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Building 13.1328
.... .. .. . ❑❑- 0 O QOO 0 i ■o ss n n a o 0 0 § ��7 00 m k �/ o r q x xx I s mica§ m■§ - - n m m m § ■oz co = § ■ § ®§Q P Z- e• ■»■ n z 2 • ,i z■ q ■ © - > '2 --I _- S 7 0 n o - � k 1 o i § k § P3 r o -n 'a Z z0 § 000000 ' 41 X §m m m -o *a te �� • -1 z ° ° 0S -1 0C � z§ § m x s mi n r (01 7§ f i z z zz z xi z x \ �� § / 73 v \ § § _ c r �� P § s. 0 X m § 0 < 000000 1 t >0 7 ). 7273 § § » < t > ® ' ' �qg �li § m ■ 41 z ■ rT Q \ ��■ F 2 m . -1§ 0 of PR,f CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /L Z (7 AND UTILITY CONNECTION PERMIT 4�N111ESOK�' I. white File PERMIT NO a /32j/ ?. Pink City 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 3:g,( T7g /L. ,'a /VT COQXT— OW, LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (N ame) n `.F4 c.94 4 us (Phone) ‘115 ` ?W - Y6/ 7 (Address) BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK 0 New Construction DDeck DPorch DRe- Roofing DRe- Siding ower Level Finish 0 Fireplace DAddition ❑Alteration DUtility Connection CODE: DI.R.C. DI.B.C. 0 Misc. Type of Construction: I II III IV V A B PROJECT COST /VALUE $ Occupancy Group: A B E F H I M R S U (excluding land) Division: 1 2 3 4 5 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 cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X 1 2 /a /s 3 Signature Contractor's License No. Date Permit Valuation 3 o o U_ O d Park Support Fee # $ Permit Fee $ 74 7.5- SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1"; $ State Surcharge $ szi Pressure Reducer $ /- Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ I <CO Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ \ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ /30 77 This Application Becomes Your Building Permit When Approved Paid /. -7 i ec pt NO 4, Date /T °Z ,4:3 Building Official Date 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 4646 Dakota Street Prior Lake, MN 55372 CITY OF PRIOR LAKE Date Rec'd ti CONDITIONING/FIREPLACE PERMIT /Z _ 2 • /3 1. Pink File PERMIT NO. 2. Green City 2 ` /3!g 3. Yellow Applicant , [ i (Please type or print and sign at bottom) ADDRESS NIN (office use) LEGAL DESCRIPTION (office use only) LOT 2 -LOCK / ADDITION ..,Te' y5 4�c 2 4 i4 A AJ PID ,075 - 1f 55 -exz - OWNER (Name) _ (Phone) (Address) APPLICANT,[, _ A (Name) / /7 y' a / � //4 1'//1 c-as (Phone) (Address),5839 I IAA ,4 • - °C.., Q ■ r 9.s 2 ,59 ? y, (Contact Person D 14-ffi7 • 6 (Phone) APPLICANT SIGNATURE`S ■ , - DATE APPLICANT PLEASE COMPLETE BELOW • Z-/--- P//1 MSG,. DNEW 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 Fireplaces with Box Additions or ❑ Air Conditioning ❑ Special Devices Cantilevers to the Outside of Buildings ❑ Vent. System ❑ Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial, Commercial & Multi Family 1% 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 $49.50 Cost $ Buildin_ Perini./ HEATING PERMIT FEE $ ` d STATE SURCHARGE $ .00 TOTAL PERMIT FEE 0 This Application Becomes Your Building Permit When Approved ' Paid Receipt No. Date t By f` Building Official Date Z, _ 24 hour notice for all inspections (952) 447 - 9850 IP 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 k pRip Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT I. Blue Fite 2. Gold City PERMIT NO /3 . i3 Z a 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 3-7 aj1.17+ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER ' v - 91�9 2 (Name) � (Phone) ` ! " r 3 � ? (Address) Alt APPLICAN \ c (Name) T —S { ,,� %U (1A c (Phone) iQIG Z _ (Address) 2-60 't (Address) (City) (Zip Code) (Contact PersonrTC' 41 ' J ,U tt.1 (Phone) 'C;/ ( —2 z7 - ^ Lf0O7 APPLICANT SIGNATURE k DATE ! 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 r _ Shower Stall Backflow Assembly 1 _ 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 - wo- Family $149.50 Residential, Add' ' Ins & Alterations $49.50 Estimated Cost • 0 4 Co Building Permit # ppd 5`f PLUMBING PERMIT FEE $ _t STATE SURCHARGE $ ..00 TOTAL PERMIT FEE $ 5* • - 0 (Office Use Only) 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 Z $ PRIOR LAKE DRNT OF BUIL DEPARTMENT AND INSPECTION ---- i - NSPECT1ON RECORD SITE ADDRESS 3074 MAO- po /Aer tst :r` NATURE OF WORK , : LaVL-4 USE OF BUILDI PERMIT NO. r f'j % DATE ISSUED CONTRACTOR C =1 PHONE ' INSTALL EROSION CO RTOL AND MAINTAIN CLEAN STREETS A ALL TIMES INSPECTOR DATE IIIIIIMI r ill PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH INS VINEMIMINIIIMIN FRAMING /-e700, INSULATION P1/G ',V /4/,/ ELECTRICAL PLUMBING ',,> 7 iZ. HEATING 1 /_____1_, E MillIMMIIIIMOT ammimmiiin COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED aillaliall. LATH 1 1 I FINALS BUILDING �;�1 ELECTRICAL PLUMBING HEATING DO NOT OCCUPY UNTIL ABOVE HAS EN 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