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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
MAl N F/L6
I. White File
2. Pink City
3. Yellow Applicant
3SC.. 3
;;, ^ lCt. i
Tf~\
LEGAL DESCRIPTION (office use only)
LOT' BLOCK \ ADDITION vJ @~~~'\t\ ~tJ.
PID .2$, 38$' 001 -0
OWNER
(Name) ~et'(;MA.t'\.I\
(Address) I~PlS
thwe:~
Jf\.C
s......... \e ';<02)
JI..E?
BUILDER
(Name) ~~
(Contact Name)
(Address)
~
~
(Phone{c:.s\) 40'=> -t.f-IOO ~
(Phone)
(Phone)
ODeck
OPorch
ORe-Roofing
ORe-Siding
TYPE OF WORK
Jl{New Construction
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
ss ~oCO
o Misc.
o Addition
o Alteration
OUtility Connection
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
authorized 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 official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform needed inspections.
x
e",':;) N\Q. j\'"
Signature .
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
100.0
{t)o.06
sS-.5"O
l{o .. 06
omes Your Building Permit When Approved
I - R,... :2f;o Z-
Date
/'-/58
Contractor's License No.
I I :;l./ 0::<
Date
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
Water Meter Siz 5/ ; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
I Paid 1 ~~:
Date", ,-
I Receipt No. 4rz.:z..,.2
.. By (l.{) ~
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 document
=~,.. by fu, C;~ Pl'''~'''ID''"" "mp=ry cm_;;:/~' ~dillowt;;" ~:J::rU;iirP- -,~
Date Special Conditions, if any 4-
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Jan. 3, 2002 8:44AM
GENZ RVAN PLUMBING AND HEATING
No.9593 p. 9/9
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
"'" 1>11' "'_ ...._ u~
OPRESS ..~
3S\o~ ~ - IL
i ~.oI~" ~~" I PERMIT NO.OZ - 0- oS 51
3. Gold Appll_. -....J
T~ Ai L-
I ZONlNG,__) I
:GAL DESCRIPTION (offic", u.sc: only)
:::n t BLOCK
ADDmON
PID
VNER
unc) Wensmann Homes ~
(Phone)
651-905-3709
dress) 1895 Plaza Dr Ste 200
(Address)
Eagan, MN
(City)
<;5122
tZip Cock)
)DCANT
rn~ Genz-Ryan Plumbi~g & Heating
(Phone) 651-423-1144
Iress) 14745 So Robert :J:rl
(Address)
Rosemount. '''N'
(City)
55068
(Zip Code)
(Phone)
DATE
651-423-JI44
0'2-
LICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Size of water se.tVice inches'.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimatecilength of sewer line ~ feet.
: Clean out (if required) l,ocated at feet from structure.
Estimated Cost $
FEE SCHEDULE
$35..50 Industrial, Com'l & Multi-family 1% of job co~ with a $39.50 minimum
$]7.50 Water connection only $17.50
Building Permit # (JZ ~ 0055'
ntial sewer and water line connection
(;onnection only
SEWER ANP WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
In Only)
ApplicatioD Becomes Y 01ll" Building Permit When Approved
Paid
Receipt No,
Building Official
Date
Date JAN 2 4 ZOO?
By
24 bour notice for all inspections (952) 447~98S0, flilX ('51) 447-4Z45
2002 1:22PM GENZ RVAN PLUMBING AND HEATING No.9765 P.18/28
CITY OF PRIOR LAKE Date Rec'd
HEATlNG/AlR CONDITlONINGIFIREPLACE PERMIT
~~-A Ii
-
Hi. S- [PERMITNO. ~:r
I I ZOMNG,__, I
\
....:\ ~~~~~.:.~::;'
~~~~;~~
lAnD!; 0.. ~IAfL
LEGAl. PESCRlPTION (otli.ce 11$e: oD1'y)
LOT I BLOCK I ADDITION
Pro
OWNER
~wn~ YenRmann HnmFq
. '
~hon~ h51-qn5-~7nq
(Address) 1895 Plaza Dr Ste 200
Eagan, MN
55122
APPLICANT
~am~ Genz-Ryan PJumbin~ & Heating
(Address) 14745 So Robert Trl
(Address).
~ (phone) 5/i] -"'2l 1144
Rosemount. MN
(City)
55068
(Zip Code)
(Contact Person)
(phone)
APPLICANT SIGNATURE
APP C
~NEW CONSTRUCTION
FURNACE MAKE AND MODEL
FLUE SIZE
TYPE OF SYSTEM
~Wann Air Plants
OGravity
o MCQhanical
Iil:Air Conditionlog
OVent System
LEASE COMPLETE BELOW
o REPLACEMENT - 0 ALTERA TIONStJ
FUEL A-, 6LS-
REroRN OPENINGS 3 INPUT loll; tfOD OUTPUT 6~ (JL!O
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Pevices
PLEASE NOTE:
Air Conditioner Units
Cannot Enc:roach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Mulri~Family
FEE SCHEDULE
1 % of job cost Residentlaj, Gas Fireplace:
$39.50 minimum
$99.50 RcsidenUal, Addttions & Altaations
$64.50 Rcsideutial, AC Only
$39.50
RflS1dentlal, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$3950
Estimated Cost $
Building Penuit #
HEATlNGPERMITFEE $
STATE SURCHARGE $
TOTAL PERMIT FEE .. $
.50
p--.
P,~i'''''II'''-r
!"\:,~,~/i!'i
~Wii"'G ,D\:- .
r
(('or.,~ Use 9nly)
~ -.J~S Application Becomes Your Building Permit When Approved
Paid
.Receipt No.
Building Oroc:iaJ
Date
Date (\(-if( - 9
By
24 h~qr notice for all illspettiops (m) 441~9850. fu (952) 447-4Z4S
1 : 22PM
GENZ RVAN PLUMBING AND HEATING
No.9765 p. lV28
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERlWT
\':;'~ ~,~".: .
I Blu. I'll.
,. GuJol Ci.,.
3. YoIIow Applicant
/ PERMIT NO, ~,jl ;,~
. J I ZONING (-~) I
. \
I ~~:~OpU~~~ IL
rrltt9 I L
LEGAL DESCRIPTION (ofik!: 11$1: only)
LOT (BLOCK ADDmON
PID
OWNER
~~e) Wensmapn Homes
~
(phone) 651-905-3709
(Address) 1895 Plaza Dr
Eagan. MN 55122
APPLICA:N1'
ON~~ Genz-Ryan Plumbing & Heating
(Address) 14745 So Robert Trl
(Address)
(Phone) 651-423-1144
Rosemount. MN
(City)
55068
(Zip Code)
(Contact Person)
(Phone)
.APPLICANT SIGNATURE
DATE
2.
Quantity Type of Fixture QQantity Type of Fixture
:, Bath Tub with or without shower ~ Rough-ins
, Dishwasher I f Water Heater -.-
I Floor Drain - LIt Water Sot1ner
1- Lavatory (Bathroom Sink) I Stand ~ipe (Washing Machine)
, Laundry Tray (1 or 2 COInparttnent sink Sewage Ejector
I .Shower Stall Bacldlow Assembly
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinklr;r
?~ Wa,ter Closet (Toilet) - Other
EASE COMPLETE BELOW
FEE SCHEDULE
Industnal, CommercIal & MI.I)I'.I-famdy 1 % of job cost WIth Ii $39.50 minimum RQSid<;ntlaJ, Nr;w One & Two-Family $9950
RC3idcntiaJ, Additions &:. Alterations $39.50
Estim.ated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE S
.-so
(OffiCI: Use Only)
Tbis Application Becomes Your Buildille peftllit WheD Approved
Paid
Receipt No.
Building OWci:d
Date
..9' 002
By
Dll~
14 hour Duties for aJllnspectiolUl <,51) 447-98S0, fall: (.951) 447-414~
Apr. 8. 2002 1:21PM
GENZ RVAN PLUMBING AND HEATING
No.9765 P, 17/28
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
.!
D~-SS-
~. ~ ~?;. I PERMIT NO If J - ~_.
3. Gold AppUcont ( . ~~
m-~;~~u~~
I ADDRESS . . .
3 () ~ ~'lTA/L-
~6.IL
ZONING (OBlceU5e)
LEGAL DESCRIPTION (office we only)
LOT I BLOCK ) ADDmON
PID
OWNER
(Name) Wensmann Hom.es
~
(phone)
651-905-3709
(Addtess) 1895 Pla2:a Dr Ste 200
(Address)
Eagan. MN
(City)
55122
(Zip Code)
APPLICANT
(Nmn~ Genz-Rvan Plumbi~~ & H~ating
(phone) 651-423-1144
(Address) 1474~ So Robert Trl
(Address)
UCANT SIGNATURE
Rosemount, '4Ji[
(City)
(phone)
DATE
55068
(Zip Code)
(Contact :Person)
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) ~~cated at feet from structure.
Residential sewer and water line connection
Sewer connection only
FEESCBEDULE
$35.50 Industrial, Com'] &:.Mu.lti~family 1% of job cost with a $39.50 winitnum
$17.50 Water oonnection only $17.50
Estimated Cost $
Building Permit #
SEWER AND W ATERPERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50 ......--
r,~.'!') V!1TH
--,
r' ! , .._,. ..-, :-- ~ ,
(Office: Un Only)
This Application Becomes Yo~r BlliIdiug Penuit Wheo Approved
Paid
Receipt No.
. :Building OOidal'
Date
I 7
.By
I.
Date
24 hour notice for all inspections (952) 447-9859, fax (9S2) 447-42.4S
---
White - Building
Canary - Engineering
Pink - Planning
Thr ('rnln or thr' I.lkr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
.
NAME OF APPLICANT
APPLICATION RECEIVED
W~NSMf1NfV
1- 2-0 I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
35{O3 FO.)( TA I L- TI~ I V
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
fYJ'/8
Date: !-/O-O 2...
Comments: See Reverse Sidp. for Arfrfitinn::ll I I1form::ltiol1 ,
/Ylo, I'" F, '/ e..
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
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. II
~
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.......,.. ~".--- --'.~'--' .~----_.-- .~~ .--.- ....._-~- -........------.....
White - Building
Canary - Engineering
Pink - Planning
The Ct'nlf'r or Ihe I,.kt Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
W6NSHANN
1- 2- -0 I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
35&3 FOX /AI G ---;le.A,~
Accepted
Accepted With Corrections ~
Denied d J
Reviewed Byt Y Date: I - $ - 0 2-
Comments:
_~~ o.it trtfrwW ~J&~
"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."
Thf' ('f'nlel' or Ihe tlke Coun.r)'
(92..- ()o6 S-
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
\;V FI\j~ M fi N 1\/
1- 2-(){
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3SCv2 F()>( TA It- Il~A I L---
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
1J1Y18
Date: /-/0-0 ~
Comments: See Reverse Side for Addition(ll I"form~tionl
IY/c, I'" F, '/ e...
~ee Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
"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."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OFf MedIA r;,! e.
BUILDING AND INSPECTION
-
SITE ADDRESS .)5"&3 FcK -ki.L-1 r-
NATURE OF WORK AJ..&J SFA
USE OF BUILDING SPA
PERMIT NO. 02,,-0055 DATE ISSUED I-e - ~'L-
CONTRACTOR lU~___.A PHONE ~51-3~- <(fa?
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
'b
FOUNDATION (Prior to Backfill) ~ - ...;t ~ -;)./?-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~
~
DATE
FOOTING
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE H S
NOTICE
This card must be posted near an electrical service cabinet prior to rough.in inspections
and maintained until all inspections have "e,en approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
iI> II ()~
v '1/~
BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850