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Yellow Applicant PID ZONING (office use) ~ - 3g0'Vilf-Q I OWNER (N ame) (Address) (Phone) TYPE OF WORK New Construction ODeck OLower Level Finish o Fireplace PROJECT COST IV ALUE (excluding land) $ o Misc. (Phone) <1 5L..A p~ - 790t.' (Phone) t.}52.~ ?:4:>-' ?~ OPorch 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- enti property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aw~e at th i ing official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upo e roperty to perfo e d spections. x Permit Fee $ Plan Check Fee $ State Surcharge $ Penalty $ Plumbing Permit Fee $ Mechanical Permit Fee $ Sewer & Water Permit Fee $ Gas Fireplace Permit Fee $ comes Your Building Permit When Approved q,.(?- ()2- Date OAddition o Alteration <K"- '2 Y-(>1-- Date $ $ $ $ $ $ $ $ $ TOTAL DUE ~ t) /1&1 c z- 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 doC' when signe the City PI r constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of OccupancY issu . ~()t1 0 .~~s'7 Contractor's License No. Park Support Fee SAC # # Water Meter Size I ; 1"; Pressure Reducer City SAC and WAC Water Tower Fee # # ~L j/iTIJ~~~~i~anyC~1(QL~ 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Builder's Deposit Other I ~~~'1~?J;~'t Date Rec'd CITY ,OF PRIOR LAKE SEWER AND WATER PERMIT LEGAL DESCRIPTION (office use only) LOT I BLOCK ADDmON p;tD OWNER. (Nam.e) Pi liort:ou eu s-rom HgJIUilji (Address) 20&00 ~e~\ Dee C:r Si-e-i (J() (Address) (phone) _ Lah..\Jille.... (City) o/~-q85-(8DO -t5~4 (Zip Code) APPLICANT ~~~ Genz~Ryan Plumbins & Heatin~ (phone) 651-423-1144 (Address) 14745 So Robert Tra.il (Ad 55068 (Zip Code) DATE 651-423-1144 (1:--9-0 ~ 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. Estimated Cost $ FEE SCHEDULE $35.50 Industrial, C01I1'l & Multi-flUP.ily 1% of job Cost with a $39.50 minimum $17.50 Waterconncctiononly $11.50 Building Permit # ~ Residential sewer Wld water line connection Sewer connection only SEWER AND W A1ER PERMiT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ ..... , ""....."',~\.n, ., 'if'" V""<'-. " t," n";.' ~'~:i ~~ J (Ofllce Use Ooly) nis Application Becomes Your Building PerJDit Whell Approved Paid 'j~!fjl} Bulldln: Odici.1 Date By nllk 24 hour notice for all inspection, (952) "7M9850; fu (9S2) 447-4240 8l/9 'd 8999'DN 8NI1V3H ONV 8Nl8~nld NV^8 ZN38 ~VEV:ll 2002 '6 'd8S Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT I Bluo File 2, Gold City 3. Yen"... AJlOI~ 1~7:;;:q~~-ma6h-Peld Uv sf: I PERMIT NO'(jl-11 q I I I ZONlNG(~~~.) I LEGAL DESCRIPTION (o1lice use only) LOTI +BLOCK ADDI110N 0 ee y: PID OWNER (Name) DR. Horton Custom Homes (phone) (Address)' 2oS~D KenB l~ Ct- Sre. IDO .962-qr;5-78DD EC6LJ L/ APPLICANT (Naxne) C;<>n'.7_'Rya.,., 'Plo....,h1:Q8 &. l-i~~t;.,.,g (phone) (,51 LL?~-11LL4 Quantity Type of Fhture Quantity Type of Fixture J Bath Tub with or without shower J Rough-ins , Dishwasher , Watts: Heater I Floor Drain - Water Softner hl Lavatory (Bathroom Sink) I Stand Pipe (Washmg Machine) Laundry Tray (lor 2 compartment sink Sewage Ejector I Shower Stall . Backflow Assembly I . Sinks Backtlow Assembly Test Bar Sink Lawn Sprinkler d Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commetcial & Multi-family 1% of job cost with a $3950 minimum Residential. New One &, Two~Family $99..50 Residential, Additions & Alterations $39..50 Estimated. Cost $ Building Pex:mt # ~ PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ .50 . ,.. . _, -.,.'"J .' '. -' . , r';. - _ ~::._/"" .~ \P''$' ~ .... (Offia: Use Only) This Application Becomes Your Building Permit When Approved ; . ~{i'l Buildillg Official nilE\! L 0 Paid Date 24 hour notice for .11 i.spedions (952) 447-9850, fax (952) 441-4245 9l/9 'd 9999'oN 8NI1V3H ONV 8Nl8~nld NV^~ ZN38 ~Vst:ll ZOOZ '6 'd8S ('O"".--,.,,-~"""'r" ~ " White - Building Canary - Engineering Pink - Planning C.nl., "I Ih. I..k. ('uunl') BUILDING PERMIT APPLlCATIC3N DEPARTMENT CHECKLIST f, NAME OF APPLICANT f) /2 )./0 r f o,/lJ APPLICATION RECEIVED 9>" ~- ;;;.. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: . rtJ.. q;;( L!Jlt2A(J hl/-,--fcQ L-/J Accepted :>( Accepted With Corrections Denied Reviewed By: /I?1t3 Date: 9-/7-0<... Comments: See Reverse Side for Additional Information! /l7c,il1 . r,./ L 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." White - Building Canary - Engineering Pink - Planning - lht' (-fnlrr flf tht' Llkt ('ounll")' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /J!:? )/orlo/U ~/ ~-~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: _ /rrJ.. q;) YlZ.a&l h0dcf2 L-/J AccePte~ Accepted With Corrections Denied ~ /J I Reviewed By: ( . '(/? ~ Date: Comments: 9-(f-~'Z- ~ aiQ ~~. ~~ "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 ("enter of .he Lakt Counll)' White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ""," ! I ~~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / / .. ~") Accepted ~ Accepted With Corrections Denied ~HA i4--r-~-77~ Date: q I {h to ~J- Reviewed By: 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." #~7~/ CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGlFlREPLACE PERMIT Date Rec'd ~. ~~~w ~J~icanl I PERMIT NO'oZ_llq I ADDRESS ZONING (office use) LEGAL DESCRIPTION (office use only) ADDITION PID (Address) (Phone) C(5fJ - q ~5 -7:l7,z o L.{ APPLICANTA U . t M --- (Name) f Qr1 e<!... .j,.~. (Address) 3<t;SO f<enne be~ ~. C-- (Address) f Z; ste. #j (Phone) 1,5/- 45~-rf(775' i--:afjQl1 55/.22 (City) (Zip Code) (Phone) u;5/-45~" ~77o (Contact Person) DATE 0NEW CONSTRUCTION o REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL ~4n+ 3~A-vb2J.ll)' 0 . FUEL J\Jo.flAml FLUE SIZE 'tl'cla.sco B RETURN OPENINGS '+ INPUT 10.000 OUTPUT 6tD.. /)00 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 Tent. System o Other Devices Setbacks FIREPLACE MAKE AND MODEL Industrial, Commercial & ~ulti-Family FEE SCHEDULE t % 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 $ Building Penn it # 6Z-{fQI HEATING PERMIT FEE STATE SURCHARGE tOTAL PERMIT FEE $ $ $ PAID WITH ) BUILDING PERMIT ~~ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Date Da1SEP Building Official 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd i 2::n ~~:y I PERMIT NO. J - /Iq./I 3. Yellow Applicant . /-... ZONING (office use) 17292 MARSHFIELD LANE SE LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) DRHORTON (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 1/6/03 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 HEATN GLO SL-750TRN-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 & NC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ HEA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ ,.".......-- .50 Building Official Date Receipt No. (Office Use Only) This Application Becomes Your Building Permit When Approved By 24 hour notice for all inspections (952) 44 PRIOR LAKE INSPECTION RECORD SITE ADDRESS -17'2./12 ~(t.ill 1-- \ NATURE OF WORK }.J~ USE OF BUILDING 5F(J, PERMIT NO. 02-/1t:f4- DATE ISSUED 1-tJ.OL CONTRACTOR -tJI. ~ PHONE q9.2-~(., - (52-If NOTE: THIS IS N T A PERMiTFOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT l M~l\A t~ l.e DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE I FOOTING vwJ lOr]. -~ I FOUNDATION (Prior to Backfill) I td\ 7 I I 0 ~ J-R (j1- PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING ,L-- ~ /1:. n HEATING (if required)1v"tl\)',i< 1[-1) FIREPLACE GAS LINE AIR TEST tt14(N: ,f COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT ~~)- - -0) 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