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U,?{ LI ~q\ '17> T(:;c.('l 'r (p<.c , LEGAL DESCRIPTION (office use only) LOT..25 BLOCK ..:2 t~ PID ...25 - .:3.85 - Q..25- 0 ADDITION W ~c,,(\(\ OWNER (Name) 1 .,f;'\.c , (Phone) ~'S'{) We.~~tV\ ~'V\e S (Address) Pl~ E.CJ. .;(\ IYlN << -Ie ~ / <t,q S BUILDER (N ame) .Sc..W'P (Contact Name) (Address) (Phone) (Phone) ZONING (office use) JeL 40C ^- 4t.fCXJ o Deck OPorch ORe^Roofing ORe-Siding TYPE OF WORK pNew Construction o Lower Level Finish o Fireplace OAddition OAlteration o Misc. PROJECT COST IV ALUE (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 # # tb 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 5/8"; 1"; Pressure Reducer Sewer/Water Connection Fee Water Tower Fee / eX!) . t.9 C) !tJO . (!)tJ 3") . ':;-0 O.~ Builder's Deposit Other TOTAL DUE .;l~/Oc:< Date $ $ $ $ $ $ $ $ $7 ecomes Your Building Permit When Approved I Paid Date ;; -FOCf ;:--. 1 '6- 1~~c1 J-o -O-L- Date 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 ~_P~'=-'ID>C""fi~O/:;=-"d'_~"~~~::C;;'~ Pl~ng Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake. MN 55372 ._ .._.~ . _._ - . ._..._u .__ ." " CITY OF PRIOR LAKE HEA TING/AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'd (Please l:YPe or .,riut and sillD at botll:m:l) [ ADDaE55 3eaQ, ~ -r~ ~: ~ ~~kul I ,PERMIT NOf)Z--02~4-1 J I ZONING ('.... "'" I LEGAL DESCRIPTION (oftlce use only) LOT BLOCK ADDITION PID O~ER . (Name) (.J~ ~ ~ tk.. ~ (phone) ts7 -i/O(p ...y~ I /?1~ S37dd. APPLI (Name (Contact Person) .:t< I~\ -:=:; . W . APPLICANT SIGNATURE ?t:u..:;:; l//JT. ....l\,jVrna;~ APPLICANT PLEASE COMPLETE BELOW ~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE A~D MODEL IjUEL FLUE SIZE RElURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PUNT I '. OWann Air Plants OGl'2vity o Mech.aniclll OAir Conditioning OVenL System o Sle:un o Hoc Wlter 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, Comme(l;ial &. Multi-Family FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace 139.50 minimum 199.50 Residential, Additions &: Alterations S64.50 ResidentiaJ. AC Only 139.50 Residential, Haring &: AlC (New Construction) Residential, Heating Only (New Constnlcfion) (omu Use Only) HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE ~ ~sfl $/ ,/ Estimated Cost $ Building Permit # This Application Become! Your Building Permit When Approved Paid Date nullding Omdllll Dice 24 haur notice for lIll iDJpections (952) 447-9850, fu (952) 447-424S i':00~ X31GIHd 3~VHV~ JI~VKO~nV i':OLOS1Ci':19 XVd 6C:11 i':0/0i':/11 Mar, 1, 2002 1 0 : 08 AM" GENZ RVAN PLUMBING AND HEATING No,5554 P, 5/5 Date Rce'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT ~. ~ ~~~~. I PERMIT NO.02 --0. -7 ffl J. l3<>Jd Appb.....,t ,?- ~l-i~cd~tib~. ) I ADDRESS .. \ FO~ ',.Pr/ L -;~J ~. I ZONING,..... -J 1 LEGAL DE$.QR.IPTION (o1Dce use only) LOT 263LOCK I ADDITION Pro OWNER (Name) Wensltl..;I..un Homes (Phone) 651-905-3709 (Address) 1895 Plaza Dr Ste 200 (Ad4ress) E.;I..gan. MN (City) 55122 (Zip CocL:) APPUCANT (Nwn~ Genz-Rvan Plumbi~~ & Heating (AdJ:b:ess) 14745 So Robert Trl (AddI"e:ls) (Phone) 651-423-1144 (Contact Person) Ma Rosemount 0 '''N (City) (phone) 55068 (Zip Code) DATE APPLICANT PLEASE 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. . : Clean out. (if required) l.ocated at feet from structure. Resldential sewer and wawr line connection Sewer connection only FEE SCHEDULE $3.5.50 Indu:mia~ Com'l &. Multi-family 1% of job cost Wtth a $39.50 minimum $17.50 Water connection only $17..50 50 . ;f)~jj 13(.. ) ~u;jt&~ Estimated Cost $ Building Permit # SEWER AND WATER PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ (Office Uu Only) Date J. This Application B~omes Your Building Per.mit When Approved Building Orod;d 24 ho~,. nonc:.. for alllnspertlons (951) 441-9850, fax (9S2) 447-424S May,13,2002 3:45PM GENZ RVAN PLUMBING AND HEATING No,387U P, 11/13 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT .1 1 BI1II> Pil. ;2, GoI~ CilY' J, Y"lIow App'licant I PERMIT NO. ~-;) tj,-/ I", I ZONING (ofliccl.lse) I ~~~lmd~;;A I L :1R.A I ~ LEGAL DESCRIPTION (officI: USI: only) LOT ~LOCK ADDITION PID OWNER (Name) Wensmann Homes (phone) 65;L-905-3709 (Address) 1895 Plaza Dr Eagan. MN 55122 APPLICANT (Name) .Genz-Ryan Plumbing & Heating (phone) 651-423-1144 (Address) 14745 So Robert Td (Address) Rosemount. MN (City) 55068 (Zip Code) APPLICANT SIGNATURE DATE (Contact Person) (phone) I Quantity Type of Fixture Quantity Type of Fixture I , Bath Tub with or without shower .3 Rough-ins \ Dishwasher f .. Water Heater I Floor Drain ~II Water Softoer 2 Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine) I Laundry Tray (l or 2 compartment sink Sewage Ejector \ Shower Stall Backilow Assembly t Sinks , Backflow Assembly Test . ,. Ba:i'Sink " ,- . Lawn Sprinkler " . - ,,' 1 Water Closet (Toilet) Other T PLEASE COMPLETE BELOW FEE SCHEDULE ~, Industrial, CommercIal & MuItI~famH:y 1 % of job cost with a, $39.50 minimum Residential, New One & Two.Famtly $9950 Residential, Additions & Alterations $3950 Esnmated Cost $ BuIlding Permit # PLUMBlNG PERJ\lIIT FEE $ STATE SURCHARGE $ TOTAL PERlWT FEE $ , II'- .50 r;.5 il') , .... >._ I ~ ",.,.. '_____ ~.:~..i /' !:"~ r': .1 ,'1 ~ ........ I ", ~ -, (Office Use Only) This Applil;:atiou Becomes Your Bu.ildiDg permit When Approved Paid Receipt No. Date 20 ' By lllli/dj/l'g Omcl:olJ D"t~ 24 hour notice fl}l:' aU inspection!; (95~) 447-9850, fax (952) 447-4245' May,13, 2002 3:45PM GENZ RVAN PLUMBING AND HEATING No,387o CITY OF PRIOR LAKE HEATING/AIR CONDITIONlNGIFIREPLACE PERMIT P,11/13 Date Rec'd 'rf.ZAIL- ~'~ Sioont tPERMITNO. .,~ -d<,tJL) I . ZONING'__J I ~r;md~~:SlIL- LEGAL DESCRIPTION (office use o~) LOT ~LOCK ADDITION PID OWNER (Name) W.,nc:mRfln HomeI':. (phone) F.l\1-905-17nQ (Address) 1895 Plaza. Dr Ste ZOO Eagan, MN 55122 i\PPLICANT eNameL Cenz-Rvan Flpmh1ng & Heat:i.n~ (Address) 14745 So Robert Trl (A~:!$) (phonc:) 6 '51-"21 ] 144 (City) 55068 (Zip Code:) Rosemount, MN (Contact Person) (phone) PLEASE CO:MPLETE BELOW I W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MA:KEAND MODEL J-L,nY"\O) (;t.io u Ii -~A...10 FUEL tJA.r. (-o.~ FLUE SIZE RETURN OPENINGS Ll INPUT LtJls, I 01JD OUTPUT 55, (JIr1::) TYPE OF SYSTEM HEATING OR POWER PLANT B'\Varro AIr Plants o Gf3.vity o Mechanioli ~r Conditioning (Jvel;\t. System. . o Steam o Hot Water o Radiation o Special !?evlces o .other Devices PLEASE NOTE: Air Conclitioncr Units Cannot Encroil.ch into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL InduSU:i;il, CommercIal & Mult1~family FEE SCHEDULE 1 % of Job co.:!! Residential, qas ;Fireplace S39.50 minimum $99.50 Rcsidcmtial, Additions &; Altenuion:l $64.50 RcsidClltial, AC'Only $39.50 Residential, Heating & AlC (N~ ConstrUctlon) Residential, H~ting Only (New ConstrUction) $39.50 $3950 Estimated Cost $ . Building peunit # HEATING PERMIT FEE $ STATE SURCHARGE' $ TOTAL PERMIT FEE $ (f'~ '~ U,c .Qnly) . r<"~JiS Application Becomes Your Building Permit When Approved Paid ,50 ,.".--- .. I',. ~~~O '"".,.., Receipt No. Date 'i(~ Date Bwlding Otticial 24 hournoticB for: all-inspection! (9Sl) 447-.9850, fu (952)4474245 II"P!IB^ aq lOU IIB4s UO!l::>!ps!lnf a4l JO sa::>uBU!pJO Ja4l0 olO apoo S!41 !O SUO!s!^oJd S41 ISOUBO olO SIBIO!^ Ol ^IP04InB s^!6 Ol 6u!wnssold Sl!WJSd .uO!P!pspnf a4l JO aOUBU!pJO Ja4l0 ^UB JO JO apo::> S!4l JO SUO!s!^oJd a4l JO AUB !O UO!lBIO!^ ^UB '!O IB^OJddB UB JO 'JO! l!wJad B aq Ol panJlSuo::> aq lOU IIB4s SUO!lBlndwo::> pUB SUO!lB::>!J!::>ads 'SUBld JO IB^OJddB JO l!WJad B JO 6U!lUBJ6 JO a::>UBnSS! a 4.1.. II -ZOl/77/E :alBO ~2h'~ :A8 paMa!^al:l pa!uao SUO!paJJOO 4l!M palda::>::>V' ~ palda::>::>V' '[ 1 \, -/" '-', .; :lB pasodoJd S! 4::>!4M ^l!^!PB UO!pnJlSuo::> JOJ UO!lB::>!IddB l!WJad 6u!pl!nq a4l paMa!^aJ a^B4 SlUaWlJBdao 6U!UUBld pUB '6u!laaU!6u3 '6u!PI!n8 a4.1.. 7 ./ ........-> .. 03AI3038 NOI.1..\fOlldd\f .1..N\fOllddV' ::!O 3LN\fN t ~, '\ I \, ,.j J.SI1)t~3H~ J.N3WJ.~"d3a NOIJ."~l1dd" J.IW~3d ~Nla'ln8 6uluueld - >juld 6U!J88U!6u3 - ,{jeueo 6Ulpl!"a - 81!4M ,(,alunO,) "'1.'1 ...u JO J.JIU,).) .1IU. 02..- 02-4'1 White - Building Canary - Engineering Pink - Planning The Cf'nler of the Lake ('ounlr)" BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 'Iv ~ ~ I\J/: I'v I f\ t\J ~ 2-2 Y) - (J 2-, APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3(( 0 I r-(J X -1-l-\! L- J k-f\ I L- Accepted >< Accepted With Corrections Denied Reviewed By: M'J3 Date: 3 -,-O~ Comments: See Reverse Side for Additional Information! 1YIe,,'fI F,"c. See Attachments: 1) Grading Plan, 2) Erosion Control Measures 3) Erosion Control Plan .. "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 ~r of any other ordinance of the jurisdiction. Permits oresuming to give authority to violate or cancel the provisions of this code or other lances of the jurisdiction shall not be valid." White - Building Canary - Engineering Pink - Planning ThE" Cf'nln nf Ihe Lake ('ounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED W f,;NSM AN tJ 2- Z6-oz- Date: "3 -8,. C) 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." PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS 3(, q I - ~ '\6.\t l~ ' NATURE OF WORK -1J e.u.J USE OF BUILDING S~A- PERMIT NO. ~-O,}J'if!=_ DATE ISSUED "3 - 8- ()L CONTRACTOR ~t ~e";. PHONE cP5/- 'IO(,-qtjo(J NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT FOOTING FOUNDATION (Prior to Backfill) PLACE NO CONCRETE UNTIL ABOV ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE 10 0 v GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BE I FINALS GRADING (Prior to Soddin ) /d. z,)" I BUILDING - 2z.- ELECTRICAL PLUMBING J I -I c..- HEATING / / - "2- 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 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