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Ao (i) ~mml:(i) m ~ ~ _"ll"ll"ll~ ~ Z ~!;!;!;c ~ 0 >ooz:;; ~ ~ _mm-l_ [Y1 ;;O"'::a ' .... -1-_ , i enz z m -I~ G) ~ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT LEGAL DESCRIPTION (office use only) Date Rec' d --. 20" -02..- / ._. ~r ~'-~ -- I. White File 2. Pink City 3. Y cllow Applicant I PERMIT NO. 02-0__3/2-1 Q LOT\ ~BLOCK \ ADDITION \-0 w:ld~ PID :2 5--337-- 0 I S .- 0 ZONING (office use) ?'uD OWNER (Name) (Address) 5 f0 rfI f- (Phone) BUILDERT I r;:) 'l "" \ ' (Name) G ("'>0 \ U~.~) 't... \-.C (Contact Name) '&.....,~'~ (Address) \ ~ l S em ~ ,,-f TYPE OF WORK (Phone) L b '3 II J. I Y .J ~' 7 (Phone) l)<=- ODeck o Porch ORe-Roofing OLower Level Finish o Fireplace OAddition OAlteration PROJECT COST /V ALUE (excluding land) $' ~ -,.-. o Misc, '" 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 au' or the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with s mitted plans. I m aware th~ Ii,,, b...;ldtA!!, official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter u n e erty to perform needed ins ections, x Permit Valuation Permit Fee $ Plan Check Fee $ State Surcharge $ Penalty $ Plumbing Permit Fee $ Mechanical Permit Fee $ Sewer & Water Permit Fee $ Gas Fireplace Permit Fee $ omes Your Building Permit When Approved q-J-CP Date Contractor's License No. :3 /~ O/C)~ Date I 5'00 Park Support Fee # $ ~C # $ Water Meter Size 5/8" ,. $ Pressure Reducer $ Sewer/Water Connection Fee # $ Water Tower Fee # $ Builder's Deposit $ ~cr $ TOTAL DUE 4- ,4--- () z- $ I . I ~:~ 9Jq-fJ!&____ I ~~1f!!!I7] 7- 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 :.r;:jT~::;=~c'ru~:;;ii;:=mdillom'S:;O"T~Bd=Ow'C~"~ ~rector Date ~ns, ifany 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 05/03/2002 08:22 512-427-3805 09/08/00 WED 11:44 FAX 8124174245 DAVE PERKINS CONT IN (';I'n: Ur' rl<.lUK 1../U\1:. PAGE 02 MIUII . hI..C 'l'euow . A~JCAIIT GOLD . C'lU C~T~ OF PRIOR LAKE SEWER AND WATER PERMIT "1, ,II) / J- S.W..No. U (j, - U a NOTE: sewer and wate.r contractors must be reCJiatered with tha city. SIGNri ~URE: SITE ~ODRESS; Inc. PHONE: 7 (,3" 'X{ 2, 7- OJ () ~ APPLl :ANT: ADORE: :s: DATE; . BLDG. PERMIT * UI 00 ol D(.f ac. \)n V'e- PID * 1. t: Itimated 1en9'th of \.rster llI-=rvice FILL IN THE BLANKS Sot f-=et. 2. E:..ze of water service inch (e~) . J. Illoation of any couplings from structure teet. ~VC /" Cast Iron_ 50' feet. 4. T~e of sewer pipe. ABS ~: Itimated length of sewer line 5. 6. C.ean ou~ (if requir~Q). 10cated at s, .ructure. feet from =~~~~ I~__~~_=~__~~~~=~=~=~~~~====__~_~~==a=__~~~___~___~_~~~~~~~~ This ~plication becomas your permit when approved. BY O~TE: ~--~. ~~~~__a~=~~~~====~~~~~_~===~~=~Q=*======~~~~==a____~~~==~~~~~ FEES: $ $ $ 35.00 .50 35.50 Sower and watBr line connection permit. Surcharge TOTAL * F! e for either sewer or water individually is ~.~ plus $; _ 50 $ur~hl!l.:rge. , fiJ~~j\~'~:'l '::,' ~.~~,.;.r~.,: ~(::\ t ~~. ";., I, S; wer 8nd wate~ permits issued fer ,new construction must be rl corded on ~he building permit card at the time of issuance b insure that no duplicate S$Wer and water permits are i: sued. DATE; : AID ~- 3-6~ ,:It"RECEt T' .Pd f3l/ B Icly . ( AMOUNT PAIn ~.~ ~ 'REC'O BY ;j * [fl.," ;16200 Bag.l CreekAV. S.E., Prior Lake. Minnesota 5.5372/ Ph. (612) 447~4230 I FAX (612) 447-4245 An Equal Opportunity Employer 10.' 11/D1 THU 11: 37 FAX _UUZU 'sz.. CIT\' OF PRIOR LAKE III 001 Dale Ree1d CITY OF PRIOR LAKE PLUMBING PERMIT f:-;:: I ^:;-;s o. ~I4f.K n~ ~ =- :1_' I PIJ\.\IIT NO;) -. 3/ ~ l I ZONING ''''-l I LEGAL DESClUPTION (ollal \lie oNY) LOT BLOCX ADDmON PID \OWNER (Name) I C!. (A.w....1 ;;5"-~ :~;.;,;~ A = AJ. , bA(foJ (Ph.:S:~; 70 .''fry -.../' APPLICANT eName) NU !-IfJ,v ..,.. ~DGLjC. :x.}JL , (A.ddzat) 21 Z~ 21'W1J 14 y~ JCJ (Acldras) APPLlCANT SIGNArun CPhgnc) 'j{,3- J.{8.7- 232 I ~ AJfJ'I:/I'- '$S~" ~ (City) (Zip Code) (Phone) 1{'3~ "{27- :Z3Z/ DATI! t -/~. () 2:- (COftC&Ct PeftCl'I) FEE SCH'EDVLE Imiullrial, Clnnll'\I!rcial " Mulll.funlly ''K or Job cOlt with. $39,'0 millimum Ruidllltial. Nn.. On~ . Two-Funlly '''.50 R..lcSltntl,l. AddiriOllI A AllI,..1ans 139.'0 B.lrirDa~d Cost S BulldJn& Pam!t # PLUMBING PEkMlT FEE STATE SUItCHAkGE TOTAL P&R.Mn' .,U S $ S- r .50 /"<i. 1j:J1 H. !'r- .. ':::~8U)" .I; ~..~ (omu tJM 011I)') Tllli Appllcadon BCCOMa Your Blllldi_1 ".,.It When ApprCn'ed I ..,11.... Otrlr:la1 Dlite I"~ Dare JDNI S. l:~ 26 II..' notice rar .11 inll*'-iaM (952) "7"150, tal( (951) 44'7.c4' CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGlFlREPLACE PERMIT Dale Rec'd fU. Ci.~ "P!'licut [PERMIT NO. d - 3/ d- l L ~ ] ZONING ,,,.,, ""I ~t~':"_m: . vJo~:;l <.K- 1:lr11N- I. pi.k 2. c...... 3. V....... LEGAL DESCRIPTION (olfice ~c only) LOT BLOCK ADDITION PID I g,'::e~~l ~: ~ ~. (Address) " (~hQne) - -I (Phone) !-hm ~D '7~ ?:r '-I ~4 - "7 '? <-( ~ -J'-'Yr)f), 5.5 30 <./ (City) (Zip Cede) (Phone) DATE to-05-o , APPLICANT PLEASE COMPLETE BELOW . EW CONSTRUCTION 0 JU:PLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL ~I/.~I DC! 3Al~ II:>' n~ 0 FUEL JJ ~ T FLUE SIZE RETURNOPENlN S ~ INPUT J ,~\ 000 OUTPUT 10<'/ I )~O TYPE OF SYSTEM HEATING OR POWER PLANT DWarm Air Plants , ' OOrllvjty lXI M<<h.l\i~1 OAir Conditioning oVent. System o Steam o Hot Water o Radiation o Sped.l Devi~e' o Other Dcvi(:cs PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL I,' FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace 539.50 minimum 599.50 Residential. Additions &. Alterations 564,.50 Residential, AC Only $3'1.30 Industrial. Commercial & Multi-Family Residential. Hcating &. AlC (New Construction) Residential. Heating Only (New Construction) $39.:50 $39..50 Estimated Cost S W/~ Building Permit 1# HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE s S S Cf9, s<' ,SO lfJtJ. - '.~--- f"'~ " .,~, '..,"~-,..,.,!!., (omCt tin: Only) This Application Becomes Your B-.Uding Permi. When Approved Dlllt I Po;d Date :.3 I :~;P' No Buildinc Official 2~ hour notlcl! for All insrections (951) 447-9850, fu (9S2) 447-4145 99:66 6006/TT/60 60 39'V'd N'V'H:J3W ~I'V' 669TPEP6T9 FAX 7635530887 GUYERS BUILDERS SUPPLY CITY OF PRIOR LAKE HEA TINGI AIR CONDITIONINGIFlREPLACE PERMIT 141 002/002 Date Rec'd I ~~C:::l~ \':)~ I. Pink 2. c;",." l, Vel""" S"'-I PERMIT NO. J -'3 (;Y I J ZONING (olfJCe use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID I g;~:;~\C J~ ,\\ry.",~ (Address) (phone) APPUC~ ' (Name) LJ,.J-.eV'~ ~\ I ~\\rJ~If1c:;;:. ~l W'-j (Address) ''?-WlJ~ 1~ ~ l~ ~l\ 11N1~ I (Address) 'l (Contact Person) U (:jrl (Phone) ('7/,,~ It-P/J-4l,,~ S \LUll ~:f4 I (Zip Cod~) (phone) APPLICANT SIGNATURE DATE APPLICANT PLEASE COMPLETE BELOW W CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RE1URN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT OWann Air Plants 0 Steam OG(llvity 0 Hot Watcr o Mechanical 0 Radiation DAir Conditioning 0 Specilll Devices DVent. System 0 Other Drncl;S 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 l;Ost Residential. Gas Fireplace $:19.50 minimum $99.50 Residential. Additions &:. Altcrations S64.50 Residential. AC Only $39.50 Residential. Heating & AlC (New Conslf\lction) Residential. Heating Only (New Constf\lction) $39.,0 $39.50 EStimated Cost $ Building Pennit 1# HEATING PERMIT FEE STATE SUR.CHARGE TOTAL P'ERL\1IT FEE $ $ $ .50 .... I (omce lIst Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Building Official Oar" OllIe f,SEp I? By 14 hour noticE for all inspections (951) 447-9850, fu (952) 447-4145 The ('enlef of Ihe l.ake Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT T / C ~c..)(ld-e.t5 APPLICATION RECEIVED :? - ? D - CJ 2- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3';;). 3<{ Lt){!)~ Dc JC~ Dr. Accepted Accepted With Corrections ~ Denied ~ () Reviewed By: V ~ rJJ7",--A Date: C~ents: ~aJl alLziktW ~j~ I II-{)L "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' Ct'ntt'r of Iht' t.kt Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED '-r" /, ; { ( / ,', l( l) f_ ;/ / ( , , I ^_ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I . r-' 1.. c.; , - ;",.....-..~. , ....... ...~~. . Accepted ~ Accepted With Corrections Denied ~-~~ Date: L-113/02 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." ;"{t, The ('enler of the Lakf ('ountry OJ - s/~ White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT II .-, DE 1-- (1/ tSlJ/L k~ 3-2- O-()L- APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 77 .~-:~ 4- V\J C c D I) V (! ,K- T)~,::':> . ^ J V,) ..._,) L- __' ./ '-_ .1.--- I \0 Accepted x. Accepted With Corrections Denied Reviewed By: /Y#/3 Date: '1-~ -02- Comments: See Reverse Side for Additional Information! 5,'/(- F~,,(( fY/(/~ -f-Ju.. //lSIc,//ccA fJl','()r f.-.v c,~v CDN-f/r/{,/';'''1. , Sk'M We, Ie".. J/'t/YJ~{ mv6!i" (. (OI1V~ y< / 10 Ct~rA c,!"'1f1 ..../ Dl'4iYl~c.. Gf;t,) V.!,'/, 'ty ~e,.S~MO) h ".-~--- See Attachments: 1) 'Graoing 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." PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS Sd...31 LJodL nc Jck PI', NATURE OF WORK AJ~u.J USE OF BUILDING .sf: 0 PERMIT NO. 0 "'0.3 DATE ISSUED L/-ol-O"2 _ CONTRACTOR II' PHONE 7&5- 7/2-N1 NOTE: THIS IS NO A PERMIT FOR ANY OF THE INSPECTIONS BEL W THE PERMIT IS BY SEPARATE DOCUMENT FOOTING FOUNDATION (Prior to Backfill) PLACE NO CONCRETE UNTIL ABOVE H ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST ;L COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I~ ~ I ?//J,,/IJ'" I FINALS fv. ;' GRADING (Prior to Sodding) BUILDING"f.t .().1i:tR ELECTRICAL PLUMBING HEATING DO NOT OCCUPY UNTIL ABOVE HAS NOTICE 2- SIGNED This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all inspections have t:een 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