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Yellow Applicant "'" (...I _ ~n-l ~ al-O ZONING (office use) f?.2- OWNER (Name) (Phone) (Address) BUILDER \' Q t-hvh J (Name) 1), IY1 L\A (Contact Name) -.S:te.ve. €ir 1'c1~ (Add ) Z.O~O keAAbru.'!~<-' . 5t-e-.IOO ress II ~-J "4 (Phone) -351--Ci~s-78D ~ (Phone) qSL~ 2:2.v-I?>~L/ TYPE OF WORK ~ew Construction OAlteration ODeck OPorch ORe-Roofing o Fireplace o Addition o Misc. OLower Level Finish PROJECT COST /V 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 authorizd 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 tha the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter u the property JO erfi r needed inspections. x Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee dCi){)'j0S7 Contractor's License No. $ $ $ $ $ $ $ $ # # Park Support Fee SAC # # Water Meter Siz 5/8; 1"; Pressure Reducer Sewer/Water Connection Fee Water Tower Fee /60 .o~ 100.00 35'.60 ~ .00 Builder's Deposit Other TOTAL DUE ?x'/;2. -02- Date $ $ $ $ $ $ $ $ $ 7. 433. 54- 4/-~,/' / our Building Permit When Approved Paid Date ~L/77.~~ IRe~ . f,.,.12 /() ~ By /,-- 3-20-02- Date 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 ;::;~m'~ C~"Q" ,f Z'"'" """,I'm" "d 'U"~ 100'00"'00 W ~""" CcrtifiQ" ,fO=",,, _,,, -- . .... . '-7- 3/2-'/18 z- -L- t (1A J~ Inning Director Date ~ ecial Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Mar.19.2002 9:49AM GENZ RVAN PLUMBING AND HEATING No.H09 P.6/7 Date Rec~ d CITY ,OF PRIOR LAKE S~WER AND WATER PERMIT APR - 5 ~UUL rn~-;K:ua ~hHe.o 1J i ~ ~_t I. PERMIT NO. (})/3()/ LrLYLLllZONING(--> I LEGAL DESCRIPTION (office use only) LOT ADDmON ~ - PID;;;2. - OWNER (Name) DR lIort:ga Cyst-om li01afilS (Address) 20&00 ~eK\~ Cr STlP_Jm (Addn:ss) (Phone) _ l.au\Jille.... (City) 't62 -q~- -'8 i){\, fSCi)44 (Zip Code) APPLICANT ON~~ Genz-Ryan Plumb~ng & Heating (phone) 651~423-1144 ~LICANT SXGNAnrRE Rosemount. MN 55068 (oty) (Zip Code) (phone) (Address) 14745 So Robert Trail . (Ac1c1ress) DATE 'L APPL~CANT PLEASE 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. Resldenttal sewer and water lint: connection Sewer connection only FEE SCHEDULE $35.50 Industriai, Com'l &. Multi-family 1% of job cost with a $39..50 minimum $17.50 Water connection only $17.50 Estimated Cost $ Building Permit # SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE .$ .$- $ .50 . CLt:..iD::,:~~' p.. '-. ! ! f I .~,.. '" ( (Offi<:c: Uae Only) Thi:! Application Becomes Your Building Permit Wbeu Approved Paid Receipt No. Date APR - L. llulldi:ng Official Dille 24 hour notice for 1111 Inspections (952) 447.9850, fa,; (9S2) 447-42~ Mar.19. 2002 9:50AM GENZ RVAN PLUMBING AND HEATING No.7 4 0 9 p. 7/7 Date Rec'd . CITY OF PRIOR LAKE PLUMBING PERMIT 5 '...' , ."~ ' I reb2 ~. ~~-~.. atbo~u:1) I ADDRESS - . I ~. 2... ~sh-Rd D i~: ~:; I PE.RMIT NO./) 1_ ~ol ] ). YoIlo- ApPli_t . U:;i" ..::J . ~ J IIZONINGC--' I LEGAL DESCRIPTION (oflice us!: only) LOT I BLOCK \ ADDITION +h PID OWNER (Name) DR Horton Custolll Homes (Address)' 2O~(PD KenB l ~ Cr Sre. IDO (Phone) q62Jq~5 -'78DO N .5 fuL-l LJ APPLICANT (Name) C~n~.~ 1;!YllT'l 'P1m,ihing 6. H4iliiltipg (Ailih~s)14745 So Robert Trail (Address) (phone) h51 4'~ 11 hI.. Rosemount (City) MN 55068 (Zip Code) (Contact Person) Mary (Phone) APPUCANT SIGNATURE DATE Quantity Type of Fixture Quantity Type of Fixtu~e I Bath Tub with or without shower , Rough-ins I Dishwasher I Water Heater I Floor Drain . t<.)J Water Softner L Lavatory (Bathroom Sink) , Stand Pipe (Washing Machine) Laundry Tray (lor 2 compartment sink Sewage Ejector J Shower Stall Backflow Assembly I Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler 2- Water Closet (Toilet) Other PLEASE COMPLETE BELOW FEE SCHEDULE Industnal, Commercuu & Multi.farntly 1 % of job cost wIth Ii $39.50 minimum Residential, New One & Two-Family $99 50 Reside:ntia1; Additions & Alterations $39,.50 Estimated Cost .$ Buuding permtt # PLUMBJNG PERMlT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 } ['r ' ';- < ,y ..,....,~k ~ ~ J_. q ~ (Olll~e Use: 0131)') !his Application Becomes You.. BuildiDg Permit When Approved Paid Receipt No. Building omcial .Dat\: Date '" _ 5 cJU Z4 hournotite for all inspet:tion$ (952) 447~9850, fax (952) 447-4245 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd nj-,\ I j c.uU2 ~. ~;e:n ~:~. I PERMIT NO. 0"1.-30. LJ 3. Yellow Applicant . _ t7' . ZONING (office use) 11 ~sJJ,t1d ..1-r:~1 LEGAL DESCRIPTION (office use only) LOT l BLOCK l ADDITION PID (Address) (Phone) C(5a - (f?iS -7c:l7cZ. o /-{ (Address) 3f.JJSO ste. #/ (Phone) 1~51- 45~-cf?775 L-;Qfjan 55/.22 (City) (ZIp Code) (Phone) (()5/-45~- ~77~ (Contact Person) DATE APP ICANT PLEASE COMPLETE BELOW NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS FURNACE MAKE AND MODEL ~4n+ 3S3KA-vlr2J.lD,o FUEL l\JoJlA('(). , FLUE SIZE 't'lcla.S'i>> B RETURN OPENINGS '+ INPUT iO.ooo OUTPUT 6LD~tJOO TYPE OF SYSTEM REA TING OR POWER PLANT DWarm Air Plants DGravity D Mechanical ~r Conditioning ~ent. System o Steam o Hot Water D Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL Residential, Heating & AIC (New Construction) Residential, Heating Only (New Construction) FEE SCHEDULE 1% of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 Industrial, Commercial & Multi-Family $39.50 $39.50 Estimated Cost $ Building Permit # HEA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ r.' .... ,.. r! pI r' . . .50 .....~;~....Wli. C_'" ~ ._, (Office llse Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date AH\ I I By Building Official Date lP~ 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd ~. ~~~nw ~J~icant I PERMIT NO.cZ - 30 I I ZONING (office use) 17252 MARSHFIELD LANE SE LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) DR HORTON (Phone) (Address) APPLICANT (Name) ALLIED FIRESIDE DBA FIRESIDE CORNER (Phone) 651-633-2561 (Address) 2700 NORTH FAIRVIEW AVENUE (Address) ROSEVILLE (City) 55113_ (Zip Code) (Contact Person) BRENDA HUSTON (Phone) _651-633-2561 APPLICANT SIGNATURE BRENDA HUSTON DATE 7/12/2 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT DWarm Air Plants D Steam PLEASE NOTE: DGravity D Hot Water Air Conditioner Units D Mechanical D Radiation Cannot Encroach into DAir Conditioning D Special Devices Required Side Yard DVent. System D Other Devices Setbacks FIREPLACE MAKE AND MODEL HEATN GLO SL-750TR-C 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 $ REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50 ".' (J'i, .' "....,;. . --, (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Buildine: Official DataJ.Y Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 The ('("nlef of the Lab ('ounll"}' White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT j. 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: 9~ ..?~~~ Comm nts: 3/77ItJZ- ~ 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." White - Building Canary - Engineering Pink - Planning The ("f'nln of Ihf' t..kf' Counlr)' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT j) RHo r 1; 0 yJ I I IJG . APPLICATION RECEIVED 3- It/-OJ- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Jrl;J.-5;). ~~ .lA/ Accepted Accepted With Corrections ;x . Denied ~ Reviewed By: Date:J:-2b~<- Comments: (t1odaf!) ~ rt-f ~ "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." The ('enler or the Lab Counlr)' 0)., - :So { White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ,P R '/-/ Oft (;)0; I'IJ(~ APPLICATION RECEIVED C.'/ - /I/'-() The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I .,. -.. fJ 1 . . I I ,'/1 / /1"7:J IS c>( --; /i{/[{J.h /,-{.el(.t" A ,AJ / ) (. Accepted x Accepted With Corrections Denied Reviewed By: /YJ9i3 Date: 3-.28~OL Comments: See Reverse Side for Additiol1allnformation! /11 c, ,'''' h '/ e.. ~ee Attachments: 1) Grading Plan, 2) Erosion 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." PRIOR LAKE INSPECTION RECORD SITE ADDRESS --'7dS2 (lA~0cJ ~_ NATURE OF WORK f) J~ USE OF BUILDING S~ PERMIT NO. 02- ~/ DATE ISSUED 3- 2o--(J~ CONTRACTOR l2J( t-b.d-oY\. PHONE75~- ~2~- (3'3'<f NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE I FOOTING fA I ~ !~3/~;, I FOUNDATION (Prior to Backfill)f1"~ I ~ fJc'!,,-v I ~. 5/3/02.-- PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING U .(." J '] 0'2-- HEATING (if required) p':f; '\~ . FIREPLACE 5: GAS LINE AIR TEST '2/ (pI Db COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE HAS NOTICE This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all inspections have bee,;, approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. Cj- ;;;7- ~ 2-/1- d3 9-~2- 'S-oz )..-11- BEEN SIGNED Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850