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Z -I E) mm > 0 ~ Z F.! r;- c ~ "U "U ~ m ;U ;U O~O 0 0 0 ~ 0 0 z 0 0 ~ ~ m m m i:"Uen~i:"U >< m m m'~)lim' -l c C OC ....oc ~ Z ~ :I:i: m:I:i: "U 0 en ;;: < ~ C5 en "TI!!!;U;U;u!!! m 0 0 "U ~ zZ:::t:I:-Z ;:0 Z -. :::t ~ (1) E. ::! m :::l.. >ClOO Cl :!l: -l m ~ 0 (") '"TIOO ;U ::j ;U c .... 0 -,..,.. - Z c 5 a zcc , ~ ~"U"U 9 m Z :1 C ~ N . ~ :I: V\ ~ 0 \ C f ;u 000000 - en 0- ~ z C)"TI"TIO~ - C > > >;ii;ii0 .... Ro C ~mmi:Cl o m ~ ~ _"U"U"U~ ~ ifi>>>c Z >ooz;; ~ 0 _mm...._ rn ;U"TI;:O , .... -1-- , i enz z m -I~ C) Da;;eC'd fX' ~1j A ' See Mailjl~~f~l~1 PERMIT NO, 05". {D3b I L 0.. c.., "" CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please ADDRESS v. e..w LN w LEGAL DESCRIPTION (office use only) ZONING (office use) R)sD LOT,)~ BLOCK t ADDITION' OWNER (Name) BoJ: I Jer (Phone) (Address) BUILDER (Company Name) W~"S J\\D<"'^ (Contact Name) j)~....^:S R... (Address) RHS (Phone) (Phone) b.s-J - 1..{06-' 44J(00 bl~- ~b'l- 'J 9.Y ""1-) ~n. TYPE OF WORK ~ New Construction ~Deck OPorch ORe-Roofing ORe-Siding ~Lower Level Finish ICJ Fireplace OAddition OAlteration OUtility Connection CODE: ~I.R.C. OLB.C. o Misc. Type of Constmction: I II III IV V A B PROJECT COST /V ALUE $ II0i OOQ,OO Occupancy Group: A B E F H I M R S U Division: I 2 3 4 5 (excluding land) I hereby cntity that I have hrrnrshed mt(Jrmation on this applicatron which is to the best ot my knowledge true and correct. I also certrfy that I am the owner or authonzed agent for the abnve-mentroned property and that all constnretron will conform to all existing state and local laws and WIll proceed in accordance with submItted plans I am aware that the buildIng olflclal can revoKe thIS :crmlt for JI~e, I hereby agree that the CIty official or a deSIgnee may enter upon the property to perform needed InspectIons X 1j~ L" ) 4s-R q-).~-OS Signature Contractor's License No. Date Permit Valuation Park Support Fee SAC # # Permit Fee Water Meter Size 5/8 1"; Pressure Reducer Plan Check Fee State Surcharge I Penalty 1- Plumbing Permit Fee ~echanical Permit Fee I Scwer & Water Permit Fee Sewer/Water Connection Fee # # Water Tower Fee Builder's Deposit Other TOTAL DUE LGas Fireplace Permit Fee $ $ $ $ $ $ $ $ $ ,r,(,. ~r This Application Becomes Your Building Permit When Approved ~o~ (O/~!!~ ITlm IS to certIfy that the request m the above applicatIOn and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested. Tim document ! :~~"'oo~'m'''''''' em""" ;;;;;~:o, ''',w., <<,",'Odm" W 'See"~aln"'FiIe m,"'"" l_ 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 See IVlainFile White - Buil~!ng Canary - Engineering c:Pink - Planniilb BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ! , C' - I., /' ,~-' /'\ J " /;.._.1;/ v , , 7' /' l c. t (,.--,- _ _..,.I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ILl- /(t fL- I') I /< ,<.~ j' / c-'] \/ j /' /' 1'--' i; -........ ". -, , ",.,;f '/<<' Accepted With Corrections /" Accepted Denied " ~ ~ Date: /tJ/'1os ~oJ~~ ~~- Reviewed By: Comments: tUb IA ~ ~ See Main File "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." See Main File ~ - 8Uildi~ Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT WEAlSH/fNM 9. 2(P .oS- APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit apPlicatio74~/~&on ac~~~~ ~ Accepted ~ Accepted With Corrections Denied Reviewed By: Comments: <23f)~ ~,0 Date: /o!!t, /dr I . s "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." See Main File White . BUlldi~ ~ary . I:ngin rln~ Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED f;V ENS IV;/fNAI 9 2& .oS- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ) / 4-/&& ,P/f7~J'l6J'V?A./ Accepted t><.- Accepted With Corrections Denied Reviewed By: /lIJ4I; S-<~ fVl4/'~ F,'f <- Date: If) -6-0)' Comments: See-Main File '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." 11/17/2005 THU 9:04 FAX 952 767 1900 GENZ-RYAN flI 013/013 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd I. Ponk 2 cm.n 3. Yellow Ei~;i=1 I PERMIT NOH. ~ ZONING (oHice use) V\J LEGAL DESCRIPTION (office use only) LOTIf:h,LOCK ADDITION ~(evv PID OWNER \ I !p,,( r. (' " ' (Name) /\)\..) ~\ nr), ,.\1(\ t-\ 0 (yLS (phone) [051- CrUSu 37[;<1 (Address) I gq5 101 a1Cl~ r)~r. S-\-c 'Joe t:D~ (en ~\Jl [\1 C:15/ ;J:)- APPLICANT G /\ .--o::>'r-7 ['.j' l(Jjl1 (Name) .....1 \.....-1 1 L - '-.....IJ I (Address) n IJ({', J 1,1 I-J'I I 'I!! (' /). c;...o<UJ vv . r \ Vv'v j J C . (Address) (Contact Person) VI 'RJ~~ APPLICANT SIGNATURE ~ ~ DATE APPLICANT PLEASE COMPLETE BELOW NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TrONS FURNACE MAKE AND MODEL l;eLtt1t>)(. ~-gpenn 0 FUEL ~ FLUE SIZE RETURN OPENfNG~ ~ INPUT ~(j) O~;;'~~ ~ TYPE OF SYSTEM HEATING OR POWER PLANT (Phone) qF)di ~7 LF7 - 1000 OOvarm Air Plants LJGravity ~MeCha[liCal jr Conditioning Vent. System o Steam o Hot Water o Radiation o Special Devices D Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL Industrial, Commercial & Multi-Family FEE SCHEDULE 1% of job eost 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 $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ PAlO W\TH .50 BU\LD\NG PERM\1 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Buildine Official Dale IfftJv 1 7 2005 By 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 11/17/2005 THU 9:04 FAX 952 767 1900 GENZ-RYAN @012/013 Date Rec'd CITY OF PRIOR LAKE PLUlVIBING PERMIT t EL ~~~IiC'nl r PERMIT NO~ 16Z ADDLtlSti tt Pet ~6J i ew LvI -N W ZONING (office use) LEGAL DESCRIPTION (office use only) LOTU-BLOCK ADDITION PID OWNER l U: 0'1;1"'(\0"'/-\ Ll \ PI" (Name) / "U' '\ i \.1 II I \-I[;(Yll...J (Address) 'xCl0 Pi 0\7....[1.... Dv', ~+(, ( r i CVi'c::. /) -7('''..C1 (phone) ell - Jl....'):J ~ I 'l ~vl N iJ5' c qc; f e- MN (City) !ODO S533 (Zip Code) (Contact Person) (phone) APPLICANT SIGNATURE DATE Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower ~ Rough-ins Dishwasher Water Heater Floor Drain ~ ~ Water Softner "7- Lavatory (Bathroom Sink) , Stand Pipe (Washing Machine) r Laundry Tray (1 or 2 compartment sink Sewage Ejector 1 Shower Stall Backflow Assembly I Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler ~ Water Closet (Toilet) Other APPLICANT PLEASE COMPLETE BELOW FEE SCHEDULE lnduslrial, Commercia! & Multi-family 1 % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 Estimated Cosl $ Building Permit # PAID WITH mJ'LOING PERMIT PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Building Official Date Paid Receipt No, Date 1 7 200~ By NOV y 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 11/17/2005 TIIU 9: 04 FAX 952 767 1900 GENZ-RYAN I4l 011/013 Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT lM tJW LEGAL DESCRIPTION (office use only) LOT ~LOCK I ADDmON ~ w../41 feW OWNERil' 'P'f\( , 'I ", ''\." '\ L., 'l S (Name) \ Jex <) n' 1{ )J \1' I -Ion; It (Address) I 5 P IOClC'v D if . Stc <';:(jJ (Address) ~:;~~ l:1{rt/2~' r2~ (Address) l1J) f Vv , i I (11"111 l~d~SS) (Contact Person) Vf I ru ~ '?LICANT SIGNATURE ~: ~:w ~i~, I PERMlTNOA' 145 3, Gold AppJ":.,,t "W . I ZONlNG""".., I Pill &5 i - q (f)- ~-n el) 55i )1:L (Zip Code) (phone) DATE ~~~ 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. FEE SCHEDULE Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum Sewer connection only $17.50 Water connection only $17.50 Estimated Cost $ SEWER AND WATER PERMIT FEE STA TE SURCHARGE TOTAL PERMIT FEE (Office Use Only) This Application Becomes Your Building Permit When Approved L Building Official Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 Building Penn it # $ $ $ .5fDA\D W\TH BUILDING PERMt1 Paid Receipt No, Date NOV 1 7 2005 By CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGlFlREPLACE PERMIT Date Rec'd 1. Pink 1. Green 1. Yellow ~;,~, I PERMIT~" ~3/P ZONING (office use) ADDRESS \y\lolD ~~ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (phone) (gS/ -LlO<D-Y4OQ APPLICANT (Narnef). 1 ,-:!:-.o-r,...^hA:._l~-'? rrrA~ d- (AddressJ? 9co /09./.-1, [h If!- iJ #/('fJO (Address) I (Contact Person) -\( ('"\ ~ \Je-,vw'~a r-l F.R (Phone) ~ lo 3 - :5'"11- "dSdS r j, n/YYI ./l.i-,~ ,rnrJ 5531 ~ ~ (~ity) (Zip Code) (phone) .QttJ~- Sfl<.,p-Id llo APPLICANT SIGNATURE DATE APPLICANT PLEASE COMPLETE BELOW ~W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE Pl.m MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM DWarm Air Plants o Gravity o Mechanical OAir Conditioning OVent. System HEATING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices o Other Devices PLEASE NOTE; Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL c..o FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 lndustrial, Commercial & Multi-Family Residential, Heating & NC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50 Pai }dJv (Office Use Only) This Application Becomes Your Building Permit When Approved Receipt No. Date DateLj, /J - 0 By Buildinl! Orticial 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 ZOO~ Mooa 3~VMV~ ~I~VWO~nv 66ZL 9L9 C9L XVd tt:OT 90/0T/tO PRIOR LAKE INSPECTION RECORD SITEADDRESS /L/~'~ ~~"-fl;ew LhJ&" ,J/nW. NATURE OF WORK !"'W ~ ~c:r~ (WiLe (". 1rH L USE OF BUILDING . A.. ... PERMIT NO. 05/~. DATE ISSUED '() '" 'Or CONTRACTOR W/iNfS IJAJ H~~ PHONE' - Z, NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT oSee Main File BUILDING AND INSPECTION 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 L{ --!-U& INSULATION ELECTRICAL PLUMBINGc/i HEATING (if required) r-7-oG, FIREPLACE GAS LINE AIR TEST :as: ~ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED lur77lG / H~IIn-I4eA,o I cfh I L/ ~ FINALS ~~i,l "t . GRADING (Prior to Sodding) BUILDING ELECTRfCAL PLUMBING 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