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CITY OF PRIOR LAKE BUILDING PERMIT, Date Kec'J
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
2~/5-()L
I. White File I PERMIT NO I
2. Pink City . O'? ..- 0 73 c:::-
3. Yellow Applicant . t-- ~ V .
ZONING (office use)
R.2--
LEGAL DESCRIPTION (office use only)
LOT 15 BLOCK;l. ADDITION W eJ\.~-(\^-
;;2...d
MJ
PID.25 - 385 -6S~-o
(Phone) ~S I) 4CJC. '/<{6(J
OWNER
(N ame) W e~/\...S..'V\.C\.r'\ (\
H:>t~ , .TJ"C..
.0, ~.re .S..u \e
.;lOC>
(Address)
BUILDER
(Name) ~
(Contact Name)
(Address)
C\S
a.-bJ~--€
(Phone)
(Phone)
TYPE OF WORK
~New Construction
OLower Level Finish
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace
o Addition
o Alteration
PROJECT COST IV ALUE (excluding land) $ qs.f X;["J
OUtility Connection
o Misc.
,
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.
4Sg
x
#
#
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
#
#
$
$
$
$
$
$
$
$
00..00
rro .c>O
35 .50
0.00
Water Meter Si 5/ ;1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
s Your Building Permit When Approved
2-2/-02-
Date
;2/tS/ca.
'Date
$
$
$
$
$
$
$
$
$ ttJ 02- 9 .14-
1
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 sign by the ity Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
"w,d 5/0-1(31- ~ AW-~)....J ~~
Date ~~al Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
Tht Ctntt< of tht tokt Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
y\J ~V} Pi tJ IV r{OfVlb S
7 -I 5 - 02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3li; 54-Fox lA' ~ ~
Accepted K Accepted With Corrections
Denied
Comments:
/J1'},3
5 -C L /Ylr,/~ Fi '( <-
Date:
2 -cP? -oc.
Reviewed By:
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."
White - Building
Canary - Engineering
Pink - Planning
The Cenler or the take Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\ \i \'.,.'. -' It J /), {'-" i.) r I <. 1 V f C.~ --1
? j /' , )
...-..,; , , t--.
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
___,...-) I I..
,__, I .j k- t. l' )(
, .
, t' \ l
~ ' \ 1
l/
I I. I
{.---'-
Accepted
l/
Accepted With Corrections
Denied
Reviewed By: ~........... ~~
Com ents:
Date: ..:s ;[Z!lJ 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
The Ct'ntt"r of the Like Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
\[\J~1AtJf\J /jOMbS
'2 -/5-02-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3Gs4- Fox -rAl~ ~
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~~ k
Comments:
~ fL M~:v\ ~'Le
Date: d<--'2{-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."
Feb,18,2002 1:31PM
GENZ RVAN PLUMB1NG AND HEATING
No.4309 ~. 14/14
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND'W ATER PERMIT
~;~~~~~:
IWPlUSS J . "- "( I L.-
~: tf ;:;ir.vrt I PERMIT NO. (!)~- 0 d 3f
ZONING (o/fiCl:use)
L~A I L:-
LEGAL DESCRIPTION (office 1i.se only)
LOT 3BLOCK 2. ADDITION
Pro d 5-
-0
OWNER
(Name) We.nsmann Homes
(phone)
651-905-3709
(Address) ~ ~895 Plaza Dr Ste 200
(Address)
Eagan, MN
(City)
55122
(Zip Code)
APPLICANT
(Name) Genz,-Rvan Plulllb:i~g &: Heating
(phone) 651-423-1144
(ConmctPe~o~ Mar 01
Rosemount. .~
(Gty)
(Phone)
PATE
?5968
(Zip Code)
(Address) 14745 So Robert Trl
(Add:I'e~s)
'TJCANT SIGNATURE
.APPLICANT PLEASE COMPLETE BELOW
Size of water senrice __ inches,
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimatec1 length of sewer line feet.
: Clean out. (if required) lClcateo. at feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$3550 Industrial, Com'J & Multi4amilY 1% of job cost with a $39.50 mwimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WA1ERPERMIT FEE
STATE SURCHARGE
TOTAL PE:RMIT FEE
$
$
$
.50
rAID I"
[', ,,' . "J'''''''.1
:, ",.~;_O'1<\!r\ ;;, .' :~1
" . -.::J P ~ ", ,n.....
" >./ ,
(Office Use Only)
This Application Bec.ome15 Y 011.. BujJdiug Permit When App..oved
Paid
Receipt No.
:Oat.:
/
Buildilllf Offkial
24 hour notice for all in,pectiol;ls (9!2) 447~9850, fax 952) oW74245
Apr.22. 2002 11:51AM
GENZ RVAN PLUM81NG AND HEATING
No. 1 3 4 6 p. 11 1 ~1
Date Rec> d
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
I ~~;rs~;~S'~ f:;;\L~
I Oro... File [ p~A'P'f" NO I
~. t.llow cltt. ~T.ll.1. .. ()2-0'J 2 c:
3.0.>101 ApI'II- o. ~..
TJl~ ] [ZO~G(_~I I
LEGAL DESCRIPTION (office: U~ only)
LOT l BLOCK'}" ADDITION
P;rP
(Address) 1895 Plaza Dr Ste 200
(Address)
(Phone)
Eagan.. MN
(City)
651-905-3709
OWNER
(Name) Wensmann Homes
55122
(Zip Code:)
APPLICANT
(Name) Genz-RV<;ln Plumbing & Heat:1nJ;!;
(phone) 6S 1~423-1144
ASE 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) locateli at ---:....-- feet from structure.
Rosem9un~ , ~<N
(City)
(Phone)
OATE
55068
(Zip Cod.<:)
(Address) 14745 So Robert Trl
(Addte:ss)
UC.i\NT SIGNATURE
02-
(Contact Person) Mar 01
ReSIdentIal sewer and water line connection
Sewer cODnection only
FEE SCBEDULE
$35.50 Industrial, Com'l & Multi-fiunlly
$17..50 Wa.ter connection only
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
Dsk
pate APR 2 3
By
(Office Use Only)
, This Application Bec:omes Y ollr :Building Permit When Approved Paid
J'luildiJlg Official
,
24 hour notice for aU inspections (952) 447~9S50, fu (952) 4J7-42.d.5
Apr .'22.
~R/O
~~~
200'211:51AM GENZ RVAN PLUMB1NG AND HEATING No.1346
CITY OF pRIOR LAKE
HEATING/AIRCONDnnONING~mEPLACEPERNUT
p. 1 'i I ~j
Date Rec'd
.t :'~ \~)~,\:;.:: ~
1. Pink
2. an-
). Y$U_
~~ ~ PERMIT NO-() "? _ 0" '2 ,-I
APl'iI....., . t:- L-JO
I ~~s~;-:\~=~
3 t1b. ~-r8tl-
~
ZONING (office\15C:)
LEGAL DESCRll'TION (officco use only)
LOT\3 BLOCK: Z ADDITION
PlD
OWNER
(Name) :W~"sm::l"" Hnmp"1.
~hon~ 651-905 3709
(Address) 1895 Plaza Dr Ste 200
Eagan, MN
55122
APPUCANT
(Nmn~ Genz-Rvan Plu~b;ng & Heatini
(phone) hS 1_6.11-116.4
(Address)
14745 So Robert Trl
(AdclIess)
Rosemount., ~
(City)
55068
(Zip Code)
APPLIC ASE COMPLETE BELOW
EW CONSTRUCTION 0 ~PLACEMENT 0 ALT.EM nONS
FURNACE MAKE AND MODEL -L'~ GL/OUH-3fDR>- 90 F1IEL~M Gas
FLUESlZE RETURN opENINGS -? INPUT ~ ourrU'I~,JlJO '
TYPE OF SySTEM HEATING OR POWER pLANT
~arm AIr Plants 0 Steam PLEASE NOTE:
o Gravity 0 Hot Watr.r Air Conditioner Units
i:eChBnlCal 0 RadIation Cannot Encroach ioto
-r Cc;mditiooing 0 Special Devices Required Side Yard
o rot System 0 .Othr;r Devjces _ Setbacks
(Phone)
(Contact Person)
APPLICA.N1' SIGNATURE
FIREPLACE MAKE AND MODEL
Residentlal, Heatmg &. Ale (New Consuuction)
Rc:lidcntial, Heating Only (New ConstrUction)
FEE SCHEDULE
1 % of Job cost Residential, GIIS Fireplace
$39.50 minimum
$99.50 Rl::SidQ"ltial, Additions &. Alterations
$64_50 ResidE:Dtial, AC Only
$3950
Industnal, Commercial & lVlulti-Family
$3950
$39.50
flEA TING PERWT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE" $
02-0235
~~\~~ F
\::>
Estimated Cost $ Building Permit # ~
. Da~
(('~,o 1.J,~ ,QJ:\IY)
,..is Application Becomes Your Building Permit When Approved Paid
Building Ot1icial
24 bOQr notice for all in.:lpectioml (952) 447-:-9850, fa): (952) 447-4245
Apr .22. 2002 11 :51AM
GENZ RVAN PLUMBING AND HEATING
No.1346 p. 1:j I:j
Date Rec'd
CITY OF PJUOR LAKE PLUlVIBING PERMIT
\"..~;~\::;,;\I'"
1. Blue I'lle
2. GOld City
3 Yollo... AppJio>n1
I PER1VfiT NO. 02-0 2--351
j
ZONING (otfu:e 1l$e)
I ~~~r:.1"1tlL Ta.AtL
LEGAL DESCRI.P110N (office use only)
LOT ( B"LOCtl- ADDmON
PID
OWNER
(~ame) Wensmann Homes
(phone) ~51-905-3709
(Address) 1895 Plaza Dr
Eagan. MN
55122
APPLICA.N'T
(Name) Genz-Ryan Plumbing & Heating
(phone) 6S 1~4Z3-1144
(A ddrt::ss) 14745 So Robert rrl
(Address)
Rosemo\lnt. }1N
(City)
55068
(Zip Code)
(Contact Person)
Mar
(Phone.)
51-423-1 44
2,
APPUCANT SIGNATURE
DATE
Quantity Type of Fixture Quantity Type of Fixture
8'Z- Bath Tub with or without shower ~ Rough-ins
, Dishwasher ' , .. Water Heater -
"'
I Floor Drain kif Water Softner
ioI lavatory (Bathroom Sink) f Stand Pipe (Washing Machine)
, Laundry Tray (lor 2 coropar1ment sink Sewage Ejector
I Shower Stall Backtlow Assembly
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
& ..~ Water Closet (Toilet) Other
E COMPLETE BELOW
FEESCBEDULE
Indusmal, Comrncrc,aJ & Mult1~family 1 % of job cost w,tb l!- $3950 minimum
Estimated Cost $
Re:ndcntlBl, Nc::w One & Two-FaD111y $99-50
Residential, Additions & Alterations $39.50
Building Permit # 0 Z ..,,' 0235
~'~ ~~\O ~~~"^\\
~U\\.O\~
~.
$
$
$
PLUMBING PERMIT FEE
STATE SURCHARGE
ToTAL PERMIT FEE
Date
(Dnke Use Only)
This Application Becomes Your Building Permit When Approved paid
:Bl,lildillg Official
24 bo.ur notice for all inspections (95Z) 447-9850, fax. (952) 447-4245
.
Date Ree' d
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONINGIFIREPLACE PERMIT
(Plcasc typc or print and siKD at botmm)
I ADDRESS .
3tD54 F~ -r~
l;::"~;' I PERMIT NO.. 03~1
3. V.II_ API'II....1 . -;;(--
ZONING (olflcc use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDmON
PlD
APPLI~ . .
(Nam'Uv"'~.....L.c.., r-.nAL"\fY tD-A..+ P.? (phone) Ju3-31S-7S00
(Address)g;)\O W~~.Q..ue, U. .a/l~~ 5S"ZfYS-
I:. .. ~s) I ~ (City) (Zip Code)
(Contact Person) J<r\ s. )...1., . (Phone) 315-7 Slto
APPLICANT SIGNATURE DATE ~/~7 Jo~
APPLICANT PLEASE COMPLETE BELOW
OWNER.
(Name) l..J. O/J11 ~.n~
(Address) S
~O./) ~.
,
-# :JOO
EW CONSTRUCTION
FURNACE MAKE AND MODEL
FLUE SIZE RE11JRN OPENINGS
TYPE OF SYSTEM
OWann Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
FIREPLACE MAKE AND MODEL
(phone) &-~/~ ~O(P~'-I'-IOO
rnn 551~~
o REPLACEMENT
o ALTERA nONS
JtuEL
I
. OUTPUT
INPUT
HEAnNGORPO~R~
o Steam
o Hot Wau:r
o Radildlon
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side yard
Setbacks
FEE SCHEDULE
I % of job cost Residential, Gas Fircplace:
S39.~0 minimum
$99.50 Residential, Additions IlL Alterations
564.50 Residential. AC Only
Industrial. Commercial &. Multi-Family
Rcsidential, Heating IlL AlC (New ConstrUction)
Residential, Heating Only (New Construction)
Estimated Cost S
S39.~O
$39.50
$39.50
Building Permit #
r
$
$
S
}~., ~!'~
/!!:r I" ' . .
. "., '.. ','-.'
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Pai
Receipt No.
Date v N 1 20U? By
Bulldlnl omd_l
D_II
14 hour notice for alllupecttons (951) 447-9850, fax (951) 447-'1145
ZOLOS1~Z19 XVd Sl:Ol ZO/LZ/90
ZOO~
XH'GIHd H~VHV~ 6I~VWOLnV
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS <J&'~ f;x '""l:,'.A. T~
NATURE OF WORK AJet.J
USE OF BUILDING C)F A
PERMIT NO. 02,-0 ~3.5" DATE ISSUED ;;;;.. _~/-20o?
CONTRACTOR \.U~~W\A ~c:;. PHONE 65'1- Y~-V~tJC)
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
t-::>ee. ~ 1V\a. \ V\ 1"ll ~ ---'
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
I FOOTING I ~. ! 3!..d.?/O;;-
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - I S
SEWER I WATER I SEPTIC
FRAMING t...L-,
INSULATION
ELECTRICAL
PLUMBING '^
HEATING (if required) \ \
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS B
I
FINALS
~ '-(1 ~C L-
c;/lr~G7--
o~
A~
EN SIGNED
I
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections hC!ve heen 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