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t, eA 41
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT wi rL.1 p PLAtJ J Z....Z7 -' (J I
~~.., rrreo 1- ~ - 0 Z-
~. ~i:i~e ~::y I PERMIT NO. 07 -DO as I
3. YeHow Applicant L-- U, .
ADDRESS
1'-/4 22
Co-sH~ ale uJ
LEGAL DESCRIPTION (office use only)
BLOCK J ADDITION
IUvu
ZONING (office use)
RZ-
LOT
MeJM UIGtA.J
PID Z5 - 38LJ - ()"l2 - 0
OWNER
(Name)
CerJ-ex
I ?. t{ 00
!fo 111e S
, &tA/d..I-..e,
(Address)
(Phone) 95 L ~ 136 - 7~ 3> ~
IJI: 5[.1,; Ie /ztJ /1,'1'1 /J~~~ I1A/ .553t:.j 5
BUILDER
(Name) ~~
(Contact Name) tctI-" U///le/{
(Address)
5t:UYf e-
(Phone) ------
(Phone) ~/2 -36 J -5~ '7.3
TYPE OF WORK
,2New Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
DLower Level Finish
.l2rFireplace
PROJECT COST IV ALUE (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
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
enter upon the prope 0 perform needed inspections.
,t?~~
Signature
o Misc.
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
J-IS-Oa.
Date
DAddition
OAlteration
o Utility Connection
I'
c~
'-UtJ '76 '? S '7
Contractor's License No.
Park Support Fee # $
SAC # $
Water Meter Siz 5/ '; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE Ul'u,tw -z4---o2- $
I Paid 8'~~~/!1~
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
when signed by the Ci Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
~ ~~J. ~~S
,\ ! L~ (() '2-
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
15:46 651 633 BBB4 FIRESIDE CORNER
CITY OF PRIOR LA~ #2016 P.001/002
REA TINGI AIR CONDITIONINGfFIREPLACE PERMIT
1,1. ~~ "lie rPEu1M1'T NO -~
3. Y'i!"":" ~Ji"M \ .~!~... '0 d -uob'-J---t--
ZONING (offic:e 1Ii1ll)
'tJLJ
LEGAL DESCRIPTION (cfflce use only)
LOT
BLOCK
ADDITION
PIDdS- 3gq-oJ-d-~
OWNER
(Name)
(Phone)
(Addr.ess)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CO~EJ{'
(Acldress) 2700 N. FAIRVIE"N AVENUE
(Addn::'~)
(Ph.oXie) ~6S1-633-2 561
(Contact Person)
ROSF.VTT,1.R MN
(CI.ty)
(Phone) 651-633-2561
DATE
~C;""=l
(ZIp Ccd,e)
APPLICANT PLEASE COMPI,ETE BELOW
w CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FtJJE srZE RE'I'URN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER pLANT
OWurm Air Plllllts 0 Stel1nl
OCl11vity 0 Hot Water
o Machll!lic:al 0 )b.diIl.Ul;ln
DAir CDrldftioning 0 Special Devices
OVen~ Syste:m 0 Other DeviCES
FJREPJ",ACE MAKE AND MODEL $"'(... 5310
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Si.de Yard
Setbacks
Indus1:rill1, Commercial &. MultHwnily
ReSidential. Hcat[ng &. Ale (role"" Consuuction)
Res~denti.aJ, Heating Only (New Con.structlDn)
FEE SCHEDULE
I 'Yo of job CQst ResIdential, OIl8 Fircptece
S39.S0 mj"hnt~m
$99.50 R~idential, Additions I!l. Alterations
$64.31) Residential, AC Only
$39.50
$39.50
S39.5Cl
Esrimated Cost $
Build.ing pennit #
r
HEA TINO PERMIT FEE
STATESURCHAROE
TOTAL PERMIT FEE
$
$
$
.50
r".~ ~ ,-"" , ~
IBH!' D.'
...... v, _" '
. I
(01Iiell Use Only'
ThllS A.ppJjc.atiQn Be~me. Your BlrlldiJlg Permit When Approved
Paiel
Receipt No.
Date
6 '-L~;)-
By.
SUlldllll: Offici.'
DIltr.
24 bour notice ror allIDspecti,,"R (~S3) 447-9850, fDIC (952) 447-4245
P.01
7634283682
HEATING @ COOLING TWO
MAR-05-02 10:35 AM
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CITY OF PRIOR LAKE PLUlYlBING PERMIT
I Blue Fde I PERL\'IIT NO. OZ- (JOBS I
2. Gold City _
J YeHow Applicant
ZONING (office use)
/t/t/ c2 ~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER d J-.
(Name)~ACJ e fC'
(Phone)
(Address)
APPLICANT~ / / PI/
(Name) 'C{ {f if II
(Add"ss) B () "t;t{j)trt r ~!;1
(Address)
(Phone) t1 Oc/.. ~~cJ /J/;2/
t/Oyll~ sj~]5U
(City) (Zip Code)
(Contact Person)
(Phone)
APPLICANT SIGNATURE
DATE
02/
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
;) Bath Tub with or without shower 1 Rough-ins
I Dishwasher J Water Heater
I Floor Drain , Water Softner
? Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
/ Laundry Tray (lor 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
I Sinks Backtlow Assembly Test
Bar Sink Lawn Sprinkler
J I 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
Building Permit #
() 2... 006S-
Estimated Cost $
. .....-- PJO \Nn~',\ , '.
.fi ~lrOIING p~
"u.,,.,. _
\:!",'-- ----
" ----
PLUMBING PERMIT FEE $
STATESURCa~RGE $
TOTAL PERMIT FEE $
(Office Use Only)
Building Official
Date
~
Date FEB - 7 2UlU
By
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
FEB-20-02 10:22 AM HEATING @ COOLING TWO
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The Cenfer or the tlke Counu'}'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
1"" I . //
,.- I
--,' /.
-)
t ! i
! !
.. ./ .--..
APPLICATION RECEIVED
~~.--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/-......,.-
/"'- \
" ...
I
/"- \, /
.J
/
Accepted
~..
Accepted With Corrections
Denied ~ z;1
Reviewed By: ... d'- _. ~~ Date:
Comments:
l JL L{ 1(;;) 2--
"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."
Thf' ("f'nler of the Lake Counlr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
66N/GX HOM65
,
1- 3-02-.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
14-42-2- CASllJ;~AiO WAY
Accepted With Corrections
~
Accepted
Denied ~
Reviewed By: :ll..~
Comments:
Date: / -/5"-P"2-
_f?ecJ afj) atf-acL ,cP- ~~
"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."
0). - ()O 85"
White - Building
Canary - Engineering
Pink - Planning
The Cent.. of the tlk. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
(' C J\ i--'r-I- II
l/l./ /.J{ _ L/)(
~
I - "2,_
- -~
ti C (vi fS'
C,2-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I 4--42-2- ,Il\ .~~~T(_. C C-.t\-rl/ \\1\/1-\\
Accepted X
Accepted With Corrections
Denied
Reviewed By:
/llJCl-iJ
Date:
}-/O-OL
Comments: See Reverse Side for Additional Information!
~ee Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
"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."
PRIOR LAKE
INSPECTIOI\ RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~2:2 C'a.SU~d~ LJo-
NATURE OF WORK ..Ne.w
USE OF BUILDING S~
PERMIT NO. ~1::'~-~.s- DATE ISSUED )-15- OZ
CONTRACTOR ~ \ OM..QS PHONE qS?L13~..7g
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING
FOUNDATION (Prior to Backfill) ~ I
PLACE NO CONCRETE UNTIL ABOVE H
ROUGH - INS
SEWER I WATER I EPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING 'b
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST t>0-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Soddin )
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
NOTICE
This card must be posted near an electric~1 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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850