HomeMy WebLinkAboutBldg Permit 05-0027
CITY OF PRIOR LAKE BUILDING PERMIT, -,' I YfI''' ~ I
TEMPORARY CERTIFICATE OF ZONING COMPLlAN( f,HI: if:: I il Iii II:
AND UTILITY CONNECTION PERMIT I n~ 0 !!.
! iil CT 0 6 2004 !J;
See Main File ~;;~: ~~;Ii""' I PER~~iNO'05:~9L7 " I
(Please tyye or print and siJtll at bottom)
I ADDRESS
/Y/~' {.J1t.-D5 PA~
AJ t,...;>
I \
ZONING (office use)
K.4--
LEGAL D1 SCRIPTION (office use only)
LOT :3 ELOCK { ADDITION 1N8'.N5'h1,.,.v.... tfnr (..}I"A JllfAJ41/f PID 2-r-fJ/6 _oo~-<.l
OWNER
(Name). f ~ I(J.IvS7hd.....r.I
(Address) /?1'C
/~
r1J I~ 7JIL.
1/
(Phone) i~<7- t/o6 -(/&'/t?Z>
<o;72?:7~
/~ At!:. A~
/
ft1...J
< <. /,;J..:;;l
BUILDER
(Company~'ame) ~4--
-r7 ~
(ContaetNane) ""-",.,2-7- I Ac;c:.A1.vr--
(Address) "")Aw-'-
(Phone)
(Phone) -"/ L. -Z--z.-,-/t6 Z!ii':
TYPE OF V'ORK ,0'New Construction DDeck o Porch DRe.Roofing
DAddition DAlteration DUtilicy Connection D Misc.
CODE: Or. ~.C. ~.C.
Type of Com truction:
Occupancy Group:
Division:
ORe-Siding
DLower Level Finish
~rePlace
A
B
I
E
II
F
I
III IV GJ 1.. Gl
HAJM\.lSU
2 'y 4 5
PROJECT COST IV ALUE
(excluding land)
s /IO,'-v>--
. I
I hereby certify tl all have furnished mformation on this application which is to the best of my knowledge true and correct 1 also certify that I am the owner OJ" amhonzed agent for the
abovc-menlloned property and that all construction will conform 10 all existing state and ]ocallaws and will proceed in accordance with submitted plans_ I am aware thai the building
otliciaJ can revak. this permit f~ Furthermore, I hereby agree that the city official or a designee may enter upon the propelty to perform needed mspections, _
X ~-:? ~/ ~ /</~ /cn;---of!'
- j;/ ~ ~ignature Contractor's License No. Date
Permit ValuatIon .i//() ,OOf). 0-0 Park Support Fee # $
Permit Fee $ J/(3.~0 SAC # $ , J-s"O. 0 ()
~
Plan Check F ,e $ 72..--:J.7/i' Water Meter(" Size 5/~ 1"; $ 25"o,ou
State Surchar;-re $ ~5.80 Pressure Reducer $ 4$.00
Penalty $ Sewer/Water Connection Fee # $ I'2Do.OO
Plumbing Per nit Fee $ 100.00 Water Tower Fee # $ 700 .00
Mechanical P ~rmit Fee $ 1"".00 Builder's Deposit $
Sewer & Watl 'f Permit Fee $ 35. C:;-o Other $
Gas Fireplace Permit Fee $ 4{) .00 TOTAL DUE $ ~/2- . 7~
/
This Applicat on Becomes Your Building Pennit When Approved Paid 5ff/l.7[ ReceiP1o. 9(f"u .:r't
k~ .~~{)(2J ~ Date !. L. .<("~ Bv . I
(J
Bull hngOtliclU1 Date
ThIS IS to eertify t lat the request in the abuve application and accompanying documents is in accordance with the City Zoning OrdinanCl.' and may proceed as requested. This document
~ ~,y p~, a tempma~ C,nifi,,,, of ~o:'! ;O;~.IDi:ano(tece ,nd allows constm"io"Somm,nce B,fo" ocoupan,y, a C"",,,,,, ofOco"p,n", must be
Planning Director
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
~~
See Main File
White . Building
Canary - Engineering
c-Pii1k -----:- PI~nm'I!-I~
-
Th"Cfnl.. of Ih..I.8h Coun..,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N! \ME OF APPLICANT
{ c { I,; .r: /, I rl N rJ
AF 'PLICATION RECEIVED
If. (r. (4-
n e Building, Engineering, and Planning Departments have reviewed the building permit
a~ plication for construction activity which is proposed at:
/4/~? IV/LUe:: /jlf;7f /vlJ
A( cepted
/"
Accepted With Corrections
""
..
Dmied
1Iot
REiviewed By:
~~ ::JJg..
Date: ~;: cf
C( ,mments:
See l\7laill Fil~
"The issuance or granting of a permit or approval of plans, specifications and
cc mputations shall not be construed to be a permit for, or an approval of, any violation of
ar y of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pr 9suming to give authority to violate or cancel the provisions of this code or other
or ::linances of the jurisdiction shall not be valid."
~
....~~ PRIO", (
fj ~~
See Main File
~",'" - ~iamro
Canary - E:ngineering
Pink - Planning
-
Th(' ("('nl.. nf Ih.. I..k(' Counl.,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NhME OF APPLICANT
IN r:; tv'S" JVl /11../ ,J
/O.w.o4-
Af'PLlCATION RECEIVED
T~ e Building, Engineering, and Planning Departments have reviewed the building permit
a~ plication for construction activity which is proposed at:
/4159
W/L-O.5 ;::J//71t NW
Ac cepted
t/
Accepted With Corrections
DE!nied
Ruviewed By:
~-'~
.
~1-'
Date:
((JJ3';:'i
I .
C< Imments:
See M:ain-Fik
"1lhe issuance or granting of a permit or approval of plans, specifications and
cc mputations shall not be construed to be a permit for, or an approval of, any violation of
allY of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pI esuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
~x PRIOR <'
t ~
u '"
See Main File
.J1llhit.. . I'luildin!l
C Canary . Engineenril:t,
Pink . Planning
Tht e..nlf ..r Ih.. L.k.. ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLISt
NJ \ME OF APPLICANT
I.'i r.. IV' (-/V; ".'/ ^/;-J
Vv f":.. -..., l/ ;
AF 'PLICATION RECEIVED
/ i'} /" ("'. 1-7___
l c. . '.V ,....,.--
n e Building, Engineering, and Planning Departments have reviewed the building permit
a~ plication for construction activity which is proposed at:
/4/~ c:) tVILI.)5 ;.:..)/]71f /VIJ
Ac cepted
)(
,
Accepted With Corrections
Dlinied
Rliviewed By:
/YlfJ:8
50 lYle-in hit
Date:
1-'1-~r
Cc lmments:
"1 he issuance or granting of a permit or approval of plans, specifications and
cctmputations shall not be construed to be a permit for, or an approval of, any violation of
amy of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pi esuming to give authority to violate or cancel the provisions of this code or other
01 dinances of the jurisdiction shall not be valid."
04/29/2005 FRI 6:00 FAX 6513226147 GENZ-RYAN
Ii!J 008/031
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
q'lease _ or"rintandsiMatboltom)
I ADD 5S
i i IF/) [' l \ I ilL'
1'_1;/ /;1 !0\-..')
PC~+h 1\ 1/;\
LEGAL DESCRIPTION (office use only)
LOT
ADDmON
BLOCK
OWNEF
(Name) Wensmann Homes
. (Address) 1895 Plaza Dr
. APPLIO..NT
(Name) Genz-Ryan Plumbing & Heating
(Address) 14745 So Robert Trl
(Address) .
Cj' ^, ('j 1'--'0' I i /
.' , /'l x/ --.' 4.--. ~ ' I
(Contact I erson) --'- ) V,,:: i L ,I . J ~j
[JI" U Ii I '- iI' .,
"I':' /'~l~......"l~Ii,/.
APPLICA NT SIGNATURE V v.-J13.' -ttLf....&rJ
L "" "k I PERMIT Nc6 ~ ~I
2.00Jd Cil}' ~ "
3. Yena", Appticant
I ZONJNG(ofti"",,> I
PID
(phone) 651-905-3709
Eagan. MN
55122
(phon~ 651-423-1144
Rosemount ~ MN
(City)
55068
(Zip Code)
(phone) _ 651-423-1144
II Y f(':-
DATE ~~/dO~ C.:-:;
r
I
I
I
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APPLICANT PLEASE COMPLETE BELOW
Quantii(y I Type of Fixture i Quantity I Type of Fixture
I I Bath Tub with or without shower I I Rough-ins
I Dishwasher 'I Water Heater
\ I Floor Drain /'2! I I Water Softner
.~.l I Lavatory (Bathroom Sink) I \ I Stand Pipe (Washing Machine)
I Laundry Tray (] or 2 compartment sink I Sewage Ejector
I Shower Stall I I Backflow Assembly
Sinks I B!lCkflow Assembly Test
I Bar Sink I I LaVl'n Sprinkler
" L.I Water Closet (Toilet) Other
FEE SCHEDULE
lndustriaJ, "ommercial & Multi-family 1% of job cost with a $39.50 minimum Residential. New One & Two-Family $99.50
Residential, Additions & Alterations 539.50
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(om.. Us. Onl ,)
This AppU, ~tion Becomes Y oor Boilding Permit When Approved
Bnilllng Omcial
Date
24 hour notice for all inspections (952) 447-98511, fax (952) 447-4245
Building Permit #
~(jIl.~-1Il) ~
~"'G '(!J.,
P~~lv1t,.
I
]
$
$
$
.50
I Paid
I Date
MAY
Receipt No.
By
2 Z005
(L
U
,
04/29/2005 FRI 8:00 FAX 6513226147 GENZ-RYAN
/i!J 009/031
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(Please.M ~ or'Drmt and sien at bottom)
ADDRESS
r I \ (.==-/I (' I 1: i ri t
I '. .1 _ .Pj ;\ j II ( A.")
I. ""'" F;I'. I PERMITNO~- _
2,. y,llow CltY' ,
J.GoJcf ~lll;IIll
(\,., 'I ti f:, \
1."1 kk/j 1\, 1;\ j
I ZONING (olli", ""J I
LEGAL DESCRIPTION (otllce use only)
LOT BLOCK
ADDITION
PID
OWNER
~wn~ Wensmann Homes
(phone)
651-905-3709
(Address; 1895 Plaza Dr Ste 200
(Address)
Eagan. MN
(City)
55122
(ZipCotle)
, APPLICl.NT
~arne) Genz-Rvan Plumbin~ & Heating
(Phone) 651-423-1144
(A~es~ 14745 So Robert Trl
(. (A~) _-
it- I 1 I'~ " [fi! I , .
(ContaetJ erson) _ l.J. \ (I> ~l ... ::J:U \ S .
" / '4 a'
I f "./"\ ( 1 ti1
"XA NT SIGNATURE i ,./l\.A~l/JJ) '- fA c /). )
Rn~l1"t. ''N
(City)
~~(l68
(Zip Code)
(phone) n'il_~/?rl:c~if~"'-
O!,TE ~_ CJO< v')
APPLICANTPLEASECO~LETEBELOW
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
FEE SCHEDULE
Residential ,ewer and water line connection $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Sewer conn :ction only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
13U/l.fftID ~
~^'G "/1j
~~~
I Receipt No. '1'14/7"
(~ I
V
(om,. Use On y)
This APP1i""t1on Becomes Your Building Permit When Approved
.1
Sui. tUng Official
Paid
Dale
Dat\iAY
2 2005 I By
14 hour notic. for all inspections (951) 447-9850, fax (951) 447-4145
04/29/2005 FRI 8:00 FAX 6513226147 GENZ-RYAN
Ii!J 010/031
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
i~ ~~. I PERMIT NO.S" ~
J.YelloW' ApphAJIlr ~l
?
(Please t'l!' : or ~rint and sign a' bottom)
I ADDRE,S
I L\\IJl \J)l \ ds
P'..Iil_*.I".
-' ()U, i I
r\ fl. \
~ \ ; I -' ,
(\)\;v
I ZONlNG(OftlA:,..,) I
LEGAL JESCRIPTION (0_ us. only)
LOT
BLOCK
ADDITION
PlD
OWNER
(N"ame) _ ypn ~mlQnn 'Hr\mPQ
(phone) _,", _on5=3.U'o
Eagan, MN
55122
(Adrnre~; 1895 Plaza Dr Ste 200
I APPLIC, >NT
(Name)_~nz-~v~n 'P1umbing & Heat;n~
(Address) 14745 So Robert Trl
r . Xi (Address)..
i iY'\'/-('j" rn I' I ")
(Contact: 'erson) -L-l :, k I 1"-IA. L.
APPLICl ,NT SIGNAro~ ClU{iJ1~ (,01&1);:]
(phone) 1>~1_4?1_1144
Rosemount, MN
(City)
55068
(Zip Code)
(phone) 1>,1 _I, ?'_ 1 1 4A
DATE ~Il)<:;;1c/5
APPLICANT PLEASE COMPLETE BELOW
. ,
, ~~.CONSTRUCTION 0 REPLACEMENT 0 ALlERATIONS .
FURNACE MAKE AND MODEL liJ/Y\OYJ:tUiJU/..!-?J.r (I70., FUEL (/C.(cg(y:,
FLUE SIZ ;; RETURN OPENINGS /.i INPUT (atO')') OUTPUT :"i'?r1)[j
TYPE OF SYSTEM HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
.f"1Warm Air Plants
DGravity
o Mechanical
l~onditioning
OVent System
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side yart!
Setbacks
FlREPLA( :E MAKE AND MODEL
Industrial, C lmmercial 8< Multi-Family'
FEE SCHEDULE
J % of job cost Residentia~ Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions &: Alterations
$64.50 Residential, AC Only
$39.50
Residential, :-reating & Ale (New Construction)
Residential, '1eating Only (New ConstrUction)
$39.50
$39.50
Estimated Cost $ Building Pennit #
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
PAID IAn- .
BUILDING" WI ,,.,
PE:RM1T
(f" - -.' U3e Q lIy)
1
II lIding OfIieial
Date
I Paid
I Date ~AAY
, Receipt No.
2 Z005j13y .
to-
. .... App lication Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (9$1) 01474245
PR', lOR LAKE DEPARTMENT OF See Main Fih
BUILDING AND INSPECTION
INSPECTION RECORD
Sll1~ADDRESS 1'1159 6.J/~bS PArI'!. ~.~.
NA-URE OF WORK IJ~ ~~TI~~
US.: OF BUILDING S'oF:A.. . .
PEI~MIT NO. 05'".0027 DATE ISSUED 'IJ/.".
CO\JTRACTOR ~H ~ PHONE~.zz./"lILIJ
NOIJ'E: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
~CTOR
, FC fOTING (f f) I 0/1 i./
, FC 'UNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - I~~
SEWER/WATER/SEPTIC (1(A ?--Il~
FRAMING tP~ J 7};:'J3J~
INBULATION ,fA J /2..7 v
,
EL ECTRICAL I
PL lJMBING Ph 7-//
HE ATING (if required) #1>
FIF, EPLACE
GA S LINE AIR TEST
DATE
I
I
I 7-;>j}
\
I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
ItJfrHr/MIISE~'" I I
r ..
FINALS ,
o -ee-.. ~,:...
~,
Oh )45; /0'-
~' /CJ/Z4/~
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
.-,'
GR "DING (Prior to SOdding)
BU~LDING
ELltCTRICAL
PLl IMBING
HEfTING
. DO NOT
h/~ .
, /0 /zg /d.<f"
rb//9/0J
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
QIrrfifitab of @trnpanql
CITY OF PRIOR LAKE
~tparfmtuf of ~uilMug J1usptdiou
~inal Permitted C Conditional C.O. Expires
/
, This Certificate issued pursuant to the requirements of Section 110 of the D Residential! C 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:
Use Classification
SINGLE FA:1TLY
Bldg. Permit No.
0';-0077
R4
Occupancy Type
R1
Type Construction
VN
Zoning District
Legal Description
1,1. Bl. lJENSMANN 4TH
Owner of Buildinl!
Site Address
141,Q TArTLDS PATH N.W.
Contractor's Name & AddresWF.NSMANN HO\.rp.S. J~ql) PT,AZA nR.. STJTTF 7.00. RAGAN. MN 1)1)122
- /
/,f/C/
, RORERT Q, HUTC}{TNS/,n-;,.r City Planner_
I"'J ~uildingfifficial
Date /'i2,/./ 0:;-- Dale
IANt: KANSTER
I
I
I
!
L
,",," ," ~ "
~,~~. ,
iiIiililliiIlio,
. ,',
CITY OF PRIOR LAKE
INSPECTION NOTICE
DA. TE TIME
SCHEDULED A:Jt:7.P~)
U/t7/ ds !4/<
ADDRESS
1'Ii .)7
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
D FRAMING
D INSULATION
Ja,..FlNAL
#Q SITE INSPECTION
COMMEN)iS: ,
fl~l~q (
.........-
~~~~ /
~~ t",}V'i'd-
,
CONTR.
PERMIT NO.
D PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~CH FINAL
.---::; /
/-/ V"t",-I
---
~r~;l#:~ /
'01.,..._ r-
./
,.,.--
~)q/
A7 /'
{/IC-
-----
s=- ..2 7
o EXIGRADIFILLlNG
o COMPLAINT
D FIREPLACE Rl
D FIREPLACE FINAL
o GASLINE AIR TST
D
, -
/d//'9/0'\
c?k
7CS;J-
---
(
\.
~ORK SA TORY, PROCEED
D CORRECT ACTION AND
D CORRECT WO"'~ ~EINSPECTION BEFORE COVERING
Inspector: FV-- ~erlContr.
//
C-. /G? J 'C.
rk
=----::- '
'~
'\
/
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &. SAFETY/
lNSIW"
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
lok/d<\
-j , -
ADDRESS ~
(.J.1j lh ~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
os- - O-=t")
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
:R: PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: ,
I . r;, I U~ 0. ~ .".....-(.
'7-. f~ 1/.2~ r1..f
~ ,?RK SATISFACTORY. PROCEED
A CORR A ON AND PROCEED
o COR K, C L FOR REINSPECTION BEFORE COVERING
Inspect, . OWner/Contr:
CALL ~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~EQUIREMENTS ARE FOR YOUR PERSONAL HEALTH I< SAFETY/
"""'''
r
APPLIANCE
PERfORMANCe
TEST
Attach to gas line adjacent to regulator
Healing Contractor G,~ 1-1/'14..
Name of Tester ~,
Date 1E)/~Jo<
Job Address 14//59 IA.--:/.Js f~tt.
Heating Contractor 4c~ r - .(1y4.-
Name of Tester 'TG.
Date 1"/7/~~
n ,./.
Percent 00 "".
Percent CO ..!:/M~
I
Percent C02 7-t
7"0
Stack Temp ., .,
Combustion air is adequately Supplied per
UMC Sec. 606 l/e5
7
Input