HomeMy WebLinkAboutBuilding 02-0431
QLtrtificau at <mcmpanry
CITY OF PRIOR LAKE
lDepartment of lSuilbing 3Jnspettion
XI!9 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. PennitNo. 02-431
Z . D' . Rl
omng Istnct
Legal Description
Owner of Building SiteAddress 15254 FAIRWAY HEIGHTS CT
Contractor'sName&AddreSsWENSi'1AN~ HOHES, 1895 PLAZA DR, SUITE 200, EAGAN, 55]22
VN
Type Construction Fire Zone
LOT 4, BLOCK 4, WENSNAI1N FIRST ADDITION
R3
Occupancy Type
lll. ROBERT D. HUTCHINS
III i) . Building Official
I -~ /"1,
Ii' ~ c'~ (_/er
City Planner
Date:
DON RYE]
Date:
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
7/'-6 wi
0'2-- 04-3/
Date Rec' d
1- /-O~
I. White File I PERMIT NO I
2. Pink City .O'? -0 (J,OI/I -
3. Yellow Applicant . V v~.
LOT
LEGAL DESCRIPTION (office use only)
ADDITION W e h 5 fYJ Pr n n
PID
, s-t
ZONING (office use)
OWNER I. I
(Name) /IV e 11.~ m Ii h 1'\
(Address)
~b WI e5
(Phone) lo5}-ijD b .- Lj '-t b 0
BUILDER
(Name)
(Contact Name)
(Address)
5 fJ-jJ'1 e
----Yh i. ~ K-}J c r L. Jtl f} Y\
(Phone)
(Phone)
fc/~-3b1-7bd.9
TYPE OF WORK
ODeck
OPorch
ORe-Roofing
o New Construction
)qLower Level Finish
o Misc.
o Fireplace
OAddition
OAlteration
PROJECT COST /V ALUE (excluding land) $ / 7 000,
ORe-Siding
OUtility Connection
I hereby certify that I have furnished information 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-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 official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter up~ to perfon~ needed inspections.
xll - b.l~ l'fE!"'Li=NO b-cJZ:O;}.
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
$
$
$
$
$
$
$
$
Water Meter SizeS/8";!";
Pressure Reducer
Park Support Fee
SAC
#
#
J.~O
Sewer/Water Connection Fee
#
40.00
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
$
$
$
$
$
$
$
$
$
uiIding Permit When Approved
I Paid
Date
/~/r_~~E'N~~J1 I
Date
This is to certify t at the requesl in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This documenl
when signed by Ihe City Planner conslilUles a temporary Certificate of Zoning compliance and allows construclion to commence. Before occupancy, a Certificale of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4~ 1~'-6~
I. White File I PERMIT NO 4 I
2. Pink City . O? - 0 .3 I
3. Yellow Applicant Y.
Hel~ hTs ~oLLr,
LEGAL DESCRIPTION (office use only)
LOT L.f BLOCK 4 ADDITION We 1'\ G P1 f} 1\ 11
OWNER
(Name)
w c:: '}1 S ,., fJ 1'\ 11
lB'tjS-- fL/tZfJ
(Address)
HCJ11e5
OrlVt:. 5ultt:
) sf"
?~- 03Lj-
ZONING (office use)
'R
(Phone)
ft,S/-LjD/:;-'f400
':i"S/zz
DO
f:
BUILDER
(Name)
(Contact Name)
(Address)
'SftMi?
,J
f\1,~k l-teJLP1~)1
(Phone)
(Phone) lP I Z -3 bq- ]"" z'f
TYPE OF WORK
~ New Construction
OLower Level Finish
~ Fireplace
PROJECT COST IV ALUE (excluding land) $
() poo
o Misc.
DDeck
OPorch
ORe-Roofing
ORe-Siding
OUtility Connection
I hereby certify that I have furnished information 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-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 official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property t perform neede,!l' spections.
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
$
$
$
$
$
$
$
$
our Building Permit When Approved
4:l.?-oa
Date
DAddition
o Alteration
_'1:16 - b~
Date
$
$
$
$
$
$
$ (
$
$9, 7. 1. .qq
r:d #; J{ 1f~ q q
Date "'" . -O<:.~
I ~;eiPtNO~S
This is to certify that the request in the above application and accompanying documenls is in accordance with the City Zoning Ordinance and may proceed as requested. This document
::::q~-'~C~"':tl;;=-""d'U~AiJ:;r~~m""~
(" 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
14~tf
Contractor's License No.
Park Support Fee
SAC
#
#
Water Meter Siz 5/8 ; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
2002 2:15PM GENZ RVAN PLUMBING AND HEATING No.5565 P,5/11
CITY OF PRIOR LAKE Date Rcc'd
HEATING/AIR CONDffiONING/FIREPLACE PERMIT
1 rlJIi<
2. Groen
J. Yello'"
!SicaDt l PERMIT NO. rj-: \A~ \ I
I I ZONING ,-=) I
e;~~~
~Cr
LEGAL DESCRIPTION (om~ use only)
LOT L{ BLOCK ADDITIO~
PID
O~R
(N"ame) Wf'n",m"TlTl Hnm",q
(Phone) ~~l_Qn"i_'nnQ
Eagan, MN 55122
(Address) 1895 Plaza. Dr Ste 200
APPL1CANT
~am~ Genz-Rvan Plumbin~ & Hearing
14745 So Roberc Trl
(Address)
(Address)
(Phone) h'i l-A:n~ 1144
Rosemount. MN 55068
(oty) (Zip Code)
APPLI LEASE COMPLETE BELOW
W CONSnUCTION 0 REPLACEMENT 0 ALTERATION; \ 6
F1JRNACE MAKE AND MODEL rl l-tltnnJ. b~~"f ~ FUEL I\,J/r'r. _ a..S
FLUE SIZE RETURN OPENINGS q INPUT J'ZS-, ti()O OUTPUT lltJ, lJ() 0
TYPE OF sYSTEM HEATING OR POWER PLANT
DSwrn
o Hot Wa.ter
o Radiarion
o Special Dcvice~
o .other Devices
(phone)
DATE '2.....
I (Contact Per.;on)
I APPLICANT SIGNATURE
~Wann Air Plants
nGravity
o Mechanical
.5ft\.ir Conditioning
1:JV cnt. System.
PLEASE NOTE:
. Air Conditioner Units
Cannot Encroacll into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial .!It Multi~Famlly
, FEESCBEDULE
1 % of Job cost Residential, Gas FirqJlace
$39. SO minirrnun
$99.50
$6450
$39.50
ResIdentIal, Heatmg &. Ale (New ConstrUction)
Resic!enti.a1, Heating Only (New Construction)
ReSldEllltial, Additions &. Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Permit #
",-
I
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
r'.
.J- !"~("
(('~ .." Use Qoly)
. . _A'S Application Be(!Ollle5 Y onr Building I'ermit When Approved.
Paid
. Receipt No.
Date
1;;
By
Building odid.1
n.~
24 hour notif:~ fO{llll iO.$pecttons (952) 447-9850, fax (9SZ) 4474245
May.29, 2002 2:15PM
GENZ RVAN PLUMBING AND HEATING
No.5565 P,7/11
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
~~
J G.- .1'il. I PE"Ol\.fTT NO I
;1. y.l.iJ... cIIf' .l'.11'.LJ. .... . ~ '-- I J d... \
1. Guill ApIlII_.. U Vt J I .
U- I ZONING(~-J I
~k=_~~:~~
I ADDRESS .. .
, 2~
LEGAL DESClUP110N (office we only)
"
LOT
ADDmON
PID
1
OWNER
~IDm~ Wensmann Homes
~hon~ 651-905-3709
(Address) 1895 Plaza Dr St.e ZOO
(A~s)
Eagan. MN
(Gty)
55122
(Zip Cede)
APPLICANT
(Name) Genz-Ryan P1Ull1bi~g & Heat.ing
(phone) 651-423-1144
CAddrl!::ss) 14745 So Robert 'Irl
(Address)
Rosemount. '1;
(City)
."
55068
(Zip Code)
(PhO:~TE 651-~hSj II ~
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 requirced) locate9. at . feet from structure.
.Residential sewer and water hne connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost Wltb. a $39.50 minimum
$17.50 Water comection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STAlE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Offic~ Use Ol:lly) .
Date
Paid Receipt No
Date\j~..j 5 2002 By tAG-'
,]1../.' . (
\J
This Application Becomes Your BllildjDg Permit When Approved
BuillliDg Otllt/a.
Z4 bour notiu fOJ" .11 iu.spect1oJl$ (952) 447-9850, fu (952) 447-4245
MaY.29. 2002 2:15PM
GENZ RVAN PLUMBING AND HEATING
No.5565 P,6/11
Date Rec'd
~;S;;mA_KbO~
?- t{ . I-MlRV
CITY OF PRIOR LAKE PLUMBING PERMIT
I Ill... Fil. I PERMIT NO ]
~ GoI4 cl'Y . "...... d J. \
3. YoIl_ AppIi<onI . c:z. rl J _ .
du~ Clil.ltr J I ZDNING(o__) I
LEGAL DESCRll'TION (office use only)
LOT Ll BLOCK 4 ADDITION
PID
I OWNER
I (Name) Wens1l1ann Homes
(phone) 651-905-3709
Eagan. MN 55122
(Address) 1895 Plaza Dr
I APPLICANT
. (Name:) Genz"'"Ryan Plumbing &. Heating
(Address) 14745 So Robert Trl
(Address)
(Contact Person)
(phone) 651-423-1144
55068
(Zip Code)
Rosemount. MN
(City)
(phone)
APPLICANT SIGNATURE
DATE
Quantity
~
,
I
-r-LJ.
,
)
. ,
~
PLEASE COMPLETE BELOW
Quantity
...- ~
Type of Fixture
Type of Fixture
Bath Tub ~ith or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Il I
,
w
Rough-ins
Water Iieater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Bacldlow Assembly
Bacldlow Assembly Test
LaWn Sprinkler
Other
FEE SCHEDULE
Industctal, Commercial & Mulu-fanJlJy 1% of Job c;:ost Wlth a $39.50 minimum Residennal, Nc;:w One & Two-Fauuly $9950
Residential, Additions &. Alterations $39..50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
:50
:Offil:" US" Only)
This Application Becomes Your Building Permit When Approved
aid
Receipt No.
2002 By
lluiJdiIIg Oll1cial
J):au
24 hO!lr Dottce fr/r all iospectlons (952) 447-9850, fax (95:2.) 447-4145
,-
to
,1. _,_ _....
~~
~,~ \ I
"
ftI.I.DW . AI'PUCA'"
,BOlD. ern
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
;J 1.'3-
NO . .~L75 - I. (
NOTE:
Sewer' and Water
contractors must
be registered
with the city.
PHONE: 9t),;}-'il3Cf-C{ I~:'
DATE: 0- - /3- 0:2...
4 .
BLDG. PERMIT .
IS- ;;." O~ r~.u.~ ~ liPID'
FILL IN ~HE BLANKS
Estimated length of water service S-O fe.~t,. '.,'
Size of water service / 1/ inch (es) . 1f~~.~r~~~~~~~
Location of any couplings from structure'f""mrt!"" .,~ . .
,.. :..,r..d> ::.
PVC~ Cast Ircn~
~d
-
SIGNATURE:
SITEADDRES
'I.ol~:"v,:..
'.
L
,J.
2.
3.
Type of sewer pipe.
ABS
5.
Estimated length of sewer line
feet.
6. Clean out (if required), located at
structure.
feet
from
=============================================~=======~=~~~~-~~====
This application becomes your permit when approved.
BY
DATE:
===============================================~~=~~~~=~=_==~=E~==
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either Sl Jer or water individually is $20.00 plus
$ .50 surcharge.
* Sewer and water permits issued for new construction !must be
recorded on the building permit card at the time of'" issuance
to insure that no duplicate sewer and wate~ permits are
issued. ' ~
MAt 2 0
DATE PAID
AMOUNT PAID
REC/D BY
RECEIPT #
tJh~
i
,.""
16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245
An Eaual ODDortunitv EmDlovcr
White - Building
Canary - Engineering
Pink - Planning
Thf' Cenlrr or Ihe I..kt Counlr)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT [/J..//7l4'1/)1(4./tLI'A._J
APPLICATION RECEIVED ! - 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--CU/i-~<-/~:::j '/)t, C1-+
Accepted With correctio~~
/5 cl 5'1
Accepted
Denied ,/) all''
/ /~/("
/ // \/
Reviewed Bt/,?;-;; ;;'?^-~-
Comments:
U~{Lch -U:Q ~-~~>.:~,>.. sP- {>/^,.', .,l { l.
,
Date: / ~ ? . 0 2.
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"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."
White - Building
Canary - Engineering
Pink - Planning
Thr Crnfrr of the Lakt Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT WL/J1~A1 h\-J IJ-o-v~
APPLICATION RECEIVED ;- I - oJ-/'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constr~ction activity which is pro~osed at: ~ J I-A-
/.5 (lsi/ :::f--c:7'(/1//L(J ~ ~-+ ·
Accepted With corrections~
Accepted
Denied ~
Reviewed s{; _ - - -
Comments:
~ A~-R~~~~~
Date:
1-- 2-0L
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."
White - Building
Canary - Engineering
Pink - Planning
The C'tntt"r of Ihl" Lakl" ('oun_.,.'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT yJ ..fl/1f ~/L./)VJ<../ ~
APPLICATION RECEIVED LJ - / (0 - 0 d-..
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
L5'JS4 ~r~ 4/to (ij-
Accepted Accepted With Corrections X
Denied
.(2p~
42?-62-,
Reviewed By:
Date:
Comments:
Qec& on a.itQ.c~-ecQ, ~OJI\& 0tJ ~~
"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."
White - Building
Canary - Engineering
Pink - Planning
Thr Crnlr' of Ihr l..kr Country
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:
,,--..... / I
^,X ~j
,~"./ A /.' /' ,/
T-
Accepted
~
Accepted With Corrections
Denied
Reviewed BY:~ ~
Date:
L//2t{182
"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."
oz -Ctl31
White - Building
Canary - Engineering
Pink - Planning
The C'rntt>r of Iht r..kt Country
7 1))/
L/ f,./
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/ J) -, AI ,. '}/)! '-"".J '"I,' ".l/,,;',,~,//j"/,.?,,-'(../)
(/( / ~..:':;/ I'<...,'~'''., '/,/,L~- ')~./' 'ff..../ L ' - --
APPLICATION RECEIVED LJ~, / (0 - C" ~~
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5" J sLj ~-:-I/;/.~hU-;U': l'./h (';~
...-r
Accepted
x
Accepted With Corrections
Denied
Reviewed By: AJ4J~ Date: q-dL/-o~
Comments: See Reverse Side for Additional Information!
711()~
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"
See Attacnments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
"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."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS \5asL.J
NATURE OF WORK ~~u.j
USE OF BUILDING SF D
PERMIT NO. ()Z--04-3/ DATE ISSUED t./-;;l7-0'd....
CONTRACTOR ~ew~.IMq.."'"f\ tlG....es PHONE <#1;;1.- ~9- ~(,,:<9
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
fQirWo.~~~~ ~-\-.
FOOTING
FOUNDATION (Prior to Backfill) 6 \)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC 'l>
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BE
1
FINALS
1
GRADING (Prior to S dding)
BUILDING ()
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been aPl?roved. On buildings and additions
where no service cabinet is available, card shal.\ be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850