HomeMy WebLinkAboutBldg Permit 05-0358
(Please type or print and si2l1 at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Main File
Date Rec' d
4-,/5. oS-
1_ White
2 Pink
J Yellow
File
City
Applicant
I PERMIT NO. 05. 035~ I
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LEGAL DESCRIPTION (office use only)
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PID.)~ -r/~~ 0 ?.3-0
LOT/3 BLOCK 9 ADDITION tJtpNfh? 9#/V
OWNER
(Name)
(Address)
(Phone)
BUILDER
(Company Name)-'w f' N.f /n q/V /V .JIlFnJ,o..l
(Contact Name) a6'/'l/ JoA/Vf~/V
(Address) I tf 9'5" I' /' /t:i' 26- /Jr
ZONING (office use)
t:4-
(Phone) &57- Yt)? - -Y7"tI p
(Phone) 6/2- .1"'- ?~/.:L-
C tff" ~ q-/" ~N, ,/)5/;;1.2-
.J -
TYPE OF WORK ~ Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc.
CODE: ~.R.C. DI.B.C.
Type of t;;~stnlction:
Occupancy Group: A B
Division:
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
I
E
II
F
1
III IV VA
HIM R
2 3 4 5
B
S U
o-tJ
PROJECT COST/VALUE $ !,;t5; /JU{)
(excluding land)
I()() ,() 0
/(J(),OO
3S, 5"0
L/O. aO
I Park Support Fee
I SAC ___
I Water Meter Qize 5/0; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
#
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 authonzed 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
;Icial'/J';;;;:;.rmit for;t cause. Fu hermore, I hereby agree that the Clly official or a deSjy;;upon the property to perform ne~ ;;:n~ S-
I' ,/ / Signature Contractor's License No. Date
1/ ,"~
1/ /3~ 000, tJ ()
$ 12.11/.50
$ B3Z,Qfl
$ fo~,!J"
$
$
$
$
$
#
#
#
Builder's Deposit
Other
TOTAL DUE
4j/z7;b~
, Date
I Paid h1o~' q 3'/__
I Date ~- 3-'~
Receipt N~o. L; )( / -33
By 0,'
()
This Application Becomes Your Building Permit When Approved
~~
Buildilll! Otlicial
$
$
$
$
$
$
$
I $
I $~rloil18
/"/50, {)()
25'0. ()O
SO, Ot)
l5"o(), 0 0
/tJoa,tJo
-
ThIS IS to certifY that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This ducument
when signed by the City Planner conslllutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a CertIficate of Occupancy must be
iSSU~~ #Z7hS See ~\1ain 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
See Main File
("White - Buildin9:::)
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CtlECKLISI
NAME OF APPLICANT
APPLICATION RECEIVED
W&NJ/'1~N;J 1/O/~6S
4-./5. o~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/434tP W/f~ ~/
~
ft/N
Accepted
Accepted With Corrections
Denied
Reviewed By:
~
.
~
Date:
4/27/oS
,
Comments:
See
"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
~ . Planr1trnt>
B..UlJ..DING peRMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
l Vt /,v -;/,//./ ///J 11U! ~ IE...~-
. - r--
(/2 !f (.,
r. J. -""'.->
"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 4 _:> 4& ! "/1 /t:) (_/-~'I t L. '/ ,i!/ /' J
Accepted
/
Accepted With Corrections
Denied
Reviewed By: ~ ~
Date:
~/z7j;s
Comments:
1#''11'-
SreMain 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."
See Main File
White . Building
<. canarv . t:.n9ineerlnCll )
PinK . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,-
!.'~"i/; ';:-/'v~fi~Jr-Ji',..//v' /f()/wllS-.S
.'1 ..........
,/i ;.;:- I, r---
'-r.. f_j. l...~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ d,~' ';: d,-/r; tli/""17-Z::lZ...~?::;'I-L-/._ (" ,; / It/ (1,..,/
i \..-""..,- (....' if r ' (......" - \........~ j
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
A1fI5
Sf-t:.- !JI/e,/v, F/IL-
Date:
$-;2./--oJ
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."
raJ 011/013
?i~!!?
Date Rec'd
05/09/2005 MON 16:05 FAX 952 767 1900 GENZ-RYAN
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
i ~ ~~ PERMIT NO.AP, It. ..:1fI
S, Gold AppliaiII ~ . " ~
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ADDRESS
I Lt:~,LP . LV f}(x-ev,.r oj
ZONING (o1ficeuse)
t-+
! \
!l J/A )
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
, OWNER't' 1 'PI^( \ !"\(.... '''II'' \ L, !"\ps
(Name). Jl Jf \.:> 'Y ~ AJ \ f I -H)(~' 1L-
(Address) i <lQ5 P I OtIO,-.! \)V-, S1(,X()
(Address)
(phone)
f]~Q(\ MN
. rf;ity}'
( of) J.. q (J)- ~:n 60
551.)/)
(Zip Code)
APPLICANT (1_ .
(Name) ~ LUl2- 12M a /1]
. I I
(Address) ~ IDO VV. HW14 / ,~
f /, (Address)' I' -:-
(Contact Person) K.l/l'l J~~r)\ / i.: I (-e/. . . _'.
!)LICANTSIGNATURE c/Y.~Jt./ ;:;20111(#(,
. '-
(phone) f/ 02 - 71P7 - (ODD
6Mt/11 S 'LiJle/ MtJ Q;':33l-
(City) (zip Code)
(phone) t}6-;~--7(j7- /!{hl
DATE 6 IC/ /0-)
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.
FEESLl:I.J!,DULE
Residential sewer and water line cOlUlection $35.50 Industrial, Com'l & Multi-family 1 % of job cost with a $39.50 minimwn
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $ Building Pennit #
:3657)
SEWER AND WATER PERMIT FEE $ _
STATE SURCHARGE $ .~ID WITH
TOTAL PERMIT FEE $ ~?8OflDING PERMIT
(Office Use: Only)
I This Application Becomes Your BuJlding Permit When Approved
Building OfficiAl
Date
!01[!a~~ I ~ [I ~I ~ -:'\! Receipt No.
I if A\' 1 (), 2005 II By
24 hour notice for all inspections (951) 4- 7-9850, fax (952) 447-4245
By _
05/09/2005 MON 16:06 FAX 952 767 1900 GENZ-RYAN
~ 012/013
( li}e
Date Ree'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Blue rd. PERMIT NOdS..o35I
Z. Gold Cily
J. Yello.... AppIicut
(Please type or print and sign at botIDm)
ADDRESS
J 4~4lt UJakJf~/fLl j CJ fULl)
ZONING (offic:e use)
LEGAL DESCR.u- 1 J.ON (office use only)
LOT BLOCK
ADDITION
PID
~~~R I,UfJ.'f) ~/YVllf)() MrXYi(S
(Address) \ xCJ0 PI 0\7>>-, Dv. ~~-t ill;
~~;~ b~1,- P.-ijtU1
(Address) 1-1JJO \N. l-hrv u 1,3
. J. (Address) "' .
(Contact Person) kJ 1/1 {~f,tIV/} JL,
APPLICANf SIGNATURE / Id:ltt./ k!bti/{iLe.,
f rfl' (,V'F- ?---7fA
(phone) If )1- K J,) .~) L 1
,Fu C~ n 1'1 P01 N '55 i;)~
j
(phone) qC)L~ ,lJ11 ~ (aDO
{7)/ilt2J1 c..V ({ If" M f\J ~~~?37
(City) .. (Zip Code)
(phone) {l5:.~--7ftf7'-- l11l/
~/a /. ':V-
DATE _./ / ( '/ if)::>
f '--_
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixtnre I Quantity Type of Fixture
I Bath Tub with or without shower I 3 Rough-ins
f I Dishwasher I J Water Heater
) I Floor Drain l 12/1 Water Softner
-3 j Lavatory (Bathroom Sink) I I Stand Pipe (W ashin~ Machine)
! I Laundry Tray (lor 2 compartment sink I I Sewage Ejector .
( I Shower Stall I ~- I Backtlow Assembly
I I Sinks I I Backflow Assembly Test
I Bar Sink I I Lawn Sprinkler
~ I Water Closet (Toilet) I 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
Estimated Cost $ //.Ji1J .-
Building Official
Date
Building pennit #
qq.~?) PAIDWITH
/(l,',~SJ'LO'NG PERMIT
. I
[-;-\!~ . II' 'i', i 0'
I, I ,'PaId .,' '--~ I, teceiPt No.
" ~ 1 i) l:OO~ I y
L lpmr' - "'
PLUMBING PERJ,\1IT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Offiee UIlt Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447. 18,0. fu (951) W1--411.'l
05/09/2005 MON 16:06 FAX 952 767 1900 GENZ-RYAN
~ 013/013
/ tiJ CJL.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/~lKEPLACE PERMIT
Date Rec'd
(Please tv.P_e or print and sb;n at bottom)
- ADDRESS
ILj,.~o U )0-+c11 fA. j _
(~ I
}-
\
I\/Ii j
;: ~~ S~ I PERMIT NO... 'SSS
ZONING (office
use)
LEGAL DFSCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
~= \ A }c\.,,\S\,j,\ n ,1jl'! \-\O\l~
(Address) I gqrs jC)lmcL- [)v, Sic ?-OO
i./-.c:. ""'/ " ...,
(phone) U5/- q C,,).. .:5 I U'1
l~:'.M (1[1 kJl t\1
-- .J - .
:-:55/ ;?-d
(Phone) qF)~-llf7-IOOO
bUfnsvillc r:353'-)'7
'jdresS) . (Oty) (Zip Code)
(Contact Pe~on) kj iI" r ',\Bill/i I (~ (phone) CfJd --7&-7- I tit!
(fllj;{./ i(2e~,lj7f i'~. DATE 5/ Cf/o:)
APPLICANt P EASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS I
FURNACE MAKE AND MODEL Lel1J/lX.. ('-rf I/i LL# - .3(;11- 70 FUEL /"/{i.{;- uti -~
FLUE SIZE RETURN OPENINGS ,--5' INPUT 7(1.1i) OUTPUT 5~
TYPE OF SYSTEM HEATING OR POWER PLANT
~ann Air Plants 0 Steam
[JGravity 0 Hot Water
~ Mechanical 0 Radiation
- ~ir Conditioning 0 Special Devices
Rent. System 0 Other Devices
APPLICANT r ')
(Name) L:::rerYt~ - kJAfl1'l
)
(Address) I') 'ii-(1 U)
(7' C7"lA.; v .
HUJv113
APPLICANT SIGNATURE
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
S39.50 minimum
Residential, Heating & AlC (New Construction) $99.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
:;t::;::2,/JI r
Estimated Cost $ ...... ")~- {J./
HEA TfNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$39.50
$39.50
$39.50
This Application Becomes Your Building Permit When Approved
Building Pennit #
$ clq Sv t"AID WITH
: j{j')t:~MLDING PERMIT
\J Le leceiPt No.
!i~~.
Ir)!~dl
I
I '
DtMY 1 0 2005 lJ V
(Office Use Onty)
Bulldin! Official
Date
24 hour notice for all inspections (952) 44'i~~~~~_(9~E 4~7~Z45 ---l
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~ WA.TntrALL C,lullr IJ.IAJ.
NATURE OF WORK NE/AJ ~1U$r~Ai
USE OF BUILDIN~~ ~ SF.~. .
PERMIT NO. ~'-"'~~ DATE ISSUED ~t V"
CONTRACTOR ~sa~'-' ~ PHONE-'l2- St.9-7iLlZ,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See \1ain File
BUILDING AND INSPECTION
INSPECTOR
DATE
, FOOTING I
FOUNDATION (Prior to Backfill) I I J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I r
7/ze/tf&
, .
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
/.ATH.- ~tNtLAP I I
FINALS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
lVv
//1;
1,/~I#1
, I
...
LDc..
ffJ 8-9-CJS
P f( /j 1"'rJ4
V/r!)
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
c.J C jJ II}
/ .
'f'/2IltJ~
/ Y/
I I
~ P A 9/-arhl
I rfdY
-'
UNTIL ABOVE HAS
NOTICE
. "
'1/.
BEEN! 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
, "
QIerfifitafe of @trnpautl!
CITY OF PRIOR LAKE
~tparfttttnf nf ~uil~ing Jr nspttfinn
~Final Permitted D Conditional C.O. Expires_
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D 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 FAMILY Bldg. PennitNo. 05-0358
Occupancy Type . R3 Type Construction VN Zoning District R4
Legal Description .
LOT 13, BLOCK 4, WENSMANN 4TH
Owner of Building
Site Address
14346 WATERFALL CT
Contract()~Name & Address WENSMANN
kOBERT D HUTCHINS
0.00 , ( , p;;t" ,?ffici"
/ I
'"" '
HOmES,
; 'f/( ')
p ,
,,/
1895 PLAZA DR, EAGAN
JANE KANSIER
City Planner
Date:
,,' <'"
",'
-'-,,,,,,,,,,,"
'.fI"
,', .......
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 113 4 ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
6 SITE INSPECTION
COMMENTS:
-~ F~ .lJJfu.-
DATE TIME
SCHEDULED ~_~
~uM-
CONTR.
PERMIT NO.
~ -?58
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~Q~
V
() ( I () (II
l!. \~~ ~ \t/
I
o WORK SATISFACTORY, PROCEED
)lk:ORRE77iCA N AND PROCEED
o CORREC WO CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL ~7/k5_1oR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
- v~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
lNSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
1~~
~-~
nile
SCHEDULED
ADDRESS ~Co
OWNER
CONTR.
PHONE NO;
PERMIT NO.
. 5"- 3~
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 GASLlNE AIR TST
o
COM~ENT$: "- ' . _
J. (ILk:~~
'11/") - '7$"72J
2. ~~_ ~
()." ..,Q
J t
o WORK SATISFACTORY, PROCEED
X CORRECT ACTION AND PROCEED
o CORREyf1~ CALL FOR REINSPECTION BEFORE COVERING
,nspecto/l ! 1/ Owner/Contr:
CA ktt.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl