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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~Q ~ ~\=;-~
Date Rec' d
3- 7-02-
ADDRESS
g roe; l11e.re
LEGAL DESCRIPTION (office use 0?1~
"7 ?K't-M It
LOT BLOCK L ADDITION
I. White File I PERMIT NO g
2. Pink City . Oz _ (-)2.7, c"'
3. Yellow Applicant . - ::t.>_
tJ/vd P tV
ZONING (office use)
?Z-
f11eJ~w V;eu./
PID 25-384- - O~ -0
OWNER
(Name)
(Address)
C~ex
/ 2lf DO
(Phone) 952-~3h-'$ '3 3
J'1,';'jI\~~NA)~3~
BUILDER
(Name)
(Contact Name)
(Address)
,5~e
;vt;, k e. 1) ~ /l
c::; ~ e
(Phone)
(Phone)
- 5" 0tAIrl1 ~
~/2-o/9t::)-2///
New Construction
ORe-Siding
TYPE OF WORK
)1Deck
o Fireplace
DLower Level Finish
o Misc.
DPorch
ORe-Roofing
OAddition
o Alteration
DUtility Connection
PROJECT COST /V ALUE (excluding land) $
/25 LJOO
I hereby certify that I haye 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 upon the property to peril r n . ns
X
Permit Valuation (~S
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ 00 . O-e
Mechanical Permit Fee $ eJO .00
Sewer & Water Permit Fee $ -
Gas Fireplace Permit Fee $ 40 . DO
omes Your Building Permit When Approved
$:-/S--02-
Date
.2 b076 "? 3'7
Contractor's License No.
>/;I!c
Park Support Fee # $
SAC # $ /,200 ,aD
Water Meter Size 5/8"; I"; $
Pressure Reducer $ -
Sewer/Water Connection Fee # $ I, 200 .06'
Water Tower Fee # $ cOO .QO
Builder's Deposit $ ---.
Other $
TOTAL DUE $5273_/9
Paid
Date
S:Z"FJ J
-,. '( 7? ...,-z...-
I ~e;1'.~ 11 r 4-G
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
::~e:dSigned by the C~ity Planner constitutes a temporary Certiftcate of Zoning compliance and allows construction to com nce. Before occupancy, a Certificate of Occupancy must be
~ ----2t~B2-
Plallnt Irector Date pecial Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
,l.,:~:~;.:-.:.'\' '"', ....: ,~~~:1 ~-:..,.. ." "';'~'''' ....' ..;/(Ar- "'\l~' .
White - Building
Canary - Engineering
Pink - Planning
Thr C,nlr, of lhr "ok, ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT c1 /J/ii7/ -y sl-J~~
APPLICATION RECEIVED ,~-/- 0 <9-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I L/ 33 q -A/JtXJkm-eA-Q- B / vel .
Accepted
Denied
x.
Accepted With Corrections
Comments:
hnB
.sc.~ /Y1..,'" h't~
Date:
3-1 f-{)L
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 Cf'nlf'r or Ihe I..kr Counlr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
1'..,'....
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1-
I
.,,", .
Accepted
v---
Accepted With Corrections
Denied
c;;t4-<~ . 0v---,o..4'~
Date:
:31 ~/o2-
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."
The Ct'nlt'r or Iht' t.kt COUnll"}'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT C /?1t~ ~
APPLICATION RECEIVED 3 -7- O-a-.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
ILl 339- JJ/UXJ~~ 3 Jud.
Accepted
---r:'
Accepted With Corrections
Denied
Reviewed By: K.Q ~
Date: ~ - (<) -o-c
Comments:
S'~ ~ ~CkilA 't=:'-e
"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."
Date Rec'd
CITY OF PRIOR LAKE PLUlYIBING PERlvIIT
APR - 9 2lXk!
I. Blue File
: Guld Ct-,
] Yellow Applicant
I PERMIT i'i 0 j> J---- j J- 75f
(Please type or pnnt mJ SIgn ,It bottom)
I ADDRESS
1(3J f( b/'dtJtJtt(J/~ I3kd
I LEGAL DESCRlPTION (office use only)
I
ZONING (office use)
lC,T
BlOC;<-
AD DlTIOi'<
Plwt;-3.fLI-O~
: OW::;'ER~ ~
i (~;lme) ;J tt ~
I '
I (Address)
(Phone)
APPLICAN1/ )
(0iame) VI
(Address) PJC
(Address)
(Phone)
95t2- t/rJ0/a1/~/
1536w
(Zip Code)
(City)
(Contact Person)
(Phone)
APPLICANT SIGNATURE
DATE
Quantity I Type of Fixture I Quantity Type of Fixture
.:b I Bath Tub with or without shower I :J Rough-ins
I I Dishwasher i I Water Heater
APPLICA:','T PLEASE COMPLETE BELOW
/
S
I
I
I
I Floor Drain
LavJ.l:cr:,' : ?..:~~;:ccr:~ ': ::-::<;
I Water Softner
I St::;:c Pi;;e (','::.:;-,io:; :VL"::~::~.:~'
Sewage Ejector
! Backflow Assembly
I Backflow Assembly Test
Lawn Sprinkler
Other
I Laundry Tr:lY (lor 2 compartment sink
I Shower Stall
I Sinks
Bar Sink
Water Closet (Toilet)
FEE SCHEDULE
Industrial. Commercial & Multi-family 1% of job cost with a $39.50 minimum
Residential, New One & Two-Family 599.50
Residential, Additions & Alterations 539,50
Estimated Cost S
Building Permit #
PLUMBING PERl\1IT FEE $
STATESURCa~RGE $
TOTAL PERMIT FEE $
.50
r
(Office Vse Only)
This Application Becomes Your Building Permit When Approved
Paid
/"':t II'
Receipt Nb'~'
Building Official
Date
Date (\ijl~ - 9 2002
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
\...IJ I V.r rKlUK LAJ\.E
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec:'d
MAY I 0
(""" ~ ., ."", "'. '!II!! at bo"":
I ADDRESS
~3 3 ,. '&'0 ~W\.f.""A..
~ /tJO
~: S:w EJ~i"'" I PERMIT NO. ;J - d!l ;-1
I ZONING '--l I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
~ ('" f--c.. v.
Hd~S
(phone)
APPLICANT
(Name) /9~Clf -1-.' "'1
(Address) ) ?~-S"'c:>
~ ~OQ(i^, ?7vo
C!CH..f ^-~y e<l tJl
(Addrcs"
(Contact Person) ~, .,
APPLICANT SIGNATURE
(Phone) 7'3- q;J.9 - ;" 77
rn.p/II c.,~ 5"~-3" 9
(City) (Zip Code)
(Phone) ~l 2 - 3(. '3 -~~v" 7
-.
DATE ,S -/O-DZ
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION
FURNACE MAKE AND MODEL 8~y ~11.,J.
FLUE SIZE '-j II RETURN OPENINGS
TYPE OF SYSTEM
~arm Air Plants
OGravir:y
o Mechanical
(Q;(.r Conditioning
OVent. Syslem
o REPLACEMENT 0 ALTERATIONS
"? g.3 C7 ::f ~ c!) 70 FUEL Co 0.. S
~ INPUT 70, o~ OUTPUT .s-s: cOO
HEA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Olher 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
$39.50 minimum
$99,.50 Residential, Additions &. Alterations
$64.50 Residenlial, AC Only
$39..50
Residential. Heating &. AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost S
Building Permit #
HEA TING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
,...... -
l"':~, r D ~~n"rl..J
~ . _~~~_~ -' 1 J
. ~
ReceIpt No.
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Date
Buildinc Offic:lal
Dale
24 hour notice for .11 Inspections (952) 447-9850, fax (952) 447-4245
.
Z:0"d
Z:S9:2:Sz:t>:2:9L
OM~ ~NII008 ~ ~NI~~3H W~ 0t:S0 Z:0-0t-^~W
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
NAY , 4 2002
~. ~::n ~~~y I PERMIT NO. /1'7 '~O Z7rl
3. Yellow Apphcant , t..) (..r / ~
ZONING (office use)
14339 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
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
DATE
5/14/02
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
HEA TN GLO SL-550TR-C
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 $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
02 ' 07_'75
,50
..~, ,!H,n V."\;U
r \Fr',' '~,J ..
'I'f" j" n"'..~G.,.' p,-,'",co,:1
,~',~:!,; -:, ~"W'~,i~'____ ---~
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid Receipt No,
Date By
IvlAi I 4 JOII)
l.... ):.
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
10/07/2002 12:00 5
-- ..--:.=~:-'~ .........,-.."
\.:!U UF rlll~ L.4KE
PAGE 05
~OOl
D... Rwe'.
OTY or PRIOR LAIC!
SEWER AND WATER PUlMIT
,,~_~,"'_~"L 1
!i"J~~ft-~ &I've! 6/dq Lf
C/
t ;:. 5-1 PJ:~t NO. (~-.:1., ~.
I ZOND<O__I
K & R Contracting. Inc.
3245 Lake Avenue
l (AcUKu) - New Prague, MN 56071 c
I 95..z,75~.6247 Qr)
I <Cl;mt.lc.t PerIaI'I) t:R (/t..<r' __ ('1*e)
'''PPl.IC.\N'T$la~!-roe 6t-rl'1 ~_/1~ D"lI
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i ~-, !;?cjOO N~tt~~ ;j~< ,fJJ~O
:APiUCANt
(Nama)
.....
(PIaa8) ~
~ CadI'
J () /7,/O-'J
\
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APPLICANT PLEASE COMPUTE BELOW
Si38 at ~ JCrvicc --.&. t.a=..
LacaCOft of 81f c:ouplinp from ,~&O !ta
Type of'snwlr pipe, n A.B~ ~ 0 C- Ifgn
!sdmltacllfQCt1l ot wwcr lIise r..
C1eaD out (if~ located at &It fram ~.
nE SCHEDULE
"'idaft.~i ..... and ...r tiu~. S3'.~ I."arrW. CIrftI.t,. M~.""U)' l~ ~l" ~ ..1m. 539.50 _....
Sewer :nnncca. 0111)' S11.'O W... I:VfIll_I*, CIIlI) 'IUO
!Il..... Cod S
Builciinl Permit" _
"...-
~~ft
"'"'-0 P"I"'~" ~"".-.,
...
SiWE1 AND WAT!1t. PERMIT FU
STAnt St11lCHAJ.OE
TOT~'UMn' J"U
S
J
S -'"
(CMIe. lJ1,. cw,J
I T"'~""\I"." ,i..... v... ..-. ...... .>e. -- I \ : J :""[ ~
...-.. Of~:' .... I (X;T I 6 ~
24 I..'.. Il~ .., .111..'.... <,a) """-' ... (ft1) "'''I..aea \
.
DA TE TIME
CITY OF PRIOR LAKE ~/
INSPECTION NOTICE SCHEDULED 7-1/~if a ()t)
ADDRESS /L/fJL/~ 'If ,39/.3 /' A~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
c;)- ~TlI 7tc} 75;7'1
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
)i'J'PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
,
c.\\\
-4 0'<
/'
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~~, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ,,\} ~ Owner/Contr:
CALL 447.9850 FO~ HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INS/VOT!
c9L-~??)
White - Building
Canary - Engineering
Pink - Planning
Thr Crnlf'r or 'he I..ke Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
." J
NAME OF APPLICANT (~,/)~.t, y' ....( /cr/;j!.,:-C;~
APPLICATION RECEIVED . ~-7- 0 (}...
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
L/ ::;; 2 9 j);, -, / ..'. '. I)
I:J ~ '- 1/; 0~/jl'./i) " ("( \L.... ,=~ / 0<:::1 .
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
MtJf3
5c.e. 1Yl..,~ h'l c..
Date:
3-!!-()L
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."
l~fI-z ~r~-~~
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS JLlS"$'7 ?~UAo~ 7(uve
NATURE OF WORK fA )Q......}
USE OF BUILDING SF14
PERMIT NO. :lli;.OV::; DATE ISSUED s-{5'-o~
CONTRACTOR (1 PHONE (0(2- '/1(J - ZIti
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
1 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 BEEN SIGNED
I I
FINALS
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 havO) 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