HomeMy WebLinkAboutBldg Permit 04-0780
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main Fil~. E,,""
(Please type or print and siKD at bottom)
. ADDRESS
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LEGAL DESCRIPTION (office use only)
Date Rec' d
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PERMIT NO. 04-; 0 190J
,
A!w
LOT J> BLOCK ,;J... ADDITION ~ (? A/J' h1 t:i'A//V
TA
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PID 2.S' "II ~ - O.jJ -()
OWNER
(N ame)
(Address)
BUILDER
(Company Name) W t'NS/h<;'/v/V
(Contact Name) (,' tA r y
(Address) / P if' //t:f2 ~
A tJm~J'
(Phone)
ZONING (office use)
eLl
I
(Phone)
/l/N'
(Phone) 6.5-/- 'Yb ~ - ~j/o IJ
(,/;l.- 36,f- ?J/:J....
I ~ 5/.).. ;;L..
~r (' t:{ fq/V
V
TYPE OF WORK ~Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition o Alteration OUtility Connection 0 Misc.
CODE: OI.R.C. gI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
II
F
I
III IV
H I
zlJ)
~AGi'
M<I)SU
4 5
I
E
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
~;;;dm.P~;;;~P;"d
Building Official , Date
PROJECT COST /V ALUE $
(excluding land)
/6~ otJd
/
dO
Park Support Fee
#
$
$
$
$
$
$
$
$
13S0cCQ
z.~O, 00
Lls.oo
I ZOO, Of)
700,00
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 au tho zed agent for the
above-mentIOned propelty and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am re that the building
:ficial ca7!J;;;::,or Just cl::;z:;:::ee that the CI~ official or a /~ SR-r upon the property: perform n:~~ ~ ;':0 ~
/' fij{rlature Contractor's License No. Date
f/ ,!_
v Nj IJal olJ(LDO I
$ /Oe;'7. Sd I
$ ~B7.:3?1
$ 60.Dt:J I
$ I
$ /(1), DO I
$ /fJO,DtJ I
$ 35. S-O I
$ ~(). t:J 0 I
SAC
#
I
$ 5: "IS 38 I
I
I
,
~..., rfJ-
ThIS IS to certifY that the request in the above applieal10n and accompanying documents is in accordance ~he C..I.'~ Zoni{~r~nce 1rd may proceed as requested. This document
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Planning Director f. Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Water Meter (Slz~ 5~ ";
I Pressure Reducer
I Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
I TOTAL DUE
Paid
Date
- "
~(, I~. ') Y
K.liJ_ /:j
I
f)
Recei6(No.
BYa
See Main File
White - Building
Canarv - Enaineering
~k - Planniiig:)
Tht" Cf'ntf'r of Ih~ tlkt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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:
/1/ J (1 S-' /~ /.Jj:.r;{J /'--,:2,:r.....A
Accepted
/
Accepted With Corrections
t,'
Denied
Reviewed By:
~
~
Date:
~/2.9 h,if
/ . .
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."
The Cenler of Ihe take Country
See ~ain File
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~hiw quil<;l~
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
APPLICATION RECEIVED
Ijj~~ ~
a-- d-P- 0 <I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
ILfICZ-S IJ/~ p~
Accepted
V'
Accepted With Corrections
Denied
Reviewed By:
~~
Date:
t:;/~1~ ct'
, .
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."
Th. ('.nl., 01 Ih. "ok. ('ounlry
See Main "File
White - BuildinL...-.-
( ~ - Engineerinq)
-Pink ---=-PI'annlng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
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:
,,' '. l
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/17// ("'1 <....-/ I J ~;~"'-i':) ...}'(~~:".rA:.:.r\,
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Accepted
X'
Accepted With Corrections
Denied
Reviewed By:
MiS
. q e e. llkl'v, F," lL
Date: I>
~ .- ~-oi.{
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."
JUN.29.20048:54AM
GENZ RYAN SERVICE '
NO. 644
P. 9
~PR1~
JW\
~;;
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
I. GrctII File I PERMIT NO
2. Yell... Cl~. 'OA- 07aD
3. CloId AJpt,tWIl ,.... . II
CPIc:m tv}!e or Print and siR;ll ae bottom)
ADDRESS '.
fLlIt16 . 'II\/i trJJ ~-rn Y1 VV
ZONING (offil:~ uS<!)
I \.
LBGAL DESCRIPTION (office use only)
tOT ~ BLOCK "2- ADDITION \N tv1S~,ttYW\ L/..rn
PID
OWNER
(Name) Wensmann Homes
(Address) 1895 Plaza Dr Ste 200
. (Address)
(phone) 651-905-3709
Ea~an, MN 55122
(CiW) (Ziti Code)
APPLICANT
~am~ Oenz-Rvan Plumbine & HeatinE
(phone) . 651-423-1144
(Address) 14745 So Robert Tti
"'i ~~e") r:
(Contact Person) _ J ~ i ~"1 rTiflll s
. ~..ICANTSIGNATURE rJA~/~
Ro~emount. 'IN
(City)
.5~O(l8
(Zip Code)
(Phone) ~5 J.-423-1.t44 i
DATE -1i -a-q~
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) l,ocated at feet from stroctw'e.
FEE SCHEDULE
Residential sewer and watCIr line connection $3S.S0 Industrial, Com'l &: Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only' $17.50 Water conn6ction onJy $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.5<1
BuUcllng Omela'
Date
PAllJ WIllI
\ 17 (7;) P fl \lr7 ~lLDING
l~l@ \_UJ L~ U ~ L!:, ,'~ l'
r\W~UG I I ~"
"
(Ornee Uu Only)
TIlls Application Becomes YOl,lr BuJlding Permit When Approved
24 hour lIotice for allln.pectioo, (951) 447-1ff-g' fax (952) 447-4245
'J
8~$6AM
OENZ RYAN SERVICE 1
NO, 644
~, 19
Dat. Rec'd
CITY or PlUOR LW PL'UMBlNG '&RMrr
... tifliU allllulD1at lulltOQP
IL IlIe. l^ 1'1 & ~.~,'" l' W
'''-'''. ..-.. ---'"'" J:1'2,,~,VJl..L ' .. ..JjiJ.YJ ,. jjJ " ,
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',~:~Y..~ ~,\..~~ /~ -~~,i:"-'.fi...'.,~{,<."v'~,.:6\."'\'~,,,,~~':';.D!.i.i':.:- ,:. ';!~",'"", I ....... ,',
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C::'1,41,_b :6 ~~ri~.lS' . ~W~~~~. ~ .'. .:-.j~~
;;;;:~JL~:6:.~~9~=~~~.p.[ · ~~
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AP~XJC~PL . ~,QOMPLEtE4!I~.Q'W, t"."I~:'.' . " '''' '" ..
eo ..l,1titY' I~ -.. r"';"~ "-;":Djl;I~!.tt~.. ".",.., ........;..
'" .t .' ~ "~*'ict,~\ " 'I~~"r .'~' _. .....k.........I.:."..~'~~~:~.,.,
~ ,,..' :..;~",.:.Alh~'" J.~ _~. . ~..a."",<> t j;;JU I .,_~t ':'~{"I';":"~"'t"':u",~~i.,~,~&~,:.:~~'~fl,~
I r om I) . '., :~ Sta1la p uh g Ie
I Laundry Tray (lor 2 com~ent ~ink I I Sewage ~jeCtor .
I Shower Stall I I Backflow Assemblv
I Sinks I I Backflow Assembly Test
I Bar Sink. I I Lawn Sprinkler .
I Water Closet (Toilet) I I Other ...
t. II~.. rJrii
Ii QdldOli1
J. V'illllW Aijllblnl
P~RMlT.N~~04- ~O 7 PJ 0 I
........ '..,~ '~io:;..;:....",,- ....:.\ - -""
h'::- ;"
ZONING (omee UIO)
.~,.
---
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."...-i":'.~..~_ .:.:i:\.....~" i',;..t':..;,.:~t~~!.':'~"".l...
.....- .:.......;.
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FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Euilding Ponnit 1#
PLUMBlNGPERMITFEE $ ~~ -~~l~'::-'.",-"'-r; ll--j
STATE SURCHARGE'" ~" ''''.., ,L .1" : 1" ~" ,
.. .5 (). ,;" -:.....iL.:. '. -,,- IlL. t
(Office Use Only) TOTAL PERMIT FEE $ ftlJ:fi.,DINC
! J:hl!l Application Becomes Your BuildIng Permit When Approved. -h ije,r~ tE D \Il ~ ~!\ riRMI J~
,. ,i 'U J Date . By
Building OIDcial Dde \ ....Alffi 1 1 2004 I
24 bOllr notice for 1l1llnspeetlOllS (952) 4 .'-9850, tax (95Z) 447-4245
By _:::::::::;::::: --
JUN. 29, 2004
{~~
\~~~
8: 57AM GENZ RYAN SERV ICE : NO. 644
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/fll1<EPLACE PERMIT
p, 29
Date Rec'd
i: ~n ~I~ I. J:"J:j;J:<.lVIIT NO. AtL 070.0
,. Yell"'" ApplJ1Wl1 VT · 1I
(Please ~e or mint and .rim at botttJm)
ADDRESS I
,~P5 .\!1La~ ?Mn Y't1A)
ZONING (ofllce u!e)
LEGAL DBSCR!r .uON (office use only)
LOT ~ BLOCK2.. ADDITION ~ mt<<1 V\ L/~
PID
OWNER
(Name) t1~n om,,"'''' l-l'flm.. CI
(phone) j. c; l...:on ,,_ ':I W
Eagan, MN
55122
(AddxeBS) 1895 Plaza Dr Ste 200
APPLICANT
(Name) c;en2"'~~n P111mbin&, F. l1tl'lt:""'~
(Address) 147'f5 So Robert Trl
f1,,,,,, ~ddre.
(Contact Person) ..l/V , JlV'N. I '-
. ('
APPLICANT SIGNATURE
(phone) f, c; 1-1..' 1_' 1 b.l&.
Rosemount, MN
(City)
55068
(Zip Code)
(Phone) _..6.5J..d.? ':1_ 1 1 h.h. .
~ DATE J.p ~ rJ-q-oC/
',----'--
APPLICANT PLEASE COMPLETE BELOW
DNBW CONSTRUCTION ~LACEMBNr A 0 ALTERA nONS
FURNACE MAKE AND MODEL ~ tI- II ....fk,-v10 FUELW-qaAJ_
FLUE SIZE RETURN OPENINGS 'I. INPUT ./tf/'(;{) ,OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
3Warm Air Planbl 0 Steam
o Gi'avit)' 0 Hot Water
[J).1echanical . 0 Radiation
gAir Conditioning 0 Special Devices
OVent. System 0 .other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE Iv.tAKE AND MODEL
. ---... ....
.-. ~- . -~.-
FEE SCHEDULE .
Industrial, Commercial & Multi-Pamily . I % of job coat Residential, Oll! Fireplace
$39.50 minimum
Residential, Heating &. Ale (New Construction) $99.50 Residential, Additions & Alterations
Residential, Heating Only (New ConstrUction) $64.50 Residential, AC Only
$39,SO,
$39,$0
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
s
f1A~Q~
.50'UUWijNa pe&4rr
,,..,....,"" Use ,Only)
. .,ad Application Becomes Your DuUdlng Permit When Approved
Blllhllng Gmelll
Dlte
D)j ~ Ik u \Ii [! l' Receipt No
Il'_ DAteG 1 1 2004 j By .
24 bour notice for all inspections (952) 44 1-9850, tax (952) 447-4245
. . 8y -===--=:..._..__........_..:::..=J
PRIOR LAKE
INSPECTION RECORD
ILJ ,. IJs P fA..-H,
DEPARTMENT~e~ \"()~ p....
BUILDING AND ~~crT~n l_e
SITE ADDRESS -'!J ICiS
NATURE OF WORK ~ -
USE OF BUILDIN~ "S;:;;t
PERMIT NO. (J Lt- 7fJ 0 DATE ISSUED
CONTRACTOR - PHO.'~. B"r;. ~/'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
, THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
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
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
/rn /Z/'~7
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~...
f/./J .12/..?/tt ~
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GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
~
DO NOT
r4 ' p - ?-{93'
ifU)
OCCUpy UNTil ABOVE HAS BEEN
NOTICE
SIGNED
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
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~~~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..Jd"FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
TIME
<.f-1f;o
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~~
()
ok t", C10VL+J:!:ce_ff' Q
./
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR~ORK. CALL FOR REINSPECTION BEFORE COVERING
Inspecte (,/1/ /l Owner/Centr:
CA.U850iQR. THE NEXT IN~PECTION 24 HOURS IN ADVANCE.
COD~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
ILl C1~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
a hTJ /E
SC~EDULED )~
I i.Mj) $ 2)~~;
CONTR.
PERMITNO. Lf -7!iD
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~SEWER HOOKUP
~ PLUMBING FINAL
o MECH FINAL
o EXIGRADIF/LLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:.
-I. (l~D~ ~
7, ~;. C~
,~: CO\lJP. ('\~ ~
-
o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
InspecttO'h Owner/Contr:
C~7~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
Job Address 1'11'15 iv, kI P-l#'
,
Heating Contractor ~,._.Jr,.....
Name of Tester ""-;C.
2.,47/45
7.9%
~~
7./~
2~ 'Z- 0
Date
Percent O2
Percent CO
'-
Percent CO2
Stack Temp.
.
Combustion air is adequately supplied per
-Ye/'
UMC Sec. 606
Input
-