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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
fv~A~ N FILE
Date Rec' d
3-7-02-
1. White File I PERMIT NO I
2 Pink City . O'2~ - 0 ') 74-
J. Yellow Applicant . _ L-
ADDRESS
!t.f35 > j5'o~tM~e IYvR /V~
LEGAL DESCRIPTION (Office;;:JA)
LOT L/ BLOCK L ~ITION
ZONING (office use)
1<2.
~tU(/;~
OWNER
(Name)
CeJ-ex lh/l1e5
rZ C/OO it) ~f~
(Address)
PID25-38
&8-0
(Phone) 95 ~-1.5,6 - ~~ ~
su.,'k /c~ h/A.I1~~~..44/ 5:Y.J
BUILDER
(Name)
(Contact Name)
(Address)
5~~
=:t ~. ~ ,'/<e .f)~ /l
.5 ctA11 ~
(Phone)
(Phone)
(/ /2 - 79~ - 2//1
TYPE OF WORK
ORe-Siding
?New Construction
OLower Level Finish
~Deck
o Fireplace
o Misc.
OPorch
ORe-Roofing
OAddition
OAlteration
OUtility Connection
PROJECT COST/VALUE (excluding land) $
/2.5': t? t:J ZJ
I hereby certity that I have furnished information on this application which is to the best of my knowledge true and correct. I also certity 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 e eeded ins ections.
X
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ 00.00
Mechanical Permit Fee $ l 00 . eB
Sewer & Water Permit Fee $ ::J rs . S.
Gas Fireplace Permit Fee $ t..( 0 <90
ecomes Your Building Permit When Approved
~S--O.L-
Date
z. Oc 70 ?3,
Contractor's License No.
3/~~
Park Support Fee
SAC
...
#
..~
Water Meter Size
lec ~oC
130 .60
4s.C>6
l 200. t)O
'100 . DO
500 - 00
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
$ '1 tf33. &
I ~~tt 41S<f6
I Paid
Date
"J -f3~ (,r.
3" zCJ "'()
3/2-QCJ7-
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 sign by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be
issued.
Date
~~~W~i-btt1/~
Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
]6200 Eagle Creek Avenue Prior Lake. MN 55372
Date Rec'd
CITY OF PRlOR LAKE PLULYIBING PERNIIT
I. 13lue file
:. Gold Cl'l
3. Yeilow Applicant
";')
'. - 9
I PE&\IIT NO. 5;?- - () ?1~I
(Please type or orint and Slim J.t bottom)
i ADDRESS ,(/
/1-/33; D/,{J{Y/#Jl/t
6/ud
I ZONING (office use)
I
i LEGAL DESCRlPTION (office llse only)
I LOT . BLOCK AD DrTION
I
PIDJ5-3f4-06?-()
~ OW"NER ~ 11t
I (~ame) . rlj( y1
I
I
I (Address)
(Phone)
(?~{;r.~~~
/)52- t/tjj//J;/J/
6~WV
(Zip Code)
(City)
(Cont.1c: Person)
APPLICA~T SIG:'-IA TURE
~
/dk#
(Phone)
D A. TE
APPLICANT PLEASE COMPLETE BELOW
[ Quantity I Type of Fixture I Quantity I Type of Fixture
, if I Bath Tub with or without shower i -S I Rough-ins I
,--
/ Dishwasher J I Water Heater
I I Floor Drain I I \V.:lter Sot1ner
..J Lavatory (Bathroom Sink) I I I Stand Pipe (Washing Machine)
/ I Laundry T rJ.Y (lor:: compartment sink I I Sewage Ejector
I
I. Shower Stall I Backflow Assembly
I Sinks I Backtlow Assembly Test
Bar Sink I Lawn Sprinkler
.:J
Water Closet (Todet)
I 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
Estimated Cost :5
Building Permit ;;
PLUMBfNG PERlvlIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
".,.~
PAl;"
. ',-, '."1:
Receipt No.
(Office L'se Only)
This Application Becomes Your Building Permit When Approved Paid
Building Official
Date
APR - 9
By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT MAY j 4 tUlI:
~. ~~:n ~!~ I PERMIT NO.O'2 _/)? 7...1' I
3. Yellow Applicant ,... (..... C/ ~
ZONING (office use)
14337 BROOKEMERE BLVD
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
CENTEX HOMES
(Phone)
(Address)
APPLICANT
(Name)_ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone) _651-633-2561
ROSEVILLE
(City)
(Address)
2700NORTHFAIRVIEW AVENUE
(Address)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
DATE
5/14/02
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
__' ___~ DVent System
FIREPLACE ~E AND MODEL
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
HEA TN GLO SL-550TR-C
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
()z--oZ74-
....---.'
r PA1D VVIT'~
'~tm D'~.lG F
\ _' C>.!.JI',J:!;r' , f:,.' ,-
.50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
(Office Use Only)
Building Official
Date
Paid Receipt No.
Date I'iM I 4 2D02 By
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
LITY UF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
. , 0
/Y 3'37
y ~. k.... ~ A...
r31- p
t ~w Ei~ianl I PERMIT NO. (~- J- 7 r I
I ZONING (,.... "" ]
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
~(" f--<. v.
It t:J n-.Q. S
(Phone)
APPLICANT
(Name) #~CIr ~, . "1
(Address) ) ?-J-S"'c)
~ (700(1", 77....,0
t!UY 1\.~'1 e~ g'1
(Addres~
(Phone) 7'3- ~;;<? - -:j" 77
';'..914 G.,.ot-a ~~-3"~
{City} (Zip Code)
(Phone) fal 1 - '3<. 3 - S-~(A 7
DATE S- - ) CJ- ~/_
APPLICANT PLEASE COMPLETE BELOW
(Contact Person) ~"Y
APPLICANT SIGNATURE
EW CONSTRUCTION
FURNACE MAKE AND MODEL et"'y '111-f
FLUE SIZE 4' II RETURN OPENINGS
TYPE OF SYSTEM
C3'Warm Air Plants
OGr.lvity
o Mechanical .
[g.(l'r Conditioning
OVent. System
o REPLACEMENT 0 AL TERA TlONS
~ g.3o ~"t!) 70 FUEL G:, ~S
~ INPUT 70,o<JO OUTPUT 5"5": o~
HEATING OR POWER PLANT
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
I % of job cost Residential, Gas Fireplace
539.50 minimum
$99.50 Residential, Additions & Alterations
564.50 Residenlial, AC Only
539.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
539.50
539.50
Estimated Cost S
Building Penn it #
(Orner Usr Oaly)
This Application Becomes Your Building Permit When Approved
HEATINGPE~TFEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
/.
"\
.-'
Pai
,
Receipt No.
Building Omcll'
Datr
Date 1\;"
I 0
By -
14 hour notice lor III Inspections (951) 447-9850, In (952) 447....145
tla-d
ZS'9:2:SZv:2:'9L
.
OM~ ~NII008 ~ ~NI~~3H W~ lat:Sla Zla-lat-^~W
10/07/2002 12:00 5
_._,.. __ -~~:_I--:":= -.....'....8
~nl UF PIUW. L4KE
PAGE 05
aI 001
D." R_"
CITY or PRIOR LAXI
SEWER AND WATER PUMIT
:"OT ILOCI'. Al:JDm<>>l
-------.-
PlD
;OwNn ~~~J ~ ~
i =~ J;{tJ<<: I!l~~ /Jr. ,fJ~O
~~k~t1{IU {...,~~:;.~
:APiiITCANr
(Namt: )
K & R Contracting, Inc.
3245 Lake Avenue
I (AlS4Kt.) - New Pragu~, MN 56071 c~
I 952}5~.6247
I <Ccmt.lc.t Penan) t':R{/t.<r -- ('1_.)
. ..PPLlCAl>'T SIO~tulU! b(/c~ it.t-(/.~ 1)4'1"1 i O/7jO'::'
APPLICANT PLEASE COMPLETE BELOW
Si38 of Mt8' -.crYicc ...l.1il- iad!..
LocaCOft of ImY ~uphnp tram J~ ~ f'tc.
Type of tnWer pipe. n AB~ ~ D c- tran
!stimltalllacth ot wwcr lID.c feet.
Oeaa olJl: (if~ located at fMt free~.
l.& CallI)
I
I,
j
I
(PbI:lDa)
nE SCHEDL'LJ:
....l\klll...i ........Itl(l .lJIIr 1iP~. SJ5.SO I.ea,""', CcrftI't a MI.dIi.tluaiJy \,., ofj" c;am whlll 139.50 ......
S-e:r ::.IW1n.c:a. 0111)' S1'7.'0 W"l;~nlCl_ GIll, '11.50
Ea....- Cod S
B\liJdlnl Pmnit . _
SEWE1 AND WAn.. PERMIT FU
STAnt SUllCHAJlOE
TOTAL.UMIT J"U
$
I
S
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[ ~ .
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(o.lae u~. 0.,)
I T...-....II...... .....- Y..- ...wI.. ...... w... .....-
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I =... OCT i6 2Im.~; (
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2.11.11. II..... .., .111..'...... <,aJ ..,.... ... (911) ...,.~..
..
White - Building
Canary - Engineering
Pink - Planning
Thf' C"tnlt>r or Ihe I..kr Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
i'''"''\
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-,'
Accepted
Accepted With Corrections
~
Denied
~!kr~~
Date:
3/'2-0/D '2-
Reviewed By:
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."
~'Y~: ..".,..
, ....,;.-.......-
- Engineerin
Thf (",nln or Ihf I..lit Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(lP'/JI2tv~ fJ O~
/
3-7-()?-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
}L(3~1- I!J/Jool! /J~1Jb fj/vJ-
,
Accepted
Denied
x
Accepted With Corrections
Reviewed By: ---A?4 B
Date: 3-/8-0'L
Comments: See Reverse Side for Additional Inform::ltionl
Drivewa)6Mll~t H;we Concrete Apron
mDt,,, ~'/(
See Attach!1lel)t~: " 1) (3,rading Plan, 2) Erosio':l 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."
f(f
~~
White - Building
Canary - Engineering
Pink - Planning
Tht' Ct>nltr of 1ht> Lakt ('ouR.r)"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT (l...t!/r~~ fJ O~
APPLICATION RECEIVED 3 ~ 7-();).....
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
)L(3?:>1- 8/2()()k!~-1Jb (3) vel-
Accepted
Accepted With Corrections .x:
Denied ~
. &-/-
Reviewed { . . V
Comments:
Jo~ nQJ (ittQd&cQ f4J)~
Date: '3 -/S---' 0 ~
"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."
.
DA TE TIME
CITY OF PRIOR LAKE ~/
INSPECTION NOTICE SCHEDULED 7~ I/-if d 0-0
ADDRESS IELfl'l'1 'if ,39, 3 7 AU;lJ;f-n~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
f;)- ~~tl 7~J 7S;7~
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
"'PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
\
C\\\
4 0'<
/'
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~~, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ )J ~ Owner/Conte
CALL 447-9850 FOR HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
II'ISI'IOTl
PRIOR LAKE
INSPECTION RECORD
Mao'", ~~
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~I:S-s~ ~klM..~
NATURE OF WORK II Jw
-
USE OF BUILDING ~FI\
PERMIT NO. 02-(1Z74- DATE ISSUED g - J~62-
CONTRACTOR r~ PHONE (p('z,C(rO -2/I(
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING CSd
FOUNDATION (Prior to Backfill) ~~?- 4 \OL ~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN IGNED
ROUGH - INS
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING e 4 <A. \~
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BE
I
FINALS
GRADING (Prior to Sodding)
BUILDING e () f) <
ELECTRICAL
PLUMBING
HEATING
DO NOT
SL/
OCCUpy UNTIL ABOVE HAS
NOTICE
(; 7 fj~
l\
BEEN SIGNED
This card must be posted near an electricaLcs:;rvice 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