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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
2-/4-02-
; ~i~i~e ~:~y I PERMIT NO. O? --0/B3 I
] Yellow Applicant . _V .
ADDRESS ZONING (office use)
12/5.0
LEGAL DESCRIPTION (office use only)
BLOCK (
LOT.
PID 25-370 - 02 + -0
OWNER
(Name)
(Phone)
(Address)
~~~;~)ER1).R_ l-hA}Y\ .'
(Contact Name) ~\f'('" ~~~tn1
(Address) 2....08(, 0 ~~e.....- M ~ ~. \ DO
TYPE OF WORK
~N ew Construction
OLower Level Finish
o Fireplace
PROJECT COST/VALUE (excluding land) $ 11:Jl1 \ ~
DDeck
o Misc.
(Phone) q5;z. ...q8~-1 Hbe
(Phone) q51...-~~-/~
OPorch
ORe-Roofing
ORe-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 that t e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter up e property to perti rm ed inspections.
x
$
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ '(J . (jO
Mechanical Permit Fee $ ()() . ~O
Sewer & Water Permit Fee $ 35. SO
Gas Fireplace Permit Fee $ Cfo . 02)
es Your Building Permit When Approved
~ -?o- (j?-
Date
$
$
$
$
$
$
$
$
$B/
I ~;1t 1:/S /2-
OAddition
o Alteration
d; iJ:;.j()~
fate
c!lfJOO ~ 57
Contractor's License No.
Park Support Fee
SAC
#
#
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
,ned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
\~Jil~~€~-? 7 ( 2!2J, tel- .~L. 1!/~~.~L\tE(Jl C/~~<9V'\,s
Planning Director Date 9pecial ConditIOns. If any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Water Meter Siz 5/8 ; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
I Paid
Date
~j~~gr4;?
-
Feb,19, 2002 11:30AM
GENZ RVAN PLUMBING AND HEATING
No.4471
P, 3/5
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
I ~~~~~~::)7\~. .-r(L~ (0
LEGAL DESCRIPTION (office \1.'le oW,-y)
LofiL{ BLOCK
ADDITION
PID;75- j?O- Ov1
OWNER.
(N8..IX'1e) :D~ Un:tQl\1 C"s~"'m R""~llIa;;
(Address) 3459 Wash1ngLon Dr See 204
(Address)
APPLICANT
(N~e) Genz-Ryan Plumb~ng & Hea~1ng
(AddJess) 14745 So Robert Trail
(Al1dress)
I. G=I !'lIe I PERMIT NO .
1. YoI).;",. City', . D '1- (Q 3
1. Gold Appli<abt '0'" 0
ZONING (l?ffiClr"Stl) I
(phone) 65J 45'1 4663
Eagan, MN 55122
(City) (ZiP Cock)
~hone) 651-423-1144
Rosemount, MN 55068
(City) (Zip Code)
(phone)
DATE
LEASE CO.MP~ETE 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.
Resxdentiill sewer and wa~r hne connection
Sewer cODnE:ction only"
FEE SCHEDULE
$35.50 In.dustrial, Com'l & Multi-family 1% of job COlltWlth a $39.50 ntinimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND W AIER PERMIT FEE
STATE SURCHARGE
./.
TOTAL PERMIT FEE
(OOlce Use Only)
I This Application Becomes Your Building Penoit WheD Approved
Buildlllg O.<<ic:jal
OaQ
24 ho\U' notice for all inspections (952) 447-9850, fax (95~) 447-4245
$
$-
$
.50
~-
r~~, t"'\ ~!;." ~..~
; ~ j ! !I.~. ./
Paid
Receipt N.o.
pate 3-- - d--
By
Feb,19, 2002 11 :29AM
GENZ RVAN PLUMBING AND HEATING
No,4471 P, 2/5
Date Rec'd
CITY OF PRIOR LAKE PLU:MBING PERMIT
I. lIwe I'Ue
2. ODld Cia-
3. Yellaw App6conl
I PERMITNOO~_lg 3
~~~-~
" ~ a...-Bl L-
ZONING (offiCI: ILSe:)
LEGAL DESCRIPTION (otfice use only)
Lor' BLOCK \ ADDITION
PIDdS - "370 - ~ y
OWNER
(Name) DR Hor'ton Custom Homes
(phone) 651-454-4663
(Ad~ds) 3459 Washington Dr S'te 204 Eagan, MN 55122
APPLICANT
(Name) {;DRZ RoTilT' 'Plmn'h.1ns " RCi>ili-,;,,'8
(phone) 61:; 1_/,7':l_1144
(Address) 14745 So Robert Trail
(Address)
Ro:;;emount:
MN
55068
(Zip Code)
(City)
(Phone)
(ContaCt Person) Mary
APPUCANT SIGNATURE
DATE
APPL ANT PL
Type ofYmure
Bath Tuit with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink.)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
ater Closet (Toilet)
SE COMPLETE BELOW
Quantity Type of Fixture
Rough-ins
ater Heater .'
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEESCBEDULE
Industrial, Commcfl;;lal & Mult1-famtly 1 % of job cost Wtth a $39.50 minimum Residential. New One & Two-Family $99..50
Residential. Additions & AIt1mrtions $39,.50
Estimated Cost $
Bwlding Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERl\'D.T FEE $
.50
}
,.
~ F.~ i-.
."" "
(omtl! Use Only)
This Application Becomes Y ollr Bu.ilding Permit When Approved
Date
I Paid Receipt No.
Dat~ . G... d By C...e......--
'"1
v
:8\lildillg Official
24 h!'ur notice for all inspections (952) 447-9850, fa.x (952) 4414245
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMITFEB 27m
~. ~;e~n ~!~y. I PERMIT NO. () '1_ 10-:2.
J. Yellow Apphcant . 0-. DJ
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOTt-* BLOCK \ ADDITION
PID L-~5 '-370-00;>,>/-0
OWNER
(N ame)
D 1<. -\\-by+n n
1.D8lP 0 K.th br\ d. e.., tf
(Phone)
(Address)
vi lle.
MkJ 5 5 ~41../
(Contact Person)
(Phone) _L0'51 LlE2..- 2..115
r=~a.n f\kN 5512.:z..
(CIty) (ZIp Code)
Uf51 ~2- 2.1,5
APPLICANT SIGNATURE
DATE
~NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL J3r~lJ.J'\:f q2./. FUEL :Ntt:I-. ~as
FLUE SIZE t'I'l- -Pv' e., RETURN OPENINGS INPUT 1M, aOD OUTPUT D, 60D
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
81 Mechanical o Radiation Cannot Encroach into
gAir Conditioning o Special Devices Required Side Yard
~Vent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
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
$39.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ 1 DO O. 00
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
".'"
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
By
o
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
651 633 8884
FIRESIDE CORNER
#5251 P.OOll004
CITY OF PRIO'R IJAKE
HEATING/AIR CONDITIONINGIFJREPLACE PERMIT
Date Rec~d
I,I'lnk
2. 0rWl
" Yellow
~~...nl t~ERMIT NO. (}Z -0/&3 I
I
ZoNlNG (o!f1l:ell:le)
<!:l-"" .~""'."'. .._l
I ADDRESS/")03S 6J/f~u 7;,~
LEGAL DESCRJPTION (offl~e use only)
LOT
BLOCK ADD11l0N
PIO
IOWNER
(Name)
(Address)
'j) (l ~~
(phone)
APPLICANT
~am~) ALLIED FIRESIDE DBA Ft.RESJ.DE CORNER
(Address) ~ 00 ,_ FA .
(Phone) 65],-633-2561
(Conta,ct Pe150n)
(City)
651-633-2561
<;r.)] ] 1
(Zip CQdc)
APPLICANT SIGNATU,
(phone)
DATE
APPLICANT Pl..EASE COMPLETE BEJoJOW
_ CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETIJRN OPENINGS INPUT OUTPUT
TYPE OF sYSTEM HEATING OR POWER PLANT
OWIIllTl Air Plants
OGI"IIV;ry
o Mecheniclll
DAir Conditioning
OVenf.. System
o Steam
o Hot Water
o Rlldjatjon
o SpecIal Dev;cel1
o Other Devices
Q.. :J""P
PI..EASE NOTE:
Ai.r Condirioner TJni[S
Cannot Enc:roecll m.to
Requ.in:d Side YlU"d
Set:backs
FIREPLACE MAKE AND MODEJ~
Industrial, Commero:ijl.l & Mlllti-Famlly
FEE SClfEDUJ..E
J% of Job cost Rc:sidentiaf, Oss Fimplace
$39.50 minimum
$99,50 Residential, Additions & Alti:ratlons
$64.50 ResicltJl'ltill.f. AC Only
$39.50
Rcsidc:n~lal, HCD,ti,ng & Ale (New Construction)
R.esidential, Heating Only (New Construction)
$39.50
$39.50
lfEA llNG PERMIT FEE $
STATE SURCHARGE $
TOTAl... PERMIT FEE S
oZrolf;3
"...- PAID W\TH
\ ~\~~fJ)~NG PERM~T
.50
Estimated CosT $ BuUding Permit #
(omcc I).c Only)
Bulldl"g Officlll
Dotc
By
This AppUation Beeomes VDur Buildiog permIt When Approved
%4 hour notice for 1111 in.pection, ('5~) 44'-9850~ (Il']l (9S2) 4.47-4245
The Center of the Lake ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
i\ I)
i....).. ~.
, ; """c' ! I
i . t / ,; 'l " I
t \ ,~__ 1.,. ,,' ~ .,1" ,; '\..,.:
\ ..
-':'> _.
"
/', -.-,/,")
....-r. '/{-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
....) " "'"),'- .. , ,.
J / C ,.j , . => ~ \J ( Co.' t ) L i', I \j t.." ...r_' I ~.r\ \ L........-
.
Accepted ~
Accepted With Corrections
Denied ~
Reviewed Byq-.u .~ _ ~"";77.
Date: 2-/'U-/O 2-
~
~J-t{ L---k:..
10 {A~~,
"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
rhe ('{'nler of thE' Lakt' Counlf)"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
D~ rz. [fQe,wtJ
?: - LA- -02-
NAME OF APPLICANT
APPLICATION RECEIVED
Accepted
Accepted With Corrections
Denied ~
Reviewed By: (
Comments:
~oCJ2a~ ~~
Date: ;;.~ ~~O~
"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."
()2 - /~3
White - Building
Canary - Engineering
Pink - Planning
ThE' Cenlt"r or Ihe take Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
1) - rz. Hoe ro~J
7:-/4--07
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
17035 VV I L.r)C~~-Nf;~ -r"~r, I V
Accepted
C>(
Accepted With Corrections
Denied
Reviewed By:
#7J /3
Date: 2-ll-o~
Comments: See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Mea"sures
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."
~3/~23/98~Ol!~: 2LE-AX 6124474245
CITY OF PRIOR LAKE
~002
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Application)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address
I~03S W ILObJ2NGS-) TR...
Lot Area \7- \ <140 Sq. Feet x 30% = .............. 3~"2.
********************************************************.***************
LENGTH
WIDTH
SQ. FEET
ATIACHED GARAGE
x
x
x
==
HOUSE
=
=
TOTAL PRINCIPLE STRUCTURE...................... ___JT10
",
DETACHED BLDGS
(Garage/Shed)
x
x
TOT AL DETACHED BUILDINGS................._.... 0
DRIVEW A YfPA VED AREAS
(Driveway-paved or not)
(SidewalkIParking Areas)
owy
SIN
x
X
X
=0
~
l ~ )
=
==
TOTAL PAVED AREAS......................................... Cj 90
P A TIOSIPORCHESIDECKS
x.
X
...
(Open Decks 'I'" min. opening between
boards. with a pervious surface below,
arc not considered to be impervious)
=
x.
==
TOT AL DECKS........._...........-......._............_......... 0
. ~
X
X
=
OTHER
=
TOTAL OTnR................................._...................... 0
TOTAL IMPERVIOUS SURFACE , 7..160
{UNn~VER I I \ L 1..
Prepared By ~I~ ~ Date 31 Jr+N ~2
Company l? f2~N DT {;N?V( fb12INr..t S'lJ}lVflrINt-Phone # 9)2 li 55' ) 966
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J'lO;)S \,Jt'{~~ '"T;,
NATURE OF WORK N-eJ.J
USE OF BUILDING SFt)
PERMIT NO. ()2-0/83 DATE ISSUED ;2.-.20 - O"L
CONTRACTOR ~o~ PHONE f5"'2<:22.(,. - f"S:!P-'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BEt.OW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING
....
FOUNDATION (Prior to Backfill) J\.Sl-> .. L '5/~2-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~~
INSPECTOR
DATE
13~/{)v
. ~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING U~
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~ ~ F:" ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
cJ;u-,J~ q st;Z:5j;~~ALS I
GRADING (Prior to Sodding)
BUILDING I I Q.f 0 Jc, I D- /- ~'Z-
ELECTRICAL
PLUMBING
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 .::.".:.11 tt .' placed near main entrance.
.. sf G,(eov
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850