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JUL~
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
1. DATE
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) :Jg (Depth)7lj
12. NO. OF STORIES
'3
3;). 0 y (Jo Tr~1l IV.., T C;/<CL-C
'1. {pq
R-/J/J
ADDITION
BLOCK ----" PID
(\'(";/-!-}, l~ J
:;r-./yio/l-O
13. TYPE OF CONSTRUCTION
{,ucod FRl1rY1 C
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.) '" ,- $ 'i:jCf
mEmO/lIM.. J..}, w Ii J)J-
i.-"fdMe t'/11'" (Tel. No.) ~-rl/ g
..,)-' (/-,,1 I\-
6. BUILDER (Name) 4 1'1..- ~~3-ltflf3(AddresS) ,c< fY"' -V (Tel. No.)
ChrlIU"-J Ii Olf.cW --- J 'f10~ r 5> \f/'q~O 7'1}- !,!,!~gM
(fo R 'rJ m /Ii !-Iv ts' r Ii tv <:~ '1 ~ /~(,S -~Li3 7'
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0' if,\. -POrCh 0
New Construction ~ Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
9. PROPERTY DIMENSIONS
Width Depth
Yes
10. CULVERT SIZE
G
SEATS
!6.7. ROJECT COSTNALUE
7-. :JJ r- (YO 0
17. COMPLE ION DATE
/0 - 3/- ") g
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 p e 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 r oke . pe 't for' cause rmore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
\
x
License No.
Date
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SETBACKS: Required
Actual
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 7- 7. 5, ""D. 00
SURVEY
PLOT PLAN
o COPIES
o
USE OF BUILDING
SF[5
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F HIM
Division 1 2 6:1
Permit Fee ................................... $
Plan Check Fee ............................. $
{B)s U
Ilg\,2.2S-
'=teL.Cn
I I"Z .SO
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
SewerTap ................................... $
I $
Pressure Reducer . C...................... $
e, SC). ~
1 C}(!> (!) · ~
',sr2.2~
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee .qf.5.~.9...... $ 100. (;rI,
Mechanical Permit Fee 1f.....S..~?1....... $ I 0'15 dt
.1f'<;(,C .,
Sewer & Water Permit ............;.....'{.. $ J <;' ) V
Gas Fireplace Permit ....1. ..:.SLt.<1.. $ yo 6)
This P Ii I Become ur Building Permit When ApprovedO
By Date ? -I :>-/8
7rY()O
Meter Horn................................... $
Water Meter ..J.~~........................... $ ~ 10.06
Sewer & Water Connection Fee ........... $/ /. 2 00 . (9 0
I
Water Tower Fee ........................... $ 7 (x:J .OD
Paid
Issued
Date
24 hour notice for all inspections 447-9850
(XT .15.1998
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White - Building
Canary - Engineering
Pink - Planning
The CrnlC'r or the L.kt ("ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
JO?Vh !JO/S~
7.tp jf
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3~oy Sufk~~ Ct/c~
/
Accepted
Accepted With Corrections X
Denied
Reviewed By: ~-
Comments:
J. ~.~ C1.(l ~r-~ ~/I .l/tt2b.5
7. P0c...'l/\ ~C1..- {\. LA. ~(j~l'cn- ~~~
3. Ual{ Cc4r~ ~~
Date: /::/3-7C)
"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."
..
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Penn it Application)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
JUL I 7 1998
Property Address
~z.o~ ,""B\:s~"R..I(\~+- 0-\~c.\~
Lot Area ' ~?\oo, ~bo~.e.\. q~~ Sq. Feet x 30% = .............. -t..ul0
***********~********************************.***************************
LENGTH WIDTH SQ. FEET
t..i? x ?S = 100
~t:; x -z..e = ~tJ~
ex\O = ~e
~ "1-- \~ ' -:. '
TOT AL PRINCIPLE STRUCTURE......................
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HOUSE
A TT ACHED GARAGE
DETACHED BLDGS
(Garage/Shed)
x
x
TOT AL DETACHED BUILDINGS.......................
DRIVEW A YIP A VEDAREAS ""1.1 K'x ~z. = ~' lo3\
(Driveway-paved or not) B X \D = ~O
(Sidewalk/Parking Areas) ~XJ.:J = "3oep
TOTAL PAVED AREAS.........................................
~ \.ot'
P A TIOSIPORCHES/DECKS X =
(Open Decks W' min. opening between X =
boards, with a pervious surface below,
arc not considered to be impervious)
X =
TOTAL' DECKS.........................................................
OTHER
"\<o~.c. ~<<'~-A-
O~~~ eV\~
I\:> X \0
X
=
lOO
=
TOTAL OTHER.......................................................
TOTAL IMPERVIOUS SURFACE
~?VER
Prepared B-<, 'b p.~ ~~Q.,^ Date .., - ., - "1 '0
Company 'J <>. \ \.'" <6 \J R~~~ ~ c..,. I e k Phone # _4 <tl ~ 'Z., ~"1 Q
, R~\J'J.\"')-~~'-ro 'VV\C4; 'JFt\\Ie... sW'\"II-eL- 4-0 G..c.c.o~cO~
~ 1M. ~'C"..,~"u, A..12.e~ 0 \J~ 5{e P ~V"e"- '"D. R...
:",'
~-,
-e"t-\"(l.
OCT.16.1998 10:45RM
GENZ-RYRN
NO.891
P.2
GIIl,,- - ....E
'flUD. - API'\.ICA_T
GOLD. C1T.
CITY OF PRIOR LAKE
SEWER ANO WATER PERMIT
--".~:
NO. 9!. 5fa 9
" (JCT r 6 1998
NOTE: Sewer and Water
contractors :must
be registered
with the city.
APPLICANT: GENZ-RYAN
ADDRESS:: 14745 So Robert Trl, Rosemount MN 55068
SIGNATUR~:~A./JAJ
SITE ADDRE~ ~-fkr/JP-+ (!/r.
PHONE; 423-1144
DATE: II) -/S-. ~
BLDG. PERMIT 1# 9J. 510 r
PIO# ~5.1l{I.o//'o
~J i)lg~
1.
I FILL IN THE BLANKS
4O/J
EstiFated length of water service
sizel ~f water service /11 inch(es) .
Loca~~on of any couplinqs from structure
I
Type:: of sewer pipe. ABS_ pvcL Cast Iron_
Estirated length of sewer line ~"
I.
Clea~ out (if required), located at
structure.
from
feet.
2.
3 .
feet.
4.
5.
feet.
6.
feet
==~==================-r-===============================~===;====
Thi~ apPl~~~~~~c~m~~~r permit ~hen approved.
BY ,~ ~ D~TE: /o,/{P,c;Y
I'
,
===~==~_=__W~~~======~=~====~~===:~~~~===========~_~~__~~_=~~=
FEES:
I
:, $
: $
:, $
Sewer and water line connection permit.
Surcharge
TOTAL
35.00
.50
35.50
* Fee ~or either sewer or water individually is $20.00 plus
$ .50 surcharge.
Sewer and water permits issued for new construction mus~ be
reco~ded on the buildin~ permit card at the time of issuance
to ihsure that no dupl~cate sewer and water permits are
issu~d.
Ii /D .J{p .0;8
DATE PAIp PAID WITH
RECEIPT !eUILDING PERMIT
*
.I
AMOUNT PAID
3 S. '8'0
; ,
REC'D BY
y
4629 Dalcota St. 5.E., Prior Lake, Minnesota 55372 / Ph. (612) 4474230 / Fax (612) 447-4245
AN EQUAL OPPORTUNITY EMPLOVER
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~~EV:6 866L-8L-LL
CITY OF PRIOR LAKE
PLU BING PERMIT
Applicant: I " tl~ ' ~ ttiJz5'
Address: ~ ~ G ~ ;~. n
Signature: .IJ~ (JJ '
Legal Description: Lot ,~J Block "-
Site Address: (-;) 0 i ~/j;1jJ..t r{A/u1
Building Permit # r g --_ _ PID # ~1f - I ~ 1- tIll -lJ
NOTE: This permit will not be processed without complete information.
I. Blue
2. Gold
3. Yellow
File
City
Applicant
The Center or the l..ke Country
PP No. 9 t - i'ld
(; /J-- SJ'S-' vl;!f
, ?~
/'
FIXTURE UNITS
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower / Rough-ins
Dishwasher Water Heater
Floor Drain I jP'T Water Softner
Lavatory (bathroom sink) Stand Pipe (washing machine)
Laundry Tray (1 or 2 compartment sink) Sewage Ejector
Shower Stall Backflow Assembly (RPZ, Double Check, PVB)
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (toilet) I Other Ki~ (J.Jl1u .JI{}.;A
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$
$
.50
GRAND TOTAL $
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the amendml? ts thereof.
'/!2,..; . ECEIPT NO. I//J~ r DATE
ATIEST
Call or all inspections 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
OCT.15.1998 10:45RM
GENZ-RYRN
NO.891
P.3
i 16\998
CITY OF PRIOR LAKE
PLUMBING PERMIT
AppNcant GEN2,-RYAN Phone:
-, Address: 14745 So ROb~semount MN 55068
Signature: t'~ _~
Legal Description: Lot ~ Block - Sub /..irfh/.(jDoL
Site Address: 32/)4' -:e.aHYnfA".1- Cl/~.
Building Permit # rg . ,L)6 r PID # ~ ~ . / Lf I ' () IJ' 0
NOTE: This permit will not be processed without oomplete information. '
FIXTURE UNITS
I. 1I11I!!
2. Gold
. 3. Y~I1Q\II
Pile
City
AppliClDI
# ft.56 f
423-1144
nil: Ct!!II.P' -, '.r ulu: C..~I'"
Quantity , Type of Fixture Quantity Type of Fixture
,
fL Bath :rub with or without shower 4' Rough-ins
I Dishwasher I Water Heater
I Floor Drain Water Softner
3 Lavatory (bathroom sink) Stand Pipe (washing machine)
J Launt.:lry Tray (1 or 2 compartment sink) Sewage Ejector
.'
Shower Stall Backtlow Assembly (RPZ. DQuble Check, PVB)
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
.5 Water Closet (toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of j9b cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State S~rcharge
,
$99.50
$39.50
$
$ 11. ~ 0
$
$ .50
GRAND TOTAL
$ /i)D-
PAIDWIIH
BUILDING PERMIT
This permit is granled upon the express condition that said
PAl 0 ~9Piaftcr. shall comply in all respects with the ordinances
SUI cYtItltblslate Plumbing Code and the amendment~ 1h8teof-
LDING PERMIT RECElPTNO. /0 -I(p- OJ! DATE
.
~/ ArrEST
Call for all inspections 24 hours in advance.
~
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal Opponunity Employer
CIUt . JU
YELLOW - APPLICANT
GOLD - CIT Y
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NO.~ct. SIPj
NOTE: Sewer and Water
contractors must
be registered
with the city.
~ . tf 22- - l./q 7 {{
APPLI CANT: V , r,q (J L 0 fJ t .,~~, ~/1J<5 'U...lC PHONE: /no bo" ( 8 J (j .. &::> 5/7
ADDRESS: ~l1C ~mPI.<; /Y1,.! DATE: <;<'- 16 - 9 If
SIGNATURE:---ll~ 11 ,', ,"l BLDG. PERMIT # 1l" 5fo j
SITE ADDRESS: ~ Z 0 L/ 13 ~1'ffe 17 !JUT CilaD# ~6. lifl. 011' 0
.-
FILL IN THE BLANKS ~ 67S ()rj
1. Estimated length of water service / iJa I feet.
2. Size of water service
l j E
inch(es) .
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC!/" Cast Iron
,.
5. Estimated length of sewer line '30
feet.
6. Clean out (if required), located at
structure.
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This application becomes your permit when approved.
BY
DATE:
f?'"CJ8
------------------------------------------------------------------
------------------------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
RECEIPT #
REC/D BY
'3 5.50
d
DATE PAID
%' . II' ~ V
AMOUNT PAID
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
q f-~7'
Th~ Crnlrr or Iht L.kt Coun.ry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
Jo?t/h lJol5~
7. (r; / g
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit '
application for construction activity which is proposed at:
tJ 4.1... . ~~ Ct/L-~
D t.. I P!/I .^.A.k..(
3~oLf
Accepted
v'
Accepted With Corrections
"The issuance or granting of a permi 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."
Thr Crnlrr or Ihr takr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
. /
,
I
"
i
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constructiq!1 ac~,iyity which, is proposed at:
"':'1'\
Accepted
Accepted With Corrections
v
Denied
ReViewedBY:_.~'~ _~t~~7~~,.
Comments: ~ , d 1=-&(2. ~ 'b,-:- ~
* '4\U/Jftu,~~ ~
;t(), ~~ - aif <J1r;' 'frtw CVl-L
~ ...1 -J- f/4j\J- .. (J
~ /lfflWL1t@ - /)11A,W/I N(f6i:Ce 3L/ C<1cJ~~~
-\L Lot' Lvi d th V{)..yi {,WJe{ fe^-- VtJ. y 98 -- 0 d (p
.>t; Jx-~J'~ s.d1,,<Je- VrJKt ~ ~ fR/ Ua.(' '1 r '-03 (p
.* Alje. llt1i+S nOt- to be. lOCtxkd on SI5idt~tt,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."
qf-509
White - Building
Canary - Engineering
Pink - Planning
The Ctnler of the take Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ I / - ,I )
,J 0 l",'-:"I 1--..,. ,) 5. "--(J,-.../
r1 ''':))" ~'
/ . (/
I . ,(
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
?/J O' {I f{ f,c", ,"~ ( II ! " t<......../
"J r.../) I i._" L -".(" , ,'" : I, )
Accepted
~
Accepted With Corrections
Denied
Reviewed By: V I? ~ ,Date: 'i /03 /9tf
Comments: :in~ ~/r4I~ r~ if1!~~ >&1-3 MIWM
~~h1A#f/! ~JF(Jd1ti 4,t>{de,.7k~
~<t<'/( IMII-{i-.e "JI;i~Pf! ,;{!7J,m~, ~ l~fM~-l~.
fk~w~M.~~~~titlRe~
~ ~,ioa4~~ ~ oMb~. A+.(.i!liYn-
~~~d?l#~~rJ1u~:IXd!t-~
!:p- ~rl!. 4/lf=vYJWL/~~~/~1 ~.kl! dMi&rd
~~~;:(t~J: ~t~MJ~TH#ulr-/~
~~
"The issuance or granting of a perml 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."
We.
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
~
d'
u
'-
-
'oJ
+--
....
,C!
..J
SITEADDRESS ,:g~cLJ -~.rtterV)ut (h..,
NATURE OFWORK ~ '~,
, US~ OF BUILDING .~O' ,
PERMIT NO. 9p"" p~cy~ '. '. . DATE ISSUED -2:J3-113
CONTRACTOR '~,,~~ OL~JY1.
,.' NOTE: THIS IS NOt, A 'PERMIT fOR ANY OF THE INSPECTIONS BELOW
'. THE PERMIT-IS. BY SEPARATE DOCUMENT
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INSPECTOR
DATE
EW I WATER I SEPTIC
FRAMING
INSULATION . ,
ELECTRICAL '.
PLUMBING \to \ <t. '\
HEATING (If requl ed)
FIREPLACE) ,t~,
GAs LINE AIR TEST [ (p'-"'/ I .... 2f? '
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I WALLBOARD I . I
'};':;;(;~;(2':'<;T<;'~,'::(' ,FINALS
I FOOTING ~ 6"...) 8-1 t'- 9-8
FOUNDATION (Prior to Backfill) 'C &1'-' ~ Z l--i"lff
','PLACENO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
'-1.,Ur c!6....-'
(9"-/
f}~314j'ft,.
GRADING (Prior to Soddin )
BUILDING
ELECTRICAL
PLUMBING
HEATING
':'/:;,.<DO NOT OCCUpy UNTIL ABOVE HAS
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,)j.'::~~;q'"~;. ,'',,,.,.; .
",'"", . NOTICE.:
. , " -. .:.0'" ' " ... '. ',,-' "', '." , , . ' ,. ' :';, '", ,," ^ .', " '_ ~.-,,' -._ __ ..
" ";This card must be posted near an electrical service cabinet prior to rough-in inspectioris",~.
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 447-4230