HomeMy WebLinkAboutBuilding Permit 03-0270
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CITY OF PRIOR LAKE
~epadmeuf nf 1/iuilMug c1Juspufinu
GfFinal Permitted D 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 FAMIT~Y
Bldg. Pennit N0
03-0270
Occupancy Type R3
Type Construction VN
Fire Zone
N/A
Zoning District
Legal Description
Owner of Building
Contractor's Name & AddreHENSMANN .J;teM..ES,
ROBERT D. ClUTCHINs( If')
(3 c;? B}Ii!~ Offic;a] V r /
Date:!'] ()"U)
Site Address
1895 PLAZA DRIVE, SUITE 200, EAGAN, MN SSP;'
DON RYE
City Plan If
Date:
.
,',
,
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 8-}lJ-03
ADDRESS ?Jt"J~3 ((dhr.>. ~ RLo
OWNER CONTR.
PHONE NO. PERMIT NO. 3-2(()
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
~INAL ~LUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION MECH FINAL 0
COMMENTS:
ob. ~ C' t..~ ...t-k L:.it:L-
0. ...l:::- 0 ;~'3o~
/7 n 'I f - f}~ --------
~~aj. '-.I~ l~r ~~
~RK SATISFACTORY. PROCEED f
o CORRECT ACTION AND PROCEED
o COR CT . CALL FOR REINSPECTION BEFORE COVERING
~ Owner/Contr:
-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
U<SNOn
(Please .!VP~ or Print and sign. at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
I. White
2 Pink
3. Yellow
File
City
Applicant
I PERMIT NO-o3-6Z70
RaSpharhA
)
LEGAL DESCRIPTION (office use only)
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LOT '0 BLOCK ~ ADDITION .JC:lw-_ '"T_.m.,",,"
OWNER
(Name) v.j..~
(Address) I~
BUILDER
(Name)
~
(Contact Name)
(Address)
, TYPE OF WORK
OM;sc,
_"" ...oIt.
!,ID .;2.$ -,3'1S -0':?2-0
Date Rec'd
2.. U-03
j I ZONING (offi,,",,)
J
(Phone) .r;;.,o; I U~- '-''IcY)
..... '
H,.,,,,",, '" ..::r N':.
PI",~
Df".ve
S'^-,+e .;2Cf)
~aJ"<r. ) fY\ N
. ~<:; 1..2':>
ORe.Siding
~New Construction
OLower Level Finish
o Fireplace
QO,ClGO
OUtility Connection
PROJECT COST IV ALUE (excluding land) $
~o......e <l,., .I ,,('
Signature 'I.-. . D- " ,
.) r
f~tl."oo. 00 I
$ '9...23.75 I
$ (tJOO. 4~ I
$ L/S.tJo I
$ I
$ /00.00 I
$ /00. t!Ja I
$ 35.50 I
$ *.00 I
~ ..:t:.:,..w!)
l!dSB
Contractor's License No.
0..<;
,."\.-,,,,...,,
(Phone)
(Phone)
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 to perform needed inspections.
x We_N'>"""-N\
I Permit Valuation
I Permit Fee
I Plan Check Fee
J State Surcharge
I Penalty
j Plumbing Permit Fee
1 Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
I,
I ReceiptjN o.
By j..-- J
U
ODeck
OPorch
OAddition
. ORe.Roofing
OAlteration
I Park Support Fee
I SAC
I Water Meter
I
I C;ty SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
,.</[ze SiR"1!",
~"
Pressure Reducer
#
#
S/II/(Jj
Paid --53/.rr. (,-1
Date _?- 17-0.1
This Application Becomes Your Building Permit When Approved
~ ::f~
Building Offic~al
Date
-:< J.:21Jo~
-Date
$
$ /2- '7 -s: ()O
$ .:JSO.Ot>
$ '/5.00
$ /~()JOO
$ 7otJ.oo
$
$
$53/4. foq
,
qs/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. This document
when signed by the City Planner CODSp,tutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~ 't~ ~/03 ~tJ a..-t..f~. -~ ~~:;;).u
Planning Director Date --- Special Conditi~s, if any .
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~\
,
,
See Main File
White - Building
Canary - Engineering
('Pink - Plannii'i~
Th~ ('I!'nlfr of lhl!' L.kr ('ounlry
NAME OF APPLICANT.
BUILDING PERMIT APPLICATION DEPARTMENT CHF~I(I_'SI
/ / /
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".......
APPLICATION RECEIVED.
c,;~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments:
~
r
-:In jJ ~
Date: 3,// 1/6 3
See M~i!l Ei1e
"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."
CITY OF PRIOR LAKE Date
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
.
: ~ ~:~ I.PERMIT NO. 3 -;;270
). Yc!l_ Apph",,1
~~a;;;;,~~ orint and s;m at bottom) fr~ .liir/t ZONING (ollit< use)
3-'~3 T""opb~ ~~ '1-(
LEGAL DESCRlPTION (offic, use only)
LOT
BLOCK
ADDITION
PID
OWNER .
(Name) l,J~ ~
,
(Address) j<gqs P~A>. Lk.. #~ r.ng-n/rl /?In 5S"1d-d..
APPLICe,NT . .
(Name:):.l'AA..tun'nL.;._ \-,{VtTLgOQ ~ + &A.lLl~~ (Phone) 'lU.3-3j~-7500
(Address)C+:lIO l..JeC'YnlY1.0 .L'f'."-'. &'l~OL.......Fb..Jt (hI') SC:;\..JL/S
. ' ;. ctddress)' CJ (City)
(Contact Person) -k' r';". iJ. (Phone) 'llt;3'315-7S/G>
APPLICANT SIGNATURE '7'f:r..J.;y /.J.>J1."'-<2.77,Q,r::::,
(Phone)(p5/- L/cxP..(jtl.~
(Zip Code)
DATE
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
I
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
OOraviey
o Mechanical
OAir Conditioning
OVent. System
o Sleam
o Hal Water
o Radiation
o Special Devices
o Olher Devices
PLEASE NOTE:
Air Conditionet Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL ~ ~C1c3.D'<R..etV
v
Industrial, Commercial &. Molti.Family
FEE SCHEDULE
I 'Yo of job I:ost Residential, Gu Fireplace
S39.50 minimum
S99.~0 Resid,ntial, Additions ok Alteration.
S64.50 R,sidential, AC Only
S39.~0
Residential. Heating &: AlC (New Construction)
Residenlial, Heating Only (New Construction)
$39.50
$39.~O
Estimated Cost $
Building Penni! #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
PAID IAn
BUILDING r",rH .
PEFlMI7'
(omCt U!le Only)
.
This Application Become. Your Building Perml! When Approved
Building: Ornel.'
iILPm'1i:~ ~ u; U IJJ ~ \'~~C:iPt No.
i:'l MAY - 1 Z003.~ I
1I -
24 hour notiee for.1I in.pections (952) 447-98 ;0, rax (952) 447.4245
3v__~___ ~-~
Dale
(f
COO~
AH1UIHd H~VHV~ ~I~vwo~rrv
ZOLOSICZ19 XVd 90:Cl
\
CO/SZI~O
Feb .~4. ~003 4:36PM
GENZ RVAN PLUMBiNG AND HEATING
No.4431
P. 3. 4
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PEAAfiT
3
, "'- ",. I PERl ",fiT NO 3
. ''''';w C;.y. n . ~ "]"'70 I
1 Gl:llll ^Pplt,*,( C7 (
_ r'PJeaee .t\"Pe 01' rmnt and ~1PJ) a.t botIOIll)
ADDRESS
3')93 1?()~qVJbeyCJ f?td!J~Rd
LEGAL DESCRIPTION (olliee use only) . i '- , f)
LOT~BLOCK bZADDmON c.Je r-r er--c: ~ UIIl
I ZONING (offi,.",e) I
PID
OWNER
(Na.me) Wensmann Homes
(Phone) 651-905-3709
(Address) 1895 Plaza Dr Ste 200
(Addr"".)
Eagan, MN 55122
(City) (Zip Cod<l)
. APPLICANT
(Name) Genz-Rvan PlumbinR & HeatinR
(Phone) 651-423-1144
(Address) 14745 So Robert J:,-l 1l.~~P"lf)Jil1t. '''1 ';'i(lfig
I \dd",,) (City) (Zip Code)
(ComacIPerson) _' / ttrn~~ /! ''''' '_ . f"lfne) ,_651-41,J.-::.J.H4
I '"ICANTSIGNATURE ~L~ 772tv~' d:l?Y"/o3
APPI.ICANT PLEASE COMPLETE BELOW
Size of water service _ inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of scwer line feet.
Clean out (if required) located at _ feet from structure
feet.
o Cast Iron
Resldenl:lal sewer and waler line connecnon
Sewer cOIUlection only
FRESCHEDULE
$35.50 Tnd\l.9trial, Com'l & Multi-fanllly 1% of Job cost WIth a $39.50 minimum
$1750 Water connection only $1750
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
PAID WITH
BUILDING PERMIT
(OfficI:' Use: Only)
Ihis Application Becomes Your ~ilding Permit Wh.nAPprov<~'~ l~~ n, m 11: ~~. II :~eiPtN>. 0" I'
BUlldlOgOffi,;.1 n.t, l~ w.n ~ ~8~J H- ~ ]
24 hour notic~ for all in:lpection$ (9S; ~}"t7~9850. f2X (.952) 447-4...4~
By -I
Arr.10.2003 140PM
~)
.,.;.~l>:\livNE~O"t""
ti1~~~;'
GENZ RVAN PLUMBING AND HEATING
N0.9302
P 6 20
,CITY OF PRIOR LAKE
REA TING/AIR CONDITIOJ'HNGIFIREPLACE PERMIT
D.~tc Reo' d
l. Pin~
'l. G!o:~n.
3., Ydl(W'
FiT..
Ci"
A,OPlIbl\'
fPERivllT N~ - ~ 7 C> I
,Q'lca.o::e t"f[)(: oTDt1ntandsJ'2ll ,uboaom)
ADDRESS
~~.<J; Ras DfXfvt2U f!1dae,
- / U U
LEGAL DESCRJPTION (oflieo u,o ouly)
LOT g BLOCK (), ADDITION
ZONlNG (01"0' "".j
,jeffef(?}; ~ fov;/1u
PID
OWNER
(Name) tJP"'~T11~nnj1i"'1""""Cl
(PhOllC) (. < 1 _Q(~~{>Q
:Address) 1895 Plaza Dr See 200
Eaean, HN 55122
A..Ppuc.<\NT
(.Namc). Gen?-RvAILl'JJ.unl:Li"" ~ H.e.~tino
.Address) 14745 So Robert Trl.
Contact P=Oll) -.en l'ir.sll~Ad; lis.
o,.PPJ.JCANT SIGNA TITRE r 1 ~_:ro ~ f./l
(pbone) "" '_A??_l' /J,
Rosemount, loIN 55068
(City) (Zip Codo)
(PhOn%~~" 1 -"4 'l-;r;~
APPLICAl'lT PLEASE COlVIPLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
'URNACE MAKE AND MODEL Jlbno\C (14DI1 HdpA FUEL ~
loVE SIZE RETURN OPENINGS c:) JNPUT ;0, fJ[){) OUTPUT Sb I ()OO
,
T'fPE OF SYSTEM
~arm A"Plan"
OGravity
o Mechamcal
~ir Conditionmg
OVont. Sy"cm
.
HEATING OR POWER PLANT
051<=
o Hot Wa!<r
o Radiation
o Special DCVlc:es
GJ Other Devic:s
PLEASE NOTE:
Air CondilJoner UnIts
Cannot Encroach mto
Required Side Yard
SetbaclG
lREPLACE MAKE AND MODEL
dustrla!, Commerc''''' & Muln.FalJ:uJy
FE:ESCHEDULE
1~,'" of Job CO:3t Reside."l.tiaJ, Gas fireplace
$3950 nunimum
S99 50 Rc~jdennal, Addi!lons & .f\lrerations
$64 50 RddenIiaJ, AC Only
$39.50
~dentlal, Huang &: AIC (New ConStruCtIon)
:.Menti.I, Ho.ting Only (New Cen"",cnon)
$3950
$39 50
BUIlding Oy"c;,l
Dare
$
$ 50
, r;: f; : ~n~ [I ~d_N.
Bk~ate =-=-=~~_~~~l BY.. . q-
PAID WITH
BUILDING PERMO-
Estimated Cost S
Building Pennlt #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
~ . Us< Only)
. .,," Application !lecomes Your BuiJdieg Permit When Approved
24 hour notice for all i..oectiolJ' (952) 447-9850, fax (952) 447-4245
Arr,IO, i003 1:40PM
GENZ RVAN PLUMBING AND HEATING
No,930i p, 3 iO
Date :Rec'd
~,
U 1 ,>-' OF PRIOR LAKE PLUl\'IBING PERMIT
J3Jve Fil.
2.Gr:>Jd City
J" Y~I!aw ~UQ/\I
--.
I PERlVllT NO. ;)- d-IO I
CPl..... t\1'C orpnnt and SJI'll at bottom)
APDRESS
3"713 ~,llmJ2JQ'J- !lId ~ {J ~
LEGAL PESCRll'"I10N (office use only)
LOT g BLOCK OZ ADPITION \ leffe 1<2,S <... \n1).-Jv\
ZONING (ofJi"'~'e)
PID
OWNER
(Na.mP~1 We.nsmaUD Home.s
~hone) 651-905-3709
(Address) 1895 Plaza Dr
Eagan, 1.1N 55122
APPLICANT
O'~e) Genz-Ryan Plumbing & Heating
"
(AddIds) 14745 So Robert Trl
(Admess)
(Contact Person) ~~~ti ,~AJ\
APPLICANT SIGNATURE _--0~t~
Quantity
;:.)...
-j
I
'J...
I
t
I
7-
(phone) 651-423-1144
Rosemounc. HN
(City)
55068
(Zip Code)
(phone)
651-423-1144
J..lJJoJo~
PATE
APPLICANT PLEASE COMPLETE BELOW
I Type ofF~ture I Quantity
I Bath Tub with or without shower :3 Rough-ins
Dishwasher \ Water Heak'!"
Floor Drai,n e,j.J- Water Softncr
Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
Laundry Tray (l or 2 compartment sink Sewage Ejector
I Shower Stall Bac,ktlow Assembly
Sinks I BackiJow Assembly Test
I Bar Sink Lawn Sprinkler
Water Closet (Toilet) i Other
Type of Fixture
FEE SL..D.J!.J}ULE
Industrial, CommercIal & Mulb.-falmly 1 % of job cost Wlth a $3950 minimum ResidentIal, New One & T\\Io~family $9950
Re:lldenbal. Additions & AJterations $39 50
Esumated Cost $
BuLldmg l'ernJJt "
PLUlvlBlNG PERMIT FEE $
STATE SURCHARGE $
TOTAL PERlVIlT FEE $
PAID WITH
50 BUILDING PERMIT
(Office Use Only)
I This Application Becomes Your Building Permit When Approved
!
I
-J
Building Offi021
"#8- rl nn I Receipt No.
~ L16 I~ III ~~
[ Date-~, I By
Dn" APR 1 1 Z993
24 hour notice for an inspections (952) J;:;7-9850, fax (952) 41742,
/Sy '1
cr
~~
Th.. Cfnln of Ih..l...kr ('OQntl'J'
See Main File
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
White - Buildin!!
f Canary - En~ineerin!!>
Pink - Planning
NAME OF APPLICANT
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~1/~j'k_i'lJi.(1//i Iv
. I
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"./ ~.- '''1.--'-L-~-
APPLICATION RECEIVEQ
-7 ?/ .,?
,~' .- ,~I - (/,,-,;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-;::0 -;? c/:-\ '~7 . ;;J-:.-/, ..' r, /'<.. .' \ i _..-/1::.);' ., /0
~) / ,",-...J ./ 1/{~~{.-f2,,~-{~_/ ~ L':f,,/.<>~ /"'L-,.t>(~?t-~t./_,_L'
/ V cY
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/(=~~t:
Accepted
x.
Accepted With Corrections
Denied
Reviewed By:
/1IJ9-p,
~e.. 1)14'/1 F, 'It',
Date:
3~ LI-03
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
r"White - BUildinv
Canary - Engineering
Pink - Planning
Thf Crnlt< of lhr L.kr <-'ountl")'
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:
3793 -P~/-C/l/).k? ~p -0-1
; t/' d /C../f'
Accepted Accepted With Corrections /
Denied
Reviewed By:
Comments:
~~.JL~
r
"::1.LdJ t..,
Date: . -rJ/,/c;"$
SeaMain 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."
. /~IOR LAKE
INSPECTION RECORD
SITE ADDRESS ~! fOsp3q,w oD6' teA~
NATURE OF WORK -mau ,Ot}
USE OF BUILDING S.J:: ·
PERMIT NO. .:. . 03 -O_a:;70 . DATE ISSUED 1
CONTRACTOR ~ ~".~. PHO .-WIJIJ
NOTE: THIS IS NOT A PERMIT FOR AN'! OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING
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
LUC
- -
fft
fJ//f
,s-- / /'
5 ~2.,~
~ 5,--/7
,'7J(~/a3
~
O!5/o~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I 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.
l'J?
$-~
r;
I-~
~
FOR ALL INSPECTIONS (952) 447-9850