HomeMy WebLinkAboutBuilding Permit 04-1044
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
(Please type or Print and siJm at bottom)
I ADDRESS
/ ,,/3j-t f.L} q r;. r h /I
Cr
White
Pink
Yellow
File
City
Applicant
NlJ
LEGAL DESCRIPTION (office use only)
LOT 9 BLOCK t' ADDITION tJI'NS/11Q/V/V
OWNER
(Name)
(Address)
BUILDER I ,
(Company Name) t-f/f'/vS/nQ/V/V
(Contact Name) G' a- 'l
(Address) I,T 'j.5 /" /e,.z c-
-'I T).,
(Phone)
J..)tfmt"J
Date Rec'd
t/.Ift Ai ~
I PERMIT NO. 04. I044-J
I I
ZONING (office use)
~-I-
PID ~~. 'I/tf-- oi7-O
(Phone) /~~/- 1Q{, .YYO{)
(Phone) (;/;2..- 3(,7. 7/' /2.
/JJ/V 6"S/.;J..2.
CtJf 'lq /V
"
TYPE OF WORK ~ew Construction DDeck DPorch ORe-Roofing
OAddition DAlreration DUtiliry Connection 0 Misc.
CODE: 191'J.R.C. OLB.C.
Type of ~struction:
Occupancy Group: A B
Division:
/)r
I
E
II
F
t
III IV
H I
2 3
V
M
4
DRe-StdlOg DLower Level Finish 0 Fireplace
.(/~ijO()(). ~
PROJECTCOST/VALUE $ ~~
(excluding land)
t.J/~-~
A
R
5
B
S U
A-~
I
[ hereby certiry that I have fi.lmished mformation on this application which is to the best of my knowledge true ilnd corret1. I also certifY that 1 am the owner or authOrized agent for the
above.menlloned property and that all cOMtruction will conform to a.J1 existing state and local laws and will proceed in accordance with submittcd plans_ I am aware that the building
;"'J "3',;;;;:.,mit fm !"Sf "50 F "moeo. f hmby agree thot the Diy official 0' a d'''i:;s~pon th, prop,,'Y to p"form needed m"",,",,n,.
- / r Signature Contractor's License No. Date
(
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
WI&? tJ 0(') ,00
IS' J29I,5~
$ 'if":?:z.9J"
$ 10')."0
$
$
$
$
$
rOtJ, f) f}
I tJO, () a
~.~o
J/tJ.tlo
This Application Becomes Your Building Pennit When Approved
~~
13uildl11!!OI'f1cf.11-
o/J:~~r
Park Support Fee
SAC
WaterMeteI\... Si:(e5/~1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
,/
Paid f..OC/], '1y
Date 1,)_ (1'-
#
#
$
$ I~s-o .()O
$' Z6o.~o
$ '1~.6()
$ I WO, DO
$ 700.00
$
$
#
#
--
$~, 003. 9?J
,
11NO
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nrr;
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ThIS IS to certifY that thr request in the above application and accompanying dOCllmentS is in accordance with the City Zoning Ordinance and may proceed as reqnrsted. This document
when signt'd by the City Planner constitutes ,1 temporary Certificate of Zoning compliance and allows construction 10 commence Before occupancy, a Certificate of Occupancy mus! be
See Main File
Planning Director
7'h,,~'f
I I Date
24 houl" notice for all inspections (9::;2) 447~98::;O. fax (9::;2) 447.4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Special Conditions, if any
~1
See Main File
Tht ('rnl,r ", lhr I..kr Counlry
White . Building
c ...anary - t::nglneerlnii',
Pink - I'la'""n9
BUILDING PERMIT APPLICATION DEPARTMENT CHECKIJSI
NAME OF APPLICANT
APPLICATION RECEIVED
11/ E IV JI Lj;-J A/ /-j
(l /t:-., C:"7-'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
).4 ;" ;--7 'J/! '17-T' ,.- 'I ' )
/ '/ ~,.j ({~ ! v j- (-~k' J.- /- L l..--
C,..r
Accepted
X'
Accepted With Corrections
Denied
Reviewed By:
/f11/!;
Sa 1Yk/'l
Date:
/{J -/2 -0"1
Comments:
F,'t,
"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."
~1
See Main File
(White -Iluild~
canary - e:i1~lIll;#e. Ing
Pink - Planning
TIl~ ("..nl... of Ill.. L.h Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKlI~T
NAME OF APPLICANT
APPLICATION RECEIVED
W6A1f"/'1,4 A/ f'-/
9. /fp. o+-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4-35b WflTF~,4L--t--
/'
c:r.
Accepted
Accepted With Corrections
Denied
Reviewed By:
~
~t.-
Date: f3~<I
Comments:
See Main File
"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."
~~
ue~
See Main File
White . Building
Canary - Engineering
r ...rinK - ~lannJn~
lhr(-..nlnoflh..t..k,COUIIlr,
BULLDlNG PERMIT APPLICATION DEPARTMENT CHECKU~T
NAME OF APPLICANT
APPLICATION RECEIVED
r, .
, v C 1\/_ /'//.! A, I
// C, 1-
/,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ ..) /,
/"/ . ./ '(
- r ..-
:;if( kf /1([
-
Accepted
~
Accepted With Corrections
..
I
Denied
Reviewed By:
~
~
Date:
'7/ 30/0 t/
Comments:"
.
See-Ma;J.cFiI~
"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,"
10/11/2004 MaN 8:38 FAX 6513226147 GENZ-RYAN
I4J 013/037
@~
~''''NES 0'" to
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
I. riM
. 0-
J. Yllllow
E~"" fPERMIT~, 'iD"l1J
(PlwttvDe or mint andsJm at bottom)
'ADDRESS
\LJ:?VJ0 I!JwA2mll 01
ZONING (office",.)
LEGAL DESCRIP~pN (office us. ouly)
, LOTI2. BLOCK 4 ADDITION
111/00 <; VYJ CUI VJ
~111
pm
OWNER
(N"ame) lJt:>n~W1;::1nn J;:Jnmt>e
(phone) 155'-905 37M
(Address) 1895 Plaza Dr Ste 200
Eagan, MN
55122
APPLICANT
(Name) Genz-Rvan P1JJ..m.bin~ ~ 'HP~t";.n~
(phon~ h"_~?~_"~~
(Address) 14745 So Robert Trl Rosemount, MN
n . :' . CA.d<"'''(-, _ ' (City)
(Contact Person) ~410~h t1?iJ IS () (phone) h"_~?~_"AA
APPLICANT SIGNATURE ! \)..LuLXl ~-H1 fp/J DATE I () J I'
55068
(Zip Code)
/ iJlf
I
) , APPLICANT PLEASE COMPLETE BELOW
jx1NEW CONSTRUCTION . [] REPLACEMENT 0 ALTERATIONS . '
FURNACE MAKE AND MODEL.lfIu.wX 01 LI 0(;( Ii ., 0(OM 0 FUEL )(Lief - C1 a/J
FLUE SIZE RETURNOPENING~ Vi INPUT 0D~ no!) OUTPUT 1;)~ (JOe)
TYPE OF SYSTEM HEATING OR POWER PLANT
EfWann Air Plants 0 Steam
DGravity 0 Hot Water
o Mechanical 0 Radiation
~ir Conditioning 0 Special Devices
OVent. 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
$39.50 minimum
Residential, Heating & AlC (New Construction) $99.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential. AC Oniy
Estimated Cost $ Buildlng Pennit #
$39.50
$39.50
$39.50 I
, ,
'\\,1"'"
,'-, \~{j. \ c ....C~~\,' ",
, "~"~
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
!r-...~ UtlcQnly)
, .... Application Becomes Your Building Permit When Approved
Building Official
Date
Irl~~~ (~ !~ !. i.'C i~ i ',1eceiPt No,
IRat<OCT 1 3 2004 i~y .
d; Ir~1
I
24 hour notice for aU inspections (952) 447-5 ~~. !-ax (952) 447-4245
'.-,:,~,.--_.-
10/11/2004 MON 8:37 FAX 6513226147 GENZ-RYAN
Ii!J 009/037
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please'!yp~ or print and sie:n at bottOm)
ADDRES) LI!.l57t WCtT&t Wtll rl
i ~~. ~~~li_' I PERMIT NoJ,j_ i 0 ~
ZONING (olli"us.)
LEGAL DESCRIPTION (office use only)
LOT 17- BLOCK ~ ADDITION IN f AI) (/IY/Ct.J1 VI 4hl\
Pill
OWNER
~.me) Wensmann Homes
(phone) 651-905-3709
(Address) 1895 Plaza Dr
Eagan. MN 55122
APPLICANT
~.me) Genz-Ryan Plumbing & Heating
(phone) 651-423-1144
(Address) 14745 So Robert Trl
Ii .. (A<!dress 1 .
(Contact P=on) ..-L.11 )0kSh rn Li s
nll1~
Rosemount. MN
(City)
55068
(Zip Code)
APPLICANT SIGNATURE
~!ffh~hOne)DA:1-423-;D441111()(/
I
I
I
I
I
I
,
I
I
Quantity
r
I
l
-~ /-i
I
I
I
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture I Quantily I
Bath Tub with or without shower 3 I RouJU1-ins
I Dishwasher r I ---1 Water Heater
I Floor Drain I ~ t' I Water Softner
1 Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (1 or 2 compartment sink I r- Sewage Ejector
I Shower Stall I Backflow Assembly
Sinks Backflow Assembly Test
r Bar Sink I Lawn Sprinkler
I Water Closet (Toilet) I Other
Type of Fixture
,g
FEE SCHEDULE
Industriatl 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 Cnst $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
,)
\ . ~ .~'i::\~"':
, '. '(.:;1\ -.,,,
~_i
,
(Orne. u.. Only)
This Application Becomes Your Building Permit When Approved V)~~';C, 11 I'.f,,'- ',-,l,\ReceiPt No.
BuildingOffidal Date Ii, ~i~\~TI~ ~ ?nnA '\:"r\~y
24 hour notice for all inspections (952) 447.1Ssb. fax (952) 447-42~~\
'..
10/11/2004 MON 8:37 FAX 6513226147 GENZ-RYAN
~ 008/037
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
l1'lease t.n~ OlDrint and rim atbonom)
ADDRESS I i
1~3~(p uJdJw:fttU ~1\
I. ""'" RI. I PERMIT NO ~.. 1
2, Yellow Ciry- .
J, Gold Applicanl
ZONING (ollke us.)
LEGAL DESCRIPTION (ollie< use only)
LOT 1:2 BLOCK 4- ADDmON VV~/V1)(rntfJ1 VJ 4A'h
PID
. OWNER
(Name) Wensmann Homes
(Phone)
651-905-3709
(Address) 1895 Plaza Dr Ste 200
(Address)
Eagan. MN
(City)
55122
(Zip Code)
APPLICANT
(Nwm~ Genz-Rvan Plumbing & Heating
(phone) 651-423-1144
(Address) 1474'; So Rohert Trl
o (Add..,,) hi I .
(Contact Person) - l~vH1ASt7I~_(S., 1 "
-.ICANT SIGNATURE nl_uiZfh ) 7f11; /\
~n~pmr)tlnt. ~'N"
(City)
55968.
(Zip Code)
(phone) n';1-421-1144 I /
DATE I 0 i II 7JJ
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) located at _ feet from structure.
feet.
o Cast Iron
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family
$17.50 Water connection only
1 % of job cost with a $39.50 minimum
$17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
. .\
.)
.;,. '",'"":.1''';
..,.~)':..'I","~',
"':' ~),~"'-'~'.
(om.. u,. Only)
This Application Becomes Your Building Permit When Approved
Building Omcial
Datt:
~~}~ 10 !,; ~ Wi
<
, ~rteo CT 1 3 2004
I .
L:., ". :RFcelpt No.
!;1:1
I"i
By
,
I
I
I
I
24 hour notice for all in'pections (952) 447-9 ~, !ax (952) 447424S
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
SITE ADDRESS ~f, t,JATE~1=ALL t!r: ~.tcJ.
NATURE OF WORK NEW c:.t>>JCrtU.t~
USE OF BUILDING S'J: A. ..
PERMIT NO. cJ4-. 104-4- DATE ISSUED 9{./!J"
CONTRACTOR W~ ~ pHbN~L.3t.R."'a.
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
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
ItATH&"/ If()US"FIcJ~ I I
, FINALS, -'
GRADING (Prior to Sodding) t_. , I ~e ~<?4' /->~
BUILDlN _ .#'4~~z~-
ELECTRICAL
PLUMBING 4C /3;V~' _ ~ I,
HEATING . - }/~ ~/~4vJ
DO NOT 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.
1Uc. ;};}
/ /
/;/sj6 If
'<
FOR ALL INSPECTIONS (952) 447-9850
_.._...__.__...._---_._.._--_._._..__._,~---'_._-~^-_..-"-..,--~-~--
@:ertifiraf:e of <IDrrupanrl!
CITY OF PRIOR LAKE
~rpztrfmrnt nf 'lJiuilMng J}nsprdinn
)tFinal Permitted D Conditional e.O. Expire'
This Certificate issued pursuant to the requirements of Section 110 of the ::J 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 fallowing:
SINGLE FAMILY 04-1044
Use ClassificatioI1
Bldg. Permit No.
R3
Type Construction
L9, B4, WENSMANN 4TH
VN
Zoning District
R4
Occupancy Type
Legal Descriptior
Owner of Building
Site Address
14356 WATERFALL COURT N.W.
WENSMANN HOMES, 1895
Contractor's Name & Address r"
ROBERT D. HUTCHINS~~
.'1 /, Bui~g Official
-? /.-2...2/ t:) r-
PLAZA DRIVE, EAGAN, MN 55122
JANE Kfu'lSIER
City Planner
Date:
Date:
ADDRESS
/~JSb
DATE TIME
SCHEDULED ~~--.
!LJq~//4/1 Cr
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
r?~ -/O~L/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
CQJIIMEpltS:...,-/ / .
~/~.cfr,("i:./ /1df/ ~;>-t<. ...2,~6~)~-
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);;: .-"f:"-fA. C)~'i;T 7e"r .
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fZ) ~hur;2<- r" d ~-e~ V
(2) . ~e? frc,,/ ~ cIe- (ph,#nJV<> /
~/(" rI0Y ai) f"'y? -'9 il{)
(2) ~h /.r/A r1us/o-. ?:J~ t/dJ/ t::-?-.. ~ Y
/' fo'/ r: 7,re~ <?r~ ~~~h-~d' . - / 1
@) .fi~;~e~;. 6(;r'd'-. ~1o~::~:t;~~
/ - . .
o W. ORKSATISFACTORY. PROCEED / /'"'
XCORRECT ACTION AND PROCEED C:--(" L
/0 CORRECT WORK. CALL FOR REI PECTION BEFORE COVERING
Inspector:
V
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
roMHQU~~ro~nM~~H~m&~nm
.~e ft~'NSNO"
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS N~(()
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
/.,.02:
SCHEDULED i-r-
t!btrS;jfJ
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~UMBING FINAL
o MECH FINAL
CO~~ENTS: .'l
I . LA .J.-..... x...:..
~f~~
~, ))~ ~W\t'
r, I~J>) { ~
TIME
L.} -Ioc.;:cf
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
n~1t7 O~ f- .t-
r1"t .ri)
.--
/
o/'f 7 - 9?51~
.. .
~ lid)
~~
o WORK SATISFACTORY, PROCEEO
~ORREC ON AND PROCEED /
o COR CT WO CALL FOR RElNSPECTION BEFORE COVERING
Inspecto :
Owner/Contr:
CA ~ 79 50 FOR T "'':.lrT INSPECTION 24 HOURS IN ADVANCE.
CODE REJtlREM TS ARE FOR YOUR PERSONAL HEALTH'" SAFETY/
INSNOTJ
Job Address / </ J.'i' v~f" 1""" c-r
Heating Contractor G.,,,,,;. ~
Name of Tester ,..,-;; t,
Date Z//~/c~
Percent O2 7. 7-/"
Percent co ~
Percent C02 7. 3 %
Stack Temp. ~ 5/0
Combustion air is adequately supplied per
UMC Sec. 606
. Input
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