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CITY OF PRIOR LAKE BUILDING PERMIT, Dale Kec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Z-/3-02-
White File I PERMIT NO
Pink City . {)i"'.... 0 IGr'
Yellow Applicant V ~
/53" 6
J
LEGAL DESCRIPTION (office use only)
LOT / BLOCK '$I ADDITION
I' f .5"7-
PID ;;},J-- ..JG6 - ()~ / - 0
OWNER
(Name)
(Phone)
(Address)
BUILDER , j I
(N ame) f.,J {I/'v./ h7 tf/'/ /v' rv () /7l P J
(Contact Name) G/c.: r' '7' "Je.'),/Y f c.,;'V
,
(Phone)
(Phone)
ZONING (office use)
leI
(Address)
0,";
-s I')'~
TYPE OF WORK
ODeck
OPorch
ORe-Roofing
New Construction
OLower Level Finish
o Fireplace
OAddition
OAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) $
ORe-Siding
OUtiIity Connection
I hereby certiJy that I have furnished information on this application which is to the best of my knowledge true and correct. I also certiJy 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 property to perf! m need inspections.
I y ~.~~
Contractor's License No.
.2 -/3' - iJ.)....
Date
x -
Permit Valuation IS7
Permit Fee $ I
Plan Check Fee $ B
State Surcharge $ ?e. 0
Penalty $ '()t!) . <,'0
Plumbing Permit Fee $ ((J(!) . of')
Mechanical Permit Fee $ $5" . )0
Sewer & Water Permit Fee $ Cfo . t!) 0
Gas Fireplace Permit Fee $
Park Support Fee
SAC
#
#
Water Meter Siz 5/8' I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
$
$
$
$
$
$
$
$
$
s Your Building Permit When Approved
I Paid /I /79~,7' 86-
Date .2 - - o~
EX -lif -oQ
Date
'lis 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
len~ by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
"'~~ ll'J'i6t{}L ~-,,-, A~Ll~(~
Planntng Director . Date - peclal Conditions,' any /'
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
10/24/01 WED 11:22 FAX 6124474245
CITY OF PRIOR LAKE
I4J 001
Date Rec'd
CITY OF PRlOR LAKE PLUMBING PERMIT
MAR - 0 2002
[~~~;rs~~~;;~ ~os,> N\-I
1 1l1u. File I PERMIT NO
:. ~~~ ~~~'O"l . Od- Jt?5
ZONING (oll'lec we)
I
LEGAL DESCRIPTION (office use only)
LOT JLI BLOCK ~ ADDITION
pm
OWNER
(Name)
(Address)
(phone) bS)-LfDb ~WD6
Y\ \M Y\ \ ~J-:2~
(Phone) (s/-fs)~/5b5
~Y\, 55/022
(Zip Codel--
(phone) tS-/.-L/P-15bS
DATE 3 'SJOA
(Address)
(Contact Person)
APPLICANT SIGNATURE
Quantity Type of Fixture Quantity Type of Fixture
.;J.. Bath Tub with or without shower Rough-ins
I Dishwasher I Water Heater
, Floor Drain Water Softner
q Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
, Laundry Tray (1 or 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
I Sinks Baekf10w Assembly Test
1 Bar Sink Lawn Sprinkler
~ Water Closet (Toilet) Other
PLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial. Commerchd & Multi.family 1% of job cost with a $39.50 minimum Residential. New One & Two-Family $99.50
Residential. Additions ct. Alterations $39.50
Estimated Cost $
Building Penn it #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50 f:: ' ". .
~J..DiNG' f-
-_ '-......1
Receipt No.
~ UIC Only)
Application Becomes Your Building Permit When Approved
Paid
Building Orndal
Date
Date 3, f--o,er
:4 hoo,' ..otic\'! ror .11 ioapedlo", (951) 't4i-9c;~, r~ll. (951) .;4~-42"5
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GaUl! ' .'lLC
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C!T~ OF PRIOR LAKE
SZWER AND WATER PERMIT
NOTE:
NO.oz-o/1s
"';, .
; ',,'1
, , ,
Seve= and, Wate~
contractcrs :mR~t'
be rec;,i$1:~..ed
yi th the 'i:i;t::~T. ','
PHONE: &61-1f~~- J 5'~"
DATZ= .3JJ'I~, ,':'~',' ,
.. .
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AODFtESS:
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Es~i~a~ec length of vater service
I
feet-.
C!.e~n out
st='.lC'l:.ure -
(if
fe~\1atL
at ~feet
frpm
,/ '
re~ired) ,
locatec
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Thi.s
DAT::::
-5-Z()-O'Z~
pe~i~ ~hen approved.
'By
~~~~~~~~~~~;~ _~G~~~~~~~~~~=~===~~~=~=~=~~~~~~~~~~=~=~==~~==d=~=~=
, ,.
FZ2S~
$
5
5
Sever and vater line connection pe=mit,
Surcharge
TOTAL
35.00
.50
35.50
..
Fe~ fo= either seYer or wate~ in~ividually is $20.00 ptus,
S .50 surcharge.
..
Se''''er and water pe::mits issued for ne1J constI:1.lction Ir1\:HSt, 'be.,'
reccrlied on the building permit:. ca=d a. t the -r..irne of, ~s$,'\lan.~~ "
to i:1sure 'Chat no c!uplicate set.'e::- and vater per:tt;Lts'~. a:r.~,'".
issued." .
AMOUNT P.UD ~J/"I.fiJ:')"': ,'"
R"C'D BY ~# 0:-:.'
o~'!'=: !=lAID
R~C::!:?!' ~
~ '::;:r""r =:l':~"! '-7'e-=~ ~.f. S.E.. ~-i.:,. T-,.1.k.~ ~!~-~~'-.:r" ~.:....-.-, , ~l~
, '
'';;''''''' ~-.-.!--:.n 11=~'Vf'::"1"').1J:7~j"'.1:",
.. ___ ___'- 1)/,"', ,",_ ~
.'1
S d gLS I g819gS 'ON/gG: 80 'lS/9G: 80 GO ,51 'SO (]Dl)
WOB3
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Re..
~. ~::n ~:~ I PERMIT NO. "...... - IV/~ I
J. Yellow Applicant . ,~:::;/ .
ZONING (office use)
15300 JEFFERS PASS
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name)_ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone) _651-633-2561
(Address)
2700 NORTHFAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE _BRENDA HUSTON
5/16/02
(Phone) _651-633-2561
DATE
APPLICANT PLEASE COMPLETE BELOW
X NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NOTE:
DGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEA TN GLO 6000TR-OAK (FIREPLACE #2)
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % 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
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
2.U02.
By
!~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
Tht> Cl'"fl!'r or thE' Lah Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
. ,-< .. . , ; .,.~.
\ \ ;...- (', i\ ' .L' \ I. i ;..\ / I'" i- ..-
'" \ \~. I \, j I I f \ i.' I, ; I ',,' l' I l ~ _.-I
APPLICATION RECEIVED
/ --
L.
{' .~
-, ) /
,,' .:...-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
if'" i!
I -.,..'1 ._~;\ ~,
,..,_; ;-'..~ r
, ,"-, ,-
~ i-:_ i '" ~,
: ;>,-., "
,
I,', \. '" .'
t \]'
Accepted
~'
Accepted With Corrections
Denied
~ LArr~~
Date:
:J- /22:>CD 2-
Reviewed By:
"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 Cenfer of the Lakf Counlry
o Z -I??
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\!~ e, (\j (_~ f"/II-\ N ('vI I-{() 1\/( ES
Z~/Z--()2_
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
j 53oZ-, 0l- F FE- t'::.~:> t/ASS
Accepted
K
Accepted With Corrections
Denied
Reviewed By:
M18
5~~ ;I/o, 1/1 F, '/ (,
Date:
2-(j-oz-
Comments:
"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
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/95
~. ~;e:n ~:~ 1 PERMIT NO. ') -f~'t.... -I
3. Yellow Applicant Q ~
ZONING (office use)
15300 JEFFERS PASS
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
12/16/02
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT ' D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
OAir Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEA TN GLO PIER- TRC 2ND FIREPLACE
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
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
,50
(Office Use Only)
'" (,
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
."
Building Official
Date
DEe
2W2 By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
Tht' Cf'nlt"r nf Ihe Lakf' Coun1r)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W5NSMANN ~b5
z- 13-02..
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5300
JS-FF6r<.S PASS N W
Accepted
~
Accepted With Corrections
Denied 2 'it
Reviewed By: -L J'b-y.i--
Comments:
~J q!f cdfcuW !kJ} ~
Date: ~.. t If -(j'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."
...;
o ~ - I 7S-
Tht' Ct'nler of Iht' Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT vV ENS jv/ AN i\J I~ (;YVI E5
APPLICATION RECEIVED Z. - I 3 - 02.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
15300 JEF~c,t2.5 PASJ~ Nv\/
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/J'J4 13
Date:
2 -/~-()L
Comments: See Reverse Side for Additional Information!
Driveway Must Have Concrete Apm"
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Frosion Control PI;:ln
"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 OF
BUILDING AND INSPECTION
l ~~~ ~k
SITE ADDRESS
NATURE OF WORK -1JCf,U
USE OF BUILDING ~ .
PERMIT NO. ~~ 5- ~ED~
CONTRACTOR. ,...~" PHONE
NOTE: THIS IS N T A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING o;t
FOUNDATION (Prior to Backfill) ~-' l~ 5
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 e~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING (){\ {(-1 ~()l.-
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS B EN S G
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 shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850