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LL >= C ...J a:: Z ..J 00(0( I- z 0 o 0 :tf < - a:: ~ t; 0 i= < ~ < I- l- (/) 0 0 :a:: W W 0:: ~ ~ ~ 8 8 oX-o rn I- Z w :E :E o (J .b c o () ~ c ~ o ~ u Q) a. IJI c ui o z 0( > c 0( ~ (/) a:: :;) o :I: ... N Z o i= o W a.. (/) ~ .- >< W Z W :I: .- 0:: o LL o II) IX) en ,..:. :; ...J ...J < o ;;;:.; I-.. ~ ~ "l:l i5 ~ ~ <:) ~ a.. ~ ~ ~ ~ ~ ~ < ~ ~ ~ ;;;) <:)l ~ Ill: l.<.l Cl 8 ;:: c ~ !; CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d 1. White File 2. Pink City 3. Yellow Applicant .J5 -;)..{) - 'd--'. I PERMIT NO. 02- -6~ 7 ~ ZONING (office use) c:;:r-;-... /jCllr"C- LEGAL DESCRIPTION (office use only) LOT 7 BLOCK! OWNER ~' (Name) ,Y'FJj''Y'''/ ADDITION PIDd5-'~/#-O (Phone) (Address) ~~~~R I~ClbJ f' (Contact Name) 8 i/I ~ k i?7CJP/ (Address) ~ //1 e (Phone) (Phone) (JS:J-c~5 5 -d5<t3 TYPE OF WORK ew Construction ODeck o Porch ORe-Roofing ORe-Siding DLower Level Finish o Fireplace DAddition DAlteration DUtility Connection o Misc. PROJECT COST IV 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. I also certify that I am the owner or authorized agent for the above-mentioned property and that aU construction will conform to aU existing state and local laws and will proceed in accordance with submitted plans. I am aware that the bu' ing official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upo ro~erty to perform e a ins s. 0/ Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee WalCXJ7u7'37 Contractor's License No. Os}~3k~ Dtte Xi TOTAL DUE # $ $ $ $ $ $ $ $ Park Support Fee SAC Permit Valuation Water Meter Siz Pressure Reducer Sewer/Water Connection Fee Water Tower Fee Builder's Deposit Other # # 5~2B-O~ Date I Paid t:J, () ~ 7. 4-y Date 6,/) ,- ~ 1- s Your Building Permit When Approved 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 Ci Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. ~ .A ~ ("1 \ jl ~~-r- b /3/07- ~ ~T~w<~ L~r\'i(~At-8vfv ~ Planning Director Date '.-- Special Conditions, if any 24 hour notice for all inspe tions (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 0------' '.-,. White - Building Canary - Engineering Pink - Planning Thr Crnlrr of Ih, ".k, Coonlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED .-7 ~. IJi-- ! :5 --DO 'Od- The Building, Engineering, and Planning Departments have reviewed the building permit '_ application for construction~ is proposed at: , d Lj /7 - (/1p:J( P a:cA- Accepted )(' Denied Accepted With Corrections Reviewed By: tY?9-f~ Date: , ' b - SC)-CJ2- Comments: See Reverse Side for Additional Information! See Attachments: 1) 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 -~ The ("fntt'r nf lh.. Lakr Countf) BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~J~ APPLICATION RECEIVED 5,- d-6 --0 d-.. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction ac 'vity which is proposed at: Accepted Accepted With Corrections y Denied -r=J7J Reviewed B~'I1g~ Date: S.~ - 02- Comments: {2@aJ a\l Ct-t\CiGbA ~ou{.s "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' Cf"nln ()f Iht' I.ake Count'1-' 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 ~~~~~ Date: Reviewed By: ~/3/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." -------- /'-t ? ,t.o -'. /C~"". .' / .;' ,-1/' ir \7 !:. " : \ ; ';: \\-~i":/ "..... ' !"o / ~ D:ltc Rcc'd CITY OF PRlOR LAKE PLCyrBr~G PER.\I1T I Jlu<': ;:"I~ (;".d C::'I J (-:110"'" \aOllCJ.nl PER.\I1T ;';0, ;;(----(0 7~ : ?~~1:;C ~/je Dr :;~:1t U1l1 ;1l!:1 ,It hottom) ,~.:: :=. fJ::SS J ell 1 ~ c;. :;:;-~.C \':;::":: ....~e; S2~/Jf/ f'rJ~f Pit Ii L.~G..\I-. D2:SCFjFT:{J~i" (,ut~c~ J::i.: )n1:1) 3l:: (3: p ~ r::' ,.l.DD[T=C:--i -TY~:{ L) h \:":::7.';~~' - . e I{ e V i. ~.'~-'::"~~~ '; \?::cr:~) ...\?? :...1(>.'\,T ( >;J:7:=: (.-:....:~:~::::;) - ~ 1,-''':;::.1-'':: (":;::.:cr:; /7,,/1.. (.:::cr:e '/::J6L/ -;;~/Ia.L t/tJci'J/J/ ':;J5~ ( c: ~ ~~! '1 (Z;p C.:Li~) (.-'...~...L::r~~s ) ~ A{&~ \:.-~:cr:t..:) / / {l~ ...\.??UC.-\~'T S;:C:'-A TT..:RE DATE APPLIC.-\.~T PLE.-\.SE CO:vIPLETE BELO\."V QU:lntiry Type of Fixture Bath Tub '}itth or without sho\ve:- Dishw:lsher i floor Dr:J.ln L:w3.tC'rl (Bathroom Sink) j LJ.undry TrJ.Y ( I or .: ,;cmp~r:.:merH slni" Shower StJ.li Sinks Bar Sink Water Closet (Toilet) Type of Fixture Rough-tnS i W:H~r He:lter \V J.t~r Su tmer i St:lmi Plr:~ i \VJ.sntng \-fJ.c!1tnt:l Sew:lge Ejector I Backt10w Assembly I Backt10w Assembly Test I Lawn Sprinkler I Other I I FEE SC H.ED L'LE Industrial. Commercial & Multi-family I % of job cost with a 539.50 minimum (Office {Jse Only) R~sidential, New One & Two-F:unily 599.50 Ro=sidential. Additions & AI~tions 539.50 Estimatd Cost S I'" ~- - .....:" ! \ )~~ ~; ~ r-..,'. .....-' ~/. ~-~<>; - BuiiL!ing Pe:-:nit .:f. PLU~!B[NG PERLvlIT FEE :5 STATE SURCH.A.RGE :5 TOTAL PERJ."IIT FEE :5 JUL I 7 .50 P:lid Receipt No. This AppliC:1tion Becomes Your Building Permit When Approved Date By Buildin~ Official Dace :~ h,)ur nocice for JiI inspectlOns \95:) ~7-9:i5U, fax (95:) ~47~:~5 ~:~ ~:~. I PERMIT NO-.--l 0 7,:2 J:>.. l, V~lIow Applicant . V- .::=:::t,.;::... ~< '..;;. I ZONING (Oftkr'*)l..~.'~ . ....'....".;. ;...r~"::~~r .j, ';.,~ ;. ..;- CITY OF PRIOR LAKE HEA TING/AIR CONDITIONING/FIREPLACE PERMIT (please type or print and sign at bottom) I ADDRESS ~ ~ I 7 S /b'^-\ c."t( ~ ~t'- Date Rec'd LEGAL DESCRIPTION (omce usc only) LOT BLOCK ADDITION PID .;.. '~J; ::'1~. : ~:' f~J; OWNER (Name) e.€ I" -f( )of II 0 ~~ ~ (Phone) (Address) f'.'""-,; ~ .-.:,,~, : -, ~ rt,':~ .~:>-';:~ APPLICANT (Name) #-:'~+. ''^-J (Address) I Y' S- S" a (phone) 7(, 3 - 4")..?"- 5(, 77 ~ ~oc.') /,.,... J Co~t1f'1 (Address) -r~ v' it /Y7~p/~ ('.:>{O,,., (City) S-~-:1 (, 5- (Zip Codl!) ] f. 3 - >5''' 7 (Contact Person) - I ~ ,. "'1 (Phone) ~/L- ~';': ,,:-' .:".:" .,"',.,-...;' ;C";::' ;,.....:v' . .i' .",: 'l;-', \:.'-,'-..i':, DATE .."_ {:f' :::<:~. APPLICANT SIGNA TUItE APPLICANT PLEASE COMPLETE BELOW EW CONSTRUCTION FURNACE MAKE AND MODEL f3 t"''t Q /\-f- FLUE SIZE PV.C RETURN OPENINGS TYPE OF SYSTEM [UWarm Air Plants OGravity o Mechanical . ~ir Conditioning ~ent. SyStem o REPLACEMENT 0 AL TERA nONS 3 S-o '-+ ~(') ?O FUEL Go5 if' INPUT ';? O. n-:JO OUTPUT 7Y,000 HEATING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices o Other Dcvices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL Industrial. Commercial & Multi-Family FEE SCHEDULE I % of job cost Residential, Gas Fireplace 539.50 minimum $99.50 $64.50 539.50 $39.50 539.50 Residential. Heating &: NC (New Construction) Residential, Heating Only (New Construction) Residential, Additions &: Alterations Residential, AC Only Estimated Cost S Building Permit # REA TING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE S r I.~U" i::' ~ -~ .50 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Date --- JUl31 Building omelal Date 14 hour notice for al\ inspections (951) 447-9850, fn (951) 447-4245 to-d 2:: 89:2:82:: t>:2:9 L - OM~ ~NI,OO~ ~ ~NI~~3H W~ gt>:80 2::0-t:2:-,nr ....:,.. ~:-~::~~-J.' i' :.:'. '~~".~ ~ :/;::,~'~:~j ;:' (.,.,:~~ ~ ;:': ,-;. ~; , !:<: ,~. ~.;:'-.'-~~~~ ~'g' "' ,." :J,;. .,,:,:: '-"'1 JUL.18'2002 11:55 651 633 8884 FIRESIDE CORNER #0132 p.001/004 CITY OF PRIOR LAKE HEA TING/AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'd i: ~~ ~:~. I PERMIT NO. "_ J rJ --- I J. Yoll"", I\pPI",am . c:::7" L.'" / ~ I~~~~~;~ ZONING (offiCI: U$lI) ~~ r...EGAr~ DESCRIPTION (office use only) tOT ,BLOCK ADomON PID OWNER (Name) (Ad.d.ress) (h~ (Phone) APPLICANT ~~) AJ.LIED FIRESIDE DBA FIRESIDE CORNER (Address) 2700 N. E'AIRVIEW AVENUE (Addms) BRENDA mJS'l'ON (Con.tact Person) (phone) 651-633-2561 APPJ..ICANT PL ~W CONSTRlJCnON FURNACE MAKE AND MODEL FLUE SIZE RET11RN OPENINGS TYPE OF SYSTEM Swann Air Plants GJ1Iyity Mechanical , DAir CQnditio,2/ng OVent. S)'st.cm FIREPJ~ACe MAKE AND MODEL ~ ROSEVTT.T oF. MN (Ciry) (Phone) 651-633-2561 ~c; 11 ] (Zip Code) APPLICANT SIGNATURE DATE ~-l~-C~ E COMPLETE BELOW o REPLACEMENT 0 AL TERA TIONS FUEL -Y ~ INPUT or~ HEATING OR POWE.R PLANT o Stesam o Hot WBle.T o btJi8tlon o Special Devlces o OfJler Dl!:Viecs PLEASE NOTE: Air Conditirmer Units Cannot Encroach into Required Side Yard SetbllClcs ~~~ ~~ S~-rL-. Industrilll. C"mm~i~l &. Mlild-FllI71i1y FEE SCHEDULE 1% of jab cOIl RcsldentilIl. G88 FlreplllLZ $39.50 minimum $99.50 Residential. Additions & Artt:ratlons $64-.S0 Residential, AC Only $39.50 $39.S0 $39.50 Residential, Heating & Ale (New Constructlon) RtsfdendJll Heating Only (New Constru.cdon) Estimated Cost $ Building Permit #' liRA TING PERMIT FEE STATE SURCHARGE TOTAl.. PERMIT FEE $ $ 5 ,so (OffIce lJ~e Only) Tllis Application Becomes Your BulldtDK Perml,t When Approlled Pa~d ReceipJ No, Dlte Due By JUl \) J dA.;i~ ~ 8"t1"'nlJ Official :24 hour notlcD for 1I11111spectionll (951) 447-9850, fn (9SZ) 4474245 PRIOR LAKE INSPECTION RECORD SITE ADDRESS Jt./t? SlOYlP c'~LRI-h NATURE OF WORK --1J.;!'....J USE OF BUILDING ,~<;FD PERMIT NO. OZ,-Qh'lZ-- DATE ISSUED 6-:213 ~OL CONTRACTOR r .oV\tex PHONE 95:< ~21~-~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION FOOTING FOUNDATION (Prior to Backfill) PLACE NO CONCRETE UNTIL ABOVE ROUGH - INS 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 FINALS 15 ''1- d- g- 13- ()-; GRADING (Prior to Sodding) BUILDING n e~ Ur1tl! -f-(]?J ELECTRICAL PLUMBING HEATING DO NOT J 2.-1 - 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 I:.aen 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