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[ S-e.a. ~ Ma.-t'\,\. -{ ( l.Q
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ILJ L q L Brook /11
LEGAL DESCRIPTION (office use only)
z-f;-,/()Z
White File I PERMIT NO I
Pink City . ()., - 0 11/..
Yellow Applicant _ t-- _ _ .
ZONING (office use)
lu~ AJ~
KL
LOT l BLOCK
ADDITION 11 u
,
OIA.) tJ I 6J{.,{)
PID 25-384 - oc:,
OWNER
(Name)
~ ffomes
Z-
Il-o
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
5A-ME
JL1 : k-L C>e.rt '\
Deck
~ace
TYPE OF WORK
OLower Level Finish
o Misc.
(Phone)
~
5~k
(Phone)
(Phone) hi z- t../1~' ll/I
OPorch
ORe-Roofing
ORe-Siding
OAddition
o Alteration
OUtility Connection
PROJECT COST /V ALUE (excluding land) $
l...S; diU}
1 hereby certifY that 1 have furnished information on this application which is to the best of my knowledge true and correct. 1 also certifY that 1 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. 1 am aware that the building official can revoke this permit for just cause. Furthermore, 1 hereby agree that the city official or designee may
enter upon the n erform needed inspections.
x
Permit Valuation ( 2S:000.0 0
Permit Fee $ I. I ~,? 7 ~
Plan Check Fee $ 1 J~. 1ef
State Surcharge $ G.'2 .~n
Penalty $
Plumbing Permit Fee $ 100.00
Mechanical Permit Fee $ 10(') .00
Sewer & Water Permit Fee $ -
Gas Fireplace Permit Fee $ '10.00 .
'on BeC1~iIding Permit When Approved
;%: 2 -11-02--
uildin Official Date
-zoO/Co '7 "'> 7
Contractor's License No.
Park Support Fee # $ "..
SAC # $ I, '} 00 .() (:) .
Water Meter Size 5/8"; I"; $ -
Pressure Reducer $ -
Sewer/Water Connection Fee # $ [, '1-00 .00'
Water Tower Fee # $ 106.00
Builder's Deposit $
Other $
TOTAL DUE $~273 ./9
I
I ~;jfl
4(~
Paid
Date
5:JT.J ,/~
),.;0,),-
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
by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
.;Lfu!tJ?- ~JL IA~LLQ,~~ C~~~~
Date ~ Condlttons. tf any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
DATE
TIME ,.,-
/15
CITY OF PRIOR LAKE
INSPECTION NOTICE
7-~":A
1/j;;Ztf~/ 9tJ/ 8'15/~ ~&...
CONTR.
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
0(- ~~ h7. 10/71
(
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
o MECH FINAL
COMMENTS:
-=::;..
V1I\ ttv\O tV\ ek. Q~
Ml
p' WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, ALL FOR REINSPECTION BEFORE COVERING
Inspector:
1)_
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTl
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White - Building
Canary - Engineering
Pink - Planning
It Crnl.. ollhr I..kr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
C6NTSX HOIv;eS
2 -Y3- 02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J 4- 2 q z.. ;31200j.c /vI6/Z,t/ f3 L V.o.
Accepted
x
Accepted With Corrections
Date: 2--/3 -oZ-
"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
The Ct>n.t>r of the Lakl" COUnlf)"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
C6NTB)( HO/V/ES'
2~ -g -OL
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J4ZQz. !3R-OOjCn{5%b /3L-VD.
Accepted 7-
Accepted With Corrections
Denied ~
Reviewed By: _ y
Comments:
Date: 2. ~ II - 0<-.
~~a.~V\ +:"( ~
"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."
CITY OF PRIOR LAKE PLULVIBING PERIVIIT
Date Rec'd
MAA L 5 LUUr.
J '1"'tiow \pPliC;\r.I
I PER\IlT ~o"()Z-O(7 I
8lue ril~
:. Gold Ctv
(Please type or print and sign at bottom)
I ADDRESS
I /1).2 tJ b -3 rtMKfnf? r(!
~j/J
I I ZONING ("ffi,,~,)
=-=:.\~ 2==C::--':~~:::; \u.::L.":J-J": J.U~
LOT
BLOCK
ADDITION
PID
i ~~;~~~f!rtZlI~V
i (AJdress)
(Phone)
(Phone)
9$;. t/9t2." did /
-f57-J~
(Zip Code)
(Address)
i (Cont:lc: Person)
i APPLICANT SIGNATURE
/~{;/ )vi~
(Phone)
;v(a~~A rJ; O~
DATE
Q
(tv
APPLICANT PLEASE COMPLETE BELOW
T f F" t I Q I
T
f F' t
\ uan 1 . , ype 0 IX ure uanuty ype 0 IX ure
;L I Bath Tub with or without shower -3 Rough-ins
I Dishwasher / Water Heater
/ Floor Drain I I Water Softner I
? Lavatory (Bathroom Sink) / I Stand Pipe (Washing Machine)
;' Laundry Tray (lor 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
1 Sinks Backflow Assembly Test
Bar Sink I Lawn Sprinkler
_1 Water Closet (Toilet) I Other
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum
Residential, New One & Two-Family 599.50
Residential, Additions & Alterations $39.50
Estimated Cost S
Building Pe:-mit -:f.
r' 0 W'1'r\ ..'
PA\ G PEP'I"h.1
.50~~
PLUMBlNG PERLvIIT FEE $
STATE SURCHARGE $
TOTAL PER1'VIIT FEE $
(Office Cse Only)
This Application Becomes Your Building Permit When Approved
Building Official
': 6 /iJijj
L ,J ,.,
Date
24 hour notice for all inspections (952) 447-9850, fax (951) 447.4145
FIRESIDE CORNER
#4192 P.OO2l007
Date Rec'd
CITY OF PRIOR LAKE
HEA rINGI AIR CONDITIONINGfFlREPLACE PERMIT
[~:EsS;;;:U~ k
~: ~:w ~::'t- [ PERMIT NOO) - II ( I
ZONING (offta:\Istl
LEGAL DESCRIP'I'ION (office use pnly)
LOT
:BLOCK
.ADDITION
PID
OWNER
eN ame)
(Address)
('M-~
(Phone)
APPLICANT
(Na~) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Address) _2700 N. FAIRVIEW AV.ENUE
(Address)
(Contact Person) BR:P-NDA HUS'I'
(phone) 651-633-2561
APPLlCANT SIGNA TU
~SEV .I.LLE MN
(City)
(Phon.e) 651....633 -2 561
DATE
':'C:;111
(Zip ClX1e)
APPLICANT PLEASE COMPJ.JETE BELOW
W CONSTRUCTION 0 REPT...ACEMEN1' 0 AL TEM 1IONS
FURNACE MAKE AND MODEL FUEL
FJ..UE SIZE RETlJRN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWilfm Alr PIMts 0 Sfeam
o Grs.vil:y 0 Hot Water
o Mechran;ca.J 0 RatlladQn
OAir Condltionl.T1.g 0 SpecieJ Devices
OVent Sy$tan 0 Other DcviCl:$
PLEASE NOTE;
Air Conditioner Units
ea,Mot Encroach into
Required Side Yard
Setbacks
FlREPI...ACE MAKE AND MODEL
Residential. Heat.lng 8L AIC (New Constmction)
Residential, HCllllng Only (New Constructlon)
FEE SCHEDULE
1% Qtjgb cost Residential. Gas Fireplace
$39050 minimum
$99,50 Resldendlll, A~d1Uon5 &. AlterB1l.ons
$64.51) RcsldeJItl.lI.l, AC Only
$3~.50
Industrial, Commercial & Multi.Famlly
$39.S0
$39.50
Estimated Cost $
Bp;lding Perm.it #
HEATING PERMIT FEE
Sf A TE SURCHARGE
TOTAL PERMI.T FEE
$
$
$
.50
(om~~ 1J8e Only)
This AppllcatiotJ Becomes Your Building Permit When Approved
Pal
6)j,,',
.....!...D,\~.
,j/.,'-\
.\..::1,
ReceIpt No. ......
. , ~ ,~
~ I I
Pate
By
BIJlldlng Officilll
Dlltll
24 hour n"tie8 fDr alllni-'per.tlo,ul (9~2.) .47-98~O. fu (951) 447-4:Z45
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONINGIFIREPLACE PERMIT..
Date Rec'd
~;rnsS ...,... :......:
I I 'f 2.. '1. Z. "1"<>. I'V' _
Blvo
~ =. Ei_ I PERMIT NO. 02-0 II /
I. I ZONING(_~ I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER. .
(Name:) . ~Crt f-~ v..
{Address}
H~~s
(Phone)
: .;', -.. :.,
APPLICANT
(Name) ~~ClI ./-.' """-1
{Address} ...) ?J"~c:.)
+- (loal/^? ~~
~t1:/' gl
{Contact Person}
t:!CJ \wi. 1\ ~t
(Addles
~''1
APPLICANT SIGNATURE
(Phone) 7t,3- ~~)> - -=5, 71
rn.p/~ c...-- S:~-3" 9
(City) (Zip Code)
(phone) ", L - '3(. 3 - ':;-S-CLt7
DATE ~ -17- oz.-
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION
FURNACE MAKE ANDMODEL e"y ""..;
FLUE SIZE 4 II RETIJRN OPENINGS
TYPE OF SYSTEM
~ann Air Plants
. OGr.vil)'
o ~echanical .
[Ql(ir Conditioning
OVent. System
o REPLACEMENT 0 AL TERA nONS
~ R30 ~"e 70 FUEL Co "'5
~ INPUT /0, uOO OUTPUT S-S; 000
HEATINGORPO~RPLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial &: Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions &: Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating" AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
HEA TING PERMIT FEE S
STATE SURCHARGE S
TOTAL PERMIT FEE $
02 - () / 1 /
---=f"\ ,,~r\"~
1:'" ,,~~'" ".., P.f '::0 ..
U\\.D\N~ -
.S<L-----
Estimated Cost S Building Penn it 1#
(Ornee Use Only)
This Application Becomes Your Building Permit When Approved
.-"..-
Date
DatMlR 2 3
Paid
Buildinl Offiel.I
14 hour notice for aU Inspections (952) 441-9SSG, fax (952) 447...4145
to-d
2:S'92:S2:t>2:'9L
OM~ ~NI'008 ~ ~NI~~3H W~ 2:2::S0 2:0-Lt-~d~
10/07/2002 12:00 5
___.,_Cl~I./.~,~::!-:..~l~ D.l'lt4/"l..4~
en}; U}o' PRIOR LAKE
PAGE 10
III 001
Date Rec'd
CITY or PRIOR LAXE
SEWER AND WATER PERMIT
(PhOUf) fJ{:;2~9?/' ~.Z~
fr/J1~i'd! /JtflJ 1.r~r~
i APPLICANT
I (N~)
K & R Contracting, Inc.
3245 Lake Avenue
(A1.dlesS) ~ New Prague, MN 56071
954,.758.6247 .
(Conta'tE'aiOn) ~v4.",/
"PPUCAl'.'T sloli"nnm 6.eti1 &' rfZ~mfI-~
(Phone)
ICilY)
(l'DC'tU~)
OAT!
(Zip Cl*)
APPLICANT PLEASE COMPLETE BELOW
. Siz. of wa_ ,1crvice --1.::!.J.. inch.s.
Lot:.IlI:ion of U!y ccuplin". from StrUl:tUlr:~ feet.
Type ofsewet plpG. n ABC gpvc 0 Cast Iron
E~111eogth of sewer tIDe 0 f~t,
Clc:an out (if required) loeated at &et from structure.
FEE SCHEDULE
'Relidel1~i"l aewcr Md water Ii!!. COM.Clio!) 535.50 Incluat'l'lal, COft'l'1 ~ }lotulti-tamil>, 1% Qt jo" I;QSt whh . $39.5D minimum
SC'laret ~onnl!lQtion (l:n~Y 117.,D ~ucr cQtlncction only 117.'0
Eatl",atcd Cost S
Buildinc pmnit II _
SeWEl\ AND W A TEll PERMIT FEE
S1 ^ tt SUllCHARGE
TOTAL PEItMl'I VEl:
~
Bwl"inl C)fl!ci.1
Da~
.
· PAID WITH
BUfi,DING PERMIT
I~
1 ate
\ By
l
(C)fIIce Uu Only)
Thi. A.ppllcation BaeD.... YOllr B1I1I41_1 Permit Whd ApprOYed
:Z.l'oDIU ...~Ic. &or.n i.,,-wlla (952) ...'-915.. 'as (951) ...'...165
~ '5~-e ~ ~c<., LA -47l ~
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BU,ILDING AND INSPECTION
SITE ADDRESS /42. cr 2- 3co k MeN2.. "RllJd?
NATURE OF WORK ----"J~
USE OF BUILDING Sr=11
PERMIT NO. 02- 0/7 I DATE ISSUED ~,- {\ -CJ '2
CONTRACTOR ~-f(., -Vor-~ PHONE 952 - /3~- 7",'3 '??
.....-
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 BE
I
FINALS
-;z...
N SIGNED
I
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 beer.- 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