HomeMy WebLinkAboutBldg Permit 04-1042
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
I While
2 Pink
3 Yellow
File
City
Applicant
I PERMIT NO. O~.lo4-Z-1
(Please !VUe or print and sim at bottom)
ADDRESS
JYJ5-;L
hl/
cr
4Ja7f'r
/l!tJ
LEGAL DESCRIPTION (omee use only)
LOT)I BLOCK i ADDITION tV ~NJ /J1Q/V/V
fA
'f
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name) UJI'NfhJCj'/v/v
(Contact Name) G cr r /
(Address) 1f-75 /'/t:;2.p-..
/.J Om t'J
j)/'
Ccrqq'/V
-J
TYPE OF WORK
~w Construction DDeck OPorch ORe-Roofing
DAddition DAlteration DUtility Connection 0 Mise.
ORe-Siding
DLower Level Finish
CODE: -gI.R.C. DI.B.c.
Type of ~nstruction:
Occupancy Group: A B
Division:
Date Rec' d
9,/~,~~
ZONING (office use)
~
gW
PlDdJ- ~/r- -0
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
(Phone) r;~/- -}lp&.- .yyp p
(Phone) ;; 0. - .J 61- "7(, /.;l.
/Jl /V "if:) / ::u..
~-~
)
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 atlthnm:ed agent fOf the
above-mentIOned property and that all construction win conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
:fi'''' "n '" =m0lt for Just C~erebY agree that the City offiCial O)dy...;rr:::.;..erupon the property to perform needed inspectIOns
- / 0 Stgnature Contractor's License No Date
f ,
Permit Valuation f /3f? () 0 0 ,00 I Park Support Fee
Permit Fee $ / i..8 / ' 5"0 SAC ~
Plan Check Fee $ ~.3z..9~ I Water Meter rSize5~";
State Surcharge $ 1" ., , () CJ [ Pressure Reducer
$ I Sewer/Water Connection Fee
$ 100.00 I Water Tower Fee
$ / t:; 0 , Ot) I Builder's Deposit
$ 3E;.50 I Other
$ i/{j, tJa I TOTAL DUE
III IV
H I
2 3
V
M
4
I
E
II
F
I
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
l Gas Fireplace Permit Fee
This Application Becomes Your Building Pennit When Approved
_/
Go (10 J~ 'it
~tJ. .cJf-
~1~
Buildlll!! Oftlci'ai
~0r
Paid
Date
o Fireplace
/'38 ~OD.
/._ 7
../~v nn ()
/
o-u .
~--c-J-
$
$ '3~O.OO
$ 250.0 ()
$ '-Is, CJ 0
$ /2-00.0 0
$ 70tJ,OD
$
$
$~, 003. qf3
. ,
r7lt~
ThiS IS to certify that the request in the above applicallon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary CertifiCate of Zoning compliance and allows construction to commence. Before occupancy, a O:ruficate of Occupancy must be
i"~ ~ 9/50;<f ~ee Main File
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447.9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
#
#
#
#
Receip'i~o.
Bv A.
f
5~1
See Main File
r White - Buildilig:)
Canary - Engineering
Pink - Planning
Th~ C~nlU flf lh~ I..... COUnl1')
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI!iiT
NAME OF APPLICANT
APPLICATION RECEIVED
w ~ NSJVJ/J tJ f\J
q/~. 04-
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
/4-352-
/
Wit T6JeFA-U-- V-
Accepted With Corrections
Denied
Reviewed By:
~
,...
7J2;u
Date: 9 /?~ ~
Comments:
SeeMain 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."
~~
See Main File
White - Building
Canary - Engineering
(rmt<: - r'lannlii''J)
ThO' ('..nll"r or lhtl..k.. ("011011")'
BUILDING PERMIT APPLICATION DEPARTMENT CH~KLlSr
NAME OF APPLICANT
APPLICATION RECEIVED
I
! L--
/'/I~/ (\/j
./ I / I
/ //
(4-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4
-:; r" '7
/( f-I /7:. I F/U {
il
__". .~...' i:.-
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
~.~
~
Date: ~o/c;~
Comments:
...
..
See lViain ~'iie
"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,"
~~
See Main File
Tht ("tnlrr of Itlt l..kt' ("ounlry
White - Building
<:. t...~~';;~ .. ~;;~;;';'AI'fmr-.:>
Pink - - Planning
BUILDING PERMIT APPLICATION DEPAflTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
tv E /\) ~- /1-/ r/ (v//tj
(7 'l, '"4-
l/'J.c.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
fA ?!~?
/ r -~ ",J L--
tv f-i TEk:f-A LL eT
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/Yl1f>
Date: ) /) - /2 -OLj
Comments:
1.;'( <- !Yl&/I" Pt '( c
"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 MON 8:38 FAX 6513226147 GENZ-RYAN
~ 011/037
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
q'lease!\pC" ortllint and sia at bottom)
ADDRESS
1~3f)~ trJaitJefm/1 Of.
i ~ ~~. r PERMIT NO,.1 J... j,lJ:1
3. YellDw Apphcant ~ w. ('-""..,,- ~
.
ZONING (oIIIco",,) I
LEGAL DESCRIPTION (ollice use only)
LOT I D BLOCK 4 ADDITION Wtt1 ~Wlat1 if) 4th
PID
OWNER
(Name) \Jpn5=:m",nn J,l...........""C,o
_ (phone) 651_Qn<;_17no
(Address) 1895 Plaza Dr Ste 200
Eagan. MN
55122
APPLICANT
(Name) Ganz-Rv.an Plllmbini & Heatina
(Address) 14745 So Robert Trl
1, (Addms)
(Contact Person) 1~1l0/ ,C; h kl ~
APPLICANT SIGNATU~ CJ));ijf,
(Phone) /;<;1_/'71_11L.1.
Rosemount, MN
(City)
55068
(Zip Code)
r (phone)
) '::f/'rl j /J DATE
';c\1_6.?':l_1'4"
will I Del
. APPLICANT PLEASE COMPLETE BELOW
. ~NEW CONSTRUCTION . 0 REPLACEMEN4 0 ALTERATIONS
FURNACE MAKE AND-MODEL ltiiVl 0/ ~ L-/D 11 H J (PEl ~ ;f) FUEL MCtA- -?J M
FLUE SIZE RETIJRN OPENINGS I/j INPUT q 0 0 DO OUTPUT 7;;1.. roo
TYPE OF SYSTEM
JiaWann Air Plants
oOravity
id)\'Iechanical
j2gAir Conditioning
oVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family'
FEE SCHEDULE
1 % of job cost Residentja~ Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ Building Pennit #
$39.50
$39.50
- ,
.,
'''';'~,r
, ~ 1:
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
....... .'
,_ -.; \:;..r .;;'\~:\ 'I; "
!r -~... Use Qnly)
Building Official
Date
f Pf~) ,,: ~' i;" n '\;] rk,~?t No.
I D ~~l UCT 1 3 Z004B'~ i.
ii\' r :J
';,]
_ _... Application Becomes Your Building Permit When Approved
24 hour notice for aU inspections (952) 447-9850, ~~(952) 447-4245
10/11/2004 MON 8:36 FAX 6513226147 GENZ-RYAN
~ 004/037
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(Please ~e or Dr1nC and s~ at bottOm)
ADDRESS .
14?l511~OJ~~f1A(1 O-{,
LEGAL DESCRu- UVl'l (office use only)
LOT IDBLOCK 4 ADDITION VVPAftSWlCU1/IJ
OWNER
(Name) Wensmann Homes
(Address) 1895 Plaza Dr Ste 200
(Acldr<s.)
APPLICANT
(Name) Genz-Rvan Plumbin2 & Heatin2
(Address) 14745 So Robert Trl
f\ Ill~~~) f;.;, I C.s r,"
(Contact Person) _ Uv I r01 ;)111 {LI
-,ICANT SIGNATURE (~ii;JJ: 'J.:/i1./ LCi
l: =-w ~~. I PERMIT NO.' 1.,. ''()JJ "
). Gold Applit:lllt ~ ~ ~"...
ZONING (Office us.)
4-111
Pro
(phone)
651-905-3709
Eagan, MN
(City)
55122
(Zip Code)
(phone) 651-423-1144
~C'!,,;~lrH]Hn t:: ~ ~"N
(City)
~5Q68
(Zip Code)
(phone) 6';]-421-1144, I
DATE Ii) /1 { f/)lt
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 lndustria~ Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(omr:c Use Only)
This Applicatioll Becomes Your Building Permit Wheo Approved
Building Official
Dat<
$
$
$
.50
,
. ".\
. , ~.. V~t-.",,\ ~l"
,(~~ \' ~....'
......'.,..
I [f,.~ lL~ I [; Ii \;'1 I; Ill'flfceipt No.
I UJ, I, ;,
Ida DC 11,13, Y
ill I te T 1 3 2004 .
/.
I
14 bour notice for all inspections (952) 447-9; B~ fax (952) 447-4245
10/11/2004 MON 8:36 FAX 6513226147 GENZ-RYAN
~ 005/037
Date Ree'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please tvPe or mint and sim at bottom)
I ADDRESS 14302 WtJvflj~fa{ (
L SIUl: Fil~
2.Cio.ld Q/)'
3. Yellow AppliQAt
fPERMIT NO.tj - i iJ ir/;)-
f
I ZONING (oJlico us,) I
or
LEGAL DESCRIPTION (office use OnlY). / . '
LOT I D BLOCK t ADDmON V\. evts}'V\Ct.t1 V\ ~ft1
Pro
OWNER
(Name) Wensmann Homes
(phone) 651-905-3709
(Address) 1895 Plaza Dr
Eagan, MN 55122
. APPLICANT
(Name) Genz-Ryan Plumbing & Heating
(phone) 651-423-1144
(Address) 14745 So Robert Trl
(\ (Address)
(Contact Prnon) --.JZ 11 ~ ~ fbi i.S ~
APPLICANT SIGNATURE (1,( ,()d,)fCtte/1
Rosemount. MN
(City)
55068
(Zip Code)
DATE
651-423-1144
will /oL/
(phone)
APPLICANT PLEASE COMPLETE BELOW
Quantity
d-
I
I
i-!
I
I Type of Fixture
I Bath Tub with or without shower
I Dishwasher
Floor Drain
I Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
I Shower Stall
Sinks
I Bar Sink
Water Closet (Toilet)
Quantity
::?
I
121:'
I
I Type of Fixture
, Rough-ins
I Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
Backflow Assembly Test
Lawn Sorinlder
Other
,~
FEESCBEDULE
Industrial, Commercial &. Multi-family 1% of job cost with a .$39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Pennit #
,
I
,_ i'. ~.-
.....'
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.".;.-
.50
~. .~ ~, . '
t;';;'~ \ \,,'".,
",J'.
(om., Use Only)
Building Ollldal
I~~qt; i!: U ~f~iPtNO.
, <. ,1;-:1
I far' OCT] 3 20041 ~tl
f
24 hour notice for all inspe.lion. (952) 447-98S~"fax (952) 447-4245
,;..I-l._______._,_~
Dat,
This Application Becomes Your Building Permit When Approved
CITY OF PRIOR LAKE
HEA TlNG/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
(Please ~e or 'Print and siDL at bottom)
IAI~3~ l~~ u
;~" ~~. I PERMIT NO.~ . rtA-.
1. YellDw Apph....l \11III'.. ~
ZONING (oflle.
",.)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDmON
Pill
OWNE,
(Name) _.l)QJY\.Cl~nlhrv-.
(Phone) (J,SI - f./a.o -l./<.Jf2JO
(Address) \"i?;C1<, 00 r. r,..... ^- Q..:.. -1-l:~ rr:rn n-. fY"\r"'I S"-ta.:)
. - \.J 0
APPLI~
(Name} l..-l-""",,^l->.,. . ~Do fr-r-.. cl- f= P
(AddressL
x9co /09.u. O-'tf'_ IJ H/a'lD cAo./1'>lJ?/~~./2:J.C) 5S3/{6
(Address) , .~ . (City) (Zip Cnde)
(Contact Person) ~~\~ lk.v-.np>"hQr-l (Phone) ~ ~- S'l("-/~ Il.o
I APPLICANT SIGNATURE k/l'~ lJp~"" DATE
~ APPLICANT PLEASE COMPLETE BELOW
~"~ W CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
(Phone) '1103. Sfll- "dS"dS
TYPE OF SYSTEM REA TING OR POWER PLANT
OWann Air Plants 0 Steam
OGravily 0 Hnt Water
o Mechanical 0 Radi.tion
DAir Conditioning 0 Special Devices
OVen!. System 0 Other Devices
FIREPLACE MAKE AND MODEL _~. 0 nf ~ Goj::L~ a
FEE SCHEDULE
Industrial, Commercial & Ml11ti~Family ] % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & Ale (New Construction) $99.50 Residential, Additions &. Alterations
Residential, Heating Only (New Construction) S64.50 Residential, AC Only
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
$
$.
s
PAID W1TH
.50~UILDING PERMIT
(omu Use Only)
This Application Becomes Your Building Permit When Approved
BDildiae Official
Date
I Paid
IIMR Z ;e 2005
Receipt No.
By
24 hour notice for .11 iDspcctions (951) 447-9850. fax (952) 447-4245
ZOO~
HOOD 3~VHV~ ~ILVWOLnV
66ZL 9LS C9L XVd LC:~T SO/ST/CO
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS J 'i 3 52. IAJ ATDc./'1'cu- c:r IJ.IJ.
N~UREOFWORK ~~ QO~sr~j'H
USE OF BUILDING 3.J:':' ,... _
PERMIT NO. O/f-. /04-2- DATE ISSUED ~
CONTRACTOR WE....~ f4t",~s PH~L
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING I
I 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
IM:r/Jr / H~GE'/AJf/A.flJ I I
FINALS
p2;t!:7
7/0
-
Wt
~
-6
Z1'/
'~/
I GRADING (Prior to Sodding)
BUILDING
ELECTRICAL I
PLUMBING wr _ 1/1( 1!J;
I HEATING
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.
FOR ALL INSPECTIONS (952) 447-9850
@rrfifitafr of OOttupantJ!
CITY OF PRIOR LAKE
~tparfmtuf of ~uilMug Jlusptdiou
%,Final Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the LJ Residential / [J 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 F~lI{ILY 04-1042
Use Classification
Bldg. Permit No.
Legal Description
lYpe Construction
Lll, B4, WENS~~NN 4TH
R3
VN
Zoning District_
R4
Occupancy Type
Owner of Building
Site Address
14352 WATERFALL COURT N.w.
WENSMANN HOMES, 1895 PLAZA DRIVE, EAGAN. MN 55122
Contractor's Name & Address
Date:
r
,
.~.
Building Official
./Ir:~
Jjl'
;/,'/ /
/ -
City Planner
JANE KANSIER
ROBERT D. HUTCHINS
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
-S-/j,..-
I {,,-=-
ADDRESS I c.t 352
vJm.J~ 0/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
.g' PLUMBING FINAL
ti'lolECH FINAL
(/- /0'1'2..
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: IJ 1/
I. ~.. ~(bJi}
7-_~~~~
'::3..1~~~J.r
!:f. () ,,_O~l l{C{7- fA i'fb
o WORK SATISFACTORY, PROCEED
~~ORRECT ACTION AND PROCEED
~ORRE72m' CALL FOR REINSPECTION BEFORE COVERING
Inspector. I Owner/Contr:
CAl_~. 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNO"
~ TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED <>.~
ADDRESS J L[ 1'?-t( ( I la:L... ecJ
OWNER CONTR.
PHONE NO. PERMIT NO. <../ -/04.t-
o FOOTING o PLUMBING RI o EXlGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
.:r:NSULA TION o SEWER HOOKUP o FIREPLACE FINAL
FINAL o PLUMBING FINAL )J'GASLINE AI' TST
o SITE INSPECTION "..B"'MECH FINAL D.~.-.A-
COMMENTS:
\. s:a. ~ E." 1 4",,... ~v\"""our I'~/~
/ {( J () /
(1 J~ \t\ft.J--\' \C7
~ WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
6 CORTiiRK. CALL FOR REINSPECTION BEFORE COVERING
Inspecto . Owner/Contr.
c;A dlaso FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
"""""
-
Job Address ~ W../-Or.{J ~,
Heating Contractor&.....". Y4-
Name of Tester'/." t..
Date r; /1'2/" <
Percent O. '1"1-
Percent CO 'ti;'-
Percent C02 "7"~
Stack Temp ':?'I'r'
Combustion air is adequately supplied per
UMC Sec. 606 1/ ~J
Input
- --
-