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Z ..J ~ < ~ G ~ 'JI!: < i= 0:: ~ 0 ~ i= < > < ... ... en 0 0 :.:: W W II:: a:: a:: o a:: 0:: 3: 8 8 o ~o " \) ~ ~ ~~ ~~ :E o o ....... ~ I ~ ) -.; c o () ~ c ~ ~ t5 CIl 0- III C W o z < > o < ~ en 0:: ~ o ::t ~ N Z o i= o W a.. en Z ... )( W Z W ::t ... 0:: o II. o on GO en ~ ~ ..J ..J < o ~ h ~ ~ ~ ~ ~ ~ ~ ~ l:l., ~ ~ Ill: ~ ~ ~ ~ ~ ~ ~ ;;;; OJ f.l.l Ill: f.l.l Cl <:;) \,,) ;:: c ~ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d B- Z1'-02-- I. White File I PERMIT NO 2. Pink City . /) ') _/ 1/2"2. 3. Yellow Applicant . v~ _{~ LEGAL DESCRIPTION (office use only) LOT I 6'-r1.4 PIDZS-3b8 - 14--0 ADDITION OWNER (Name) r-- (Phone) ZONING (office use) el (Address) (Contact Name) /k/77a~ :Da~ 5rE/(/~ (PhOne)cr~~ CJS3-- 193 I (Phone)) ~~ $S-' 2 + BUILDER ~ (Name) /7JF7/Z(-) ~SS/C!- .~ C/K:. (Address) 5'885 /t.f7 rt:1 5-;-; /Jd;; TYPE OF WORK ew Construction ODeck OPorch ORe-Roofing OLower Level Finish o Fireplace OAddition OAlteration o Misc. PROJECT COST /V ALUE (excluding land) S x 932-2- Contractor's License No. Permit Valuation Park Support Fee SAC # # Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee $ $ $ $ $ tOO. ~6 $ f,,() .00 $ .3s".Sl? $ c.{() ~C!O # # Water Meter Siz / ; 1"; Pressure Reducer Sewer/Water Connection Fee Water Tower Fee Builder's Deposit Other omes Your Building Permit When Approved " - 1'3 ..(Yl..-- Date ORe-Siding OUtility Connection g-Zg-dZ- Date $ $ $ $ $ $ $ $ 8ao.C1I3 2.DCJ .cO ~9:>-aS qo~ a5 QOO...eD . a-' ()(/ -dll 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 "'~~-t ~ q Ira I-flL 0<'- AR7uJ~l ~').vl;r~'-b1-t$ Planning Director 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 .-~ ~ White - Building Canary - Engineering Pink - Planning - .', i,..., Thf' ('tnlrr of Ihl' I..kt Counlry ~) BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST .. NAME OF APPLICANT // 677Z-Q rr~ A 55 / C!- H 01"1 6S APPLICATION RECEIVED 0. 2 q. 0 Z- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4-307 Dov6 )( coue I Accepted Accepted With Corrections Denied Reviewed By: A/lJB Date: 1-/7-02 Comments: See Reverse Side for Additionallnformationl lI(ju,5e ;~ 0-# bln'lJ,nJ {pel /J1()f>f hctV~ So,' l> E nfj~ -/cs -I ~;15. ~ee 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 shall not be valid." - ("he ("('nfef flf Iht' I.akt ('ountr)' White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 116TJZAJ &~5S/~ HOi16S APPLICATION RECEIVED ~. 21. 0 Z- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /?307 DOV6 6oue-/ Accepted Accepted With Corrections ~ Denied 4/1 f) i Reviewed By: {;qfy-- Date: C~Jfw~_U~ '1-/3-02 "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 Cenlt'r nr the t.keo Counlr} BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /,{ / c - . T ' . / / /. I / I I L--. i-II'../" ! 'I. / I '-' .,' (/ -. i~ i'iL- /,r The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: . . / {-/ '(" -/ I t/ , j,-, Accepted Accepted With Corrections Denied ~4jW~-/.d/1A Date: q /t~/D~ Reviewed By: /~ "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... .....__....._. Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT \:)O'0e- C-\-. \ L\ ~O I ~. e:~~:w ~i;:~. I PERMIT NO. 'I -/183 ). Gold Applicant, ~ ZONING (office use) LEGAL DESCRIPTION (office use only) LOT ADDITION PID BLOCK OWNER (N ame) ~-\}\D \..\. (i"l\ Lf(:b (Address) (Address) APPLICANT <\j ~ . ' (Name) -.J' Xr6~(k.,-t ~ I ~ (Address) ~O ~ ~ y c:o '=> ~ 1 (Address) (Contact Person) APPLICANT SIGNATURE (Phone) .96J -ots3-C(Qa I (City) (Zip Code) (Phone) 7~?,.1 Co 1- ~..rS '6 .:(. Ccon ~f1'?'.~S f\\ft SS y~~ (City) (Zip Code) (Phone) /h?J-1 b} -\..{3<(; ~ DATE 10 ct -0~ APPLICANT PLEASE COMPLETE BELOW Size of water service ~ inches, Location of any couplings from structure _ feet, Type of sewer pipe, 0 ABC l5.4I 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 $1750 Estimated Cost $ Building Permit # SEWER AND WATER PERMIT FEE STATE SURCHARGE TOT AL PERMIT FEE (Office Use Only) This Application Becomes Your Building Permit When Approved Date 24 hour notice for all inspections (952) 447..9850, fax (952) 447-4245 Building Official $ $ $ .50 Receipt No, By / C--- o /O-?- 10: 48AM MATTHEW DANIELS, INC. 423 3017 P.01 I vale Ke~'d CITY OF PRIOR LAKE PLUMBING PER1~IT i I I I. III., F,', I PEl R1~'lIT ~O i ~~w ~;;;"..n' ! l~ r.... l~ II ~ ~J I I I I ~,1tL 'i.t. ZONIN'G (olfic~ l.l.Se) (Ple~ ~e Qr pnnt and SIgn at bonom) I ADDRESS ; I~Or, ~ I LEGAL DESCR,lPTION (officI! Ilse only) I i LOT BLOCK ADDITION PID I ~w::~~ ~4n"~")~l:J I (Address) .5W~ - J~'th ~. () l~rJ I YCL{ ~ I if. "-ti~ APPLICAl'iT.j' · ~ (Name) ~tt I 0 J ?J jJ./l ,; 1 JJ~J ) '-."dlt 0 (Phone) t..SJ. (Address) 1s:i.30 (J.uJd. A.JJ ~ IJ J _ -J-n 1 h ~l ri. LlJ 1. r. l.t/.. ~) (Address) f/ (City) (Phone) !9Q. 9Q~ . 9'J..a1 ! SOI:L~ j ..3130 .ss-o~ (Contact Person) I APPLICANT S~GNATURE (Phone)" 65' J . DATE ~ Quantity Type .of Fi~ture : Quantity JTyp~ of Fixture ~~ Bath Tub with or without shower ! d Rough-ins , i I · Dishwasher i I I Water Hearer I I 'F loor Drain } 101 Water Softn~r 4 I Lavatory (Bathroom Sink) J Stand Pipe (Washing Machine) I : Laundry Tray (1 or2 compartment sink Sewage Eje~tor I Shower Stall I Backflow A$sembly J Sinks Backflow Assembly Test Bar Sink Lawn Sprin~ ler ...:3 Water Closet (Toilet) , Other I APPLICANT PLEASE COMPLETE BELOW ; i FEE SCHEDULE I Industrial, Commercial &: Multi-family 1% of job t:ostwith a 539.:50 minimum Residential. New onle & Two-Family S99.50 Residcmial, Additiods &. Alterations 539.50 i Estimated Cost $ Building Permit # J PLUMBING PERMIT FEE STATE SURCHARGE J TOTAL PERMIT FEE $ $ $ 99..50 ; .50~i ~.I'", J' I, h j()".,,~ ~ "?,I"::.'., , I -.\.:;j /i" ~~, I Receipt No. "I., (Office Use Only) This Applic:atipn Becomes Your Building permit When Approved aid Date --'".(.; '-'..k' By .-.;-.iII't .Ji\lildinc Offic:i.1 ~ Date ..)1,; : 1~ hour notice tor .11 inspections (952) 447-9850, (all (951) 447-4145 , \ I I :\ \..:llY Ui" l"l<.lUl(. LAl\..J!, HEATING/AIR CONDITIONING/FIREPLACE l'EHMIT J):lle 1<.cc'(j l r. rink. ~ OIeen l. Vella"" ~:~ I PERMIT NO. , ^r~lltlI", ~ ~ - \ \ ~ 3 I ZONING ,'"==l ~ QU\.- l\- . ,-'. LI~qf\t DESCRIPTION (office use I;mly) . LiJ' \ '\ BLOCK \ ADDITION):... '\ a\' \\, \ \ PIP OW~ER. (Nil"!1C:) . \"\ ~ ~r~ S ~'l 's I l\L\~l\ l. \~,,~ \\u~~ .5 ~ \ \--". \ ~ ").. ~ (Phone) ~ S :)." ~ ~ l- ~ \2~L- "., (\- "~'u... ('\\) S:s '~'-I ~ (City) (Zil' Code) (Phone) 9 ~ ~ - '"\ "" 7, 'l:S \ Q '\,.\ DATE AP.I1-ICANT of, I ~ (~awe) \"\~ ~ (\:) t"oi, - ~ - v", ~ (A~~~'eSs) \~q ~\J ~ ~\ l(J~ ttv '- <Address) (ClJOlact Pet'Son) N (.,\ If' ~ \/ S. L.'" ~ "'.\ \.. AF.P~,lCANT SIGNATURE ~~.1 ~,J'l.AJ~ .' NEW CONSTRUC1.10N o REPLACEMENT o AL'rEl~ATIONS FU,,~^CE MAKE AND MODEL (L.t''''~ J- '^ ~ A - \~'=:l rUGl.. N ~~ FLpij SIZE &,,<- RBTURN OPENINGS ~ INPUT 'CO. O'CO OUTI'UT '1 "3,O(.;;:jO TYPE OF SYSTEM UnA'fING OR POWER PLANT o ..awllrll1 Air ('Innis o Slelllll I'LE^SI~ NOTE: ~aVilY o Hol Wltler Air CondiUont:r Units echalllc:.lll o \l.lldi,lioll Canllol EnCI"u<lch intu OAir COlldilioning o Specilll Devices Re<luircd Side Yard ;;a.Venl. SYSlCI11 o OIlier Devices Sclhnck,~ FIP'EI!LACE MAKE AND MODEl- ~ . 3 Al)rLICANT PLEASE COMl)LETE BELOW I' I ! \ 0.1' FEE SCHEDULE 1 % or job cosl Resll.\enlllll, OilS fireplace $39,50 minimum R.elM~f1tial, Htllting &. NC (New Con:nrucliulI) $99.50 Rc~jd~ptill, f le~lillg Onl)' (New Construclioll) $64,50 EslllnQted CDst $ ~ ~ ~~ ~ $.l9,~() 11\1I"stlilll, Commercial &. Multi-Family Rcsi~clltinl, ^ddiUol1s & Alteratiuns Residential, AC Only $J9.50 $H.50 I, Bull~il\g PermH 1/ 1 , , 'i , I ,j " ,j -~"","" HSA TING PERMlT FEE $ STATE SURCHARGE $ TOTAL PERl\1IT FEE $ ,so r.." ~~qo -"~''')'~' ~ ~...""" '-- "~p!"o. ., ~"'? -'IJ"~'.' (1'1 ~ipt No. ' (Ol~u: Uat Ohl)') l'hl; ^1)I'Hcatlllll Becolncs Your Bulldiug Permit When Apl)roved Paid 's . \I., -';'GuUdlng cmr.I., b.'~ DaleNOV _ 5 2002 Uy " , 1 ,( 24 bQur nallc:e: rOl' All hUl,eclhlll1 (951) ....7-9850, fu (951) 447-4245 l'd 8t79'ON ~I~ O~13W WdLS:E 2002'1 '^ON HEA TINGI AIR CONDITIONINGlFlR.I!:.i' LAL~ r ~K1\'U 1 I. Pinl< ~ 0.- J "ea~.. Fi\lt Cily Appliearu: I PERMIT NO. ~-II2""6 l J f~~r;;~.'-hOQ~ ZONING (offic~ use) c~ LEGAL DESCRIPTION (offiee we only) P1D LOT BLOCK ADDITION OWNER IY/ ~ (Name) e 'f \' 0 r____~~S{C (Phone) , (Address) APPUC~ CN-) :Je..l'-~ (Addrl!Ss) j?;. c.; 0 S- 'F,.,.. "-p I '" r <" )0,,,, l> 1 (Phone) 7" ?>" fo f<{ - 'I" ~ L ~-til. tLu~. ~ {\! f}1o cJ1- h s5YY I (AddreSS) I (City) (Zip Co,je) (Coo",," PoISon) be:::> f"- (phone) 7 6 :> ~ b '1 'Y - 'Y 6" '" APPLICANT SIGNATURE ~ ~~ ~- DATE /~ ONEW CONSTRUCTION o REPLACEMENT o AL '!ERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RE11JRN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER pLANl' DWann Air Plants o Steam PLEASE NOTE; o Gravjty o Hot WaU:r Air Conditioner Units o MechlUlical o Radiation Cannot EnCTOach into , OAir Conditioning o Special [)cvices Required Side Yard OVent. System o Omc:r Devic:e$ Setbacks FIREPLACE MAKE AND MODEL ,5u ?e't'~ 0 f"' b ~ ~OO ---= APPLICAl'lT PLEASE COMPLETE BELOW Residentilll. Heating & AIC (New Construction) Residential. Hellting Only (Ne"" ConstrUction) FEE SCHEDULE 1 % of job CQst Residential, Gas Fireplace 539.50 minimum 599.50 564.50 539.50 lndustriaL Commercial &. Multi-Fanlily Residential. Additions &. Alterlltions ReSidential. AC Only 5J9.50 539.50 /0000':' Estimated Cost $ Building permit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PE&'\1.1T FEE $ $ $ .50 i~' ~':.,~, ,1 ~ ~i;1 l~ Date Paid Receipt Na. Date: DEe - 9 20U'l By ~omCl! llse Only) This Application Becomes Your Building Permit When Approved Buildin; Official 24 htldr notice tor .11 inspections (952) 441-98S0, fax (952) 441..4245 100~ X1c:1c:1l1S SM3CI1Il1Q SH:nm> ..-.--,---'.-- LSSOCSSC9L XVd ZO:ZZ ZO/SO/Zl PRIOR L~~.~E INSPECTION RECORD' DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS /tfYJ7 D~ C-r- NATURE OF WORK tJ~ USE OF BUILDING Sf D PERMIT NO. =~.-//B3 D~SUED "l-/'?-O(.. CONTRACTOR ~ t:) ~5S"'c../ PHONE 952 -fY? -'77( NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING ~U- q/n 107- I FOUNDATION (Prior to Backfill) I )1;() I j 0 ~'I LI 01- PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING w INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS "70 [IL IV) ~ (-(~ ..,~ GRADING (Prior to Sodding) BUILDING (\j 0 -[-6>3 ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE HAS 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 be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850