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Date Rec' d
3- 7-{)2-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
LEGAL DESCRIPTION (office use only)
./ tJl/"ceA. 13
LOT BLOCK2-- ADDITION
OWNER
(N ame)
cWex
12
If; /It ~:5
'~~J)/, 5~k 12CJ
(Address)
BUILDER
(N ame)
(Contact Name)
(Address)
~i~i~e ~:~y I PERMIT NO, f), -'7 -0 2 7 '''1
Yellow Applicant , _I:::::. I ,
ZONING (office use)
feZ-
/I1?I:Ji Ptt9r-e- I!>/ ucf ~AJ
5/f7t1E
1Z1, '/Le- .f) ~ /I
<;~e
TYPE OF WORK
,JiNew Construction
OLower Level Finish
o Misc.
PID 25- 384-- 00 ,0
(Phone)
?JZ -1' 3~ - '/$33
~eL II/!/
(Phone)
(Phone)
;:, /z - q?CJ - 2//1
eck
o Porch
ORe-Roofing
ORe-Siding
o Fireplace
OAddition
OAlteration
OUtility Connection
PROJECT COST IV ALUE (excluding land) $
2..5: .!JC) 0
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
;k,"POOili'P_"P'~_ 2~ 7~ :;>37 3)~2
, Signature Contractor's License No.
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
()t) , DO
Joo.oo
L(O.ot:J
our Building Permit When Approved
~ -1C;..CfL
Date
Park Support Fee # $
- --
SAC # $ I. 2CX) .ocr
Water Meter Size 5/8"; I"; $
Pressure Reducer $ -
Sewer/Water Connection Fee # $ J.!)CXJ. 0 0
Water Tower Fee # $ ( 76d.OO
Builder's Deposit $ -
Other $
TOTAL DUE $.SZ'75./q
Paid
Date
,577).
---;. t...1
This is to ccrtify 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 si ed by the City lanner constitutes a temporary Cerllficate of Zonmg compliance and allows construCl1on to commence Before occupancy, a Certificate of Occupancy must be
,," "3 ~~ IJYL ~ ~~ ~~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
White - Building
Canary - Engineering
Pink - Planning
Thf' Crntf'r of Iht' tlkt' Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ctfl vfPV #)/Jle0
APPLICATION RECEIVED 3- /-o~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/L/3L!3 llrctJkJJ1('re B/uc/
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
1J1'f13
Ge~ m4/;' F,'/(. .
Date:
3-/f-o?-
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.jurisdictionshall not be vali,cj." ,
The ('rnltr or .hr t.kr Coun'r)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT (tedey #c..J/JJet5
APPLICATION RECEIVED 3- /-o~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'-/30/3 8~{)km~re f]/I/C{
Accepted -/-..
Denied ~
Reviewed ByVa
Accepted With Corrections
commentshQ ,-.....
~~- (t{a~- - ~.'t~
Date: ?./S-- -d <=--..
"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 Cenfer of 1hr tah Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'.
,_/
Accepted
.~
Accepted With Corrections
Denied
~~
Date:
,-:S IU//JL
.
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."
Date Rec'd
CITY OF PRIOR LAKE PLULVIBING PERJ.'VIlT
lii..)'n
.., '0( 9
.1; h -
~. ~~ ~:~ I PERi"IIT NOYl''')-O'J7'''' I
J. Yellow Applicant . U c7" ,;4 _ I .
ZONING (office use)
/ t-/ 3 L ,3
$~/~lA.lri
13 /;/ {JJ
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADD[TION
pm;;! 5-
-Obi 0
I ~~e~R ~
(Address)
(Phone)
APPLICANT
(Name)
(Address)
t?~c:~t?C~~' .:J/~/
"'S-:> 52---'
(Zip Code)
(Address)
(Contact Person)
(Phone)
APPLICANT SIGNATURE
DATE
i:tJoU'
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
J., Bath Tub with or without shower :3 Rough-ins
I Dishwasher ( Water Heater
/ Floor Drain Water Softner
\1 Lavatory (Bathroom Sink) / Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink Sewage Ejector
/ Shower Stall Backflow Assembly
/ Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
J Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBfNG PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
(Office Vse Only)
This Application Becomes Your Building Permit When Approved Paid
Building Official
Date
hl-'i~ - 9 21)(,1-: By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
ell}: U~. YKlUK LAKE
HEA TINGI AIR CONDITIONINGIFIREPLACE PERMIT
Date Ree'd
""AY I 0 2002
(please type or print and sign at bottom)
I ADDRESS
/ '13'13 _ ~/cJD ~ ~/-<"
~: ~ El~i"'" I PERMIT NO..,)_ d 71
6.JUD
I ZONING c.... -J
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
~(.~ ~-<. 'L
Ii eJ n-.Il. S
(Phone)
APPLICANT
(Name) . AI'~C11 ~~. __.,
(Address) J r-J-S"c:)
+- ~ C:;H.;) ( I ^J 77vo
CeJ\,.f 1\,+'1 eql gt
(Ac1dres~
(Phone)
7'3- q;;<)> - ~(, 71
~<l)-3" ?
(Zip Code)
f'nopl4 c.~
(City)
(Contact Person) -:r;:;, 't
APPLICANT SIGNATURE
COc~
(Phone) fal '2 - 3<. 3 -.~~v.. 7
DATE
<) -/0 -01.--
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION
FURNACE MAKE AND MODEL 8;"''1 Jl911.,t.
FLUE SIZE 4 'I RETURN OPENINGS
TYPE OF SYSTEM
~arm Air Plants
OGravity
o Mechanical .
~r Conditioning
OVent. System
o REPLACEMENT 0 ALTERATIONS
~ R.3o ~"C!) 7-0 FUEL Co 0.$
~ INPUT 10,0<)0 OUTPUT 5"5: oc:,)()
HEATING OR POWCR 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
$39.50 minimum
$99.50 Residential, Additions &; Alterations
$64.50 Residential, AC Only
$39.50
$39.50
539.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE S
.50
? ,,-
G1.t:J~".,_I,...-, \-
.-,<,:",.,,,",~,; -'....
Receipt o.
(Office Use Only)
This Application Becomes Your BuUdinl Permit When Approved Paid
Date
Buildlna Official
Date
y I U
24 hour notice for aUlnspectlofts (952) 447-9850, fax (952) 447-4245
.,
t>0-d
Z8928Zt>29L
OM~ ~NI'008 ~ ~NI~~3H W~ ZI:80 Z0-01-^~W
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT MAY' 42002
~. ~~~n ~:~y I PERMIT NO.O? - A ? 7 '71
3_ Yellow Applicant '- V v _
ZONING (office use)
14343 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 NORTHFAIRVIEW 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 D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
DGravity
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
.- -----.,
'\
// FIREPLACE rvtAKE AND MODEL
~'
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
HEA TN GLO SL-550TR-C
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial, Commercial & Multi-Family
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
(J l -0 Z 77_
--
,...... PAtO wITH
.50 r:,,:'\'=D~NG PE.RM1T~
(Office Use Only)
Building Official
Date
Paid Receipt No.
Date MAY 1 4 2002 By
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
10/0_7/20FJ2 _1;2:_0_0.. _, 5
~ ..........'....8
I..:!H U.. r.lUw. L4.XE
PAGE 05
a1oo1
D.te R.e',
CITY or PRIOR LAJa:
SEWER AND WATER PERMIT
"~_~,,,,,_~,,L J
17:.c13f)r~8tvcl 61dct4
u
t ~ S-l P&~tNO. d---;;:>77]
- i toND<<l__,
t.8OA.L .DL-.J7T10N {~.....a,: -
:'OT .LOCI:. A.tlDmON
---
PID
:O__~ ~~ : ~
i =~ !;{~; W~~~ i ,~fJ~O
~~;;k~,1vU .-~i~
: A.P'Pt.lCA.NT
(Name)
)ld....
K & R Contracting, Inc.
3245 Lake Avenue
j (AlSodRu) ~ New Prague, MN 56071 cOW)
r 952~75~.6247
i <CCl1It.lC.t Penon) 8 t..'/t..r.r' __ cp*e)
, "PPLICANT SIO!i~'rt1U ()tXP 1 ;f./ /JAh/1 ~ DATI
~ CldI)
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APPUCANT PLEAS" COMPUTE BELOW
s. afMCW JCrvicc ~ ta=._
Locacioft of'my couplmp tram ,~ &0 ft&
Typ of ...., pipe. n AB~ ~ 0 C- Iran
!sdmlacllacth at WWft l1ie r.t.
C1eaa out (if ~ locafed at r.t &an11UUC11n_
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nE SCJlE.DV1.J:
Jla!dan.~j ........ md .arlUut~. S3HO I...Ir1II. CCIIII'tA M~~llImil)l I~ crfjeItJ ~ ...t1!l . S39,51) _11II....
s..er ;ntI1ICca. OIl!)' S11.'O W... ~~n_l'" ..I) 111,'0
!Ir...... Cod S
BuU4inl pllftlljl " _
SiWE1 AND WAT!1t. PERMIT F'1t!
STAnt St11lCH.U.GB
TOT A.t. PIAMn' nz
-...."",,::--
, f'lA"O--'-
~../~.., 1l.+1.n-,~
~,,~\~rt'~p!11
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24 IUIII. 11-'* "r 1111..'..... (,aJ ..,..... III (WlJ &lj..Q..
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-- ~..or~~ ..
- "-
(p2,-oZ77
White - Building
Canary - Engineering
Pink - Planning
Tht> Crntt"r of Iht> t..kt> Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
'</.'-'~"") ,. / - ....-' . C"'/ / . , ,<,7' r
. i./ ;.~ l. ,I /'--' V -'Of / /"l"/-' ",
.. ' '. ..../, { J (-,.1 , I! _ '-"
APPLICATION RECEIVED
.;;: -j'O_ / )1
....,. ( / "',
....... ./-'" --
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
, I j
'I "'I
,t-" '
I '
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
1J1'fJ3
Gc~ ty/flt,Y,
Date:
3-lt-o~
Comments:
F,'/(
"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
~~~t~~
DEPARTMENT OF
B~ILDING AND INSPECTION
SITE ADDRESS ~1<)s'1 bro()\::~ [S{ud(
NATURE OF WORK tJel0
USE OF BUILDING SP~
PERMIT NO. /)2 ..0'2 77 DATE ISSUED
CONTRACTOR 00'A~ I PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING !
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC .
FRAMING -~ \ \'.. ..... 5"-'~l...Oa
INSULATION \.
ELECTRICAL
PLUMBING ~. ~.U fLU.f. ~ _~\ ...0;;1
HEATING (if required) ~~~ v\
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 BEEN SIGNED
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