HomeMy WebLinkAboutBldg Permit 05-0032
CITY OF PRIOR LAKE BUILDING PERMIT, 'G,\ ~ Ii',; Ie. n \>Pt~~r 'd
TEMPORARY CERTIFICATE OF ZONING COMPLIAN t1~ ,_ '\1.],
AND UTILITY CONNECTION PERMIT \~\ OCT 0 6 2004 J
See Main File
While
Pink
Yellow
File
City
Apphc~nt
I PERl\Tft-!'W.:~ vv~1
(Please tvoe or [ rint and silU at bottom)
ADDRESS
141 7 ..~
ZONING (office use)
( ")I'-'IJ ~
P.o-r/r
,(.4-
^ ) /./
LOT II BlOCK I
LEGAL DE! .CRIPTION (office use only)
ADDITION/~..,.",,v,.J fn I dt.-b JUac~<;
PID.) ,-t/ /1-001- <:>
OWNER ~
(Name) Lo.)t!./Jf ~/OAJrJ
(Address) /1'1)
BUILDER
(Company N lme)
(Contact Nar ,e)
(Address)
I~
fJvt--
(Phone) c.~-t./06- E/YOO
6"1~~ ~".) ,,-X-If}.:A
2k1k1f^/
~
~vvz.., -r;..c.,~ ",,f
f i
c;lu~
ZoD
(Phone)
(Phone) r-Iv 7-l-t-It:, W
-
TYPE OF W ORK ..t3'"New Construction DDeck DPorch ORe-Roofing ORe-Siding
DAddition DAlteration DUtility Connection D Misc.
/
DLower Level Finish 'E1 Fireplace
CODE: Du.c. c:;J(.Il.C.
Type of Const :uction:
Occupancy GJ oup: A B
Division:
I
E
II
F
I
III IV lV ~ eiV
HI M<Il?SU
2 04 5
PROJECT COST IV ALUE
(excluding land)
$//0000
. /
I hereby certifY th, t I have furnished mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authOrized agent for the
above-mentIoned 1 roperty and that all construction will conform to all existing state and local laws and wiH proceed in accordance with submitted plans_ I am aware that the buildmg
:"'1 ~ h" p::.:"it fO':;;;;: Pmrh"mme. 1 h",by 'w" thot th, "ty 0~~5,gBm'y ,",,, "pon the pmpe'" >0 p"fo,m /;;~~ct~'0"
v-r/ / Signature Contractor's License No. Date
. (I
I PermitValuati)n 'f/IIjOOO ,00
I Permit Fee I $ III :3 . S-o
I Plan Check Fe , $ ~ :3. 7 K
I State Surcharg , $ 5 S . 00
I Penalty $
I Plumbing Perr lit Fee $
I Mechanical p( rmit Fee $
IDt'J. 00
I Sewer & Wate c Permit Fee $ 3'5".$""0
I Gas FirePlacelpermitFee $ Llo. (]O
This Applicati >n Becomes Your Building Pennit When Approved
~ ~ ~/of
Buill ing Official Date
Park Support Fee
SAC
WaterMeter(~l";
#
$
$
$
$
$
$
$
$
$ sri z
J
7//
#
IKo .OCl
25"0. E) V
t.fS"€l~
r20~.oo
7oCJ, 00
Pressure Reducer
Sewer/Water Connection Fee
#
/00.00
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
Paid
Date
IJ
CYlc-."7Y
I. c.,. c> ~(-
I ~~c70 ?:r6)~
ThIS is to certify t lat 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 .~ignt'd by tt ~ City Planner constItutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
i~': ~D /O/r8/ay See Main File
Planning DIrector I '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
..\,~x PRIO", <:
!:: ~
u '"
See Main File
White - Building
Canary - Engineering
<:::pink - Plannln]D
Th~ ('pntp "f Ihe I..kt ('ourllry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NJ .ME OF APPLICANT
NPLlCATION RECEIVED
- , ..'. /
t V I~N f/'!r) )J1'j
!t.C-.C,f-
The Building, Engineering, and Planning Departments have reviewed the building permit
ap plication for construction activity which is proposed at:
7 ? r .. J.-' /'i,- ,. I I
/ -of I ~ ......" I II / L U ~ /// 71 , ,v
Ac ~epted
/
Accepted With Corrections
Re ~iewed By:
~ '7te,)) /-;
Date:
/011 a/t;tf
.-
".
.-
.
.. ..
,
Demied
,
Co mments:
See Maiu-Fil€
"Tt Ie 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
anr 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
orcinances of the jurisdiction shall not be valid."
~~
u.~
See Main File
White . Building
Canary . Engineering
Pink - Planning
Th~ (-..nlf" or Ihr I..kt ("ounlr}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
Nt ME OF APPLICANT
AF PLICATION RECEIVED
WE;JfHrJ~tJ
!(),(P.O(-
Th ~ Building, Engineering, and Planning Departments have reviewed the building permit
ap Jlication for construction activity which is proposed at:
If/73 WIG-OS f//f771 #N
Ac :epted
/
Accepted With Corrections
De nied
V:OA~ ~
Date: //; Yh ~
Re viewed By:
Co -nments:
See Main ~'ile
"Tt e issuance or granting of a permit or approval of plans, specifications and
cOl1putations 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
ordinances of the jurisdiction shall not be valid."
-->~~ PR/O-\, (
t ~
U en
See 1\I1~un File
While .. Building
("t",,!~ry - Englneerimt-:l
Pink .. Pla-nnlllY
ThO' C..nlf' of U,.. La".. <:oluntry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N.\ME OF APPLICANT
AI'PLlCATION RECEIVED
tvElJ'fI'i'I"'I ;v"j
10 . (0 . 0 r
Tt,e Building, Engineering, and Planning Departments have reviewed the building permit
a~ plication for construction activity which is proposed at:
~ _J?
/ -rl /0
/"/' flC'
i/ v (.,,,. ~./-
;..:)/-1771
//; t.!
AI :cepted
x
Accepted With Corrections ..
Dlmied
Roviewed By:
mJ-1S
5~~ /17c,,'..... F,' fr
Date:
J- '1- bJ-
C'lmments:
"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 ~suming to give authority to violate or cancel the provisions of this code or other
or:linances of the jurisdiction shall not be valid."
04/29/2005 FRI 8:04 FAX 6513226147 GENZ-RYAN
~ 025/031
CITY OF PRIOR LAKE
HEATING/AIR CONDITlONINGIFIREPLACE PERMIT
Date Rec'd
(Please tvDf or tlrint and sim at bottom)
I ADDRESS
I U \'l:~ l/\ J\ I C\":) PCUV'\I\/I A
i~ ~!~ I PERMIT NO. .~~
J. Yellow Applil:ollll t ';"P" :ilp\
ZONING (alii", =)
LEGAL J lESCRJPTION (office u~ only)
LOT
BLOCK
ADDITION
PlD
OWNER
(N'ame)....ipn~m;lnn Ht"l'mo.lI:'!
(phone) _H Lon '-".lU'
Eagan, MN
55122
(Address) 1895 Plaza Dr Ste 200
~;;;~7.-~V~~ Plumbini & H~ar;n~
(Addre~) 14745 So Robert Trl
('''. .. J (Address/__" "l.
(Contact P ,rson) ~J\r \ ,.-~ f i 1---(t\ ')
APPLlCA >IT SIGNATURE ( ij) JJ;J1:j \.:hA (JiLl
(phon~ h~1_b?q_l1bb
Rosemount, MN
(City)
55068
(Zip Code)
(phone)
DATE
~~1_b?q_11M
II/:;,;;/LY)
r APPLICANT PLEASE COMPLETE BELOW
, ~CONSTRUCTION [JREPLACEMENT o ALTERATIONS
. FURNACE MAKE AND MODEL l.e(,r\()~ CrLiOU f-f- t,)L;-t)7(; FUEL !JO:{ . (Ij'{/)
FLUE SIZE RETURN OPENINGS L/ INPUT L:(dY; OUTPUT P'5,'),'5U)
TYPE OF SYSTEM HEATING OR POWER PLANT
k5Wann Air Plants 0 Steam
OGravily 0 Hot Waler
o Mechanical 0 RadiBlion
,i{]Air Conditioning 0 Special Device,
OVen!. System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot EnctOllch into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Co nmercia1 & Multi-Family
FEE SCHEDULE
1 % of job cost Residentia~ Gas Fireplace
1139.50 minimut;~
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, H ",ting & Ale (New Construction)
Residential. H ,.ting Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
PAID WITH
BUILDING PERMIT
!r - '.' Use Qnll)
Bun ling Ollielal
Date
I PlIld
[ DateMAY 2 2005
,Receipt No.
_ _... Appli :ation Becomes Your Building Permit When Approved
By
g-
24 hour notice for an inspection. (952) .47-9~~~/" (952) 447-4245
~L,. v
L-:--.___._ -...
i
I
~I
04/29/2005 FRI 8:03 FAX 6513226147 GENZ-RYAN
@023/031
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
L'" fiJ. rPERMJ'TN9',(-*
2.Gc>Jd ell)'
J. y.lIo.... A.ppl<<;ul
(PlelUe n.:F.~ OfJ)nnt and SifUl Atbotrom)
I ADDRESS
~ ' I ! '-7 ..~ l' r r 11 (
it i~1 6 ),;11 L't'J
petlh
klu
I ZONING(oJIice",,) ,
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) Wensmann Homes
(phone) 651-905-3709
. (Address) 1895 Plaza Dr
Eagan, MN 55122
APPLICi NT
(Namel Genz-Ryan Plumbing & Heating
(phon~ 651-423-1144
(Addre~) 14745 So Robert Trl
'. (Address)
f" {/]; ~:,,r"-,I' ~.- I i /
(Contacthrson) [,Ii iVi~)-i i " +/.{ .\ 1,<)
APPLICA 'IT SIGNATURE / 1j~;;;JJ:t.:
Rosemoun t ~ MN
(City)
55068
(Zip Code)
i ;,? //-?
'--.J;'1 flY;
(phone) fi~1-42~-) 144
I i ,,)X-'I".'~
I . . J~
DATE _/-..1 / C'> I(.J---'
APPLICANT PLEASE COMPLETE BELOW
I
~
I
I
I
Quantij r I Type of Fixfure
I I Bath Tub with or without shower
! I Dishwasher
I I Floor Drain
~ .! I Lavatory (Bathroom Sink)
I Laundry Tray (l or 2 compartment sink
I Shower Stall
I Sinks
Bar Sink
ce. '.., I Water Closet (Toilet)
Quantity I Type of Flxfure
I Rough-ins
1 Water Heater
eJ I I Water Soflner
r I Stand Pipe (Washing Machine)
I Sewage Ejector
i Backflow Assembly
I Backflow Assembly Test
Lawn Sprinkler
I Other
FEE S.....I1JUJlILE
Industrial, (:ommerciaJ &. Multi..family 1 % of job cost with a $39.50 minimum Residential, New One & TwoeFamiJy $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Pennit #
(Office Use onlJ)
This AppU. ation Becomes Your Building Permit When Approved
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
PAID
.50 tlUlLOfNG PIE
Paid
Receipt No.
')
24 bour notice for all inspections (952) 447,9850, fax (952) 447-4245
i '"
1-.:.._......__.,,_____
/1 ~ '
(f ~~
Buile iog Qfficflll
Date
. Date MAY 2 2005 By
04/29/2005 FRI 8:04 FAX 6513226147 GENZ-RYAN
IaI 024/031
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
l:~. ~~ jPERMITNO..r. ~
J. Gold Applicant :;;J . ~
q:'lease tyE: or'Driotandsiea at bottom)
ADDiS
Il_)T~ U )\ \ /~~
LEGAL ESCRlPTION (office u,e only)
POcfh. f\L(
ZONING (officeusc>
LOT
BLOCK
ADDmON
PID
OWNEl1
O'wn~ Wensmann Homes
(phone)
651-905-3709
(Address; 1895 Plaza Dr Ste 200
(Awu..,)
Eal\.an, MN
(City)
55122
(2ip Code)
APPLIC, \NT
O'wn~ Genz-Rvan Plumbin2 & Heatin2
(phone) 651-423-1144
(Add~) 14745 Sa Robort Trl
I'; (A~s) r- i i
l 1\\/" ._\ i-.I1 I It:.
(Contact] 'erson) _" \"":51 \ _ LA'\','}
( i/) i fOr
-"10 NT SIGNATURE _ '.../l viL/ / - .,J'
RO.c:le'llQnnt. 'l'N
(City)
~5068
(Zip Code)
'--df;, 'I l /"}
'.(l/~.><""
(Phone)
DATE
651-421-1144
L/ /;),8 I L'6-
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) located at feet from structure.
Residential sewer and water line connection
Sewer COO1l ection only
FEE SCHEDULE
$35,50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17,50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
This ApplicatioD Becomes Y OQr BuildiDg Permit When Approved
Paid
MAY
Date
PAID WITH
BUILDING PI:
" I Receipt No. ~f:MAtT
OJ (UU5 I By ( ~
7J
I'
I
(Office Use Oily)
Bu lding Official
I
i-
24 bour notice for all in'pection, (952) 447~S2.).447-4245
Date
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION RECORD
SIT:: ADDRESS 14/1'7.3 IJ!iIJ.S" ~A;-H ~, lAJ.
NArURE OF WORK Na-J c...{tI"..~.-r~~
USIE OF BUILDING S' ,~. A...
PEHMIT NO.')5, OCGL DATE ISSUED /6/"/'f
COIHRACTOR ~'IIVWfl,)......R PHONE~Z ,.. K..z.8
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I Fe OTING
I FduNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGfI;J:' S / I
I SEWER/WATER/SEPTIC N#-;; ~- ()U} 'J..jtl/tb
, FR ~MING w c- ~ -<.>1... I I
IIN~ ULATION /() M cI / ~3>
EL CTRICAL
-
PL MBING ~..f tb ~
I HE TING (if required) )PIs' (,~Z>
j FIREPLACE _
I GA:; LINE AIR TEST I !/ J' ~2.9'
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I L.A:I' tiE UaOIA.$S tJJflAP. I I
FINALS
I GR DING (Prior to Sodding)
BUILDING vb' a.((--d'1
EL~CTRICAL I
PLLlMBING Il/l1/J 72&-~16
HE,tI TING AP
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
Bnd maintained until all inspections have been approved. On buildings and additions
Nhere no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
__~"_~_._,,_....,.__,_,___._..m~~'_"_'_'_~'__'_'_'__ ..,'.',',-
Qttrfifiraft of @rmpanr1!
CITY OF PRIOR LAKE
~rfmrfmrnt of ~uilMng Jlnsprtfion
2r'Pinal Permitted
/
D Conditional C.O. Expires
fhis Certificate issued pursuant to the requirements of Section J] 0 of the C Residential / 0 International
rJuilding Code certifying that at the time of issuance this structure was in compliance with the various
Jrdinances of the City of Prior Lake regulating building construction or use. For the following:
Jse Classification
SINGLE FAMILY
Bldg. Pennit Nt',
05-0032
R4
)ccupancy Type
R3
Type Construction
VN
Zoning District
:...egal Description
L8, Bl. WENSMANN 4TH
)wner of Building
Site Address
14173 WILDS PATH N.W.
, I..'
:ontractor'sName&AddressWENSMANN HO~IES':'iI895 P1AZA DR.. SUITE 200, EAGAN, MN 55122
I "
ROBERT D. HUTCHINS, ) 1/ City Planner JANE KANSIER
! I Building Official IV V
Date: (J' ,'! (1(-:. Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
1<-f(77
/
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~g,!NSULA TION
Jl"FINAL
o SITE INSPECTION
COMMENTS:
Q\8~.v
DATE TIME
SCHEDULED 8- (f-~
IJ~~ ~
CONTR.
PERMIT NO.
t.; - 00::>'7
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
_/~ ("),
v-k--~.' l
()
'----
6RK SATISFACTORY, PROCEED
o CORREC A 'If'N AND PROCEED
o CORRE T 'IK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: . / Owner/Conlr:
CALL. 7~D FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~QUlREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
INfIIOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS I <-/ 1/ ~
OWNER
PHONE NO.
o FOOTING
o FDUNDA TION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED p,-LJ~
Wt (I~C, ~
\
CONTR.
PERMIT NO.
.t; - L\-)"\/_
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS~ ,
I.~k U\()
{: Ql,~ t"" J-
~. gp~ e-~ QJL(J1~
--
I
o WORK SATISFACTORY, PROCEED
~ORREC TION AND PROCEED
o CORR T RK. CALL FOR REINSPECTION BEFORE COVERING
Inspect r:
-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
uaNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7~.2-~<<
ADDRESS
/u (q'-~
wrlJs rJv,.. '( '"
OWNER
CONTR.
PHONE NO.
PERMIT NO.
c4' ""'0l..
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
$PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
()) yef/VV^~
(!:). ~df
rr 1lJf(.., ;7s
Mlhr-
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~ /\it;;~FOR REINSPECTION BEFORE COVERING
Inspector: -V-J!..f / Owner/Conlr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl