HomeMy WebLinkAboutBldg Permit 05-0389
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT J/- ~- S
See Main fiil~anl I PERMIT NO. os. 05 B9
(Please tnJe or print and sign at b" ..". .)
ADDRESS
/ L/I<)~~ Ut'-1J5
ZONING ~,e use)
p~r R.~
LEGAL DESCRIPTION (office use only)
LOT {Z..BLOCK ( ADDITION U.J~NSrnlQ~ 4- Or
OWNER
(Name)
(Address)
BUILDER L
(Company Name)~.N'S J'V1~N I~
(Contact Name) l6u2.-i-
(Address) /"19 C- ?I/YZ-/'I bIL JV/ l7:1- z..ov
PID 8)-'/1 ~-o/2.-i)
(Phone)
e-AG..IO~
(Phone) t,rl-t(tJ6-/fc(~()
(Phone) " , ~ - Z-1-I- ((.. z..a
AIL,..) S~- /;L ~
/
TYPE OF WORK [J..H€w Construction DDeck OPorch ORe-Roofing ORe-Siding
'OAddition OAlteration OUtility Connection 0 Misc.
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 authof1zed 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 submilled plans. I am aware that the building
:cial can ~~mit for :st cause. Furthermore, I hereby agree that the city official ~/e~<?:Y ~upon the property to perform need.e5=2:0~ -0 g---
./../ S'ignature Contractor's License No. Date
L--"""
Permit Valuation
CODE: DI.R.C. 0r.B.C.
Type of Constroction:
Occupancy Group: A B
Division:
II
F
1
IDIV
H I
Zt!>
G;T ~J7
M W S U
4 S
I
E
~
7f / (a 0 Ot!) , t!J 0 I
Permit Fee $ /113, So
I Plan Check Fee $ 7 2'3, 7~
I State Surcharge $ ::>~,oo
I Penalty $
I Plumbing Permit Fee $ /00.00
I Mechanical Permit Fee $ ICJ 0 , 0 0
I Sewer & Water Permit Fee $ 3c::; . 5'"0
I Gas Fireplace Permit Fee $ '/0 , 0 0
. This Application Becomes Your Building Permit When Approved
~m,~ E(t~<j;
OLower Level Finish
o Fireplace
',-
PROJECT COST IV ALUE $ /60 000 -
(excluding land) . /
I Park Support Fee
SAC
#
$
$
$
$
$
$
$
$
$ fn~ 4/7. 7f; I
I
I
#
I L/s-a . () '()
cz...So .do
S-o. !)O
/500,00
//J~o. 0 D
~-,
Water Meter ( giz~ I";
Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
Builder's Deposit
Other
I TOTAL DUE
#
#
-
I Paid
I Date
)
(; .. f./I 1. :t-- -'
A ,., tJ
,/ f'
Receipt ~o.
BY.A
o
4~/7 ,:-
ThiS IS to certify that the request in the above application and accompanying documents is in accordance with the City ZOl~rdinance an~. m:a~y roceed as requested. This document
~.."''' ~:"':;;" C"wm" 0' Zoo; "'''';:; ~~ '~_'IDo" "'~~e '"- VJain "'fill e' ~
l'lanning Director '~Dale Special Conditions, if any I,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See Main File
C-White..-:' BuildlnAJ
Canary - Engrneiring
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
//J~~
......
L/ - 90-0'-)
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1?//6d I L)~ P
Accepted
/
Accepted With Corrections
Denied
Q 4'_ r/1..
Reviewed By: ~ ~
Date: 6/~/or
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."
/
White - Building
Canary - En~. r.' il1ng
~ - Plann'~ I
BUILDING PERMIT APP.LICATION DEeARTMENT CHECKUSI
See ~\1ain File
't
NAME OF APPLICANT
APPLICATION RECEIVED
//1
/./ ~/
/" ,-
J
,;
) t"...)J
L /- ..) ()-~.J ~
,.
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/i:// ~;- .::; i/J/J ,) /,?,/ //., j;C)
. . V A./ ..~t ( /<-\~.
....
Accepted
/
Accepted With Corrections
....
Denied
Reviewed By: ~ ~
Date: 5/'/ /~.s
~
Comments:
l.
'f
fi'
'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
( \'8,!'JCV - !;!19Ineerlng.>
Pink - Planning
-,1,
BUILDING PERMIT Af.e.L,ICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
//
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l:')'}): /-t....'.'1.-.......
....... .-
I I - /..... .-"'1._,. .,-', .....--
... ' ,,--L t" i ,,' "-)'
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The Building, Engineering, and Planning Departments have reviewed th~ building permit
application for construction activity which is proposed at:
./ 1 ,.,} .,./......\
/ .J J ;/ // ,.",/ 1/.._...-'
(' b~~.A: (',4~; I
.
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/......"/, '-./ '-'
Accepted
X.
......
Accepted With Corrections
Denied
Reviewed By:
Comments:
;r&6
Se~ ;YIt,r~ ~(<.
Date: S-3'~
'"
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. U
08/16/2005 TUE 10:45 FAX 952 767 1900 GENZ-RYAN
~ 008/031
Date Rec'd
l:1'1'1' OF PRIOR LAKE
SEWER AND W ATLI< PERMIT
(Please ~e or Print and siJln at bottom)
ADD~SS '.
l L,16~ ,L\Ji ,Gb
rectir')
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDffiON
I OWNER l '. " ' "
(Name) i jfJ\~ \\l( )J\i/l \.-tD'ilILS
(Address) ! ~Q5 PIOtZOv Dv. Si(,?GO
(Address)
APPLICANT (1_. n
(Name) l:::l (l~1,- IL.-M a (I]
(Address) 17-00 \Iv. I 1~1/Vl) f..~
(ContactPrnon) J<liY1 It.-0VU Iu ~ .'
"LICANT SIGNA~ '/J'Yl, ,Q/!./lm ~l
i ~w ~::;, I PERMIT NO. 05". Q ?CJq I
,. Gold Appl.CUl\ ~
ZONmG (office ure)
PID
(phone)
fLlu C! n [vI r~
- (00/)
{r/)J- q(fj. :rlrA
r)cs ;'1 '"'\
-' __ , d,.7-
(Zip Code)
(phone) t;Vj2 - 7 (pj- rOOD
Bu flI/f S Vi {I-t- MN Q;3'3 ~7-
(City). '" (Zip Code)
(phone) {~:.-r{jJ7-1 fJ(JJ I
DATE )( md/6
APPLICANT PLEASE COMPLETJii 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.
It'EE SCHEDULE
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 #
SEWER AND WATER PERMIT FEE
STAlE SURCHARGE
TOTAL PERMIT FEE
(Office Vse Only)
I This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 44 9:fI50. fax .yg) 447-424C
$
$
$
.50 pAID WITH
I=\UJlDING PERMIT
. ~ ~ (flJ rs 0 I1f7 rs -01
, ~ J ihit'b L'OJ G L; 1 Receipt No.
<,
1 Dltl:lb 2 4 lUUJ l By
_ L,I ..J
08/16/2005 TUE 10:45 FAX 952 767 1900 GENZ-RYAN
~ 009/031
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
APPUCANT (1_ 1)
(Name) CleA1'l. - ~lJ{U1
(Address) 2Wo VV. l-ru'\J lJ !.3
(Coo_Penon) <.<JmKfJl;t I U .
APPUCANT SIGNATURE c1<I A11 ~ l1iJil.lJp
~ - "-
APPLICANT PLEASE COMPLETE BELOW
Quantity_, I Type of Fixture Quantity
d- r Bath Tub with or without shower
, I Dishwasher
I I Floor Drain
J...I I Lavatory (Bathroom Sink)
I I Laundry Tray (lor 2 compartment sink
l I Shower Stall
I I Sinks
I Bar Sink
~ I Water Closet ([oHet)
(Please type or print and sign at bottom)
ADD~SII
l~ 53
Wlds
LEGAL DESCR.lr nON (office use only)
LOT BLOCK
ADDITION
~~~R (lJf.V'f) VY\\O t)n \1-r )(\I){.S
, ~- Q t::: If) i -- ,
,(Address) I X /") ~-, Ct'ZO-.. L)v. ~+t :;t{~"
~: ~ ~~ / PERMIT NO. tJS. 0.3 0
3 YeI!a* AppIicon, . 8 7
PCLf!r\
ZONING (oflicell!e)
PID
l ,-: 1'., ~ c:. --)- .7("'L;
(phone) ,))j-t.Y j) - .~) j 1
,-r ~ I' :\ N ,;::..t::::. . '\ "
r-~J. G 1 iJV'l Iv I ~J ) ( r':J. c),
".j. .
(phone) qCJ'I: ,lff1 - (ODD
Pxllttt1'-V I'fle_- MN 'S'J337
(City) .cZip Code)
(Phone) ~-7{ji7- f~ I
DATE :!liJiI)/tb
Type of Fixture
Rough-ins
; I Water Heater
\ I Water Softner
I I Stand Pipe (Washing Machine)
I Sewage Ejector
I I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
FEE S\..:J: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 Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
PAID WITH
_DING PERMIT
(Office Use Only)
.--- -
This Application Becomes Your Building Permit When Approved ITi~ ~ l~ U ill ~ ~ fceipt No.
..."...om"", "k '~"'AUG 2 4 2005 ~I
24 hour Dotice for an inspections (952.) 447.91'50. fax (952) 4474245
By
08/16/2005 TUB 10:45 FAX 952 767 1900 GENZ-RYAN
f4J 010/031
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please tyye or print and silt1\ at boltom)
Ar DRESS
LH 62> lU " . ct5
'l
. -/11 -H/)
t ~::w Steam I PERMIT NO. 05: 63arl
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
Lar BLOCK
ADDITION
PID
OWNER I I lPlnC ," 'r, in
(Name) \ i\) L..\ \:'>\'Y\t I. A 11 1
\ ; ;-
-.J,-n'I,"\'\r~
,\u L.
(phone) (tr-)/- ClUj, 370S
(Address) I gq5 rJ(crllL [)\,r. ~;tc ;Jut
C"!I (40"''\ f\t:1\ f\I'.
( ,,().l./J cd \ _
-- ..,.; ..-
l- ,-- , .J:)
,,-y.
'-,j)f,;..." .
. APPLICANT (' ,') (' :/1 7 ('" '" "-
(Name) l:reryZ~' lei)f])'! (Phone) ,-!I).~- (...rr - (JUG
(Address)~;)[jJ W' t'~LUl)113 Bllfnsvi lie !~~:f~)3'j-7
j./ ' (~ss) I { (City)} , . (Zip Code)
(Omlact Person) 1\ I III I .)." S?r\V! 0 . (Phone) {,~:J(O? /j1fl1
APPLICANTSIGNATURE~1\ , ,1?.lJ1.JjJJ;1 DATE X/ICiJ/(j;,
.- ,*PPLIC~LEASE COlVfilLETE BELOW .
. ~W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL LtI^lrYJL(itIOLJt/"?1IF {),O '.' FUEL C{J~;. t.lo...5,
FLUE SIZE RETURN OPENINGS 4 INPUT l1 nan OUTPUT ~ 1 J
TYPE OF SYSTEM HEATING OR POWER PLANT
.A::fwa~ Air Plants 0 Steam
t!Gravlty 0 Hot Water
o Mechanical 0 Radiation
(EAir Conditioning 0 Special Devices
-OV-ent. System 0 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
539.50 minimum
Residential, Heating '" AlC (New Construction) 599.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
539,50
539,50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAID WITH
BUILL.JIN~ PERMIT
.50
(Office Use Only)
This Application Becomes Your Building Permit Wben Approved
Buildlnll ornei..
Date
~B.. i~ ~ [E ~ ill ['niPt No.
ateAUG 2 4 2005 ~J
- ~
24 hour notice ror all Inspections (952) 447.~ fax (952) 447-4245
See Main Fil
PRIOR LAKE DEPARTNlENTOF
BUILDING AND INSPECTION
,
INSPECTION RECORD
SITEADDRESS J!dJ 5'3 WILDS fATH .. ...
NATUREOFWORK N~ r~N$r~M'~ ~/~.4, ~Alr~J
USE OF BUILDING ...j! ,... A. -
PERMIT NO.. 5.38. DATE ISSUED c/~
CONTRACTOR IJJEAlgt(/4,.,J/II !MM.... PH6NE~Z -2Z/..J42.I'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FOOTING
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
k) c_ i b
p~ ~/'"
,. I-
f~ C //~O)bl
if /1 ~
~
~ f
2/;~f
7) 1t,-1o'Y
~ , /
.
c({ '2!/,~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
'~ArNl" /HDiJ~6IAJ/l11tP I I
,
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
vv
~t>
II',
,
l.J, I~I ~
. .
) I
HIS/6ft
4/rd/4
OCCUpy UNTIL ABOVE HAS BEEN S'IGNED
NOTICE
DO NOT
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
. '0. ~ ,'.;;':t/ ~'" -"-,-
QIertifirate of (0rtupanr\!
CITY OF PRIOR LAKE
~tpatfmtuf of ~uilbiug Jluspttfiou
~al Permitted D Conditional e.O. Expires_
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 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 05-0389
Use Classification Bldg, Permit No,
Occupancy Type _
R3
VN
Zoning District
R4
Legal Description _
Type Construction
L12, B1, WENSMANN 4TH
Owner of Building
WENSMANN. HOMES,
Contractor's Name &~ddr (').fT
ROBERT . HUTCHINS f( 1'-)
17lJ Bild' )fficial 1//
Date: 4- 2.l- 4-' Date:
\ /, 17 POST IN CONSPICUOUS PLACE
14153 WILDS PATH
Site Address
1895 PLAZA DRIVE, EAGAN, MN 55122
City Planner
JANE KANSIER
-
\I;"~ '''';:l,-io. ~'lb-.s..~,'
~~~. ,..;;,--, '~;~"i::;
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,',~ '.~; ,~''- ';;~
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<,;"'i'-,:i.i~;...~.~ ~.,,~:.2-~'.-...~ .,.>.
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','",,). ;.~.
.lV-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
W~3 ~;\~ -Pd..L
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(I( _ '\ (.)r
~ -f~ ~~\O
... -
( DATE
q~
TIME
:5'"-18/
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ASLINE AIR TST
O~~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORi)o \ WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspe~r: 11\ Owner/Contr:
tALl ~ r-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
C~UlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
_rl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS l~(~~
OWNER
PHONE NO.
D FOOTING
D FOUNDATION
D FRAMING
D INSULATION
D FINAL
D SITE INSPECTION
COMMENTS:
\ -
I. ~_ -~r
2, R..e~
3. L~J!J..
SCHEDULED ~~(;
l~~~ ~~
TIME
CONTR.
PERMIT NO. S- - ~CJ
~PLUMBING RI
D MECH RI
D WATER HOOKUP
C~~fu~;~~~~
~C"'I :!IJfM.:-
D EXIGRAD/FILLING
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLlNE AIR TST
D
/V\ 'rl J
~~/?
- ,.
~ ~~~ -----
D WORK SATISFACTORY, PROCEED
)('CORR ACTION AND PROCEED
WORK, CALL FOR REINSPECTION BEFORE COVERING
7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn