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I
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
::;T.
/ l..f i J.. "
Lv: iJ lIv
Date Rec' d
&-11-~Z-
I. White File I PERMIT NO I
2. Pink City .(}2 - /i VJ 0. r
3. Yellow Applicant . _ V -I- V ~ .
LEGAL DESCRIPTION (office use only)
LOT (p BLOCK / ADDITION /;Vel OOS {!!! --r7t'[;. (.v/vOS
PID
ZONING (office use)
PtJ.D
r:ER
(Name)
~Add'~')
(Phone)
ILDER
(Name) N e/y}p, ~NG.
(Contact Name) HAm; d
(Address) 'B' ).)..0
Co,yJ h",>.-..J i,V (./\ ;.f.t.,
Or.
E OF WORK
~New Construction
OLower Level Finish
ODeck
o Fireplace
(Phone) 7sz- 'lltb 13 {.2.
(Phone) (j 2. '3't:. c blr tJ. 7
ORe-Roofing
OPorch
PROJECT COST IV ALUE (excluding land) $
OAddition
OAlteration
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 upon the property to perform needed inspections.
0." c:;d::;/\~~
"
o Misc.
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
es Your Building Permit When Approved
&,,,
Date
Contractor's License No.
Park Support Fee
#
ORe-Siding
OUtility Connection
$
$
$
$
$
$
$
$
$
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 I Planner conSl1tutes a temporary Certificate of Zonmg compliance and allows construCl1on to commence Before occupancy. a Certificate of Occupancy must be
'~ C:-e-/_Of--!. ____7 jtfeL _L --A'i{tvJ,,,J C:~~l8-~l
Plannmg Director 1..::: 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
SAC
#
Water Meter
Size 5/8' . 1"
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
.----- ~.".
White - Building
Canary - Engineering
Pink - Planning
Th, C,nl.. 01 Ih, Lab Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/V&fVlf} J / N~ .
U -/7~ OZ--
The Building, Engineering, and Planning Departments have reviewed the building permit
-- '.~,_ application for construction activity which is proposed at:
/492/t:; WIL-D WOoD .' ~T
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
A1'JB
Date: t-;J9-C$... .
Comments: SP-P- Reverse Side for Additional Information!
. \
/"
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
I
"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' ('rnltr or the I,.kt Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
APPLICATION RECEIVED
/V&fVlfJ I / N~ .
~ -/7~ 02--
NAME OF APPLICANT
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
./44'Utz WIL-D WooD ~T.
Accepted
Accepted With Corrections ':7C
Denied
Reviewed By: ~~
Comments:
U/"",.Q om ~ffa~ w~ -----
Date:
{,,. ;;;1-oc
"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 C"rntt'f of Ihe Like Coun1ry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
//7 /L II' .J'
/ItC/1 l. I
/.. .. I --7
I ..
(/. -
/ ^ " (II .
/ 1\/ __/
(j Z--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for, construction activity which is proposed at:
J~lC;i2,rC l V/L-.// {,V!~)C D CT
Accepted
t----
Accepted With Corrections
Denied
Reviewed By: 9A.-., !~dd"l
Date: &/215/67
Comments:
lJv ~~ ~ . S'WIK\l:V<" ~ 1'-M~4
e~~e_L;lA~~/
NV~hM.i1M-1 ;L'I 1FT &Vti,(tl-tA11~&cPj~
d-- 4W1r tAlI<!{JP~ L{~_ .ri. -/) tJ)'L~'LJ,
"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."
Jul 09 02 06:41a
JD Excavat i ng, I nc.
763-862-1223
p. 1
OJ....l~/99
WED Y9:24 F_~l 612~~1~:i~
em OF PBlolt UliE
~OOl
_-~E
.......... ~r
__ _ G'I-r
i',.
..
c.I.TY OF PRI~ UUt.~
SEYD. AND tilATER PElOtXl.'
S.W, No.
;)~7~{P
)( APPLICANT= ID EXCf1VATIN C.., . {NC.
.
](. ADDRESs: _~O bo>o' "-\ ~b~1 CooA ~.cl~ 5 S'-t.'1 ~DAT'E;;
"5IGN."T!!RE, l ~ .o-! ~ ~ eUlG.
x SITE ADoRESS: L\<j ~ ~',\ cl. C{-, PIt)4
!'lOTE: Sever and Water
contractors .u.st
b~ r4:g19't:ered
wi't:b the Ci!:.y.
lC:.3. -
,.. pHONE:: -=l-(,"'" - 4 3 ~ 2
Jl9../()~
PERM1~ ,
FILL Ip THE BLANgS
1. Estimated len9th of Yate~ se~~ice
t~et:..
2. Size of water service
1
incb(Qs) -
]. Location or any c=:oupl.ings fr-om structure. feet.
4 - Type of sewer pipe _ ASS PVC X Cast Yron_
5. Estiaated length oE ~~er line
teet.
6. Clean out: {if ~q-...:ired}.
structure.
locAt'<!d at
feet
from
:lE;Qr=::==-=~===:'___=~~-=::::~~~~-~~==~~
-
==-
This application becoaoes Yuur par~it _hen approved.
.,.
BY
f.!.ATE.:
~=~====;:::=~.:::;.c::.-.~~__~=~___==e=
--
-=
FEES.:
$
S~
$
35.00
_50
35.50
S~wer and water line connection permit.
Surcharge
TOTAL
*
Fee ~or either sewer or water individually is S20.00 plus
$ .50 surcharge_
Sewer and ~auerperwitsi~sued tor new construction must b~
recorded ontbe buildin9 permit C~~ ~t ~hp. ~i~e QX i~~uanee
to insure tbat no dupl ic:a.te seVer and vater .,.permi't:s are
issued - ,. - PAID WITH
JUl I 0 2002 ~
AMOUNT PAID /.9lUU..olNG FE' '..
REC"D By ~
16200 Eagle Cred: Av. S.E.. Prior Lake. MinDCso~ 5537"Z I Ph. (611) 447-42301 FAX (611) 4474245
An Equal OrP..nullity Enooln",,-r
*
DATE: PAID
RECE:YPT ~
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
7-25 --oz--
I. Green File I PERMIT NO
2 Yellow City. . 62--0 7 P, 1-
3. Gold Applicant \P
ZONING (office use)
/
U)JLOWoof) Co ~T fJ uJ
LEGAL DESCRIPTION (office use only)
LOT b BLOCK L ADDITION -rflE WooOS; I}T rifE WI LOS
PID
OWNER
(Name) tV E In A :J:IV ~
(Address) 8;<~o CotnlJJDN tDPflLT7i OR, I) E
(Address)
(Phone) 75~- Cff"6 -Jdt.3
#/50 EbEN ?;?lhRJE 5537'1'
(City) (Zip Code)
(Contact Person)
(Phone) r5J1~d33- It/DD
SllfJJ<o~rE !i1J.J 5?f379
(City) (Zip Code)
(Phone) 9~, /133-/t{ bD
DATE 7. ~
APPLICAN~ /lJ L\
(Name) t- / aL
(Address) J.~ J 5
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Size of water service ~ inches.
Location of any couplings from structure -=- feet.
Type of sewer pipe. 0 ABC ~ PVC 0 Cast Iron
Estimated length of sewer line ~ feet.
Clean out (if required) located at - feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $ Building Permit # 02- -0 76 b ) ',v
SEWER AND WATER PERMIT FEE $ ./. /)~//jJv"
STATE SURCHARGE $ /"--- .50 1YO~-~ 1JVv
TOTAL PERMIT FEE $ /
~.
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
__ -.:!:::I -'.lI V..:; ~Kl VO; ..Ill ./:'AA
.,' ......\.."'..... ..........-
CITY 0.(1' PRIOR LAKE
HEATING/AIR CONDITIONINGlFlREPLACE PERMIT
Date Rec'd
q,5--0L--
ell
)It.
t~ Skim I PERMITt!~07fJ~ J
] \ ZONffiG ,_m) I
[~~;;;~~:~OQcI
LEGAL DESCRIPTION (otli.c: U$e only)
LOT BLOCK
ADDITION
PID
&= Ale IMA :[i?C.
(Address) 8 '2..1. 0 Co M MO I'l ()...Ie a.. \ ~ j... Vr.
(phone)q~; ~ </'11- /365
[/en ?r;9JrJt !OJ ;53Yi
APPLICANT 1/
(Name) I\L{Vf. III/lfe ft1C.
(Address)/5675 ?IO;?e-e1" ?;/111
(Address)
(Contact Person) 7J (J 11/1 .e/
(Phone) 95) - rrl- I().//
/~A );-J1lrl~ !s'j </7
(City) (Zip Code)
(Phone) f- "3 ~ a)..
DATE 9- 3-0 'l.-
APPLICANT PLEASE COMPLETE BELOW
~NEW CONSTRUCT1ON o REPLACEMENT o AL TERA TIONS
FURNACE MAKEAND MODEL 1.011'tO '<. 6), ~ Q ~. I '2. ~ FUEL /Jd.fvr6..! qA5
FLUE SIZE '5 ~I rVc REnJRN OPENINGS /J{ INPUT I'; J. 0,0 0 OUTPUT IIi, 000
, ,
TYPE OF SYSTEM REA TING OR POWER PLANT
OWarm Air PlllIlts o Ste:lm PLEASE NOTE~
o Grav ity o HOl Water Air Conditioner Units
~ MechaniCllI . o Radiation Cannot Encroach into
. Air Conditioning o Special Dr;yices Required Side Yard
(8Vent System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial.. Commercial & Multi-Family t 1% of job cost Residential, Gas Fireplace:
$39.50 minimum
Rl:Sidential. Heating &. Ale (New ConSU'Ucti n) $99.50 Residential. Additions &. Alterations
Residential, Heating Only (New Constructio ) $64.50 Residential, AC Only
Estimated CoSt.S li; 0 00 Building Penn it # (.'2 -()7t1h
HEA TINO PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ n.SO
$ .50
SC ItJO'~~
Paid
$39.'0
9.5
$3 .0
(7/'110 6~
r3U1VO
(om~e Use Only)
This APPIi'l1~"'m" Yo., BoUdlng p.nni~h'~ App'ovod
I!::.If2::::- tl ' ':> " u Z-
. BuildilJg Official DAle
24 hour notice for all in,pections (952) 447-9850. fax (952) 447...4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
i [~~w Jl~icant I PERMIT NO. 0'\- 'ISh
ZONING (office use)
14926 WILDWOOD COURT NE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
[ OWNER
(Name)
(Address)
NEMA INC.
(Phone)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
10/24/02
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
DWarm Air Plants D 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 HEATN GLO 6000TR-OAK & ST-TRC
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
$39.50
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Buildinl!: Official
Date
Date 113 0 2002. By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
FEE-ii-20m
~ ~ ,-. u "-
( ::f/f::f
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~
11:08
C IT''' OF PR I OR. LA~E r'IA I m
CITY otT r~CR 1 A2:-:'::' PLUr'wWL"'iu rLl~..r~.l..\,I.
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I
r tECtAL DESCRlF;:10N (affice ,.(X ;,niT)
,
: LOT SLOCK A!.:D!nON
Pro
,
,
~
(phono, 9,C;? -~,1";'t:.3. i
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(Cl~)~ (ilF Cod~)' \
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I OWNER pc. -
\ ~. . ;u:te) '- V'-\..... "r J- 12 C--..
. :^""'''''' f',;:+;).. 0 ('~~ .-.-." D.) v-J <. ~ ( ~..J) fi'..
APPLIC.~-r . ~ f\\
\::i (;;;. ~'::'~~1 c .~t.)<-si-
I (Ad.d.l"e3~)
II Ie,..." ,,",onl '" D oJ;.$ I< :J~l
,APPUCANTstGNA1URE -~ ~
----=:>
Al'fLICANT PLEASl: COt\-t:PLETE BELOW
Ean~ . 'I)'pc otFt:man: =t Qu.AlJtity \ Type oCFht\lr~
.~ I B .,b T"b "Iili '" wi,""" ,ho""" , ' ~ou,,".in' . : .
, \ 0 "hw"h~' I I: ~ ..,,11,,,,,, -
: .~ I I Floc' o",n I ;: W"",5o&=
i . I L,vaton' (Bamroonl Slnk) I _ 1.51>.'" Pip' (Wu'""8 M"hine)
I :a.llndr)'!C'? 1 or ClJrn I Sl:'Jiago Ejoctor
t== . ow" S"U I ackl OW ",,,,,,bly
I . , ' llC ow ",,,,,,bly T'"
r-- I Su Sink' \ 3WTI rlnldcr
8tef c: !llt \ Other
DATE .-1. -- /0-6 3
,
\
-I
~
\
-
-=J
-.l
rEI Sc.flEDUT..E
..~""I. Com"""'" & ""IH""i~ I" or job '0" .i"" "", mi"lm'" >""~ti,,, No' 0" · ""~' ""U, m. sa
p.,a!IG~t\t!\J. A.d.C!C\CIU !. ^ltCTll1or.1 SJ9.~()
C-!cirl\at.d CQ&t) IE 'Zl () Q
B'lI.ildi~ pormit ~
PLrn.u;n-:c f"SR..\.fl: FEE :>
STATE SURCHAROE 'S .~
TOTAL pr.R.,rrr FEE S
IO_~C' l:iIe OdYl 5 ~ r=-.. n ---::----
r 111" . P pll""" 8'"'''''' r "'. ..U.'" · "a- Who. APP mv; ~ 1ft F':G U l~ L~! n 1)
1\ _ _ Mil F[P"", ., .! .1/1.'
. ...._ "",;.' Do" 1.::''::...1' ."" I I !
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24lDllr notlc.. tor 111lnllilectia'" ~1~-9~::Q. (lit O~) -\A'7"':::c,'
t.::.L.:::::...;;.:~._-- .:::..... __ ____ .11
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itji";:'L F'. a ~
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. ell =3t:GHd
TOTr;L P.D:
09:05
CITY I)F' PRItlR LA~:::
9524474245 P.0.1/01
vate Kec'd
CITY OF ProOR 1 K~ PLUMBiNG PERMIT
~ ~ ~~1 I, PERMIT NO. ,~) _ -J 0- / I
). . __oM A,pliCArU . . Z: I 0 ~
- ,- --._'.~'
ZONI1\G comtellSc)
Q4dt::., ,-
, LOT
SLOCK
A!lD!TION
PID
j
LEGAL DESCRIPTION (office u.s= ~Iy)
OWNER
(N ame)
p~V\
.---
1>0- ..L ~ CO> ._
.~ ~. D'.J ~.J "- ~ t f:~ D rC-
Q~l' .--
\.~_ ~<;_)J-
(Phone) 9::)2 -9t/17/j'~3
W~~
APPUc.A..NT .
(Narn~) ,.) ,
(Addres~) (0').- s'
(Addrc~)
-\'-0
(Add-ress )
. ,-
(COl1taet Person) h 0 u l.s k I. J I .
APPLICANT SIGNATURE ~ ~ DATP,._,;l ~ I 0--0 .3
APPLICANT PLEASE COMPLETE BELOW
QuaD ty
~d~
r-
I--
FEE SCHEDVLE
In~\I$lri~l, Comm<:roiill i. M\.:l~'{llml)y 1% of job cOSt wilh a S39,SO mir,im\l\"l'l RC$idel\tial, Now OM &. Two.Family 599,50
R~sIOet\tlnJ. AdclltlolLS &. Alnrat10ns $:39.'0
E.!tim~tld Co"t S 1-8 V D [)
Bll.ildint Pormit t;
PLlJlVffi["'O FI':.RMlr FEE.
STATE SURCHARGE
TOTAL PERMIT FEE
S
$
$
(omtt us.Otl)l)
this AppllcatlDn Beeom~~ y!\~,,. e'I!!dl~( P:lrllllt Whe. Approved
BuilclillC OIDei.l
Datt
24l1oar notice fDr all tnSlIttllons ('~) l&47-'~'O. fu (~) 447424S
TOTAL P.01
,00 'd we6~:,' 60/,,/20
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS -a~ 2le ~),\&~\~Jl Q+.
NATURE OF WORK _t\kw
USE OF BUILDING S~D
PERM IT NO. 0 Z ~O~ f2fp DATE ISSUED c.. - :;l. '1 - c ""L
CONTRACTOR ~E..M .__ ~. PHONE 1I12.-S(pD-~27
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING
INSPECTOR
1!Jv
FOUNDATION (Prior to Backfill) V - ) (c- 0 'J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH- S
-<-
DATE
I 1/}?/dY
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ~ ,:8, ,9../("'rf?
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST f-~~. W /'3o/fr:;-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
/l- \
?~
......6 -
GRADING (Prior to Soddin )
BUILDING ftl -l - 03
ELECTRICAL
PLUMBING v\'-
HEATING
DO NOT OCCUpy
~5.OJ
7- -~ 0
'Z-
UNTIL ABOVE HAS BEEN IGNED
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 Je placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850