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Or , CITY OF PRIOR LAKE
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- F inal Permitted ❑ Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the ❑ Residential / ❑ Internat ,v ,1,
Building Code certifying that at the time of issuance this structure was in compliance with the various � ��N
ordinances of the City of Prior Lake regulating building construction or use. For the following:
Use Classificat -6 11,1 c7 Lt 4 - 6 n 0 ' t 1dg. Permit No.
Type Construction V l7
Occupancy Type yP Zoning District 0
Legal Description t
�`� Site Address
Owner of Building E-4:::3,;„
Contras 's e /i de -ss V " 7 - W'# (N __ ; )
1 //� ;,, City Planners 11 , )
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�/ Date: E� >�;l
� ti Date: 1----
` t ' .. �, �:- POST IN CONSPICUOUS PLACE
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
EANs-, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
livN E S °'S
fee Main Fi c,ty PERMIT NO. Z
w Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
3b13 STA T s oN) P c -Ace - Nk.%) Pu-s D
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID 1,CI 43 . 01 (4 • G
OWNER
(Name) (Phone)
(Address)
(Company Name) I J c . (Phone) 15 96S - S9 5 9
(Co 1� �TZ-lA'FF �6h�� S P hone) q
(Contact Name) 3 o^i LAIN SENIFIle T 2— (Phone) ( IS 2- -9 6S 41 7 l
(Address) 2-1 &2E i' i A Awe , 5 v11 T. 1 f LAK i cA, ,, P'1 N' s SO14
TYPE OF WORK XNew Construction ['Deck ['Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
['Addition ['Alteration ['Utility Connection
CODE: I.R.C. ❑I.B.C. ❑ Misc:
Type of Construction: I II III IV V A B
Occupancy Group: A B E F II 6 M R S U PROJECT COST /VALUE $ 1 2 01 o Do
Division: 1 2 4 5 (excluding land)
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 -m ioned pr e 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 revoke i pe use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed ins it
X nf✓l gC f 8!� 307 V7��6 � !Z
Signature Contractor's License No Date
Permit Valuation I S3 O 00, — Park Support Fee # $
Permit Fee $ t : i SAC # $ z; 4,35. —
Plan Check Fee $ e ll- 45 Water Meter Size ea"; I"; $ i t —
State Surcharge $ . �, o Pressure Reducer $ ? a.
Penalty $ Sewer /Water Connection Fee # $ ( 5a).
Plumbing Permit Fee $ 6 ;o Water Tower Fee # $ - OW.
Mechanical Permit Fee $ t � ''� Builder's Depos $
Sewer & Water Permit Fee $ St) -5-- Other $
Gas Fireplace Permit Fee $ c r io TOTAL DUE $ 17 z 4 4g
Q This ica ion Be %� es our�uilding Permit When .prove Paid 7 72 ' ' : e
Rec pt No. 66 `�
Date ,. / �._— B y /
uilding Official ► at
This is to certi., that the res est in the above application and accompanying ..cum- is is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed • the C P . er c. stitutes a temporary Certificate of Zorn. • coin lance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. /
7
Planning D or Date Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
(to.. • lat641
08/08/2012 16:58 6514637835 FARf*IINTON PLUMING @H PAGE 02/1,0
PRIG Date Reed
,,..1
h „�, { CITY OF PRIOR LAKE PLUM - RINt x PERMIT lit
A
�'rnnv�, _ E. eege r PERMIT NO. !UM
t Vern. :�E;
t. YeElr.� yppllcar[
29e C er riat andsign at bottom) . . , . , _ ...._— •
ADDRESS ZONING office arc)
LEGAL DESC]tIrr'.ION (ottice use ally) --°
LOT BLOCK ADDITION - ._ -- . PiD
( (lam e ) __,..01...23 Its. it 43 IAA CS. (Phone) 3 ,' q Pas ~ q
(mss) Z t , 4.$ . r. c cx... ve..,. _ .. .
.APPLICANT __.....
(Name) r crrl ' —" ' k . (Phan(: 661 4 (rz3L-._.:78a4-
(Address) .a.,, ut L e 'p a r_vD P y , !. art r rV .,, 5S 0:A9,___
(Addre, t (City 1 (Z Code) .
(Contact Person) NJ t vv1 . �_ ,( . ...�.� __,-___ (Phone; t ' �142:3— s (e 9
APPLICANNT SIGNATURE `- ." ` � " ‘, _. 1 >ATE ....__S,3 . 1 1 —
APPLICANT PLEASE COMPL TZ 131( LOW _
• uanti T e or Fixture • mot. Type of Future
Rata Tub with or without shower Rough -ins
-- Dishwasher �1 rater Heater
1 Floor. Draht '? rater Softener
3 Lavatory (Bathroom Sink) 1 li h.nd Pipe (Washing Machine)
I...aun Tray (1 or 2 compartment sink 'i:wa a Ejector
• j Sho w d_ty er Stall �_ F? ackftow Assembly
----- - Sinks I? ackllow Assembly Test ..... _
Bar Sink _ 1. awn. Sprinkler
3 I Water Closet (Toilet) ): Bier _..
FEE SCHEDULE
Industrial Commercial & Multi- family I% of jot+ cost with a 549.50 minimum Resid x dal, New On & Talcs- Family S 149.50
Residti 1is1,.AdditionsdoAlt r ttoins $49.50
The ltilinnto c Statutes ¢ 3261/148 . - 1st Building Permit I' _
"SURCHARM" has- been changed N. one 3
Year affective PLUI MG PERMIT FEE _ -- 11 �A'� �/
July 1, 2010. t,ntil,Inne 30.2011. STATE SURCHARGE $ 54 LI�I ► r- Fj * �
The minimum surcharge far a "fixed fie'` permit TOTAL PE.RM1T FEE $ ..
ii, At Waning July 1, 7010 ^-^^—
• This Appiieskttan Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Building otAidal Dntc .
24 boor notice for std inspections (952) 447.9850, fox (5!:) 447 -4245
4646 Dakota Street S.E., Prior Lake, MlaneuOta ;5372
•
PRIOR LAKE BUIL DEPARTMENT OF AND INSPECTION
ain.File
INSPECTI � N RE C dIi
SITE ADDRESS - 3 act3 _. -t-Art c-� 0 w lO
NATURE OF WORK sr --A 1I. ran-. - P t
USE OF BUILDING tom NI IL-1 /4 •+-�
PERMIT NO. 12- - �l "( - 7- DATE ISSUED 7 ''3v / z
. CONTRACTOR R /NG PHONE 952 -` - 41i
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
� N . ` S �'� THE PER IT IS BY SEPARATE ` DO UMENT, A
5 , i)N `it 1. t ry {N �x} Ii." s E OR DATE
I FOOTING 1 I
I FOUNDATION (Prior to Backfill) 1 I
in PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
Ik.,^.1 ROUGH - INS
SEWER /WATER / SEPTIC
FRAMING r a to /
INSULATION 6 /® /d frz
ELECTRICAL
i
PLUMBING U 6 ,::97,/ ,' 0 '2 Hof i -
HEATING (if required) Id FIREPLACE fi3 �/ f �z
AS LINE p117 TEST /k PA izbA
P-AV" I- ""t i
Pl COV R ==� jj F.,(
'�� ��NO WORK UNTIL` A OVE HAS BEEN SIGNED
oo a +(Iv l LA I
FINAL50
GRADING (Prior to Sodding) I k // 1 /?,
BUILDING - k lA z/� J3
ELECTRICAL ,ii
PLUMBING r.1. JStr;
HEATING I 3
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 . .