HomeMy WebLinkAboutBldg Permit 05-0029
CITY OF PRIOR LAKE BUILDING PERMIT, 'iii IT: u \').jaM;{~~'d
TEMPORARY CERTIFICATE OF ZONING COMPLIAN R\: \'11
AND UTILITY CONNECTION PERMIT \111 OCT 0 6 2004 ~
O~ PR 10+
... .~
'" "
~ :0:
U ,.,
+''''IVESO,\f"
(Plt~ase type or PI int and siltll at bottom)
ADDRESS
See Main File
/ l../I ~ 7
t../& ~bS P,4-r-w-
A), W'
LOT $"""""BL XK /
LEGAL DES, :R1PTION (office use only)
I White
2 Pink
3 Yellow
file
City
Applicant
PERl' ttt ,.0. 05'. c, OLCj
.
ADDITIONtVe.NS"I>1_'\JN' tfrtr' ?//t-) M~iI>pwS
OWNER
(Name)~/..... eAX J"Y},..,J"/
(Address) / ~ '9-:;;- f'(,tJZ-o
BUILDER
(Company Na ne)
(Contact Nam,)
(Address)
l-hrn ..?J>
<V/~
(l)IA~
s.~
13 l.> 2l2- --;-:.. J 5' ~
ZONING (office use)
;C4-
PID,'lS-:"4/;i-oO :)'-0
(Phone) ~ n -ljOC; -<!/~PZ>
2a!.:>
e.-... J
I
~#
<77 i3/...Q.
(Phone) t:./L- 2-Z-/~/C. zJJ
(Phone)~. ~ ~,;" :; ~
/
ORe-Siding DLower Level Finish ~ Fireplace
./
TYPE OF W()RK. ~ew Construction DDeck o Porch ORe-Roofing
D~ition DAlteration DUtility Connection 0 Misc.
CODE: DI.Rc. 0f.B,C. et J::1)
TypeofConstr,tction: I II III IV V ~ V
Occupancy Gru "p: A B E F H k M <ill S U
Division: I 2 O.J 4 5
PROJECT COST IV ALUE
(excluding land)
$ lID ()oO-
.
I hereby certify that have furnished information lln thiS application which is to the best of my knowledge tnlt' and correct I also certify that I am the owner Of authof!zed agent fOf the
abovr.mcnllOned pT' .perry and that ail construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
:"'1"~ :;~' J" "50 P,,"h"mo", 1 hmby 'J:''' Ih" Ih, oty Offi",/, :;~,y ,nt" "pon Ih, plOP"'" 10 p,,'olm ~;':;:::'y
~ // V Signature Contractor's License No. Date
Permit Valuatio 1
Permit Fee
Plan Check Fee
I State Surcharge
I Penalty
I Plumbing permlt Fee
I Mechanical pertit Fee
I Sewer & Water )ermit Fee
I Gas Fireplace P, Tmil Fee
..
rlIIO. (J() (). () 0
$ ~/11:r.~(J
$ /d ':? 7,p
$ SS;ll c)
$
$
$
$
$
too. ()t)
100.00
3$"'.S-0
40.00
This Applicatior Become'S Your Building Pennit When Approved
~. -7A rn
, ~t..
Buildil'!Ollicial
-4e~ c/
Park Support Fee
SAC
---=--
WaterMeter~l";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
/
5&T2.. ."fr
J.(..v?
#
#
#
#
ReceipVNo.
By <{./
(I
$
$
$
$
$
$
$
$
/
$5rll.7,r"
1160.00
C;S'O,OO
1S.o0
/ZOO.O 0
7tUJ. tl-a
?dfR ~
I
ThiS IS to certify thai the request in the above applicatIOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requcsted This document
~:h::bnn~mpO"~C"'ifi"leOf;:~;':n:'ndn1l0w"on'troctionI0'~f"'Maiii'ICFIiem"'lbC
Planning Directm ~ ~e 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
See Main File
White - Buildin!!
(Canarv - Engineen'l19::>
Pink ~ - Plannmg
Thr ("tntrr<lf lht LMb("ounll'}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLI ~ATION RECEIVED
tl/ (;k'S/v! r1 IV A/
/(). &.01--#
The B~'ilding, Engineering, and Planning Departments have reviewed the building permit
applic<1lion for construction activity which is proposed at:.
I / "1- / I" "7 (1// L L/S /-</'-1 T7i /V/'I/
Accept :ld
Denied
x
Accepted With Corrections _
RevieVl ed By:
ffYfiJJ
.5a !Yk,,'.1. F,'/!.
Date:
1- J.j-o~
Comm, mts:
"The i:suance or granting of a permit or approval of plans, specifications and
com put ~tions shall not be construed to be a permit for, or an approval of, any violation of
any of . he provisions of this code or of any other ordinance of the jurisdiction. Permits
presum ng to give authority to violate or cancel the provisions of this code or other
ordinan~es of the jurisdiction shall not be valid."
~~ PIUOt? (
t ~'~
u . rn
See Main File
White - Building
Canary - Engineering
~..;,. -.-.i<..I............":;)
-
Th~ (-..nh'" f lh.. I.Rk.. Count.,..
~UILDING PERMIT APPLICATION DEPARTMENT CHECKLlRT
NA vlE OF APPLICANT
APPLICATION RECEIVED
t V'/:- A::I' I rI /V A/'
I( .(" (;1-
ThE! Building, Engineering, and Planning Departments have reviewed the building permit
ap~ lication for construction activity which is proposed at,:."V' ./;' ,!I
/ ,:< It, 7 I ' / I /.-- /.// I?-1 .
I i' L- _/_._~ r
,
"
I.
..
Ac( epted /
Accepted With Corrections
...
De~lied
.,
Re' 'iewed By:
~~'~
Date:
/(J;lO!:L/
,
.'
Corrnments:
. t
"
See lVlain File
"n 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
anI 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
ordinances of the jurisdiction shall not be valid,"
~~
uom
See Main File
.....riii.:..._ _DI.:I.....:~,
Canary - Engineering
Pink - Planning
-
Th.. ('''0. r of Ih..I..k.. Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlRT
N II,ME OF APPLICANT
APPLICATION RECEIVED
W;::; AlSr7 /J IV' A.I
10.&.04-
Tile Building, Engineering, and Planning Departments have reviewed the building permit
allPlicatjn ;~CZ;uctiW;:i~;Ch is;;;: a~ tV
A, :cepted
V"
Accepted With Corrections
D ~nied
R ~viewed By:
~,-
-It.-
:2e < .f)t..,.
Date:
/~),r~Y'
C lmments:
See Main Fire
"1 'he 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
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
01 dinances of the jurisdiction shall not be valid,"
04/29/2005 FRI 8:01 FAX 6513226147 GENZ-RYAN
o~ P I/O..
f~J~
~ 014/031
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
I'flease.!YQ.' ~ or 'Print and siP;n at bottom)
APDRE ,S
Il'i "
_H iI i
r) .
I 'f4..-H.,\
"'(JUI'I
U ')11 d~)
I\JlL)
LEGAL )ESCR1r uvr{ (oftlce use only)
LOT
BLOCK
ADDITION
OWNER
QName) Wensmann Homes
(Address) 1895 Plaza Dr
APPUCI.NT
QName) Genz-Ryan Plumbing & Heating
(Address) 14745 So Robert Trl
, (Address)
(1 j-\ .:, f t" ("'On' j' I '
(ContacUerson) ~\~'i~)) '1'-". L..,
ji /f) J; r'd':":
APPLIC,^,NT SIGNATURE (.h L.'i /1 /A;'
~ ~L ~~,~, I PERMITN~~ aft
, ZONING (ollic<",.)
PlD
(phone) 651-905-3709
Eagan. MN 55122
(phone) 651-423-1144
Rosemount. MN
(City)
55068
(Zip Code)
(A 17
'",~..If I t.r)
J"'lX-"",
(Phone) /;51-42,-1144
DATE eJI/951(J~--
APPLICANT PLEASE COMPLETE BELOW
Quanti! y
I
I
I Type of Fixture
Bath Tub with or without shower
t Dishwasher
1 Fioor Drain
. 'I 1 Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
,~, Water Closet (Toilet)
1
I
I
t
t
I
I
I
I
I Type of Fixture
I Rough-ins
I Water Heater
Water Soflner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
t Bacldlow Assembly Test
I Lawn Sprink1er
Other
Quantity
I
1"/.
(~- I
I
FEE Sl.o<1M,,-JLE
Industrial, I :ommercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alteratiuns $39.50
Estimated Cost $
Building pennit #
au,~ WITH
G P~RMrr
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
,50
(Office Use On y)
This Appli cation Becomes Your Building Permit When Approved
BuUding Official
Date
24 hour notice for an inspections (952) 447-9850, fax (952) 447-4:145
--'
, Paid
I DatMA Y
I Receipt No,
JBy L4-.
1/
--
~ ZUUJ
04/29/2005 FRI 8:02 FAX 6513226147 GENZ-RYAN
~ 015/031
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
t'Plf!lSe ornrint andsism at bottom)
ADDRl'SS
\, U i, i ("I I i \, \ .t1 (:
1 Iv I\})\IL,{.,.,
; =. ~\~ , PERMIT NO. ~1
3.Gotd Applieclt ~ -I
PoJh 1\[( U
, ZONlNG(o_...) ,
LEGAL OESCRIPTION (ofllce use only)
LOT BLOCK
ADDmON
PID
OWNEr<
(Name) Wensmann Homes
(phone)
651-905-3709
(Ad~~ 1895 Plaza Dr Ste 200
(Address)
Ealian, MN
(City)
55122
(Zip Code)
AFPLIC, .NT
(Nam~ Genz-Rvan Plumbine & Heatine
(phone) 651-423-1144
(Addre~) 14745 So Robert Trl
(,! , ~ddress) . ._~ '
(Contact] 'erson) _l.~,,\"\ ViSJ 'I j--D,1 j ')
(11""1 J./---;"'"'J... If. 1/1',
-_10 NT SIGNATURE ,j' Ui<j/Yi(~ '--'!D.l:&i.')
'R0A~mn"nt-. '~
(City)
~'iQn!l,
(Zip Code)
(phone)
DATE
6'i1-42,\-\ 144
f 11'\'- 1,.,..'.-
./.... /;)..'6/ U"J
APPLICANT PLEASE COMPLETE BELOW
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
Residential ;ewer and water line connection
Sewer conn ,ction only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family
$17.50 Water connection only
1% of job cost with a $39,50 minimum
$17,50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
o ~ WITH
BiftlB)NG PeRMIi
(OffiCI! Use On !y)
This Appl Clltion Becomes Your Building Petmit When Approved
Paid
I Re"!'ipt No,
2 20051 By
Ci
u
I'
!
DUI ding Official
Dlt~
. Date MAY
24 bout nome for .U inspections (952) 447-9850, fax (952) 447-4245
04/29/2005 FRI 8:02 FAX 6513226147 GENZ-RYAN
. ~ 016/031
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
i ~ ~~~. I PERMIT NOp~ ~
). Yellow Af'IIJ'-'l t ....", If
(Please typ~ . or Priat and si2D. at bottom)
I ADDRE;S
'" ii'
I 11'1-1 '" L--,
,ljl\ ,I Jjl L1 ,
P(lJjJ
~ i. '.
1\:U J
I ZONING Co_use) J
LEGAL, JESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
~~~ Wp-n~m~nn Hn~~o
(phoD~ "'_Qn'_~7no
(Address) 1895 Plaza Dr Ste 200
Eagan, MN 55122
APPLICJ .NT
~mn~ Genz-Rvan Plumbini & Heatino
(Addres~ 14745 So Robert Trl
(Contactle1'5on) CJ\ l'\ c:-;r\ (A~{~_;r:U \")
APPLIc)NTSIGNATU~ (l}ij JT]r~i C-1r,(Hk;
(phone) '" 1 _h' ~_ 1 1 ""
Rosemount, MN
(City)
55068
(Zip Code)
(phone) _..6.5.ld< '1- "4."
DATE .J-!l)?;/C5
, APPLICANT PLEASE COMPLETE BELOW
. ~WCONSTRUCTION OREPLACEMENT o ALTERATIONS
FURNACIMAKEANDMODEL I f'nrlln (\-lJ(ii)j-f -"')lr(;7D FUEL (Yel. Cja"')
FLUE SIZE RETURN OPENINGS 1..1 INPUT I r:I ti ()/ '{ \ OUTPUT 5~)r;h,
TYPE OF SYSTEM HEATING OR POWER PLANT
~WIll1l1 Air Plants 0 Steam
[jOravity 0 Hot Water
[].Mechanical 0 Radiation
"'EJAit.Conditioning 0 Special Devices
OVent. System 0 ,Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
IndusIriaJ. Co ,mmercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39,50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39,50
Residential, ) leating & Ale (New Construction)
Residential, Ueating Only (New COns1ruction)
$39.50
$39,50
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
._, PAID WITH
--JI[l)ING PERMIT
Estimated Cost $ Building Permit #
,50
!r -." Use ()rily)
,
Du Idlug Official
Date
I Paid
I Date MAY
I R;eC!eipt No,
2 2005113)'
~
..,", Application Becomes Yonr Building Permit When Approved
24 hour notice for all inspectiuns (952) 447-9850, fax (952) 447-4245
L
PR. lOR LAKE DEPARTMENTOFSee Main Fi,
. BUILDING AND INSPECTION
INSPECTION RECORD
SIT:: ADDRESS 11./1' 7 AJ/L/)J' I1AT1fa A),iJ.
NA1"URE OF WORK NEW ~AJS~'d~
USE OF BUILDING 'S.fC:,A.
PEflMIT NO. OS.oo2C/ DATE ISSUED 0 I. ,If
COIHRACTOR ~~-' M1"..n PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
, THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I Fe OTING
I FO UNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
$?
,
. /
.-2//s-/o.r
SE WER I WATER I SEPTIC
FRAMING O.i5
INtULATION ; tj,./LJ
EL CTRICAL j'::;' _ /
PL MBING I /6 ~1/A~~
HE ATING (if required) ~ ~
FI~EPLACE I
GAS LINE AIR TEST lf4it-t/;f!- ~~ I c1//?/Of-
.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~~I1J/.AP I I
FINALS
GR.I\DING (Prior to Sodding)
BUI LDING
ELE:CTRICAL
PLlIMBING
HEmiNG
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance,
pI!
''?-2?
I
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
FINAL
o SITE INSPECTION
COMMENTS:
Q~t 6
SCHEDULED
tl)I'\J)S ~
CONTR,
PERMIT NO,
S--tJV 2ft
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/j
I~U~
V I
I
/
~ORK SATISFACTORY, PROCEED
CORRECT AC N AND PROCEED
. 0 COR EC . CALL FOR RElNSPECTION BEFORE COVERING
lnspect( [:
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
Owner/Contr.
lREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
-.JTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS -1:Il!, I
OWNER
PHONE NO,
o FooT/NG
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
'"
~.h~
DATE
7/2-zJQ5
I .
p" b--
SCHEDULED
W;l&
CONTR,
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~PLUMBING FINAL
o MECH FINAL
~A' TtJ
,- - .-
'7 ().,( I J-P_flll1 "." , ~
, - ~
'"'2,
A~~
&.4. ~<?
U
TIME
r::;-eo~cr
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
ct!:[:J - ~ g 't~
o WORK SATISFACTORY, PROCEED
~ORRECT ACT/ON AND PROCEED
o CORRE RK, CALL FOR REINSPECT/ON BEFORE COVERING
Owner/Contr:
IN$NOTI
OA. TE TIME
SCHEDULED ~~--
u/:~ ~:f/
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/7"/67
OWNER
CONTR,
PHONE NO,
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
_ "'" PttJMBING FINAL
o MECH FINAL
as- - c29
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
/;) /~ n:".A'~r _ s,5:~
l.../ .h~d ~~~t!"_ *J r-
.? A/Y" e d (Si9-uh~ 1"
~/# /h.is~h-~,
&0
~ ,// .--- /
/c.t'" 1Ck e....... 0--h. /L~
/hs~"/ (d5 ~/::r
(j;)
/"'i ~ I)
L-~// ~
#
~p;r-
*.t:-.~
h-:1?/' /!
~/f*c7Zo~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~RK. CALL FOR REINSPECTIDN BEFORE COVERING
Inspector: ~ _ IL..dl'lCOntr:
----
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
tNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETY!
Job Address .1';1JJ.7 J,ViI#) ",.r!,\
,
Heating Contractor {'31 ~A2-1fj""
Name otTester ~,
Date 7 (;1,"/"'_~
Percent O2 '7. 9 oj,
Percent co <{ ,,"-
1/
Percent C02 _ 7. z-/..
Stack Temp ~ t) "'.
combustion air is adequately supplied per
UMC Sec, 606 vef
-.
--
Input