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Building 10.955 Plumbing 10.973
0 M . 0 ❑ O O c -4 o » E 0 2 0 0 [ , O ■ s - n m -n §§ 2 � 4 § R / kk 2 [ / k 3 AcE � § �@ co § t m m § /� g I 0§B P � to �. . » u , . ■ . § o q @ > . . -1 . z o ■ § m 1�' Z mu 2 n k t0 o » >© CA m m ■ r z 7 ) % m . o 73 73 \ z �R R . 000000 o k §00 5117., m ri >mr »m § K f 2 � � ■ § n ■ $ m � Q m -, q pg z§zx @ d C m = B Z r xi g o o KM'0 § . 1 X OM . . . X 7 3 m 2 11 8 . . ooD000 i 118 L� N � R. k ommma m C I) 71 12 4 , z §_� q � » 22 �� - ■ � m � [ § k § § Y' . ■ • i f` • bl of PRiQ4, CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd 0 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE / 0 . /8.10 v AND UTILITY CONNECTION PERMIT 4 f INNES0,. I. White File 2 Pink Cky PERMIT NO. / a 7_5-5' . 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING ((Ace use) 1¢31 Bkoog -tTER, 31_11.1). R.z LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID 2 5: 3 S7 . 015.6 OWNER d (Name) .57 DEIG v (Phone) (Address) BUILDER .;-� M ` / A � l ��; y � L7'7 Z- (Name) <1 / 71.8 / RA UAL / �GV eA70Al e-041 (Phone) 952• • (Contact Name) 1) AV /1) /yYf. ER— (Phone) 9 S47 &t5.0.3 (Address) /g,, Ange amiv 13L.V.D•, so /r6 z. / / 73� o oM I, J •! 7aW X25 TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utility Connection Y Misc. F/I A DItH,e 4 E PROJECT COST/VALUE (excluding land) $ P D O 0 . 0 0 % 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 . ' • g official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform : • rmspecti • , s. % David C Huber " Z Q /p 3 S9 �t /D. /¢, /Q Si_• Contractor's License o. Date Permit Valuation *;o cam+ - Park Support Fee # $ (—.. Permit Fee $ 9 Z Co SAC # $ Plan Check Fee $ 6V .63 Water Meter Size 5/8"; 1"; $ ' State Surcharge $ ,, • Pressure Reducer $ Penalty $ City SAC and WAC # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE eitku zo to . Zo . ( U $ t6>t - I This • .lira •, , . Becomes Your Building'Permit When • ., • • . • Paid /6 tm, . /3 Rec t No. WG 3 5- ill �� I , ( (, Date AD. Z _ /, ) B Building•Afficial !* 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. Planning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 •INA )\ FiV • • -• - 4 73 • • g •- 7* • iN C A. \ 1 :7 ;*3 NV \°*". I NV\ :13.7"X ..• • . s- ft. ,SVR NA (\ ." le. • •••• .1 • ' F , • ••• 7.5 . , • A.... A p, 4‘ . 4 • .1 t ir c)t% .S • 7 „ • • (II' RI0 Date Rec'd . r1 : CITY OF PRIOR LAKE PLUMBING PERMIT - - Z - Z , �ly i l l 6 0 v � _ NvNEsoo I. Gol Blue File P ERMIT NO. ci 73 2. cola city (� t 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 1' 9 I Z r,: ok ekete \M) . LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICANT r (Name) ( . /- e vut / hol4 ern 6)1 1). (Phone) 4 — Z77 — 2:7 00 (Address) /e01 AA'1etiCON UV4, ', 44 21 )I0o0N‘ 11 / M/0 9-4--5 (Address) (City (Zip Code) (Contact Person) / -a 1 ltiil-! Z .(./ (Phone) - 7 (.73 2 S ' 0 7- APPLICANT SIGNATURE '� DATE 22 APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture I Bath Tub with or without shower Rough -ins Dishwasher Water Heater Floor Drain Water Softener Z Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly 1 Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler 2- 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 Estimated Cost $ --2 Building Permit # PLUMBING PERMIT FEE $ LA q 1 CO STATE SURCHARGE $ & 00 ,fig TOTAL PERMIT FEE $ S . SO (Office Use Only) Thi pplication ecomes Your Building Permit When Approved Paid Receipt No. / y to - 22-)(0 Date B \Q b Udine Official Date t !} _22- lJ y v 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 DEPARTMENT OF PRIOR LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS /4-34- I le_00fc_1 c_k/O NATURE OF WORK F/ 2e WTOR-ii9 77OA/ USE OF BUILDING /?.t` S // //Z-- PERMIT NO. /0. DATE ISSUED /0. ZO. (0 CONTRACTOR Cy/ 77tE/z1/ f\/ PHONE 2- . 70 0 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE 011111 11111111 . 1 . 111111 . 11 . 111 . 1 1 I I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING iti /ok INSULATION ELECTRICAL PLUMBING HEATING (if required) 1110111111111110111111 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 1 FINALS BUILDING ELECTRICAL PLUMBING /= /7 /2, 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