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LEGAL DESCRIPTION (office use only) (' f' I'IY PID;lf - 3.f" ' LOT I)., BLOCK ADDITION OWNER (Name) (Phone) (Address) ZONING (office use) ~ /-16mlj BUILDER j J (Name) l/U r'/V J /719#A/ (Contact Name) Gar 7' (Address) / J 9 j.-' I' / tf 2. IZ- (Phone) 451- .J/ (,It - 'fru t,I (Phone) t /,;J - ;J (, ? - 7/' I 2..- /17 IV ~ 5/~ :l- j) ,,' t./..f c C{ r (x IV' V OPorch ORe-Roofing ~- ~ew Construction ODeck TYPE OF WORK o Alteration OLower Level Finish o Fireplace o Addition o MISe. PROJECT COSTlY 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. 1 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, 1 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 exnter upon the pro erty .to perform nee 'd insP7ons, ,~ /$/5,1" ~~'-IY-()J.- Contractor's License No, Park Support Fee SAC # # Permit Valuation Permit Fee $ $ $ $ $ $ $ $ Water Meter Si 5/ ";1"; Pressure Reducer Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Sewer/Water Connection Fee Water Tower Fee # # Builder's Deposit Other TOTAL DUE Gas Fireplace Permit Fee mes Your Building Permit When Approved i Paid ,-; ~ 7;i!.' / I Date . ~-: -- ,I Z- :5 - Z\ .... 02- Date ORe-Siding OUtility Connection 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 z:j=z;:==~ry c,rt;r<;~;;./::'_md '''''Z:'' ';;T;:I~:O~ '~;:::b' " Planning Director Date - ) ~ecial Conditions, if any - " J 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 ~ ...,.., White - Building Canary - Engineering Pink - Planning Thr Crnlrr 0' Ihr L.kr Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED I ; )..J}/jt.-v.AllIU~' !. ( Cr}'''(LO <2-- .,"p)~ /Lf-O~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / :<? f? e 0- r/?i'? {{eel l--{L,<J'/Y/" , , , ./ Accepted x Accepted With Corrections Denied Reviewed By: /1/Yfi3 Date: S:-~ ~-o2- Comments: See Reverse Side for Additional Information! /Y)",'#.,. F/ ( ~. See Attachments: 1) Grading Plan. 2) Erosion Control Measures 3) Erosion Control Plan' liThe issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a ps'rmitfor,"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' ("('nler of the L.kf Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 1ft /Pr'A/YJ1f1,~ ,{j0yyuUJ./ "P) - ILI-O~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: :3 I? t ~- ? e5?!-1 p~ Accepted Accepted With Corrections X Denied Reviewed By: (t:Q ~l Date: 5 r/_A_~~ Comments: Soo a1Q(l+b(W(~ ~~~ "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 Ctnl.. of Iht Lakt Counlry 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 Denied f/ Accepted With Corrections ~~~ Date: Jr-/'3D/02- 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." CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd ; ~;e:n ~:~y \ PERMIT NO. '1_ II Li 3. Yellow Applicant , c::>< (cJ ~ -+ ZONING (office use) 3886 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 F AIRVIEW AVENUE (Address) ROSEVILLE (City) 55113_ (Zip Code) (Contact Person) BRENDA HUSTON (Phone) _651-633-2561 APPLICANT SIGNATURE BRENDA HUSTON DATE 11/24/02 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 OWarm Air Plants o Steam 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 HEAT N GLO PIER- TRC AND 6000TR-OAK APPLICANT PLEASE COMPLETE BELOW Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) FEE SCHEDULE I % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 Industrial, Commercial & Multi-Family $39,50 $39.50 Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOT AL PERMIT FEE Building Permit # $ $ $ .50 This Application Becomes Your Building Permit When Approved Paid Receipt No. (Office llse Only) Date By Date Buildinl!: Official 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 .------ ~UI . P'&.J! T~UDW - "'J?\.Ic...WT Go01.D . a11 C!~~ OF PRIOR LAKE SZWER AND WATER P~~I~ NO" ~ -ftJ ;jLf NOTE: S~u~::::' and ~a'l;er contrac~ors mU5~ be resistered \lith the City. S ! c: ~1 ~,':'''"':? =: : PHON);: :dfi:9--J~ DATE: S};X>!07-- , s:,,::;,=. ?~?~1!T OJ. ADDR:::SS: ..- .--".- - --,- -. .'. .....---. -'-.-.--'- 2. 3 . 4. . F~LL IN TnZ BL~KS Estin~tec length of water servic~ <30 feet-. Size of yater se~vice / inch(es). ft~\^ Location of any cou?li~~s from s~=~c~ure~feet. T~pe of seYer pipe. ABS PVC~ Cas~ Iron____ 3(J ~sti~a~ed length of se~er line fee ~ ~.JVl.. at ~feet f!"cm 1 . 5 - 6. Clean out st=".J.C'C'.J=-e. (if requirec.) I locate': ~~====~~===~~===~~~~=~~~~===~~~~~~====~~~===~~~~~~~~==~--~~~~~~~== T~~5 a;~lication becomes ~our perrn~t vhen appro~ed. BV DATE: ~~=~~~~========~~~~~~====~~~-~==~~~~==~~~~-~==~~~==~=~=-~-~~~==~~~ 'e''';;'-;-c;" J; ____.. S s $ :!5.00 .50 35.50 Sew~r and Ye~er line connection pe~it. Surcharge TOTAL * ree to= either se~e::::' or vater i~oividually ~s $20.00 plus S .50 su=c:harge. * Sever and ~ater pe~its issuec for nev cons~ruetion must be recorded On the building pe~it ca=c et ~he time of issuance to i~sure th~t no cuplicate se4e= and vat~r pe~i~s are iS5~e~. IIA.\ 5 ~k. PA,"-' , ~ I':'!jill""\/" ,r' D;"''!'=: ~~_!~ Al-!OUN'!' PA!D .:=-' '=~"": ~ Rl:"--~T-:l"'" .:.I _"-'___.J... ""T P.~C'D BY ~ ,,:;'-'rr -=,,_'~ --:...~~'-: :"f ~:::. 'T:!~,.......-r_:\~-: '..~~_:",~""-:(~ ~:":-~ ''?~ 'c.~~' !...!--~:~0 '"C'.~y I<'~'" Ll-__t~J..~ 9 d vg2lg8l9gS 'ON/OS:60 '18/2S:60 20,22 'gO (OaM) WOBd 10114/01 WED 11:ZZ F^l 61Z4414Z45 CITY OF PR10R LAKE ~OOl Date Rec'd CITY OF PRJOR LAKE PLUMBING PERMIT ~. ~ ~:~T I PERMIT 1'IO.~ --- I~(J }/ J ".J.... ""ph~", , {f/ .., \~~D;;s~'=;;~-~ ~ ~W I ZONING (o...~) I LEGAL DESCRIPTION (gffi~ UI&! cllb') LOT \ 2.. BLOCK ADDITION ~+-- PID (CQIllaCl: Person) (phgnc) ~5)-4D'-l/iIOO ~ ~1'\, $)~'2- (Phone) {;SJ --f5;)-1 ~ t\f\;\ , 55J ;2 ') (Clry) (Zip Codey (Phone) ~s-I-1s;2-15h5 DATE 5J~ 0;;2.- OWNER (Name) (Address) (Add:res5) TyPIlD lure FEE SCHEDULE IndLlsrrilll. Cgmme.rdul &; Mulli.flll'Tllly 1"1. of jab l:alt with a 5J9.~O minimum Residential, 'Nc.,w One A T~o-FOlmil, S99,SO Re!lidenliltl. Additjon, &. 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CZl $:o:l 0":: - (1) n ::3 l ~ Go ::r- ~ tr1 ~ ~ s C.>> <.n :;.;_OCZl 0 cnO::3tr1 3 . ;:0 ~ Z S' (1) -' .0 C 0 3 E. 2....., ~ @rnr:J ~ a.(J CZl$:o:l &5 <( ;? o e CD :t m ~ Z G) ~ " " r- (; ~ <5 z o ~=4 ,,~-< ~.g g mO r;~ -n ~ii'"tI !Dn:D =:-.- z30 U1~:D ~ ~ r- ...... ~cn> in" .m "tl ~:: ~o Z ~ - -a m :D ~ :::t o CJ) o S' 3 10 3 ro CD " o III ~ ~, ~ 5' 0. c: 1Il ~ ~ ~ o ~ ~. -< -t -< "1J m o ." ~ :D C o -t C :D m "tl c: g: 0' ~ ~ -n III ~, o -< :T ~ ~~:- ;::Cl:>< :::R~ ~ " QO~ ;I ~ (I Cl .. n ~ PRIOR LAKE INSPECTION RECORD ~~ t~4> DEPARTMENT OF BUILDING AND INSPECTION ~~i:~D~:~~R~n.~ Pa~5 USE OF BUILDING _4FtI PERMIT NO. 0: -0& 24-- DATE ISSUED 5'- 2.(...-.o-c CONTRACTOR W.t-\N ~ ~ PHONE ~/2-!5"cr~7/'{"L NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT FOUNDATION (Prior to Backfill) \0 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS ~~ FOOTING 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 I FINALS 'fJ ~ ; -Z ~2 GRADING (pri BUILDING ELECTRICAl PLUMBING HEATING DO NOT OCCUpy UNTIL ABO 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 shC:".1I be placed near main entrance. 1-~ ,- Z- HAS BEEN SIGNED Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850