HomeMy WebLinkAboutIrrigation Permit 04-0197
(Please !)'Pe or print and sign at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
It1310]
0-1-,,019"1
I PERMITNO.~ I
15 '-I IJod-[b.l i6- ~;;;;;G (offi"u,")
White File
Pink City
Yellow Applicant
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
(JO(
PID~ 4-OI,~. 0
OWNER
(Name)
(Address)
BUILDER D
(Name) IC
(Contact Name)
(Address)
TYPE OF WORK
(Phone)
.-r--
"-I1J7An-
(Phone)
(Phone)
ORe.Siding
DLower Level FlnIsh 0 Fireplace DAddition OAlteration DUtility Connection
o Misc. J fiN ~~ ~ROJECTCOST/VALUE (excluding land) $
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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
autho . ent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
sub ed pi s I am aware that the budding officlal can revoke thiS permit for Just cause Furthermore, I hereby agree that the CIty OffiCIal Or a desIgnee may
~te upon the' -~~-Z1~ donrl CJlRS- ( IO/zrr//J 2,
I) ~ SIgna ---- Contractor's License No I Dale
I Permit Valuation
I Permit Fee
I Plan Check Fee
1 State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
1 Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$ 39lJ (), 0 0
$
$
$
$
$
I $4-.:LO.O 0
I Recei~o, ~~/I
0"
o New Construction
DDeck
DPorch
ORe-Roofing
$
$
$
$
$
$
$
$
I Park Support Fee
I SAC
I Water Meter SizeS/'S", I",
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
#
1 Jz."
#
L/(). (}{)
This Application Becomes Yow Building Permit When Approved
~ffici~1V ~1/7d3
Paid ~,VV
Date . of ':)fL d4--
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
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acimn Di ctor ! Date Special Conditions, ifany
" \..PI'..oor notice for aU inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
4!J~
+'....,..250'\..
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
/0 31 OJ
(Please ~ or print and si2Jl at bottom)
ADDRESS
L Bt" FiI, I PERMIT NO,
2. Gold City
l Yellow Applicant
CwestoaJ<.j)OI...t:br.I/t.\C') F . I j ZONING(O_US')
'-5t) ~ ~ ItJad-- M ~ &....k
LEGAL DESCRIPTION (office use OnlY)\'-.. ..
LO~D BLOCK I ADDITIONI~~~Tu.);y\j
PID 7.5, 4<;1. ()2.() ()
OWNER
(Name)
(Phone)
(Address)
APPLICANT~
(Namp\
. ~40ne!~o,-O'c--{~
(Address) '2013({O 14,^1~L(} ~ \00 Ll2u:.I\e, t:::;l::Z)<l4-
(Address) 0 (City) (Zip Code)
(Contact Person) ,1A1~ Wi)h(\rJ~~ , (phone) ..9<;2.~77&-L/7~7_
. -- .
APPLICANT SIGNATlIRi._ ~~~LETE B:::W I ~h 710n
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink I Sewage Ejector
Shower Stall I BackfIow Assembly
Sinks BackfIow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
FEE SCHEDULE
Industrial. Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential. New One & Two-Family $99.50
Estimated Cost $ ~q i)e,( IA~ BUildinsg pe:;;::al, :oitions & Alte.r~o~so ~~ov
PLUMBING PERMIT FEE oJ I ,"J 1JJD
STATE SURCHARGE S .50 /,J () ~ 10.
TOTAL PERMIT FEE S JlO.Ot!) , ~I'
(om.. Use Only)
Thc;eco~i:diDgpei~i: ;proved
Building Omdal ~ D/il'
I Paid
I Date
Receipt No":""
By
24 hour notl.. for all insp..tlons (952) 447-9850, fax (952) 447-4245
16200 Eagl. Creek Ave., S.E., Prior Lake, MN 55372-1714
Ma y ,25, 2004
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9:41AM GENZ RVAN PLUMBING AND HEATING No,8581
CITY OF PRIOR LAKE PLUMBING PERMIT
.P I 2/1 3
U.I.a=.n..c.c,'d
I B)1le pUll
2. QQld aty
3, Yellow Applie.1Jl\
f'd~ l1;rG.
I PERMIT NO.()&.f'" tq'l]
(please tVUe or 'Print and si2n at bottom)
ADDRESS. <
C::;03J W' OCtV "PD! h + t t2- .
ZONING (ofli<:.",.)
LOT
LEGAL DESCR1l'TION (o.Ilice use only)
PID
BLOCK
ADDITION
'OWNER
~~e) DR Horton Custom Homes
APPUCANT
(Name) G&1l.7-.l':.-- ~, "-'-<'1B ' J;:O?t<-:;
(Addr~s)14745 So Robert Trail
(Address)
(ConracrPer.lon) 0JI1vit sfl {;,II ~
(11/~
-
(Address)
(phone)
%z-qif,i=, -7'6U)
2C$wo k.eV]B~1 ~ C, 5,e, !DO
u:duvd Ie.. vvt N .5CbLi Li
(phone) ~ <;, -4? ~- 1 11,,'.
Rosemount
55068
(Zip Code)
MN
(City)
AYPUCANf SIGNATURE
~8^
(phone) 651-423-1144
DATE _ 1;;r2S -ol[
I Quantity
I
I
I
I
I
I
I
I
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture I Quantity I
Bath Tub with or without shower Rough-ins
Dishwasher I Water Heater
Floor Drain Water Softner
Lavatory (l3athroom Sink) I Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
Shower Stall I Backflow Assembly
Sinks I Backflow Assembly Test
Bar Sink i7 x.. I Lawn Sprinkler
Water Closet (Toilet) Other
Type of Fixture
I
I
I
I
I
I
I
I
I
I
FEE SCHEDULE
Industrial, Commorclal & Multl-famlly 1 % of job cost With. $39..50 minimum ResIdential, New Ooe & Two-FOlIlIly $9950
Residential, Additions &: Nterations $39.50
Estmlated Cost $
Buildmg Permrt #
PL1JMJ3ING PERlvl!T FEE $
STATE SURCHARGE $
TOTAL PERl\fiT FEE $
PAUlW\TH
oo;LDtNG~rr
(Office U.e Only)
This Application :Become. Your Building Permit When Approved
Dare
~da; ~ 0 ill ~ ] ReceIpt No.
IF''AY 2 7 2004 By
Building Offit.isl
24 hour notice for all in>pection, (~) 447 ~O, fax (952) 4474245
/~~
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CITY'S COpy
Tht Ctolrr of thr I..kr (.'ounlry
White - Building
Canary - Enalneering
('Pink - Plannl~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKU~T
NAME OF APPLICANT
Dl('.
\
HCk "{, f)
IC.3/.63
((i I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'!2~~~~~~~ ,
503</ !~tTO-t- ;%4~ ~c -i 503? :;'c.J ~-?~jj/J,~.
Accepted ^ Accepted With Corrections
Denied
Reviewed By: Cl
Date:
\1.3'O~
Comments:
'I:
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0)" -R.1iH' J.... 4017
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"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."
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Thr(.f'nt('rollhfl.lbCounlr,
..--white . BuilCJii1lr-."
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D.12. HOluTDJ
10.3/.03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for con~truction activity which is proposed at:
-- --
5lJ3i pJuf-o-o--t- ~~ ~ i: 503'7 ?~ 0J0 ~~ 1J~,
,
Accepted Accepted With Corrections .........-----
Denied
r
~ Date: 1i/t;./63'
.--I.rL~.,J\_L"_>/ ~ - 7'; ~...., " vL
.he. "'-- ~ ' '-L ) ~ /2 1/ ~ 'I-k-.-. ~
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0">-- ~.L ~ ~ ~~. ~ 7;, "-' ~ fh-, A~ ~
_~,~~ .:t;-~~ ~~
~~~~.
Reviewed By:
~,
O~,.
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
INSPECTION NOTICE
DAlE
,qk~'y--'
~3</ u/~s'/. Clq j ;tJ/
ADDRESS
OWNER
PHONE NO.
D FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
D MECH Rl
o WATER HOOKUP
D SEWER HOOKUP
,A-1>LUMBING FINAL
o MECH FINAL
~~- /97
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
D FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:.~ _ / /
La"<./n <:.-Y:,'n~/e_-
An- Ie. I/!{;4/ he u..... h,-
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~RK SATISFACTORY, PROCEED
/ 0 CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
/~ V;/
Inspector: /' .::?-- Owner/Conlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IN$J1IOTl