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Building Permit 12.404
0 J W J re F- ~=- Q cc Z t K g 3 5 55V > a .p a an.� p W co z < W c v UJ O IT 10 2 Z � 00000 0 o `+ _ C) o W x L N c J W L Z sn t� W O » < CO c O LC r 2 8 x o p u J 0 U 0 4 X v O w z_x = 0 c a to 0 a mxw� a 2 a 70)f- j 0 .. O O z ►- O a W W W G 00000 0 ,., 8 8 O Z W O. a I.I. J aq YV ` J ' I 0 U 0 r 0 O g Cr' 0 � / � ceO f Z Z a U/) 1 g ' 1 , °' d 0 z _' 0 O Wa Z < < al 3 w a.r. co Z ~Z 5 JZ < - s w N la a Q a Ce CC OW Z ILI W Z 00 E O O t5 0 V tail 0 g 0 u. u. u. = — co c1= < 0 a ❑❑0❑ 0 0 0 1. 0 0 ❑ ❑ 5 z _ 0 _1 w _ W z OC u. re W E ZV V z t 2555W 113 < 4 o 0��0 a Z 000000 .' W re M W = .1 CI N z \ W u. Z O W Z a t M Z p Y p Y Z Z 0 p a; st Ili G mi d F 2 000< _ O 0 Z Z fr Z —XXX= 'i 0 N W `7 r. U Z �� W 8 N O 1 U 0 ui �p OC CC m a Z 0 a � < � -4 ■ 0 z x p a S 3 N 0. a W W z W k. Qk, 00000❑ 1 Oa' o O W z n a a a . p 0 W W v 0 < < O O �] 5 ` 0 < co W z 0 Z 0 1— — F" n W -a 0 , z (7 d Z \1 L < 0 0 m O O < Z N O y W W _ W df N � ' Z pZ z m,j_ z 11.1 2 • i� �' o: L J O U. O W W W Z 80 a imgm. 0 0 0 U V N 0 s O LL Y U. U. U) Q 3 U 0 I. UZ 4 0 a ❑ ❑ ❑ ❑�❑ 0 r4 ❑ ❑ -` i ' p R I04) CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec . TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 5 /1 / Z " ,: tr., AND UTILITY CONNECTION PERMIT j NNEso 1. White File 2. Pink City PERMIT NO. t Z 4(4_ _ 3. Yellow Applicant �/ (Please type or print and sign at bottom) ADDRESS /5y35" ZONING (office use) /93 F74NkC,7g` P ,e 1-,er LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID 2 S - Y3 a - Z. - o ame Af"A./ Apt/ P 4:e"..(4/A-- 0/4-Fr (Phone) / ° / -7 77 (Address) 1741J 4 /? De j ' - .. d . 4 /xe`�PEE MA/ BUILDER �� / 95-2- (5°4411) (Company Name) / 5 Z * 7 4 `-� L (Phone) "" 2 - 3 -5 � 7 (Contact Name) / e ; / v / e ` F / ' (Phone) 6 / 2 - - - 2 - 7 1 — 7 0 7 7 (Address) / 744 ev .I /Z 2Z-4 , �� '%`' / ,44,V TYPE OF WORK ❑ i � y New Constriction beck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace �._tAddition teration ❑Utility Connection CODE: giLR.C. ❑I.B.C. r ❑ Misc: Type of Construction: I II III IV 51 A B Occupancy Group: A B E F H I M XI S U PROJECT COST /VALUE $ Division: 2 © 4 5 (excluding land) f I hereby certify • t I ave furnished info , do on this app 1, tion 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 . • • ;. and that all cont. ion will con . to all existing state and Local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke r permit for just cause ermore, I •y agree that the city o ctal or a designee may enter upon the property to perform needed inspections. x /\a b32 -884 5 Si re Contractor's License No. Date Permit Valuation l p ®D©,. - Park Support Fee # $ Permit Fee $ le( t 4-0 SAC # $ .9- Plan Check Fee $ / Z d fi Water Meter Size 5/8 "; 1 "; $ . State Surcharge $ 5 -, Pressure Reducer $ `O'' Penalty $ Sewer /Water Connection Fee # $ '19"` Plumbing Permit Fee $ 5 5 © Water Tower Fee # $ __,o,--, � Mechanical Permit Fee $ `1 5-0 Builder's Deposit $ Sewer & Water Permit Fee $ "j Other $ Gas Fireplace Permit Fee $ TOTAL DUE i( + $ 4 1e) This App Lion : • i t r s Your Building Permit i i A , , roved Paid Receipt No. a l 41,1 . , Date By, Building O " '7:7 _ 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 P er co s i to -s a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. ly / . ,...5 - 02/ - 42 Plannin _ II 'rector Date Special Conditions, if any eiC : 't ��,,.� y ` ,kq"4440#40*4044Pro�hF`'`3P.`6^Y e . ,._ r-'47i '7b'.. 4 .r`:.. n r , . co . PRIp. ti x White - Building Canary - Engineering �INNES2 Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT l // / �. d 4 - C t- t APPLICATION RECEIVED '' /1.# / '" The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: k ciii 7 t ' "/ - ivi 1 J /7 -/l 1 L. --- 1 Accepted X Accepted With Corrections Denied Reviewed By: b",7" Date: 2 l l02 Comments: - ", .) t 1 1 I k �... "The issuan or ' s - i ing of a pet , pernt or approval of plans, specifications and computatio _ shall t be`copstr o be a permit for, or an approval of, any violation of any of the rovisions 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." of PRIp4, H l �z 0 tr1 White - Building �� Canary - Engineering NNESO Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 1 A-/ 1<.. /2 Fr APPLICATION RECEIVED • 14 j Z The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /5737 f it . Accepted 1/ Accepted With Corrections Denied Reviewed By: Date: (2 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." 0711612012 0928 1�A)0 P.001 • I ?R10 CITY OF PRIOR LAKE Date Reed i SEATING /AIR CONDITIONING/FIREPLACE PERMIT Pi v ° a: a I PERMIT NO. /2 -Oil 0 1. Y.far 1.a (Pinola type or mkt and dam etbottem) A D D R E S S 1 5'1 t o . ( ) '- t E ZON G (Maxine) l - LEGAX. DESC PTION (oaks vac osty) -- • LOT BLOCK ADDPTION P]D OWPIIM (Name) qtr . a4 ■ , tit . - a. (Phone) a�- 'Z t? ' APPLICANT (Name ` 1 f' ►t '!t' oz t 1 ., 4 .. (hone) . I — . • '+ ' 3 r (Address) i �.y r. • r 4 '�' ft; (Addta) (•. ,+!' {z , Conde) (Contact Person) h 7 ,) g ) C00 /1I —1?.O7 ; APPLICANT SrONATUU v4-- DATE .- . APPLIC P L : COMPLETE BELOW >r a CONSTRUCTION ■ REPLACEMENT LTERATIONS • FURNACE MAKE AND MODEL FUEL FLUB SIZE - _ RETURN URN OPENINGS INPUT OUTPUT . TYPE OF SYSTEM BEATING OR POWERPLANT pig NOTE: Air Conditioner Air Plants Steam Units and Firepiaaes Cannot Encroach [arm Pity Hot Water Into► itequ h ad Side Yard Setbacks. eobagiaal Radiation Fireplaces with Boat Additions or Byname ® 0e. 2yEa Cantilevers to the Oslside of Beildhigs . Require a attildiag Permit. . FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial, Commercial & Mtelti•Family 1% of job cost Residential, Ciag F`tkeplsae p t p, s V .s49.50 ' $49.50 minimum ir"i'11V Residential. Mang & ABC (New contraction) $149.50 Residential, Addf tiaaa itattlitcrYNG PER RI Residential, Heating Only (New Conettuction) *64.50 Residential, AC Only . . Estimated Coat $ Building Permit # The Mit Statutes ii 3260.148 BEATING PERMIT PCB , "SURCHARGE' has been changed rot oat year rltioctiva STATE SURCHARGE $ .50 July 1, 2010. until Jane 30. 201 L TOTAL PERMIT PE $ The miaire m *enlarge or s Mcd tae* permit (Wm Ike 01110 is S$ beginning Js1y 1.2010 This Application Becomes Your Banding Permit When Approved Paid Receipt No. Date Unidnut Mehl bats _ I 24 hour Donee for sH inspectioas p52) 4474850, tax (952) 447 1S . 4646 Dakota Street S.B., Prior Lek*„ Minnesota 511372 ...._... nor ..._......... ......_...._..... wow* n.•Pow.... ...,.._._ _...�..,........................................................• .., .,,%.,.......,...... ._.............�.M�.... .... .,...W...,_..�._......W,. pRI CITY OF PRIOR LAKE Date Rec'd ° _ =��F HEATING /AIR CONDITIONING/FIREPLACE PERMIT a t l‘P. 12.. dtj/..so t- I. i File PERMIT NO. A 2. Great City • 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS 15 9 V1k.Q¢ n - v- 1 5 E ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Name) h her 1 '' 5OnJq KT (Phone) 959 e9 33- 673 `8 (Address) I7L iT Ithveker 9rte 5, 54I ._ 667 APPLICANT 't , _- f , _ 0 17 t (Name) �D�1°�(LV" ��C �� (Phone) (Address) ) , it 0 ' 4 n S , w 2 37 (Address) (Cit (Zip Code) (Contact Person) bll h S Z) t1 (Phone) COO '1 — ) APPLICANT SIGNATURE , _ ' r`�7 � DATE 7— /I- J APPLICANT PLEASE COMPLETE BELOW ANEW CONSTRUCTION ❑ REPLACEMENT ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT . PLEASE NOTE: Air Conditioner ❑Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach ['Gravity ❑ Hot Water into Required Side Yard Setbacks. ❑ Mechanical ❑ Radiation DAir Conditioning ❑ Special Devices � Fireplaces with Box Additions or :Vent. System ® Other Devices { � r4,, Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial, Commercial & Multi - Family I% 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 Estimated Cost $ Building Permit # Th Ini csota Stain es § 32 .148 HEATING PERMIT FEE $ " ' %RC:I IARGii" has bee. an for one STATE SURCHARGE $ .50 1 • I, 114 til 4•40, 2011. TOTAL PERMIT FEE $ TVli _ 'e ro a " IN it (Office Use Only) is ,K+, ,inning . y 1.2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Building Official Date , 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 qt. 'urn 4 I • . *, • 14** PRIp Date Rec'd 041 CITY OF PRIOR LAKE PLUMBING PERMIT , f $ , 1Z-- v Blue d City Fite PERMIT NO. 7_ 2 . Gol 3. 1 / Yellow Applicant LI .. I t and sign at bottom) ADDRES ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID O 41=1, 11 eiik fr r t1'Fi (Phone) (Address) APPLICANT lame) g a wt 4 i ►rl L L hone) 91 2 37 - Otir ddress mac, 4-1 U c„) 14: � ,a.e , (/ o ((c y C a ✓ u- f.e. 114 je 5'1 3 7 ■-_______ (Address) (City) (Zip Code) • ntact Persgi 613 A • ek / 6 Y rt (Phone) 9-6 Z3 7- 0 1 /S .i ICANT SIGNATU' / L A. —AL 4-19 Z_ APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough -ins Dishwasher Water Heater Floor Drain Water Softener Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet (Toilet) Other 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 t $ Building Permit # The Minnesota Statutes § 326B.148 "SURCHARGE" has been extended PLUMBING PERMIT FEE $ Pi\ 6 D .V_,.' until June 30, 2013, STATE SURCHARGE $ .50 U j The f minimum surcharge for a TOTAL PERMIT FEE $ 3 V l L.D "fixed fee" permit is $ This Appli , • . ∎ • I , omes Your,�uilding Permit W • � en Ap • , oved Paid Receipt No. A V 4 1 2 ( Date By e : ' is Date hour . otice for all inspections (952) 447 -9850, fax (952) 447 -4245 1. Dakota Street S.E., Prior Lake, Minnesota 55372 .,, _ :.. v . .'; , AMENDED EXHIBIT A it - 6/01. ANT , ` j 0 A „ . 072776 IAN. 9 3579 #`'y � / "I' i iig - - = - °, `` '''.e.. 6 "G /.P v Tolt 44 , �, tr r467111:27 / � ~ � . �X alne� /37,10 ,G 6434. 5� r +I u ouT m ' :1 . �'1 �, 4 +_ ® 10.00 044 4 ) 1 k 6 apla = eo. 4. i•00139. -1 1 Nc 446.5 .. k \ ., • • 1 446. ' o f7 ' ; ? { N i 1 64.1 1 946 .6 � . N w , • i # t , O C:.P�- • I T ":.: 14 a.. I \ .`'. i 3 .M 1 LE►.M oa�T D • z N `I t o wls-- P , KZ o • 4) n a C N , 1 • L f � OLl Q S F • N 2 _ N / ?. . M Y) i +� (949.4+) SM. 39.2 N. Z I 1 . I -19s) x '-- -- , O 1 r 1 _ ' 1 6 9 • fB.bjx �io9ob C 449,0) a. .. cC = 09.46.2•) ' Io.DG ete It .,i5 >- I c { m � 40 ei5 Fool 5ere,s.� • . 2 r 1 Ltr./ E (FRG" ct) Z . i I r r LIpT. ega 6obsirr fig Q :3 R 41 - Q f94�7 + 5 V e944°� , u v v o _/ ; \ -T�E5• �l ....... ae \c:13 , ...,. .4_ . Q ' f` / 1 \�� N to/AY R erPwf7V' • i I ! L j a •B! LtN � R OA D 7 6 .5 6 D 11\ 3' 1bD7 N CO N 0' . `* - -33 O-- - -- -- - - - - •,L - - -- - /07 .0- _ I . 2,0 o. 0o j I N89 ° c)t'4P "E cJ fi�Lllri NMM1i. +,�,-s w *t w mom w aim • Rik i, I -aP s- _ -�_!� ' ROSE aruMla� ,. w� s. rs - bacL ur:ril - . �, ENGINEEAING .: ter we r�r w wr nw*c • '� - - wan MR' ' s &IKE . IltindimILLE. i M MOW w1 4i2 -11000 --L - n • Z00 'd £ZL£ Z£tr 219131 00 9NI?133NIDN3 380Nd 00 :0! (0;1)86 ,ZZ- VIP) a P R I O R LAKE .DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS /5?3 7 P,&s?,c/!kJ Tie" A- NATURE OF WORK /NT/2.l / /? - VT USE OF BUILDING / . 4-/L, PERMIT NO. /2 . l - 0 0 i - D TE ISSUED .". /4-. 12-- CONTRACTOR DES /0A/ 13t/ /LO 5VC.5 PHONE 95Z. 233. NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW N THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE 0 - 6- - z I a 16/o AZ 1 \ PLACE NO CONCRETE UNTIL AB HAS BEEN SIGNED ROUGH - INS fi FRAMING »ZoV / li,,seL eittiO Fat, P C-ti-L ft 3)t'�., INSULATION (WI to ,4 -a.. -- ELECTRICAL PLUMBING ,y,(9 .. 161 fr., gd. 7 iiz HEATING (if required) 66 , � r r4 FIREPLACE Eti GAS LINE AIR TEST -;' /r -. 3 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 i% i» > 0 o ?� 1 1 FINALS BUILDING FAA • 3t •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 • I 1„ . .