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White File 2. Pink City 3 Yellow Applicant at bottom) ADDRESS 42'15 G,,eAIf'/NOeJ.D (!, lie. N e LEGAL DESCRIPTION (office use only) Date Rec' d ZONING (office use) LOT / ~BLOCK ADDITION GeAltv'fV(J()O Pt&ll:K- PID 25". 033 0/3. 0 7)O)J1JA-.d 4- Lt5A ~.4-wJ ~ I (Address) 1ft- 9S- b/2MAJWOOD ~112-, #', ~ . (Phone) fS2-- Lf'l1- S7'"Z-z, /k., H2- I-It~ I i1?A1 . 5:!)37"l- , OWNER (Name) BUILDER (Company Name) (Contact Name) (Address) () t.<.:) tlJ ert- (p~~L15~- ~3'- (pUB? (Phone) TYPE OF WORK "K1 New Construction ODeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace DAddition o Alteration OUtility Connection CODE: ~I.R.C. DI.B.C., o Misc. C10 Type of Construction: .Q'I1 III IV V A B PROJECT COST IV ALUE $/I~ t)OO - Occupancy Group: A B It>. F H I M ~ S U (excluding land) , Division: 2 3 4 5 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 authuflzcd agent for the abovc-men ed property and that all const. tion will conform to all existing state and local laws and will proceed in accordance with submittcd plans. I am aware that the building official ca r okc this per r Just caus Irthermore, I h eby agree that the City offiClal or a deSignee may enter upon the property to perform needed rnspectlons 1/~P' Date x TOTAL DUE Contractor's License No. Park Support Fee SAC # # Permit Valuation Permit Fee Water Meter Size 5/8"; I"; Pressure Reducer Sewer/Water Connection Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee # # .- Water Tower Fee Builder's Deposit Other ~61J ~:.:7=dm'~ Building Otlicial ~ 0 ..se~ $ $ $ $ $ $ $ $ $ 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 P r constltutcs a mporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issucd 8-/7-CC Date 24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 _/ ,~"'e " I No I "c.~ e ' n. 'nt IJ ey- Vi~t.U 5" rfAt.f!, Special C~ditions, if any White - Building Canary - ring Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED :OtJ~/d 9- L./scu 7- d C- ~.()~ P tL- )'YI ~ u..-c-~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: L./a-~!J GRIJI/L/lLJ60/) a /f!CLt;' Accepted Accepted With Corrections Denied ~ Reviewed By: U - - Date:8-t-~ Comments: 1.<4c&a1l ~~ ~~ Ul'c'lIlk as bOI'L~ L~~~ ~ ~ .~ ~~l~ ~l'~ bv t78tWUF ~~ ~::~ tJ.bT flL;-Q~i~ (J~ ~- c?-'~" C~ ~ ~ P- r- "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 PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED VrJA/? Id 9- 1-/ See.-. -7- .?J G. (J~ f (l)'11 \'\I..LC~ \ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / I~:;{ 9~ 6 J~:'J /l; A/ (..Vu() /) (2 jlC L ~.. Accepted x Accepted With Corrections Denied ~ ~ Date: ~-17-t76 ~xrmlA.M Iw,~eJ-vJ,,,...s .s~~ repc.e1J w,'-t-~ fJe.rYVI/~. ~ /I'lOy(2 '~?erviu4.J S'"1t.,.~e oI~rIf/~ Reviewed By: Comments: -t:-'~ Air lJonditioner PJld Other Meel1~nical Units Cannot Encroach into Required Side Yard Setbacn "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 a:;anary - ~nglneerlng~ Pink - lanmng BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED J)oJU:i /d 1-. l/ 'S~ 7- d~ ~o~ -~ I V--cL y)1 ~ U- C f'I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: L/a9S- GRI//IJL.uc:t)D (2/ICJCL-;;- Accepted x Accepted With Corrections Denied Reviewed By: ~ Date: ~ -'7-Cb Comments: SP.P. Reverse Side for Additional Information! . See Attachments: 1) Grading Plan, 2) Erosion Qontrol Measures 1~.". , "The issuance or granting of a permit or approval --Qk-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." CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PE n~ ~-~-~~~'d SEP 0 5 2006 \~\ \ \ I. Pink File 2. Green City 3. Yellow Applicant PE .t)~. tJ (Please type or print and sign at bottom) I ADDRESS 12--1S- &~,J~t!HJ72 ZONING (office use) ~/d- p.~. LEGAL DESCRIPTION (office use only) LOTI (p BLOCK ADDITION &~rJWtJ7J-o y::J~ PID "Z-So 3 3("' I 3c] OWNER . _~ (Name) l),,~ Q/ h.;A-- Y-~~-L-CL (Address) 1/2- l's- &~hN~...Jzt-zJ:KJ (!/re-./U. ~ _ (Phone) Clj5z- L/'17- 0'7Z7- APPLICANT (Name) ~o... 'drz-7l3"MP A.5J(/1tAG" (Contact Person) l;)c,...) (Phone) /f/1iW I'~ (City) (Zip Code) (Phone) 9s-,;. - 'Il/7-S"7~z- DATE jJ- ?y-~~ (Address) APPLICANT SIGNATURE f APPLICANT PLEASE COMPLETE BELOW EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE TYPE OF SYSTEM RETURN OPENINGS INPUT HEATING OR POWER PLANT OUTPUT FIREPLACE MAKE AND MODEL II-. 1St. B ~ PLEASE NOTE: Air Conditioner Units and Fireplaces Cannot Encroach into Required Side Yard Setbacks. Fireplaces with Box Additions or Cantilevers to the Outside of Buildings Require a Building Permit. OWann Air Plants o Gravity o Mechanical OAir Conditioning OVent. System o Steam o Hot Water o Radiation o Special Devi'Ces o Other Devices 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 & AIC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 &,0 Estimated Cost $ 12 bZJ - Building Permit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 (Office Use Only) This Application Becomes Your Building Permit When Approved I ::~iPt No. Buildin2 Official Date I PWd. Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PE ~~ [E CG5 ~ n m [E \I~ I ~fEP 0 5 2aa~te~ c'd By ____---..-------- ~. ~~n ~~~_ I PERMIT NOo/)/ . 07C;~ I 3. Yellow ApplIcant (,o? (Please type or print and sign at bottom) I ADDRESS ,12-15 &I'2-/ftN~ eft2-. ,N'.G. ZONING (office use) LEGAL DESCRIPTION (office use only) OWNER (Name) LOT /6 BLOCK lJ()A.J tV- L/s,4- ~~ , '/2- 9 s- ? ~;e../idO-vKJ ~ / rL. fl. C. ADDITION ~/Z.A-tA.liJCn7D ~ PID ZS-o '3'30 I ~o (Phone) 95/-1./'1 7- S72-7- (Address) APPLICANT (Name) ~"...J \)~ Tlf!}t? 17 r1 1" J (/1(.,6 (Address) (Phone) N't:YtI PI2/1~ (City) (Zip Code) (Contact Person) (Phone) DATE APPLICANT SIGNATURE APPLICANT PLEASE COMPLETE BELOW EW CONSTRUCTION D REPLACEMENT D AL TERA TIONS FURNACE MAKE AND MODELf;UUl>tk~ .eb4:Jre. Oye c'IIB5 FUEL;NJIV/ FLUE SIZE ~ l '" { \r\ RETURN OPENINGS \ (0 'x, (). '-\ INPUT ~.~ OUTPUT -, (p I OC::J..:) TYPE OF SYSTEM HEATING OR POWER PLANT OWarm Air Plants o Gravity g Mechanical ~Air Conditioning OVent. System o Steam o Hot Water o Radiation o Special Devi'ces o Other Devices PLEASE NOTE: Air Conditioner Units and Fireplaces Cannot Encroach into Required Side Yard Setbacks. Fireplaces with Box Additions or Cantilevers to the Outside of Buildings Require a Building Permit. 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 & AIC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ Building Permit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ ,50 (Office Use Only) This Application Becomes Your Building Permit When Approved Buildine Official Date I Pwd Date I :~iPtNO 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 I. Blue File 2. Gold City 3. Yellow Applicant [~lt~RI1c\.~1 SEP 0 5 2006 l ~J CITY OF PRIOR LAKE PLUMBING PERMIT --==:==;- (Please type or print and sign at bottom) I ADDRESS If 2-- '1 S- 0/Z.-M A..J t-v D-c.94 ZONING (office use) t'r2- ~. G . LEGAL DESCRIPTION (office use only) LOT/6 BLOCK ADDITION G/Z-MN WCfV7-J ~ ~L- PID z..S'"o 3 '3 (') (:So OWNER. ~,? (Name) Vo,.v' ~ ~I SJ4- r /hn~"-<A--, (Address) '/'J.--7's- &~./J{.A..J-07)O ~ IlL .AJ. G . (Phone) Cls:z -Lftf7 - S7 2-'2... APPLICANT , . '&7C- (Name) J)IJ. - J7)#N P&IJ;C (Phone) /II&W "'12A"t"~ (City) (Zip Code) (Address) (Address) (Contact Person) (Phone) APPLICANT SIGNATURE DATE ~- 25"- 0 (.., I I 2.-- APPLICANT PLEASE COMPLETE BELOW T e of Fixture Quanti Bath Tub with or without shower Dishwasher I Floor Drain Lavato Bathroom Sink / Laund Tra 1 or 2 com artment sink Shower Stall Sinks Bar Sink Water Closet e of Fixture Quanti ; I FEE SCHEDULE Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 Estimated Cost $ Building Permit # PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOT AL PERMIT FEE $ .50 (Office Use Only) BuildiUl! Official Date I Pmd Date I Receipt No. By This Application Becomes Your Building Permit When Approved 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714 P R I 0 R LA KE DEPARTMENT OF LBUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 42cr5"""G::".4;~ "-t)(!)CJJL Ct''--- NATURE OF WORK N.Q.L ) USE OF BUILDING ~ PERMIT NO. · ~L DATE ISSUED B -1- 6~ CONTRACTOR--r. . nJC_ PHONE 9~;~ ~3'-/oO(j '7 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW ClL~ ~od\ THE PERMIT IS BY SEPARATE DOCUMENT \ ,-,4 Vie FOOTING ~ FOUNDATION (Prior to Backfill) \, tl(f{iL. q )(} PLACE NO CONCRETE UNTIL AB VE HAS BEEN GNED Lc>Ib ~\eef" c.(e\JO.h''''^- ~\~~"u:.l.e.ROUGH - INS ~~r:e. FI)'N I\~S' SEWER I WATER I SEPTIC FRAMING Ilf INSULATION ELECTRICAL PLUMBING I HEATING (if required) FIREPLACE GAS LINE AIR TEST 'a1 ~ ~ COVER NO WORK UNTIL ABOVE HA III IO-W w,., FE M ~ Q~r\tfiCo-\:-Q. . b-tfa,..cz... GRADING (Prior to Sodding) BUILDING ELEC1;RICAL 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. \1t' 6--- FOR ALL INSPECTIONS (952) 447-9850