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OA TE TIME CITY OF PRIOR LAKE INSPECTION NOTICE t 2/t J-{c;3 SCHEDULED ADDRESS /4-/1/- 6/ POu/J"ml A/ /-JIL ~5 c:;;:- OWNER CONTR" PHONE NO" PERMIT NO" OZ-/Z-fO - 95 o FOOTING o FOUNDATION o FRAMING o INSULATION ~ FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: twS[ FI06 ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! .. Ii'/Si'/OTJ t ~ t f i I ~ , ~e ~ r\"iV\ F\~e.~ -. CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT c. ......--~,' \ , (__4.j I,,~ : "'-_1 tf -q-o~ White File I PERMIT NO VI Pink City . O. ? ---I I Yellow Applicant _ V' i_I, . / /<:.... .. {/ ... ".'" f., ,,-,-- - / LEGAL DESCRIPTION (office use only) LOT f 'BLOCK'z,-- ADDITION r~}!./ I''''' - ,c.., I i / (, ,I-- J''' /} PID ,?- )'---3ro - Oo~;--O .,.1 ZONING (office use) OWNER . (Name) 1/\/1.> N ~,. /1/( ,.<: ',.I') (Address) I yc~:"'- (--- ,(/ ZA i't,2 / .-t,.><,., s ~ /7 .--:- . r. /_['<L:' t1", /,,) (Phone) ~:"':~7' (7~~) &" /-\,---i- ,-~/ ~./ ./ '.:.;;-~ c.:!A )~"J ( t);~) BUILDER ;' 1 (Name) (Contact Name) (Address) ~../ , . (Phone) .". /.., ^"- .- (Phone) I\~- /,/<;' t.' z: 7 l'~~-~ --- 1:...- .~ J) , , /i ;?'..:.?, c."';' _~ } Y?6f( TYPE OF WORK ORe-Siding ew Construction ODeck ORe-Roofing o Porch o Misc, OLower Level Finish PROJECT COST IV ALUE (excluding land) $ o Fireplace OAddition OAlteration OUtility Connection 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 upo~;rop~~ed inspections, >' ""~.2S' '.2. 7, _ _ ,,::.. X ./~. / .'~1~P ( --' .'/ ignature 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 Gas Fireplace Permit Fee $ $ $ $ $ $ $ $ # # $ $ $ $ $ $ $ $ $ Park Support Fee SAC # # . t:::L) 200 ~ CO ~50 .. 00 4 to. 00 ~ OD4 b6 700 ..00 if z r-?7 1..1L\- C>L Paid Date ~2r../1 Cl - ---~fZ,./ I~tf. ItJl1~v ~ I 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 ~ . ~ .00 Water Meter Siz 5/8 ; 1"; Pressure Reducer City SAC and WAC Water Tower Fee 0" aD .0-0 35.5"0 "to.C)O Builder's Deposit Other TOTAL DUE 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 is~~ Plannmg Director Date ~~ White - Building Canary - Engineering Pink - Planning Thr ("rnlt'r of thr Lakt Counl,)' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT !J~~~' q' -q-{)~ APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /'1173 rCJuvl-a/;J W/I/s. C~ . Accepted Accepted With Corrections >< Comments: Denied j) ___ Reviewed By: jJ2J ~ W Qt~ a. \+a.c~eJ. Date: 9-[ t.{ -o~ ~ OU~3 "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~~ ~~~ The ("..nler of the Lakfo Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED I ' I .f ;'\.,.. , .., .-- / c"", The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I' , /1/ ~i ) / / (.... r f- ~j Accepted Accepted With Corrections ~ Denied Reviewed By: ~1~~ k~ Date: 1~/7 /0 l-- Comments: :f~ "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 Thr Ctnlrr or 'he' I..kt ('ounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT '!iJ~~t~.-7I~' APPLICATION RECEIVED q - q --0 ~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /'1/73 Pouv/a/;J ~;'//S C-r . Accepted ^ Accepted With Corrections Denied \ Reviewed By: Comments: ~4J~ - See Reverse Side for Additional Information! 5G..( Y{\P<:{0 ('.'!.~ 01- <, , 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." FILE No,,938 12/18 '02 10:56 ID:PLYMOUTH PLUMBING FAX:7635331121 PAGE 3/ 7 @~~ ..,..,~.~~~~.~...,.. DatcRcc'd CITY OF PRIOR LAKE PLUMBING PERMIT I Blu': ; 0<110 ) "allul'" 1'11i: l~il)' "r'IIII~11II1 I!~RMIT NOo;l" I~~____ , [Please IWe 01' pfiIlI ~nd SIB.:'. :!.~ born'", \ I ADDRESS i lJ.JI"'~ ..~ i..LL ZONING 1()liiCL~ .1'1': 1 I ,___.--I ~ t.;L, u~I\A__;~ V\ ~.\.\ ~ .,......--......- !- LEGAL DESCR1PTJON i(lii.l;'...~..o;;1~0 I . I i!.:Q~,B,~OCK Al1L)lTIC1N -- --'-I I ...._...,---- ..___n__. .J PID .,...-----..-.........-----.--.. OWNER (N<irne). '\)...J.Q...\f\..~.~~~v' ~~V~, (Pbunel ... J~ddress) I I APPLICANT () . '. '''''''n1 --l\ I \ /r- .~"')L")'"2.^,li-:lJc::::-- (Name)~.,.~)\AI\,O L.::.l.'!!~~). l..U1,\V"\, ""3 .-.-. . (~hOne) \_t"lC ~:..J, '~.~J -:::1..' :),:J /.-, II (,'\ddrm) J"q C q _ ,W 11"\ vd 1- ~.~ ..It l~ ' k___brc \( ~ \jv'\ (}~'\c.. ,.. G~L,~.~..'5) , (Acldn:ss) Ccny (ZIp lode) I {("uta" ['<emn) S, \ ':--:- S~~:~:t F-i \ \ f C }PhOoe) it U -"')'5"3 ~ - '~ ,3 '>~--- l...:.A.PJ)L1_~.~N} SlG~~']'~II\i:..:~VJI'---- - 0 ~/~'\,~J,..LQQ.,~~_.. D.A.TE t,~_,~..J j) ,"(;J .. .... .. ;.... ;:J ~ ArrLICANT PLEASE COMPLETE BELOW r--Qii';I~tit)' i-'=_--TYp;.07 Fi):t!.II'c I ~ --- -.'~ Bath l"uTl with or withollr;110 ----,0< ~=_JDT51i,,;~\~sl:~'--. ~~_ I Flch)!, Dnlin ~ -~W"Oi)-(Bi'ih~:"'m S;o., ~ I L.aundry Truv ( 1 or ~ cCllHpan ~.._n._... .. . -, ..- -.. I -L._.. Show~,: S!:.~!~_____ . L_n._'_-....l ~nk~,. ._______.._ I --~"...."'" ,__-2J-.-~.~.~:.~!io~el (Toikl) _0_' -- .....~..... .-...... Typ(~ of Fixt , QU~1Il til)' - we.r 'lj Rough-ins'" -~...__...- "\ Water H;;~l~r .....,.-.-- Water SOftl1e,:' --- --.,,~ .. \ Stand Pipe (Wu.;;hi~~'g ~1a~'1 mlilnl sink S;v.'-~g~' Ejt:c.(:ol". -1--- -.-- B~lckf1ow Assem bly Backflow Assembly Test -- - ~ .,. un~ \ j Ill::) '_n..__.... ____.~ I ~ _~.... 'JI" ......~. l"~~ Otht:r , . ......._,..... ,. I "J ._. ___==--1 FEE SCHEDULE InduSlflal, Cn'TH1\~fwil ,," MIJlli.i'illniil. I".j, llfjllD I;IISI with:1 $39,50 minimum !It;,iLlcnlilll. Nl~W Olll: &:. Two-Fall1lly $9~),~(1 Rf::si,jelnial, AddilHm~ &. 1\Ii~rall(lnS ~:\lj,311 E~llnlme,L1 Cost $lti7,-"<S..:c:l) Building Pemlil # ,50 JI-.."",, ~c417. P':. "t:J ~ " '. " ~f!Pf""' ,~," " ~ l7:l PLUMBING PERMIT Fr.!::: STATESURC\-1.ARGE TOTAL PEI<MlT Flm .$ $ $ ,IIITle" Ii." Ollly) I,. TI\i;.~pplic~lli/ln BC('llllIC'~' \' lilli' Building Permit When Appl'uvcd r"r-';II(( ., ---..- ----i-R",cl:ipj-q:-:i"' m...... - --... . \ L:~~:'~0"~r;,;~,;,- ... ",:",,=,-:,;~;~,~;~::, ;"_'l~'{'::'::~~~2~~~~~-j~-_.. I !{,"(r(1 L.:q.:k (',\".1. .\"1',. ....,f... l'I'i.... \.al..,. 'VII'> :;~:P::.171-l CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd ~c3'77 ~: ~~n ~:~, I PERMIT NO. ') _ / ~~I -I 3. Yellow Apphcant , t~ ( ;;...'"/ /'. J ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Address) (Phone) OWNER (Name) APPLICANT /7 , / ~ _ ./ ~ (Name) /7///~ //L.e~/c~ (phone) &5/-ij~/-277~--- (Address) ..x~2J /~fi-Lk~ 0, F~/k / C~&'/?/7 /??/L (Address) . (City) J (Zip Code)625~ (Contact Person), ~ //~ ;?l??~ne) ~37 - L/~- d 777 APPLICANT SIGNATURE ! e. r~ DATE TYPE OF SYSTEM DWarm Air Plants o Gravity o f$echanical . ~~osn:::~:ing REA TING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL 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 & AlC (New Construction) Residential, Heating Only (New Construction) $39.50 .$39,50 Estimated Cost $ Building Pennit # REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ ,50 /{7 I.> ,-.....:..\.... (Office Use Only) This Application Becomes Your Building Permit When Approved -''-t" Paid Receipt No. Date Date By DEC.2 02002 Building Official 24 hour notice for aU inspections (952) 447-9850, fax (952) 447-4245 j CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd ; ~;e:n ~:~y I PERMIT NO. I -/;)- q I I 3. Yellow Applicant t7'"" ZONING (office use) ADDRESS 14173 FOUNTAIN HILLS LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) WENSMANN HOMES (Phone) (Address) APPLICANT (Name) ALLIED FIRESIDE DBA FIRESIDE CORNER (Phone) 651-633-2561 (Address) 2700NORTHFAIRVIEW AVENUE (Address) ROSEVILLE (City) 55113 (Zip Code) (Contact Person) BRENDA HUSTON (Phone) _651-633-2561 APPLICANT SIGNATURE BRENDA HUSTON DATE 1/7/03 xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT DWarm 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 HEATN GLO SL750TR APPLICANT PLEASE COMPLETE BELOW 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 & AlC (New Construction) Residential, Heating Only (New Construction) $39,50 $39,50 Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50 {, -~ ... ~".,j I.i (Office Use Only) BuildiDl! Official Date This Application Becomes Your Building Permit When Approved 24 hour notice for all inspections (952) FILE ~..Io. 303 02/'14 '03 10: 54 I D : PL\l10UTH PLUr1B I ~,JG FA><: 7635331121 PAGE 13/ 47 CREE. " rll.l!! nLLOW . 4PPLlC"'MT GOLD. en" CITY OF PRIOR LAKE SEWER AND WATER PERMIT $,W. No, )_~ 1(:)-01 NOTE: Sewer and Water contractors must be registered with the city. APPLICANT: ~lj~;n'~1A PIcA: ;~ rDDRESS:~\. r00V\t.-a V\ ,\"--:> Q'i- \~ IGNATU~~ ~vN. tfl'tl'J.Aillg \ S 11'E .A.DDRES : PHONE :t!L!!~)S~~_.W 'J57 DATE: d-- \~- 0 ~ BLDG. PERMIT # PID# FILL IN THE BLANKS 1. Estimated length of water service I AO feet. 2. Size of water service \ " inch(es) . J. Location of any couplings from structure feet. 4. Type of sewer pipe. ABS PV C \(. Cast Iron_ 5" Estimated length of sewer 1 ine )..( 0 feet. 6. Clean out (if required), located at structure. feet from =======;~=====~=~~=======~;~==========~=======================~;== This application becomes your permit when approved. BY DATE: =====~~:~===============~~~=~~=~;======;~=================;======= FEES: $ $ $ 35.00 .50 35.50 Sewer and water line connection permit. Surcharge TOTAL * Fee for either sewer or water individually is $20.00 plus $ .50 surcharge. * Sewer and recorded to insure issued. 8 .?on'~ . dJ lj I~Ll_, AMOUNT PAID-- DATE P.h.ID RECEIPT # REC'O BY r 16100 Eagle Creek Av. S,E" Prior Lake, Minnesota 55372 / Ph, (612) 447-4230/ FAX (612) 447-4245 An Equal Opponunity Employer PRIOR LAKE INSPECTION RECORD SITE ADDRESS /L[ {73 tu,V\.klvt bWJ NATURE OF WORK I"J-e.u::> USE OF BUILDING SpO PERMIT NO. rJZ -- /ZJ?/ DATE ISSUED Cj- ('{-o?. CONTRACTOR \l~vV\a.NV1 PHONE %2 -:r5~ -86~1 r NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT ~.e.. ~ tMa.-i\-t +;'Le DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE I FOOTING Vv\ {J I lt3 (t 3 I tD 'Z- I FOUNDATION (Prior to Backfill) I V1A.p I (D(7!:.r-/l!:)L. PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING t/\l i.llf)Vl I INSULATION { ELECTRICAL PLUMBING LA V\. HEATING (if required) l!L VI.. FIREPLACE GAS LINE AIR TEST ~ ~ .. ~ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FI NALS ~i.-~ ~ f:-, GRADING (Prior to Sodding) BUILDING u.) ELECTRICAL PLUMBING l/J 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" Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850