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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 1/_ 3 - Dd-
at bottom
ADDRESS.", 0 r- 1 ve-
1/352 \Je€-.~\ e\~ b;"e,
;i~i~e ~::y I PERMIT NO./,/\ __ 0 I J' a I
Yellow Applicant , L/~ =1- ~
LEGAL DESCRIPTION (office use only)
LOTlf-?J BLOCK I
ADDITION
PID
ZONING (office use)
/d-
- ~?a~Q43~o
I OWNER
(N ame)
(Address)
(Phone)
(Phone) g~2- -C-} l2I;..., }JoB
(Phone) q~2 - tU,-/3?JV
TYPE OF WORK
'!ZlNew Constmction
OOeck
ORe-Siding
OLower Level Finish
o Fireplace
PROJECT COST /V ALUE (excluding land) $
OAddition
OAlteration
o Misc.
OPorch
ORe-Roofing
OUtiIity Connection
I hereby certifY that I have furnished information on this application which is to the best of my knowledge tme and correct. I also certifY that I am the owner or
authorized agent for the above-mentioned property and that all constmction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware th building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon t roperty t<.LPerfor n d inspections.
x
Permit Valuation
Permit Fee
Plan Check Fee
$
$
$
$
$
$
$
$
oC)
,-00
'5D
0.60
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
uilding Permit When Approved
-~8-0~
Date
J OiJD 9P S-,
Contractor's License No.
Park Support Fee
SAC
#
#
~ Paid
Date
590 t.'f < #
r-f-ot--
I ~;jIt
Jfl tJ O~
ate
$
$
$
$
$
$
$
$
$
Water Meter Si 5/8; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
n~/?
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 sig ed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issue t{12-I,t~~ ~O_ IA-~~ Co-wftJrUUS
Date ~ ConditIOns, Ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Apr, 8, 2002 1:18PM
GENZ RVAN PLUMBING AND HEATING
No,9765 P, 7/28
Date Reed
CITYOFPmORLMmPLUMBmGPE~
I 8lue Pil.
2. Gold City
3. VoIIc,>W AppliCll\I
I ~D~3~1U7D~eQo ~ SF-
I PERMIT NO. a -- 4 IcrJ
I I ZONlNG(__l I
Lor
LOCK \ ADDITION
Pro
LEGAL DESCRIPTION (office lUe oDlY)
OWNER
~ame) DR Horton Custom Homes
~
(phone)
9'!?2 - q ~ Fj ~ '78lJC
N Erol..lU
(AddJ:css). 2O~(Po KeV18 1 t>Ge.. CO' S,e.. IDO
APPUCANT
(Name) C"'P'" "Ryan' "P1"lIlbi:g,g &- 'R"'''f'1nS
(Address) 14745 So Rober!: Trail
(Address)
(phone) 6 "1-1';~ ~ 1141.
Rosemount MN
(City)
55068
(Zip Code)
(Contact Person) Mary Olson (Phone)
APPUCANT SIGNATURE DATE
Quantity . : Type of Fixture Quantity Type of Fixtu.l"e I
t Bath Tub with or without shower Rough-ins I
l Dishwasher I - Water Heater - -
, Floor Drain fl.11 Water Softner
2 Lavatory (Bathroom Sink) \ Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
T Shower Stall Backflow Assembly
, Sinks Bac:kflow Assembly Test
Bar Sink Lawn Sprinkler
"V Water Closet (Toilet) - Other
FEESCBEDULE
IndusU1a!, Commercial & Multi~famtly 1 % of job cost with a S39.50 minimum Restden"bal, New Due:: & Two-Family $99 50
Residential, Additions & Alterations $39.50
Estnnated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE S
TOTAL PERMIT FEE S
.50
J.
,.
(Offlce Use Ollly)
BuiJwng Official.
APR30~~
24 hour notice for all in,pectioDs (952) 447-9850, fax <,52) 447-4245
Date
I:
- j
This Application Becomes Your Building Penoit When Approved.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
2. Green
J. Yellow
Please
ADDRESS
)~ 11.35~ 1),-/"'5.../
~!~. I PERMITNO.~._ LI/.91
Applicant (7<- /
L1erO e lei Dr.
ZONING (office use)
LEGAL DESCRlPTION (office use only)
LOT
BLOCK
ADDITION
PID
Home~
(Phone) 95()... q ~5 -7,;<7:2-
(Address)
APPLICANT All' t M ---
(Name) r C\(l e~ .J.-.~.
(Addressh.5(P5u ~e.nne bec_ ~.
(Address)
r Z..
5+e, #/
(Phone) 1~51- 45~ -c:?775
.I-~ Q8Qn 55/.22
(City) (Zip Code)
(Phone) - ~7'
DATE tJ.
(Contact Person)
[g"NEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL ~a.nt 383KA-VbvlDi 0 FUEL J\J~t~
FLUE SIZE Ifllcfa.s~ B RETURN OPENINGS ~ INPUT 10.01>0 OUTPUT 5Uh DO 0
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NOTE:
DGravity 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 & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Pelmit #
.50
yL b.VY\A)
r 61 <vv
HEATING 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 L/ ~ -30- d-
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Apr. 8. 2002 1:18PM
GENZ RVAN PLUMBING AND HEATING
No,9765 p. 6 28
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
~~ ~ ~~. I PERMIT NO. ') - !...-/) r:
3_ Gold Applicant . . 0.. "7, I
I~fu~~~-~~~~n 2: 5s .
ZONING (olfice use)
LEGAL DESCR1PTION (oftice use only)
ADDmON
Pro
OWNER
(N'ame) 1)1) p....,..t-....n C\lSt:QlB. Yom8&
(Address)
20&00 kv1eK\~ Cr STY 100
(Address)
(Phone) _
La-'(L\JIl!e...
C"
C}62-q~~ ,Be{\,
~C044
( Code)
APPUCANT
~rom~ Genz-Ryan Plumbing & Heatin~
(Phone) 651-423-1144
~T-,ICANT SIGNATURE
Rosemount. MN 55068
(City) (Zip Code)
(phon~)
DATE
(Addr~s) 14745 So Robe;t T~ail
(Address)
(Contact Pa$on) Ma
APPLICANT 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 sewe:r line feet.
Clean, out (if :required) located at feet from structure.
Resxdential sewer and water line connection
Sewer connc:ction 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 #
SEWER ANp WATER PERMIT FEE
STATE SURCHARGE
TOTAL :PERMIT FEE
s
$.
$
.50
,..-..
,..~ f J
t'~~~, ," ,,. f'~ '
, ~ 1 t.....~, ':-",_' " ,~~ ,
-ON,'
....
(OOlCC! USC! Only)
This Application Becomes You..- Building Permit When Approvc:~
Paid
APR
Receipt No.
Date
Dab:
Buildi.S Offici.l
l4 hour notice for .11 inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~~"w Jl~icant I PERMIT NO. ;) - &/17 I
ADDRESS ZONING (office use)
17352 DEERFIELD DRIVE S.E.
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
(Addtess)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
7/29/2
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 o 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
APPLICANT PLEASE COMPLETE BELOW
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 Constmction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
r
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
BuiIdim! Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
;J Jl1/)1tzt -It (J;L- 0 LJ J 9
ThE' ('fnlrr fir the L.kt Counlr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
j) 12 N () r.toA.J
<1- :3 - OJ--
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J 7 35d.- DeovF, 'e tel [) \r--
Accepted
K
Accepted With Corrections
Date:
4- 6~~<-
"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 ("rnler of 1he Lak" Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
i ,
cl I
NAME OF APPLICANT
.,
APPLICATION RECEIVED
("".,/ .-.
-'i -
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,-
,/ 1/:-, (~; )___ .' __ 1;' C':"'-v f 1- 'j
.
Accepted
~
Accepted With Corrections
Denied
~~
Date:
L{/~!c)1-
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."
ThE' ("E'nln of 'hE' L.kf ('oun1ry
~i~ - - f!Zng
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /) /2 11 () r -to)J
APPLICATION RECEIVED (! - 3 - /) J--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J 7 3_5;;L.. j)e6v .f','~ lel Q v~
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
/Yn,B
5c~ ffJc"',,, hie
Date:
'-/-'I-o~
Comments:
"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."
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
'-~7~Z-
ADDRESS /73Sb Deer{;'~W Dr.
OWNER CONTR. b .I? HrJrfo~
PHONE NO. PERMIT NO. 6;). - Lf/~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
O~ITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
,73,'-")0 - oIL
(2Yi? -~2
Il~5Ll- (}/L
.
~rd-T
)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector~~ ........~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
,..
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUIL[\ING AND INSPECTION
SITE ADDRESS J'l'3S::l ~eJ~ Dt-
NATURE OF WORK A.J ~W
USE OF BUILDING SFD
PERMIT NO. ())..- L( I cl DATE ISSUED 1'1 "'8 -oZ-
CONTRACTOR D. ((. t1o.~ PHONE 4-8 ~L
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
[ FOOTING
,! , ~sp~.
FOUNDATION (Prior to Backfill) & CC;:(62/
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
\-::1/ 7/0 2.
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING I {/l/
HEATING (if required) f\.In'"4' -:p:\".
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
.1 I I
FINALS
- , .-..-
lI.~i}.vv-- ~ t-.
. GRADING (Prior to Sodding)
BUILDING <eMP tJl'\,,"1" lI-}O-Ol-
ELECTRICAL
PLUMBING
HEATING
DO NOT
fe.
cJ -30
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 shall be placed near main entrance.
/0 ~& ~ J:z-
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
I"'
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850