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E ? -13 z & §mz & k \ M , 0 I § 77 ■ 7 Z z co 0 \ r- % RR % § �. § f � c � z r o k m � � i g / m I ■ S m ^ / ( . ® 0 �� - 7 00000 E77 a. > o > 22k§ § D5 < mmmaQ % z \ < § CCC § 0 ~\ z m - kq mzq „, -, » ter. - § > z ■r 0 taF PR/0�' CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE zq /s AND UTILITY CONNECTION PERMIT ��A'NES��P 1. White File 2. Pink City PERMIT NO. ‘5"... S ' ( 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS 1PrtoL4ce, ZONING(office use) I71 go ACAtI wu� 5T2 -1 MN SS312_ LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) �t°'r'^'e..e" 5 ail p..wb eyi,1Eve_ (Phone) ct l2- ic3' C, (Too (Address) R.t?`1`f d e ve lct.WIQ_ ,C V Q -, 1 f io(Z (ice rn t^, 55312_ , / BUIL ER (Company Name) 5C.110�W�2 Ohi eA)4t" I .(- K' (Phone) L51 2..L—....4014(.75—...1 101 ? G (Contact Name) L4 ,CE $cLIcyewbeR9 eft (Phone) (Address) • L.,...e..1 • 4V€ eo,f t (2 L C-e- VV 2- TYPE OF WORK 0 New Construction ['Deck ❑Porch DRe-Roofing ORe-Siding ❑Lower Level Finish ❑Fireplace ['Addition *Alteration ❑Utility Connection CODE: ❑I.R.C. C. 0 Misc. /,� Type of Constructio . I II III IV V A B PROJECT COST/VALUE $ C ''/Igoe ---L--- Occupancy Group: A B E F H I M R S U (excluding land) Division: 1 2 3 4 5 I hereby certify that 1 ive furnish: infor•ation on t ..s 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 pro. i • e4t all co str�'.n wi' 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 t: A y."'tther .re,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. Contractor's License No. Date Permit Valuationlam— Park Support Fee # $ o Permit Fee $ SAC # $ Plan Check Fee $ ' Zic,1k, Water Meter Size 5/8"; 1"; $ State Surcharge $ Pressure Reducer $ Penalty $ I 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 m-4,L612 (o.1, is- $ 3 La_ as b t This A'! :a ' n Becomes Your Building Permit 'n • t proved Paid 3 W.-'lb ReC t No. 67/ ,� .-- Date 6 /.- r f B Buildu_ fru' Date This is to cc , t i the request in the above application and accompanying documen is i accordance with the City Zoning Ordinance and may proceed as requested. This document when Signe. ' th , ity Planner constrtu •. ...orary Certificate of Zoning compli nee d allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. . P - Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850 4646 Dakota Street Prior Lake,MN 55372 r PR/p� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE // x AND UTILITY CONNECTION PERMIT 7 (• /S t..) �, lb b G� lc. .Y -4._ I. White File PERMIT NO. /5 ��A'NESO�P 2. Pink City 3 Yellow Applicant (Please type or print and sign at bottom) ZONING(office use) ADDRESS t1f gOmg 'JUJ, .k.• / LEGAL DESCRIPTION�/ (office use only) l n .. /3 J� v D ��� cL ?�6C�I/lam' C'- i JA Ql i s h /19--L PID W5-,. e a LOT (I/2r 0 K A DITION OWNER (Name) .'"NJ's- vN..1rNe e� (Phone) � '��"�� (Address) S BUILDER (Phone) �d$1', f� b (Company Name) 11 r iv tt —�n—�re.){4 �" )--�� ice— (Phone) (Contact Name � L.) ��• Mt) Ss/a3 (Address) �J�S (1r'1��Qy�cju�. Apt_ TYPE OF WORK ❑New Construction ❑Deck ['Porch ❑Re-Roofing ❑Re-Siding ❑Lowwer Level Finish CI Fireplace ['AdditionAddition Alteration ['Utility Connection `�-�JL�C.A ' -. 4— k S eC1U�tC`�{. 1:1 Misc. CODE: ❑I.R.C. ❑I.B.C. Type of Construction: I II III IV V A B PROJECT COST/VALUE $ 6.00 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 aboverentioned 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 offici can revoke this permit for j st c . Furthermore,I hereby agree that the city official ora designee may enter upon the pioperty to perform needed inspections. XContr Signature actor's License No. Date Permit Valuation 50 .,V v �T/� Park Support Fee # $ Permit Fee $ 2 5',0 CI SAC # $ Plan Check Fee $ ha Water Meter .Size 5/8"; 1"; $ � State Surcharge $ 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 $ 4,1- c Thi ,ppli •j �eco ,es Your Building Permit �/ /7 When Approved Paid B / / Date 7_ z., /S Re pt No. Z06,` Building 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. -Ilea V 'i _�n it 11 '�'�c Vert ((xecPlanning DirectorDate u Special Conditions,iczciii-covt, ny 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 16200 Eagle Creek Avenue Prior Lake,MN 55372 � PRIp CITY OF PRIOR LAKE Date Rec'd ° HEATING/AIR CONDITIONING/FIREPLA' ,E ' 1 T ., l 5. 1.Pink File PERM NO `'INNEso 2.Green City ' A 3.Yellow Applicant t (Please type or print and sign at bottom) ADDRESS ( ZONING(office use) v\`1 \ c� 6 NL\�n n J 1 l LEGAL DESCRIPTION (office u only) LOT U LC CASfli4° ` . v5.740 JA�)31D -�T 3,OO2— O OWNER ( (Phone) 1 a_ -3_ �QO (Name) c--VN 14h -k .--1 �," c) �t.1,V (Address) \11 0 ` f'NM''1 h S . S L APPLICANT S �,�� _ l a,V1 J (Name) _ � �. Yti ^_ A (Phone) i (Address) \-0 c\ \....f.,\ ,.., (Contact Person) C\'11 L_'\ (Phone)9 S D-NA\A-) y) a\A APPLICANT SIGNATURE -A\ DATE Q -) S.. APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION C]REPLACEMENT ,LTERATIONS 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 14 Other Devices ) s ,,y, p6fitec Require a Building Permit. FIREPLACE MAKE AND MODEL v.-Ivy\k FEE SCHEDULE Industrial, Commercial&Multi Family 1% *oh cos Residential, Gas Fireplace $49.50 49.50 min Residential,Heating&A/C (New Construction) 149.50 Residential,Additions&Alterations $49.50 Residential,Heating Only(New Construction) $64.5Q Residential,AC Only $49.50 Cost$ \ WS—) Building Permit# S HEATING PERMIT FEE $"\ r STATE SURCHARGE $ .00 i TOTAL PERMIT FEE $ 4,i AS This Application Becomes Your Building Permit When Approved MEMO Receipt No. lal \ Dat; By Building Official Date 1 A 24 hour notice for all inspections(952)447-9850 P 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 --s DEPARTMENT OF PRIOR LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS C-l \ o 17<t-411 NATURE OF WORK ' USE OF BUILDINGr t �- TE IS UED /'sr- ( PERMIT NO. tc 411 D ( � CONTRACTORS PHONE L(z. f6 5 ' INSTALL EROSION CONRTOL AND MAIN AIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE c1L?Eldr'r? for To Backfill) 11411014;1144- PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS _SeinikiliAtMEIMMTIC FRAMING (Q' 1 Z 1 ►5- INSULATION ELECTRICAL HEATING -- C( L� . .. --• -- --- T � COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED FINALS SODDING) ILDI NG I C\ I k ELECTRICAL 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 forti/, * s :F I F�11ri r's.rr1♦1.r:aa;i�'L 1 Le S Electric! tie F'RE 1.pp2-. 55I5/NJ I—II -IP 11 • I I / 4, ...- ..- ---10. 4,1' 1, ems' s ,EXIST'& ' (--- VESTIBULE r LANCE'S OFFICE OFFICE EXIST'& EXIST'& RESTROOM RESTROOM ,,,, , 1--- ...i. l r-( NICK'S OFFICE „ tk ------'.)1 ri---- ----Th 2 -,c4 r(6-ro-z- cir•-Ao 5- /- I I f) t,7 EXIST& • RESTROOM - EXIST'& '_' PRINT ROOM a •` tow �. s-9;' ~— DALES OFFICEli 13) 1 J C: (9 [IF IIelN„s .K. sr ::xxR...,v�.'+ p'I' EXIST'S BREAK ROOM MARYS OFFICE OFFICE 13,11. § 4 b i r.- — — . =l sl 0 LAKE BUI INC ,X IT PLAN REVIEW --...---'"--RELOCATE DOOR INSPECTO IeLJ DATE 6 r / C PERMIT NO. ❑ACCEPTED AS SUBMITTED CEPTED WITH CORRECTIONS AS NOTED Fxlsr'6 U NOT ACCEPTED-CORRECT&RESUBMIT These comments are for your information.All work shall be done in full compliance with all applicable building&zoning code requirements including items not specifically noted in this review. 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