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R- G) ~mm:l:G) ~ m 0 ~ < _"tl"tJ"tl?! > ~~~~o ~ z >ooz=n .., (') _mm-l_ (;J~ ~ !'11 ::0"::0 r -1-_ r cnZ Z m -I~ G) " OJ C CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ri( ~ se LEGAL DESCRIPTION (office use only) 5lti'l 1; \J i\' r+- 'c:j 1.- .-J ADDITION l ~~e ~ Mo.,1/\. f;: l-e. Date Rec' d -z- .5 ... 02- /:'i I. White File 2. Pink City J . Yellow Applicant ,,,..' I PERMIT NOoot.fro/t/7 I l,t. ZoNING (office use) ~2- PID 25-3BI- Ol'z...-t) OWNER (Name) (Phone) (Address) TYPE OF WORK ill New Construction DLower Level Finish (Phone) ~52""''l Cd5- "1BCfJ (Phone) ~ 52.... 2.--z.(p-'-l132 DDeck DPorch DRe,Roofing o Fireplace DAddition DAlteration o Misc. PROJECT COST IV ALUE (excluding land) $ DRe,Siding DUtility 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 proceed in accordance with submitted plans. I am aware at the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter on the property't e needed inspections. x $ Plan Check Fee $ State Surcharge $ Penalty $ Plumbing Permit Fee $ .00 Mechanical Permit Fee $ .00 Sewer & Water Permit Fee $ Gas Fireplace Permit Fee $ ames Your Building Pennit When Approved :2 -ll-D'L- Date ~(){)DSfp51 Contractor's License No. Park Support Fee SAC # # $ $ $ $ $ $ $ $ $ ?..OO . 0 0 100.00 Water Meter Size 5/8"; 1"; Pressure Reducer Sewer/Water Connection Fee Water Tower Fee Builder's Deposit Other TOTAL DUE # # Paid Date /~0dt~ ow: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~~.A"-A"'~ 2-/v"h !'P2- 0L-~~.Ls.t:l Ce..~~~l.c;. - Planning 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 Feb ,I 1, 2002 3:53PM GENZ RVAN PLUMBING AND HEATING Nll.3483 p. 25 Date Ret'd CITY OF PRIOR LAKE PLUMBING PERMIT ff8 I I 2002 I B/u. I'il. 2. Gold City 3. -ro/l"", AppliQllI l PERMIT NO. oZ-0/'-I-71 l ZONING (office use:) [Pku''''''''''_~_ Ldb - · DM. Cd <;fE. LOT BLOCK PID LEGAL DESCRIPTION (office use only) OWNER ~~e) DR Hor~on Custom Homes (Phone) 651-454~4663 (Address) 3459 Washington Dr Sr:e 204 Eagan, MN 55122 ,APPLICANT (Name) C~Il.Z~~ilJJ. PJ"";lJ"~T'1g '" RubY'g (Addr~ss) 14745 So RobE!rt Trail (Address) (phone) fi t:; 1 _L..? ~~ 1 14l& RoseJJ.\ount MN (City) 55068 (Zip Code) (Contact Person) Mary (Phone) APPLICANT SIGNATURE DATE Quantity Type of Fixture Quantity Type of Fixture I Bath Tub with or without shower Rough-ins . Dishwasher J Water Heater , I Floor Drain - -.." Water 80ftner 7-' Lavatory (Bathroom Sink) f Stand Pipe (Washing Machine) Laundry Tray (1 at 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly , Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler :L Water Closet (Toilet) Other EASE COMPLETE BELOW FEE SCHEDULE lndustnal. Commercial & Multl-fBIDlly 1 % of job cost wIth a $39..50 minimum RcsIdential, New One & Two-Family $99.50 ResidCDtial, Additions & Alterations $3950 Estimated Cost $ Building Perol1! # ~"'- '1\i . . pj)..\O \, '."-' ,50 I3tJ~~~O~NG r- C:----- ~ J PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTALPERNOTFEE $ (omc~ USt Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. ( \ Buildillg Offir.:,isJ :Da,u Dj:tp-n I A ,)fif\) rm 1-.1",..11...1,:_ By 24 hC!l.lr notice for all inspedlons (95)) 447~9850, fax (952) 447-4245 Feb.l1. 2002 3:55PM' GENZ RVAN PLUMBING AND HEATING No.3483 p. 12/25 Date Ree'd CITY ,OF rRIOR LAn.. . . SEWER AND WATER PERMIT FEe J I 200:' ~: ~~w ~I""" I PERMIT NO. 02-0/4--71 1~~-CudfL Sf ZONING (oiliceu.se) LOT :BLOCK .ADDITION PID LEGAL DESCRIPTION (officI: ~Sl: only) OWNER (Name) DB. Hn-rrnT'1 r" "'rom Homes (Address) 3459 Washi.ngton Dr Ste 204 (AddrJ:ss) (Phone) 651 45"-'t663 55122 (Zip Cede) Eagan, MN (City) APPLICANT CNwn~ Genz-Ryan Plumb~ng & Heatin& (phone) 651-423-1144 (Address) 14745 So Robert. Trail (Addn:ss) Rosemount, MN 55068 (CitY) (Zip Codt:) (Phone) _ 651-423-1144 PATE PLEASE COMPLETE BELOW Size of water service _ inches, Location of any coupljngs 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 li.ne connection Sewer connection only FEE SCHEDULE $35.50 Industrial, Com'l &. Multi-family 1% of job cost with a $39.50 minimum $17.50 Water connection only $17.50 Estimated Cost $ Building Permit # i'i " ~",- '" ~ f"'>',! ,. .' . fJr-t.:, ~ . - ...''"' '.~"":, ;, ',) t ~ L . ~ _ ,~':>-~ "'0,\ i( ......~ y~..- -~ , \0 ,..,~ Ul'. ,~G ----~ '-'\J\'~ '" ---- "')~' -- , ~ { SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $' $ (OffiCI: USI: Only) This Application Becomes Y Ol.lr Bl.lilding Permit When Approved, Paid Receipt No < L.... Building Official Date DatfEB- 4 2002 By ~4 bour DotiCIl! for alllnspectioDs ('52) 441-9850, tax ('SZ) 441-4245 FIRESIDE CORNER #5129 P.D04/006 Date Rec'd. CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGIFJREPLACE PERMIT I. p;nk 2. a.- 1. '1"ollaw E~i".' I PERMIT NO. f7?-. - I W 17 I I =::S~~::~Ub::'I~ ~ ZONING (pfflCC'I&C) sc- ] LEGAL DESCR1PT.J.ON (offio:: llSe Q".Iy) LOT BLOCK ADDITION PIq~5--3 g /- gtJ:. - CJ IOWNER (Na.me:) (Add.Tess) 'DIZ tJ~h- (phone) APPLICANT (Name) AL1...IED F.IRESIDE: DBA FIRESIDE COJ:ijS'ER (Phone) 65.1...=-633-2563. (Address) 2700 ;N. FAIRV:;r.~~r.l~ (Ad.dress) (C P ) BRENDA b"USTON on.r..act . erson . RQS~ MN (City) 651-633-2561 (Phone) DATE "'<;11".l (Zip Code) APPLICANT SIGNATURE APPJ.;ICANT PLEASE COMPl,ETE BELOW DNEW CONSTRUCTION 0 REPLA.CEMENT 0 AL 'rERA TIONS FURNACE MAKE AND MODEL FTJEJ... FLUE SIZE RETTJR:N OPENJ'NGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PlANT DWarm Air Plants 0 Steam DGrlJvil:y 0 Hot Water o Mechanic8Il 0 R.adlllr.iQn OAlr Conditjoning 0 S"echll Devices OVenr. Systcnl 0 OJ:/ler Devlce..'i PJ..EASE NOTE: Air Condftioner Unlrs Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL Industrial, Commc:rcia[ &. Multi-Family FEE SCHEDUJ..E J % of job cost Residential.. Oa.s Firepl~tt $39.50 minimum $99,50 Residential, Additions /JL Alterations $64,50 Residential, AC Only $39,50 Residential, Healing &. Ale (New Construction) R.esidential, HelJting Only (New ConSlJ'llc:tion.) $39.50 $39.50 Batimated Cost $ Building Penn. it # , .'" ~ '. ,.~'^~ .. . v *".,.,,,,, HEA TlNG PERMIT FEE $ STATE SURCHARGE $ .50 TOTAl.. PERMIT FEE $ (om!!e Use Onl,) "" This ^ppllca1:folJ Becomes YDur Bulldfn" Penn it When Approved Paid Bundh'll OffldRI Oa.te Receipt No. Da,e ,,, '1OIIr notice fflr lIlIln'per.'l~h'Jl8 (95Z) "'47-98~O, fn (9!2) 447-4245 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd FEB l 7 2002 ~. ~~:n ~:~y. I PERMIT NO'{);1 !/1? I 3. Yellow Applicant . . ZONING (office use) '1~H w, f\tS~ 4r_ se LEGAL DESCRIPTION (office use only) LOT I~~LOCK ADDITION PID;?S- 3f?J-c;OI/-Q (Phone) (Address) APPLICANT A I' f --- (Name) I , Qn ...l-~. (Address) 3~50 fi....enne. bee- Lx-. (Address) f Z.. 5+e. #/ (Phone) (p5/- 45~-cf(775 .I~a8Qn 55/.22 (City) (ZIp Code) (Phone) (P5/-45r1- ~77o (Contact Person) DATE !0NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS FURNACE MAKE AND MODEL ~4n+ 383KA-vb1J.U)'10 FUEL f\.)Q:hAm , FLUE SIZE ':I-"cfQ.s~ B RETURN OPENINGS J..l. INPUT lOa 000 OUTPUT 6iDLtJOO TYPE OF SYSTEM REA TING OR POWER PLANT OWarm Air Plants o Steam PLEASE NOTE: DGravity D Hot Water Air Conditioner Units o Mechanical o Radiation Cannot Encroach into ~ Conditioning D 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 # .50 r- I~' . PAID 1,,//.,.., .;J'dH"',. Ii, ,.,.1 ~';,.;.JJNG Pc HEA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Building Official Date Date '/ /- /~ ..--- By CJU 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 White - Building Canary - Engineering Pink - Planning The Crntn of .he Lake Counlr}' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED t.) /<::' . I' (n 1/"-,'--7' 1\ )' j_,>...~ V ,,,,"._ \..../' '" "j 1'_- / I 2 . C; ~ 02- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: l. ". Ii" Ie /'. .j' r: ~'~ ( I \; : ,,-. -" \.../ "-,~ '.i L/ _,.~ ....:> I 11/ i I ,~ ! . : ~ 1 , "........ ! ,.......' ,,_,..,~ \._... G Accepted ~ Accepted With Corrections Denied ~~t~~ Date: Z(lg(P2- 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." rht' Ct'nlt'r or Iht' t.ke ('ounIl1' White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED D_ t2 . I-fO/0TDN 2- ~ -0'2- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 173/1 VVIl{)5~SSS u( fC~ Accepted Y-- Accepted With Corrections Denied Reviewed By: r2./)Af- Comments: Date: ;2,I/-o'""'L s~ CL ~ Ma.l'v'\. -h' \e "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." . /. "", " ...~' ;~ "Ji' (~, l ~ ..> / ,., ~.., ,,,.,. ,,\i.;' , ~:I t\.". White - Building Canary - Engineering Pink - Planning Thr Cflnlrr of thr, Lakr Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED D _ (2. . 1-10 fc--:rD rJ 2- S #"OL-. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1:73/1 V\JILDb~f6c; <:,/ fcuE Accepted X--. Accepted With Corrections D~!lled .- ~v' wed ~"'1Ii AJIfJ5 ~. (J ~6~men1: ..' S~L /YJe"j;., h'l<.. tt? 41 4 .i z-9-a~ Date: "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." PRIOR LAKE INSPECTION RECORD l ~~-e +~ M.~I,^ -{lot ~ DEPARTMENT OF BUILDING AND INSPECTION r-,.-... SITE ADDRESS 11f3IL11LJ&v-vws3 (r- NATURE OF WORK 1\J eLD USE OF BUILDING C, F A- PERMIT NO. (J2~O&!-7- DATE ISSUED ?--I/-o"L CONTRACTOR J), R. tbr+o'V\. PHONE QS2- ~~ -l/1:::/L NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE FOOTING FOUNDATION (Prior to Backfill) . '3 /1 C2-- P,lI 3 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING , u..G-(, . .s aa/tJ'r HEATING (if required)T]\1J.-1-O . O.T. FIREPLACE GAS LINE AIR TEST ~ ~ R GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED Stuc60 L~ &,.. 7/<7/0'" I ~ 1.4. <1~,k1.- FINALS ' ~~ -d- I()-/f-OL 5/15/01. v This card must be posted near an electri~al s-3r~ice 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. tJ (}V I fO~(J-OL OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS r!1S2) 447-90r:"~