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White File I PERMIT NO I 2 Pink City '{1Z, _/:( (j / -- 3 Yellow Applicant , ~ ~ 'I' . ~ Ie ~ (~').?~ 1-// I/:; -../.....- ( '/ \~(ju ,J rA ,v LEGAL DESCRIPTION (office use only) ,--.. BLOCK) ADDITION ---7 I/~ _/~j J; PID cP<;:: 3'1(,)'- (Y . / .-c) LOT ~~~R utj(/~) S/{1/~}', /1',) /-bJ?t I>' S /' ,,- (Phone) /";?j I' /-' ~',"" "'J_~, ; ;L'>- /? t/;;l') BUILDER / i (N ame) (Contact Name) (Address) // , ' I ----;'" <' {' /., <, ,/, \! ' ,~ J (Phone) (Phone) r", t: '-./ ).,:?:_ TYPE OF WORK ODeck ORe-Roofing New Construction OPorch ZONING (office use) ;eLl- ./',.,> /...;;;.. .'- ,., If'';' t.?':"" I[ ORe-Siding OLower Level Finish o Fireplace OAddition o Alteration OUtility Connection PROJECT COST IV ALUE (excluding land) $:5'2 I.::;:~ d::: o Misc, 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~p, ro~~~~~eed~ inspections, '" .t. '~., ' \ , X ,,0 / //'t / /,r /' /;-- ,,} /-- L. / /' 1/ 'gnature Contractor's License No, Date Permit Valuation City SAC and WAC Water Tower Fee Builder's Deposit Other # # Park Support Fee SAC # # Permit Fee $ $ $ $ $ $ $ $ TOTAL DUE Water Meter Siz 5/8" 1"; Pressure Reducer Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee '35 .50 4. $ $ $ $ $ $ $ $ $ Gas Fireplace Permit Fee Bec mes Your Building Permit When Approved 1.- 11{) t- Date 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, IO.l'G&- 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 F:--~" White - Building Canary - Engineering Pink - Planning Thr ('rolr, of thr Lokr ('ouolry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~\I ~/\j S f/l A 1\1 ~ q-s -02- APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: J ~ I &2- Fa U NTA: I tV H t ~L..S: e.T. Accepted x Accepted With Corrections Denied Reviewed ky: do4 Comments: Date: ~ 61- 5~ YA-k!0 t~K 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." Il"P!lB^ sq lOU IIBLls UO!P!pspnf sLlllo SS:JUBU!pJO JSLllO JO spo:J S!Lll 10 SUO!s!^oJd sLll IS:JUB:J JO SlBIO!^ Ol ^lPOLllnB s^!6 Ol 6u!wnssJd Sl!WJad 'UO!P!pspnf e4llo e:JUBU!pJO Je4l0 AUB lO JO epo:J S!4ll0 SUO!S!^OJd e4llo AUB lO UO!lBIO!^ AUB 'lO IB^OJddB UB JO 'JOll!WJed B eq Ol penJlSUO:J eq lOU IIB4s SUO!lBlndwo:J pUB sUOnB:J!lpeds 'SUBld lO IB^OJddB JO l!WJed B lO 5U!lUBJ5 JO e:JUBnSS! e41.. :Sluewwoo ~ :AS peMe!^eCl vO 'b-b :elBO pe!ueo SUO!peJJOO 4l!M pelde:J:JV' /" pelde:J:JV' ~' 1 ,"\ , , i; i j I ; i -., ./ ) J j :lB pesodoJd S! 4:J!4M Al!^!PB UO!pnJlSUO:J JOl UO!lB:J!lddB l!WJed 5u!PI!nq e4l peMe!^eJ e^B4 SlUeWl,JBdeo 5U!UUBld pUB '5upeeu!5u3 '5u!PI!ns e41. ---) - ( .) - ! 03^1303C1 NOI1.V'OllddV' 1.NV'OllddV' .:::JO 3V\JV'N " .Ii'" f 'If' f! ~! \,i ,/ I " \; lSI1)1:l3H:l lN3Wll:l"d3a NOI1":ll1dd" llWl:I3d ~Nlalln8 6U!UUBld - >jU!d 6upaau!6u3 - AJBUBO 6u!pl!na - al!4M ,(Jluno.) ~".'I <uu JU JdIUd.) .utI. ~~~ White - Building Canary - Engineering Pink - Planning Th(' ("t'nlrr of Iht' I.akt' Countf)' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED VJ ENS MA I\J~ . q-s -02- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: j 4/ &;"2- Fo 0 N77t' tv /1' L/G~ CT. Accepted X Accepted With Corrections Denied A f) ) Reviewed By: ( _ 'f;~ commen~ ~ ~~ Al~ e Date: q.I]'-eJ'c "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." . 0:3 10: 58 ID : PLyrl0UTH PLUr1B n.JG FAX:7635331121 PAGE 39/ 47 CAn. - f',U nL.LOW . A'Pl.lC"NT IOOLD . tiT'/' CITY OF PRIOR LAKE SEWER AND WATER PERMIT S.W No. i~- '~l~ NOTE: Sewer and Water contractors must be registered with the City. APPLICANT: .pi~IY\O')+VI PIc(: ;~ ~ADDRESS: ,L\ ( " f OD'" t:a. ' '^ . \ \ "-, SIGNATU~ Qj)fp)'VM ~~fr1\UQ2 ~I ~ ~ITE ADORES : PHONE :tJfs,~)S~!rL\ bS7 e:~. DATE: ~- \W-o~ BLDG. PERMIT # PID# FILL IN THE BLANKS 1. Estimated length of water service ! AD feet. 2. Size of water service \ " inch (es) . 3. Location of any couplings from structure feet. 4 . Type of sewer pipe. ABS PVC y: Cast Iron 5. Estimated length of sewer line ~O feet. 6. Clean out (if required), located at structure. feet from =====~====;====~===============~=~=============~=~==~~~:==~~===;~~ This application becomes your permit when approved. BY DA.TE: =;;=======~~======~~~=;;=========~=~======================~===~~== FEES: S $ $ 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 water permits issued for new construction must be recorded on the building permit card at the time. of issuance to insure that no duplicate sewer and water l peJj]i ts , are issued Ijy ~ID WI- ~~!lJ/^,'G IF.: AMOUNT PAID ~~@~DW[E~ ~ Jl FEB 1 8 2003 By l . ! DATE PAID RECEIPT # REC'O BY / '.! (/ .',' V 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447.4230 I FAX (612) 447-4245 An Equal Opponunity Employ~r CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGfFIREPLACE PERMIT Date Rec'd #70;?;< ~'~~;w ~l~icanl I PERMIT NO.~ - /3010 I ZONING (office use) ~/~~ ~L~/ ~/5 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION pm (Address) a r-:=-~~ -<. ......" APPLICANT A 1/' / ~ c (Name) /-7//~A.,A.' /'~~~'"r~ (Phone) "',/- (Address) l ?&~7) /~.A::.I 6~ ~ ~- /:=- ~~ (Address) (Ci~ (Contact Person) AA-//:)~ 6.. C~ (Phone) S/- APPLICANT SIGNATURE DATE (Phone) OWNER (Name) APPLICANT PLEASE COMPLETE BELOW W CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL ~y' A. ^'t') Sic ~" 07- L/6;t) FUEL N A.. FLUE SIZE L{ /I RETURN OPENINGS INPUT 64 l'?rxJ OUTPUT HEATING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices o Other Devices C; AS 5~r~ PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard 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 SU/~~~~ WITH ~./ P~RMf; · O'-t!/ .50 Residential, Heating & AIC (New Construction) Residential, Heating Only (New Construction) Residential, Additions & Alterations Residential, AC Only REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Building Official By FILE No.502 04/11 '03 06:52 ID:PLYMOUTH PLUMBING FA/ :7635331121 PAGE 3/ 11 ~~~ ,...~" Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT I t!l1.&C Fli: I PERMIT NO / J ,Gold e,,1' ; ;'1_{:) 0 b J Yl!Jlow ^MIJClII'H c;;< J (Jlk~St, ADDRESS L\ IlJ~ ZOND'>JG (or.;C" "~I~\ -- Ou. Vi-to{ ~l~ LEGAL DESCFJPTION (doer use only\ :...oT BLOCK ADDJTlDN prD , I OW)~ER I (Name') v... --eM <) [/\'\1\1/\ lI\ P (Phon~J 1 .,"\c:..,..., Lj--> 52 (Phone) rz Cc ') } .)':)"")'- ,~, '- --" / ~ c::; ~7\ (City). (Zip Code) I'Centa" Pmon) .1, l ( ,nc.Jt\ ~ Ykl/.,U Ik (pho",) t!! 0 73)5 :]")-- L{ Y7 7 I APPLICANT SIGNATcr4QP &.)yVj.,j~J1M. DATE :A -- I ( - 03 APPLlCANT PLEASE COMPLETE BELOW APPLICANT n I ' I I (Name) t':J VI!\. 0 l..'" '-n '\ iAddrcss) o' (\ I, (Ad.drc::;~) P I <.( I ~\/\ I '" j +(~ l~k.. Qu~ntjl)' TYrlt:, ()[ Fi:l.:tu re QWlntity Type ufFixrun I -, Bath Tub with or withmll shov..,er F:'Ollgh-i I1S i DIShwllShcl \ Water l-leater J-. Floor Drain l Water SOfu1~1' 1'c1-. Lav:l.tory (Bathroon~ Sl11k) \ Stand Pipe (Washing IvlacI11l'ie) LaL\ndr~' Tr<l.v II or 2 wl11pllrlment sink Sewage :=:ie:ctor I Shower Stall Baddiow Assembly I \ Sinks Bacl~f1ow Assembly Test I - . . - , , I '.II-LJ ...J'llh , Wuter Closet i ToileT) FEE SCHED VLE IncluSln;ll. CnmmcrclJI.I:: IviuILI-Llll1il)' I",', t!r)ilb t:1l$i Wlih ~ $3ll 50 nllnimum RC"lclcntial. NeVi One &. TlvlI-l:amil)' S:I.l')jil Res\d<:nli~1. Addlllon:: & Allcr:lll,)l1~ J:39Sil Estlm:.lted (051 .\: S l ~V,CV Building Penrdt 'II 1J1I/1 ~O ~ "(lING .;..~'", ~~J:i4l,.,. PLUMBING PERMlT FEE ST."- TE SURCJ-LA.RGE TOTAL PERMJT FEE s; J' '" 50 1l1lilUI"~ (Jfl'lfIltl 11:i 1< Ulli R.:eClpl 1..)0, Illllicl' Use 0111\,! r'- This Applic:.ttion Bcetlmc~ '. (lur 13ulicilng PermiT \J,lhcn ApprlJvt:~ B I f--- ~~ hour III>1ic~ lor ~Ii ""peCtlllll:; 195~ B 1,,~1I11 (":01,' ("nl, """.. '..r:" h'"", 1.;,Ii.,"" M^; ~q~:-11i~ CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd i ~~~~w El~icant I PERMIT NO.~ I 3 () ~ I ZONING (office use) ADDRESS 14162 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) 55113_ (Zip Code) (Contact Person) BRENDA HUSTON (Phone) _651-633-2561 APPLICANT SIGNATURE BRENDA HUSTON DATE 4/25/03 xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS 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 D Hot Water Air Conditioner Units D Mechanical D Radiation Cannot Encroach into DAir Conditioning o Special Devices Required Side Yard DVent. System D Other Devices Setbacks FIREPLACE MAKE AND MODEL HEAT N 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 .50 tJU1l. ,o~/D III a DIt\1G ;;~ 'l:J:il"ftr Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ (Office lJse Only) Buildinl!: Official This Application Becomes Your Building Permit When Approved Bv~ PRIOR LAKE INSPECTION RECORD a ~~,~~-tlle DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS W u7- f(:n)u.{c~- ~l'( t "S NATURE OF WORK ~ USE OF BUILDING Sf/}- PERMIT NO. 02 --/30b DATE ISSUED ?(-/3.OC-- CONTRACTOR l.V~J/rt~ PHONE 962-2.3~ -t:!!!B~<f NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING I I FOUNDATION (Prior to Backfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING W C- INSULATION ELECTRICAL PLUMBING ,&-, V!l~ d?'L- HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS GRADING (Prior to Sodding) BUILDING 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. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850