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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
fv,--/3 ~ 0 Z-
I. White File I PERMIT NO I
2. Pink City . ~)2 - 07 '- "'?
3. Yellow Applicant . LI ~ .
3"'.5
fO~ I~l Trc..~ \
t-i~
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK I
~
PID...25 -385 -O.2~-C)
ADDITION
't--n
OWNER
(Name)
LVins rl'\.PJtn 11 o)'yte S'
J qt; P/p..UA., '; vt
me..
S
ZONING (office use)
I\-;}-
e..
C7tJ'b
(Phone) (p5') - a..fDb -YL/D 0
~5" J .2r;)..
(Address)
BUILDER
(Name) ~L
(Contact Name) t?a..u...l 6tuv,L
(Address)
(Phone)
(Phone) (p I .). -:3 b q -7 ~ J.-(j
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and corre t. I Iso 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 localla 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 W
TYPE OF WORK
ew Construction
ODeck
OPorch
OR~~
OLower Level Finish
o Fireplace
OAddition
o Misc.
PROJECT COST IV ALUE (excluding land) $
J4-S Y
Contractor's License No.
Permit Valuation Park Support Fee
Permit Fee $ SAC
Plan Check Fee $ Water Meter S' e / '; 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
#
#
#
#
ORe-Siding
OUtility Connection
10 II "3 ) DJ....
Date
$
$
$
$
$
$
$
$
(, -2t{.lJL
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
when signed by the Ci Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. 7 iA.--,-- ~ A rri'r-
6/)-C/C}J.- (Y-'" AAA,/l~ {(q~ {()Y'(ViYt.i1/~ /
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
The Cronin of fhe I.akt' Countrl
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
I
t ~. [ t.': f I /\ t\/ (,j !l t' r' I C
I I) -..,
{ i-I ....J - C L-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I" i ..
j /~.\ I L...
, (. L._.
\..,~.-'. .:..( /" .......J
Fe,X
. j 1--\ I .
I /,./ ) L-
Accepted
t _____
Accepted With Corrections
Denied
Reviewed By: ~-~...-?'--1'L
Date:
&.. ItC[ 10L
"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,"
A,
White - Building
Canary - Engineering
Pink - Planning
Tht' Crnlt'r or 'he Lah Counll')
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
0J8NSf1 ANU tiOMES
(g-/3-0Z-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
30(05 Fox 'TAI L..... TtGf\JL-
Accepted
x
Accepted With Corrections
Denied
~
Date:
&'2'1-~
Reviewed By:
Commen~ . I /J
~~ ~ -l:>~~
"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 C'tnltr or Iht 1.lkt Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
J;"",
'~~.,:.'
NAME OF APPLICANT we tJ5f/) AN rJ Hot1 65
APPLICATION RECEIVED & - Is - 02-
The Building, Engineering, and Planning Departments have reviewed the building permit
-, .~,. application for construction. activity which is proposed at:
30(01 FoX TAr L- ~'L,-
Accepted X Accepted With Corrections
Denied
Reviewed By: m
Date:
?- .).J./-f!)~
Comments:
5'(,~ 1J1t;( ~ F, '! <..
"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."
Jun.19. 2002 4:09PM
GENZ RVAN PLUMBING AND HEATING
No.8248 p. 7/8
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
r~~fr:;::: ;Jl~/l-
i =- ~~ LPERMITNO. J --- 1G~ I
' - -- I r I ZONmG(-1
LEGAL DESCRIPTION (office use only)
LOT
ADDITION ~s
Ut.D
PID
OWNER
~~~ Wensmann Homes
(phone)
651-905-3709
CAddrC::ls) 1895 Pl.aza Dr Ste 200
(Address)
Eagan. MN
(0tY)
55122
(Zip co&,)
APPLICANT
(NCl;llle) Gen2:-Ryan Plumbin~ & Beating
(Phone:) 651-423-1144
(Address) 14745 So Robert Trl
(Address)
RoseIllau;nr:. .~
(City)
55068
(Zip Code)
(Contact Person) M
UCANT SIGNATURE
~~n; ~;q/~~
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
Estitnateli length of sewer line feet.
: Clean out (if ;required) l~catep at feet from structure.
Rcs~dential sewer and water llne connection
Sewer connection only
FEE SCHEDULE
$35 50 Iadus1rial, Com'l &: MuJtHiumly 1'Yo of job cost wIth 11 $39.50 minimum
$17.50 Watcrconnecrion only $17.50
Estimated Cost $
Building Pexmit #
SEWER AND W AlERPERMlT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
50
(Omcc Vie Only)
This Application Becomes Y o1:lr Building Permit Wben Approved
....,',,,.. """.-..-..,,-~.__..,
,
Rec:eipt No,
BulldlDg O:mdaJ
Date
jUL
I ')flfr '.
>..d'_"
By
Date
24 hQ~r notice for alllnspectioDS (952) 447-9850, fu (951) 447....145
2:48PM
GENZ RVAN PLUMBING AND HEATING
No.4851
p. 6/! 1
Date Ree'd
CITY OF PRIOR LAKE PLUMBING PERlVllT
at bottom)
1. IIlue FIl.
;z. WId CIty
J. Yoolh_ Appli....t
~E~NO.~_ (03/
-fijk Taifl
ZONIN'G (olfice use)
IYj
LEGAL DESCRIPTION (o,tlia: use o:o.ly)
ADDmON
dnc/
Pro
OWNER
(Na.m~) Wensmann Homes
~hone) 651-905-3709
Eagan. MN 55122
(Address) 1895 Plaza Dr
APPUCANT
(N~~ Genz-Ryan Plumbing & Heating
(phone) 651-423-1144
(Address) 14745 So Robert Trl Rosemoun'C, MN 55068
IA.ddress) (City) (Zip Code)
(ContactP<oon) ~~ . ~ ; fl"f'") --:!51-423-1144 ..
APPLICANTSIGNA~~ ~~7 ~~E 1/ -IRr-03
Quantity Type of Finure Quautity Type of Fixture
~. Bath Tub with or without shower Rough-ins
Dishwasher \ Water Heater
Floor Drain ~ 1'1' Water Softner
.~ Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
T Laundry Tray (1 or 2 compartment sink Sewage Ejector
;:; Shower Stall Bac1ct1ow Assembly
I Sinks '. Backtlow Assembly Test
Bar Sink Lawn Sprinkler
...?:5 Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a S39.50 mioimum Residennal, New OnQ &: Tw~Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Pennit #
(Omel: U3c Only)
This A,pplicatioD Becomes Y OQr Building Permit When Approved
~:,~'~~;f:~:r~':!-
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PER.lVnT FEE $
.50
Paid
,-...:,i,;.':;"
:Bllilding Onicial
Date
NOV 19
Dllte
/
~4 bour notic.... for aU inspections (952) 447-9850, fax (952) 4474245
2:48PM GENZ RVAN PLUMBING AND HEATING No.4851
CITY OF PRIOR.LAKE
HEATING/AIRCONDDaONINGnnREPLACEPERNUT
p. 11
Date Rec'd
(please type or pnm: and sign at bottom)
IADD3GJto5 Ftk 7tLU2
~ ~ J~kant t PERMIT NO:~ -7 k3 I
j. ZONING (~ftjcc: use)
jy/ -
LEGAL DESCRrPnON (offia:: use: aDly)
La
( ADDmON
(j)ms~dl1
I
Pl:D
OWNER
CN"ame) WI2T1l':tn.<lTlTl HnTT1~~
(Phone) f;t:l.-9nS 37nQ
Eagan. MN
55122
(Address) 1895 Plaza Dr Ste 200
AP'PUCANT
(Name) Genz-Ey&U
(Address) 14745 So
Plnmhi'Qg Qr 5"t"3tjng
Roberl:
(Phone) 6')1-471_1 1lI.11
(Contact Person) _.
;-
Rosemount, MN
(City)
55068
(Zlp Code)
~
APPLICANT PLEASE COMPLETE BELOW
".
W CONSTRUCTION 0 REPLACEMENT 0 ALlERA nONS
FURNACEMAKEANDMODELLQnnOx G<IO UII!Jh4 7:g FUEL ~
FLUE SIZE RETURN OPENINGS 5 INPut' 1Jf5() OUTPUT ~t \
TYPE OF SYSTEM HEATING OR POWER PLANT
~ann Air Plants 0 Steam
~vity 0 Hot Watlor
o Mechanical 0 Radiat.ion
S2rAir Conditioning 0 Spc;:~jal Devices
Thent. Systan 0 .other Device=!
PLEASE NOTE;
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Indu:;trial, Commerclal & Muln-Family
FEE SCHEDULE
I % of job cost Residential, GIi:l Fireplace
$39.50 minhnum
$99..50 . ResidCllial, Additions & Altcrat10ns
$61450 Residential, AC Only
$39.,50
RCSldentuu, Heating & AlC (New Corn;tnll:tion)
Residential, Heating Only (New Construction)
$39.50
$39.50
E.stimated Cost $
Building Pennit #
.50
,r-
f2i, ~" "
1 ~jJ Il/ifi. '.."t "",
'- \0'<'lk f)' '-,
, ~~~/.-,
~~
(8,~~,~U~c: .QnJy)
(\,,~.;,:,:\:..,\,
. <;;,~~~s Application Becomes Your Building Permit When Al?proved
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
Paid
Receipt No.
Building Official
Dart
I 9 2002
By
:24 hOllt' notice for aU inspections (.952) 447-9850, fax (952) 447-4Z4S
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/-/7-{)3
~. ~;~"w JJ~icant I PERMIT NO'02-o7b_31
3(;0.5 FoX 7AIL '7}ZA/L
LEGAL DESCRIPTION (office use only)
LOT 2 aLocK / ADDITION
OWNER
(Name ) (Phone)
(Address)
ZONING (office use)
APPLICANTLd'l"
(Name) v '_. _ '. ,\ 1'-,
(Phone)
/'
~ !'1. 1.,-"
(Address) J;, -':J ) '.-1
.,
~.. !
t c'
. : I A, '.'. t, J.
~.~ I . ..^'~ '-'-'(A~~:;s~ (
(City)
(Contact Person)
I I'
C.V '-.,~'.7 r>"l"~ '''.it)
(Phone)
DATE
/-/7- 0__*3
(--r... /1; . ..:>
APPLICANT SIGNATURE
I.'~ 1//
,~
--...;;
(Zip Code)
APPLICANT PLEASE COMPLETE BELOW
NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
D MODEL FUEL
RETURN OPENINGS INPUT OUTPUT
Residential. Additions & Alterations $39.50
Residential, AC Only $39.50
Building Penni, # (J Z- --- () 7"'3 (3 'f
fAID 6f!-..
.,' ~D
l)V j
FURNACE MAKE
FLUE SIZE
TYPE OF SYSTEM
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
E AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
(Office Use Only)
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ .--"
$ ~.50
$./"
/'
omes Your Building Permit When Approved
/-17.;03
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
Receipt No.
L s~ ~ Mo.MA1(\.Q
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS .)~Ca 5 /;,><: -fad5~
NATURE OF WORK 1\1u)
USE OF BUILDING Sf'lT
PERMIT NO. IJ2-0'?h3 DATE ISSUED (a -2Co~
CONTRACTOR /)j~~,^, ~_ PHONE G.12-?~i-7~'2()
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
! FOOTING I I
I FOUNDATION (Prior to Backfill) I i
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
1
1
SEWER I WATER I SEPTIC
FRAMING t.-, L-, '-1 "
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required) L--- VItI I-I \,
FIREPLACE
GAS LINE AIR TEST
COV.ER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
1-
/-8
/' c -/5'
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
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.
') '- 2. 5- - c!3
FOR ALL INSPECTIONS (952) 447-9850