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White File 2. Pink City 3. Yel\ow Applicant \ PERMIT NO. 0 ~ /0041 \ ZONING (office use) WIIJel't1e~~T~l' ISlJ LEGAL DESCRIPTION (office use only) LOT 8' BLOCK / ADDITION PID,.as-3-10 -o/~-O OWNER (Name) (Phone) (Address) (Phone) q&?1''lQ;''-1~O'O (Phone) -351. - 1--2lR"13~Y TYPE OF WORK ~ New Construction OLower Level Finish ODeck OPorch ORe-Roofing ORe-Siding o Fireplace OAddition OAlteration OUtility Connection o Misc. PROJECT COST IV ALUE (excluding land) $ /52 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 a~ent for the above-mentioned 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 that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may :'" 0 ." pWp'''Y, to ::P: ~,"d ;0""",,00'. ~O 0 0 '>7,1';7 r:; / ' 6/0 2.. Contractor's License No. Date IOD~cX> 00.t)0 3S.S0 40.a:::> Water Meter Siz 5/ '; 1"; Pressure Reducer Sewer/Water Connection Fee Water Tower Fee Builder's Deposit Other # # $ $ $ $ $ $ $ $ Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee $ $ $ $ $ $ $ $ Park Support Fee SAC # # 5 .. 2t{~02- TOTAL DUE our Building Permit When Approved Date 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, el7 ;IOcr 'o",'d",~ . e_.y Corti""" of Zoo'o, ~p'm" md '"~~':'"- to oom_' Before Qoccupan;, a Certificate of ~ccupanCY must be :-75U~;{.tt?~--C""- .5/3D/OL- ye_~{.)-G U>CA ~YLrL..'>1.1<: Planning 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 White - Building Canary - Engineering Pink - Planning - The ("fnlrr of the I.lkt ("ounll1" BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST APPLICATION RECEIVED D)? #o/t:C)~ s-/~- 0 d--- NAME OF APPLICANT The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 11ft) 7 !-<-).ild~JAZA1-' ,~~ Accepted Accepted With Corrections X Denied ~k: Reviewed By: l ' Comments: _~Ja2Q ~~cLJ- ~ Date: 5-':;</ ~~ "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 Tht' ("fnler or the take Countr) 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 Reviewed By: ~ C:j ~ Date: Com ents: S-/~D([) 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." White - Building Canary - Engineering Pink - Planning Thf' (O,nlrr of Iht' I..k, ("ounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT [j I? #o/t:C)~ S-/v () d- APPLICATION RECEIVED The Building, Engineering; and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /~/~ 7'~/,0'td~a4- ,,::Jr--J Accepted x Accepted With Corrections Denied Reviewed By: 1YYf[3 Date: .5"- :;)If-a. Comments:See Reverse Side for Additional Information! See Attachments: 1) Grading Plan, 2) Erosion 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." CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT ])ate Rec'd ; ~;~~n ~:~y I PERMIT NO. '- / / /Ci 3. Yellow Applicant , d <P-1 L I I ZoNING,o,,",o",' do/' &L./ ~A.-J . /""7///7 /d'/~~5-S7./ [LEGAL DESCRIPTION (office use only) LOT/ /tLOCK I ADDITION PID ~ ~ l (Auuless) OWNER (Name) D"K -\\-by-\-on 1.t>8LDO ~\ br\d5L>~- 1~~;~~ANT ~ \ \ \ 0..1"'"+ Y'AtchO-n l CaJ (Address) 3~'5D l(.enneJxc.. l:::>r Sw-tt.l E:L18'U1 NJJ (Address) (City) (Zip Code) (Contact Person) .Se.+-~ LJ Mme..v~ (Phone) l.tfS I a.fI52- 2..1,'5 APPLlCANTSIGNATURE ~ ~ 71~- DATE APPLICANT PLEASE COMPLETE BELOW I:&INEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS FURNACE MAKE AND MODEL '""BY~o...rd ql'/, FUEL lJa:l-. ~ FLUE SIZE t'lz. '"Pv' e,., RETURN OPENfNGS fNPUT _ 1M, DOD OUTPUT "gD, ooD TYPE OF SYSTEM REA TING OR POVVER PLANT (Phone) ~\1\tle, tll\)J 55~4L/ (Phone) _l.d5tg.52..- 2..115 551 z.:l.. OWarm Air Plants OGravity 8 Mechanical ~Air Conditioning ~V ent. System I FIREPLACE MAKE AND MODEL 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 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 $39.50 Estimated Cost $ "1 DO 0 . 00 Building Pelwit # HEATING PERMIT FEE ST A TE SURCHARGE TOT AL PERMIT FEE $ $ $ .50 r PArD V"'" ~UJlD:NG F Receipt No. Date By ~ (Office Use Only) Th;, Appll,.lIoo Be<om" Y 00' BoHd;o. P"mll Who. App<ovod j Building Official Date ..... .....'..... 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 Paid Jun,11. 2002 10:53AM GENZ RVAN PLUMBING AND HEATING No,7187 P,7/7 Date Re.:' d CITYOFP~ORL~PLUMBmGPE~ ....-.- J f2-fH L- i ~id ~:~ I PERMIT NO. /_ /_ J JQ 3. '1.11"", AWl'.....! . &:2i- fP ~+ I I ZONING ,-- J rr~~md:i~ yuulYJ LEGAL PESCRIP"nON (office use only) n LOT J BLOCK , ADDITION tlllz.rleQ..o PID OWNER ~~~ DR Hor~on Cus~om Homes (phone) q52~q5(5 -1gDCl N .ECbLpj (Adrlress)' ZO'S~D KLnB l.~ Cr Sre IDO MPUCAN'f (Name) CQRz-iyan 1'1l'ml>o;,"g F. 'R",,"'-illg (Add.r~ss) 14745 So RoberT: Trail (Address) (Phone) h~1-61~_114~ RosemoUnt: MN (City) 55068 (Zip Code) (Contact Person) Mary (phone) 2- APP:tlCANl SIGNATURE DATE Quantity Type of Fixture Quantity Type of Fixture 2- Bath Tub with or without shower 3 Rough-ins , Dishwasher I Warer Heater \ Floor Drain , RIl Water Softner -~ Lavatory (Bathroom Sink) I Stand Pipe (Washing Mac.hine) \ Laundry Tray (lor 2 compartment sink Sewage Ejector f Shower Stall Backflow Assembly , Sinks , Backflow Assembly Test Bar Sink (L\ 1 Lawn Spnnlcle:r Z- Water Closet (Toilet) Other PLEASE COMPLETE BELOW FEE SCHEDULE lndustnal, Commercial & Multi-famlly 1% of job cost with a $39..50 minimum Rcsidential, New One & Two-FamJly $9950 Rcsidential, Additions & AJtaat:ions $3950 Estimated Cost $ Building Permit # PLUMBING pERMIT FEE $ STAlE SURCHARGE $ TOTAL pERMIT FEE $ I f .SQ :"\ f:.:\ 't') !. . /gIll' ,...,;.,"," ,. .' '7'; , ~(;~ . ,;~, .'-, ~-:.:.:' ~ F i;.. Receipt No. {'" (OfficI:. USL:. amy) This Application Bel;ome5 YouI' Building Pennit When Approved Paid. Date JUN 2 200 By Bui.ld.iog OWc.i~l DA~ 24. bOll" notice for all inspections (9S2) 447-9850, fax (952) 4474245 Jun.!l. 2002 10:53AM GENZ RVAN PLUMBING AND HEATING No.7187 ~. b/l Date Rec'd CITY ,OF PRIOR LAKE SEWER AND WATER PERl\fiT I QAJ L-- ~ Ef ~_t I pERMIT NO. d ~ ~ Lfq I I ZONlNG,_"" I lr;;~4~;"p~~rUM ADDITION PPJ OWNER ::~)n. ~:~,.;;:~~ Ac- Sw.lm (AddresS) (phone) ~ LaUIJ i lIe... (city) Q0;2-Qgs- "180(\ ~5C044 (Zip Cod,c) ~= APPLICANT (Name) Genz-Ryan Plumb~ng & He.ating (phone) 651-423-1144 'T...lCANT SIGNA1'URB Rosemount MN 55068 (City) (Zip Code) (phone) 2- (Address) 14745 So Rober1: Trail (A.~5) DATE PLEASE COlVlPLETE BELOW Size of water sery1ce _ 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. FEE SCHEDULE !{csidential sewer and water line connection $35.50 Industrial> Cant'! & Multi~faInily 1% of job cost with a $39.50 w.inimum Sewor connection only $17.50 WatJ:r CODnC(;tion only $17.50 Estimated Cost $ Building Permit # SEWER AND W A1ER PERMIT FEE STATE SURCHARGE TOTAL PERMIT:FEE $ $' $ .50 ~- , c! ", or') 1 ~/'''''H .' ,1 J 1 "--_ F-'.::, c '-.u "j ~r (Offi~e Use On11) This Application :Becomes Your Building :permit When Approved Paid Receipt No. Date - :By ~.. .. 8~ilcliJ:lK Official :Dati!: .24 hour notice for all inspections (9S1) 441.9850, fax (951) 447-4245 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd I. Pink 2. Green 3. Yellow File City Applicant d - ~ [19 I PERMIT NO. ZONING (office use) 17107 WILDERNESS TRAIL S.E. LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) D R HORTON (Phone) (Address) APPLICANT (Name) ALLIED FIRESIDE DBA FIRESIDE CORNER (Phone) 651-633-2561 (Address) 2700 NORTH F AIRVIEW A VENUE (Address) ROSEVILLE (City) 55113_ (Zip Code) (Contact Person) BRENDA HUSTON (Phone) _651-633-2561 APPLICANT SIGNATURE BRENDA HUSTON DATE 8/5/2 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 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 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 $ REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50 r- I!>\ r;~,,.... , lQ\fJ," ~; ,"" . Receipt No:' .....: (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Buildin!!: Official Date A,IIr-; - 5 By Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS /7/07 LJdcl.c.JlAe5s 1]:: NATURE OF WORK AJB<..J USE OF BUILDING 6Fj) PERMIT NO. 62- ofv.4-tJ DATE ISSUED 5'-2-((-oL CONTRACTOR D~ ~~ I PHONE Cj~~ - a~ eo-I '5Jl( NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DATE ! FOOTING ~(/ZID'" FOUNDATION (Prior to Backfill)" f<:, ~ . PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - IN SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING U. (, HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS )/) (t 0 2.- GRADING (Prior to Sodding) BUILDING 7e""'f v'Ahl 8- I-V", ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE HAS BEEN NOTICE /1-/ J' -1:7 Z /0 .-2- 'I.~ () 2- (0-( (0- 10 -J-q-cJ2.. SIGNED 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 ~3~_.!!.!>N 09: 2't FAX 6124474245 CITY OF PRIOR LAKE ~002 CITY OF PRIOR LAKE Impervious Surface Calculations (To be Submitted with Building Permit Application) For All Properties Located in the Shoreland District (SD). The Maximum Impervious Surface Coverage Permitted in 30 Percent. Property Address.--l1iJ[LJf-/) LDc;rvJt:: \,( 1"2 Lot Are&. \ (., '1 (1) Sq. Feet x 30% - .............. s g 7 0 ....*****.***...******..*************........*.******.*................. LENGTH WIDTH SQ. FEET x x x - HOUSE = "'"' ATTACHED GARAGE TOTAL PRINCIPLE STRuCTlJRE...................... 2 ~ g 6 .,- DETACHED BLDGS (QaraaetShcd) x x TOTAl,. DETACHED BUlLDINGS............_....- D DRIVEW A YIPA VED AREAS (Driveway.paved or not) (SidewallclParking AreaS) - 6~l - 1'Lf) rwy ..;:;,w x X X = TOTAL P A YED AREAS.......................................... ~ D 1 x X =- P A nOSIPORCHESIDECKS (Open Da:ks Y'" miD. openinl bcavettll boards, with a perviouS surfl&:c below. arc noteonsidend to be Impervious) = x .... TOT AL DECKS...................................._................. d - , == OTHER x X == TOTAL OTIrER....................................................... 0 TO'fAL IMPERVIOUS SURFACE I 330~ J (UNDjo/OVER I ")61 I Prepared B~~ ~~ Date~ .M A-'{ ?rYJ2. Company I:? (2.i4-N 1J l (;N? 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