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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
~\G\\
~\'-\-
Date Rec' d
5- /3 .- 02-
I. White File I PERMIT NO I
2. Pink City . 0'7 - 01"51
3. Yellow Applicant V tv .
~w
ZONING (office use)
RrsfJ
LEGAL DESCRIPTION (office use only)
LOT\'-\ BLOCK \ ADDITION
~\..- \\.'-~ ." C ~
0, \L-.t.
E.s+CtfcS
. LtJ~D ;)5'-'_37/-01,-/--0
OWNER
(N ame)
(Address)
(Phone)
BUILDER
(N ame)
(Contact Name)
(Address)
~
" ~.-
, --
-~\.
~
~~~ \"
TYPE OF WORK
New Construction
ODeck
(Phone) '\ 'S;1.. -~ ~ c; - \ "\ cO
(Phone) l.::, \ '- ~ \.0 ~ '-\ -e:. S b
~L_~\,- SSo~"t
i);:.L-~~
o Porch
ORe-Roofing
OLower Level Finish
~irePlace OAddition OAlteration
PROJECT COST IV ALUE (excluding land) $",-4-0 \ (;) ~> t'>
o Misc.
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
es Your Building Permit When Approved
5'",. z, -02-
Date
I(oY7
Contractor's License No.
Park Support Fee
SAC
#
#
ORe-Siding
OUtility Connection
)
S--I ~ -.,) ~
Date
$
$ /
$
$
$
$
$
$
$
(,-4--- O~
I~~~
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 docu nt
:~~-=:=,rycm":;(:/;;~d2::i""","m;:i:r~"~q="b
Pl~"iog Oi,,,'''' 0,,1 ~""i" Coodi';o"" if~,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Water Meter
Siz
5/ ", 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
#
Builder's Deposit
Other
TOTAL DUE
Paid
Date
91'737'?
t -,r r~-Z-
--
White - Building
Canary - Engineering
Pink - Planning
Thr ('rnlrr of Ihr Lakr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Vahle 13 yoS..
,-L)~(4--o~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3/11- Sh alcJ ()O Uf'~ p-f-;
Accepted X Accepted With Corrections X
Denied
Reviewed By:
NIJ5
Date: S--;:)'I-t:J2-
Comments: See Reverse Side for Additional Informationl
,;; 't' IN "c1f~ 7J r iv (, W~ \' &, {- fJ u~pu.J- y / ,'11 (.
See Attachments: t) Grading Plan, 2) Erosion Control Measures
_ .... 3) Erosion Control Plan
"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
Thr Crnlrr of the' Lake Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J)ahle B y05-
,-5-(4--{)~~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3/12- SA~ ()OU~ ?+:
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date: ~-;20 ~dL
"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."
The- Ce-nle-r of Ihe- Lake- Counlry
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:
" /":
i-
t
j.,....
, J; "I >,
"
Accepted
Accepted With Corrections
~
Denied ~
Reviewed By: ~ ~A,,[-~~
Date: 5/:2-3 ((9 Z-
"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."
FROM : BRUCKMUELLER PLUMBING INC
PHONE NO.
651 688 2160
Aug. 14 2002 07:12AM P1/1
. .
, .
. .
CITY OFPRIORLAQPLUMlJlN'GPERMIT
Date Rec'd
. , .
. . '., '.
. . '. .,'..
. ;;}:~~:~. ,.. .~ \. ~ElWIT NO. . .~ - / 5"1 ]
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ZONING (office us~)
s~
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G,~~c\~ .
LEGAL DESCRIPTION (otJi",c u$e only)
LOT
BLOCK
ADDITION
. ,. ,'..
PID
OWNER
(Name)
(Address)
~~LP_ ~"0
,-
APPLICAN;t') Dr... .,....."
(Name)C")'f?UC \..- ~V..tt\fC<:\ u.J~~) ~L
(Address) '3!=V\ 1- (~~ \~
(Contact Person) ~yr ;:c..
(Phone) (,)" 1- lA t(, - ~ (" llt
€.~IhQ~ S-~ J ~
(CitY) J (Zip Code)
(Phone) f.q \L.~ til~ 80J~&j~r"
DArE
APPLICANT SIGNATURE
Quantity Type o(Fix~re . Quantity . Type of Fixture
1 Bath Tub with or without shower 3 Rough-ins
Dishwasher 1. Water Heater'
Floor Drain Water Softner
LI Lavatory (Bathroom Sink) \ Stand Pipe (Washing Machine)
\ Laundry Tray (lor 2 compartm!=otsink Sewage .Ejector
\ Shower Stall Backflow Assembly
\ Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
~ Water Closet (Toilet) Other .
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
rndu~trjal. Commc;rcial & Multi.family t% ()fjob cost with a 539.50 minimum Residential, New One &. Two-Fll.mily $99.50
Residential, Additions & Alterations $39,50
Estimated Cost $
Building Permit #
PLUMBJNG PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
Date
(Office Use Only)
This Application Becomes YOUIC Building Permit When Approved Paid
BuUdin,; Offtdal
D.te
24 hour IIOti~e for all inspections (952) U7-'JSSO, fax (952) 447-4245
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
t ~~:w Jl~icant I PERMIT NO. )-t;s J
ZONING (office use)
3197 SHADY COVE POINT
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
DAHLE BROTHERS
(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
8/16/2
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants D Steam PLEASE NOTE:
DGravity D Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning D Special Devices Required Side Yard
DVent. System D Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO 6000TR-OAK
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
(Office Use Only)
Buildinl!: Official
Date
I Paid
Date
I ::ceiPt No
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
SEP-03-2002 03:45 PM STAR
PLUMBING 8. EXC.
952
884
7468
.f
"',........... - ftU
'Yu.&ARr - AHLICAIIT
~ \:. ..... - ClU
','
P.01
.' . _-i ._-....
..\~.---.It. ,. ~.,--." .
'<
.-
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE:
NO.,l
c.:): - t.o.S I
sewer'and Water
contractors must
be registered
with the city.
PHONE: 'K~-83'{-t.j /'IE/:'
DATE:
BLDG. PERMIT .
SIGNATURE:
SITE ADORES .
PIOf
-"'"' .
-
4 .
Estimated length of water service 6"0 fe~t.. ',"
N i~~S-.if~f'
Size of water service / inch (es) . ~~~;~r'..-<,
Location of any couplings from stru;;,;,r~ ......"..., · , . :..-
Type of sewer pipe. ABS____ PVC~ Cast Iron;;~:~
Estimated length of sewer line ~(7 feet.
.....
1.
2.
3.
5.
6. Clean out (if required), located at
structure.
feet
from
--========================================================-=======
This application becomes your permit when approved.
DATE:
=====================================================---==========
BY
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
* Sewer and water permits issued for new construction imust be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
surcharge
TOTAL
FEES:
DATE PAID
SEP 4 2007
AMOUNT PAID
REC'O BY
-~-
r" PA,~D W!TH
r . ~ '
CfV
RECEIPT #
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph, (612) 447-4230 I FAX (612) 447-4245
An Eaual Oooortunitv Emplover
,...,
PRIOR LAKE
INSPECTION RECORD
~PI
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 31"/7... _5~
NATURE OF WORK N~
USE OF BUILDING SF!)
PERMIT NO. ()Z -~(pSI DATE ISSUED -S---2CJ r(JC--
CONTRACTOR ()//-- h -e ~p-) PHONE 1412-- :?~3... Ch~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSP.ECTOR
DATE
FOOTING
FOUNDATION (Prior to Backfill) 7 I (),..
PLACE NO CONCRETE UNTIL ABOVE HA
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~ 1. i"l/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodd'ng
BUILDING -fUJ i 0 ' 0
ELECTRICAL
PLUMBING
HEATING
DO NOT
-~
/0-:;>>",
t O. lJ -0'
~
OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
SIGNED
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
C I~]' '\.T (" C' PFJrr)R [' ,\ L~r.:
..... . 1 :.J.l .. . \... .J.hr.....!:',
I.1npervious Surface Calculations
(To be Suhmitted with Bllildmg Penn it Appli,:ntioJl)
For AJIProperties Located in the Shoreland pistrict (SD).
'The !v{aximum rmperviOtl~.sllrface Coverage Permitted in 30 Percent.
Property Address_..____
"_"_' .J197 SbadY....CQv.e Point...Nw._..._....:__........_.~._.____... _ _ .
Lot Area __...~~~.~72 ..._............... Sq, Fet;l x 3()l,~/;) :;;, ,.....7,.161.... _'____"__.
.~~********~~**~.**#*.****************.*~*****************~**********~**
LE~~G( Fr
WiI) r!.l
SQ. FLET
r !"()!.:SE
x
'\
ATT.-\CHEU (;,..\;;:..\:',E
x
TOTAL PRINC1PLE, STRUCTlJRE...............,......,..
2,147
1) E1':\C 1 1 EIJ Eil.l:I(j(.:
:\
((; tl_~~!g ~... \~>i1c,a; r:!)
.\
rOTA L rn:'L'-\.cru!~n .t.'C1Ll.HNGS........................
DRfVEW..\Y/P ,\ ',F :I..'.,"!._i..:.',,~.;
30
~
~'l:
30
tjoo
.... ....._._~
(Drive"\ aJ "fl:l', ~,: Cl;' ncr)
(Sidewalk.'l;&:-!(:'1~' i\;e'.i!..)
'.(
~
..._. ......_..... 7."...__'. ..13.......
.._... ..._...91..._.. ... .......__
To'rAt. P.., \-TD A/ZEAS...........................,...............
99/
.. ...::B:ti:.._... ._..
p,.!., T IOS/l:l() [\.ell F S"(~;I- r ~~,:.;
(Open D~r.;-_'" 'i,'" II"". ~I.. i ,....:t:. ~H'., .::~:i'
b(latd~ 'Aill.lll i:\~i',i,:lh :i'il":';;:: ~I~:C\-"
are no~ c,..,q~i.i-'.:t'r:d (I) ~)~ ;r:~tJ,,:'\d..:JL $)
y
~~..,..._... .....1...1.....
X
..._.....168
l' () fAl, D c: (~J(S....... ......... ,.. ........... ,.......................... 168
OIH:-:,R
"<;
, l' ._.1 11 ;.:\. '(. (,...r.r':J~lJi I J~....",.., .. .I./iI' ...".......... ........". ".... .~...... ........"......... ....;.......
T()T AI. I1vlPF [{ VlOUS SURJ~\r\CE
r- ..... .....--... . ."'-"-'" --"J
l 3,156 J,?o6
-"'-'-'" ,......,....,...........--.-.-
~JVER
l:)renare.(! B. Y. De.l..Rar XH' SdlwanzJ?Z'7.~.and.. . Surveyo. .. [["S I~.. I.)atc..._......._~y ~.!...~~~.?....~ May 22,
, '. . --';1' l' -~_.. -'" ~...~. ...- Phone II 651-423-1769 .
Company _~1!f!.~ _.___._._~y. ___'___". .
,_.." .....-..-.-- ........-.]
4.007 1, f57
,.......-........_.................'.....~.
2002