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I - \ PID.;2S-,~., OWNER (Name) f/"jc/IJ 5'11.':,>,,,,)1,/ (Address) / )j 'I' ;- t:' I P,A 'i~A BUILDER (Name) (Contact Name) II i'l, t / :2.-- (~, ~ (Address) TYPE OF WORK l.......::c~... ';- l'{f;!::"-~ / ~--- ~ (Phone) (; \/- /.//56"';/[ (k:) D/'2. ItA;,J , 1-.- -p; Z {'j(,;} rT/'/' '" :',J ./- ./ - ~-':::'.4. ~~ _~ ,,.,,J / II I ? --r:~ ~.<, /~ .-' - ,r, ~--- . .--~ ""-- -.,.-.4 I ~./t (Phone) II (Phone) rl-~'~..-'. ",)~ ~ '~.. New Construction ODeck ORe-Roofing o Porch o Misc. OLower Level Finish PROJECT COST IV ALUE (excluding land) $ o Fireplace OAddition o Alteration ORe-Siding 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 upon the property to p~rforrn n~inspections. / ./' /'/~'" .... \ .) 1 " X 1'2, .~'.' /~-- . / i 4 ,::.-; --:5'- L /> / /'Signature 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 # # Water Meter Siz 5/' 1"; Pressure Reducer City SAC and WAC Water Tower Fee Builder's Deposit Other .00 S:>, "::;D L( O. &~ TOTAL DUE comes Your Building Permit When Approved 1- 'f-tJ2~ Date $ $ $ $ $ $ $ $ $ '1 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 issued. 10 '-09 Date Special Conditions, if any our 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 Thf ("fntt'r of Ihl!' Lab Counll)' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED '({E}JS tvl A N rJ q -J5 -- 02- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: J4-Zf.t;3 FOUNTAI'~ HILW ~T Accepted Y- Accepted With Corrections Denied LJfJ Reviewed By: Vp comment2. JLe ~ -D le Date: Q-l')-07 "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 Tht Ctnlff nf Iht I..kt Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT WE1lSMAt\J rJ q-FJ - 02- APPLICATION RECEIVED The Building, Engineering, and Planning Departments 'have reviewed the building permit application for construction activity which is proposed at: )4-Z(03'FoutJTArfJ H/U-5 ~T Accepted 'X Accepted With Corrections Denied ~ Reviewed \BY: ~ _ Comments: Date: jJlli 01.- S~~ 'y{\~ ~-:(LE 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." ".P!IB^ 8q IOU IIB4s UO!P!pSpn[ 84110 S80UBU!PJO J8410 JO 8p08 S!41 lO SUO!s!^oJd 841 188UB8 JO 8lBI0!^ Ol AlP04lnB 8^!D Ol DU!WnS8Jd SI!WJ8d .UO!p!pSpn[ 84110 88UBU!pJO J8410 AUB 10 JO 8pOO S!4110 SUO!S!^OJd 84110 AUB 10 UO!lBIO!^ AUB '10 IB^OJddB UB JO 'JOIl!WJ8d B 8q Ol p8nJlSUOO 8q lOU IIB4s SUO!lBlndwoo pUB SUO!lBO!IP8ds 'SUBld 10 IB^OJddB JO I!WJ8d B 10 6U!IUBJ6 JO 80UBnSS! 84.1.. :SlU8WW08 -ev'IJ. b :8lBO ~ :AS P8M8!^8tl paluso SUO!paJJ08 41!M paldaoo'v' /' paldaoo'v' '~~."'-'. .......'. .' I I .,' ! \ J 1 .' , :IB p8S0dOJd S! 40!4M AI!^!PB UO!pnJISuOO JOI UO!IBO!lddB l!wJad 6u!PI!nq a4l paMa!^aJ a^B4 SlUaWl-lBdao 6U!UUBld pUB '6upaaU!6u3 '6u!Pl!ns a4.l . I .~" 1 ~. i I ,..., ~ .--- "I I I,' \, i 1 ;: _..,h_'M._ '.' ,I f ._,,,,} r"' '''', . /; -7 ) '-. I - i ^ . \ ! -I I I , . I 1.] ! 1\. I. I r, ~. \t ' r " nj . \ 03^1383tl NOI.l'v'8Ildd'v' .IN'v'8Ildd'v' ;:jO 3V\1'v'N lSI1>103HO lN3Wll:lVd3C NOI1V0l1ddV llWl:I3d DNIC11nS 6U!UUeld - >jU!d 6u!JaaU!6u3 - AJeue::> 6U!PI!"a - al!L1M ,\.uuno.) ~'1.'1 .Jill Jt) UIU.J.) ,)...1. ~~-y '03 10: 59 I D : PL\'f10UTH PLUf181 ~,jG F A~< : 76:35:331121 PAGE 47/ 47 &'11:1:11 . ,.11.11; Yl!LLOW . APPLlC..T GlOI.D - CITt' CITY OF PRIOR LAKE SEWER AND WATER PE~4IT S.w. No. ";2~ /3 {Jtj' NOTE: Sewer and Water contractors must be registered with the City_ ~.PPLICANT, ~~()l-:v.. PllA:~~ PHONE {llllj)SX,- Wo'S7 ~.DDRESS: I Li _ _ r OLiV\t -a~~ _ \ \~ c.'-\--. DATE: -.-a- \ L\ - 0 ~ IGNATU~Q...Qt:l'1vN_fJ\Yt'Y\wQ~c A, BLDG. PERMIT # ITE ADDRES~: PID# FILL IN THE BLANKS 1. Estimated length of water service , AD feet. 2. Size of water service \ " inch(es) . 3. Location of any cauplings from structure feet. 4. Type of sewer pipe. ASS PVC'Y,: Cast Iron_ 5. Estimated length of sewer line ~() 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 TOT.~L * Fee for either sewer or water individually is $20.00 plus $ .50 surcharge. Sewer and water permits issued for new construction must be recorded on the building permit card at the time of issuance I~s~~~~re that no dupl icate sewer and water ron pe~~/ ts are 1.I3M!! ;,0 t'V:i" ........ ""D"~",,, 'j ..... i I "\\.:;r /::)r::-:,.' it' I By J 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245 An Equal Opponunil)' Employer * DATE PAID ~ ~ @ ~ 0 W ~ ~1 FEB 1 8 2003 ~ AMOUNT PAID RECEIPT # REC'D BY' CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd #7CJ~ ~: ~:n ~:~. I PERMIT NO.} _I. -? /)1 j I 3. Yellow Apphcant ~ ___J (.. L ' Please ADDRESS /Yd~3 ~~<-<-h-~-<- ~~ ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICANT A . /. ./~ (Name) /-7//~A.,A..r /' ,~~~~~ (Phone) ;/- (Address) l ~~7) //~.A::.I 6~ ~ ~_ /~~~ (Address) (CitYV' . (Contact Person) .A~L::J~ ~C~ (Phone) 5/- APPLICANT SIGNATURE DATE APPLICANT PLEASE COMPLETE BELOW ~w CONSTRUCTION o REPLACEMENT o ALTERATIONS FURNACE MAKE AND MODE~Y~ 3/0M.\! C)""Z 40'/0 FUEL N~ GA..S t\ hGirr~ FLUE SIZE LI RETURN OPENINGS INPUT OUTPUT s'~,c')CJt'-:) TYPE OF SYSTEM HEATING OR POWER PLANT ;wonn Ai. PI... o Steam PLEASE NOTE: Gravity o Hot Water Air Conditioner Units Mechanical o Radiation Cannot Encroach into Air Conditioni~g o Special Devices Required Side Yard ~Vent. System o Other Devices Setbacks FIREPLACE MAKE AND MODEL - Industrial, Commercial & Multi-Family FEE SCHEDULE I % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 $64.50 $39.50 Estimated Cost $ Building Permit # $39.50 $39.50 PAID ~ at IILo/NG lTH _ / PERMIT · 0'<:/ .50 Residential, Heating & AIC (New Construction) Residential, Heating Only (New Construction) Residential, Additions & Alterations Residential, AC Only HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ (Office Use Only) Building Official Date Receipt No. This Application Becomes Your Building Permit When Approved 24 hour notice for all inspections (952) 447 By__ FILE No.502 04/11 '03 06:53 I D : PL\'r10UTH PLUf1B I r.jG FA>< :7635331121 PAGE 11 / 11 /o~ PR1o-i' (~~~ , ~ ~.. , "'~ Date Rec'd CITY OF PRlOR LAKE PLU1\1BING PERMIT I B'ue : COl. l Y<ll,~ Pil' Clil' ",,"plt;:lll'li I PERMIT NO.2'/ (3oi~ I ZONlli G f orl\c" ''"C\ IPle~s' IIf1)C or PM! :lJ1d SI/?J1 ai bot'!(lm I ~D~S~[p 3 fouV\~~ (\ ~ l ~ S . LEGAL DESCRlPTION (OIT1Ct use Onll'\ LOT BLOCK AD D JTl Cl]\J PID o \VNER / n'hrnc:i \A.. ~N\ ') //V\ 7\1^ VI, (AddreSS)' ~. P (PhOfle) I APPLJ CANT ; (Name) .vI (,:YA^[,)L"'l-~~1 iAddress:) I,,' \ q ,. (!"'.dcrc:s;,) {) I LVI'\. ~~ I "'.3 . (~I~ l: (:2 (~y~j2:>~"l[b~5 ( ! c;:::: c::: r'" <' ( '"), ") L " t, (Zl)) Code) (Pj)one) t!i O?VS ") ~ 4 3 S 7 DATE ~ (Phone) ICumaCI Person) QU:.lntit), T~'pt, ()fFb.:tur~ QU~lntit~! T:vpc of Fixture I \ Bath Tub with or witholl\ shC\w~r Rough-Ins I Dishwashc:r \ Water Heater 'A.. Floor Drain \ Water Sofmer J.\ Lavatory (Bathroom Sink) r Stand Pljit (Washing Mnchrne) \ Laundry Tr<l\ 11 or 2 i:.OmpLlllment slI1k Sewagt Elector \ Shower Stall Backflow Asstmbl). \ Sinks Bilckf10w Assembly Test . . . , APPLICANT PLEASE COMPLETE BELOW UUI..Jllll\, Ww:r CI(,sel (T",ile1) FEE SCHEDULE IncluSlIiJI, Commercial &. /vluIU-,'.\lll1l\ I~" of ILlll ~lISI willl ~ $3950 rn1l11tl1um RColucnlidl. Nl:w On~ 6:. l\vll-I:..lJllily j:4950 R~sld!:nli~1. AddilIO:l;' &. 1~ll~falltln:, .\:3950 ESllro::Jted Cost S 'f l 0 lO,-aJ Building Pcnnlt # 0' .11 ,50 (/Ut<t:J ~() ,~ ~4t/,.. PLUMBING PERMlT FEE STATESVRCl-lARGE TOTAL PERMIT FEE. $ $ flUllui'l:': !JITwai 1);11'" mi Rt:ct:ipl No Ill/flcl' list OnlYI ThiS Apphc:.ltlM 8~comc~ Y('111' Building P~rmil Wi,en Appri)"~cJ I .- B:. I ~_i 2~ \iOUI nlllit:~ lor ..lIll"p~dlllm !~~~I..I 6."liSlL I;,) [Lj511 J-1;--1245 l(\~fll1 rljl'.;.~I' (o!"t'd\;\\"('.. "'I.E.. f'ri;J!" L..d~<':, :\.'11'-' ~';'~::.J""ll..l " " , (/ CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd ~. ~;e~n ~:~y I PERMIT NO. 1_/ 30U I 3 Yellow Applicant ~ -L- ' ZONING (office use) 14263 FOUNTAIN HILLS LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) WENSMANN HOMES (Phone) (Address) APPLICANT (Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME (Phone) 651-633-2561 (Address) 2700 NORTH F AIRVIEW AVENUE (Address) ROSEVILLE (City) (Phone) _651-633-2561 55113_ (Zip Code) (Contact Person) BRENDA HUSTON APPLICANT SIGNATURE BRENDA HUSTON DATE 4/29/03 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: o Gravity 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 HEATN GLO SL-750TR-C 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 8(jII..DP~/D ~ '1A1G 7"/)..; P/:!:I}"ftr (Office Use Only) This Application Becomes Your Building Permit When Approved Receipt No. Buildin!! Official , . I, By Date \ '. \ :, \. i' 1 L ) 24 hour notice for all inspections (952) 441t~S50, fax (952) 447-4245 j I ~ - \8\I,_-'-=~ ----- PRIOR LAKE INSPECTION RECORD l ~~~-R~ DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS J::r2J~ ~ TOUV\+~~~_ 8.d1 ~ 01- NATURE OF WORK JtJ ~ USE OF BUILDING gF~ PERMIT NO. tJ2 -/,.304- DATE ISSUED 1'.... If-Q"# CONTRACTOR W~ PHONE CfS2- 233,' ~~ bf NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING I r FOUNDATION (Prior to Backfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING c.. INSULATION ELECTRICAL PLUMBING W HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS ~ 6 GRADING (Prior to Soddin ) BUILDING W G ELECTRICAL PLUMBING HEATING DO NOT 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 been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. I c{ tC8 Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850