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C>'TI'T1om 0 N ,. )0- Z )oo:;a:;aO~ -i Ro Q ~mm3:Q 0 m C s:: < _"0 "0 "0 $! > ~s:s:s:c ~ z >OOz:;; '-l 0 _mm-l_ ~ ~ !" ::O'TI::O r- -i -l-- r Ii: enz z ~ m -l~ Q 0 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Tr~ t'l SE" LEGAL DESCRIPTION (office use only) 14 lJ,1I't.. 72 ~ocr ADDITION Date Rec' d ''l- 14-0 I M Gl ~ 1.\ Rl e... I PERMIT NO, 0 Z -00 2-D I I. White File 2. Pink City 3 . Yellow Applicant PID ZONING (office use) el- [ OWNER (Name) (Address) (Phone) TYPE OF WORK New Construction OLower Level Finish o Misc. (Phone) 95J- 4 BS'-l1:?aJ (Phone) 9~ -0l.;Z~ - '1782- ODeck OPorch ORe-Roofing OAlteration o Fireplace DAddition ~7- 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 aU construction wiU conform to aU 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 exnter upon the property to perf<{m xi ed inspections. . ;;l ~po{)~5~ Signa re Contractor's License No. Permit Valuation Permit Fee $ Plan Check Fee $ State Surcharge $ Penalty $ Plumbing Permit Fee $ Mechanical Permit Fee $ Sewer & Water Permit Fee $ Gas Fireplace Permit Fee $ es Your Building Permit When Approved 12-/1~(JL Date Park Support Fee SAC # # loll/tiLt:) I ate $ $ $ $ $ $ $ $ $ Water Meter Size 5/8" I"; Pressure Reducer Sewer/Water Connection Fee Water Tower Fee Builder's Deposit Other # # TOTAL DUE I ~~~ 1i:~.(~t I~-yt" 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~ed. /l 11" _ ^ ^ ^ -,--;- . ( ~-- _1')...(2$/6> l .eft ~~~~ .... PI ing 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 White - Building Canary - Engineering Pink - Planning The ('('nfrr of the I..kt Counlr)' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT , 1.-/ -t ~ i I ~ i / I "-\' (' j · 1<':", -I L <_ --..i/ ',) I 2- - I "7 - c) I APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1- /_-~' / j 0~ l I l I ;--, I 1- ',,-T--;- 1\ I L-- : I- . \... -' '\j I __):./f'-. ,'-/...._-..... Accepted ~- Accepted With Corrections Denied ~I/':JF:;?/'~ Date: { 2--1u;./b( 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." White - Building Canary - Engineering Pink - Planning Thr {"f'nlrr of the Lake ('ounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED o Q~ l:10~TON 1?--/7-0 r The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~1305 WIGD512.rJ5SS "TrzAl L- Accepted Accepted With Corrections X Denied Reviewed BifJ~J= Date: I'? - l't -of Comments: ~ Q_tl ~~ ~av.J-j "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 Tht etnltr or Iht l..k, Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED QR. tJQ/ITQrJ I t- -/7 - 0 ( The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 17305 WllDS/ZJ\)E,SS TI2AI L- Accepted X _ Accepted With Corrections Denied Reviewed By: 1I/l1/3 Date: /-2.-02.- Comments: See Reverse Side for Additional Information! IYIGirl F,' Ie.. ~ee. Attachments: 1.) Grading Plan, 2) Er.oslon Control Measures 3) Erosion Control Plan "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." r D8C,26. 2001 11:46AM GENZ RVAN PLUMBING AND HEATING No,9125 p, 14 7 Date Rec'd CITY ,OF PRIOR LAKE SEWER AND WATER PERMIT ~: ~!~ ~:;k_' l PERMITNO~2-oozo1 I ZONING (office 1lliC:) ] -1 ILL- Se- '. ~1""'!>J1' "~''''.'''''_. m) IADDRESS '1~ - \^,Ji\'Cif~ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION -th ~ PlD OWNER (Name) DR HOTrQD CU€tOlQ }1Qm,...lJ (Phone) 651...~5tl.,..11663 (Address) 3459 Washington Dr Ste 204 (Address) Eagan, MN (City) 55122 (zq, Code) APPLICANT ~ffine) Genz-Ryan Plumbin~ & Heating (Address) 14745 So Robert Trail (Address) (phone) 651-423-1144 Rosemount, MN 55068 (CitY) (Zip Code) "'LICANT SIGNATURE (phone) E 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 Estimated length of sewer line feet. Clean out (if required) located at _ feet from structure, ResidentIal sewer and water hne connection Sewer \:onnection only FEE SCHEDULE $35.50 Industrial, Com'l & Multi~family 1% of job cost with a $39.50 minimu.ul. $17..50 Water connection only $17.50 Estimated Cost $ Building Permit # "'_.. PA\O WlTl'4 -""" .50e.U1LDING PERMIT" I r ,. SEWER AND WATER PERMIT FEE STA IE SURCHARGE TOTAL PERMIT FEE $ $' $ (Office U~e Only) This Application Becomes Your B~ildir;Jg Permit When Approved Paid Receipt No. L. Bulldillg Official Date DateJAN - 8 2002 By " 24 hl;ll~f lIotlce for all inspectioD" (952) 447~98S0, fax (952) 447-4245 CITY OF PRIOR LAKE Date Rec'd HEATING/AIR CONDITIONING/FIREPLACE PERMITJAN 2 . 42002 J. Pink 2. Green 3. Yellow ~!~. I PERMIT NO,{)..] -0 "7 0 Apphcant L- 0 I:.- ZONING (office use) -rr_~_ LEGAL DESCRIPTION (office use only) LOT /lsLOCK 14 ADDITION prD (Address) (Phone) 95bJ ~ q ~5 -7017r2.. o J..( APPLICANT All' t M --- (Name) r Qrl e~ .~m. (Address) 3~SO '1...enne bee.. l:::r. (Address) r z; 5+e. #/ (Phone) 1~51- .</5:1-- c7'?775' La8an 55/.22 (City) (Zip Code) (Phone) to5/-J.l5~- ;/770 / /23/01- DATE (Contact Person) gNEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS FURNACE MAKE AND MODEL ~4n+ 383KA-vb1J,1D'o FUEL l'J~tlAm I FLUE SIZE 'f14c1a.s~"B RETURN OPENINGS '+ INPUT ,D. 000 OUTPUT 6LD~ /)00 TYPE OF SYSTEM HEATING OR POWER PLANT OWarm Air Plants o Steam PLEASE NOTE: o Gravity o Hot Water Air Conditioner Units o Mechanical . o Radiation Cannot Encroach into ~r Conditioning o Special Devices Required Side Yard ent. System o Other Devices Setbacks FIREPLACE MAKE AND MODEL 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 & AIC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ Building Penn it # HEA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .' --.1,..\ ~-- \0 v~\.,' .50 \~\~\l<G pS (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Building Official Date Datru1 ') ~ ""'" L. ~ 2002 By 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 Dec.26. 2UIJ1 11:45AM GENZ RVAN PLUMBING AND HEATING No.9125 p. 1 27 D~te Rec'd CITY OF PRIOR LAKE PLIJJV,I:BING PERMIT I. Bl~. l'11. 2. Gold Cit;l' ~. Ycll_ Appllc:>n; I PERMIT NO. () Z ~OO 2-DI ) I ZONING '-j ~~~s~""-"~: I \ 0liLYUf'1D 1;~< S~ LEGAL DESCRll'TION (.- ~~""'Y) h 1 . . + LOT BLOCK ADDITION f:J2. fL(( _ e t) S :.k:L- PID OWNER :Name) DR Borton CuS1:0Ill Homes (phone) 651-454-4663 Address) 3t+59 Washing'Cbn Dr $te 204 Eagan. MN 55122 \J?PUCANT . [Name) G<;?nz R:yakl p1nml-.1'f1g I), l1"ilt-jng Address) 14745 So Robert Trail (Address) (phone) 651 473 '144 Rosemount MN 55068 (Zip Code:) (City) APP CANT P EASE COMPLETE BELOW Quantity Type afFix Quantity TYPlo'lofFixtnre Bath Tub 'With or/without shower Rough-ins Dishwasher Water Heater Floor Drain W a~r Soffner Lavatory (Bathroom Sink) Stand Pipe (Washing N!achine) Laundry Tray (lor 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backflow Assembly Test B~S~ La~Sp~q Water Closet (Toilet) Other (phone) :ont:act Person) Mary Olson J'PLlCJ\NT SIGNATURE DATE FEE SCHEDULE ndustnal, CommercIal & Multl-famlly l % of Job cost With a .\l39. SO minimum ResIdentl.al.. New One:: & Two-Fanllly $99.50 Residential, Additions & Alterations $39.50 EstJm.ated Cost $ Building pernut # r- PAlO WITH BU\LOlNG PEFSAIT } .50 , PLUMBING PERMIT FEP $ STATE SURCHARGE $ TOTAL PERMIT FEE $ ic. Use Ooly) Paid By ') I ilis Applic.ation Becomes Your Building Permit When Approved Date' Date JAN - 8 2002 Building Offlcl.al 24 hour notice for all in!lpections (952.) 441~9850, fn (952) 447-4245 PRIOR LAKE . INSPECTION RECORD i M a~Vt-f( Le DEPARTMENT OF BUILDING AND INSPECTION - SITE ADDRESS 11 '?>DS-tJdcL..rIA.D~~ 0r- NATURE OF WORK --AJ..e'-\.J USE OF BUILDING 9FA PERMIT NO. ~~-~ATEISSUED /'2-t'1-c:J/ CONTRACTOR ..'. PHONE Qc;2 -.a.a(g -t./132- NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING ~. I cr/t!ft, :v FOUNDATION (Prior to Backfill) l~ ~ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING tt.Crt. HEATING (if required) FIREPLACE GAS LINE AIR TEST \ 4 F ~ I COVER NO WORK UNTIL ABOVE HAS BEEN S;GNED ~ 4. 'f/17/64 I FINALS GRADING (Prior to Sodding) BUILDING - ~- 0>- ELECTRICAL PLUMBING HEATING DO NOT 1 u; 0 'Z.-- "$- I L-d'S 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 avai.lable, card ~hall be placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850