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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3--/9,02-
1. White File I PERMIT NO
2 Pink City . Oz. _ OJ 0 S-
3. Yellow Applicant .
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
(Address)
BUILDER
(N ame)
Ii ",'
/:!c//1tG .5
L~;J7 r''' Y
(Contact Name) ,,;$/1/ C;K~7Cn
(Address)
ZONING (office use)
/2 2_
PID;25-384-- O/B-O
(Phone) CJ~~ - 7'% - lrf35
/
"5t''3
11/17 ...: ~/} ~C;
(Phone) .ij$-...J l/..5 t; 7d'J5
(Phone)" Cj5c) ',.:;J 33 - c2"JC/.3
~~
/'-
ODeck
o Porch
ORe-Roofing
TYPE OF WORK
New Construction
ORe-Siding
COC'~ 6(; /'If1c(\J&c
~
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 upon the.pI9perty ,to perform nee ed' spectio
?/ '
o Lower Level Finish
o Fireplace
o Addition
OAlteration
PROJECT COST /V ALUE (excluding land) $
o Misc.
x
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
s";)7.-o-:l..
Date
OUtility Connection
:;tl--:ol 0(/ '7 /,~ 7' 5 7
Contractor's License No.
_C3}(7~~
/ D;i'te
Park Support Fee # $
SAC # $
Water Meter Size /8' 1 "; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
~cr $
TOTALDUE 'JRZWD 4-3-02- $
I~;'
324-.9
)
4-fr[f
I Paid
Date
7,3~, ref
. 'f- - (rl.~'
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
ned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
7~ A _ _ ~-"rJl.7 4/3/02- 0~/ /kr; -~. -1\ ~
~ Date ~ny
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
#4693 P.oo21007
Date Rec'd
FIRESIDE CORNER
CITY OF PRIOR LAId
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT 2 5
! APR ?no?
LEGAJ.. DESCRIPTION (office 13St: only)
I_OT
BJ..OCI<
ADDITION
I
(~hol'le) 651-633-7.561
ROSE~ MN
I (City)
~Olle) 6SJ.-633-256J.
I
I
I DATE
APPLICANT PLEASE COMPLEtE BELOW
I
I
FEE SCHEDTJJ..E I
1% ofjo" I;Qst Residentla.!.ol' as Fireplace
$39,SO minimum
599, SO Residcndlll. ~ditlons &: AltIlfatlons
$64. SO Residential, rC Only
,
,
Bl,dIdiog penbit #
I
!
$ i
$~
$--+----
IOWN;
(Name)
(Address
~
APPLICANT
(Nam.e) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Ad.dress) 2700 N. FAIRVIEW AVEN,tZE
(Ac:f/1rI:s5 )
BRENDA HUSTON
(Contact Person)
APPUCANT SIGNATURE
EW CONSTRUCTION
FURNACE MAKE AND MODEL
FI,..UE SIZE RETURN OPENINGS
TYPE OF SYSTEM
DWarrTI Air Plants
o Gra,vily
o Mcch!l1liclll
OAlr Cl;mdjtjcning
OVcnt. System
FIREPLACE MAKE AND MODEL
, J) ~f.p
[nd.l,lsrrjll/. Commercial &. Multi.FlJmily
Reside''ItjaJ, Heating & Ale (New ConstructIon)
ResidentillJ., Heating Only (New Construction)
Estima,ted Cost S
I
i
i~ S.n! I PERMIT NOOJ- 3oS1
I
ZONING CQf1'lce u,,,)
PID
(Ph.one )
~~11 ,
(ZJ.p Code)
o REPJ...ACEMEN11
!
i
o AI... TERA TIONS
FUEI_
OUTPUT
I
INP~T
HEATINGORPO~RPLANT
i
o Steam i
o Ho~ WB.!cr .
B Radi8/;ion i
SpecIal Devices !
o Orhcr Di:Vlccs ,I
Pl..EASE NOTE:
Air Conditioner rJnitll
Cannot Encroach into
Required Side Yard
Setbacks
.,J'"L. ..=JO'C1JZ.- c:
$39.50
S39.50
$39,SO
HEATING PERMIT FEE
~ft ATE' SURcHARGE"
TOTAL PERMIT FEE
/'" r.,
", ,
(omc:c: lJne Ollly)
Tbis AppUcatlon Becomes Your Building Permit When Approved
Paid
!
Receipt No.
.....
D.r~
24 hl)lrr ,,"II~ ror DlllrtllpectJDns (95:%) 447-9850, ~l( (952) 447-4245
I
"
Building OfficIAl
Date A.P.
CITY OF PRlOR LAKE PLU0tIBIl';G PER'IIT
Date Rec'd
trJS-OJ-
(P!C::1se tvpe or Clnnt and SIgn ,It bottom)
ADDRESS
~. ~~~ ~!~ II. PER-'rIlT NO'n_ 3 o~_-I
]. Yellow .\POIIC:lnt . ~ J _
/t/t/641
(!af4pt1H
ZO~if.'iG (iJrf:c:use)
~II-
I
LEG1J...L DESCRlPTION (offic: use only)
LOT
BLOCK
ADD(TION
pm
I 0 \"v ~iE y-) ,fi
i (~iJ.!7:e) .It? J'l f J(
! . .
t
! (.~J.dress)
(P::one)
: APPUC.j"NT
! (N;H:1e)
I
I. (\ ',l-o~~)
:~""''''''''''..J.J
,
I
tl0~ - tj?J\!/.. tl/o1/
~~-JScV
(Zip Cede)
(C~[y)
i (Cor.tae: ?e~~on)
! APPLICA,:,iT SIG:--iATURE t!A/lh U dAAA..?
(?hcne)
DATE
-1S; {)02/
APPLICANT PLEASE COMPLETE BELO\-V
I Quantity
I ~
I I
I
..?
I
I Type of Fixture
I Bath Tub with or without shower
I Dishwasher
I Floor Dram
I L:lVatorv (Bathroom Sink)
I laundrY Trav (lor! compartment smk
Quantity
3
I
/
I Type of Fixture
I Rough-ins
I Water He:lter
I \Vater Sot1ner
I Stand PiDe (\VJ.shing Machine)
I Sewa"e Ejector
- - ::>
I I Shower Stall I Backtlow Assembly
/ I Sinks I Backtlow Assembly Test
I Bar Sink I I Lawn Sprinkler
I
3 I Water Closet (Toilet) I Other
FEE SCH.EDuLE
[ndustrial. Commercial & Multi-family I % of job cost with a $39.50 minimum
R~sjdential, New One & Two-Family 599.50
Residential, Additions & Alterations $39.50
Estimated Cost :s
Building Permit ;;.
,50
F
bt
f){jJV
PLUMBfNG PERNUT FEE
STATE SURCH.A.RGE
TOTAL PERlVIIT FEE
$
$
$
(Office Vse Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
Date L-/- J-S -0 'C7-" By
2~ hour notice for all inspections \952) ~7.98S0, fax (952) 4."7-4::45
" .', _.: _:.:,CITY .OF PRIOR LAKE MAY' 5 2lIIte Rec'd
HEA TING/ AIR CONDITIONINGIFIREPLACE PERMIT
~: ~ ~!~. I PERMIT NO.J__ 30 ~
J. Yellow A.pph<M1 . tZ.. V
I ~~';'rim ud,i", ..~
1'1'1 L0 ~~st./A-' ~.ft.- Le>j
I ZONING ('....-l I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIn
OWNER
(Name) c:!.re /I f(. y
)10m'! t;'
(Phone)
(Address)
APPLICANT
(Name) H~o.+. Y--J
(Address) , ? S-5"o
:}. eo.o /..", 7 f//Y'O
~C)vt1 r'f U if
(Address)
(Phone)
7G 3 - 4)... ~- 5b 77
/"I'7,!p/~ (~fO~
(City)
5"S-:1c..<J
.
(Zip Code)
(Contact Person)
-
I ': ,. "'1
(Phone) ~/ L - 1 to '3 - >5"(, 7
DATE s-:- ~ S-~ ~-i,...
APPLICANT PLEASE COMPLETE BELOW
APPLICANT SIGNATURE
EW CONSTRUCTION
FURNACE MAKE AND MODEL I3r'l' Q ,.,+
FLUE SIZE Pv C RE11JRN OPENINGS
TYPE OF SYSTEM
[iJWarm Air Plants
DOravity
o Mcchankal .
~ir Conditioning
~ent, System
o REPLACEMENT 0 AL TERA nONS
3.50 '-f Yo ?O FUEL &0.5
3' INPUT tlo, 000 OUTPUT 7"1,060
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 ~1AKE 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 Residential, AC Only
539,50
Residential, Heating & AlC (New Construction)
Residential. Heating Only (New Construction)
$39.50
539.50
Estimated Cost S
Building Permit ##
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
s
s
s
.50
P,j r!"'\ I A '1"" ---,
tl~,' 1"'\;.~ lI',/ 11-1
",",-U.,\'G Q.---
. '. 1 a.:..."."~;'t.;~iT
(Office Use Only)
This Application Becomes Your BuildinK Permit Wben Approved
~-
Paid
. ReceIpt No.
nate
Date
,11',1 I 5 20U2
By .
Buildlnc Official
24 hour notice for all Inspections (952) 447-9850, fll (951) 447-4245
10'd
:G8928:Gp29L
...
aMi ~Nllaa8 ~ ~Nli~3H W~ 21:80 :G0-~I-A~W
White - Building
Canary - Engineering
Pink - Planning
ThE' ("tn1er of Ih.. Lab Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1./ / /'" / i. "l(
/1/ ,...,
I ,. , i \... '_,,:
" i~-
~".-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
. I ,.,' "
" .. .. ,. 'I
,/ i....-
/ (.. / (. ( C
" .I
, ,
/
Accepted t/
Accepted With Corrections
Denied ~~
Reviewed By: # ~
Comm nts:
Date:
LJ!J--/LJ 2-
"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 ('t"nft"r of fht" Lab Count.,..
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
~8~X ;-/O!1 E5
_-:S-jq- ()2-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/445 fb
(}T1_S-//E{i R-re:
VV ~I
I
Accepted
Accepted With Corrections
/-
Denied q/}/J 4
Reviewed By:~j;W Date:-S'- a')~{JA
Comments:
~ltracO aQL affCLcW ~ ~
"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 ('enler of Ihe tlke Counlr)'
(?~ -63OS-
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(~-E;lv/7~)( f/Cl-Jw
3--jq- elL
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 445 ~,
r}/lS--?lEAJ/tTE;: ~. v/-+-Y
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
A1'fB
Date: 3 - 2g- 0 2-
Comments: See Reverse Side for Additionallnformationl
/
NO
) k~l (j ~__)
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."
PRIOR LAKE
INSPECTION RECORD
(J L<.". f: 115~ { 1*0
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /L/LI5lt?
NATURE OF WORK ew
USE OF BUILDING r
PERMIT NO. DATE ISSUED 3-;;27-02-
CONTRACTOR $ill PHONE l.d2 .7(,1.-. (,rl(.,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT.
FOOTING
FOUNDATION (Prior to Backfill) A
PLACE NO CONCRETE UNTIL ABOV
ROUGH - INS
DATE
02.
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~:5 b~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections havEt been -approved, On buildings and additions
where no service cabinet is available, card shall be placed near main entrance,
}-
~
6.,..
SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850