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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
3C.S0
x 'Tcu l
LEGAL DESCRIPTION (office use only)
.~~J
LOT 15 BLOCK :2.. ADDITION W~'\S.\'V\C4'll'\
OWNER
(Name)
Wef'!:"~'\V\. \-b.""e:.:,,) ..::r V\C.
12'115" Pl~C\.
s....., ..\e
(Address)
[ S~ e. ~ ~D. \ \A. t-,' \ e
Date Rec' d
:2-/5 -02-
~. ~i~~e ~:;y I PERMIT NO. ()I? -()Z33 I
3. Yellow Applicant b.
..:!~
ZONING (office use)
t€z.-
PID.:2.$ -.3SS - O~4~
(Phone! ~ I) Lt:X.,. - '-1'-100
..;2.():)
S51
BUILDER
(Name) 5e1Ne
(Contact Name)
(Address)
~ o..~v~
(Phone)
(Phone)
ODeck
TYPE OF WORK
New Construction
o Fireplace
PROJECT COST IV ALUE (excluding land) S
DAddition
o Alteration
C15 000
DUtility Connection
o Misc.
DLower Level Finish
DPorch
ORe-Roofing
ORe-Siding
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 l;.J~.~ l-bl""-<.s"
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
$
$
$
$
$
$
$
$
bO.OO
loo.t9C>
35'.50
0,00
omes Your Building Permit When Approved
2..;21 -02-.
Date
1'-158
Contractor's License No.
Park Support Fee
SAC
#
#
:;l ,I I 5 /0.:<.
Date
BSl) t tJO
I ~oo . 00
o.trJ
LtG.OD
~CJO.{) l:)
'70C).OO
$
$
$
$
$
$
$
$
$ to, (JZ9. q
Water Meter Siz
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
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.
TOTAL DUE
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
The C~nlrr or Ih~ I.akr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
w ENS fit AN N /-toMES
2 -Ic) - 02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3~50 -pOX -r7~ f ~ IlZA ll/
Accepted
Denied
/<-
Accepted With Corrections
Reviewed By:
#7l-f3
5 e,~/Ile;, ~ F,'((
Date:
2 -17-0t.
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
The ("enter of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
'\ \~ \....- f >. I.. I J\ /\) f'J f i CI f- Ie. )
APPLICATION RECEIVED
/ _. ( I.. .., (,)
, __ _ )..j t---
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
',J If r::, / ' r (X.., ,. '.1("/-\\ {' l - I. ../', "11,'\' 'I' l ./-
,_.._..l t~ " "_~ ~... .,,: r'" t.- --.-:~ _ """'......- - ....._.-~ ~
Accepted l/
Accepted With Corrections
Denied
Reviewed By: 2;}t; -<-: ~~~
Co ments:
Date:
31('L/el
"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."
-- -.-;::--.----
~.__.~.,~_~_.,.._,_______,'~~~.M"~'.._
White - Building
Canary - Engineering
Pink - Planning
The ("("nler of Iht Lakt ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WENSt1AtJrJ ttoM65
2-15- 02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3~50 P:ox '-rAI~ I72AlV'
Accepted 7<
Accepted With Corrections
Denied '4 );;? j _
Reviewed By: CJt:l?fl7 r=
Comments:
~ ~ r>1a~V\. ~ {~
Date: ~-~{-02.-
"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."
Feb,18.2002 1:31PM
GENZ RVAN PLUMB1NG AND HEAT1NG
No.4309 P, lL/14
Date Rec~ d
CITY OF PRIOR LAKE
SEWER ANDW ATER PERMIT
i.~~~. IPERMITNO./~O~j~
) GoI~ 4DP11_. . (. t7
~~~d;-:.
: ,31 .)CT / L
ZONING (offia:\Uc:)
.
T flA'J I...,
LEGAL DESCRIPTION (office u.re only)
LOT (
ADDITION
OWNER
ON~~ Wensmann Homes
(phone) 651-905-3709
(Address) 1895 Plaza Dr Ste 200
(AddreSs)
Eagan, MN 55122
(city) (Zip Cod<:)
APPLICANT
(Name)~ Ge.nz-Rvan Plumbi~s;t & l:leat;ing
(Address) 14745 So Robert Trl
(A~lffls)
(phone) 651-423-1144
UCANT SIGNATURE
Rosemount. "N
(City)
(Phone)
55068
(Zip Cock)
(Contact Person) Mar 0
DATE
APPL~CANT PLEASE CO:MPLETE 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) locate!;! at..: feet from strUcture.
Residentlal sewer and water line connection
Sewer connectioD oD1y
FEE SCHEDULE
$35.50 IlJdustrial, Com'l & Multi~family 1% of job cO$t W1th a $39.50 IDlnWum
$11,50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
S
$
.5Q r,~1:J \' 'iTI
r:UI~ D'NG .p. ~'.--, r'T
~ - I l:;.j'.iliii
(Oilb:e Use Only)
This Appli~ation BecOJne$ YoU" Building PenD it WheD Approved
Paid
Receipt No.
Date
1.Qc?
Date
Building Oftldal .
24 hour notice for all inspections (95~) 447~9850, fax (931) 447-41.43
200211:49AM GENZ RVAN PLUMBING AND HEATING No.1346 p. h 13
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDffiONING/FIREPLACE PERMIT
~: E:w E;ican. ~ PERMIT NO. 02-0 2.33 I
I~~d~~~~ ~P-k1L
LEG.I\L DESCRIPTION (otliC'l: use only)
LOT I 13LOCK Z, ADDITION
PID
(Addre:ssl 1895 Pl<Lz<L Dr Ste 200
(phone) f\" l_Qn ,,- ,7nQ
Eagan. MN 55122
OWNER
(N~e)~~mRnn HnmP'q
APPLICANT
(Name) Genz-Rva:o PJ urnbing & He?Hng
(phone) fl'il 9./-=l .1144
(AddreSS)
14745 So Rober~ Trl
(Address)
Rosemount, MN
(City)
55068
(Zip Codt:)
(Contact Pason)
(phone)
DATE
i\PPUCANT SIGNATURE
APPLICANT SE COMPLETE BELOW
I W CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL FUEL ~
FLUE SIZE RETURN OPENINGS ~ INPUT ~ OUTPUT 1'2., /60
TYPE OF SYSTEM HEATING OR POWER PLANT
raW ann AU' Plants 0 StellItl
LjGn<vity 0 licit Water
o Mechanical 0 Radiation
lJaAir Conditioning 0 Special Dcvic:cs
OVcnt System 0 .other Dc:vices .
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & MultI-Family
FEESCBEDULE
1 % of Job c;;ost Residmtial, Gas Fireplace
.$39.50 minim1.lm
$99 50 Residep,ttal, Additions & Alterations
$6450 Residtmti.al, AC Only
$3950
ReSIdential, Hc::at1ng & NC (New ConstrUction)
Rcsidcntial, Heating Only (New Consiruc:tion)
$39.50
$39.50
HEATING PERMIT fEE $
STATE SURCHARGE $
TOTAL PERMIT FEE.' $
oz~oz33
,. 0 \N\1\-\
_ .. p~\ PERlJ\\l
.5. .~~~~_. -/-
Estimat~d Cost $ Building Permit #
(C'''''' -~ iJ.,c Qnly)
'_,.J's Application Becomes .Your Building :permit When Approved
Paid
Receipt No,
DateAPR 23 LJ:;/
By
.Building official
pat1=.
1.4 hour notice for all tnspections (952) 447-9850; r.x (957.) 447-4245.
Apr.LL. 2DU2 11:49AM
GENZ RVAN PLUMBING AND HEATING
No.1346 p. I 13
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
1 BluR Fila
7, GQld City
J . Yon"", AppliGOnl
jPERMITNO.OZ-0233 I
~
ZONING (offi,~usc)
r;;;--~~ ~
LEGAL DESCRIPTION (office use only)
LO'!' BLOCK Z ADDITION
PID
OWNER
(Name) Wensmann Homes
(phone) 651-905-3709
(Address) 1895 Plaza Dr
Eagan. MN
55122
APPLICANT
(Nam~) Genz-Ryan Plumbing & Heat.ins;
(Address) _14745 So Robert. Trl
(Address)
(phone) 651-423-1144
Rosemount, MN
(City)
55068
(Zip Code)
(Contact Person)
Mar
(Phone)
}\PPLICANT SIGNATURE DATE
Quantity Type of Fixture Quantity Type of Fixture
'2. Bath Tub with or without shower , R.ough-ins
, Dishwasher 1 Water Heater -
, Floor Drain - ~ 11 Water Softner
&.( Lavatory (Bathroom Sink) ~, Stand Pipe (Washing Machine)
T Laundry Tray (1 or 2 compartment sink Sewage Ejector
, Shower Stall 13ackflow Assembly
_--1..- Sinks Ba.ckflow Assexnbly Test
Bar Sink Lawn Sprinkler
.1) Water Closet (Toilet) Other
FEE SCHEDULE
Industnal, Commercjal & MultJAamdy I % of job cost Wlth a $39.50 minimum R~jdentlal, New One & Two-Faml1y $9950
Residential, Additions & Alt~tions $39.50
PLUlVIBING PERL\.fiT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
()Z-OZ~3
: .. iO 'i\A\t\~
; . fYKG PEhM\l'
.~U)lUJ~~-
;... .
Estimated Cost $
Buildmg peuuit #
DQte
Da.te AjJR 2. 3
(Offict Use Only)
This Application Becomes Your Building Permit When Approved Paid
ltl.\jlding Offidal
24 hQ.ur notiCE for llll inspections (952) 447-9850, fax (952) 4474245
Apr .22. 2002 11 :49AM
GENZ RVAN PLUMBING AND HEATING
No.1346 P, 51:j
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
1. Gr_ Fil. I PEn~4'FI'" NO ]
2,rello)'" Cllt. AlT'u.I.. a()? ~ AZ 2'2
3. u..Jd AppK....' (.,. U .::>.:::J
(plase ~eor;:t illUlsign ~tbot/X)m
[ADDRESS ..
- ~ . . ~
ZONING (otfu;c: use)
LEGAL DESCRIPTION (offl,ce use: onlY)
LOT
ADDITION
Pro
(Address) 1895 Plaza Dr See 200
(Ad~s)
(phone)
Eag<lU, MN
(City)
651-905-3709
OWNER
(Name) We.nsmann Homes
55122
(Zip Calk)
APPLICANT
(Name:) Genz-Ryan Plumbing & Hea~ing
(phone) 651-423-).144
(Address) 14745 So RQl;>eTt Trl
(Address)
RQQ~1JlOllnt:. ~'N
(City)
55068
(Zip Co~)
(Contact Person) Mar.y Ql::rh~CL (phone)
-UCANTSIGNAT(JJll1~ DATE
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
Estimateo length of sewer line __ feet.
Clean~ out (if required) locateq at .~ feet from structure.
Estimated Cost $
FEE SCHEDULE
$3550 Industrial, Com'! & Multi-faIntly 1% of job cost WJt:h a $39.50 minimum
$17.50 Waterconneaiononly $17_50 .
8uilding pen:nit # () 1.- ~ 0 z33
ReSidential sewer and water line connection
Sewer connel::tion only
Ii"" PAlO WrrHJJ(l"r
. .iu~U)\NG pEP,..J
\.
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PEBMIT FEE
$
$
$
(Office: Use Only)
This Application Become' Your Building Pe:noit When Approved
Paid
Receipt No.,
1
. Date
By
Date
Build11lg Official
.
24 ho~r OQticc for all inspections (952) 447~98S0, fax (952) 447-4245
05/24/02 10:42 FAX 6123150702
.
AUTOMATIC GARAGE FRIDLEY
~UUJ
Date Rec'd
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGfFIREPLACE PERMIT
.
~~ ~:~ I PERMIT NO. 'i ~ ") 331
J. Yellow "Pllli- . '4]L 0--. - .
l ~~-;;~~~="-~
3lno l.- -r
ZONING (officc usc)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDmON
PID
OWNER. \ , \-. .
(Name) w~ UA: ~~ t-\VK~
\
(Address) I G ""D2. t1 0
I
APPLICtW'lT ~ _ _.... . , ~ -1 ~
(NameL "~'ut'1)O..ll'\"11r _lb~~ l.owl..- ,.-.- (phone) I IP~ 3\ 9- ,6nC::>
(Address):1"2JO \I)~bt-{I~ ~'cf..- ~ ~\L.LAIN ?AfLIL- 6S~
;. (Address) (City) (Zip Code)
r
b,~A- (Phone) 1~3- ~)~=t 6""bC)
DATE '5 J2-'-iUYL
(phone) g'SZ~{)-qIIJ
f\-i~ 5'? JZ-'Z-
(Contact Person)
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
o REPLACEMENT
o AL TERA nONS
~UEL
, OUTPUT
EW CONSTRUCTION
FURNACE MAKE AND MODEL
FLUE SIZE REl1JRN OPENINGS
TYPE OF SYSTEM
.. OWann Air Plants
OGnvity
o Mechanical
OAir Conditioning
OVent. System
FIREPLACE MAKE AND MODEL U 1\::rL~-nc.
Industrial. Commercial & Multi-Family
Residential. Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost S
INPUT
HEATING OR POWER PLANT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
o Stcam
o Hot Water
o Radiation
o Special Dcvices
o Other Devices
3WCb63~
FEE SCHEDULE
I % of job cost Residential, Oil! Fireplace
539.50 minimum
$99.50 Residential, Additions & Altentions
$64.50 Residential, AC Only
$39.50
539.50
$39.50
Building Permit #
S
$
S
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
.Slt'
PAID \^!iT1 ~
'BUILD:NG PC:
. ., ~
(Officc Un Only)
This Application Becomes Your Building Permit When Approved
Pai
Receipt No_
Building Officl.1
O.te
Date () r I if"..7---
14 hour notice for .11 inspections (951) 447-9850, fill (951) 447-4145
( '::::>e~ ~ 1144.,,""- -1-, l.~
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 3thY) Fox l~jJ I;a( I
NATURE OF WORK Alec..]
USE OF BUILDING <0::; F 11
PERMIT NO. 02 - OZ3'S DATE ISSUED ;).-2/,,02-
CONTRACTOR WeA.~IMa.,^,^ ~"7 PHONE t;5"/-~-qq~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE
I 3)~:7-/o~
I FOOTING
INSPECTOR
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 B
I
FINALS
GRADING (Prior to Sodding)
BUILDINGT~ ~ 8'-(-05 etJ ,\-
ELECTRICAL
PLUMBING
HEATING
DO NOT
(0 'c)1, l?Z-
t I--t:>-tn-
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrica( 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