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White File 2 Pink City 3. Yellow Applicant q-IO'06- I PERMIT NO. 02-'12.,04- I ZONING (office use) TL'~ 009 PID c;r?>---35~ :....~ - 0 (Phone) 9g-d 33 -0)5'/$ BUILDER (Name) (Contact Name) (Address) r~C1#1~ )/3;// <;K;?7"O~7 (Phone) (Phone) 9s;;- ~33 -dS-</ 5 TYPE OF WORK New Construction ORe-Siding OLower Level Finish o Misc. ODeck OPorch ORe-Roofing o Fireplace DAddition o Alteration DUtility Connection PROJECT COST IV ALUE (excluding land) $ ,-00 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 rty toyerform needed' sp. 'ons. x Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee $ $ $ $ $ $ $ $ (OO.{j() J . (J7J 5.g) . _1E""':.,.'~'- es Your Building Permit When Approved q-/c,....02- Date '#dJO07~ 7~7 Contractor's License No. 09 ~~d ate Park Support Fee SAC $ ~ $ $ $ $ $ # # Water Meter Pressure Reducer City SAC and WAC Water Tower Fee Builder's Deposit Other # # TOTAL DUE I ~;ceiPt 98~ /p I .1A --dL $'7433.6 I Paid /)t~ 33 '_~ Date I' (), - ( ) ~ est in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document nner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be ffC-o? 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 Tht' Ct'nlrr or the t.kt ('ounlr.,: BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~e X ilCJ71~ APPLICATION RECEIVED q. /0" d- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: -I- {J tUJ~ d;Sq-cJ ~-~ Accepted Accepted With Corrections -Y com72j Denied ~ Reviewed By: 0 A--- df ~j( ~~ Date: 7- / & -OL- "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." The Cenler of the Lake Counll")' White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted x Accepted With Corrections Denied (23 Date: 7'./(, ~OZ- Reviewed By: 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." <... . -"' . -.~" -. .). .-.,..... .. ",>'.,\0 "1(.1/. .~' ..------ - White - Building Canary - Engineering Pink - Planning - , Thf ("f'nlf'f or rht I..kf' Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~~ K t!I'o-nV2_~ APPLICATION RECEIVED q - /0'" d- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: f)3q~ Sj-~Ol,CJ-<J-I- f~ Accepted >( Accepted With Corrections Denied Reviewed By: M913 Date: c; - /7- 0.), Comments: See Reverse Side for Additional Information! 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 shall not be valid." .. 10/17/2002 07:25 9524512155 U y / ~ Il i () ~ .1.H Li 1 J " 06 L. A ,. rn.n. IHl!4474l!45 DASEN CONTRACTING C rrY OF PIU Uj{ tAI\t:: PAGE 02 IPJ U U 1. Date Rec'd CITY OF pRIOR LAKE PLUMBING PERMlT I. sho. 1'11. 2. CWd Ci', 1.'1'0/""" "'1lP1I~' [PERMIT NO.O~ 1;;'011 I ZONING (om"" use) I ~~~~""S~~u~t. LEG ADOmON PID i =~.Rl\k+ ~.e." J I:=~=~ (Address) (phone) APPLICANT SIGNATURE ct. 0-- tplal -U Cola (Phone) ~Q. ~lo I ~ a.J bD _ I Lo . ~ E'56LJ4 (City) (Zip Code) (Phon~) qs d --l} LQ 1- 0 I (::J:) DATE JD -/7-D;). . (Contact Pr:rson) Quantity Type of Fb:tun Quantity Type of Fixture Bath Tub With or wIthout shower Rough-ins Dishwasher Watcr Heater Floor Drain Watct" Sotmer Lavatory (Ba1:hroom Sink) Stand Pipe (Washing Machine) La.undry Tray (1 or 2 compartment sink Sewage Ejector Shower Stall Backflo'\ll Assembly Sinks BackfIow Assembly Test Bar S\f\k LAwn Sprinkler Water Closet (Toilet) Other APPLICANT PLEASE COMPLETE BELOW FEE SCHEDULE Indu5tr1al. Commercial oi. Multi-family I % of job cost \IIith II 539.30 minimum Rr:sidl:intial. New One &. Two-Fmlily 599.50 ResidCl'lti.u. Aclditiclns & AlrC'ations 5139.50 Estimated COSt S Building Permit # PLUMBING PERMIT FEE $ STATE SURCHARGE . $ 'TOTAL PERMIT FE:E $ .50 r--", . :..-..,,~ . --"', .---" (om~e Ule Oq1tl This Application Becomes Your.Buildin2 P'ermlt When Approved Paid Rec;eipt No. Date Bllildil\1l amllial !;I.re 14 hour notice for .1I1nlpec:tloJl~ (952) 447.9850, fa" (9Sl) 447.4~4S tci200 tagle Crl!:ek ^"e., S.!.., PrillI' Lakr, MN 55371-l714 ~.;~~" , / /,' ,\/ ;' . - / I 'I '. \.7 1-' / ' " '._ CITY Of PRlOR L-\KI PLC}rBr~-G PER..\IIT O:.;.rc R~t'd '\~ \~l:; ,~/ ~ ~:::~ '~:':~r PER. \ flT ,~O. ") _ I~()Z;-/I, ; '(~tl(J"" \oorl":Jnl I ~ - -:-.-'\-~',--. --- '- -...-. I..... 11.._" ,'::::~~ ......:e: I I I '?~:::1::C t"me~ 0i" -;~:u l.J1d ;1!.!n .t( bnC!cm: ;;~? S:~fJftt(ld rdL L.~G.'~..L 0 c5CF"':P 4.:0 >; (tJt~c: ~:t:)ni:/) Sl::(::': - I ..l~':-, C [T:iJ:--; ?~~ '-~ ',\ 'i~?,Ck~ ti ,,- .-.., .."....,_. if! . -~.~~:-.=~:.; : (?~Gr:~) I I j I 1 ...\ ??~IC.~..'.T /) /1>>/ 1 \ :.-1:-:-:::: (/ () j (LtC; r / /()~ (.:'..:-::~:;:;: 'tj;) (J~L tr rJ (/ ~ (?e,;" ~6'~ t/fL/Z/Z/ ,~(1~ 6~JJp "'('--",. f-:-:~ ,-. :~.. ,~_:...l) \ _.~ ,-~.L.;.....! (.~.J~r~=::;) - - '.''-~:::.:...:: ;--:;:.;(;.:-:) ~ ..:.:Jcr --.l .-r..:...'-\j-J.T......i"C , . -, . _fL. .). , ~l\.J. .. ,.) .\...... \.- .:C r:l:} Oct o?5;J0 " r!Au/f; !~ U1~ CA IE APPUC.-\:\T PLE.-\SE COc\lPLETE BELO,,"\" QU:lntiry Type of Fixture I QU:lnriry Type of Fixture Barh Tub ....mh or wir!1our 5how~:- I Rvu~h-ms DlshwJsh~r ( i WJre:- H~:1re:- I floor Dr:11O \V ar~:- ::iu t'm~:- .:? I L.1';:ltorl (8arhroom Sink) t SC.1nd P:r..-: ('vV:.t,$hlng \,-f.1chrnc) i L.1undry TrJY ( I or:: comp.1r:mcm :iln:-.: Se'.VJg~ Ejec:or I Showe:- Scal! I Backt10w Assembly I Sinks I Back!1ow Assembly T~st I Bar Sink I Lawn Sprinkler I Waeer Closet (T oil~n I Other FEE SCHEDLLE !ndu$tri:ll. Comme:-c:al & Multi-t~miIy t% of job CO$t with a 539.50 minimum (Office Use Only) This Applic:lrion B~comes Your Building Permit When Approved R.:side:1Ci:ll. New One & Two-Family 599.50 Residential. Additions & Alte:-Jt:ons 539.50 E:;;:imate:.! Cost 5 Buiil.!ing Pe:7nir ;;. PLUMBCNG PER.;v(lT FEE $ STATESURCK~RGE $ TOTAL PERMIT FEE $ .50 Paid I R~c:::pt No. OCT 3 0 2002 ,By Buildin~ Official Date Date :~ hl)ur notice ior all inspectlon$ ,9::) 447-98SiJ. f:u; (9S:) ~~7~:~j CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd ~. ;.;:w fl~icant I PERMIT NO.;? -j d-tJ ~I ADDRESS ZONING (office use) 2395 STONECREST PATH NW LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) CENTEX HOMES (Phone) (Address) APPLICANT (Name) ALLIED FIRESIDE DBA FIRESIDE CORNER (Phone) 651-633-2561 (Address) 2700 NORTHFAIRVIEW AVENUE (Address) ROSEVILLE (City) 55113_ (Zip Code) (Contact Person) BRENDA HUSTON (Phone) _651-633-2561 APPLICANT SIGNATURE BRENDA HUSTON DATE 111 13/02 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 o Steam PLEASE NOTE: DGravity 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 HEAT N GLO SL550TR-C APPLICANT PLEASE COMPLETE BELOW Industrial, Commercial & Multi-Family FEE SCHEDULE I % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 $64.50 $39.50 Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) Residential, Additions & Alterations Residential, AC Only $39.50 $39.50 Estimated Cost $ REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Building Official Date NOV , 4 200' Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 -.,.". .:~.. ". CITY OF ;p'RIOR LAKE HEATING/Am CONDITIONJNGIFIREPLACE PERMIT Date Rel:'d ~ ~w El~'cont r PERMIT NO. ~ - /;).011 ] fL ZONINQ (QlI'l~,e uu) v f.A./;, LEGAL DE:SCRlPTION (ott1c~ !lIe only) LOT BLOCK ADnmON PID OWNER (Name) c;e /1 f-{ ~ J.I~~t?~ (Phone) (Address) APPLICANT (Name) #~o.-/o, ~, (Address) , f' ~}O +- (1.o~ /.'~ '} (~ 0 ~", r'[ (Addtcs$) --rr~ (L/ it (Phon~) 7~ 3 - 4)... 7- 5(, 77 /n~,p/~ r:. fo~ (City) S"5J"'ilc''T (Zip Code) (Contact Person) - I ~ "'''''"f (Phone) ~/ 2.. - "5 {, ::; - S-Sc.? DATE / / - ,;( ( - 0 2- APPLICANT SIGNATURE APPLICANT PLEASE COMPLETE BELOW W CONSTRUCTION 0 REPLACEMENT 0 At TERA TIONS FURNACE MAKE AND MODEL t3 t" ~ <? 11 + 3.5""0 ~ S"o .70 FUEL 0a.5 FLUE SIZE PVC RETURN OPENfNGS 8' INPUT 801 n(JO OUTPu:r 7"1,06.0' TYPE OF SYSTEM HEAUNO OR POWER PLANT (QWurm Air Plants 0 Steam " DGravity 0 Hot Water o Mec:hanical . 0 Radiatioll ~ir Conditioning 0 Special Devices ~ent. Sy:;tc:m 0 Othl:r Devices PLEASE NOTE: Air Conditioner Units Cannet Encroach inte Requited Side Yard Setbacks FIREPLACE MAKE AND MODEL Industrial. Commc:rcial & MUlti-Family Residential. Heating & NC (New Censtrnctien) Residential, Heating Only (New ConstrUction) FEE SCHEDULE I % of job cost Residential, 015 Fireplace; $39.50 minimum $99.50 $(i4.50 $39.50 Residential. Additions & Altorations . R.esidential. AC Only $39.50 539.50 Estimated Cost $ Building Permit # (omCl: tIse O"ly) This Application Becomes Your Building Permit When Approved REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 ~u~gO W/~N ~___~!NGJ !Jt~;j~: .,.,..... Pal . Receipt o. Buildlnll: omela. Date NOV 2 2 200? By . Dltc ;2.4 hOl.\f notice for all in,pedlon. (95Z) 447~'850, fax (952) 447-4245 1d W~~p:11 c00c 1c 'AON c89~8cp~9L: 'ON X~~ OM1-~NIlOOJ-~Nll~3H: WO~~ cr HEA TING/ A! ') C( (P'Ct~e type or print and sign at bottom) I ,"'ESS 2395 STONECRES" PATI' ~ 'AL DESCRIPTION (office "" ooh) ~ T BLOCK ADDITION ~,rNER (), me) ('. '_il'SS) CENTEX HOMES AI -CANT C") ALLIED FIRESIDE DB.\ 'I\ESJT (.~'SS ) 2700 NORTH r.\ ,,, \'IEI' (.\, ) (C' let Person) BRENDA ! 1"~TON 80/- '')A H' PL=ANT SIGNATURE F' F AI' xD NEW cm<: , CE MAKE AND MODEL lE RETI. TYPE OF SYS1T' OWarm Air Plants OGravity o Mechanical OAir Conditioning OVent. Systcm f' "ACE MAKE AND MODEL h !, Commercial & Multi-Family 1< I, :iI. Heating & AlC (New ConSl"",I;, .,11, Heating Only (New COllstlii. Estimated { ., /. (I' '". Only) "plication Becomes Y 011 r I' {lIildinl!: Official , . 'CAl" ~TIO :'EN!' "FAT' 10/ ..(I' , ' ~(. "NG ~ Sl " L I" lTIi ~ . t' ; , f'"'" n!l LAKE 'r; IFIREPLACE PERMIT Date Rec'd ~. ~~~ JJ~icanl I PERMIT NO. d.-I d---U4 I ZONING (office use) PID _, __(Phone) (Phone) 651-633-2561 ROSEVILLE (City) -_ (Phone) _651-633-2561 55113_ (Zip Code) DATE 11120/02 'PLETE BELOW ~EMENT 0 AL TERA nONS FUEL INPUT OUTPUT J OR POWER PLANT :ttcr In I kvices ~ v Ices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks E kntial, Gas Fireplace $39.50 IL'ntial, Additions & Alterations ,,~lIlial, AC Only $39.50 $39.50 I; ng Permit # ~ .!lNJ ~#f/O~ ~cl'fll!{: :: ~~vJ .50 Paid Receipt No. Date 2 2',,(.n 1.'r,I/ By '.')1\50, fax (952) 447-4245 PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS ;)31~ S~ ~~ ~ NATURE OF WORK O.4c..J USE OF BUILDING S1=D PERMIT NO. 02 -/204- DATE ISSUED .'1- ie.., .... 0 Z CONTRACTOR ~ PHONE NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT I FOOTING INSPECTOR ~ FOUNDATION (Prior to Backfill) ltA J . 0- 17 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS ~1lA . tb/f; 1fYl- lA) I ~lt::f'Y\. DATE SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING w HEATING DO NOT OCCUpy COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS e ~. Zh, oJ 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 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