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HomeMy WebLinkAboutBldg Permit 05-0211 (Please type or print and sip at bottom) ADDRESS CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITYwCONNECTION PERMIT See Main FIle I While FIle 2 Pink City 3 Yellow Applicant Date Rec' d q .. c- ,J. ' (J J PERMIT NO. 05 02 / / ZONING (office use) /Ja)" ru- ;2573 tJel Hr ;;, /1 /VtJ LEGAL DESCRIPTION (office use only) LOT/3BLOCK 5" ADDITION OWNER (Name) (Address) tJfNf 17't:j'/VN' TJ... ~ /z;; PID ;1..j- - Y/tf- ~ -0 (Phone) BUILDER (Company Name) t,JPNf/11t:j/vN (Contact Name) ~e:::r r y (Address) ;;95 ;:J /42 jJ:.. /)r AI OJ'rJ t'J" ~5J- yu{, - YY'bP t, I;;J.. -J~'j'':: 7~/:J- ,75"/;2 :L. (Phone) (Phone) c p.. "tf" /V ..J .h1 A./ TYPE OF WORK ~ Construction ODeck OPorch ORe-Roofing OAddition o Alteration OUtility Connection 0 Misc. CODE: ~T.R,C. DI.B.C. Type of 6;struction: I II III IV V A B Occupancy Group: A B E F HIM R S U Division: I 2 3 4 5 / I hereby certity that J have furnished mformation on this application which is to the best of my knowledge true and correct. I also cenity that I am the owner or authorIzed ag/nt for the above-mentIOned property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the building :ficia7l;;::;mit for 7 :;;::e:~re. I hereby agree that the city official or a;e;';rnter upon the propeny to perform ~e;~l~p~:): S- / C/ Signature . Contractor's License No. Date WS? 000, ()() $ /~/ ,50 $ i.32.Q? $ h~.l)Q $ $ $ $ $ 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 ORe-Siding OLower Level Finish 0 Fireplace PROJECT COST IV ALUE $ /3$. (J (,) () crv (excluding land) , ~ t.L., Fi~;~l-te:-s / // Park Support Fee $ $ JL./!:"d.O 0 $ Z >Q. 0"1) $ .50, 0 0 $\$00.00 $ 1000,00 # SAC -- -- Water Meter (Size5'~~"; I Pressure Reducer Sewer/Water Connection Fee # # 100,. 0 tJ tOO, e e 3~, ~O ~,.d() Water Tower Fee # Builder's Deposit '- - ~-~ ....---=-~~-~,,- ,:--.., ) Other $ $ &: 708. q~ I I I TOTAL DUE " ------.--- -- -----. This Application Becomes Youf-Buttiliilg Pennit When Approved ~1-~ Building Ollicinl Paid Date I';. 706, '10 <f./ cr- Receipt NO.4--~ By 4f?tJj? / 3~)'~S- Dnle ThiS IS to certity 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 conslltutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be i~ 7~ 3/2.3~S- SeeJ\1ainFile Planning Director ' DIlle 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 See ~1ai.n File The Cenltr of the Like Counlrl C ~hit;-- Build~ Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT W6f\1SM f1tJrJ -:3 .{O. OS APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 2-573 WAT1312-FAL-l/ WA l( NW . Accepted Accepted With Corrections Denied /' ~ ~ '1~~ Date: 3/d3~S . . Reviewed By: Comments: See I~aill 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 ~Vfain File White - Building Canary - En~ineering <; Pink - Plannl~ _ ___ _---...J- The ('tnltr of 1he L.kt Coonlr)' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED liV t !~;I' / i-I lv I j --/ " .....<~ . Ie. (l The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: --; /-:- -..'-i -) /---/I~ fV!~i! j._- (;1 C l/ l~/r\'f I . f i .. ; v Accepted / Accepted With Corrections Denied Reviewed By: ~~ Date: 3/'-' 3 /d 5 , . Comments: See IViainFile <<, "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," ./~ t~~~ PR~/OIj> <'~ // U lTl " ~ See Main File White - Building ~jlnarv - Enqineeru ~ Pink - Planning The ("f'n'f'r of rh~ I..kt ('ounlr)" BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED f.-. /',,.- -..- . ! I ,Il t~ /'\. \ /'Vj ,:....J i\JI i \j ll" ,. v_...I If I! I ~; I. . ..-- ., (, ( i ,-. ........,...1 .. .J ......) The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 2~~5-73 /--i7l:: )(.. ('-.1.1 ' .! > , . ......~ ,--r I. L..C_/ "v. !; (' ,.. I' .t' ,. ,: "'1 i'. ., I / Vv Accepted .X ..... Accepted With Corrections Denied Reviewed By: .~ Su-In./:- F, 'I ~ Date: 3-17~ / Comments: See IVlain (file 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.1I ,..... 04/22/2005 FRI 15:50 FAX 6513226147 GENZ-RYAN ~ 005/013 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT ~:~: ~)~. I PERMIT N- .r_ ~ J' ) Yellow Appliean. ~ - \-" (Please type or print and siltn at bottom) ADDRESS r\:.) 16"'1 '2. "") ~--r'" ,..- ('. '\ tIt)" \. \. , \ 7'i ! t.:J UJL(..j ~A-I Gt lA..A._U j I \{llv: ZONING (ollie<! use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER I I I '-;>"v,-, '1' ,r -; ", (Name) IN elL) I \ l.ll ,I \ \ "..,' r 'ii''''\ (~----- \.... I 1...-' i \\\(1 . F llfr-F-.. - 37/)Q (Phone) ([r:) Tll..,;......J , IU '} (Address) I g(15 P ICrtllj Dv, S+C, :,}C'() r:'L~jrlJI, (VI N ~5il~~~ (Phone) LifS)- Lr;X3.. j I L/lJ -i'v'l. Ru~YY)urrt EtDf.flb (Oty) (Zip Code) (Phone) ct5 I-L!)3-1 \ q LJ r'~ /(\ J," APPLICANT SIGNATURE ~..l2/U>)LU c-ItLkJ;() DATE J.../ !J;}JCt5 APPLICANT PLEASE COMPLETE BELOW Type of Fixture Quantity I Bath Tub with or without shower .:::> Rough-ins Dishwasher i Water Heater Floor Drain 121 I Water Softner Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) ! Laundry Tray (lor 2 compartment sink I Sewage Eiector I I Shower Stall I Backflow Assembly ! I Sinks I Backflow Assembly Test I Bar Sink I Lawn Sprinkler ..~ I Water Closet (Toilet) I Other FEE SCHEDULE 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 APPLICANT (' Cl>. 1'-) (Name) ~~:lL, r'\ Z -- <. Ll D.."v) (Address) I Lll L.15 5" R{)IX//l (Address) (Contact Person) C J rJ kr IS+- I -r-tt II:> Quantity ,.::L i 1 Type of Fixture q Estimated Cost $ Building Permit # PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ PAID WITH BUILDING PERMIT .50 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid ---':keceipt No. ., Iii $y !i Buildine Official Dale Date APR 2 8 Z005 24 hour notite rOl.all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Ave.. S.E., PI.ior It-ake, MN 55372-1714 -- ~- -- ~--- ~ "\ 04/22/2005 FRI 15:51 FAX 6513226147 GENZ-RYAN ~ 006/013 Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT (Please tvPe or print and siltn at bottom) ADDRESS '.~)h.7 ~ .), J_::; , . I ) LUtl+ Cf-f{l J ~ l J XLL1 N lA j LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION OWNER \ U'p..,:::-- ,V"f\"\ 1\ \.- '1' f\f\C""-- (Name) v \jl' [.')\ I {,\ j It I' d I I.':"') APPLICANt~.~:-n,r\'::7- 'I,r) t. . Ii. 1'\ (Name) l ----I LA \{_ ~ c~ {L/vt \ (Address) \ U~l Ll~ Z;.. f<Ol2~,vt .,ty f. !", (~ddress).. _ .. (Contact Person) (~l "') vy7t) [. 0L II :S APPLICANT SIGNATURE {J/1;tj;J~W ~,lZUJ~J 6fI/II ~ ( ~. ~=". ~i;~' I PERMIT N~ -- t::Jj l. Oold Appli"ant ZONING (ollie. use) PID -F/1 (jlf () .. J (City) - (Phone) (jj 1- q()5 - j-7LY ,55) ~& (Zip Code) . (Phone) (jf)}- (Jl~)-l \ LIlt. l<rr;Qll)o) crt 5:j){on (City) (Zip Code) (Phone) 5/~llVL./ DATE L.II ;):;/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 structure, FEE SCHEDULE Residential sewer and water line connection $35.50 Industrial, Com'( & Multi-family 1% of job cost with a $39,50 minimum Sewer connection only $17.50 Water connection only $17.50 Estimated Cost $ SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE (Office Use Only) This Application Becomes Your Building Permit When Approved BuildiRl! Omdal DlIte Building Pelmit # $ $ $ PAID WITH Ot$OlNG PERMIT '~i~'-; ~'R .2 8 2005 ~eceipt No, I By 24 hour notice for all inspections (952) ~'Z;-?~~O, fax (952) 447.42~5 -_._-- - ...._------ ~ v 04/22/2005 FRI 15:51 FAX 6513226147 GENZ-RYAN fill 007/013 CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'd (Please type or print and sll1;n at bottom) ADDRESS ~: ~:~n ~:;. I PERMIT N~ - :!!t:-I J 3. Yell.~' APt'h"'l ~~ -c~673 u~ )mVFCLL/ wel() /\/U,) .1 ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID . OWNER Lu' I!) V 1/' t\ (J l'~ /'\ (Name) C I I) t ! .1. 1I I (Address) \ ~q 5 PI rllD (phone) (051-4()S-' 3 '70t1 -fliu ((//'\ (v1 N 55/ dc~ .J (Phone) lta) - L/~?r i I U U. ,-:-., ~b::(j~r)cu(rt. 55.Cw!5 /i . .(A~dress)t-.,. I (City) (Zip Code) (Contact Person) i)') It" 1 ~i} i:-" ~~ J ~ IJ (phone) ~jJ.dl/,tl./ APPLICANT SIGNATURE Q)l/V'(/),{;G cJ7J}flJ DATE l.j I'n kYf APPLICANT PLEASE COMPLETE BELOW !~~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATlONS fURNACE MAKE AND MODEL l tr,('\QI'.... (i l!Oll H - 3ttr~{1() FUEL rtd . (--to S. FLUE SIZE RETURN OPENINGS . )-- _ INPUT tllXl1 U OUTPUT -l){Li...J TYPE OF SYSTEM REA TING OR POWER PLANT -? .mWarm Air Plants o Gravity o Mechanical g;)Jf.ir Conditioning OVent. System -j-'- .O{Ylc5 i n ~.. A Dv. X~i(:rlD-) (\ )' APPLICANT .____... .Y:J.._ ' I I .. (Name) ..1C] 1/.. I I.A W(J ..... . I (Address) I Lll L/5 S.. 120trc {r41Y l. 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 I % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 Residential, Heating & Ale (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ PAID w,..... aUILDING ' , ,.., ,so . PERMIT (Office Use Only) This Application Becomes Your Building Permit When Approved 'Pait! I Receipt No. Buildinl! Official Date t I1t~R2 8 2005 By 24 hour notice for all inspections (952) 417-9850, fax (952) 447-4245 lHv PRIOR LAKE INSPECTION RECORD SITE ADDRESS z. S 7 J WAT€R.f:Au... c,JA t' ,.",J. NATUREOFWORK ~ COWs:r..~LlN (~c..Lo. fljJistt6~ USE OF BUILDING S. i=: A . - PERMIT NO. (J5-. 02/ I DATE ISSUED ..::sIt..., 10 S CONTRACTOR ~''''~~,..,~ PHONE .,z,-J"- ",2" NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW . THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF See 'Vlain ITile BUILDING AND INSPECTION INSPECTOR DATE I FOOTING FOUNDATION (Prior to Backfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED Llt( ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL .. PLUMBING fl3r-()/:, U'fP wc.,., p~ 51?/ HEATING (if required) 1;/ , FIREPLACE GAS l!NE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I~TH€ / ""OM$'~ ~f!AP I I FINALS -.s~A plJ '/7 '" GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING _ .t ,h/~ , 7'/t9~r 7#~,.6r- we. ff; -- c DO NOT OCCUpy ./ / 7ftf'K UNTIL ABOVE HAS BEEN SIGNED NOTICE .. $V/ '. 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 INSPECT'''"''JS (952) 447-9850 @trfifiraft of @rtupanr\! CITY OF PRIOR LAKE ~tparfmtnf of ~uil~ing Jf nspttfion kinal Permitted D Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section ii 0 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: Use Classification SINGLE FA,\fIL Y . Bldg. Permit No. 05-0211 Occupancy Type R3 . Zoning District R4 VN Type Construction Legal Description L15, B5, WENSMANN 4TH Owner of Building _ 2573 WATERFALL WAY NW Site Address Contractor's Name & Address WENSMANN H~~0j395 PLAZA DRIVE, EAGAN, MINNESOTA ROBERT D. HUTCHINS/~. City Planner. ,JANE KANSIER '7"? / Bui~NQk:&1 FAMILY / ///9/oY Date: , I' r POST IN CONSPICUOUS PLACE Date: .- _..~.,,-_._--..- U' "b<]' j ..1Ji~~~...,,_"____ _'.__'~..6d__~t. ,;,,~ _.,__:_~'...L_ /. .~ : 55122 J CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS ';;5""3 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION '" ..'HAL o SITE INSPECTION DATE SCHEDULED ~~~ ~*rK// ~.// / PERMIT NO. L:2s'",-..2. / TIME CONTR. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ~CH FINAL o EXlGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o c..pMM~TS: ,- ./_ I J -' J cY~L~c.,,1 ~~..." /" c:h,l(C ;>~5/"l~ p;.,.,(.' U / J ~ / ~~*;-- ~-.r /1' 6~ " ..~~h~ /~.~-A. _~ ~~.r de .~d t'jr,1G ~ 7a-r- ~/ ffA~ ------.------- ~.- ~ /~/ ;~' / ~_./oS__e h/e_ .<~ ~R~FA~TORYI PROCEED J /' d-. ~~RRECT ACTION AND PROCEED o CORRECT WO~~)~ REINSPECTION BEFORE COVERING Inspector: ~~r/Contr: , /' Dee ~ CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! lNSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS <J 7.<) OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COM~ENTS:y I, M f~r :?- 4; ~~ '? CdY ~ SCHEDULED DATE TIME 7/r~h6 lJiI~~ ~/ PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o ~EWER HOOKUP )Z PLUMBING FINAL o MECH FINAL M I lJ ~~b <2J aY,.. ~. !?-"ZII o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o o WORK SATISFACTORY. PROCEED )(coRRECT ACTION AND PROCEED o CORREC~' CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL . ~OR THE NEXT INSPECTION 2' HOURS IN ADVANCE. ~ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY! lNSNOTl Job Address 2.57? W~gJc.y Heating Contractor ~-.Ru:-6L r Name of Tester ...,-:c,. Date 7//~,~ Percent O2 7. 9 ~ Percent co Cl'fJ,,,,^- , . Percent C02 7./-1. Stack Temp J5z ~ Combustion air is adequately supplied per UMC Sec. 606.Ye!J Input