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o4/,PRI �p CITY OF PRIOR LAKE BUILDING PERMIT, Date ec'd
�' : TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 6///70,5
"', \!tri AND UTILITY CONNECTION PERMIT
NNESO
1.White File
PERMIT NO. /
2. Pink City /3 /�, 5IIIGGGCCC..///5
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
5. 5341 Le r,. ley Cie . S- F „, /?l5
LEGAL�/DESCRIPTION(office use only)
LOT D BLOCK / ADDITION 1' / A �AxI al' ,i0,'e PID ,q5- 055- 00g'0
` OWNER ^^ �/
(Name) 1.3 Gt+-, Ap P c:,s I 6 ,s. L 1 t. i.1 i Is 4 (Phone) Q S rl— "61 't 1 3 1
(Address) 'S a. g 41 1 e I e ..v C.. • w. . E
BUILDER BECKMAN CONTRACTING&
(Company Name) caysuLTING,INC. Q GA e. (Phone) 9 5; a- 9 444i-7 0 6
(Contact Name) 8728 WALTON POND CIRCLE 64, LA. (Phone) G f a - 5 I t - GC/6
(Address) BLOOMINGTON,MINN.55438
TYPE OF WORK ❑New Cons ct on ['Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace
❑Addition teration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. 0 Misc: 1 Q
O i/ 1 r Ca i., cv Y IV` Al % 's' c '40, ¶w
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ `J 0y C) 0 Os 0 C)
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 ca yoke this just cause. Fur ermore, erebyragree that the city official or a designee may enter upon the property to perform needed inspections.
x P 610;i1 q °Y 6-! — i 1 ------\J
Signature Contractor's License No. Date
Permit Valuation5'0/ o00.00 Park Support Fee # $
Permit Fee $ �8�.Sb SAC # $
Plan Check Fee $ /1 U 5•13 Water Meter Size 5/8"; 1"; $
State Surcharge $ 'i [ Pressure Reducer $
2S .oc
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ 0.57) Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE 1_ei a $/L 0 9.
7
,. ,.ii".
n Beco Your Building Permit When Approved Paid /, Log 9�3 Recel �. �j�4� 2-
_, L� Date y��9/, By G%em
wilding%ficial Date
i
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.
Planning Director 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
O. VRI°A) CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
u r
11/INNEso'Ct' 2.
1.PinGrejilt;k n FiCPERMIT NO. (J /? i_3
3.Yellow Applicant
rint and sign at bottom)
DDRESS ZONING(office use)
c ) L.( Leel<� Cc rcl t S e
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
ame)�
R (Phone)
(Address)
AP' CANT
acep !nn.c ((A,...) Air SvppLt s �Ifi1)— ad2 7c- 68
essP II)-S-1 i 444 ,44/'l Alit"' 1 ell( j vtr , AA..... X 31 d
ct P ,c(AA" Qu o,v 4.. (Phone)
ceeriICANT SIGNA EA^ p DSL_ ---------- DATE /0-1 -
APPLICANT PLEASE COMPLETE BELOW
EINEW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS
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 0 Steam Units and Fireplaces Cannot Encroach
❑Gravity 0 Hot Water into Required Side Yard Setbacks.
El Mechanical El Radiation Fireplaces with Box Additions or
0 Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings
❑Vent. 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,Add' '. s&Alterations $49.50
Residential,Heating Only(New Construction) $64.50 Residential, : - Only $49.50
Cost$ Building Pe ' : izt\ , ,\I
HEATING PERMIT FEE $
STATE SURCHARGE $ 5.00 (�
R--___________„...2
TOTAL PERMIT FEE $ w
This Application • mes Your Building Permit When Approved Paid —"Receipt No.
Al Date By
Building �cial Date
24 hour notice for all inspections (952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
DEPARNT OF
PRIOR LAKE BUILDINGTMEAND INSPECTION
INSPECTION RECORD
SITE ADDRESS sap)L-[ L,kvt4 Le (1,,r
NATURE OF WORK INher;c,r Rewe
USE OF BUILDING SFD
PERMIT NO. 13�LQ3S� DATE ISSUED '7/1/15
CONTRACTOR c\,v tt .v1 Cov Vra.d'' Oeu PHONE 12"'8!8 -- SCoaC�
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
insmawes2.1""r".1111'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
10(16e 13
INSULATION /2j// 3
ELECTRICAL
PLUMBING 54.Q.4%,,j-- /1i �1 '
HEATING al
GAS LINE AIR TEST
RADON RETARDER
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
FINALS
gimmagammteseassose)
BUILDING d� osp
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