HomeMy WebLinkAboutBldg Permit 05-0033
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE,11
AND UTILITY CONNECTION PERMIT UU
See Main File
(Please tyue or. lrint and silPl at bottom)
ADDRESS
/~/7'
.P,A TIer-
/ .-/IL,-b 5
While
Pink
Yellow
File
City
Applicant
PERMI f"NO. OS. 0033>
Pv
Aj'~J
I ~ ~;O~ :~d
OCT 0
~
ZONING (office use)
K4-
LEGAL DE ;CRlPTION (office use only)
LOT q B "OCK I ADDITION/J.I'-'SI"-ANN 4nV- M{...J J(J/iAJ) Ilc..l<; PID~t;:'11 j'c"''i_o
OWNER
(Name) fA .l..,c.v< .n-. _ . , J
(Address) !?9S-
/ -Grn... A.A
Uw.--
?(fY~
BUILDER ~ . .
(Companyl-amet ~
(Contact Na ne) /3v,;;1 --r-- AG:; ~
(Address)
(Phone) 0-17- YOc:'-~ij,:70
,):r/,.9.c9...
SA 1 Jill
Z-Do
C~ L).~
/
~
(Phone)
(Phone) C:.1Z-- 2.fZ-/-/6 2-8
TYPE OF V 'ORK. r7New Construction DDeck DPorch ORe-Roofing
=./TI~on DAlteration DUtility ConnectIOn 0 MISC.
CODE: OJ. l.C. I1I.B.C. ~ t:::l
Type of Cons rnction: I II III IV \V <lr.:-.\!jI
Occupancy Gcoup: A B E F HIM V S U
Division: 1 2 6? 4 5
ORe-Siding DLower Level Finish ..Jd"'Fireplace
PROJECT COSTlY ALUE
(excluding land)
$ 110, CJOV -
"
I hereby certify lh It I have hlrnished information on this application which is to the best of my knowledge true and correct. I also celtify that I am the owner or authOrized agent for the
above-mentIOned Jroperty and thai 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
official can revok( this P7~"o' ,-'" ,., ',.lelmOre, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections
X fl.. j /" /
~ ) iignatur;f Contractor's License No. Date
,- 4{j /0.000,0 C>
Permit Valuat ion
Permit Fee $ /113.~~
Plan Check F 'e $ 7Z'3, 7~
State Surchar: :e $ gS.lJO
Penalty $
Plumbing Per nit Fee $ JOO,t) ()
Mechanical P ~rmit Fee $ /DO.() 0
Sewer & Wat ~r Permit Fee $ 3S- S-o
Gas Fireplact Permit Fee $ I{O.tJ 0
This Applicat on Becomes Your Building Pennit When Approved
~.~~
1311ilJII1,!!.Ollicial'
!(J/rF'!etf
'Date
Park Support Fee
SAC
Water Meter <Size 5/8:.:.;Jl ";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
/
{;Y/d.7J
/. (". <'''---
#
#
#
#
I ReceiJii No.
I By 1"
{J
$
$ I~o ,Qe
$ 'l.-s: a dJ ?J
$ 45, /)0
$ 12..00,00
$ 700.00
$
$
./
$ S;;"'/.:J.. 7;/
9(r(,?.r9'
/
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
~~~:'~i~~tclOpOmry C"tific"'Of~~h~c~nd'llow'conmu"iontoslOeeeflvraiItFoi1e lOo"",
- Planning Director ' ) bate 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 - Building
can::ll:' - I=naineering
~k - PlanninQ:::>
Th~ Cpnlef <of IhO' I..k.. Counl.,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NJl ME OF APPLICANT
AF PLICATION RECEIVED
{ V C /\, ";1' /;-1 IV 1',/
!r.(cc4-
Th ~ Building, Engineering, and Planning Departments have reviewed the building permit
ap )lication for construction activity which is proposed at:
/'j/7 J (vlL U~; l/jiTJ-1 /jfJ
Ac :epted
-----
Accepted With Corrections
\,
,
t
De nied
t.
Re viewed By: _
~t~~
Date:
liJlt 8/0 '/
,
,
Cc mments:
See lViain File
"T he 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
orjinances of the jurisdiction shall not be valid."
~~ PRIOIj> <'
t ~'~
U .ti1
See Main File
White - Building
Canary - Engineering
Pink - Planning
TI'I~ ('en...r If Ih..I.lk.. Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NA ME OF APPLICANT
APPLICATION RECEIVED
tAl &f\l.f"frll7 N N'
10. {g. 04-
Th ~ Building, Engineering, and Planning Departments have reviewed the building permit
ap Jlication for construction activity which is proposed at:
/4-/7 J WIL-05 P,q-TH tJrV
Ac ~epted
/
Accepted With Corrections
De nied
Re viewed By:
~ J~I-
,
Date:
/()/t a) If
Cc mments:
"Tile issuance or granting of a permit or approval of plans, specifications and
co llputations shall not be construed to be a permit for, or an approval of, any violation of
ant 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 inances of the jurisdiction shall not be valid."
~~O<( PRIOI;> (
!:::: ~
u "'.
....--/
See ]\Ilain File
While . Buildinlt
.....-::canarv - Ena.nearlng"")
Pink . Planning
Th., ("fill... ~r lh..l,..... Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NJ!ME OF APPLICANT
Ai=- PLICATION RECEIVED
/-";/''\ I f/- <"./. 1'-/'/.'1 //-.. ,i'
V" .,1 ,.....' f, V '"
;"" ( (. /1.
,:i. ,('. ~I
Th3 Building, Engineering, and Planning Departments have reviewed the building permit
ap )Iication for construction activity which is proposed at:
.J LL.,' -7, J .. l! I" U' <" /.::) Ll -/".,7'../ ..V t\ /
, 7 (.. V L.',._) rf I ;' ~
Ac :epted
>(
Accepted With Corrections
De nied
RE viewed By:
m9A
,5-( L 1174,'''' F,'t <.
Date:
j-Lj-c5
Cc mments:
"T 1e 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
arw of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pn lsuming to give authority to violate or cancel the provisions of this code or other
or,jinances of the jurisdiction shall not be valid."
04/29/2005 FRI 8:03 FAX 6513226147 GENZ-RYAN
I(J 022/031
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please.!YJle or print and sign ar bottom)
ADDRE S
lL~ \ -'11
i: ~ ~!~. I PERMIT NO,.r _ :D-J ~
3. Yeln Apphl;ant t 'iti,J-1-I
, \ .: i ') .
( ,,1_ ~
i;\ ill( ;'., J
!f) .
\" [li\-+\ \\ \ J\ )
ZONINGCo_us.) I
LEGAL llESCRlPTION (ollice use only)
LOT
BLOCK
ADDmON
PlD
OWNER
~~~ Wpn~~Rnn UnmG~
(phone) ~5'_Qn'_17nQ
(Address) 1895 Plaza Dr Ste 200
Eagan, MN
55122
, APPLICANT
(Name)~~7.-RV~l1 Plumhing & H2Atinr
(Address) 14745 So Robert Trl
(t i . (Addzoss) ..\
(Cooracthson) J..j'd".IS\"\ r-=O,JS
APPLlCA'lTSIGNATU~ tJIXr./Aj;" \.1(1 ji},/)
(phone) ~"_L.?1_11L.L.
Rosemount, MN
(City)
55068
(Zip Code)
(Phone) ~"'_L.?1_11J.(,
f 'I 10{'r-5
DATE ./-1 (/\0 {)"7>
_ APPLICANT PLEASE COMPLETE BELOW
~..JVCONL,S~UC~ONX. n D/,~L;"',CE~T "_7.oAL1ERATIO'~~/^l.1' Il,c",\
FURNACEiMAKE AND MODEL (fIUfj. I~-r.{( j{j U- ':X C- ( ) ( .' ., FUEL! 'v -;_l,..J~:'
FLUE SIZE RETURN OPENINGS U INPUT i [{{(Xl) OUTPUT ')r'fi<U "
TYPE OF SYSTEM HEATING OR POWER PLANT
R1'~ann Air Plants 0 Steam
'QGravlfY 0 Hot Water
o ~echanical 0 Radiation
~onditioning 0 Special Devices
OYent. Syst<lll 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FlREPLACI MAKE AND MODEL
Industrial. COI 1merciaJ &. Multi~Family
FEE SCHEDULE
J% of jOb cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39,50
$39.50
Residential, H ..ling & AlC (New Construction)
Residential, H "ling Only (New Construction)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
PAID WITH
eullOlNG PER""'T
fr -." UJe Qnl:)
,
_ ",,. Applil ation Becomes Your Bnilding Permit When Approved Paid
Buill ling Odic:lal
Date
DatlMAY 2 2005
I Receipt No.
IBY. 1:#
()
24 hour notice for an inspections (952) 447-9850, fax (952) 447-4245
04/29/2005 FRI 8:03 FAX 6513226147 GENZ-RYAN
IgJ 020/031
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
1. Blul File
2. Golll City
,. Yellow Applicant
I PERMITNO.~
, q>lease~, _ or print and si2D, at bottom)
ADDRE ;S
'; 1\-)
11,.1 1
U Yi i, i~{.)
/,,"",
\-tUI"'\ I~U)
ZONING (ot5c< u,,)
LEGAL: JESCRIPTION (office use only)
LOT
BLOCK
ADDITION
pm
OWNER
(Name) Wensmann Homes
(A~~~ 1895 Plaza Dr
(phone) 651-905-3709
Eagan, MN 55122
, APPUCA NT
(Name) Genz-Ryan Plumbing & Heating
(phone) 651-423-1144
(Addr~s) 14745 So Robert Trl
(" (Addres~) ~..
p'/IC'h r.''> , \,(
(Contact P ,rson) ~, II U " I (tl.,,)
APPLICA'IT SIGNATURE rhJLIf;) vl7A d J0'
Rosemount. MN
(City)
55068
(Zip Code)
(Phone)
651-421-1144
DATE 4l},q' In ~)-
APPLICANT PLEASE COMPLETE BELOW
I Quantit r I Type of Fixture I Quantity I Type of Fixture
I I I Bath Tub with or without shower I I Rough-ins
I I I Dishwasher I \ I Water Heater
I I I Floor Drain I r? /. I Water Softner
'-" !
I <" I Lavatory (Bathroom Sink) I I I Stand Pipe (Washing Machine)
...L.
I I Laundry Tray (lor 2 compartment sink I I Sewage Ejector
I I Shower Stall I Backflow Assembly
I I Sinks I Backflow Assembly Test
I Bar Sink Lawn Sorinkler
I ..'), I Water Closet (Toilet) I Other
FEE SCHEDULE
Industrial, ('ommercial & 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 $
Building Permit #
PAID WITH
BUILDING p~
r:::RMli
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
(Omee Use Onl: )
This Appli, "Uon Becomes Your Building Permit When Approved
Paid
,I Receipt No.
rt
Buill !il1l Omt.laf
Date
DateMAy 2 7nn~ I By
24 hour Dotico for an inspections (952) 447-9850, fax (952) 4474245
,
04/29/2005 FRI 6:03 FAX 6513226147 GENZ-RYAN
Ii!J 021/031
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
;: ~::w ~;;~ I PERMIT NO.~
3.GoJdAppllcant ~-~
(Please tvDl or print aDd siJal at bottom)
ADDRi :S
Idr71 UJI ids
.r\
, I" I,
~j(At\\
, I ,\
'NI' :
",A)
I ZONING (ollie, us,) I
, LEGAL J JESCRIPTION (ollice use only)
LOT
BLOCK
ADDITION
Pro
OWNER
(Name) Wensmann Homes
(phone)
651-905-3709
(A~) 1895 Plaza Dr Ste 200
(Ad.u.ss)
Ea~an, MN
(Ci!}')
55122
(Zip Code)
APPLICA NT
(Nam~ Genz-Rvan Plumbing & Heatin~
(Phone) 651-423-1144
(Addres~ 14745 So Robort Trl
(' (' \A,dd1ess) (---. 'I (
{ .,r'o.\,/,\( ..I'-"J ; ,.._.r \ . .~
(Contact P ,rson) :::j ,1,:>\ \ , r L,~, \.
f)'^/I ' ct ,,'
. ".Jr.., ) t .., , .'
-.ICA'IT SIGNATURE \.;/ L)6/UY(YRJ!i:/.)
Rosemollnt.. HN
(City)
55068
(Zip Code)
(Phone)
DATE
651-423-1144
Cll}51 n5--
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. D ABC 0 PVC
Estimated length of sewer line feet.
. Clean out (if required) located at _ feet from structure.
feet.
o Cast Iron
Residential s"wer and water line connection
Sewer conn. ::lion 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
$
$
$
BuU ling Offielal
Date
I Paid _
, Dale MAT
I Recteipt No,
Z ZUU~ I By
.50
PAID ,,,.
aUILOfNG"v!TH
., P'=RMrr
,.
;jl I
r
(Office U.e Onl r)
This AppU :ation Becomes Your Building Permit When Approved
24 hour notic. for all inspection. (952) 447-9850, In (952) 447-4245
06/16/05 10:54 FAX 763 576 7299
AUTOMATIC GARAGE DOOR
[jjJ 002
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
nate'Rec'd
,
(Please ~J .e or print and siJ!n at bottom}
I ADDRf 5S
ILHrl1 W~ Po..:l:.h
~~, ~~ IPERMITNO.~~ ^"'~
).)'..11_ AppJlaRI ~
I ZONING (ollle.
use)
LEGAL DESCRIPTION (alii"","" only)
LOT 'BLOCK
ADDmON
PID
OWNE ~
(Name) \~Jl/V\~
(Phone)
(Add"'lS)I~9S p~ D.---,*~ ~,rn" SS/;}.";;).
APPLI ::ANT
(NamLfl 1 ,~~'" h.... , *-"-'"" '() 0 Q<-rA. cl- i==' P
(Add~ <ssL
Krten /o9.u, O~,p_ ~ -fJ/ri"'}(J ~L~ r!.rYlr1 553/(..
(Address) , ( 'ty) (Zip CDde)
(Con+IPerson) ~r\~ lJc....nnp"",,",r-' (phone) ~l,eJ3-S"<"D-/d l~
APPlfCANTSIGNATUREJ<I\.~ u,~ DATE
I APPLICANT PLEASE COMPLETE BELOW
~WCONSTRUcrrON o REPLACEMENT o ALTERATIONS
FURl ,fACE MAKE AND MODEL FUEL
FUJl I SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWann Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical 0 Radiation
OAir Conditioning 0 Special Devices
OVent. System 0 Other Devices
(Phone) '1ln-:-'. S'lI-dS"dS
PLEASE NOTE:
Air Conditioner Units
Cannot Enoroaoh into
Required Side Yard
Setbacks
FIRI;PLACEMAKE AND MODEL ~_!.\)nl.-I'~.3~___
FEE SCHEDULE
Indu tria13 Commercial & Multi-Family 1 % of job cost Residential, Gas Fireplace.
539.50 minimum
Resi lential, Heating & Ale (New Construction) $99.50 Residential, Additions &. Alterations
Resi lentia}. Heating Only (New Construction) 564.50 Residential, AC Only
539,50
$39,50
539.50
Estimated Cost $ Building Permit # PAID WITH
HEATING PERMIT FEE $
~ STATE SURCHARGE ~ ~UII1)lI'iG PERMIT
TOTAL PERMIT FEE $
(0 .. u.. o.ly) ,I
.."",.......... yoo...""..Y.~"_..,,,,,,,, I~.~ ::.r..,~_r; ~ 200~ 1_,"I,!tl :ceiplNO,
Buildi.. omd.1 na.. m
I
24 hout' notice far .1\ inspections (952) 44' ~~~_~ax ~~~~1~7-42~~ ,=~J
.
,
PRIOR LAKE
INSPECTION RECORD
SITh: ADDRESS /'1/7/ /4J1 ~ I)J ~ TN . J,), bJ .
NATURE OF WORK Ni!1U C.fJAJST1t.JJ.d"ld~
USE OF BUILDING ~F:A. ~
PEF,MIT NO./'S Q033 DATE ISSUED II .,
CmlTRACTOR 1JIfE." PH N 2"Z2/.,c~,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DO:~;T / OP9 /_
, FO :>TING t/r) IcyI' 77 C/ -.:) I
, FOUNDATION (Prior to Backfill) I I / I ,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH-~ / ~
SE'VER I WATER I SEPTIC (;1"1'/ y"// /c,/
FR)lMING PII 6.;2( /
INS lJLATION Yh/ c.- 27-..:,
ELECTRICAL
/1-
PLlIMBING ~i15 ~~ 20
HE~TING (if required) J> L3 t..2J
FIR PLACE ,p g ; Ia -2)
GA~ LINE AIR TEST I /1 ~2/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
ILAtHG./H~M.rcAJIJNl I I
FINALS
DEPARTMENT OF
BUILDING AND INSPECTION
GRA DING (Prior to SOdding)
BUll ,DING
ELEf.TRICAL
PLUr,BING
HEA ING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
.
fj/J
VW7
/J1t
8-5"-06'
7-)'1
& -!7-~
BEEN SIGNED
~hiS card must be posted near an electrical service cabinet prior to rough-in inspections
nd 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
DATE TIMe
CITY OF PRIOR LAKE $-"5-(;)<)
INSPECTION NOTICE SCHEDULED
ADDRESS I L/ 17/
OWNER CONTR.
PHONE NO. PERMIT NO. )-OO~ 1
o FOOTING o PLUMBING Rl o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE Rl
~SULATlON o SEWER HOOKUP o FIREPLACE FINAL
FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
m A';~ , j~
\ d (
\-\ \ VI
,
/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CO tiRE ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspe r: \ n Owner/Conlr:
C L 7'~5n J,R THE NF.XT INSPECTION 24 HOURS IN ADVANCE"
CODE REQjREM~NTS ARE"FOR YOUR PERSONAL HEALTH & SAFETY/
....."
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
rf) re>'l1oW.
(2 ) ~4 {
\.../
DA. TE TIME
SCHEDULED
'1 --J..i:r-o,-
/4 1/1 IA/i 1)5
pc,{~
CONTR.
PERMIT NO.
C;--A/Iff "?J
,
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
ZPLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
y~ ,,45
~J.v
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO:K:,;~OR REINSPECTlON BEFORE COVERING
Inspector: {/ V ! Owner/Conlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETY!
INSNOTl
Job Address /"'1/7/ wllAs 0..1t..
Heating Contractor G t"., t- ~
,
Name of Tester -r: b.
Date 7/t.Z-/t:?5
Percent O. /. 7.;"
Percent co ~~~.-'L
Percent C02 '7. s"/"
Stack Temp 3o/~
Combustion air is adequately supplied per
UMC Sec. 606 Vt!{
~
Input