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OJ >CC Z r Z :-! m r"tl"'O 9 m ~ N "TI C .... 0 ~ ::I: ::u m ~ 0 0 C 0 ~ :::0 < ~" en m 000000 ~ z ::u G)"T1"T1om ~ 0 z ,. ,. >::ii::ii0~ -I Ro C G'l ~mmii:G'l m s:: < _"'0 "'0 "'O?! ,. 2 }J ~ z ~>>>o 0 >oOz::n "-l rn _mm-t_ ~ ::U"T1::U r & -I -t-- r ~ i: enZ z m -t~ G) .~ ,( t DATE RECEIVED CITY OF PRIOR LAKE 1- Z3 -02- BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. SITE ADDRESS J O~ Af'PA~-nz-t... 3. LEGAL DESCRIPTION LOT & BLOCK Z f-~..~ ~(.)C4e PID .zs ~ 34-2-- (i I {q -0 '3W ~. ADDITION 4. OWNER (Name) (Address) 5. ARCHITECT (Name) (Address) 6. BUILDER (Name) (Address) Fireplace 0 Alterations 0 1. DATE lll~/OZ- (Tel. No.) (Tel. No.) (Tel. No.) "( ~t.-440..I{4oO Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 9. PROPERTY DIMENSIONS Width e t:) Depth' 10. CULVERT SIZE Yes No Permit No. 1. White 2. Pink 3. Yellow File City Applicant {)~-OI00 BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height . (Wid h~ 12. NO. OF STORIES -z.. SOIL TESTS 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS J 1?'\M. SURVEY o COPIES SEATS 16. PROJECT COSTNALUE ft1't.,ooo. ~ 17. COMPLETION DATE 4-/ z'Z/ o"Z- I hereby certify that I have fumished 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 p. perty and that onstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the this permi or' t cause. Furthe ore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X'. I ~'5.? 1/' ~ I~'Z.. License No. Date SETBACKS: Required Actual FOR ADMINISTRATIVE USE Front Back Side BUILDING DEPARTMENT VALUATION Side OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION 11 ~ I Q"Y) - co USE OF BUILDING TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U City: Division 1 2 3 4 Permit Fee ................................... $ I, ~lf~ .qS- Q08. 0'2 BCo.oo Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty....................................... $ Plumbing Permit Fee ....................... $ 100. C? 0 Mechanical Permit Fee ..................... $ lOo. 0 0 Sewer & Water Permit ...................... $ ss- . SV Gas Fireplace Permit ....................... $~ 0 . cO This~i6P@ Becom~our Building Permit When Approved. BY~, E Date I-$/"'OL Certificate of Occupancy ~O1/ ~/v MATERIAL FILED WITH APPLICATION o o ENERGY DATA PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS PLOT PLAN o Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ 8S0.0() f,:;;'O().D() I $ 4s.00 J 3(').0{) Pressure Reducer .......................... $ Meter I..fetort ..............:"',,:.'.............. $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due.............................. $ Paid all. t./? Date 2-l z., ~ () ?- " ;). /')0 . cxJ 7ot) -00 1,500.00 Issued 24 hour notice for all inspections 447-9850 3:49PM NO.341 P Jnte Rcc:'d 1. ~;~~ 1 G~~ ). "'0110"" ~:,~ Il~El~T NO. ^~nll....t . 0-::1. - 0\\0\0 ~ I I ZONING {,"=.~J f\ l? ~ ~,~ 0 0 ~ <\. . LEGAL DESCRIPTION (office use only) LOT ~BLOCK :l ADDITrO~4 ~b,,-r ~wNER \J \ ....\ eN /lnjc) " ~'J L.~ ~ ,,~ ,,,,- \.. (A~dlesS) \ I D d. \. ~,~ "" r -\:'. e Y' l ::,-- . ~ PID<.-.::!S- 3l/~ -OI6~ (l'hone) II,)." '-\ 'I \) - ~ '-i <:l<) I .c:s- ~ ~~ -, ~ \14\~ ~ APrpCANT \\ .\ ~. (l'iat~1e) ~~ ~r'\.) - \ - -.\-- ~i t, (A~d(ess) \ ~ ~ ~ \J '\j,' l U ~ f\ V ~ N (Addrcss) (C,nlact pmon) L\ if' ~ So L"'-' It '- \ .... APPl,ICANTSIGNATURE . .~\.11.."'~ (Phone) C, S ;)." "-\ ~ -l - ~ \ -:)., l{ "n ~)- l~\t\.. \'tV S s. ~', d, (City) (Zip Codl;!) (Phone) '=\.;' ':7.. \,\ V, ,- ~ \ Q \...\ DATE API)LICANT PLEASE COMPLETE BEJ...OW ,...--, ~EW CONSTR.UCTION 0 REPLACEMENT 0 ALTERATIONS FU~~I\CE MAKE AND MODEL <::. '" -r~ ~"""'"" M)c A- l CI) FUEL \\J '-' + FLV~ SIZE f \l C RETURN OPENINGS J:S) \ 0 INPUT~~~ JQC)J~iPUTPUT Cr!>. O<;:)() TYPE OF SYSTEM HEATING OIl POWER PLANT . . ~D.rn' Air Plants 0 Sleam DGravilY 0 Hot Waler o Mechanical 0 Rlldill!ion .f!i^ir COI\dllionlng 0 Special Devices ~enl. System 0 Olher Devices '"LEASE NOTE: ^ir Conditioner Utlil.s Cannot Encl'oach into Required Side Yard Selhacks FII\.EI'LACE MAKE AND MOlJEL IndIISl~ial. c..:ommertlal &. Multi-r'amily FElt SCHEDULE 1 % or job COSI R,esidential, Gas Fil'cplace $39.50 minimum $99.S0 Residcntinl. Add III OilS & Allcnlhms 564.50 I\c$idenlial, At Ollly $39.50 R.e~ll.Ir;tILtal. IlealinG & Ale (New COl1SlrUcllon) Rc~ldc/llilll. Hcaling Only (NeW ConstructiDn) ,'1139.50 $39.50 Estimated Cost S Building Permit II l-lEATlNG PERMIT FEE ST A TE SURCHARGE TOTAL PERMIT FEE $ S $ .50 r'" . C'':, --~.. _, f; IOltice Use Only) [: AI'pllo.llo> Beeoo... Ynn. Oulldl.g re'''''' Who. App"'ve. nDUdln~ omclal Dftfe I'aid Reeeipl No, --~ ..~ Dale ';..; . (,/ J. ./ 24 hour lIoUee: rOf:111 int(,celion$ (952) 447.9850, fu ('Sl) 447-424S FIRESIDE CORNER #3546 P.001/003 CITY OF PRIOR LAKE IlEA TINGI AIR' CONDITIONING/FIREPLACE PERMIT Da.te R.ec'd APR l 2UU'l ~.;:~ ~~~I I PERMIT NO. Od--I (p 0 I (P..... _ "'~..... ""1 ~ I AD\~d 8 , l.=~A I7L ZONING (Df:Tlc:e l,I~c) ? 13f) J",EGAL DESCRIPTION (alike U$ll only) LOT 0 BLOCK ADDITION OWNER. (Name) ~d rel PIDdS-31j;J...- 0/& (phone) (Addr.ess) APPLICANT (Nam~) ALLIED FIRESIDE DBA FIRESIDE CORNER (Phone) 651-633~561 (A~$) 2700 N. 1::AIRVIE~ ~VENUE (Address) BRENDA STON (COr:lt:act Person) APPLICANT SIGNATURE ROS?V'TT .T.F. Wi (City) (Phone) 651-633-2561 L\- \ -0:3- ~C;111 (Zip Code) DATE APPLICANT EW CONSTRUCTION FURNACE MAKE AND MODEL FLUE SJZE RETURN OPENINGS TYPE OF SYSTEM E COMPLETE BEJ...OW o REPL.ACEMENT 0 AL TERA TrONS FUEL m~{).J) INPUT OU-;JT REA TINO OR POWER PLANT o St.cam o Hot WjIteT B RiJdhll:lQn Spetial Dn-ices o Other De~ices ~ lo l.Q) ~ ~(S:) '\ l2.,- QA..I<- PLEASE NOTE: Air Con.ditfoner Units Cannot Encroar;h into Required Side Yard Setbacks OWIltm Air Plants DOrllvity o Mec:1lJmical gAlr CDnditioning Vent. System. FIREPLACE MAKE AND MODEL ~ IncluSffhr./, Comm~tilll & MI2Iti-FlImiJy FEE SCHEDULE I % of job cost Resid.&!n.tial, Gas FirEplace $39.51) minimum $99.50 Rcsldentinl. Additions & Alleraticns $64.50 Resident;nl. AC Only $39.50 Rcsidential. Heating IJl. Ale (New Con6ttUction) Residential, Heating Only (New ConslrUction) $39.50 $39.50 Estimated Co:!t $ \ \cj:) . C)() Building PermIt # HEA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .S"-PAtD WIT!-l BUllO:NG P -.. (ome!: U!Ie Only) ThIs Application BccDme.'i VOllr Building Permit When Approved Paid Receipt 'No. JJIlIld.lnll: omcllll DAle D~ 4 I 0]- By 24 bour Mtle. for nil In,p.dhm~ (95;!) 447-98!O, ru (9SZ) 447....Z4S 04/15/02 MON 16:06 FAX 6128902753 02/22/02 FRI 08;51 FAX 6128802753 STOCKER EXCAVATING STOCKER EXCAVATING ~002 ~OOl Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER pgRMIT 2 - z,?,,~~ I. GoIoooo Fir" [ PERMIT NO L v..... City . 3. ~N ~am A2-0166 ZON1NG [oll"_lI$I!) ] LO,' 6 BLOCK 2' ADDIT10N Raspbe~ R.i~~~ PID .~ LEGAL DEsCIUPTION (ollke use only) I OWNRR. (Name) Keyland Hennes (phone) 915~1 Au.u...lj6;nO (Add.ress) 17021 Fi~ Point Rd.. "(AddRllls] Pt.f aT' 1.l'lKP-. loiN 55372 (Cily' (Zip t:ock) APft.ICANT (N'a.mc) st-Or"1c_..... ~-r~."'IIiTJlllt"'-Iftl ("0 ,. T....ro (Phone) CJJ'il.lRCilO-41A 1 (Contact Person) APpLICANT SIGNATURE_ TAr '9"''''''' ~p (A~) Cu:r~ Seol: J::.1i:I~.III.. M1\T I 5C;":I7s:l (Citrl (Phone) DATE (Zip Code) (Address) R74' SlamB Z}Zl/02 APPLICANT PLEASE COMPLETE BELOW Size of wateT servic~ ~_ inches. Location of any couplings from structw:e feet. Type of sewer pipe. 0 ABC riJ PVC 0 Cast Iron Estimated length of sewer line: feeL Clean. out (if required) loca~ a~ feet from struc;;ture. l..l:sid~(l,1 .sCWCT 8c.d wauar lin. &:9nn.ction .'_ ~'Wcr cUlec:tion only FEESCHEDULl!: $35,50 rndustrial, Com'! &. Multi-family S 17.50 WlI,ter c:onnection only 1% of job cast with a $39,50 minimum $17_50 Estimated Cost $ - BuildingPcnnitN t)Z - O/~ro SEWER. AND W A TEll PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 lOltiee \l'1! Oil . ~! 'This. APpli{}f'Fomes Y. our Buildiag J'ermit When Approved ~ . t,--z,'l'Oz" I lJate 14 hour lJoti~1I!I (or all illlEpec:tiDDIS (95;1) 447-9850, fill!: (952) 44"~:WS ....07- FILE No.444 03/05 '02 AM 11:47 ID:D & D MECHANICAL FAX:952 890 4650 PAGE 1 Date Rec'd qITY OF PRIOR LAKE PLUMBING PERMIT ~: ~~d ~!~ I PERMIT NO~'J - /',". I / I ,. Yellow "",,110,,' . ~ . lC' b LEGAL DESCRIPTION (office U5~ only) LOT" 'L L"--' I PlodS- 3'/,;l-<:)~ 3#- (Address) BLOCK ~ ADDITlON ~IJ ;5bE~Ji?-V ;e/b(; E:.. I "<E.lf !-AN~a('hr- S () ;J D. Dad) Meduuddd ~ W 8lQ tOL (Phone) 8u1te B Snap, MN 55M8 . 952..890.8188 (CIty) (Phone) (Phone) "'-If.} - ?yoo ,q/LE., "3 OWNER (Name) APPLICANT (Name) (Address) (Addr;(ss) (Zip Code) (Contact Person) DATE .,.3Ls / D..=l APPLICANT SIGNATURE NT. I I TE I Quantity 1'y ~e of Fixture Quantity Type of Fixture J Bath Tub with 0 without shower t; Rough-ins j Dishwasher , / Water Healer j.", Floor Draat! Water Softncr I.. Lavatory (Batnrc om Sink) I Stand Pipe (Washing Maohine) 7 Laundry Tray ( I br 2 compartment sink Sewage Ejector Shower Stall + Backflow Assembly J Sinks Backflow Assenlbly Test Bar Sink + Lawn S~)fInklor i .3 Water Closet (TQllet) Other . APPLICA ])LEASE COMPLE BELOW , i FEE SCHEDULE Jnduslrilll. CUlTlIllcrcill1 & Mulli-lillnllt 1% ofjnb cost with 11 $39..50 minimum Rcsidcnlilll, New One &- Two-J"Qlnily $99.~O Rosidc:nlial. Additions & AllcraLlons $39.50 PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL l:lERMIT FEE $ 0.1 -D/~ , ~ ", 9'1 So r .,aI. u'f , . ~.r lJiOl ,.....-). .50 . " C" . ." /(J 0.00 ',. ~-,-'""'.._. E:jtimate~ Cost $ ~_. BuilcJing Permit # (ornte Uac Only) This Application Bef;omes YOlJr lJlldlng Permit Wholl Apl)roved Paid Receipt No. " ..~ Dale '3--&- ~ BYe:: Illllhlltlg Official 1>1Itc 2. hDur notice for allln.pedlon. (9!2) 447.9150, fIX (952.) .47424S White - Building Canary - Engineering Pink - Planning The ("enter of 'he Like COUnll1' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT tc6y~AND HOt1bS 1-23-02. APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: {602f!j APPALOOSA Tr2AIL Accepted Accepted With Corrections ~ Denied '2z Reviewed By: (; n fl~ k Date: 1-81-0~ Comments: _~~ oJ){ afh:cc~ w~ "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 ('en1ef of Ihe Like Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST ! ,/' . !-I I" to: i ' ,,/ " .... "..,~~_.... NAME OF APPLICANT APPLICATION RECEIVED f-- :,. !- r ',. '-- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ! r"" ( -/) (" . ", I i .../.....-' (.~.. ~- ~ \ ,(' .~- . ,; 'f'\ /' (I L-I. , ',' I -- ,'", 'r '" '~'\ ' i i 1"-- r . j L..- Accepted V" Accepted With Corrections Denied Reviewed By: o/./lA-t. ~~ Date: 2/20/D2 "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 Crnler or Ihr I..k,. Counlry 02- I f;~ White - Building Canary - Engineering Pink - Planning BUILDING PERMIT A~PLlCATION DEPARTMENT CHECKLIST ,'>r' NAME OF APPLICANT APPLICATION RECEIVED ~SYL-A ND HC,HES j- 23-0z. The Building; Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: {rj02f; ApPALOOSA; 'T~IL- Accepted >( Accepted With Corrections Denied Reviewed By: /J?13 Date: 1-:28-01 Comments: See Reverse Side for Additional Information! See Attachments: 1) Grading Plan, 2) Erosion Control Mea'sures 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 INSPECTION RECORD DEPARTMENT O'F BUilDING AND INSPECTION SITE ADDRESS ISO 2.8 A\2.fCl\Cd~~ ~C"-\ \ NATURE OF WORK fjQ.v.,J USE OF BUILDING Sr-D PERMIT NO. {)c2 ~ 0/0& DATE ISSUED ( - $1 - cJ rz- CONTRACTOR ~O-.M~ If""""-~5 PHONE qs:;z ~ t{c{O -1' '100 NOTE: THIS IS NOr A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DATE I FOOTING I ;2./tJ~la,7..J FOUNDATION (Prior to Backfill) 3 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN 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 Ov 0. GRADING (Prior to Sodding) BUILDING T.c... o. tJ1 8 I ELECTRICAL PLUMBING HEATING DO NOT ~ 'J tJ~ 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 ;:;hall be placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850