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Building Permit 14. 0152
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Q O a 0000'❑ 0 03/19/2014 18:54 215-923-2560 FEDEX OFFICE 0669 PAGE 01 1/1 2014-Mar-14 12.10 PM Berkshire of Burnsville 9529534977 Qt:Ile CITY OF PRIOR LAKEBUILDING PERMIT, Rend TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 3 i9�� I.wire on PERMIT N©.! /5.Z. a sit nW L . 3,Wee, MOON /' or„ L'LL bone- f tit one two ADDRESSI /f.,/(,.. -' p©rte ifP fro,( � UQAL DFSt1XPTION(otEae use WY) LOT BLOCK ADDITION - PID (N ././-1WNER if (1 hOee) . _._ 4' ' 17 7L. (Address) 3 1 /Y:aG+ ',''I+ ' A . a 1 "r ti _ ii /. I a�n WEII I pommy Name) 6: t_., 6 L• r f--I/s — (Phan.) (Contact Name) ( L- i--._ (ph.. ) A /L- ?f 1'‘ b (Address) / / 6'-$- /IMO ,Al Ilio i'( - MI A/. 7 3 7! TYPE OF WORE in New tlanwroeded ClVeck DPat Clac aoollug ■t . • Lcvct moo Cl P.p1ace DAddition OAkcratloa ❑tom Connection CODE; DLLC. MLC. 1 II DXJew -_ZOWd,- " frf 2 -eO ; Groupeqt.coneuscdo� A B B I: g I� M R S tJ PAon=COST DR!f. )/ C7O O — A#vieiottt 3 3 4 5 c le' • 1 . i 1 hereby aloft eel I bees thedebed q tearadan ad this a Itt a wee*wee*4 to ate bees of wyb.owlelp tum and count.I aka diet 1 an Si awns w muhodsed ape far the abee 4aendceed popsy led Sit as contraction will conn not to all Mang gate anti local Tawe andwill pmaad in fended plana 1 sr ware that the buftdlri official ZA4 aw tau the city olOdai or a ar fie mar enterupon t'., �I Aaae Pt tttt Valuation Lel e'Xi Par rt Pee Ij Si $--- .� Penult J?eSAC II * $a s 2�{�C� ., ...� Plan Check Pee S Z7.-S Wates Meter Size 51W';I"; I $ State Surcharge �� l F3 _ ?Mate Reducer II 5 Penalty S I Sew«rwdter nFee J Si $ y — Plurpbittg Permit Fee _S }� t c� water Tower Per I 0 $ Mechanical Permit Pee $ I �� Builder's Tlepnnit II $ Sewer&Water Permit Pee $ l Other $ Goa Pireplace Permit Pee $ I TOTAL TRUE Cr az.-t'' -y,®/6/ ,$ Ali . 'J'htw *� ettrJl4lAktgllha6nit Pad 7 .. - • No. `-" —, �„� ^4 Date ''' i 9nIhln*O let Dale_ lh is is to I thea, - - In the alma application and aceenpa dasumuane nossd ase with the Cterzisti 1 sal nay wand n nauestea.We downs t when. /`• the•i. • oakum a Tod*Califon and Oen conetatedon le medicate.Ba oaa9eney,a Willem of°nove a sea be b�L S 14 - airside, itd t1mdM pMa t i 34mar nedlee r all• this tom)447-9350,hie pm 447.4345 4446 Daiwa Street 9.11.E Prior Lake,Mkmcmta 55372 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT 4-- /_ 1 (gOt) ,yfivNESe 2.GolBlued CFde rty PERMIT NO. `/ , / . 4 3 Yellow Applicant lease j, or ,t and si:, at bottom ZONING(office use) LEGAL DESCRIPTION(office use only) PID LOT BLOCK ADDITION OWNER (Phone) (Name) (Address) APPLICANT `1 — - ------ — 4. .S 1-. ,e' / ailiar ( es's 1 '"_ A---‘2,.) (Z�- - )4 k 1 (City) (Zip Code) (Address) (Phone) Allr# . Iti" s i ' '4 46 ,A-TuRE--:_A',____fr _______.-----,--- . .. - q AP' ICANT PLEASE COMPLETE BELOW of Fixture I nandT e of Fixture T .e I uanti Bath Tub with or without shower Roush-ins Dishwasher Water Softener Floor Drain Stand Pi se Washin: Machine Lavato Bathroom Sink Sewa_e E�ector Laun' Tra 1 or 2 com•artment sink Backflow Assembl Shower Stall Backflow Assembl Test Sinks Lawn S.rinkler Bar Sink Other Water Closet Toilet FEE SCHEDULE Residential,New One&Two-Family $149.50 Industrial,Commercial&Multi-family 1%of job cost with a$49.50 minimum Residential,Additions&Alterations $49.50 Estimated Cost $ Building Permit# Pc\. D PLUMBING PERMIT FEE $ 50 V\_, STATE SURCHARGE $ LAD 'V TOTAL PERMIT FEE $ V (Office Use Only) Paid Receipt No. This Application Becomes Your Building Permit When Approved Date By Buildins Official Date 24 hour notice for all inspections r 4646 Dakota Street S.E. Prior Lake,Minnesota9 55372447-4245 • DEPARTMENT OF PRIOR LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 1 �� 1111140k.v.c RD NATURE OF WORK A = "_ PERMIT NO. 1� C47.\:1USE OF BUILDING ` "�` DATE I IED z / 14. CONTRACTOR NA-F---`V .I1«"'J PHONE -�� INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FOOTING °j. � PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL PLUMBING 4' 2 - HEATING /Pi / �-1 GAS LINE AIR TEST COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED 11411 INALS -411111.111101.0143111r BUILDING k`,,1" itr°1 ELECTRICAL PLUMBING HEATING 4— �,, ((c (/`( 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