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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
?,~
W~ IJ
1")</ d rc k
LEGAL DESCRIPTION (office use only)
LOT'l BLOCK )' ADDITION
Date Rec' d
-r- 3 ,-O~
~'~i~~e ~:;y I PERMIT NO. 0" -00.1 J
3, Yellow Applicant . V U
PID
ZONING (office use)
1<1
~^ - r?'>5--
I OWNER
(Name)
(Address)
(Phone)
BUILDER
(Name)
(Contact Name)
(Address) '7217)
(Phone) Qt;z-4 "I-I/,1/
(Phone) 1,1 ~ -J2K-432'
/h11
TYPE OF WORK
ORe-Siding
ODeck
OPorch
ORe-Roofing
. Fireplace OAddition OAlteration
PROJECT COST IV ALUE (excluding land) $ 3)0.. (y:)O
OUtility Connection
o Misc,
/
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 aU construction will conform to aU existing state and local laws and will proceed in accordance with
submitted plans, I am aware that the uilding official can revoke this permit for just cause, Furthermore, I hereby agree that the city official or a designee may
ente roperty to perform ed inspections,
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
$
$
$
$
$
$
$
$
t ()() . () tJ
{~() . 0
56.S.<::>
<fo .O(J
es Your Building Permit When Approved
1-l(' ... 0(...
Date
IJb9
Contractor's License No,
Park Support Fee
SAC
#
#
7-]-b '"2--
Date
$
$
$
$
$
$
$
$
$ /0 / ~S". /9
zS3J
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
:~;d~igned by the Ci Planner constitutes a temporary Certificate of Zoning compliance and allows construction to ~= Befor40cCUPjancy, a Certificate of Occupancy must be
1 Ie -~ I &L. ~(" / /2rlAc'l-{ .L\('~,- CD, "J) ~F~{,.
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
#
#
/02-
White - Building
Canary - Engineering
Pink - Planning
Thr Cenler nf tht' Lakr CoUnlf)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT taJd~ f0~ J3j}-i<J
APPLICATION RECEIVED ;- '3 -O~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3/(01/ LeMd ~ ~
Accepted X
Accepted With Corrections
Denied ~ L
Reviewed By ~
rzments:
nJ2 ai2. ~
Date: J.:J (p - d0L12--
f(eQ6z- 1st
"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
Thf' Cf'nlrr of 1he Like Counl'1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/' I
;' l
.,
i
/'
'\
'-- .-,^,-'
',-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I ; " //
~
I.
.' f
./ ,,~
Accepted
t~
Accepted With Corrections
Denied ~
Reviewed By: ~. . ~
Comments:
Date:
'7/l2-/L'Z-
..e
~ f 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."
/
lb. e.nl.. of Ih. ...k. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Wd~&4-~ i3j}(Lt~./
APPLICATION RECEIVED 7- 3-0~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3 101/ i~YcR 'lJ074-t &~
Accepted X
Accepted With Corrections
Denied
~ Date: 7/10/01..
'See Reverse Side for Additional Information!
Reviewed By:
COmments:
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
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 shal.' not be y,:\lid."
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
t ~:~:w ~l~icaot I PERMIT NO. J-- g/}j
ADDRESS ZONING (office use)
3164 WILD HORSE CIRCLE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
CUDDIGAN CUSTOM 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
9/12/02
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
OWarm Air Plants D Steam PLEASE NOTE:
DGravity D Hot Water Air Conditioner Units
D Mechanical D Radiation Cannot Encroach into
DAir Conditioning D Special Devices Required Side Yard
DVent. System D Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO 6000TR-OAK
APPLICANT PLEASE COMPLETE BELOW
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % 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 $
REA TING PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
r-....
ItJJ ~ 11 r:::..:' '" '.
-'''':::c..,:,c+ " -L ("'" t _
~
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
By
Date
Buildin2 Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
I. Green File I PERMIT NO 6'
2, Yellow City, . :;2- '/--7/
3. Gold Applicant {
~~Es~~md'i~boUo~
[ / b /1..0 j/ OP:-~
ZONING (office use)
CJ,l(JcLE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
C ooth (', 1J/lJ (>>5rorJ7 8 L/ I1--LJEJf!5:.
JaJd.3 )J)GAtJ AJEA}uE
(Address)
MKF\lJLLE
(City)
(Phone) '15J-'!h1-JhJJ
560.tJ9
(Zip Code)
APPLICANT_
(Name) j- J N It L G~J1/J;:; :vv C-
(Address) /315 /fJ1fi!/is S-o?EEj
(Address)
(Contact Person)
(Phone)
c.SHf}KDfJE'E
(City)
(Phone)
9-./.;~-233 -J .:2.tJo
5537'1
(Zip Code)
tJ5a -233-/.tlOD
APPLICANT SIGNATURE
DATE
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.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
Date
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Date
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
11/14/2002 10:39 9524401740
_____ 01/2'/11 tUE 11:11 FAl 6114474241
ALTA CLEARWATER
PAGE 02
~..1 U~ E_A~- ----
Date Jlee'd
ern OW PlUOR LAD PLUMBING PI1lM1T
~..:: '~h~
~ e. =- [PIDUT 1<<). ;'L · <Q 11 1
~ L--l
lEGAL D!SCI.1P'IION c.-..-'"
pJD
LOT JIP("R'
ADDITION
(lIbaIIe) q't;;:h - 'flt:lJ ~ I u: (I
~wrJdi9'Y' rA~s;~:Hr~'"
(.A.M'-'
~:VV:"o:b-- 'Pl o/--<N~ . _~ qC;;;'- #1-7>'130 ,
(MbslJ9.~~~_feL tf1iY'~ mil q;~7
(A.......) (ClJ). (Zip Cadc)
(Oooad- 'S.A. a 'fC;;;-' -l./-4. 7 -~~
DAtE . .../
APPUCANTPLEASE coJIPI,ETE BELOW
Ii*.
~of
MacbiJle
-
I'D ~';JroLI.,
,_,~"'__I..orj..._.....a."'- ~,....o.lt""- m..
1WIdIrldal, Ad4Nons .. Al'tBndiont 1'39.SJ
&dnI1IIaI Cost S
:auildfa& Plllllit ,.
PLUMBlNG PEDGT PES S
STATE st.mQlAB.GE S
TOTAL J'EIlMtt PEE" $
r--
r"":;:-, ....,~
.50
f"1 .
(OtIicc lJ- 0.""
'J'IdI AVrUlClDa ~ J7 V Yav....., rc..-il..... Ana.......
hid
~..J.l~.
"r . .
u..
HaV f4
........
...
24 ......r........ ......... (9!5il) 44''''''~ tD "Dl"'..cu
..._" 11/_!.~/ 2002 10: 39 9524401740
U1/~B/OZ TUE 11:1& fAX 6124414245
ALTA CLEARWATER
L 11,1. ur 6,' ....L....., .-....:......
PAGE 01
"
. ..'"
:,":..;:;~r","",,;, '
Data 1lee'4
. CITY OF PRIOR LAKE
IlEATlNGJAJR CONDmONlNG/fIREPLACE l'QMtt
~=- S-~~"~~~.d~'~'/)/ J
. 11zm<D'G-~ 1
(1'IIoo<l ;: - ifi.9- / {p( L ~
tlf,"J,of!tf1!/.!!i.'7J ',: ','
" '
(AcJdIas)
(CClIItaCl PaSDIl)
./Ll'PUCANT SlGNA'TUlU\
AP!LlC~T PLEAst coMrU'R BELOW
eoNS1tiJCI'ION
fURNACE MAD MODBL l.c::;.n n n;CJ
-7//
PWE StzE 0 e1lJ1lN OPENINGS
'IYl'B OF SY$'l'BN
'If~
' eq.dl....
ept. ~
ftlIUt.A.CE NAICE AND MODEL
UPlACENDIT : 0 ALT5RA'tlOMS '
6d-~~-Ylf." ' .us. n~,~tJ::-\
CJ _ INPUT I()O,,~ oU1PUT .. q?y If1f(J
HBATJl(G OIl'fOWEIl.rIANT '
~:;;..
......
IplIdlIII ~
~DI:W:eS
PUASt t<<rrE: .
Air c.r-diliaaer lhUIs
.C.-at~-
~9"_Yri
~
DE SCHEDULE
Inlluftrial. Comlftud&l. MultHlllll1lY 1% of job llD&l ..\dcMll1, Gu'firql18lZ.. ~'.5Q,
D!UOt'l'liftiftIUIII ... --~ .
ltaf.d,aLt\aL ~ead1\8 tk IJC. \Mew Caa.....) 599.50 'R.csi...., AdditiON- A.laftdcms $]9.50
~Il, Heatilll Oftl)i (1\1- ConsmJGIln) $64,.50 . ~L At onl, \,. . S3!UO
..--
E.stiIDID:d Coat S
B'llUdlng PenDil ##__
. ".. ,,~e\'1"':-\
~......-~~~~. '
HEA11NO PERMIT PEB $
STATE stJ'J,CIIAIlGE " S
TOTALRllMlTI'D S
.50
.' ,":'
" /".
.li./.,I'
... . I."
, "
By
(011I12 U. o.IJ)
Till" APPlialdoa"". ynr............ W. A.......ed
....... QIWlI
..... '
J4 ".UI' ....~...II Wpectio- (952) ....,... ru (952)" ~(
WILD HORSE PATH
CERTIFICATE OF SURVEY
For: CUDDIGAN CUST. HOMES
PROPERTY DESCRIPTION: Lot 9, Block 5, THE WILDS SOUTH,
Scott County, Minnesota.
We hereby certify that this is a true and correct survey of the above
described property and that it was performed by me or under my
direct supervision and that I am a duly Licensed Surveyor under the
laws of the State of Minnesota. That this survey does not purport to
show all improvements, easements or encroachments, to the property
except as shown thereon.
Signed this 2nd day of July , 2002. James R. Hill, Inc.,
1. Building dimensions shown are for
horizontal & vertical placement of structure
only. See architectural plans for building
& foundation dimensions.
2. No specific soils investigation has been
completed on this lot by James R. Hill, Inc.
The suitability of soils to support the specific
house proposed is not the responsibility of
James R. Hill, Inc. or the surveyor.
3. No specific title search for existence or non-
existence of recorded or un-recorded easements
has been conducted by the surveyor as a part
of this survey. Only easements per the recorded
plot ore shown.
4. Proposed grades shown were taken from
the grading &/or development plan prepared by
PIONEER ENGINEERING
-u
)> "'ON
C1 ;00
NO<'o()
IT! ot.-O)>
\OfTI~O
O.
o~o~
o ~z:E::;;
..., 90
N
James R. Hill, Inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 t. CIY. RD. 42. m 120, BdlI!M1t MN 55331
PHM: (952)890-6044 FAX: \952)89(}-6244
/):.
o
.
x927.6
(930.0)
TC
Denotes set spike
Denotes set iron monument
Denotes found iron monument
Denotes existing elevation
Denotes proposed elevotion
Denotes proposed drainage
Denotes top of curb
Bench Mark: 97089 - TNH-Lots 16 & 17, Block 4
Proposed Goroge Floor=
Proposed Garage Top of Block=
Proposed House Top of Block=
Proposed Lowest House Floor=
Proposed Lowest Gymnosium Floor=
971.8
972.2
972,2
963.5
955.8
Bearings are on assumed datum
Scale: 1'=30'
WILD HORSE PATH
~96 /
/' (] ,
196 ,6 I
/.0 I
0')
CERTIFICATE OF SURVEY
For: CUDDIGAN CUST. HOMES
~
---------
N
~
,--.,
("J
I
I
~
/'
'6'
S
J'J
)(70
~~
oJ) ~~
(' -- -----'
r;. .96'
- ~ ~
APPROVED ~ .~
E 0
NGINEERING DEPT \
igned Da.~ OG
\
I
, <:,0"
v//f I
/....... ..-)
'\..- /f 7,.,.
/, '1 / ( )
/ I I " ../
It
I
\
Ji.1"""~R
M;t"':O'IEn
PtA.!\' '\!,-- - '
~
c
"-
t>:
~
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C,," ~~~ I
\.Cn_ -~~_. ~~-2~
~
q
') /5l;Lo/L
-"--"-
~
c::
\C
c::
c.:
Scale: 1"=30'
Page 2 of 2
James R. Hill, Inc.
PRIOR LAKE
INSPECTION RECORD
UEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 5/ ~ t/ LJit& 11o~ -e Q,,~.
NATURE OF WORK AJ..ec.O
USE OF BUILDING S Fe)
PERMIT NO. ~~007 { DATE ISSUED 7-1f.,-oL-
CONTRACTOR Q ~~' Q,...r.... ~.~ PHONE C.t2 -~2d 'CA2.~
NOTE: THIS IS NOT A P MIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOUNDATION (Prior to Backfill) f... I' D2.
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
FOOTING ~
'v
SEWER I WATER I SEPTIC
FRAMING WV
INSULATION
ELECTRICAL
PLUMBING
HEATING (if re uired)
FIREPLACE
GAS LINE AIR TEST / '1(/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Soddin )
BUILDING ~ .\.0 ~ ~ l ... 6 '5'
ELECTRICAL
PLUMBING
HEATING
DO NOT
~ "--OJ-..
t ... }
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"b~en approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850