HomeMy WebLinkAboutBuilding Permit 03-0149
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CITY OF PRIOR LAKE BUILDING PERMIT, ~1'ci!t:
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE r~~
AND UTILITY CONNECTION PERMIT
(Please type or print and siltll at bottom)
ADDRESS
See Main File
3.?>33
Rccbeff'j R.:r~e
LEGAL DESCRIPTION (office use only)
Ra.eJ
LOT I;' BLOCK;;1.. ADDITION -:i7~~
OWNER
(Name) We~fV\.c::Lni'_
(Address) LSqs
Plc...20.
BUILDER
(Name) -.5C\~ ~
(Contact Name) ~
(Address)
TYPE OF WORK
o Misc.
tbt~<:o.., _ S o/V'
- ,
D('-~'~
(")("..)~ ('
R.~
'JifNew Consttuction
OLower Level Finish
I. White File
2. Pink City
3. Yellow Applicant
Nw
~
(Phone)
C;" .' -4e
.;u)()
&oaY\
J
1-8-3
PERMIT NO. ~3 -0/4<1
,
ZONING (offictuse)
Rl
PID ,2..5 . 3'5 - ~.:1.' -c
M\J
ss,~
(Phone)
(Phone) ~
S^I"d J L.J See,
iDu () /l ~ 9- I Contractor's License No.
I ) rL,.....J,~ t~ ,~...,..
1/9~ ()Oo_ 00 I Park Support Fee
ODeck
OPorch
ORe-Roofing
PROJECT COST IV ALUE (excluding land) $
o Fireplace
OAddition
OAlteration
446
4S87
ORe-Siding
OUtility Connection
~JGOO
I hereby certify that I have furnished information on this application which is to the best of my knowledge ttue and correct. I also certify that I am the owner or
authorized agent for the above-mentioned property and that all consttuction 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 to perform needed inspections.
X ~l\..""~
~
Signature
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
'9;3. 'IS
61tJc,oo
'Is. Do
-
/0 tJ, OtJ
/lJn .OD
.:J~ 5'(J
/f{/tOO
This Application Becomes Your Building Permit When Approved
~~~~
Building Official
/ / r7"jtJJ
/ Date
I SAC ___
I Water Meter Qize S/9JI";
I Pressure Reducer -
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
Paid
Date
5$lR . C '1
~ -./ J ' d I -
l!~Lo7..
Date
I
I
I
I
I
I
I
$ I
;) $S;3J~. (p Y I
I yN,o (f'J yu,).
#
$
$ /ZlS; ~()
$ Z~~, DO
$ ,,/5", ()(J
$ / ~"(J, ()O
$ 7~()' f)(}
$
--
#
#
#
-
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
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issZ?~ l~~
Planning Director
.4ee
~~7~
~d,43
/ 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
,
QIrrfifirafr nf (0rrupanry
CITY OF PRIOR LAKE
~~pnrfm~nf of ~uil~ing Jlnsp~tfion
MinaI 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 .
Occupancy Type R3
SINGLE FAMILY
Type Construction VN
Fire Zone
Bldg. Permit No.
N/A
Zoning District
03-0149
Rl
Legal Description _ L 12, B2, JEFFERS SOUTH
Owner of Building
Contractor's Name & Addres~lENSMANN
Site Address
3833 RASPBERRY RIDGE ROAD N.W.
1895 PLAZA DRIVE, SUITE 200, EAGAN, MN 55122
Date:
r .17
./ )
Building Official
HOME S ,
(J/ ~If-)
'-/
City Planner
DON RYE
ROBEFT D. HUTCHINS
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
---2'0" ?.,
ADDRESS -----?c ":;. '-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o ~ULATION
)a"" FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED ~;(3-()jr
fI-o,s~L.. ~. .. ~
, ~~ /
CONTR.
PERMIT NO. ()? -ottf?
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o ~BING FINAL
,;zr MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
cloP C5 "~ILe-_
o WORK SATISFACTORY, PROCEED
o CORRECT 10 AND PROCEED
CALL FOR REINSPECTION BEFORE COVERING
) Owner/Contr:
~FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNon
DATE
S- Ilt-o;
~~"T"~..... Qd,...
t\ I -~_
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ~ TI
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~~LUMBING FINAL
o MECH FINAL
COMMENTS:
4AA~1J4 'lc-a6 (1r~
~, fltJJ L.~ K~ \ )
TIME
~~
1- M
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o ~K SATISFACTORY. PROCEED
jYCORRE~CCTION AND PROCEED
o CORRE TJK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
I ·
CALL 44 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Jan.16. 2003 11 :28AM
GENZ RVAN PLUMBING AND HEATING
No.0467 P. 4.17
Date Ret'd
CITY OF PRIOR LAKE
SEWER AND WATER PERi\'J.l1
I. ('"lNt:II i'lle
2. Yellow Ci,y.
3. Gold A;>pli..."
PERMIT NO. ()3 -0 / tfq
Ka~D~ J6f1&e eel
"--"
LEGAL DESC'R.1..t- uON (office use only) ---D
LOTJ~LOCKa ADDITION ~. "'l;;W~E: S)OC/ ""F\
(Plt:a.~e type or1>tlI![ and si.gn at borrom)
ADDRES~g33'
ZONJNG (office we)
PID
OWNER
(Name) WensDlaD)') Homes
~hoDe) 651-905-3709
(Address) 1895 Plaza Dr Ste 200
(Address)
Eaga.n, MN 55122
(City) (Zip Code)
APPLICANT
(Name) Genz-Rvan Plumbin~ & Heating
(phonc) 651-423-1144
(Address) 14745 So Robert Trl Ro~em()!.Ul..t. "1\1
~e3S) (City)
(ContacrPersoTJ) _ I ~ -;....- .... _~ (PhoeQ 651-421-1144
T~ICANT SIGNATURE t /tA./ L&!.L/ __ m.f).Ij/{{),j~TE /---/0 1Js
5'5068
(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.
Residenual sewl:r and water line connectlon
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 .minimum
$1750 Water connection only $17.50
Estimated Cost $
BuLlding Permit #
Building Of.fici:i1
I!J, f r:rf
I.b..., 1~_
'-"'~"~':';J;' t
m;E~ ~ 70 ?~3~~lh~i~NO
'.k St Date . . By qe
24 hour nonce fot lllllnspect10ns (952) 447-9850, fax (952)
$
$
$
,.....
SEWER AND WATER PERlYUT FEE
STATE SURCHARGE
TOTAL r.E.t<MIT FEE
.50
I
---,
(Office Use Only)
This Application Becomes Your Building Permit When Approved
,.
Mar.21.2003 5:42PM
GENZ RVAN PLUMBING AND HEATING'
No.7057 p. 815
,1 CITY OF PRIOR LAI\:E
H~ATING/AIR CONDITIONING/FlREPLACE PERl\1IT
Date Rec'd
!.~~\~~~;:~'~...
1 Pink
2, (.re'~
J. y _now
~~ , PE~T NO. ~.. I L-/C/I
AppJ~t J I
CP":asc t\1!c or pnnt and s1l1;11 at bottom)
I ADDRESS
6~33
LEGAL DESCRIPTION (o.ffic:: use only)
LOT l2-BLOCK L ADDITION
.QMp~ ~QJ.
Jef-(-e ~ Srx;dt'l
ZONmG ("ffiC!U$e)
PID
OWNER
(N'ame) .Jl1':>"""'lllQ'I"1" ~,..,m"''''
(Phone) 651-Q05-37nQ
(Address) 1895 Plaza Dr Ste. 200
Eagan, MN
55122
APPLICANT
(Name) G~p..z=..R.,v !'l.TI -p, 11lllb.iJlZ !y H o:.el r i n g-
(phone) h"i 1-4/1-11 bolL
(Address) 14745 So Robert Trl Rosemo\.1.nt, MN
f1 (Adches1\ f (City)
(Contact Person) _ vVt yQ..\~~ il ~tf (Phone) h"i 1 -6.? 1_ 1 1 bu.
APPLICANT SIGNATU~ ___~~,_._ DATE .~'-d J ~ ~
55068
(Zip Code)
APPLICANT PLEASE COMFLETE BELOW
~EW CONSTRUC-nON
FURNACE MAKE AND' MODEL Len n D't
FLUE SIZE RETIJRN OPENlNGS
TYPE OF SYSTEM
Mram: AJ! Plants
Lj't;ravlt'</
o MechaniCAl
~dr Conditioning
OVelJt. SyStem
o REPLACE1VffiNT 0 AL TERA TIONS
61 Lf 0 LlH ,- 310A --=to , FUEL jJ.Ji1 nA:S
5' INP1JT ID.J212D OUTPUT '5,1..!--.70"0
HEATlNG OR POWER PLANT
o Steam
o Hot WateT
o Radl1Uion
o Special DeVIces
o -Other Devices
PLEASE NOTE:
Air ConditIoner Umts
Cannot Encroach :Into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
__0...
- --.
.-..--- ...., --~~--
. -, -.
Indusmal, Commercial & Multl-Farmly
FEE SCREJ>ULE
J % of Job cost Residential, Gas Firepl:lce
$3950 minimum
$9950 ' ReSIdential, Addittons & AJteratJons
$6450 Residential, AC Only
$3950
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$3~ 50
$39.50
Estlmated Cost $
BuIlding Pennlt #.
Building Official
8(JIL~tD WItH
~ .50 .. G Pe~MI't-
~l0 [E U IT] [E rr1i
_ ~J MAR 2 5 2001 ..~~riPt No
Jare 3:-.
1ft}'
24 h(Jur notice for all iJ13oections (95;2) 447.9850, fax ('52) 447-4245 .._J
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERimT FEE
$
$
$
(,",'- . Use Only)
_._...:S Application Becomes Your Building Permit \Vhen Approved
DAte
ff-
Mar.21.2003 5:35PM
GENZ RVAN PLUMBING AND HEATING
No.7057 P. 3.15
Date Rec' d
r..
CITY OF' PRlOR LAKE PLUl\1BlNG PER.lVllT
~ ~~;~ ~:~ I PERlWT NO. ,-::> _(I rc;
J. Y.Un.. Applicw ~~ '-1 1
(Please me or Uf.l11t and SWl at bottOm')
ADDRESS
b8'3 3 ~the~~ euj~ ~"
ZONll-J G (office u~e)
LEGAL DESCR.u- !LON (OWe: use: only)
LOT I1-BLOCKL-- ADDITION J-e ff-e/~s. S Dk--Jh
PID
OWNER
(Name) Wensmann Homes
~hone) 651-905-3709
(Address) 1895 Plaza Dr
Eagan, MN
55122
APPLICANT
(N~~ Genz-Ryan Plumbing & Heating
(Address)
(Contact Person)
(Phone) 651-423-1144
14745 So Robert Trl
55068
(Zip Code)
Rosemount. MN
(City)
(Address)
CVlv<J~h &t(S
GUM~ ~
(Phone)
651-423-1144
DATE
6 -&-1-0 ~
APPLICANT SIGNATURE
Quantity
I
,
,
~
1
I
[)..
.APPLICANT PL.EASE COMPLETE BELO\V
Type ofFL'(tllre
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Ba.throom Sink)
Laundry Tray (J or 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
Quantity
~
I
i?-t.
(
Type of future
Rougb.- ins
I Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
I Backflow Assembly Test
I Lawn Sprink.ler
I Other
FEESc.I:lEDULE
Industnal. Commercial & Multi-family 1 % of Job cost wIth a. $39 50 minimum Residential, New One & Two-FamJ))' $99 50
Residential, Additions & AltCl1ltiO.115 $3950
EstImated Cost "
BUilding Permit #
PLU1vfBING PERlv.1IT FEE
3T ATE SURCHARGE
TOTALPERMlTFEE
PA/o lA,
aU/LOIN. rv'/iH
G (:)r:~~A
,.,.,.
$
$
$
:'\
~d@ ~ Q ~ LE 1 Receipt No
'UUa~AR 2 5 Z003 J By
50
(omc~ Use Onl)")
This Application Becomes Your Building Permit When Approved
-
/YI
Lf)
Building Offici:!1
Date
24 hour notice for all inspections (952) 447-1~~' fax (952) 447-42.45
1J
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGfFlREPLACE PERMIT
Date Rec'd
1. Pil\lt File PERMIT NO 3
:l. C=n c.ry. . -/ ' JC
J. Ydlow "PllII<4nr f.// -r
(Please type or print 3.Ild si~ at bottom)
ADDRESS
38'3~~~~
LEGAL DESCRlJ:" uON (officr: usr: only)
LOT
BLOCK
ADDITION
ZONING (office use)
PID
O'WNER .
(Name:) {.J---9~ (phone) .1051- L/OG, -c,1I00
\
I (Address) 1~'-1S p~ DA-. ~d-OO
- u
APPLI~ , . .
(Name}.~ulv,qDh~~ ,~...,.nS\.D;~\..:) 'T E~..'-iU:&c.~ (Phone) flLc3-315-7500
(Address) ~IO LJt J~'''\X:'1 Q 1 <t>, 0) (~"fLrGk.Q,'f""" F=b..Jc.. rnn s..'Sc,,'L/. ~
. ' ~ &cL:Ires~) 0 (City) (Zip Code)
(Contact Person) -k'r'\ 'S. JJ. (phone) i] 103- 3/ S-7SJ (p
APPLICANT SIGNATURE 7f:~,Jj,?r./),\.;2/7r:Q'~ DATE
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL I\'UEL
FLUE SIZE RETIJRN OPENINGS n'-lPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
., OWann Air Plants 0 Steam
o Gravity 0 Hot Waler
o Mechanical 0 Radiation
OAir Conditioning 0 Special Devices
OVenL Systt.."1l1 0 Other Devices
FlREPLACEMAKEANDMODEL ~~. 3913J::V'~r...)
'-"
Indus'lriaL Commercial & Multi-Family
FEE SCHEDULE
1% of job CQst Residential, Gas Fireplace
S39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residl'1ltial. AC Only
Residenlial. Heating & AlC (New Construction)
Residential. Heating Only (New Consauction)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL r .r..t<.M1T FEE
$
$
s
.50
(Office l)~c Only)
nullding Omdal
~ l~~T~ ~ ~~yr~ l'
.( DAPR 07 WOL_L
........J
14 hour notice for illl inspections (952) 44 7-9850, fax (952) 447-4245
By
,\.31 a HId 3:~ YHV~ :) Il YJWLll v
This Application Becomes Your Building Permit Wb~n Approved
Dale
f' I) I) 121
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
S39.50
S39.50
$39.50
~~~ .
~~f)~
'Q ,i,~ ~
~~A...
r~>-
Receipt No.
By cr
6 I) 1.1J ~ ~ '9 XV d 1C: n C I) / f'l) /f' I)
See Main File
White - Building
('" ~j'ln~ . I:.ngillt!e"'ln~
Pink - Planning
lh. (',nl.. of Ih. "oh Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
)
/j/
- t>.. /7,J-/
.'.' ..-
A::...~. -,!
".^
:1.,,,--"
.~/
NAME OF APPLICANT
APPLICATION RECEIVED
.'
J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activitY,which is proposed at:
'/'c" ; /)l~~:le.,-Z /1--<:,
/
r, l
. /f.'J~,..,,/I.
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/JJ1-'0
5 r:. e-/YlC1J'h, jC/ / (
Date:
1-~/"'oJ
Comments:
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."
~~
See Main Fi~e
Cwhite - Buildinq':::>
Canary - Engineering
Pink - Planning
The C'tnltr of the tlkt Countf)'
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~
Ij)~l~
v -
/- ~~o3
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3flB3 li~~ ~dy~ ~rI
,~ Accepted With Corrections
Accepted
Denied
~
k
1~/J
~
Date:
/ /~O/o7
/ ,
Reviewed By:
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."
.....,~.-..........
.t......i""
....,....~'.~
See Main Fi_e
The Center of the t.kr ('ountr)'
White - Building
Canary - Enqineering
Ceink - PlanninQ)
BUILDING PeRMIT APPl..ICATION 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:
.~.
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
"..
~7~
Date: {/7?ft "$
Comments:
See Main Fi~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."
PRIOR LAKE
INSPECTION .RECORD
SITE ADDRESS :J?--33 ~P~5;j IJerrl/ -R/rlu'~ Pel
, I' (
NATURE OF WORK II) 6W --- -Ll
USE OF BUILDING ,'<; ~ II See. !\! _~ln 1:.1 e
PERMIT NO. 03. - () /4- 9 D~TF ISSUED " - - ---
CONTRACTOR ~NN tt-Md PHONr!!'~.'1~.IIG'R?
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
0ce The !J/a/JL) F-i'Le-/
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
_ I FOOTING
I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
LL ar Po 4-7..'1 ROUGH _ INS
SEWER I WATER I SEPTIC
FRAMING ~(\ l1~~ 3=~I~
INSULATION ,~b - 9".. ~ B
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
'E!/f I </ $J
<iA-- L/ /1(0 10
I _~.
'-{ IL~/f3
(;
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
(~
fIs o~/7
(J h 6" ,1.,5
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
~A~
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