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White File 2 Pink City 3. Yellow Applicant A)/U ez- PID Z~- ~& q -t';~ 3" --lJ --- OWNER (Name) r;4t/e X lid /J1 1'5 2 ~ /41t;/-e-ua!er f),,5ttffp /2c? (Phone) 1'5 z - Cj_~ - ?/J 5 ~ ;/1;/1/1 dJa /I:JA,/!FS- 3 t.j (Address) BUILDER (N ame) (Contact Name) (Address) '!!7/frJ? e 111 A-7r @ '(tJfiJ;t/~t<.- (Phone) (Phone) .94Je ~f2- 3w09- 5~~~ TYPE OF WORK OPorch ORe-Roofing ORe-Siding ~ Construction .' OLower Level Finish /]JBeck ~irePlace OAddition OAlteration OUtiIity Connection PROJECT COST IV ALUE (excluding land) $ I?~ OI?V -, o Misc. I hereby certify that r 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. r 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 proP(~ inspections. X Itn1n.~-- ?a;~767?;? [; Signature Contractor's License No. Permit Valuation Permit Fee $ Plan Check Fee $ State Surcharge $ (p2.'50 Penalty $ Plumbing Permit Fee $ J 00.00 Mechanical Permit Fee $ 00.00 Sewer & Water Permit Fee $ -- Gas Fireplace Permit Fee $ t(D . C!)O 1-/5-aooa Date Park Support Fee # $ F3~. 00 SAC # $ /. '200 . vcJ Water Meter Size 5/8"; 1"; $ ..., Pressure Reducer $ - Sewer/Water Connection Fee # $ J~.OO Water Tower Fee # $ 700, DO Builder's Deposit $ Other $ TOTAL DUE $&,12...3./9 Paid Date ~/~:;::~ I~;~ 4-1' f .;)- 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 Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be -1/2<sj[)'Z- Sa<--/~ ~~~~. 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 ~ Thr Crn1rf of Ihr L.kr Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST ,.-..-.... ~. ,I I" 1 i :'_'" NAME OF APPLICANT APPLICATION RECEIVED .' t-~- j , ,'.' \ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I ,,+ '--. .. / (( I , r: I, i ,_ i' C-' ..', L// . Accepted L ~ Accepted With Corrections Denied ~ Reviewed By: ;~~~ Date: l /:;213 /62- 1:1&ls "The issuance or granting of a permjt 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 rnlf' of Ihf "ok< Counlry BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ~b"J-r8X l~bS 1-7-07-- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 14 Z(D (0 13 t2AJ Ot:-IVj612h BLVD. Accepted X Accepted With Corrections Denied Reviewed By: Comments: M4J3 5ct /i1C,//' F,"/(. Date: I-I'I-C; Z-- "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." The ("enler of 'he t..kf Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 66N-r8X tiQt1GS 1-7--02- APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: t~ZCo0 BfVJOt:-H6f&G BLVD. Accepted x Accepted With Corrections Denied ~ ! Reviewed By: ~~ Comments: ~ ~ M~\", ~h\~ Date: , - I 5 - ~C)ot "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." Date Rec'd CITY OF PRIOR LAKE PLUwIBING PERl"IIT ~. ~~~ ~:~y I PERMIT NO .oz-007/1 l Yellow Applicant , (P!e:lse type or orint InJ ,1 !!Jl1t borro m) I ADDRESS 1/f/:2jq -b/tJtYlmtrf :tIvJ I ZONING (office use) I LEGAL DESCRlPTION (ot1ice llse oniy) LOT BLOCK ADDITION PID I OW~E~ /f I (Name) I ;tJAH V (Address) (Phone) (Fhone) ~~--P'tJ~ / ;2/r/1 ?/Iv S'So'~ (ZiD Cede) (Address) (Contact Person) (Phone) APPLIC\:--;T SIGN.". TURE DATE APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture I Quantity Type of Fixture J' I Bath Tub with or without shower ..:? Rough-ins I I Dishwasher I I I Water Heater J Floor Drain I Water Softner J ! Lavatory (Bathroom Sink) I I I Stand Pipe (Washing Machine) I I I Laundry Tr:J.Y (lor 2 compartment sink Sewage Ejector / Shower Stall Backflow Assembly / Sinks Backtlow Assembly Test Bar Sink I Lawn Sprinkler .'? : W:1ter Closet (Toilet) I Other I " FEE SCHED tJLE Industrial. Commercial & Multi-family I % of job cost with a $39,50 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39,50 PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ oz.- 007 / r'~ PAiD wrrH Wi\T .50 . 'B.:U~bD~NG p~!! /- ~IO. /__- Estimated Cost S Building Permit ;; (Office (;se Only) This Application Becomes Your Building Permit When Approved Paid Building Official Date DafEB 2 I 2002 By ~... iltJu( Jhht\..~ i.'VI. d~. ;;.l.l!Jl:l.,;Io..tUii.:) \-;.5:/ ......7 -j..)..5 \1 , '-..Ll \.;~,j:) -t.., ~ -1'':..,3 #3127 P.D14 FIRESIDE CORNER CITY OF PRIOR LAKE REA TINGI AIR CONDITIONINGIFIREPLACE PERMIT Date R.ec'd MAt< llal}2 ~ ~ ~I..o\ I PEl~T NO. 0 ;j-O 07/ I l =:rs~=:"~_ &.# NtJ zo:NT.NG (office mlc} J LEGAL DESCRlPTION (omce use only) LOT BLOCK ADDITION t -Ob.3-0 (14\ltl1' 4.. (Phone) l I OWNER (Namf.:) (Address) APPtICANT (Name) ALLI~D FIRESIDE DBA FIRESIDE CORNER (phone) 65J..633-2561 APPLICANT SIGNATURE ROSEV1"T.r~ MN (City) (Phone) 651-633-2561. I;t;ll. (Zip Ccdf.) (Address) 2700 N. FAIRVIEW AVENUE (Adr.lr.es~) BRENDA IiTJST.ON (Contact Penian) DATE ooL APPJ..ICANT PI."EASE COMPLETE BEIJOW ~W CONSTRUCTION 0 REPLACEMENT 0 AL TERA TJONS FURNACE MAKE AND MODEL FUEL FLUE SrZE R.ETURN OPENINGS INPUT OlJTPUT TYPE OF SYSTEM HEATING OR. POWER PT_ANT Swarm Air Plants Gravity Mec;;h an ielLl OAlr Conditioning DVcnt. Sy51:em FIREPLACE MAKE AND MODEL B STeam Hot Water o R.1dfadon o Special Devil:fls o OtJll:r Devi.ces PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side YBrd Setbacks N Go SL ..56D 7'fl.. IndustrhtJ. Commercial &. )Multi.Family FEE SCHEDULE 1% of Job tOlIt Re$idcntial. Ga$Fir:place $39,'0 minimum S99,5o Rc$identjp.l, Additions &, Alterations $64 ,so Resident;lI.l, AC Only $39.50 Residentlol. Heating &; Ale (New ConstnJclion) Re~id~ntjlll. Heating Only (New Con~tl'\lctiDn) $39.50 $39,50 Estimated, Cost $ Building Pennlt # HF...A'TlNG PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ S .50 comet lis!: O"Iy) This Applic:athm Becomes Your BuUding Permit When Approved Pai Receipt No. Date ~d-d-- d- l3y C- BIIUdh'll; omclld Dllft! 2.4 hllllf notice for Idllnspedtons (9!2.) &47-98!O, fn (952) 447-42.45 FA! 6124474245 CITY OF PRIOR LAKE P.12I3 III 001 MAR-26-1212 1121:38 AM HEATING @ COOLING TWO 7634283682 CITY OF PRIOR LAKE BEATING/AIR CONDITIONINGIFIREPLACE PERMIT . Date Rec'd l'leJ ~ J i =- SlcuJ lPE~ NO. () Z -00'7 ( J \~G(_~I atbalDlll .8LOCX ON (011<< UK only) ADDmON pm J-ID1'V'\~5 (phone) ? c.oo/.-,^? 1"~o C:o,-,~ +'1" /2d !f/ (Address) (phone) 7h3 -'~:;.v:~3~ 7"7 ..Penon) I '. ,ICANT SIGNA'I'URE .1?1.., "I." G r.o ,A S r- 3 ~ r (CRy) (Zip Code) (phone) c- I:L- '3 Go 3 . S"'S-" 7 DATE APPLICANI PLEASE COMPLETE BELOW . . W CONSTR.UCll0N REPLACEMENT 0 AL TDA nONS A~~~DMODEL 6f''tOt1d'' 3Y303~o 70 FUEL G~s stt~ V .... RE1'URN OPENINGS to INPUT 2' D I 0 00 OtrrPUT ~J 000 TYP2 OF SYSTBM HEATING OR POWER. PLANT . , ~um Air PlIIIU 0 Steam . ytty 0 Hot Waler MechanIcal , Radiation .. . 'r COIldltJonlng B Special Dovica ern. S)'1tCm [J O&her Devices PLEASE NOTE: Air Conditioner Units Cllmot IDcroaeh lIno llequired Side Yard SICbIcks FEESCREDULE 1 ~ ofjob cost RClidcntial, Ou Fireplace $39,50 minimum 599,'0 Residential. Additions &. AJtc:ration$ $64.50 Residential, AC Only S39.SO S~9"50 $39,50 Esdmlted Cost S Building Permit # MEA TING PERMIT FEE S STATE SURCHARGE $ TOTAL PERMIT DE S .u.. 0.17) "'l\\s AppuUtio.'Ihto... Yoar BalldlDI P,rlDlt When Approved .-+ PMO W\~~.. , . 5011\' D'~,lG PL..;" . _;_,.....u.. ........ 0IIda' D... ~ hour notict for alll..pec:tloa, ("2) '"'.9150. fall (95%) 447-4145 10/07/2002 12:00 5 -- -. __ ..-...-...--.._.;._.~ .....,11I.6.. CIT\' or PIlla La.D PAGE 09 a..l :'. 4.PPLICAHT ; <N-) K ~iL R Conmctina. Inc. .32..5 Lake Avenue i (A.",-) _ New Prague. MN 56071 ! 9..2~~. 7. 58.6247 lCIIr) (ea*, haan) i5tt,t.c..1 ~. ~) _~~IIOl!!l.'nIIA - - _-t~/~A-;' 'fI ;; DA;' AP~CANTPLZAS&CO~TEIELOW ;5 at..- ....' l~u.ot~1O hmlWCNrl ~ r.. '!# tI.... P9-. C"J ABC .P.51iWC 0 c..1Iaft :!.41 -11...- of 11M .. I _ o.u 0" (if...... tlId .. . .......... CITY or Paloaua JEQaANDW;",bRPEDUT Ol-()670j o~ ~ =-- 5-. Lr.~l ~O'0072/~00]3 I;~M~ 6;vcl &~ r : ] l~-"I UOAL D~:g..,,"Df (......) I :.at' noa ~DmOJl' ~. i-~ /S~~t;~I~tr,Sfj~~ jJu~~;;~-~ 1 , j I ~ I D... ..... -"- tIIIaat) ~ ~- ; .~ ( C) -7/(J,,). 7 I I ... ~' -. c.a I ....... ..... , sawu .um'" TI.J. 'DMlT f'U ITAm5UaC 1'01' AI. I'D tcDDtrLZ r~..w. c"',. JICuN-'-'Oy 1.. oI~.. -1$ .13','0 ....._ W.. ~<<lIl'" ." 'I Ho ....I_..~i ..... mil .... .. ~ s.-cr :.DIlllllldoa lit) . ,-.. u.. ~ I T~b-;';II""" ,;;... y.....Il4I.._ WIlo. ""'- ........=- J.... . .. - )I........... .,..; .. _ I "J .."... .. (tm) ..,... I I i ! PAID WITH BUliDING PERMIT Iv- 1~ .l L?---<€ t-~ ~'L.\. -h' {~ PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS J!j~leG, ~t-ook",^~~ ~lv'~ NATURE OF WORK JJe..,..) USE OF BUILDING S {;'~ PERMIT NO. ~O~ DATE ISSUED / -(::2 - '" 2- CONTRACTOR (~7' c::;. PHONE G/Z - J~1-"5" f$ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING I I FOUNDATION (Prior to Backfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN S1GNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING 0 a HEATING (if required) FIREPLACE GAS LINE AIR TEST vn 1; -~ -Od-. COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUPY UNTIL ABOVE HAS 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.~hall b-e placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850