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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
f D-- Z3~07--
I. White File
2 Pink City
3 Yellow Applicant
I PERMIT NO'OZ--It/17 I
PInJS~3 ~- 0),1- ()
(Phone)C0t 2) 325 -- 2/ S~
/11A/, ~7c;p-Cf
U' b (Lar--r7-cc1-~
LEGAL DESCRIPTION (office use only)
~Lt
/
) d!- c{S
LOT.?
ADDITION
OWNER
(Name)
(Address)
BUILDER
(N ame)
(Contact Name)
(Address) of.:? 0 ,
TYPE OF WORK
New Construction
OLower Level Finish
o Fireplace OAddition OAlteration
PROJECT COST IV ALUE (excluding land) $ ,3
o Misc.
ZONING (office use)
ORe-Siding
OUtility Connection~'
"-A'. ./'.' .., j
Z ~
~=> X ^
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
submi ns. I am aware that the building official can r,evoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter p e property.to p.e. v.eede. ~ectio~.ll/ - #. / r-j ,-- . ~ Ie -
~ .:;,~/ tr:~ . Ilc~ Ie) 22 u2
Signa, re-- Contractor's License No. I Dat~
Park Support Fee
#
#
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $ -
Plumbing Permit Fee $ O(J, () D
Mechanical Permit Fee $ tJO,O'O
Sewer & Water Permit Fee $ 3S". C;-O
Gas Fireplace Permit Fee $ 40.00
SAC
Water Meter Size 5/8" I'"
Pressure Reducer
City SAC and WAC
Water Tower Fee
#
#
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
~pu
Building Official
///i/o-z-
Date
$
$
$
$
$
$
$
$
//!t2-h Z--
I 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
~~
Planning Director
k ~-~r
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
~, "~~'i;:'>'".~".,".~' .r.' ",. ,
;1I, ,.". ~':"J
White - Building
Canary - Engineering
Pink - Planning
Thf' ('f'nlf'r or Ihr l..kr ('ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
IV ,) I
NAME OF APPLICANT l )(A + ley NO U C; ~ /J;t---
\...'
APPLICATION RECEIVED I () - ;) 3 -() ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is Rroposed at:
. :;217'-/ g{)~(::fL ~ /r
Accepted
x:.
Accepted With Corrections
Denied
Reviewed By:
1YYJ13
Date: / / -~ -t!) 2-
Comments: . See Reverse Side for Addition~llnform~tionl
Driveway Must Have Concrete Apron
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
"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
-
The C'f'nlt'r ur the t.kt Counlr)'
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
lju + ley tlo US; tJ<a--
I ()- :J- 3 --() ~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is ~roposed at:
:297,-/' &~cYLf fr-
Accepted
Accepted With Corrections ~
Denied
~
t?~
7~f-' Date: 11/(//rrL.--
a-L-( ~ #~~
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,"
FROM : ALL! ED EXCAIJATI Nq .
'1" ,.~,,,..,,. >'.'1''' '1I1~'''''' "." . ., r' "'I"" ,. yo. ., '. . \ .
Nov. 26 2002 11:39AM
P1
04/to/Q~
~eUl
Da.. Rec'd
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DEC-23-2002 MON 10:03 AM RAY WELTER HEATING
... rlU, 6128252303
p, 02/U2
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
.,.\
1. Pin\;
2. Grc,~
), Y(\J:Ow
~~~ I PERMIT NO. ;l -/ if q rl I
Ap?J1caM
ZONrNG (ofiiccllse)
ADDRESS /2 .
~q14 ,~~(!itT 'Mlti,
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone) '1(~-Lj3/- Lj/J;..
(Address)
(Address)
tl:; - f? r;., b ~1.,7
\
( 'ty)
(Phone) tl:;~ ~~f- 6ft, 7
DATE /.,J- t1)-~:J.
(Comac[ Person)
APPLICANT SIGNATURE
APPLICANT PLEAS OMPLETE BELOW
EW CONS:!).UCTION 0 PLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL ~ ~ IU.UZ - 1"''1... J:JO FUEL JJ.Jr ttfl
FLUE SrZE ~ RETURN OPENINGS ~ INPUT )1/)1 (18U OUTPUT /b&(JlJO
TYjE OF SYSTEM HEATING OR POWER PLAr,,'T
, , ~Warrn Air Plants 0 Steam PLEASE NOTE:
~ravitY 0 Hot Water Air Conditioner Units
eehanical 0 Radiation Cannot Encroach into
Air Conditioning 0 Special Devices Required Side Yard
OVent, System 0 Other Deyice~ Setbacks
FIREPLACE MAKE AND MODEL
Residential, Heating & Ale (New Construction)
Residential, Healing Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residenti:tl, Additions & Alterations
$6450 Residential, AC Only
S39.50
Industrial. Commercial & Multi-Family
$39.50
$39.50
Ef,timated Cost $
Building Pennit #
REA TING PERJ\.lIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
Building OfficiAl
Date
(Onicc Use Only)
This Application Becomes Your Building Permit When Approved Paid
Dale
24 hour notice for Allln$pections (952) 447-9850, fa): (952) 447-4245
FRm-l UEL TER :1 ELA\'LOCf<
PHOHE tn
612 8828573
Dec. 31 2002 12:37PM Pi
Tkf' Cft\I" of I~ uk<< COUrt."
CITY OF PRIOR LAKE ;: ~~~ gl~
3, Yellow Applu:1I111
PLUMBING PERMIT PP No. :} - ILl CJ7
Applicant: LJ ~ /+e r '+' 131 at! 0 C I<. Phone: tf'S;J -?5f;J.. - trb r:z I
Address: / So q, E /-If,..() 'f /:5 /.3u 1""/151.1 Ill"eJ I /144/ ~S3 37
Signature: v..)~ 1 ~~ -
Legal Description: Lot c::l. Block 1 Sub W (Ids So u..+"
Site Address: r:2 711 ,.de h C<t. + Ira. ,-/
Building Pennlt # D.;J. - /...; 97 PID # ,;75 3 "8 c1 0 <<. r - 0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quantity Type of Fixture Quantity Type of Fixture
D<- Bath Tub with or without shower '-/ Rough-ins 3/'f b~:::;r:m6"+ b{;.~4
q.. 1-11:1.;'"" .!.,~k
I Dishwasher J Water Heater
;< Floor Drain Water Softner
S"" Lavatory (bathroom sink) I Stand Pipe (washing machine)
~ Laundry Tray (1 or 2 compartment sink) Sewage Ejector
I Shower Stall Back1low Assembly (RPZ. Double Check, PVB)
J Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
3 Water Closet (toilet) ;2 Other .era. $ .fo o^ 1/;' e f lei. c e d,- tJ ('</ e r
FEE SCHEDULE
Industrial. Commercial & Multi-Family
(1% of job cost. $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$
$_..._..:,~.~.
GRAND TOTAL
$
Thl~ p,~rmlt \, granted upon the express <:ol1dllion Ih:.!! ,:lId
eonU8C\l1r, ,;hal1 comply In all re~recls with the ordinances
of Ihl; Slale Plumbing Code and lhe amendments thereof.
___ ._ RECEIPT NO __ DA T8
A rrr-_<::T
ilJJtvJU/iJ:.<; ,..'
-...:..:...~ J /^"" .~
_,,_ L\_'~j
C.11l for all inspe<':lions 24 hours in "dv,mce. I - ~ -:3 f)1]
16200 Eagle Creek A\', S.E. Prior Lake, MN 55372 I Ph (612) 447-9850 I FAX (612) 447/4245
An r.qual Oppor\unllY Emr1ny.::r
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~~~w ~i~icant I PERMIT NO. ()Z -14-971
ADDRESS
ZONING (office use)
2974 BOBCAT TRAIL
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
BUTLER HOUSING CO.
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Phone) _651-633-2561
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
1/22/03
APPLICANT PLEASE COMPLETE BELOW
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
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 HEA TN GLO 6000TR-OAK
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 anI
$39,50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
Building Permit #
$
$
$
PAID WITH
.soBUILDING
PERMIT
(Office lIse Only)
This Application Becomes Your Building Permit When Approved
Date
Receipt No.
Buildim! Official
DjAN 2 4 2003
By
24 hour notice for all inspections (952) 44 EP~50, fax (952) 447-4245
.---
o ~ ( THU 14: 14 FAX 612 4 4 7 4 2 4.5
CITY OF PRIOR LAKE
[4J 00.3
-.,;~ ..
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Application)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Pennitted in 30 Percent.
Property Address
297Lj ~otftl- fn:?/j
Lot Area Z Z -8 "J Sq. Feet x 30% = ..............~o8 ,s
******************************~.****************************************
HOUSE
LENGTH
(ot:,
WIDTH
~033
=
SQ. FEET
2,l5o.~
x
x
x
...
ATTACHED GARAGE
"'"
TOTAL PRINCIPLE STRUCTURE...................... 2iS'S-: D
DETACHED BLDGS
(Garage/Shed)
x
x
TOTAL DETACHED BUILDINGS.......................
D"'KlVEW A YIP A VED AREAS
(Driveway-paved or not)
(Sidewalk/Parking Areas)
x
X-
X
=
=
870 1:-
TOT i\.L. PAVED ARE..~S...."...'......."............"..,.,...,.
P A TIOSIPORCHES/DECKS /5.W x IS- =- 23'i
(Open Decks ,(.., min. opening between X =
boards. with a pCn'ious surface bclowt
are not considered to be impervious)
X =
TOTAL DECKS........."........."................................,..
Z~4D
OTHER
x
X
=
=
TOTAL OTHER.......,.",..........".................."......,"t...
Prepared By
~
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~~
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I 32.57',D I
I ~~Lt'1.3 I
Date /"-22 -(J 2
Phon~tl ~-66ZJ
TOTAL IMPERVIOUS SURFACE
GwnEi2vVER
Company
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS c:?9 '(~ t:!;~ Tit!!..
NATURE OF WORK J/6L- _ c:r-;-o;J
USE OF BUILDING S. F:- J),
PERMIT NO. 02"/447 DATE ISSUED I~/~/()Z-
CONTRACTOR ~E>'2- I/.......S~ Gk,.,. PHONE C:;/i' - ~- ..;7/ J?
NOTE: THIS IS NOT A PERMIT F R ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
I '(J/
I FOUNDATION (Prior to Backfill) I f/$ 11- ?~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I t -"C'-.:::>
t/1~
/-?/
I FOOTING
DATE
/J-/1-d2
SEWER I WATER I SEPTIC
FRAMING .~ (or/~d"rrAt ~ 0 ~
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
(-
j-8 -Q.J
/-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
lftucco leu {mat:/) ~rJ6. I 1..1/}// I ]...,~J-~
f
FINALS
GRADING (Prior to Sodding)
BUILDING (> 0
ELECTRICAL
PLUMBING
HEATING
DO NOT
8-100 r
119/'5
~ -0
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
S--y'
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
.... - ----- ...... .. ..- ...... ......... - .. ....... .
I ".'
White - Building
Canary - Engineering
Pink - Planning
Thf' ('..n'rf of 'he l..k. ('ounlf)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1 I
r! t
/kl{r
i ,,'
I/o
i ( i
'.-........,.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.-' -f
(/ +-' .I r
Accepted
/'
Accepted With Corrections
Denied
Reviewed By: ~~ 7~ Date: /I/~j;~
Comments: ~. ~ ....~ cf 2'1'..
d ~r"~..e. .-ILI -Ie ~, If-C. ~
~ ~.L .,-,..,., ~!/'" J..... ~,
"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."
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