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I()'J-J-d~
I PERMIT NO. 02-/'frg I
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White File
Pink City
Yellow Applicant
3.3
.j AI tJ
LEGAL DESCRIPTION (office use only)
LOT.).... BLOCK I ADDITION
/V,~ /
er '" e-I
PID~..J- -Jt,j- - Ol)~ -c.'
ZONING (office use)
lJ-~D
OWNER
(N ame)
(Phone)
(Address)
(Phone) t,5J - )It'l' - Y'Y(.I ,,'
(Phone) I~/~ -3" /- 7"/~
2.J-
BUILDER II
(Name) IJ f /v f m q /\iN _~ 61?1 fl..r
(Contact Name) hCt ......,., ..j 04/\/fO/V
(Address) 1/ J \
/62" /Jr, (J--I
TYPE OF WORK
ODeck
OPorch
ORe-Roofing
ew Construction
OLower Level Finish
o Fireplace
OAddition
OAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) $
ORe-Siding
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 pro~n 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 0):" a designee may
enter upon e property to pe rm neede inspections.
x
J)/> - Y
Contractor's License No.
/0 -,;l,f - ()~
,
Date
/
~
c;;
Permit Valuation
Park Support Fee
SAC
#
#
Permit Fee
Plan Check Fee
Water Meter Siz /8" 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
,D fJ
TOTAL DUE
This Application Becomes Your Building Permit When Approved
~~
Building Official
11/1/0 '"1--
r 'Date
$
$
$
$
$
$
$
$
$
L
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 City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
iss~ ~
Planning Director
M ~~tA/J~
I ~ Date Z--- 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
The ("enter of Ihe tlkt Counlrl
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
fA ~VJ4.~/Y~ r(jo~
/0 - df--()J-
.
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity w 'ch is proposed at:
Ilv
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
Comments:
~ :j~ Date: II,/?,J,~
f~ a1/ a1I~ ~-~
"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."
,.....,,"""--,,-----
-.-
f\l'.fs (10 1--1 LE"'
Tht Ctnltr or Iht t.kt ('aunt,.,.,
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:
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~ ~J/ Date: / 1/7/& z.....
I ~
Comments: o?</ ~ ~ - J.h A.c. ~
&-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."
White - Building
Canary - Engineering
Pink - Planning
lh. e.nt., of Ih. Lob Country
.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/;[ J..u;W,1( (1"11/>-) r(/(F7/)'JL'~
/ /) - () ~ ~ 0;;;-.
I
The Building, Engineering, and Planning Departments have reviewed the building permit.
application for construction activity wJl~ph is proposed at:
'::< ') L I / ~j r . ----t--n - A ./
J ) Ip iJ J 11 A I J"'--" ~~..::C. / ~
Accepted)( Accepted With Correction$
Denied
Reviewed By:
/PfB
. Date:
/l-/,/-fj L
Comments:
See Reverse Side for Additional Information!
/!1e,;h Fi I~
See Attachments' 1) Gr~c1ing Pl~n, 2) Erosion Control Measures
'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."
Nay. 7. 2002 3:38PM
GENZ RVAN PLUMBING AND HEATING
No.3698
p. 2/3
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(;';
~ E;'w ~"'-I PERMIT NO. a - /Lj{ii~ J
ZONING (oflicclISe)
LEGAL DESCRIPTION (cf&:e u!e only)
LOT
BLOCK
ADDmON
PID
OWNER
(Name) tJensmann Homes
(phone)
651-905-3709
(Address) 1895 Plaza Dr Ste 200
(Adaress
Eagan, MN
(CJ1y)
55122
(Zip CodE:)
APPUCANT
~wm~ Genz-Rvan Plumbi~~ & Heatin~
(phone) 651-423-1144
~'N
508
(Zip Code)
T~ICANT SIGNATURE
651-423-1144
/ I ---/} -0 a-
APp.LICANT PLEASE COMPLETE BELOW
Size of wate~ service _ inches.
Location of any couplings from structure feet.
Type at sewer pipe. 0 .ABC 0 rve 0 Cast Iron
Estimateci length of sewer line feet
~ Clean out (if required) located at feet from structure.
~esidential sewer and water line connection
lewer connection only
FEE SCHEDULE
$35..50 Industrial. Com'l & Multi-family 1 % of job co~ wlth a $39.50 otin1mUIn
$17.50 Water.conncction only $17.50
Estimated Cost $
Building Pennit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
,......-.
"". r:~."" '.
~.," '~CJ t, ., .,.~'"""'"
h..... '~:iJ' ~'::.'.:~~' ",~ '_ . " ,
.~ ii
)fIice Use Only)
This Application Becomes Y o':lr Building :Permit When Approved
Paid
'-0,1'
Recl?ipt No.
Building Official
Date
By
l\~. ~
f /:1'0/
DaCe
Z4 hol.lr notice fOJ:" aU Illspectiol3s (95Z) 447-9850, fax <'51) 447-41.45
J
~~ a ~I ;.~ ~. ~ IJ IJ.) i <. . I <. r 1,1
.. 0 ~(' CITY OF PRIOR LAl{E
~~~) HEATING/AIR CONDlT10NINGiFrnEPLACE PERMIT
..,~~
\J C I....:. ~ y Ii I~ I"' L Ij 10'1 D II~ \J Ii I~ "
I'j IJ . IJ .J r) 0
r. ) <. I
Date Rec'd
~l<Ant I. PEAAllT NO'OZ-/4Qg ,
l
ZONING (oflic~ US~)
a-nd
Pill
I
(Name) -.Ji]PTl",mqTlTl HomPN
(phone) 651905-37n9
(Address) 1895 Plaza Dr Ste 200
Eagan, MN
55122
APPLICANT
(Nam~) Genz-Ryal) Plumbing & He;Jting (Phone) 6'i1-4?'1-11.4lL.-_.
(Address) _ 1474.'5 So Rober.t Trl Rosemount, ~IN 55068
(Address) (City) (Zip Code)
(ContactPer,on) r~_ ..~ __ . ;?one) ~J-4'J-]]44
APPLICANTSIGNATl~ ~ ~VY;tJ;;J2~E / -;::ra- () ~_
APPUCANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT D ALTERA nONS
FURNACE MAKE AND MODEL (llLlJ)} X 6 Q. W.s!. t{--L~ FUEL i~~
FLUE SIZE RETIJRN OPENlNGS / 0 INPUT 100 &r1;L OlrrpUT.' Cfi ) -
I
TYPE OF SYSTEM HEA"Ill'J"G OR PO'WER PLANT
~ann AIr Planl~ 0 St.:am
OGravity 0 Hot Water
i1c:chanlCal 0 Rll.diation
Air Conditio.n.ing 0 Special DevIces __
o cnt. System 0 Other DevIces
PLEASE NOTE:
Air CondItioner Units
C:mnOT Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
lJ)du~trlaJ, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost RcsidenW.l.t, GM Fireplace
$39.50 minimum
$99 50 Residenttal. AddItion:' & AlteratIons
$6450 Residential. AC Only
$39.50
Re~identlaJ. Heating & Ale (New Construction)
Residential. Heating Only (New Construction)
$3950
$3950
E~timated Cost $
Building Permit #
.50
HEATING PER1v1IT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
~
\
(S(~(.i.~ Use 9nly)
('. ...
.",.;$ Application Becomes Your Building Permit When Approved
Building OIDcial
'I
Date
24 hour notice for al/ inspection~ (952) 447
I _ . I I nil
~tNL "VAN ~LUMbIN~ ~.
IllJ . IJ .J I) I) r." _ I
Vale Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
1 f$Juo: P'jJ~
2. Gnjd Ci~'
) y.JI,w Appll""'''
[~;;;S:3a;~~mOI iifJUJ a;bA , ::Ji1
[PERMIT NO.OZ -J496 I
~ I ZONING ''''''<=,
LEGAL DESCRIPTION (office use only) j'\
LO-0t BLOCK / AD DmoN}:51 t;)nJ/ 41.v-
O"WNER
~ame) Wensmann Hom~s
d-/7d
PID
JAddress) 2.89~ Plaza Dr
Eagan, }fN
55122
3
(Phone) ,,651-905-3709
.APPLICANT
~am~ Genz-Ryan Plumhing & Heating
(phone) 651-423-1144
(Address) 1474;5 So Robert Trl
(Address)
---
(Contact Person) ~ 0~
Rosemount., HN
(City)
55068
(Zip Code)
APPLICANT SIGNATURE
-;;t--d- O'
I q""Uantity Type of Fixture Quantity Type of Fixture
r--- .;< Ba.th Tub with or without shower'-- Rough-ins
I Dishwasher I Water Heater
. J floor Drain . f!)L Water Softner
tJ.-- -- Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
I ._-- Laundry Tray (1 or 2 compartment sink Sewage Ejector
".r- .Shower Stall Backflow Assembly
I _. Sinks Backflow Assembly Test ---
Bar Sink Lawn Sprinkler
~ Water Closet (Toilet) Other
- -
APPLICANT PLEASE C01VrPLETE BE.LOW
FEE SCHEDULE
Industrial, Commercial & Mulu-famtly 1 % of .lob cost wlih a $39 50 minimum ReSldentl3.I, New On<: & Two-Family $99 50
ResIdential, Additions & Alter.atio:'ls $39 50
EstImated Cost $
Building Pe[D))t #. __
B.ulldlng Offici:!1
Dale
PLUMBING PERlvllT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
Tbi5 Application BE:comcs Your Building Permit When Approved
24 hour notic.e for all inspections (951) 4 7-.9850, f.ll.X (951) 447-4245
By __ --------=::..
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERlVIIT
Date Rec'd
(Please type or print and sign at bottom)
I. ADDRESS
. 3346 GLYNWATER TRAIL
~. ~::'n ~:~y I PERlVlIT NO. .~../ '-,/L/'CI,X./'
J Yellow Applicam . _
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH FAIR VIEW A VENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUS TON
DATE
2/11/03
xD NEW CONSTRUCTION o REPLACEMENT o AL TERA TrONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NOTE:
DGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO PIER-TRC
APPLICANT PLEASE COMPLETE BELOW
Industrial. Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential. Gas Fireplace
$39.50 minimum I
$99.50 Residential. Additions & Alterations
$64.50 Residential. AC Only
$39.50
Residential. Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
Dale
.50
, ,"...,j{jj .
l' .~., .t
.-
. , ..
...
IOffice Use Only)
This Application Becomes Your Building Permit When Approved!
l
I'
Blllluing Ollicml
I
1 'J. ;nn~ I
-~ ',j I~j
J
~ I
2~ hour notice for all inspections (952) ~47-9850, fax (9~4:-J-t~'
Receipt No.
I ).r'
By ../U
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~:~~nw Ji~icant I PERMIT NO. ,}.---/ t-/9 ~ I
(Please
ADDRESS
ZONING (office use)
3346 GLYNWATER TRAIL
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
3/7 /03
xD NEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NOTE:
DGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEA TN GLO 6000TR-OAK (2ND FIREPLACE)
APPLICANT PLEASE COMPLETE BELOW
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
Building Permit #
$
$
$
.50
PAID IAn
SUILOIN rr,7'H
G PERMIT
Buildinl! Official
Date
Receipt No.
(Office lJse Only)
This Application Becomes Your Building Permit When Approved
By
24 hour notice for all inspections (952)
ill245
I
J
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS SS~~ GLYNN u.J1t~ Tk. ;(J,
NATURE OF WORK NE:l<J (2a NS772.!Lc17cr,J
USE OF BUILDING S.F": A.
PERMIT NO. 02 - / 4J.-qg DATE ISSUED / I /7/ (]"Z--
CONTRACTOR W6Ns/fA.A.NkJ J../ornES PHdNE"lof"2--sb9-7'/Z-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~SPECTOR
I FOOTING V~ /~-~
I FOUNDATION (Prior to Backfill) J- u~\1 k1~ I I }...-l 'I-(fJ....
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DEPARTMENT 0
BUILDING AND INSP
DATE
we'
Cf2-
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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GRADING (Prior to Sodding) s.;e./-,o.7
BUILDING (p -
ELECTRICAL
PLUMBING LJc 9'- ~S
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.
FOR ALL INSPECTIONS (952) 447-9850
OJ' C2 :J<:S<.Jr
~RK SATISFACTORY, PROCEED
o CORR TION AND PROCEED
o COR ECT K, CALL FOR REINSPECTION BEFORE COVERING
Inspecto :
Owner/Contr:
50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
EQUlREMENTS ARE FOR YOUR PERSONAL HEALTH.{ SAFETY!
INSNOTl