HomeMy WebLinkAboutBldg Permit 05-0031
CITY OF PRIOR LAKE BUILDING PERMIT, \\'m" IT: \,'\ \'blk\.i~c'd
TEMPORARY CERTIFICATE OF ZONING COMPLIA~; E \ \il 'q
AND UTILITY CONNECTION PERMIT I 'i OCT 0 6 2004 l!J)
,Il' J
See Main File Whll< ",< L'
~;;':w ~;':Ii"m PERL.nI~OS=-_ C'03 J
(Please tyoe OJ orint and sie;n at bottom)
ADDRESS
14'17'$" tJ/~bS
VfJ77r
ZONING (office use)
JC4-
N.W
LOT'7 I LOCK I
LEGAL DI iSCRIPTION (office use only)
ADDlTlONW6"~ m_,J,J 4""'" 1Ahl-h 1McJ..ADt'JV~
PID.)S--'-(IJ-exn-u
~&5
2fo/~Ll ~
v'
OWNER
(Name) iJeAJ 5 /11A.-/JJ
(Address) ~ 11C;C;-
(Phone)
t;q- ?f~ - Y~c:J
)U,J
<)ul1v
(.JSo~ ""~
./
~~
2bD
BlITLDER C-
(Company Harne) ~.J
(Contact N, me) ;;:? v=-- ~Cf;~J'f7I
(Address)
(Phone)
(Phone)0/'Z- ZZ-I- / L, Ufo
TYPE OF" VORK .%New Construction DDeck DPorch ORe-Roofing ORe-Siding o Lower Level Finish ";;?FirePlace
DAddition DAlteration DUttlity ConnectiOn 0 Misc.
CODE: 01 R.C. ~C.
Type of Con itIuction:
Occupancy ( froup: A B
Division:
I
E
III IV (j) A-fJ?)
H J-M <iVYu
2 (3.J 4 5
PROJECT COST IV ALUE
(excluding land)
$ /10. (JOO
J
II
F
I
I hereby certify t IJt I have furnished information on this application which is to the best of my knowledge tme and correct. I also certify that I am the owner or authorized agent for the
above-mentlOne( property 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 building
:~ ~ th~ermit cause Furthermore, I hereby agree that the City o/~2; may enter upon the property to perform /;d~F;;y
~ ./ Contractor's License No. Date
I.
Permit Valua tion I"'/IO/ooo,oe Park Support Fee # $
Permit Fee $ /1/3.50 SAC # $ l~o.Of)
-
Plan Check I ee $ 7#5.7Y Water Meter CSize 5/9 1 "; $ ZSCl.O <:>
State Surcha~ge $ 5"S. D <> Pressure Reducer $ 4S .0 0
Penalty $ Sewer/Water Connection Fee # $ CZoO,Oo
Plumbing Pe mit Fee $ /lJt!J.()€> Water Tower Fee # $ 70Cl.tl~
Mechanical] 'ermit Fee $ /00 .D 0 Builder's Deposit $
Sewer & Wa er Permit Fee $ 35.5'0 Other $
7
Gas Fireplac ~ Permit Fee $ '-fa .00 TOTAL DUE $ "7"8/Z . 7["
7
This Applicaion Becomes Your Building Permit When Approved Paid t;. y/.,). .7.Y Receil1t No. <j';Y(d1
~~ -:k. V~ {ofr.e/or Date /. lE."r BvA
(J
Bui di1l!.!.Ollicial Dat~
This IS to certify that the reqlll:st in the above applicatIOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested This document
when s ned by he City Planner cons}1U!.!es a temporary CeI11ficate of Zonmg comphance and allows constlUctlOn to commence Befole occupancy, a CeI11flcate of Occupancy must be
. Pl~ ~Ii~f --See l\!~i!!ons~~le
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
ISS
~~
ue~
See Main File
White - Building
Canary - Engineering
c:;;;:;E:ir" - ... ,liitninQ...,.
lhr ernl 'r of Ihr Lakr ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N II.ME OF APPLICANT
,ti/- IvS/"/ /1 Iv A/
I{ (( (4-
A "PLICATION RECEIVED
T 1e Building, Engineering, and Planning Departments have reviewed the building permit
allPlic~~i:n :or;~tru~t:~~ ~C:~t~hic~~.~~r;p';d a:V! /
A xepted
.,,/
Accepted With Corrections
~
..
.
..
o ~nied
R 3viewed By:
~~r
Date: # "'/6 tf
C Jmments:
SeeMaiaEile
"-'he issuance or granting of a permit or approval of plans, specifications and
cllmputations shall not be construed to be a permit for, or an approval of, any violation of
a ,y of the provisions of this code or of any other ordinance of the jurisdiction. Permits
p 'esuming to give authority to violate or cancel the provisions of this code or other
o 'dinances of the jurisdiction shall not be valid."
~
G~~
See lVlain File
cjVIlife - BulT!llnl! ::>
'-"allt:llfY .. Engineering
Pink - Planning
Th~ ernr r or thr l.akt ("ounu"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N II.ME OF APPLICANT
w;::; 11/ s 1"1 ff/t/ A,/
/~,fR.64-
A ~PLlCATION RECEIVED
Tile Building, Engineering, and Planning Departments have reviewed the building permit
al >plication for construction activity which is proposed at:
/4-175' W/~OS /J/!771'" N;/
A ;cepted
v
Accepted With Corrections
D 3nied
R 3viewed By:
C Jmments:
~,~~~
Date:
(o/; (3~t{
. ,
See lVlain Fil~
,,- 'he issuance or granting of a permit or approval of plans, specifications and
cilmputations shall not be construed to be a permit for, or an approval of, any violation of
a,y of the provisions of this code or of any other ordinance of the jurisdiction, Permits
p 'esuming to give authority to violate or cancel the provisions of this code or other
o "dinances of the jurisdiction shall not be valid."
"'.=<>
~~ PRIO,;, (
t -;:.
U t".
See lVltun 'File
WhitA - Rllildina
~rv - Engineerin9')
Pink - Planning
-
Thr ern' n <If Ihr I,.kr <:ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
AiPPlICATION RECEIVED
? !/ [;J-/"'l /I'/V/\'/
'/" 4-"
I / /'
,( . (, 6
T1e Building, Engineering, and Planning Departments have reviewed the building permit
a Jplication for_co~tru~ti~n activ~tY<"WhiChiS p,r~po:ed at '.' /
/ "-,,l-'~./ I dC..'1 1/ t. / L.... / J '\ />,..""" /7'1 /lV'" .(/\.,;
. " __ ,~, ,J:.,./ _ r' ~ l' .' " ' r
jl ccepted
x
Accepted With Corrections
[ enied
F eviewed By:
/YY1iJ
Date:
I-Lf-"5
( omments:
,5'a. /Ylt,I'h F, '/<-
"fhe 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
1ny of the provisions of this code or of any other ordinance of the jurisdiction. Permits
~resuming to give authority to violate or cancel the provisions of this code or other
(,rdinances of the jurisdiction shall not be valid."
04/29/2005 FRI 8:04 FAX 8513226147 GENZ-RYAN
III 028/031
CITY OF PRIOR LAKE
HEATING/Am. CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
l1'lea!e,!Vll ~ or mint and sUm at bottom)
, ADDRE SS
r lW7f5 (J )i ids
PC\./1h 1\1 ill )
i =. ;;:~. I. PERMIT NO~ _ . RlI
J. V,llaw Apphwll .' 7 ---' (
I ZONlNG(ollic>...) I
. LEGAL IJESCRIPTION (oflic. use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) JpnC!mgnn 'R'1lIlPc
(phone) ~<1_an<;_37na
Eagan, MN 55122
(Address; 1895 Plaza Dr Ste 200
APPUc, .NT
(Name)_ GeI1~-~v,Qn Plumbing &. Heat;n<?
<Address) 14745 So Robert Trl
C' U1 1/) r..r\~~l i i"'-
(Conract] 'erson) _ /\ . ~ I 0 I. -j-'l/," I':')
. (/ I It: ;!ri f'i, U-rlj/ l/l
APPLlCJ NT SIGNATURE .-'/ 1/, >l-.W . ;,; .u j
(phone) fi<; 1_"'1_11 "b
Rosemount, MN
(City)
55068
(Zip Code)
(phone)
DATE
e;""_l,?':l._11/,l,
Cl J:~Xk)<)-
APPLICANT PLEASE COMPLETE BELOW
~W CON~TRUCTlON 0 REPLACEMENT 0 ALTERATIONS
FURNACI. MAKE AND MODEL LCnr'OX frLJO U H -?:1.r D79. FUEL cv1'L {,\ (!?
FLUE SIZI , RETURN OPENINGS l--l INPUT C rjJ( 1 t ; OUTPUTI-:)~} !
TYPE OF SYSTEM HEATING OR POWER PLANT
o Steam
o Hat Water
o Radiation
o Special Devices
o Other Devices
21Wann Air Plants
oOravi!)'
D..Mechanical
~Conditioning
oVent. System
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLAC E MAKE AND MODEL
Industrial. C, mmercial &. Multi-Family
FEE SCHEDULE
J % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
$39.50
$39.50
"'t)
~/l/)ING ~
rr::RMIT
I
I
\
Residential, I [eating &. Ale (New Construction)
Residential, I leating Only (New Construction)
Residential, Additions'" Alterations
Residential, AC Only
Estimated Cost $
Building Penni! #
.50
(f" - '" Use Qn y)
,
Bui ding Olliclll
Date
I Paid
jPare
\tAy'
'I ~nnJ Rec~ipt No.
IllY'
I
(j-I
. ..;.; Appl cation Becomes Your Building Permit When Approved
14 hour notiee for an inspeetions (951) 447-9850; flU (9Sl) .447'4145
04/29/2005 FRI 8:04 FAX 6513226147 GENZ-RYAN
~ 027/031
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
C?lease'!\p ~ orvriDt and s@atbottom)
ADDRESS
lUllS
-, \ \
I , ,....,.""
I 1j! /.,~
\.1 )\ -\._/t.._)
.F'.
1.ik,h'1 l\j LU
; ~ ~';:t. I PERMlTN~" ~
l. Gold A.pplicanl ...
I ZONING(office",,) I
. LEGAL DESCRIPTION (ollic< use only)
LOT
BLOCK
ADDmON
PID
OWNER
O'wme) Wensmann Homes
(phone)
651-905-3709
(Address; 1895 Plaza Dr Ste 200
(Address)
Eag.sn, MN
(City)
55122
(Zip Code)
APPLICI.NT
O'wm~ Genz-Rvan Plumbin2 & Heatinz
(phone) 651-423-1144
(Address) 14745 So Robert Trl
(Addres.)
or . ~' .
!' {\ il".c'1' \..Il i 1/
(Contact J 'erson) _~.. " 1::-> i u .11")
'I ^ /. 4' . . 'f
'/) ,'l 11', ~J1 if //
. -.ICP NT SIGNATURE i j r, lr ,J: if l:I.J )):)
Ro,,~mollnt. ''N
(City)
~5968
(Zip Code)
(Phone)
DATE
651-42'l-11~4
...L.i I, 'V / C' Fi
1/,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 sewer and water line connection
Sewer corm ection only
FEE SCHEDULE
$35.50 Industria~ Com'l & Multi-family
$]7.50 Water connection only
1 % of job cost with a $39.50 minimum
$17.50
Estimated Cost $
Building Pennit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
Du Iding Official
Date
I Paid
I Date
MAY
PAID WITH
BUILDING PERMIT
I Receipt No. ,.
2 7nM /) __
IBY ~V'-I
()
(Office U.. 0. Iy)
This Application Become$ Your Building Permit When Approved
24 hour notice for an inspections (952) 447-9850, fax (952) 447-4245
04/29/2005 FRI 8:04 FAX 6513226147 GENZ-RYAN
141 026/031
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
q'lea.se ~ : or llrint and silitQ. at bottOm)
1 ADDRE 5S
I' \ \-')r;:.". i \ \ \ .\ ~
L'l I..' U\,) 1 c\~)
r)OJ('l l'~ \ ,t)
I..... FlI, I PERMITN~' -~
2. Gold Cily
:1. Yllllow AppliQll\
I ZONmG (otJi.... ""j ,
LEGAL JESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
, OWNER
(Name) Wensmann Homes
(phone) 651-905-3709
(Address) 1895 Plaza Dr
Eagan, MN
55122
APPLIC, .NT
(Nam~ Genz-Ryan Plumbing & Heating
(Address) 14745 So Robert Trl
/',\ 'r (AddreSS?, - , _
(Contactl"erson) l\ \V \ S, i t'--Q\ll j
APPLICP NT SIGNATURE C),\/l.i4).i. (--d-tl ill?:)
(phone) 651-423-1144
Rosemount. MN
(City)
55068
(Zip Code)
DATE
651-423-1144
Uj )C/'-~--'
I ,AC) I],)
(Phone)
APPLICANT PLEASE COMPLETE BELOW
I Quantity I Type of Fixture I Quantity I Type of Fixtnre
j 1 Bath Tub with or without shower I Rough-ins
I \ I Dishwasher I i I Water Heater
I I Floor Drain I 12/1 I Water Softner
I -, I Lavatory (Bathroom Sink) I I , Slmld Pipe (Washing Machine)
I I Laundry Tray (lor 2 compartment sink I I Sewal'e Ejector
I I Shower Stall I I Backflow Assembly
I I Sinks I I Backflow Assembly Test
I I Bar Sink I I Lawn Sprinkler
I . ~ I Water Closet (Toilet) I I Other
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 $
BuilC:ing Pennit #
aul~'" 'N1'rH
lNa P1E:RM17'
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
(Office Use 01 I)')
Tbis Appl ication Beeomes Your Bullding Permit When Approved
Bu Idlng Official
Date
I Paid I Receipt No,
I Date MAY 2 2005/ By
I
;:;~ i
~I
24 bour notiee for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE DEPARTMENT OF
. . BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS I'l.JJS ~ ~W.
NATJREOFWORK ~~r,.t..rl."
USE OF BUILDING ~ A . I
PERMIT NO. ()5. 00.3/ DATE ISSUED /~J'./~I/
COt\TRACTOR ~ ~ PHcmE'rZ"lZ/-/~
NOl E: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
SEWER I WATER I SEPTIC
FRt ,MING
IN?:LATION
EL CTRICAL
~
PL MBING ~i.. r-./2ey I
HEA TlNG (if required) /J'tfJ. y~ let'.
FIRE :PLACE I.
GAs! LINE AIR TEST Ji::7-17~ I~ ~?'
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
..
lLIfiNG/ H()UJF~I' I I
,
FINALS
I FOrTING
I FOt INDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
1f::Z)
~6
r'A
#(:h<
;::>/;::>/.::u-
.,I,~k
GRA[DING (Prior to Sodding)
BUlL DING
ELE( :TRICAL
PLUI ~BING
HEA"(ING
DO NOT
:Y/~
, ,
loll'S/t:6
i
/'l
&/\(J
OCCUPY UNTIL ABO~EDHAS
NOTICE
Cf .J 10-- Q)
I (of "5J~
. ,
BEEN SIGNED
T his card must be posted near an electrical service cabinet prior to rough-In inspections
a ld maintained until all inspections have been approved. On buildings and additions
Yo here no service cabinet is available. card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
QIrrtifirat:e of <IDrrnpanrll
CITY OF PRIOR LAKE
~tparfmtuf of ~uilMug JIusptdiou
)afinal Permitted D Conditional C.O. Expires
,
This Certificate issued pursuant to the requirements of Section J J 0 of the [J Residential / D International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances a/the City of Prior Lake regulating building construction or use. For the following:
Use Classification
SINGLE FAMILY
Bldg. Pennit No._
05-0031
Occupancy Type
R3
Type Construction
VN
Zoning District
R4
Legal Description
1.7. Bl. WENSMANN 4TH
Owner of Buildinp "..---.-,/1 Site Add"" 14175 WILDS PATH N.W.
, 1/ /
Contractor's Name & Addre,WENSMANN IHOME)f1895 PLAZA DR_. SUITE 200. EAGAN. MN 55]22
ROBERT D. HUTCHIN~ rl / ~" City Planner_ JANE KANSIER
I \ i -, I B'!ildingOffiClaI '0 U /)
Date ~ l \ ()~ Date
I , POST IN CONSPICUOUS PLACE
.,-
~" .~" .
CIlY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS .JW ,c::)
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
COMMENTS:
7An TIME
SCHEDULED 1.Q..*
W~n+'"
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
)( MECH FINAL
~
Dk -k. 0\m:-p. +--JI .\-; I-p
a$"- 003 I
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~RK SATISFACTORY, PROCEEDti
t daORRECT TION AND PROCEED .
~RR TWO CALL FOR REINSPECTION BEFORE COVERING
Inspector Owner/Conlr:
CA.J 447 - 5~HE NEXT INSPECTION 24 HOURS IN ADVANCE.
\
REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH.I SAFETY!
IJ4NOTl
DATE flUE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1- JO-tC""
(/Jq'fh
ADDRESS
/4/7s wdJ"
OWNER
CONTR.
PHONE NO.
PERMIT NO.
,~~ 0;"/))
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o .jEWER HOOKUP
jIII'l>LUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(j ) rellttJ}rl. /'Off C->1PS
tiS <)~"I YJII"Jv-
o WORK SATISFACTORY, PROCEED
)l(CDRRECT ACTION AND PROCEED
o CORRECT ~O~K"OR REINSPECTION BEFORE COVERING
Inspector. f VY./' Owner/Contr.
.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY/
lfUNOTJ