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0.1 PRin
tz,-)F-:: , \)9 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
pq
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �J 3v�j
AND C I • k CTION PERMIT / ' /4 '
e�'AWE 50 ,04nv/mil/
1. White File
2. Pink City PERMIT NO.l41_. /147
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
l S i i s fi t kLLSD/4- t 1— 4*A- � `O K1) ',I5/..�'
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID 2.5. 935 010. u
O((NaWNER Ski---;--.L - i ,S C/4 � ,I a
F-I /v.- (Phone) RSZ'' �T7" 44S2 :
(Address) l 51.t S MA-e-TIALSO 4, f$ - , --P___Q ':
BUILDER N\1440
� '' l
�
(Company Name) 1 *D 1,0-4tL jLt I (S C-, (Phone) �S 2'`447"'. 2 38
(Contact Name) c r\M fV W4-C.1) (Phone) CQ (Ziiit ,
--Th 1.� IA) 1�j 0 lot— ���"' S�LP/(Address)
sA-(/ iv/Lk S -Z E
TYPE OF WORK 0 New Construction ODeck ['Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
1Addition ❑Alteration DUtility Connection
CODE: O. .R.C. I.B.C. 0 Misc:
Type of C. , • • "on: I II III IV V A B %,,, t
Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ , O **
Division: 1 2 3 4 5 (excluding land) '
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 , se. Furth: ..ore,I hereb that the city official or a designee may enter upon the property to
ee perform needed' spections
Signa e Contractor's License o.
D
e
Permit Valuation t l v G 8 Park Support Fee # $
Permit Fee $ SAC
Plan Check Fee $ .1ç4
p s Water Meter Size 5/8"; 1"; $
�
State Surcharge $ \r Pressure Reducer $
Penalty $ �..
Sewer/Water Connection Fee # $
Plumbing Permit Fee $ 54,,s- Water Tower Fee # $
Mechanical Permit Fee $ 5-fs
r--, Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ 2-Q`�7� .lb
6A-44_4:v 1/ '4- I �j'
This A i ,+� Be,.alts Your Building Permit Aroved Paid C') Y Re 1pt No. 72.-&
7'
Date // 7.-/ t.-
uilding Official to
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.
/ g--/�f
Plane' rector Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
' 401
0
White -Building
gOl Canary -Engineering
Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
jZ ..
NAME OF APPLICANT
.....,,/,)/
tC G6 4' 'ow 4
APPLICATION RECEIVED , O /c......,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/57/3 7z/1, 6',/.6,...,,e).-)-,.} . - _,..,(__, ..
Accepted Accepted With Corrections
Denied
Reviewed By: Air/ �% Date: if-1-'
Comments:
_____)
4145 a MAkr041401 raa-re ‘ size , f s ` Z
r � e. A- u
"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."
O. YRipt
rn
White -Building
40n+, 8ol* Canary Engineering
Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT •et4„
APPLICATION RECEIVED / 30
The Building, Engineering, and Planning Departments have reviewed the building permit -
application for construction activity which is proposed at:
75/4s 727a, 0� r j
Accepted t/ Accepted With Corrections
Denied
\ Reviewed By: Date: !/
omments: See Reverse Side for Additional Information!
f- - ft6
See Attachments: 1) Grading Plan, 2) Erosion Control Standards
"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."
O� PRTp�
(16
White -Building
Canary Engineering
Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT f)// ldierkingee- Z?•41-4:eaeW
�J
APPLICATION RECEIVED T. 30 . /The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/57/5
Accepted Accepted With Corrections
Denied
Avid
Reviewed By: ) Date: (f-
Comments:
fComments:
f es' Orecir-, kec-tee
z,. = rum f Ccs44%-)
.
"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."
12/27/2014 00:34 9528947972 LAKESIDE PLUMBING
PAGE 01tpD
fpRto
601 CITY OF.PRIOR LAKE PLUMBING PERMIT ,, bate Rcc'd
vlvatst► .
0ew ret,,`
nrh�t and elan et t►eerrot � [P$-- -
1 .—O. .
x
As
-----i
_____jgL.LcAs_____D_Adais.s__:XSI"JIAL
LEGAL DESCRIPTION wee nae only) _.. r.,..
LOT BLOCK ADDITION
Pm
�a...�. .
(Phone)
A,ddnss) 1 I 1 t _"�'� _
! APPLICANT Aaiter,,,s,.
1j (Phone) —114.4121:1114.a.______
(Address) lam , . t_ ,
(Acklress) (City)
(Contact Person) (A'Code)
- ._ .. (Phone) +{
APPLICANT SIGNATURE .. ATE .
APPLICANT PLEASE COMPLETE BELOW •_
QttA�ti "....-. , pe of I'ktue
Bath Tub with or without shower Quanti 'Type o(Bixtut c -"»`
1 BaDishwasher �" Ron -fns
_-_ ..,�
Floor shNUS . Water Neater
Water So#toncr -------..,...,—
Lavato :stltcq oo sinkr— . Stand Pi a Washing
Laund Ira I or.2 compartmcnf sink i shin, Maolil�� _
1 Shower Stall Sews a Ejector
j __ Backflow Assembly _
__.. gar Sink Backfiow Assembl Test
—, Water Clint oiJet � Lawn .iinkler ,
..Z ". Other
Tt a Mfnnesot -•-- les -- ••__ .. FEE SCHEDULE
": UhC�i eS0t3" S76B. 4A tot coat with a$49.50 minimum RceidttntiRi,New Oita�Q Twa-Fe1n�y a 149.50 i
I'he titiginlitift su Cha ee tendQct" ' Residential,Additions&Alterations 349.50
� for a
'fixed res Perritt is$5.O0 $ .. Building Permit dt `
rni
•PLUMBING PERMIT PEE $ Imskil714$7.1.PSRMIT
STATE SURCHARGE MIT $
omro TOTAL PERMIT PEE $ '.
on • .
This APMteatIon 11 Ines)(our Buttd►.ng Permit When Approved Paid
•
Ttrceipt No.
ttRlldlne otaefel r Mete Date ""'" BY -- �
•
24 hear notice for all inspections(952)4474850,fax(952)447.4245 ---
4646 Dakota Street S,R.,Prior Lake,Minnesota 55372
•
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /57/5' R' AISON /SL, R,
NATURE OF WORK - i i /22,
USE OF BUILD -
PERMIT NO. r'l.'1 ull. DATE ISSUED /!•(.
CONTRACTOR r „ ,� ;'�, PHONE d7. 2791
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
FOOTING WC A? / /7
FOUNDATION (Prior To Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
1111111111111111111111111111.0
FRAMING P( `ab
INSULATION `�_
ELECTRICAL
PLUMBING Ws ace8 I a`' i- 2#5"...
HEATING lP6 2110K
GAS LINE AIR TEST 1 F p, � Zl \ ilr
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
HOUSEWRAP LATH
FINALS
GRADING ( PRIOR TO SODDING)
BUILDING -rill --rfr( ---
ELECTRICAL
PLUMBING ft) Gfrerk
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