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Yellow Applicant _ f../..JL W PID ZONING (office use) /<./ (Phone) 9~-C;3t/- 7<f3j~ --: 35 BUILDER <' (Name) OQ/11P (Contact Name) k-g;',// "5KyITC7/-1 (Address) ~m,o (Phone) 9 s~ - 9 5~ - 7fS 5' (Phone) U-;c:; -~7 -C/tj/C;;' TYPE OF WORK New Construction OLower Level Finish ODeck OPorch ORe-Roofing o Fireplace OAddition OAlteration PROJECT COST IV ALUE (excluding land) $ 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 perty to perform neede i ections ~ o Misc. x Permit Valuation Permit Fee $ Plan Check Fee $ State Surcharge $ Penalty $ Plumbing Permit Fee $ too .00 Mechanical Permit Fee $ 0 ..00 Sewer & Water Permit Fee $ 'SS' . s-O Gas Fireplace Permit Fee $ O~oO Your Building Permit When Approved 0-1-0~ Date 9?~Ct7 7~ 737 Contractor's License No. Park Support Fee SAC # # ORe-Siding OUtility Connection 'CC 0<; ~~~02 rfate $ $ $ $ $ $ $ $ $ I Paid 8/lj- 9Z Date 4- - () This is to certiJY 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 issued. L[/l~(l>2-_ ~~ ~tdU~ Date Special Conditions, if any - 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Water Meter Siz 5/8 ;1"; Pressure Reducer Sewer/Water Connection Fee Water Tower Fee # # Builder's Deposit Other TOTAL DUE CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 4-3-0Z- LEGAL DESCRIPTION (office use only) LO ' . ~lBLOCK ( ADDITION Date Rec' d I White File I PERMIT NO I 2. Pink City . 0 Z .,.. ^ --<01- 3 Yellow Applicant _ f../..JL W PID ZONING (office use) /<./ (Phone) 957> - c;.z; - 7<f 33 --:3 5 BUILDER <'"' (Name) ,-:) Q/11 P (Contact Name) j.-g;'i II "5kyITo /-1 (Address) ~Q7,o (Phone) 9 s~ - 9 5~- 7f,;;; 5' (Phone) Uj/C:;~5t/7 -C/tj/C;;' TYPE OF WORK New Construction OLower Level Finish o Mise. ODeck OPorch OAddition ORe-Roofing o Fireplace OAlteration PROJECT COST IV ALUE (excluding land) $ ORe-Siding OUtility Connection ,C;Z' 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 perty to perform neede i ections x Permit Valuation Permit Fee $ $ $ $ $ $ $ $ IDO .00 o ..00 3S' . s-C> O~oO Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee Your Building Permit When Approved t/-1- ad--- Date ~:X7a:7 74> 7"3 '7 Contractor's License No. Park Support Fee SAC # # 0</ ~~h~ rJate $ $ $ $ $ $ $ $ $ Water Meter Siz 5/8 ; 1"; Pressure Reducer SewerlWater Connection Fee Water Tower Fee Builder's Deposit Other # # 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 issued. Lf/LLl(IJ2- ~~ ~tc9U(. Date Special Conditions, if any - 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 TOTAL DUE I Paid 8/]J - 9Z Date 4' - ~ 0 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd ~. ::n ~~~y I PERMIT NO(J_ '::\.9/ 3. Yellow Applicant _:2L 0 I.Q ZONING (office use) 14421 CASTLEGATE WAYNW 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 F AIRVIEW AVENUE (Address) ROSEVILLE (City) 55113 (Zip Code) (Contact Person) BRENDA HUSTON APPLICANT SIGNATURE _BRENDA HUSTON 5/20/02 (Phone) _651-633-2561 DATE APPLICANT PLEASE COMPLETE BELOW X NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT DWarm Air Plants o Stearn PLEASE NOTE: DGravity o Hot Water Air Conditioner Units o Mechanical o Radiation Cannot Encroach into DAir Conditioning o Special Devices Required Side Yard DVent. System o Other Devices Setbacks FIREPLACE MAKE AND MODEL 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 & 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 # $ $ $ .50 '"'. .... , '- ""8 j::E (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No, Building Official Date By Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 The ('enler of Ihe 1..1", Counlry 6~-o376 White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ,~_l E Iv IE 'x' 6- ~,~ ......., I ...:; (2- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / 4- 4 2 I ~r}:-:7L E.- C; r7-n;; I vA L/ / Accepted x Accepted With Corrections Denied Reviewed By: AlIIB Date: Lj-/(J-O:2 Comments: See Reverse Side for Additional Information! 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." White - Building Canary - Engineering Pink - Planning The- C"f'nlf'r or Ihe I..kt Counlr)' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 06 AJ Tl3 'I 4--3-{)L- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted (!A-STL6~Tb WAY Accepted With Corrections -;7-- /4-42/ Denied ~ Reviewed By: kJ) rt-f:: Date: Comments: ~~ 4-\LAttacU ~~ ads 1-?- ~ "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." II.P!IB^ sq IOU IIBLls UO!P!pspnf sLlllo SSOUBU!pJO JSLlIO .10 spoo S!L11 lO SUO!s!^oJd sLlI ISOUBO .10 SIBIO!^ 01 AIPoLllnB s^!6 01 6u!wnsa.ld SI!WJad .uO!P!pspnf aLlllo aOUBU!pJO JaLlIO AUB lO .10 apoo S!41 !O SUO!s!^oJd a4l !O ^UB !O UO!lBIO!^ ^UB '!O IB^OJddB UB .10 'JO! l!WJad B aq Ol panJlSUOO aq lOU IIB4s SUO!lBlndwoo pUB SUO!IBO!l!Oads 'SUBld lO IB^OJddB .10 I!WJad B lO 6u!IUBJ6 .10 aOUBnSS! aLl.L, '- LO!b]jh :aIBO _ ~-' ~~:^8 P8M8!A8lj pa!uao SUO!paJJOO 4l!M paldaoo\f J paldaoo\f l. :lB pasodoJd S! 40!4M ^l!^!PB UO!pnJlSuOO JO! UO!lBO!lddB l!WJad 6u!pl!nq a4l paMa!^aJ a^B4 SlUaWlJBdao 6U!UUBld pUB '6upaau!6u3 '6u!pl!na a41. 03^1303tJ NOI1.\fOlldd\f 1.N\fOlldd\f .::10 3V11\fN J.SI1)1:J3H:J J.N3WJ.l::IVd30 NOIJ.V:Jl1ddV J.IW1::I3d ~NI01In8 6UIUUBld - )jUld 6u!Jaau!6u3 - ~JBUBO 6UIPI!"a - al14M ,(...uno.) ~".'I OJlIl JU U,U.l,) 'U~.l -- ~-_.._._-,- "..--.-..-- --_._-------_.__._-~---_.._~-_._-----~.~--,_.----------.._._~-~----~._-_._._-_._-- ~----~.._---_.__.._------ PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS 1'-l4.R1 C.o.stlejo..t.e W~ . NATURE OF WORK -.N~v.J USE OF BUILDING SFD PERMIT NO. ~ DATE ISSUED 4- <J. -~a::>;l.. CONTRACTOR (l . ~ PHONE t/~-3t/l-"9'/t:, NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT FOOTING FOUNDATION (Prior to Backfill) ~ ;h PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS DATE SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST j7 tc-/7 -c ~ ~-//j~(/r- e L/ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS GRADING (Prior to Sodding) BUILDING CD ELECTRICAL i$L PLUMBING HEATING DO NOT ~ OCCUpy UNTIL ABOVE HAS BEEN 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 FOpi ALL INSPECTIONS (952) 447-9850 _._._"'.'''._--"~'-''..'' ,