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White File 2. Pink City 3 . Yellow Applicant LEGAL DESCRIPTION (office use only) LOT I BLOCK / ADDITION Z- WlUIJ 5 5t!4 AtvJ n PID ZONING (office use) PLlD I OWNER (Name) (Address) .s Arlit Z- A:-5 IJ cJt LIJ ~ --, BUILDER (Name) TYPE OF WORK ew Construction ODeck (Phone) . (Phone) ~.52-tf'!Z-770f (2- 7Lf7-G311 DPorch ORe-Roofing ORe-Siding DLower Level Finish ~irePlace DAddition OAlteration OUtility Connection PROJECTCOST/VALUE (exc1udingland) S 3it ()()O fl.. CiN}J~ 2> llC{lMJ (Contact Name) T 0VV1 LJtZ<i.AJV~ (Phone) (Address) /O~tfox (3/t( L41c..~a.2-//I1'v. S :J()tfL! 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 author' e above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with mitted plans. I am a are at uilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon roperty to r rm ded inspections. Permit Valuation Permit Fee $ $ $ $ $ $ $ $ Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee 8-J.~-tid Date ~ Z-DoL/KLfg3 Contractor's License No. /Ir;(Ptli>TI5; ZOO Z- Date ' # $ # $ $ $ # $ # $ $ $ $ (0 I ~~cef~ rn95 Park Support Fee SAC Water Meter Size5/8" I' Pressure Reducer Sewer/Water Connection Fee Water Tower Fee Builder's Deposit Other TOTAL DUE in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document r c stitutes a temporary Certificate of Zon' com liance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be I ~~~ eC}';~~.~1 o e Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 Thl? CE"nlE"r flf IhE" l.akt' Counlr) White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED .~~ 75-/~-();).. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: (3fJ(,8 uJood c[u-ulc Accepted Accepted With Corrections X Denied L:J (J 1 Reviewed By:&lQ'IJ)~ Date: B-2'?-cTZ- Comments: j(~oQtatb-W A~~ "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 (.t'nlrr or the L.kt Counlr)' White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED I " / j'! , -,- .;.~ " C" The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: j ./ /~ Accepted ~ Accepted With Corrections Denied ~A~~~-4~ Date: 16/ ;V7/6YL 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." / rh(' ("rnlrr nr .hl' L.h ("pun'') White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED .." t;;/}MVI!I~{J(J~ ?i-/~-(] .).. The Building, Engineering, and Planning Departments have reviewed the building permit " application for construction activity which is proposed at: 30bg Wo()d cLuv/c Accepted X Accepted With Corrections Denied Reviewed By: ~ Date: is('Y:>(OL Comments: See Rever~e Side for Additional Information! 0P(cJ.Jfw~c..r St....oP;" W\ us! k")Ol J&.c.E~Q (Do/c) 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." CITY OF PRIOR LAKE SEWER AND WATER PERMIT Date Rec'd I. Green File I PERMIT NO 2 Yellow City. .0 z' ~ lex:;.. 3.~ld A~II~ ~ ZONING (office use) U)OO() v& IJ LV LEGAL DESCRIPTION (office use only) LOT J BLOCK ADDITION THE W 1'-05 3~AJ I},/JOJ Tlo _ -:S3, -0 () I-C) OWNER (Name) Si(ENN6.e ('j)IVSP€uc 71 o~ jJo 80x 13/ If Af}KEVILLE (Address) (City) (Phone) 61t9-7'Y7-CJ3?0 ~-9'./f (Zip Code) (Address) APPLICANT (Name) FIN III-. f9~I};:JE IA)c (Address) /3 J j:}' jJJ f} /!If "5 S',.f& ff (Address) (Contact Person) V O/IJ AJ Ie: (Phone) 9'.5~-pl33-/~OO 5f/1JKDPEE 55,?! 7 (City) (Zip Code) (Phone) APPLICANT SIGNATURE APPLICANT PLEASE COMPLETE BELOW Size of water service -L inches. Location of any couplings from structure ~ feet. Type of sewer pipe. 0 AB~ _ [}l] PVC 0 Cast Iron Estimated length of sewer line 66 feet. Clean out (if required) located at -==- feet from structure. FEE SCHEDULE Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum Sewer connection only $17.50 Water connection only $17.50 Estimated Cost $ Building Permit # j SEWER AND WATER PERMIT FEE $ -f)f\ \ 0 l-v1B~O G> RsrAi11 r- STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ it When Approved I ::CCiPt No Date I Paid Date 4 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 10/17/2002 12:52 '3528'347'372 LAKE SIDE PLUMBING PAGE 01 Date Rec:'d CITY OF PRIOR LAKE PLUMBING PERMIT I. Blue file 2. Gold City " "'''1''''' ApplicM{ \ PERMITNO.;?-/~ ~31 I ZONING (cfficc use) ~~~SS'rinl"=: I 3. 0 (, " ...uJc l.) r .' u -e.. (l), ~ . LEGAL DESCRlPTION (offiCI: use only) LOT BLOCK ADDITION PID OWNER n_ t I (Name) f-=>r e f1 f1 PI L-Dn.s ru...1'I' c)'l (Address) P La.. (Phone) 95). , 719;). - 77U 'i .5 ~- () 1./ '- APPLICANT (Name) (Addrcss) (Contact Person) l.ft.KESIOC PLBG. & HI (,:;., INC. 12469 Zinran Ave. (~~. MN 55378 ~ltu (Phone) (City) APPLICANT SIGNATURE (Phone) DATE Quantity Type of Fi:xture Quantity Type of Fixture :.L Bath Tub with or withl;lUt shower '~ Rough~ins .3 3/v/)Rlij T Dishwasher I Water Heater I, Floor Drain Water Softner 4 Lavatory (Bathroom Sink) ,J Stand Pipe (Washing Machine) , Laundry Tray (l or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly I Sinks ,Backflow Assembly Test Bar Sink Lawn Sprinkler -~ Water Closet (Toilet) -3 Other 2. !Jar _ L. 1 L r.. J ai ..tJll c,.; APPLICANT PLEASE COMPLETE BELOW FEESCBEDULE Industrial, Commercial & Multi-fa.mily 1% of job cost with a $39,50 minimum Residentia.l, New One &. Two-Fomily S99.50 Residential,. AdditiDns &. Altc:rations $39.50 Estimated Cost $ Building Permit # PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE s S $ 1tjsfJ .50 /0000 {4-' Building omdal Dlnc -..., lome! Usc Ollly) This' Application Becomes Your Building Permit When Approved Paid 24 bOllr notice for all inspections <'52) 447.98S0, fax (9Si) 447.-42~5 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd ~. ~~"w JJ~icant I PERMIT NO. d-/ 1{)~3 ZONING (office use) 3068 WOODDUCK DRIVE NW LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) BRENNER CONSTRUCTION (Phone) (Address) APPLICANT (Name) ALLIED FIRESIDE DBA FIRESIDE CORNER (Phone) 651-633-2561 (Address) 2700 NORTH FAIRVIEW A VENUE (Address) ROSEVILLE (City) 55113_ (Zip Code) (Contact Person) BRENDA HUSTON (Phone) _651-633-2561 APPLICANT SIGNATURE BRENDA HUSTON DATE 11/1/02 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 OWarm 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 HEATNGLO 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 $64.50 $39.50 Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) Residential, Additions & Alterations Residential, AC Only $39.50 $39.50 (Office Use Only) Estimated Cost $ REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Penn it # $ $ $ .50 ~~~- I ""~:. ~)'V'rr'H ----., ,.,....,- This Application Becomes Your Building Permit When Approved Paid Buildine Official Date Receipt No. Date By 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT ~7&5 Date Rec'd I. Pink 2. Green 3. Yellow ~!t~. I PERMIT NO. ...;-/t:?g,--~ Applicant i/ . Wcoc/ ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Address) (Phone) (Address) (Contact Person) 6// APPLICANT SIGNATURE (Pho~ _~/- .y~...7 ~~ C~{ ~A.-I ~ ~) (Zip Code) (Phone) c;5/- ~.;;>- f-?7?~ - DATE APPLICANT PLEASE COMPLETE BELOW EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL ~ aSlJh1ih/ ~~ tJ /2-(J FUEL ,,(}Jtf7'L ~ FLUE SIZE PI! l- RETURN OPENINGS II INPUT I~.~ OUTPUT / / lJ .~O , r TYPE OF SYSTEM HEATING OR POWER PLANT ~Warm Air Plants OGravity o Mechanical .::&LAir Conditioning ft'ent. System FIREPLACE MAKE AND MODEL o Steam o Hot Water o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks Industrial, Commercial & Multi-Family FEE SCHEDULE 1% of job cost Residential, Gas Fireplace $39.50 minimum $99.50 $64.50 $39.50 Residential, Heating & AIC (New Construction) Residential, Heating Only (New Construction) Residential, Additions & Alterations Residential, AC Only $39.50 $39.50 Estimated Cost $ Building Penn it # (Office Use Only) This Application Becomes Your Building Permit When Approved HEA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ ,..-.. p~ ,'-. ~ .50 Paid Receipt No. Building Official Date Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS 3C>k>A \.Jo"cQ Doc~ 'QH\N> NATURE OF WORK -1:J.ew USE OF BUILDING SfT) PERMIT NO. 02--/~3 DATE ISSUED 8-2q-er< CONTRACTOR l)r~ne ~. PHONE (~12-7'l7-($9~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT IN~R DATE I FOOTING ! II-~. _ [ '1-<(-0 ? I FOUNDATION (Prior to Backfl/l>,-~ ~ , s: " ... 'i I 11 Z- PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST F.t' I IJL //-/v I J -' /7' COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED L ~ I ff /<-~ I FINALS GRADING (Prior to Sodding) E12 r; .z'~or BUILDINGT.e-( ~ 1.16,u ELECTRICAL PLUMBING R _/? HEATING DO NOT OCCUpy UNTIL AB 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. //-/1 Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 ~3/23/98 __.!!ON 09: 2~ FA,!: 6124474245 CITY OF PRIOR LAKE ~002 CITY OF PRIOR LAKE Impervious Surface Calculations (To be Submitted with Building Pennit Application) For All Properties Located in the Shore land District (SD). The Maximum Impervious Surface Coverage Permitted in 30 Percent. Property Address ~ 0 b<t 'vJ 00 ~ (J v cK (j V' \ \j e.... Lot Area _\ '2.. l"bf b . Sq. Feet x 30% = .............. "5)S ~ 3 ~q, ~t~ *.*..*.************************.**.***...****.....****..**..........1;;; LENGTH WIDTH SQ. FEET == 2) I~~ x x x == HOUSE ATIACHED GARAGE == TOTAL PRlNCIi'LE STRUCTURE-...........-...... ~J r C?(; DETACHED BLOGS (OarageJShed) ...... x x TOT AL DETACHED BUD..DINGS-........._........ DRlVEWAYIPAVED AREAS x .. 10'L (Driveway-paved or not) X == (SidewalkIParking Areas) + <;to Of X == \ ~ 4- TOTAL PAVED AREAB-..........--........--.--...... 'bbb P A TIOSIPORCHESIDECKS (Open Decks ~.. min. openins betWeen boards, with a pervious surtac:c below, IrC nalcDllSidececl to be impervious) x X ... = x = TOT AL DEC'KS........................-~......_._..._............... x X = OTHER = TOTAL OTBER................................................~...... TOTAL IMPERVIOUS SURFACE , 1)~?~ I ~ER/ I ~ILJ PreparedBy J-=, ~ <,C- Date 7 A1 VSt ZQ02- Company J? gJ4.-N D'T bN?V{ Ga2INr f' <;IJ;2.V f'rINt-Phone # 952 4:5)" J 966