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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