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I
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
SeQ. ~ MAtLA- C<L,
Date Rec' d
5-1'1-02_
s,t fii;~, [PERMIT NO. 02 - O(,,2~ I
'J?f{)
tJ
LEGAL DESCRIPTION (office use only)
LOT I BLOCK
ADDITION
t? of' r
ZONING (office use)
.-n ,
OWNER
(Name)
01 y...{)
(Phone)
(Phone) ts J - 'YO (, .- YYtlu
(Phone) t,/J - J ~ 7'- 7 ~ / L
..5__S/ ~ .:l-
I h'''by 'onlY <h" I hove fum;,h,d Inrom"",,, 0" 'hI, 'pplfe,"oo whfeh i, <0 <h, "'"' or my lmowI'd" <rue ood '"'''' I ,;'" remIY <h" I "" <h, own~ "
,"<h";"d 'gm' ro, <h, 'bo"-m"'"""'d pw""", ,"d <h" ,u "'''''''''''0" will "'nr""" '0 ,u <mho, ,~~ ,"d ; oc,I fa w, 00' wiU P''''''d In ''''''''''''re w;<h
wbm;tt<d pI.., I ,m 'w,,, <h" <h, buHdIng offi",I con ""k, <hI< p'oni, ro, j,", co,", F,rth~m"', I h~,by ,_ <h" <he d<y offio'" '" d''';gn", ""y
enter upon e property to perform eeded ins ctions.
(Address)
BUILDER I J
(Name) l/V ~ N .f /n Q' /v /V
Gar-y
/
JJ () J?, ,P .J'
(Contact Name)
~
(Address)
;-,'v!
TYPE OF WORK
ODeck
o Porch
ORe-Roofing
OAlteration
OLower Level Finish
o Fireplace
OAddition
o Misc.
PROJECT COST IV ALUE (excluding land) $
x
/y ~-r
Contractor's License No.
Park Support Fee
SAC
Permit Fee
#
#
$
$
$
$
$
$
$
$
TOTAL DUE
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Pennit Fee
Gas Fireplace Permit Fee
Water Meter Siz 5/ "~I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
#
Builder's Deposit
Other
.00
OS-, $-0
0000
ur Building Permit When Approved
5-2(-0'-
Date
PID
ORe-Siding
OUtility Connection
.j- -/y~ (.; L
Date
$
$
$
$
$
$
~
$
1," " " rotih <b" <h, ITqu'", i, <b, 'boo" ,,,fl,,,;oo ,"d 'ITump,",m, Hoo"_u " ;, ~,"d.,"" wi<h <h, C;" Zuu"" Oodi,,",, ,"d "'y "m=d "''''"''''' ThO ""'_,
d by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
-s-1:wloz-::... ~,. ~-<-Lk=r~ ~\h.W'Yl
Planning Director 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 Cf'nlf'r of Ihe lake Counlry
8
NAME OF APPLICANT
APPLICATION RECEIVED
If/~~/2/yuJ,'U ~~
~5- /~-O~,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
38'90 ReCtal fJa 5'S'
G
Accepted
Accepted With Corrections
Denied
Reviewed By: Q/IZ9--
Comments:
S~-e ~ HC{(?1 ;;0
Date: ~-2I-07
-
"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."
i~,\r'
..
...
Thf' Cf'ntf"r of thl! L.kf' Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
//
i " ,; ...
" -;.'..../
.>1 ...'......:.....J.
,.i':'"
/
The Building, Engineering, and Planning Departments have reviewed the bUilding penni!
application for construction activity which is proposed at:
"'/"/"~__)
/
.-- (
Accepted
~
Accepted With Corrections
Denied
q/A~td~~
Date:
-:)/~(O2-
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. Pennits
presuming to give authority to violate or cangel the Provisions of this code or other
ordinances of the jurisdiction shall not be valid."
Th~ C~n'~r or Ih~ L.ke Counlry
, f ~
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT [IJ f/)1/4111/1/)~ II~-c-/
APPLICATION RE9EIVED ~5- ILj-O~\
The Building, Engineering, and Planning Departments have reviewed the building permit
. application for construction activity which is proposed at:
u'""
-3 8'90 A.-~CiC~1 I~/j 5'S'
( l
"'.J
Accepted
,A(
Accepted With Corrections
Denied
Reviewed By: IJ/ItJfS
Comments: 5 l' (' /11'1/" h (('
Date:
c:-zg-02-
"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."
~
~~ - .~
T~L1.QW . .....-uc.......
l;OU) - en.,
C!~y OF PRIOR ~KE
SEWER AND WATER P:!:u1IT
NO. ~- Gd~
NOTE:
S~ye~ and Wa~sr
contractors !nust:
be registered
~ith the City.
S =::;~~).':::"_'?_~:
PHONE :tJS!Ji~lSZS-
DAT~: ~ ~
.
3!..~G. :?=:?~'!!'!' .:l
1.
Es~ir:lc;:, tee. lenc;th c f water service feet.,
Size 0= w~ter serJice I inch(es) - .MIA
Location of any cCU~ling: from S";::=-"..lC~U~e~fe.et.
~~pe of seyer pi~e. AES____ PVC~ Cast Iron____
3t)
FILL IN THE BL~~$
30
.2 .
] .
4.
5.
2sti~eted length of seYer line
fee~~J1fL
at ~feet
from
6,
C:!..ean cut
s't;=':..lc'::.u:=e.
(if
re~irec:) I
locatec
~~=~~_o=~==~;===~~===~~~~~====~=~=~~~~~~~~=~~~~=~~~~~~~~~=~=~~~~~~
T~~s a~plicetion becomes ~o~r permit ~~en ap~rove~.
B~
OAT=::
=~~~~=~==~==~--==========~~=============~~=====================~==
F~~S:
s
S
$
35.00
.50
35.50
Seuer and ~ater line connection pe~mit.
Surcharge
'rOTAL
*
Fee fa~ either se~e~ or ~ater i~cividually is
S .50 surcharge.
520.00 plus
* Seve~ and vate~ pe~its issued for ney ccns~ruction must be
reco~ced on the bUilding pe~i~ ca:=-d at the time of issu~nce
~o i:tsurQ that no duplica~e se'-'e~ ar.d 'Water., ,,'rr-,e;f2i.ts are
~s5ue~. '--__.~'i\~~.; ,
D~.'!'~ P.<l.:::D
J.210(]N:: PAID
~"'~
;:'1 !,. J'.I'"\/'~\
~.... ~'"
"'-~/..!-
.~ 'r:
. ~ lJ .i
R:::C=:I?'T ;
RECIO B'::!'
". J
. ':-'-r -=, ..~- --~...~ :,"/ S ~" ,?-=;r 1 ,"~ '.!;~-~-:r"-: .;-,-: I ':1t., r'::"'" _~- ,...!::::=r: / "? ~y rr:..' -:\ .LL- .~~..!.c::
2 d v92! 98! 99S 'ON/OS: 60 'IS/! S: 60 20 ,22 'gO (a~M)
WOHd
10lZ4/01 WED 11:ZZ FA.48124474245
CltY OF PRIOR LAKE
la)OOl
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
;.:: ~:; rPERMIT NO. r) - / '\ I]
J, '1'.,..... A~'_. l A bd- \P _
LEGAL DESCRImON (office UYanJ,.)
Lor J1 BLOCX I ADDITION
eOMNG_'~J
~C);~\l
OWNER
(Name)
PID
(A.ddress)
(Pho,nr~ bS)-'tD' -l/ijoo _
:n 'V~", ~r:zz.
(Phone) gJ-fsJ- 1St:
Mn, S6l ;2:1
(P~:: t.5"/~-/~~
DATE S;~ :l-
(Address)
(Conraa Pc:rzon)
Type of Ji'~la...
est
FEE SCHEDULE
Indulllria/, Commercllfl &: MlJlrj.fllJTlily 1% otjoh con with a 539..50 minimum Residential, Ne.... One & TWo-Family S99.50
Residential, AddhiDN a. AlIenations 139.50
Enimated Con .$
Building Permit iI
(om,", VIe Oll!y)
This Applic~lIiDn ~eoma )'on Buildinl Permit When Apprond
PLUM,81NCi PERMlT FEE s
STA TE SURcHARGE S
TOTAL PERMIT FEE s
.50
aId
lUClcipr !loIa.
BUlldl", Ol7lc...
D....
Da~
ZCJ ha~.' ~Cffic:" '10., 1111 inlplclilrDIl9!aj ""i-~liSU, tila. ,9~) ~:''''''Z4!!
d vg2 I g819gS 'ON/OS: 60 'lS/OS: 60 20 ,22 'gO (a3M)
WOHd
FIRESIDE CORNER
#1533 P.002/003
Date Rec'd
CITY OF PRIOR LAKE
REA TING/AJR CONDITIONINGIFIREPLACE PERMIT
i ~ ~I~ lPERMlT NO. -:-\ ,(,-;)-/
3. YIIIIDW "PP"_ _ 0<. ~
ZONlNG (pff,.:c UrIC)
LEGAT... DESCRIPTION (OffiCE use ~y)
LOT
BLOCK
ADDITION
PID
i =: \D~Yo~^ ~.9.D
(Phone)
j
APPLICANT
(Name) ALI..J.E:D FrRESIDE DBA FIRESIDE COBNER
(phone) 651-q33-,S6J.
(Ad.dress) 2700 N. FAIRVIEW AVEJgJ1E
(Address)
(C ta P ) BRENDA 1:tt1ST.ON
ot!. ct. eI'Son
ROSW"q:.Fr. ~
(City)
(Pbon~ 651-633-2561
~ .d\-.Q)-
r:;C;111
(Zip Code)
APPLICANT SIGNATURE
DATE
APPLICANT PJ..E E COMPLETE BELOW
JW CONSTRUCTION 0 REPLACEMENT 0 At TE~LO~N
FURNACE MAKE AND MODEL .l" v,;. _
FLUE SIZE RETURN OPENINGS INPUT au. UT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Planf.9 0 Steam
~GJ'1\Yity 0 Hot War.er
Mcchmlica1 . 0 R.adilltion
~ Air Conditioning 0 SpecjoJ Dcvia:s
d OVcnt. Systan 0 Other Devices
FI . ACEMAI<.EANDMODEL ~l;) - ~-ISO c.. ~
PLEASE NOTE:
Air Conditioner Unit.s
Cannot Encroach jnto
Required Side Yard
Setbacb
JJcL* ~~
rndu~trll11. C4)lTIrncrcllll & Multi-F<lily
FEE SCHEDULE
1% "fjob cost Residential, O/SS Firaplllce
539.50 minimum
$99.50 Residential, Additions &. AJtel'8tions
$64.'0 ResldenriBl, AC Only
S39.SO
$39.50
$39.S0
R~d.enti8I, Hf:atlng & Ale (New Co"sttuction)
Residential, Heating Only (New COtlstruction)
Estimated Cost $ .
Eh.dlding Permit #
r.ome, rJall 0.111)
HEA TINa PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.so
Bni/dlng omr.I.J
Date
This AppUcatlon Becomes Your BIIUdlng Permit Wbell Appruved Paid
Dlh!
14 hour notice for "I' h,.pediop. ("%) 447-!JB50, f8& (,g) 447-4245
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Q
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS :st'3'lo Y k
NATURE OF WORK /I.)e.J~
USE OF BUILDING S~A
PERMIT NO. ()2 -()(f/;~ (p DATE ISSUED ~_ 2-( _Q?....
CONTRACTOR L<.k~~ ~ PHONE 6"12-7..(.'7_ 7/-/2
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECT/ONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
See ~ Mcu'V\. td..i2.
I FOOTING ] J
, FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
J
l
SEWER I WATER I SEPTIC
FRAMING },..l.. ~ 'l 0"
INSULATION t...c.... Z, It-
ELECTRICAL
PLUMBING ".&.0. ( (
HEATING (if required)L-.I.,
FIREPLACE t,..c"
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
-[ f
FINALS
GRADING (Prior to Sodding)
BUILDING 1 CD (OlD . OJ, ) _ '2
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 shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850