HomeMy WebLinkAboutBldg Permit 05-0390
(Please tvlJe or print and sign at bottom)
ADDRESS
I '-I~I
Wlt.-'J:>~
LEGAL DESCRIPTION (office use only)
LOT / , ~LOCK /
.
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
v/-()6~
See Main Fil.~e ~:;y. I PERMIT NO. 0$ 0390
~w Applicanl
-Pfl.~
ADDITION W~.NS I"Y'lANtV
4-nt-
PID;2~-t/15 -()(]-o
OWNER
(Name)
(Address)
BUILDER
(Company Name~/II~/ft~f'.l,.J
(Contact Name) BuLL-
(Address)
(Phone)
H-o UV't ~
ZONING (office use)
plf
,
(Phone) ~ t;( - ~? -#00
(Phone) c:'1l...-- 2-"Z- I - /? z.,g
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
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 authonzed 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 can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to lk. ;,,.... necded Inspections.
^' /~. ~ /4;;-F'l ~.- Z'f-C:;f)
~ ) Sigilature
'--'"
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
CODE: DI.R.C. j;&I.B.C.
Type of Constroction:
Occupancy Group: A B
Division:
x
I
I
I
I
$ t( -r / 1. 7 f1
II
I Recei~No. ~ejI1~ I
I BV!. (I
I
E
ill IV (VJ' A- (i?
H h'i(qp"S U
2 (3/4 5
...
PROJECT COST /V ALUE
(excluding land)
II
F
1
Contractor's License No.
,/
NJIO. 000, () 0
$ /1/3, ~o
$ 7d-.3, 7'?
$ 55, 00
$
$
$
$
$
Park Support Fee
#
SAC
- - ~
Water Meter QizeS/8.) 1";
Pressure Reducer
#
Sewer/Water Connection Fee
#
Water Tower Fee
#
IdO.o()
JOt) , (] <!)
3S",.. ;;0
L/a, ()~
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Pennit When Approved
~~
Building Ollicinl
S-/yk,5
Paid
Date
t,117.11I
....., /) F. r
I' "
Date'
$ /OO.tJoO
, /
Date
$
$ J"-I5o, 0 ()
$ ;;2.'5"0, a <:>
$ S-o, 0 c
$ /500,00
$ tatSo.. 00
$
$
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 a.~ requested. This document
~'~~" C_,re ,f d';~;'- ,=~"hm '" See'" ~"PM'" ;'~if"'" "f"":"''Y m~'"
_'"""'" · · """ s~
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
--- "
'"
See Main i~le
White - Building
Canarv~"'Qineering
Cl>>ink ~ _ - Plannin9>
BUILDING PERMIT APPLICATION OEfARTMENT CHECKLIST
..
NAME OF APPLICANT
APPLICATION RECEIVED
(/i )
/ /1/
/ !~/--e/ t ...
--~ )
'/~
L' 1- ,;<-' r::J - 0 S-
.JL
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/1115 7 /0~j!Cl - P
.-
Accepted
Denied
/
Accepted With Corrections
Reviewed By:
~
,...
~
Date:
s-/4"4~
COlilments:
,.
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."
See Main ~File:
White - Building
~ I~AnAry - cnjllneeransD
Pink - Planning
BUll-DING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
// /JtJ/'ZvDJ1//7';; (-),!"''J.{/jA)
r' A ..," ~, LI"'" J ." ~~. ' "----""'"
c-/_ ,2 i) - CI5'
The Building, Engineering, and Planning Departments have reviewed ttie building permit
application for construction activity which is proposed at:
/1//5 7 I~:I/J.-I~ p
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
Comments:
~
Set' ;1!(?11 ,Fr /"
. -
Date:
b- 3-q;-
"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."
08/16/2005 TUE 10:45 FAX 952 767 1900 GENZ-RYAN
~ 011/031
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(Please ~e OfJ)rint and siRn at bottom)
ADDRESS .
\ 4\6'1 . WI ri:>
r fl-Hf\
v
t ~if ~~" I PERMIT NO. 05. 0390 I
ZONING (ofliceuse)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDmON
Pro
~=R 11 JFnS I'YV)J,\i! \-tD(Y1LS
(Address) l <AQ5 ~)IOlZOu Dv, Stc,){))
(~)
(Phone)
[Man fvlr'~
(Ciiyl
(0");- QCf5- ~)7 u~!
F~I'l)
....../ -- qI-, ...
(Zip Code)
APPLICANT (1.. n
(Name) t::l{VI1:.- 1L..-{,{ a II]
(Address) 1.7-0 [) \Iv. I 01\fl 4 / :3 .
. (Address: I ! ~ I .
(eDDmct Person) <I yY) ?~~Iu _,
'?UCA.NTSIGNATURE~ ~ (}p
, ., '--
(phone) f701- 7 &r7- (ODl)
BlA [()11 S' V'- f Ii> MN CJ.:~ 7
(City) (Zip Cocle)
(phone) aS~-/01-1 K&f
DATE g- /1 Co /05
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 s1l1lcture.
FEES\.,;~DULE
Residential sewer and water /ine connection $35.50 Industrial, Com'l & Multi-family t% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~DWITH
tsUfLDING PERMIT
(Office Use Only)
I Tbis Application Becomes Your Building Permit When Approved 'R' ~ . [fa~ l~ \1 \~i L~
. l' Date
: Building Orncial Date _ AUr, 2 4 2005
14 hour notice for all inspections (952) 4< 7-9850, fax (952) 447-4245
By __--------::...
\ \~ Receipt No.
,II( By
08/16/2005 TOE 10:46 FAX 952 767 1900 GENZ-RYAN
~ 012/031
Date Rec'd
elf'! OF PRIOR LAKE PLUMBING PERMIT
(Please type or print and silll1 at bottom)
. ADDRfS~
Y 15'7 "AJj' cis
I, Blue Fil. I PERMIT NO ()I'- ':>9. .,.
1, Gold Cily . ::J. OJ ()
} YO/low AppIiOlllI .
Pod-h
ZONING (ollic:eule)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
~~~R I. JU fl'S r{\O Yln HT )(Yles
(Address) j K'Q/5 1010t7Jj. DIf, ~+t ;aT)
(phone) ({F)j--O{lj- 37C/1
F7" . .. 1\'1' ~ ''\/\
--.u 01 (lY1VI \J _).)f,-;l.~-^
J
. ~;;~~ANT b-eJ11- - ~tJ CH'1 (phone) t1 C)"2-,l.fl - lODO
(Address) 211)0 \N. f-h.v fA LSS ~/A.ttVlc.V Illf..- M N S5337
1/ (Address) j . - . . (City) - . . (Zip Code)
(Contact Person) J\. Un Q.ff)\Jliju (Phone) [61=70''- I k& J
APPLICANT SlGNATIJRE L.f{,;~JU11./J.f DATE l /I&I(~
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture I Quantity
,!Q Bath Tub with or without shower Rough-ins
I I Dishwasher I I Water Heater
, I Floor Drain I I Water Softner
.t.t I Lavatory (Bathroom Sink) I I Stand Pipe (Washing Machine)
( I Laundry Tray (lor 2 compartment sink I Sewage Ejector
, I Shower Stall t I Backflow Assembly
I I Sinks I Backflow Assembly Test
I Bar Sink I Lawn Sprinkler
8 I Water Closet (Toilet) I Other
Type of Fixture
FEE SCHEDULE
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 Penn it #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50 PAID WITH
8UlLDING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
BuiJdin( Official
~ i ~im ~ 0 ~r[E ..-' Receipt No.
: I Date IBY
AUG 2 4 2005 .
lJ ~
24 hour notice for all inspections (952) 44' '-9850, fax (952) 447-4245
,By
Date
08/16/2005 TUB 10:46 FAX 952 767 1900 GENZ-RYAN
~ 013/031
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec1d
(Plelse tyPe or print and sisln at bottom)
ADDRESS~y\ W' I ~ "
lWlrJ" l~~
H::" 5_1 PERMIT NO. (;6.0390
P ct:J-h
ZONING (olfice
use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
I OWNER '
(Name) \ ~ je\.,,\S\(\(\i!. Jil'l \-\O(YLt;
.. ....'"\......, .&; ')
(ph ) f/Jr.;:..,!- (JU:)'.. :) /('/1
one l./j .,-~ .
(Address) I gqrS () I ((lCl,~ f)v'-. <;'k ?OG
ell Ii: ri ,') fi f11\'
L_, ...~J~ t/\i.. . ~I I !
hCf' .Jr,
...'-'J~) '.~ ('::J..
APPLICANT r -')
(Name) L:rerrl... l<-.ijflYl
(' - ') -'{ --7 IU~'O "
, (Phone) ...{f'){/\ - I .I) ,. I I V
(Address) "l,t "tJ. ,'/1 n 'j , ~?..-7
:I\NJ UJ, \-\LU01I :> L-')Wri'1)Vi If ',_)j~)'j
J ./ i . (Ad~ (City) (Zip Code)
(Contact Person) "'-l rn II~en\i I Ju (Phone) q 5 d 7(P 7" I Kr'J I
APPLICANT SIGNATURE f ~ h((!nlie6J DATE >?/I~ Im-
_ --APPLICANT PLEASE COMPLETE BELOW
. ~WCONFRUCTION. DREPLACEME~. DALTERATIONS
PURNACEMAKEANDMODEL L2J~()Ut-:>&--tJ/TO . FUELVYdj49~~,
FLUE SIZE RETURNOP~ _ INPUT -1(JlilY.{;.L OUTPUT ~~XtJ_1
TYPE OF SYSTEM HEATING OR POWER PLANT
/'Warm Air Plants 0 Steam
/[]Gravity 0 Hot Water
IMeCltaniCal 0 Radiation
Air Conditioning 0 Special Devices
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
S39.50 minimum
Residential, Heating &. Ale (New Conslruction) $99.50 Residential, Additions &. Alterations
Residential, Heating Only (New Construction) $64.50 RC3idential, AC Only
$39.50
$39.50
$39.50
Estimated Cost $ 'Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Ollly) - r\il roc; r~
I I-i P :i1l IF D \~J ~ Ii \
This Application Becomes Your Building Permit When Approve \. ~L ;PlI'fj1 ls . ' ~ i! Receipt No.
~m; 2 4 ZUU~ ~. By
Bllildiol Official Date, '\
24 hour notice for all inspections (952) '417-9850, fax (952) 447-4245
8y- ....:.-
PAID WITH
.50 BUILDING PERMIT
PRIOR LAKE
INSPECTION RECORD
.
SITEADDRESS I~/S-/ tJl/J)r ~TI'I ' .
NATUREOFWORK Nn.J ~hu!rA,1tI rfAJ/&.L. ~N}
USE OF BUILDING S1 ~ A.' ,
PERMIT NO. s: 3"!tJ DATE ISSUED .s/tV/t/JS
CONTRACTOR ~1YfAN)I til"'es PHONE ('JZ-ZZ/....'''ZS
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPAR~MENT OF See Main File
BUILDING AND,INSPECTION
.
INSPECTOR
DATE
I FOOTING J
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
tlJc....
~ ~ 'I/IV /,#)
1'/5 y/~~?
I i
~ 1M.
/~ 7'/tY'/dV
/ ~
~~ - >1Yb
; J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
/.ArNe / HDUrE ~A1" I I
FINALS
(j
7/?/~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~J
III)
-
..... I
(fCJ.(l 6/2A:J~ LJ
~'? / t:. 71i/~
OCCUpy UNTIL ABOVE HAS BEEN /sIGNED
NOTICE
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.
I /
'7/7/dfI
I I
FOR ALL INSPECTIONS (952) 447-9850
OItrfifitaft of @trupantl!
CITY OF PRIOR LAKE
~eptttftttenf of ~uil~ing JI nsperfion
ftFinal 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 05-0390
Use Classification Bldg, Permit No,
Occupancy Type
R3
VN
Zoning District
R4
Legal Description
Type Construction
L13, B1, WENSMANN 4TH
Owner of Building
14157 WILDS PATH
Site Address
1895 PLAZA DRIVE, EAGAN, MN 55122
~.. /
WENSMANN/HO~S ,
Contractor's Name & Address I //.\
RO, BER/ T D. HUTCHINS / / 7' ""
I ) City Planner
7/ / Building Official 1/ -~
Date: 7 / of b7 Date:
/ ! ...., POST IN CONSPICUOUS PLACE
JANE KANSIER
i_
,.,O-i~';;"l'-~_'_'~_~';:-~\':.l::"~"" .-;<;;;' .';;", i..., ";';:...-;;:,- ., ~r.2_ 111l1I Ii II :. .:".;./-,- 'r ''', ,',' ,',....,
j,' 'J,,"
DATE TIME
CITY OF PRIOR LAKE , h IA,_
INSPECTION NOTICE SCHEDULED 7 ~
ADDRESS ~-ry W/k:6 ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~ -o'3cm
o FOOTING
CJ FOUNDATION
CJ FRAMING
~~ULATION
~ ~!~L
o SITE INSPECTION
o PLUMBING RI
CJ MECH RI
CJ WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
CJ COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
CJ GASLINE AIR TST
o
COMMENTS:
n' J) r)r
U{-~ ~~"' Tr"-t)
~ WORK SATISFACTORY. PROCEED
o CORREC CTION AND PROCEED
o CORR T LL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
C LL 7-98 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
C~REMENTS A.RE FOR YOUR PERSONAL HEALTH & s..t~i!.J z'l
INSNOTl
ADDRESS
Jl.lj5?
DATE nME
SCHEDU"- C, 1+
w:!~
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~ -~?l)
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 EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
L O~ {;... f1 U{ 44l'J -'i~'18
z. c:Ju..4> 0(...-- ....~\.
>. (f?~I'~_ ~ ()~
4(. d '^'~ _ (j),"J.A... L.. nI .. J-., ~
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECt RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &I SAFETYI
Ut$NOTl