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Uate Rec r d
3 - /4-02-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I ~~;:'Wd'i::ttom)
1. White File I PERMIT NO
2. Pink City .O? /0'77 I
3. Yellow Applicant . _ V V
LEGAL DESCRIPTION (office use only)
'Tal.l
',{c<..l
LOT ~ BLOCK;2.. ADDITION LJe.~tvIo"M
OWNER
(Name) W~~
I-bn--es .J't'-c,
I
(Address)
PID~ -
ZONING (office use)
~2-
,- - 041 -0
(PhOne~ S') 4()(;;, - '-/406
& Gtt\(V\ ~ SS
~co
BUILDER
(Name) ~ VV\P
(Contact Name) -Pa.J
(Address)
a.:::. above
~ 3arJ. ('t<;~) 4'-/0 - 4587 o~~c..e
(Phone)
(Phone)
TYPE OF WORK
ORe-Siding
o Misc.
o Lower Level Finish
ew tonstruction
DDeck
OPorch
ORe-Roofing
o Fireplace
DAddition
DAlteration
9$ 000
DUtility Connection
PROJECT COST IV ALUE (excluding land) $
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 WeV\S \ tb~.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
$
$
$
$
$
$
$
$
()O . C)C)
/Od.OO
35 .5"6
f.{o . C>o
our Building Permit When Approved
Sr~O rCf2-
Date
$
$
$
$
$
$
$
$
$(;, OZCf.q
(/~~. 1~1 ReceiPtNo.~yO~~
,- -) By If
Park Support Fee
SAC
Water Meter
Siz
/8', I";
#
#
#
#
3/1'1 )Q;:l,
Date
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
I Paid
Date
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
~ e City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
Issued ~ ~ ~
. ~~ 5/2;/02- ~ q ~~
Plan~g 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
Thr Crnlt' nr Ihr l..kr Counlry
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
d#7~M~
3-/4--02-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at-=-r
:3732- rrrj{ IW ~
X
"
Accepted
Accepted With Corrections
Denied
Reviewed By:
tv19-/3
.s <: c /YIc, (),.., Ft' ( (
Date: 3 - 22.. -o.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."
White - Building
Canary - Engineering
Pink - Planning
The ('tnlt'r or Ihe tlke Count".,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
#Mt~
3-/4---02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3732- r~ (iLl ~
Accepted ~
Accepted With Corrections
Denied ~ A
Reviewed BL4~ <./r
Comments:
Date:
'5- 2o-C2-
~~
~D~
-
"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."
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Apr. 2. 2002 2:01PM
GENZ RVAN PLUMBING AND HEATING
No.9050 p. 19/20
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
N.1R _ 2 2D02
I
'. ~
~ ~ ~__ " ~~RMIT NO. 'aJ, - d- 7 if.
~=, on< r.........".."mJ
ADD~S~~1-- .
f0x-rB/ ~ ~ 712fl! ~
ZONING (oe;iCd: UH)
LEGAL DEsCRtPnON (office use only)
LOT 1- BLOCK ADDITION
PID;;2 r; 3 <is -0 If, 0
OWNER
CNwm~ Wensmann Homes
,
(Pl1one) 651-905-3709
(Address) 1895 Plaza Dr Sl:e 200
(AlU&=)
Eagan~ MN
CitY
55122
(2311 Code)
APPLICANT
(Name) Genz-Ryan Plumbi~,l; & Hea'ting
(phone) 651-423-1144
'Contact Person) M r
Roselllount. "N
(City)
(Phone)
DATE
55068
(zip Code)
j\ddress) 14745 So Robert Trl
(Addr~)
LICANT SIGNATt1R.J2
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) ~~cated at feet from structure.
eSldential sewer and water line connection
~wer connection only
FEE SCHEDULE
$3550 Industrial, Com'} & Multi~tamily 1% of job cost With a .$39.50 minimum
$17.50 Water connection only . $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERlvllT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
,50
f .~ ' .
i"',
t...
flic:c U~e Only)
rbis Application Bec:om.es l' OI.U. BuiJdiDg Permit When Appr.oved Pa~d
Date
lIuilding Oftlcia.J
natl:
24 hou" notice {or .n in$pedtons (952) 441-9850, fax (952) 44742.45
9:37AM
GENZ RVAN PLUMBING AND HEATING
No.1916 P,4/15
J.Jale Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
1. ll.... FJIo
2. Gold Cjty
J. yo.t...... A~pfl_,
I PERMIT NO. ';;L d-I/ I
I
ZONING (QJll,ceu.:>c)
LEGAL DESCRIPTION (office use cmly)
LOT LOCK:J- ADDITION
.~d
PID
OWNER
(Name) Wensmann Homes
(phone) 651-905-3709
(Address) 1895 Plaza Dr
Eagan. MN
55122
APPLICANT
(Nron~ Genz-Ryan Plumbi~g & Heating
(Address) 14745 So Rober~ Trl
(Address)
(Contact person)----r5J
(phone) 651-423-1144
APPLICANT SIGNATURE
Rosemount:, MN
(City)
55068
(Zip Code)
(phon~ 651-423-1144
S DATE H)---L S--Q<r
Quantity Type of Fixture Quantity Type of Fixture
L Bath Tub with or without shower ;2, Rough-ins
I Dishwasher , Warer Heater
, Floor Drain - III I Water Softner
l..f Lavatory (Bathroom Sink) Stand Pipe (Washing Mac;hine)
I Laundry Tray (lor 2 compartment sink , Sewage Ejector
, .Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
'> Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industnal, Commudal & Multi-family 1 % of job c;ost with a $3950 minimum Res(dUltial, N~ One & Two-Family $9950
Residential, Additions & Altctlltions $39.50
Estimated Cost $
Building Pmnit #
PLUMBING PERMIT FEE $
STAlE SURCHARGE $
TOTAL PERMIT FEE $
.50
!'
J '.
~()
(Office list Oldy)
Tbill Applicatioll Becomes Y Dllr Bl.lilding Permit When Approved
Paid
Receipt No.
BuildiDg Ofticial
DlIte
. ')(1")
I'") h..
By
Date
. 24 hour notice fOI: .n in:lpec:tioDlI (9SZ) 447-9850, fax (952) 4474245
9:37AM
GENZ RVAN PLUMBING AND HEATING
No ' 1 91 6
P, 5/15
Date Rec'd
i::'" ~. I PERMIT NO. 1 _ "I II
J. Y"""" Appli<aat t (:;7' ,7- I
r=~F0~~& ~.~
\Vl
I ZONING '",",,_' I
LEGAL DESCR1PTION (~1fice use ouly)
LOT~LOCK d- ADDmON
~
PlD
oWNER
~~~ WpnRmann Hnmp~
~hon~ 651-905-3709
(Address) 1895 Plaza Dr S~e 200
Eagan, MN
55122
APPLICANT
(Name) Gen~-Ryan P11lJ\1hint' & H~qt:ini
(Address) 14745 So Robert
--------
(Contact Person) 1. _
APPLICANT SIGNATURE
...
(phone) 6') 1-421-] 144
Rosemount., MN
. (CiM
55068
(Zip Cod.e:)
APPUCANT PLEASE COMPLETE BELOW
W CONSTRUCTION 0 REPLACEMENT 0 ALTERA nONS
FUKNACEMAKEANDMODEL ~y. G4c.ur\. l~-qV FUEL ~
FLUE SIZE . RETURN OPENINGS 5.. lNl'Ul 3C1615D OUTPUT 12/61fD
TYPE OF SYSTEM HEATING OR POWER PLANT
btwllIlIl Air Plants 0 Steam
~ity DaotWat~
o Mechamca.l D Radiation
:SAir Conditioning D Special Dcvic:cs
DVcnt. System D.Qtha Devices
PLEASE NOTE;
Air ConditioneI' Units
Cannot Encroach into
~quired Side Yard
Setbacks .
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHED~
1 % of job Oost Residential, Gas Fireplae:e:
$39,50 minimum
$99.50 Residenttal, Additions &. Alterations
$64.50 Rc::sidential, AC Only
$39.50
Residential, Heating &; AlC (New ConstructIon)
Residential, Ht~ating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Peunit #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL'P~RMIT FEE $
.50
((,.ffl;<; U"" Q1Jly)
r{>:~~.~~I::'~~ . .
:1\j~;1S Application Becomes Your Building permit Wben Approved Paid
Receipt No.
BQijdlog Odlcilll
Pate
By
Dille
24 hour notice for all iaspections (95~) 447-98~, f81: (9S2) 447424~
.
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
I. Pin!.
~ Gr.....
1. 1.11_
(Please tYPe or print and sip at bolD;lm)
I ADDRESS
3'l3'd ~IJLO-J)
SI..., I ~ERl\1IT NO. d -" f11
]
ZONING (oftlt:l: use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDmON
PIP
OWNER, .. ' f \
. (Name) Wo~ ~
(Address) .u..
(phone) &;S"I- YO(P - .y'~OO
n 55J;;)'
APPUC
(Name
. . .
(Contact Person) j<' r-\ "".IJ .
APPLIGANT SIGNATURE 7't:l.A-:;) /j~~~O~~
'1lt'3-.3 i '5- 7500
~Jt ().
(City) (Zip Ccdt)
(Phone) '1(&3-31 S-7S/lp
DAn:;
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRucnON 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL ~L
FLUE SIZE RE11JRN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM liEATING OR POWER PLANT I
.. OWann Air Plants 0 Srcam
DGl"I.vity 0 Hot Water
o Mechanical 0 Radiation
OAir Conditioning 0 Special Devices
OVenL System 0 Other Devicc:s
PLEASE NOTE:
Air Conditioner Units
Cannot Encroaeh into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
3WDvS3I?
Industrial. Commercial .It. Multi-Family
FEE SCHEDULE
1% of job cost Residential, Ou Fireplace
$39.50 minimum
$99.S0 Residential, Additions & Altenrtions
$64.50 Residential, AC Only
$39.50
Residential. Heating &. AlC (New Consuuction)
Raidc:ntial. Heating Only (New Construction)
539.S0
539.50
Estimated Cost S
Building Permit ##
HEATING PERMIT FEE.
STATE SURCHARGE
TOTAL PERMIT FEE
.$
$
5
.50
Date
(Omee Use Only)
This Application Becomes Your Building Permit When Apprond Paid
Rulldlng omcl.1
D.n
1.' hour nalia far .n inspections (9!2.) 447-9850. r.~ (9S1.) 447..4245
ZOO III
x3't<IIH,~f-3~WHV~ :H.LVHOJJ1V
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 3/) 3"2 FOx +a.i l ~.
NATURE OF WORK N.eu:J
USE OF BUILDING SFA
PERMIT NO. 02'0271 DATE ISSUED 3- ~-crz-
CONTRACTOR W.ev-~~ ~~ PHONE c,S"(-o/O(, -((Cfc)d"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING I 6r I '1/ {D to z,.
,
I FOUNDATION (Prior to BaCkfill)e~ I tbr. q{I,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 'fI'~f3 l\-S
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
/(-/T
/16 - /;J -2~
GRADING (Prior to Sodding)
BUILDING lo(,~ vv'k\\ <6/1-0)
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
nOTICE
A
C'.t) 7- ~
'"
p~ / - & - o_P
This card must be posted near an electr ! service cabinet prior to rough-in inspections
and maintained until all inspections-hCl"'" oeen 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