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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~
Date Rec' d
.3 - ze -0 Z-
~. ~i:i~e ~::y I PERMIT NO. 0" - 033/ I
3. Yellow Appl ieant . t-
3C.' .
:fOx
Tc...
Trc>.\
LEGAL DESCRIPTION (office use only)
":<0
LOT ~ BLOCK ADDITION
W e~lV'O_
-., 'l'C'J
PID ~
OWNER
(Name) \1J~v~v'V\O. tV\.
ZONING (office use)
SS - 0-2t:J
.::r Y\C.
(PhOne)a:,e; t) 40C . '-/400
HoVr"e~
(Address) tS<\S-
~
C'.
..:.2 Q')
BUILDER
(Name) <:;o~
(Contact Name) . U
(Address)
~~/';:;~
p. ~~.
(Phone)
(Phone) (C i..2) ~ ~ -?c..20
'--
ODeck
ORe-Roofing
ORe-Siding
TYPE OF WORK
~ew Construction
OLower Level Finish
OAlteration
OPorch
o Fireplace
OAddition
o Misc.
PROJECT COST IV ALUE (excluding land) $ Cj S .C.JOO
,/
o Utility 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 Weu6rt\O,i\A l{::.f\I'e ~ I :r ~ ,
Signature
11.'C1'
-( >..J '6
Contractor's License No.
3 J:.2..S3 J 0 ~
I I Date
Permit Valuation 85 tXO.oo Park Support Fee
Permit Fee $ SAC
Plan Check Fee $ Water Meter Siz 5/8 ; 1";
State Surcharge $ Pressure Reducer
Penalty $ Sewer/Water Connection Fee
Plumbing Permit Fee $ Water Tower Fee
Mechanical Permit Fee $ Builder's Deposit
Sewer & Water Permit Fee $ Other
Gas Fireplace Permit Fee $ TOTAL DUE
Paid S?~9
Date I t ~-z.-..f~ EL--
Date
#
#
#
#
$
$
$
$
$
$
$
$
$5 t'fo1. 4-4-
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 si ed by the City lanner constitutes a temporary Certificate of Zonmg compliance and allows constructIOn to commence Before occupancy, a Certificate of Occupancy must be
issue.. t-J;/~f02- ~ ~ ~~
irector - 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
White - Building
Canary - Engineering
Pink - Planning
Tht' ('tnrN or 'he t.kr Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
0/6AfS t1 f1 AJ tJ
.3 - 2-.8 -0 'Z...-
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~~ &, 4-3 ;:::Ox 77t / L 7IU..--
Accepted X
Accepted With Corrections
Denied
Reviewed By: 9~,*
Date: c(-2-OL
Comments:
~~~ yY\a.~V\ ~\~
"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 Ctnlt, of Iht tlkt Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
w6rJ5/VJf-7/0N
:5 - 28 - 0 2-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3539 Po X . -rf7 I L-- !7vv
Accepted
Denied
x
...
Accepted With Corrections.
Reviewed By:
Comments:
A/ A- {~
.5 c.c 1Y7""r) ~,",(.
Date:
'-/-1-0 L
...
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. II
The ('enler of Ihe Lah ('oUnlf)'
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
I
/..'
, .
~' t/
-" / )
~-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.>--.7 / I ,.-.
r.' ".. 1/ . I (_.._ . 'c .--
.-, ! / .
Accepted ~
Accepted With Corrections
Denied
~,-::.:--e ..e~
Date:
4/g!CY2-
Reviewed By:
"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."
Apr. 2. 2002 1:56PM
GENZ RVAN PLUMBING AND HEATING
No.9050 p. 2/20
Date Reed
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
APR _ 2. ~UU(
~ S- ~~l I p~~ NO-tJ ~ - 33/1.
(pI- '.IP< {""~ .._m)
ADDRESS ..
'. W?
'"
~T1+II~ ~jJ/Z
ZO:N'TNG (aific::e 11$<!)
LEGAL DESCRIPTION (offil:c use: Qp.\:y)
LOT
ADDITION
P;rD 52:38'5- 0'0-.0
OW'NER
~mm~ Wensmann Homes
~
(phone:) 651-905-3709
:Address) 1895 Plaza Dr Ste 200
(Address)
Eagan. MN
(City)
55122
(zip Code)
~PLICANT
CN~~ Genz-Ryan Plumbi~g & Heating
(phone:) 651-423-1144
. UCANT SIGNATURE
Rosemount. '''N
(city)
(Phone)
DATE
~S068
(Zip Code)
~
Address) 14745 So Robert: T:r;:l
(Ad~s)
Contact Person)
\
APPL~LEASE 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
Estimateq. length of sewer line feet.
: Cle~ ont (if required) located at feet from structure.
!Sldential sewer and water line connectIon
:wer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Mul1J-:tamily 1% of job cost WIth a $39.50 mlnJIHUJll
$17.50 Water connection only $17.50
E.stimated Cost .$
Building Permit #
SEWER AND W A 1ER PEID,ifiT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
r", ~':-rT!--J
lio:c Use Only)
'his Application Become5 Your Building Permit 'When Approved.'
}3aid
Receipt No
Date
By
Building OIDciaJ
Pate
J4 hour notice fa.. all insplJCtions (95.Z) 44~9850, Iu (.95Z) 447-4245
GENZ RVAN PLUMBING AND HEATING
No.0467 P. i7 i7
Date Rec'd
i ~.~ ~;~ I. PERlVllT NO. J - ~:::.)/ ]
.; Yellow AP'f'hC..ult . ~ v '-' _
(Please: type: or print and ~~ at bottOtn )
LRESS
3&L/3 l?Jx
ZONrnG (office 'JSO)
-TaLi.. TV /
OWNER
CName) Wp1'\<<rnrl1'\T1 Hnmpc<
(Phone)
I
~1-9n:::=3
PID
LEGAL DESCRIPTION (office: use: only)
ID ')BLOCK / ADDITION
~)')S),1.JJ.. J:LJL d?l d
I (Address) 1395 Plaza Dr. Ste 200
Eagan, MN
APPLICANT
(Nam~) Gen7.-Rvan P1umbiug J.-H.f:..a.tiJ1E (phone) f.C,1-L,?1-111.L.
(AddressL~:74S So Robert Trl Rosemount, MN
..----r-;::; (Addreez) (City)
(ContactPe"on) ~ qJ~a... ~ (Phone) J5J
APPLICANT SIGNArU'fi._2lt';nflll ,1/2 '1~E DATE
55068
(Zip Code:)
L,j 1 fh --rJ3:
APPLICANT PLEASE COMPLETE BELOW
1- ~W CONjTRUCTION [] REPLACE!vIENT 0 ALURATIONS
I FURNACE MAKE AND MODEL Lf!)1 JWX G '-I () u 1-/ :::5'(08 q() FUEL LtuJ..;I- CfJ1V?
I' FLUE SIZE RETURN OPENlNGS ~ INPUT 0; !J, tll/J) OUTI'UT /)3; tXJ()_
TYPE OF SYSTEM HEATING OR POWER PLANT
~Varm Air Plants 0 Steam PLEASE NOTE:
~raviry 0 Hot Waret' Air Conditioner Units
~ Mechamcal 0 RadIation Cannot Encroach into
J-\.ir ConditiOnIng 0 Special Devices ___~~ Required Side Yard
Vem. System 0 Other DeVIces Setbacks
FIREPLACE t-..1AKE AND MODEL
Industrial, CommercIal & Muln-FamIly
FEE SCHEDULE
1% nfJob COst Residenual, Gas Fireplace
$3950 minimum
$9950 Rcsideotlal, Additions & AlteratlODs
S64..50 Residential, AC Only
S39,50
Re~:IdentlaJ. Heatmg & AiC (New Construction)
Residentiai, Heating Only (New Construction)
$3950
$39.50
Esnmaied Cost .$
BUIlding Pemnt #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
r""'-____
0':1 ry -----
. ~~(,1(J~ __
"J? ...,
Dale
eceipr No.
(f'~ " U3C Qnly)
. ",s Application. Becomes Your Building Permit When Approved
Building Ofilcilll
8v
24 hour nor1ce for all inspections (952) 44 ~~f.~
J an. i 6 .
~)
.. ..-'. ..I'tN/<es.O'\1'-
2003 i 1 :36AM
GENZ RVAN PLUMBING AND HEATING
No.0467
P. i 6 i 7
Date Rec'd
CITY OF PRIOR LAKE PLUNIBING PERl\1IT
1. Blli.~ FiJe
2. Gold City
3 yeilo1ll ;l.!)\l11".~1
l:ERMlT NO. ..') - 33/
LEGAL DESCRJJ>TION (office use only)
Lox9uLOCK
"rbottom
AD:3Cei.3_Jirx ICtA. y'jy }
JU7S~fLf1.JG dncl
]
(Plca;c
ZON11'-lG (offic! we)
(phone)
PID
651-90S-37~~'---~
55122 __.J
ADDITION
..- -~---.-
OWNER
~ame) Wensmann Homes
(Address) 1895 Plaza Dr
Eagan, MN
APPLJCANT
(N'ame) Genz-Ryan Plumbing & Heating
(phone). 651-42.3-114't
(Address) . 14745 So Robert Trl
~dress)
(Contact Person) .,..--1 ~~..
APPLICANT SIGNAToal _ .
Rose.mount, UN
(Ciry)
55068
(Zip Code)
(Phone) 651-423-1144
J5 DATE oj --I ~ -(),3
Quantit:y Type of Fixture- Quantity TypeofFliilJ-i-e .-.
~ Bath Tub with or without shower .~ Rougll-ins
J Dishwasher ------- I Water Heater ,,-,-,
I Floor Drain - tfJ/T Water Softner
LJ- Lavatory (Bathroom Sink) - 7 Stand Pipe (W~hing1fachine)
I Laundry Tray (l or 2 c?m.partn:ient ~!jnk Sewage Ejector -~.__.
1 Shower Stall Bacldlow Assembly
>--- J Sinks ---,....- Backilow Assembly Test
Bar Sink --. La'wTl Sprinkler ,-~
,
.--.' ~ V/..atcr Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
lndustnal, Comm=rcJ31 & J\luln-famlly 1 % of job cost with a $3950 minimum
ResidennaJ, New One & Two-Fsm.dy $99.50
Resjdenti:1l, Additions & Alterations $39 50
Estlmatc:d Cost $
Building PermIt #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERl"1IT FEE $
50
(Office U~e Only)
Th.is Application Become'l Your Building Permit When Approved
Building Officinl
Dati:
ceipt No. I
~
24 /tour notice for all iospeCItons (952) 447-9
Jan.i6. ~003 ii:36AM
GENZ RVAN PLUMBING AND HEATING
No.0467 P. 15 i7
Date Rec'd
CITY OF PRIOR LAKE
SE"WER AND WATER PERMIT
-.J.Pk;u;e ~e or priot llnd ~ilW at bOlIOlll) _
ADDRESS 6 I' /-. _. ....-
,;;;; /(J / r -7~__ / i2u ) y J
I G"".. File ~PEn'l\'nT N.O-J 0
2. Yellow CitY. .I.'J.".... - 3 3 J
J G.>ld Appl(.....
ZONING (()fficc IIse)
rr:EGA1, DESCRll'TION (office use only) .
LI.OTi;JQLOCK / ADDITION ii/tnC;m aJ/UL drl C/
PID
OWNER
(Na.me) Wensmann Homes
(phone) 651-905-3709
(Address) 1895 Plaz~ Dr Ste 200
(Addres~)
Eagan, MN 55122
eCl!)') (lip Code)
I A!'PLlCANT
O'Jame) Gen~-RYan. Plumbing & Heat:!,!!E__._____ (phone) 651-423-1144
(Addl'ess) 14745 So Robert Trl Rosemount, '~ 55068
-:--:::(A.ddres;~) ,.. . (City) (Zip Code)
(concactPeI. son). - J ap~/~ 11 ~ ChOne). 651-~-1144 .
T~JCANTSJGNATURE (' 4/n~L J/}1a1a~ / 10 -cJ3
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 pvc D Cast Iron
Estimated length of sewer line feet
'Clean out (if required) located at feet from structure.
ResIdential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multl-fam11y 1% of job cost with a $39.50 DllDlnlUIn
$17.50 Water connection only $17.50
Building Permit #
Estimated Cost $
SEWER A.1"ID WATER PElU.tl1T FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Office U~e Only)
This Application Btcome.s Your Buildjng Permit When Approved
BuildiDg Offici.31
Date
Receipt No.
By
24 hour notice for alllnspecttons (952)
----......::~
.JJ
{~~
\~~,./
~
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PEMIIT
Date Rec'd
(P~eJ;5C cYPc Qr pr.!lr md si~ J.C 1;>ccrnm)
ADDRESS
3CoC13 Ferx:U.~ T-A--
1. Plnw.
2. Gn-.-n
). Yel\~
I
~~~. I PEPu.Y1IT NO,
A~bQ'" l ,~- 33 \
ZONTI',rG (offic:.: ~:<)
I LEGAL DESCRIPTION (office Il;e only)
. LOT BLOCK .WDrTION
PID
O\VNER . I
(Name) t Jorr~~iI'\ J~r-7Yl-,-~O
(Addre:;:;) /~ S
\
(phone) &S'/-V'OCo' yS/OO
I
/? SS/r3CJ.
APPLIQu."H.. :--.. + _ .
(Name~~.M_:WrYl.rc\--l..-~ \;(VL~Q~ lr:c-L:J. !-~U'-I:J-C.\:.....'l0 (Phone) ~ (,;3.315- 75CC
. V
(Address) ~ 10 LJ(...JC-rn..J,. ''1,8 lli. -f. DJ r:.' If-r-t0 L.--,-., R::.. '-*
. ' ~. Cfddrm) LJ
(Contact Person) k r~ "." U.
APPLICANT SIGNATURE ~-'..;;, Jjrc'-n..;.n-:a~
rn n SS (--/'-1.'::;
(City)
(Phone) '1 lc3-3 I 5-75/G
(Zip Code)
DATE
A.PPLICANT PLEASE CO.l\1PLETE BELOW
I pE\V CONSD.UCTION 0 REPLACEMENT 0 ALTERATIONS
I FURNACE MAKE AND MODEL FUEL
FLUE SIZE REllJRN OPENINGS frlPUT OUTPUT
'TYPE OF SYSTEM HEAIlliG OR PGWER PLANT
.. OWam; Air P!anr.:
OGrav;ty
o Mechanical
OAir Conditioning
o Venl System
o Steam
o Hot Water
o Radiation
o Spo:cial Ocvi<:::.s
o Other Dcvic::s
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbaclcs
FIREPLACE iYfAKE AND MODEL -jrU:Y~G.3 S6DVT;<.r-J
[nduzuiaJ. Commercial & Multi-F:llTlily
FE.E SCHEDULE
I % of job co:;! Rcsidc:ntiaJ, Gas Fireplace
S39.50 minimum
S99.S0
S64.50
S39.50
Residential, Heating & AlC (New ConstPJction)
Re:;icencial, He::lting Only (New Construction)
Residential. Additions & Alterations
Residential, AC Only
S39.50
539.50
Estimated Cost S
Building Permit #
"~'"1.'~~ _
(Orrice U~e Only)
ni i~ (iu I~ i~
I ,. ) U1 1:-- :!
This Application Becomes Your Building Permit When :\Ppro[.; ~,.C.d..: . ' Paid..
jl i I -~.,
I " I .. _ .'
I · L.; '-. Date
HEA TING PER.J.'41T FEE
STA TE SURCHARGE
TOT A.L PER.~ FEE .i
$
$
'll
-,c:)~ .Ii
.50
fii;'-;::;"n7
,:' Jj:J 11-' ]
-. . i ; i ! ~j
R~celpt No_
I
nu1ldlng omd~1
,
By
/"
(
Dnrt
1~ hour ~o\icc for ~II insp~c:lon! (5T~:;:r44i-9850, fax (951) 447::-1245
-'I
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;' [Ill Ini
t~'nTN~ ~9YNY9 lTrVWnr1V
~ f1 / f1 C T r 7': T q Y,.:" -r q fl : T T r fl " T T .' ;: fl
PRIOR LAKE
INSPECTION RECORD
L See. tk f'\o.\'J1 l1'k
DEPARTMENT OF
BplLDING AND INSPECTION
SITE ADDRESS 3(if3 Fa'<:.. I~o..\-\
NATURE OF WORK n@w
USE OF BUILDING SFA /
PERMIT NO. ()2.; -rX33/ DATE ISSUED t/-2-CJZ
CONTRACTOR U~IMCW\Vl ~ PHONE tu('?-3&ft- )l20
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 2 "'.z.
INSULATION V;
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST PO \ .~, F P' ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Pr.
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
?: - Lf:;;
r to Sodding)
'3 -7/!?
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical ~er.vice .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