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'SeeHt- M4L~ Fil-e.-
CITY OF PRIOR LAKE BUILDING PE VllT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE j I... D ~
AND UTILITY CONNECTION PERMIT !j - ~ "1
~. ~i~i~e ~:;y I PERMIT NO. 07... 0" V 1-
3. Yellow Applicant V 0 '"
,
~ /
'Y@5S
ZONING (office use)
\5~' Co
.w
LEGAL DESCRIPTION (office use only)
LOT e BLOCK 4 ADDITION'\2. ~- ~\ C.2t2-l::..Si
PID
.5- 3cft-D' (;,/'-0
OWNER
(Name)
('~ (;, \ \ ~:,~Jt:.- C,,"-h.-, -\-\ D\'Y1-('_ S
(Phone)
(Address)
BUILDER C. n l \
(Name) 0 \ \tAL ~,~ -H 0(1'"\ -(' ~
(Contact Name) E.ciC! ,'E:.- Sh \ m 0 t a-
(Address). /')20
'"1 E:.U, LLE:::-
)\ LL t::....
TYPE OF WORK
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace
OAddition
o Alteration
\ct
OUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
0.-
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 all construction will conform to all existing state and local laws and will proceed in accordance with
su ed pia am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city 0 cial or a designee may
nter up th pro erty to pe~.ne inspections.
/l 1?1')C)
Signature Contractor's License No.
'5. 31- 6'2-
Date
I Paid
Date
~ z,~(g 'E
6~.. z ~"i
#
#
Permit Valuation ...00
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ J 00.00
Mechanical Permit Fee $ toO .00
Sewer & Water Permit Fee $ ~51'5V
Gas Fireplace Permit Fee $ .w
Park Support Fee
SAC
Water Meter Siz
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE
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
:~~remp_ Ccrti'~re or "''',,' <ompli= md ,"~"m_ '~. ~ ~rG Ccrtifu2re 0(0=_ """ '"
. .AA Planning Director ~ ~ I ~at( {)L ~. Speci~~t~ifany\~6-fu"-eY\s
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Nov. 5. 2002 :1:49PM
GENZ RVAN PLUMBING AND HEATING
No.:1H6 p. 2 :1
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
:: ~T~ ~~i_1 I PERMIT. ~O.9 ~ ~~ ~I
rrJm:;~5a;(;) ~~~ Pas;,S AluJ I
ZONING (offiCI: u&e)
LEGAL DES~Or (office: us~ only)
LOT?" BLOCK c...r ADDmON
PID
OWNER
(Name)
(Address)
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of F:lxtuJ"e Quantity Type of FiXture
.;{ Bath Tub with or without shower 3 Rough-ins
I Dishwasher I Water Heater
( Floor Drain - e.1 I Water Softner
Cf- Lavatory (Bathroom Sink) f Stand Pipe (Wasbiog Machine)
r Laundry Tray (lor 2 compartment sink Sewage Ejector
I .shower Stall . Bacldlow Assembly
f Sinks Backflow Assembly Test
KIT Bar Sink Lawn Sprinkler
':? Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multl-f8JTuly 1% of job cost With a $39..50 minimum Residential, New One; & Two-Family $99.50
Residential, Additions & Alte;rs.tions $39.50
Estimated Cost $
Buildhlg Permit #
PLUMBING PERMIT FE~ $
STATE SURCHARGE $
TOTAL PERMIT FEE $
50
,.rp,~'l"'I"
tr'~ ~.. ,"
(Office Us~ Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
. Building OUid,,'
. Date
24 hour noti~e for aU Jnspedion, (952) 447-9850, fax (952) 447-4245
3:49PM GENZ RVAN PLUMBING AND HEATING No.3346 p. 3/3
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
;";.~\::,:::,,t::.:.:,~
~~\\~~~\\~~~. '-
1. rink
2. Gr-n
J. 'l:'c1l<>w,
Slcant ~ p~ NO. 8-'b g /p
I ~7,7gi;{~~+-(eyS
~
ZONIN'G (oft.ice use)
Pas; s IV U)
LEGAL DESCRlJ'TION (office use only)
LOT r;LOCK ADDITION
PIP
(Addrl!$s)
(Zip Co~)
(Contact Pexson)
/I---s-(j2r
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION 0 REPLACEMENT 0 AL1ERA TIONS
FURNACE MAKE AND MODEL Iflflf)tJj (;&:),(01),5'-'7[; FUEL ~
FLUE SIZE RETURN OPENINGS -5"- INPUT IJ....C;J t2!b OtJtPUT .
TYPE OF SYSTEM HEATING OR POWER PLANT
~arm Air Plants 0 Steam
DGtavity 0 Hot WatQ;
~MechaniCaJ 0 Radiation
Air Conditioning 0 Spc;:oial Devices
Dent. SYStem 0 .Other DC'lices
PLEASE NOTE:
Air Conditioner Units
Cannot Enc:roach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commc;:rcial &. Multi-Fanuly
FEE SCHEDULE
1 % of Job cost ResiclentJa.l, Gas FirephJl.':e
$39..50 minimum
$99..50 Rcsidc;:ntial, Adttit,\ot1s &. Alterations
$64. SO Rcsidc:ntial, AC Only
$39.50
Residr;:ntlal, HeatIng & AlC (New Constl'Uctlon)
Residential, Heating Only (New CC:lU.struction)
$39.50
$39..~!O
Estimated CoSt $
Building Pen:nit ;#
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERlWT FEE
$
$
$
.50
.L
tnmce USe .Qnly)
,jis Application Becomes Your Building Permit Wben Approved
Paid
Receipt No
BuildiQgOfi'icial
Date
By
24 hour notice for all inspections (952) 441.9850> fax (952) 447-4~45
2:15PM GENZ RVAN PLUMBING AND HEATING No.8649 P,7/8
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDmONlNGIFIREPLACE PERMIT
()ff::S ^-.J L0
~: ~ SCUll ~ PERMIT NO. d - 6?6 I
I ZONING'__l I
'\~t~~~~~t~.~..
~=:mdmp;~
03( to .
LEGAL DESCRIPTION (office Il..'It: only)
LOT BLOCK
ADDmON
PID
OWNE~
(Name) eC....(2
C~1Y
(phone) Q')2 - LlIoQ-&51l5D
ltLk.tv tile
(phone) {p 5/-L{Z-~ - I f L/ tj
taLWJfJLU/7 r s-~tc8
(City) (Zip Code)
(Address) .
APPLICANT
(Name) & .v19 -
(Address) ~ S-
I!~~
~ ~ld YL4 Tfl<L
(A~s)
I~
(phone)
DATE
(Contact PeISon)
APPLICANT SIGNA TlJl(E
APP T PLEASE COMPLETE BELOW
w CONSTRUcno~ 0 REPLACEMENT 0 ALlERA nONS
FURNACE MAKE AND MODEL _Le it' 1A'~~ C-:>2..l0G. ?:'-c'-... - FUEL~r1J. ~~
,
FLUE SIZE RE1."l.JRN OPENINGs.5 INPUT' '1 ~ tflJD oUTPUT:J4 tfli7)
TYPE OF SYSTEM IffiATING OR POWER PLANT
~ann Air Plants 0 Steam
o Gmvity 0 Hot WaJs;r
o Mc:chanicaJ 0 Radiation
~r Con4itionlng 0 Special Dcvic;es
DVent. Systl:m 0 Otlu:r Devicc:s
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required. Side Yard
Setbacks
)
FIREPLACE MAKE AND MODEL
IndusttiaJ, CommetciaJ &. Multi-Family
FEE SCHEDULE
1 % of job cost ReSidential, Gas Flreplac;e
$39.50 minimum /
$99.50 Residential, Additions & Alurati~
$64.50 R.esidential, AC Only
$39.50
Resido;:ntnll. Heating &; NC (Nr;w ConStrUction)
Residential, Heating Only (New ConstIUc:tion)
$3950
$39.50
Estimated Cost $
Building Permit #
I
I
$ !
$
s
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
.50
(n~Cll Use .Qnly)
"
"'
.' jis Application Becomes Your Buildiog Permit Wben Approved
1 ~tNO'
j
BulldiDe offtcllll
D:d~
I:~
l4 bour notice for alIlnspedions ("1) 447-9850, fax (952) 447-4245
Jun,24, 2002 8:01AM
~~\~~i&:
GENZ RVAN PLUMBING AND HEATING
No.8559 p.3/7
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~::...~-=s !6s~ ~\U
i.~d ~~ I PERMITNO.~ bf'~ 1
3. y",,- Ap,olican. _
, I ZONING ,--) I
LOT
LEGAL DESCRll?TION (offia: use: ouly)
BLOCK
ADDITION
~=e~R C D.21JeEe erN
," {
(Address)
APPllCANT
(Name) ~?: - ~
(AddrOiS) ILl 1 LJ S" '?n ~ ~ l' fLL
(Address)
(Contact Person)
APPLICANT SIGNA TORE
Quantity
,
I
I
I)....
I
I
I
7~
PID
(phone) Q5z - 4100, ~ (09 fJO
MkJ
(Phone) toSl-L{ 2..~ - (t 4 U
&~~CJU-Y1r 5S(:iog
(City) (Zip Code)
(phone)
L
DATE
EASE COMPLETE BELOW
Quantity
~
Estimated Cost $
Bullding Pennit II-
Type of Fi:rtnre
.Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (1 or 2 compa"tt:nent sink
Shower Stall .
Sinks
Bar Sink
Water Closet (Toilet)
,,) ,
.
Type of Fixture
r 1Rough- ins
Water Heater
Water Sofrner
Stand Pipe (Washing Machine)
Sewage Ejector -
Backflow Assembly
Ba.ckflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial. Corruncrcial & MultHamlly 1 % of job cost with a $39.50 minim'Un1 Residennal, New One: & Two-FamtJy $99.50
Residential, Additions & Alterations $39"50
PLUlVidING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
"1
-)"e
(Omce Use Only)
This Applleation Becomes Y Ollr Building Permit When ,Approved
~: .
;'1)
'l"- .
Buildi~ omcild
Dati:
I P~d
Date
Z4hol.\r notice for all inspections (952) 447-9850, fax 1'952) 447-4245
'") ,-
;-)
I :'$NO
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~~~~w ~J~icant I PERMIT NO. 2- b&CoI
ZONING (office use)
15316 JEFFERS PASS
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
15316 JEFFERS PASS
(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
10/23/02
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
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 HEA TN GLO 6000TRI
APPLICANT PLEASE COMPLETE BELOW
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
ST ATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
j
Building Official
Date
OCT 3 0 2002
By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
05/14/2002 15:18 5077445555
O~,':!1'02 FlU 1::0& F"X tllZH74US
BADGER EXC
CITY OF PRIOR LAKE
PAGE 01
~OOl
Date IUc'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
a'k.. Me Df Jt5lIt iDd liIIr ~ llaal.)
I AODRESS
I lS3l~ ~
I LfGAL DESCR.lPTION lofllot II. anl7)
L_LOT ~ BLOCK '-( ADDITION
p~ ~w
~~ ~_ [PE~TNO.~ - ~r~
l'riOf"" J.~ J I ZONIl'l---O;-.;;;J]
~a~Cr~
: OWNER r" J I _ r'~ II
! (Name) ~(r.f- ~ T1 ~
I (Ac1c1lms) (~~ ~ '8\uA,
_. (Aclcna)
I APPLICANT 1::> -
: (Namr.) l:::>ct. c1~ EltC (~ v~. ~
(Ac1dress) g37S vJ I~ S'jr~
<^*IJ)
5c.~ s: ~
~PLICANT SIONATtJR.E
PID
(Phone) !)d,-7YY- ~r
~~c..k SSO~""
(ary) (Zip Code)
(pJsone) :SOC-,'t'y, s:sG:<S"
DATB
(Cc~r&ct Per.on,
A.PPLICANT PLEASE COMPLETE BELOW
Siu of water service ~ inches.
Le~tion of any couplings frem strUetwc ~ feet.
Type of sewer I'ipc. 0 ABC G'5tPVC 0 Cut lroo
Estimated le.nith of Kwer tin. ~ feet
Clean out (ifreql,lired) located at --=. feet from struc~.
FEE SCHEDULE
ResidcnQalllwer and wiler line ClOMClcllon $3~.50 lndunri.l, CClm'l. Mlollti.fanlily 1% of job c:on with I SJSUO minimWll
Stlo\'cr c;unnectlon only $17.50 Wlttlt CatlJlecllol\ onl)l '17,'0
E.timated COllt S
BuildiDI Permi. ".. _.- .. .
~
SEWER AND W A TEll PERMIT PEE
stA T8 SURCHARGE
TOTAL PERMrr rEI
s
$ :.so
s ____
r-
V'\ p.~, 'D 111."_.
@l"I..r-.. ,~:., ;
--~; . \.._~ {"
(O/'l'lft LJ~ O,dy)
r
Tills "ppllCalioft ee,.Ohl.. YOgr BUlldl"l Ptrmit Wh.n Appro"'cd
-Pal
8111IGI_. om".1
P...
ate JUN I 8
%& hal4f lIotlce fOr .llln'IIKtiolll (HZ) U'''''!O, I'll. tt5Z) "7-4145
-
lhr <'('nlrr or the l,akt Counll')'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT &lleJe d/I-v
{
APPLICATION RECEIVED -:5- OIL! - :J-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5:i I~. - "Te/fFc::-ys ?6--5 S
Accepted
~
Accepted With Corrections
Denied ~IYY I
Reviewed By: (,... -k' ~ Date: 5-31- c-z....
Comments:
~ a,U a~ ~ ~~ CMA~ 'SuIoM,tff~\
LDl~ ~ ~eulA ~i. Q
"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."
Tht" ('t"n't"r or .ht" Lah Coun.r)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(2-<-) /1 ey ~"- e~/ l- V
I
~:; - (;? L I - cd-..
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-;- f <'""~-'1
/ 5 ;j I (~- .) P . r t: y S f-j fr. 5 5
. ,
Accepted
Denied
)(
Accepted With Corrections
Reviewed By:
/}1'Jf3
5'ce /Y!C,Ir,
Date:
~-L.j-oJ.
Comments:
r
F,(-c
"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."
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PRIOR LAKE
INSPECTION RECORD
L ::>e.((. ~ Ma\l-\ t~u,
DEPARTMENT OF
BUiLDING AND INSPECTION
SITE ADDRESS J5.s1~ 'L..ffe.r<; r~
NATURE OF WORK -Ne\.Ll
USE OF BUILDING SFA
PERMIT NO. 0 - 00/& DATE ISSUED 6 -5[-6?
CONTRACTOR PHONE &'/2- CbS-3dof)
NOTE: THIS IS NOT A ERMI FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
! FOOTING ~ -ea ~30/.v I ]
I FOUNDATION (Prior to Backfill) i i
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING C/,~ 0(; t?-8
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850