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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/,31
L. Ltv lAne,.s;E
LEGAL DESCRIPTION (office use only)
~lLf(n Ut'\~-t11
L6't Z BLOCK -:J.- ADDITION
Vv\((i \I\. .}::;- \-€
Date Rec' d
5-'d....O~
~. ~i~~e ~:~y I PERMIT NO. 07 ;Ot;:;~/~
J. Yellow Applicant . V :./vt;;!
V,{W
ZONING (office use)
I<d-
o 5--()
I OWNER
(Name)
(Address)
(Phone)
BUILDER'J)~ i I A
(Name) .. K.. ttWtvYl ~.
(Contact NameLd!.!_~h/1 'l2tL
'2P t. Iv () ~Vl.tta.e ~ S-te. ;00
(Address) -4~ Ile J /v'\1JO %04<1
(Phone) %2-CfSr;-7eDB
(Phone) q5l- 22&-1/73 Z
TYPE OF WORK
gf'New Construction
o Deck
ORe-Siding
o Lower Level Finish
o Fireplace
PROJECT COST /V ALUE (excluding land) $ 80} () Z. 7--
o Utility Connection
o Misc.
OPorch
ORe-Roofing
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 fI e ove-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. am e that the building official can revoke this permit for just cause, Furthermore, I hereby agree that the city official or a designee may
te upon the prop erform needed inspections.
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 00 . (9 -0
l 00 .00
3~. 50
.00
omes Your Building Permit When Approved
5'-- t5..oZ.......
Date
o Addition
OAlteration
'5///6 L
Date
$
$ ( '2.00 .00
$ Ie."
$
. C) 0
$
0.00
$ tOO. 00
$ 5'"00.00
$
o?too ~7t1<;-7
Contractor's License No.
Park Support Fee
SAC
#
#
Water Meter Si e5/ ; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
-ertify 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
'" '~~ P,,""cr w"",ru<~ , '""",,", C~ifi<", of Zoom, W~~ ~d .n~ ~-:-- ;;;;;.'~' B,"" ocw"",,, , C,rti"'" of()=,.." ~. '"
..~~~.--r--z-5,/l~ /02 See l~JQ'-q-,~ C(~tJ4~~t'>
lanning Director 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
TOTAL DUE
200211l:16AM
GENZ RVAN PLUMBING AND HEATING
No.3607 P, 17
Date Rec' d
CITY OF PRIOR LAKE PLUMBlNG PERMIT
~
2E.
~:~~w ~~i=l I PERMIT NO_/ ---55 ~ I
ZONING (cflice use)
:;
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
.~
--
PID ""-- 3C6(-OO
OWNER
~ame) DR Horton Cus~om Homes
(Address)' ZO'SLoO K.enB~t ~ Co- 5/e IDO
(phone) 952 ~ q 'J 5 -7'BDCJ
udi...t.vd I~ ruN EfuL.l t.J.
APPLICANT
(Name) Ca,.,';-RY<Jt:J. 1'1vJ;I;lb;"'g IV H9.::oti~g
(Address) 14745 So Robert Trail
(Addre:ss)
(phone) f\ t; 1-!~? ~- 1144
Rosemount
MN
55068
(Zip Code)
(Contact Person) Mary
(City)
(Phone)
APPUCANT SIGNATURE
DATE
Qua.ntity Type of Fixture Quantity . I Type of FixtuJ"e
I Bath Tub with or without shower Rough-ins
, Dishwasher 1 Watet Heater
t Floor Drain - R\ \ Water Softner
Z. . Lavatory (Bathroom Sink) , Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
t Shower Stall Backflow Assembly
. I Sinks Backflow Assembly Test
-c- . .. Bat Sink ., .- Lawn Sprinkler
?- Water Closet (Toilet) Other
LEASE COMPLETE BELOW
FEE SCHEDULE
Industna!, CommercIal & Mu]ti~faI01]Y 1 'Yo of job cost wIth il. $39.50 minimum Residential, NE;W One & Two-Family $99.50
Residential, Additions & Alterations $39..50
Estimated Cost $
BuIlding permit #
PLUMBING PERMIT FEE $
ST ATE SURCHARGE $
TOTALPERMUTFEE $
50
l
!
:Office Use Only)
This Application :Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
:By
Building Official
.J)an:
.24. hour notice lor all inspections (95'z) 447-9850, fa~ (952) 447-4245
MdY,10, 2002 1U:16AM
GENZ RVAN PLUMBING AND HEATING
No,3bil7 P, ~ 17
Date Rec'd
CITY.OF PRIOR LAKE
SEWER AND WATER PERMIT
;, ~:'w ~~:. I PERMIT NO. ~ _'1 /:'. ~ 4
3. Clald. A~~h""l I:;
I ~;~:'wA~~;: 14 ~
,')c
1 ZONING (,"'="" I
i ~
LEGAL DESCRIPTION (office \l.Se only)
LOT
BLOCK
ADDITION
1"h
PID .- 58/- 005--
(Address)
2-0&00 ~~K\ C6.e.. Cr Sn'" JJ 00
(Address)
(phone) _
.. La~1J i 11~
(Cit;y)
o/~-q~- ,Bot)
5tt~4
(Zip Code)
I
OWNER
(Name) -P& Hgrt:9R C~.1liit-....PJ U'n-IU3
"
APPLICANT
I (Nron~ G~nz-Ryan Plumb~ng & Heating
i
(Address) 14745 So Robert Trail
(Address)
~hon~ 651-423-1144
ANT SIGNATURE
Rosemount, MN 55068
(City) (Zip Code)
(phone)
DATE
APPLICANT
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.
ResIdential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'} &. M~lti-f.unily 1 % of job cOst wlth a $39.50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$.
$
.50
,....-
omc~ Use Only)
This Application B~comes Your Building Permit When Approve~
Paid
Receipt No.
1:,-'.
dldlllg Official
Date
NAY 2 2
By
. :Date
24 hOl.\r notice for all inspectiQQ:'.l (952) 447-98S0, fa~ (932) 441-4245
CITY OF PRIOR LAKE
REA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~: ~~:w J~~icant I PERMIT NOO.)_ ,5 5h I
ZONING (office use)
C--.'
J(!:
,/7
~>
LEGAL DESCRIPTION (office use only)
LOT 7 ~LOCK/(:::' ADDITION PID
(Phone) C(5fJ... q ~5 -7,;l7:L
(Address)
APPLICANT 1\ , I . 1 M .,-.
(Name) t:UJ f C\t1T _ e<L . ~~ .
(Address) 3~5{) f<enne bee. ~.
L (Address)
.p. Z..
Sfe. #/
(Phone) 195/- .l./5~ - cfI775'
~a8Qn 55/.2r2
(City) (Zip Code)
(Phone) {P51-45~- ;;77~
(Contact Person)
DATE
ICANT PLEASE COMPLETE BELOW
lS21NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL ~4n+ 3S3KA-vb2J,un 0 FUEL J\J~~lAt'lA ,
FLUE SIZE ~I'cla.sc;. B RETURN OPENINGS '-l- INPUT 1C.01>0 OUTPUT 5lD..tJOO
TYPE OF SYSTEM HEATING OR POWER PLANT '.
OWarm Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
o Mechanical . o Radiation Cannot Encroach into
~ Conditioning o Special Devices Required Side Yard
ent. System o Other Devices Setbacks
FIREPLACE MAKEAND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
t % of job cost Residential, Gas Fireplace
$39.50 minimum
$99,50
$64.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Orily (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
bstimated Cost $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
1i':'1
""". f" ~
, '-""",l.J,.
(Office Use Only)
This Application Becomes Your Building Permit When Approved
-c ('
Paid
Receipt No.
Building Official
Date
JUN I 2 2002
By
Date
24 hour notice for 1111 inspections (952) 447-9850, fllx (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~e:n ~:;y I PERMIT NOoJ. ,... ~ ~I- I
J. Yellow Applicant _ ~./ 7f'O .
.....
ADDRESS ZONING (office use)
17314 LILAC 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 A VENUE
(Address)
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
7/8/2
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION o REPLACEMENT o 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 #
$
$
$
J ;', . ,or_
.50
1-::":~~~r''''!i~ f, ,-
L-J~'-.' =-~" ~...:;'J I.~, .
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Buildinl!: Official
Date
Date ..JUL I (
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
Thr Center or the Lakt Country
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
~~.--?'~
Date:
~/10 (~)2-
Reviewed By:
~('.
::.,..J
"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 Center or (he Lake Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
DKlj~
5' -d. -ad---
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J~8/'/ LI./QC LN
Accepted
Accepted With Corrections .x
Denied ~ /I..
Reviewed By: ( ?J) u +
co~ents:
~C}rO rJ20 tt~cL.oc.Q
Date: 5 - rr:) -OZ-
~crzk
"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."
(!)2 -CC~
White - Building
Canary - Engineering
Pink - Planning
The CrnCrr or the Lake Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED :)
i
-j---
.. .:..'J x---/
TtI~- tiJildirtQ-; ~gineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'7' ' !
/ , / ,)/. '/v
l_.. i , ..( (, i.__
Accepted
~'
Accepted With Corrections
Denied
Reviewed By:
IVI1:,J3
Date:
S "'13 -OL
Comments: See Reverse Side for Additional Information!
;(14th.. F,'f(
.,.--
!
'y'
,,'
,r-"/ l ,,( ,,;' I/'
See Attachments: 1) Grading Plan, 2) Erosic;m Control 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."
PRIOR LAKE
INSPECTION RECORD
~ Mo.;\'\. R l-€
DEPARTMENT 0
. BUILDING AND INSPECTION
SITE ADDRESS --1.!J..3.r:l L; L.:.o..~ L~
NATURE OF WORK _tJ~\.U
USE OF BUILDING S~P\
PERMIT NO. ()2-055~ DATE ISSUED 5-{S~OL
CONTRACTOR _po (2.. l:to~ PHONE 2:2(tr if732
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPEI.
DATE
15'/rf)/(()~
FOUNDATION (Prior to Backfill) ,(, ~ 0 'V ~ D, (p ~ Ol.,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING 7
INSULATION
ELECTRICAL
PLUMBING U,& . ~ & ov
HEATING (if required)~ niT I
FIREPLACE
GAS LINE AIR TEST ~ ~ . p.,I ole! tJ '"L..>
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I~ 4. 7/11/0'-' I I
FINALS
GRADING (Prior to Sodding) /0- 30"- if-
BUILDING LJ1f""o ()>'I "-~ 10,-( FtJ'-
ELECTRICAL
PLUMBING
HEATING --I!;"' .0)...
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, ca.rd siiail be placed near main entrance.
I FOOTING
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850