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Yellow Applicant . ~ 4~<;' ZONING (office use) PUD LEGAL DESCRIPTION (office use only) /, PID2S~7- \0 LOT' OWNER ../ 11 I ~ '-' (Name) /1 t)A-'/~L {/ .t')""'~' 7( , s~lLs'J (Address) (Phone) ~'?- L/1c~ .~? ~cJ ( BUILDER ;/ "" j) I) -~ ')- (Name) IV I e I_L,-"'\&A (/ Lt.?r--=" I , (Contact Name) :t ~ t:- ~ (: O-/C I ~- 0 ........... (Address) c l' (Phone) q f-J. - tt?9 -7 b cJ ( (Phone) G() ~ ') O( - g b '-ILl ,~ ~I TYPE OF WORK ~ew Construction [jq:)replace PROJECT COST IV ALUE (excluding land) $ ,- ~eck o Misc. [)(ower Level Finish OPorch ORe-Roofing OAddition OAlteration "v ORe-Siding ~Utility Connection b '7 I <;~) . ---- 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 up n rope to perform needed inspections. x Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee ~wer & Water Permit Fee s Fireplace Permit Fee $ $ $ $ $ $ $ $ . (!!)L) J. . /)CJ .36,St) l/0.6'0 Your Building Permit When Approved ;z - ;28-62- Date &3.70 j-.;2I,-o~ Contractor's License No. Date Park Support Fee SAC # # Water Meter Size /8' I"; Pressure Reducer Sewer/Water Connection Fee Water Tower Fee Builder's Deposit Other # # TOTAL DUE ( I Paid €i 8/'7. 4:7 Date 3-/~- CI L I~~~ ,. ('7,43 11..5I,S- tify 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 'y the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be ~.a,-~~ Planning Director ~. AM-cce~~ W-VVtrlevl< 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 g/0/&L.- White - Building Canary - Engineering Pink - Planning Thf' Cf'nfl"r of 1hf Lab COURIf)" BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT fvlL DONAl,D ~ON5ll2-. 2-21- b2- APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I 4-165 SUM M IT (, r<-~GS N ~I Accepted Accepted With Corrections X Denied ?;I~ Reviewed By: -G. ~:QtSJ!J ~ tf-cu-W /l& o1k Date: ;;(-~- 02 -----. "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 Cr-nlt'r or the I..kt ('oun.r)' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED .c I ,i ie" \ I . '- i..j ;' { l' j 1..- ! 1--'" . '-. ,...) j 'Co' I r, ./ "-- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ..., .:1 (/ r C , I , 1.""'~- ! I , " ....! \- o . I -,,, '-. \"../ r...; !\/\,I Accepted .......----' 1-..... Accepted With Corrections Denied ~~~-r~ Date: ,S /(.. /02 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." Pink lhr ('rntr, ollhr ""kr Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLlCATJON RECEIVED M Co, Do N F\ L D c..,o N STT2- . 2-2/- CJ2.. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I 4-1 B 5 SU tLM IT (\ K..c..-L~ N V\/ Accepted X Accepted With Corrections Denied Reviewed By: A49i3 Date: 3-/8-0'L Comments: See Reverse Side for Additional Information! See 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." ," \', GAEl:. . filE nuow . "PPLlC"I'" (;IO'-D . en., CITY OF PRIOR LAKE S.W. No. SEWER AND WATER PERMIT NOTE: Sewer and Water contractors must be registered with .the City. APPLI 'ANT:d1 iDl' .... LoJJ /).1 ..,~ '7 / "'" b :~:::' ':~E~1/J- I{~ (,M'J . SITE. DDRE' S. /L/9ffS~J/7?h?i I (! .'1Il tIt:: Mw FILL IN THE BLANKS PHONE: 9E,-d~tt39. - )60 t DATE: j,f)}..O~ BLDG. PERMIT # PID# 1. E: timated length of water service feet. 2. S ze of water service inch(es). 3. L cation of any couplings from structure feet. 4. I pe of sewer pipe. ABS____ PVC 5. E timated length of sewer line Cast Iron_ feet. 6. C' ean out (if required), located at s ructure. feet from ==~== =;====~============~==~~~:~=~=;============================= This, pplication b~comes your permit when approved. BY DATE: =====~ =~======~~=;======~====~~===~=============================== FEES: $ $ $ 35.00 .50 35.50 Sewer and water line connection permit. Surcharge TOTAL * F e for either sewer or water individually is $~1.4D plus $ .50 surcharge. * S wer and water permits issued for new construction must be r corded on the buildin9 permit card at the time of 1ssuance t ' insure that no dupllcate sewer and water permits are i sued. ~. DATE 'AID AMOUNT PAID RECEI 'T # REC/D BY 16200 Bagl : Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 I FAX (612) 447-4245 ' An Equal Opportunity Employer TI II - ':>h- ,:>nnC1 1 c:; : ?q h 1 ?1l/l'7/l':>,1C:; q7% P (:11 From JECHEEXC PHONE No. 612 8926396 Mar. 20 2002 6:22PM P01 . CITY OF PRIOR LAKE SEWF:R AND WAlrER PERMIT' I " Date a.o'd , '--""'---" . t ~~. ~II__ fPERMITNO.V;Z~O ~Sl ! LEGAL DESCRiPl'JC)N' (OaiL:~ ~;;;;;"iY) "- -' .- .- - ._.. LOT I "t.o~I~DD""'ON ~~I.f..di'~ ~)t\ijf.h ..... . PlIl~~~:3::Y7 - ~(, .tJ OWNER ,All n flC\ ,.~ r" .' t J (N.",.) -LnC l<L Ol2a..~~~'Ol1W . ~ -n- (ph_) ~: ~ if. ~ 16,(J / (Add..,,> .~'1~~'L... __ _1l"Qlb I/IJ~ ~~,~-"~ "-_ . 1~::" " Addreu) . __ J'4).~{~i'Y)' .~. ,\t.N ',P ..",P.o.:" ',' "" (Zip Code) , "d!',,;' , 'APl'LIC~~- -_. .- .-- -- (Name)" ",. 'v e..e.. ~f.I ~1.~__ (Addle$!).J.aLD ~ ~t-" f1q ~ ~ (Addrt'ss) lPU'Q~ (Contact Person) (l'hone) '1 a '>c?tJ 7'-1010 gllJnm;~jf)~ MAl !;t74:.s( ( Ity) (Zip Code) fI t1 ?~ ~ 7'1..r~ (Phone) --' DATE APPLICANT PLEASE COMPLETE BELOW Size of water service inches, l.ocatiol1 of any cuuplings from structure _ feet. . Type of seWel' pipe. 0 ABC 0 PVC 0 Cast Iron Estimated length of sewer line feet. or-- Clean out (if required) located at _ feet from structure. ResidentiDlsl;:wcr IInd Waler line connecliun $35.50 Sewer connection only $17.50 ESlim"tcd <';usl $ <'l'" () FEESCIIEDULE Industrial, Com' I & Multi~flUnil)' Water connection only 1% of job c;oSI with a $39.50 minimum $17.50 Building Permit # SEWER AND W A TEl(, PERMIT FEE STATE SURCHARGE TOTAL J"ERMI'l' FEE $ $ $ [~~"~S". ~ '-~ j" '--. - ~., i .so .. J.~", ,- '-. '1 H' ~ i-'-i. w ~ ~. .. '-0 (om~.. Vet 001)') "b.. "0011...... .....;;... Y.., 8.lId'.. P.,..I' Wb.n ^oprn..~ ) aU'.dID,onicf."--' . '- I)..~ --- ~aid i - DatI: ~-:. ..., , , _ -----:j,.,.... (7: Receipt o. "" hOllr "qtlc:e fot. nllln'llactlons (9SZ) "47-9850. fu ('5%) "7-4145 ,l' -- - . /;::{ ?R/d;(>- /~~'.i '--:-,'\;\ ~ I'll. en. '" \M IA... Co..tl\~ App~:c.nt: CITY OF PRIOR LAKE PLUMBl G PERMIT PPNo. 02-0251 :Ii: (I .' nc _._ .Ph'H: {,~ - Y.'.rJ~ ~/J'o A~dre8S: .!L3 we ve. . U' ~ t? Cr~.D.v(21 .0 -:S--:K[})j Signature: ' Legal oaSCriptJ~n:9f ~~.'.' _'9JOCk~ sw~ienhi Siutl Site Address: ~ ~g Vf&.:J5l7!J .____ Building Permlt # - ~~} PIC * . ' - - .- NOTE: This permit will not be processed without complete information 2. 'Jokt 1 Yello.. C'4C)' App~caal FIXTURE UNITS r ~uantlty - ,- - TYJ:le of Fixture Quantity Type ot Fixture 'J Bath Tub with or wltnout shower Aough.ins ~j /_- -, Dishwasher Water Heater ,- Floor Drain Water Softn.r / - Lavatory (bathroor:1 sink) Stand Pipe (washing machIne} I Laundry Tray (1 or 2 compartment sink) Sewage Ejector / -,- Shower Stall Back&w Assembly (RPZ, OoubIe Chack, P' I -- Sinks Backflow Assembly Test J Bar Sink lawn Sprinkler - - WaC.r Closet (toilet) Other ..... " FEE SCHEDULE Industrial, Commercial & Multi-Family (1% of job c08t. $39.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations State Surcharge $99.50 $39.50 $ $-- GRAhD TOTAL $ ~ WrrH $ . ' ~~~G PERM\T $ tf;:I~ This permit 1$ grll!1ted upon the e...pre~$ condition that said contractor, shall comply In all re.pcct$ with the ord11Uloces of the State Plumbina Code and the a~etldments the~eo(. R NO, J1:!k 2 3 20oz,ATE .....,/'__ A TrEST Call for al11 16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 I FAX (612) :147-424.5 An. Equal Opportl,mir,y Employer MAY.10'2002 16:04 651 633 8884 FIRESIDE CORNER #5502 P.004/011 CITY OF PRIOR LAKE HEA TINGI AIR CONDITIONINGlFlREPJ.JACE PERMIT Date Rel:'d ~: ~ ~~ I PERMIT NO. "::') -- (;),:s-- t ~,Vellow ~ppll"nl ~ ~ I ~~~;;:;:....~-;, ~ I ZONING(_.~) I LEGAL DESCRJPTION (olflc:e U9t only} LOT BLOCK ADDmON PIP I OWNER . (Name) (Address) IA-'~ ~, (Phone) APPLICANT (Nam.e) AT..I..LED F.IRESIDE DBA FIRESIDE CORNER (Phone) 651-633-2561 (Address) 2700 N. E'AIRVIEW AVENTJE (Address) (C ) BRENDA aDST onta.ct Person, ROSEV.J;LLE MN (City) (phone) 651-633-2561 S.5J n (Zlp Code) APPLICANT SIGNATURE DATE r. d l-.. APPLICANT PLEASE COMPLETE BELOW EW CONStRUCTION 0 REPLACEMENT 0 AL reM TIONS FURNACE MAKE AND MODEL FUEr~ FLUE SIZE RETIJRN' OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT OWllIm Air P19,Ot!: DGravity o McchlUlic:llI DAir CQndWQ'[I.lng OVent. System o Steam o Hot Wnt&.r o Radiation o Special Devices o ,Other Devices ~Ot::P~'L. PLEASE NOTE; Air CQndirioner Unit.' Cannot Encroac:h into Required Side Yard Setbacks FIREPLACE MAKE AND MODEr... 6(;0 Industrle.l, Commerc:ill.l &. Multi-Family FEE SCHEDULE I % of jo~ CDat Residential. Gas Fi~la~e $39.50 minimum $99.50 JtC3idtntls.l, Ad.ditions &: All:i:r;l.tions $64..50 Re:ljd~tia~ AC Qn,ly $39.~O Rcslden.i,aJ, Hca.ting & NC (New Constnlctjon) Residential, Hea.ting Only (New Conmuction) 539.50 $39.50 Ellt.lmllted Cost $ . Building Permit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50' (Ome!: Use O.dy) This Application Becomes YOJlr Bundl,ng Permit When Approved aid Receipt No. IJlJildlnl: omchll Date By Dltc: Z41lour nlJUce flJr 1I11llJspectfoJl' (952) 447-9850, flU: (956) 447-424S PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUIl.DING AND INSPECTION SITE ADDRESS ~~ SO~t+ CLn ' NATURE OF WORK IJ~ USE OF BUILDING S~D PERMIT NO. 02- - 0 2-5'1 DATE ISSUED ~.~B-O'2- CONTRACTOR M c. \\)~ Q,wJ PHONE (d2 -1::;/- el.t/(j NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING ~ 13/z -z,{6 2,.- FOUNDATION (Prior to Backfill) 1'~ 3 (}::; () z,. b PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIG 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 ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE HAS B 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, c&rd shail be placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850