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M FOI Z I R 2 ©_ m m A — 0 0 0 0 0 0 ( 0 7.1. 33 0 k,,, R. § §�> o R. > o ri > § § 1$ » mm & - _1 - - r k Ch Z.-Ii 0 of PRIp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd M ; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE i �?� j AND UTILITY CONNECTION PERMIT t t 11 414pdEsO�� I. White File 2. Pink FCityile PERMIT NO./4 _, 2.6 ,3 Yellow Applicant < - (Please type or print and sign at bottom) ADDRESS ZONING(office use) 0 Le-L.A.-T/-1 /3-v c S LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID 25 qa--.0 2 . d OWNER (Name) 1 )Q.:F• (-o t> y /3/2-64 #<,2TzEs (Phone) 763 —23 Y" - 3, -zS (Address) 3e'Sq vf-e-w i.',2 ES 7- C---4 P/2 012- /Yl i(./ c3-77-7 BUILDER (Company Name) f-i" G i-i- CA--t_. •diC� Vis'°r-- (Phone) !6, — 2-54P—iy 7.3 (Contact Name) (Y) ri-- rye/ f (Phone) i4, ---41-7 Ff — Y7 7c (Address) 0 it 1- £c.y/.L a=-S c ,tg fa_=-6R LA k /0 Af - 55 3-72 r TYPE OF WORK 0 New Construction ['Deck ['Porch Re-Roofing XRe-Siding ❑Lower Level Finish 0 Fireplace ['Additionj�Alteration ❑Utility Conn tion 61.1,–e0 _ 2-4'�...r, ,r-Ct y,;r CODE: I.R.C. ❑I.B.C. ,Mise. .G$& lfv,.,5E s 6.4A4-G E, 4U/iAr.A.,* Type of Construction: I II III IV V A B IAI I t4 DO kAic2 Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ �–� b (excluding land) Division: 1 2 3 4 5 I hereby certify that I have punished 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 - -,p --• 6c c. (. svc 1/13 // y Signature / Contractor's License No. Date Permit Valuation / e;riy), `- Park Support Fee # $ Permit Fee $ (2,l-4--� , SAC # $ Plan Check Fee $ l 5 Water Meter Size 5/8"; 1"; $ State Surcharge $ Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ lip Water Tower Fee # $ Mechanical Permit Fee $ '' Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ 17&. 13 This At ti i Becomes four Building Perm1 it Approved Paid -74 �1--; R ipt No./V-70� � ---^%,_` 24' Pr Paid /. Z Z 4 1..-- l Buil.'iinng Otttcial 1 Date This is to ce ify that he request ill-the above application and accompanyin docu ents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when sign' th• •ity Planner constitutes a temporary Certificate of Zon g co pliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. / s a 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 4 gIp� Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT \Eci 6113 ,1 � 1. 4 Blue File 2.Cold Fits PERMIT NO. 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) /6J6/ pIt. 6 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID d l4-10 OWNER (Name) (" 'J ,>. Af f)s (Phone) (Address) APPLICANT (Name) MIS 4 C tan/e-S (Phone) (Address) 1p /5 f j s+I;19 -� LalL— 1 1:3-3 (Address) (City) (Zip Code) (Contact Person) t1' wl ��`�f e! (Phone) 763--)d 6-54/S APPLICANT SIGNATUREISA TE 03//1/ APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins I Dishwasher r Water Heater 1 Floor Drain Water Softener j Lavatory(Bathroom Sink) Stand Pipe(Washing Machine) Laundry Tray(1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler 11 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 $ Building Permit# PLUMBING PERMIT FEE $ STATE SURCHARGE $ .50 '(k) TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Buildine Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 74 44- / • SePalTi'* aired (x) &L- K r el-1 KV OF - -10R LAKE • • • NG 7yii„,.1 PLANED/ON INSPECTOR INT MT'. DATE j " 4 PER • ' 1161111V/5 DACcEP1iD SUBMITTED ilaACCF-F 1 en WITH CORRECTIONS AS NOTED 0 NOT t" ,X.EFTED-CORRECT&RESUBMIT These COM .4ritsi5itor your information. AM work shall be dons kc +nos geh all applicable building&sorting code tequinu, t ftp items not spec in this MINYA KEEP THIS PLAN SET ON SITE AT ALL T*AES -\ ed \ inSmoall ieeedpeit;getronirsry:11:a11. on ealcoheftory and in halls ro sleeping rooms / Smoke detectors shalt be upgraded .v4 as per the requirements of the IRC sughout the house. Battery operat .(ozioke detectors may be installed in 3 existing structures 11 J , V eL - 7:tevt !V ( kA) ‘-v- NIIII m km cait8g• ) •. : m 4IP =o '° �o y m »o . = co 8. 7�y 3 C o C` C o y N .. N 0Da. G W z m 87nm * * o. g g im Gl N c'�o c N 0 ° a R b.- Cz C clnw °' � 8 , ^ ffff g• 21. 19 to 03O 17 Ca I6 m C g oo ^ • z O �� =5) a` r $ U zo � mv0 a .ya. Z z p 0 rn o a 0 HT1 ---z v � -f c. A § Q m o N * C 0 C m r I" a 9 wc �; z CD g k _Q- C) -� a ° ' a Z x z , r Q. ° o n n 0..ao 8 n o; W o gg r p • a z W a ° � g- C) 01 a 1P2. '3 C) 8m ° 0 I : g : 85' Z W ° 0' —I - t 33 Z i° i [ m 8 m 5 c' 8 81a al 3 o i%)rn C 000 • a' w c - w we z 33 av al LI -aorao-r- a. L ta' rsj-cid j • 5 i N .k) x; • r n C -- ----- ?' c , 1 ( r---—--." _ -7 ' ----> AJ4 rte_. 0 N M CD 0 co _ctY in Q. ea N am` ' 11, k, .--;,-;.'":.,,.-, W: .:;..1N ,I .t /\'Ye 1F�� JI o OmatK CI CD g4 CD triv '' X. DO 3 „ . ° ` � 3 mn gra*a' _ a,, �- } N 4 *90 n 4'1' CD ^ jam.. 4 f Ul Y.I. ,,. :: ' c [e�'} Iy0 a). 3 -41°+‘ _D CD a m 3 m ► Via, PI 0 m COPill% w a -� otiat CD CL o 5.�t 3 o Q c m n CO coc iiiN M DEPAFITMENT OF PRIOR LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 636DVWT71 'WE NATURE OF WORK ( a 4D6 . , IZE • SFQ6 USE OF BUILDIN 9 PERMIT NO. 1 • DATE ISSUED I. CONTRACTOR $16S4 VW Rat-. PHONE 763 . 23S,e25" NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE .1111111111 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS 1111111111.111111.11111111111111.1 FRAMING I V/ INSULATION ELECTRICAL PLUMBING UG i°)) 1/28/e/1/,,A, Qj apf iy HEATING (if required) COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 51P//110 l 6l„r m FIN L S taNNINOMMillain BUILDING 3 I �-i -'-•. ELECTRICAL PLUMBING 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