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SS/ ;L /1lN ODeck OPorch ORe-Roofing ORe-Siding DUtility 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 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 upon the property to perform eeded' spections. 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 00 ev 00.00 3'5. 'So .00 This Application Becomes Your Building Permit When Approved ~~~ Building Official /01>;).. /0 2.- I Dat~ o Fireplace DAddition o Alteration /0 -/() - 0 ::I...., Date $ $ $ $ $ $ $ $ $. 0.00 - /YSr Contractor's License No. Park Support Fee SAC # # TOTAL DUE /dPti.t.- ~~ ~ ~ ate 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 Water Meter Siz I' 1"; Pressure Reducer City SAC and WAC Water Tower Fee Builder's Deposit Other # # Paid 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 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 issued. p ~:r~ Planning Director Th(' ("('ntn or the Lake ("ountr}' White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT lL)~.)/}11[jy)"/VL/ APPLICATION RECEIVED J ()-/4 -0;)- -J-j 6-rruvo , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3 <j'73~ ICec;/~ / ;0ass / ' Accepted Accepted With Corrections Denied Reviewed By: Date: 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." ~~~ Tht' Crnlt'r of Ihe L.kt Counlr)' White - Building Canary - Engineering Pink - Planning 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 )<J , Accepted With Corrections Denied (~ . 1d~ ~~ Date: ItJ/~Az-- ( ~ 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." / White - Building Canary - Engineering Pink - Planning Th~ ('f'nlf'r of Ihf' (.ak" ("ouncry NAME OF APPLICANT BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST . I N~ Lj)//f14/m'~ IO-/L/-O;;- APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit applicatien for construction activity which is proposed at: 3 ~'l3.. kqu I Pa55 ~ Accepted Accepted With Corrections Denied Reviewed By: Comments: ;11113 S ~ <- /J14,'''1 F/( <- Date: (O-ZS-DZ- "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." · ""0Wf''''''.....'j:"......' "i',"<:"'";.,, " ~:i'~:.'" j . 'JI.; ~ ,',-'''';' --""'''( ':~"~'l!~ , . t~;'"!;;f';' ..'Y ~~"> . i.',; 'M.~~.,.~:~;;:'. ~t1ft:t)f, ~~,..'.,,"!. .~i:.,' _..~l*~.; . ~:,,'. -,"'" ~'~~."" ~:.::iJ}:~ 0""'*." . rlLll: ~l!IJ"'V . ,U ,.ur.....'.7 CO\.O . crr.. ,.".:UIl',' "".,,". \......'~.2H 1!J..-'., ~JI....IIJi"'} 1.1-t.II;-rI"l'!~'"'II"""l'~u.:....~t..-,~~~~,.. ~ C!~~ dF P~IOR LAKE S~W::R Allp WA'TER ?:::?~1'!' tlo. :;J.-/'/3,t NOT'C: Seve::: and Water contractors must be resis~~r~i \.Ji":.h the city_ ft. D D:R~S ~ : PEONE :6S)-'-I9-"'J~ OAT:::: , /7/0 ~ . , '~ ~ ~,; ~.:'f'~~ :. : 'E'i . - ~~ :?:?,~'!~':' oJ. !': CL IN TE::: SL::"N'":(::3 1. '. ~o .- f~et-, 3 . ,:t:s"ti;:o.a::.ec. ::'eng~n or wa,ter service . I i;jC~ (es). H ~1\^ ~ocation of any CO~Pli~~: f~om st~~~tu~e~feet. ,:,y:?e of se',yer :pipe, AES P'J~X Cas:: I:=on ,3c) ,2:, s ize o~ tJ2.::'er se~vice ' .4. o. ~$ti~eted lena~h J , I (i~ loc2.~ec of se......e:!:'" line f'eo~ a~ -1/J1=-feH :!:"equ ired.) , f::-0ffi' 6, C2.e~n out gt::.~.~c"Cu~e . , , '~~~==~~====~=~~~~~~~~~~~~~~=~~==~=~=~==~~~~=======~=====~~=~U~Q~~ .'..' , I " Tr-.::'s ak=p!. :Lea ticn b~comes I _'~~ ",,:-\1: .'; -:p,~~,=':=:'::::=-;'=;::;===::'::::::!::::'::::::::':C::::1~::::::l::::~::;"=~=d=;;';-==;:;::==~========::;:~-'::;l=:;;==;;;;.==::;;::;~:;:sg':;:%='=:::;::::'~=--.:l::U;;;L . (""''';1~''~; . If . I '"I'" ~ ';~ ' ~1~!..rr., , F~Z$ : S .'~~""~~~~:;l~' '.. ~ ~':j' . ,"':11) " ....:....."....~I~,.;(..t.....,., '* iI .........,.-...... I . ..,.,. ,. :,.;,It:., . ~~l . ,""..to ':}t. ~'I;f~il. ~~'R\f\" ~ou:=-,pe~:.t ....!~e:l a?proved. iJ~:r::: : J~.OOI , .50 ' J 5. SO ' Se.....er and tJa':.et' line connec~ion pe:-;nit. Surc:ha'!:"ge 10rtAL " ., rSS t>=:= eithe:!:"; se'./e:: ~ r.Jate:: i=-ic3..vic'..la~ly ~s S '. SO 5'..l~Cha:r:-g'f' _ . . -Se'..te:!:" ~nc vate;:-' pe:!:"::1l t~ .l5!;Uec. for net.J cons-:r-..lC~lOn :rr.\1st be :ec~:::dec. .oli, t::.j:! l::lu.!..ld~r1C? pe:::-mit ca::-;i et .the time of ~ssu2.nce .,,-0: l:1SUre t.~al-I no c.u~l'~cate se'.ie.::- ar.Q \.Jeter per:':llt:s line ~s.s:..::ec... '1 ' ~, .,,... ~_....,-f:1' I, - ".. . ~.~ t ,--" 52.0.00 p:;'us p,;l,":'=:?~~.: J ~,!or;:.I::' ~.~,::: D . 'R.:.'c::::?~ .J 1 R':::C/D 3.:' rAN ,.- .1, -~r' =:.J '\'" . I"'~ _..:."~ ~.~ - 9 Z003 ~ .- 1 J "'=';..; . . I ,.'.. ~ 1 By r'7," _,'. ,,_.._ .. . r t d 090 I ~ 8 I 9 ~ E "ON 0 C : 0 I '1 S 90 : 0 I EO" 8 0 'I 0 (J 3Nll WO'~j 11:Z2 FAX 6124474245 ~ITY OF PRIOR LA~E !llOOl I CITY D,F PRlOR:lAJ(E PLUMBnq.G }'Ero..11T D1~ Rec'cI ~. ~L ~~<.., I PERMIT NO~ --I L(3~~J, _.._~ I . ~ ZONING'_"";j (,u.JJ~M,9A!-pJ;!SCR1P'!lON (alJia UK ~) ..1'..", Of..,... ". .....,.. ~., '. . L0T f'BLOCK 'ADDITION MIIli'2J!:S"., , P'NNE.F:. .,', ~a~) ~\.c.x~ i- PlD [Fhone) 0S)-LfOc:' -WOO "Y\ ~ l'\ \ SS-J;1rz . (Phone) ~ J - 1fS)-- / Sl .EP~~ tV\N\ ~ 5S1 ;;2/ . (Cil)') (Zip Codt:y (.?hcne) ~~ J JfS;2 -15bS f / 03 ':JP/tE "I)'pe 0 t13rlil ,.l, ,> . . '.. .,. . . 'FEE SCHEDULE ~.~,I.~lllJ.~.~o'>:1mc.r:~jw &. Mulli-family l"/..ot)"b ~03{ with a JJ9..S0 mi'r.JllIUm "~'~,' ,. . ".--' ..."" . Estirn"red C'o.-. .. I ._............._, \ W ,... .jJ ~\'\'.1'., I ~~~~:~'i::, - PL0MBING P.ERMITFEE S '~r-:--="~'r. -r,. ST ~ IE' SURCHARGE S ~~~d"".<' TO~AL~T'''EE ~:~~~,':'j~"c'J'pllb'J,: I' . ,.... . "'"""'-- - 't.~f!~.~tiO~'~~,~meJ Your B~jJdb~~ f.,rmit Wb.~~~pr~'l'ed '<<:..SlCll:nli"J, Nc'Oi Onc: &. Two-Fatnd)' Re:3tdemi.l. Addltion$ &:. AJlenlltOIlS S99.50 S39.SO Buildill& Prnnit . 50 PA'O" , ~UdlD.' WITH . ... aNG pt=r:".~ ",.." a;;U"~t{~f~'~ U Pi/a $ ." " Da~ ,;1 .' ,..,,.1,,-." ,I', ",1; , ~~,ffl!\~... . .' . >>.4' , .f .:. , B Z4 ~:r >:oo~{ri'!".r .:II j~I~'4r~.~) ....;'-9~, e:. r r dO,] 0 I ~ 8 [ '] '; S '0 N 0 C : 0 I '18 '] 0 : 0 ISO ,80 'I 0 I a 3NJ ;~OBj CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd (P"'" type ..._ ond -;:., m) I ADDRESS J873 / ~: ~ Ei~icanl I PERMIT NO.;< - /Lf~~g-I ZONING (office use) /d-5~ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID # (phone) tP?/-0~-#6() (Address) APPLICANT I ~ (Name) ,f'-{ R~V/ r .~C (Address) ct(:?/ ,?J~/ ~1!!y (Addres ~?J/' / (Phone) ~ S-/--mt/-- 9gJg ~2Z (City) (Zip Code) (Contact Person) (Phone) DATE APPLICANT SIGNATURE APPLICANT PLEASE COMPLETE BELOW EW CONSTRUCTION FURNACE MAKE AND MODEL b/-.4L/c->;( FLUE SIZE J i / /VC.- RETURN OPENINGS TYPE OF SYSTEM DWarm Air Plants OGravity B'Mechanical ~ir Conditioning QVent. System o REPLACEMENT' 0:-Jb ~,:aS- b INPUT 7qy;(~ HEATING OR POWER PLANT o ALTERATIONS FUEL ~,/ OUTPUT '?:5)/"(::'X-::;J 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 FIREPLACE MAKE AND MODEL Industrial, Commercial & Multi-Family FEE SCHEDULE I % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 $64.50 $39.50 Residential. Heating & AJC (New Construction) Residential. Heating Only (New Construction) Residenti~l. Additions & Alterations '. Residential, AC Only $39.50 $39.50 Estimated Cost $ Building Permit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 Building Official Date -~' {' (Office Use Only) This Application Becomes Your Building Permit When Approved tNo. 24 hour notice for all inspections (952) 447-9850, 45 PRIOR LAKE INSPECTION RECORD SEt (V\AJ'l\) N Lb OePAtiTMENT OF BUILDING AND INSPECTION SITE ADDRESS 3B 7. 3 ~a...-l f~ N. c0 . N~UREOFWORK 05W ~sT~cl~~ USE OF BUILDING s.. ~ ~. PERMIT NO. .Jfi/~~ DATE ISSUED 16{2..11 (J "- CONTRACTOR L__~__~ KOW\-.l;:S PHONEb/2- 3b9-7~{L NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING I I FOUNDATION (Prior to Backfill) I I 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 COVER NO WORK UNTIL ABOVE HAS BEEN SIG ~ I FINALS {- 3o,,0'? '7 -('-(~O? GRADING (Prior to Sodding) BUILDING / - 2-'0 ELECTRICAL PLUMBING ;:>- 7 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 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