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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3 . Yellow Applicant
Tf~'1
LEGAL DESCRIPTION (office use only)
LOT.:2.. BLOCK \ ADDITION ilJet'\St/\(;u.'\f\
;uJ
PID.:2.~ -
OWNER
(Name) Wc~~'\
I-z-O/
.... - ClC;:2 - C
I\"C.
(Phone) ~:s,) L./oc.- L/qaa
.~
(Address) IS;C,S
D
Su.. ie
$51
BUILDER
(Name) ~
(Contact Name)
(Address)
a.~
(Phone)
(Phone)
0.....;;:,
N
ODeck
ORe-Roofing
ORe-Siding
TYPE OF WORK
~New Construction
OLower Level Finish
OAlteration
OPorch
o Fireplace
OAddition
o Misc.
PROJECT COST/VALUE (excluding land) $ ~
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
~-\:-~s
Signature
#
#
I '"i.58
Contractor's License No.
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
Water Meter Siz 5/8 ; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Gas Fireplace Permit Fee
1/ .;1. J a~
.
Date
$
$
$
$
$
$
$
$
$s.qoq.
~~~ ~ -j,i/01-
,
I Receipt No. &-('1.2-8
By ~ IA-
ur Building Permit When Approved
1-13 -07-
Date
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
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issue~ / J __~~ --1/ltl/CL ~~ J~ i ~~\'T~\
/ 7~r Date ' Special Con~ons, if any
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, 8
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
I ~;~;:;Z-~~\ L- 'IVZ AI e-.
i. ~ ~~. I PERMIT NO.()2 - 005'/ 1
3. 0<>1<1 Appll....' It?
I ZQNlNG '''''''' "'" I
LEGAL DESCRll'TION (office use only)
LOT~ BLOCK \ ADDITION
PID
I OWNER
(Name) Wenslllann Homes
(phone)
651-905-3709
(Address) -.1895 Plaza Dr Ste 200
(Address)
Eagan. MN
(City)
55122
(Zip Code)
APPLICANT
(Name) Gen2:-Ryan Plumbi.ng & Heating
(phone) 651-423-1144
Rosemoupt. ~<JN
(City)
(Phone)
DATE
55068
(Zip Code)
(Address) 14745 So Robert Trl
(Addtt")
(Contact Person) Mar
ASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC D PVC 0 Cast Iron
Estimated length of sewer line feet
'Cle;m out (if required) l()cated at feet from structure.
ResldentiaJ sewer and water line connection
Sewer connec;tion only
$3:5.50
$17.50
FEE SCHEDULE
Industrial, Com'l & Multi-family
Water l;onnection only
1 % of job cost with a $39.s0 tttinlmum
$17.50
Estimated Cost $
Building Permit # () Z- - 0 0 fa (P
SEWER ANn WATER PERMIT FEE
STATE SURCHARGE .
TOTAL PERMIT FEE
$
$
$
.50
(OffiCI: U,e Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
I.
I'.
Date
Date JAN 2 4 2002
By
Building Official
24 hour notice fOl" aJllnspectlons (952) 447~9850, fax (952) 447-4245
1:22PM GENZ RVAN PLUMBING AND HEATING No.9765 P.21/28
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDmONINGIFIREPLACE PERMIT
, ~
~- ~:..~;; f PERMIT NO - s-h I
3. Vellow Appl-" _ V ~ .
~~~_ud..n~:
I to S FD\tTi . _ /rLI1 { t
[ZONING'....._, I
LEGAL DESClUPTION (omce use only)
LOT
BLOCK
ADOmON
lnD
PID
OWNER
(Name) Wpnqm;lTIn Home!':.
. ,
~hon~ 651 ~n~ 1709
(Addxess) 1895 Plaza Dr Ste 200
Eaga.n" MN
55122
APPLICANT
(Name) Genz-Rvan PIJlTnbing & Headna
(AddtC::$s) 14745 So Robert Trl
(Addrcs,)
(Phone) ~6" 1 ~? '1~ 11 AA
Ro s enloun t, MN
(City)
55068
(Zip Code)
(Contact Person)
(phone)
z
.APPLICANT SIGNATURB
APPLI
NEW CON~lKUCTION
FURNACE MAKE AND MODEL --Ltv\' htJ I
FLUE SIZE RETURN OrENlNGS
TYPE OF SYSTEM
6Z/'Wann Air PlllIJts
DO.l'avity
o Mechanical
OOAir Conditioning
OVent.. System
EASE COMPLETE BELOW
~CEMENT 0 ALTERA110NS
)H - 3~A --1() FUEL ^-JM-& s
y INPUT {#((J/t5OD OUTPUT 53//J?70-
HEATING OR POWER PLANT
OStnm
o Hot Watt;r:
o Radiation
o Special DevjccS
o -Other Dcml:=
PLEASE NOTE:
Air Conditioner Unlts
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
IndustriaJ, Commercial & Multt-Family
FEE SCHEDULE
1 % of job cost Residential, qa., Fi~place
3139,50 minimum
$99.50 Residential, Additions & Altl::ratlons
$64.50 Residential. AC Only
$39.50
Residc:ntial, Heating & NC (Nc:w Const{Uctlon)
RC3idc:ntial, Heating Only (Now Construc:;tioo)
$3910
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE '
.$
$
$
_so
"..--.
;...., ,}'Afn lAlfTq
'.. '., : i"'~- ,_ '
8' j~N~
(('--~ Un,9l1ly)
. .',.. ..JiS Application Becomes Yoar Building Permit When Appro-ved
,Buildinl oftlcial
)).~
l:
J,
" .
Z4 bour notir:t for, aU inspections. (952) 447-98SO, f8]C (9Sl) 447-4245
Apr. 8. 2002 1:23PM
GENZ RVAN PLUMBING AND HEATING
No.9765 p. 22/28
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
1 BI... rile
2. Gold City
J. 1'0/10'" AjlplJqgt
I LEGAL DESCRll'TION (""'~'" -
LOT 2- BLOCK J ADDITION
7ftA I ~
U )Q ..h wrtl ~ .Y1
I PERMIT NOm... S-b
I I ZONING <- OR) I
I ~f;:;;"'~a{ L
2,V"\ D
PID
OWNER
~~~ Wensmann Homes
(phone) 651-905-3709
(A~~) 1895 Plaza Dr
Eagan, MN
55122
APPLICANT .
eN ame) Genz-Ryan Plumbing & Heating (phone) 651-423-1144
(Address) 14745 So Robert Trl Rosemount. MN 55068
(Address) (City) (Zip Code)
(Contact Person) Marv 01so: (phone) 651-423-1144
\ V) II \ n_ I
APPLICANT SIGNATURE PATE U 10. 1"7
APP~CANT-PL."EASE COMPLETE BELOW I
Quantity Type of Finul"e Quantity Type of Fixture
, Bath Tub with or without shower ~ Rough- ins
I Dishwasher I Water Heater -. -
I Floor Drain - ILl f Wa-rer Softner
-2- Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
, Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
t- Water Closet (Toilet) Other
FEE SCHEDULE
IndustrIal, CommQrclal & Multl-famliy 1 % of job !;lost with a $39.50 nunimum Residential, New One:: &.. Two-Famlly $99..50
Residential, Additions &.. Alterations $39.50
Estimated Cost .$
Building PermIt #
PLUMBlNG PERMIT FEE $
STATE SURCHARGE $
. TOTAL PERMIT FEE $
_50
r--
,..,,~ ,.....
i ,-~,u I~[!';'I
. f ..-, r
,. .
(ORice Use Only)
This ApplicatioD Be~omes Y ol.l.r Building Permit When Approved
Receipt No.
Building Of6cial
Date
- 9
.By
24 hou~ notice for aU inspections (952) 447-9850, fax (952) 447-4245
.
CITY OF PRIOR LAKE
HEATING! AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
(Please type or print and sign at boaom)
I ADDRESS
'35~5 F~ T~
t =- E~iUftl I.PERMIT NO. ) ~ t; L,
ZONING (omcc u!e)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNEtla .
(Name) .IY\~
(Address) \ 5 R
~
#dOa
(phone) (05J - </O(D -c{'1DO
APPLIC
(Name
(Phone) .!J ~3-.315-7'500
~Jc.. rn () .
(City) (Zip Code)
(phone) r"Ju,3-31 S-7S/v,
DATE
(Contact Person) ..:k ri-s.. tJ.
APPLICANT SIGNATURE ~ .ii~~
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION 0 REPLACEMENT 0 AL TER:A110NS
FURNACE MAKE AND MODEL ~L
FLUE SIZE RETURN OPENINGS INPUT . OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
" OWann Air Plants
OGnlvity
o Mechanical
OAir Conditioning
OVent System
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
t % of job cost Residential, Gu Fireplace
539.50 minimum
$99.S0 Residential, Additions &: Alterations
564..50 Residential. AC Only
539.50
Residential. Heating &. AlC (New Construction)
Residential, Heating Only (New Constroetion)
$39..50
$39..50
Estimated Cost S
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
Tar AL PERMIT FEE
$
$
$
.50
f", I
L
, ,
(Office Use Only)
This Application Becomes Your Building Permit Wben Approved
Paid
Receipt No.
DulldlnlOrnc:lal
Dire
Date JUL
ZOO~
14 hour notice for .n iaspec:tionl (952) 447-9850, fas (951) 447-4145
^31aIH~ 3SVHVS JI~VWO~nv ZOLOSICZ19 XV~ SO:ll ZO/OC/LO
White - Building
Canary - Engineering
Pink - Planning
The ("fnlt'r of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\J\) ENS r1ftN N
J- z- OZ-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
35&5
FOX TAll-- TtGA\ L-
Accepted^-
Accepted With Corrections
Denied rA11
Reviewed By - - - "")" .k:
Comments:
~+lt tM~ ~ +:-- (~
Date: lAg -0 '2-
"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."
White - Building
Canary - Engineering
Pink - Planning
Thf' Ct'nlt'f or thr L.kt' ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
y\) E..N S rvlilN N
I-Z-02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
35{o5
FOX TAIL- Tt<.AIL.,
Accepted
x
-
Accepted With Corrections
Denied
Reviewed By:
1YYtJ3
Date: /.../0-02.....
Comments:
See:.... 117e.,,'n Fr'/(
l'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 otherordina!:lce 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."
White - Building
Canary - Engineering
Pink - Planning
The Cenl.. of Ihe tlke Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
t.\ i, , i
APPLICATION RECEIVED
,
L..,.--~.-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
__,of...' :,. ..,.,,,_,,
)'\.
/. \
I
1"\ \ L--
Accepted
V'
Accepted With Corrections
Denied ~
Reviewed By: ~
Comments:
~~,E,U~~~{u~kci~~.
Date: ~;q /t97-
'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."
;______0-
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS
~~~3
SCHEDULED ~-~~
F~/< To,i{ 1'r't/(
CONTR. W ~nI't
PERMIT NO. O~ - S"s
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
p8C FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
.)(.~FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
35,3 {~r6 BtJ7" tPlL
~ &/6 e0
3S-~ 7 (p16 sPy, eJl'-.
~W, Gf/rb Pet--t?/b
~drJ C(r( cP~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto#~ Owner/Contr:
-
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
JNSNOTI
'...._.....~-
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ,A ~ .
ADDRESS 35(,,38 /; 7, i<J 7 FoX IA (G IlEA ( L-
OWNER CONTR.
PHONE NO.
PERMIT NO. 02- - OCC;S-{ ~; 57, ~8
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
S()YJ/~ .~
I ~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
L (O~-<-
'~''L
)If WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: }Iff' /0 - Jb -O.z-owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
"
PRIOR LAKE
INSPECTION RECORD
1/-,
~ ~~"'- +=-c~
DEPARTMENT OF
~UILDING AND INSPECTION
SITE ADDRESS ~S- Fox ~t I
NATURE OF WORK AJ..e-..J
USE OF BUILDING SF-A
PERMIT NO. OJ.-0060 DATE ISSUED 1- 13..... c;~
CONTRACTOR f~M;:) lAA~,^-- PHONE {;;,5;I- 7' j~~ ijdb-frro
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING 4 \e> 0;)...
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
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
I I
FINALS
o~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING [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 haw3 bet;m approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850