HomeMy WebLinkAboutBuilding Permit 04-0777
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT j....- ,;)%~ C;
(Please ~ or mint and sim at bottoml
ADDRESS
1"1/97 fA},/els ICirA Nt,J
See Main Fil€J~~~
File
City
Applicant
I PERMIT NO.O+-. 077~
ZOK~ (lceusol
LEGAL DESCRIPTION (office use only)
LOT J BLOCK ).. ADDITION tJ(? NJ'nuwA!
'I TJ.,
PID..25"- 4f 11- 0 "Ii-~
OWNER
(Name)
(Phone)
(Address)
BUILDER W
(Company Name) t'Nf'/179'#/V
(Contact Name) G~7
(Address) /?f,>/ f/ /~ 2A
/16 m f'.I'
I.)r
r~ r t:< /V
(Phone) /'SI- .yO" - itvo()
(Phone) 6,/;2.- 3~J- 7~/:z..
I1J N ~F/'.2. ~
-
TYPE OF WORK ~ Construction DDeck DPorch ORe-Roofing
DAddition DAlteration DUtility Connection D Misc.
ORe-Siding DLower Level Finish
o Fireplace
CODE: DI.R.C. OO.B.C.
Type of Construction':' I
Occupancy Group: A B E
Division:
II
F
I
IIIIV(2lA<B'
HJ....M(!)SU
2 W4 S
PROJECT COST IV ALUE $
(excluding land)
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I/{).~o 0
/
I hereby cenify 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 (he
above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware thaNhe""biJilding
officnl can revo~ IhlS perm~t for JU 'cause~rthermore, I hereby agree that the City officnl or a desIgllee may enter upon the property to perform needed inspections
X /Ia:-- ~. __.- /~s-r i)-.2.P-oY
- / SI2I1ature Contractor's LIcense No - Date
,
I Permit Valuation Ifl 10.000.001 1 Park Support Fee # $ -
I Permit Fee $ . 1 1 SAC # $ 1$50.00
/113. s;-o
I Plan Check Fee $ 72'?, 7? 1 I Water Meter ~l". $ Z StJ. 0 tJ
' ,
I State Surcharge $ .5"~dD 1 I Pressure Reducer $ "IS .00
1 Penalty $ 1 I Sewer/Water Connection Fee # $ 12.00.00
I Plumbing Permit Fee $ /00.00 1 I Water Tower Fee # $ 7Qo, 0 c
I Mechanical Permit Fee $ IOD.1)O I 1 Builder's Deposit $ 1
I Sewer & Water Permit Fee $ ~50 1 ! Other 1 $ _""!. ~tL
I Gas Fireplace Permit Fee $ 4/J. Ao 1 I TOTALDUE 1 $ '> ~'3E:~ e
This Application Becomes Your Building Pennit When Approved I Paid S"7/'L .~ 1~~tNO' f'7~'1r
~~ 6,(;1.9/0'f I Date er .Id. q<
Building Otlicial 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
:?l;:: t: ~~ :(I];CS a Iem~~ Certificate o~i; ;~an~and allow, consttuction to commence ~efore occupan~ ;c:cate of Occupancy muS! be
Planning DUector f D* ~ anv
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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Thr ('tour of thr L.kt' <-'ouolry
lee Main File
White - Building
C~nSllrv - ~naineering
'O'"-k I,:!!,ni~
aUILDING PI;RMIT APPLICATION D~ARTMENT CI-tECKLlS1:
NAME OF APPLICANT
APPLICATION RECEIVED
/I.J~) IHI?J,.---"J
5-- 8 8 ' (;<)
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The Building, Engineering, and Planning Departments have reviewed the buildirtg' permit
application for construction activity which is proposed aj: ;
/ If / f1- L//dda f~
/'
Accepted
Denied
Reviewed By:
Comments:
i,;
I
,.
Accepted With Corrections
.
~
:)~~
Date:
~/Z!'j~y'
f
"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."
J
~~
See Main File
~jte - BUild~
Canary ... cnYIIII;.,"-Illng
Pink - Planning
Th.. (""nlt'r of Ih.. r-.Ir... ('(Iunlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I/~~
06- a 8 - Qt.}
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1,-//f1- !/~ (Za;tL
~
Accepted With Corrections
Accepted
Denied
Reviewed By: ~ A.AV ~
l-~
Date:
t;/2.9~Y
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
White - Bulldlnp
~arv - cli~lnwr.,,\y
Pink - Pl.ihnlng
Thf ('pnIIH of lh. I..". ('ounlry
BUILDING PERMIT AefJ.JCATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/4/
( j' j..?-"1t.7-1H/I'J;..:t,J
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f' 1/'~..1, (./..:.;v-'
,'-/L./ .! f" d
APPLICATION RECEIVED
-.:):'-(38 -0(/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed a!:
. / Lj / i 1- !//..i-t:tL::J fLhtt.,
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
Comments:
IYJ9-. B
S ( <- /Ylu,'J,..
Date: .
t;? -'i-()'f
Frk.
"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."
8:55AM
GENZ RYAN SERVICE'
NO. 644
P. 16
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
q'le"'!(P1 or orin, MId Iim If bo""ml
ADDRESS
1~lr1 Wil~S lti11V1W
LBGALDESCRIPTION (olIlCCUleOJJly) '^j 'J" r Ifl".y/IJ'l II JA.
LOT ( BLOCK ~ ADDITION V \ vr I ) r ' lA , I l.f , '1
1,lllle 'FiI.
ZolJold a~
.3. Ydl_ ""lieul
I PERMIT NO. 04- . 0777)
ZONING (olllel UIe)
PID
OWNER
(Name) Wensmann Homas
(phone) 651-905-3709
Eagan, MN 55122
(Address) 1895 Plaza Dr
APPUCANT
(Name) Genz-Ryan Plumbing & Heating
(Ad~~ 14745 So Robert Irl
(ContactPmon) Jj4~~i7 ffi ({~
(Phone) 651-423-1144
Rosemount. MN
(City)
55068
(Zip Code)
.'..\
~ne) 651-42~-1144
DATE y. 1J1~t/
APPUCANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
I Quantity I Type of Fixture I Quantity I Type of Fixture
I "l Bath Tub with or without shower I I Rough-ina
I I I Dishwasher I I I Water Heater
I ~ I Floor Drain I U:t I Water Soflncr
I 1 Lavatory (Bathroom Sink) I I I Stand Pi~e (Washing Machine)
I I Laundry Tray (I or 2 compartment sink I I Sewage ~iector
I 1 I Shower Stall i I Backflow Assembly
I J I Sinks I I Backflow Assembly Test
I I Bar Sink I I Lawn SDrinkler
I .~ I Water Closet (Toilet) I I Other
FEE SCHEDULE
Industrial, Commereiat " Mulli.fiunily 1% of job eo.t with a $39.50 minimum Reaidenlial, Now Ooa &: Two-Pamily $99.50
Rosidontial, Addltioo. &:~. $39.'0
Estimated Cost S
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE S
TOTAL PERMIT FEE $
.s? AID VV I It!
BUilDING
lorn.. Use Only)
I rhls Applintion Becomes 1( our Building Permit When Approved
,
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BulldloC omdal
'rn~~@ ~ Q \TI ~ f. jltl:~ I
Date . - y.m
- Date AUf, 1 1 2004 -/r
24 hour oollel Cor all io.paclio.. (951) 447 1850, fiX (951) 447..045
By
8:57AM GENZ RYAN SERVICE. NQ 644
CITY OF PRIOR LAKE
HEATING/Am CONDITIONlNG/FJREPLACE PERMIT
P. 26
Date Ret'd
CPIC!&SC me or urint and. aim at bottom)
ADDilfl~1 Wil~ ra111 V1w
I.PlIIk
1.....
J, Yellow
~u.... fPERMIT NO. 0+. 07711
ZONlNG (ollie'UIt)
LEGAL DBSCRIPTION (ollie<! Ule only)
LOT f BLOCK -:z. ADDmON \N~rY'aIlVl
.t.fm
PID
OWNER
(Name) ..lllP..-aeftUll'l"l'l"\ U......e co
(phone) _"" _on,_ nno
(Address) 1895 Plaza Dr Ste 200
Eagan. MN
55122
APPLICANT
(Name) GBn~-RYAn Plllmhin~ I. HAatitli:!'
(phone) ., '_I. H_ll 1.1.
(Addres.l) 14745 So Robert Trl Rosemount, MN 55068
,., III ' IAddmj'lo ~ (City) (Zip Code)
(ConraCCPenon) J.iY1~ _\ffl~ ~__ I (phone) w._y.~-t;;O f I
APPLICANT SIGNATURE LA..A II Al:t) Tt:J..I. l/'::L DATE --.12..t_o_ ct
. . (
. APPLICANT PLEASE COMPLETE BELOW
~WCON TRUCTIO LA~T o ALTERATIONS
FURNACE MAKB AND MODEL .. :?~4J1(J FUELYlA1" ~tVJ
FLUE SIZE RBroRN OPENINGS INPuT lL'4 G./)O OUTPUT-
TYPB OF SYSTEM HEATING OR POWER PLANT
~.nn Air Plsnts 0 Steam
DGtavIIY 0 Hot Water
~'chanlcal . 0 l\Adillion
Ir Cooditionlng 0 Special Dovice,
Vent S,atem 0 Other Device.s
PLEASE NO'l'E:
Air Ctmditioner Units
ClIIIIIot Encroach into
Requind Side Yard
Setbacks
FIREPLACE MAKE ANn MODEL
FEE SCHEDULIl .
Induslrial, Commercial & Multi-Pamily . 1 % of job COSI Residential, Gas Fireplace
$39.50 minimwn
Residential, Helting " AIC (New COIIStNCllon) $99.50 ResidOllti.l, AdditiON & Alterations
Residential, Hcating Only (New COIIJItUCllon) $64.50 Residential, AC Ooly
$39.50
$39.50
$39.50
&timated Cost $
BUilding Permit #
HEATINGPERMITFEE $ fAlDWI1'H
STATE SURCHARGE $ .50 ~
TOTAL PERMIT FEE S . ~'G M:rWI'"
ft'"-'.U..j)nly) . ]
.-."' Application Beeomea Your Buildinll Permit When APproved,'i J~. \~~. It 0 ~ _~ ~ Recei~ No.
. ~ 1 1 LUU't By.
Bulldin,Olliei.1 Date <IJ
24 bou. nott.eforaU' impeellon. (952) ~ ~8~,._~~_.
JUN. 29. 2004 8:54AM
GENZ RYAN SERVICE '
NO. 644
P. 6
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
CJ'IWC.\'lE!. or urinland rim I! boltnml
I ADDRESS1t-l1 ~1 WildS I'tfh NW.
~ S'w S;- I PERMIT NO. 04-. 0777 I
ZONING (ollie,..,)
LEGAL DESCRlPTION (olIIce use only)
LOT I BLOCK 1. ADDITION Wp),1( mann LJtn
PID
. OWNER
(Name) Wensmann Homes
(Address) 1895 Plaza Dr Ste 200
CAddre..J
. (phone) 651-905-3709
Eall.an. MN
(Cky)
55122
CZip Code)
'APPLICANT
(Nanl~ Genz-Rvan Plumb1ne & Heatine
(phone) 651-423-1144
(Address) li74i q"'...wel"t Trl
(Contact Person) _ ~ ~ r2. ~ ~ (/ S . _ .
. ...ICANTSIGNATUlUl_CL\.~)~
llnlWllo"nt. 'ON ~;D~II.
(Cil)') (ZIp CodD)
(Pho:~TB 6;1~?~~~4
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings fronl 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.
. u .
FEE SCHEDULE
Residential sewer and waler line connection $35.50 Indumia~ Com' 1& Multi-family 1 % of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
BuJldb18 omu"
11f~@ [E 0 \J] ~ .
h~")ate . . ,
DIle ~l AUG 11 2004 J
24 Iooqr notl.. lor ,II ilUpeedon. (952) 447- "SO,l'ax (952) 447-4145
By
?AID VV IlH
ING
T
I'
I
(Ollice u.. Only)
I Thill Appllcatlon Deco.... Your nlldding Permit Whe" Approved
PRIOR LAKE DEPARTMENT8ee Main File
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS II/Ii'! UJ;/~ ,/JLHt
NATURE OF WORK ~-
USE OF BUILDI.NG ~
PERMIT NO. 01./- 777 DATE ISSUED ~ /.'~
CONTRACTOR 'AI' PH~". -,~ ,.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I~~ I I
, FOUNDATION (Prior to BackfllJ) I I ~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
. ROUGH - INS
, SEWE~ I WATER I SEPTIC' I
FRAMING , \)t(r ff217 1 / / _'0
INSULATION I ,I
ELECTRICAL i _I .
PLUMBING l/r~ t;>e, ~ l.JJ>tr> .1"'15 1"24-
HEATING (If reqUired) - ,I ~ 1
FIREPLACE .
GAS LINE AIR TEST ,I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I I
FINALS _ n,
GRADING (Prior to Sodding) I Ill) ~ ~, ~l r
BUILDING ~ Jf b t/-'Z8 -tJ::;1
ELECTRICAL I I
PLUMBING fALiPl) G/~b I
HEATING l . lV~ I t{ - 7_ 1.
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted naar 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.
INSPEcrOR
DATE
FOR ALL INSPECTIONS (952) 447-9850
QIntifiratt of (@rrnpaurl!
CITY OF PRIOR LAKE
~tpa:rfmruf of '!iuilMng Jfnsprtfion
~inal Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential! 0 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 04-0777
Use Classification Bldg. Permit N....
D W U
Occupancy Type
Type Constructior
Zoning District
Legal Description
L1, B2, WENSMANN 4TH
14187 WILDS PATH N.W.
. Site Address
PLAZA DRIVE, EAGAN, MINNESOTA 55122
JANE KANSIER
Owner of Building i
WENSMANN KO S, 1895
Contractor's Name & Address f~
R?BERT, D. HUTCHINSlj I. ~.'.
Date: '-1Iti!> 16~ngOffiCial \ V)
. I I POST IN CONSPICUOUS PLACE
City Planner
Date:
,':"~ ....;,}~ '.~:' ",::~. ",,: "''':.;'~'~ '.~,~:.,"~i'
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"~~",.L'''';;;'',,,, 1I;;UI;....:..~'....
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
.1Wi
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
l.
(l...
'3.
u.
SCHEDULED ~
/'118'1 l4"iJ. ~
TIllE
CONTR.
PERMIT NO.
q- 777
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
..a1SLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~\.l \J
.11I4
~K SATISFACTORY, PROCEED
~ ~~:~ECT ACTION AND PROCEED
o CO CALL FOR REINSPECTION BEFORE COVERING
Inspe Or:\.J . \ OWner/Contr:
,AIW7.9R5J FO~E NEXT INSPECTlON:U HOURS IN ADVANCE.
"""""
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
14\81.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
~F M1NG
o SULATION
FINAL
o SITE INSPECTION
DATE TIllE
SCHEDULED ~
uJ,\,Q., Qfk
CONTR.
PERMIT NO.
Y -111
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,; Y\. ~~rv - .~ e..,-......
.....-..
~__=~r\_._~ ~
, .~~J .'. ~
- ,. '-"'-~
~c> 0CV6 +<-5 \
'-
o WORK SATISFACTORY, PROCEED
. ~ CORRECT ACTION AND PROCEED
o CORmT RK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto - OWner/Contr.
CALL ..1.50 FOR THE NEXT INSPECTION ~ HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl