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Please ADDRESS '12.1W H.tt l/'sk-hdA. ~ .s~/ LEGAL DESCRIPTION (office use only) LOT ADDITION BLOCK ZONING (office use) ;L OWNER (N ame) (Phone) (Address) (Phone) QS2 -qfJS-"1~og (Phone)~~ TYPE OF WORK }i( New Construction OLower Level Finish o Fireplace ODeck o Porch ORe-Roofing OAddition o Alteration o Misc. PROJECT COST IV ALUE (excluding land) $ ORe-Siding 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-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 tha the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter u e property'fo p or ded inspections. x o?OOIJ ~Sl Contractor's License No. ~~O~ ate $ $ $ $ $ $ $ $ $5 '1tJ(P. Z4- I ~;~L-r? J Park Support Fee SAC # Permit Fee $ Plan Check Fee $ State Surcharge $ Penalty $ Plumbing Permit Fee $ /tJtJ, ()O Mechanical Permit Fee $ ()~, () () Sewer & Water Permit Fee $ 35. '50 Gas Fireplace Permit Fee $ 4, IJO # Water Meter Size 5/8"; 1"; Pressure Reducer # City SAC and WAC Water Tower Fee Builder's Deposit Other # TOTAL DUE I Paid :~~J~, ~ Date - -z...z,- -0"2.,../ This Application Becomes Your Building Permit When Approved ~ 7'u:I~ Building Official 8(8/01-- 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 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 issued. r 1\ /y-:-- ~~ rb/t,C/U.z.., /'-""-^i~fannmg ~irector 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 Thr Crnlrr of Ihr l..kr Cou~,lrl White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED l_fII I ~t+)81.~)L q- /-()-;) The Building, Engineering, and Planning Departments have reviewed the building permit . a~plication for construction activity which is proposed at: /?() 7t/ - )J;~ ~ L.-u SF Accepted K Accepted With Corrections Denied Reviewed By: #If.6 Comments: 5ce ;niI-J(~ Pc"" Date: $3-6 -c~ "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." 11~ o.~ White - Building Canary - Engineering Pink - Planning Tht' Crnlt"r nf lht' Lakf ('ountrl BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED [) i~ ~)znE7G ~- /-rJ d The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /?;;l 7tJ - /J1aaA~ Lv SE Accepted x: I Accepted With Corrections Denied Reviewed By: cae1VJ ItT fiz 0 r- OBe ItA.. At }..i P=; t-6' Date: 8/e/c Z- , Comments: "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." '~~ The C"enler of 'he Lab Count". 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: /; - L Accepted ~ Accepted With Corrections Denied Reviewed By: ~ ~-=~~-r Date: Comments: fJ/L-S /t9 ~ t'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 ~. ~:n ~!~y. I PERMIT NO. ''7J /:J1I . 'I I 3. Yellow Applicant . (7<..... (~r::;;4. . ZONING (office use) LEGAL DESCRIPTION (office use only) LOT? BLOCK / ADDITION PID ~~~RD.~. Horfon Cusbm (Phone) C(5tJ... q~5 -7~7~ (Address) (Address) 3<t;S0 ste. #/ (Phone) Ip5/- 45~-c:?775' J.~a8Qn 55/~ (City) (Zip Code) (Phone) (05/-4561- c:l77~ (Contact Person) DATE ICANT PLEASE COMPLETE BELOW [g'NEW CONSTRUCTION o REPLACEMENT o ALTERATIONS FURNACE MAKE AND MODEL ~C1n+ 383KA-Vb2J.4ln 0 FUEL J\J "ho\ro.. , FLUE SIZE If''clQ,s~ B RETURN OPENINGS ~ INPUT 10. Ceo OUTPUT 5lD../JOO TYPE OF SYSTEM HEATINGORPO~RPLANT OWarm Air Plants o Steam PLEASE NOTE: DGravity D Hot Water Air Conditioner Units D Mechanical D Radiation Cannot Encroach into ~ Conditioning D Special Devices Required Side Yard ent System D Other Devices Setbacks FIREPLACE MAKE AND MODEL 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 & AIC (New Construction) Residential, Heating Only (New ConStruction) $39.50 $39.50 Estimated Cost $ Building Penn it # REA TING 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 Dat~G 2 9 By 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 Aug. 2. 211112 10:18AM GENZ RVAN PLUMBING AND HEATING No.3023 p. Date Rec'd CITY ,OF PRIOR LAKE SEWER AND WATER PERMIT ~; =w ~;'. l PERMIT NO.'"")_/O /) -:+-f J. Gold Al'pIi....t . C7 c;t- I ZONING,__, I rrn~~I;~ri' LOYv, EE LEGAL DESCRlPTION (office use only) LOT <l' BLOCK \ ADDITION \ ')etfl' ~ PID OWNER (Name) DR Hartoll Cu\;tQm ijQW"''' (Address) .20~ ~el<-\t::6e Q- Sre~IOO (Ad4ress) (Phone) _ La~\J , lIe.... (City) C02-Q8,5-i8ol'l ~t5Ct)LJ!J (Zi; Code) I APPLICANT I ~wm~ Genz-Ryan Plumbing & Heating (Address) 14745 So Robert Trail (Address) (phone) 651-423-1144 on Rosemoun~. MN 55068 (City) (Zip Coa.;,) (Contact Person) rr (phone) DATE 651-423-1144 Z/Z/d'l 'UCANT SIGNATURE APPLICANT PLEASE COMPLETE BELOW Size of water service inches. - Location of any couplings from structure feet. Type of sewer pipe. 0 ABC 0 PVC D Cast Iron Estimated length of sewer line feet Clean out (if required) located at feet from structure. ResIdential sewer and water line connection Sewer cOOllection only FEESCBEDULE $35.50 Industrial, Com'} & Multi-family 1% of job cost with a $39.50 minnnum $17.50 Water connection only $17.50 EstImated Cost $ Building Permit # SEWER AND W A1ER PERMIT FEE STAlE SURCHARGE TOTAL PERMIT FEE $ $ - $ .50 ~ ,~ . (Otllce Use Only) This Application Becomes Your Building Permit When Approve~ Pai Receipt o. DIlte AUG? 9 By L.....::........ lIujldj1).g OOic;:l\ Dar.: 24 hour Dotice for all hupec:tioQs <'~) 447-98S0, hx (.952) 447-4245 Aug, L' 2011L 1lJ:19AM GENZ RVAN PLUMBING AND HEATING No.3023 p.:1 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT L ore r;t; ~ = ~~ I PERMIT NO. '1 _ If}. I 'l ] )., "'1''''10''' IloPpll_ . C7' c:r CT _ I I ZONlNG ,--, I I ~t~~~~;;bMd LEGAL DESCRIPTION (office: use only) LOT CO BLOCK . ADDmON . tJ,l PID OWNER [i (Name) DR Horton Custom Homes . (Address) ZO'S{PQ KeV1B~I1?GL Cr S,e. IDO (phone) EC6i..1LJ APPLICANT (Name) r-.....,.-Rysn Pl"mbiR8 &.- J;;l.."'HTlg (Address) 14745 So Robert: Trail (Address) (ContactPe;rson) Mary OhUll c.51f)(]/fj 1YJtf2.el1J I APPLICANT SIGNATURE .....JfrJf)t) l)1...J/~dL (phonc::) "a:; 1 4? 3-' 1 44 Rosemount MN 55068 (Zip Code) (City) (phonc:) 651-423-1144 8/ zJ6'Z DATE .. Quantity Type of Fixture Quantity Type of Fixtul"e Bath Tub with or without shower I Rough-ins Dishwasher J ' Waler Heater Floor Drain - Water Softner a Lavatory (Batb.rooro Sink) Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly I Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler .A. Water Closet (Toilet) Other APPLICANT PLEASE COMPLETE BELOW FEE SCHEDULE Industrial, Coaune,l'ctal & Multl-famtly 1% of job cost WIth a $3950 minimum Residential, NeVIl One & two-Family $99.50 Residential, Additions & Alre.r:anons $39.50 Estimated Cost $ Building Permit # PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERlWT FEE $ .50 I / (om~" Use Only) This Application Becomes Your BuildiDg Permit Wheo Approved Paid Receipt No, Date ,Ii ,': ') 0 ' By , ' :6~dldh~g Official .DlItt Z4 Mur Dotlce for all inspections (952) 447-9850, fax (952) 447-4245 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd I. Pink 2. Green 3. Yellow ~:;y I PERMIT NO.? " I 0 )-1- Apphcant :/'"-' ZONING (office use) /72- 74- .~SHFIELD LANE S.B. LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID I OWNER (Name) (Address) DR 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 11/3/02 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 D Steam PLEASE NOTE: DGravity D Hot Water Air Conditioner Units D Mechanical o Radiation Cannot Encroach into DAir Conditioning o Special Devices Required Side Yard DVent. System o Other Devices Setbacks FIREPLACE MAKE AND MODEL HEATN 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 & A/C (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ REA TlNG PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50 ,.A---- . ~UJt(f;k~ ~ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. f/' Building Official Date ' By Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 PRIOR LAKE INSPECTION RECORD SITE ADDRESS 17 ~ '7 '-l rv\~ hE.l~ LANS s: E: , NATURE OF WORK tJEk-J U,J5T~LT(ON USE OF BUILDING S, F:' A . PERMIT NO. 02-10 Z 2- DATE ISSUED ~(8( 07.- CONTRACTOR "D. It. Ko{(..T~,..J , I f'oJC- . PHONE '?5Z" Z2~ - [33y . NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT t SEE M.A.I t-J DEPARTMENT OF BUILDING AND INSPECTION Ft'Le INSPECTOR DATE I FOOTING I I FOUNDATION (Prior to Backfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING lJv LVNtutt'7/'-) INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS ~ {( -(Y -02 II-{ 1 VJ{ GRADING (Prior to Sodding) BUILDING Te VV\ h / ELECTRICAL PLUMBING HEATING DO NOT &' --l-ff) 1-2--03 ;2.-~ 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 shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850