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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
9'- 5 -02-
l. White File [ PERMIT NO B
2 Pink City . O:? -l'o.
3. Yellow Applicant _ l, _ m
UvOOb 0tbe. Jt.-~t\
IJw
]
ZONING (office use)
,e/
LEGAL DESCRIPTION (office use only)
LOT 8 BLOCK 2 ADDITION 77-Je- 0/ LD.r .:500r})-
~M<J ~L
PID 2:5-382 - 05/--0
OWNE~ ~ ~11
(Name) CVeU! tJ
(Address) /3.SYCJ FLAG
F AVE
(Phone) QS2- 89/~?Jo
/J ~.s/2 y
BUILDER M ~ . 11
(Name) c..J./eud+ t1ol'tll.tJ ~
(Contact Name) ~^V'v\<,J A-. M I d.tl'P.1.
(Address) ~AYv\1Z
(Phone) QS2 -89/ -S730
(Phone) 0/2 - 6'8..5 - 0'2. '3::l
TYPE OF WORK.
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 ne d inspections.
DeN,
ew Construction
ODeck
OPorch
ORe-Roofing
OLower Level Finish
o Fireplace
OAddition
OAlteration
o Misc.
PROJECTCOST/VALUE (excluding land) $ 200,000
x
Water Meter Size 5/8' . l' ;
Pressure Reducer
Z003-5ljly
Contractor's License No.
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
#
#
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
es Your Building Permit When Approved
I Paid ?$-5(j 4J
Date ..- d . P .::J-
ORe-Siding
OUtility Connection
'\
9-oY-(J'L
Date
$
$
$
$
$
$
$
$
1-()-fJ?
Date
uest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
anner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
-y~
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
j/
II"P!/l:M 8q JOU lIe4s UO!J:::>!pspnf 84J 10 s8:::>ueU!pJo
J84Jo JO 8pO:::> S!4J 10 SUO!s!^oJd 84J r80ueo JO 8JeI0!^ OJ ^JP04Jne 8^!B OJ BU!WnS8Jd
sJ!WJ8d "UO!PlPspnf 84J 10 8:::>ueU!pJo J84Jo ^ue 10 JO 8pO:::> S!4J 10 SUO!s!^oJd 84J 10 ^ue
10 UO!JeIO!^ ^ue '10 le^oJdde ue JO 'J01 J!wJ8d e 8q OJ p8nJJsuo:::> 8q JOU lIe4s suo!JeJndwo:::>
pue SUO!Je:::>!lP8dS 'sueld 10 le^oJdde JO J!wJ8d e 10 BuqueJB JO 8:::>uenSS! 841.11
~.(/- f)-I;
:8JeO
:SJU8WWOO
of!!" :,(8 PBMB!ABlj
P8!U80
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SUO!J:::>8JJOO 4J!M p8Jd8:::>:::>'v'
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:Je p8S0dOJd S! 4:::>!4M ^l!^!l:::>e UOn:::>nJlSuo:::> J01 UO!Je:::>!Idde
l!WJ8d Bu!pl!nq 84J p8M8!^8J 8^e4 SJU8WJ./ed80 BU!UUeld pue 'BUP88U!BU3 'Bu!pl!ns 841.
~ "', r"_ /
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03A1303t:1 NOI1.'v'Olldd'v'
1.N'v'Olldd'V .::iO 3~'v'N
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.lSI1)f03HO .lN3W.lt:f"d30 NOI1"0l1dd" llWt:f3d DNI011na
6U!UUBld - )jU!d
6u!JaaU!6u3 - AJeUeo
6U!pl!na - aJ!4M
.Uluno.) ~'1.'1 ,;ulI JU Jdlu,).) .1I~L
~>.
",f-._/
T'h. ("
t'nlrr 01 Iht I" .
.. r ( OUntf)'
rheHUilding, En i .
apPlication fa 9 neenng, and PI .
r COnstruc/, ann/t)g Dep rt
L... Z / IOn activity Which is p a "'ents have review d
J to 4- rOPosed at. e fhe bUi/r'zn'
!JUt' UJ 9 Permil
T~/l /l.JvJ
White - SOild"
Canary 12 "lOg
Pink - nglOeering
- Planning
.,.
. f
165
Accepted ~
De17ieC/
------
ReViewed By.
Comments: S
ACcen~l\d IA,. "
f-Ilc vVdh corrections
-------
Date:
v?:..
I .
rading Plan, 2) fOrosio
Erosion Co t) COntrO/Measures
--
'Suance Or granting Of .
~ttons shall not be constr a Permit Or approval of Ian . . .
1.e proVIsions of th' Ued 10 be a Permll for Or an P s, speclflCattons and'
. IS cOde Or of any h ' approVal of "
)g to give aUIhority 10 Vial t 01 er ordinance of the' ".any VIOlation of
'" of Ihe iUrisdiction shall nO~be Or ca?Cel the ProViSions o/Uthr/~dICtlon, Perrnits
e valtd. IS cOde Or other
White - Building
Canary - Engineerin~
Pink - Planning
Tht' Ct"nler of thl" L.kr Counlr)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
jJ} ~,/)S \/ II I /-1 Q ~1 E.5
q ~.5 - Cz-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5Z (c4-
L~I o ()r)
.
DlJ C K-. 'TeA ( L,.
NvJ
Accepted
Accepted With Corrections
x
Denied tteJi /;-
Reviewed BY:. - - V
Comments:
Date:
1 --13-CY2.-
w~-~~
"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."
FROM :ALLIED EXCAVATING FAX NO. :952-895-9394
U~i ltl/Ul TVE ')lI~'i F,U 81ZU14ZU CITI' OF PRI'OR LAKE
Oct. 09 2002 12:34PM P1
[l) 00 1
CITY OF PlUOR LAKE
SEWER AND WATER PERMIT
Data R.ec'd
r
I
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L
,
I
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~~ no. oi JlII'iar 1IIII~!!!9!.~ .
i ADDQSS, _ ,
~fj~lo4 ~~.urJ:JV:c,:t Q '~..
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L!-OT' BLOCk +' ,AJ)Dmo.~.___
=-
OWNBR ""'_ 01. - -; Ll I \ -- I
(N"'.)~\.'TL.t:::n.'\-^"e~ ~ . I
L(........J J55~ Jib~~~~ve-:-_ ~ey 6~~Y .~ J
I ~:~r'N"fA~S:.~(1.o'\JC~ CPhoo.) ~-Pf1LJ' e~~()
(-""J]'-IQL;Lu l~lo11-> Sf- &V~~. mi.U 55.'\/~ _ I
I ! (Addra'~ ~. ) . <ZlJ/C_, I
(C,.".", PO,,,,,,) -~~_-:se.W~:l- . . (.......) 9Sd. _ Pft<l _ ~O_
APl'LICAJIITSIGN;(;_= -~__~ DAn! }()-q-~_ _J
i .
: APPLICANT PLEASE COMPLETE BELOW
--~ water service ~ inc:heJ. ~
r.k(,:&uon of aDY couplings &oM 5trlJC'~ feel.
lYJ>c of ..wet pi~. 0 AB~ < PVC 0 C..,t [ton
SSlimated !e:1,th of sewer line J:t.Q,:G.
qlcan Out (ifrequi:ed) lOCated ~t from Itruc~.
I
i
i.:i- iL [~T~ J
l I ZONtNC (0...) i
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PID' _
]
Residcl'lc/al 'ewer IInd ,. Ct' line COMIClLor.l
s~wer c:ol'll'!ection :>>nly .
I
'stjmar= Cost $
I
$~~,SO
$17.50
FE): SCHEDULE
IlldualC"lal. Com'!" Muhi-tanlUY
WIIlIr Cgllll~tjgn Dilly
1
I
I
.
1'Ye of Job case wttb . SJi).$C m inilmlm
SI7,'0
Suildin. Pemair /i.. ._.. , .
SEWER AND W A 1'ER PEltMIT FEE
STATESURCRARGE
TOTAL PUMIr FEI:
I.
~ !lollr ftot., ror .1I111JIIHtiOllll (.'52) ..,....SO. fa. <'52) "'7~45
PAID WITH
BunnING PERMIT
~~
L
~ --
By'. ,,--.--
I...
=i
,
(om~~ \.i'f ODI;" I
G,,~::p~:... >>of" Yo.. *-:.. Por~. w... =
8vlf/li".Ol!lci" : b.~
-~ ~ (
CITY OF PRIOk LJAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
15264 WOOD DUCK TRAIL
f &~: E~icant [PERMIT NO. ) -- /1 g' ~ 7
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
PID
(Address)
MCDEVITT HOMES
(Phone)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Address)
2700 NORTHFAIRVIEW AVENUE
(Address)
(Phone)
651-633-2561
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
11/3/02
APPLICANT PLEASE COMPLETE BELOW
xO 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 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-750TR-C
=-
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
(Office Use Only)
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$39.50
$39.50
Building Permit #
$
$
$
.50
10." j;l.:4 / r.,
IS"-,jl11[ ,~'
D"l'l/~
',-;
This Application Becomes Your Building Permit When Approved
Receipt No.
Buildine Official
Date
Date
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
-. ~~ U/;~~p Mik@ Schiltz 651-681-8306
08/15/0l 'I'Hli 14:41 ,"'.U 61lH7Uol~ 1..'10' U~ t'IUUK LAA~
p.2
~UU!
CITY OF PRIOR LAKE PLUMBING PERMlT
Date ~'d
I S:< G,<;
:' ~1_ ~~.... [PERMIT NO.O Z - I J ee I
4..-1 U 'J J
D'v'L l{
Ir~,' I
ZONING (olIl... .,.J
LEGAL DI!SClUPnON (officr wr ordy)
LOT
BLOCK
ADDmON
OWNER
JNam~)
PID
~ (, ))€. '"' :-H-
4-u........,.e1
(Phone)
8'7J-J'7Jo
(Addras)
APPUCANT
eN arne)
Hessian Plumbing ServICes, nc.
':'.0. SUA 2.2.1'12
Eaaan, MN 55122-0172
(Address)
(Phone)
(AddresS)
(Contact Person)
J V'f?
~
(City)
(Zip Code)
APPLICANT SIGNATURE
DATE / /- /7-0 C
APPLICANT PLEASE COMPLETE BELOW
(Phone)
Quantity Type of Jiixture Quantity Type of Fixture
2.. B8th Tub with or without shower ? --Rough-ins
, Dishwasher I Water Heater
I Floor Dram 7 Wafer Sofrnei
, {- Lavatory (Bathroom Sink) T StUJd Pipe (Washing f\;fachine)
I LaundJy Tray (1 or 2 compamncnt sink Sewagc Ejector
r I Shower -S-tall Backflow Assembly
Sinks - n m_h.._ __n Backtrow AssemJjJy Test
I
Bar Sink Lawn Sprinkler
~ Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercia. " MuJIi.rllfnily J % of job co~1 with. 539.50 minimum
ESlimMed Cost S
Residential, New One.t. TWO-Family $99.50
RC3idcnlial. Additions II; Alteralion3 539.50
Buildinl Pennit " 0 2.. - / 1 88
(oroft Uk OIlIYI
Thll Appltc:.C1on Become Voar Building Permit When Apprvnd PIlIid
PLUMBING PERMIT fEE $
STATE SURCHARGE S
TOTAL PERMIT FEE S
.50
Bailding Oft'ic:ial
O.rr
DWOV J 8
1. IIDllr .Dlice rur.u iII~lI. (95Z) "7'''50, r.. (tSZ)" ~Z45B ING
'6100 Ealle Creek ""r.. S-E., Prior LIlac.. MIll 553n-171
PERMIT
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Mike Schiltz
011/15/04: 1'HU 14: 'o\l f.U tilZH1H4:i
lTH Ut' I'M lUl( UAt.
651-681-8306
p.
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
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I PERMIT NO. (;2 - J If QJ
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I ZONlNG<__, I
I. LI!GAl. DI!SCIlWnON ,"""" - ..~)
~ LOT BLOCX ADDITION
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(Phone) g- <:) / - _ \" 7. ~ 0
(Address)
APPUCANT
(NiUIIC)
Hessian PfunJbing SurvililtS, 'nli.
P.O. Box ??17~
(AddrcssEagan, MN 55122-0172
(Phone) (p .f 1- (0 ~ 1- ~ ~s- 2..
(Address)
(City)
(Zip Code)
(Conuet Person)
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(Phone) Co / L - (Q / 5 - 7 ~ / (J
DATE / 2. - 3-0 ~
APPLICANT SIGNA TUR.E
Quantity Type of J'iJrtare Quaatity Type or Fixture
.L B8th Tub with or without shower S Rough-ins
I Dishwasher f Water Heater
I Floor Dram I Water Softncr
~ Lavatory (Bathroom Smk.) ( Stand Pipe (WIshing Machine)
, Laundry Tray (l or 2 companmcnl ,ink Sewage Ejector
I I Shower Stall Backflow Assem bl)'
( Sinks B.aarow Assembly Test
Bar Sink Lawn Sprinkler
") Wak:r Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commucial at. Mulli.fnmily 1% of.iob colit ...i... . S:\9.5('1 minillluII\
1U5idcnliaJ, New One.. Two-Family S99.50
Raidcnlial. Addilions A AllCl'ations 539.50
Estirn_ect Cost S
Buildi"l Pcnnil ,
(om<< Vlt ODly)
This Application Derome Your Building Permil When Appl'UYed hid
PLUMBING PERMIT fEE $
STATE SURCHARGE S
TOTAL PERMIT FEE $
,so
Aeceipt No.
Building 0fI\cia1
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Z4 b...r ..ria ror oil i.IpKIio.. (f52) 447-"50, I.. ("Z) "7~Z~
IAGO Ea,le CI'HIt A"~... !.E., Prfor l.IIlce. MN 55J7Z.J714
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS l~d~'1 Wcr-r<l D.u,k:I',
NATURE OF WORK N~
USE OF BUILDING 39 =
PERMIT NO. (;2 - //t7~ DATE ISSUED <7-1'$ -OL
CONTRACTOR -1:1C.CK>uiH- ~ PHONE (,/2-6~ --to"? ~J
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
DATE
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
/O-L
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST f'A-7
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
.~"= ~, ] 1
FINALS
GRADING (Prior to SOdding)
BUILDING ~ 0 g - -0'5
ELECTRICAL
PLUMBING
HEAnNG
DO: NOT
1)) ?
IJ ,~
?/- <.
~
ThIs card mUst be posted near an electrical service cabinet prior to rough-in inspections
and maintained unlil aU inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
2---
OCCUpy UNTIL ABOVE HAS BEEN SIGNED"
NOTICE
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FOR ALL INSPECTIONS (952) 447-9850