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Building Permits 13. 590 & Plbg 13. 0659
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L White File PERMIT NO. 3 PApplicant 13 5qo 3 Yellow Applicant ✓✓✓ (Please type or print and sign at bottom) ADDRESSRteset.4-4S ZONING(office use) /(o( ''IO 7) JC- Ave .S.E acC/t- -lce-/ /41,4)4-1/2-4-41/4- LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID 25 9d Z 015 0 OWNER (Name) of SI eiri 7 (Phone) 91.5 cli 7 -d � (Address) /'4' 3// u-/4`�t rev S. E ...Th, • it-/- , 1%" BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK 0 New Construction ❑Deck DPorch DRe-Roofing DRe-Siding ❑Lower Level Finish 0 Fireplace DAddition ,Alteration DUtility Connection /? -T. 0 Misc. c/44,6- D� (/c j 2444 1,L.4-SS 2ce.,1 fC CODE: DI.R.C. A.B.C. Type of Construction: I - II III IV 4' A 4> Pie.65a Jc(— Occupancy Group: A B ) F HI MR SU PROJECT COST/VALUE $ (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. Xg,Ltiyed a, t711441--- Signature Contractor's License No. Date Permit Valuation j © — Park Support Fee # $ Permit Fee $ lc) . SAC # $ Plan Check Fee $ `(o, 14 Water Meter Size 5/8"; 1"; $ State Surcharge $ Zi 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/Il ,�-�jjyy��9 (.12,, t 3 $ MI. - Coq [VP This Applica on comes Your Building Permit enpproved Paid t 14.,..F._ Receipt No.,..efil Date (e, —f CH—�Z7 BY Building thiel 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 constitute a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. ///� 6 '�! Ecy / Panni 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 PIp Date Rec'd - i' CITY OF PRIOR LAKE PLUMBING PERMIT v �i ti /3 - 5 d k'NES I / c— ' YelB"" EcCity o` PERMIT NO. /, 2. l %�—Q�? 7 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 6R2O t2u/ 4 ,a-/-x- LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID .10 Z •61 `D ONER // � _��',/ // (NWame) S f / I .-A ac'--� Se- (Phone) `52 44 2- ,l? (Address) j‘. h:. �© 41. 21,41/,,,11-4 )L-L Ed �4/D✓!'t-e/ h'7 ) 5S37; APPLICANT ;r (Name) lriiA Y I< w r n M A (Phone) c-iii■ M.■ J. (Address) 74,r,,p gton Avenue (City) (Zip Code) g... P-rii ,MN 55344 4/1-- �/ (Contact Person) �94 044 . ��� ) �`7 2— c Y. APPLICANT SIGNATURE "LOW® - •ATE 6-/1 `/L l5 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 Shower Stall Backflow Assembly 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&Two-Family $149.50 Residential,Additions&Alterations $49.50 Estimated Cost $ c. 10/9,0 Building Permit# PLUMBING PERMIT FEE $ ---I/Qf &-- 4 . — STATE SURCHARGE $ .5.0' TOTAL PERMIT FEE $ .S/� . 0 r) (Office Use Only) This A,p'c ' :ec Fries Your Building Per � t en Approved Paid 5 i)0 Receipt No. v z / 3-� L, ZS r Date 412_574By Buil,ing Official I ate 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 W*,..,,)4 a+�+lgO:vr:�.td,r.`w ` y4y- R9i``rR�'w�'h#'��. � " �+rr6Nt e1r�sE�#+a.M�.�•µ;. ytiM 1 ,Z'" �, ipd' -L �� a1h,.,:`4+'' ,COP ti White -Building 1INNEsoCel ) Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT i' {' j./ (r-- . t . , '1 'j,/(s'd_.. L.-, APPLICATION RECEIVED - • __ . ! The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4, Accepted Accepted With Corrections Denied r Reviewed By: /*" "e— Date: 6^ /7-13 Comments: _Co .' '`to /l ust S(,u-rri>,.,,,." fix-siC it i ., 1/. , "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS (�2�� Ave S NATURE OF WORK USE OF BUILDING PERMIT NO. 13„5701 ISSUED G (,t f l s CONTRACTOR vt vt cam- �.�• CItcl e� -co (PHONE +-41 2 •=c,_( INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE - I �kfill) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL PLUMBING HEATING _ COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED FINALS 211111111111111111111111110%G) BUILDING 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 Separate permits are required fo Plnxnbi.ng, Heating N. 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Ili a . ft f 41Ib . - OM . . 4 crt . r . f. 4 i 1. 44 This drawing is neither a legally recorded map nor a survey and is not Map Scale N intended to be used as one.This drawing is a compilation of records, information,and data located in various city,county,and state offices,and 1 inch =40 feet other sources affecting the area shown,and is to be used for reference purposes only.Scott County is not responsible for any inaccurac es herein W E 1' contained.If discrepancies are found,please contact the Scott County Map Date ` Surveyors Office. 5/24/2013 S ,( i � � F Z ,+J m o t 'Z r v V1 I`8 N Tv' N cV N Y A ul Q t O\ I 7 V ae� O¢� Y 0 v w V E _m O N w O \ \ \ \ 0 s C N (% O N n O A s E V N To 41111 o , f1 c rn V O p H O o E N E o Y o O V aEiv a "L' o , .a E 3 v a L V ,A-,8Z 1 '*��J - cam, ,,,, ' `_ t t',! l t INTERAGENCY REQUEST FOR FIRE INSPECTION ,� , ,, CHILD'CARE CENTERS To: la State Fire Marshal ❑ Local Fire Inspector Date: From: Donna Gainor , (Licensor) Phone Number:_,_651-296-6314 A fire inspection under the Minnesota State Fire Code is required for all new child care facilities,and for a proposed change of occupancy. The facility must be inspected within 12 months before initial licensure. The Comrnissioner of DHS must not grant a license until written approval of compliance with the state fire code has been received from the fire marshal with jurisdiction. Name of Program: St.Michael's` Little Angels`SPS tLicense Number:,830279 Name.of Facility: .S1 , M.t c & \ e-e0.,. -,vm.., S c....\-, Address:_16280 Duluth ave SE Prior Lake 55372 Street City Zip Code Program Contact Person: 'VPI 1 RIC( Pp . Phone Number: or 5a^cg` lo7i 3c Areas to be used: Classrooms to be used: Number/Age.Ranges of Children: ❑ Basement ❑ Entire Facility 6 weeks to 16 months: First Floor 'Specific rooms listed below: 16 mos. to 33 months: to Second Floor A 115 33 mos. to kindergarten:_j,61— o Other Kindergarten to 12 years: !o Specify: Total: 1 Qi 11111111111111111111111111111111111111111 Fire Inspection.Results: "K" Facility meets requirements of the fire code. Note: If entire facility meets 1-4 requirements of the Minnesota State Fire Code, indicate by checking this box 0. o Facility does not meet requirements of the fire code and cannot be occupied until orders are met. p Facility does not meet requirements, but may temporarily be occupied until (date), pending completion of orders. Comments: A Signature of Fire Inspector: l' - Ce Phone ,! 1--e. 31 , '6,76?7 /-fiNumber. Agency Name: 7-7 /'J:1 /A v "...f ..,., Date: ."e f i When inspection Is complete, mail or fax this form and any additional orders to: Minnesota Department of Human Services, Division of Licensing P.O. Box 64242 St.Paul, MN 55164-0242 ` Fax Number: 651-297-1490. _,......,....3 Revised 5/013 (v-- v -ate ,iw° 1 g T i. 1 ' N W D : Oj H A J 1 0 V ih Ai t ,t1 mg§ ' n O C3 P m dei 33 F w i - 1 Z". �_99PA Z )<1.1/ N X1: 4. go m1 t1 0 -;, cI1IL CL el { __Th x, mm el t5-17, I m mw r02 � 1 m N_ N_ o_ 4 C A A 02 ir- N r -iN— � 4 TZSSZ N I1 rnaJEcrna rev: DATE \ MIDWEST PLAYSCAPES,INC. R487-11 (ii;) co sf 13-1895.MID A 06-MAY-13 \ 500 Pine Street,Suite 104 22 USERS 512 167'x rr x B4' SYSTEM SCALE Chaska,MN 55318 CHALLENGERS 3/16"=1'-Or \ SITE PLAN ���D,M Q Cl.) ® ICI A.SHRAWDER 3 R. 924 3qR. 44'X 21' C-___ ST. MICHAELS CATHOLIC SCHOOL PRIOR LAKE,MN 55372 rit ,s` / 4,,7 a / Y L i I i ' � gg 11 t I a ° , / is " , r"ri f i R �jrt I i t 1 , I nuw., d , tea °, �x. S al d • --,-,410 _ PLRA LI..'-, i-,',5,tr;fi:-'-?:',;..;..,.!',;„, I.,CT;.,=::S ;''f:?.'t ii:''if..";;;.-t.'-= :,;Ulvi r A i: ,' P ,, 5 T AA I P,F.,L Subje(i 1,4 F.;tiy. • .., A • . s 4- • , at , ',.,. \ \ •,'.. x , '4, I t 4 .,. r------1 1 r i •,! i . ] •,,, . , „.,... , „...- r , 0 ,4 c , . -r-- '4:,.' 75 I. Vs. ' H ,'': - ...,.. • — , .) i , . --.0 crt .,.--- ---; " !i > 1 ....,‘,.. . -.1 ; , -1. i ---t; ...., • .,- ,... 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