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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
3-~;)-od-
~
White File
Pink City
Yellow Applicant
PERMIT NO. 02.- 030"
ADDRESS
/' 7/6 / ~/~A/.c:-~ ;:;'Z'{~.4. .se-
LEGAL DESCRIPTION (office use only)
/Y / ~~O
LOT BLOCK ADDITION
PID .,
ZONING (office use)
I
r,O'" 014-
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name) <7.~. ,A/&,~~~.
(Contact Name) ~/~y ~~
(Address)
c.R~~60
TYPE OF WORK
ODeck
New Construction
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
/91trS7?
o Misc.
(Phone) 9S-.?- - 9~-?"~
(Phone)
~/~/efO
~ ,??/t/..J:5l:J-sc.
OPorch
ORe-Roofing
ORe-Siding
OUtility Connection
OAddition
OAlteration
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 the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform needed inspections.
x
?~~
D Signature
Permit Valuation
Permit Fee
Plan Check Fee
$
$
$
$
$
$
$
$
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
L\, \-Ol--
Date
c:>?~ \S"6S"7
Contractor's License No.
Park Support Fee
SAC
#
#
-.3' *-b.:.2.t
Date
$
$
$
$
$
$
$
$
$
Water Meter Siz 5/8 ; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Paid
Date
~<>f ~
1- '2 .' .
I~~
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
. is to certilY 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
s~ by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy mu~t be
~~~~1 '1ISt~~ ~~~~~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~e:n ~~;y I PERMIT NO. -,- '::l.. o}
3 Yellow Applicant d ~ (0
ZONING (office use)
17161 WILDERNESS TRAIL
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 F AIRVIEW AVENUE
( Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
6/5/02
APPLICANT PLEASE COMPLETE BELOW
X 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 o Steam PLEASE NOTE:
o Gravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEATN GLO SL-750TR-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % 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 $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
Building Official
Date
"Cj.
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Apr. 2. 2002 2:49PM
GENZ RVAN PLUMBING AND HEATING
No.9076 p. 3/:i
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
2. 2002
APR_
I. BI= Fil.
:l_GoIoiI CJ<y
3. Yellow Appli,,"nt
I PERMIT NO. OJ; - 3 6 G:, I
j I ZONlNGc__,
GPl__;......"_l .
[ADDRESS -
l \lo \ W\\\x,~
-r tL- St-
LEGAL DESCRIPTION (office: t1:se: ol11y)
LOT \ L\- BLOCK t
ADDITION
~~\l--Relo
Pro
OWNER
~~~ DR Horton Custom Homes
(phone)
9es2 ~ q r? .~ -j8DO
ECbL-l U
(Ad~5)
2.oCS~o K.enB 1 DGe.. Cr Sre IDO
APPUCANT
(Name) C01;j'7 Ryan Pl"liWiQg & R'",,:.r-j:ag
(Address) 14745 So Roberti Trail
(Address)
(Phone) ~51-b. H 114lo.
Rosemount MN
(City)
55068
(Zip Code)
(Contact Person) Mary
(Phone)
2-
.A.PPLICANT SIGNA JURE
DATE
Quantity :' Type of Fixture Quantity Type of FixtuJ"e
2- Bath Tub with or without shower ~ Rough-ins
I Dishwasher , Water Heater .", -
I Floor Drain - Water Softner
l-\ Lavatory (BathrOl;>m Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
.~ Water closet (Toilet) O1her
PLEASE COMPLETE BELOW
FEE SCHEDULE
Industnal, Commercial & Multl~fami1y 1 'Va of job cost with a $39..50 minimum Residential, New One:: & Two~FamJly .$99 50
IU:sidential, Additions & Alterations $39.50
Esnmated Cost $
Budding Permit #
PLUMBING PERMIT FEE $
STAlE SURCHARGE $
TOTAL PERMIT FEE $
..50
I
1
----
i PAU) \tV,
,""l" I
(Oftke Use Only)
This Application Becomes Your BuildiDg Permit When Approved
Paid.
Receipt No.
'-
Date
- 9 2002 By
811ilding Ot:ficial
DatE
24 hour notice for all inspections (952) 447~9850, fax (952) 447-4245
Apr. 2. 2002 2:49PM
GENZ RVAN PLUMBING AND HEATING
No.9076 p. 2/3
Date Ret'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
.'
I ~1~T~(-"~~ Ctmui\
'TVkL-
LEGAL DESCRIPTION (office use only)
LOT \ L\ BLOCK l ADDmON
APR _ 2 2002
i. ;., ~~ I PERMIT NO. 0'- 3 Ii) / I
J. GolCl' '. AppU_. .". f7'... vJ.o
5E
I
ZONING (offi<;z, D~C)
Pro J S--:SICJ--OfL(
I OWNER
~wne) D~ ~nY~nrt CYstQS RQWAi
,
(Address)
20&.00 ~e\<..\tX::e. Cr Sr-~~I{)O
(Address)
APPUCANT
~am~ Genz-Ryan Plumb~n~ & Heating
(Adch'ess) 14745 So Robert Trail
(Address)
'~T..JCANT SIGNATURE
(Phone) _
LaU\J ,lIe..
(City)
%2-q85- 1800
.5W-l4
(Zip Cgde)
(phone) 651-423-1144
RQ6elllo~llt. ~ 55068
. (City) (Zip Code)
(phone)
DATE
ASE 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..
FEESCBEDULE
Residentxal.sewer and water hne connection $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minjm.um
Sewer connection only $17.50 Water connec:tion only $17.50
Estimated Cost $
Building Pennit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
:Offic:1: U~1: Only)
This Application Becomes' Your Building penuit When ApprDve~
BuUdlDg Offitial
Da.R
24 hour notice for all inspections (952) 447~9850, fax (952) 447-4245
$
$'
$
.50
I
l
I > ~ '"
I PUd.
Date
-~PR - 9 amI :~;:v I
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~:n ~!~. I PERMIT NO. /) '/ ~-'. J.,/ I
3. Yellow Applicant , U'" .(;>{"A::> ,
ZONING (office use)
~J
\"11 Lo\ Wl\cLwV\es~ T..-
LEGAL DESCRlPTION (office use only)
LOT 14BLOCK 1 ADDITION
l{
PID(x5-7o-QIL(- '
OWNER
(Name)
D \<. -\\-ey+-o n
1.D8LDO ~brld e..,l:{-
(Phone)
(Address)
~\Jille.
M~ 55/)'14
(Contact Person)
(Phone) _l.d51 L/..52..- 2..115
~IU\M fVJJ 5SIZ:z..
J (City) (Zip Code)
(Phone) Uf5 I 'its z - 2.115
APPLICANT SIGNATURE
DATE
/XlNEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL 13Y~o...n:f '12'/, FUEL 1Ja;l-. ~as:
FLUE SIZE t' 12- ~V e...- RETURN OPENINGS INPUT 1M, ODD OUTPUT D, 000
TYPE OF SYSTEM REA TING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NOTE:
DGravity o Hot Water Air Conditioner Units
81' Mechanical o Radiation Cannot Encroach into
lAir 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
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ 1 DO o. 00
Building Penn it #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
'-
~,,o;r"r~.
Paid
Receipt No.
Building Official
Date
rl\ - 92002 By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
Tht" ('f'nft"r of 1ht" Lakt Countf)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT D 72 {JO r-b 0'--'/
~-~d--O~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/IJ/~/ /U!/der,.vess!r- S.E.
.
Accepted
Accepted With Corrections
x
Denied 1
Reviewed By: V22 ~
Comments:
~dllc&Q~
Date:
l{. (r-OL
~~
"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 Cenler of lh.. Lab COunlf}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,/
NAME OF APPLICANT
.....
APPLICATION RECEIVED
;)
."
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
//'''1, /, , " C
_ . ! . I J
, /", ..
(
Accepted
~/
Accepted With Corrections
t4 c.. ......~~ Date:
'-{ ( z.-0 2-
"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
lh. ('.nl.. of Ih. "ok. Coonlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~b 72 ~)O r --I::.- O,J
APPLICATION RECEIVED ;3 - ;). :;).. -() ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7/0/ /1)//JerA.JFSC; ~. '-).~.
Accepted'
x
Accepted With Corrections. ,.
Denied
Reviewed By:
MlfI3
Date: 3 -~ <;-02-
Comments: See Reverse Side for Additionallnform~tinnl
See Attachments: 1) Grading Plan, 2) Erosion Controt Measures
3) Erosion Control PI~n . .
"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_~9N 09: n FA;{ 6124474245
CITY OF PRIOR LAKE
~002
.'
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Pennit Application)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address
)7/6} W ILD&'RJb'Sr ~A-'\..- 5" C
Lot Area I "5 I G) Sq. Feet x 30% = .............. '3937
************************************************************************
LENGTH
WIDTH
SQ. FEET
x
x
x
=
HOUSE
=
ATTACHED GARAGE
=
TOTAL PRINCIPLE STRUCTURE......................
'Lt 9b
......
DETACHED BLDGS
(Garage/Shed)
x
x
TOTAL DETACHED BUlLDINGS................._.... 0
x
x
x
=
70~
Is4
DRlVEWAYIPAVED AREAS DW'{
(Driveway-paved or not) ~ ~
(SidewalkIParking Areas)
=
TOTAL P A YED AREAS.........................................
t3~"2-
x
x
=
P A TIOSIPORCHESIDECKS
(Open Dc.;la ,/,'. min. opening between
boards, with a pervious surface below,
arc not considcred to be impervious)
=
x
=
TOTAL DECKS........................................................ 0
x
X
=
OTHER
=
TOT.AL OT'l:m'R................................_..................... 0
TOTAL IMPERVIOUS SURFACE
I 3038
I ~
~ ..., __/"" Date) ~ IfI ~'R.. ?JJ02-
bN?)~ fb-k\Nt:.f' S'Uj2.Vtrl.'INt-Phone # 952 45) ) 76t
~OVER
Prepared B0
Company l;? t2J1i--N DT
PRIOR LAKE
INSPECTION RECORD
171 (0/ Ud~~ J"F,
no, J 1
DEPARTMENT OF
BU!LDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. ~O(p DATE ISSUED
CONTRACTOR ~~ PHONE9 ~c;, -_"")(3
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING / t: ~
FOUNDATION (Prior to Backfill) 'J..L-.~ ~ 3 ~ '- 7i c.,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE (p ;;HJ (/ z-
GAS LINE AIR TEST ~ ci F. ~ t,; I z.c ()-z..,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING ): (. rOo /'
ELECTRICAL
PLUMBING
HEATING
DO NOT
J:)j
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrica.1 service cabinet prior to rough-in inspections
and maintained until all inspections ha',i! 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 (952) 447-9850