HomeMy WebLinkAboutBldg Permit 04-0775
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
c? -d-F- l/
See Main Fl.1e;~i::' ~::y I PERMIT NO'OA- 07751
3 Yellow Apphc~nt ~ ~
(Please tvoc: or mnt and silll at bottom)
ADDRESS
j.tjj i',3
tJ~/c1s
feeT)... N~
LEGAL DESCRIPTION (office use only)
:I J 4/ TJ.,
LOT) BLOCK _ ADDITION tv t'/VShlfIN/V ,
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Nampl
1-111 m t>J'
ZONING (office use)
12L{
PID ;l.)-"lIR- 05"0-0
(Address)
tJnvrm qlVA/
Gar-"
/6'75' /-4z""
(Phone) t_~/- 'YIJ~- '1'10/1
(Phone) ~/;2. - 3,$?- 76/:L
/77/V _~5/.)...2..-.
Et:t~o/v
"
TYPE OF WORK trNew Construction DDeck DPorch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection 0 Misc.
(Contact Name)
.l)r
CODE: OI.R.C. ~.B.C.
Type of Construction: I
Occupancy Group: A B E
Division:
II
F
t
IIIIV~A<f)
H I M~S U
2 tf'1) 4 5
PROJECT COST IV ALUE $
(excluding land)
...
/OIJ. ood
,
I hereby certilY that I have h.lrnished information 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.menflOned property and that all construction will conform 10 all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
:fici" ":;:{';;.::::." fm JU'j::z:.::::;:."bY '''-'' th" the CIty offici,1 01' d';y';; upon the pmpetty to p,,'olm n; ~n:;.CI'i'_O.y
/ Vgnature Contractor's License No. Date
Permit Valuation -floc. CUJI'l. 00 I Park Support Fee
Permit Fee $ ios7. ~ I SAC _
Plan Check Fee $ . lPf5,. ':1~ I Water Meter( Size 5//'11";
State Surcharge $ t:;!;o.Do I Pressure Reducer
Penalty $ I Sewer/Water Connection Fee
Plumbing Permit Fee $ 100, (}() I Water Tower Fee
Mechanical Permit Fee $ 100. ao I Builder's Deposit
Sewer & Water Permit Fee $ .'?,.'S'""O I Other
Gas Fireplace Permit Fee $ ~tJ.t)C I TOTAL DUE
This Application Becomes Your Building Pennit When Approved
~gom~ ~~!c0y
L Paid
I Date
..n,. J. ]jf
~A(J_""
,
#
#
#
#
I
I
I
I
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I
I $ I
1$$ Go 15. 3~1
$
$/35:0.00
$ ..;1.S""o. 0 0
$ LI-s,co
$ I zPo. () 0
$ 7oa. E) 0
$
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I R'*'JPtNO. (}7r'1J"
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ThiS IS to certify Ihat the requl'st 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 the City Planner constitutes a temporary Celtificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
"be. I .--1_ $1,
<t..,...U'~ ~
Planning Director
~k?h'(.te Soo -Main :E~on"ihnY
24 hour notice for all inspections (952) 447~9850. fin (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~
See Main File
White - Building
~~ry ... I=nnineering
. . k - Planniii"ip
Ihf Crnlrrof 'hf l.akfCOUnll')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
. i)'
( A -'.d' ...,',~ /, .'1-// ,,),... j
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((-_ I'. /
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
ILl; f 2:, /j~./}r~<;; .LLf A
Accepted
,.,/
Accepted With Corrections
,
Denied
t
Reviewed By:
~
,.
~
Date: ta/~?~'f
Comments:
""" ..,
"The 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
any 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
ordinances of the jurisdiction shall not be valid."
~1
See Main File
c:fiiiiite - Buildi~
Canary - Engineering
Pink - Planning
Th..('..ol.-r of Ih..I.8k.. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlRT
NAME OF APPLICANT
APPLICATION RECEIVED
U/J2/rv:Yn/~) 7'v0~
5- ifP- Lj
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/41E/2> (/~d(i, ;JJ~
/'
Accepted With Corrections
Accepted
Denied
Reviewed By: _&~.
,..
~
Date:
&'/.;1-9h ~
. . .
Comments:
"The 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
any 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
ordinances of the jurisdiction shall not be valid."
~/j>
-~1
See Main File
Whi\11 - Bulldlnq
t'" Can~rv_ - EnpineerTiia';>
Pink - Planning
ThrCUlt'rnllhrl..kr{-aulIlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
(-./~ ..,/:,~r,..y"/) .";.1'/ (~,l-:?t' -Jr j
,j .~.~
APPLICATION RECEIVED
~.
c,. 1'..//
(J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.",' -,....l
/1.// Cr. . .' ( 11 (',II, 'ir I. JI',
. ,~_;. i /./A., \ '-<-' y.-' -- ,..~r . '_
Accepted
'x:
Accepted With Corrections
Denied
Reviewed By:
n1'Jo
Sce. 1Yl0l''" h 'ft
Date:.
~ .- ~'-04
Comments:
"The 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
any 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
ordinances of the jurisdiction shall not be valid."
JUN. 29. 2004 8:54AM
GENZ RYAN SERVICE '
NO. 644
P 4
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(Plcue ~ or oriDt and Ii,,!, at bottom)
ADDRESS
I L/ I R:9 .W ; IdJ ~~-m l\J V'J . .
I. G." 'II. I PERMIT NO 51
,. ',11;. car'. . AA_ 0-77....
" Gojd A,pJ[c:atll ~ . I '-"
ZONlNG (,/I"~. "",)
LBGAL DESCRJPTION (office we ooly)
1OT6 BLOCK f). ADDmON \l'Je~YM.Vln +-1-h PID
OWNER
(Namell Wensmann Homes (phone) 651-905-3709
(Address) 1895 Plaza Dr Ste 200 Ea~.an. MN 55122
(Addrelll rCiM (Zio Code)
APPLICANT
(N~e) Genz-Rvan Plumbin2 & Heat1n2
(Address) lln, So llnh.,... Trl
lA^f~re'jl. .
(Contact Person) _ ~V1 "~if 11(! IS _ .
. ",JCANT SIGNATURE (111 ~ ~ i 1/1
(Phone) 651-423-1144
Ro!;~!,: '~
(City)
'5.9fi~.
(Zip Cod<)
(Phone)
DATE
651-423-1144
~___0l0 "",L/
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
FEE SCHEDULE
Residential sewer and water IIno connection $35.50 Industrial, Com'l &: Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection oniy $17.50
Estimated Cost $
Building Permit #
SEWER AND W ArER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(om.. Use Only)
I This Application Becom.. Your Buildin!! Permit When Approved
Dulldlng om,I,1
DU,
$
$
$
~Jl
I-
I
~@~[\flLE-..
1-~a[~UG 11 -ZUU4 II r
24 bour notice for all Insp.,tlo.. (9S2) 447.~ ~~, fIX (952) 447-424S
8:55AM
GENZ RVAN SERVICE'
NO. 644
P. 14
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Plmc t't]l~ or om":uld IWl II bottom)
ADDRESS
. l~IR,~, F~ NIN.
I. BIu. 'Ilr
2.O;td Cil)
J. YIII.a... ApI!Jlcllll
I PERMITNO'04.0775f
ZONING (ollice ...J
LEGAL DESCRIPTION (otIl,e UIe only)
LOT~ BLOCK 1. ADDmON 'J\JW1.~ rM-VlYl ~fh
Pro
OWNER
(Name) Wensmann Homes
(Phone) 651-905-3709
Eagan. MN 55122
(Address) 1895 Plaza Dr
I APPLICANT
(Name) Genz-Ryan Plumbing & Heating
(phone) 651-423-1144
(Address) 14745 So Robert Trl Rosemount. MN 55068
(Address) C. (City) (Zip Code)
(ContacIPeTllOn) CfJ ~~t7 l~:--p'. (Phone) _ 6;1-4.?3-1l44 r
APPLICANT SIGNATURE 01 ~J -t:l1.J..j ~ DATE {p -?Y1..()(j
-\
APPLICANT PLEASE COMPLETE BELOW
I Quantity I Type of Fixture I QuaDtity I Type of Fixture
I '2. 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 f1.T I Water Softner
I J/ I Lavatory (Bathroom Sink) I I I Stand Pipe (WashiDg Machine)
I Laundry Tray (J or 2 compartment sink I I Sewage Ejector
I I I Shower Stall I BackfJow-Assembly
i I Sinks I BackfJow Assembly Test
I I Bar Sink I I Lawn Sprinkler
I ,~ I Water Closet (Toilet) I I Other
FEE SCbJ.!,.vuJ..E
Induslrial, Commercial & Multi-family 1% of job CO!! with. $39.$0 minimum Residential, New One & Two-family $9~.50
Resid.nlia~ Additions 8< Alterations $39.'0
Estimated Cost $
Building Pennit ~
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.5J!AID VV IIlI
BUilDING
(orn.. tis< Only)
! This Applieation Decome. Your Building Permit When Approved ~ ~ ~;fu IE n '~ ~ m:~~ ~
. !lat\! . 1111 By
DelldingOrnd,1 Dale ~ f.-AUI: 1 1 7nnA j
24 hour notle. ror alllnspe'tio.s (952) 44' J~o, fax ~52) 447-4245
By
8:56AM GENZ RYAN SERVICE, NO. 644
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFJREPLACE PERMIT
P. 24
Date Rec' d
I. Pink
2.0mn
J. VillaIN
~~"" I, PERMIT NO. 04-. 07751
f?1euc!'tPe or 'DriDt and /Jim at bQrtllm)
ADDi4i R?, IN i I ~,S 'P~fh n vJ
ZONING (olli<cu!e)
LEGAL DESCRIPTION (olliee us. only)
LOT.8 BLOCK ~ ADDITION Wp..v\CmCU1V) Lff'V\
prD
OWNER
(Name) tTo....co_"....... u........C"
(phon~ _~.,_o~na
Eagan, MN
55122
(Address) 1895 Plaza Dr Ste 200
APPUCANT
~mn~ ~~?~_~V~~~~~~~ ~ ~~~.~~~~
(phone) ~"-"-?3-'1"-"-
Rosemount, MN
(City)
55068
(Zip Code)
(Address) 14745 So Robert Trl
n '^ ' (AUdroF_
(Contee! Person) ~ I ~ (sr, ~ {(..s -".
APPUCANTSIGNATU~ (~~ ~.tul
(Phone) ~'LI,?~_l HI>. .
DATE (p~;).q-{)t.j
. APPLICANT PLEASE COMPLETE BELOW
~NEW CONS1R~~:r.c~N .LACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL .-l.m.l/D)( ~.?U. 01t) FUEL ra:J--qas
FLUE SIZE RETIJRN OPENINGS INPUT ~V OUTPUT ~
TYPE OF SYSTEM EEATING OR POWER PLANT
rfWannAir PIil11IS 0 Steam
OGravlty 0 Ho! Waler
o Mechanic.1 0 Radiation
~lr Conditioning 0 Spooial De.i"".
OVent System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Indu.trial, Commcroilll 8< Muiti-F,mily'
FEE SCHEDULE
1% otjob ",st ResIdential, Gas FIreplace
$39.50 minimuln
$99.50 Residential, Additions &. AJt<tatlons
$64.50 Residential, AC Only
$39.50
539.50
$39.50
Reddcntia!, Healing &. NC (New ConstNetlon)
Re.idential, Heating Only (New ConSlluotion)
Estimated Cost S
Building Psnnit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50 PAtO WITH
~n.n~~!G \"'t:n~1T
~)' [~a~d;i [~ U illlE ~~ Receipt No.
n J:AI1G 1 1 2004 . J By .
1"--.. U",pnly)
. .... Application Becomes Your BuUdfllC Permit When Approved
BllJldlng: Ol'iitl:al
Dl1te
24 hour ne~lca for all in'peclio.. (9!.2) 4, ?r?850, f.. (952) 441-4245
DEPARTMENT cSee Main File
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
wildS p~
SITE ADDRESS /!11.13
NATURE OF WORK ~
USE OF BUILD1N~ 14-
PERMIT NO. 01./. 77 r DATE ISSUED
CONTRACTOR ~~~.A--1'114 ~ .J PHOIJi1~;a.
NOTE: THIS IS OT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~I ^- ~ / P"?/e6
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
_C e ffi/,--" hJe-
~
/,(JL
(~
Ii: 1/ ''2?
/)/ /) -
- ::-
.
/z/",-
/?nk'/
, .
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
.
1/13/D-f
/6/7/aS.---
10' ] (-OJ
//;.J20b
BEEN SIGNED
1M
~
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.
FOR ALL INSPECTIONS (952) 447-9850
@rrfifiraf:e of @rmpanq!
CITY OF PRIOR LAKE
@.~parfm~nf of ~uilMng Jln5p~tfion
;x$ Final Permitted D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the D Residential! Q International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances afthe City of Prior Lake regulating building construction or use. For the following:
SINGLE FAriILY 04-077 5
Use Classification
Bldg. Pennit No.
Occupancy Type
R3
Type Construction_
L3, B2, WENSMANN 4TH
VN
Zoning District
R4
Legal Description
Owner of Building
Site Address
14183 WILDS PATH N.W.
WENSMANN HOMES, .,1895 PLAZA DRIVE, EAGAN, MINNESOTA 55122
Contractor's Name & Address _
ROBERT D. HUTCHINS ~~
;// B)illdi, Official
Date: / /? / /'7/.-.
. ~. "
City Planner
JANE KANSlER
Date:
DATE TIME
/ ~.;:/o~
/YI?-5" ~ijs /i'IL
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
SCHEDULED
CONTR.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
..,.iiI"MI:CH FINAL
CO~J:NTS: .
-F/~.?;:/ce; /
---/
/-7k~ /
r- 775-
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
16/7~~
~-e~A, h~-040 / .' _
lie t' -c / ' j./ ~, . CJ r.s.~. ;--7~-r /-
~~__ ~...... /e ___ /C.r- ~ C)"-..
$://4'./;' ~sL ~ <- ~^-
h'~ -Z //
---,.-".-..-,.- .
~
/ ~/'
( c... t" d J~
....~KSAT~D
~~~:~ECT ACTION AND PROCEED
- ./
Ore.
-
~ /----....
r/r~
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
/~
Inspector:
-
OWner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/4/ P's
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
{f) (~ "-1 (f1rL
OATE nMe
SCHEDULED 11rI1~~
W//.Ls CJ~fh.
CONTR.
PERMIT NO.
4- 77~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
:l(PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
y'"()()l~~
o WORK SATISFACTORY, PROCEED
I. CORRECT ACTION AND PROCEED
o CORRECT W/":;K,~~R REINSPEcTION BEFORE COVERING
Inspector: ---K-..J[r" OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
APPLIANCE
PERFORMANCE
TEST
Attach to gas line adjacent to regulator
Heating ContractorG,-", 7- ~
Name of Tester ..-r:: t:. .
Date-1PII""JOS
Job Address ''IIf3 Iu"J~ 0-..1'.
.
Heating Contractor G,- ,,- ~"'-
;
Name oITester ~ c..
Date /." 1/.. 1-5
Percent O. ?, 9 ~
Percent CO~-
Percent C02 L/~/-
Stack Temp "35,'"
Combustion air is adequately supplied per
UMC Sec. 606 ye r
Input