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W CD Z o i= u W c.. rn o 0 z W W iij ~ ~ 0::: 000:: 0::: 0:: 0 c.. c.. LL. o ....I ~ Z ...J o < t3 lJ ~ ~ i't i= 0:: ~ ~ ~ < t- t- rn U U ~ W W 0:: ~ ~ ~ 0 0 ;> U U o 0 1,:\ ~ U) I- Z w :::i ::E o () L.; c o () ';:: Q) ~ L.; o '0 8- m E: w o z ~ o < ~ l/) 0:: ::J o X .., N Z o i= o W c.. l/) ~ ... >< W Z W X ... 0::: o u.. o 101) CO en I ,.. ~ ....I ...J < o E: ~ ~ "l:l is ~ ~ c:s ~ ll., ~ ~ ~ ~ ~ ~ ~ ~ ~ tS ~ ~ @ ;:; ~ ~ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ~-/7- 02-- ADDRESS 308'3808Cfr1TMiLI(/.IJJ LEGAL DESCRIPTION (office use only) /"'... 1<."7"'7/ z..,g' ..3 71IZW!f./)5 ~f n LOT BLOCK ADDITION Date Rec' d I. White File 2. Pink City 3. Yellow Applicant I PERMIT NO. ()z- 0788 I PID ZONING (office use) 12/ OWNER (Name) SIfTJ1 L AS /3(// WJ K ZS3PZoRZ.O (Address) (Phone) BUILDER 12 /". . .,..-; J. (Name) /7/2. ZMI ~ LOVdJ0. -t--AI'C- , (Contact Name) ~ tJlZ~~ (Address) fio. 6tK. 1.01'1~ '-'f:f..Mt&~ MN. SSOL/'1 (phone) P.52-g7Z-7za~ (Phone) c;z.J,.L &/Z-7'-17 -tJ.. r~ 81111& se.t.IC/#LtJO'lt'l f3 TYPE OF WORK ~New Construction OLower Level Finish DDeck o Porch ORe-Roofing ORe-Siding ~Fireplace ---6tiJAddition OAlteration OUtility Connection PROJECTCOST/VALUE (exc1udingland) $ 28'~ O()O isc, ~..s 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 submitt aware that bui ing official can revoke this permit for just cause, Furthermore, I hereby agree that the city official or a designee may enter pon e operty to perfo e nspections, /: 1;;;::> t,z.. X , z::.oo'-/r'lo.3 u'fZ//Q_ Contractor's License No, . 'Date Permit Valuation Permit Fee $ $ $ $ $ $ $ $ Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee omes Your Building Permit When Approved ~~ ((0 Z Date Park Support Fee SAC # # Water Meter Size 5/8" I"; Pressure Reducer Sewer/Water Connection Fee Water Tower Fee Builder's Deposit Other # # TOTAL DUE $ $ $ $ $ $ $ $ $ I ~~~ ~~~7-~Z White - Building Canary - Engineering Pink - ~Ianning Thf' C"rn'f'r or Iht 1.lkf' Coun.ry .. BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 8125;V /l/f:?12. (!,ONSTE. &7-/7-02- The Building, Engineering, and Planning Departments have reviewed the building permit --. apPli30f6c3s1ruc6~~I~ pr~~ L ;J vV' Accepted X Accepted With Corrections Denied Reviewed By: /VJ9-ZS Date: b-~"'o<- Comments: See Reverse Side for Additional Information! Co"tlCGf Dre,,",. -1-, 'If in E,'.ft, ~ r ff>>"~.j,;;~ D,idnl-dt ~r rvl'\ ~n,t,I,;,~ ..,.,'(< ,';,I() SUMP be,J~(t 4"~ rf/1I1 Svn,p . br.,st(f. /11(j) otc"j.!-/I( "11. (fll' vi /01. See Attachments: 1) Grading Plan, 2) Erosion Control Measures ,0< 3) Er'6'sion 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, tile provisions of this code or other ordinances of the jurisdiction shall not be valid." White - Building Canary - Engineering Pink - Planning The C'tnlt>f of 'he t.kt" Coun.f)-' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 8;.2b/V /VEIC (!'oNS"77Z-. APPLICATION RECEIVED &7 - / 7 -- 0 Z- The Building, Engineering, and Planning Departments have reviewed the building permit apPIi3~B3struct6~~WPr~/ L- )J ~ Accepted Accepted With Corrections Denied Reviewed By: Date: Comments: "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 apo8 S!L1l !O SUO!s!^oJd aLll la8uB8 JO alBlo!^ Ol AlPoLllnB a^!6 Ol 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!WJad B aq 01 panJISUOO aq IOU IIBLls SUO!IBlndwoo pUB SUOnBo!!!oads 'SUBld !O IB^OJddB JO l!WJad B !O 5UnUBJ5 JO aOUBnSS! aLll.lI f --L.~ I Oft: 0Yv1~).\/\ y~O.) ~(l6r7 O.-'O'.>~/QJI /vxJ -Ydi1/IA11;:'; ~ ~1~Ewoo --z. 0 ) 'is -tJ 'I :alBa -rr~4?J. fj . ~ :,(8 paMa!Aa8 pa!uao ~ paldaoo'v' SUO!paJJOO L1l!M paldaoo'v' /v ('I f lIB P!s~OJd ;!'~~;:!:!P~ U~pnJIS~O~~J UO!IBO!lddB I!WJad 5u!PI!nq aLII paMa!^aJ a^BLI sluawl-JBdao 5U!UUBld pUB '5upaau!5u3 '5u!PI!ns aLl.l -7 /") .(~.,... -: / I , / /-.. "-1 / ,""1 f ".' "._" l i / I -'-I ,--, , .-,l ? I / 03^1303tl NOI.l'v'Olldd'v' .IN'v'Olldd'v' .::10 3V\1'v'N lSI1)103HO lN311\11~\fd3a NOI1\f0l1dd\f 111l\l~3d ~Nlalln8 6uluueld - )jUld 6u!JaaUl6u3 - AJeue:) 6Ulpl!"a - aJIlIM .uauno.) ~""1 .llll )0 J.JJU,J.) .lll.l ~~/l~!l~~b 00:04 9528947972 LAKESIDE PLBG PAGE en CITY OF PRIOR LAKE PLUMBING PERMIT Date Rec'd ~:::4 ~!; I PERMIT NO,,':) _--I g- ~ ], Y./Iow AppljQant . ~Z::::: I ZONING (office ll$C) 30 ?r3 i L.. ILl. W LEGAL DESCRIPTION ((lffice use only) LOT BLOCK ADDITION PIn OWNER (Name) 6 r- -en ""f..r /-lorn c:s (Address) tJ 0 6 () / I-Il (Phone) 9S.;l flY;; ~? 'JOy '-'0 if If APPLICANT (Name) ,-AKE:SJD~ PI AG . & tne" INC. 12469 Zinran Ave. ' s.wtse. MN&ia18 (Address) - C /Y7 (ell ~ ~ (Phone) 95 ~ - J> 'i"Y- 7~O (... (Address) (City) Co L.. . (Zip Code) o 72 - 7 7 a '( '?.s- ~ f~5"9" ~lX.> DATE '7/31/02- (Contact Person) , (Phone) APPLICANT SIGNATURE Quantity Type ot Fixture Quantity . Type ot Fixture ;;L. Bath Tub with or without shower Rough-ins .3 J Dishwasher I Water Heater .I/';~ J-, , Floor Drain Water Softner r--'- --J.:- Lavatory (Bathroom Sink) i Stand Pipe (Washing Machine) I "_0 I Laundry Tray (lor 2 compartment sink Sewage Ejector ' ,. I. :- Shower Stall Backtlow Assembly r'-'-'--"~ I Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler ')' Water Closet (Toilet) L{ Other a. 1+ oJ.< /;,,. hils IC~/.'1~ ~'o. ~...:j APPLICANT PLEASE COMPLETE BELOW I: FEE SCHEDULE Indu$trial, Commercial &, Multi-family 1% of jOb cost with a S3~.50 minimum Estimated Cost $ r~o '10 w Residential, New One & TV(o-Family $99.50 Residential, Adaitions & Alterations $39.50 Building Permit # (Offll:e Use Only) This Applkation Becomes Your Building P"rmit When Approv.d PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ C;' '7~-() "50 /010 I>~ Paid . , R~,~ipt No. By Buildlllg OtDelal Dale Date " , , , 24 bout' natiee for aJllnspedlonll (!JS2) 447-!18~iO, fa~ ('!!I2) 447-424~ CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd ADDRESS ZONING (0_ '~J 3083 BOBCAT TRAIL NW ~. ~f~~ E~icant I PERMIT NO. Jr -n-y LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) BRENNER CONSTRUCTION (Phone) (Address) APPLICANT (Name) ALLIED FIRESIDE DBA FIRESIDE CORNER (Phone) 651-633-2561 (Address) 2700 NORTH F AIRVIEW A VENUE (Address) ROSEVILLE (City) 55113_ (Zip Code) (Contact Person) BRENDA HUSTON (Phone) _651-633-2561 APPLICANT SIGNATURE BRENDA HUSTON DATE 8/16/2 xO NEW CONSTRUCTION o REPLACEMENT o AL TERA TlONS 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: OGravity 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 HEAT N GLO SL-750TRN-C APPLICANT PLEASE COMPLETE BELOW Industrial, Commercial & Multi-Family FEE SCHEDULE 1% of job cost Residential, Gas Fireplace $39.50 minimum $9950 Residential, Additions & Alterations $64.50 Residential, AC Only $39,50 $39.50 $39.50 Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) (Office Use Only) Estimated Cost $ REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50 This Application Becomes Your Building Permit When Approved Paid Receipt No. Buildinl!: Official Date Date By 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 CITYOFPRtORlm BEATINC/AJRCONbtttONtNG/1t1l,U:PliACF: PF:UMtt. . Date R~ , . .~;.[P~f;NQ~S74~: ~-. .-" , ;- '.1 zON'1:f\TG (iltliceuse] LEGAL DESCRIPTION (office Use only) "r..: LOT 13LOCK ADPITION .'. .;,.w~Lll?ANtPt.~E.t()~J',t~i'!*L9.W::;C'i. , ~:~~:~;:t;i~1~.~'~~C1~~~:~~11!;;f~;~'; TYP- E' OF S' Ys' '- - TE'-. M' '"'.' , ,1IEA.TntThg",:'R"", ..,.n<O'_dTH....R.. :;.:i'i"t,..,,::Ato. . 'fiT, .... _ " ..,,'.''':', __ .I.LPfu C "'n r;..L.t.t"1l~ J. ..."".....;.,^~'..::-~': '. .~...>}::....,::.:';~.~. . , OWantiAit PlitiUs . tJ,Stelirn., _ . OGravity - ._' '.oRat Wlitei' < '. ,8Mechanical' , ....,<;:ORadiati6i1 'd, . ~AirCo~ditioning . -',;Q~p~~ar~~~~~es2< ". . ""-, I&fv cnt. System . _: ~,:,' _0 -Ofhc. 1)" III"."":""", . , _Pm .~ .I.P!wne) ~ L??&/ A:~0: _. -?'~:,,-... :":"'~" ." 'd'_"",,' J . ;-;',...:.-:.. ':-""0':". '_""'., (Address) (Contact Person) APPLI~ANT SIONATURE -';PArE~ ,,,,o"j'" . . ". ". FIREPLACE:MAkEANbMOtJEL.,<c.,,,:.,... ,-. .'........ . "....". .... ::::. , ':'-""".- . .,'~.' . . .<:.../.... IndUstrial;CdmllietCiiil & Mitlti*llhiHy Residential;Helitifig~&A/C{N~WC6hstfuctior6 Residentiill,lIelltingOrily (New. COhstru~JotiJ ,FEESOObtlt)j:':::":"'-_, . .' . ...... 'i% dt job'ci:lS!' . . 'Rt$idet1iilil{dliS'PirepJat~'<. ~:$39;5() rltJiiimitiil , '_, . ...........'..'.,'.. !69.49.:!OO'. ...:'O:~~!den!!ai;:A~lIH!6~s&~Aft?MtiOti'S'.. ;. ." <J ' ,'; <:Resldentlltl;')\.C.O~IY, , .....,'-."~j~i56.;........ '.Estiffi~tea :Cdilf$/300 b..,:OO~., ':('BtJUdjtlgf;erilla':~:t,,,,:, .'. d:'~':i&gg.'...;:.... " , . '. ' ." '. ""'-' . ':;:.:::,.:::-,:..~:-.~~-,..r~~, . '. t", "". . >".. ' . . . .... "-", .:,:):' 'llEAnNtl PllitMtt JlEJl'Y'S:;cj.Zi')'.".' 'd" .i';~~~~~,i..;.'~t:,,;i;~~~~~,:~j;i~ii:ii0j?i!t ';t;'i:ft;5Z'{' ,:;'~ (om" U"O"ft' .. .. . .. .... '..... h"", ,;; This AppH'.U..lle<o....X6Ut .BliIIClI..tl'......lliWJ..fiAi;;;;;;:, ';.f..;;:;;J."'" .,. .:,;,.,;(', :;;;.~~f",;:"i' ,,' "..'.,,- - "", """ " ".' .:-'" .',c,,,-,.,;,,'..,,.,___,..; :-,,_>',..,......:::.,,_ :........;. 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