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Expires '`�� +i 11, This Certificate issued pursuant to the requirements of Sect 110 of the Li Residential / El International ;:: — Building Code certifying that at the time of issuance this structure was in compliance with the various ' ordinances of the City of Prior Lake regulating building construction or use For the following: ' l' i1f s - S1 5 1 (l ' Use Classification Bldg. Permit No � � ' U C.� ( ,, � �' 1 Occupancy Type — Type Construction Zoning District a - I + � Typ $ ; 1 ,, 7 6 / c '4 > Legal Description - - T Owner of Building l' C c- • Site Address l c C!�) J -our_' : ■ �u it Contractor's Name & Address E r (1 C (' . �< c�' ti OU V l `51 �— 1 j �r1 ♦' i(c L . t + IA r ( �'{' City Planner (10 yy �i li ( Building Official � r. Date: i i I r ' i I Date: (I:r 111 i POST IN CONSPICUOUS P PLACE ht `y : 4 V : . 1 � Q d,. ; . ,1 1 ' l Y i Il i. 'FAN - I r.l r: i r . . 9 lilhl . 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( ( l�iv a s° I. whim File 2. Pink City �Ov PERMIT NO 00/ '7, 3. Yellow Applicant I 1 (Please type or print and sign at bottom) ADDRESS ZONING (office use) Z9e' V)(4 .1 -T SuLTic 2_0o 2_t LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID 63 ° . oSS • 2— (N e0tAl C St.1.G a_C__ (Phone)g52 (Address) lq IJffr i&LT y gec2 4'z # 7D6 i eadev,swac e /l 441 .c&-30 6 BUILDER _ (Company Name) &IGi CO (Phone)gsZ�7D' � `�" (Contact Name) si/. tv't S Kl 2._ (Phone) ‘/7-- 36 3 - ILO 4 �C) (Address) 21/1 l T 6,"1 - 17 Rv ¢z 2,06 Ova UIzi. ,t-al 1 4s TYPE OF WORK ❑ New Construction ['Deck ['Porch :Me- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utility Connection CODE: DI.R.C. KI.B.C. ❑ Misc: Type of Construction: I III IV V A /a�� ` � Occupancy Group: A B® F HI MR S U PROJECT COST /VALUE # Division: 1 2 3 4 5 (excluding land) I hereby certi. i at I av:-` rnished is ormation 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 -me, oned p..pe If and that .i 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 .n revok i is . it for • . • cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed 'nspections. x 1 / E6'l2 i0 I . If Signature Contractor's License No. Date Pe ,`Valuation 4/f t 4-14-12a / Park Support Fee # $ Pe t Fee $ "� SAC 2_E Plan Check Fee '�� 2 +, � # � $ � �� ,. $ 46) r Water Meter Size 5/8 "; 1"; State Surcharge $ -� 7 Pressure Reducer $ Penalty $ Sewer /Water Connection Fee • # # 7 $ Plumbing Permit Fee $ Water Tower Fee J # Z $ zV Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE e littoo 113t 11; $ ' 0, 565 00 This ti �� Becomes Your'.Building Permit hen Ap roved Paid / 4 4 j - 0l I Receipt O L 6 d 4 0 4 Date Bui ding ifficial 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 Certj'ficate of Occupancy mu ft be issued. Ay uteri ✓r 5(5rte e. Wja WI / reek4ift yy a1 r e h Mann' '( 10 irector Date V Special Conditions, if any pisfv p • 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 - 4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 e 'S; " k „lel; '; 4 4 4 / r* r CITY OF PRIOR LAKE Date Rec'd ,�° i � HEATING /AIR CONDITIONING /FIREPLACE PERMIT 3 1( 1 E � :;-.; FIUG W (l. o oG3 islJNNEso, 1. Pink File 2 Green City PERMIT N 1 I -f r.../ / �A Z . 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) '2. ) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER \A_ \ �� �� (Name) Q N } (Phone) (Address) (> t )--- • ) t 1 S APPLICANT (Name) a , \ r`it - \ E < fir^\ 's --T (Phone) r 1 51 - z-- - s) 41 (Address) 1 -�C` \ ll &-L - A r0 V,/ Te lia INal_ . L..D■ > (Address) (City) (Zip Code) (Contact Person) INCl ' 1 '' (Phone) 6 1 , In ' ' ' ) i APPLICANT SIGNATURE 1 ;~-N DATE �/' 1 > 1 I APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT Warm Air Plants PLEASE NOTE: Air Conditioner ❑ Steam Units and Fireplaces Cannot Encroach Gravity El Hot Water into Required Side Yard Setbacks. Mechanical ❑ Radiation Air Conditioning ❑ Special Devices Fireplaces with Box Additions or ❑Vent. System El Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial, Commercial & Multi- Family 1% of job cost Residential, Gas Fireplace $49.50 $49.50 minimum Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50 Estimated Cost $ Building Permit # HEATING PERMIT FEE $ & 0 _ 0 0 STATE SURCHARGE $ .,5 CV TOTAL PERMIT FEE $ e, - Cr?: (Office Use Only) This Application Beco • • Your Building Permit When Approved Paid 55. 6 O Rece No. 62323 3/?Z ./1 / Date e t i . 1 / By Buildin¢ Officia Date , 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 P RI , 0 4 X4 Date Rec d • '.k e CITY OF PRIOR LAKE PLUMBING PERMIT INNESO�A f, i 1 1. 0 0 6. 3 I. slue File PERMIT NO. 4-1. z. cola City 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ‘ $ e 0 6o piN zr: /KIDS G 'r ZONING (office use) ADDhl LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Name) 1=F i (Phone) (Address),.?__Dc w d R,a yd APPLICANT / (Name) �e1(b& co P o r (Phone) (PS ( 9 55 C e (Address) 5 ))(c C1i O � ` ;:ln s ,scc ucOie� t3,1 s y76 7 (Address) (Cit (Zip Code) (Contact Person) --.&. s .r cL C e* (Phone) L. 5 I 955 '3g2 APPLICANT SIGNATURE ... IGNATURE / DATE ,DUI Ch C J / I APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough - ins Dishwasher 6 Water Heater Floor Drain Water Softener 7 Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) 1 Laundry Tray (1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly / Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler 2 Water Closet (Toilet) 2 Other piz iNs lci� Fp 0,0 TOr l N FEE SCHEDULE Industrial, Commercial & Multi - family 1% of job cost with a $49.50 minimum Residential, New One & Two - Family $149.50 Residential, Additions & Alterations $49.50 The Minnesota Statutes $ 32613.148 .. Est $ 6 SOLO Building Permit # "SURCHARGE" has been changed for one year effective PLUMBING PERMIT FEE $ • 5 o 0 July 1, 2010, until June 30, 2011. STATE SURCHARGE $ 5 0 6 .50' The minimum surcharge fora "fixed fee" permit TOTAL PERMIT FEE $ 9 0 , nD is 5i, beginning duly 1, 2010 This Ay. Iicati 1,1 l Bec : es Your Building Permi he Approved Paid a a , O 0 Receipt . 40 , Z A % - ._i ZZ // D a te � By Building Official Date 3 • 1 ' t . 24 hour notice for all inspections (952) 447-9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 *le • • 44‘ ' 4 4 , • * # 0 . • *A.\ - • t . • A. o PR CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd fl 'OR 7, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Qf' m AND UTILITY CONNECTION PERMIT A l i h (03 � A'iNNESOKr 1 Y`I -� 6 V I. white rile PERMI NO. 2. Pink City ' i ► ' a O 3. Yellow Applicant - (Please type or print and sign at bottom) ADDRESS 6880 Boudin Ave ZONING (office Prior Lake, MN 55372 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) __ _ (Phone) (Address) BUILDER Wellington Security Systems 612- 822 -4094 (Name) (Phone) (Contact Name) Laurie Rosener (Phone) 612- 822 -4094 (Address) 4 E. Diamond Lake Road - Minneapolis, MN 55419 TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace )=c]Addition ❑Alteration ['Utility Connection ❑ Misc. PROJECT COST /VALUE (excluding land) $ 1598.00 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 e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon th pr perty perf em eeded inspections. g / /`� TS00657 7 - 31 - 12 Signature Contractor's License No. Date Permit Valuation / � ®,00 Park Support Fee # $ Permit Fee $ / 46-1C SAC # $ Plan Check Fee $ . /G Water Meter Size 5 /S "; 1"; $ State Surcharge $ * 8 a Pressure Reducer $ Penalty $ City SAC and WAC # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fire.. e P/Be, rmit Fee $ TOTAL DUE $ 101.04 T :.. r a i . mes -Your Building Pe t i en Approved Paid Receipt No. [� 2 (� � � // Date 3 2{ �, By /� l I/ Bu' g Official Date • This is to certify that the request m 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. 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 0i = 3 pR �OR CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 3, j 5, t U , , tvi AND UTILITY CONNECTION PERMIT ' / � H I n 4'NN E501P. Pi V6 H. OOI W3 1. white File PERMIT N ! t 1 0 f 2. Pink City t ' 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) k1DS cool.) IA��cAsz,c,„ (0 ' S0 B 0 U D I Ni 57 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER G (Name) � �,S CSDO/UT . 7:: , AYC/a LE (Phone) I "O2, G. l) q3 (Address) 111 F=50 O2 A Z L - g / u s . /0 E . 1 O Z. L 4 k-e- 7I'1 & SS 3 ?& 3121mm C 7Rra► X - ri R-c. 7>1z.csr ...c. -r r o IQ (Name) `a kn.. /A c.. 1 /ILA PR- Te- c.7'CO /o LZAJ C.. (Phone) G3 • I/ S". yyyl _ (Contact Name) JA Idi /c.-k (Phone) X, • Y#.$'• 1 1 1 /W I** y (Address) I QQ 00 ?.S 21. . 1 04... Iv . ii /O8 lfl AiG . 4:,lZo u E f I3 SS5 eo q TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re -Siding OLower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utility Connection isc. Fla e,. p R.e) re.G Tk, kj PROJECT COST /VALUE (excluding land) $ 1, 'IOC) v - 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 -men s oned 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 ..' a ,' ilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon e property to perfo. 'f • . ed inspections. X A-` 6 - Do 8 ?v A 1 /-o i I Signature Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ �I w * O, 1 L SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1 "; $ State Surcharge $ Pressure Reducer $ Penalty $ City SAC and WAC # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ �J I Q. T.'s A.. ' , ti /Bec .mes Your Building Permit When Approved Paid 90 Rece' t No. at Date .3 . / r, li B Building cial 4/7 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. r / 6'40 L1QTi �`i/ Henn l Or.aJr? Planning Director Date ybecial Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 PRIOR LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS &2, Z � � �T � 7 `L- .." Z NATURE OF WORK ,v 'Vi �-/ ; i ( •, - USE OF BUILDING 1 , PERMIT NO. I r fa DATE ISSUED c" t= PHONE j/Z 3/03 i - i NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE Implimpr 1 lawitasetuawstamktis, 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS 41111~61111101111111111111111111W FRAMING _ � 1 N (41 % Q Moe 3/1 l� INSULATION ELECTRICAL PLUMBING < 71 ( 2 ) Ru-i ca 8 /,./ HEATING (if required) COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS ammitsfeworwaissw BUILDING PA `t l�`► _ 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 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