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ZONING (office use) ~ I ' PID~S- -:.si(l- dol6-0 (Phone) 75~ -c:?5 3 '~5q3 BUILDER < (N ame) c:=;/Cr h1 -r (Contact Name) ~ /11 (Address) :::s.c.i/1J f? :OS Jc; r57C/ ,,( , (Phone) 9 S"";;l -(:;/ .'$ 5,~W.3 (Phone) 95~ -d~3 -c;JSYf3 TYPE OF WORK New Construction OLower Level Finish ODeck OPorch ORe-Roofing o Fireplace o Addition o Alteration PROJECT COST IV ALUE (excluding land) $ o Mise. ORe-Siding OUtility Connection 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 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 enter upo operty to perform ed .~nspec' ns. x ' Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee /tx:> ~~ ~t? . (96 ~.~O 1(0.00 es Your Building Permit When Approved (,,,/ "? -O-L- Date fI-z,I"" Oz.- 0::1-. 31 I ReceiEt No. . J/(). 3W By ~ :PdCIO 7 t/ '7 -;; 7 Contractor's License No. Park Support Fee SAC # # 0(/ /v -!/oc~ 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 when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be iSSU~\ ~l~ ~ ~/2o(D2- ~ ~'-C~(~ C&v~~ ~ 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 Water Meter Siz 5/ ; 1"; Pressure Reducer Sewer/Water Connection Fee Water Tower Fee Builder's Deposit Other # # TOTAL DUE ~;~ fA ~r j~~; White - Building Canary - Engineering Pink - Planning Tht ('tnlt, of Iht t.okt ('ounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT It e/C/fe y, ""YIOP11l:~ APPLICATION RECEIVED 6-- 3 -~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: d3~~" 5"-foJJectres+- fJ~ Accepted x , Accepted With Corrections Denied Reviewed By: MJ6 Date: h-I/-t:PZ- 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 cpmputations 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." ~1 White - Building Canary - Engineering Pink - Planning The (""nler of Ihf' t.kf' Counlr)' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT a e"{,,J!eA "'1fo~~ APPLICATION RECEIVED 6,- 3 -~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: d3Q S+OlJec0esf- p~ Accepted Accepted With Corrections Denied ~ Reviewed BY{ ~ Comments: Date: 0-( 3-cJ 2-- ~ dl) ~ !i-fvd!:r "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." II'P!IB^ aq lOU IIBLls UO!P!pspnf aLll !O SaOUBU!pJO JaLllO JO apoo S!L1I !O SUO!s!^OJd aLII laouBo JO aIBlo!^ OI AIPOLlInB a^!6 OI 6u!wnsaJd Sl!wJad 'UO!P!pspnf aLll !O aOUBU!pJO JaLllO AUB !O JO apoo S!L1l !O SUO!S!^OJd aLll !O AUB !O UO!IBIO!^ AUB '!O IB^OJddB UB JO 'JO! I!WJ8d B 8q 01 p8nJISUOO 8q IOU IIB4s SUO!IBlndwo::> pUB SUO!lBO!!!oads 'SUBld !O IB^OJddB JO l!WJad B !O 6UnUBJ6 JO aOUBnSS! aLlJ... GO/b}l? :alBa ~~V;~2 :,18 paMa!Aalol pa!uao SUO!P8JJOO L11!M P8ld8oo\f I. . ----- p8Ida::>o\f :lB p8sodoJd S! L10!L1M Al!^!PB UOjlonJlSUOO JO! UO!lBO!lddB l!WJ8d DU!PI!nq 8L1l P8M8!^8J 8^BLI SlUaWlJBdao 6U!UUBld pUB 'DUP88U!DU3 'DU!PI!ns 8L1.l 03^1303H NOI.l\fOlldd\f .IN\fOlldd\f .::JO 3V\1\fN lSI1)1::>3H::> lN3Wl.~'dd30 NOIl.'d::>l1dd'd llWI::I3d 9NI011nS . 6ulUUeld - >IUld 6UlJ88Ul6u3 - ~Jeueo 6Ulpll"a - 8114M ..\..aluno.) ~".'I "If I JO J,}IU.J.) .,}'1.l .. --- _..... -_._-~--_._-- ----~--_.~-_... -_._---~.._-_.._._._---.........._-_._----_._- - ,_..._-~~-_._._..--~ ~ /'i: ""'0 "- / O~-?' ;/ .;... ( j':lr \ \ \ ~ 7 :: i ' \ \,;: \~~l" ~l'v'lc50'\l"" D:4te Rec'd CITY OF PRlOR LAKE PLFylBl~G PER\lTT I 3lue i=;i.: :. Culd Cl'/ I '(~Il{)"'" \ooll':::lrH PER.\llT ~O. (;1-7LI:;:t' Zr,-J:;~;C \l:~"::'~~e: I : ?1.~~:.:C rme ()r ~r::1t md il~ .1t hocrcm) ,.l.: c: PJ:S:3 () Ja Z- ~ ~.. kfff!/d PaiL AJW Lcu;l.L DcSCRlPTI0~i (ut;ic:: ~::<:Jnl:/) .~_D D [l~O~; P~D .. -",'''T'' '- \...) ~ S l ',:. (-::( ':, "~ ~i::Z {} tt1LA V ',. ,,,...'-. {J (?::c r.~.1 ! --)....:.-::-~~:~:.; : ..l. ??Uc,l..:<T \ ~<J:-:"~::::,: (, ..:..~..:~:~~:;:1 - ~ 1,,''-''''::"'':.:1(: L"~:-~Cr:, O;j~- t/~2-' C /2/ /<Y.. (,:'~I..:r.e; CZ:? C.:~e) ( ..l....Jc:r~~:;) (C::~ll \.?::cr.~) :2i /lY DATE . , .:..??::.IC..l....~T SIG~i..l.... TT.;RE APPUC..\.~T PLEASE COMPLETE BELO\Y' Type of Fixture QU;ln ti ry d.. I I i I I QU;lntiry ---::3 I Rou;h-ins W :J.t~r He:J.ter \V' J.ter SU f.:ner , St:J.nd P\l,~ (\VJ.ShlO; \.fJchlr1t:) S<::wJ.ge Ejec::or Backt10w Assembly Backt10w Assembly Test I Lawn Sprinkler I Other Type of Fixture Bath Tub with or without sho\ver Dishw:J.sher I floor DrJ.1n I L:l'i:J.wrl (Bathroom Sink) i L:lundry Tr:J.Y (lor :: .;cmp~lI-;:ment slnl, Shower Stall Sinks Bar Sink Water Closet (Toilet) fEE. SCHE.Dl;LE. lndustri:ll. Commerci:ll & Multi-f:lmily 1% of job cost with:l SJ9.50 minimum Residenti:ll. New One & Two-F:lffiily S99.50 Residential, Additions & Alterations S39.30 Estimatd Cost S 8uii~ing Pe::nit .::f. PLUMBrNG PER..vUT FEE :s STATESURCK~RGE :s TOTAL PERi.,nT FEE :5 ~- PA~O VV'""rI'~ ~UfllJJ)r~IG. r:d" ,50 (Office tJse Only) This Application Becomes Your Building Permit When Approved Paid Buildin~ Official Date :~ hour notice for ail insp~ctlons \95:) +47-9~5iJ, fax {95:) ~47-C.+:5 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd ~7 ~.. ~:~~:w ~l~icant \ PERMIT NO. ~ -74 d-- \ ZONING (office use) 2362 STONECREST PATH NW LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) CENTEX HOMES (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 8/5/2 xD NEW CONSTRUCTION o REPLACEMENT o 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 HEAT N GLO SL-550TR-C APPLICANT PLEASE COMPLETE BELOW Residential, Heating & NC (New Construction) Residential, Heating Only (New Construction) FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 Industrial, Commercial & Multi-Family $39.50 $39.50 Estimated Cost $ HEATING PERMIT FEE ST ATE SURCHARGE TOT AL PERMIT FEE Building Permit # $ $ $ .50 ,. '" a"':, , IS'!! I I.i il ...." (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Date Buildine Official 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 ....; '.:...CITYOFPRIORLAKE HEA TINGI AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'dJ,~:, ~ ':., ~:t;,. ",~: I. Pink file 2. en- City 1. YellDw Applic.anc ZONING (ok' LEGAL DESCRIPTION (olftce use only) LOT BLOCK ADDITION PID OWNER (Name) C!.~/l f( y (Address) /-I D t?-t.~ S (Phone) APPLICANT (Name) H~~+, "'^" (Address) , Y" S-S-o ~ eOt!) /,'1"\ J COV~ rr (Address) -r~ f2d' if (Phone) 7~ 3 - 4)..?'- "l(., 77 /"7.);:>101 r.:>1C.1"f (City) 5"~?J(.'j (Zip Code) (Contact Person) - I :' ""'1 (Phone) ~I L - "] f. 3 - 5""5~7 DATE -I" - 02- APPLICANT SIGNATURE APPLICA.~T PLEASE COMPLETE BELOW EW CONSTRUCTION FURNACE MAKE AND MODEL I3r'! 0 ,,-f" FLUE SIZE PvC RETURN OPENINGS TYPE OF SYSTEM UJWarm Air Plants OGravlty o Mechanical . 0'Air Conditioning ~ent. System o REPLACEMENT 3 $'"0 "+?a ?O '8' INPUT o ALTERATIONS FUEL (;;.05 '6 Ot 000 OUTPu:r 7'1,060 HEATING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL Residential, Heating &: NC (New Construction) Residential, Heating Only (New Construction) FEE SCHEDULE I % of job cost Residential. Gas Fireplace 539.50 minimum $99.50 $64.50 539.50 Industrial. Commercial & Multi-Family Residential, Additions & Alterations Residential, AC Only 539.50 $39,50 Estimated Cost $ Building Permit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ S .50 (Office Use Only) This Application Becomes Your Building Permit When Approved ,- I ~C'i~ No. Buildlnl Official Date I P,id Date 24 hour notice for all inspections (9!2) 447-9850, fax (952) 447-4245 to"d Z:S9~SZ:v~9L OMl ~NII008 ~ ~NIl~3H W~ to:S0 Z:0-9t-~n~ " CITY.OF PRIOR LAKE REA TINGI AIR CONDITIONINGIFIREPLACE PERMIT Date Rectd ".....,.,':"'.. ,. o Steam o Hot Water o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks 5"~:I('9 (Zip Code) ~. =_ ~l~ioaal I PERMIT NO:)_ 7 L-J d- 3G.Z- f-d~ C, LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) Ce /l f-< y liD mil ~ (phone) (Address) APPLICANT (Name) /Tf?o.-I-. "'^-' (Address) / Y' S-S-O ~ ~O~ I,,,, '} ~o",t1 (-1 (Address) -r~ (G:/ f( (Phone) 7G 3 - 4)..?"- "5(, 77 fr7~p/~ t:~(c..A (City) (Contact Person) - I:, rt'''1 (Phone) t.a 12. - '] I. 3 - >5 C. 7 DATE ~-~o _-02- APPLICANT PLEASE COMPLETE BELOW APPLICANT SIGNATURE W CONSTRUCTION FURNACE MAKE AND MODEL f3 ~ I.t () ,.,.f- FLUE SIZE PvC RETIJRN OPENINGS TYPE OF SYSTEM Warm Air Plants . OGravity o Mechanical 0'Air Conditioning ~ent. System o REPLACEMENT 0 AL TERA TIONS 3.50 '-+ r,:') ?O FUEL Go.5 "8' INPUT '60, ("')~o OUTPUT 7'1.000 HEA TlNG OR POWER PLANT FIREPLACE MAKE AND MODEL Residential. Heating &. AlC (New Construction) Residential, Heating Only (New Construction) FEE SCHEDULE I % of job cost Residential, Gas Fireplace S39,50 minimum S99.50 Residential. Additions & Alterations S64.50 Residential, AC Only $39.50 Industrial. Commercial &. Multi-Family S39.50 $39.50 Estimated Cost $ Building Permit # HEATING PERMIT FEE ST ATE SURCHARGE TOTAL PERMIT FEE $ S S .50 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid ,- Receipt No. Date By . Olte Buildlnc Officill 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 10-d Z892:8Zt>2:9L OMi ~NII008 ~ ~NIi~3H W~ Z1:L0 Z0-0z-~n~ PRIOR LAKE INSPECTION RECORD SITE ADDRESS 'J..?k'J... ~ Qz-"'~.J:k NATURE OF WORK ~eLJ USE OF BUILDING St:D PERMIT NO. (~fb7~ DATE ISSUED {. -I "5-cJZ.. CONTRACTOR \" ex ~~ PHONE '7s:2-Ar?-2~ c(5 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE I FOOTING ~.~ , FOUNDATION (Prior to Backfill) I Ov I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH- NS SEWER I WATER I SEPTIC FRAMING \ INSULATION ELECTRICAL PLUMBING W HEATING (if required) l' I ( FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS GRADING (Prior to Sodding) BUILDING U-" tr I ~-I-d) ELECTRICAL PLUMBING VJ C- HEATING DO NOT /0 ,,~/., L- 10- JO,-02- o!b (eL t{J - 30 -oz.- 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, c8J'd shali be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850