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R0- o C) ~mm3l:C) ~ < _"U"U"U~ ~ > ~!;>!;o ~ z >ooz:;; 0 ""l rn _mm-i_ ~ ::o"Tl;xl r -i -i-- r i enz z m -i~ G'l CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT MAIN ~{ L6 LEGAL DESCRIPTION (office use only) BLOCK 1- ADDITION ~e.e.{.{;'el d ~ LOT Date Rec' d 8- 21-02- I. White File 2 Pink City 3. Y cHow Applicant I PERMIT NO. 02-(/ e4- I PID ZONING (office use) ,e2- OWNER (N ame) -380- (Js4'-O (Address) (Phone) TYPE OF WORK ~New Construction ODeck OLower Level Finish o Fireplace PROJECT COST IV ALUE (excluding land) $ o Misc. (Phone) .957-'1~S-1 eoGl (Phone) q1:;2- Z1-/p~ ('J1Ji o Porch ORe-Roofing 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 e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upo e roperty t@...p for eeded inspections. x Permit Fee Plan Check Fee $ $ $ $ $ $ $ $ State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee 9-/5-02- Date OAddition 8/.;<. rr/o 2- I Date $ $ $ $ $ $ $ $ $ dD{)O~-~ 7 Contractor's License No. Park Support Fee SAC # # I Paid Date '6 C, .0 ~~* 3 ?a~ I ~;ceiPt~1I3 q/ Lh 1f);2, Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Water Meter Siz 5/ ; I"; Pressure Reducer City SAC and WAC Water Tower Fee Builder's Deposit Other # # ~ -r'\A., to certity 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 Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be TOTAL DUE ~~ 1h1?:;db::JanyC-~Y9~tttt~ CITY OF PRIOR LAKE BuILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT F/L-E WI TH 02,-1184- :'7 7C}/' C'" '/ ...., !JJ"W:>-lffC lei Llflt. s.,E. LEGAL DESCRIPTION (office use only) It;; ,7< , LOT BLOCK ADDITION 'u:l\//'{' II 'tilt, Date Rec' d 2 - &; - (J..3 White Pink Yellow File City Applicant I PERMIT NO. 0.3-0/57 ZONING (office use) I!:.z '4-0 OWNER (Name) (Address) (Phone) BUILDER '\ 11 (Name) D. /I.. (Contact Name) (Address) . '.~ - I-Lv 4." . ..J-h:, . 1'/111 jC>~IC.( Jf/.",ls (Phone) (Phone) ~ -9..r:.s--... 7~~f' TYPE OF WORK o New Construction ~Lower Level Finish o Misc. ODeck OPorch ORe-Roofing ORe-Siding o Fireplace OAddition OAlteration OUtility Connection PROJECTCOST/VALUE (excluding land) $ /(?6-/~~- I hereby certif'y that I have furnished information on this application which is to the best of my knowledge true and correct. I also certif'y 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 the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the roperty t perforIJl needed inspectiops. // )-L. / 1/1 ! .,' I /-. ., X '1....ct 4'. . --::~;-_ Signature Permit Valuation ~3Qao,o-o Permit Fee $ 7'-/, 75 Plan Check Fee $ - State Surcharge $ '.50 Penalty $ Plumbing Permit Fee $ 1a,oo Mechanical Permit Fee $ Sewer & Water Permit Fee $ Gas Fireplace Permit Fee $ This Application Becomes Your Building Permit When Approved . ~ yJLJ),. Building Official ~toloJ" Date 'J -l,..,., . /:$' /X C....oC '-~ " 1 /)- /.-'_ /; 'r' ;;;- c.? (. :> Date Contractor's License No. Park Support Fee # $ SAC # $ Water Meter Size 5/8"; I"; $ Pressure Reducer $ City SAC and WAC # $ Water Tower Fee # $ Builder's Deposit $ Other $ TOTALDUE ~~i'y z..-6> -03 $ //(,. Z.s- This is to certity 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 "~ r~ .;J-I&/() 3 ~ ~ ~ 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 Tht C'rnlf'r or rhr Llkt Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED D. K. HOJZTDtJ n-Z1-02- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 17zQ I jJIAP-5t-1 F( ElJ) LAN~ S8 Accepted X, Accepted With Corrections Denied Reviewed By: (dMD , Date: 9-(7-02 Comments: See Reverse Side for Additional Information! ' /YJG;~ F;lt .' tiee 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." White - Building Canary - Engineering Pink - Planning lhe ('..nfef of rht' Lah Counlf)- BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED D. R. HoeTD"-I <6 - 21- 02- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 11ZQ I 11 AK?$-l F( aD S6 Accepted Accepted With Corrections Denied ~ ~ Reviewed By: ( :[2nts ~f2 ~2Q CLM~ Date: C(-t3-~ ~IlL "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." '. Tht' <"("nit!" or Ihe L.h COUnl'1'" White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT , ! t-.,. 1'< L I, " I I'. I. ~ i , ' / \...-,' APPLICATION RECEIVED ,_ ' I I L.__ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: . .... I .' j '':-\1..., ..~.'I ./ ..." "'{ I , ,- (.--L i . u ___ LJ\l\ r \ .#' I j..- Accepted r/ Accepted With Corrections Denied 4~~~ Date: Cz It/In Reviewed By: Comments: "The issuance or granting of a permit or approval of plans, specificatiolJ~. 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 ~. ~~~~w JJ~icant I PERMIT NO. 0 Z - j /84-1 ZONING (office use) 17291 MARSHFIELD LANE S.E. LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) D RHORTON (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 1/23/03 APPLICANT PLEASE COMPLETE BELOW 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 o Mechanical o Radiation Cannot Encroach into DAir Conditioning D Special Devices Required Side Yard OVent. 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 Onl $39.50 Residential, Heating & A/C (New Construction) Residential, Heating Only (New Construction) $39.50 Estimated Cost $ HEA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ Receipt No. (Office Use Only) This Application Becomes Your Building Permit When Approved By Buildinl!: Official Date 24 hour notice for all inspections (952) 4 ~:l'850, fllX _~_17A24;5~;~ J CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd (Please ADDRESS /2:?9/' '-e L C/ c:;~ ~. E~"w fJ~icanl I PERMIT NO. 62 - , I 84- I ZONING (office use) ~/:- JL::' LEGAL DESCRIPTION (office use only) LOT/~LOCK~ ADDITION PID (Phone) c;5~ - q ~5 -7017.,z. (Address) APPLICANT /\ , J . f AA --- (Name) ruJ , C\n I v I e<!.. . .j,.tIYJ . (Address) 3(PS() J<e.nne beC!-LA: L (Address) f Z; S+e. #/ (Phone) ~5l- 45~ -.:?775 EaaQ(] ~5/.2,;z v (City) (Zip Code) (Phone) tJ,5/-45~- ~77o DATE (Contact Person) ICANT PLEASE COMPLETE BELOW 0NEW CONSTRUCTION o REPLACEMENT o ALTERATIONS FURNACE MAKE AND MODEL ~4n+ 383KA-VIYlLlD, () FUEL J\Jo.tlArlA I FLUE SIZE IfI'clo.S<<D B RETURN OPENINGS '+ INPUT 10.ODO OUTPUT 6lD../)OO TYPE OF SYSTEM HEATING OR POWER PLANT OWarm Air Plants o Steam PLEASE NOTE: OGravity o Hot Water Air Conditioner Units o ~echanical . o Radiation Cannot Encroach into ~ Conditioning o Special Devices Required Side Yard ent. System o Other Devices Setbacks FIREPLACE MAKE AND MODEL Estimated Cost $ FEE SCHEDULE I % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only Building Penn it # DZ -, I 64- $39.50 Industrial, Commercial & ~ulti-Family Residential, Heating & AIC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 (Office Use Only) This Application Becomes Your Building Permit When Approved REA TING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ PAID WITH ; BUlLDING PERMIT Paid ;; By Building Official Date DatSEP 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 tIlY OF PRIOR LAKE PLUMBING PERMIT Date Rec'd :. ~L ~_ I PERMIT NO. Ol -II 8-4-1 I ~:;f;;;~d/OO-) (Y)~h-hj>ld In. S~ I LOT c;,v/? ~ ~ Pill LEGAL DESCRIPTION (office use only). OWNER (Nallle) DR Horto.ll Custom Homes (phone) 962 ~ Q'il5 -7g/)() ~vi IIG VU N ..6 roLl L.t (Address)' 2.OSl,ob KeVlB~lt:>Ee.. Ct- Sre JbO APPLICANT (Name) r....Tl'7 12Y1l'n "p1"m"h1Rg ~" U....t;ng (phone) h 51-4? 3-1 ll~" (Addr~)14745 So Robert Trail Rosemouin: MN 55068 (Zip Code) (Contact Person) Mary Olson APPLICANT SlGNA1URE DATE 651-423-1144 9-9-oJ- Quautity Type at Fixture QuantitY Type of Fixtul"e I Bath Tub with ot' without shower cp Rough-ins I Dishwasher I Water Heater J Floor Drain - Water Softnet ::; Lavatory (Bathroom Sink) f Stand Pipe (Washing lVfac.bine) l Laundry Tray (1 or 2 compartment sink Sewage Ejector 7 .Shower Stall . Backtlow Assembly I Sinks Backtlow Assembly Test Bar Sink Lawn Sprinkler n7J Water Closet (Toilet) Other APPUCANT PLEASE COMPLETE BELOW FEE SCHEDULE Industrial. Commercial & Multi-family I % of job cost with a $39.50 minimum Residential, New One & Two.Family $9950 Residential. Additions & Alterations $39.50 Estimated Cost $ Building Permit # 6L-/(M-- (OfficI! tlse Only) PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ ~ - PAID WITH - BUILDING PERMIT This Application Bef;ollles Your Building Penuit Whea Approved Paid ; , (~~~~1 BlIllding OUld.1 bate n"te 24 hour notice for all i.spectlons (95.2) 447-!JS50. fu (952) 4474245 8l/S1 'd 8999'oN 8NllV3H ONV 8Nl8~nld NV^~ ZN38 ~Vgv:ll 2002 '6 "d8S Date R.ec'd CITY ,OF PRIOR LAKE SEWER AND WATER PERMIT . ~ Efw ~;kaa' I-PERMIT NO'()Z-II54- 1 IZn~~~q~~7n~-&1 d Ln l ~f I ZONING(~_) I d 4'/f LEGAL DESCRIPTION (o1fia: Use OJI!y) LO-J :BLOCK b< ADDmON PID OWNER (Name) Di ~"'T""'nT'l r'l19t^tll lIolll@s (Address) 20&00 KeVH3~\~ Cr ~~IlY:) (Address) (phone) _ La'U-1J i lie... (City) qs:J -Q85-78DO 5'E:O-J4 (Zip Code) APPliCANT ~wn~ Genz-Ryan Plumbing & HeaLing (Phone) 651-423-1144 55068 (Zip Code) DAlE 651-423-1144 q-q--o;;r APPLICANT PLEASE 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'l & Multi-family 1 % of job cost with a $39.50 minimum $17.50 Water connection only $17.50 Estimated Cost $ Building Permit # o z. "t I b4- SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ - S - PAID WITH BUILDING PERMIT (om~e U8~ Only) This Application BecODle5 Yout' Building Permit When Approved 'J~~~tt Bllildlllg omcial Dale By nllfl! L' 24 hour llotiC!e for all inspections (952) 447-9150. fax (9S2) 44'..4245 8l/tl 'd ggq9'oN 8Nll~3H ON~ 8Nl8~nld NV^~ ZN38 ~w 9 t : l l ZOO Z '6 'd a S PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION M~.~ ~(~ SITE ADDRESS j 7~ q J 1\a.J5~t~elc.t -r:. ~ NATURE OF WORKtJ-4-> ~ USE OF BUILDING 5Fll. PERMIT NO, 02-//84- DATE ISSUED q-I'J-Q L CONTRACTOR -'Dll. .I:b~b-.. PHONE '1'5- -221.. _ 3~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELO THE PERMIT IS BY SEPARATE DOCUMENT FOOTING 10-{ G 01- FOUNDATION (Prior to Backfill) '1;f' triG-OJ... PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS DATE SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING fr, ~ t- }...(.,f-CJ7 HEATING (if required) FIREPLACE GAS LINE AIR TEST ~~iV\ ~-- J COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED '$..A~..., J VIA/? 1 J.., / J . rfJ FINALS /- &'-- 3 1 GRADING (Prior to SOdding) BUILDING lM b\ ELECTRICAL PLUMBING HEATING DO NOT , I~(J) 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. . (/ )<J6-c/'r ~ G J-cT> OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE FOR ALL INSPECTIONS (952) 447-9850