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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~-I"3-o(?--
1. White File I PERMIT NO
2 Pink City . O' 7 ~O 0. :- a
3 Yellow Applicant . _ V l/ ~7L
:3 1 ;)...1
ox/ a/I T r-
ZONING (office use)
R-.~
LEGAL DESCRIPTION (office use only)
LO~BLOCK
ADDITION
~~~
PIDdY3~-s-033
~=e~R lV~tL/}V}L) Ik~ '<.
(Address) 1615 ~. V Sfe ~tnJ
(Phone) t ~/ - L/OG:. ~ C/C/yo
5~/d-~
BUILDER s:
(Name) _ ~
(Contact Name) a 1 ~~
(Address)
(Phone)
(Phone)
f;~
~/ d - ,3& q--)~ ~lJ
TYPE OF WORK
New Construction
ODeck
ORe-Siding
OLower Level Finish
o Misc.
OPorch
ORe-Roofing
o Fireplace
OAddition
OAlteration
OUtility Connection
PROJECT COST /V ALUE (excluding land) $
,~ t'7ID
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 bUlldmg 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 ne~insPlftIO~. // _ :::>--
X~~/'tL4 L~ ~~~_ /45"<Z. r;r/3--{)2)\
t/nl...t4-- ~gnature Contractor's License No. Date
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
# $
# $
$
$
# $
# $
$
$
$ q44-
I ~,o4J'v.e1
Water Meter Siz 5/8 ; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
[raid
Date
J ~~ 1', ~~-
9-/t"-lv
is 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
' signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
. ~-?'-/.-/-7-<- 7 It" {<f4- ~'C ~(~j-=t'l (>J\,'Jl~M ~
anning 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
'-
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--
lht' C("oler nf .he L.kr Counlr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
UJ~~ iI~
~.- t~-Od-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~ 7;)..-1 -:J-OX fC(; / T j-
Accepted
;I
Accepted With Corrections
Denied ~
Reviewed By: ~ -
Comments: .Q
~~~~ ((e
Date: & .2 7 -0 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."
Thf Cfnffr of 1hf I..kt Counfr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J
Accepted
,/
Acce~s
----
~
Denied ~
Reviewed By: ~~~
Date:
/ /i3IDZ-
~:
177) ~~~~(. L
. fU,/J,'t-- (0G ~ ~~~MA,
"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 4:08PM
GENZ RVAN PLUMBING AND HEATING
No.8248 p.4/8
Date Rec:' d
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
I ~~ffi~md~:~:: L
~JL..
i. =.. ~j;.. I PERMIT NO.") - (/~ 'f'J
3. C1ald Appli_, 0'--- D u
I I ZONING,__, I
LEGAL DESCRIPTION (otlice use only)
LOT ~BLOCK , ADDITION
~2~
PID
I OWNER
(Name) Wensmann Homes
. (Address) 1895 Plaza Dr Ste 200
(A~)
(phone) 651-905-3709
Eagan, MN
(C;:ity)
APPLICANT
ON~~ Genz-Ryan Plumb1~~ & HeaLing
(phone) 651-423-1144
(Address) 14 745 So Robert Trl
(Address)
(Contact Person)
UCANT SlGNATlJRB
Rosemount. ''N
(City)
(phone)
DATE
55068
(Zip Cock)
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
Estimatet;! length of sewer line feet.
.. Clean out (if required) locate4 at feet from structure.
FEE SCHEDULE
Residential sewer and water line conncc:tion $35.50 Industrial, Com'l &. Multi~family 1% of job cost with a .$39.50 mDumUlD
Sewer connection only $1750 Water conuection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
,,''''
t',. "
~~"-
.,"\ ,
[DiD!:!: Vie Only)
Thb Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Otlicill.l
Date
; /
I I
By
Date
24 houl" notice fo, lIlI inspections (952) 447~98S0, fax (9SZ) 447-4245
9:32AM
GENZ RVAN PLUMBING AND HEATING
No.2319
p. 2/7
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
1 1I1uc I'll- I PERMIT NO
2. Gnld City -:J _ .03 f)
l. Yell"", Appllou)\ . V' 0 _ '-1
I Pbr;;rs~;;;'~- & L ~
77/
-
I ZONING (-~) I
LEGAL DESCRIP'TION (office use: only)
Lo~3 BLOCK I ADDmON Wli ,--
and
PID
OWNER
ONam~ Wensmann Homes
(phone) 651-905-3709
(Address) 1895 Pla~a Dr
Eagan, MN
55122
APPLICANT
(Name) Genz-Ryan Plumbing & Heating
(phone) 651-4Z3~1l44
(Address) 14745 So Robert Trl Rosemount, MN 55068
(Address) ~ (City) (Zip Code)
(ContactPenlon) ~~ 'lJ,JS. !"fonc) _ 651-423-1144
APPLICANTSIGNATURE _ ~ATE /0 - ~-od
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
0( Bath Tub with or without shower Rough-ins
I Dishwasher J Water Heater
I Floor Drain - pIX Water Softoer
:J. Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
I Laumhy Tray (1 Or 2 compartment sink Sewage Ejector
OJ. Shower Stall' Backflow Assembly
I Sinks Backflow Assembly Test
Bar Sink Lawn Sp.rink1er
~ Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1 % of job cost wjth a $39.50 minimum ResidentIal, New One &. Two-Family $9950
Residential, Additions &. Alterations .$39..50
Estimated Cost $
BuHd1ng Permit #
PLUMBING PERMlT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
/;i~ ~ ~
'...., ~ '~".:i<'''''' -:!
'~ B'""
(OID(.e. Use Only)
'this Applieatioil :Becomes Your Building Permit When Approved
/;rit~~~
Paid
Receipt No.
~ v <.JO
B.uJldlng Offlci,al
D.1E
2002
By
~4 hour notice for aJllnspEoc:t.lons (952) 447-9850, fa,; (95.2) 447-4245
9:33AM GENZ RVAN PLUMBING AND HEATING No,2319
CIlY OF PRIOR LAKE
HEATING/AIR CONDITIONlNGIFIREPLACE PERMIT
p, ~i//7
Date ,Rec'd
I ~::Si;;~-) fiY- 71iU tv /
i~.. J~i<ont ~ PERMIT NO. d-' ~ 0( I
I ZONING,_... I
LEGAL DESCRIPTION (office use only) / J J
LOT33.eLOCK / ADvtnON tA.JM
drtd
PID
OWNER
(N"ame) Wpns;m""nn Hnmp.,
(pboJ;1e) "51 905 :nn9
(Address) 1895 Plaza Dr Ste 200
Eagan. MN
55122
(phone) 6'i] -A21-11lJ.l.
Rosemount:. MN
(City)
55068
(Zip Code)
fi'il-l.?'1-111.L.
IO--~'1)d-
APPLICANT PLEASE COMPLETE BELOW
. . NEW CONSTRUCTION 0 REPLACEMENT 0 ALlERATIONS
FURNACE MAKE AND MODEL I...Pnn6x (] i..fDUH 3&/J----?; () .~ FUEL CJ11J::j-~
FLUE SIZE RElURN OPENINGS S. INPUT IR f.(. tf/J7) OUI1'OT ~ ~
TYPE OF SYSTEM HEA11NG OR POWER PLANT
)(fw~ Air Pl8Jlts 0 Steam
, (jt:hvlty 0 Hot Water
QMcchanical 0 Rlldiation
~Air Conditioning 0 Sp<<:ial Devices
OYcnt System OOthcrDevi~
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAI<E AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Rcsidl:l1tial. Gas Fin;p]IlCC
$39.50 roiniroum
$99.50. Residential, Additions & AltenuioIlS
$6450 Reside::rnial. AC Only
$39.50
Restdentlal, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$3950
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.so
By
(fW!';~,1~, Use pllly)
('>....:.,..,'
, ;.-":;3 Application Bet:ollles Your Building peJ:"mitWben Approved Paid
Date ocr 3 0 2002
:Building Ofi'idal
)).tw:
24 hour notice [or all inspections (952) 441-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
L Mo.\V\ f;1e
DEPARTMENT OF
BUILQING AND INSPECTION
SITE ADDRESS 3/]7...( =Fox: -\u{\ Tr- .
NATURE OF WORK ~.e<-LJ
USE OF BUILDING f A-
PERMIT NO. ()Z-'Ofb37 DATE ISSUED C:, - Z 7 -6"L----
CONTRACTOR ~~~ ~ PHONE (Pi::> -3(.,7-7"20
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING c h
FOUNDATION (Prior to Backfill) ::r-Sb ... G.4-<<
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 /Jj~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS.
-?"
GRADING (Prior to Soddin
BUILDING'J: \-0 9-\' 0 f
ELECTRICAL
PLUMBING
HEATING
DO NOT
I p \~
, s. ~
,-/&
(~
) 1 --r]-b
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.
.....-
FOR ALL INSPECTIONS (952) 447-9850