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Building Permit 15. 0699, Plbg 15.0745
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A � .n! 73 x w m o m E § Pi > O O § § 2 m n, 0 0 r � § 2 z -1 . 2 § # Si r � •0 P 0 / A A 1/41 co ok a m 000 ! , m z. xi 0 • v mm- E § ' ' � ® • a (a2C � �� § A » mm % g 22 2 E I -4r Q F PR1O CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �O, 7, ��— . AND UTILITY CONNECTION PERMIT v t� it, I. White File: I PERMIT NO./ &,9',7 �NNzs� z. pink city 3 Yellow Applicant (Please type or print and sign at bottom) ZONING(office use) ADDRESS 11� �j e 2--- LEGALI (p7 S I tY U� Ihv Se ) - 4,►-1- , 11-.-' ``f ci r�^(" ��-k� G— LEGAL DESCRIPTION(office use only) LOT s .00CI " LAD�I ION 4 I t / /fMAI PID 0•75--"/4/17-.09 —/� (Name)� R.)j S t)T C �' .-(1 0 ;-onAo n (Phone) lel 9-' —45) (Address) 175o (10C-111 Si— � ,O 9� 1 i! f '7'3 ER (CompBUILany (Phone) o'l off' p�L0''KJ 1 1 (Company Name) ,S-- l +��� (Contact Name) (Phone) (Address) 0 TYPE OF WORK 0 New Construction ❑Deck ❑Porch �]Re-Roofing ❑Re-Siding ❑Lower Level/ FinishFireplace ,` p.�'�c ❑Addition �eration ❑Utility Connection ,gyp? O�)CQ� / 1 n'��l) �fi-�on ^� "' 0 Misc. r•-emo 11t / CODE: ❑LR.C. ►���.C. Type of Constructio t I II OP N V A ell' PROJECT COST/VALUE $ )1260 Occupancy Group: A E F H I M R S U (excluding land) Division: 1 2 3 4 5 I hereby certify that I have fu ished 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 eed in officialbnti 7th'perm and that Just cause. Furthermore,I hereby agree that the city offc ial or a local aws designee may eand will nter upon the propee with submitted plans. am rty to perform needed pectiaware that the building IIII c re / X , Contractor's License No. tel Signature Permit Valuation Park Support Fee # $ Permit Fee $ _�j //`� SAC • # $ -"' ,V� Water Meter Size 5/8"; 1"; $ Plan Check Fee $ i. e 70 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 e7- 4, 4.23 /." $ C.3 -c This A,licatio- ',• t our Building Permit When A oved Paid 2. ZU RecS No. 193Y / ` Date le . 2. tSi By < A, i'� 23 /S Building Official 1e 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 1. ner constitutes a temporary Certificate of Zoning compliance and allows construction to commence.�Beeff000re occu/paancy,a Certificate of Occupancy must be issued. , .. r r —�� , a+`��"`" C,/ r�'N! t CL/. .`Ap`Iar�r / e Witt or Plannin: ,'"rector Date C. Special Conditions,if Wy 24 hour notice for all inspections(952)447-9850 4646 Dakota Street Prior Lake,MN 55372 a 1171111.1.1 :■C•.C.C`u■ _:. ' i,UUIUI EC' ■ _■!W ■.. ■ ■•■■ ■ �■UI .1•••••: E' :=■ ■ E _ ■U'U A N■■ ■ •■ ■1■■U �.i ■ ■U■ . /_■■o ■, cz M ' CELE' ■. ■ ■ � UU ■ .,�,, CZ ■E IEEE NE' . E' ••� :___�' . . $ - E.c EE ■■E �, . cQ ■.... g ■ C CCE ■_ . ■■=E ■E ■ ■ a° EEM - ■■■ ■.G om mom. um U. ,. W �. um ❑ -or ■ ■rENNii ■ ....Ara. o ■■■■E_ ■ ■■■■■ ■ ■ ■I■ � cci 4"+ • MOM..■.._ :EE .■. 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V Q d V .a. fl: . i EU...I.EE•E=E - .:■ 1111111111111111.11111111.■,°P,v v 3 "" ^1- o W. o r ti ■iEi ■■■ ��a ■ v) o j9 , ? z ° 0 O ~ - N■ ■■■■ ■•I■ �l c� (--- 2 :04 4YRIDDate Recd CITY OF PRIOR LAKE PLUMBING PERMIT 1 / /6.— e•- •&7-1A1/ soy I.Blue File 2. City PERMIT NCO5, 745' Gold city kv 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) ) 1013 l Hi 5�`‘/' 13 .5., Sic- )12- 1 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID (Name)OWNESeArNi Co' doh & 63.. (Phone) G l — 6719 - VI (Address) APPLICANT am S P ) 2 Q! 1 IGirea(0 t‘ LL( ( ) 5 i 7 r] oQ} -- ameJ Phone (Address) . _ _ A. k S c...4 306 ,0 G sY4 /'►oto (, •dress) (City) (Zip Code) SJ7Ti (Contact Person) e.....,,, - I (Phone) G/02- 7 qv/ APPLICANT SIGNATURE _LINIFAIWIF•‘_ DATE _l_____ _.tetil ?ii AP LICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher ( Water Heater (p G-pr1,01...o Floor Drain Water Softener Lavatory(Bathroom Sink) Stand Pipe(Washing Machine) Laundry Tray(1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly I Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet(Toilet) Other FEE SCHEDULE Industrial,Commercial&Multi-family I%of job cost with a$49.50 minimum Residential,New One&Two-Family $149.50 Residential,Additions&Alterations $49.50 The Minnesota Statutes§326B.148 Building Permit# "SURCHARGE"has been extended ��pp The minimum surcharge for a ,UMBING PERMIT FEE $ "t"[.` s "fixed fee"permit is$5.00 'ATE SURCHARGE $ IOW /� ,�, )TAL PERMIT FEE $ ��. ;'' This Applicati' il e , .es Y l... uilding Permit he Approved Paid—67), SD IB No. a// AIND'_ 1 �� Date✓7� /. /5 Buildine s • c al Da 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 • trE DEPARTMENT OF PRIOR LA., BUILDING AND INSPECTION INSPECTION ECORD SITE ADDRESS U4,1-51 ( uuy . I5-- 0(1-C-- l \2 `- NATURE OF WORK N1A FIN/ IS tA USE OF BUILDING l - A .(� PERMIT NO. DATE ISSUED tG Z I — CONTRACTOR S. --A-s.1 G�Ni l'e. 4 PHONE Vr- I7 61 j INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE IIIIIIIIIIIIIIIISNI 11111111.1111 (Prior To Backfill) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS 1111111111111111.111111111111111111. FRAMING 65 Ve-7,e iiiiiiii1111/N ELECTRICAL glibilliiiila -PC— S/6_, 11111111111116 COVER NO WORK UNTIL THE ABOVE HAS BEEN 441111.1111811111111111111PL- inilia FINALS BUILDING -.. g \I e IJ- ' ELECTRICAL 4001.111.1% 6Acl V ve,sk 9 ofsi42), i, 7i 4 IMMO 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