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CITY OF PRIOR LAKE BUILDING PERMIT, Date R~e~ _
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT Lj -I t. -0 ~
I. White File
2 Pink City
3. Yellow Applicant
PERMIT NO.oa -0430
ADDRESS
S~J!-I
20NING (office use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK I ADDITION
Cr
f
PID
OWNER
(N ame)
(Phone)
(Address)
BUILDER,
(Name) tJi!/v.f /J7 (f'.AnV /Jo m~f
(Contact Name) Gc;.r- y :J~hJ\lJc.p
/
(Address)
2.. ~-
Dr"l/?'
(Phone) ~~l- "Y/)/'.- ~.yUIJ
(Phone) , 1.2 - y,/, -7 t / ~
f ~ ;1.:2..
TYPE OF WORK
ew Construction
ODeck
o Porch
ORe-Roofing
ORe-Siding
o Lower Level Finish
o Fireplace
OAddition
o Alteration
OUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
od~ ~
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 e property to perfor n ded ins ctions.
'Y-/ t-- ti L..
Date
x JY.J'~r
Contractor's License No.
Permit Valuation Park Support Fee
Permit Fee $ SAC
Plan Check Fee $ Water Meter Si 5/8'; I";
State Surcharge $ Pressure Reducer
Penalty $ Sewer/Water Connection Fee
Plumbing Permit Fee $ Water Tower Fee
Mechanical Permit Fee $ Builder's Deposit
Sewer & Water Permit Fee $ Other
Gas Fireplace Permit Fee $ TOTAL DUE
#
#
$ ~
$
$
$
$
$
$
$
--....
#
#
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
~:~eendSigned by the C~ity Planner constitutes a temporary Certificate of Zoning compliance and allows construction to comm ceo Before occupancy, a Certificate of Occupancy must be
t{/JfDa leA "'L
P anmng DIrector ~ 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
~,
-~
Tht' Cf'nlt"r flf the 1.11kt' Counlq:
R~ ~ j-U 151'/ I IT /1-1--
M~o IV ~P?/r
e:N~
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WE/VsnA/\/;J
5-21-0'2-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/52-~1 JEFFbteS P/lSS /J11I
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
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."
White - Building
Canary - Engineering
Pink - Planning
Thr ("e-nlrr of Ihr Lakt COUDI"."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
1L<(J/JUJ/J11~ ~
Lj- lfo- O;)-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
!/J;),f?/ 9r Pt'Ml<L- /l./0
Accepted X Accepted With Corrections
Denied ~(J j) A
Reviewed By: (j f f/!?t.~
Comments:
~eQ ~ McdV\ -S~ l-e
Date:
v- .27~OL
"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."
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White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
!IJ M24/j1J~ 1ItJ)?l.P/
Lj- lfo- o;).-
The Building, Engineering, and Planning Departments have reviewed the building permit
. application for construction ~ty which is proposed at:
(5), IS',! ~ 'fJ/l4d. /l/ u)
Accepted
x
Accepted With Corrections
Denied
Reviewed By: /1/ It B
Date: Lf -Jl/-~ L
Comments:
.see /J1Q'-"" 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."
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51
FIRESIDE CORNER #1922 P.DD6/DD6
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITION!NGIFIREPLACE PERMIT
~ :?a.s~
i~ ~ iPERMITNO. ~-t(50 I
3. y""",, "",11.." L (;>(
I ZONING(_"", I
r~EOAr.... DESCRIPTION (Qffice lJ,SrJ cllly)
LdT BT_OCI<
ADDmON
Pro
~~ro
(Phone) (Q f; ~ :)t1-~Id, I
IOWNER
(Name)
(Address)
C}jo~ /Y)~"
APPUCANT
(N~e) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Address) 2700 N. lrAIRVIEW AVENUE
CAdciress)
(phone) 651~33-2S61
. BRENDA HU
(Contact PeI8on.)
APPLICANT SIGNA1.1JRE
ROSEV'tT,LJ:.: M'N'
(City)
(phone) 651-633-2561
~-~-<.)~
Cl.51]l
(Zip Code)
DATE
APPLICANT PLE E OMPJ..,ETE BELOW
W CONSTRUCTION D.REPLACEMENT 0 ALTERA TrONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RBTIJRN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR. POWER PLANT
DWunn Air Pllll1ts 0 SteBm
o Gravity ~ Hot WSfer
~ MechmicBl R,adi"on
Air Conditioning Spet;ial Devices
Venr.. System J I ammo D~lec:s
FIREPLACE MAKE AND MODEL ~_G3 ~ Cole> l<i1.O !'12-c(\.J,::....
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
InduStrial. Commercfal &. Multi-Family
FEI SCHEDULE
1% ofJ"b COlll ResidelltiaJ. Gas FIreplace
539.50 minimum
$99,50 Residential. Additions & Altero1/cns
564.50 Resldendal, AC Only
$39.50
$39.50
539.50
Residential, HeBtlng & Ale (New Construct/on)
Residential, Hearing Only (New ConSlnu.:tion)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
""--PA~O ".,'" .
,11 r"lr
e.' .'.'. " ...
l;,;.J~",~,,,,, -
(omc~ Use Only)
This Application Become; Yo..,. BuUdln/l P&rmit Whtn Approved
r~~
p.te
IP~
Date
Ll
8u"dlnll omd,,'
14 hour nDtia fo,. oil llUpectlons (9!Z) 441-9150, 'ax (952) "'7-4%4.5
10lZ4/Dl WED 11'ZZ FAX 8124414245
CITY OF PRIOR LAKE
tal 001
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I ~~DmsP~;~;~~." ~o.s,> ~W
~'~iL ~~l"" I PERMIT NO. ;( - L(30 I
I I ZONWGr_.., ]
LEGAL DESCRIPTION (office UIII! cn.Iy)
LOT ~ BLOCK I ADDITION
trei\-
P1D
OWNER
(Name)
(A.ddress)
(phone) bS)-LfDb -f./LJDO
~ t"\., SS"J:2'2-
(PhoJ<,:) ~/-f9-1 St.
fV\;\ ~ 5S1 ;; ')
(City) (Zip Co.kJ--
(l'honc) t~/.-L/9-15bS
DATE 7: ~
(Add:ress)
(Contact Person)
..Dthy Type at F tar.
SEE SCHEDULE
fndl.lslri.1. Cgmmcrcl.lll a: 1\"h~hi.flll'Tlil)' J% o( jab cost w;u. I SJ9-~O minimum Rc.sidc:ntial, }'II!:,., One A Tvro-F;unil, $99.50
\1.esidentiaJ. Addiuort5 a. AlIenations 539.50
ESlirnlltcd Cost S
Building Pr:rmit ,.
PLUMBING PERMlT FEE $
STATE SURCHARGE S
TOTAl. PElUrUT FEE $
50
C,r ! t' J i~.lt ".,..) ~ , .
l<oo'" ....:.....~' .; _,,, _. ,
"
.........1 ,"
{omu U.e Ollly)
TlIi!II AJlpficaliun BeC'drnes 1fcsur Building Permit 'When 4ppr~ed
~
'S/i
aid
ReccJpf Ner.
Bulldl-.e Orriri.1
D'l~
Date JUl
3 )l'li '/
'- .~ '...'.,.
~~ h..u'.' k':IOTi_ ,,,,,..11 i..J1DR.dil,.. ,~ ..w'1~~:::~. !:Ii. iQg, L1i;...2~
d V L8l 98199S 'ON/59: 90 '18/59: 90 GO ,GO 'LO (~n1)
WOBi!
..........
c.MCC" . ""-E
"I!LJ..O'lI' . &PP'Uc....-r
COO<-D . crT y
C!~y OF FRIOR LAKE
SEWER AND WATER P~RMIT
NO.~- (j 3GJ
NOTE:
Se~er and Water
contract:.ors mUS1:
be registered
~ith the City.
APPLICANT:
PHDNE:IJSJ1f-I~
DAT::: : (~O^-
AnDR~SS:
'9!..~C _ ?:S?_"fIT ;;
s -=C;~P_':'.:,?,:=::
. :-'-f"'
1 .
2.
=~LL IN Tn~ E~~~S
Es'ti:!:li!.t.ed l~nc;th of ....ater !;~rvice <30 feet".
Size 0= v~ter service / inc~(es). 6~~^
Locat.ion of any cou~lin~s from st~~c~ure~feet.
T~pe o~ sewer pipe. ASS PVC~ Cest Iron
3D
:l .
4 .
5.
~$ti~ated IGngth of sewer line
fee~~JJtL
a~ ~feet
6.
Clean out
s~=~ct:.u=e-
(if
locate'='
from
re91irec.) .
_=~=~=;====~~~~~~E=~=~~~~~~~~~~======~=======~~===w__________=~=~~
Th~s a~91ication becomes yo~r pe~~t Mhe~ approvec.
B"::'
O;ll..T!::
~~~s=~m~~~~=__~=~~~~~~=~~~~~~~~~~~=~~~~=~~=~~~~~~=~~~=~;=~~~~==~=~
F":''':'c:.
--- ..
$
s
S
Sever and v~ter line connection permit.
Surc:harglii
TOTAL
:35.00
.50
3:5.50
* reG fo= eithe~ sewe= O~ ~ate= i~civicually ~s $20.00 p~Us
S .50 su:!:'charqe.
*
Sewe:!:' and wate:!:' pe~its iS5uec for ne~ construction must be
=ec:o:!:'dec on the building permit ca=d a~ the t~mQ of issuance
to i:1sure that no c!uplicate se'Je:::- and w~ter ~er:ni1:...s are
iss~e~. JUl 3 2002 . SUJLD:~~:':..t'T' /
L... l.j,~~ f']~ ."
"",DUN" PAID 711- . "... ,
R:::C'D B'i '4f-
O~.'!''S ?A.~!)
~-=--':""r:;:''''' :J.
!"\._"-_-_ _ "T
-..~~..- ~ ,. S.=a ,?~,""'~_"!.~,~ "!~-"-:-~-:'"7
~ ::: ~ -..
_~..-.....!::n ,~..\:<: (t:.1-:' _~t-__.t":.!.:
::-:0-....
r -::lL,
G d VL81 981998 'ON/59: 90 18/00: LO GO ,GO 'LO (~nl)
WOHj
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS J5~~l ']:(\:'-e.tS ~.lSS
NATURE OF WORK J-el....')
USE OF BUILDING SF/-}
PERMIT NO. (JZ-04-3CJ DATEISSUED 4-.'27-02-
CONTRACTOR W-eV\S\M4J.v..\/\ ~S PHONE 6/2- ;St"o1-7&'1"2-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
LS-ee +k MO-\"^v h ~ Ie
nEPARTMENT OF ---
BUILDING AND INSPECTION
INSPECTOR
DATE
I 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
\
.. L... c....
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOV
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.
t '2..- '6 -<12-
1--- ~62-
HAS BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850