HomeMy WebLinkAboutBuilding Permit 04-0782
(Please tuH:. or Print and sip at bottom)
ADDRESS
/ <!I '1 '1'
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT ~ ' :;2-tj
See Main FilEt ~:;Ii""' I PERMIT NO'04, {)7;3zl..
falA Nw
LEGAL DESCRIPTION (ollice use only)
LOT ItJBLOCK ;;... ADDITION tJt'NJ"/7J<vv/V
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OWNER
(Name)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address) / i' 9 <"
(Phone)
J.j 6/n p..r
{,.JfNJ/'J'J q/V/V
&Ic:::t.,-.V
//o:z '^
(Phone)
(Phone)
/JJ /1/
LJr CtA 9t:i.N
v
ZORi1ceusel
PID..2.r- '11J'- &.57-tJ
/.. ~/- ..,.,,, ~ - .y~O P
t, I ;I..-3~ 9- 7t. /.2-
5J/.2. .2-
TYPE OF WORK ~w Construction ODeck DPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration DUtiliry Connection D Misc.
CODE: Dr.R.C. DlSr.B.C.
Type of Constructio,l:""
Ocwpancy Group: A B
Division:
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
I
E
mIV(j).A..~
H..k,M{B./SU
2 (V 4 S
IT
F
I
I $
IIM,oo
ID O. 00
.1<;: G;tJ
LItJ ' Of:)
~;::o~:cum;i:zmgp~i:enz~ved
Building Otlicial ' Dat~
PROJECT COST IV ALUE $
(excluding land)
o<J
//0. ODd
,
I Park Support Fee
I SAC
I WaterMetera;;5/8'~I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUE
I Paid
I Date
~
~71z... 7)1 .
f'-//1,-rH
. /
#
$
$ 13$"".,DO
$ .l2r;o. 00
$ ~S'.ao
$ (2.00,OD
$ 7oo,f) 0
$ -
$
$6: 7/2.78
I hL'I"eby 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 aU construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
;"'! con rev:d:;it fn, jn" c'"")2' :e: ogree thot the city nffici,! 0<, de,ignee may ente, npon the ptopeny to perionn 7_;;n~. 0 y
<< ~iKnapfre ____--- Contractor's License No. Date
if I,
I ~IIO. 000, Ot) I
$ Ili3.i;;lJ I
$ .,~~, "1L-
$ .. .
~ 01::l
$
$
$
$
#
#
#
,
I HceiPt No. 4-7rtr
T fll, . .
U
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 -
~:':: c; P!'nn~mpor", Certificot' oZ{ ::': ,nd ol!ow' co",tructs comm~n" Before OCCUP:CY,' ccnificot:Ufoeccupancy must be
Planning Director V 41: Dale
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Aveoue Prior Lake. MN 55372
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See M. pOl White -Building
atn 1 e Canary - Engineering
~I~~ - t'lanm"!t'-,
T~~ (.~n't'r of lh~ I...... Coun'l'J
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BUILDING PERMIT APPUc:Atll1N hEPARTMENT CHECKUSI
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
i;lpplication for construction activity which i$ proposed at:
1'1/17- jl/))~d!J I <'2t.
Accepted
Denied
~
Accepted With Corrections
Reviewed By:
~J~~_ M0
Date:
~h..,Ioc/
, ,
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
t1Yhit~ - Buil<!l!ltt>
Canary - i::nglneering
Pink - Planning
Tht ("nln of lht t..h ('ounll'}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(Ib/J.f/UJI~ ~
L6"- ~-o 4
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which i~ proposed at:
/4/q9- wA1ctJ p~
/'
Accepted
Accepted With Corrections
Denied
Reviewed By:
~
~
,::/~L.
Date: jp /2..'il;:; ~
, .
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."
Tht' (.t'nlt'T nf lht' t~kt' ('Ollnlr)'
See Main File
White - Bulldlnj!
~, - Enqlneerl!!lJol
"'Piinr' - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
I .'
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( A /!;?14,::}..rJl d/l,{.;1L
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'I. fo'; fA.;" b/,~,
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APPLICATION RECEIVED ~ /;. 0"' r.; q
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which i~ proposed at:
. , I) ......r~o.
t. r<'fl- " ~ i /"" ~ ,_. ,i
.. " ,- r . .'.' , ,. t._... "..1
. I I / I ( L,<./ l..;( cl:...) I ,>..C ../
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
Comments:
m1B
S~(' /1lc,,'vI
Date: .
B ,- 9-0'1
Pr'/{' .
"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."
JUN. 29. 2004 8: 54AM
GENZ RYAN SERVICE
NO. 644
P. 11
Date Ree'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
:: ~~; I PERMIT NO.O.L 07a..., I
3. Geld ^,,11lU1 -r . CJ L.-+
f!'lea.l" \ll!.! o",riDt md Jim at b_ml
ADDi41qq 'wi It1J 1afn V1vv
ZONING (olli" IIR)
LEGAL DESCRll'TION (Om"" WI! only)
LOT 10 BLOCK t. ADDmON W~mA 1'1 Y\ 1{-ft1
PIP
OWNER
~~) Wensmann Homes
(phone) 651-905-3709
(Address) 1895 Plaza Dr Ste 200
rAddle")
Ea~an. MN
(cItY">
55122
(%10 Code)
APPLICANT
~ame) Ge1'l.~-RvBn Plumbin2 & Heatinq
(phone) ~!.-42.l-H44
(Acld:re!s) 1!t.745 S\1 Rober. T~' lloRBmounr" "lO' 'i'iQ61l.
~III (AddtOII) - . (Cily) (Zip Codo)
(Contact Person) - VYl~&'tlr'.-a ~ ~ A. _ (phone) 6'i1-42'H1""':121...
. '_ICANTSIGNATU~ ....(.~~_ DATE _l! ".~._(J..
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 ---'..:.:.... reet from structure.
FEE SCHEDULE
Residential sewer and water line connection $35.50 InduSlria~ Com'I" Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $11.50
Eatimated Cost S
Building Pennit /I
SEWER AND WATER. PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
rAID WillI
BUilDING
~i!..~~ ~ ill ~..~
Dlte ~~"teAUG 1.1 (004 ~
2. hour nollulor an i..peetlo.. (952) 447-~ 850, tax (952) 4474245
By
$
$
S
~n
(om.. Us< O.I~)
I This Application BecODleJ Your Buildlngl'ormit When Approved
D.ilollo. ODi~.1
8:56AM
GENZ RYAN SERVICE,
NO. 644
P. 21
Date Rec:'d
CITY OF PRIOR LAKE PLUMBING PERMIT
~~t ~i"" r PERMIT NO. 0+ .07 8zj.
lfIeucS!E! orurinl..d Ii." ..bottom)
ADDRllSS . ZONING (Omo.UIC)
14(t{Cf' WI tas pa-rn VlV\J
LEGAL DESCRIPTION (oJBc:o we only)
LOT 10 BLOCK 1. ADDmON W .ens~Y1h 4th
OWNER
(Name) Wensmann Romes
(Add!ess) 1895 Plaza Dr
APPI1CANT
(Name) Ganz-Ryan Plumbing & Heating
(Address) 14745 So Robert Trl
(Address)
(Contact Person) J'b1ti~+; f&< /Is
PID
. (Phone) 651-905-3709
Eagan. MN 55122
(phone) 651.-423-1144
Rosemounc. MN
(Cily)
55068
(Zip Code)
APPLICANT SIGNATURE
(Phone) 6.'_A?~_11J.A.
D-::lJ .;; If ,n<i
~\
APPLICANT PLEASE COMPLETE BELOW
I Quantity
: ~
I J
I
I
I
I
,-- ,'*l
I Type of Fixture
I Bath Tub with or without shower
I Dishwasher
I Floor Drain
1 Lavatory (Bathroom Sink)
, Laundry Tray (1 or 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
'"
I
I
I
I
I
I
I
I
I
I
Quantity I Type of Fixture
I Rough-ins
I I Water Heater
TZ:1':' I Water Softner
, I Stand Pipe (Washing Machine)
I Sewa~e Ejeotor
I Bacldlow Assembly
I BaclcfIow Assembly Test
,. I Lawn SDrinkler
i Other
FEES\...\Ui.VuLE
Industrial, Commercial & Multi-family 1 % of job co.t with a $39.50 minimum Residential. New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Coat $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.5~AJDWI1H
'3rJI.DWG PERMIT
(Om,eIJ.. 0117)
! 1.:hisApplicationDecomesYourBUiIdlngPennilWhenApproved ~ft(f~ a Ill" lli ~I Receipt No.
, ~ ..
I . I ~~e~ c . By
Bulldll.Omdal Dlte l...8llJi.l..L2 . _
24 hour lotIee tor III insp.etiou (952) '7-9850, fax (.952) 447-4245 J
. . IBy
8:57AM GENZ RYAN SERVICE, NO. 644
CITY OF PRIOR LAKE
HEATING/AIR CONDmONINGIFIREPLACE PERMIT
P. 31
Date Ree'd
Q'leue tY,2e ..1lrim aad.", at bottom)
ADD~~S
l:i/tf~ ~ f~tn () W
t=. ~~ I PERMIT NO. AA_ /2,,,1
'. v.... AfoJ"'" r V"'T". 07 v~
ZONING (.m.....)
LBGAL DESCRIPTION (olllea UII oaly)
LOT I D BLOCI<2 ADDITION Yv t)IJ/Ylah Y)
Lfrh
PID
OWNER
(Name) .JilallaIosnn 1'I'JI"u
(Phone)
Eagan, MN
t.~'_on~_"::!.7(\a
(Address) 1895 Plua Dr Ste 200
55122
APPLICANT
(Name)~.,-ll,v..n .lJJIIl(l>1pg: & H.a.tj,,~
(Address) 14745 So Robert :I:rl
(Contact Person) 1.n rzi~ +1~ Ilf
(Phone) ~!.?_ t 1 Ill'
Rosemount. MN 55068
(Cill') (ZIp Code)
-. (Phon~~"-r;l~ liel
APPLlCANT SIGNATURE
-
APPLICANT PLEASE COMPLETE BELOW
, ~W CONSTRUCTION OIP.If~ . D ALTBRATIONS
PURNACEMAKBANb'MODEL J enfJ'D.X /;}/lVU.t1 ' 'JY"'l1v FUBL i1df1tl<L
FLUE SIZE RETURN OPENINGS <! INPUT~ OUTPUT
iB OF SYSTEM HEATING OR POWER PLANT
Warm Air Planl.l 0 Sllllm PLEASE NOTE.
Grayity 0 Hol Water Air Conditioner Units
~chlnie'l , 0 Radialioo Cannotlllmoao:h into
, Ai, Conditioning 0 Special nevicce Roquired Side Yard
. l!IIl. Sy.tem 0 Other Deyio.. Setbacks
FIREPLACE MAKE AND MODEL
FEE S"'DJW.JLE '
Induslrial. Commercial &: Multi-PlIIlily' 1% of job cost Rc.idential, Gu Flrepl...
$39.50 minimum
Ro.id.~tiaJ, Heating &: AIC (New COllJlNetion) $99,SO Realdontial, Additions &: Alteration.
Rosidential, Hcatinl Only (Nelli Construetio.) $64.S0 Resldentlal, AC Only
$39.'0
m.so
$39.'0
Estimatod COS! $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
FAIDWJTH
.9UII.DING rl:nllllT
I('~.' U.. Only)
...... Application Becomet Your Bundlng Permit When Approved I~ [!'~ It 0 \fJ It 1
BoUdlnr Offiolal Dalo Jl] I rtTG 11 2004 J By
24110ur notice tor allln.p.elions (951). 17-9850, fa. ~51) 447424S
, By
RecctptNo.
PRIOR LAKE
INSPECTION RECORD
ttJ i/ds Per. 't: h
DEPARTMENT oSee Main File
BUILDING AND INSPECflo'f;;l
SITE ADDRESS -'#1'1.9,
NATURE OF WORK ~t!AJ.J
USE OF BUILDIN!3. -6 F Jlf
PERMIT NO. 0"- 782- DATE ISSUED
CONTRACTOR PHON~/~- a~9.. ?I"I;L
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTIN~
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER / WATER / SEPTIC
FRAMING
INSULATION
ELECTRICAL, ..9'
PLUMBING 1/ tc,&$}~
HEATING (If reqUlr~
FIREPLACE
GAS LINE AIR TEST r? I $,k-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
\)\JNALS
w/C!.,.
G1/'-7
N.
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,
JI-ItP4
II irz.-/o<l ~. 1(/(5 {,1
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II-/~ .4"n ~ \\lrz~r{
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
,e....
(jb
f)/J
-~
/-;).y- 0'
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 approved. On buildings and additions
where no service cabinet Is available. card shall be placed near main entrance.
I-"I-~
/.2Y:-clJ'
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850
QLnfifiraft of Q1}uupanql
CITY OF PRIOR LAKE
~rpadtutttf of ~uilMug Jfusp~diou
.~ Final Permitted
D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the D Residential! D International
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:
SINGLE FAMILY 04-0782
Use Classification Bldg. Permit No.
R3 VN R4
Occupancy Type
Type ConstructioJ1
LI0, B2, WENSMANN 4TH
Zoning District
Legal Description
Owner of Building
WENSMANN H~'
Contractor's Name & Address
ROBERT D. HUTCHINS 1:1/;
J _ 2'1- BupgOfficial V '/
Date: ()47
Site Address
1895 PLAZA DRIVE, EAGAN, MINNESOTA
JANE KANSIER
14199 WILDS PATH N.W.
55122
City Planner
Date:
-;. :t:.'.;,. .' ~'."i'(~", ~.'J:.,,~;.i'i.,....; I """." :II"":':''":'"'~';;'''''_:''''''; .;&::~:'._~j",:"c ";";''<<'';'>'.. '.-,
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iiiiiiii':
ADDRESS
Jt//99
DATE TIME
/_dt.j-~
1 .
/IJd&~ jJ
SCHEDULED
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
lJ FOOTING
lJ FOUNDATION
lJ FRAMING
lJ INSULATION
.! FINAL
lJ SITE INSPECTION
lJ PLUMBING RI
a MECH RI
a WATER HOOKUP
lJ SEWER HOOKUP
lJ PLUMBING FINAL
~MECH FINAL
lJ EXlGRADIFILUNG
lJ COMPLAINT
lJ FIREPLACE RI
lJ FIREPLACE FINAL
lJ GASLlNE AIR TST
lJ
COMMENTS:
~KSATISFACTORY. PROCEED
lJ CORRECT ACTION AND PROCEED
lJ CORRECT ~K. CALL FOR REINSPECTION BEFORE COVERING
Inspector. (dJ4) Owner/Contr.
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS AJ/E FOR YOUR PERSONAL HEALTH ol SltFETYI
-,
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
l'il.'t'r
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
(~QcU~ ~
0{
SCHEDULED
u ) t' {"t.c;
rMJt
""-
LL- "'~L
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
. 0 ~RK SATISFACTORY, PROCEED
XCORRE A ION AND PROCEED
o CORRE , . CALL FOR REINSPECTION BEFORE COVERING
Inspector:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~EWER HOOKUP
PLUMBING FINAL
ECH FINAL
I,'~
Owner/Contr:
CAL1 ~~. 0 FOR THE NEXT INSPECTION 2.& HOURS IN ADVANCE.
CODE '>lEQUJREMENTS ARE FOil YOUII PEIISONAL HEALTH & SAFETYI
-,
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/$/9'1 0/P o~1I
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Job Address
NIIlle G1fTtlllr
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