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A..., 3 Yellow Applicant . ~ II _ ~r '- PID ZONING (office use) R ~-37{j"<~7- OWNER (N ame) (Phone) (Address) TYPE OF WORK SNew Construction ODeck o Lower Level Finish (Phone) qS-z..-Clet:;- 79Dt) (Phone) Q,52- 2ZL~If>:z,L/ o Porch ORe-Roofing o Fireplace DAddition OAlteration PROJECT COST/VALUE (exc1udingland) $ i 7 5 o Misc. ORe-Siding OUtility Connection r 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 a building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may ded inspections. x Permit Fee $ $ $ $ $ $ $ $ Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee Date $ $ $ $ $ $ $ I $ $8 I ~;reiEt";;,~ ;f!h i dCC(l ~5-7 Contractor's License No. Park Support Fee SAC # # 1h/)L~J- fate Water Meter 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 signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be "~I1.~~~~ 5/t'ff(YL ~<' _~",1\<7~ C'~\i=L...\'') ')/L ~ng Director Date ' Special Conditions, i any 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 I ~:~ ~C? ~q PRIOR LAKE INSPECTION RECORD SITE ADDRESS / 1f2.)" 5 De-er-r:~ cf NATURE OF WORK N~") USE OF BUILDING 3FD PERMIT NO. ()? -- 0540 DATE ISSUED .s -14 - 0 a CONTRACTOR b.~. l-\t)rbMA PHONE 15'.2-0l~ 04 I ~3Q 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 r FOOTING I :5/~r(02/ FOUNDATION (Prior to Backfill) ~- . ~ $ D z.. . c;, (ilL PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST ..~~'.~ 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 NOTICE This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all inspections have ~~en Ci"pproved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. /.1\'V4-'" 1O-(L( ~ ~ ~ D-I-() L.. 'O"'(G\ ~Q- SIGNED Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 ~3/23/98 __~pN 09: 2l 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 Shore land District (SD). The Maximum Impervious Surface Coverage Permitted in 30 Percent. Property Address I, 223 ~~ ~ :tAl)..., Lot Area 19 I 5bL Sq. Feet x 30% = .............. S ~OR ****************************.*.****.********************...*****...***.. LENGTH WIDTH SQ. FEET HOUSE x x x - ::I ATIACHEDGARAGE = TOTAL PRINCIPLE STRUCTURE-.................... 2... S '15 DETACHED BLDCS (Garage/Shed) '"' x x TOTAL DETACHED BUlLDINGS............_......... 0 DRIVEWAYIPAVED AREAS (Driveway-paved or not) (SidewalkIParking Areas) D~ Sw x X X =: 701, - 170 =: TOTAL P A YED AREAS......................................... ~ 11:, P A TIOSIPORCHES/DECKS x x = (Open Decks 'I," min. opening between boards, with a pervious surface: bc:low. are not considered to bo impervious) = X = TOT AL DECKS..............._..............._......_............... (J OTHER x X = = TOT.AL OT'llER......................................................... D TOTAL IMPERVIOUS SURFACE 327~ ~OVER . Z.S"57 PreparedBy ?L ~~ Date 25 &ffL?OtJl.. \ Company l? !2.J4.N DT {;N?V( GazINr.-{ S'VT2-Vt'rINt-Phone # 9-)2 Li 3) ) 96t c--~~. -". White - Building Canary - Engineering Pink - Planning Thl' ('I'nll'r of Ihl' L.k.1' Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /) I? c::j) 0 ) -t- Q Vi 5- ~-6d- APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is f\oposed at: ~ , fl . . / 1 '), ~ ) tJ<.SLU{j 9iZ& {)?) <' S f Accepted \. Denied Accepted With Corrections Reviewed By: 11/fJ 13 Date: S:-.IJ ~CJ L Comments: See Reverse Side for Additional Information! See Attachments: 1) Grading Plan, 2) Erosion Control Measures 3) Erm;ion Control PI::m "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." , '", , . ", , . ." .. ,~ \ Thr Crnter or the Llkr Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 7J k? ~J c; F-t () J 5 - ~ - 0'')... APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which i~ flioposed at:. . (7 J 17 .2)., ~ ct\ IV--",fj 02& ~ Y-1/ S E Accepted Accepted With Corrections X Denied :2. 1(,) Reviewed By: { >jJ(jj7,k Date: 5-/</-0'L- cO?'fents~. ~ ~.~ tLtf-etM ~ ~ "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." Th~ C~nler of Ihe L.ke Counlry White - Building Canary - Engineering Pink - Planning 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: Accepted ~ Accepted With Corrections Denied -IY1 Reviewed By: ~/-t-t- ~~~ Date: Comments: ~:~f~'iflJ~~~~JS~~ ~rs:~~9i (51/ l.ll t!') 2- J1, ~"vt~ i- :SVil~~ ~~ ,,~~ (-'M~~ ~ CEIL~ ~<,p~., "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." ,J un, 11. 2 [] [] 2 1 [] : 51 AM GENZ RVAN PLUMBING AND HEATING No.71B7 P.2/7 Date Rec'd CITY ,OF PRIOR LAKE SEWER AND WATER PERMIT 19~~~;~~e0J ~ E'w ~, [PERMIT NO. d _ _S-L! ~ ZONING (otliC:"\I~t) Q~ J LEGAL DESCR.l:PTION (office USe: oDly) LOT :BLOCK ADDITION PID OWNER (N"arne) nll J:J~...b...... r"..tnw 119mes (Addn::ss) 20&00 ~BI<..\.tX::e Cr SwJDC) (Address) (phone) _ L.a~\J i lie... (City) qs2.-Qgs-i8DA .&J~'y (Zip Ccdc:) APPLICANT ~~~ Genz-Ryan Plumb~ng & HeaLing (phone) 651-423-1144 (Address) 14745 go RoberL Trail (A~s) 'UCANT SIGNATURE Rosemount, MN 55068 (City) (zip Code) (Phone) DAlE ~ , \ APPLICANT E COMPLETE BELOW Size of water service inches. Location of any couplings from structure feet. Type o~ sewer pipe. 0 ABC 0 pve 0 Cast Iron Estimated length of sewer line feet. Clean out (if required) located at _ feet from structure. Residenbal sewer and water lme connection Sewer connection only FEE SCHEDULE $35.50 I:o.dU$trial, Com'l & Multiwfamily 1% of job cost with a $39..50 m:inJmum $17.50 Water connection only $17.50 Estimated Cost $ Building Permit # SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $' $ .50 , - ' """ i) , . ') , L { ! (Ofli"" U'Ill Only) This Applicatioll Bec:omes Your Building Pennit Wbe. ApPJ:"ovc:d r ?aid Receipt No_ Date Q,,,. BllildiDg Otlidll.l Date 24 hOQr notice for all inspectiolls (!1S~) 447~'8S0, fax (~S1) 447-4245 Jun.24. 2002 2:14PM GENZ RVAN PLUMBING AND HEATING No.8649 p. 4/8 Date Rec'd CI'IY OF PRIOR LAKE PLUMBING PERMIT l. Il..... Fil. :z. Gold CIty J. VoIk". Appr.~nt r PERMIT N~ -'fi ~I b I ZONING (Clitia: u:sc) c;. Or:Ptlnt and ggn at bottDm) ADDRESS - 2(.,- ~ ~~e.O-.o Gt,,'ve S~ LEGAL DESCRIPTION (omce ose only) LOT I BLOCK <j... ADDmON ~eQn PID OWNER ~~~ DR Ho~ton Cus~om Homes (Address) , 2o'S~D KeVlB U;,)Ge.. C. Sre.. IDO (phone) 962-Q'fi?5 -78lJD N EEb4 LJ. APPLICANT (N~e)r-Q~~~Y~~ F1Ym~jrg ~ ~Qati~g (Address) 14745 So Robert: Trail (Addxess) (Contact Person) Mary (Phone) h r:; 1 _Ii 7 ":{_ 1 al.. Rosemount: MN 55068 (City) (Zip Code) (Phon~ 651-423-1144 DATE ~) Z-L\ \b2- APPLICANT stGN'ATURE PLEASE COMPLETE BELOW Quantity Type of FUture Quantity Type of Fixture 'j.. Bath Tub with or without shower ~ ,Rough-ins I Dishwasher I Water Heater , Floor Drain - I Water Softner es Lavatory (Bathroom Sink) , Stand Pipe (Washing Machine) I Laundry Tray (lor 2 compartment sink Sewage Ejector t Shower Stall Backflow Assembly I Sinks 1 Backtlow Assembly Test Bar Sink /2-\\ Lawn Sprinkler r~ Water Closet (Toilet) Other FEE SCHEDULE lndustnal, Commercial & Multi-famdy 1 % of job cost with a D9.S0 minimum ReSldcntilll, New One & Two-Fs.mily S99.50 Residential, A<lc1itions & Alterations $39.50 Estimated Cost $ Building Permit # PLUMBING PERlV1lT FEE $ STATE SuRCHARGE $ TOTAL PERMIT FEE $ .50 r (Otlicc U$C Only) This AppliclltioD Become.'! Y Oll,. Building Pennit When A.pproved I :~NO' , , . ., lhliJdillg Oflicilll Datt f: ") r- ,- ...., 24..hOQt Dotice for all inspections (952) 447-9850, fax (952) 4474245 Jun.24. 2002 2: 14PM GENZ RVAN PLUMBING AND HEATING No.8b49 p. 5/8 Date Rec'd CITY ,OF PRIOR LAKE SEWER AND WATER PERMIT 11lZ~ ~~elo O'e..\Ve- 5E.. ~ t~.. E--l ~ERMIT NO. ~~ :5// b I I ZONING(_~ I LEGAL DESCRIPTION (offi.c:e use only) LOT rBLOCK Z,ADDmON ~&.o PID OWNER (Name) DR. llG'rtQR Custom lit"m:~li (Ad.dress) 20&00 kv1e\<:...\D6e Cr Sre ~J lX) (Adm$s) (l'honc:) _ La.lr.L\J I lie.. (City) q62- -q85- ,8CJf'I 8C:044 (Z~ Cod!;) APPUCA.NT ~~~ Genz-Ryan Plumb.ing & Heating (Address) 14745 So Rob~rt Trail (Address) (phone) 651-423-1144 'UCA.Nr SIGNATURE Rosemo1.lnt, MN 55068 (City) (Zip Code) (Phone) DATE APPLICANT PLEASE COMPLETE BELOW Size of water scryice inches. Location of any couplings from structw'e 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. Residential sewer and water l1.oe connection Sewer connection only FEE SCHEDULE $35.50 Industrial, Com'1 & Multi-family 1% of job cost with a $39.50 mmimum $17.50 Waterconnectionanly $17.50 Estimated Cost $ Building Permit # SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $' $ .50 J (om,,", Us", Ol;\ly) Tbis Application Becomes Your Building Permit When Approv~ I 0.__.. DalE I~ Date . t~NO BuUdi_g Oftio:.ial ') r; 24 hour notice for all inspedioDB (952) 441-9850, .fu (9g) 447-4245 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd ~. :e:n ~:;y I PERMIT NO. l Yellow Applicant . ZONING (office use) 17223 DEERFIELD DRIVE SE 01- SL/to 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 xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS 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 HEAT N 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 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) This Application Becomes Your Building Permit When Approved Paid Receipt No. BuiIdine: Official Date Date \;..c.,_ 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 ~. ~~~:w JJ~icant I PERMIT NO"c1- SLI(, I ZONING (office use) a ~--- LEGAL DESCRIPTION (office use only) LOT J BLOCK d ADDITION PID OWNER (Name) D"'R -\\-by 1-0 h 1.b8 0 ~br\d e.,.lt (Phone) (Address) p \1, lie. M)J 55b41../ (Contact Person) (Phone) JdSI LJ52..- 2..115 I e:~ll.I(city) f\W 55l7J;code) (Phone) _ltfS I &..I?z- 2..11'5 APPLICANT SIGNATURE DATE APPLICANT PLEASE COMPLETE BELOW ~NEW CONSTRUCTION o REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODELJ3r~o.rd '12-'/, . F\JEL ~, ~as FLUE SIZE 'L'Iz.. '"Pv' e.... RETURN OPENINGS INPUT 1M, tJOD OUTPUT D,t:/:)D TYPE OF SYSTEM HEATING OR POWER PLANT OWarm Air Plants o Gravity .8 Mechanical g'Air Conditioning jgV ent. System o Steam o Hot Water o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks I FIREPLACE MAKEAND MObEL 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 & AIC (New Construction) Residential, Heating Only (New Construction) ,.. $39.50 $39.50 Estimated Cost $ 1000 . 00 Building Permit # t-"'t , ; J?Oi:V;':' , '. . -.I" HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Building Official Date By Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245