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CITY OF PRIOR LAKE BUILDING PERMIT, Date: Ree'a
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
c:9 -- / Lj-- () d--
I PERMITNO.OZ-000rl
1_ White File
2. Pink City
3 . Yellow Applicant
ZONING (office use)
f~J~
~5' (,
fA}
I
LEGAL DESCRIPTION (office use only)
PID;1.j-- .J<:f~ -0 (I,f - 0
LOT If' BLOCK) ADDITION
fJfT
OWNER
(Name)
(Phone)
(Address)
BUILDER I I U
(Name) VVr NJI11 q~# t 0 rYll'J
(Contact Name) C/ c:: ':' 7
(Address) f (;f '2 ,;
(Phone) ~ 5 J - 'Y' 0 t,.- ~", () ~)
(Phone) (, I,), - J~ f - '/6/;J....
~~
ORe-Siding
OUtility Connection
ORe-Roofing
OPorch
DDeck
TYPE OF WORK
ew Construction
OAlteration
DAddition
o Fireplace
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
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 aware that the building official can revoke this permit for just cause. Furthermore, I he.(eby agree that the city official or a designee may
enter upon the property to perform needed i pections. ~
/j/>-r .f -IY- tJ2.
x
Date
Contractor's License No.
$
$
$
$
$
$
$
$
#
#
Park Support Fee
SAC
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
0.00
?_ '?Q < 00
Lt6.oo
I A 06 I OG
,DO,66
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
4-.
I ~;eiE' N~~H'i
I Paid ~t? .lc;
Date ".- .~ ;).....-..-
ur Building Permit When Approved
s-- 23-{)L
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 Ity Planner constitutes a temporary Certificate of Zonmg compliance and allows constructlon to commence Before occupancy, a Certificate of Occupancy must be
issued ~ /2Lf!O-Z- ~ Act-~Q ~~
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
~
I
I
!
,
Tht' Cronlt'f of Iht take Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT i>t)//J.1A}/}/t1//1A/1---.J / ({)'y:rLQ~
APPLICATION RECEIVED . ') - / I./~' 0 ~.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity w~lch is proposed at:
3 !?5'L7< eji2 I j) 6 c:~
Accepted
K
Accepted With Corrections
Denied
Reviewed By:
1J19I5
SCt': /Y)&f/~ F/I ~
Date: 5'-2 ;-02...
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."
Thr Crnln or Ihr Lakr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
__ I "
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
v-
Accepted With Corrections
Denied
~~
Date:
,-L)!l-,S ID-2-
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."
Thr Crntrr or thr lakr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1(/ ~{J/J1/J;2/J~ ~
~5?5t- Pev~1 Pas>
The Building, Engineering, and Planning Departments have reviewed the building permit
~pplication for construction activity which is proposed at:
~- ILf-O~
Accepted V
Accepted With Corrections
Denied k
Reviewed By: Vfl~
Comments:
~ ~ 104..'0 +'>1 {l
Date: J - ") ~ -0 '--
"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."
10/24/01 WSP 11:22 FAX 8124474245
CITY OF PRIOR LAKE
ijDool
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(1'1<- "'" D' ...., .... '"'e ..~
[ ADDREsS .
3g5b ~'V~ W
~.~:., ?~~'CMI ,PERMlT NO. ,;) -- 607 ]
II ZO~G(o~~ I
LEGAL DESCRIPTION (ollla: LIIC cn.ly)
LOT 3 BLOCK \ ADDITION
~~*
Pro
(Contact Person)
(Phone) bSJ-LfOb -1'!00
Y""\ ~t\, ss-}~z..
(Phone) g-1-1$)- /5l
~. 551:2')
(Ciry) (Zip CakJ--
(phcn~) ~~/~-15bS;
'KL.-
OWNER
(Nami!)
(Addrtss)
(Addte5S)
DATE
PLICANT PLE~E COMPLETE. BELOW
...:aMy Type of Ji'IDaril
FEE SCHEDULE
Indl.l,lrial. CQmmerc\1t1 &: Mulli~rlllTlUy 1% I)f j.b c;grlwith i1 539,'0, minimum Reside,ni.l. Ne:'III One&; TWD-FaTTllly S9'UO
Kesic:tentilll. AdditiQJ1J &. A llePlllions 139.'0
Estimared Cost S
BuildJl1B Pennir it
PLUMBING PERMIT FEE S
STATESURCHA~GE S
TOT AI.. PEJlM1T FEE $
.50
"''" . t r ,'...
.,:, ~
Icmu 'LII. Dilly)
Thi!l Applic.al'jon BcClJfnC5 Your BuildinC Penait When '+'pprg"ad
'&"ild!1Il Ofticial
kC:ilapt No.
D.u
:11 hoY;" ~DriA 101' all in'plll:ticnl. (!P5Zj ~7.91&i, tffi. (951) G.IIi~~'3
L d v9G\98l99S 'ON/OS:60 'lS/GS:60 GO ,GG 'gO (a~M)
W()B~
---
G:lntur - "-I!
YlI!l..L.DW . "~c.lIT
GOo. 0 - ClT"
C!~y OF PRIOR ~KE
SEWER J..ND WATER F::RMIT
NO. a-~ol
NOTE: Seuer and Water
contractors must
be resistered
\.,lith the city.
AP~L:rCANT' ~ ~~ PHONE,tJ~n:9"J~
ADDR=:sS, 3B~'?"tSo';. NW DAT<:: sz;xiJO:L-
5 :G,l>.~C?~: ._~~~~_:~:.~______. .3'_~G., ?:?~"IT_~::-.__
~ .
F!LL IN THE BL~KS
30
2.
J .
4.
5.
~5ti~atec length of se~er line
reo.....
at' ~feet
from
6.
C:!.ee.n out
st.=".lct:.u~e.
(if
re~irec.) I
lecatec.
~~=====~~;~~__~~==~====;=_:=2=~~===~=C~~==~~~~~~~~==~=~======~====
T~~s a~plice.tien becomes ~eu~ pe~~t ~hen ap~roved.
E':
DAT::::
=c~~~===~~==~===~~~~=~=~~~___~~~~~~_~=_~~~~===~~~==~~~~~~~=~~~==~=
FEES:
5
S
5
35.00
.50
:35.50
Sewer and vater line connection pe=mi~.
Surcharge
TOTAL
* ree fo= eithe= sever o~ uate~ incividually is 520.00 plus
S .50 su~charge.
* S2~e= and ~~te= pe~its issued fer new construction must be
~eco=ded on the building pe~it c=a::-d l!.t the time of' issuance
'to i:;su:-e tha.t no duplicate se'''/e::- and water,....,.p.ia.~i.ts are
. A . ,;1 r. ,
~s.sue_.
.,
;)
D;'.'!'~ P~.!w
Al"!OUN'!' F_~!D
R=-~':::"T';l"'" ;I
_....___ - :r
REC/D B'i
~/
(
- ---'-'r :: ,,;;" ~ --,:a.:a.~ ~a, S"S. 7'-=.....-,.u :,,'= 'of!:-~~"'~I"~ e' :"'"":--: r -=>..... ,~ 1 A"\ .!~~ 2'2;:r: I t:',~.x fC 1-:" ~- ...!-:~:
8 d tg2lg8l9gS 'ON/OS:60 '18/2S:60 20,22 'gO (aaM)
W01H
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
; ~~:n ~!;y I PERMIT NO. 7_ /",,/YA1
3. Yellow Applicant . c? {J;/U-t....
ZONING (office use)
3856 REGAL PASS
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
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651.633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
8/6/2
xD 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 D Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO PIER- TRC
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 & A/C (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
Date
Paid 1J'^'
Date &'1/0 C
vJ
Receipt No.
Buildine Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
FIRESIDE CORNER
#1533 P.DD1/DD3
Date Rec'd
CI,TY OF PRIOR JAKE
HEA TINGI AIR CONDITIONlNGIFIREPLACE PERMIT
t~ ~,rPERMITNO. ,')/(064 \
ZONlNG (office use)
J...EGAL DESCRIPTION (office WIt only)
Pro
LCJT
BT.OCK
ADDITION
OWNER
(Nlime)
(Address)
(Phone)
~ -L+ltO -C(:{1S.
APPLICANT
~~e) ALLIED FIRESIDE DBA FIRESIDE CORNER
(pbone) 651-633-2561
APPLICANT PLE . COMPLETE BELOW
NEW CONSTRUCTION 0 REPLACEMENT
FURNACE MAKE AND MODEL
FLUE SlZE REl1JRN OPENINGS INPUT
TYPE OF SYSTEM HEATING OR. POWBR. PT...ANT
OWarm. Air PI~t.s 0 S~arn
OGravl1:y CI Hot Water
B Mechanical . CJ Radiation
Air Conditioning 0 Special Devices
[JVenL System 0 Oth=- Devices
FlREPLACEMAKEANDMODEL Lk(U ~liJ{J) ~(~i)-r((-O(J..)c-
RO~F.VTT.T oR MN
(City)
65J.-633-2561
(phone)
f-~t-o~
~O:;'11
(Zip Code)
(Address) ~O N. E'AIRVIEW AVENUE
(A4dms)
(C ...._ p ) BRENDA Iil'J
on"""".. er50n
DATE
APPLICANT SIGNATURE
DALTERATlO~
FUEI.. D.h
orJT.P .
PJ...Ji:ASE NOTE:
Air Conditiooer Units
Cannot Encroach in.to
Required Side Yi:lfd
Setb~lcs
Industrial. CommercisJ & Mull:i.Fpmi!y
Residl:l1tiw. Heating {/I. AfC (New ConstIUctlon)
Re9identia~ Heating Only (New CClnstnlction)
FEE SCHEDULE
1% ofJgb coat ~ldentilll, OIlS Fireplace
539.50 minimum
599.50 Rt;sldc:n~aJ, Ad.4itlons k Ahenl1ions
$64.50 RcsidentlsJ., AC Only
$39,~O
$39.50
539.50
Bstimad Cost S
Building 1:'ermit ##
HEATING PERMIT FEE
STATE SURCHARGE
TOTAJJ PERMIT FEE
$
$
$
.50
f.omu Vie Only)
This Applic:atfon Becomes Your Building Permit When Approved
PaId
ReceIpt 'No,
Date
~ -'CJ-- 'd-/ 0-
BlIUdlng ome".'
n811l
2.4 hour notice (or 011 I n,peetlo ns (,g) 447-985D, fllt (,g) 447-4145
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PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 3Bst 0 e..3~ P~<>5
NATURE OF WORK -1J~J
USE OF BUILDING SFIJ
PERMIT NO. -!!l./.;orco~ DATE ISSUED 5"- 2 :;S..{J<-
CONTRACTOR lJ ~IA.. ~S PHONE {p 12~ -:?G f-7tlZ
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT
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 ~, t,.... 1'1' ~ z,
INSULATION
ELECTRICAL
PLUMBING z,..L. ~ /1 c),. t),...
HEATING (if required) l".(.,.
FIREPLACE
GAS LINE AIR TEST . ~'c; 6 t...
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING ,{( 0 iLJr\O-A p~
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 a"pproved. 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