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Pink City . /)"7 _ 0 Z' ,/ ,- 1 Yellow Applicant _ V ~ ...J?_ t:./ ZONING (office use) LEGAL DESCRIPTION (office use only) LOW BLOCK /5D OWNER (Name) PID d~- _qJ/-o~to-() (Address) (61- 1/ w- Lfq3~ BUILDER (Name) (Contact Name) (Address) TYPE OF WORK ~ew Construction :H:i;ower Level Finish ORe-Roofing ORe-Siding o Misc. ~ireplace OAddition OAlteration OUtility Connection PROJECT COST/VALUE (exc1udingland) $ ~275-f 000 . O() 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 tliat I am the owner or authorized agent for the above-mentioned property and that all construction will conform to aU existing state and local laws and will proceed in accordance 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 a designee may :"~"P"fu1I11l7!;;t"p<oti " Tk -;)60-51{3:2-7 (p-S.02- Signature Contractor's License No. Date Permit Valuation Park Support Fee Permit Fee $ SAC Plan Check Fee $ Water Meter Size /8 , I"; State Surcharge $ Pressure Reducer Penalty $ Sewer/Water Connection Fee Plumbing Permit Fee $ Water Tower Fee Mechanical Permit Fee $ Builder's Deposit Sewer & Water Permit Fee $ Other Gas Fireplace Permit Fee $ Co .7. 200<) 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 :~een~ by the ity Planner constitutes a temporary Certificate of zoning/comPliance and allow~truction to c;71rn;ce. Before AOCCUP~CY' a Certificate of Occupancy must be L.;rr t III I eY} s--,P.i? ~\{<-&t~d'( G'W~ A tBvI-s Date Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 White - Building Canary - Engineering Pink - Planning Thf' Cf'nrf'r of th... t.h Count'}" BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ':?:!7a,n67 &ef--~. ( APPLICATION RECEIVED 4~ - 3 ~C:)d- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: :3 (~~ / Lc~ k:c /& / U~ff (2-; \ v' Accepted Accepted With Corrections )( Denied Reviewed By: ~~ Comments: Date: CD - 7- O~ Jead). a.LL-&ac-k.cQ fA~c>()~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." The Cen'er of 'he 1.8kf' ('ounrry B White - Building Canary - Engineering Pink - Planning NAME OF APPLICANT APPLICATION RECEIVED KlI T The Building, Engineering, and Planning Departments have reviewed the bUilding permit application for construction activity which is proposed at: Accepted ~ Accepted With Corrections Denied Reviewed By: ~{iJ~~~ Date: _ c; /1 0/"/ eL ~ "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./l U-----" .. White - Building Canary - Engineering Pink - Planning Tht ("t>nltr or fht I..kt COunfry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAMEOFAPPUCANT ?;J7d:Jt~7~c,v APPLICATION RECEIVED tP - ,3 -Od- The Building, Engineering, and Planning Departments have reviewed the building permit . '- .~- application for construction activity which is proposed at: ~~ d c~ / (~o.lcc: 01/ u.,ff.' a ) . V' Accepted Denied X. Accepted With Corrections Reviewed By: M9/S Date: b'-/tJ-C)2- Comments: See Reverse Side for Additional Information! C....,b Box tnv~-t h~.-/ q", q({e55 box /'1jk,//a) I ~ dr1ih'rl"Y 9IJCf,'lc,.~'r Of. f /Y14"/I"'~I'rt"'/I{( C~y1fll'. 1) Grading Plan, ) Erosion 3) Erosion Control Plan easures "The issuance or granting of a, permit ocapproval 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.." \ - .-.~w -,v, Lofgren Htg & Ale 651-4601208 _~~~F~O.:.!!..f'~.!!!t742"~ CITY OF PRIOR LAKE P.02 CITY OF PRIOR LAn BEAnNG/AIR CONDmONlNGIFIREPLACE PERMIT iii 001 Date Ree'd :E: s...[1No.d~/7's1 [ZONING ___I [~7-:~U;:' RI'Lf-P Cir:d~ LEGAL DESClUPn:ON c.... _ Oll/J) LOT~"BUXX ADDmON OWNER. (N'~) pm /-- / CAddzess) . PLEAsE COMPLETE BELOW CONSntu ON O~ OAL~1lDNs Fl1RNAa MAKE AND MODEL C ]) 1'\ fl . ~ ,.e:;}? f1\ \I A ) on FUEL FLUE SIZE ~" Put. RnuIN_GS '1 INPUT OutPUT TYPE 01' sYSTEM SEA llNa 01. POWEll PlANT i~A~~g. Os-. ...il)l ~ HlIt Water WccIJeiQJ . Redlltion CondiIkmin. $pftW Dewi. v.... S)'Raft OdIcr~wlca PLEASE NOTE; Air COndltioaer Units Caallot Encroach iuto l\eqllirtd Side Yard Setllulcs FIIlEPLACE MA.XE ANn MODEL RI: SClDnuu Indlislrial. Canuncmlll 01: hfl&hi-F-m.,. 1'160 of jab _ "'dcDlill. Gas FIftpJICC '3'.50 nainRnuIa Rcsiclcnull,lieaIiac A Ale (Nnr CURStnIcIiOll) ..10 . RcRdaaIial. Adcllriolq 01: Alta.riou R8idallill H..,. Only (New CGIIAI'lIctioft) -':30 Rllidatial, AC Only EstiJura:a Cost S 139.50 SJ9.S0 539.'0 Buildin. '-mail . (Olin 11... o.b) nil AP....Uae Remm.. Y..r .-lIdi... P.,..it w.... Apprv. HEATING PERMIT FEE ST A "'t st1R.CHAllaE TOTAL PEDuT IU '1 :t s '1 .~~~ s .5..2 s ....... 0IIcia1 ..... L= ~~~ .. 2:y 2 v . 8y 1 Z. lDtlr eodte fer .u iatpea.t.. C95Z) ..,~ ilia (951) 441-GfS . a.>. uJ.""IIUl753 STOCKER EXCAVATIN~__ '-'--.- @OOl "--'- CITY OF PRIOR LAKE SEWER A.Nn WATER PERMIT Date Rec'd I I........ CiFi~ [PEn.6IT NO. 2. Yellow.r ~l'~ J. Gold ^pp/iGID' 02-0715 ~~""-~"'--.~ ,~ J "---. ZONING Co~ use) I r~GAL DESCRIPTION;o""" .; o",y) LOT 2'j,LOCK. 1 ADDmON Northwood Oaks Bstates 2nd Add ~ ~_. -""-~----. --- ---"'-- PIn -1 OWNER (Name)_ Manlt:;y Brothers; ~Enst~uction (Phone) 651/454-4933 (Addre,'j --!!.!79 Bt~'D Drive Eagan,}lN 5512) - 'Add"!') 'Cioy' c"", Co"") APPLICANT (N""'ej_~ cocke T,. Bxc'''~t i.< cwn" n l{pr h. n; c. 1 (Phone) _ 95 ~ J 8.0 H'" (Address) ---13247 TJ JJ'it-h Sf" (Adths$) C:;1'U~81:a , MIll 55Jl3-. (Cjty) (Zip Code) (Contact Person) _~.urt APPLICANT SIGNATURE - - ~-, .~/]P.IO' APPLICANT PLEASE COMPLETE BELOW Size.ofwater service inches. - Location of any COuplings tram structure __ feet. Type of seWer pipe, 0 ABC 0 PVC 0 CastIroo Estimated length of sewer line feet. - Clean out (ifreqUired) located at _ feet from structure. --- .- - .- ... Estimated Cost $ FEESCHEDVLE SJs.so 1"""0-,.1, Com 'I &0 M. I'Hilln ii, I % of job cost with 0$39.50 mmu""", $17.50 Water connection only S17.50 Residential sewer and water line connection Sewer conn<:ction only Building Pemlit # /"-' SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERl\fiT FEE $ $ $ ---,.. -/), .50:/ I (Office Use Only) This ApPJic3tion Becomes Your BQilding Permit When Approved '~.. ' '\ f'..:' '" Buildillg Offici., Dlte: Paid Receipt No_ DatcKiN 25 2002 By . 24 hour notice for al/ in.spectiohs (95.2) 447-9850, fax (952) 447-4245 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FlREPLACE PERMIT Date Rec'd 3221 LAKE BLUFF CIRCLE : ~~~: ~~icant I PERMIT NO. ~ -7/~ I ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) MANLEY BROS. CONSTRUCTION (Phone) (Address) APPLICANT (Name) ALLIED FIRESIDE DBA FIRESIDE CORNER (Phone) 651-633-2561 \... (Address) 2700 NORTH FAIRVIEW A VENUE (Address) ROSEVILLE (City) 55113_ (Zip Code) (Contact Person) BRENDA HUSTON (Phone) _651-633-2561 APPLICANT SIGNATURE BRENDA HUSTON DATE 8/26/2 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 OWarm Air Plants o Steam PLEASE NOTE: o Gravity o Hot Water Air Conditioner Units o Mechanical o Radiation Cannot Encroach into OAir Conditioning o Special Devices Required Side Yard OVent. System o Other Devices Setbacks FIREPLACE MAKE AND MODEL HEA TN GLO 6000TR-OAK X 2 APPLICANT PLEASE COMPLETE BELOW Industrial, Commercial & Multi-Family FEE SCHEDULE 1% 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 (Office Use Only) Estimated Cost $ REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .... .50 CLI-, .r-. ~ ''', This Application Becomes Your Building Permit When Approved Paid. Receipt No. Buildine: Official Date Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 By CITY OF PRIOR LAKE PLUMBING PERt\fIT .~ d.d. \ L~ ~lu~f Date Rec'd ~.::;; ~ ~ERMlT NO. ::J,- -? I ~ ~. y.u.... "'-.li_, ~ Z/I: ~ rZONING !""'..,.) LEGAL DESClUPIlON (oIb \&Ie CInIy) LOT BLOCK ADDmON / OWNER <Y\-"n\QU U.., "- r1l_ _ ....-+~_ I (Nantc) \ \ \u.\ \ j U.00, ~,...) \1 UAddrcss) = I APPLICANT c::v.. \..-.,.....1"""1 v- U 1\ \ en \.... \'" ' (NllntC)_~ lGY ~ r t ,-\, \ \ \) \ ~ / (Addre,,) lj'1n) liskm Circle. SE -JIlrlor- ! (AcIdraa) (Conloa Penon) ~ \e.q' ':'x- hol(Qr PID (Phone) I i I j ~ (Phone) qcs d. - l.\ y,- 6 134 ~ mru Al'PLlCANT SIGNA TUD ~l 5537J _I (Zip Code) (Phone) to12-7Jb -3~3 ~~_ I DAn &?-o/m. __~ (City) -~._--, T orFill:~___~ Roush-in. _ __~ Water Heater Water Softner _. Stand Pipe ( ashing Machine) Sewage Ejector Backflow Assembly BacJdlow Assembly Test L.wn rll1k et her FJ:J; SCIDDUU ,,,"'",,/, c.........'oI .. ......_Iy ,.. of j." 'OR ...... ""." "'n'n...... ~"i''''tiol. N_ a.., .. TW"-F... ii, ... " Reside . ,Additions" Allerllions $)Q S(l Estimated Cost S PLt1M8INQ PE STATE S GE TOT EilMrr RE S $ S comce u_ 0111'1 ThIs App.ic.tloft "OlDb y~ 81 a..II... o-...J Date .... .50 , l Receipt No. -~ ...J U ....r ..... re.. .. ......... CJSZ) "7-tl15O. r.. (tn) "7"2.~ PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUiLDING AND INSPECTION SITE ADDRESS 3;;/~ ~.ha 'i?L..1{ (l,t-: NATURE OF WORK Nel.) USE OF BUILDING ~SF~ PERMIT NO. - 02 -&7 /~ DATE ISSUED (; _ "/ _ ;lC>Q -=< ~ CONTRACTOR Ho."'l~hr.. Ch;..sf: PHONE C. J ^ _ 9'10.- ~~~ NOTE: THIS IS NOT A ERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT FOOTING FOUNDATION (Prior to BackflJl) \\ do. _ 17-'). PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS I SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) 07.-- FIREPLACE 'g O~ I' GAS LINE AIR TEST t..t-, ?! /62-- t^ v ~ i COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS L.L, ~~ ,e I). GRADING (Prior to SOdding) BUILDING f{J-J "OS ELECTRICAL PLUMBING HEATING DO NOT ] /-/~ 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, care! shall be placed near main entrance. /0 .- ).. S - 02.. 1('- OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850