HomeMy WebLinkAboutBldg Permit 05-0211
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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
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,J. ' (J J
PERMIT NO. 05 02 / /
ZONING (office use)
/Ja)"
ru-
;2573
tJel Hr ;;, /1
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LEGAL DESCRIPTION (office use only)
LOT/3BLOCK 5" ADDITION
OWNER
(Name)
(Address)
tJfNf 17't:j'/VN'
TJ...
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/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"
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t, I;;J.. -J~'j'':: 7~/:J-
,75"/;2 :L.
(Phone)
(Phone)
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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?
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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
--/
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. Ie.
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
--; /-:- -..'-i -)
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fV!~i!
j._- (;1 C l/
l~/r\'f
I
. f
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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.-. /',,.- -..- . !
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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. !; (' ,..
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,: "'1
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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;
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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:
.-
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U' "b<]' j ..1Ji~~~...,,_"____
_'.__'~..6d__~t. ,;,,~
_.,__:_~'...L_
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:
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 ~ /
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..~~h~ /~.~-A. _~ ~~.r de
.~d t'jr,1G ~ 7a-r-
~/
ffA~
------.-------
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/ ~_./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