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Z ::u ::u I'"" c :< I'"" ~ -l "T1 'V 'V D~ 0 0 0 0 ~ ::J: 0 ::u ::u ~ m :;0 0 0 z :;0 0 0 ~i~~~~ m m "!1 m m m m ~ X z c 0 'V 0 en -t en .,,!!!:;o;u::u!!! m 0 0 'i C5 Z ~ ." -Z::J:X-Z ::u Z :x: ~ en m ~G)oo G) a: ~ m ::J 0 C ~ " CD -t 1'"".,,00 ;u ::j C :::! m ~ (5 -"'''' - , 0 Zcc Z ~ -t 0 Z j!:'V'V 9 m ~ (5 ~ lD 0 Z m ~ N "T1 '" 0 k> ~ ::J: ::u ~ m ~ 0 0 c 0 000000 ::u < 0 Ci)"''''o~ ~ en m ~ 5! z ::u >--0 m Z enRlRlil':G) R- > Ci) c'V'V'V~ 0 ~>>>c ~ < ,.. >ooz:;; ~ Z _mm-t_ ~ ~ 0 ::U"'::U I'"" i ~ !TI -t-- r- m enz z . ' -tj!: Ci) ~ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (,;- 'd [; r d-- 3/?/ /2"tC/J-/' -- I -i-';::t.. LEGAL DESCRIPTION (office use only) LOT ,/2 BLOCK ..> lv, l/r SoJT~ ADDITION 1. White File I PERMIT NO ?q 2 Pink City .fl) J ~ ~I 3. Yellow Applicant . V C7 _ ZONING (office use) I '. , t),/-...,..,J PID~- B '3~-tY1~- 0 OWNER I (Name) Cn f\: $ L'tILICl ,'\I f ~ Ie H(./,<.""" (Address) (Phone) ~~~~~)ER }01' W4 '1 (!, VI ~i)" H OM. ee J (Contact Name) (J rt.. H ) V 1''1 (Address) / t 22 b ~~ Av~ tt /1; TYPE OF WORK New Construction ODeck ~ireplace OLower Level Finish o Misc. (Phone) (Phone) '7s"C -Z?t,-J'1'S'/ OPorch ORe-Roofing ORe-Siding DAddition DAlteration OUtility Connection PROJECT COST IV ALUE (excluding land) $ "" (JDO- 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. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter ~~e~. ~. erty to~erform n ede.djnspections. {/ X =--===-..,..- ~ --== c ,1.-~c.J ~~ 20/ r :1 ?-....ry C. 2./- 0'2 - C ignature 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 $ $ $ $ $ $ $ $ 100 .0 0 00 -0-0 J6.SD .00 7-2-a3L Date Park Support Fee # $ MC # $ Water Meter Size 5/8" I'" $ Pressure Reducer $ Sewer/Water Connection Fee # $ Water Tower Fee # $ Builder's Deposit $ Other $ TOTAL DUE $ 3 ~ I Paid 1.?,31- '3 fl. ReceiP.tNf!!!-5-t/, . Date -1- ;;l'J- -0 J--. By {. _ 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 Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issue~d. . +~\ C A-r ^ Q ,jd:/}~~-c/~~ ?/S-- k? _,~J. ~~1VcUt"4: _ ( ~~IfB1.'\<' . L ,. '.' PI,"o;" Ok,,,", 0", '",d. Co,";,",_ ;f '"Y 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 lh{' ('{'nfer nf the l.akr CoUnll-)' White - Building Canary - Engineering Pink - Planning BUILDING PE'RMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT --'Jjor /)Jill/ UilGWrYJ ~ frieS APPLICATION RECEIVED 0- d5 --d- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 31 S:/ /7-tJ b {CL 1- -r r y Accepted Accepted With Corrections Denied ~ Reviewed By: e...; Comments: R~a& Cttl atf-~ Date: 7-.2-oc ~2~ "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." 8 White - Building Canary - Engineering Pink - Planning Th... C'f>n'r,. of Ih... r.ah ('ouRlr)" N DEPARTMENT CHE NAME OF APPLICANT APPLICATION RECEIVED : 1/' / , " lief!} I' I -'f i / -: ":,,t ,/ , jj>7 f"') /' ,-"-,, '" ......... The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: , '-. I t:;'l . f.. /,,", I' .,-f --7:,- <"'-" v L... '.. I.,... I L v Accepted c.----- Accepted With Corrections Denied Reviewed By: 7~ ~-r'~ Comments: ALAul~~~~~t~~; ~~~ ..~~ +-=->)~~~~~ ~ - ~ to-4~ k:L2 cl- g;:&wL, ~ -L- 2 ~ Date: 7 /,)- /D 7- "The issuance or granting of a permif 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- ("tnlft or thr I.."" Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERM'lT APPLICATION DEPARTMENT CHECKLIST :AMEOFAPPLlCANT -1jOY Wail -Our;fom 4-Dli'les I APPLICATION RECEIVED (0-;/5 -' d- The Building, Engineering, and Planning Departments have reviewed the building permit .__ application for construction activity which is'proposed at: 31:;:1 6-ob{ClT IV >< Accepted Accepted With Corrections Denied Reviewed By: ~ Date: Comments: See Reverse Side for Arlditionallnf.ormation! 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." METRO efry OF PRIOR LAKE' HEATING/AIU CONDITIONINGIIrlREPLACE PERMIT NO.218 P.1 Dn(e Rec'd C::;C::C::/-'M I, "Iok 2, a.~l ], Vdlo... ~!~ fFERMIT NO. <) ~ \.1 ~ I ^Jtflllc::,ml t) ~ \1:, ~ "0 ~ \- ZONING (I.,m,e us~) L1~GAL DESCRIPTION (olfiet': Use Dilly) LOT BLOCK ADDITION PID OWNE:R (N",mc) 'Y ty w Gty \\ D V'-J..> \ ,,\ 0 ~'''~,,~ , p.~ l. ~-~ (Phonc) \z \ ~ .lo ~,) .. \ ~ \.) '\ "31~ --- (Phone) ~ S ~),.. '-1 \.\ 1- ~ \~ tV r \ ().... \. ~ \ ll.. \" t\) (CII)') (Phone) 9'; ~ - ~\ ~ -,. s.s I ~\ (Alo1dress ABPLICANT '^ I ~ (1'lame) r\~~~) ''', - --L n (., (A~drC$s) \ ~ '\ ~J \.j ~\ lU ~ V '-- CAddn:ss) (O.,mlact PersQn) N (..~ V\ r..-'J- . So L-~ ~ \.. \ \.. AFlPLICANT SIGNATURE s,~ '~'-'d. (ZiPC~de) DATE . ~NEW CONSTRUCTION 0 REPLACEMEN1' o ALTERATIONS FU~NACE MAKE AND MODEL C C\""",r \" 1'l XA - \ ~ () - ~ 0 FU EL N '" -\- FLVE SIZE~ \I ~ RE1'URN OJ>ENINOS " INI)U'r ~:)() {) ~t) OU1"PUT \ \ ~ ~ ~t) TYPE OF SYSTEM HEAl'ING OR POWER PLANT , .~D.rm Air I'Ionl5 o Slcam PLEASE NOTE: o r.\lily o Hol WDl~r Ail" ConditiQner Units IiitMcchanlclll o R.adinliol1 Cannut Encruuch into ~Ait Condlliolling o Special Doviccs Required Side Yard IQVelll. System o Olher Dcvices Setbacks r1~EPLACE MAKE AND MODEL APPLICANT PLEASE COMPLETE BELOW FEE SCHEDULE lndllSlrial. Commercial & MuHi-I'amily I % of Job cost Residcnlial, Gas Fireplace $.1 9. 50 $39.50 minimum R.c~ldclll/al. Healing & NC (New Conslructlon) $99.50 Residcnlinl, Additions & Allcraliuns $:.19.50 Re~idential, Ilealing Only (New COlIstruelioll) $6'1.50 Residential, AC Only $39.50 J~sti,"l1led Cost S \ \) J C) ~() ~ DullcJing PC1111il f/ 0 [- 0511 lOI,ice tlu Only) l'his Applicatiun Bccomcs Your Building rerl11il Wilen ^IJpl'oyed HEA TINO PERMIT FEE STATE SURCHARGE TOTAL PXUMIT FEE $ $ $ Paid PAID WITH BUILDING PERMIT ~ , .' 6 lJullclln, omclRI Dille Dale Z4 hOllr notice for .11 in5"cctiun$ (952) 4417-9'50, f...Ii (952) 4017-4245 , BEATING/AIR CONDmONINGIFIREPLA~E. PERMIT, - 3/5/ bo ~=. ~-'I PERMlTNO',-~f9 J ] :+- ' \ tee.., ZONING (oflia,us~) LEGAL DESCRIPTION (office use onIy) LOT BLOCK ADDmON OWNER. <Name) 'i O~ ~c:...1 (Address) PID Co"", ~ t ' (Phone) ~U~n . _ eN.....) l .., D >' .. ... " 'D Ll , \ d ~ .- S <) ~I? \ '\ (P!x,lle) 76 3 _ 6> c; '1- '/66 3 (A""""") ) 3.'10::;- / :';'<.... .A ue'D V<:;' PI,) f11.QLlt h 5' 5 !)~d.. (Addn:tt) (city) (Zip Code!) (Comaa;Pe<soD) t~c~ (Phone) 7.. 3 -67<f - Y 613 APPl1CANTSlGNATURE_J-e- ~~-: -- DATE. //~.;) APPLICANT PLEAsE COMPLETE BELOW ~w CONSTRUCTION o RBPLAeEMBNT o ALTERATIONS FURNACE MAKE AND MODa FUEL FLUE SIZE , REllJRN O:PENlNGS ,INPUT ~ OUlJIUT '" .: . , TYPE OF SYS'I'EM BEAl1NG OR POWER PLANT . . " . OWann Air Plants o Stt:8m. '" PLEASE NOTE: OGravily o Hot Water Air Conditioner Units . , o MecJumicaJ o Radiation Cannot Encroach into ' OAk- Conditioning o Sps:ial Devices Required Side Yani OVcnt. Systan o ,qther Devices ~ Setbacks FIREPLACE MAKE AND MODEL :s U ?e. ~ ~ 0 ~ b. T tooo .' IndUStri41I. Commercial &. Multi-Family FEE SCHEDULE . 1 % of job cost, Residential, Gas Firc:pJacc S39.50 mjnim~ $99.50 Residential. Additions & Alterations $64.50 Residential, Ai:: Only $39.50 Residential. Heating &: Ale (New COftstn.Jction) Residential. Healing Only (New Consuuction) /000% $39,50 $39.50 Estimated Cost $ Building Permit # (om",,,, Un Only) HEATINGPE~TFEE ST A IE SURCHARGE TOTAL PERMIT FEE $ $ s .50 /&,1 , -"'-'1".," I Tbis AppUcafion Becomes Your BUilding Permit When Approved Paid Receipt No. Building Offiei_, D.ac Dllte By 24 hour notice for all inspections (952) 447-9850. fax (951) 447..4245 600~ !lddns SHHalIna SHH!n~ l880CSSC9l XVd 8T:TO 60/66/TT PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS slS\ ~d \Y' NATURE OF WORK -.NeW USE OF BUILDING ~'FD PERMIT NO. ()'t-' 0 M I DATE ISSUED 7 - ~ - CJ7- CONTRACTOR Y.,,,,, ~ 0~ r PHONE '7Q -;Ur.-3'I3<( NOTE: THIS IS NOT A PE MIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT FOOTING FOUNDATION (Prior to Backfill) PLACE NO CONCRETE UNTIL ABOVE HA ROUGH - INS DATE 7,-;)3 --~ B 1 O~ BEEN SIGNED SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I Sh>ccn<k:~ I ~/} --0 I FINALS GRADING (Prior to Sodding) L_ 7 ( v;:? BUILDING -,- b 8~ ,..oJ ELECTRICAL 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 bep~., approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850 .. ... ..... " . ..- CITY OF PRlOR LAKE Impervious Surface Calculations '. _ _ " , . {"~o, be :Submitt~ wtth ~,I:Ii1djng Pennit ,AppjjQdon)'. ., , , For All Properties Located in the Shore land District (3D). The Maximum Impervious Surfuce Coverage P~tted 1;: 30 Percent Property Address 3/5 / #oBC/IT M/lIL Lot Area /~ b23 Sq. Feet X 30% -.........,.,_. 4b&:,7 ........."*****................**...............**.."'.........M......... LENGTH WIDTH , SQ. FEET x = HOUSE ' ATrACHED GARAGE x x = I ," . . DETACHED ELDGS (GarageiShc:d) TOTAL PRINCIPLE STRUCTURE._M_.....__..... 2/tt, ~.. x , TOTAL DETACHED BUlLDINGS..........._.._...... ~VEW ~~A YEn 'AREAS (Driveway.paved or not) , (Sidewalk arking Areas)' (zt X 26) - 5z> = t7$ , . x' = z1-x ~ &?t <1- = #4 PAnOS~E~KS, (Open Dccb ~.. min. ,opening' between boards., with a perYiol!.! s!.:rfaCf: be!ow. are not considered 'to be, iz:tpcr:vi~us~, TOTAL P A YEn AREAS......................................... 774- . /Z.y x. ~ = t/, 6,) x x OTHER . . o. TOTAL D ECKs......__..~_._..._..___...._.._.._._.. . '. .. t/r &,) x = x. = , . TOTAL Il\trPERVIOUS SURFACE ~OVER. ' Prepared~y . . ~. ~ . Company 4L ;;~-M7 ~.' TOTAL OTHER......_.__._..._.___.._.___......... p,4 Phone #: 4,7. - S OOD