HomeMy WebLinkAboutBldg Permit 05-0028
I
,
CITY OF PRIOR LAKE BUILDING PERMIT, .,"-
TEMPORARY CERTIFICATE OF ZONING COMPLIANC fni
AND UTILITY CONNECTION PERMIT ~:ll
lDait &t r~1
OCT 062004 W
+.("'NESO~'"
(Please tv.e or 1 rint and si"" at borrS ee
ADDRESS
File
City
Applicant
Rv
PERMh l~V.CJS. 0 o-~~6 I
1'-11(',,3
i...N <-!>S
Main File
While
Pink
Yellow
~ AT#- }J.{".J'
?/..:\ 2-04
B
LEGAL DE: ;CRlPTION (office use only)
I~
D Ii!- <;'u I 175-
ZONING (office use)
~4-
LOTti-- BLOCK I ADDITION WCM5I?1JO,JAl 4-/'tr lIlt-lJ MIfAM>w~ PID;2<,;:..Lj,"'g-<J61.{-O
(Address) /519 c:,-
BUILDER
(Company!\ ame) ~~
(Contact Name) 1/3 LJ t.J7-
(Address)
A
(Phone)!:.1 Z- 7-Z--/ - / (. ZR
Z.OD
~"Ac, oJ
I
JIIA..J
I
E
II
F
I
r;; @
M ~ S U
4 5
PROJECT COST IV ALUE
(exclnding land)
5?7 .;2 ;;J..
....,-::;.., L' .cL. ~
J/
(Phone)
(Phone) (,12- Z.Z-/-/h 1.."
f"//o. (JOt). 00
$ 11/3.50
$ 7r~. 7R
$ S~,oo
$
$
$
$
$
Park Support Fee
./
TYPE OF ~ 'ORK. g~ew Construction DDeck DPorch ORe-Roofing
DAdditlOn DAlteration DUtility ConnectlOn 0 Misc,
CODE: DI.t.c. OO:c.
Type of Cons' l11ction:
Occupancy G 'onp:
Division:
OWNER
(Name) We AJ< n->_NJ
ORe-Siding o Lower Level Finish ~ireplace
III IV
H I
2 6J
$ [U11 (l(pi7-
,.
I hereby certify th It I have furnished information on this application which is to the best of my knowledge true and correct I also Cl'flify that I am the owner Of 3uthonzcd agent for the
above-mentIOned lroperty 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 buildmg
Otli~ this permit cause Furthermore, I hereby agree that the city otTtcial or a designee may enler upon the property to perform needed mspcctJons.
X ~:)- /'YS"R /~-r~lJ-z/
~ e.- -Signature Contractor's License No. Date
Permit Valuat ,on
Permit Fee
Plan Check F :e
State Surchar: ~e
Penalty
Plumbing Per nit Fee
Mechanical P ~rmit Fee
Sewer & War ~r Permit Fee
Gas Fireplac( Permit Fee
SAC
WalerMeter(~I.";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
/00,00
IDD, 0 0
..5~. ~O
LjO,Od
Builder's Deposit
Other
TOTAL DUE
~,-/
/
Paid SJ"/~. 7f'
Date l" ~ _ (,i f--
This Applica1 ion Becomes Your Building Pennit When Approved
~;.~
Bui: Jing Ollicial
#
#
#
#
,
Receiift No,
By /1-
~
$
$ I iscl. 00
$ Z~O. 0 0
$ C{-~.OD
$ 12oo.oa
$ ;0 0 . 0 (l
$
$
$
-
-,)rfz'- .1/
I
I
"1:ft".f'J
/
ThiS IS to certify hat 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 t Ie City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
i"~lanninZ~~r~~ /of%fv See M!!!~;fanrile
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
------_.__._~._--_._-._~.-
""-~~ ~RIOt? <:
t: ~
U en
See Main File
~.
Th~ ('fn..., nf lh.. l..k.. ('ounlry
White . Building
Canary .. Enqineering
(""""Piii""k .Pla~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NI,ME OF APPLICANT
APPLICATION RECEIVED
v (/1/fl'II-I// 1\/
/(.(,(4-
The Building, Engineering, and Planning Departments have reviewed the building permit
a~ plication for construction activity which is proposed at:
/""1 1:/..7 i v I C, {/ :::- 1',//}J7 /ii / ,/
A, :cepted /"
Accepted With Corrections
~
!
.
D 3nied
R 3viewed By: '- ~ (4 ..
Comments:
. .-t'. ~ .
.n~
Date:
/o/;d~
'The issuance or granting of a permit or approval of plans, specifications and
,;omputations shall not be construed to be a permit for, or an approval of, any violation of
my of the provisions of this code or of any other ordinance of the jurisdiction. Permits
Jresuming to give authority to violate or cancel the provisions of this code or other
xdinances of the jurisdiction shall not be valid."
/
&~
u~~
See Main File
<YVhite - BuildiiUi,)
Canary - Engineering
Pink - Planning
Tl'le {"en.... "r Ih,.I,.k,. Conn'.,.'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
Nfl ME OF APPLICANT
ARPLlCATION RECEIVED
W f/tJJf'L1 /f/V /l/
10. &. 04-
Th'l Building, Engineering, and Planning Departments have reviewed the building permit
apl llication for construction activity which is proposed at:
1 +- / (p,3 1/11/ &0 ~ ,P/JIJI )./ ;J
ACI :epted
v
Accepted With Corrections
De lied
Re liewed By:
~
~f-;
Date:
/ah T~ ll-
I
Co nments:
See-Main File
"Tt e issuance or granting of a permit or approval of plans, specifications and
cor lputations shall not be construed to be a permit for, or an approval of, any violation of
an) of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pre suming to give authority to violate or cancel the provisions of this code or other
ord nances of the jurisdiction shall not be valid."
.
-1.@~ PR10fj> (
f::: ~
U [Tl
See MainF'ile
Th~ C~nlf' of lhf I,.h ('ollnll1'
White - Buildina
n"am"-r - Engineeri!!'!p
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
AP PLICATION RECEIVED
tv ,'-:. N'JI .R,.A/ltl
/0 {e 0 4.'~
Th< l Building, Engineering, and Planning Departments have reviewed the building permit
aplllication for construction activity which is proposed at:
.
,i/ "9( / /c__~~ {-li/ C, c-i .:;- /-:>//71/ /V/\,./J,
ACI :epted
x
Accepted With Corrections
De lied
Re ,iewed By:
/J1fIA
Date:
/- '-/- QS
Co nments:
.50. 1Yl..;,,,, F/I..
"T~ e issuance or granting of a permit or approval of plans, specifications and
conputations shall not be construed to be a permit for, or an approval of, any violation of
an)' of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pre suming to give authority to violate or cancel the provisions of this code or other
ord inances of the jurisdiction shall not be valid."
04/29/2005 FRI 8:01 FAX 6513226147 GENZ-RYAN
~ 011/031
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I.a~. .;t. IPERMITNOS-~
2.. Gold Cily
J. Yellow Applkull
_ q'Iease type )r Print and siRn arbottom)
ADDRES 5
I L\ Il 6)) lJJ II cl!-:>
n I .,"\
Hl-.:rh f\'li\)
ZONING (0"""')
LEGAL L ESCRll'TION (office use only)
LOT
BLOCK
ADDITION
Pro
, OWNER
(Name) lensmann Homes
(phone) 651-905-3709
(Addre~) 1895 Plaza Dr
Eagan, MN
55122
APPLICAl IT
(N.~p) I:enz-Ryan Plumbing & Heating
(phone) 651-423-1144
(AdWes~ 14745 So Robert Trl
'\ (A, ddress)
lilo ",' r--' , Li .
(Contact Pe :son) '-//i \/'18t-1 f-' Ov IS
APPLICN- T SIGNATURE r l'vei JiA "1/( di1
Rosemount. MN
(City)
55068
(Zip Code)
(phone) 651-423-] 144
DATE .L11~;rsLV)"
I
I
I
I
I
I
I
I
I
I
APPLICANT PLEASE COMPLETE BELOW
Quantity I Type of Fixture I Quantity I
( Bath Tub with or without shower I Rough-ins
Dishwasher I I I Water Heater
I Floor Drain 12.) j I Water Soflner ,/ ,
c'::. I Lavatory (Bathroom Sink) i l'stand Pipe (Washihg Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Ejector
I Shower Stall I Backflow Assembly
I Sinks I Backflow Assembly rest
Bar Sink Lawn Sprinkler
<:). I Water Closet (Toilet) I Other
Type of Fixture
I
I
I
I
I
I
I
I
]
,
FEE SCHEDULE
Industrial, C, mmercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Altr::rations $39.50
Estimated Cost $
Building Permit #
PAID WITH
eUILDING PERMIT
PLUMBING PERMIT FEE $
STATE SURCHARGE .$
TOTAL PERMIT FEE $
.50
(Office u.. Only)
This APPliltion Becomes Your Building Permit When Approved
Buildi II om(lal Date
r Paid
I !ilate
t.IUr"
r Receipt No.
Z lUU~ By
Ii-
!J
Z4 hour notice for all inspections (951) 447-9850, ilIx (952) 447-4Z4S
04/29/2005 FRI 8:01 FAX 6513226147 GENZ-RYAN
Ii!J 0121031
@~
. ",vlfES -"to
~
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
i~. ~~, I PERMITN~~ ,~~
J. Gold App/iCUt ~ ~
q'lease!Y.E!: I iF Print and $is at bottom)
ADDRES;
\. \\1)
L I\.J.')
i . '\ 'iL
~J)I ,Db:)
(I ,/
\ < ()(lY\
,. \
~\i\U
ZONING (0_ ""J
LEGAL DESCRIPTION (office us. only)
LOT
3LOCK
ADDffiON
PID
OWNER
(Name) \.ensmann Homes
(phone)
651-905-3709
(Address) 1895 Plaza Dr Ste 200
(A.uu.ss)
Eagan, MN
(City)
55122
(Zi!>Cod,)
APPLIeAl' 'T
(Name) (enz-Rvan Plumbinl! & Heatin"
(phon~ 651-423-1144
(A~~ J4745 So Robert Trl
: (Address) __'' "
r'''o'' ~ ' , '
'} ,,()( >., -Ii I
(ContactPelSon) -,-) !V iC,\ (" i};-\:'>~\> <,? 'J
'_ICAN r SIGNATURE .t t-L'LSl ltl/lkiJ
~n~emnllnt. ~-'N 55{168
(City) (Zip Code)
(phone) 651-42,-1144
DATE t.! /cJ~'r/C'6,
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 I'VC
Estimated length of sewer line feet.
'Clean out (if required) located at _ feet from structure.
feet.
o Cast Iron
Residential se' vcr and water line connection
Sewer connecl ion only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family
$17.50 Water connection only
1% of job cost with a $39.50 minimwn
$17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
PAID WITH
BUILDING PERMI;
(om.. u.. Only)
This Applicalion Becomes Your Building Permit When Approved
o.te
I Paid
I Date MAY
, Receipt No.
I.
a/I
([
Buildir g Officill'
2 Z005 By
24 hour nolie. (or aU inspections (951) 447-9850, fax (952) 447-4245
04/29/2005 FRI 8:01 FAX 6513226147 GENZ-RYAN
III 013/031.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
. """"
3. YeJlow
~ fPERMITN~
AppJicant -"'" ~
j I ZONING(ol\lceuse) I
(Please.we II 'Dlint and siRn at bottom)
ADDRES,
Ii \"'1
j L.1\llJ,'J
'\.' i J'.
! \ j ,I
\ J i ,', ...::;
\~i:\ Jt') \'J L\
LEGAL 1: ESCRlPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
~wn~_Y'"Q~~~m~Q
(phone) 6 5,_on >- ~ 7M
Eagan, MN 55122
(Address) 1895 Plaza Dr Ste 200
APPLICAj -IT
(Name~ l:enz-Ryan Pl11mbiI'lCT '" l-l.f-At";na
(phone) ~~ 1_1. "_11 hli
Rosemount, MN
(City)
55068
(Zip Code)
(Address) 14745 So Robert Trl
f\ '.,' (A~s) ,
P If\' /q. r'''' I ' ,
(Contactpwon) Q ,Ii [)\ i rttl!> ,
APPLICA' IT SIGNATURE' (/\{I/) /1'/{1', \j/{ (7 (if)
1. _/_- I. L" :..If', .(lA..lAX-.....
(Phone) ~"_I. "_11/.[,
DATE -<~I /;).'6 /O~-)
f . APPLICANT PLEASE COMPLETE BELOW
~W CON~TR~!CTION", ~,Q ~~LA;EMENT__. 0 ALTERATIONS. "-
FURNACE ',fAKE AND MODEL L.(j"iJ"\()Y..I:rUUJI ..1.C'(; IU FUEL (tv:.. (7!c.L-::>
FLUE SIZE RETURN OPENINGS L! INPUT {r( rf lJl OUTPUT "s:5N;O
TYPE OF SYSTEM HEATING OR POWER PLANT
JBWann Air Plants 0 Steam
['jGravity 0 Hot Water
o Mechanical 0 Radiation
c0Ak Conditioning 0 Special Devices
OVent System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannol Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Con mercia! & Multi-Family
FEE SCHEDULE .
1 % of job cost Residential, Gas Fireplace
539.50 minimum
$99.50 Residential, Additions & Alterations
564.50 Residential, AC Only
$39.50
$39.50
$3 9.50
Residential, He .ting & AlC (New Construction)
Residential, He 'ting Only (New Construction)
Estimated Cast $ Building Pennit #
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
TOTALP~FEE $
PAID l1I,
aUILDING 17"H
PERMIT
!,.. -'.. Hu Qnly
,
.. .... Applic Itlon Becomes Your Building Permit When Approved
Build RI omc:ial
Dlte
Paid
Date ~:
I Receipt No.
2 ZJ03 I By .
~
V
24 hour notiee for all i..pection. (952) 447-98S~..!""..:.~~~).447~_
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
ILlI'-3 WILDS' JlAr'H _ ,.!./Al.
NATURE OF WORK NSJ C,MJ:trIl4u-r,.iJ
USE OF BUILDING Sf:-.A. · .
PERMIT NO. tiS.oOZPJ DATE ISSUED /Ohr/~~
COfllTRACTOR W~ th.... PHONE~/Z-ZZ/-I"Z.r
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
I FO :>TING
I FO JNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH-)/!S
SE1IVER I WATER I SEPTIC ~<;
FRJ ~MING 4;;t:- . . .
INS ULATION fit'; (r](J -o~
EL~' CTRICAL
PLUMBING #.5 ~~
HEriNG (if required) I
FIR PLACE . /' ;; , r ,
GAS LINE AIR TEST~). t'1I/. /1ftif' I 6/17/05
COYER NO WORK UNTIL ABoJE HAS BEEN SIGNED
IMT6& ! H:Ms6'~ I I
FINALS
_ See ~,Yt rr Ie
(~D ~--y
. ~//~r;~
1"r1 l ~ <6 /fPJ/ cf;'l,#oS
. /lb g::-j) -
.
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
SITE ADDRESS
INSPECTOR
.
I GRJrDING (Prior to Sodding)
I BUILDING
ELE CTRICAL
PLUMBING
HEATING
DO NOT
OATE
epy ~~
fL )~
(
This card must be posted near an electrical service cabinet prior to rough-in inspections
md maintained until all inspections have been approved. On buildings and additions
...here no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
Qlttfifiraft of <IDrmpaur\!
CITY OF PRIOR LAKE
~tpartmtuf of '!Iiuilbiug Jlusptdil1u
j~inal Permitted D Conditional c.o. Expires
rhis Certificate issued pursuant to the requirements of Section 110 of the C Residential / 0 International
'luilding Code certifying that at the time of issuance this structure was in compliance with the various
"dinances a/the City of Prior Lake regulating building construction or use. For the following:
SINGLE FAMILY 05-0028
Jse Classification
Bldg. Permit No.
Jccupancy Type
R3
Type Construction
L4, Bl, WENSMANN 4TH
VN
Zoning Districc
R4
~egal Description
)wner of Building
WENSMANN HOMES, 1895
:ontractor's Name & Address .,
ROBERT D. HUTCHINS ~~~
'/"".P" _ City Planner
... ~ _ )fuilding Official V
Dateo R/?",f // :;("'"-
7 '"'/" -'
Site Address
14163 WILDS PATH N.W.
PLAZA DR., SUITE 200, EAGAN, MN 55122
JANE KANSIER
Date:
iiiIi",
,,,"
...~,.'~ I
DATE nME
R~~-
U/,-/dr A-/L:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/Y"'/??'
OWNER
PHONE NO.
o FOOTING
CI FOUNDATION
CI FRAMING
o INSULATION
~NAL
o SITE INSPECTION
SCHEDULED
CONTR.
PERMIT NO.
CI PLUMBING RI
CI MECH RI
CI WATER HOOKUP
o SEWER HOOKUP
,iiI"'PlUMBING FINAL
o MECH FINAL
as.... :2r
o EXIGRAD/FILLlNG
CI COMPLAINT
CI FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
CO~E;NTS: / ~ / / , -::./
~/;'/j7';4//7h/ ~f1/~os-
~"2~ -r / / ./ / /'
/// /(/ /Lu~//r>c1
~1 J
:;?7' kc; /
/
~
~~=
~/)/
( /0 j-e
rr'"WORK SFACT~RY. PROCEED
MORRECT ACTI..J.... "'I~^,..ee~
r'7~/
--------
~ ~
/~J ~ \
r---/ ho )
''-~
o CORRECT W07A-~;;~R REINSPECTION BEFORE COVERING
Inspector: r~ -(lWnor/Conlr:
/~ -
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
1NSNOf'
. ,,:, 7
SCHEDULED e>~
LV t'l~ (? dJL.t
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS I LIllo ~
OWNER
PHONE NO.
CONTR.
PERMIT NO. c:; - ~ 2:J!J
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.J:Yi:INAL
.lCISITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
o MECH FINAL
COMMENlS:
~ rl ka:t .k l.yIl .2
~1. 0~ J::,.... 0 \ t~)
~A.0
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
<./47 -it!i6
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
XCORRE RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
J,
o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSJ<<)TI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
Job Address 1<lILJ kJlI,h "-
Heating Contractor .bzUll-"1'--
Name of Tester ~
Date ..1//~/..t;
Percent 0, 7. 'i-I,
Percent co 'I,,,,,
Percent C02 ...:L:l/I,
Stack Temp .:J:i.4'
combustion aiT is adequately supplied per
UMC Sec. 606. Ve.5
Input .--:----