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Building Permit 13. 0820 (2)
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Z 7 % � 2 § § §k 0 0 Z I- / a. �� < � W � ■3u) as w / } \� OOOOOO § §E I k Qg Cl.„ g 0 § 0 % 5 b 0 0 0: \ K - z • ® z 0 § ^ • g ' 0 2 R 0 w R • w 2 c 0z m 2 (0 2 § . & � 2 § } l aw k\\ \ E i- V) 0 K UU- _I§ 0 E. 0 f 2 < 0 I O0 OOO Q w Z _ Z N P S 2 LL ix w 1= _ u'ZUV d Z t4 w Q 02W gu) 0 0 a C9'% w 0 U tiu.0 2 Z � M ❑ ❑o ❑ ❑o w o) U p w = rt 0 N O W c Z M .1 c2 H 2 0O "-1 0 0 w w Z tz z — x =z 0 c N o y U V ) 0 G 2X ' U) ? ?w< yW.J W 0 W z X r W a 2 ..1 _j 2 0 0 Z ry �( ❑ ❑ ❑ ❑ ❑❑ z ° o w a a ti = 0 } Z 4 a Q 0 V 0.11111111, ,0.11111111, Y U z O a Q - A r: 0 t= LL Iii H- a4z • Q a Z N c~i , x a ° z = ° - 5_13 w Y W W o Q Q O w w w w 0 0 du ' zW 2 , o 0 o v v v ua) o o p 0 3 o 0 o. )ku. U? Q 0 a ❑❑ ❑ ❑❑ V ❑ c o PRI0 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd 0 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Z q , /� x AND UTILITY CONNECTION PERMIT - 7 414NBSOst' I. White File 2. Pink city PERMIT NO /3 of z , c ) 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) l 1 a 0 CC 1 J Q r .0 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER Qp (Name) �<<l it 1� 1 Cep,_ (Phone) 4 03 — cx> t 3 (Address) L4 laic) G L t e....,., it) t3 BUILDER (Company Name) °---CA.9%.K006... 6.1- 1Y,G. (Phone) (7l) -- ict 40--a7 /Cie (Contact Name) SOkr%._ L (Phone) ?SD-" Cet IO " 3/ 8' (Address) 3g 7q- 8 C 77-.1 TYPE OF WORK ❑ New Construction Pfleck IRISrch ['Re-Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace ❑ Addition ❑Alteration ['Utility Connection CODE: I..C. ❑I.B.C. ❑ Misc. Type of Con R ction: I II III IV V A B Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ (excluding land) Division: 1 2 3 4 5 i 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 1 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 I utficial • . n revok h �rm it f dust cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. ( X 4 . t i 1 - 6C..C.x_7Ltsc i `7 --a4 l,. Signature Contractor's License No. Date Permit Valuation g 00 0r — Park Support Fee # $ Permit Fee $ b Z — SAC # $ Plan Check Fee $ t OS Water Meter Size 5/8 "; 1 "; $ State Surcharge $ 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 $ Zi , . ; v � 0 ceipt No. / y This •' ' plit ., ion 13 comes Your Building Permit Wh n Ap oved Paid L7 /. ..) (J G 7 ilk " Date 7 z q a / B_ilding Official D to This is to certify that the request in the above application and accompanying docu Vents is i accordance with the City Zoning Ordinance and may proceed as requested. This document when sign(' y th t Ph ner constrtutes a temporary Certificate of Zoning co i pliance 'nd allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued tt 1 ' r3 Planning vtrector D.r Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372 r 'Sn 1 ' 0 ,4 l 7 a)b5 1.. I N os I 0 a co c o Y O v o O -o 0 O 1 I0 1 U a x co N _c y E 0 O 1 N N N II Re .o u) S o OL N 1 X $ w N N • 0 — ° o ` a m J o To U. w 0 3 _ Z r a TO E o oo w v 1 ✓ N c w' CC N N co 0 fn 4, N 0 o X N CS .. i O Oa o. L., . P , , v Z2 m 2 F Lin .at a z z _ ¢ w a co I� Z O T ❑ 0. r .i � � N i 0- W � O p .` c w C * 0 I 4r - ° LL a � D V 9 a g W CA4 40 0 Z W 8A Z C/) � a o O. (5 , Um r W W 0 g�«Z as 2 CC w w < o� w o 0 0 UU I— 07 a a w w 0 U O m ' a) 11/ ' Za =Q • Material Safety Gaza Sheet U.S. Oepart mo m of Labor . eP moony Safety KaalQi AC I ruslraton µ, to Law 10 CorrPI *oh - lKasCatory F l 29 Fiazatd CFR 1910.1 Form ApOra ed " . 29 c R Stary rC trust 0! sor s - 0148 No. 1218 -0072 N ag spaces in nor Co rsasQ ! SW an Q got acacias ar no .� µt (gad a, LAM 1.44 GOOD NEWS a arataaf. re VI= Mat masa D rani rat Minn n l I - Emergency Terepnone Maas (801) 752-0989 T�j(1fZ`�►IN FIBER �. - TanGe�or s r�rcr�oar for mama= , pans, arrnr,r. Saari. Gry. stir. +no JP Gam (801 245 --6081 f 1104 ANVII. ROAD pale Pm rep . 1 HYRUM,UTAH 84321 • 4/24/91 c" -----,ezi2Pri7itcr, • Section U — 1•iazatdoIs -. _ - .. - - - 1tity WOrrititfOtr— cmr urrra Kizareoua CarCOW+a C.orrica1 Idanarr. Cor+rr°' Pgrr+at$Y OSK& P£L ACGIN nv R.caxstir+r+o.d 3/4 Iooeer+aA PRODUCT • or 1 : MEL1ED NEWSPRINT CAS #65996 -61 CAS # 10043 -35-3 FIRE RETARDANT : HOJ�CC --AC S RATING: - =AT'Tr 1 . PORIC ACM • - Ff 4'y ARTT r v 1,,--- _ Mr./'rr rite ' T7STrn R EA TIVIZY 0 - Personal PROTECITX "E" TrtTT J FD NFWCPRTNT: , Kali ZS / �sflir,�t>le ; • 3173 ITT .2 1=51 Rri,AFCANT ARE OXSIIERED NUISANCE DUST ITEMS AND SHOULD BE CDI tOLLII) AS SECTION 8 herein. — g� p ip I� . Secton111— PhysicaitCmo sica! scznaics u n i h r� r" , F'; rP Pr ant. _ •1 baling Paint __ --- -- 9120 � � MIT APPLICAHLE ( OF) IJC7 ApPLICABIE vapor P ere vr*s row I mon; Pars MIT APPLICABLE I mfr APPLICABLE I �� gar I vapor 0.11111 1 ) � IVI ____ • 11 /CT APPLICABLE ,>pp•.ru+w afro poor FINELY DIVIDED NCERIAL, GRAY COLAR, NO PERCEPTIBLE CIRDOR. Section N — Fre and Explosion Maud Oast 1 • Lana 1 `. N/A 1 `Z. N/A Assn Para. W.vroa waa) N /A' — WATM — ham. Us= Rs NM; Pracsores • T�I‘tF • Urnahrs Frs ar+o Woman mans . c_ra '.74. _C: l a O « ■ d o ) 5 { �. \ (A - Gn &§ . 2 2 � / \ \ ' co i 4 ,S § E a ° : $I ) �� &� 7 - - - - -- �R § , 5 \ / a z in , / § Z f E \ 2 cn \ § as o > } l e t 2 . § ] 0 2 A o - $ . m - 0 2•q 0 / a' m 0 k e _ \ a a CA 4 q « 0 • 3 0 4 = u C 0. o '• rA ,4 / ) 0 0 4.,, _ 3,4 o c § < , 2 : ueorgia MATERIAL SAFETY DATA SHEET GYps m Poz,_ -S to.- • Page ' o' SECTiCM 1 - FMCOLCT IDEMTIFICATICM j VAPOR PRESSURE (MM. OF MERCURY): Not Appl,caoLe PRODUCT wAME AND SYNONYMS: Paper raced Gypsum Board (See attached - _ pE GRAVITY (WATER • 11: Approximately 0.' list of products covered by this MSDS 00071.) VAPOR DENSITY (AiR • 1): Not Applicable CAS NAME AND N0: Mixture PERCENT VOLATILE (BT WEiGHT): Not Applicable CHEMICAL FAMILY: Mixture 2M: 6.5 - 8.5 CHEMICAL FORMULA: Not Applicable SOL -I Mb iN WAT R: Approximately 0.2% MANUFACTURER'S NAME AiD ADDRESS: Georgia-Pacific Corporation 133 Peachtrof Street, N.E. j APORATiON RAT TY ACETATE = 1 : Not Appicaole A-- 3C3 SECTION - FIRE AID EXPLOSICM DATA EMERGENCY TELEPHONE MO.: ( 987.5190 or (800) 424.9300 CMEMTREC FLASH POINT: None SECT1Olt I1 - IMZAIDID1S IMIGREDIEMTS j FiRE EXTINGiJISHiNG MEDIA: Non - combustible COMPONENT ACGIM TLV OSIIA.PEL 1 FLAMMABLE LIMITS (PERCENT BY VOLUTE): La•ER UPPER ;CAS Registry No.) WT. % (TWA) (TWA) N/A w/A GypsuN Calcium 89.0 10 mg/M 15 mg /M 3(2) Sulfate Dihydrate 5 mg /M 3(3) SPECiA FiRE FIGHTING PROCEDURES & EGUIPMENT: we (7778-18-9 _�33 UMVSUAL FiRE AD,JXPLOS10N HAZARDS: None Paper /Cellulose 3.5 - 10.8 10 mg/N 15 m0 /M3 Fiber 5 Ae/m lag: These produ is are nominally fire resistant ono have (9004-34-6) \ the following surface yrning characteristics as reps ^tec lly recognized t stories: Flame Spread, 0 - 25; Nuisance Particulates 4 - 11 10 mg/ir 15 mg /M 3(2) Smoke D , 0 - 50. including Polyvinyl S mq/w 3(3) Chloride, Vermiculite, ST V - MITT DATA and Clay STABILITY: UNSTABLE STABLE x (1) Frrm ACGIM, value is for total dust containing no asbestos and COMDIT10NS TO AVOID: More < 1.0% free crystalline silica. (2) Total drat. INCOMPATIBILITY (MATERIALS TO AVOID): None (3) Respirable dust. •• ■• - =• -iT • PROD � TS: High temperatures could lea, SECTICM 111 - PKTSICAL. PlICIPEETI t- the formation of vinyl chloride monomer as a decombositi �..\ pr-- t of polyvinyl chloride. PVC is present at less than APPEARANCE AND ODOR: Paper faced gypsum board. ho odor. in the - oducts covered by this MSDS. MOLECULAR WEIGHT: Not Applicable R T • : WILL OCCUR WILL NOT OCOJR _ BOILING POINT (DEGREES FAHRENHEIT): Not Applicable - .ITI. f 7411141 21.: one MELTING POINT (DEGREES FAHRENHEIT): Not Applicab e PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS l \ 'V Cz,4 L ,, - (/ NATURE OF WORK -‘ USE OF BUILDING PERMIT NO. - ' DATE IS UED CONTRACTOR ,4 -S+1..)O■r sv PHONE &.( ( d�3 INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FOOTING \--T) /* 7/31j for To Backfill) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING 7 / - j !ek ELECTRICAL ' COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED LATH 1 FINALS BUILDING/7 - 000 6 a ELECTRICAL viiMMOInaft 1 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 N 'ae %" • \ 4 7 • 1 I i r j 1 t T7 1 1 -1 1---` ` T . • I _ I I, ' HI • 1' 1I T ' , r I �1i1 ri i �' '. I, I _ t1 I I { ( 1 I � i , ADDRESS: 14 \ 0 G A1 L l (C,' v 11 PID: .2)-- .2)-- PERMIT TYPE .2)-- --- .-Ac.... P ©a-6-1.01 DATE INSPECTED: ADDITIONS /BASEMENT FINISHES /PORCHES FLOOR COVERINGS: Exterior Siding Interior Wall covering CEILING COVERINGS: HEATING: BATHROOMS: FULL: 3/4: 1/2: OTHER PLUMBING FIXTURES: BEDROOMS (addition or bsmt only) 3 CABINETRY: FIREPLACES: 3 Type OF TOTAL BASEMENT AREA FINISHED: Bsmt Fair Bsmt Avg Bsmt Exclt OUTBUILDINGS BUILDING STYLE: FLOOR: WALLS: ROOF: HEATED: INSULATED: FINISHED AREA: OTHER /NOTES