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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File
2. Pink City
3. Yellow Applicaot
3SG
LEGAL DESCRIPTION (office use only)
LOT 4 BLOCK
ADDITION Wel'\StW:lu
;2""'-
PID ..:2 S
See ~ Mo.,'''' ~ (-e.
Date Rec' d
1- 2--01
~Z-
- 03'7 -0
OWNER
(Name) We~.iM'H\t'\
..:.t.'\C
(PhOne)C'.$/) 4a;,-L/4CXJ
rbl'WS
(Address) I fsqS
.;:l.QO
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
~ew Construction
DLower Level Finish
ORe-Roofing
ORe-Siding
DDeck
OPorch
o Fireplace
DAddition
o Alteration
DMisc.
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
\Ak~~~'\V\.
1458
tb~
Signature
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 / ; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
I Paid
Date
srQ~ ff-
2..h /QZ-
,
1-8~o~
Date
#
#
#
#
Receipt No.
By
I/.::l/O':<
Date
$
$
$
$
$ I 2c90 ~ 00
$ 7()lJ. C)D
$
$
4-t2-7...S
IUI+
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
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
Tht ('rnln of Iht Llkt Counlf)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
t
._.e
i L ~ I
: r \: II
(~-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
"~_'.' t; , / >< L-
i .\ i i
,~
Accepted
{//
Accepted With Corrections
Denied ~
Reviewed By. ?A.-
lJl.=r./~
Date:
t Ie:; /t;r2-
"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
The Ctnttr of Ihe I..kf' Country
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
W fNS /VlflN N
{-'2--()Z--
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3501 r- OX T A I L \leA I L.
Accepted X Accepted With Corrections
Denied
Reviewed By:
/J19is
-
Date:
/-10-0<-'
Comments:
5 ce..../Y/e,/Y\ F,'/ (.
"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."
Tht" Ct"nlt"r or Iht" L.kt Counll1'
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
W8NS~U
, - ~- () Z--
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
35ft:; 1 FoX TA l L- TJeAI L-
Accepted K Accepted With Corrections
Denied ~
Reviewed By: 2-Q
L~
~ tk- tJ\~\\A ~-lc
Date:
J AI!> -C~
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."
1:24PM GENZ RVAN PLUMBING AND HEATING No.9765 P.27/28
CITY OF PRIOR LAKE Date Rec'd
HEATINGAmCONDnnOMNG~PLACEPERMIT
I. l'UIk
2. Gnoon
3. YoIlQw
1~~ t PERMIT NOt?(.~ ,,5~ ,
, I "ZONING <__, I
(!l- ~~ ....,..." "-l
I . DRESS
AD 1.09 rm1P.1L-
1:l2Jl:l L..
LEGAL DESCRIPTION (office use only)
LOT ~ BLOC!( ADDmON
t/1..O PID
OWNER
(Name) WenSlmanTl lfl'lTTlf'''''
(Phon~ ~~J-qn5_~7n9
Eagan. MN 55122
(Address) 1895 Plaza Dr Ste 200
APPLICANT
(Name) Genz-Ryan Plumbimr Eo Ht::ating
(Address) 14745 So Robert: T.rl
(Address)
(phone) 651 4.21 1144
Rosemount. MN
(City)
55068
(Zip Code)
(Contact Person)
(PhODe)
DATE
APPLICANT SIGNATURE
APPLIC ASE COMPLETE BELOW
NEW CONSTRUCTION 0 REPLACEMENT 0 AL1E.RATIONS
FURNACE MAKE AND MODEL i -{.Jr\J'\f1.. 640 WI - 3/0 A.:::1D FUEL }.. )AT (k S
FLUE SIZE RETURN OPENINGS ~ INPUT..12lo ( bTJD OUTPUT S- ~J 6-zrD _
TYPE OF SYSTEM HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special DeviCC3
o Otber Devices
HlWarm Air Plants
o Gravity
~ M~hllnlc.al
Air Conditioning
V cnt. System
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach iDto
Required Side Yard
Sotbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & MuJti-Farmly
FEE SCHEDULE
I % of job cost ResiclennaJ.. Ga" FirqlJacc
$39.50 miIlimwn .
$99.50 Residential, Addrtions & Alterations
$6450 Residentilll, AC Only
$39..50
ResidentIal. Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost .$
Building permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTALPERMITFEE ..
$
:$
$
.50
4>, "
",. ,.
..........,.-,
......, .{"
(f.'~'~ Use 9111y)
._;~S Applieation Bec:omes Your Building Pennit When Approved
Paid
Receipt No.
Building OriiciaJ
Dare
By
Da~
..
24 hour notice for aUinspectlons (951) 447~98S0, fax (95Z) 447-4145
Apr. 8, 2002 1:25PM
GENZ RVAN PLUMBING AND HEATING
No.9765 P, 28/28
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMlT
. 1
1. BIu. Fil.
;t, Gold. City
3, Yfl/I~ Appli_
I PERMIT NO. 0 ~ - 5Si
I
ZONING (office LIse)
r~:;~;;Uh~r.ftl
{---
'TiZl/({__
LEGAL DESCRIPTION (office 1l3C only)
LOTt{ BLOCK} ADDITION
PID
OWNER
(Name) Wensmann Homes
.'
(phone) 651-905-3709
(Ad~~~ 1695 Plaza Dr
Eagan, MN 55122
APPLICANT
(N~~ Genz-Ryan Plumbing & Heating
(Address) 14745 So Robert IrI
(Address)
(phone) 651-423-1144
Rosemount. MN
(City)
55068
(Zip Code)
Quantity
(Phone)
(Contact Person)
APPLICANT SIGNATURE
APPLI
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom ink)
Laundry Tray 1 or compartment sink
.Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
ASE COMPLETE BELOW
Quantity
Type oC Fixture
FEE SCHEDULE
Induslnal, Commercial & Multl-fantilY 1% of job cost Wlth a $39.50 minimum
Residential. New One & Two-Family $99,.50
Residential, Additions & Alft:tations $39,.50
Estimated Cost $
Building permit #
PLUMBll.'fG PERMIT FEE $
STATE SURCHARGE $
. TOTAL PERMIT FEE $
.:50
&'1 "CJ h
l.~- ~;, ~,j.,);~' \
'~_..- "
(OtllCt U,t Ollly)
This Applic;atiQn Becomes Y OUl" Building Permit When Approved
Building omUaJ
Dar.
/=
!\PR
G '),
v'
t Rccoq,tNo
.- -By tf/
14 hour notice for .11 httpec:tions (95.Z) 44749850, fax (.952) 4474245
Jan. 3. 2002 8:44AM
No.9593 p. b 9
GENZ RVAN PLUMBING AND HEATING
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
~~~m4:UM_~
I 1...0 C\ (""")1- 'T All
i =.. ~~. fPERMIT NO. O?-OO,c:-a 1
). (laId Appll"",' ?- ~ U
~~lL
LEGAL DESClUPTION (ofli(Zuseonly)
LOT 1-\ BLOCK \ ADDITION
. -.
ZONING (officel1$"J
PID
r OWNER
(Name) Wensmann Homes
(Address) 1895 Plaza Dr S1:e 200
(Ad~)
(phone:)
651-905-3709
Eagan, MN
(City)
55122
(Zip Code)
APPLICANT
~rom~ Genz-Ryan Plumbing & Heating
(Addres~ 14745 So Robert Trl
(Address)
(Contact Person)
-UCANT SIGNATURE
(phone) 651-423-1144
Rosemount. '''N
(City)
(phone)
DATE
55068
(Zip Cede)
LEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet_
Type of sewer pipe. 0 ABC 0 PYC D Cast Iron
Estimated length of sewer line ~ feet.
; Clean out (if required) 1~cate9 at feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35..50 Industrial, Com'l & Multi-family 1% of job cost wIth a $39.50 xn1nimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit # 02 - 005B
SEWER AM;? WATER PERMIT FEE
STATE SUR:CHARGE
TOTAL PERMIT FEE
(Office: Use Only)
Thi~ Application BeCOJJle:l Y Ou.r Building Per.mit When Approved
I,.
DlI,t'"
24 bour notice for all inspections (95Z) 447-9850, fax (952) 4474245
:Buil~ing Official
$
$
$
.50
Paid
Receipt No.
Date JAN 2 4 2002
:By
-.-~.~
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED A l-r- .
(; 7Q'FOX t7\fG TteA( L-
~.
ADDRESS 35G,3 fJJ ~ I
, ,
OWNER
PERMIT NO. 02- - CCc;s-{ ~ J $7, ~8
PHONE NO.
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
o PLUMBING FINAL
o MECH FINAL
3Jm / rru* tf1)
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
eros e
1-:/' (-C
)i!! WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
jjltV? '"")/'-0"
Inspector: V I ! T { 0 - ~ "-Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
conE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL TH & SAFETY!
""SHOT!
;--_...-
CITY OF PRIOR LAKE
INSPECTION NOTICE
OA TE TIME
ADDRESS
S~~3
SCHEDULED ,-~~
F~/< Tc,;( 1'1"1/(
CONTR. W ~1tI\
PERMIT NO. O~ - S"s
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
pt( 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 RJ
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
3s~3 (~r6 8(97' ePIC
s~"s- CIJr"6 /6!J~- 81'-
3S-G, 7 (Di6 &y, ~/'-
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON 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
L~~ ~1'v..~~I~
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 3:s"(d9 f;x -(.i.J --rr,
NATURE OF WORK JJ~w
USE OF BUILDING .31=.4-
PERMIT NO. OZ--O()58 DATE ISSUED 1- B -0'2
CONTRACTOR \Al~IM(A,v.v.. ~ PHONE &~I - c(o(P-'/lfD6
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
5 (Q 0""
~ ~o~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS B
NOTICE
This card must be posted near an electrical s!!rvic'iJ I:abinet 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