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Building Permit 14. 1353
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E5 000000 0 3 o §' NM " L6 o f ❑ of PR-1(3 CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd ,� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE //_/1---,/4-- 2. /_/¢-,/¢-. AND UTILITY CONNECTION PERMIT U irj ��NNE50�� I. while File PERMIT NO. f Yellow City t ‘35- 3 � i Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) e:eA� LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID 2 0 t 02¢6 OWNER /� �,.� (Name) / " `/1�/1-C2'("C- / �6,(4/4l d(f/O (Phone) ,i/.3-7S g- "d d7 (Address) / b 1 r me L74 z E' /91 w J j ' 4 7 BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK New Construction ['Deck ❑Porch ❑Re-Roofing [Me-Siding ❑Lower Level Finish ElFireplace Additioq ❑Alteration ❑Utility Connection ° Z-M" .57Z1,--(7 ❑Misc. CODE: .R.C. ❑I.B.C. • Type oft onstruction: I II III IV V A B PROJECT COST/VALUE $ Occupancy Group: ABE F HI MR SU (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 ca i his permit for just Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections x , - s / 3/ ' Signature Contractor's License No. Dat Permit Valuation r•Ca 11,000 Park Support Fee # $ Permit Fee $ (4/q,7 SAC # $ Plan Check Fee $ C .425 Water Meter Size 5/8"; 1"; $ State Surcharge $ (f3‘).4-0 Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ -.-11-. Water Tower Fee # $ Mechanical Permit Fee $ 9co Builder's Deposit $ r Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ C© TOTAL DUE $ 25g& , l8 ��A� GAS--c-q) t Z-/tt l� - This Applicat B ome Your Building Permit When Prov Paid �6 BCp. 1 Receipt NO. p2, 0i i� �L f D Date t owl 1 i l By iJ�!i I- :uildil'•_Ufticia D e 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 Plan' ng 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 04 n o4 CITY OF PRIOR LAKE Date Recd h' HEATING/AIR CONDITIONING/FIREPLACE PERMIT ilia1 (5 P I.Pink File PERMIT NO. / I 3 �S fNNEso! 2.Green City 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 05f8s S/ i-e /r.te;/ AL EC, 14);d LEGAL DESCRIPTION(office use only) /t r\ LOT BLOCK ADDITION PID O 'O'biq,0 OWNER _ k _ ( c (Name) 1n ,� k a\CAN rt (Phone) 6t .-7 �- O(--(OO (Address) APPLICANT ( i c ' (Name) 3-n C off- ��r�(e( it 0.17,4o/6 (Phone) 6 I a-g CO-a7'+9 (Address) CP( ritig-17:j •, \d Et� - (�V_ ),JUSu' (� (Contact Person) ��- -� (12_ (Phone) cxVM- APPLICANT SIGNATU' ,d �! Ilii Ile DATE 3(6/ S--- APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION REPLACEMENT ❑ALTERATIONS FURNACE-MAKEANDMODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner EWar7n Air Plants ❑Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑Hot Water into Required Side Yard Setbacks. El Mechanical ❑Radiation Fireplaces with Box Additions or 17 .it Conditioning El Special Devices Cantilevers to the Outside of Buildings L -nt. System ❑Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial,Commercial&Multi Family 1%of job cost Residential,Gas Fireplace $49.50 $49.50 minimum Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations $49.50 Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50 Cost$ Building Permit# HEATING PERMIT FEE $ ( STATE SURCHARGE $ 5.00 i \6_,dTOTAL PERMIT FEE $ 4► • This Application Becomes Your Building Permit When Approved Paid 7, 1cet.t No.' Date �i�/ BuildingOfficial Date , • 24 hour notice for all inspections(952)447-9850 r 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 rpRi p�NCITY OF PRIOR LAKE Date Recd HEATING/AIR CONDITIONING/FIREPLACI, M WITh PERRI M, ,,.,:;... P 1.Pink File PERMIT NO. NNEso 2.Green City /L/• /353 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESSZONING (office use) 1-1-(66- S o iI N F LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNERIn (Name) m a.r / Y l C (Phone)` (Address) "I 1 UII.,Y nrc/V Lin . E - vI foo 11 t, MI "J� -f l (Name)C n I olein Yra r+ i? h twin (Phone)q`:J� . 1-`"tg cia'— J (Address) (OocTOCO l OYctij " ✓ /)) (Contact Person) ( gQ1)-ya (Phone) ) APPLICANT SIGNATU' , DATE 4- /0)1,,- k J .1 APPLICANT PLEASE COMPLETE BELOW C%NEW CONSTRUCTION ❑REPLACEMENT ❑ALTERATION S 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 RGravity El Hot Water into Required Side Yard Setbacks. Mechanical El Radiation Fireplaces with Box Additions or ❑Air Conditioning LI Special Devices Cantilevers to the Outside of Buildings ❑Vent. System 1 ❑Ot D vices Require a Building Permit. FIREPLACE MAKE AND .MODEL 1'A e A0Conc- FEE SCHEDUL Industrial, Commercial & Multi Family 1% of job cost Residential, Gas Fireplace $49.50 $49.50 minimum Residential, Heating&A/C (New Construction) $149.50 Residential,Additions&Alterations $49.50 Reciripntial l:-leatimr only .New Construction) $64.50 Residential,AC Only $49.50 The Minnesota Statutes 326B.148 Cost$ Building Permit# "SURCHARGE"has been extended The minimum surcharge for a IEATING PERMIT FEE $`r f '�I. 19 "fixed fee" permit is ;TATE SURCHARGE $ 5.00 COTAL PERMIT FEE $5{:: This Application Becomes Your Building Permit When Approved Paid 41`RitIo. Date ./ ?7 Building Official Date , y 24 hour notice for all inspections (952)447-9850 4646 Dakota Street S.E., Prior Lake,Minnesota 55372 PRIo • SiCilc- r.3 Date Recd CITY OF PRIOR LAKE PLUMBING PERMIT -. 4fio.C1' _ :Zed , PERMIT NO. /LL /3 S3 (Please type or print and sign at bottom) 3.Yellow Applicantl '✓ ADDRESS ZONING(office use) S(IFS skDc� Tc 1 . ilL \(/ & ®gi d LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITIONpm /2-4'SO OWNER n (Name) lh4.0 1k0vJke-t,V1. (Phone) 6(2 '751 ggb0 (Address) APPLICANT (Name) 1,1 A3 floAttnt :rt.p . (Phone) 1 S 2- -- C-/C/o - 3 7 S Z (Address) C l 2 S 1 (Address) (City) (Zip Code) (Contact Person) ...r'crc_ _ (Phone) g 17- 270 E4i; 7 2 APPLICANT SIGNATURE / --- ----- _ DATE `3— S— "S APPLICANT PLEASE COMPLETE BELOW , Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins i Dishwasher ( Water Heater 1 Floor Drain Water Softener L( Lavatory(Bathroom Sink) I Stand Pipe(Washing Machine) Laundry Tray(1 or 2 compartment sink Sewage Ejector 3 Shower Stall Backflow Assembly 3 Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler 3 Water Closet(Toilet) Other The Miftnesata Statutes __"__ FEE SCHEDULE ( _ "SURCHARGE"has been xte ded joli cost with a$49.50 minimum Residential,surcharge for a Residential,New Oia s&.Aid ations The $49.50 infiliniuin "fixed fee"permit is$5.00 $ Building Permit# PLUMBING PERMIT FEE $ STATE SURCHARGE $ XXX 5.00 TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid A. 1. pp 12eceipC�o. �'MAI' ��� iDate 13BuUdine Of(iclal Date1• , 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 \ 4646 Dakota Street S:E.,Prior Lake,Minnesota 55372 co PRION .y B t. White -Building Canary -Engineering Pink -Planning = ' k ' T • • AT • i • •A; lk NAME OF APPLICANT ;a440C____ APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the buildingpermit application for construction acti 'ty which is proposed at: p :.Accepted , Accepted With Corrections Denied Reviewed By: /02--x2-/Y Date: 6oZ_.x2~/Y Comments: FAtik w( YPqu,rede S2,Darue Ouia /9erm01- "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." �.a. White -Building 40Mvescio* Canary -Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ,� APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction acti 'ty which is proposed at: 51 3S 1 Accepted Accepted With Corrections Denied Reviewed By: k „, Date: f f 0 Comments: c$ .�c�s--�.�r e -cam--� K.c S "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* PRION 0 etCC '�''Mveso��' White -Building Canary -Engineering Pink -Planning IL p _ - ._ ' • , • kI - NAME OF APPLICANT \ / / �f APPLICATION RECEIVED /l /�-' /V The Building, Engineering, and Planning Departments have reviewed the application for construction acti 'ty which is proposed at: building permit 5 i -, _. ---it-a-?---C_________' ' , ._...fie7iet._,,,-- 4 Accepted 4.7 Accepted With Corrections Denied d Reviewed By: ill /iiu `�' Date: / /D / `**- ` Comments: i � ,l w"The issuance or granting of a permit or approval of plans, specifications computations shall not be construed to be a permit for, or an aproval f, any and any of the provisions of this 'code or of any other ordinance of the jurisdiction.violation f presuming to give authority to violate or cancel the provisions of this code or ordinances of the jurisdiction shall not be valid. other DEPARTMENT OF PRIOR LAKE BUILDING AND INSPECTION t INSPECTION RECORD SITE ADDRESS -"*4dt. --.N,(2 ---c—rAt<_. ). , E.- , NATURE OF WORK , " i-r 10 USE OF BUILDING --•S PERMIT NO. DATE I SUED i2./c/4- CONTRACTOR 2 to / 4- CONTRACTOR t"et, 14 x-'`c'`O PHONE g.lz-1 C1 -131-°0 INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE Fc FOOTING j ,,3\, 4, 17A r - perk 5/6/5" P6 FOUNDATION (Prior To Backfill PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS / . FRAMING INSULATION 4 ELECTRICAL PLUMBING WG , ii), p 3/„``K HEATING f'47/ j .... - FIREPLACE GAS LINE AIR TEST h ,' e yze <�--� .......— COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED HOUSEWRAP e> Tllle LATH '66 1; FINALS GRADING ( PRIOR TO SODDING) iz(.8 I LC BUILDING ,4-5,c ,✓ g lel (6 ELECTRICAL PLUMBING tN C— ril zd // HEATING 41 I 0 N TOC PY UNTIL ABOVE HAS BEEN SIGNED 5QWv c `r* 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 r