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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rt;e'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Yellow Applicant
I :::;~'rim::~ ":::)
IfC\...'
LEGAL DESCRIPTION (office use only)
LOT '3 BLOCK
ADDITION W e~(~.,\.,\ ~~
PID .2..S - 36'S ~. cos - 0
OWNER
(Name) WL~
R..2..
)T N::.
(Phone) (C.s I) 4cf,- '-I4(JO
(Address)
~
BUILDER
(Name) ,Scu'V'€..
(Contact Name)
(Address)
CD
(Phone)
(Phone)
ODeck
ORe-Roofing
ORe-Siding
TYPE OF WORK
~New Construction
DLower Level Finish
DAlteration
o Porch
o Fireplace
o Addition
o Misc.
PROJECT COST/VALUE (excluding land) $ 85 cce
DUtility 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 Wc~~~"4\.O..t,^
}-b i'^L3
Signature
#
#
I~S'
Contractor's License No.
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
Water Meter Size / '; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
I ~~~ ~I;tt- ;--<t,_ ~
I Receipt NO':J -z-:l...i'
By t+
mes Your Building Permit When Approved
J 102 /0.;).
Date
$
$
$
$
$
$
$ -
$
$5, qOq. 44-
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
Wh~:/?;1.. by the Cil);.., Planner constitutes a temporary Certificate of z.,oning comP.liance and allows cons.truction to commence. Before occupancy, a, Certificate of Occupancy must be
~~ . &k
' ~~~ t)lf-lJ02- ~. ~ ~~
anning Director " I Date' Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~
CITY OF PRIOR LAKE
BEA TINGI AIR CONDITIONINGlFlREPLACE PERMIT
Date Rec'd
I
I. Pink
2. CiRcn
J. V.11aw
(Please type or print and silJl It bottom)
I ADDRESS
3S(p1 ~
T .A.O.J
E~iunt I PERMIT NO. U';<- 51
I
ZONING (olftce u!~)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER.
(Name) W..P~
(Address) ''3 ~
(phone)
fYJn
APPLICANT . :
(Nameo.~~ fn:",_+ F~(Phone) 7Cn...'3-4/S-7SOCJ
(Address)C\d\O ~~' ~kJ ,AtrvrbOJ..trl"'- ~J vnrh SS4c.;.s-
;, (s) ~ (City), (Zip Code)
. I
(Contact Person) .1(,,-5 \.l.. (Phone) 1l.D3-~iS-1SI(P
I
.1
APPLICANT SIGNATURE DATE ~i/C) O~
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 AL TERfA TlONS
FURNACE MAKE AND MODEL' . ~UEL
FLUE SIZE REnJRN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
.. OWann Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. Systcm
HEATING OR POWER PLANT
o Stcam
o Hot Water .
o Radiation
o Special Devices
o Other Dcviccs
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
ve..e. 0
Residential. Heating & NC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1 % of job cost Residential. Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
564.50 Rcsidential, AC Only
539.50
$39..50
539.50
Industrial, Commercial &: Multi-Family
Estimated Cost $
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
c
(Offict list Only)
This Application Becomes Your Building Permit When Approved
Paid
ReC8i.pt~~,
Date
j 7 2002 By
Dlft
Building Omclll
24 hour notice for .n inspections (952) 447~9850, fu (952) 447-4245
ZOLOST~ZT9 XVd Z~:~T ZO/ZT/tO
ZOO~
A31UIHd 3~VHV~ JI~VWO~nv
Apr. 8, 2002 1:24PM
GENZ RVAN PLUMBING AND HEATING
No.9765 P, 25/28
Date Re~)d
CITY OF PRIOR LAKE PLUMBING PERMIT
, \
'-:':\\, ..I.).~::',\,..;'
".,.,'....,.."
1. 1I1\1c ,il.
Z. Gold CIIy
J. YoIlow AppliCOl\I
I PERMIT NO-o~-5"71
I
ZONING (oll:i.cell$tl)
l~iES~;~U~~AII
712II/ L
LEGAL DESqupnON (office use only)
Lo1:3 :aLaCK ADDmON
2n..O
Pro
OWNER
(Name) Wensmann Homes
(phone) 651-905-3709
(Address) 1895 Plaza Dr
Eagan, MN 55122
AP:P11CANT
~wne) Genz-Ryan Plumbing & Hea~ing
(Ad~~s) 14745 So Rober~ Trl
(Address)
(phone) 651-423-1144
Rosemount, MN
(City)
55068
(Zip Code)
APPLICANT SIGNATURE
DATE
(Contact Person)
(phone)
Quantity : Type of Finurc Quantity I Type of Fixture
f Bath Tub with or without shower .'~ ROUgh-ins
I Dishwasher J Water Heater ~ -
I Floor Drain - 12 I J Water Softoer
2 Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink Sewage Ejector
, Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
2- Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commercial & Mu1ti~famIly 1 % of job cost WIth II $39..50 minimum RcsldentIal, N.,w One & Two~Fanllly $99.50
Residential, Additions 1ft. Alterations $39.50
Estmlated Cost $
. Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT :FEE $
~,.,.
.50
I,,'"
.4<-,,"-:'
(Omce Use Onlt)
This Application BecoUle.! Your Building Permit When. Approved
Paid
Receipt No.
Building Official
ate Ah~ - ,!
By
Dak
24. hou.r notice for all inspections (952) 447-9850, fu 1.'52) 447-4145
1 :23PM GENZ RVAN PLUMBING AND HEATING No.9765 P, 24/28
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
'IiAII
~?:.. ES- ~ PERMIT NO'f) ~---f7 7 I
I I ZONlNG(_~ I
r=~;;;~-~~i ~~IL
1 LEGAL DESCRIPTION (omceJUeouly) -
. LOT.3 BLOCK I ADDmON U >> ~ Y".-Y\
~J'J
PID
OWNER
(NaIOe) Wen!llm"'T11:J Hn",."..
(phone) F.51_Cln 5- 'nnCl
Eagan. MN 55122
(Address) 1895 Plaza Dr Ste 200
APPLICANT
~~~ Genz-Ryan P]u~ini & Heatin~
(Address) 14745 So Robert. Trl
(Address)
(phone) 61]1 A?~ 1144
Rosemount:, MN
(City)
55068
(Zip Code:)
(Contact Person)
(Phone)
APPLICAN1' SIGNATURE
APPLI
W CONSTRUCTION
. FURNACE MAKE AND MODEL -it ~~ no '{
FLUE SIZE RETTJRN OPENINGS
TYPE OF SYSTEM
!2J'WlIIlD Air Plants
1!JGravity
~M~han.tCaJ
Air Conditioning
o cnt. System
FIREPLACE MAKE AND MODEL
ASE COMPLETE BELOW
o REPLACEMENT 0 ALlERAll0NS
~f)A--1D FlmL JJm-6:t~s
L-! INPm ((AIJ,/J~O OUTPUTS3)tfln)
~ ,
HEATING OR POWER FLANT
o SkllD1
o Hot Water
o Radiation
o Spocial Devices
o Other DevicC$
PLEASE NOTE:
Air Conditioner Units
ClDUlot Enqoac:h into
Required Side Yard
Setbacks
Industrial, Commercial &: Multi-FamJly
FEE SCHEDULE
I"" of Job cost R.esidc:ntJal, qas Fircpl~e
$39.50 minimum
$9950 Residential, Additions & Altenat10ns
$64.50 Residential, AC Only
$39.50
&:3idlmtilll, Heating & Ale (New Construction)
Rc::sidcntial, Hc:a.ting Only (New ConstIUction)
$3950
$3950
Estimated Cost $
Building Permit #
.so
,...
,...., ^ .
I'"" (',.. . C"\ ,
~~~t,~/' l" '"
~ - - .....u~ " r
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE "
$
S
S
w- -~ tJ,cQnly)
'" _>.s Application Becomes Your Building Permit When Approved
1
Date
I::
F~~
BWJding Omcial
,
~
2.. bour notice for all inspections (9S:Z) 447-9850, fax (9$) 447-4245
Apr. 8. 2002 1:23PM
GENZ RVAN PLUMBING AND HEATING
No.9765 p. 23/28
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
l1L4-/L
~ E'w ~_, I PERMIT NO. oi-r; 1~
I I ZONING(_~ I
- "". "'_...~ ".""""'~
[ ADDRESS ..
3Sw' fD'k\' Il
LEGAL DESCRIPTION (office use only)
LOT 3 :BLOCK I ADDmON
PlD
OWNER
(Name) ~. Wensmann Homes
,
(phone) 651-905-3709
(Addtess) 1895 Plait a Dr Ste 200
(Address)
Eagan, MN
(City)
55122
(Zip Code)
APPUCANT
~Mn~ Genz-Ryan Plum~i~~ & H~ating
(phone) 651-423-1144
RQsemount. '~
(City)
(phone)
DATE
55068
(Zip Cecil::)
(Address) 1474,'2 So Robert Trl
(Addre:ls)
(Contact Person)
UCANT SIGNATURE
EASE 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.
. Cl~ out (if required) located at. feet from structure.
Estimated Cost $
FEE SCHEDULE
$35.50 Industrial, Carn'1 & Mulh-family 1 % of job cost wIth a $39.50 minimum
$17.50 Water connection only $17.50
Building Permit #
ResIdentIal sewer and water line .connection
Sewer connection only
SEWER AND W AlER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Office Use Only)
{:I'
'- -'",. r
t', .....
Thill Application Becomes Y o~r Building Penn it When AppTo~ed
Paid
Receipt No_
Date
Bl.lilding Offic.iaJ
D:lIte
Z4 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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White - Building
Canary - Engineering
Pink - Planning
Tht ('tntt, of Iht /.okt Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WE N S 1'1 P\ N tJ
1- z- ()z,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3507 FoX' TAl ~ TRAI ~
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/YJ1/~
5-ce. ;YIc,/~ F.'/~
Date:
/-/O-O"L
Comments:
"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
Tht' Ct"nlrr nf Ihe I..kt COUnlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WENSMAtJtJ
{-7,--o"&
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
35 (p 7 Fo)( TA ( l--- TRA ( L--
Accepted
Accepted With Corrections x.....
,
Denied
Reviewed BY:rJ2.fJ~
Comments:
Date: I - 8 - CJ ~
~~ l\~'^~t-O
"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."
.,---.......
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
A l-r- ,
SCHEDULED
OWNER
r.<;/;J~_)J FOX IAle.. IlEAl L-
CONTR.
ADDRESS 35tc3
,
PHONE NO.
PERMIT NO. 02.- - c.)C~.' ~ J 57, ~8
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
3J)YJ/~ g,
o EXlGRADfFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
/l I
( j OS~
r:/ Le
,
l
,
,
}
fl WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
111N? 'I1,-{)1-
Inspector: /I r!' 10 - J.I Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTl
.
~-,.".~-
,-"'~'~-'~
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS
S~(;,3
SCHEDULED ~-~~
Fe>,;< To,i{ 1-'/'1/(
CONTR. W ~""
PERMIT NO. O~ - S"s
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~E~FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
35~3 {~r6 Bey' cPlL
3~~S- U/t'6 /dYJ;c- aIL-
cE0 (1/~ ~~
3.S~1 Gvrb ~-t?lb
/Adr5 C(rf. cf)~
~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!
INSNOTl
"
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS s.."'CS1 ~::b.d Ir-.
NATURE OF WORK e~
USE OF BUILDING .5 FA
PERMIT NO. 0 Z-O{)57 DATE ISSUED / - t1 - CJ ;:>
CONTRACTOR W..e.J..\...O,---... PHONE c;,S! . ~o, - crt(aa
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
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
"
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS B
NOTICE
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850