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e PRlp CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
(1
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE f Z Zc
1 9 AND UTILITY CONNECTION PERMIT
U j
4'spiE SCit° I. White File PERMIT NO .
2. Pink City / � t ill
3 Yellow Applicant ( r► � ,/(J
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(Please type or print and sign at bottom) ,
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ADDRESS ZONING (office use)
I 5 9 S0 F K,4-(l ∎�,,.1 - r�A � Ft io fZ L-7 , 1'1k N I Z
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID 25 /7' 00 /. 0
Ai OWNER 1
2..) / (Name) CT. M. , NQ �' 14 . . C6leID6&Ps-1lc 1°1 �J (Phone) . -.b -50°0
(Address) 1 `1 i5 b F 'K ke..-4....1►1 — 1"I1R•P1 < <_
BUILDER ,� I
(Company Name) & . !V O ,,,,_ t•..L ! _ a L• 4 r__. • , u. (Phone) 152— Z Z 2_{� - - 5 b °) 6
(Contact Name) ■ c ' t... (Phone) 6(2_ 8 6 0 -2°V:19
(Address) 1 1 5 D T= t,,1 k 4/1,1,1 -IK.ck 1
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re- Roofing [Me- Siding ['Lower Level Finish ❑ Fireplace
['Addition DAlteration ['Utility Connection
CODE: ❑I.R.C. B.C. ❑ Misc.
Type of Constructio : I II III IV t0' A PROJECT COST /VALUE $
Occupancy Group: A E F H I M R S U (excluding land)
Division: 1 2 3 4 5
/***\ 1 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 1 am the owner or authorized agent for the
above - mentioned property an. hat 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 ca revo,f this perm for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X L/ 4 ' // 11. /2o/ %%
Signature f Contractor's License No. D to
Permit Valuation Park Support Fee # $
Permit Fee $ tt1. - SAC5 /$r,N& � kv $
Plan Check Fee $ -l , 5-4- Water Meter Size 5/8 "; 1 "; $
State Surcharge $ Z 5-,.› Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $ \
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUELD r 3, 1 i ) $ VI 6.1 t
This Ap' ' tion Be Y 1, Building Permit When • .prov d Paid (j(,. 7 ci R tpt No. 6 rz) 7/
for p Date /. .3 ,- /L. B
� i w��► / 1 Z Z /(
Building Official a
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. .
/ /■ir= /77 c20 — / /
'lann;.� irector Date Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street Prior Lake, MN 55372
. � G i ,* -�-. ., ... .r ti w r ;;. ,.. . - -.-, a '+�,,., '., .... am, w- ° #oM�s+ - , r . fix^ u - +. t�fis. =�"` ;.,-, .
0 R173 ti x U White - Building
yj 'Cl Canary - Engineering
NNESO Pink - Planning °'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT A • L /01( 01( // /- `' &
APPLICATION RECEIVED I'. 2. C.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
// 5 / /
Accepted Accepted With Corrections
P p
Denied
Reviewed By: Date: — 2.2 —
Comments:
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: Ir
•
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"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."
t
t xy
White - Building
�, �P Canary - Engineering
LANES° Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT it
APPLICATION RECEIVED J2 - Z0. 1 1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed � O at:
m
F 5 /fife, /N /e.41 _.
9
Accepted Accepted With Corrections
Denied
Reviewed By: Date: Le 1
Comments: eer AT 6 i C r (j4 jrzz. /
14vittrE +Vele /? ,
"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."
H W PROP RENOVATIONAA 7634987260 p.2
Date itee'a
CITY OF PRIOR LAKE PLUMBING PERMIT
4 • 4 / 41 lz.
Fite /i.0
1. Blue Fk
Go:d Cap PERMIT NO. /
3. Yam gala W
Applicant
(Please type or print and sign at bottom)
ADDRESS I51 5 b flavRLyo T flL s ZONING Office
use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) • Gif1' )..N0,-)fh-to? (.4" r viiho ieN (Phone) O 5 630
(Address) 15150 re+Pi PKL:i
PY% Wu' Prg • i
APPLICANT
-(Name) ti.roe Ptie-4 Kew, vai 10A LL (Phone) 763 IM 7565
wrcrao lacrtvi
(Address)
11 P4 - SS A 1
(Address) (City) (Zip
Code)
(Contact Person) On \)1--. 14 . .55Z (Phone) 763 1 "-/ 57 705
APPLICANT SIGNATURE C aeA (.1Vw DATE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher .$i<mett.v.1( mo.ti Water Heater
Floor Drain Water Softener
Lavatory (Bathroom Sink) 1 ti h„,
Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks ktte.11eate haA5chcAck 1 1 Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) 10)e Other
phj
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% ofjob cost with a $49.50 minimum Residential, New One & Two-Family $149.50
Residential, Additions & Altelations $4930
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75, ''-'- Sia P Dreil-riJ
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Rro CITY QF PRIOR LAKE Date Rec'd
l' (-1:v
, ee ''' HEATING /AIR CONDITIONING /FIREPLACE PERMIT t liftiC
c/C6 W /Z 0602_,
4INNEse t, Pink F;ie PERMIT r:0.
3 . Green City , ��
j _.�_. l Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS • ZONING (office use)
►5 95() Frc•vi kii 4 Mai / 5E.
LEGAL DESCRIPTION (office use only)
_.OT BLOCK ADDITION PID
OWNER
(Name) UT M N O V i - 1 ViLp 0.Q it p 0 r a.f chi (Phone) 6 15 2- 2 2 (o -3Q q 0
(Address) 1 5 50 FVt h 1 Ti/al 1 SE pr,' a /-a.ke... 5 5 37 2
APPLICANT
(Name) 61a at t.i 1317) ea3 � 'Air d .z-tc:ty nj (Phone) c l52 - ?y -355)
(Address) ('I Lt). 9 2 44 St _60 .t . ¶5 L1 7-0
(Address) (City) (Zip Code)
(Contact Person) (4-tt A) a• eQxol (Phone) ' 5 2 -'g R -3552
APPLICANT SIGNATURE 4.4, ''C 1 , , DATE ' (
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ❑ REPLACEMENT 14 ALTERATIONS •
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
QWarm Air Plants ❑ Steam Gravity 0 Hot Water Units and Fireplaces Cannot Encroach
(] Mechanical ❑Radiation into Required Side Yard Setbacks.
R it Conditioning E] Special Devices Fireplaces with Box Add. :ions or
ent. System El Other Devices Cantilevers to the Outside of Buildings
" Require a Building Permit.
a A 1__J r ieS _fr .,. - Frtt.utkli e, o , ,.1111%t.; t� - i ` ffitserfs,
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, Addition:- & Alterations $49.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50
Estimated Cost $ 2,00 0. _ Building Permit #
The Minnesota Statutes § 32613.148
"St ;RCHARGE" has been changed for one
HEATING PERMIT FEE $ 4 1 , 9", 50 °ar effective
STATE SURCHARGE $ 5, --50 .1 lily 1, 20 10. until Juste 30, 2011.
TOTAL, PERMIT FEE $ 5 i_t, 5 0
The minimum surcharge for a "fixed fee" permit
(Office Use Only) is ti-, beginning .Iuly 1.2010
This pile ti ecomes Your Building Permit n Approved Paid . 5 - 0 Rece' No. 657
.
5 / / Date 8 By
Building O W' ate 1✓ 5 v /�
•
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
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Fig. 29
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o G _ 1 �. 2 min T 50
—L .......1 1 r 1- " 15 min
\ \\\\L
Surface mounted dispenser
Fig. 29(c)
• Toilet Paper Dispenser
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1065 455
le r--
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• floor co N x
space ‘t
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Fig. 28
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knee 8 min
clearance 205 min depth
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Fig. 31
Lavatory Clearances
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: clear
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Fig. 32
Clear Floor Space at Lavatories
.
PR I 0R L BUILDING AND INSPECTION
INSPECTION R
SITE ADDRESS (5i t,..„)
NATURE OF WORK `" -- Fi cs K.
USE OF BUILDING j G
PERMIT NO. /Z. 0002- DA E ISSUED
CONTRACTOR S 1) PHONE 6 (2.9�oc) � z et
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
1
Backfill) 1 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING Q /i
INSULATION w fl /0
ELECTRICAL
PLUMBING ) -
HEATING (if required) gf�- 4, /i9/ - =-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1 1
FINALS
BUILDING
'ELECTRICAL J. L t 3/ w
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