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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT ..5- b--D,:.}-
1. White File I PERMIT NO
2 Pink City . A? ~ O~ao
3. Yellow Applicant . (/ c.- CO ~
LEGAL DESCRIPTION (office use only)
ZONING (office use)
uD
R-- J~--; 97 t' 6 rY ()
PID
LOT I J BLOCK
j
ADDITION k .
/;-e: /U ^ ;;~. 5"'. ..H! C .
. ~/ .
It..l t."' [. 71- /73-
,.
OWNER
(Name) /fltq It.-Ii f
/
(Address)
J.. 4&-0
fA'C~
VI.r 1ft"" j
7 f,J -f./f,f 8/1
/(
BUILDER ':t 4 '"
(Name) 1/~~.J. f'/~ '1' I
(Contact Name) lu ",.i,A.:e_f , po V vA/II~
(Address)
(Phone)
(Phone) It /r
~{7- .8/0 - SSff
'(Z.~5oq. -C;o -z.-
TYPE OF WORK
OPorch
ORe-Roofing
~eck
[lJr:~wer Level Finish C J) ~Place
o Addition
o Alteration
ORe-Siding
OUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
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...~ aware that the buildiJ}(,official a revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon thj;.property to perform needeq.,it'lspectio .
X ,---' e,- ~ 7l.J J- 6~-/j~ :J
Contractor's License No. H Date
Park Support Fee
SAC
#
#
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
Water Meter Size 5/8'" ".
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
$
$
$
$
$
$
$
$
aso.oo
~.OO
3t~ l);(' 0
I Paid /~ 9Cf/. 37
Date -II ~ tlZ-:-
Your Building Permit When Approved
5-/1-02-
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
:'~d by '~~i~ Pl"m~ ,,~tiw~, "_MY Cotifi~" of Zoom. "mpfume. md ...~"'"' ~"J.:jQP?iotiIii:q m'"~
\_!/:;;t~~-?'--r.- <~/ZL/C-L~' .' ; M[ ~ ! '~~
. Planning Director l Date Special Conditions, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink
2. Green
3. Yellow
~, I PERMIT NO. q/[P~
Apphcant
ZONING (office use)
14740 WILDSVIEW LANE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
HOMES BY REGISTRY
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(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
7/12/2
xD NEW CONSTRUCTION o REPLACEMENT D 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:
DGravity D Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
DVent. System D Other Devices Setbacks
FIREPLACE MAKE AND MODEL REA TN GLO PIER TRC
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
ST ATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
r ~,
~19~~ "J.r:
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
Date
Buildin2 Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink
2. Green
3. Yellow
~::y I PERMIT NO. '7 -hC--7
Apphcant /' ~
ZONING (office use)
14740 WILDS VIEW
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
HOMES BY REGISTRY
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
8/7 /2
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:
DGravity 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 HEAT N GLO 6000TR-OAK (2ND Fireplace)
APPLICANT PLEASE COMPLETE BELOW
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial, Commercial & Multi-Family
$39.50
$39.50
Estimated Cost $
HEA TlNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
Date
I Paid
Date
I ::ceiPt No
This Application Becomes Your Building Permit When Approved
Buildine Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Jun 24 02 10:24a
JD Excavat i ng, I nc.
763-862-1223
p. 1
. 1..tIft Il'E'h ",: %4 '_o\..l Gt:.Ui.U45
OJ.: J r' fI~ II....
CITY of 'IlIOJ. UKE
iilI 001
__ - ....E
wa.... . ~.r
---~
,"
...
aTY OF 'PRYOR ~
SSsrER AND WATER. PEJaaT
,.rOTE: S.Ver and Wa1:.er
c:ontra.;tors .ust
be reil)lst:.ered
wil:b the C.ity_
s.w. No.
(I - to g<-l
x APli'L!CANT: 5D c.XCFlVRTIN C.., . INC. ')oo"PliOHe:
;JI. ADDRESs: i RITP/M-DATE=
" 5IGN.~TUP.E;
T-~'" -4-3 ~ ~
(,f;).. '-{ I (j ~ _
PERMIT f
SLDG.
X SI't'E ADDRBSS:~."
PIDf
FILL rN 'lifE BLANKS
1. Estimated length o~ Yate~ se~~ice
t~e't._
2. Size o~ water service
l
incb (es) -
]. Location or any c::ouplinqs fro1l\ struc:ture fe.et.
4 - Type of sewer pipe. ASS pvcL Cast Iron_
5_ Esti~ated length o~ ~ewer line
feet.
6. Clean out (if ::-e~ired). located at
structure.
feet
from
=~=---.;;;;===...==~=es-=:=S-':a:=tiiiiii=------=--_________~"_':S&8'S'=--~=====
This application bscoa.es your parait wh~n _ppro~.d_
BY
DATE;:
-===~===~=~~'=-:=-----~_-=~~--~_---4 -~__
~_.II;i1:.
FEES =
s
S~
$
35.00
.50
35.50
Sewer and water line connection p~r.mit.
Surc::barcJe
TOTAL
'*
Fe~ for either sewer or water individually is 520.00 plus
~ .50 surcharge..
..
Sewer and wa~er p~r.its issued tor new construction must be
recorded on tb~ buildin9 permit C~rQ .~ ~bp. t!p.~ g~ i.$uanc~
to insur~ that no duplicate sever and vater ~ermi'ts are
issued - i'
J.IN 2 5c
DATE PArD
AMOUNT PAID
RECETPT :#
UC"D BY
16200 E3g1e Crer-k Av. S.E.. Prior Lake. Minnesora 55.)7Z I Ph. (612) 441-1-230 I FAY (612) 447-4245
All Equal ()prortllllily &..pIn,yd'
7-30-02; 7:59AM;ELANDER MECHANICAL
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7-30-02; 7:59AM;ELANDER MECHANICAL
;612 445 7487
# 1/ 2
r... C~..'n .1 I.~ L..r C..,nlry
CITY OF PRIOR LAKE
PLUMBING PERMIT PPNo,;;).-to;;9
Applicant: 6" /4 -....e/.,./ ;'J1..1l ~ L. &>-- ..... I C.-A-<-Phone: ? S"iJ.- - V ~ J -:::. ~, 'i' J..
Address: -:S 9 ( t!.-&. ...f..a.-.-/-c~~ b /'1 .,I ~ j "~k. ,,'-"1Ii AE:" /1t'/,J 5T 3 7.,
Signature: /~~~~
Legal Description:, Lot Block
Site Address; / If ? ~ 0 pt/, I'd's t-1e ~
Building Permit # PID #I
NOTE: This pennit will not be processed without complete information.
FIXTURE UNITS
L 51De
2. Cloold
3. Ydla.
File
Ci"
"Wlicut
Sub
Quantity Type of Fixture Quantity Type of Fixture
'2- Bath Tub with or without shower Rough-ins
I . , , I
Dishwasher Water Healer
,
I Floor Orain Water Softner
7 Lavatory (bathroom sink) I Stand Pipe. (washing machine)
I Laundry Tray (1 or 2 compartment sink) Sewage Ejector
3 Shower Stall Backflow Assembly (RPl, Doubie Check, PVB)
I Sinks Backflow Assembly Test
Bar Sink lawn Sprinkler ,.
J
~ Water Closet (toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multj.Family
(1% of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
539.50
GRAND TOTAL
y
Thi~ permit is granted Llpon the ell:p'ress <:ondition that said
contractor. shall comply in all respects with the ordinanccs
of the State Plumbing Code and the: amendments thereof.
RECEIPT NO. ~.~ / -rl--"6A TE
~_ ATI'EST
Call for all inspections 24 ~rs in advance,
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (6]2) 447-9850/ FAX (6]2) 447-4245
An Equal Opportunity Employer
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Application)
F or All Properties Located in the Shore land District (SD).
Tne ivlaximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address
1-01/8. g/o~k 6', -rile Jr!ILDS
, ,
Lot Area /C} ,80 Z- Sq. Feet x 300/0 = .............. .s: 24/ 59, rf
***********~***'******************************~*************************
HOUSE
LENGTH .
/Z-
/S-
~
;0
2.-1
\\'1DTH
I z--
x z..~
X I z-
, ...3.. z-
X3Z-
SQ. FEET
.;: /4~
= ~"'o
= 7~
("d z-
== .66S-
ATTACHED G..\.RAGE
TOTAL PRINCIPLE STRUCTURE......................
2; Z-~S-
DETACHED BLDGS
(Garage/Shed)
x
x
TOTAL DETACHED BUILDINGS.......................
~NE
/~ X
/~ X
S x
2-5"
4-b
Z-Z-
=
34-8
73~
Ill-
DRIVEWAYIPAVED AREAS
(Driveway-paved or not)
(Sidewalk/Parking Are:lS)
=
=
TOT.--\.L PAVED .~.-\S.........................................
~ 1'1{;'
P A TIOSIPORCHESfDECKS
/ZX 2-3
=
Z70
(Open Decks ~... min. opening be:wCt::1
boards, with a pervious SUrf;lCC: below,
arc not considered :0 be impervious)
x
=
x
=
TOT.-\1. DECKS................................................ ........
"2-70
OTHER
x
x
=
=
TOT.U OTlIER.. ........ .................... ................. .......
I
I Z..ZIO
.s~3/oZ-
I ,
TOTAL lPiIPERVIOUS SURFACE
~l)~VER
3 73/
I .
,
Prepared By _
~(oy~ E R~
r --
Date
Company
!lIP 0
/ne..
Phone #- '152 - &29 -0700
White - Building
Canary - Engineering
Pink - Planning
Tho Con... of Iho Loko Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J; :
Accepted I -------
Accepted With Corrections
Denied
Reviewed By: q--t <J ,kj-
Com
~~-d'"
/
Date:
~ /Lt /82-
"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."
The Center or the take Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT #-cJ711.t4-~~<J~
APPLICATION RECEIVED 0 -10 -~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/I(?L!{) w.idJ !)/~UJ
Accepted
Accepted With Corrections Y- _
Denied rJZ ~*
Reviewed By: 1
Comments:
Date: 5-/7~
{K~ C(J( a~ h~~
"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
Canarv. - Engineering
Pink - Planning
Th~ (".nCrr of Ihr L.kr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLISt
NAME OF APPLICANT /lb7'Jtk4 4q~ ~
APPLICATION RECEIVED 5 -to -~ -
The Building, Engineering, and Planning Departments have reviewed the building permit
- - - application for construction activity which is proposed at:
- !/FZL/o wii~ UMIV
Accepted
K
Accepted With Corrections
Denied
Reviewed By:
ML'3
Date: ~ - /-02-
Comments:
See ReVE:m:a~ SicJe for AcJcJitionallnformation!
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."
\
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS -J!df7~() W('(A~ .\/t'-€~)S
NATURE OF WORK -1:J.euJ
USE OF BUILDING S t= D
PERMIT NO. ~O q DATE ISSUED S-/7-o"C-
CONTRACTO~ rU~. PHONE 95d.~7~-88ll
NOTE: THIS S NOT A PERMI FOR ANY OF THE INSPECTIONS BELOW
THE MIT IS BY SEPARATE DOCUMENT
'1ItJI-?Gs 6 /t1:7~/S~ INSPE OR DATE
FOOTING (Q \ OJ-
FOUNDATION (Prior to Backfill) \ l.e).O \h d{,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE ~q L L-.
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
,StuCCo ~ I~- r!~~ I
FINALS
GRADING (Prior to Sodding)
BUILDING l' c . P
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
I~' .Oz...-
SIGNED
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 sh~i: be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850