HomeMy WebLinkAboutBuilding Permit 03-0703
Date Rec'd
s: 1'1. 03
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File I PERMIT NO
2. p;" C;,y . 03-"''-' 0'':;:>
3. Yellow Applicant V I '-.:)
(Please !VJl~ or print and sign at bottom)
I ADD3RE7SjS3
.j'eF Fe t"5
ZONING (office use)
f?L
CouV"t rr w.
LEGAL DESCRIPTION (office use only)
LOT 13 BLOCK J ADDITION j e f f er5 So c:t. t h
PID a, -,C;S-lJIo5..c
OWNER
(Name)
HDmes
QrJ \J e. ; Eft, It n
h5 J- 40 fo-q. 'foo
We.. hS (Y/11 n n
lESS PLRZA
(Phone)
fhn
.5"5)2 Z.
(Address)
BUILDER "'" .11.... e
(Name) oJ p,..
(Contact Name) m Ie k'
(Address)
~
/"!i1-4D~-Lf lj 00
h/i}.. - 3 r:,q-lh z q
(Phone)
(Phone)
HeIL~ 14ft
~ New Construction ~.~-
DLower Level Finish . ~ <<Fireplace
ORe-Roofing
ORe-Siding
DPorch
TYPE OF WORK
OUtility Connection
DAlteration
DAddition
PROJECT COST IV ALUE (excluding land) $
o 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
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 can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~re~LY-a toperg:.spections J 45rf 5-/5 - 03
9 Signature i ~ 7 ~ ~ Contractor's License No. Date
r-./ .,:::) J VI/v
;:2-~~ DGO:..-
$ ;'JI/};:) - 1':J '
$ /I, '>/, qO.
$ Ilq,C;-().
$
$
$
$
$
I
I;;) tJS - I
300.- I
FJO.- I
/~oO-- I
700- - I
1:5 oC> - I
$
$
$
$
$
$
$
$
$
r)
I ~~Cj~~'
I Park Support Fee
I SAC
I Water Meter Size 5/8''(ff)
1 Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
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
.~
#
#
100. - I
/o(}.- I
3",50 I
t!IJ.OO I
#
'g'o~ tJ6
~Z4 ~I
I
I Paid d: J&- f'-," ~
I Date 'f.. 'l_O?
This Application Becomes Your Building Permit When Approved
~,- ,;:. ~ ~h3
Building Official Date
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
when signed by the City Planner constirures a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~~. ~ ~hjd~ d'~JJ ~"..,(-~
Planning Director ' Date Special Co~tions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 5537~_
&~~
~ite - Building
(Canary - Engineering J
PiiiJ(" - I'lann'"g
Tht'('t'nlPr nf lht' l..k"Collnlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
,
&t;:,i~/';:-~~G<);Y)-;?}i');?
:.'}-
'/
/
.' " /
-'::...t,,[/
APPLICATION RECEIVED
,:;~~} /t:.,; _ /),.~:
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity wblch is proposed at: \
_3 ~)/3 (, /lz;{,\<:/(::d-' (7-:;1- /i/ )c/)
/,' l>-
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/V1'1lS
Date:
~2-o3
Comments: See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan, 2) EroRion C:ontrol Measures
"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,"
~~
Uhile - Buildin!!:>
I::anary - t::.nglneering
Pink - Planning
Thr ern If. of lhr L.kr ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT iLJ.>>0'~~ ~ .
APPLICATION RECEIVED .:5 - /q~{).3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constr3;~~vitYnh ;:;::d &- 1/;)
\~O---
Accepted
Accepted With Corrections /
Denied
~i~
f~ o.d ~~
Date:
fn/~~5
, ,
Reviewed By:
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 - Engineering
.--pinK . Piannlnn
Thr Ctntrr of lht l.abC.'ountry
.BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T
NAME OF APPLICANT
APPLICATION RECEIVED
1/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,
'f
<'
Accepted
Accepted With Corrections
/'"
Denied
Reviewed By:
~
R1ctJ 1 ,..0
~ Date: C;;fs(of
,JJ P ~ :i:;.~
Comments:
1
"
"..jO
"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. 4. 2003 4:30PM
GENZ RVAN PLUMBING AND HEATING
No 6159 P 2 4
€[W~~~
r\.-,r,.~".~.
t~~i~~\~~~J "\t>
~;".1i\.~~' Al'NEjO
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
i ~w ~~ I PERMIT NO. 3 - -703
1 Gdld AJlpJ~,
(Pleouc: ttpc or pntlt and s:af:";ll at bottOm)
ADDRESS
37/3 Je.f--fe;e.-!i Ct. NL{).
ZONING (otfu, =)
LEGAL DESCRIPTION (ollie<: use oDiy)
LOT t3 BLOCK .:3 ADDITION \... r effe.e )
{~w1LV)i1
J
PID
OWNER
(Name) Wensmann Homes
(phone)
651-905-3709
(Address) 1895 Plaza Dr Ste 200
(Address)
Eagan, I-rn'
(City)
55122
(2;" Code)
APPLICANT
~~~ Genz-Rvan Plumbin~ & HeatinE
(Phone) 651-423-1144
(Address) 14745 So Robert Trl
n (Ad<lres'r _.
(ContactPexson) _ vt1le.1-S1/ rtifilr
[': '_!CANT SIGNATURE rJi li0IJ'-::fC( ~
Rn~2mCll1nt_ '''N'
(CilY)
55068
(Zlp Code)
(phone)
DATE
1\<;1-421-1144
(;/'-110(2;
.,....
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) locate(i at feet from structure_
feet.
o Cast Iron
FEE SCHEDULE
ResidentIal sewer and water line connection $3550 Indusuial, Com'l & Multi-famHy 1% of Job cost with a $39.50 minunum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
PAID WITH
BUILDING PERMIT
(Offic' Use Only)
I. T. his Application Becomes Your Building Permit When Approved \ cIlajll ~ ~I ReceIpt No
i:= ..~- ~.} I~N :: '"~~- By Lf
24 hour notice for aU iospections (952) 44 1-9 :50, fax (952) 447-4245
By _~.___ ______
I-
I
J II n. 4. ; 0 0 3 4: 3 0 P~I
GENZ RVAN PLUMBING AND HEATING
No61S9 P J 4
Date Rec'd
CITY OF PRIOR LAKE PLm-mING PERMIT
j~ ~~ I PERMIT NO. 3-7031
3 Yellow ~H'Ucult
(please tV,Ee or Dont and SJJtJl at bottOm.)
ADDRESS ZONJNG (offi""",)
J7/.~ \ Jeffe!2J. - {If 111AJ.
. -
l.EGAL DESCRIPTION (olIice use oWy) .
LOT /'3 BLOCK .3 ADDITION (J-c/f-uti Ufldt-hq PID
'-'
OWNER
(Name) Wensmann Homes (phone) 651-905-3709
(Addtess) 1895 Plaza Dr Eagan. MN 55122
APPLrCANT
(Name) Genz-Ryan Plumbing & Heating (phone) 651-423-1144
(Addtess) 14745 So Robert Trl Rosemounc, HN 55068
(Address) (City) (Zip Code)
(ContacrPerson) ~l6ij,h' ~f (J?hone) 6.51-423-1144_
APPLICANT SIGNATURE (IIi j;::;;J ~~ _ DATE ~il//J~
. ,.,. "~"
Quantity
.~
- f
I
")
I
(
I
.1
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture I QlIantity I Type of Fixture
Bath Tub with or without shower -5 I Rough-ins
Dishwasher I I Waler Heater
Floor Drain rQ -1" I Water Softner
Lavatory (Bathroom Sink) I I I Stand Pipe (Washing Machine)
I Laundry Tray (1 or 2 compartment sink Sewage Ejector
I Shower Stall I Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
I
I
I
1
I
1
I
I
I
]
FE:E SCHEDULE
IndustrIal, ConunerClal &: MultJ-famIly 1% of job cost with. $39.50 minimwn ResIdenTIal, New One &: Two-Family $99.50
Residential, Additions &: Alteration. $39.50
Estimated Cost $
Building Pernllr #
PLUMBlNG PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
PAID WITH
BUILDING PERMIT
(Ome. u.. Only)
This Application Becomes Your Building Permit When Approved
'{\~i'/'>~\
I'
Building OOici.1
O.k
:;~"J~~l:: ::ojt;
I
24 hour notice for all inspections (952) 447-9850, ~ (95~_44.7:"\k~~
, 4' 0 O~,
,jun, '_ "
4: 31 PM
GENZ RVAN PLUMBING AND HEATING
N0.6159
P, 4. 4
CITY OF PRIOR LAKE
BEATING/Am CONDITIONING/FIREPLACE PERMIT
Ds.te Rec'd
; :;:, :;;~. I. PERMIT NO. 2' - 70,J I
.1 Ye.lIOQl t\ppllCal\C J
(please.!)'pe or print: and s~ 01.[ bottom)
ADDRESS
37/?) ~ kffeJeJ (J{- fLW
I ZONlNG (offi<e=j
LEGAL DESCRJPTION (otlice use only)
LOT /3 BLOCK -3 ADDITION J.f.. Fi uu
/fil/ldinq
.J
PID
OWNER
(Nanle) TJpnc::m.".lnT'l l1nmpc<
(pho:ne) ~"1_9n" 37no
Eagan, }IN
55122
(Address) 1895 Plaza Dr See 200
APPLICANT
(Name)--'i9.n.-Rv~" Pl11mn 1n<> 1', Hp~.tir?
(Phonc) ~"1_u?~_11 UU
(Address) 14745 So Robert TT.J. Rosemount, MN
11 ,~ ' (Addlo~. _ A (City)
(ComacrPersoo) 2f/1fCZ-t.sfi ~lr. (phone) ~"'-"?1_11t..u,
APPLICi\NfSIGNATURE ~<-ff-~ DATE _ U/q/{):)
55068
(ZIp Code)
, APPLICANT PLEASE COMPLETE BELOW
'.' fE:lNEW CONSTRUCTION 1:) REPLACEMENT 0 ALTERATIONS
FURNACE !l<fAKE AND MODEL (101Je)1Je. 1:)Y) J.AXft lL10 - (2-D FUEL(lA1-SftS
FL UE SIZE RETURN OPENlNGS i 1> INPUT ] -40, ODl) OUTPUT i~ I/)/)
I
TYPE OF SYSTEM HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
gpNarm AJr Plants
OGravity
~""hanlcal
"r Conditionmg
Vent System
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industnal, CommcrclalliL Multi-Famtly
FEES"nJ>uvLE
1% of Job co$! Residential, Gas F~plac:
S39.S0 miDim\lIll
$9950 RestdentJaJ, Additions & Alterations
$64.s0 Residetui>>l, AC Only
$39.50
ROSldcntlal. Hcallng "" AlC (New Canstl'UctJon)
Residential, Hooting Only (New ConstrUction)
$39.'0
$39 SO
Estimated Cost $
Building Pennl[ #
I'\.
~
REA TlNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
PAID WITH
BUILDING PERMIT
Jluilding Ot'!icial
,
.11'1 ~ L~ U~ iliU ~ ]\1
Pa;, ni JlJN 03 WI :~1f>tNO.
'DadU 10-5 _~B) Ji 'f lJ
tJl. . .... I
24 hour notice for all Inspections (952) 447-9850. fn {9!i2} 441....t4:l
Date
~f'f''' U'C 9nly)
I
" ..~.,. Application Becomes Your Building Permit When Approved
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
(Please 'tv't'cz. or Print and silW at bottom)
ADDRESS
;=, ~:~ I PERMIT NO. 7-7"3
3_ Yellow Applicant """"}.. U
3713 JEFFERS COURT
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DRA FJRFSIDE HEARTH & HOME
(Phone)
65 I -63l-?'i61
(Address)
?700NORTHFAIRVIEW AVENTJP
(Address)
u __ ~OSEVILLE
(Ciry)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
ZONING (office use)
PID
55113_
(Zip Code)
8/6/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
D Special Devices
D Other Devices
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent. System
FIREPLACE MAKE AND MODEL
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
HEATN GLO 6000TR-OAK X 2 &. ST-TRC (TOTAL 3 FIREPLACES)
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
, (l.,\6tJ
f/'\ ~
Q -(~;j
(Office Use Only)
This Application Becomes Your Building Permit When Approved
I Paid
I Date
BuUdine Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
$39.50
$39.50
$39.50
Receipt No.
By /}--
V
PRIOR LAKE
INSPECTION RECORD
Qi- IV aJ
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS :~ 7 /.~ I re.-R'er ~
NATURE OF WORK AJetU
USE OF BUILDING -:5 F 0
PERMIT NO. e>8- (}703 DATI; ISSUED
CONTRACTOR /I/~/I7A/l/1f./ ?VOMe.s PHONE~/~.:1~9-. 7I~9
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
IN(~:: I
II f/ (0 -(2-
I FOUNDATION (Prior to Backfill) I F R & - deb
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
o?'~ c~?
11 8-11
~
I FOOTING
~''"'' .~(L I
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
lAJtc.-
I
G,^j
DATE
~l~
in
!lis
~0
8-1/
g~!J
CqVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
V/l<<>>.'IJI~4J!Jmlf/l ~ 1-
FINALS
.110 PJ;~~
I
('(1; I
?J.. J,
OCCUPY UNTIL ABOVEVHAS BEEN SIGNED
NOTICE
GRADING (Prior to Sodding)
BUILDING rf~ J- 11-1-6]
ELECTRICAL
PLUMBING
HEATING
DO NOT
If{ ~ tR
1-'2.D"
:.&
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
@trfifitaft of <IDuupanqz
CITY OF PRIOR LAKE
~:eparfm:enf nf ~uilMng ~nsp:edinn
;rfFinal Permitted D Conditional C.O. Expires _
This Certificate issued pursuant to the requirements of Section 307 of the Unifonn 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
R3
VN
Type Construction _ Fire Zone
L13, B3, JEFFERS SOUTH
Bldg. Permit No.
N/A
03-0703
Use Classification
Occupancy Type
R1
_ Zoning District
Legal Description
Date:
p . ( () BUOipr Official
c_
HOM~;)1895
(/~I
( I '.II _ City Planner_
Vi/
Site Address
PLAZA DRIVE, SUITE 200,
DON RYE
3713 JEFFERS COURT N.W.
EAGAN, MN 55122
Owner of Building
WENSMANN
Contractor's Name & Address _
ROBERT D. HUTCHINS
Date:
-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
3711
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED lf~~~~
J,~ (':t
CONTR_
PERMIT NO.
J.70?
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ll~IRTST
11. .(~ ,\,
(DfJSP.; ~ ~ :.U.e
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACT ON AND PROCEED
o CORRECT CALL FOR REINSPECTION BEFORE COVERING
Inspector:
850 FOR THE NEXT INSPEC:TION 24 HOURS IN ADVANCE_
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEllLTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
q-2G.-ei3
ADDRESS '3') 13
cJ.Jf'_'" C-r,
"
OWNER
CONTR.
PERMIT No.5-703
~..o
~. ~..
"7 -c .ttt. IJt-
-_......~f"'(.. .~~ M:\;.-._--
~eu:~ ~~
{\~v ,-Cl
/\ r-
,~.
./
/f- 1-05"
PHONE NO.
[] FOOTING
[] FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
.2f..pLUMBING FINAL
o MECH FINAL
COMMENTS:
_1 . ~oo:e. ~ -r;::.,. "......
? - h"~_
;"...0".
LI.
&~". .~....;;.
~I
-e" -0
j
UoF' 0
-1-=
eth ~ 'J)'h-.W
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~~~~E~T
.;4 _
y
~
<?d-R
-
, JL.1
r,
o WORK SATISFACTORY, PROCEED
o CORRE CTION AND PROCEED
X CORRE ~T ~!1r, CALL FOR REINSPECTION BEFORE COVERING
Inspector~ (I '-7 Owner/Contr:
CAL 44~O FOR THE.NEXT INSPECTION 24 HOURS IN ADVANCE.
~QUJREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
<NSNOT'
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
37/3 JI'.rkD C 1
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
CJl'I~ rllvu.
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
brerdp _ 10 1(_
C (/ih BlJf - t<) (
DATE TIllE
/0 - 3-<0
W~~Y1
()~-:b)
o:a"CX'~L1NG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~' ~ Owner/Contr:
-
CALL 447-9850 FOR THE NEXT INSPECTION ~4 HOURS IN A~\fANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY/
INSNC"