)
rnn
(CiLY)
(Phone) 'llc3- 3: 5-75/ (.:;
(Zip Cod.>:)
DATE
APPLICANT PLEASE COM.PLETE BELOW
EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FuRNACE MAKE AND MODEL FUEL
FLUE SIZE RETtJRl'J OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Pl<1Ilts
OGravity
o Mechanical
OAir Conditioning
OVcnl System
HEATING OR POWER PLANT
o SiCZTl
o Hot Water
o Radiation
o Special Devic:::
o Dthcr Devic:s
PLEASE NOTE:
Air Conditionet Uni13
Cannot Encroach into
Required Sid~ Yard
Setbacks
FIREPLACE MAKE AND MODEL frLo-;.vJ:f::...-< - 39'OPVI/0r....)
Indu~i.rial. Commercial & Multi-F:l!I1ily
FEE: SCHEDULE
I % of job ~ost Rcsidentia.l. Gas Fireplace
539.50 minimum
599.50
$6<1,50
S39.50
R(';~idential. Heating & NC (New ConstNe:ion)
Residential. He:lting Only (New Construction)
Residt:ntial. Addition:; & Altention:;
Residential. AC On ly
S39.50
S39.50
Estimated Cost S
Building Permit #
HEA TING PER.."vITT FEE
STATE SURCHARGE
TOTAL PERi\1IT FEE
$
$
S
.50
D~le
Receipt No.
(Omee UJe Only)
This Application Becomes Your Building Permit When Approved
Oulldin1{ omd:al
By
.'r'.
,.It'
24 hour notict: for :111 inJpection$ (951) ~~850. [ax (952) 447-1245
~---
...--.......,...... .......................... ......... ....,......,...,.... .......
~._,.....'o.-..,....'" "'............. ........ T t"\:r.' TT ........,......... n
The Cf'n1f'r of Ihf' t.kt Coonl!"}'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f1/ENSI1f1NtV
3- 2-8-02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
30 4-/ roX m/ L- .~/L--
Accepted X
Accepted With Corrections
Denied
Q;Jt;~~
Date:
4-;). -Cf)
Reviewed By:
Comments:
~ ~ fY]aJ~ r:~f.e
"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."
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pUB SUO!lB~!!!oads 'SUBld ~O IB^O.lddB .10 l!W.lad 13 ~O 6U!lUBJ6 .10 a~UBnSS! aLl.1.,
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.........
White - Building
Canary - Engineering
Pink - Planning
Tht Ctnlt, of lht ".kt Coonlr}
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
016!\JsnfiAJ/v
.3 - 2-8 - 0 2-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-3 Co 4-3 ;::-0 X 77-1 / L TJ6L--
Accepted
Denied
Reviewed By: /J1't B
Comments: St: t" ~ I ~ r, I L .
)(
Accepted With Corrections
... Date:
~-I-~L-
"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 provisi9.ns of this code or of anyqther ordJnance 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."
l 'S~-e ~ VVlO"'.lA. i-/"~
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS .5(,/-1 ( FC,y 1at- ( --r;aJ
NATURE OF WORK neu
USE OF BUILDING S~A-v'
PERMIT NO. nz, ~ 0 ~3() DATE ISSUED 1-02 --02-
CONTRACTOR Lu€lI\~lM..a.1A..IA.f.kn.w, <:" PHONE &0- 3"C/? - 7& :/n
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
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PI;>
a-26
I FOOTING I
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
I I
FINALS
.:2 ~
'2 -II
2-
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.>
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
NOTICE
This card must be posted near an electrical senr:'Ce 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.
-
l(-fb
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850