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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I Z i I. Ok
File
City
Applicant
I PERMIT NO.
(.; , I { 08
1 White
Pink
Yellow
(Please type or print and sign at bottom)
ADDRESS
Ss-gr
'TttA-ILI! vw
tknG-
LEGAL DESCRIPTION (office use only)
LOT 0 BLOCK ..s ADDITION
PID L5'~ 4-54-.
3l - 7J
a
OWNER
(Name)
?vL.T~
.
AI~m/~s
(Phone) t 5'/ - ~S z..- S;t.oe>
5$12
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
Si111 &-
tui27 ,61.MCH1Lo
(Phone)
(Phone)
(,/ z.. - i!-P - ~~ rs--
ZONING (office use)
~l
ew Construction ODeck OPorch ORe-Roofing
OAdditlOn OAlteration OUtility ConnectIOn
CODE: ~C. DI.B.C.
Type of Construction:
Occupancy Group:
Division:
ORe-Siding OLower Level Finish
o Fireplace
TYPE OF WORK
o Mise.
A
I
E
II
F
I
IV@A
I M R
3 4 5
PROJECT COST IV ALUE $
(excluding land)
B
S U
III
H
2
B
/Y7, 300
I hereby certify that I have furmshed mformation 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 Il)r the
Jbove.mentwned property and that all construction will conform to all eXIstmg state and local laws and will proceed in accordance with submItted plans I am aware that the buildmg
official can rev c thiS permn for Just caust' Furthcrmo -, hereby agree that the Clty official or a deSignee may enter upon the propelty to perform needed InSpectIOns
x
TOTAL DUE
/37/
Contractor's License No.
Park Support Fee
SAC
Permit Valuation
#
#
Permit Fee
Plan Check Fee
Water Meter Size 5/
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
$
o
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace PermIt Fee
This Application Becomes Your Building Permit When Approved
/2 . i_'n~
~~
llulidl11g Uftlclal
1z!,'/o c.
Date
$
$ 1550,00
$ ~ z....S, 0 0
$ , O~, 00
$ 15"00.0-0
$
$
$
I DC';O..-
cr;-OO .-
l!., ~
Planning Director
12/1' ~~e t.
ThiS IS to certIfy that the request m the above applicallon and accompanymg documents IS m accordance with the City Zoning Ordmance and may proceed as requested Tim document
when signed by the CIty Planner constltutcs a temporal)' Certificate of Zoning compliance and allows construction to commence Before occupancy, a Certificate of Occupancy must be
I~
l
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
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/)/ "-'-"1'
/- ' {" I C.
'-; / .' L.. /- r-~'-
/ <-; ! l_'--
/c::~~ 1/ (fc
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
, [- ';~:. lei' ;.....' .....) I I ,', _../' ( t'. .
'_ k" _ ......._/'.' "-- ! ' L--" ",-.' ~ -.- -'
Accepted With Corrections
/
Accepted
Denied
Reviewed By:
~
~~
~
~ Date: /d/;9/0h
, t
~
Comments:
Air Conditioner :.nd Other MechAnical
. UDita C.nnot Rnew"ftA~b into Required
Side Yard Setbacks
"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."
~hite - BuildiiiQ)
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Pu ~T6 j-j()H 65-
/2~/r()0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
553S ~/lLA/L-H6,40 LAiJe:
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
Comments: ~
~ ~ Date: /,./;9/0,
aLl ~~/~~
J..J~ /" t
~L~ ~~~ ~ -ADJ~
~ ~ ~ .;a..ltci"'~
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."
.."'"
ii - !r"~I;g
. ry - Englneerlng~
n - annng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Put, T6 )i0f165
/2.- / /~ Ob
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5538 77C.A1,-H~,,40 UJtJC
Accepted
x
Accepted With Corrections
Denied
Reviewed By: ~
Date: .--.1 2. - ZI- 06
Comments:, See R~~~~~~~j~~~<<?.~ .~.d~i~~allnformatio~l
C. (J () ( - flppr (!)c,~, t,
~ . .!... Y
See Aff~r.hl1umts: 1) Grading Ehm, 2) Erosion Control" Me~qre$
,
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".
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
I, '~Q v'l
~.:~ ~:;y I PERMIT NO. / _ II 0 (/' I
3 Yellow Applicant If.. - ~,
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
flAil"
(Phone)
I OWNER
(Name)
(Address)
APPLIC1NT I f?I~i
(Name) /4/ ~ '~h~r
(Address) ~0 @-t...{J-.-'.
(Address)
~:J:S-~-::~..~s~
(City) (Zip Code)
(Contact Person)
hone)
DATE
I ~O-O /.
CANT PLEASE COMPLETE BELOW
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 Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow 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
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
e vI 0(l-
() 0-0
r 6011/
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$ ~O
$ ~
/
Paid
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~;e~n ~:~y I PERMIT N~
3. Yellow Applicant ~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name PUL TE HOMES
(Phone) _
651.452.5200
(Address)815 NORTHWEST PKWY. #140. - EAGAN
APPLICANT
(Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone)
2561
651-633-
(Address)
2700 NORTHFAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
WENDY SCHROEDER
(Phone) _651-633-2561
APPLICANT SIGNATURE
WENDY SCHROEDER
DATE
2/8/07
xD NEW CONSTRUCTION D REPLACEMENT D 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 HEA TILA TOR ND4236I
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 $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
"JiTi.!
.,"', ,--',
'>\; '".~) ~'- i....,
I~' r
d~
.50
(Office Use Only)
Buildine Official
Date
Paid Receipt No.
~~8 Os 2007 By
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
.
SITE ADDRESS ~.3 8 tAk
NATURE OF WORK iCA
USE OF BUILDING S.t:: f) · .
PERMIT NO. --...... ~ -j /08 DATE ISSUED
CONTRACTOR ~~ PHONE .Zz,- 9G
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN
ROUGH - INS
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS" BEEN SIGNED
~TNI r hhllrr.wAJA I '/J!J/ I
FINALS
J -)/hr}
r ~17/~
/
<. L
/J
/~~
GRADING (Prior to Soddin )
BUILDING t (N\\ <6/
EL.:ECTRICAL
PLUMBING ~ 1/\
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