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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1-1--02-
(/ .k [,~7-"'-/-
White File
Pink City
Yellow Applicant
I PERMITNO.OZ-007Z-1
LEGAL DESCRIPTION Aoffice use onl~
I rtt-re-e11t
LOT BLOCK ADDITION
u/
ZONING (office use)
12-2-
;11 ea~u) (/;.. ~ ~
OWNER
(Name)
c'l241ie X I/p hi e ~;
11.L/~tJ tJtlL1"te II)A/~
(Address)
(Phone)
fl11 :1 t1 e/f,/7
CfS2 - 93"6- '$~)
fIlA/ _~_S- 3~/
BUILDER
(Name)
(Contact Name)
(Address)
~~r
1'1 tJi () Lo i1 /1 e~(
(Phone)
(Phone)
.~ a/h ~
~/? '-369'5~ 9~
TYPE OF WORK
ew Construction
eck
OPorch
ORe-Siding
ORe-Roofing
DLower Level Finish
!7l"Fireplace DAddition o Alteration
PR'CT COST /V ALUE (excluding land) $ 125'"
o Misc.
DUtility Connection
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
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. 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
~teruponthep per' rmnee~ 2t3JtJ 7 (p 7 '$ 7 i /? hL
Contractor's License No. I 'Date
Permit Valuation
Permit Fee $ I
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ 100 .(90
Mechanical Permit Fee $ 00 .00
Sewer & Water Permit Fee $ 4-
Gas Fireplace Permit Fee $ O.
ation Becomes Your Building Permit When Approved
I-/S"-O"l-
Date
Park Support Fee # $ 850 .DO
SAC # $ I 200 - 00
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $ L_"'J -- A ce
{ ..
Water Tower Fee # $ 700 ' c::O
Builder's Deposit $ -
Other $ .
TOTAL DUE $(;;,/23. /q
,
~,e;s-(~~
I ~~ '1111>-
Paid
Date
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
;::~ C;~;""ocr mm';""" '=,""~ Co,",,'' of 7~o;", mm,"~~ '0' _, mo~"ill" fO oom=;x;"= ocooP~'" , ccrtii=re of """""" mo. '"
~~r~ -11?;at~/D'--- ~-sL~~~ GM&~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
Canary - Engineering
Pink - Planning
The ("tnln of the Lab ('OURIf)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ : (- : \ -(-c- -y'
........ :' \. , \ ./,' / \"
t
I
, t
. \--
I ...- ! - (.,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-1 ,- ~'7 /
! ,t L-.. ! if.
-
f--. ; I r ~ I, C
\ I ,
\...- v ;__......1.
Accepted
v-
Accepted With Corrections
Denied
Reviewed By: ~~
Date:
, /.2-3/?J2-
1Vz3t.1.b
"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."
't
White - Building
Canary - Engineering
Pink - Planning
(' ('''nln of Ihr tikI Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~/"6 NT0X HOtV; F/ 5
1-7-0{
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
)4-~7() BRCOt:VlEI2..E BLVD.
Accepted t'( Accepted With Corrections
Denied
Reviewed By: /IIJ'1 i3
Comments: 5 ~e.... fY7c,/~ Fde....
I-I'Ll -t'- .,
Date: 7-
"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
Canary - Engineering
Pink - Planning
Thr Crnlt"r or Iht t.kt Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~jGNTht HOMSS
1- 7 - 0 I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
)4-~70
BR.OO~Vl6ec
BLVD.
Accepted x::
,
Accepted With Corrections
Denied
Reviewed By:V!..26f
Comments:
~~ M~{>~
Date: I..... (<)- 0 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."
Date Rec'd
CITY OF PRIOR LAKE PLUNIBING PER."nT
IPle::lse type or orint and SIgn ::It bottom)
I ADDRESS
I /c/;l'JO .2 /'/)$!Jt,tJr I! t J/IJ
~. ~~ ~!;y I PERJ.\UT NO.OZ- 00-I..~ I
J. Yellow Applic.nt . '-"' .
ZONING (office use)
I LEGAL DESCRiPTION (office use only)
I LOT
'O\V~ER& if?
(0iame) 11.. (j
BLOCK
ADDITION
PID
(Phone)
I (Address)
APPLICAN
(Name)
(Phone)
!}5~ -t/f'..2- ;2/;2/
/l~ SS0~U
(Zip Code)
(Address)
/"
(Address)
I (Contac: Person)
I APPLICANT SIGNATURE C A.-1Afi
}t4t1~
(Phone;
DATE
dJ.lJ/(op
APPLICANT PLEASE COMPLETE BELOW
[ Quantity Type of Fixture Quantity Type of Fixture
, ~ I Bath Tub with or without sho\ver J Rough-ins
I Dishwasher / Water Heater
I I i CL;(:,: ~,..~~~. I I Water Sofmer
,
.3 Lavatory (Bathroom Sink) / Stand Pipe (Washing Machine)
I / laundr; Trav (lor :2 comoartment 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
PLUMBfNG PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
02 ~oo7 3
~.TH
L IPA\O W\ RMn
.50 ~*~~lD\NG PE .
Estimated Cost S
Building Permit #-
(Office Cse Only)
This Application Becomes Your Building Permit When Approved
Paid
By
Building Official
Date
Dateft8 2. l 2002
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16:18 651 633 8884
FIRESIDE CORNER
CITY OF PlUOR LAKE
HEA TINGI AIR CONDITIONINGIFIREPLACE PERMIT
#3127 P.Oll
Date Rec'd
MAR 2 2 2002
(P__"'orin'....."'''-~
I ADDRESS
/t.(J7o ~
t;;. S,_IPERMlTNO.G a- 0074L
ZONING (QffJA:t IUC)
&~ Nt0
LEGAr~ DESCRIPTION (office use ""ly)
LOT
BLOCK
ADDmON
Pro Cl~- 3)iiL/- 0 03 -0
(lA.-/: ~
(Phone)
I OWNER
(Na.me)
(Address)
APPLICANT
~mne) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone) 651-633-2561
(Address) 2700 N. .FAIRVIEW AVENUE
(Address)
BRWPA HU S'1'
(Contact Pel;'Son)
APPLICANT SJ.ONAl1J
~SIl:VTT.T.F. MIll
(City)
651-633 -2 56J.
(phone)
r:;r:;'1~
(Zip C04e)
DATE
~ oJ-
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION 0 REPLACEMENT 0 AL. TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm AIr Pllll1ts 0 Stllll.lTl
o Gravjty 0 Hot Water
o Mechllllir.al 0 RAdiation
OAir CondltlQnjl:lg 0 Speeild Devices
OVent. System 0 Other Devicl.!is
PLEASE NOTE:
Air Conditioner Units
ClU'lnot Encroach Into
Required Side Yard
Setbackfl
FIREPLACE MAKE AND MODEL
!Id.. IJ t;c.o ..5l. ~ nz-
IndlJstrlllJ, Commcn:::ill.l &. Multl.-Fllmlly
FEE SCHEDULE
1 % of job Cl)st Residential. GIlB Fireplace
$39.50 minimum
$99.50 Resid.ential, Addltions it AlteratiDns
$64.50 Rcsldenthd. AC Only
$39.50
Residential. Heating & Ale (New ConsuucrioYJ)
Res~denrial. HCIJ.ti.ng Only (New Construction)
$39.50
$39.50
Esr.imated CQst S
Building Permit #
HEA rING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
S
S
.50
,",.
F".~ c.
~Df'JG pi:::
1-.. i c >.; ~
fomce U,e OnlY)
Tbls Application Becomes VDIJJ' BlIlldlng Permit Whell Approved
Paid
Re~elpt No.
DlIte
Daf~ B-d-~-
B"jJdj",. Omelltl
2.4 hour notice flJr nil '"lIpections (952.) 447-9850. ru (9!!Z) 447-424~
MAR-26-02 10:42 AM HEATING @ COOLING TWO
7634283682
P.05
1iI00l
~?#~~->1I0N' 15:14 FAX 6124474245
CITY OF PRIOR LAKE
CITY OF PRIOR L~
'PATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Ree'd
I. ...
:I. CIrMII
3. '1'11_
s.. [ PERMIT. NO. 02 ~ 007 31
L~ I ZONING_~ I
~
ADDmON
PID
rlCTY\-f.5
(phone)
-:; Coo/;II\.? 'Two
LoLJl'\ +.,.. I2d 8'/
(Address)
(phone)
7& 3 -~;l ~'f3'" 7'7 ...
,n,,1 ,d-( G roA S r 3 6 ~
(City) (Zip Code)
(phone) ~ '2-- 3(..3 - S-S-t" 7
DATE
APPLICANT PLEASE COMFLETE BELOW
',.;.. W CON'STllUCnON REPLACEMENT 0 AL TERA nONS
;:"f:ACE ~AND MODEL (3 r (~f\ t 3 y 30 :G?o 70 FUEL , G.. 5
,SItt II. ...... REnJRNOPENINGS~ INPUT 'l?n1ooo OUTPUT .~ 000
TYPB OP SYSTEM HEATING OR POWER PL6.N1"
. '1. Air Pllllu 0 Steam
..,.. . . 0 Hot Water
,MedWllca1 . bdiltion
.. .. .... CndltJonlng B Special Devica
.. . eat. S)'IIaD 0 Othlr Devices
PLEASE NOTE:
Air Caa.ditloncr Units
CImlot 1!Ilc:roacb lQto
Required Side YIr'd
Setbacks
. .' . . .
~ . - .
';Cqmm~:. Multl-Pllnll)'
.S-i"'.~JNc (N.. Conttrucrion)
.. HOllin, 0Iill)- (N1IlW Construction)
'EE SCHEDULE
1 % of job cast R.elldential. 0.. Fireplace
S39,50 minimum . - .,. .
$99.50 Residential. Additions &. Alterations
$64.50 Residential. AC Only
539,50
539.S0
S~9.S0
Estimated Cost S Suildin& Penn it #
MEA TING PERMIT FEE S
STATE SURCHARGE S
TOTAL PERMIT PEE S
r. PAtO W\TH _
" BUILDiNG PERM! r
.so
. .......0IId..
Dale
U hour notice for allla.peedoa. <'52) "'.'.50. fas <'52) "'7A~
;.-.
....... .
10/07/2002 12:00 5
-..., - -----~ _.~ .......' .....
CI1Y or NIDI LAU
PAGE 09
11..1
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CITY or ...0. LAD
RWZ. AND WA.TER RJlMJT
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I
PAID WITII
BUll.DING PERMIT
~
t~
l
PRIOR LAKE
INSPECTION RECORD
l '::)e.e. -tk ~ -\\ UL
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS JYa~o ""Strv)klM-er-€- b\v&.
NATURE OF WORK 1Je..,. ,
USE OF BUILDING SFD
PERMIT NO. ~~ DATE ISSUED /- 1'5- 02-
CONTRACTOR ~ . PHONE Wz- 3(P7-<~(g7)
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 SIGNED
ROUGH - INS
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
I I
FINALS
GRADING (Prior to Sodding)
BUILDING to -,.0 O~
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical ~ervice 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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850