HomeMy WebLinkAboutBuilding Permit 03-1242
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Please e or rint and si at bottom
ADDRESS
D(g- de
LEGAL DESCRIPTION (office use onty)
LOT ~ BLOCK
ADDITION j e
OWNER
(Name)
Wen~P1f-}nJ1
PL/tz.
(Address)
ytomes
Ve
Date Rec' d
~~/-tU
1. White File I PERMIT NO
2. p;" C;'Y . 01/ _ /Z4Z-
3. Yellow Applicant . ::;:J
w
u.t h
PID
ZONING (ollkeuse)
I
Xs- O(pL(
(Phone)
bSl-'1-'6- 'I '1DD
Z.
E
BUILDER
(Name)
(Contact Name)
(Address)
Sfff1' e
(YlICf' He./LP'ft/1
(Phone)
(Phone) bJl{-3b7-7{,;1,Q
TYPE OF WORK
~ New Construction
DLower Level Finish
o Misc.
x
Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
DDeck
~ Fireplace
PROJECTCOST/VALUE (exdudingland) $
$
$
$
$
$
$
$
$
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
enter upon the propertY to perform eded inspections.
(
our Building Permit When Approved
8. Zc.;:.o?
-
Date
DPorch
DAddition
ORe-Roofing
OAlteration
ORe-Siding
OUtility Connection
8- ;1.0-0..3
Date
$
$ ~7S--
$ 30:9.-
$ ~,-
$ /;;lOO,-
$ tJ.-
$ -
$
$
Planning Director
1 Cf s-g
Contractor's License No.
Park Support Fee
#
#
SAC
Pressure Reducer
Water Meter Size 5/8" ;
City SAC and WAC
Water Tower Fee
#
#
Builder's Deposit
Other
TOTAL DUE
..
-
Job Addrl\ss 370li! J-<66er:rO:
Hl(ating Contractor ~;; J:;{~
Name of Tester (l...t!d/1
'-/(/
Date 1-1,-0
lP-9
~y
q;'. r
17-DO
Percent O2
Percent CO
Percent C02
Stack Temp.
Combustion air is adequately supplied per
UMC Sec. 606
Input
-
-
.
/
"
~~
Thr Crnlfr of lhp I..kp Counlrl
C White - Clllilc:fiAg>
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /I/~~ ~
APPLICATION RECEIVED ~ ~ ;)/--03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whi h is proposed at:
$/)0&_
Accepted
Accepted With Corrections Y
"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."
,
~~
While . Building
Can::llry . ~n~~eering
c-:: Pink - Pia ;~
fhe('rnlnoflhrl..kfCounl'l'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/'?-';I,
r;: ! ' /) ~
,
v
--:.,
APPLICATION RECEIVED
--...~--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.,.:,'''.1'
'C:;?'->
/,-
'f
, ..-.-
I
,
--(--
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
{/. 8.
Date: ~! '2- 5/0 '3
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
r l:oi1Illarv - En~neerl.IY==="
Pink - t""liI mng
Till' ("""1I'r nf 'II" l,llb ("OUIII"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.~ 1,,"&.K\.;:>,;.t:..-j:'~f-/.;t..t "/~~",//l-":lA..~_.
Q; -:Ji-O)
~,.I C./. _:)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whi~h is proposed at:
3 /7 ~/'& - 4' ..(1 ~-f-;? --(--
;1 I
(I . I
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
t7>>fS
Date:
7/7/03
Comments: !=If!f! Rever!;f! ~irlF> fnr Arlrlitinn~llnfQrmiltionl
See Attachments: 1) ('1Tadin~ Plan. 2) Erosion r.ontrnl M""~llre$
"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. .
5 : 001 ! 0 J7AM
GENZ RVAN PLUMBiNG AND HEATING
No. 0 i 81 P J 16
Date Rec'd
CITY OF PRIOR LAKE PLUl'\iIBING PERMIT
~~;;;md:a~artu~;o ~
I , PI F -s r ,
~~ ~~ IPERMITNO'3-/'dJj
J Y=llaw AllPllCll1l~ , /0. "-1 c:/ .
I I ZONJNG (af5n<) I
LEGAL DESCRlPTION (office we only)
LOT 1.;' BLOCK:3 ADDITION
Pro
OWNER
(Name) WensIIL!\nn Homes
(phone) 651-905-3709
(Address) 1895 Plaza Dr
Eagan, MN 55122
AFPUCANT
(Name) Genz-Ryan Plumbing & Heat:1ng
(Phone) 651-423-1144
(Address) 14745 So Roben Trl
(Address) ~
(<-op_l--EYiVZlSt - {~
APPLICANT SIGNATURE OUjf'1'::E-,_ W J 0
Rosemounc, l1N
(City)
55068
(Zip Code)
(phone)
DATI
651-423-1144
q:- 0-{) ?)
t, ......, '..:~,:"
APPLICANT PLEASE COMPLETE BELOW
Quantity-- Type ofFirture Qn:lJ1tity Type of Fixture
-- Bath Tub with or without shower .; Rough-ins
hi-.
I Dishwa.~her I Water Heater
I Floor Drain P-..r:: Water Softner
7 Lavatory (Bathroom Sink) I Stand Pipe (Washing Macbine)
I Laundry Tray (lor 2 compartment sink Sewage Ejector
d-, Shower Stall Backflow Assembly
j Sinks Backflow Assembly Test
t:..f Bar Sink Lawn Sprinkler
I Water Closet (Toilet) Other
-
FEE SCHEDULE
lndusln.l, CommerCIal & Multr-farmly 1 % of job cOSt WIth a $39.50 minimum Resldennal, New 0"" & Two-FamIly $9950
Re<idential, Additions & AlteratiOn> $3950
Estiroated Cost $
Building PermIt #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
50
(om<< U.. Only)
This Application Becomes Your Building Permit When Approved
'-----
(D'~ I ~ 1":"_' I i' Ii I'"
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are
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PAID WITH
BUILDING PERMIT
ec<ipt No.
Ii
I y
Buildiog Oroci,l
!hI<
24 hC)I.(r notice for aU inspec.tlons (952) 447M9850, ax
Ser 5, ~001 10 16AM
GENZ RVAN PLUMBING AND HEATING
No. 0 18 i
P. ~ I 6
CITY OF PRIOR LAKE
SEWER.AND WATER PERlVJIT
Date Rec'd
r:o~ili;~an~= atbol1lJ~)
I ./J81[Q ~e~R.S O/t.
;~::.. ~roi- I PERMITNO.3-/'t/rr--y
l Geld ^ppliClOl 0"
ZONING (061,,=)
PID
OWNER
(JName)__Wensmann Homes
~ne) 651-905-3709
(Address) 1895 Plaza Dr Ste 200
(AddI=)
Ear;an, HN 55122
(CIty) (zip Code)
APPLICANT
(JNaroe) Genz-Ryan Plumbing & HeatinR
(Phone) 651-423-1144
Rosemount. "N
(City)
(phone) 6 51
DATE
55068
(Zip Code)
(Address) 14745 So Robert Tr1
(Contact P~on) _ r VI ~iSh fu.J.1s__ '
,., ':,JCANT SIGNATURE ('A.J.....{~) ~(f /'/7
423 1144
Q-<-o0
"'.~,\
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_
o CI= out (if required) located at feet from structure.
Residennal sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industria~ Com'! & Multi-fuJlllly 1% of job cost with a $39.50 nunimum
$17 50 Water connection only $17.50
EstImated Cost $
Building Permit #
SEWER AND WATER PElUvllT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
Building Of.fici.J
Dace
--------"--~--,.-
PAID WITH
I
(omet U.. Only)
!hi.! Applic.ation Be<:omes Your Building Permit Wben Approved
Ii ,'il,-.. ,Receipt o.
U U :_;!:: 11
''''.-"
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.. ~
24 hour aotlce for _/I in.p..t;on. (9S2) .147- 850, fox (952) 447-424S I
By - ----------:::J
SeD 5 ~OOJ i 0 J7AM
€~:
", " 'c:\(::i'i~'I'fI'i'ESO-t:'"
""-I~~,d'
~~tt~~
GENZ RVAN PLUMBING AND HEATING
No 0 181
P. 4. i 6
CITY OF PRIOR LAKE .
BEATING/AIR CONDITIONlNGIFIREPLACE PERMIT
Date Rec'd
I~Di~]~~$
I Plnl<:
2."'='
3, "'(..no.....
~~l~' I. PERMIT NO..~ - ((~ L(?t-
ZONING (office ",eJ
c+
LEGAL DESCRIPTION (office we only)
LOT '2BLOCK\..3 ADDITION "-
PID
OWNER
(:Name) t.]j:loT'!:c:m:inn 'H'n1Tll=l:C:
(phon~ ~,1_on'_~7n9
Eagan, MN 55122
(Address) 1895 Plaza Dr Ste 200
APPLlCANT
(Name:) Genz Rvan Plumbinp' t., Hp~t-il1l
(A~e~) 14745 So Rober. Trl
(Contact Pe.r""n) --.C-0 ye
APPLICANT SIGNATURE
(phone) 1\,1 4''1 1144
Rosemount, ~1N
(City)
55068
(Zip Code)
(Phone)
DATE
h"1_b.?~_11b.!J.
q - 6'-0:::)
APPLICANT PLEASE COMPLETE BELOW
"'. NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL Utl.r!()V - qlJl ~'\p (t1() D - {3<.:-;- FUEL n r;VF (;IJCl ;":.
FLUE SIZE RETURN OPENINGS --l~ INPUT r~,' (57JD OUTPUT ill$Q
TYPE OF SYSTEM HEA TIN'G OR POWER PIANT
~onnAJxPlants 0 Sleam
OGravity 0 Hot Ware,
O~ech.J21ca1 0 RadlQtiop
~, ConditiomDg 0 Special Devices
OVent System 0 Other Devices
PLEASE NOTE:
Air Conditioner Umls
Cannot Encroach mtc
Required Side Yard
Setbacks
I f!REPLACE MAKE AND MODEL
IDdustTlal. Commercial & Multi-FarnHy
FEE Sc:HE.DULE
1% of Job cost Residential. (;83 Firepla.ce
$3950 nunimum
$9950 ResJdcnnal, Addll100s & Alt<:nit!ons
$6450 Residential, AC Only
$39.50
Residential. Heating & Ale (New Constructlon)
Residential, HeatiDg Only (New ConstructiOD)
$3950
$3950
Estunated Coot $
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
"
PAID WITH
BUllDIJl.JG pr-"""'"!T
~(""-." Use Ouly)
~
L_...i
, ..... Application llecomes Your Building rennit Wben Approved
R cipt No
Building Oftlclal
Date
By
Date
24 hour .otic. for .11 imp.cti.., (952) 447-9850, fax (952) 4474245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
and si at bottom
~.~~:w ~:~icant I PERMIT NO-03-/Z4;.
ADDRESS
ZONING (office use)
3706 JEFFERS COURT
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
IOWNER
(Name WENSMANN HOMES
(Address)
(Phone)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
10120/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
o Mechanical o Radialion Cannot Encroach into
OAir Cooditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO 6000TR-OAK
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
$39.50
$39.50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
pA\D VJrrH \T
BU\LD\NG PERM
.50
(Office Use Only)
r J ,-
This Application Becomes Your Building Permit When Approved I) r, ,"jI::; :, ~; ,~ ~ I Re pt No.
II, ,'I'll (J@lf212003,,'IBy
Buildine Official Date u .-/ ~ .
24 hour notice for.1I inspections (952) y9850!~.~(952) 447~4~_
PRIOR LAKE
.
INSPECTION RECORD
370' J~e.rs (!;f-
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. DATE ISSUED 8-~S-o~ ""
CONTRACTOR PHot6~f. ,,-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE
FOOTING We-... -9- ::;;
FOUNDATION (Prior to Backfill) g'f2--l.
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC .r-.
FRAMING j1jJ
INSULATION t:P.L!9
ELECTRICAL
PLUMBING . {/jj 5' . 23-
HEATING (if required) f-II/)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I I
FINALS
GRADING Prior to Soddin )
BUILDING <.--: c.. CJ It
ELECTRICAL eM:-
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
(,.,t.01-
!(p tot{
~
r - 0 -ot-(
t Ir.:,Jo
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
QIrdifiratr of @rmpanqz
CITY OF PRIOR LAKE
~rparfntrnf of 1fiuilMng ~nsprdion
~inal Permitted efConditional C.O. Expires 'f:b / I / C..../
This Certificate issued pursuant to the requirements of Section 307 of the Uniform 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:
Use Classification
SINGLE FAMILY
Bldg. Permit No. 03-1242
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
r1
Legal Description Ll2, B3, JEFFERS SOUTH
Owner of Building
Site Address
3706 JEFFERS COURT NW
Contractor's Name & Address WENSMANN HOMES, 1895 PLAZA DRIVE, SUITE 200, EAGAN, MN
ROBERT D. HUTCHINS
Buill,ing Official
/ (' .(jl
8fJ
City Planner
DON RYE
Date:
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE nME
SCHEDULED
(l~/o'f 11;00
ADDRESS
.;;;719(" C\e.-~.P../5 (' ..e.~y
OWNER
CONTR.
PHONE NO.
3- l'JA{2-
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
ii- NSULATION
FINAL
SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
.9d'LUMBING FINAL
, MECH FINAL
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
Kif FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~L~
C r1J CJ \<-9 ~ ( L tOll{-
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~.4-
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ol SAFETY!
IN$NOTI
.
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
e--<.o-ol
ADDRESS S?lJfo JJr'./:2,c.
et
OWNER
CONTR.
PHONE NO.
PERMIT NO.
$- 12 4'2.
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
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
C)J~C(B~Q M t'.d.,p
/'
~ORK SATISFACTORY, PROCEED
o CORRECT I N AND PROCEED
CALL FOR REINSPECTION BEFORE COVERING
OWner/Contr:
Inspector:
-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
DATE TIllE
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
:57C!G
SCHEDULED .I - t;' ---00/
J&..-.s G-,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
-S-/1-<fL
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 EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(]) t'e,P'0tA
m~7
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <I SAFETY!
If""''''
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
3/6' Jef.krj {. r
OWNER
CONTR.
PHONE NO,
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
ol'C.BNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
&I'~cI-t- 0 IL
DATE TillE
~-9q
W {II.Shl~,,1'l Ho~
D3 -1).'1)"
);( EX.C3RADlFILLING
o COi.iliEAiNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
[.Jlb i3t);-J- - 0 K-
X 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 24 HOURS IN ADVANCE.
''''''''''
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!