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Pink City . 0"7 -' I /_1-:. 3 Yellow Applicant _ V VIPl4?_ ZONING (office use) " .).-- PID dS - 3-g I--O.Jt;- OWNER (Name) (Phone) (Address) TYPE OF WORK ~New Construction OLower Level Finish o Misc. (Phone) 4,~Z ..q 0S..18oH (Phone) '15'1,- 22k- '-/132 o Deck OPorch ORe-Roofing o Fireplace OAddition OAlteration PROJECT COST IV ALUE (excluding land) $ ORe-Siding o Utility Connection o 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-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 e ilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upo property to perform e Q d inspections. x $ Plan Check Fee $ State Surcharge $ Penalty $ Plumbing Permit Fee $ OiCC> Mechanical Permit Fee $ l c>o ~t)t) Sewer & Water Permit Fee $ -. Gas Fireplace Permit Fee $ lfo.C:() This Application Becomes Your Building Permit When Approved 6''Z?~ Date ~j)PO ~57 Contractor's License No. Park Support Fee SAC # # S-/9/0Z- I Date ~ 0 Q.o c> . dJCV $ $ $ $ $ l $ $ - $ $ 5: 57. - Oc-~ 7C?6 .as I Paid $)'717 ~ Date I",?" ~, .~ 1~4Nsr 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 Water Meter Size 5/8"; 1"; Pressure Reducer Sewer/Water Connection Fee Water Tower Fee Builder's Deposit Other # # 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 th City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued ~..--r:'____-r... TOTAL DUE ".P!I1:~^ aq IOU IIB4s UO!P!pspn[ a41!0 SaOUBU!p.lO .I84l0 .10 8pOO S!4l !O SUO!s!^o.ld 84l 180UBO .10 8lBI0!^ Ol AlP04lnB 8^!5 ol 5U!WnS8.1d SI!W.lad .UO!p!pspn[ a41 !O aOUBU!p.lO .la410 AUB !O .10 apoo S!41 !O SUO!s!^o.ld a41 !O AUB !O UOnBIO!^ ^UB '!O IB^O.lddB UB .10 '.l0! l!W.lad B aq Ol pan.llSUOO aq lOU IIBLls suonBlndwoo pUB SUOnBo!!pads 'SUBld !O IB^O.lddB .10 I!W.lad B !O 6UnUB.l6 .10 aOUBnSS! a41." I. 5/~WY'Cf/~(1 )92L11 . JQ7-(v!) ~-~11~ ~ :sluaww08 ~~~ vy-h :,18 P8M8!^8lj pa!uao ---c 0 /~! tlj :alBO /7 paldoooV' suo!pa.l.l08 Lll!M paldaooV' :IB pasodo.ld S! 40!4M Al!^!PB UO!pn.llSUoo .l0! UO!IBO!lddB l!W.lad 6u!PI!nq aLll paMa!^a.l a^B4 SlUaWl.IBdao 6U!UUBld pUB '6upaaU!6u3 '6u!Pl!ns aLl1. 03^1383l:l NOI1.V'8IlddV' 1.NV'8IlddV' .::10 311\1V'N lSI1>1:J3H:J lN311\11t:l"d30 NOI1":Jl1dd" 11ll\lt:l3d ~NI01In8 6UlUUBld - >\Uld 6u!JaaUl6u3 - ^JBUB~ 6UlPI!ng - allllM .Uluno.) .1'111'1 .-HU JO UIU,}.) J'tl Thr Crnlrr of Ihe' I.lkr Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED D 72 No r+ ()/J .S- - ;C-l ~o J--- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: " /;7 \ / rid ~J L~) /jJ(~~~1lW (~ Accepted x . " Accepted With Corrections Denied Reviewed By: /fJ1-I> ~ee /17(;"',, hIe. Date: ~-;??-o2- Comments: f I "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." rhf ('fnlt'r or Ihr Lakr ('ounll1 White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED D 12 Aft) H-DtJ '''-~ -- jLr!--O d--- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is R[Oposed at: I JrJ3l3 LJ.)~jJL~-~~ Accepted x Accepted With Corrections Denied G!P Date: ~-2>-C)'C Reviewed By: Comments: 5-ee- ~ ~-0~ "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," Jun. 5, 2002 1:25PM GENZ RVAN PLUMBING AND HEATING No.6554 P, 4/13 Date R,ec'd CITY OF PRIOR LAKE PLUMBING PERMIT ~. ~~ ~:~ I PERl\fiT NO. (.'1 - / ~ /' I/l J. nil"... -'WJl_1 . ~ ~ ~ :.J ZONING (oBic~ use:) s [I R- SE LEGAL DESCRIPTION (office: ~anly) LOT BLOCK ADOmON PID OWNER ~ame) DR Horton Custom Homes (phone) 962 - q ~ 5 -78tJiJ rJ EC64 r..t (Address)' 2O~Loo ILeVlB l ~ CD Sre. IDO .A.PPUCANT (Name) C~m.A 'Ry"'''' t>1...."bina 9' li<14,Hf'g ! (phone) ~ Ii 1 _A 7 ':\ 111.l. APPLI PEASE COl\1PLETE BELOW Quantity Type of Fixture Quantity Type of FUture Bath Tub with or without shower Rough-ins Dishwasher Water Heater Floor Drain Warer Softner Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (lor 2 compar1ml:\nt sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet (Toilet) Other Rosemount (City) MN 55068 (Zip Code) ; (Address) 14745 So Robert Trail (Address) : (Contact Person) Mary (Phone) APPLICANT SIGNATURE DATE FEE SCHEDULE Industnal, Commercial &:. MultJ~famlly 1 % of job cost wilb a $39.50 minimum ResldentiaJ, New One &:. Two-Fanuly S99 50 Residential, Additions & Alterations $39.50 :Estimated Cost $ Building Pennit # . PLUMBING PERMIT FEE . $. STA IE SURCHARGE $ TOTAL PERMIT FEE $ 50 l / (Office U.se Only) This Applic.ation Becomes Your BuildUig permit Whell Approved Paid .R Date BlIilding Olflcilll Da,tr:, 24 hQur notice for all inspections (952) 447:9850, flu: (952) 447-4~45 . CITY OF PRIOR LAKE J\j' L 8 20~te Rec'd HEATING/AIR CONDITIONING/FIREP:LACE PERMIT ~. ~;~~n ~!~y I PERMIT NO. /] -{ .f lL I 3. Yellow Applicant 0'-- LP~--.l ZONING (offi,,,~) I LEGAL DESCRIPTION (office use only) LOT 11~LOCK 16 ADDITION ~~e~RD'M. Horfon QtJ.Skn~rvle~ (Address) 0 ridQ~~ Qt. I ~().keville- -) APPLICANTA U . f M ~-- (Name) r C\t1 e~ ..Lv~ . (Address) 3(PSO Kenne bec..l:x-.. 5+e. #/ C- (Address) --0') -7. (Contact Person) T' r ^--' I m n APPLICANT SIGNA TUftE-- J PID ;\It I\) (phone) %a~ Q'i?5 -7017.2.] .55o~J..1 J (Phone) 1(J5/- 45:1..- -~775 ;--;a'9a/1 55/j',2 " (City) (Zip Code) (Phone) &5/- 45r1 ~ c:/77:i DATE APP .JCANT PLEASE COMPLETE HELOW [0NEW CONSTRUCTION 0 REPLACEMENT FURNACE MAKE AND MODEL ~4n+ 38'3KA-vb1J.lD,O FLUE SIZE Ll-1'clCLS'i>>"B RETURN OPENINGS ~ INPUT o ALTERATIONS FUEL l'Jo.h...m , 10. DOC> OUTPUT 6l.D~tJ() (;> TYPE OF SYSTEM HEATING OR POWER PLANT OWann Air Plants DGravity o Mechanical ~r Conditioning QrVent. System PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks o Steam o Hot Water o Radiation o Special Devices o Other Devices FIREPLACE MAKE AND MODEL FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only Industrial, Commercial & Multi-Family Residential, Heating & A/C (New Construction) Residential, Heating Only (New Construction) Estimated Cost $ HEA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE (Office lIse Only) This Application Becomes Your Building Permit When Approved Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 Building Official $39.50 $39.50 $39.50 Building Permit # $ $ $ r- /I't r;:; r r') j@'lJr' ,......:..:... t'. ~<1i..,./ .,~!...... "'~ l .50 Paid Receipt No. j Dat:JUN I 0 Jun. 5. 2002 1:26PM GENZ RVAN PLUMBING AND HEATING. No,6554 p. 5/13 Date Rec'd CITY ,OF PRIOR LAKE . SEWER AND WATER PERMIT i ~w ~U:. I PERMIT NO('/- w0UJ 3. Gold Appli"'dl C1 =~~:~...,,>o: I 1;2) 0 LUll ~ ZONlNG (,,1lkeU$~) Cle .ft LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION v\rlla.s PID OWNER (Name) D~ HO~~Qa CYatom ll9BI.9S (Address) 20&00 k.v1~i<-\!::be Q- SrY J tJO (Ac;L:h=; ) (phone) _ La~\J j lIe... (City) crf;>2 -q~5- t 8 0(\ 5C044 (Zip Code) APPLICANT ~~~Genz-Ryan Plumbing & Heating (phone) 651-423-1144 'T...ICANT SIGNATURE Rose~ount, MN 55068 (CitY) (Zip Code) (Phone) (Address) 14745 So Robert Trail (Adckc:55 ) DATE 2.. ASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure feet. Type of sewer pipe. 0 ABC 0 pve 0 Cast Iron Estimated length of sewer line feet. Clean out (if required) located at _ feet from structure. Residential sewer 4nd water line connection Sewer connection only FEE SCHEDULE $35.50 Industrial, Com'l &: Multi-family 1% of job cast with. a $39.50 minimum $17.50 Water connection only $17.50 Estimated Cost .$ Building Permit # SEWER.AND W AlER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ S" $ .50 @..' ;;~ '~'( f;l~ \ It..-""'VJJ r>', ---.:-... ~ i) {~~' (~.:; --. .... f. Receipt No. j Office U5~ Only) , . . Tbis. Application Becomes Your Building }'enoit When Approved raid Da.'te '>nrn By t ~ '..~ '. D:tte Building Official 24 hour noticl!l for all inspections (952) 447-9850, fax (952) 4474245 ", " . . CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd ~. ~~~nw ~l~icant I PERMIT NO. ~ - (~(pl./ I J ZONING (office use) 17363 RIVER BIRCH PLACE SE LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID I OWNER (Name) (Address) D R HORTON (Phone) 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 7/26/2 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: DGravity o Hot Water Air Conditioner Units o Mechanical o Radiation Cannot Encroach into DAir Conditioning o Special Devices Required Side Yard DVent. System D Other Devices Setbacks FIREPLACE MAKE AND MODEL HEATN GLO SL-750TR-C APPLICANT PLEASE COMPLETE BELOW 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 & A/C (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50 '.--. , ~A!D WITH -. ',18 P::-c" r:T (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date Buildinl!: Official Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 PRIOR LAKE INSPECTION RECORD LYee k Mo-,1It .f;[p DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS Jr-r3Co'3 W~'l('i~MQS~ (\'1- ' NATURE OF WORK ---.1J~ USE OF BUILDING ?) FA PERMIT NO. 02-{)(pfb4- DATE ISSUED S~'2~ -0,,"- CONTRACTOR J)JLJjo.~ PHONE q52-.2.)'~ -- Cjl~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING 6" I ~II J(c-l- FOUNDATION (Prior to Backfill) to '.Ji 62- 7;'xT~ JAr b ~7Io1- PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING /1,6, HEATING (if required) FIREPLACE GAS LINE AIR TEST ~;- ( , COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ~ 4- Irlsio~ FINALS GRADING (Prior to Sodding) BUILDING lMk ( l-'/-(5) 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 :>hilll be placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850