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Date Rec' d 9. 5. o~ I While File 2 Pinlc City 1 Yellow Appli.... I PERMIT NO. &. /0/9 I NG:..... <:'1\16111..."'/2.. t...lfL.1O:U::SS c.o PRDs.....u.z 'TC.c........"L..O::.I"f"SI' ,....c.. I ZONINGCOIficl!l*) I q7..'~ G;. ~1\Je:12.. Q..o....O ""WI' I"IPl.,..S./ MN ~S"i3.3 . . LEGAL DESCRIPTION {office use only) s",...,.. O'l. T-vP 11'1 /Z.^I>J(,S 0"2.2- I .O~ ,.. Co 1%0 f )00.. 2.'fo I I T\ SIJ,J fiLl Sf: I;..J LOT BLOCK ADDITION I PID 25 - "10'2 0'24-0 OWNER. (Name) Co 1"r'1 0 ~ pf2- 10/2.. I,. Po "'-E" (Address) I /0,7710 F"1~H fOIl''''1 ~o ~tS f'(2..I012.. tJ'\"'€" I'-lN 6S37L- (Phone) ""l'=>2.. ';'l"1. 4"2..3.0 foI r;...... e..lVl. u ,-p, /I.... 1...,., (2.05 .....'" "'" So BUILDER (Company Name) (Cuntact Name) ~"'::'o.... 1.-...... (ph ) 1'3, ~IC raS"'9" 't~ one % (phone) .., I.. "3.. '3:.1 s. s; g ~ 9 "ZX'rN, 110 (.~Je: t.,lN o;.Ssb9 (Address) ~u.,...c: 2.c!>l M- A............ ~')03" 7t(~ ~ I' fVlA1"(..E: qo~ ~v~ II "2. -z. !S TYPE OF WORK .erNew Construction DDeck DPorch ORe-Roofing ORe-Siding DAddition DAlteration .atJtility Connection 0 Misc. CODE: OI.R.C. J)fi.B.C. Type of Constructio.r:-' I n ill IV V A B /:J\ Ocaapancy Group: A B E F HIM I. S ~ Division: I 2 3 4 5 DLower Level Fimsh o Fireplace PROJECTCOST/VALUE S )ft), ()C)O. 0..9- . (excluding land) 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 authonzed aJlCnt for the above,menuonec! property and that all construction will conform to all existilll state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform needed Impcctions. VA"""...v A ".r ,......1\l...sOv".. c:....c ;,:r-~-~A10~d G//;-".s X .7- Uaa- ,At:C"'''r''~,N;''"",(!_"vUI~~;A-.tFU5.s:5.'' 6,'.':;'/,06 .... Signature Contractor's License No. Date .N Permit Valuation (:1 LIt), t) Ot'), () 0 Permit Fee S S?? .00 Plan Check Fee $ j' 75. D('" State Surcharge S Zo..tJlJ Penalty S Plumbing Permit Fee $ Mechanical Permit Fee $ Sewer & Water Permit Fee S Gas Fireplace Permit Fee S This Application Becomes Your Buildm. Pennit When Approved ~ ~ 9/~6 Buildina Official . Date Park Support Fee # $ SAC # S Water Meter Size 5/8"; 1"; S Pressure Reducer $ Sewer/Water Connection Fee # S Water Tower Fee # $ Builder's Deposit S Other S TOTAL DUE $ Thts 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 requl'Sled. This document when signl'CI by the Ci P. nner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Cl'ffiflCatc of Occupancy must be issued 5ee. Gmmeht- S~ee:t- Special Conditions, if 11- 8- o.{ Date 24 hour notice for all inspections (952) 447-98!lO, fu (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 KLM ENGINEERING, Il\lC. P.O. Box 897 - 3394 Lake Elmo Ave N. - Lake Elmo, MN 55042 (651) 773-51] I- Fax (651) 773-5222 [l/iay 24,2007 Mr. Craig Eldred City of Prior Lake 17073 Adelmarm St. SE Prior Lake, MN 55372-1714 RE: Cingular 'Wireless Antenna Installation on the 750,000 Gallon Elevated 'Vater Tower, (South Tower) Located in Prior Lake, Minnesota. Cingu.lar Sit(;>; Number MPLSMN34341Ae KLM Project No. MN2344. Dear Mr. Eldred; KLM has completed the inspection the Cingular Wireless installation on the South Tower in Prior Lake, Minnesota. KLM recommends the City of Prior Lake accept this project as complete. Enclosed is the daily paperwork for the project. Sincerely, KLM Engineering, Inc. ,/JA/ ,ii, I/"! f"C. ",'. ( ,I/tk.( (,~ Kelly:t. Mulhern Project Supervisor KCM/ls End: Daily Paperwork cc: Gene LeRouix, One Way Building Services Inc. IvIN2344 Office File C:\Js\KCiV!\lVIN2344 Prior Lake Cingu!ar Complete 05-24-07.00c 6811 Washington Ave. So. Edina, MN 55439 9529420412 Fax 952 942 0526 owbs@owbs.net One Way Building Services, Inc. Builders of Telecommunications Infrastructure From: January 11 , 2007 City of Prior Lake Inspections One Way Building Services, Inc. Robert Machetta, GM Construction Spring Work at Water Tank 4741 Tower Street /' (fill . ()~. e \O\q 6V' OU · ~ Date: To: Subject: This is to inform you of the need for Spring work at the above site: Our company will perform the following items as weather allows in the spring of 2007: · Install permanent anti-climb doghouse over coaxial cable · Final grading (fill has settled around the shelter) · Repair ruts and reseed entire disturbed area · Paint everything added to the tower on this job If you have questions please contact Robert Machetta 952-942-0412 or rmachetta@owbs.net Thank you, Robert Machetta One Way Building Services 6811 Washington Ave. 50. Edina, MN 55439 9529420412 Fax 952 942 0526 owbs@owbs.net One Way Building Services, Inc. Builders of Telecommunications Infrastructure From: January 11 , 2007 City of Prior Lake Inspections One Way Building Services, Inc, Robert Machetta, GM Construction Spring Work at Water Tank 4741 Tower Street n/l{ pt ~v>e,.. \O\q OV · * Date: To: Subject: This is to inform you of the need for Spring work at the above site: Our company will perform the following items as weather allows in the spring of 2007: . Install permanent anti-climb doghouse over coaxial cable . Final grading (fill has settled around the shelter) . Repair ruts and reseed entire disturbed area . Paint everything added to the tower on this job If you have questions please contact Robert Machetta 952-942-0412 or rmachetta@owbs.net Thank you, Robert Machetta One Way Building Services ~ ''''"J.;t. ~ ~ ' . White - Building ~anary - ~nglnetr~'"v Ink - lannln BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT -1/tJ-/V J~~~ !f!.,)~~ APPLICATION RECEIVED q-..s - b . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: IoIJJc,r ~+ Accepted x Accepted With Corrections Oenied !1416 Oate: 7-13 -ot Reviewed By: Comments: See Reverse Side for Additional Information! ,: See Attachments: 1) Grading Plan, 2) Erosion fAlntrol Measures .l., .- ~ . "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." BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT -i.I &1../ _ JI1jJ&-~ !i!",~L<';_e,,_~ APPLICATION RECEIVED q.., <~ - b The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ..--.- /' f _ I C)(~l/C:Y- ~-r Accepted /' Accepted With Corrections Oenied ,. Reviewed By: ~ ~ Comments: ~ ~ ~ ~tr'~~~ .6;""6tJI-- ~ ~ iifJ~;t;- .-A~-.J ~"",76..;.~ ~..~ ~ ~ ~, {;,L( q~ W, 952 -~'f7-~~S3 r " ~ ~?DC~ oJ ~~ ~~~. ~ 9S2-'7Lj7-'77S(J ~ ~ zf#'"..iJ ~ uj &L~'UV Date: 'laic fc . ,. "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 can~-li:ngi"~9 ~ - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED I !' ;. ./ c./ .-',,-........., , .,r -' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted x Accepted With Corrections Oenied Reviewed By: #~ Oate: /1-f?-~6 Comments: .:?eC/A.r-/t:v ~ J:500c? .sJt-e... ~5 rest:orel ~ , ~(ft'\.5t-Y't,4rt:FC>Y1. 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 . .-- ...-.----..-.''--.-...~--.-----...-.-.---.---- "-'.-' -.-.-.--.-,--...-.--.-----.~---.-.-----...-------..."...-..-__________.__.__ -_____._ .. .~____.._____...."______,,. ..___._.,,__ __ - ,_..._..._____ .________.,_____ ____._.'u____.. ._.__..., __ __.. CITY'S COpy STRUCTURAL CALCULATIONS 8< ASSOCIATES, P.A. August 29, 2006 KO l{)h No. 06-1281 SITE NUMBER: MPLSMN3434A SITE NAME: DT PRIOR LAKE Prior Lake, ,Minnesota lllERmy CERTIFY THAT TillS PLAN. SPECifiCATION OR REPORT WAS PREPARED BY ME OR UNDER MY DIRECT SCPERVISION AND THAT [ A1...1 A DULY LICENSED I'ROFESSION,",-L ENGINEER UNDER THE L\WSOF THE STATE OF MINNESOTA. NAME CHRISTOPHER A. GARDNER prepared By: Krech Ojard and Associates P.A. 227 West First Street, Suite 200 Duluth, Mimlesota 55802 S[GNATLRE~ tJ.. ~. DAlE' WS!!5.!.1'l.. 2lHJ(j REG No: .:!:15L8~ 217 W I" St.. Suite 200 ~ Duluth. MS 55802 Pbone: 218-727-3282 ~ Fu: 218-727-1216 mail'd:'krechoiard .com www.krechoiard.com 916111l.mmond Avenue. Superior. WI S4880 I'bone: 715,392....47.. <>f'81: 715-392-3338 I F -loft., i:""-< c ~ ""~ . -.r (-If'/' f;,~c.) ((:qs.:~-, I ! /10 ( , - :s- ) PROJECT NAME DESCRIPTIQt-l :r" /' ' ' !~VY-Ci (~~. ;,1 <" ;'..1 /l,/,'3 f" . ' ~,'" ..' '(..; "j' ',<0" .., " , i ,.' U t':, . ""fti ;1 ~' & MSOClli.lES. P."'. KOA PRQJECT NO, APPROVED Ull~~., {(I :/' ~~ v'~ "1 {': t": 4'1; '-:l 01l vt...-"l' ~.. {', C:-.",/i So. (, f tll C:c,. I !~ J'^'"/ Y' I >" ti ";<1-, I q (" /It () ! -t I 0-/ C) ( <; c; '''_{ r L 0,", I ""'i ejl2V. f ~; /< (2, C S+- ::: ? {~;J.:;i \( , @;;>O (It-1' ". ~); r, of ( t AC::; E: '- (7 ~ (7 ("f "'tp. f5 I iVI" 1\ f (10 J'I-~ (" , ("'. ItJ vt: .,;;.,: ",~" ~jf'ft" t.cJ ;" " "'~, n ;- (? <;"- O. D.~ iF ~ I. 0 l':.. -'if 1. /. 0 =- /, I 0 .qt ~ kt r d V'i! _.- I q, ~ Wf ,. J' I.? r:~1 , U!) f.' (' .b Cf I . ',. ( / l ' \.. t/!. fi:: t;. I I =- I I 'HI. (,,--(1 DATE 8. '1. fi (.. b) let ,--/ I~'f f (0,('6:;)(;.7-)( fu (,f) - !lc1/k/rtt1f. SUf re>l \j Co t;( Y '" ... -;2 I.h / ff leI f It i;'lS {' ::... Q" IT v.k ,. ~ 'L l,./?a f" -.--.' [ '" ~ I' - ..,. t ,Iv ~, L"-f f I r I /' ( 1\') r f ~ f ) ( i (,{ (' c. u.~. ) 227 W. 1st St., Suite 200 . Duluth. MN 55802 . Phone: (218) 727.3282 ... FAX: (21B) 727-1216 /1" -" 2-lL{ (\/> \ .=.~ FtJ ~ /"" ~:':"?re'1 - -t (} (I: lc/ ll) ./ t<;, 8 f:). ,- T PROJECT NAME DESCRIPTION ENGINEER C;' A 0, c. ~1';;'> ,.}~rtCf (t:.:, t{ ';: c..- (1J..:i~:q ,AL~( fe vI (A_if' L_1Zj pY;:-d., ~g;f> .. '.....) .. KOA PROJECT NO. APPROVED )i. 1- o ila !J.) ; r e ks.5 / I' k;'.. - I v1 B o .. 11/1..::;!11\J '0,' i,!71(j ...~ ~.... I QAIE '1') ':/:91 0 f o t l>r';' ~ -OCr. I ({ "1 ('; y, }..w L.( l< f.....,q t I /'/'.,... v' 1- FE- 227 W. 1st St, Suite 200 A Duluth, MN 55802 A Phone: (218) 727.3282 A FAX: (21e) 727.1216 ((t: (~.9 ( i . 'I ! ....t" J /1 {?/ l' e f1".:? t {-:r ( ~C6 ~1 I; "". " 1~1 OAr, ID, 0 liP 1-(( + GL11 16 L~ ~:? ( I~ ~ v'=, ck.e t- :;"< ~x~ 80 .l- I .f ~f.,. i;~:4. f'" ~ , .~ ,...-..... f e/," 1 .., PRIOR LAKE DEPARTMENT OF . BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS ~ 4Al11f. ST/l,S!r /JAr-ell. 7lJM.I<< _ TYPE OF WORK -'Lrh-IT", "&;L~~~' ~ A~ t.A~H/fI USE OF BUILDING "" ".J PERMIT NO. it? / () If- DATE ISSUED BUILDER SINc;lttA~ JUIit:6ZttrS # ?~ -7&. .'If'S NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT A . ~ ,. FOOTING It d-9 t) ff' PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I FRAMING ~ lIlD6 f Fi;.."c... Il'V}/e? I" ~/ (}l, I I .P"i FINAL~.cr~fif,JM.., Nvt I (0'14 n - ~~...~,.J :n,,t.J, 71 ~ArDt- 73~Dc.. . FOR ALL INSPECTIONS (952) 447-985()1t-~~. . ::rQJ~iR!1'& - CfS-:l- "1(?-<1'3:14-JW~A FJ~