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Building Permit 11. 0019
Z _ ) �r w 1 J a LL tx W h r LLZUUa z L;' ° gQ gSgz > aan.c Q O 2 Ww0 z O � _ W w 2 x co 0 k a o cc N o z 0 O • - O_ - 2 O0u.J • 0 N W j w • 1y Z Le Z _ _XIZZ ^ W C CO t m 0! u n. 6 Z O Y 0 a 2 xw x 2 x co '. J W a -J W N � W W W W k' v 0. 2 u) a 2 r U U W Z cy ❑ ❑ ❑ ❑ ❑ ❑ Z Z 0 W a a H T a Z J O W N. a try Y 0 Z 0 O 2 CC "‘ O \ u- � 0 m \ r- a O= O O d z a U 0 W Z 0 4c Z w u) w re re W o a Q re O CI) re Z I- zz s i a�� a w n x o O u. WW Z 000 0 N b 2 O O O y F 0 S 0 LL.u. . ?U U ) 0 o o N UZ a 0 a ❑ ❑❑❑❑ 0 ❑ ❑ oi PR CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd 8 ICN.e:, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 1 5 / tzi AND UTILITY CONNECTION PERMIT I *iv E s ° � 1. white File 2. Pink city ` PERMIT NO / f CO /V 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) ' 3 3 3 4 t.abkt I L - s 1P.. a t.. t P rs4 o 0- Lw. Nr.4 £T312. LEGAL DESCRIPTION (office use only) LOT 1 BLOCK ADDITION 4 tat' 14 el 1.144 -3 -1. Lai t_ PID OWNER (Name) M Ai-e.....0. A'to 14 liCes t: ' 'L.oM (Phone) (Address) ; 83 4 1+ Er1„40-4-Ar3 - 1 $4,u.. BUILDER 42, 2— J 1 (Company Name) X.0 61' ' 44 L.Z. 14.to�'vg Li`4 - (Phone (al 2- • S °a . (Contact Name) N1 44Jc- Xbt4t'5 (Phone) , (Address) ? 0 3 ova 2_4'4 15 E.Du44 • bw s e; e2 tt TYPE OF WORK ❑ New Construction ❑Deck DPorch DRe- Roofing DRe- Siding DLower Level Finish ❑ Fireplace .Addition $Alteration ['Utility Connection CODE: [I.R.C. ❑LB.C. ❑ Misc: Type of Construction: I II III IV V A B Occupancy Group: A B E F H I MR S U PROJECT COST /VALUE $ ?l 0, S b 0 Division: 1 2 3 4 5 (excluding land) I hereby certify t I have 'shed ' , . ation 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 -mentio property . all .nstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can re o e this pe - .1 . just • use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. R 2t:c•3(p88o I kJ/Co Si , ature Contractor's License No. Date Permit Valuation t4. O O Park Support Fee # $ Permit Fee $ z G ©. p SAC # $ Plan Check Fee $ ( b Water Meter Size 5/8"; 1"; $ State Surcharge $ Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ 5 4 �C) Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ 5 '.-- a TOTAL DUE $52 7 33 This Ap j . ' 'o comes Your puilding Permit ' . - Appro ed Paid 7Z c/ 3 C� i R ec No. It !/j / j /' - �. ,4■64,t / ifs 1/ . Date / / a7 f B 7 . Building •fficial Date This is to certify that the equest 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 C 'Tanner constitutes a temporary Certificate of Zoning co pliance allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. I At 1 10 1/ ' Planning Director ----...u..111r 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 \ 1 I • C-11, lo� Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT M NESU 1. Blue File 2. Gold City PERMIT NO. ' ^( 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) g'3 Y Milkei i " LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICAN 0 /l // p''^ ^ tnd 93 ,o / 5 /1. 'C / (Phone) /Of OZ ^ r (Name) .S 10 AO � � � `' � ` 55-36 (Address) /3z/ A /62 x � �' /4 V 6-2---'-(-, (Address) (City) /� (Zip Code) (Contact Person) (Phone) t%�� � ' -2. _/ ^ C g 3 APPLICANT SIGNATURE 4 DATE 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 (Toile -� Cher ''I FEE SCHEDULE Industrial, Commercial & Multi - family 1% of job cost with a $49.50 minimum Residential, New One & amily $149.50 Residential, Additions & Alterations $49.50 Estimated Cost $ Building Permit # ,/' �+ PLUMBING PERMIT FEE $ foe / O& a6) /971, I f STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ (Office Use Only) This AppPati .' Becomes Your Building Per it Whe Approved Paid Receipt No. z4 a Date By B O Iclal j Da 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 P :�.+•a. w . o .. -� ,,�,,.,�....�.,.,.: _;w. . �.a^n• - : _m �.:'*.n..,, �. m!y$•'r4�'�'' " i'��QA.y� (� n �. ... O PRIp? x m (� -_WJutg_._ - BUl�dlttq Canary - Engineering M /NNESOc Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT DE T L( H G M Es APPLICATION RECEIVED 1 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3 S3 4 G SEE i ! . Accepted ✓ Accepted With Corrections Denied ' Reviewed By: Date: ( to/ Comments: "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." O� PRIp� White - Building Canary - Engineering "'INNESOc' Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 77 76s. L l H 0 M eS I t I` APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which i$ proposed at: --- ,-. 4 KEG- r' + j f Accepted t/ Accepted With Corrections Denied � ) I - t r Reviewed By: � Date: 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." P 7 R J E 6, 6 F a 9 E 5 P B i I S I i 3 j � I , PR /0, ti � U m White - Building Canary - Engineering N, NEsO Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT -- t APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted Accepted With Corrections Denied .ry r Reviewed By: Date: 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." DEPARTMENT OF PRI0R LAKE BUILDING AND INSPECTION INSPECTION R SITE ADDRESS 30 31- (�iz.ec �` - 6 NATURE OF WORK i * AL- iT' or,-; USE OF BUILDING PERMIT NO. nno DATE ISSUED i I fit CONTRACTOR 6-v L-T 14ot- T PHONE C 12 zeo NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT I INSPECTOR DATE I I FOOTING I FOUNDATION (Prior to Backfill) 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SettratthaaliadernERTX FRAMING ■ 3 zP INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE „ ET COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 - FINALS ., (Prior to Sodding) BUILDINGrt 3 - ' 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