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Date Rec' d CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ri Ae St? LEGAL DESCRIPTION (office use only) 4-1'-Od-- 1_ White File 2 Pink City 3. Yellow Applicant 1 PERMIT NO.Ol ,.04-371 ZONING (office use) ;L- OWNER (Name) ~ PID075~ -3 (Phone) (Address) TYPE OF WORK ")Zf New Construction OLower Level Finish o Fireplace PROJECT COST IV ALUE (excluding land) $ ODeck o Misc. (Phone) qi;2-4 p,t;.... TBD 0 (Phone) QS2- Z-Z-(p- </-73l. o Porch ORe-Roofing o Alteration OUtility Connection ORe-Siding OAddition 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-me ned 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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may ente on the property to ed inspections. x Permit Fee $ Plan Check Fee $ State Surcharge $ Penalty $ Plumbing Permit Fee $ Mechanical Permit Fee $ Sewer & Water Permit Fee $ Gas Fireplace Permit Fee $ es Your Building Permit When Approved (Z.7-oL Date O(()Ol~s7 Contractor's License No. 'I)~/I) 2- Date Park Support Fee SAC # Water Meter Pressure Reducer Sewer/Water Connection Fee Water Tower Fee Builder's Deposit Other # # TOTAL DUE '4-. [Paid ~-6J7'/NReceiPtN~~7b?< [1>ate _ _~L - 0 J By ge 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 :,~, ",., "' <h, C" P ,'cr m~"'''cr' <Om",,,, C~fi~~;;~ ,,' 'u~'-::s=m~ ~~ 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 Apr .29. 2002 1 :04PM GENZ RVAN PLUMBING AND HEATING No.2143 p. 22127 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT . i . , 1. Bh,liC MI- 2. Gold City l y dlQ'" APpUClinl 1~;r1~7;:/z;J/ltY~ Cede JE I PERMIT N002~ IJ3'1 I I ZONING (o:tncouse) LEGAL DESCRIl'TION (otfice use only) LOT BLOCK ADDITION PID OWNER ~mn~ DR Horton Custom Homes '. (phone) 962 - q 'it 5 ~ 7'6tJ{J 5C64 LJ (Address) 2ob(cO lLeVlB e.l DSe~ CT APPLIC.ANT (Name) G"''''''''-RY:Ul Pl"l1il;";T>g F. l-l''''''f''i];lg (phone) n ~ 1 1. iq 1 1 1.1. (Address) 14745 So Robert Trail (Address) Rosemount (City) MN 55068 (Zip Code) (Contact Person) 'Mary Olson (phone) APPLICANT SIGNATURE DATE Quantity Type of Fixture Quanuty Type of Fixture J Bath Tub with .or ~ith.out shower Rough-ins , Dishwasher , , Water Heater .. , Floor Drain - A..\ \ Water Softner 1 Lavatory (Bathroam Sink) I Stand Pipe (Washing Machine) Laundry Tray (1 .of 2 compartment sink Sewage Ejector Shower St3)l Backflow Assembly -- J Sinks Backilow Assembly Test Bar Sink Lawn Sprinkler L Water Closet (Toilet) Other ASE COlVlPLETE BELOW FEE SCHEDULE Industnal, Commercial & MultJAamily 1 % of job cost with a $39.50 minimum Residential, New One & Two-FIIIIlIly $99.50 Residential, Additions & Alterations $3950 Estimated Cost $ Building Permit # PLUMBING PERlvllT FEE $ STATE SURCHARGE .$ . TOTAL PERMIT FEE $ ..50 ; . r (Omce USe Only) This Appli(:atio:n Becomes Your Building permit When Apprond Paid Date () By . 0 V .BllHdillg Official Date . Z4 hOLlr notice for ~dl inspE:ctions (952) 441-9850, fax (952) 447-4245 Apr .29, 2002 1 :04PM GENZ RVAN PLUMBING AND HEATING No,2143 P,2:1 7 Date Rec'd CITY ,OF PRIOR LAKE SEWER AND WATER PERMIT I - \ i ~~=.. ~1~._ I PERMIT NO. .'.:1 ~ [.j.. (:2 e)1 . 3. GoLl Apph"""t . ,J ~fg~"'-w~ 0 ede., SE- ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION ~ PID OWNER ~ame) DR Hor~on Cu~~nw ~QW~~ (phone) _ Cf52 -q '6.5- f 800 (Address) ?o&oQ ~i3~\!X:::e. Or Sit' ~ I m (Address) L1:L~~IUe... (City) 5~l.J (Zip Cod.,) APPLICANT (N~~ Genz-Ry~n Plumbing & Heating (phone) 651-423-1144 "UCANT SIGNATURE Rosemo~nt. MN 55068 (City) (Zip Calk) (phone) DATE (Address) 14745 Sb Robert Trail (Address) (Contact Person) Mar 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 sewer line feet. Clean: out (if required) located at feet from structure. Res~dcntial sewer and water line connection Sewer connection only FEE SCHEDULE $35..50 Industrial, Com'l & Multi-family $17.50 Water connection only 1 % of job cost with a $39.50 minimum $17.50 Estimated Cost $ Building Pennit # SEWER AND WATER PERMIT FEE STATE SURCHA..RGE TOTAL PERMIT FEE $ $ $ .50 1 I . . Tbis Application Becomes Your Building Permit When Approved Paid ~-- (Office USl: Ollly) Date Buildhlg Offlcial Dllte --- 24 hour notice fQr all Inspections (952) &47~9S50, fax (952) 447-4245 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd 1\' I 5 '/, ~. ~r::n ~;~ I PERMIT NO. 7..._1 /3r1. 3. Yellow Applicant , ~ Y.. ~ ZONING (office use) 1135 W;' 1cJJ.rn. t ss_CiJ: LEGAL DESCRIPTION (office use only) :1 ADDITION PID (Address) (Phone) C(5a - q ~5 -70<7,2. 50 L.{ (Address) 3~5{) ~NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS FURNACE MAKE AND MODEL ~4n+ 3~A--VmwnO FUEL l\.JQ.tlAl'1A \ FLUE SIZE tf-llcla..s~ B RETURN OPENINGS ~ INPUT ,0. boo OUTPUT SUh tJO 0 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 ~ Conditioning D Special Devices Required Side Yard ent. System DOther 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 Pennit # HEA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 ..~!J'~'D. (Office llse Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Building Official Date I 5 By Date 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 1_ Pink 2_ Green 3. Yellow ~J~icant I PERMIT NOOZ- 0 f 3 ;1 ZONING (office use) 17354 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 ROSEVILLE (City) (Address) 2700 NORTH FAIRVIEW AVENUE (Address) 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 DVent. System o Other Devices Setbacks FIREPLACE MAKE AND MODEL HEA TN 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 $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50 (Office Use Only) Building Official Date 3 200L'. This Application Becomes Your Building Permit When Approved 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 White - Building Canary - Engineering Pink - Planning Thf' Cenltr or the Like Counlr)' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT l) R cMnL~ </- IG --6~ APPLICATION RECEIVED Accepted Accepted With Corrections Denied -r-=7 (] 4 Reviewed By: ~~O /,GjM)'b- Comments: Date: r/- :2 7 -at- "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." Tht Ctnltr of 1ht tab eOunll")' White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ,D~' c/ju;-~ 4- /G -6~ APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /7~~SV Ifl~~ ~ Accepted X Accepted With Corrections Denied Reviewed By: "/J44 i3 Comments: SC<:' m~/'1 F;'Ir Date: '-/- .2'1-0 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." II"P!llM aq lOU IIBLls UO!P!pspnf aLll !O SaOUBU!pJO .Ia4l0 .10 apo::> S!4l !O SUO!s!^o.ld a4l la::>uB::> .10 alBlo!^ Ol AlP04lnB a^!5 Ol 5u!wnsa.ld Sl!wJad "UO!P!pspn[ aLll !O aOUBU!pJO JaLllO /\UB !O .10 apoo S!L1l !O SUO!s!AOJd aLll !O /\UB !O UO!lBIO!A '\UB '!O IBAOJddB UB .10 'JO! l!WJad B aq Ol panJlsuoO aq lOU IIBLls SUO!lBlndwoo pUB SUO!lBO!!!oads 'SUBld !O IB^OJddB .10 l!W.lad B !O 6U!lUBJ6 .10 aOUBnSS! aLl.1" :Sluawwoo Gr?)5"Z) h :alBO :/\8 paMa!Aat:l pa!uao SUO!paJJOO L1l!M paldaooV' paldaooV' ~ :.....,....-\ /. :lB pasodoJd S! L10!L1M /\l!^!PB UO!pnJlSUOO JO! UO!lBO!lddB l!WJad Bu!pl!nq aLll paMa!AaJ aABLI SlUaWl-lBdao BU!UUBld pUB 'BupaaU!Bu3 'Bu!PI!ns aLll 03^1303t:1 NOI1V'OllddV' lNV'OllddV' ,:jO 3V\1V'N lSI1)1:l3H:l lN3Wlt:l"d30 NOI1":ll1ddV llWt:l3d ~NI01In8 6U!UUBld - )jU!d 6UIJaaUI6u3 - ^Jeue~ 6UIPI!"a - al14M .Uluno.) ~'1I1'1 ,)1.11 JO J.JIU,).) ,)1.1.1 l 0ee.. ~ M4\Y\ -K k ---- PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS_I ?~~5" Wild.erlAes~ (l,N-. NATURE OF WORK -.1\€'UJ USE OF BUILDING SF~ PERMIT NO. OZ-0439 DATE ISSUED '-I-']?-O~ CONTRACTOR \.). ~ \~'""~ PHONE C,S;1.- ~& -<fIn NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING ~ far r;/J-1(, v f/J:r 15 h/o(1- I . FOUNDATION (Prior to Backfill) ~ ~~f., $e;-!o 2- PLACE NO CONCRETE UNTIL A OVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING tf, 6r ( ,Si~ l'f1- HEATING (if required)/~ .TJ.A. I e-z- FIREPLACE (. 41,..- GAS LINE AIR TEST 7 "d ~ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I ~1-uC'(Q LJk tr 7/~/r;-z-- 4kcU I 0!?7~:> fi~ FINALS GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT 12-- 1fA,,-(fL I J.....-- ~ OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE . 8-2'? -0-;;> 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. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850