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OZ"'O.A / /\ I Yellow Applicant . 'rU?V . ZONING (office use) RL LOT 1 BLOCK LEGAL DESCRIPTION (office use only) ADDITION -r ~~ LJ,\1~ ~o~-\l PIDdS'3f~" b07-0 OWNER (Name) (Address) W fv6 """ 400'\., \-\ 0 M t. S l~45 P\~'Z4 Dr\~ Sv\~{ .tt ZOO (Phone) ~S\) 40(;- 4400 BUILDER (N ame) l) ~V\ ~ f"'\~lI'\lI\ t-'\ A \-\ \ <0 '1 S" P\ ~-z.t\ ~O~<> M &\ 'Z.. '\"'" -t. C- D r\ \r<. (Contact Name) (Address) (Phone) (bS"\) 406,. 4 400 (Phone)(bSl) 406- 44 3"S ~\.A\-t ~ L-O 0 TYPE OF WORK New Construction . ODeck o Porch ORe-Roofing ORe-Siding OLower Level Finish ~irePlace OAddition OAlteration OUtility Connection PROJECT COST IV ALUE (excluding land) $ b S. "3 q o Misc. 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 awar that e building 0 cial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may :"'~ "pon "" p' 0 'Co nre ''''0",. '* \ 4 S- ~ 4/16 /0 L Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee $ $ $ $ $ $ $ $ 1 oc) . oV tOO.DO 35.$D 40 .00 Sewer & Water Permit Fee Gas Fireplace Permit Fee Contractor's License No. Park Support Fee SAC # # Date $ $ $ $ $ $ $ $ $ Water Meter Siz Pressure Reducer Sewer/Water Connection Fee # # I Paid Date 9ff ~ 7. 2-( -7-02. I ~;iJ'; 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 C Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be "~, 5/~L{O~ ~--' ~~d~/~ 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Water Tower Fee Builder's Deposit Other TOTAL DUE White - Building Canary - Engineering Pink - Planning Th... C'rnln of fht" Lab Counlr)' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT }( )__~ ~c2/:?4~ #~ APPLICATION RECEIVED Lf- 1'1- O~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /S L/~?- 3/ C<0/( Bea-v~,Y- Accepted Accepted With Corrections, 7X Denied 2 Reviewed BY:~ ~ &~<A~ Date: ~ents: -V~~ ~ af{.oc~ocQ tf~f ~ if- 27-oZ- "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 Tht' ('f'nlrr or the I,.kr Counlr)' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ',7' ,/ ,t.'. t-.--' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: l< !., Accepted r~' Accepted With Corrections Denied Reviewed By: ~_ ~~ Date: L( /;2L{~ '?-- "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." ~---=':"":"""!o White - Building Canary - Engineering Pink - Planning Thr Cf'nlf'r o( fhf I.ak" ('ounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME 9F APPLICANT jI ~~~'*-/ ~ APPLI~ATION RECEIVED ~'- /?-O~.' . . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: IS L/'/r- 3/ ac/( 8raG-v @;y.- Accepted ><: Accepted With Corrections Denied Reviewed By: ---1W'J.l> Date: if-so -0"1- 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." CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd l. Pink File I PERMIT N~ 2. Green City 3. Yellow Applicant - I{f/J ZONING (office use) 15449 BLACK BEAR CIRCLE LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) WENSMANN HOMES (Phone) (Address) APPLICANT (Name)_ALLIED FIRESIDE DBA FIRESIDE CORNER (Phone) _651-633-2561 ROSEVILLE (City) (Address) 2700 NORTH FAIRVIEW AVENUE (Address) 55113_ (Zip Code) (Contact Person) BRENDA HUSTON (Phone) _651-633-2561 APPLICANT SIGNATURE BRENDA HUSTON DATE 6/7/02 X NEW CONSTRUCTION o REPLACEMENT o 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 Steam PLEASE NOTE: o Gravity 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 6000TR-OAK APPLICANT PLEASE COMPLETE BELOW 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 Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50 (Office Use Only) ,.... This Application Becomes Your Building Permit When Approved Paid Building Official Date By Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 ~ MAY, , ~L. " "'-I: Y~\.I..DW' - ~c....,. c;ou> - en'.. C!'!'y or PR.IOR LAl-.."E S~WER AND WATER PERMIT NO _ ~- 2-jfo() NOTE: Seve~ and Water contrac~ors mus't. be registered vith the City. ADD:R~SS: ClTf PHONE :tJ5~S:--l~ DATE: 5//0{0:L- s :G:T~'!IT:?::: S!..~G_ -;:J~~"'T'T' :: ------- , 4. Es-'::.i!!latec. length of wa.ter service. feet-. Size of ~a.ter se~vice I inch(es). U,~~A Location of any cOU?lins;~ from 5t:::-".lcture~feet. ABS____ FVC~ Ces~ Iron ~s~i~2ted length of se~er line (SC) F!LL IN TE~ 3L~~~S 3D 1 _ 2 . J _ ~ype of sewer pipe. 5 _ 6. C~ean out st::-".J.c~u::-e. (if require~) , loca-'cec. fee~~/1IL a-'c ~fee~ f~om ==~=~~~~~===~~=~~~=~=~~~~~=====~~~~~~~~~~~~~~~~=~======~~~=~===~~= Th~s a~~lication becomes ~ou~ perm~t ~hen a?~rovec. B': DATE: ~=~~~~~=~======~=~~~;~~~~~~========~~~~~~~~~~===~~~~~===~=~====~=~ FE2S: $ s s 35.00 .50 35.50 Se~er and Ve~er line connection pe~it_ Surcharge TO'IA!.. * ?ee fo= either 5eVe~ or water i~cividually is S20-00 plus S .50 su::,c!:'larlie. * Se~e= anc ~eter pe~its issued for new co~structio~ must be ~ecorded on the buildins pe=mit ca=~ et the time of issuance ~o i~su=e t~at no cUplica~e se~e= a~d va~er ~~i~s are iss'tlec:.. ,", ~ " '"' I \:"'"" < ~AY I 0 2002 }l-.l'!OUN'!' FAID D)'_!'~ ?~.::w RE'::=:I?~ "# R~C'D BY UCL/ ''':-,-'r ,,::,,-'~ --~~ ~ .... S~. ",?--:r;-'t.:I,,-= 'J~:"",~~;,w:r-:. :.:'-::~-:. '?'L '~'--:"\ ..!....:!.,--!:~r: I't:',.!."'( I::"~' Lt----L~J.:' G d 601lgS19gS 'ON/It :60 'lS/GI :60 GO ,01 'gO (IHd) WOHd 10/24/01 WED 11:22 PAX 6124474245 CITY of PRIOR LAKE III 001 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT , () ;, ~~ ~!~ I PERMIT NO." - Li~~() ] I V.II.... ".'0",,'. ~ d fl:J _ [ ZONING ,.... ~ I LEGAL DESCRIPTION (DRi~ llSl! anly) LOT BLOCK ADDITION PlD OWNER (Name) CPho~f~ 65)-4D"-1'IOo .~ 1'\, ~}:22- (Phone) 6S/-fs)-ISi. tv\n. 551 ;;2~ (City) (Zip Codj- (Phone) ts-I.-L/S:2-j S-bS (A.ddre~) (Address) (Conraa Per.>on) DATE PLICANT PLEASE COMPLETE BELOW ype of :Fi:lI'lIre QlI.lIlDOty or withoUt shower Type of Ji'unare .. FEE SCHEDULE Induslrilll. Commcn:h.J ~ Ml.lhi.fanuly 1% of jab ~gJt with a SJ9,SO minimum Residential, New One 4 TWI>Famil1 599.50 Rmidenlial. Additions.. A,ller'llUans SJ9.50 E5t1mlt=d CDst S Buj)4ing Permit., PLUMBING PERMIT FEE $ STATE SURCHAR.GE: S TOTAL PERMlT FEE S ,50 com~.l.J.. Oll),yl Tlu!I AppJic.tioD BelOomes Y OUf' Builcline :r.nuit Wh.u '\ppro.,Cld Pal R.C:C:C:lpr No. I5l1l1dl~ Ome.I' ~~ Dale ~lS hOAl... I:IDtic:lio for ai, inllDedilrll. ~j ...a7-!il~5(i. "If. ~951J wi....;z.4S d 60 II g81 ggS 'ON/It: 60 'lS/2 I: 60 20 ,0 I 'gO (Ill.!!) WOBd MAY-13-2002 09:21 PM STAR PLUMBING & EXC. 952 884 7468 ,- . ..._.~..,......'. . . '-~r ..._:~." ....,.:~.-.::~-~,..~~....~.:'lEl-.......~.~.~,...'......WlIlo,._ .....,.~ ...._-. '- . "- " ,,( t.......... - -.e ftU.DIr - APPLICAIIT J,,, . IIOI.D - err" ",0 P.01 - CITY OF PRIOR LAKE SEWER AND WATER PERMIT NO. " ;;) - L/ t.~ () NOTE: Sewer' and Water contractors must be registered with the city. APPLICANT: S'~ ~ PHONE: 'll:i:2.-811<1-~/l'{ff:' ADDRESS: /"/~~"""', W9---~DATE' SIGNATURE: __________ _____ BLDG. PERMIT SITE ADORES . /5"Y'~9 ~ ~ ~ PIO' , '~.. ...... L FILL IN THE BLANKS Estimated length of water service ~O fe.:~.~.~~.. / I~ ~i((!t ..~ ", size of water service inch (es) . et~If;-'~"'::;" * ...- ",ill,'" Location of any coupl in9s from structur..s ~..,IFI!!!' ". ':' . . ~. ~"'~'" . ::':"~'-' Type of sewer pipe. ABS PVC~ Cast Iron'~:.~: Estimated length of sewer line ~~ feet. ..~ 2. 3. 4 . 5. 6. Clean out (if required), located at structure. feet from ==================================~================~-~~-~~=======~ This application becomes your permit when approved. BY DATE: ==;=;====================================================~~=~=~~== FEES: $ $ $ 35.00 .50 35.50 Sewer and water line connection permit. Surcharge TOTAL * Fee for either sewer or water individually is $20.00 plus $ .50 surcharge. * Sewer and water permits issued for new construction ,must be recorded on the building permit card at the time of J issuance to insure that no duplicate sewer and water permits are issued. ? (, ~ I ., '- \j DATE PAID RECEIPT # AMOUNT PAID /, REC'O BY ;c- 1.-... 16200 Eagle Creek Av. S.B., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 f FAX (612) 447-4245 An Eaual ODoortunitv EmDlover ,"'f~""'_ ---. ,...~Pl:~"~"'~-~'~"""'''''-~-:-:T~''~-_~;:~I~ .;.;....~'..I........- "'''7''f'3,~..,.... _.~/21102 flU 08:36 FAX 6124474245 CITY OF PRIOR LAKE ~001 CITY OF PRIOR LAKE REA TING/AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'd htf/ c' p~ Ie ~:~ S.I PERMIT NO. 0>~q0g ] I ZONmG'_w'l [~~:;;U-;Ik~ LEGAL DESCRIPnON (oll'lce \I$C only) LOT BLOCK ADDmON PID OWNER I I (Name) Wtt1/511'1411 ~ /I~'"'1-(~ I (Address) J S '7 .5 'PJI-~,A -:p, - 5/~). e> ~ (phone) APPLICANT , II Jy -7:: (Name) /(/.ftW" fll/TlC -U'e.. (Address) / 1 ~ '/ 5 tll-'I eff" ~ / (Address) (Contact Person) 1? I t... (Phone) f'.5)-- j?/- '/.211 t~1"I ~ratl"(l ~.f347 (City) (Zip Code) (Phone) 11'2 - 9l//~ '1'-)/ DATE 1;1./- ~'2- APPLICANT PLEASE COMPLETE BELOW l!]NEW CONSTRUCTION o REPLACEMENT o AL TEM TIONS FURNACE MAKE AND MODEL ;4 ~,4111d.. L ~<J (1I0ytJ) FUEL ;1...-fVr< 1 FLUE SIZE 3// RETURN OPENINGS <:1 r INPUT ., ~ eJO IJ iff LI OUTPUT ~J g ()1J . , r OF SYS11lM HEATING OR POWER PLANT arm Air Plants o Steam PLEASE NOTE: ravity o H(ll Water Air Conditioner Units ~Mechanit:al . o Radiation Cannot Encroach into ~ConditjOning o Special Devic:es Required Side Yard . t. System o Other Devices Setbacks I I FIREPLACE MAKE AND MODEL FEE SCHEDULE IndustriaL Commercial &. Multi-Family i 1% of job cost Residential, Gas fireplace $39.50 minimum Rt;Sidential. Heating &. Ale (New Consttucti n) $99.50 Residential. Additiol'ls &. Al=rations Residential, Heating Only (New Constructio ) $64.50 Residential, AC Only Estimated Cost.$ ~t:b~ Building Permit # $39,50 $39.50 $39.50 ".",.-- 0;,9 p '" . '. r.... fr.... . , '., HEA TINa PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ S ~.~b ..so /"0. ()O (omre Use Only) This ApplieaUon Becomes Your Building Permit When Approved . Buildlpl Ot1idll Date 1:11:' 25 'J) J ~iptNO' . '" d ~II. Y -I 24 hoar nod" for all in.pections (952) ",-9850. fax (951) 447-4245 PRIOR LAKE INSPECTION RECORD SITE ADDRESS / s'-/L./ 'I 15lack ~ea.r- C!-.r. NATURE OF WORK NetL) USE OF BUILDING SJ=D I PERMIT NO. 02-04&'0 DATE ISSUED 4 - ~"]-O~ CONTRACTOR v.).e.v\sw\4.,,-n \::\~-m4S PHONE ~/2 -qo~- q((;n NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR I DA1E I FOOTING ;e IJ. Is-A -;4,- . FOUNDATION (Prior to Backfill) ~ (\ ~;, PLACE NO CONCRETE UNTIL ABOV HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I~ ~~. ~, ?l~3MP- I I FIN A L S ~'"',f- ~ - ~. f!e) '/dd-- GRADING (Prior to Sodding) , b). if-. ();; BUILDING -(.Q..ll. W (JI d z.. 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 sha;;: be placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850