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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 1/-3 () .~~
1. White File I PERMIT NO I
2. Pink City . 0; '2- - U": C'J 5/
3. Yellow Applicant . _ _ _ .
\53 \ 0 J c - : 8;(2-,.::., 'V-c'")<;<:'
LEGAL DESCRIPTION (office use only)
ZONING (office use)
P/
LOT
ADDITION
PID~5- 3 ~~- ub--3-
OWNER
(Name)
(Phone)
(Address)
BUILDER '\
(Name) ('---l')\\ e:.ci ~_ C.ll'( +-\ c\'l\c: <c;
(Contact Name) ~1".::\r:! \ C:/ <~H. \ (\"'l C r ~
(Phone) ("1'::>2.' L\1c,q. ~q or,
(Phone) l&., ,1-, lLJ 'OS". ..2)-.UY1
(Address)
L '@IL- ..
L~ \LE..-'~ , 1....."'- E:::-
'"1--(,
TYPE OF WORK
o Deck
OPorch
ORe-Roofing
New Construction
OLower Level Finish
o Fireplace
DAddition
DAlteration
d ~ CJo() ------
OUtility Connection
o Misc,
PROJECT COST IV ALUE (excluding land) $
\\..\A 5'5(; Y
ORe-Siding
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 rop to perfor ne ded inspections.
\2-0C,
Contractor's License No.
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
#
#
Water Meter Siz 5/8'; 1 ";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
y l'~) JD2-
Date
$
$
$
$
$
$
$
$
$
TOTAL DUE
I ~~~ '6'~~'~/;~J-
Your Building Permit When Approved
5-6- ;(ooc
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 PI er constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be
issue S-!l~~ I~ ~ A:<<t~ C~~~<;
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
, G~~
Thf' ("(>nlt"r fir the Llh Count')"
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
~~
/. .
~ ~~~
Date:
6/t3 WL-.
Reviewed By:
"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."
Th(' C('nf('f nf Iht' I.akt' Countr)
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /")3/0 ~f--<J fJ~L
APPLICATION RECEIVED L/- 3 D- 00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/58/(] 911f1.-() p~
Accepted Y--
Accepted With Corrections
Denied ~rZ.,/L
Reviewed . P'
Date: ,5-8 -62-
Comments:
See. -U.e
M ell LA.. t--k
"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
Th, (.'nl.. of rh, I..kt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT l~cfJg/~<- ~/I /IL ~-<:
APPLICATION RECEIVED IJ - ::::> (;J - OL.\
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(~'oV..L
/5 ,'"JiG 9(f?~
Acc~pted
Denied
Accepted With Corrections
Reviewed By:
Date:
Comments: 'See Reverse Side for'Additionallnformiltfon!
Driveway Must Have Concrete Apron
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
, '..,.."." ',!II 1 .~. \.>
"The issuance 'or granting of a permif'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."
05/03/2002 14:13
... ..... '.'- "oI.\...
5077445555
BADGER EXC
PAGE 01
..... . \.I Y L -....." l."" .-1lI. / .... "'oJ
,........ vI. It'" ......'\ .......,."'6..-
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
0... Rec'd
..
ADDRESS
~: ~" S_ ~ PUU'lIT NOd- - SS- ~~
f\J<.J I I ZONlNG-'-;;;;-]
~J .p~
LEOAL DBSCRJpJ10N (alll... u. cmIy) -
L_LOT BLOC" ADOmON R.~ ~J<. C,..~
jg;::" ~~. ~
GA......) ,<1)..<::> i..~ ~~0
1~~~~1...'''': 1(l<~~U~ .
~Addml') a.3tc ~ IC:>~ ~.sutt
(AddIua) .
(Caflw:t' PerlOD1 ~ ~ .s l ~
APPLICANT SIGNATUO
5310
PID
L~~ ~~,~~-<t~iii;~
(Phorw) S"'~{ - { 'y ~ - s- ~ s.-
~c1~ ssv"-l~
(Oty) (~ c.)
(phone) S-o,- '(YI...('- Q"'7; "i-
DAt! ~ - ~ -<:.)
I
L
APPLICANT PLEASE COMPLETE BELOW
Si;r.c of water slmce ~ ine s.
Lo"tion of 8D.y couplings 6'0111 StlUtturc - feet.
Typcl ohewer pipe. 0 ABC ~PVC 0 CUI Iron
Estimated lco&th of lewer line. ~ feet.
Clc.n out (ifrequlrcci) located at ~ fecI from !;lrUcture.
FEE SCHEDULE
Rnidcndal 'eWIT -.ad wa1IBr lint QOMeerlan S3!..50 hldll,rrial, CDm"t &. Multi.tlltDily I~ of job cosr wIth. S:UUO minimum
SIlw-r eOl1nc~DJ\ ani)' S 17 .50 W.~r 'Clllllaction OI\ly . S 17.'0
Eftimated Cost S
BuildlD, Permlc II. _.-...
SEWER AND W A TEll PERMIT PEB
Sf A TB SURCHAR.GE
TOTAL PIRMrr PEE
s
s
s
.'so
(omGll!1.:lIto".lI')
[ Thll Application "c:o.. Yuvr Build... Permit When Apprand Pa
OatiJN 5 3112
......1.. 0ftlthI
.....
~. lIallr not'" ror .1l1",p~Il' (95Z) .""50, res (t5:l) ..,.4245
'C.l U'"'''
I
I
l
Jun. 3. 2002 1:35PM.
GENZ RVAN PLUMBING AND HEATING
No.6167 p. 1 14
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
1. BlulIlI File
~. Gold Cl1y
3. YoIkrN Ap,plicanl
I PERMIT NO. S( - .5/:::1 I
I~~;i~l~.~
LEGAL DESCRIPTION (o1fice use only)
LOT a BLOCK \..l ADDmON
PPrSS
NW
: --]
. ZONING (offia:use)
PlD
OWNER
(Name) :1iill"-"'~
(Address) 1Q1.D
Dr" ~.s
Ic...t v;'1!. \J D
,
~va/e
(phone)
~~~~~~~? r\
(Address) ~s:, ~ fJJJ~
(Address)
,Lv
(Phone)
lD.it~1 Ylf
(City)
~~
ip Code)
LI
Type of Fixture
Ba Tub with or 'o/ithout shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (1 or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
(Phone)
(Contact Person)
APPLICANT SIGNATURE
DATE
z.-,
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industnal, Commercial & Multi-family 10/0 of job cost wlth a $3950 minimum
ResIdential, New One & Two-Family $99.50
ResjdentiaJ. Additions & Alterations $39..50
Estimated Cost $
Buildmg pemnt #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
50
r. ,-" "
~ ~,' . "
lB,U1LD~;~'~(~ :~. t...".~ ~d~A ~
"'---
(Office Use Only)
This Application Becomes Your Building permit When Appro-ved
Paid
Receipt No,
Date
Bul1<1ilJg Official
Date
24 hour notice fOT all jn!pection, (95l) 447~9850, fas (952) 447-4245
1 :34PM GENZ RVAN PLUMBING AND HEATING No.6167
CIlYOF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
P, 11 14
Date Rec'd
. ~. ~ ~~. r PERMIT NO. ,.." .--c;S' (~
3. V.llow Appb.....t t if . ~
I ~~g~~;d~~~~
ZONING (oftiC-" use>
{)Q'S<;
kJ~
LEGAL DESCRIPTION (office use only)
LOT I D BLOC~ ADDmoN'
PID
OWNER
(Name)
(Addre~s)
(phone) Cf~2 - lI.
"n Ie
APPLIC~
(Name) , j() i -
(Address) J.Y1Y~
1J1.d-
(phone)
1IJJ~!fl1r
~
(Zip Code)
(Contact Pt:l'son)
(phone)
DATE
APPL CAN PLEASE COMPLETE BELOW
NEW CONSTRUCT 0 REPLACEMENT 0 AL TERA. nONS
FURNACE MAKE AND MODEL l--flNl\nt b2"'~S . FUEL hlwr 6n ~
FLUE SIZE' RETURN OPENINGS 5 INPUT 1~11f111) OUTPUT 7411lrO
TYPE OF SYSTEM HEATING OR POWER PLANT
J!rVIan:n. AIr PlllIlts
OGtavity
o Mechanical
~jr Conditioning
OVent. System
o Steam
o Rot WlUcr
o Radiation
o Special DeviceS
o Other DeviCe:!
PLJ:ASE NOTE:
Air Condjtioncr Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multj-FlllllIly
FEE SCIIEDULE
1 % of job cost Residc:ntial, Gas Fireplace
$39.,50 minim\lm
$99 50
$64, SO
$39. SO
ReSidential, Heatmg &: AlC (New Construction)
Residc:ntial, Heating Only (New' Construction)
Residential, Additions &: Alterations
Residential, AC Only
$39 SO
$39..S0
Estimated Cost $
Building Pennjt #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
r". ='}
JgU 1 LD . ';] r..:; ~~.
~__,'_' "'" K...., '"
1r')ft1ce Use !;Inly)
.lis Application Becomes Your Building Permit When. Approved
Paid
Receipt No_
Date
52002
9uilding Offici.'
Date
24 hour notice for ~II inspections (952) 447~'850, fall (95.2) 447~245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. F.:w ~l~icant I PERMIT NO. .;t- s --=:;/1
/
Please
ADDRESS )
15310 JEFFERS <2b~ pa. ti
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name COLLEGE CITY HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
7/31/03
xD NEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
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 HEAT N GLO 6000TR X 2
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
ell!l P,q'D 111
D'tll!":\ 1h .,
, -;'fJ:: /"'f
. ....lt11f
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
Building Official
24 hour notice for all inspections (952) 447-98 't;
l ~ ec<. W'Q.... , I CM n..- L' '""-'
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS I SSJO J.~Jr~rs R,
NATURE OF WORK A/ekJ
USE OF BUILDING ~f'j S FA-
PERMIT NO. j-?- -C)5'..c; DATE ISSUED S-8-dZ-
CONTRACTOR 0\\""' PHONE u,IZ -&55-)2{)7
NOTE: THIS IS NOT A ERMI OR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
.)EP'~RTMENT 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
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
I,. 7-1--,-(J',
9~>
4
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING /~-,,6
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 shall be placed near main entrance.
Call between 8:00 and- 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850