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"tl ~ ::t 0 ::0 >::t m ::0 0 000000 tt'\ Z ::0 0 ~ m m m !:"tlcn~!:"tl >< z m mr~>mr -f c OC -IOC en ~ ~ z 0 "tl ::I:!: m::I:!: " 0 en ~ en == m .,,~::o::o::o~ m 0 0 <:> ~ " ::J 0 ZZ::I:::I:-Z ::0 Z ::t ::! m (1) -I >C)OO C) ;: -f m :::t <5 ." 0 () r~~~ ~ =i ?J c E -I 0 Z C 0 a. OJ Zcc Z r ~"" 9 m z :-! m 0 ~ ." "" 0 ~ ~ ::I: ::0 m ~ 0 0 C 0 ~ ::0 < 000000 en m ~ Z ::0 C)"''''om 0 Z )0- > >;o;oO~ -i Ro C) ~mm!:C) m 0 ~ < -"""~ > tii>>>c ~ z 0 >ooz:;; ""'! !TI _mm-l_ -i ~ ::0"'::0 r -1-_ r i enZ z m -I~ C) CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT White Pink Yellow File City Applicant PERMIT NO. oe. 0 ICl4Sl ~c. LEGAL DESCRIPTION (office use only) LOT ');l BLOCK 3 ADDITION 5 ~c............ e,.. ":th.. ~ OWNER (Name) (Address) BUILDER (Company Name) 10 \\ ~"o~l1." "t..,.)C- (Contact Name) -;>'" .. \ \) : ~... .' ""Q.. . Date Rec' d II. z,5:00 ZONING (office use) Rr PID!5. 44-0. 0 U.o (Phone) (Phone) 6.&\\ (IS' ,.sr- "SIt:> (Phone)~"u, 7(.."3 I.4QCl- 88<70 (Address) 14 c, s'-c! .,t TYPE OF WORK !2g New Construction ODeck OPorch ORe-Roofing ORe,Siding OLower Level Finish ~ Fireplace DAdditlOn DAlteration o Utility ConnectIOn CODE: IXII.R.c. DI.B.C. o Mise. Type of Constmction: I II III IV V A B PROJECT COST /V ALUE $ .;JOO, 000. <!Ill Occupancy Group: A B E F H I M R S U (excluding land) Division: I 2 3 4 5 I hereby certify that I have furOlshed lOformation on thiS application which is to the best of my knowledge true and correct. I also cerlify that I am the owner or authOrized agent for the above-mentIOned property and that all construction wlll conform to all existmg state and local laws and will proceed 10 accordance with submilted plans I am aware that the buildlOg official can revoke tlus permit for Just cause Furthermore, I hereby agree that the City official or a deSIgnee may enter upon the propeny to perform needed mspectlllns, I~ IZrtL. Signature x ':;>0>'" ~ "3 ClCI:2 Contractor's License No, 1I'~o-O& Date Permit Valuation Z Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8" $ ,.. State Surcharge $ Pressure Reducer $ - Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee I $ Other $ $ TOTAL DUE I. 9 $ I Paid <~%r;;,1~1 Receipt No, J~/77 Date By Date ur notice for all inspections (952) 447-9850. fax (952) 447-4245 4646 Dakota Street Prior Lake, MN 55372 Special Conditions, if any 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: , f Accepted ,- Accepted With Corrections Denied I " ,~,' j, / '(,.-' , " ..~ ..t'~ ' / Reviewed By: '--- Date: /1 ~/ "'"-. Comments: !-~.;~~) (~'';~ ....>~ ;;', 'J'" Ot Olu"."-".c, c lQ S C' '-"1.4'1.;1" ~b '.?' , ~h "'I",-~i' , ,f(" "", '4J.d1ot ];;11. '\lA vtUe.l.'" ,;i / " ,",,~ e;ro .' it;,(c(' "~'" _ ',.:cj" "'" .....,7 a.Cl1 Iht b 'l.LJ::L::"...{, ,,~" ,L ~~ ,'::? -"',:-l C't _ ~ --.q O..utn, _.- '-" _t 11'->1, i._:)(~,;~~]..~" n l ~qu.t~f~'<' ........', 'j-~:;iJ ' '-' "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 NAME OF APPLICANT BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST lOLL ER.u-s. t NC~. II. 25: OS APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I (c 4--8 I Sf\ q 5 v'/ A Y Accepted ~' Accepted With Corrections Denied Reviewed By: IW16 Date: /)-~ -t:; g Comments: See Reverse Side for Additional Information! See Attachments: l)'Gr~dingPlanr 2) Erosion Control MeaSllTe~ liThe 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. II White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED JO~L BR-o.5. ~('~I II. 2.~. OS The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1G?4-8/ sAgS WAY Accepted /" Denied ,2-;: ;:6 C~ Reviewed By: 4-- "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." Jan. 7. 2009 3:30PM Wenzel-PIY'11cuth No. 1549 P. 1 CITY OF PRIOR LAKE SEWER AND WATER PERMIT Dafe Rec'd /.l3. Of I. c,.,. t1.1. ~ERMIT NO 8-!/!L1 ~, Yo/lOW C'IJ . ), Cold .."11.... ZONING (olllcc we) LEGAL DBSCRJPTION (oOlct use ollly) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) (AddtcJr) (CflY) (ZIp cooBl (Contact Person) (Phone) DATE APPLICANT PLEASE COMPLETE BELOW Size of water service 1 inches. Location of any couplings from structu11-=lJJO feet. Type of sewer pipe. 0 ABC IWVC 0 Cast Iron Estimated length of sewer line ...laD..- feet Clean out (ifrequired) located at feet from structure. FEE SCHEDULE Residenlial3ewer and water line connection $35.50 Indu5trlaJ. Com') & Mulli.famlIy 1% of Job cost with a $39.50 mInimum Sewer connection only ~17.50 Water conneo/ion only $17.50 Estimated Cost $' Building Permit # SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ PAID WITH S&iLDiNG PERMIT comee Un Only) Thil Application Becomes Your Building Permit When Approved Building Officl.1 J)Br~ J CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'd Z ..Irol f)-II' 01 1, Pink File 2, Green City J Yellow Applicant PERMIT N ADDRESS , JbL;g) 'S1J&e !J4t tJl/J LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID APPLICANT SIGNATURE (Phone) tSI- 3bS" () 5S/ OWNER (Name) (Address) (Contact Person) (Phone) bl:;' ~:J~'bf{;1 -SL\j (City) (Zip Code) (Phone) hi;} fgS-, 6'(61 DAlE/~ ./)75.. tt> r I APPLICANT (Name) (Address) APPLICANT PLEASE COMPLETE BELOW EW CONS~CTION 0 REPLACEMENT 0 AL TERA TIO~S I..J FURNACE MA_K~ AlJP MODEL "/1(IlJe - -rue )/)tJ~ FUEL I\.IY(~ FLUE SIZE :$ (tJ!.L-- RETURN OPENINGS -1\ INPUT / iJ ~t51JZJ OUTPUT ~ tJtJV TYPE OF SYSTEM REA TING OR POWER PLANT ~arm Air Plants 0 Steam ~av y 0 Hot Water c~anical 0 Radiation ir Conditioning 0 Special Devices OVent. System 00therDevices (JAPI'hb"L<..- y~\ ~{" ~l PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL 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 # PAID WITH BUILDiNG PERMIT .50 HEATING PERMIT FEE $ STATE SURCHARGE $ TOT AL PERMIT FEE $ ---' (Office Use Only) Date ~ DatZ. I y, () 1 Rec~ By 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 PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS fto 4- 5 e uLJA NATUREOFWORK S(~b~ ~I... 06c..~,PGllU- F-/N.L..\... USE OF BUILDING ~ SFe> . PERMIT NO. ~ DATE ISSUED lZ./l./O& CONTRACTOR .:r~~t- -e>~t:'~ (~c.. PHONE CQ$I - "'1SS ""'510 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE FOOTING we- FOUNDATION (Prior to Backfill) R. < PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING W C INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST ~<aQ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED Ho.,) s6- ~ ux:.. 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