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CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /
r
AND UTILITY CONNECTION PERMIT ll�' < ze'
d rJ 4'N E SDI
1. White Pile
2. Fink City PERMIT NO. /3, ' c
7. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS r ` / ZONING (office use)
1 G. ao P uG 7 TG..r v /e 5 i�a= S 0 _ pr ir� �2e.- r /�ti/ �
LEGAL DESCRIPTION (office use only) ''ll
LOT BLOCK ADDPITON PID 2. ( 10Z-- 0VJ t 0
OWNER
(Name) .Soho o / j) e i ' 7 / 9 (Phone) �,.ti C. - 0 0 on
(Address) 4-5'40 Tower- Si -..SG Pr• iaXo 4a../ SS A 7 2,
BUILDER
(Company Name) A40 hp eSLi,:iC I,nc. (Phone) 9, col - SLjI7 7 SR
(Contact Name) Shat- ; 44 e r tens (Phone) 6 /.2 - 3 4.9 - 5.9 9Z 3
(Address) 7, 7 7 /Sb t15, St-, W . / 'S n v At , M it) 5 5 3 74
TYPE OF WORK $J New Construction ❑Deck ['Porch ❑Re- Roofing DRe-Siding DLower Level Finish ❑ Fireplace
DAddition ['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 I M R S U PROJECT COST /VALUE $ 2b �?62 0 •
Division: 1 2 3 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 - 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 that the building
official can revoke this permit for just . e. Fu • etmore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X � ` is ." /.Leis ,�! QC n 0.2,7Sy. G /a. 7l /'
ignature Contractor's LicetsseNNo. Date
Permit Valuation 2 coo. c..?8 Park Support Fee # $
Permit Fee $ j s a' 00 SAC # $
Plan Check Fee $ 2 S8 • 7 d Water Meter Size 5/8 "; 1 "; $
State Surcharge $ 12 . 0'0 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 DUE . $ /,, i.. L 7 Q
SI tl a
-
This Appl c t'. co our : .king Permit Wbert A i , oved Paid &� Gr t L' R' eipt No. 6 Y Z
'
Date
B'.i !t feint - "" 411 111M
•
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinan d may proceed as requested. This document
when signed by the City : nu .• i stimtes a •.-porary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. e
Planning D " , - .. / rate 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
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White - Building
yf �P Canary - Engineering
^ NES° Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted X Accepted With Corrections
Denied
Reviewed By: Date: J - /5
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."
, .
MAHOWALD BUILDERS, INC.
7877 WEST 150TH STREET
PRIOR LAKE, MN 55372
LICENSE #2354
..--..„ 952-447-2788
.„, --,:- 711,... .0,1,' '. .'''''W7 v:' , 1, $1 ,..."›,- , leitib:A ‘ ,.. ' 474,;' `,"■! ieeft:4941,7457-4s'"'''.
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CITY OF PRIOR LAICE - V
/0 RMIT PLAN REVIEW
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DM 7 q f ? PERMIT NO.
0 ACCE • D AS SUBMITTED
DACCEPTED WITH CORRECTIONS AS NOTED Separate permits are required
0 NOT ACCEPTED-CORRECT 8 RESUBMIT .
for Plumbinfr Heating
Outside Sew and Water,
'Wane comments are for your information. M work shall be done
er ..,,
IR Ail oompliancs with aN applioable building & zoning code
inv ind gems not spiksacslynosed in INe renew
nap Deg puvg SET ON SITE AT ALL TIM Electrical , etc.
If 1 t '"L 51.e_caciri cA"
3NAJ ROIFfq C YTIO
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OJT 1' thAfiCiP 2A 03 0
03700 A Zi-1011 HMV Q3i 0
T/Metie3 i4 $8, T!)3PRO �3TqjDA TOW 0
snob *(1 r.Isfir• s. lt..foortl. 4n. lot -;* aloornmol tan
ato0: irtr.47 A Rrso Ottt :04:ttic 1Pg 4 0
111001110 r'V InforN001Wiecie or some witivtral esorsorapayak
serf AO TA '3112 VO Tille$111.114 41331.
MAHO WALD BUILDERS, .INC.
78•77 WEST 150TH; STREET
• PRIOR LAKE MN55372
LICENSE #2354
•
952- 4472788
•
•
• r. ._... ....
•
•
•
•
24' • 10(r
•
• 8'x6' -8'
24
•
•
Bu'ild'ing Size, 24 feet wide X 24.feet long X 8 feet high
Note: Wall construction Is 2x4 @ 16! on center
•
•
2013
PROJECT VALUATIO1\ WORKSHEET
ADDRESS:
SINGLE FAMILY ATTACHED:
1 Floor Wood Frame $87.40 X
2n Floor $43.70 X =
SINGLE FAMILY DETACHED:
1 Floor Wood Frame $95.73 X =
2 Floor $47.87 X =
GARAGE:
Wood Frame $40.41 X C 1 2 � 2? C
Slab On Grade Garage $20.00
BASEMENT:
Completely Finished (New) $25.00 X =
Unfinished $16.50 X =
Crawl Space $16.00 X
3 Season Porch (unheated) $45.00 X =
Screen or covered Porch or stoop $30.00 X
Deck $12.00 X =
FIREPLACE:
Masonry Single $7,000.00 X =
Stacked Masonry $5,000.00 X =
Gas or "0" Clearance E.A. $3,000.00 X =
Other X =
TOTAL VALUATION
CONTRACTOR'S VALUATION
UPDATED 4 / 22 / 2013
J:\FORMS\PROJECT VALUATION WORKSHEET 2013.doc
RioR DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
>ITE ADDRESS (Loto2O fiIP &'Q
YPE OF WORK gara.rQ.
JSE OF BUILDING
'ERMIT NO. • DATE ISSUED - 711i�
SUILDER ri akikou) cuta Toil 4r3 L IB c S far; PHONE # G /2- 362-,5?-41,3100 `-a
DOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW AM
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECT R DATE
FOOTING Itil
PLACE NO CONCRETE UNTIL ABO E AS BEEN SIGNED
FRAMING 1 tT 1 't - l -- t3 I
FINAL 1 1 1-'1 (�) T7 1
r
FOR ALL INSPECTIONS (952) 447 -9850
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