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White File 2. Pink City 3. Y cllow Applicant I PERMIT NO'Ol/OZ05 PID d5 - o(so~ oWle~ Z-A+kv mIVL-- Or. BUILDER IAA ( n I I (Name) ,'18f' Y"'- VI5~~ nonte5 (Contact Name) Vi 'f\., u::..- E, rd ~ (e.t (Address) (Phone) ZONING (office use) R (Phone) (Phone) 15"2-. ~(,. ~22- 1?~.J..50 . 88(,9 TYPE OF WORK ODeck ORe-Siding ew Construction OLower Level Finish o Fireplace PROJECT COST /V ALUE (excluding land) $ o Misc. OPorch o Addition ORe-Roofing o Alteration OUtility Connection 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 a ent or the above-mentio d property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitte s. I am aware tha ildin ffic' an revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter po rOf'erty to p ded i Il c. n x Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee l {9V - 19 (5 ( OO-<!:l8 3c;- ..s 0 .06 Gas Fireplace Permit Fee uilding Permit When Approved "5- It)-()v Date $ $ $ $ $ $ $ $ tRU/EV 3 - 24- () $ I . I ~;c"~~ 4/ j /IV POO Date 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 signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be iSS~ ' .: A~~~~ .'~t~"7~ ing Director Date S ecial Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 31(p~ Contractor's License No. Park Support Fee # SAC # Water Meter Size 5/8' . 1" Pressure Reducer Sewer/Water Connection Fee # Water Tower Fee # Builder's Deposit Other TOTAL DUE t; i;f!f ~~~ I Paid Date CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd ~. :;'~n ~:~. I PERMIT NO.-;_/~gS 3. Yellow ApphClllI . ~ V ZONING (office use) B/u c.R' &,~ y- LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) /?7e Y?/ (',,1.- IcY c--/5c~ (Phone) (Address) APPLICANT (N ame) (Address) (~/lyL /;,/ec"1~,,,,:c~ 2/0c.-''' 5 L'd//jkr-J ~ (Address) ./ A;)/ I (Phone) r5/-//Yd7-~.y'~ (Contact Person) ,:.h'?-d,-- 4", ~.:?5.,;L (City) (Zip Code) (Phone) ?/Z - ZZ/ - ~:7z:.:::;- ~Lb;..,~ DATE ~2 -- '/z- APPLICANT SIGNATURE APPLICANT PLEASE COMPLETE BELOW ~w CONSTRUCTION D REPLACEMENT D AL TERA TIONS '7 /7.6: . FURNACE MAKE AND MODEL /a:~1 ,,-,- 7t' /0 / C) 4 Oc:.XO! 7 CS 7?/ FUEL .-../ / FLUE SIZE RETURN OPENINGS /c:;.. INPUT OUTPUT TYPE OF SYSTEM REA TING OR POWER PLANT . . DWann Air Plants o Steam PLEASE NOTE: DGravity o Hot Water Air Conditioner Units ~chanical o Radiation Cannot Encroach into QP.i-r Conditioning o Special Devices Required Side Yard OVent. System o Other Devices Setbacks FIREPLACE MAKE AND MODEL "i (7 s.- .- O/) !:.; 6A-,.I-- I;'~ '/ FEE SCHEDULE Industrial, Commercial & Multi-Family I % of job cost Residential, Gas Fireplace $39.50 minimum Residential, Heating & AIC (New Construction) $99.50 Residential, Additions & Alterations Residential, Heating Only (New Construction) $64.50 Residential, AC Only Estimated Cost $ tJr 9, olA.'). t.5L.-" Building Permit # $39.50 $39.50 $39.50 .50 l'o J f'> . ~! f" -- rt) ~J,Dt~A ~ ~ t~ \1 ,-, ,,, ,.... ...... f.' "- '-. HEA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Building Official Date c Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT ; ~~~ ~:~y I PERMIT NO.v~ -c/-- &-c..-+- ) Y.!low Applicant . '-./ ---l ZONING (office use) 8hck /1 &"L .- LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION pm OWNER (Name) /?7Rr'-r//1-' c:;/S~ ,J . (Phone) (Address) APPLICANT (Name) 5;-LC~ ~Rc." -0'~~<:.,~ ~L( Z/OC' ~ &-2"'J'l~r-c:/ /7H (Address) -' A'/:/:Ja C'c/ APPLICANT SIGNATURE //~/7C'/ (Phone) 7~ - ~7/ - ~9'O ,Jc?rd~ ~u( >535 d2 (City) (Zip Code) (Phone) ~//-c?d/- 597~ ~A4~/C DATE ~-27- tlfz. (Address) (Contact Person) Quantity Type of Fixture Quantity Type of Fixture 2- Bath Tub with or without shower I Rough-ins / Dishwasher / Water Heater I Floor Drain Water Softner ~ Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) / Laundry Tray (lor 2 compartment sink Sewage Ejector / Shower Stall Backflow Assembly / Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler 3 Water Closet (Toilet) Other APPLICANT PLEASE COMPLETE BELOW 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 $ tf I/), ODD. /-7:;.> Building Permit # PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ .50 1::' r., 1':'. .) ~ '.~,>,,(;, (Office Use Only) This Application Becomes Your Building Permit When Approved ,. Paid '--- Receipt No. -=.---' Building Official Date 'e. Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 RPR-29-02 MON 09:00 RM.XLINGBERG CO. 4473982 P.01 f4 441-~- G.U. . "1l.1! "IEU,O. - ...1I0...1I'f QOL~ . !:;!\Tf CITY OF PRIOR LAKE SEWER AND WATER PERMIT ~'-- NO. ;)--:/ ? NOTE: Sewer and Water contractors must be registered with the city. ADDRESS: PO#6, Prior Lake, Mn. SIGNATURE' ~~ ~ SITE ADDRESS: 15437 Black_Bear Cir~le Merlyn Olson Homes PHONE: 447-2_557 DATE:_j/29/02 BLDG. PERMIT #~.Q2R5 PID# APPLICANT: Klingberg Excavati~, Inc. FILL IN THE BLANKS 1. Estimated length of water service 50 feet. 2. Size of water service 1 " inch(es) . 3 _ Location of any couplings from structure feet. 4. Type of sewer pipe. ASS PVC~ Cast Iron 5. Estimated length of sewer line~Q feet. 6. Clean out structure. (i f required), located at feet from ~~~~~=~===~==~===:============~~===~~~~=====~~~~~=~==========~==== This application becomes your permit when appro~ed. BY' DATE: ===============w;~=~======~~~~~=~=====~;~=~~~======~~~==~======~~~ FEES: $ $ $ 35.00 .50 35.50 Sewer and water line connection permit. Surcharge TOTAL * Fee for either sewer or water individually lS S20.00 plus $ .50 surcharge. * Sewer and water permits issued for new construction must be recorded on the building PQrmit card at the time of issuance to insure.that no duplicate sewer and water permits are issued. ,I-\,'-'t\;) 0 . CUi' 'r'. ! h... -~""'~I '-4 j DATE PAID RECEIPT ~ AMOUNT PAID REC'D BY ~f~ 4629 Dakota St. S.E" Prior L..<!Jk.e. Minnesota 55372 / Ph, (612) 447-4230 I Fax (612) 447-4245 AN EQUAL OPPOIUUNITY EMPLOYER The Center of 'he Like Coun'r)' White - Building Canary - Engineering Pink - Planning 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 ~~~4'~ Date: ,-~/~Io2-- Reviewed By: fA:1AMIlMtM4 ~s~ 0fZL J~ ~..4~ ~~ AMe I "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." 0;< -0;<85' White - Building Canary - Engineering Pink - Planning The' Cf'nler of thr takt ('oun..,.- BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT .' .), j .., I . _/: --'.'1 -'" -,~ lllt:".i /i If; / '- ~;' )c /,j I . , I. /") J'! '."'-' C. 1/ <. /'.1 '. '....../ APPLICATION RECEIVED ~; -'!"~ ,:) __:2", The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /:5 t/3;- '" ..:r /(/ 7"") r" c:} ,_l J jr-. ...,- Accepted x Accepted With Corrections Denied Reviewed By: NIfB Date: 3 -2 ~-o ~ Comments: See Reverse Side for Additionat Information!" (cub Bo~ MilS+- "''11/( f"o,J I9-t (AV(.r ,'", dr"I/l..l.V"t,/ , LoVlrS /VI" If b-L pllrG~'t6~rI Cfr mc,/II7k"c,,,r.t L.{f"'If(.v M()I'/ - Fr,' ~: gO - '-I :30 See Attact},plents: 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." White - Building Canary - Engineering Pink - Planning The Cf'nfer of 'he Lake ('ounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT merAIN O/SOtJ 1!6J?1e 6 APPLICATION RECEIVED (3 -1-0 ~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /5t;B'7- i3/ac~ 1l~D.-Y-C!/J-- Accepted Accepted With Corrections >Z- Denied Am ~ Reviewed By: ~~ Comme?)8: n ltQ~ aQ)~ atf-ac&ooQ Date: 3 - ~ '1 -O,?-- ~~~, "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 INSPECTIONRECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS 154~'l l5la~ ~r- ~. NATURE OF WORK }JJ2...) USE OF BUILDING SFD PERMIT NO. OZ/OZ-fJr' DATE ISSUED 3- f$"-o<. CONTRACTOR vt(<t~1A t'(S'cM-. bwu PHONE 95::>-2<')0 -8Ac..r NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT FOOTING FOUNDATION (Prior to Backfill) PLACE NO CONCRETE UNTIL ABOVE ROUGH - INS a.... SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST 02-- COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I Skcco La~ I I FINALS I/J 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 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