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(5 Zc:c: 9 m 0 () ~'lJ'lJ C ~ -I 0 Z ~ 0 3- CD "'~ ~ Z :-! m ~ ." ~ N 0 r ,.. ;u ~ J: m ~l~ ~ 0 0 000000 \ c: 0 ;;tI < C>~~o~ ~ en m >;u;uO 5! z ;;tI enmmi:C> Z 1""'lJ'lJ'lJ~ ~ > C> ~s;:s;:s;:c (... c \ ~ ~ >ooz:;; .... _mm-l_ ~ z ;U.,,;U I"" i: 0 -1-- I"" m ~ (l)z Z !TI -I~ C> ADDRESS q-6 2~ I CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 3 3/ - ~ at bottom) ele~ So\V\+ S+- White Pink 3 Yellow I PERMIT N~ 05". 0 ?-1-71 File City Applicant ZONING {office use} L~QAL DESCRIPTION J.9ffice use only) I u r III I'd-- '1 LOT BLOCK 3 ADDITION ~ PIDcI ~~ (}();} - tJd? 0 OWNER (Name) \<'0 1\1 (Address) BUILDER (Company Name) (Contact Name) ~ (Address) Wol.(vo..W\. )ec,\'j0~+ .;+ Cl52 (Phone) Lff7 ~J3C'6~" I E III H 2 IV I 3 V M 4 (Phone) (Phone) 95d - ,:)tJ/... (b'10d. IfNiy TYPE OF WORK o New Construction ODeck OPorch ORe-Roofing OAddition ~Alteration OUtility ConnectIon rn Misc. r ~TazJ 0 f1.. (2E"~ D €7- CODE: 'MLR.C. DLB.c. Type of <!;nstruction: Occupancy Group: A B Division: II F I A R 5 B S U ORe-Siding ,91Lower Level ~inish 0 Fireplace {t.:.\"d.';"~iCV\ lie- fv..v PROJECT COST /V ALUE $ .2. t..'CCJ ~ (excluding land) I hereby certily that 1 have lurnished mfmmation on this application which IS to the best of my knowledge true and correct. 1 also certify that I am the owner Dr authonzed 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. I am aware that the build 109 official can revok ' thiS permit for Just cause Furthermore. I hereby agree that the City official or a designee may enter upon the property to perform needed msp 'cllons. X z' 0UJ ( &)0' ~3U/ u5 Signature Contractor's License No. Date Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee ~o.oo This Application Becomes Your Building Permit When Approved ~I ~ .:;e;JJ1 I .{...i l3ul dlllg OttlCIa Park Support Fee # $ SAC # $ Water Meter Size 5/8"; 1"; $ Pressure Reducer $ Sewer/Water Connection Fee # $ Water Tower Fee # $ Builder's Deposit $ Other $ TOTAL DUE trntf?)) 1- S.()J $3& 0 . 98 Ace ThIS IS to certify that the request in the above applicatIOn and accompanymg documents is 10 accordance with the City Zoning Ordinance and may proceed as requested. ThIS document ~ ""~_"~ C""",,,, "f~~f;e '"' .0,,, m"","~:;:~=e :::;' :"::"f:~;~: , Planning Director Date 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 CITY OF PRIOR LAKE Date Rec'd HEATING/AIR CONDITIONING/FIREPLACE PE~IT , ,-J-I" II Ie' UN ( i? ' 05 -,;) L/ /-? ~. ~~n ~:~y I PERMIT NO. /j2...- _c Q~ 3. Yellow Appilcant u.--.J ....::>~ ZONING (office use) 4v~ LEGAL DESCRIPTION (office use only) LOT BLOCK \( ADDITION PID ~J.. - C)'* OWNER (Name) Ro^- W 0 It:' 1<4.'\.' (Phone) (Address) APPLICANT-,- ) / A J- (Name) ~'LI:! _ /.J (0 -L v1 c- (Address) /.51/3 A 'f1 In ~ L r (Address) - (Contact Person) ~ I M APPLICANT SIGNATURE ( (Phone) c; 6' L - F'i''1- 7 f' 7 z.. ;1"-r""~ vl4 /'J/II 5-530 6 (City) (Zip Code) (Phone) 95"2 - Y If!.." -7 q "7 '2.. DATE 6-.2.. L - oS DNEW CONSTRUCTION ;gr REPLACEMENT o AL TERA TIONS FURNACE MAKE AND MODEL Lc...y 4.lr~ FUEL A/~I- FLUE SIZE 1. (( flJL RETURN OPENINGS 6' INPUT 6 t;t500 OUTPUT ~ Ik!)O TYPE OF SYSTEM REA TING OR POWER PLANT Swarm Air Plants o Steam PLEASE NOTE: Gravity 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 APPLICANT PLEASE COMPLETE BELOW Residential, Heating & AIC (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 $ Building Permit # HEATING PERMIT FEE STATE SURCHARGE TOT AL PERMIT FEE $ $ $ ~Cf-S- u [, '0 .50 I r (Office llse Only) Date Paid lJo~ Date0 - &;2- This Application Becomes Your Building Permit When Approved Building Official 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 PLUMBING PERMIT Date Rec'd ~ ./OC)S- ~. ~~~ ~:~ I PERMIT NO. 05. oz,A-- -} 3 Yellow Applicant ~ ~ Ptb/rf /f?../I -162-1 ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID I OWNER (Name) (Address) (Phone) APPLICANT (Name) ~~~~ IJ~;:~ .j, , Address) l)Q I'A} ~ (Phone) ~S- ~ S-tv~- , (City) "?- L~/) LLC tJ' (Address) (Contact Person) APPLICANT SIGNATURE APPLICANT P v tj 7 gc:;;:1 r- ~.. <;;:)7/.)-' (Zip Code) 2 -C- C/? 3 7(- Quantity Type of Fixture Quanfity Type of Fixture 1- Bath Tub with or without shower ~ Rough-ins I Dishwasher (, Water Heater i Floor Drain / Water Softner 3 Lavatory (Bathroom Sink) 'j Stand Pipe (Washing Machine) I Laundry Tray (lor 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly I Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler .l Water Closet (Toilet) Other v Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 Building Permit # 0 5-: (.) Z--I-7 e { 1J,rIO ~. r etfJ FEE SCHEDULE Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Estimated Cost $ PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ ~ _/ ~50 (Office Use Only) This Application Becomes Your Building Permit When Approved P~~ Date (()_()f" Date Building Official 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714 By ~-- Tht' ('t'nlrr flf tht' I.akf' Count'")' CWhit~ - euiidiii:g::::> Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~?I;r APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4t;;~1 ~ ~ Accepted Accepted With Corrections / Denied ~9~~ ~ -'^};~~"~ ~ J- )lo ~ ~6-t-~ ~ LOde) ~ ~ I fVttu.~ ~ ~ ~ ~--A/ ~ .A~L'L~ ~ f-~ ~ ,p~~"1C'''~ ~~ ~ ~ A k ~ ~ ~ ~ ~~.t-~. ~~~d( ~? &4f 1 ~ ~d~ ~ dL.:,~. J/ ~.i/1 '-j , "..I ' '~ L> /vo -fI"~ 1 ..p-I.J; J Lf t:Jd ~ ~ ~~~' Reviewed By: Comments: ~ Date: 1!s/(JS "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." Thf ("fnlfr of thf l.akE' Count'1 White - Building ~ry_ - r=n~ng Ink - Plannln 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: .,:.~" Accepted Accepted With Corrections /' Denied Date: ~s!or , Comments: ~/ ~ i-o ~ .kl~ ~ ~ ~ ~, ~ ~ ~ ~ ~L~ ;Z4. ...diU -If ~ c.::, ~/ ~ ~ ~ 4d-~ ..A~. 1;; t ~ ~ .;j-r -^P~" ~-i'- tYj ~~~) IJI!J ~ f~ , ~ ~- -t:~ ~~ ~<L ~ ~. , Reviewed By: ~ +~f- , ''''.!'''''.'' ,<, ~..-~,' "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 &/" '= NATURE OF WORK L. L. tJ . USE OF BUILDING 5'~' PERMIT NO. 0 ( , () ,B-1. _ DATE ISSUED ~ CONTRACTOR lD'" ~~ P~'1'- "f!('7.SJ8I NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT S BY SEP ATE DOCUMENT ...s/~/'r,v~ /, S;.~ ~ FOOTING FOUNDATION (Prior to Backfill) .S-:. ~ CI ()5- PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC (SePeYl.A\E p€T2.Jt-..i FRAMING /' INSULATION ELECTRICAL PLUMBING EATING if re uired COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I FurtVace 05'-6S~ I IU.-J} I /vllJl~( FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUPY UNTIL ABOVE HAS NOTICE This card must be posted near an elect,ICaI 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