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CITY OF PRIOR LAKE BUILDING PERMIT, Date R-;'d TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ]/d-9-oo- I 1, White File 2 Pink City 3. Yellow Applicant I PERMIT NO. {}l -1/1l- LEGAL DESCRIPTION (office use only) LOTI fi BLOCK I ADDITION PIDd5' 3JtJ'-OJ~-O ZONING (office use) d--.. OWNER (Name) (Phone) (Address) (Phone) Ql5-Z '1f:J5 -7BCJf} (Phone) QSZ-7 ?rp,., ~?J4 o (Address) TYPE OF WORK ~New Construction OLower Level Finish DDeck DPorch ORe-Roofing o Fireplace OAddition 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 at the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may en u n the property t er needed inspections. cflobD 5~~S-1 Contractor's License No. Park Support Fee SAC # # Permit Fee $ Plan Check Fee $ State Surcharge $ Penalty $ Plumbing Permit Fee $ ()CJ .06 Mechanical Permit Fee $ (()(J . (!)tf Sewer & Water Permit Fee $ Gas Fireplace Permit Fee $ O. Q? Water Meter Siz 5/8'; 1"; Pressure Reducer # # City SAC and WAC Water Tower Fee Builder's Deposit Other %-~20~D2- Date $ $ $ $ $ $ TOTAL DUE $ &- /4-''1. q: I~~~ ~~=it(3 ~~iEtN~~ I es Your Building Permit When Approved 1-/5~2-- 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 :::'"':',""'" b m, C;~ "",cr '="fu"" ,=""", C"'ma. or :W'"" rompb"re "d ,U~, ro~ '" ro~"'" ;="T ';::;"'" ;'0=,,"" m"" '" {t.-. -~'/f/f~- 0!lb!t:2- ~ {(1'\..a( C-Lll1.rtLhVOtl( 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' ('rnlff of lht' Lakt Countl1" BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ,f) K ~ rf-o^-.J APPLICATION RECEIVED 8. J..- c.; - cl- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed a,t: L/ld.9t/ 111~<<! Accepted Y Accepted With Corrections Denied ;2 01)- Reviewed By: C :t Comments: ~~A ~-8P Date: 7- t5-CJZ "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." It.~ e White - Building Canary - Engineering Pink - Planning Thr Ctnlrr or Ihr L.kt Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST . NAME OF APPLICANT 1) R f!-of+e)AJ R~ ;},C;- ~ APPLlCATI~N RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed ~t: / //;;. 9t/ }J! ,u;~('(J Accepted X-. Accepted With Corrections Denied Reviewed By: IJ?'fB ~ e 111~/~ Fr"l ~ Date: 1-/7-0 "7 Comments: liThe 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' ("("n'("r of thl' I.ab Counlr)' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ,-I APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / I . I :.1 Accepted ~ Accepted With Correct~ons t. Denied ~~ Date: 0; /1~/l)2- 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." CITY ,OF PRIOR LAKE SEWER AND WATER PERMIT Date R,ec'd . ~ ~ ~;iaoac r'ERMIT NO. 62 -II q 2- I I ~:;J1~'C;1mOvshf el cL J~ Se )) ev4eld 5 LEGAL DESCRIPTION (ofiice use only) LOT /S"aLOCK I ADDmON PID OWNER (Name) DR i!g:r"t:Qn ""'litnw Un....~'" (phone) _ o/~-qgs-186{) (Address) 2o~O ~eR..\:tx:::e C:r S:rf"~Jl)() (Address) La~1J I lie... (City) 5~1l (Zip Cock) APPLICANT ~mn~ Genz-Ryan Plumbing & Hea~1ng (Phone) 651-423-1144 (Address) 14745 So Raben Trail (Addrc:,,) .... >:r.lICANT SIGNATURE . ..~I 55068 (Zip Code) 651-:423-1144 q-4-c;~ APPLICANT PLEASE COMPLETE BELOW Size of water service _ inches. Location of any couplings from strocture 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, Com'l & Multi-family 1% of job cost with a $39.50 minimum $17..50 Water connection only $17.50 Building Permit # () G- -' II qz- Residential sewer and water line connection Sewer connection only SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 . r ~ ' (omee Use Only) This AppliQtioD Becomes Your BuildiDg Permit When Approved Paid ','-~ fi;,lj "l,~ - ~ , I .I . .e.:.~i~, JiA'!}/ :BuildlJlg' Otlicial Date - By Date .24 bour aoticc for all inspeetiollS (952) 447-9850, fax (952) 447-4245 8l/8 'd 8999'ON 8NI1V3H ONV 8Nl8~nld NV^~ ZN38 ~VH:ll ZOOZ '6 'd8S CITY OF PRIOR LAKE PLUMBING PERMIT Date Rec'd l. BlUe Fil. 2. Gold Cin- ~. v......w Appli_ I ~:Es~1~q1>}2avsh held Ltv ~ j)ee' ;I( LEGAL DESCRIPTION (~ U$c: only) LOT/~BLOCK ADDnrrON OWNER (Name) DR Horton CU8com Homes (Address)' 2O~~o KenB t~ Cr Sre IDO I PERMIT NO. 07. -1/1 z. I I ZONING (ollic~ use) Pro (phene) E~~LJ APPUCANT (Name) GiHI.~-Fy.n l;IJ~l...hing ~ 1l"''''''''1:ng (A&h~) 14745 So. Rober~ Trail Resemount (phene) F. '" 1 _it? '3 1 rit4 MN 55068 (Zip Code) (Contact Person) DATE APPLICANT SIGNATURE ..1'''=''"; 1"-:......' APPLICANT PLEASE COMPLETE BELOW 651-423-1144 9-9--()-,;}- Quantity Type of Fixture Quantity Type of Fixtu:re I Bath Tub with er without shower I Rough-ins I Dishwasher I Water Heater I Floer Drain . Water Seftner fl Lavatory (Bathroo.m Sink) I Stand Pipe (Washing Machine) . Laundry Tray (l o.r 2 compartment sink Sewage Ejecto.r I Shower Stall Backflow Assembly I Sinks BackfIow Assembly Test Bar Sink Lawn Sprinkler ~ Wafer Clo.set (To.ilet) Other FEE SCHEDULE Industrial, Commercial & Multi-family I % of job cost with II $39.50 minimum R.esidential, New One &. Two-F!l1Ilily $99.50 Residential, Additions &. Altc:nitions $39..50 OZ-/IQ2- .50 ~'" Estimated Cost $ Building Pennit # PLUMBlNG PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ COmet USe Only) This Application Becomes Your Building Permit When Approved Paid .4t!} Date Buildhlg omcl.1 L,_J D*te 24 hour notice for.lI inspedions (952) 441-9850, f:ax (952) 441-4245 81/L 'd 8999'oN 8NI1V3H ONV 8Nl8~nld NV^~ ZN38 -p''''''' -4, J. ,. Recei t No. ~V8V:ll ZOOZ '6 'd8S #LR -;b?/ CITY OF PRIOR LAKE REA TINGI AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'd ~. ~~w JJ~ic.nt I PERMIT NO.Ol -II q2..1 17d~ 4l~-~4Lc~ ZONING (office use) LEGAL DESCRIPTION (office use only) LO'I/.?'BLOCK I ADDITION PID (Phone) C(5a... q~5 -7017.2.. (Address) APPLICANT /\ ". f AA ....-..- (Name) rtlJ r Qn (V I e~ .~~. (Address) 3<050 J<e.nr1e be~ L::r. L (Address) f Z.. ste. #j (Phone) Ip5/- 45~ -cf?775' .tf~a8an 55/.22 (City) (Zip Code) (Phone) (P51-45~.. c:l77~ (Contact Person) DATE 0NEW CONSTRUCTION o REPLACEMENT o AL TERA TlONS FURNACE MAKE AND MODEL ~f1n.+ ~S3KA-Vh1UD; 0 FUEL l'J~t\At'"O..' FLUE SIZE 't1'cla.Sco B RETURN OPENINGS Ii- INPUT 10.oDO OUTPUT 5lD~/:)O 0 TYPE OF SYSTEM HEATINGORPO~RPLANT DWarm Air Plants o Steam PLEASE NOTE: DGravity o Hot Water Air Conditioner Units o Mechanical . o Radiation Cannot Encroach into ~ Conditioning o Special Devices Required Side Yard \lent. System o .other Devices Setbacks FIREPLACE MAKE AND MODEL ICANT 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 & AIC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ Building Permit # 0 Z -II q L... (Office Use Only) This Application Becomes Your Building Permit When Approved Paid REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ PAID WITH BunnING PERMIT Building Official Date D$~p 2 6 200(: 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 ~. ~~~nw JJ~icant I PERMIT NO. ~.... 111~ ZONING (office use) 17294 MARSHFIELD LANE SE LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) DR HORTON (Phone) (Address) APPLICANT (Name) ALLIED FIRESIDE DBA FIRESIDE CORNER (Phone) 651-633-2561 (Address) 2700 NORTHFAIRVIEW 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 ALTERATIONS 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 HEA TN 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 & AlC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50 (Office lJse Only) Building Official Date This Application Becomes Your Building Permit When Approved 24 hour notice for all inspections (952) 447 850, fax (952) 447-4245 By PRIOR LAKE INSPECTION RECORD SITE ADDRESS -J 7;) 9 fI ~~ ~ Pl~ of -e : NATURE OF WORK v<.J~ USE OF BUILDING S'F A- PERMIT NO. 02-//92- DATE ISSUED 9-/~-OL CONTRACTOR jJl ~~ PHONE QS2-:2.JL - 1Ji3c.; NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT ~~~:. Cl~ DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR I FOOTING I I FOUNDATION (Prior to Backfill) I i PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS DATE SEWER I WATER I SEPTIC FRAMING (J) I 1-/7 INSULATION 1;;t//7 1- 2.2.. ELECTRICAL - PLUMBING .lfi: 1/1/3id3 HEATING (if required) ,! '.Ii . /~J} FIREPLACE //L) /-/7 GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS GRADING (Prior to Sodding) ,Il BUILDING IlrrrV ~I\~'--()J ELECTRICAL 1 PLUMBING V]r(J J: - ).. ~/' cry 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 shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850