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LS
CITY OF PRIOR LAKE BUILDING PERMIT, ~
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~ \^l\t>...' l.\. ~ 'L..t
Dalt: ltt:c' d
~5 -/'-/ - 02__
White File I PERMIT NO ~
Pink City '0' 7 -G-),/- /_,
Yellow Applicant (" lP V. ~
<is?
LEGAL DESCRIPTION (office use only)
LOTI BLOCK
ADDITION
OWNER
(N ame)
tJ
(' S' J-
PID.:lj--J.rt . 0/,) --()
(Phone)
(Address)
ZONING (office use)
BUILDER
(Name) 14.) t.tVf In ~~ /V
(Contact Name) a e:rr-
(Address) tf J ~ '/ G Z. "-
(Phone) ~..$-I- yO? " yY{) f)
(Phone) & 12 - J " 7' - 7 t I :L
J ~ ;)-..a.-
jJ (j J?1 pf
/)
TYPE OF WORK
ODeck
o Porch
ORe-Roofing
o Alteration
o Fireplace
OAddition
o Misc,
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
ORe-Siding
OUtility Connection
---------.
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correct I also cemfY 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 proce.;a' in.a~cordance 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 adesignee may
enter upo the property to per rm nee d inspections, -"
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
IY5'"
Contractor's License No,
/50 (Joo- 00
$ ~ ' 7'5"'
$ 8Jf] .~i
$ 75.~O
$
$
$
$
$
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
..5- - /1"- {J 2
Date
$
$
$
$
$
$
$
$
$6 72
?uo/1
.5 7 2 7. ii-
b'l 7/ 0
1~~7'
uilding Permit When Approved
Paid
Date
~'6(rD2-
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 'ty Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence, Before occupancy, a Certificate of occupan~must be
issued. V /J 0 ( 02- ~..c ~~.~~ C~~ ~~
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
White - Building
Canary - Engineering
Pink - Planning
The ('en I.. 01 Ihe Lake ('ountry
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
UJM1/J-/fI}1a~ J./~
5-1L/-O~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,:S I?V5? li(fl p~
Accepted "<
Accepted With Corrections
Denied (;)
Reviewed By: ~ {Il~. ~
Comments:
~e_ ~,ClIVI t-LR
Date:
5' -2( rCJ?
liThe 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
The C'rntrr of .he Like Country
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
~-IJv~--/~,
Date:
s-/ gO(D 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."
...4 ~=-=.=-""""",,.~-~.-,..-.,-.,...~-_...._~~.---_'_'_--' _. -.,. ----.-,',-- ,,-----..-,-.....-- ----..---.-..-.~,.- ----- ._-~--
Thr ernlrr of Ihr takr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT lLfJ}/}{J/l/J10~~i/Of/lL~
APPLICATION RECEIVED .5- ILl - O~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
"~ yy:? }?e('lo( /J(i,_J~
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
II/IJ-I3
5 -C <. me,(~ J:,' ((
Date:
5--28-02-
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."
10/Z4/01 WED 11;2Z FAX B124474245
CITY OF PRIOR LAKE
~OOl
Date Rec'd
CITY OF PRlOR LAKE PLUMBING PERMIT
~. ~'id ~:~ r PERMn NO. ,~ ~ / J). 5'
I V.I...... ...,a,c.... I _!L L/ (J
I I ZC>>'TNG ,-~ I
(Pie...." J:1':PC Dr p,;;"t aac! JiDJ At ~nt)
\ ADDRESS ~
3'52/6 ~~ ~s. ~~
L~GAL DESCRlmON (oftil:C u&e an.ly)
LOT \ 3 BLOCI< \ ADDITION
~~
pm
OWNE:R
(Name)
(Adlirt'Ss)
(Address)
(ContaCl Pe:son)
Type 0 a...
liEE SCHPUl..E
In.dustrill1. Ccmmuclallil: Multi-family 1'% 01 jl!lD coST. with I 5J9,'" minimum Residential, Nc:'- One: IJ1. T\lfo-Famil, 599.'0
&G.1idmJial, Addilionli 4. Altt:l'llLiQJl5 139.'0
Estimm:ed CgSl S
auiJdlng Permit 'II
PLUMBING PERMlT fEE S
ST A'IE SURCHAR.GE $
TOT AI.. pERMIT FEE $
.50
~r,. ~ \t ;T'.'
GU~'=D".lf":', ,.:. -. .
.
COllier Ute ODb')
Tbil AppJicarion BecomCll 'Your BujJdinc Pcnait \:IIhn .\ppr"nd
aid
Receipt !liD-
Date
BuildlJII: onici.'
Dall:
:~ htHn liotic. fill' .,1 in,putillJl. ~j lW7-~QSOi, till!. \951) ",~..14~
S d V9Gl9S199S 'ON/OS:60 '18/\S:60 GO ,GG '90 (G~M)
1^I0B~
.--"
~f. , "-L
"~I.J.DW - A~IC:....,.
GOC.,l:> - err"
C!~~ or P~IOR ~
SEWER AND WATER PE~IT
NO. ~- ~J-S'
NOTE:
Seve~ and Water
contractors must
be registered
~ith the City.
APPLICANT:
PHONE :tI~-19-'J~
DATE: 5i:J::2-702-
ADOR:::SS:
s :G~T)'.":':'~__?=:: :
~~~r;..
:?~?~"':I'!' ~
---- _._-_......~..... -.---
1.
F:LL IN THE BLAN^S
Esti!:latec lenc;th of ...ater ser",ice ~ 0 feet-.
size o~ ~ater se=vice / inc~(es). n,M1A
Loca~ion of any co~pli~~s from s~~~cture~feet.
~~pe of se~er pipe- AB5____ ~VC~ Cast Iron
3(:)
2.
J .
4.
5.
~s~i~a~ed length of sever line
fee~ ~J1Il...
at ~feet
f::-orn
6 .
Cleen out
S~::-"..lCC'.l::-e.
(if
:re~iree) ,
loca~ed
~==~~==~==~~~~~~~~~:~~~~~~~~~~=====~=~~==~=;==~~=~=======~=====~~~
T~~s a?~licetion beco~es ~o~r permit ~he~ approved,
B':"
DI\TE:
~======~~==~~~~~==~~~======~==~==~=~~~~~~~~~~-~~~~~==========~~~~~
~':"-=<:::.
..----
s
S
5
35.00
.50
35.50
se~er and uater line connection pe~rnit.
surcharge
TOT;"!..
..
ree fo~ eithe~ se~e~ or ~ate~ i~cividually is 520.00 plus
$ .50 surcharge.
*
Se~e= and ~2te!' pe~its issued for ne~ cons~r~ction must be
reco=ded on the build~ng p$=mit ca=~ et the time of issuance
to i~su!'e tha~ no cuplicate 5e~e= and ~eter rp~JV~~~o are
iss-..lec.. ' ,!?j)LD:~1G F C
.5100?
DM.TZ P.~.!u
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~:~~w ~l~icant I PERMIT NO.C}--{p ~y;
(Please type or print and sign at bottom)
[ ADDRESS
3888 REGAL PASS
ZONING (office usc)
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
11/24/02
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 o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO 6000TR-OAK .
APPLICANT PLEASE COMPLETE BELOW
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1% 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
ST ATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
Date
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Buildine Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
S~~ ~ -f.le
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BDILDING AND INSPECTION
SITE ADDRESS 36e8 02-erJ r:k
NATURE OF WORK N~
USE OF BUILDING 5FA
PERMIT NO. CJZ -O((7c.~ DATE ISSUED 5-2/-07...
CONTRACTOR ~~5~~~ ~5 PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING
I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
LL et ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required) -( Co
FIREPLACE ~.,L.. vtot- (iJl4 \-(l- .2-
GAS LINE AIR TEST I z,-/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
-({;
-J-J-,
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
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.
!y/Q-{)3
/L-(1-0
tZ-l
BEEN SIGNED
Call between 8:00 al1d-9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850