HomeMy WebLinkAboutBuilding Permit #03-0025
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CITY OF PRIOR LAKE BUILDING PERMI , Thtte1<.ec ~
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE //, ZS ~O2.....
AND UTILITY CONNECTION PERMIT t'
Oc~"'rod,)
PERMIT NO..J'pJ ~I
(Please type or print and sign at bottom)
ADDRESS
~ 37\;2..
f7:>~ .,~\
1f~l
'f.J . W
I. White File
2. Pink City
3. Yellow Applicant
LEGAL DESCRIPTION (office use only)
LOT ..., BLOCK ~ ADDITION W ~rotv'o.M .2rJ
OWNER
(Name) ~..~~ Hol/W:)~ I'^-L
ZONING (office use)
13-2-
PID.25 - 385 - 04'--0
(PhOne)( <-Sl\ 4~ - Lj'f6(j
E-~ 1Y\~ .sSI..2..:2
u
(Address) l~~.'S P\~o. ~.!~ ~~k
BUILDER
(Name) ~ ~
(Contact Name) Po....1
(Address)
o..~
~~
TYPE OF WORK
~ew Construction
OLower Level Finish
DDeck
o Misc.
...2CO
(Phone)
(Phone( <1."\~ 4!::JCJ - 4~ 7
o Porch
ORe-Roofing
o Fireplace OAddition OAlteration
PROJECTCOST/VALUE (excluding land) $ cas fcO
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 to perform needed inspections.
l-\o~ ~ l4~
Signature ~ Ch...J Q ~
\ .
-95 tJ,,('), {)O I
- '1st. ?5 I
(0 Z~.19 I
~l, stJ I
I
I
x w.e\r\S~N\
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
$
$
$
$
$
$
$
$
IOf) .()()
100, OcJ
3'5",5"0
~, Ot:)
This Application Becomes Your Building Permit When Approved
~ ~~!-J
Building Official
/.),/shz-
Date
$
l:l)).~~ $
$
$
$
$
$
$
$~H. .pt- ,
'~"'~'!1' '1
Receipt No. L..tLJ/)<~
By (J'.. ' 7-. I
l4Sg
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Siz~; 1";'
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
#
II lx/a.<
Date
X>>5::J,(J()
.L~ 3.,"""
Z.SO,OO
LIS, 0 C)
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700, Of)
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
~7/~
Planning Director
I~~ a--
I Paid \li ~ d (j..4" Cf4
I Date . 4 -'7 -// '~
~
?T1~
~
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (95i) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
L~MArN Flu,;
The Ct'nler of the Lab {'ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
\\ E- r~ : ~..I f\ N (\J r'- ( \' I C_~
I .-) L-:-. - ( -;
L.. J '.
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'-._..' I L r- / X -Tt\ I L- '--Tl<~,/\ i L -
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~~ .'~ tj~
~ /1?a.-.)
,
Date: I.2/. cr h ~
( - r
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."
S't-t ~i t:J l=ILs
J
The ('tRier of .he L.kt {'ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WBNSMA NN ro~rbS
J 1- 2'0-07 .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3il? Fox I At L- TRAlL
Accepted
/"
Accepted With Corrections
Denied
Reviewed By: ~ -7~f-J
~~~
Date:
I~/'/'ft~
( ..
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."
~ Set; JVtA..; N fl LE
Thr ern I.. of lhr I..k< ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W 81\J s.~'l AN i'\J t-O~I€,S
1_~_2~ - 07
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is.prop.osed at:
3/17 Fox I AI ~ 11<1-\ It
Accepted
x
Accepted With Corrections
Denied
Revi"ewed By: Date: -.l:2- 3 -02.
Comments: SC~ 1Ik/~ hIt'
f\l'I _.
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."
Dec. 2. 2002 5:37PM
GENZ RVAN PLUMBING AND HEATING
No.6167 p. 4/5
Date R~c' d
LIT): OF PRIOR LAKE
SEWER AND W AI)!..K PERl\iu.1
(Please tvcc D.J" lJmJ.C and ~ at bottom)
ADDmS 3 /}I b<
0-3-0D;;).S-
~ ~~. I PERMIT NO. Jt · 6~. '
). GoI~ Appll_ I
I
LEGAL DESCR.IPTION (office use oDly)
LOT 1 "SLOCX.::< ADOmON
-Fix LiL'.P I YlLt.f
IiJliLfIrNuu-~ PlD
. ZONING (otIice U$f)
OWNER
(Name) Wensmann Homes
(Phone) 651-905-3709
(Address) 1895 Plaza Dr St:e 200
(Address)
Eagan, MN 55122
(City) (Zip Code)
APPLICANT
(Name) Genz-R'Van Plumbing & Heating
(Address) 14745 So RohErL. Trl
. . (A~~
(Contact Person) -: / am~ IYl
T~ICANT SIGNATI.T.RE ~~_
(phone) 651-423-1144
~unt.. ~'N
(City)
55068
(Zip Code)
651-423"-1144
Id~-7)d-
.. ~
APPLICANT PLEASE COMP.....ETE 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) 1.ocated ,at fe'et from structure.
Res1dentiaJ sewer and water line connect1OD
Sewer connection only
FEE S,,-J:U!.,DULE
$35.50 Industrial, Com'l & Multi-family
$17.50 Water connection only
1 % of jdb, cost with a $39.50 minimum
$17.50 '.:
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
--
This ApplicatioD Be~om~ Your Building Penu~ When Approved
(Otlkc '(J,e Only)
Paid
Receipt No-
~:<~~
j'1"'0" BlIildlJJg Official
Date - lJEr .~. .. \ , By
()a~
'1
Date
24 hour nottce for all in.spedAoDI (952) 447.9SS0, fax (952) 447-41.45
. J II n. 2. 2 0 0 3 I 2 : 0 4 PM"""'G E N Z R V A N PLUMBING AND HE A TIN G."~L'(."j".",.....,::,.)".,,>. -, ". No. 5 6 77" ""P. 5 3 6 ,~..~",...}".~,..
'..
CITY OF PRIOR LAKE PLUMBING PERlVJ1.l
Date Rec'd
l Illue 1',1. PERMIT NO =3
2. Gold City _. . . __ '1 r'"
3. Vella", Applleanl _ C7' J
(J'1a:JC [ypc: ox-pr.i1).t and s>>tn at bottom)
ADDRESS ,.
37',- fnx. TaA. t .-ml,
ZONING (otlic:usc)
LEGAL DESCRIPTION (o.ffice use oDly)
LOT 1s BLOC!< ~ ADDmON \NU1 (~7V1LIA Jill lit 14wl
PID
OWNER
~ame) Wensmann Homes
(phone) 651-905-3709
(Address) 1895 Plaza Dr
APPUCANT
(Name) Genz-Ryan Plumbing & Heating
(AddIess) 14745 So Robert Trl
(Address)
(Contact Penon) ~ h1 }~}S 11 fNA (
_APPLlCANr SIGNATURE "-'-'"~t0t0 ~ ~
'.~:, .:"~\ ';'
\':~01-"
Quantity
~
I
I
1../
I
J
J
" ?
Eagan, MN 55122
(phone) 651-423-1144
Rosemount, MN
(City)
55068
(Zjp Code)
(phone) 6.'51-423-1144
DATE fb-1::--0~
APPUCANT PLEASE COMPLETE BELOW
J TypeofFbrture
I Bath Tub with. or without shower
I Dishwasher
I Floor Drain
1 Lavatory (Bathroom Sink)
, Laundry Tray (l or 2 compartment sink
Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
Quantity
?
I Type of Fixture
I ROligh-inS
I Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
La.wn Sprinkler
Other "
-
I
/l.-::r.
I
FEE SCHEDULE
Jndustnal. CommerCIal & Multi-famtly 1 % of job cost WIth 3. $39.50 minimum. Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $3950
(Offic:~ Use Only)
Estunated Cost $
Building PermIt #
PAID WIn.,
BUILDING PERMIT
PLU1vffilNG PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
This Application Become., Your Building Permit When Approved
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BuildingOflici:lI
_...Em o_
r- _M-, - . i "'l
r~~ l~~ L~ ~j 'LJ ~
Date l{
JUI~ b 4 L003
24 hour notice for all inspections (95.2) 447-: , f:IX (952) 447-424.5
. . Receipt No
lay ~
j ,-
By
,. "',,::..;,. cJ un, 2, 2 0 0 3"1 2 : 0 4 PM' ".q"G E N Z R V A N P L U M BIN G AND H EAT I N G'- '" -~ ....,.. ',-,,' . No, 5 6 77'" P. 6. 3
" CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/.tflKEPLACE PERL\fiT
Date Rec'd
(Please type Qr Mint and sin!. at b....~,..)
ADDRESS
37/~ fnx fadO!)2j ,
I
I. Pink ii\e
1. Gtao ClI.1 . PERl\1IT NOoQ .- '1 ~
1 Yellcw AppliCllll J c::?"J
ZONlNG (ofiiceuse) i
LEGAL DESCRIPTION (office use only)
LOT ::( BLOCK;? ADDITION /A km mCU1n ;?(~
Pro
OWNER
(Name) Wpns;m;:>",., "J.:/...."".. '"
(phone) ,:; c:, _an <:_ ":t 7f\Q
(Address) 1895 Plaza Dr See 200
Eagan. MN
55122
APPLICANT
(Name) G'lJJ,.;>.-R:VA.n Pltlmn1n~ for "J.:/..::>t-1"'g
(Address) 14745 So Robert Trl
(AdD.rcl!) .
(Contact Person) _CJ1 JOssh' fa 1U
APPI.1CANT S1GNA~ ()j A..J.~ -:fa 1. ~.
(phone) "" 1 -4 ? -:l,- 1 1 6.0.
Rosemount, HN
(City)
55068
(Zip Code)
(phon~)
DATE
,; c; 1 -{\? ~_1 1 M'
td- 0;:5
1,'- .,.
APPLICANT PLEASE COM:PLETE BELOW
~w CONSTRUCTION 0 REPLACEMENT 0 AL1ERATIONS
FURNACE MAXE AND MODEL .i.RYJ I'11tL r!iifP 1:f! - ,~.fJ --'10. FUEL 11M ~ P1t!L1
FLUE SIZE . RETIJRN OPENINGS INPUT o/&/llJf}) OU1PUT~, aJ)
TYPE OF SYSTEM HEATING OR POWER PLANT
~ann Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical 0 Radiation
9ir Conditioning 0 Special Devic~
OVcut. System 0 Other Devices
PLEASE NOTE;
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
.J~(i}
FIREPLACE MAKE AND MODEL
FEE S,-,.I:I..I!J)ULE
Indu~trial, Commercial &: Multi-Family 1% of Job cost Residential, Gas Fireplace
139 .so minimum
ResIdential, Heating & Ale (New Construction) $99.50 ResIdential, Additions & Alterations
Residential, Heating Only (New ConstrUction) $64.50 Residential, AC Only
$39.50
Estimated Cost oS Building Pennit #_
$39.50
PAJ09~ .
BUILDING 7tH
PERMI,
HEAT.ThrG PERMIT FEE
STATE SURCHARGE
TOTAL PERl\fiT FEE
Building Official
Dan:
$
$ .50
$
~fI n; U.- I~; 1"1. r;;\ I
U -=Paid _2' L = , i I
. :I
I ~ U 11653 j
'- - ---'
Receipt No.
(~{;;,.: Use Only)
t' . .
:;:/".;.i~ Application Becomes Your Building Permit When Approved
24 hour notice f(lr :dl' inspect1on~ (952) '" ~~R,)A, fu (~~': .tot?-""l J~ ..~
By r/
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 37'~ ~JC T~c.. ~;L N.W.
NATURE OF WORK _ ~EW Cbr-.)'t"u.c.Tio~
USE OF BUILDING tDJOJ.~u $tF.~. -
PERMIT NO. D?J/ _ DATE ISSUED ~
CONTRACTOR ~S~N ~t..)C. PHONEm- "I/d-I/CS7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~Sfc MAirJ Fi'LB
DEPARTMENT 0
BUILDING AND INSPECTION
INSPECTOR
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
~ HEATING (if required)
FIREPLACE
~
GAS LINE AIR TEST M~ .f:P ;.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
, FOOTING
FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
. ~,R - ~
JIVY/
r:, / It; -tJ3
~
0/
& /17 ~
C- .),.C; -1J)
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING II~ /- /a-
HEATING Ifl/) -). ?
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.
{~
1-2s~d1
'\
FOR ALL INSPECTIONS (952) 447-9850
<tIerfifirafe of @rtupanrl!
CITY OF PRIOR LAKE
~tparfmtnf of ~uil~ing Jf nspttfion
~inal Permitted 0 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 following:
Occupancy Type
R3
. Type Construction
VN
Fire Zone
Bldg. Permit No._
N/A
Zoning District
02-1564
R2
Use Classification
SINGLE FAMILY
Legal Description
L7, B2, WENSMANN SECOND ADDITION
Owner of Building _
Site Address
3712 FOX TAIL TRAIL N.W.
Contractor's Name & Address WENSMANN HOMES, 1895 PLAZA DR., SUITE 200, EAGAN 55122
ROBERT D, HUTCHINS City Planner_ DON RYE
Building Official,' /
't.
Date:
Date:
~.
...-J
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED l - '"2. ! -()C( .J : J 0_
ADDRESS -.J '1 \ '2... ~a><
+~~ '\'r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
03 - 00'2 c;-
o FOOTING
o FOUNDATION
o FRAMING
Q}NSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
"k::. ~ ("\~ ~ .n La
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
D CORRECT nRl<~ FOR REINSPECTION BEFORE COVERING
Inspector: (\ I \ Owner/Contr:
CALL, 14J~98:0 FO~HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R'::O~NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
~..__._- UtSNon