HomeMy WebLinkAboutBuilding Permit 03-0354
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CITY OF PRIOR LAKE
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0Final Permitted [J Conditional e.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 fallowing:
.
Use Classification
SINGLE FAMILY
Bldg. Permit No.
03-0354
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
R!
.
.
Legal Description
L30, B2, JEFFERS SOUTH
>'
ROBERT D. HUTCHINS
Building Otlicial
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SiteAddcess 3957 RASPRERRY RIDGE ROAD NW
1895 PLAZA DRIVE, SUITE 200, EAGAN, MN 55122
DON RYE
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Owner of Buildiol!:
Contractor's Name & Address WENSMANN
City Planfif'r
Date:
Date:
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DATE TillE
SCHEDULED 1-~
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CONTR.
PERMIT NO. (/ ') - 6? "C{
CITY OF PRIOR LAKE
INSPECTION NOTICE
7/( {; 1
ADDRESS
OWNER
PHONE NO.
D FOOTING
D FOUNDATION
D FRAMING
D .-JNSULA TION
.,....r::l FINAL
D SITE INSPECTION
D PLUMBING RI
D MECH Rl
D WATER HOOKUP
D SEWER HOOKUP
D PLUMBING FINAL
1'( MECH FINAL
D EXIGRADlFILLING
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLINE AIR TST
D
COMMENTS:
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WORK SATISFACTORY, PROCEED
CORRECT ACTION AND PROCEED
D CORR"' T W RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector
OwnerlContr:
CA
50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
ADDRESS
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CONTR.
OWNER
PHONE NO.
PERMIT NO.
~. ?BI
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
~UMBING FINAL
o MECH FINAL
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
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o WORK SATISFACTORY, PROCEED
.gI CORRECT ACTION AND PROCEED
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Inspector Owner/Contr:
CA - 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
-~ .
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTJ
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
$-//-3
(Pleasetvneornrintandsignatbottom) See Main File
ADDRESS
t. While
2. Pink
3. Yellow
File
City
Applicant
I PERMIT ~O. OJ -0 35A-1
2PIS7 R~~l'ru
,
LEGAL DESCRIPTION (ofli~e use only)
R;~..p
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ZONING (office use)
R\
LOT3D BLOCK:2 ADDITION .:se~n .so..Jh
PID
I
..:2.5 ~ 3'lS -oLJIf-c>1
OWNER
(Name) LUe~ ~s.
(Address) 1~"''S ~I",~o. b.r-;ve
~-cIe
~
(PhoneG-si)
Mt...\
'-10c,- "''tOO
.::r1\.C.
,
BUILDER
(Name) ~
(Contact Name) --.!1.. \
(Address)
~-A:)Q'"
Ss,:x:;
CL~ ...bcv--e
~ovl
(Phone)
(PhOne)~40 - LlS87
TYPE OF WORK
?ew Construction
DLower Level Finish
DDeck
DPorch
ORe-Roofing
ORe-Siding
o Fireplace
DAddition
DAlteration
Dutility Connection
o Misc.
PROJECTCOST/VALUE (excluding land) $ 90) ood
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 I
authorized agent for the above-mentioned property and that ail 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~'^....""~ l-b~~ ::EN;. 11../5 8 3Wa~
Signature ..... D.:.....^ ~_ _ 9...-_......0 Contractor's License No. Date
I Permit Valuation I )9'.1. dd(J, lJO i I Park Support Fee # I $ l
f Permit Fee I $ , q,:n. 75" I , SAC # I $ l.;t 7' 57 tJtJ I
I Plan Check Fee I $ 600. 'It.{ I I Water Meter Size 5/8"; 1"; I $ d5"' a. c9tJ
I State Surcharge I $ '-IS.Oo , I Pressure Reducer I $ ~~ BtJ
I Penalty I $ - I City SAC and WAC # ~: /Wd. c!Jo
I Plumbing Permit Fee I $ 1"0,00 I Water Tower Fee # 700. .0<$_
I Mechanical Permit Fee I $ 100.00 , I Builder's Deposit I:
I Sewer & Water Permit Fee 1$ .35.50 I I Other
I Gas Fireplace Permit Fee I $ 4(), cJ 0 I I TOTAL DUE I $,SYI#-. to9
This Application Becomes Your Building Permit When Approved I Paid '- ')~ ;:J t'./ t;:, q I ReceiPt No. il O:y/
~ ~ S/~"~3 I Date :.:<- ~ I--?-,' Bv ~./
-
Building Official 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 I
when signed by the City Planner constitut,ts..a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~s~~
" Planning Director
?(~/O":l
~te Special Conditions, if any
24 hour notice for aU inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Ptior Lake, MN 55372
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Tilt ('f'nler "r Ihe t.kr ('ounlry
White - Building
Canary . Enqineering
~____ - Plannfii'[)
NAME OF APPLICANT
APPLICATION RECEIVED _
/
eUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I
,
.
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
~~
~f~ Date:
S /.;20~3
Comments:
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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."
~~
~te - Buildinv
Canary - I:ngmeering
Pink - Planning
Thr (roltr of thr L.kt ('OUdln'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
'-'
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NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ,
895"7 1?/14IJ hOA/UA Ad~2
,r 0" 0
Accepted Accepted With Corrections /'
Denied
~7'~
Date: sf.;;- k /0.$
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."
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~~t.. - Building
( A ary - Enalnp.erind')
Pink - Planning
Th.. ("t'nlt'r or lht' I..kt (.'ounl,.,.
B..UlLDING PERMIT APPLICATION D.E.eARTMli.NT CHECKLlSr
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:
."'. ,/'...../ fl.
'/5'" / j"T ,'l", ,/)/)41k'! I
Accepted
0<....,
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Accepted With Corrections
Denied
Reviewed By:
~
!Ju (J1c,'-" (;'1(',
Date:
3 -I!-o:~
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."
1,lari:. :003 i::33P~1
GEN2 RVAN PLUMBiNG AND HEATING
No 60 i 5 P 2 5
..J~~
'I;,'.:';~~,i ~/N1\l'ESO't
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
KaC;j::Jberf7A f?d07C? eel
I } ,/
LEGAL DESCRIPTION (o1lice"",oDly) . ~ ~, n
LO~LOCK t< ADDITION ,,-) e I /v<::' So U7h
(Ple.u~ type orpnne and ~ism arbonom)
ADDRESS .
. -qC}S/}
i ~::.. ~;;;. I PE.RMIT NO. 3- -:2 CtJ
l Geld AppliQ,Dt ] J '
I
ZONlNG (0/11",,,,.]
PID
OWNER
GNwne) Wensmann Homes
(phone) 651-905-3709
f.a.fvm, MN 55122
(C;ty) (Zip Code)
(Address) 1895 Plaza Dr Ste 200
(Addres.)
APPLICANT
~ame) Genz-Rvan Plumbinq & Heatine
(Phone) 651-423-1144
(Addr~ss) 1.4745 So Robert Trl 'Rf'l~p,rrounr:. ~'l\J
~dr"") . (City)
(Contact Person) _ J~ eJr1:;{ . _ 1. . /j (phone) f,') 1-L.2,-11 /,4.
T-ICANTSIGNATURi/~tJ..m(111il]lA./: DATE '- ==j/ J2J/(]~_..
. 1
'i'iOnA
(Zip Code)
APPLICANT 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 sewer line feet.
'Clean out (if required) located at _ feet from structure.
feet.
o Cast Iron
ReSIdentIal sewer and water line, connecnon
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'] & Multi-famIly 1% of Job cost Wlth a $3950 mmunum
$1750 Water connection only $17.50
Estimated Cost $
.
BUIlding Pennit #
SEViER AND WATER PERJv1IT FEE
STATE SURCB1\RGE
TOTAL PERMIT FEE
$
$
$
.50
8(J'L~1~~ ~
P~FiM,.,.
(Offic.~ U~e Onl)')
Building Ofikial
I Paid
rDl~~. 17 (G- ~ :1 ~ L~
Date
2.1 QOur' nocice fo(' lllllnspee:don!f (952) 447- d . MA~21417lQg~
Receipt No.
This Application Becomes Your Building Permit When Approved
1\ IIBY am
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By
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":"",; ::.'JtNe,SO"t
:\':~S~C~.,;) ,
May. 6. :003 1:08PM
GENZ RVAN PLUMBING AND HEATING
flaml
p. 8 9
Date Rec'd
CITY 'OF PRIOR LAKE PLUl\1J3ING PERMIT
(Please ~e or prinC and. S:l.e;n at bottom)
I ADDRESS
JqPi1- ~pJ?aV24t- 'YZtdtiu V2d.
LEGAL DESClUPnON (officc u,e 0*)
LOT ~ BLOCK;;2. ADDITION J-e.~(.JE>_~ ~/")
OWNER
(Name) Wensmann Homes
. (Address) 1895Pla~a Dr
APPLICANT
(Name) Genz-Ryan Plumbing & Heating
(Address) 14745 So Robert Trl
(AddIess)
(Conractpcrson) ~ fQ-{~il ttv{L~
~J\~~
I Blu. .F-.le I PE'DU'TT NO
,."",. c,.,. n.m.... -3 35\ 1
.) Y~ll)W AppliQl\\ -,
ZONING (offi""l<c)
PID
(Phone) 651-905-3709
Eagan, MN 55122
(phone) 651-423-1144
Rosemount, MN
(City)
55068
(Zip Code)
APPLlCANT SIGNATURE
Quantity
~
i
I
?,
I
I
,
~
(Phone)
651-423-1144
. DATE
6-w-fP)
APPLICA1"1T PLEASE COMPLETE BELOW
Type of Future
Eath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
LaLllldry Tray (l or 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
Water Closet (Toilet)
Quantity
?
I
Q.-'L
I
I Type of Fixture
Rough-ins
I Water Heater
Water Sofmer
Stand Pipe (WashiJJg Machine)
Sewage Ejector
Backilow Assembly
Backflow Assembly Test
L::rwn Sprinkler
. Other
FEE SCHEDULE
Industnal, Commemal & Multl-faollly 1 % of Job cost wIth a $3950 minimum ResIdential, New One & Two-Farmly $9950
Reddential, Additions & Alterations $39 50
(om<< u.. Only)
EstlJIlllted Cost $
Building Pennlt #
50
I!JlJll.bAJD W,,,, .
~^'G ~ .,..,
'I2~M"r
PLUMJ3ING PERMlT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
I T'...:~::::~m. y."".",;""..:~~ APP~"iF~:~~ l~;R~W'~N' (~
24 hour notice for all inspectIons (952) 447-98 ;0, fu (952) 447-4245 I
By
May. 6.
€0?l~\
,:~, '" ,~.',~'A>"eso~'"
~\;~:%~t~.,~':, '
2003
I : 08PM
GEN2 RVAN PLUMBING AND HEATING
No.2291
p. 9 9
, CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Dat~ Rec'd
1 ~Jlk
'-....,
l. Y~lnw
S-,- [ PERMIT NO. 3' 3s ~(
(Plea.se rvne or 'Ortnt and sUm at bottom)
ADDRESS
?A61 J2r)Jp f;x.j2)e~C
. LEGAL DESCRIPTION (office u," only)
LOT'7D BLOCK eX ADJJITION J effell, ~
~ J2J.
ZONmG (offi",,,.j
PID
OWNER
(Name) '(Jpne:m~n.o.....H.aJp~C'
(phon~ 65' Qn,_o,7no
Ea.gan, MN 55122
IAddress) 1895 Plaza. Dr Ste 200
. APPLICANT
(Name)--.J:i.e..nz.=.Rv~n P1~lmni,.,CT &. Hp.qr'iry~
IAddress) 14745 Sa Rohel:t TrJ.
. (Addr.,,)
(ComactPerson) _()v) ~{s;,ti +n Hi
. APPl-lCANT SlGNATU~ (1) ~ fjJ;tJ '-fr; PI/)
(phone) ';,1 _L.? 0._' HI.
Rosemount, MN
(City)
55068
(Zip Codo)
(phone) ,;", _A ,,_ 11 L.L.
DATE
1)/'{fJ-() ~
. APPLICAt",T PLEASE COlVIPLErE BELOW
'. ~WCONSTRUCTION. q REPLACEMENT 0 ALTERATIONS
FURNACE M~...NJJ MODEL J e fI) VI QY tqYJ2UH - 3l/Jf9 -i:f) FUEL fll:l1l-h frS
FLUE SIZE RET1JRN OPENINGS - iJ' IN.PUT 24/)J17J OUTPUT ~ wD
TYPE OF SYSTEM HEATING OR POWER PLANT
o Steam
o Hat Watc:r
o Radiation
o Special DeVIces
o Other Dcvices
lJiWarm Air Plants
OCravlt)'
,,--Q..Mcchan1cal
~~ir Conditionmg
OVen!. System
PL.EASE NOTE:
Air Conditioner Units
Cannot Encroach into
Requir<<l Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
IndustrlaJ, C'.ommefClaJ & Multi,FOJJuly
FEE SCHEDULE
1% of job COS[ Resldcnnal, Gas Firqllacc
$3950 mm;murn .
S99.50 Residential, Additions & Altenlliorul
$64..50 Resid<lllial, AC Only
$39 50
Re.-:ldenusl, HeS1ting & Ale (New Construction)
Re<idential, Heating Only (New ConstrUction)
$3950
$3950
Estimated COSl $
Butlding Pennll #
HEATING PERIv.aT FEE
STATE S'{.JRCHARGE
TOTAL PER1\iIT FEE
$
$
$
.50
PAID WITH
BUILDING PERMIT
1'''- 'Use QDly)
. - '-,. Application Becomes Your Building Permit When Approved tcn- a:u Q \fl a:. 1 Reccipt No.
..~.- ~. If'"" - s.ll10' ~ '" .
24 hour notice for.lI inspettions (952) 447-. 850, fux (952) 447-4245
By
cp/
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT~e Main File
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. ~_DATJ~ IjSUED
CONTRACTOR ~ PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTION
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING
, 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
tJ.,,/
{If( t(.r-.oj
./
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-1'17 q -5-::;
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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0-Y
6-?,
S--.:27
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GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
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