HomeMy WebLinkAboutBldg Permit 05-0388
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
See Main Fi~i. ~::,;,~
L/- cX:)- s-
PERMIT NO. 0 S. D.3 [j~
(Please type or print and sign at ': " .", .)
ADDRESS
/t..f/yq Cv(~lJ<; ?t4rtt
ZONING (office use)
R4
LEGAL DESCRIPTION (office use only)
LOT II BLOCK
ADDITION t} IH
PID ~~~ '113~II-O
OWNER
(Name) It/e /VS/hJ\NN
(Address) /;9<) p( ,0 "'A
../
/-1-0 ~
(Phone) Co rl -Lf(j~~t(/cJ
Vd-
S ~ OtJ
. vile- r
6-.A4.',...)
;v..-~
t;5"" I ;;'f}
BUll.DER
(Company Name)
(Contact Name)
(Address)
<~
Bu]~
(Phone)
(Phone) C. t )...-7 /1_ I t.,.'~
TYPE OF WORK ~ew Construction ODeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition o Alteration OUtility Connection 0 Misc.
CODE: DI.R.c. .J;af.B.C.
Type of Construction: I
Occupancy Group: A B E
Division:
II
F
1
III IV fV) ~
H ..J..,.... 'j(' (iK U
2 {3...14 5
PROJECTCOST/VALUE $ / ')O/,?O?-'-
(excluding land) ,
I hereby certifY that I have furnished 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-mentIOned 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
official c~~rmit for just cause., Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed mspections,
X -J:i;J - 3-&;1.t'j,-,S-
(' ..;l> Sign ture Contractor's License No, Date
Permit Valuation 4/1 CJ_ /)~ (), t!J() I I Park Support Fee # $~
Permit Fee $ 1/; ~# s;-o I SAC Ql"; # $ 1.tIS-a. do
I Plan Check Fee $ 723.7F I Water Meter $ z.~o. 00
I State Surcharge $ SS,.ao I Pressure Reducer $ Sa.oO
I Penalty $ I Sewer/Water Connection Fee # $ / Sao, ()(J
I Plumbing Permit Fee $ 100,()O I WaterTowerFee # $ /000. t)O
I Mechanical Permit Fee $ '''0. {)O I Builder's Deposit ~
~
I Sewer & Water Permit Fee $ $5. 50 I Other $
I Gas Fireplace Permit Fee $ .t/o , c9 ~ I TOTALDUE $ ~ I 4-17. 7P>
J
This Application Becomes Your Building Pennit When Approved Paid fl/I-/7.7Y Receipt ~o. "~I/ 7 ~
~ a/~h~ Date <., '1 ("- By .A... /"
~ ,."G. ~
Building Ollicial , D~te -
ThiS IS to certifY that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested, This document
:hen si ned by the C~ty Plan~poraty Certificate Of;; ;z;e and allows construction to comseee OCl\faiiiOf FIl et be
Planning Director . 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
'"''~;'''
See Main Fi~.e
White . Building
Canary . En~g
~ t"lnk . Plann
"----
BUILDING PERMIT APPLICATION DI;P.ARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W.jZ-J<u
/
/1//(/-'/ / 01'1"1. :,}-~
OS
---.
1/- .;,z
T
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
JI//LjC} //)./L!4J /--)
~:
./
Accepted
/
./
~
Accepted With Corrections
Denied
Reviewed By:
~
r
~
Date:s!L/ /(J~
{ - (
Comments:
I"
Ii
j,
"v}.
.,.
'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."
See Main File'
White - Building
~nary.. - engineering>
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I J J /) /l I. I ~~..",.....:,'.'.',".''''_.'.''''/7'"",,-,-:,'';.''';'/'{..I~~:'~~'"
~/ :jr,/ ~t<l /L/~'t/ . . . \....-'-
/ /--:2 /)-'Q~-
L / ',~ '../ -
The Building, Engineering, and Planning Departments have reviewed th~ building permit
application for construction activity which is proposed at:
) / J I / "'1'-:-'~1 . .4 / ,t( F--..)
-./ ' L. / r. .') .. v.../I' /' r~,,"'1. j'
,I I f /:./ .....-{_.'-..-'t--,t
J
1....."..-
Accepted
Denied
Reviewed By: /YlJ6
Comments: 5<c ;n",^
x
Accepted With Corrections
Date: S""- 3-~
filL.
liThe 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. II
08/16/2005 TOE 10:50 FAX 952 767 1900 GENZ-RYAN
~ 029/031
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(please tyPe or print and siSlll. at bottom)
ADDRESS
\Lt\~C\, U )~I \~ rrA:irh
~: ~ ~~, I PERMIT NO. oS". 03Bf:J J
3. Gold Apph....'
ZONING (oflice use)
I LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
OWNER'll' 'P'^(\ ,,'\ '''''' "\' 'IpS
(Name) h J LJ '\ II AJ II ! .- 'Dtr IL,
(Address) I <J Q ~5 P I OLIa.; Lw , S tc .?C()
(Addless)
(phone)
-ED.o. (J. n fvi r~
(~ity)
('rF)' 1- Qa~- ~'n eel
. ,\' . '.""- .
f:::"c')l
Tj/ ..<_.
...-'...,;' 0'/
(Zip Code)
APPLICANT t1 n m .,"
(Name) tl(V11.- It..ti ?UIl (phone) "(V}2 - 7/.P7" (ODL)
(Address) '2,7-00 Vv. {iVV i AJ I 7) ~A ~)11 S V / {I-t. MN (7~}53 7
k\. (A~ ( . (City), (Zip Code)
(Contact Person) m '~-P1\\j1 \~j__ ' . (Phone) C.1~-lto7-1~'
')LICANT SIGNATURE @~ ( <.g/UJ.'MJ . DATE R I (f /j IlfS
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.
FEESL'~DULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Pennit #
PAID WITH
(Office Use Only) BUILDING PERMIT
I This Application Becomes Your Building Permit When Approved . N' D t~ ~ D ~ ~ ~\ Receipt No.
, Date By
Building Official Date., -AUG 2 4 2005 I
L_ --
24 bOllr notice for all Inspections (952) 4- 7-9850, fax (952) 447-4245
By
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
S
S
.50
08/16/2005 TUE 10:50 FAX 952 767 1900 GENZ-RYAN
~ 030/031
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
I. Blu. I'll. I PERMIT NO I
~~ ~ . O~oJO~
3 Yellow ",ppli..., . {.I D
(Please type or print and sign at bottom)
ADDjLJ I L Q 11 )\ \ M PCkfh
I LEGAL DESCR..1ruON (office use only)
LOT BLOCK
ADDffiON
~=R IlJfJrf)\/nn Yl() \-\7)(Yle~)
(Address) I <?qr) ~)I O\7[~.- Dv'. ~+c ace,
ZONING (olfiteuse)
PID
( "{ (v',r
(phone) . i)'")f-uvL J'
FIt C1 n YI p\./\ N i:f5I;):l
..J
-:2 -7("'c"
_)., 1
~;;~~~, j2,tJa~1
(Address) 21-00 \/V. 1-h.'\J~' 1.3
\ y;ddress)
(Contact Person) r\jm 1 'Ph vi J(&
APPLICANT SIGNATURE tf5l1r) ~rJt
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity
c;;. Bath Tub with or without shower
I I Dishwasher
( I Floor Drain
......, I Lavatory (Bathroom Sink)
I I Laundry Tray (lor 2 compartment sink
I J Shower Stall
( I Sinks
I Bar Sink
~ I Water Closet (Toilet)
P '-
(phone) Of.Si..- ,"'1 ,. I aDO
BIA.tt VI '-v j'IIf..- M N ~':J337
(City) (Zip Code)
(Phone) q--S~ - '7f/J7/ J ~ 1/1
DATE -2JM/1If
Type of Fixture
I
I
I
I
I '
I
I
I
Rough-ins
f I Water Heater
I I Water Softner
\ I Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
I
FEE S'--.t:U!<DULE
Industrial, Commercial &. Multi-family I % of job cost with a $39.50 minimum Residential, New One &. Two-Family $99.50
Residential, Additions &. Alterations $39.50
Estimated Cost $
Building Pennit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Oply)
This Application Becomes Your Building Permit When Approved ~I ~ l~ L\ ~ ~ "\ I Receipt No.
" Dl~G 2 4 2005 By
LJ
24 hour notice for all inspections (952) 441-9850, (ax (952) 4474245
By
Building Official
Date
.50 PAID WITH
BUILDING PtHMIT
08/16/2005 TUE 10:50 FAX 952 767 1900 GENZ-RYAN
141 031/031
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
(Please tvPe or >>rint and siscn at bottoml
ADD,R}1S\ J I I) , 11 ~ n
4--f -; VI 1)1 \ C~) I~tt')
~'~ ~~ I PERMIT NO. G" :IBidl
3 v.U..... AppIiconl 0 ' 0
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDmON
PID
OWNER \ I !P\/'v.... V 1'\'" '') ''1
(Name) 0/\ }\J' \'::'>1' \ III J II
'\-\T\C,\-,,\PS
\../1 I L .
':2'1 ." ..'.
(phone) (y(:;{_. qOf.). .) iU'1
(Address) I gqlj rJ101[L CV~ Sk. ?-OO
[~at1 (l(\ f'v1 f\1
.. ,J '"
t::..C I 'J'""
,J ' _-I"
'._ oJ / '" '__
APPLICANT {' '?' ..~
(Name) l::Tl:f)1~., IciJ(Jjrl
.1
(Phone) CjJ=)d\ --707 -' 1000
(AddresS)~;)[jJ lU. HWUl 13 B lLVYlSvillc ~Fj3~7
y , (~SS) . (Ci1~ (Zip Code)
(Contact Person) -I,\}VY\ }yJflVIIJu. (phone) Y~-7h 7~ I >1/l /
APPLICANfSIGNATURE ~'\ N.P /1/116; DATE?( 1(( IJ /{i,5~
/- ~' APPLICANT PbEASE COMPLETE BELOW
~w CONt~!{sr!?,t' , P ~~~~CFMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL f:A Y lOX (<1ZfuJli -?&fJ1J FUEL ra t1ft6
FLUE SIZE RETURN OPENINGS .if INPUT .1.d1J1)) OUTPU~J, '
TYPE OF SYSTEM HEATING OR POWER PLANT
~ann Air Plants
LJOravity
Jd.,MecbanicaI
~ Conditioning
OVent System
o Stearn
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial &. Multi-Family 1% of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating &. AlC (New Construction) $99.50 Residential, Additions &. Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
$39.50
$39.50
$39.50
Estimated Cost $ Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $
roT AL PERMIT FEE $ ,
(Office Use Only) , In'\ n ~ ~
This Application Becomes Your Building Permit When APprOVe\if) ~ ~ II Q ~ I Receipt No.
'l ~ 2 4 2005 L By
Dulldin! Omclal Date. .-'
24 houl' notice for all InspectioJls (952) 147-9850, fax (952) 447-4245
By
PAID WITH
.50 BUILDING PERMIT
DEPART~ENT OF See Main File
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS L!l1~' w~ ../JAr'" . - .
NATURE OF WORK ~J,.J ~/d/.J (IIJ./ ~,J.. P;"""AiJ-.N,t
USE OF BUILDING ~ ~ A.
PERMIT NO. tT. ~ - DATE ISSUED 5' /'I/IJ~
CONTRACTOR ~iUJAJ tId*p PHbNEla/2..2.%./.'t.~t
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, FOOTING 1
FOUNDATION (Prior to Backfill) I I J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I /~~~Ip
II riJtJh
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
CJC-
(114
(1)$
p~
rk
INSPECTOR
DATE
, ,
~~~
II/asf:~
t iV~L
Ii/; ~ Jtth(
'1 . V
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
'/AnilE ~lIg 14JJtN' I I
FINALS
GRADING (Prior to Sodding)
BUilDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
.... /"\
flj/
r/!, ~l~~
j/ JL.,/ v
, n &~/O/ ..,
OCCUpy UNTIL ABOVE H'A's/BEEN
NOTICE
I I
Ie (9/'"
" 1/
SIGNED
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
dlerfifirafe of <IDrtupaur\!
CITY OF PRIOR LAKE
~epatftttent of ~uil~ing Jf nspetfion
fl Final Permitted
o Conditional e.O. Expires_
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or use. For the following:
SINGLE FAMILY 05-0388
B1dg, Permit No,
R4
Use Classification ,
Occupancy Type _
Type Construction
L11, B1, WENSMANN 4TH
R3
VN
Zoning District
Legal Description _
Owner of Building '1~ ' Site Address
WENSMANN HO S, 1895 PLAZA
contractor'~~a;~:TAd;~ssHUTCHINS / ,,1;'1" -)- C' I
/ Ii' Ity P anner
~' ,Building Official iJ V /
Date: .k () /; Date:
...;./
, -
14149 WILDS PATH
DRIVE, EAGAN, MN 55122
JANE KANSIER
,;",:":>';:- ";~;.:;.;,,,:.,:,,:;; ,~,;,/.;,."~'", ,i~:',' " ,;! ":':'I'~" ""~c\" ',0- ~;;.:, ':...:..i..~'~ ~..: ;~".~:..'>' ' ;: ';,;.......
"IIiIiIIII"
"oiIoiIoIIiiii,
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
t, (\J.f! 4-~~
- ,
-
2.~
DATE
SCHEDULED ~MU
\1L'I~ C' li~
- L
TIME
CONTR.
PERMIT NO.
s - 300
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
):fPLUMBING FINAL
o MECH FINAL
D EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~(Tu
~ C4~
C,{~~
I
~ GtJ-t
o WORK SATISFACTORY, PROCEED
~ CORRErlCA I AND PROCEED
o CORRECT , CALL FOR REINSPECTION BEFORE COVERING
Inspector: J Owner/Contr:
CAL/!44~-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
_Tl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS J:iJ41
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.crr=INAL
/0 SITE INSPECTION
COMMENTS:
I I
uK+~
DATE
wi;Drt1t;
TIllE
CONTR.
PERMIT NO.
S -D~~
/
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
! '\
I D I / f
,I t' \.0
f\ \ " t1'~" \' ' \
V\~~ .
~ WORK SATISFACTORY, PROCEED
o CORRE AC ION AND PROCEED .
COR CT WO lK. CALL FOR REINSPECTlON BEFORE COVERING
Owner/Contr:
R THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
'MENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
INSNOTI
(,~
l'i/o/If Wt~ ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
v.
t
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
"It--FINAL
'0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
TIME
~-5~
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: ,
l,):e~ ~ Ll JP
?u~~. YO\-I W~ ~X~,,~
. 1 I
/ "'^- ~~
3~ ~ ~ of Al''- Cb-z
,
INSPECTION BEFORE COVERING
Inspe or: Owner/Contr.
. L" ~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~ '
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
utSNOTl