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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
MAIN FILE"
LEGAL DESCRIPTION (office use only)
LOT BLOCK I ADDITION Vee~ Lf/Yl
J Ma..'~ -r;~
Date Rec' d
4- 24-... 02-
L White File I PERMIT NO I
2. Pink City . 02 --CJz::...3 L'
J . Yellow Applicant . '-" _'
ZONING (office use)
1C2--
PID 2,--5~.380- oo~-o
I OWNER
(Name)
(Address)
(Phone)
(Phone) QSl-q BS" -lBO<l
(Phone) CfSl- Z 2-(0-\ :S3~
TYPE OF WORK
~New Construction
ODeck
ORe-Siding
OPorch
ORe-Roofing
OLower Level Finish
o Fireplace OAddition OAlteration
PROJECT COST /V ALUE (excluding land) S 8 1 J I ~$'
o Misc,
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
authorized agent for the above ntioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans, I am aw e at, the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter u n the property to . eeded inspections.
x
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ DO _De}
Mechanical Permit Fee $ /OO.O()
Sewer & Water Permit Fee $ 35' - SO
Gas Fireplace Permit Fee $ .CO
omes Your Building Permit When Approved
'5--7 --oL-.-
Date
dDDOS7~c;l
Contractor's License No.
Park Support Fee
SAC
#
#
'-II ~ OLjO:L
Date
TOTAL DUE
Water Meter Siz 5/8 ;1";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
I ~~~ jb?C-~)~
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
~:~;dSigned by ~the City Planner constitutes a temporary Certificate of Zoning compliance and allows consttUction toc ~ommence. Before occupancy, a Certificate of Occupancy must be
'W'.~-C4~ ~\/~3/t7L ~~.., . ~ct~~
.. . Panning 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
-
The Cf"nlt"r or the I.Mkt ('ounlr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
D. e.Hme-TDN
4 - '2-4-... 07
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/72&2- f1AtG5HrJELD L-Af\J5 S5
Accepted Accepted With Corrections ~
Denied ~
Reviewed BY:& - 7 k
Comments:
focuQ 4-02 (}fk~ ~Q~-~
Date:
s=- )--6'2-
"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."
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- ._~,. ,~_.,_._'_. _.~,._ ..._.'___'.__...._._.~.____._,._.,..._'_ _____,..,.__n.._..__..___
,It:,
-,
White - Building
Canary - Engineering
Pink - Planning
Thr ernlor nllhr t.akr ('ounlry
BUILDING PERMI1tAPPLlCATION DEPARTMENT CHECKLIST
Q
NAME OF APPLICANT
APPLICATION RECEIVED
D. e. Hme-TON
4 -, 24-,. 07_
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7Z &2- f1AICSH r::IEW L-ANb S 5
Accepted
)(
Accepted With Corrections
Denied
Reviewed By: ~i3
Date:
S-'-~L
Comments:
See Reverse Side for Additional Information!
IY)ftI~ F,oll
See Attachments: 1) Grading Plan. 2) ErosIon (;ontrol 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."
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
J 5 20f)/
1. Pink
2. Green
), Yellow
~:~y I PERMIT NO. 1- L31
Applicant . ~ ;J
ZONING (office use)
htld___L-n
LEGAL DESCRIPTION (office use only)
LOT
BLOCK I ADDITION
PID
~:;~RD.~. Hor+on Oudem
(Address) 0
(Phone) C;5tJ - (f~5 -70<72
50 L{
(Address) 3 &; 5 ()
(Phone) (p5/- 45~ -~775
k~Q3Qn ~5Ij~
(City) (Zip Code)
(Phone) &5/- 45!) - ~'17o
DATE 6110 /O'L.
APP ICANT PLEASE COMPLETE BELOW
Sfe. #/
0NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL ~t 3~A-vbYlDl 0 FUEL J\JQ.tlAm \
FLUE SIZE LP~c1Clscz, 'B RETURN OPENINGS J..l.- INPUT '10. boO OUTPUT 6l.D~CO (;)
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
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
$3950
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
~"."rr'
3 -( ':'...)
(Office llse Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
t. ~ ~
Date
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Apr,29,21102 1:00PM
GENZ RVAN PLUMBING AND HEATING
No,2143 P, 1[1/27
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
i
, '
;, '.;~::t:~\ 0' '.'
1 511,1'" :FilII
;::, a.,ld Clr:y
, 3. Yallol>' A~plir:ant
I PERMITNO,,~ - S-~ 0
- 1
ZONXNG (office use)
rr~:;'~-~nBe.w
laAL . ~i-
LEGAL D~SCRIPTION (offi!:/: lUe oDly)
LOT ~ BLOCK ( ADDITION
PIP
(Address)
2-O'SLo 0 !(eVl 13 1 tx;e... CO'
Sre J DO
(phone) ~" 9'!;J2 ~ q }j 5 ~ l'6tJD
vi I Eful.1 LJ
OWNER
~illTI~ DR Horton Cus~om Homes
APPLICANT
(Name) C<>:n7 llya-n Pl'Jm'bi:gg I'. l-1'..,H-n8
(Address) 14745 So Robert Trail
(Address)
(phone) ~ 51 _/~ 7":\ 1 1 44
Rosemount
(City)
MN
55068
(Zip Code:)
(Contact PeAson) Mary Olson
(Phone)
APPLICANT SIGNATURE
DATE
Quantity Type of FixtnX'e Qu~ntity Type of Fi:dlu"e
, Bath Tub with or without shower Rough-ins
, Dishwasher ,- Water Heater - - .-
, Floor Drain rlJ , Water Softner
2- Lavatory (Bathroom Sink) ,~ Stand Pipe (Washing Machine)
Laundry Tray (l or 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
2- Water Closet (Toilet) Other
LEASE COMPLETE BELOW
FEESCBEDULE
!ndustnal, Commerc:;ial &. Muln-fmmly 1% ofJob cost with a $39.50 minimum Residential, New One; &- Two-Faunly $99.50
Residential, Additions & Alterations $39..50
Estunated Cost $
BuJ1ding permIt #
PLUMBING PE&\1IT FEE
STATE SURCHARGE
TOTAL PERlVllT FEE
$
$
$
.50
~---
1
!'
{")':p
- ~ ~ ,
"~~""-~
(Offiee Use: Only)
This Application Betomes Y OUT Building Permit When Approved
Paid
Receipt No,
1:-
Date.
By
BuIldIng Official
Date
24 hQur notice for all in~pections (952) 447~9850, fax (952) 447-4245
Apr ,29, 2002 1 :OOPM
GENZ RVAN PLUMBING AND HEATING
No,2143 P,11/27
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
I
~. ~
I. Gr.", :file I PERMIT NO . ]
;t ~.IIQ'" Citji" . . -' --.... ~ C::::-3 I
- J. GnId ApPlj_t . - <:--."'/ ,J
tf;~~-~~ ~ s~
ZONING (office use)
LEGAL DESCRIPTION (otf:k~ use only)
LOT -4 BLOc!( ADDITION
PID
oWNER
~ame) DB ~nrrn~ C~s~gm Rom89
"
(Address)
20&00 k.ln~i<-\~ Cr Sn"J J ()~
(A~)
(phone) ~
La'tP.\J I lie...
. (City)
gs2-Q85- ,8611
5~}-14
(Zip ~)
APPLICANT
(Name) Genz-Ryan Plumbing & l:lea~ing
(Address) 14745 So Robert: 'J:'rail
(Address)
(phone) 651-423-1144
Rosemount, MN 55068
(City) (Zip Code)
(phone)
DATE
EASE COMPL~TE 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.
Re~lldential sewer and water line connection
Sewer connection only
FEESCBEDULE
$35..50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Wate:r connection only $17.50
Estimated Cost $
Building Permit #
SEWER.AND W ATE;R PERMIT FEE
STATE SURCHARGE
TOTAL PERlmT FEE
$
$'
$
.50
I
r
(Office U~t Only)
ihis Application Becomes Y Qur ,Building Permit When Approved . Paid
Patt
By
Bujllli.llg Offldlll
24 hour notice for all illspec:tilms (951) 441-9850, fa): (951) 447-41.45
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~~nw ~l~icant I PERMIT NO.,;l. - 'S- 3 )\
ADDRESS ZONING (office use)
17262 MARSHFIELD LANE 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 FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
8/7 /2
xD NEW CONSTRUCTION o REPLACEMENT o AL TERA TlONS
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 REA TN GLO SL-750TR-C
APPLICANT PLEASE COMPLETE BELOW
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % 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 $
HEATING PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
By
Date
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
LJVla.t'V\. +1' L e.
-
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~ l AU L MwsC-+; Jof t:-l/\
NATU RE OF WORK New
USE OF BUILDING SFA-
PERMIT NO. 02-053/ DATE ISSUED !::>-- 7 -OL
CONTRACTOR t>. Y( fj-Ol-\-dV\ PHONE 9S"J. - ;:22(g -/35'</
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING (p 7 ~ v
FOUNDATION (Prior to Backfill) iJV-'1- ?- l.-- ' it; 2tJ () z,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - I S
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ~?;?- b2-- ~ {06t...
HEATING (if required) T ~ g: ~,,0~
FIREPLACE I-
GAS LINE AIR TEST Jj/tp~'Z-
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 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 shell be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850